Select Plan Provider Directory - Dominion Dental Services, Inc.
Select Plan Provider Directory - Dominion Dental Services, Inc.
Select Plan Provider Directory - Dominion Dental Services, Inc.
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SELECT PLAN 1 DENTIST DIRECTORY<br />
Dentists listed are under contract as of 10/1/12<br />
Last Name First Name Fac ID <strong>Dental</strong> Office Name Office Address City ST ZIP Discipline County<br />
* Morris Mason-Leigh 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Muldoon Catherine 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Parker Richard 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Pearl Dina 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Reichley John 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Richards Damdy 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Santos Estelito 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Solarte-Castro Edith 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Tam Amy 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
* Throckmorton Maria 050721 Konikoff <strong>Dental</strong> Associates 1419 Cedar Rd Chesapeake VA 23322 General <strong>Provider</strong> Chesapeake City<br />
Cobb Howard 000676 Howard P. Cobb, D.D.S. 2605 Moses Grandy Trl., Suite B Chesapeake VA 23323 General <strong>Provider</strong> Chesapeake City<br />
Howard Robert 000021 Robert J. Howard, D.D.S. 308 N. George Wash. Hwy, Suite 2 Chesapeake VA 23323 General <strong>Provider</strong> Chesapeake City<br />
Barbour Robert 000079 Robert K Barbour, DMD, PC 2520 Gilmerton Rd. Chesapeake VA 23323 General <strong>Provider</strong> Chesapeake City<br />
Tran Anh 050571 Chester Orthodontics 11300 Ironbridge Rd, Suite B Chester VA 23831 Orthodontist Chesterfield<br />
Rodrigues Shwetha 002817 Shwetha Rodrigues DDS PC 12619 Jefferson Davis Hwy Chester VA 23831 General <strong>Provider</strong> Chesterfield<br />
Brown Stephen 000301 Chesterfield Oral Surgery, <strong>Inc</strong>. 10110 Iron Bridge Rd. Chesterfield VA 23832 Oral Surgeon Chesterfield<br />
Rhea William 000100 William H. Rhea, D.D.S. 10108 Krause Rd. #102 Chesterfield VA 23832 General <strong>Provider</strong> Chesterfield<br />
Kelleher Kevin 037690 Kelleher Orthodontics 2412 Colony Crossing Pl Midlothian VA 23112 Orthodontist Chesterfield<br />
Padgett Thomas 000313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane, Suite 200 Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Wallace James 000313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Lane, Suite 200 Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Agnihotri Neil 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Alexander John 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Dymon William 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Harris Monroe 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Keeney Kanyon 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Metzger Lawrence 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Watson Damon 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Wlodawsky Ross 002381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon Chesterfield<br />
Gray Richard 072103 Apex Endodontics 1149 Jefferson Green Cir Midlothian VA 23113 Endodontist Chesterfield<br />
Kim John 000005 John J Kim DDS 2927 Polo Parkway Midlothian VA 23113 General <strong>Provider</strong> Chesterfield<br />
Byrd Richard 002394 Richard L. Byrd., D.D.S. 2929 Polo Parkway Midlothian VA 23113 Orthodontist Chesterfield<br />
Padgett Thomas 000314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Wallace James 000314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd. Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Agnihotri Neil 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Alexander John 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Dymon William 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Harris Monroe 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Keeney Kanyon 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Metzger Lawrence 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Watson Damon 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Wlodawsky Ross 000250 Virginia Oral & Facial Surgery 11319 Polo Place Midlothian VA 23113 Oral Surgeon Chesterfield<br />
Patel Nrupur 033886 Railey Hill <strong>Dental</strong> 125 Browns Way Road Midlothian VA 23114 General <strong>Provider</strong> Chesterfield<br />
Jarvandi Fereshteh 000055 Fereshteh Jaravandi, D.D.S. 4712 Jefferson Davis Hwy. Richmond VA 23234 General <strong>Provider</strong> Chesterfield<br />
Stoner Kenneth 000036 Kenneth E Stoner DDS Family Dentistry 4106 A Meadowdale Blvd Richmond VA 23234 General <strong>Provider</strong> Chesterfield<br />
Anderson Ralph 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 Orthodontist Chesterfield<br />
Benson Wakeshi 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 Orthodontist Chesterfield<br />
Gerber Sarah 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General <strong>Provider</strong> Chesterfield<br />
Hoover Amanda 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General <strong>Provider</strong> Chesterfield<br />
Oley George 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General <strong>Provider</strong> Chesterfield<br />
Quilez Robert 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General <strong>Provider</strong> Chesterfield<br />
Whitman Kime 000099 Dr. Oley and Quilez, D.D.S., PLC 1907 West Huguenot Rd. Richmond VA 23235 General <strong>Provider</strong> Chesterfield<br />
Saroff Stephen 000737 Stephen Saroff, D.D.S. 2801 McRae Rd. Richmond VA 23235 Periodontist Chesterfield<br />
Morrison Julius 000034 Julius V. Morrison, D.D.S. 3501 Courthouse Rd. Richmond VA 23236 General <strong>Provider</strong> Chesterfield<br />
Alkilani Tawfiq 000020 Sam E English II DDS LLC 798 Southpark Blvd., Suite 26 Colonial Heights VA 23834 General <strong>Provider</strong> Colonial Heights<br />
English, II Sam 000020 Sam E English II DDS LLC 798 Southpark Blvd., Suite 26 Colonial Heights VA 23834 General <strong>Provider</strong> Colonial Heights<br />
Dickson Stephanie 033865 Dickson <strong>Dental</strong> PC 5962 Richmond Hwy Alexandria VA 22303 General <strong>Provider</strong> Fairfax<br />
Nguyen Quynh Trang 001891 Virginia <strong>Dental</strong> Center 6230-C North King's Highway Alexandria VA 22303 General <strong>Provider</strong> Fairfax<br />
Nguyen Tuong-Van 001891 Virginia <strong>Dental</strong> Center 6230-C North King's Highway Alexandria VA 22303 General <strong>Provider</strong> Fairfax<br />
Parsa Mitra 037763 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist Fairfax<br />
Henry Rolin 001983 Rolin S. Henry, D.D.S., P.C. 7900 Andrus Road, Suite #2 Alexandria VA 22306 Oral Surgeon Fairfax<br />
* Nguyen Steve 050839 Impression <strong>Dental</strong> <strong>Inc</strong>. 6167 Fuller Ct. Alexandria VA 22310 General <strong>Provider</strong> Fairfax<br />
Sharafi Alireza 050937 Smileville LLC 6354 Walker Ln, Suite 103 Alexandria VA 22310 General <strong>Provider</strong> Fairfax<br />
Dadkhah Mina 050941 Smileville Pediatrics 6354 Walker Ln, Suite 103 Alexandria VA 22310 Pedodontist Fairfax<br />
Kumra Shawn 078281 Elegant Smiles <strong>Dental</strong> Care 4810 Beauregard St, Suite 300 Alexandria VA 22312 General <strong>Provider</strong> Fairfax<br />
Khalefa Said 001269 Said M Khalefa DDS PC 4600 Pincrest Office Park Dr., Suite B Alexandria VA 22312 General <strong>Provider</strong> Fairfax<br />
Phan Phuong 050919 Kingstowne Family & Cosmetic Dentistry 5960 Kingstowne Town Center, Suite 140 Alexandria VA 22315 General <strong>Provider</strong> Fairfax<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 45<br />
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<br />
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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