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Provider Choice VA Directory - CareFirst

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MARYLAND<br />

ALLEGANY COUNTY, MD<br />

#7674<br />

Frank A Laparle DDS PA<br />

Dr Frank A Laparle<br />

500 Memorial Avenue<br />

Suite 401<br />

Cumberland, MD 21502<br />

(301) 722-6689<br />

#6604***<br />

Frederick J Kiemle DDS<br />

Dr Frederick J Kiemle<br />

203 Greene Street<br />

Cumberland, MD 21502<br />

(301) 777-5300<br />

#7602***<br />

Lynne S Brodell DDS<br />

Dr Timothy D Sines<br />

Dr Lynne S Brodell<br />

Dr Maranne S Phillips<br />

Dr Vincent Fiorentino<br />

12600 Winchester Road<br />

Suite 103<br />

Cumberland, MD 21502<br />

Foreign Lang: SL<br />

(301) 729-0444<br />

#7854<br />

Marc Dinola DDS<br />

Dr Marc Dinola<br />

122 Bedford Street<br />

Cumberland, MD 21502<br />

(301) 722-4933<br />

#7672<br />

Rupert W Bosley DDS PA<br />

Dr Rupert W Bosley<br />

16920 National Highway<br />

Frostburg, MD 21532<br />

(301) 689-3677<br />

ANNE ARUNDEL COUNTY, MD<br />

#6725<br />

Arundel Mills Dental Group<br />

Dr Cynthia Burns<br />

7556 Teague Road<br />

Suite 460<br />

Hanover, MD 21076<br />

(410) 799-9636<br />

#6280<br />

Boyd & Boyd Dentistry PC<br />

Dr Cynthia Y Reed Boyd<br />

914 Bay Ridge Road<br />

Suite 205<br />

Annapolis, MD 21403<br />

(410) 626-1797<br />

#6694<br />

Chesapeake Smiles<br />

Dr Sadaf Nasir<br />

Dr Afia Rasul<br />

Dr Mohamed Ahmed<br />

Dr Oqba Tujjar<br />

2288 Blue Water Boulevard<br />

Suite 420<br />

Odenton, MD 21113<br />

Foreign Lang: AR<br />

(410) 672-0000<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6093***<br />

Dental One Assoc Annapolis PC<br />

Dr Stafford G Conley<br />

Dr Lara Philippi<br />

Dr Seung Bom Paik<br />

Dr Mark W Scarupa<br />

Dr Neil Goodrich<br />

Dr Treva Willis<br />

Dr Valerie Vitagliano<br />

2623 Housley Road<br />

Annapolis, MD 21401<br />

Foreign Lang: FR<br />

(410) 841-5131<br />

#6724<br />

Family Dentistry<br />

Dr Oqba Tujjar<br />

Dr Mohamed Ahmed<br />

677 Old Mill Road<br />

Millersville, MD 21108<br />

Foreign Lang: AR<br />

(410) 729-0390<br />

#6573<br />

Gambrills Family Dentistry<br />

Dr Deep Muko<br />

959 Annapolis Road<br />

Gambrills, MD 21054<br />

(410) 672-3456<br />

#6256***<br />

Joel S Sachs DDS<br />

Dr Joel S Sachs<br />

8556 Fort Smallwood Road<br />

Pasadena, MD 21122<br />

(410) 360-5116<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 1 -


#6113***<br />

Southgate Dental Care<br />

Dr Genevieve Borders<br />

Dr Marie N Johnson<br />

Dr Amir S Zia<br />

Dr Michelle Woods<br />

Dr Mark F Eisenberg<br />

1811A South Crain Highway<br />

Glen Burnie, MD 21061<br />

(410) 760-4455<br />

#6690<br />

Ulery Dental & Orthodontics<br />

Dr Christopher Wolf<br />

Dr Sung Jun<br />

Dr Arif Masood<br />

Dr Katayoun Ghajarnia<br />

Dr Christopher Stuzynski<br />

Dr Ryan S Mankiewicz<br />

Dr Kevin A Criscitiello<br />

Dr Mohamed (Sam) Elrafei<br />

Dr Wayne Steinberg<br />

Dr Scott Ulery<br />

7067 Baltimore Annapolis Boulevard<br />

Glen Burnie, MD 21061<br />

(410) 859-1255<br />

#6493<br />

Ulery Dental & Orthodontics<br />

Dr Christopher Wolf<br />

Dr Sung Jun<br />

Dr Arif Masood<br />

Dr Katayoun Ghajarnia<br />

Dr Christopher Stuzynski<br />

Dr Ryan S Mankiewicz<br />

Dr Kevin A Criscitiello<br />

Dr Mohamed (Sam) Elrafei<br />

Dr Wayne Steinberg<br />

Dr Scott A Ulery<br />

1286 Maryland Route 3 South<br />

Suite 7<br />

Crofton, MD 21114<br />

(410) 721-8200<br />

#6494<br />

Ulery Dental & Orthodontics<br />

Dr Christopher Wolf<br />

Dr Sung Jun<br />

Dr Arif Masood<br />

Dr Katayoun Ghajarnia<br />

Dr Christopher Stuzynski<br />

Dr Ryan S Mankiewicz<br />

Dr Kevin A Criscitiello<br />

Dr Mohamed (Sam) Elrafei<br />

Dr Wayne Steinberg<br />

Dr Scott A Ulery<br />

8055 Ritchie Highway<br />

Suite 102/4<br />

Pasadena, MD 21122<br />

(410) 590-6690<br />

BALTIMORE CITY, MD<br />

#7413<br />

Benjamin F Shelton DDS<br />

Dr Cohloe-shai Shelton<br />

Dr Benjamin F Shelton<br />

1501 East 33rd & The Alameda<br />

Baltimore, MD 21218<br />

(410) 243-3714<br />

#6137<br />

Billy D Davis DDS<br />

Dr Billy D Davis<br />

4200 Edmondson Avenue<br />

Suite 201<br />

Baltimore, MD 21229<br />

(410) 945-8822<br />

#7415***<br />

Bobby E Drayton DDS<br />

Dr Bobby E Drayton<br />

4403 Moravia Road<br />

Baltimore, MD 21206<br />

(410) 485-4403<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6326<br />

D.K. Gupta DDS MS<br />

Dr Raja Gupta<br />

Dr Devinder Gupta<br />

2 Village Square<br />

Suite 260<br />

Baltimore, MD 21210<br />

Foreign Lang: HI<br />

(410) 889-3105<br />

#6325<br />

Dental Office<br />

Dr Raja Gupta<br />

Dr Devinder Gupta<br />

1050 Old North Point Road<br />

Suite 202<br />

Baltimore, MD 21224<br />

Foreign Lang: HI<br />

(410) 284-5915<br />

#6181***<br />

Dental One Assoc Cross Keys PC<br />

Dr Alison Wright<br />

Dr Shannon I Erny<br />

Dr Elizabeth E Goodrich<br />

Dr Leena John<br />

Dr Mark W Scarupa<br />

Dr Khin Thaung Phillips<br />

250 Village Square II<br />

Building 1<br />

Suite 250<br />

Baltimore, MD 21210<br />

(410) 323-6400<br />

#7679***<br />

Dr Fabian F Desbordes<br />

Dr Fabian F Desbordes<br />

2300 Garrison Boulevard<br />

Suite 250<br />

Baltimore, MD 21216<br />

(410) 362-2910<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 2 -


#6372<br />

Dr James K Johnson Jr<br />

Dr James K Johnson Jr<br />

5813 Moravia Road<br />

Baltimore, MD 21206<br />

(410) 488-8471<br />

#6365***<br />

Dr Lee's Family Dental Center<br />

Dr Christopher K Lee<br />

7 West 21st Street<br />

Baltimore, MD 21218<br />

Foreign Lang: KO<br />

(410) 727-3744<br />

#6593<br />

Dr Michael C Collins<br />

Dr Michael C Collins<br />

831 West 36th Street<br />

Baltimore, MD 21211<br />

(410) 243-6066<br />

#6180<br />

Dr Ricardo C Kimbers<br />

Dr Ricardo C Kimbers<br />

932 West North Avenue<br />

Baltimore, MD 21217<br />

(410) 523-2662<br />

#6068<br />

Ernest J Colvin & Associates<br />

Dr Monica Dunstan-Hyacinth<br />

Dr Ernest J Colvin<br />

5808 York Road<br />

Suite A<br />

Baltimore, MD 21212<br />

Foreign Lang: SP<br />

(410) 433-1991<br />

#6067<br />

Ernest J Colvin & Associates<br />

Dr Ernest J Colvin<br />

4413 1/2 Park Heights Avenue<br />

Baltimore, MD 21215<br />

Foreign Lang: SP<br />

(410) 664-1900<br />

#6339***<br />

H M Dunstan & Associates PA<br />

Dr Hyacinth M Dunstan<br />

5800 Loch Raven Boulevard<br />

Baltimore, MD 21239<br />

(410) 435-5881<br />

#7904<br />

Joseph L Dyson Jr DDS<br />

Dr Jospeh L Dyson Jr<br />

1721 Pennsylvania Avenue<br />

Baltimore, MD 21217<br />

(410) 523-4100<br />

#7841***<br />

Kenny A Hooper DDS<br />

Dr Kenny A Hooper<br />

1500 East Madison Street<br />

Baltimore, MD 21205<br />

(410) 732-6720<br />

#7631<br />

Lawrence Bell Jr DDS PA<br />

Dr Lisa M Valentine<br />

Dr Lawrence Bell Jr<br />

3326 Auchentoroly Terrace<br />

Baltimore, MD 21217<br />

(410) 669-0700<br />

#6078<br />

Margaret N Kromah DDS<br />

Dr Margaret N Kromah<br />

4403 Moravia Road<br />

Suite 2<br />

Baltimore, MD 21206<br />

Foreign Lang: KP<br />

(410) 325-7434<br />

#6062***<br />

Maury J Fechter DDS<br />

Dr Maury J Fechter<br />

6305 Belair Road<br />

Baltimore, MD 21206<br />

(410) 426-1098<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#7802***<br />

Maury J Fechter DDS<br />

Dr Maury J Fechter<br />

700 North Linwood Avenue<br />

Baltimore, MD 21205<br />

(410) 276-5395<br />

#0995<br />

Michael K Exler DDS PA & Assoc<br />

Dr Kwanrak Wongse-Sanit<br />

Dr Michael K Exler<br />

3715 Eastern Avenue<br />

Baltimore, MD 21224<br />

(410) 327-5488<br />

#6407***<br />

Mobile Nursing Home Dentistry<br />

Dr Roslyn Kellum<br />

2305 East Monument Street<br />

Baltimore, MD 21205<br />

(410) 433-9656<br />

#6516<br />

People's Community Health Center<br />

Dr Mary Coyne<br />

Dr Thomas Stack<br />

3011 Greenmount Avenue<br />

Baltimore, MD 21218<br />

Foreign Lang: SP<br />

(410) 467-6040<br />

#6746<br />

Peoples Community Health Centers<br />

Dr Eduardo Rodriguez<br />

Dr Mary Coyne<br />

5517 Ritchie Hwy<br />

Brooklyn, MD 21225<br />

(410) 467-6040<br />

#6321***<br />

Rena K Langermann DMD<br />

Dr Rena K Langermann<br />

6606 Cross Country Boulevard<br />

Baltimore, MD 21215<br />

(410) 358-7646<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 3 -


#6145***<br />

Robert A Goodman DDS PA<br />

Dr Robert A Goodman<br />

6301 North Charles Street<br />

Suite 3<br />

Baltimore, MD 21212<br />

Foreign Lang: SP<br />

(410) 372-0766<br />

#6502<br />

Robert J Burt DDS<br />

Dr Robert J Burt<br />

6201 Eastern Avenue<br />

Baltimore, MD 21224<br />

(410) 633-5776<br />

#6129***<br />

Scott Hubert DDS<br />

Dr Scott D Hubert<br />

5810 Harford Road<br />

Baltimore, MD 21214<br />

(410) 426-8200<br />

#7902<br />

Stephen J Hickey DMD<br />

Dr Stephen J Hickey<br />

5010 Harford Road<br />

Baltimore, MD 21214<br />

(410) 426-6072<br />

#6686<br />

Total Health Care<br />

Dr Jigmey Dorjee<br />

Dr Judith Rosenbloom<br />

Dr Ting Lou<br />

Dr Machon Walker<br />

Dr Eduardo M Rodriguez<br />

Dr Donna Mason<br />

Dr Bianca B Smith<br />

Dr Yvette O Williams<br />

1501 Division Street<br />

Baltimore, MD 21217<br />

(410) 383-8300<br />

#6687<br />

Total Health Care<br />

Dr Jigmey Dorjee<br />

Dr Judith Rosenbloom<br />

Dr Ting Lou<br />

Dr Eduardo M Rodriguez<br />

Dr Donna Mason<br />

Dr Bianca B Smith<br />

Dr Yvette O Williams<br />

2400 Kirk Avenue<br />

Baltimore, MD 21218<br />

(410) 383-8300<br />

#6252<br />

Wilkens Avenue Dental<br />

Dr Richard Englander<br />

1926 Wilkens Avenue<br />

Baltimore, MD 21223<br />

(410) 233-7852<br />

#6016<br />

Wilson R Dickerson Jr DDS<br />

Dr Wilson R Dickerson Jr<br />

2600 East Preston Street<br />

Baltimore, MD 21213<br />

(410) 327-4192<br />

BALTIMORE COUNTY, MD<br />

#6378<br />

A G A Family Dentistry LLC<br />

Dr Ampili George Abraham<br />

1008 Ingleside Avenue<br />

Catonsville, MD 21228<br />

Foreign Lang: KO<br />

(410) 747-3163<br />

#6200<br />

Adrian A Sanchez DDS<br />

Dr Nam In<br />

Dr Adrian A Sanchez<br />

Dr Brian M Parker<br />

Dr Grace Garcia-Dizon<br />

817 Maiden <strong>Choice</strong> Lane<br />

Suite 220<br />

Catonsville, MD 21228<br />

(410) 247-4748<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6161<br />

Alvin Schuster DDS<br />

Dr Alvin M Schuster<br />

11710 Reisterstown Road<br />

Suite 201<br />

Reisterstown, MD 21136<br />

(410) 833-8380<br />

#7698<br />

Berman & Platt DDS PA<br />

Dr Jeffrey Platt<br />

1390 Martin Boulevard<br />

Middle River, MD 21220<br />

(410) 687-0900<br />

#6144***<br />

Brian D Schaffer DDS PA<br />

Dr Brian D Schaffer<br />

7122 Harford Road<br />

Parkville, MD 21234<br />

(410) 444-6153<br />

#7823<br />

Bruce E Yuille DDS PA<br />

Dr Bruce E Yuille<br />

700 Geipe Road<br />

St. Agnes Health Care Center<br />

Suite 270<br />

Catonsville, MD 21228<br />

(410) 566-1550<br />

#7836<br />

Bruce E Yuille DDS PA<br />

Dr Bruce E Yuille<br />

5310 Old Court Road<br />

Suite 203<br />

Randallstown, MD 21133<br />

(410) 521-1888<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 4 -


#6570***<br />

Catonsville Family Dentistry<br />

Dr Vijay Mathura<br />

4 West Rolling Crossroads<br />

Suite 5<br />

Catonsville, MD 21228<br />

(410) 747-0341<br />

#6396<br />

Charles P McCausland DDS<br />

Dr Charles P McCausland<br />

312 West Chesapeake Avenue<br />

Towson, MD 21204<br />

(410) 823-7910<br />

#6576<br />

Convenient Dental<br />

Dr Vijayalakshmi Angamuthu<br />

1726 North Rolling Road<br />

Windsor Mill, MD 21244<br />

(410) 281-7700<br />

#6533<br />

Craig D Sullivan DDS PA<br />

Dr Craig D Sullivan<br />

10400 Ridgeland Road<br />

Suite 6<br />

Cockeysville, MD 21030<br />

(410) 666-9544<br />

#6349***<br />

Cynthia F Miller DDS<br />

Dr Cynthia F Miller<br />

6 Park Center Court<br />

Suite 107<br />

Owings Mills, MD 21117<br />

Foreign Lang: RU, YI<br />

(410) 363-2269<br />

#6206***<br />

Dental One Assoc Beltway PC<br />

Dr Yash K Patel<br />

Dr Jason T Lue Yen<br />

Dr Roxanne P Clarke<br />

Dr Dara A Siegel<br />

Dr Nona Naghavi<br />

Dr Bob Mathews<br />

Dr Charles S Michelson<br />

7650 Belair Road<br />

Nottingham, MD 21236<br />

(410) 668-5151<br />

#6091***<br />

Dental One Assoc Pikesville PC<br />

Dr Robin J Greenspan<br />

Dr Mark W Scarupa<br />

Dr Diane Deacon<br />

Dr Suman Chibb<br />

Dr Joseph M Digianni<br />

25 Hooks Lane<br />

Suite 212<br />

Pikesville, MD 21208<br />

(410) 653-2622<br />

#6731<br />

Dental One Assoc Security Blvd LLC<br />

Dr Leila Seyedsalari<br />

Dr Yash K Patel<br />

Dr Mellanie N Thompson<br />

Dr Payam Nourmand<br />

6666 Security Boulevard<br />

Gwynn Oak, MD 21207<br />

(410) 944-6666<br />

#6657***<br />

Dental Partners Of Towson<br />

Dr Kimani Bethea<br />

Dr Duane Anglin<br />

7401 Osler Drive<br />

Suite 202<br />

Towson, MD 21204<br />

(410) 337-7004<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6743<br />

Dr Cletus A Fonmedig DDS LLC<br />

Dr Cletus Fonmedig<br />

1709 Chesaco Ave<br />

Rosedale, MD 21237<br />

(410) 866-5550<br />

#6421***<br />

Edwin M Hurd Jr DDS<br />

Dr Edwin M Hurd Jr<br />

8 East Seminary Avenue<br />

Timonium, MD 21093<br />

(410) 296-0912<br />

#6595<br />

Eric W Donoho DDS<br />

Dr Eric W Donoho<br />

1818 Pot Spring Road<br />

Suite 108<br />

Lutherville Timonium, MD 21093<br />

(410) 252-5033<br />

#6673<br />

Esquire Family Dental Care LLC<br />

Dr Franklin D Snell II<br />

3673 Offutt Road<br />

Randallstown, MD 21133<br />

(410) 655-7774<br />

#6640<br />

Family Cosmetic Dentistry<br />

Dr Sung J Chang<br />

8610 Old Harford Road<br />

Parkville, MD 21234<br />

Foreign Lang: KO<br />

(410) 661-1226<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 5 -


#6580<br />

Family Dental Care<br />

Dr Joseph M Digianni<br />

Dr Ovsanna Grigoryan<br />

Dr Alberto Alejandro<br />

Dr Farzaneh Razaghifar<br />

Dr Libia M Teran<br />

20 Crossroads Drive<br />

Suite 216<br />

Owings Mills, MD 21117<br />

Foreign Lang: BU, RU, SP<br />

(410) 581-3012<br />

#6202<br />

Freundlich & Markow Family Dentistry<br />

Dr Steve Markow LIMITED PLANS<br />

Dr Howard Freundlich<br />

5310 Old Court Road<br />

Suite 202<br />

Randallstown, MD 21133<br />

(410) 922-8088<br />

#7837***<br />

Gail L Myers DDS<br />

Dr James Davis<br />

Dr Gail L Myers<br />

205 East Patapsco Avenue<br />

Brooklyn, MD 21225<br />

(410) 355-4422<br />

#6204<br />

Howard Park Dental Center<br />

Dr Joseph Dyson<br />

4901 Liberty Heights Avenue<br />

Gwynn Oak, MD 21207<br />

(410) 542-7877<br />

#6398***<br />

James M Graves DDS PA<br />

Dr James M Graves<br />

7538 Holabird Ave<br />

Baltimore, MD 21222<br />

(410) 284-0840<br />

#6199<br />

Jesse Weaver DDS<br />

Dr Jesse Weaver<br />

4205 Liberty Heights Avenue<br />

Gwynn Oak, MD 21207<br />

(410) 664-4460<br />

#6123***<br />

John T Aumiller DDS<br />

Dr John T Aumiller<br />

8400 Bellona Lane<br />

Towson, MD 21204<br />

Foreign Lang: GE<br />

(410) 825-6222<br />

#7629<br />

Joppa Partners PA<br />

Dr Ivan Rosengarden<br />

Dr Inderjit K Sehdev<br />

219 West Joppa Road<br />

Suite 100<br />

Towson, MD 21204<br />

Foreign Lang: HI, PU, UR<br />

(410) 823-1413<br />

#6002***<br />

Joseph E Levy DDS<br />

Dr Joseph E Levy<br />

19 Walker Avenue<br />

Suite 301<br />

Pikesville, MD 21208<br />

(410) 653-8085<br />

#6610<br />

Joseph M Dickens DDS LLC<br />

Dr Joseph M Dickens<br />

7600 Osler Drive<br />

Suite 300<br />

Towson, MD 21204<br />

(410) 583-0800<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6042<br />

Jules Millman DDS<br />

Dr Jules Millman<br />

10353 Reisterstown Road<br />

Owings Mills, MD 21117<br />

(410) 363-1330<br />

#6717<br />

Lansdowne Family Dental<br />

Dr Amir S Zia<br />

2717 Hammonds Ferry Road<br />

Halethorpe, MD 21227<br />

Foreign Lang: HI, PU, UR<br />

(410) 242-5012<br />

#6505***<br />

Loch Raven Dental Associates<br />

Dr Mavi S Welinsky<br />

Dr Paul D Bederson<br />

8600 Lasalle Road<br />

Suite 507<br />

Towson, MD 21286<br />

Foreign Lang: RU, YI<br />

(410) 321-8481<br />

#6065***<br />

Maury J Fechter DDS<br />

Dr Maury J Fechter<br />

8817 Belair Road<br />

Perry Hall, MD 21236<br />

(410) 256-9570<br />

#4028<br />

Ned S Greenberg DDS PA<br />

Dr Ned S Greenberg<br />

2100 Eastern Boulevard<br />

Middle River, MD 21220<br />

(410) 686-4646<br />

#7990<br />

Ogden M Belt, DDS<br />

Dr Ogden M Belt<br />

1777 Reisterstown Road<br />

Suite 220A<br />

Baltimore, MD 21208<br />

(410) 602-0295<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 6 -


#6681<br />

Premier Dental Partners LLC<br />

Dr Rodrigo Vallar<br />

Dr Bob Mathews<br />

8615 Ridgely s <strong>Choice</strong> Drive<br />

Suite 209<br />

Nottingham, MD 21236<br />

(410) 248-0025<br />

#7682<br />

Robert Kodeck DDS<br />

Dr Robert Kodeck<br />

7850 Rossville Boulevard<br />

Suite 210<br />

Nottingham, MD 21236<br />

(410) 882-9330<br />

#7490***<br />

Robin L Woods DDS<br />

Dr Robin L Woods<br />

7933 Stevenson Road<br />

Pikesville, MD 21208<br />

(410) 486-1115<br />

#7930<br />

S V Ramamurthy DDS<br />

Dr Satya S Uppalapati<br />

Dr S V Ramamurthy<br />

8713 Harford Road<br />

Suite 103<br />

Parkville, MD 21234<br />

Foreign Lang: HE, HI, IN, SP, TE<br />

(410) 668-4821<br />

#6531<br />

Suresh Pattanashetti DMD PA<br />

Dr Suresh Pattanashetti<br />

8601 Lasalle Road<br />

Suite 200<br />

Towson, MD 21286<br />

(410) 296-5740<br />

#7610<br />

Thomas Tzomides DDS<br />

Dr Ivan Rosengarden<br />

Dr Thomas Tzomides<br />

Dr Jeffrey M Wilson<br />

Dr John Gallup<br />

30 Middle River Road<br />

Middle River, MD 21220<br />

(410) 686-6510<br />

#6661<br />

Touch Of Smiles Dental Care, LLC<br />

Dr Ivan Rosengarden<br />

Dr Susan S Ra<br />

50 Scott Adam Road<br />

Suite 211<br />

Cockeysville, MD 21030<br />

Foreign Lang: KO, PN<br />

(410) 628-1818<br />

#6715***<br />

Yvonne Lee DMD<br />

Dr Jong-Bum Seo<br />

Dr Yvonne Lee<br />

9944 Liberty Road<br />

Randallstown, MD 21133<br />

Foreign Lang: KO<br />

(410) 922-5500<br />

CALVERT COUNTY, MD<br />

#6276***<br />

Bernard R Finch DDS PA<br />

Dr Bernard R Finch<br />

11 Chesapeake Beach Road<br />

Owings, MD 20736<br />

(410) 257-9655<br />

#6523<br />

Dunkirk Family Dentistry<br />

Dr Sunil Lengade<br />

Dr Amir Zolfaghari<br />

10020 South Maryland Boulevard<br />

Suite 201A<br />

Dunkirk, MD 20754<br />

(410) 257-3233<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6721<br />

Neibauer Dental Care<br />

Dr Omoteniola Awofolu<br />

Dr Vaidehi J Mehta<br />

Dr Jestina Benson<br />

Dr Sonia Asha<br />

Dr Tamdan Vodinh<br />

Dr Justin Neibauer<br />

Dr Quan Ma<br />

Dr Prita Ghosh<br />

Dr Chris Neibauer<br />

205 Steeple Chase Dr<br />

Suite 208<br />

Prince Frederick, MD 20678<br />

(410) 535-0296<br />

CARROLL COUNTY, MD<br />

#6316***<br />

Dental Concepts<br />

Dr Arnold L Kellar<br />

532 Baltimore Boulevard<br />

Suite 412<br />

Westminster, MD 21157<br />

(410) 876-1747<br />

#6586***<br />

Dental One Assoc Westminster PC<br />

Dr Joonho Song<br />

Dr Kevin Kisicki<br />

Dr Arif Masood<br />

Dr Suman Chibb<br />

Dr Brian Shinabery<br />

Dr Nam In<br />

Dr Samia Azhar<br />

Dr Ken Kim<br />

Dr Li Chao<br />

Dr. Stephen M. Brand<br />

412 Malcolm Drive<br />

Suite 100<br />

Westminster, MD 21157<br />

Foreign Lang: CH, KO<br />

(410) 848-3838<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 7 -


#6367<br />

Earl M Addicks DDS<br />

Dr Earl M Addicks<br />

2025 Suffolk Road<br />

Finksburg, MD 21048<br />

(443) 293-7561<br />

#6422***<br />

Edwin M Hurd Jr DDS<br />

Dr Edwin M Hurd Jr<br />

13075 Old Frederick Road<br />

Sykesville, MD 21784<br />

(410) 442-2239<br />

#6031***<br />

Orlando R Sanidad DDS PA<br />

Dr Orlando R Sanidad<br />

1420 North Main Street<br />

Hampstead, MD 21074<br />

Foreign Lang: SP<br />

(410) 239-8890<br />

#6675<br />

Today's Dental Associates<br />

Dr Jun Y Park<br />

2030 Liberty Road<br />

Suite 1<br />

Eldersburg, MD 21784<br />

(410) 781-7188<br />

CECIL COUNTY, MD<br />

#7654***<br />

C V Pasqualini Jr DMD<br />

Dr Robert S Collins<br />

Dr C V Pasqualini Jr<br />

111 Howard Street<br />

Elkton, MD 21922<br />

(410) 398-3737<br />

#6054<br />

Chantal Newsome DDS<br />

Dr Chantal Newsome<br />

109 East Main Street<br />

Suite 104<br />

Elkton, MD 21921<br />

(410) 392-8799<br />

#6621<br />

Delaware Maryland Dental<br />

Dr Vargha Abbasian<br />

1653 Elkton Road<br />

Elkton, MD 21921<br />

Foreign Lang: PN<br />

(410) 620-7055<br />

CHARLES COUNTY, MD<br />

#6616<br />

Affordable & Aesthetic Dental Center<br />

Dr Gupreet Sethi<br />

303 Post Office Road<br />

Suite B-1<br />

Waldorf, MD 20602<br />

(301) 396-3333<br />

#6722<br />

Neibauer Dental Care<br />

Dr Kehinde A Ayoola<br />

Dr Carissa J Greinel-Santos<br />

Dr Michael M Pesin<br />

Dr Chris Neibauer<br />

124 Rosewick Road<br />

La Plata, MD 20646<br />

(301) 934-4357<br />

#7965***<br />

Post Office Lake Dental<br />

Dr James Hood<br />

Dr Glander Fitchett Jr<br />

603 Post Office Road<br />

Suite 208<br />

Waldorf, MD 20602<br />

(301) 870-7077<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

FREDERICK COUNTY, MD<br />

#6671<br />

Bright Now Dental<br />

Dr Laurie A Sargent<br />

Dr Thanh Lam<br />

Dr Mazin Alayssami<br />

5726 Buckeystown Pike<br />

Suite B<br />

Frederick, MD 21704<br />

Foreign Lang: AR<br />

(301) 695-1414<br />

#6187<br />

Bright Now Dental<br />

Dr Laurie A Sargent<br />

Dr Gyu Hwang<br />

Dr Mazin Alayssami<br />

Dr John Pinetti<br />

Dr Glenn Pritchard<br />

Dr Mark D Mazin<br />

68 Thomas Johnson Drive<br />

Suite B<br />

Frederick, MD 21702<br />

(301) 620-9090<br />

#6733<br />

Deep Muko DDS PA<br />

Dr Deep Muko<br />

198 Thomas Johnson Drive<br />

Suite 18<br />

Frederick, MD 21702<br />

(443) 619-0582<br />

#6130***<br />

Dental One Assoc Frederick PC<br />

Dr Enrique I Farina<br />

Dr Toan Nguyen<br />

Dr Devinder Gupta<br />

Dr Lorne Yasbin<br />

45 Thomas Johnson Drive<br />

Suite 105<br />

Frederick, MD 21702<br />

(301) 696-8664<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 8 -


#6714<br />

Frederick Family Dental Clinic<br />

Dr Ayodeji Jarrett<br />

45 Waverley Drive<br />

Suite O<br />

Frederick, MD 21702<br />

(301) 624-5999<br />

GARRETT COUNTY, MD<br />

#7632<br />

Terry E Dornburg DDS<br />

Dr Terry E Dornburg<br />

124 Miller Street<br />

P.o. Box 359<br />

Grantsville, MD 21536<br />

(301) 895-5955<br />

HARFORD COUNTY, MD<br />

#7983***<br />

Abingdon Box-Hill Family Dental<br />

Dr August C Weber III<br />

Dr Valerie Horn<br />

2222 Old Emmorton Road<br />

Abingdon, MD 21009<br />

(410) 569-8500<br />

#6740<br />

Alpha Dental Excellence<br />

Dr Arpan Patel<br />

122 N Philadelphia Blvd<br />

Aberdeen, MD 21001<br />

(410) 272-2636<br />

#6617***<br />

Dental One Assoc (Harford Cnty) PC<br />

Dr Hugo Manrique-Paz<br />

Dr Mark W Scarupa<br />

Dr Navneet Chhatwal<br />

Dr Melvin Blaney<br />

Dr Jay Mceachern Jr<br />

3435 Box Hill Corporate Center Drive<br />

Suite E<br />

Abingdon, MD 21009<br />

(410) 569-6299<br />

#6730***<br />

Dr Saman Radparvar<br />

Dr Saman Radparvar<br />

2003 Rock Spring Road<br />

Forest Hill, MD 21050<br />

(410) 838-2024<br />

#6243***<br />

Familycare Dentistry Riverside<br />

Dr George Mittelman<br />

Dr Neelu Milak<br />

111 D Bata Boulevard<br />

Belcamp, MD 21017<br />

(410) 272-1535<br />

#6583<br />

Iwona E Kubiczek DDS<br />

Dr Iwona E Kubiczek<br />

2021 B Emmorton Road<br />

Suite 216<br />

Bel Air, MD 21015<br />

Foreign Lang: PO, RU<br />

(410) 838-4404<br />

#6122<br />

Thomas Tzomides DDS<br />

Dr Anthony Garcia<br />

Dr Thomas Tzomides<br />

2404 Pleasantville Road<br />

Fallston, MD 21047<br />

Foreign Lang: GE, SP<br />

(410) 879-7777<br />

HOWARD COUNTY, MD<br />

#6574<br />

Ajmal Dental Care<br />

Dr Riffat Ajmal<br />

Dr Nighat Ajmal<br />

10306 B Baltimore National Pike<br />

Ellicott City, MD 21042<br />

(410) 480-3700<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6565<br />

Ali Reza Sedighian DDS<br />

Dr Ali Reza Sedighian<br />

9005 Chevrolet Drive<br />

Suite 1<br />

Ellicott City, MD 21042<br />

Foreign Lang: KO, FR, PN<br />

(410) 465-3021<br />

#6090***<br />

Dental One Assoc Columbia PC<br />

Dr Nataline L Barrow<br />

Dr Mazen H Chehab<br />

Dr Li Chao<br />

Dr Lester Taube<br />

Dr Michael Wright<br />

Dr Faina O Nagel<br />

Dr Bach T Tran-Jeffrey<br />

Dr John H Hilbert<br />

10630 Little Patuxent Parkway<br />

Suite 410<br />

Columbia, MD 21044<br />

(410) 884-3666<br />

#6634<br />

Desai Dental Care<br />

Dr Chetna Desai<br />

3290 North Ridge Road<br />

Suite 180<br />

Ellicott City, MD 21043<br />

Foreign Lang: GU, HI<br />

(410) 480-9111<br />

#6317***<br />

Jessup Dental Associates<br />

Dr Emilio Rivera<br />

Dr Michael M Blank<br />

8182 Lark Brown Road<br />

Suite 101<br />

Elkridge, MD 21075<br />

(410) 799-2692<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 9 -


#6431<br />

Philip T Kim DDS<br />

Dr Phillip T Kim<br />

9005 Chevrolet Drive<br />

Suite 3<br />

Ellicott City, MD 21042<br />

(410) 465-6262<br />

#6504***<br />

Robert E Skillman DDS<br />

Dr Robert E Skillman<br />

5921 Old Washington Road<br />

Elkridge, MD 21075<br />

(410) 796-7077<br />

#6205<br />

Steven Scurnick DDS<br />

Dr Lorraine Dragonir<br />

Dr Steven Scurnick<br />

11225 Dovedale Court<br />

Woodstock, MD 21104<br />

(410) 442-1173<br />

KENT COUNTY, MD<br />

#7868<br />

Frederick Wyman DDS<br />

Dr Frederick Wyman<br />

111 Spring Avenue<br />

Chestertown, MD 21620<br />

(410) 778-4088<br />

MONTGOMERY COUNTY, MD<br />

#6637<br />

A Cosmetic & Family Dental Clinic<br />

Dr Rozita Safavizadeh<br />

14820 Physicians Lane<br />

Suite 141<br />

Rockville, MD 20850<br />

Foreign Lang: PN, SP<br />

(301) 838-8725<br />

#6342<br />

Advance Family & Cosmetic Dent<br />

Dr Sunil A Lengade<br />

Dr Amir Zolfaghari<br />

104 North Summit Avenue<br />

Gaithersburg, MD 20877<br />

(301) 527-7710<br />

#6695<br />

Aegis Dental Group<br />

Dr Ricardo A Hector<br />

14440 Layhill Road<br />

Silver Spring, MD 20906<br />

(301) 438-2003<br />

#6266<br />

Arnold I Malhmood DDS<br />

Dr Arnold I Malhmood<br />

474 North Frederick Avenue<br />

Suite 203<br />

Gaithersburg, MD 20877<br />

(301) 926-6622<br />

#6360<br />

Asma Nuh DDS PA<br />

Dr Asma Nuh<br />

1016 Merrimac Drive<br />

Silver Spring, MD 20903<br />

Foreign Lang: SP<br />

(301) 445-4888<br />

#6392<br />

Aspen Hill Gen & Cosm Dentistry<br />

Dr Liya Goitom<br />

Dr Johwan Doh<br />

Dr Rebecca G Dizon<br />

Dr Kaye E Mclaughlin<br />

Dr Soorita D Goorah<br />

13975 Connecticut Avenue<br />

Suite 200<br />

Silver Spring, MD 20906<br />

Foreign Lang: FR, HI, SP, TH<br />

(301) 460-1212<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6741<br />

Community Clinic Inc<br />

Dr Susana Merida<br />

Dr Lida Alimorad<br />

200 Girard St<br />

Suite 206<br />

Gaithersburg, MD 20877<br />

(240) 720-0510<br />

#6581<br />

Dr Amisha N Shroff DDS PC<br />

Dr Amisha N Shroff<br />

10320 Westlake Drive<br />

Suite 109<br />

Bethesda, MD 20817<br />

Foreign Lang: GU, HI, SP<br />

(301) 469-4775<br />

#6718<br />

Dr Peter S Demizio<br />

Dr Peter S Demizio<br />

4400 East West Highway<br />

Suite D<br />

Bethesda, MD 20814<br />

(301) 652-3888<br />

#6026<br />

Gerry M Dubin DMD<br />

Dr Gerry M Dubin<br />

9069 Shady Grove Court<br />

Gaithersburg, MD 20877<br />

(301) 977-3766<br />

#6702<br />

Happy Dental<br />

Dr Derrick Ha<br />

4701 Randolph Road<br />

Suite 210<br />

Rockville, MD 20852<br />

(301) 881-3368<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 10 -


#6655<br />

Hassani Angamuthu & Assoc., DDS<br />

Dr Vijayalakshmi Angamuthu<br />

Dr Eftekhar Hassani<br />

4 Professional Drive<br />

Suite 121<br />

Gaithersburg, MD 20879<br />

(301) 990-3697<br />

#6525<br />

Hedyeh Atashbar DDS<br />

Dr Hedyeh Atashbar<br />

11213 Lockwood Dr<br />

Silver Spring, MD 20901<br />

(301) 495-3000<br />

#6732<br />

Hillandale Dental Partners<br />

Dr Chetan S Daulat<br />

Dr Craig J Butler<br />

10230 New Hampshire Avenue<br />

Suite 101<br />

Silver Spring, MD 20903<br />

(301) 445-5821<br />

#6736<br />

John T Daniels II DDS<br />

Dr John T Daniels<br />

10101 Georgia Ave<br />

Silver Spring, MD 20902<br />

(301) 754-0212<br />

#6221<br />

Karineh Assatourian DDS PC<br />

Dr Karineh Assatourian<br />

17904 Georgia Avenue<br />

Suite 110<br />

Olney, MD 20832<br />

Foreign Lang: AM, PN, SP<br />

(301) 260-0949<br />

#6663<br />

Key West Dental Care<br />

Dr Dipty Mahajan<br />

9850 Key West Avenue<br />

Suite 302<br />

Rockville, MD 20850<br />

Foreign Lang: SP, UR<br />

(301) 838-9300<br />

#6668<br />

North Potomac Smiles<br />

Dr Alesia Bergan<br />

Dr Nadim Kodsi<br />

15200 Shady Grove<br />

Suite 408<br />

Rockville, MD 20850<br />

Foreign Lang: AR, FR<br />

(301) 926-4408<br />

#6047<br />

Oswald G Warner Jr DDS<br />

Dr Oswald G Warner Jr<br />

7000 Carroll Avenue<br />

Suite 202<br />

Takoma Park, MD 20912<br />

(301) 270-4023<br />

#6677<br />

Peter Sean Demizio DDS<br />

Dr Peter S Demizio<br />

22 Executive Park Court<br />

Germantown, MD 20874<br />

(301) 528-5490<br />

#6052<br />

Roanne J Wiczer DMD LLC<br />

Dr Roanne J Wiczer<br />

8311 Wisconsin Avenue<br />

Suite B8<br />

Bethesda, MD 20814<br />

(301) 913-0056<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6642<br />

Rockville Dental Care<br />

Dr Soheil Rashidchi<br />

50 West Edmonston Drive<br />

Suite 503<br />

Rockville, MD 20852<br />

Foreign Lang: FR, PN<br />

(301) 545-0060<br />

#6749<br />

The Smile Suite<br />

Dr Crystal Ellis<br />

8455 Colesville Road<br />

Suite 102<br />

Silver Spring, MD 20910<br />

(301) 588-0030<br />

#6636<br />

TLC Modern Dentistry<br />

Dr Thy B Nguyen<br />

Dr Chinh Le<br />

Dr Quang Tran<br />

18220 Contour Road<br />

Gaithersburg, MD 20877<br />

Foreign Lang: SP, VI<br />

(301) 208-0002<br />

#6701<br />

TLC Modern Dentistry<br />

Dr Mohammad Elkhateeb<br />

Dr Chinh Le<br />

Dr Quang Tran<br />

13623 H 1 Georgia Avenue<br />

Silver Spring, MD 20906<br />

(301) 933-1401<br />

#6343<br />

William E Vaughan DDS<br />

Dr William E Vaughan<br />

7600 Maple Avenue<br />

Suite 6<br />

Takoma Park, MD 20912<br />

Foreign Lang: SP<br />

(301) 891-2300<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 11 -


PRINCE GEORGES, MD<br />

#6748<br />

Bellamy Dental Care<br />

Dr Deitra Bellamy<br />

12164 Central Ave<br />

Suite 213<br />

Bowie, MD 20721<br />

(301) 383-1418<br />

#7423<br />

College Park Dental<br />

Dr Sumesh Potluri<br />

Dr Gitanjali Ghosh<br />

Dr Adeniji Bosede<br />

Dr Vijay Mathura<br />

Dr Ani C Cherot<br />

Dr Sanam E Toufanian<br />

Dr Fariba T Danesh<br />

Dr Oksana Elariny<br />

Dr Michelle Janbakhsh<br />

Dr Romila Tiwary<br />

Dr Stanley Brager<br />

7305 Baltimore Avenue<br />

Suite 204<br />

College Park, MD 20740<br />

Foreign Lang: IN, PN<br />

(301) 927-2500<br />

#7828<br />

Daramy Dental Inc<br />

Dr Sheriff B Daramy<br />

9500 Annapolis Road<br />

Suite C-6<br />

Lanham, MD 20706<br />

(301) 459-0914<br />

#7407<br />

David G O'Neal & Associates<br />

Dr Afia Rasul<br />

Dr Padmaja Yalamanchili<br />

Dr Shwetha Kyatham<br />

Dr David G O'Neal<br />

6188 Oxon Hill Road<br />

Suite 200<br />

Oxon Hill, MD 20745<br />

(301) 567-3122<br />

#6592***<br />

Dental One Assoc Oxon Hill PC<br />

Dr Stephen M Gant Sr<br />

Dr Mansi R Oza<br />

Dr Wahby Tarabishi<br />

Dr Renata Osinovskaya<br />

Dr Jeral Smith Tyler<br />

Dr Gary Warner<br />

Dr Sejal Shah<br />

Dr Rajinder Bhullar<br />

Dr Puneeta Keer<br />

6196 Oxon Hill Road<br />

Suite 650<br />

Oxon Hill, MD 20745<br />

(301) 839-1330<br />

#6175***<br />

Dental One Assoc Steeplechase PC<br />

Dr Floyd E Bagwell<br />

Dr John Henry Wilson<br />

9141 Alaking Court<br />

Suite 107<br />

Capitol Heights, MD 20743<br />

(301) 568-4800<br />

#6203<br />

Dr. Arden Bronstein<br />

Dr Arden Bronstein<br />

6525 Belcrest Road<br />

Suite 208<br />

Hyattsville, MD 20782<br />

(301) 927-1616<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6168<br />

Frederick Clark DDS<br />

Dr Frederick Clark<br />

3611 Branch Avenue<br />

Suite 303<br />

Temple Hills, MD 20748<br />

(301) 702-0081<br />

#6296<br />

Gentle Dental Care<br />

Dr Vincent H Davis<br />

1836 Metzerott Road<br />

Suite 118<br />

Adelphi, MD 20783<br />

Foreign Lang: SP<br />

(301) 445-5800<br />

#6072<br />

Gentle Dental Care<br />

Dr Vincent H Davis<br />

9146 Edgeworth Drive<br />

Capitol Heights, MD 20743<br />

(301) 333-5882<br />

#6237<br />

Greenbelt Dental Care<br />

Dr Adly Wilson<br />

7525 Greenway Center Drive<br />

Suite 201<br />

Greenbelt, MD 20770<br />

Foreign Lang: SP<br />

(301) 345-8600<br />

#6577<br />

Hall Dental Group<br />

Dr Sherri McGee<br />

Dr Bert S. Hall III<br />

7221 East Ridge Drive<br />

Hyattsville, MD 20785<br />

(301) 386-3533<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 12 -


#6174<br />

John N Kim DDS PA<br />

Dr John N Kim<br />

8301 Cherry Lane<br />

Laurel, MD 20707<br />

Foreign Lang: KO<br />

(301) 604-8117<br />

#6427<br />

Joseph A Maloney DDS<br />

Dr Joseph A Maloney<br />

9131 Piscataway Road<br />

Suite 739<br />

Clinton, MD 20735<br />

(301) 868-6703<br />

#6638<br />

Kemmerton Family Dentistry<br />

Dr Jean-Daniel Brutus<br />

6000 Laurel bowie Road<br />

Suite 101<br />

Bowie, MD 20715<br />

Foreign Lang: FR<br />

(301) 262-1112<br />

#6404***<br />

Marie Surasky DDS<br />

Dr Marie Surasky<br />

5310 Kenilworth Avenue<br />

Hyattsville, MD 20781<br />

(301) 277-1214<br />

#6120***<br />

Neville Mcken DDS<br />

Dr Neville Mcken<br />

3060 Mitchellville Road<br />

Suite 213<br />

Bowie, MD 20715<br />

(301) 249-1841<br />

#7844<br />

Pamela V Hymes DDS PA<br />

Dr Pamela V Hymes<br />

10905 Fort Washington Road<br />

Suite 203<br />

Fort Washington, MD 20744<br />

(301) 203-7035<br />

#6479***<br />

Suitland Dental Center<br />

Dr Dezrie C Smith<br />

4814 Silver Hill Road<br />

Suitland, MD 20746<br />

(301) 568-8991<br />

#6588<br />

Tajick's Dental Clinic<br />

Dr Ramien R Tajick<br />

Dr Gita Tajick<br />

7411 Riggs Road<br />

Suite 108<br />

Hyattsville, MD 20783<br />

Foreign Lang: SP<br />

(301) 434-3300<br />

#6566<br />

Ulery Dental & Orthodontics<br />

Dr Christopher Wolf<br />

Dr Sung Jun<br />

Dr Arif Masood<br />

Dr Katayoun Ghajarnia<br />

Dr Christopher Stuzynski<br />

Dr Ryan S Mankiewicz<br />

Dr Kevin A Criscitiello<br />

Dr Mohamed (Sam) Elrafei<br />

Dr Wayne Steinberg<br />

Dr Scott Ulery<br />

12793 Laurel Bowie Road<br />

Laurel, MD 20708<br />

(301) 623-3737<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

QUEEN ANNE'S COUNTY, MD<br />

#6403<br />

James J Lucas DDS<br />

Dr James J Lucas<br />

134 Coursevall Drive<br />

Centreville, MD 21617<br />

Foreign Lang: GE, IR<br />

(410) 758-1424<br />

SAINT MARYS COUNTY, MD<br />

#6720<br />

Neibauer Dental Care<br />

Dr Viral D Patel<br />

Dr Anna Grinberg<br />

Dr Tomicka R Jackson-George<br />

Dr Jestina Benson<br />

Dr Sonia Asha<br />

Dr Tamdan Vodinh<br />

Dr Justin Neibauer<br />

Dr Quan Ma<br />

Dr Prita Ghosh<br />

Dr Chris Neibauer<br />

22329 Greenview Parkway<br />

Great Mills, MD 20634<br />

(301) 862-2044<br />

TALBOT COUNTY, MD<br />

#6385<br />

Andrew J Lavoie Jr DDS<br />

Dr Andrew J Lavoie Jr<br />

19 Federal Street<br />

Easton, MD 21601<br />

(410) 822-2424<br />

WASHINGTON COUNTY, MD<br />

#6676***<br />

Trumer J Wagner DDS<br />

Dr Trumer J Wagner<br />

322 North Potomac Street<br />

Hagerstown, MD 21740<br />

(301) 739-1017<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 13 -


WICOMICO COUNTY, MD<br />

#6609<br />

Chesapeake Dental Associates<br />

Dr Dean Massey<br />

1820 Sweetbay Drive<br />

Suite 104<br />

Salisbury, MD 21804<br />

(410) 543-2223<br />

#6620<br />

Delaware MD Dental Of Salisbury<br />

Dr Arvind Jain<br />

123 West College Avenue<br />

Suite A<br />

Salisbury, MD 21804<br />

Foreign Lang: HI<br />

(410) 546-5900<br />

#6572<br />

George Viertl DDS<br />

Dr George Viertl<br />

560 Riverside Drive<br />

Suite B206<br />

Salisbury, MD 21801<br />

(410) 742-0166<br />

#6568<br />

Merritt Mill Dental Associates<br />

Dr Upinder Singh<br />

3019 Merritt Mill Road<br />

Salisbury, MD 21804<br />

Foreign Lang: IN<br />

(410) 219-3366<br />

WORCESTER COUNTY, MD<br />

#6645<br />

Robert D Steinberg DDS<br />

Dr Robert D Steinberg<br />

11204 Racetrack Road<br />

Suite 102<br />

Ocean Pines, MD 21811<br />

(410) 208-0054<br />

WASHINGTON<br />

DISTRICT OF COLUMBIA, DC<br />

#6560<br />

Dr Eric G Harrison<br />

Dr Eric G Harrison<br />

3230 Pennsylvania Avenue Southeast<br />

Suite 230<br />

Washington, DC 20020<br />

(202) 582-0400<br />

#6739<br />

Dr Salameh Dental Associates PC<br />

Dr Tareq Salameh<br />

4444 Connecticut Ave Nw<br />

Suite 106<br />

Washington, DC 20008<br />

(202) 363-2810<br />

#6107<br />

Elizabeth S Dodson DDS<br />

Dr Elizabeth S Dodson<br />

7310 Alaska Avenue Northwest<br />

Washington, DC 20012<br />

Foreign Lang: SP<br />

(202) 829-1266<br />

#6633<br />

Georgetown Smile<br />

Dr A J Peretz<br />

4400 Macarthur Boulevard northwest<br />

Suite 200<br />

Washington, DC 20007<br />

Foreign Lang: GE, SP<br />

(202) 333-0003<br />

#6074<br />

Georgetta Manning-Cox DDS<br />

Dr Georgetta Manning-Cox<br />

1301 Massachusetts Avenue Northwest<br />

Suite 100<br />

Washington, DC 20005<br />

(202) 249-1429<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6629<br />

Georgia Avenue Dental Clinic<br />

Dr Monireh Roudsari<br />

7304 Georgia Avenue Northwest<br />

Suite 2<br />

Washington, DC 20012<br />

Foreign Lang: PN<br />

(202) 545-1998<br />

#6539<br />

Gregory J Miller DDS<br />

Dr Gregory J Miller<br />

7723 Alaska Avenue Northwest<br />

Washington, DC 20012<br />

(202) 882-7878<br />

#6652<br />

M A Haddad DDS MS<br />

Dr M A Haddad<br />

2305 18th Street Northwest<br />

Suite 204<br />

Washington, DC 20009<br />

(202) 332-0050<br />

#6653***<br />

M A Haddad DDS MS<br />

Dr M A Haddad<br />

1754 Columbia Road Northwest<br />

Washington, DC 20009<br />

(202) 332-0050<br />

#6250<br />

Michael G Landy DDS<br />

Dr Michael G Landy<br />

4600 Connecticut Avenue Northwest<br />

Suite 131<br />

Washington, DC 20008<br />

Foreign Lang: SP, FR<br />

(202) 872-1525<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 14 -


#6744<br />

Prosthetic & TMJ Center<br />

Dr Emad El Haje<br />

1800 I Street Nw<br />

Suite 801<br />

Washington, DC 20006<br />

(202) 393-8844<br />

#6088<br />

Richard Y Lee DDS<br />

Dr Richard Y Lee<br />

214 2nd Street Southeast<br />

Washington, DC 20003<br />

(202) 546-9857<br />

#6322***<br />

Sharmin Dental Clinic PC<br />

Dr Rahim Sharmin<br />

1613 Harvard Street Northwest<br />

Suite 108<br />

Washington, DC 20009<br />

(202) 462-5227<br />

#7213<br />

Shelton R Penn DDS PC<br />

Dr Shelton R Penn<br />

5 Barney Circle Southeast<br />

Washington, DC 20003<br />

(202) 547-2674<br />

#6118<br />

St Elmo Crawford DDS<br />

Dr St Elmo Crawford Jr<br />

1922 Benning Road Northeast<br />

Washington, DC 20002<br />

(202) 399-2244<br />

#6537<br />

St. Elmo Crawford DDS<br />

Dr St Elmo Crawford Jr<br />

3000 Connecticut Avenue Northwest<br />

Washington, DC 20008<br />

Foreign Lang: SP<br />

(202) 667-8588<br />

#6538<br />

St. Elmo Crawford DDS<br />

Dr St Elmo Crawford Jr<br />

65 Michigan Avenue Northeast<br />

Washington, DC 20002<br />

Foreign Lang: SP<br />

(202) 483-0082<br />

#6224***<br />

The Washington Dental Studio<br />

Dr William L Ebbs<br />

1234 19th Street Northwest<br />

Suite 100<br />

Washington, DC 20036<br />

(202) 822-0700<br />

#6708***<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

4130 Hunt Place Ne<br />

Washington, DC 20019<br />

(202) 388-8160<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6712<br />

Unity Health Care Inc<br />

** FOR APPTS CALL 202-469-4699 **<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

425 2nd Street Nw<br />

Washington, DC 20002<br />

(202) 508-0500<br />

#6711<br />

Unity Health Care Inc<br />

Dr William Bowles<br />

Dr Bosede Adeniji<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

1900 Massachusetts Avenue Se<br />

Bldg 29<br />

Washington, DC 20003<br />

(202) 548-6500<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 15 -


#6709<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

1328 W Street Se<br />

Washington, DC 20020<br />

(202) 610-7160<br />

#6707<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

850 Delaware Avenue Sw<br />

Washington, DC 20024<br />

(202) 548-4520<br />

#6706<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

40 Patterson Street Nw<br />

Washington, DC 20001<br />

(202) 354-1120<br />

#6705<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

123 45th Street Ne<br />

Suite 20019<br />

Washington, DC 20019<br />

(202) 388-7891<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6704<br />

Unity Health Care Inc<br />

Dr Tatsuhiko Osada<br />

Dr Amanda Jones<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

3020 14th Street Nw<br />

Washington, DC 20009<br />

(202) 745-4300<br />

#6710<br />

Unity Health Care Inc<br />

Dr Ellaine W Myers<br />

Dr Thomas Lockett<br />

Dr Clarence Hammond<br />

Dr Michele L Parker-Lockett<br />

Dr Corey C Murray<br />

Dr Davidson O Lawoyin<br />

Dr Nathanial D Jackson<br />

Dr Bert S Hall III<br />

Dr Lynette Fortenberry<br />

Dr Ruth K Duchatellier-Cange<br />

Dr Felicia Brown<br />

Dr Andrea Faust<br />

3720 Martin Luther King Jr Ave Se<br />

Washington, DC 20020<br />

(202) 279-1800<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 16 -


PENNSYL<strong>VA</strong>NIA<br />

CHESTER COUNTY, PA<br />

#6680<br />

Jenny Chen Family Dentistry<br />

Dr Jian Ying Chen Lemper<br />

207 North Guernsey Road<br />

West Grove, PA 19390<br />

Foreign Lang: CH, SP<br />

(610) 869-0991<br />

VIRGINIA<br />

ALEXANDRIA CITY, <strong>VA</strong><br />

#6546***<br />

Anwar Ahmad DMD<br />

Dr Anwar Ahmad<br />

1707 Osage Street<br />

Suite 402<br />

Alexandria, <strong>VA</strong> 22302<br />

Foreign Lang: AR, HI<br />

(703) 578-1700<br />

#6550<br />

Bright Now! Dental Gen/Spec<br />

Dr Jung Hoon Park<br />

Dr Alain Selenou-Tema<br />

Dr Brenda Elliott<br />

Dr Mazin Alayssami<br />

5249 Duke Street<br />

Suite 210<br />

Alexandria, <strong>VA</strong> 22304<br />

(703) 823-2413<br />

#6735<br />

Duke Dental Care Plc<br />

Dr Maher Sangid<br />

50 South Pickett Street<br />

Suite 229<br />

Alexandria, <strong>VA</strong> 22304<br />

(703) 212-0000<br />

#6619***<br />

Gary V Avakian DDS PC<br />

Dr Gary V Avakian<br />

303 South Columbus Street<br />

Alexandria, <strong>VA</strong> 22314<br />

(703) 549-7492<br />

#6548<br />

Thomas Kwon DDS PC<br />

Dr Thomas Kwon<br />

4701 Kenmore Avenue<br />

Suite 122<br />

Alexandria, <strong>VA</strong> 22304<br />

(703) 751-1112<br />

ARLINGTON COUNTY, <strong>VA</strong><br />

#6314***<br />

Mino Economides DDS<br />

Dr Mino Economides<br />

1301 North Highland Street<br />

Arlington, <strong>VA</strong> 22201<br />

Foreign Lang: SP<br />

(703) 522-8320<br />

FAIRFAX CITY, <strong>VA</strong><br />

#6716<br />

Family Dentistry Of Fairfax PC<br />

Dr Tehreem Butt<br />

10391 Democracy Lane<br />

Suite A<br />

Fairfax, <strong>VA</strong> 22030<br />

Foreign Lang: HI, PU, UR<br />

(703) 273-7999<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

FAIRFAX COUNTY, <strong>VA</strong><br />

#6700<br />

Alireza Palizi DDS PC<br />

Dr Alireza Palizi<br />

5216 Lyngate Court<br />

Suite A<br />

Burke, <strong>VA</strong> 22015<br />

Foreign Lang: PN<br />

(703) 978-7900<br />

#6696<br />

Apt Dental Associates PC<br />

Dr Amisha Shroff<br />

7115 Leesburg Pike<br />

Suite 216<br />

Falls Church, <strong>VA</strong> 22043<br />

(703) 532-4400<br />

#6651<br />

Arlington Dental Care<br />

Dr Homan Solemaninejad<br />

6060 Arlington Boulevard<br />

Suite 200<br />

Falls Church, <strong>VA</strong> 22044<br />

(703) 237-0060<br />

#6624***<br />

Brad M Freedman & Associates<br />

Dr Brad M Freedman<br />

4604 Pinecrest Office Park Drive<br />

Suite D<br />

Alexandria, <strong>VA</strong> 22312<br />

(703) 658-9600<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 17 -


#6552<br />

Bright Now! Dental Gen/Spec<br />

Dr Mark S Ornoff<br />

Dr Karim Chaddad<br />

Dr Hima-Bindu Reddy<br />

Dr Tesfaye Hailemariam<br />

Dr Mazin Alayssami<br />

13873 Park Center Road<br />

Suite 137<br />

Herndon, <strong>VA</strong> 20171<br />

(703) 478-0115<br />

#6551<br />

Bright Now! Dental Gen/Spec<br />

Dr Mohammad Elkhateeb<br />

Dr Karim Chaddad<br />

Dr Mustafa Al-Karagholi<br />

Dr Mazin Alayssami<br />

2230 Gallows Road<br />

Suite 320<br />

Vienna, <strong>VA</strong> 22027<br />

(703) 573-8664<br />

#6723<br />

Dental First Associates LLC<br />

Dr Raja Gupta<br />

9570 Burke Road<br />

Suite A<br />

Burke, <strong>VA</strong> 22015<br />

Foreign Lang: HI, SP<br />

(703) 323-9394<br />

#6660<br />

Dickson Dental PC<br />

Dr Stephanie Dickson<br />

5962 Richmond Highway<br />

Alexandria, <strong>VA</strong> 22303<br />

Foreign Lang: SP<br />

(571) 481-4410<br />

#6745<br />

Elda A Bordon DDS<br />

Dr Elda A Bordon<br />

1800 Michael Faraday Drive<br />

Suite 205<br />

Reston, <strong>VA</strong> 20190<br />

(571) 926-8429<br />

#6584***<br />

Evergreen Dentistry<br />

Dr Keom Lee<br />

Dr Tae Yong Lee<br />

7002 Little River Turnpike<br />

Suite C<br />

Annandale, <strong>VA</strong> 22003<br />

Foreign Lang: KO<br />

(703) 256-7100<br />

#6598***<br />

General Dentistry & Orthodontics<br />

Dr Sawsan R Abousy<br />

7233 Commerce Street<br />

Springfield, <strong>VA</strong> 22150<br />

Foreign Lang: AR, SP<br />

(703) 644-7300<br />

#6728<br />

Navdeep Aulakh DDS PLLC<br />

Dr Navdeep Aulakh<br />

4231 Markham Street<br />

Suite 214<br />

Annandale, <strong>VA</strong> 22003<br />

Foreign Lang: HI, PU<br />

(703) 581-8867<br />

#6693<br />

Pearlbrite Dental Inc<br />

Dr Jaewon Yoon<br />

Dr Joongseo Kim<br />

301 Maple Ave W<br />

Suite 610<br />

Vienna, <strong>VA</strong> 22180<br />

Foreign Lang: KO<br />

(703) 281-7011<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

#6692<br />

Pearlbrite Dental Inc<br />

Dr Jaewon Yoon<br />

Dr Joongseo Kim<br />

14631 Lee Highway<br />

Suite 116<br />

Centreville, <strong>VA</strong> 20121<br />

Foreign Lang: IN, KO<br />

(703) 988-9006<br />

#6432<br />

Said M Khalefa DDS<br />

Dr Said M Khalefa<br />

4600 B Pinecrest Office Park Drive<br />

Alexandria, <strong>VA</strong> 22312<br />

(703) 914-0020<br />

#6433<br />

Said M Khalefa DDS<br />

Dr Said M Khalefa<br />

6115 Backlick Road<br />

Springfield, <strong>VA</strong> 22150<br />

(703) 451-4211<br />

#6547<br />

Seigel & Moller DDS<br />

Dr James E Moller<br />

Dr Harold S Seigel<br />

7641 Leesburg Pike<br />

Falls Church, <strong>VA</strong> 22043<br />

(703) 821-8111<br />

#6558<br />

Sherry Anoushfar DDS PC<br />

Dr Sherry Anoushfar<br />

1984 Isaac Newton Square West<br />

Suite 201<br />

Reston, <strong>VA</strong> 20190<br />

(703) 318-8133<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 18 -


#6658<br />

Tysons Corner Dentists<br />

Dr Juan Alvarez<br />

Dr Hang Le<br />

Dr Thoaivan Phan<br />

Dr Dao Nguyen<br />

8296 Old Courthouse Road<br />

Suite A<br />

Vienna, <strong>VA</strong> 22182<br />

Foreign Lang: RU, SP, VI<br />

(703) 848-8889<br />

#6599***<br />

Vienna Dental Care<br />

Dr Sawsan R Abousy<br />

360 West Maple Avenue<br />

Suite C<br />

Vienna, <strong>VA</strong> 22180<br />

Foreign Lang: AR<br />

(703) 281-1311<br />

#6742<br />

Westfields Dental Group<br />

Dr Richard D Papp<br />

4530 Walney Road<br />

Suite 102<br />

Chantilly, <strong>VA</strong> 20151<br />

(703) 263-9388<br />

FALLS CHURCH CITY, <strong>VA</strong><br />

#6734<br />

Dynamic Dental PC<br />

Dr Farida G Khattak<br />

159 Hillwood Avenue<br />

Falls Church, <strong>VA</strong> 22046<br />

Foreign Lang: PN, PU, HI, SP<br />

(703) 531-0010<br />

LOUDOUN COUNTY, <strong>VA</strong><br />

#6553<br />

Bright Now! Dental Gen/Spec<br />

Dr Sravanthi R Nallavalli<br />

Dr Karim Chaddad<br />

Dr Hima-Bindu Reddy<br />

Dr Bhavani K Parvathaneni<br />

Dr Mohammad Eghtessad<br />

Dr Mazin Alayssami<br />

6 Pidgeon Hill Drive<br />

Suite 210<br />

Sterling, <strong>VA</strong> 20165<br />

(703) 444-7102<br />

#6631<br />

Cascades Dental Care<br />

Dr Marie Hooshmand<br />

21165 Whitefield Place<br />

Suite 101<br />

Sterling, <strong>VA</strong> 20165<br />

Foreign Lang: PN, SP<br />

(703) 444-1656<br />

#6406<br />

General Cosmetic & Implant Dent<br />

Dr Mahnaz Jafari<br />

21495 Ridgetop Circle<br />

Suite 303<br />

Sterling, <strong>VA</strong> 20166<br />

Foreign Lang: AR, IR, SP<br />

(703) 433-1400<br />

#6559<br />

Truc Duong DDS PC<br />

Dr Truc Duong<br />

21145 Whitfield Place<br />

Suite 103<br />

Sterling, <strong>VA</strong> 20165<br />

Foreign Lang: SP, VI<br />

(703) 404-1115<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

MANASSAS CITY, <strong>VA</strong><br />

#6713<br />

Manassas Dental Center<br />

Dr Philip K Lee<br />

Dr Tuan N Le<br />

Dr Dan Huang<br />

Dr Shazia Anjum<br />

Dr Mandy L Mattern Johnson<br />

Dr Juanli Guo<br />

Dr Eugene Schlank<br />

Dr Lloyd Rogers<br />

Dr Terrence Biscombe<br />

8404 Dorsey Circle<br />

Manassas, <strong>VA</strong> 20110<br />

(703) 330-5755<br />

PRINCE WILLIAM COUNTY, <strong>VA</strong><br />

#6747<br />

Ayesha Sultan DDS PC<br />

Dr Ayesha Sultan<br />

6312 Hoadly Road<br />

Manassas, <strong>VA</strong> 20112<br />

Foreign Lang: HI, PU, SP, UR<br />

(703) 730-7770<br />

#6614<br />

Dr Raymond C Haston Jr<br />

Dr Raymond C Haston Jr<br />

14393 Hereford Road<br />

Dale City, <strong>VA</strong> 22193<br />

(703) 670-8400<br />

#6750<br />

Light Family Dental<br />

Dr Mayur M Patel<br />

14416 Jefferson Davis Highway<br />

Suite 16<br />

Woodbridge, <strong>VA</strong> 22191<br />

Foreign Lang: GU, HI, SP, VI<br />

(703) 492-1999<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 19 -


#6650<br />

Sameer Kwatra DDS PC<br />

Dr Sameer Kwatra<br />

2970 Prince William Parkway<br />

Woodbridge, <strong>VA</strong> 22192<br />

(703) 583-7720<br />

#6623<br />

The Dentist Office PC<br />

Dr Victor O Falaiye<br />

17865 Main Street<br />

Suite A<br />

Dumfries, <strong>VA</strong> 22026<br />

Foreign Lang: SP<br />

(703) 499-9006<br />

SPOTSYL<strong>VA</strong>NIA COUNTY, <strong>VA</strong><br />

#6555<br />

Bright Now! Dental Gen/Spec<br />

Dr Jung Hoon Park<br />

Dr Nandini T Malghan<br />

Dr Athra Khalaf<br />

Dr Omar Abuhajleh<br />

Dr Shahram Sabet<br />

Dr Mazin Alayssami<br />

10454 Hilltop Plaza Way<br />

Spotsylvania, <strong>VA</strong> 22553<br />

(540) 891-6570<br />

STAFFORD COUNTY, <strong>VA</strong><br />

#6554<br />

Bright Now! Dental Gen/Spec<br />

Dr Mohamed F Elgazzar<br />

Dr Sunitha Palle<br />

Dr Karim Chaddad<br />

Dr Mazin Farah<br />

Dr Mazin Alayssami<br />

392 Garrisonville Road<br />

Suite 205<br />

Stafford, <strong>VA</strong> 22554<br />

(540) 659-6816<br />

#6615<br />

Dr Raymond C Haston Jr<br />

Dr Raymond C Haston Jr<br />

560 Celebrate Virginia Parkway<br />

Suite 107<br />

Fredericksburg, <strong>VA</strong> 22406<br />

(540) 286-1110<br />

WARREN COUNTY, <strong>VA</strong><br />

#6737<br />

Warren Dental Center<br />

Dr Ayman K Adeeb<br />

842 North Shenandoah Avenue<br />

Suite 1<br />

Front Royal, <strong>VA</strong> 22630<br />

(540) 631-1515<br />

The (***) denotes offices that are accepting only existing patients of record within practice.<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please<br />

remember to cancel an appointment at least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 20 -


Foreign Language(s) Spoken in the Office are Identified by the Codes Below:<br />

AM- Armenain HU- Hungarian SA- South African<br />

AR- Arabic ID- Indonesian SC- Norwegian/Swedish/Danish<br />

BE- Bengal IN- Indian SD- Swedish<br />

BR- Burmese IR- Iranian (Farsi) SE- Serbian<br />

BU- Bulgarian IT- Italian SL- Sign Language<br />

CA- Cantonese JA- Japanese SM- Samoan<br />

CB- Cambodian KO- Korean SP- Spanish<br />

CH- Chinese KP- Kpelle (West African) SV- Slovaic<br />

CK- Czech LA- Laotian SW- Swahili<br />

DU- Dutch LE- Liberian/English TA- Tagula<br />

EG- Egyptian LH- Lithuanian TE- Telugu<br />

FI- Finnish LI- Liberian TG- Tagalog<br />

FL- Flemish LT- Latvian TH- Thai<br />

FR- French MA- Mandarin TU- Turkish<br />

GA- Gaelic PA- Pakistani TW- Taiwanese<br />

GE- German PI- Filipino UG- Uganda<br />

GR- Greek PN- Persian (Farsi) UK- Ukranian<br />

GU- Gujarathai PO- Polish UR- Urdu<br />

HE- Hebrew PR- Portuguese VI- Vietnamese<br />

HG- Hmong PU- Punjabi YG- Slovene/Serbo-Croatian<br />

HI- Hindi RO- Romanian YI- Yiddish<br />

RU- Russia<br />

This list of providers is subject to change. Please contact The Dental Network or the provider to confirm participation. If necessary, please remember to cancel an appointment at<br />

least 24 hours prior to appointment or a broken appointment fee may apply. PC HMO <strong>VA</strong> DC MD 10/26/2012<br />

The Dental Network is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross<br />

and Blue Shield Association.<br />

- 21 -

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