Select Plan Provider Directory - Dominion Dental Services, Inc.

More documents

Recommendations

Info

SELECT PLAN 1 DENTIST DIRECTORY Dentists listed are under contract as of 10/1/12 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County * Konikoff David 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Lanigan Jacqueline 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Lanigan Jacqueline 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Maclin Ivetta 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Maclin Ivetta 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Mady Zeyad 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Mady Zeyad 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Maniwang Jo-Marie 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Maniwang Jo-Marie 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Mattioli Michele 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Mattioli Michele 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * McCarty Benjamin 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * McCarty Benjamin 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Miranda Joshua 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Miranda Joshua 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Morris Mason-Leigh 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Morris Mason-Leigh 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Muldoon Catherine 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Muldoon Catherine 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Parker Richard 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Parker Richard 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Pearl Dina 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Pearl Dina 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Reichley John 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Reichley John 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Richards Damdy 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Richards Damdy 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Santos Estelito 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Santos Estelito 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Solarte-Castro Edith 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Solarte-Castro Edith 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Tam Amy 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City *Tam Amy 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City * Throckmorton Maria 068512 Konikoff Dental Associates 1533 Volvo Pkwy Chesapeake VA 23320 General Provider Chesapeake City * Throckmorton Maria 050722 Konikoff Dental Associates 684 Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake City Reynolds Jillian 078272 LWSS Dentistry for Children 1230 Progressive Dr, Suite 103 Chesapeake VA 23320 Pedodontist Chesapeake City Sachs Scott 078272 LWSS Dentistry for Children 1230 Progressive Dr, Suite 103 Chesapeake VA 23320 Pedodontist Chesapeake City Kaplan Marvin 000132 Marvin Kaplan, D.D.S., P.C. 113 Byron St. Chesapeake VA 23320 Orthodontist Chesapeake City Ashby John 002869 Owens and Dorfman, LTD 1021 N. Eden Way, Suite 128 Chesapeake VA 23320 Orthodontist Chesapeake City Dailey Curtis 002869 Owens and Dorfman, LTD 1021 N. Eden Way, Suite 128 Chesapeake VA 23320 Orthodontist Chesapeake City Quigg Richard 002765 Richard K. Quigg, D.D.S. 505 Independence Parkway, Suite 108 Chesapeake VA 23320 Oral Surgeon Chesapeake City Morrison Sanford 000722 S. Neil Morrison, DDS, & Melvin R. Morrison, DDS 1230 Progressive Center, Suite 102 Chesapeake VA 23320 Oral Surgeon Chesapeake City Byrnside Valerie 068494 Scott R Goodove DDS PLC 1533 Volvo Parkway, Suite 250 Chesapeake VA 23320 Oral Surgeon Chesapeake City Goodove Scott 068494 Scott R Goodove DDS PLC 1533 Volvo Parkway, Suite 250 Chesapeake VA 23320 Oral Surgeon Chesapeake City Harris Christopher 068494 Scott R Goodove DDS PLC 1533 Volvo Parkway, Suite 250 Chesapeake VA 23320 Oral Surgeon Chesapeake City * Abdelwahab Tamer 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Ansari Uzma 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Berrada Sanae 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Bozman Jenny 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Chawla Seema 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Dobson Roberta 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Dobson, III Joseph 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Elosta Wael 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Field Marcus 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Field Sheila 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Gioffre Mollie 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Hoek Meredith 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Jones Daniel 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Konikoff David 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Lanigan Jacqueline 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Maclin Ivetta 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Mady Zeyad 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Maniwang Jo-Marie 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Mattioli Michele 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * McCarty Benjamin 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Miranda Joshua 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Indicates dentist that is accepting current patients only. All Select Plan Dentists Page 44 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.
SELECT PLAN 1 DENTIST DIRECTORY Dentists listed are under contract as of 10/1/12 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County * Morris Mason-Leigh 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Muldoon Catherine 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Parker Richard 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Pearl Dina 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Reichley John 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Richards Damdy 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Santos Estelito 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Solarte-Castro Edith 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Tam Amy 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City * Throckmorton Maria 050721 Konikoff Dental Associates 1419 Cedar Rd Chesapeake VA 23322 General Provider Chesapeake City Cobb Howard 000676 Howard P. Cobb, D.D.S. 2605 Moses Grandy Trl., Suite B Chesapeake VA 23323 General Provider Chesapeake City Howard Robert 000021 Robert J. Howard, D.D.S. 308 N. George Wash. Hwy, Suite 2 Chesapeake VA 23323 General Provider Chesapeake City Barbour Robert 000079 Robert K Barbour, DMD, PC 2520 Gilmerton Rd. Chesapeake VA 23323 General Provider Chesapeake City Tran Anh 050571 Chester Orthodontics 11300 Ironbridge Rd, Suite B Chester VA 23831 Orthodontist Chesterfield Rodrigues Shwetha 002817 Shwetha Rodrigues DDS PC 12619 Jefferson Davis Hwy Chester VA 23831 General Provider Chesterfield Brown Stephen 000301 Chesterfield Oral Surgery, Inc. 10110 Iron Bridge Rd. Chesterfield VA 23832 Oral Surgeon Chesterfield Rhea William 000100 William H. Rhea, D.D.S. 10108 Krause Rd. #102 Chesterfield VA 23832 General Provider Chesterfield Kelleher Kevin 037690 Kelleher Orthodontics 2412 Colony Crossing Pl Midlothian VA 23112 Orthodontist Chesterfield Padgett Thomas 000313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane, Suite 200 Midlothian VA 23112 Oral Surgeon Chesterfield Wallace James 000313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane, Suite 200 Midlothian VA 23112 Oral Surgeon Chesterfield Agnihotri Neil 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Alexander John 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Dymon William 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Harris Monroe 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Keeney Kanyon 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Metzger Lawrence 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Watson Damon 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Wlodawsky Ross 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield Gray Richard 072103 Apex Endodontics 1149 Jefferson Green Cir Midlothian VA 23113 Endodontist Chesterfield Kim John 000005 John J Kim DDS 2927 Polo Parkway Midlothian VA 23113 General Provider Chesterfield Byrd Richard 002394 Richard L. Byrd., D.D.S. 2929 Polo Parkway Midlothian VA 23113 Orthodontist Chesterfield Padgett Thomas 000314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield Wallace James 000314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield Agnihotri Neil 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Alexander John 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Dymon William 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Harris Monroe 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Keeney Kanyon 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Metzger Lawrence 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Watson Damon 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Wlodawsky Ross 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield Patel Nrupur 033886 Railey Hill Dental 125 Browns Way Road Midlothian VA 23114 General Provider Chesterfield Jarvandi Fereshteh 000055 Fereshteh Jaravandi, D.D.S. 4712 Jefferson Davis Hwy. Richmond VA 23234 General Provider Chesterfield Stoner Kenneth 000036 Kenneth E Stoner DDS Family Dentistry 4106 A Meadowdale Blvd Richmond VA 23234 General Provider Chesterfield Anderson Ralph 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 Orthodontist Chesterfield Benson Wakeshi 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 Orthodontist Chesterfield Gerber Sarah 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General Provider Chesterfield Hoover Amanda 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General Provider Chesterfield Oley George 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General Provider Chesterfield Quilez Robert 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General Provider Chesterfield Whitman Kime 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General Provider Chesterfield Saroff Stephen 000737 Stephen Saroff, D.D.S. 2801 McRae Rd. Richmond VA 23235 Periodontist Chesterfield Morrison Julius 000034 Julius V. Morrison, D.D.S. 3501 Courthouse Rd. Richmond VA 23236 General Provider Chesterfield Alkilani Tawfiq 000020 Sam E English II DDS LLC 798 Southpark Blvd., Suite 26 Colonial Heights VA 23834 General Provider Colonial Heights English, II Sam 000020 Sam E English II DDS LLC 798 Southpark Blvd., Suite 26 Colonial Heights VA 23834 General Provider Colonial Heights Dickson Stephanie 033865 Dickson Dental PC 5962 Richmond Hwy Alexandria VA 22303 General Provider Fairfax Nguyen Quynh Trang 001891 Virginia Dental Center 6230-C North King's Highway Alexandria VA 22303 General Provider Fairfax Nguyen Tuong-Van 001891 Virginia Dental Center 6230-C North King's Highway Alexandria VA 22303 General Provider Fairfax Parsa Mitra 037763 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist Fairfax Henry Rolin 001983 Rolin S. Henry, D.D.S., P.C. 7900 Andrus Road, Suite #2 Alexandria VA 22306 Oral Surgeon Fairfax * Nguyen Steve 050839 Impression Dental Inc. 6167 Fuller Ct. Alexandria VA 22310 General Provider Fairfax Sharafi Alireza 050937 Smileville LLC 6354 Walker Ln, Suite 103 Alexandria VA 22310 General Provider Fairfax Dadkhah Mina 050941 Smileville Pediatrics 6354 Walker Ln, Suite 103 Alexandria VA 22310 Pedodontist Fairfax Kumra Shawn 078281 Elegant Smiles Dental Care 4810 Beauregard St, Suite 300 Alexandria VA 22312 General Provider Fairfax Khalefa Said 001269 Said M Khalefa DDS PC 4600 Pincrest Office Park Dr., Suite B Alexandria VA 22312 General Provider Fairfax Phan Phuong 050919 Kingstowne Family & Cosmetic Dentistry 5960 Kingstowne Town Center, Suite 140 Alexandria VA 22315 General Provider Fairfax * Indicates dentist that is accepting current patients only. All Select Plan Dentists Page 45 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 1 and 2: SELECT PLAN 1 DENTIST DIRECTORY Den
Page 43: SELECT PLAN 1 DENTIST DIRECTORY Den

Select Plan Provider Directory - Dominion Dental Services, Inc.

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?