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 Djeu Stephanie 050974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr, Suite 210 Alexandria VA 22315 Endodontist Fairfax Lee Brian 050974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr, Suite 210 Alexandria VA 22315 Endodontist Fairfax Ngo Tu-Son 050974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr, Suite 210 Alexandria VA 22315 Endodontist Fairfax Smernoff Gerald 000183 Gerald N. Smernoff, D.D.S., PC 7501 Little River Turnpike Annandale VA 22003 Orthodontist Fairfax Vroom Katherine 002588 Katherine M. Vroom, DDS 7027 Evergreen Court Annandale VA 22003 Orthodontist Fairfax Aulakh Navdeep 061339 Navdeep Aulakh DDS PLLC 4231 Markham St, Suite 214 Annandale VA 22003 General Provider Fairfax Cantor David 002247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Turnpike, Suite 101-E Annandale VA 22003 Oral Surgeon Fairfax Francioni Sonia 002247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Turnpike, Suite 101-E Annandale VA 22003 Oral Surgeon Fairfax LaBriola J. Daniel 002247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Turnpike, Suite 101-E Annandale VA 22003 Oral Surgeon Fairfax Zadeh Hugh 002247 Northern Virginia Oral and Maxillofacial Surgery 7611 Little River Turnpike, Suite 101-E Annandale VA 22003 Oral Surgeon Fairfax Le Thien 050376 Springdale Dentistry 5105 C Backlick Rd Annandale VA 22003 General Provider Fairfax Palizi Alireza 050466 Alireza Palizi DDS PC 5216-A Lyngate ct. Burke VA 22015 General Provider Fairfax Gupta Raja 050454 Dental First Associates LLC 9570-A Burke Rd Burke VA 22015 General Provider Fairfax Jabbari Farnaz 000074 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General Provider Fairfax Kasper Frinet 000074 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General Provider Fairfax Sedaghatpour Hashem 000074 Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General Provider Fairfax Pham Dieu 002789 Mia Pham, D.D.S. 8989 Fern Park Drive Burke VA 22015 General Provider Fairfax Naimi Amir 061403 NOVA Oral Maxillofacial & Implant Surgery 5206 Lyngate Ct Burke VA 22015 Oral Surgeon Fairfax Stern Richard 001012 Richard K. Stern, D.D.S., P.C. Burke Professional Center, 5213-B Lyngate Ct. Burke VA 22015 Orthodontist Fairfax Kim Young 037680 Young Smile Dental 9000 Fern Park Dr, A2 Burke VA 22015 General Provider Fairfax McDonough James 000182 James M. McDonough, D.D.S. 5731 Centre Square Dr Centreville VA 20120 Orthodontist Fairfax * Soltani Jim 001452 Jim J. Soltani, D.D.S. & Associates, P.C. 6019 Centreville Crest Lane Centreville VA 20121 General Provider Fairfax Filippone Louis 050563 Louis C Filippone DDS PC 6138 Redwood Sq, Suite 103 Centreville VA 20121 Orthodontist Fairfax Kim JoongSeo 033882 Pearlbrite Dental Group PLLC 14631 Lee Highway, Suite 116 Centreville VA 20121 Prosthodontist Fairfax Ali Wissam 037712 Relaxed Dentistry 14631 Lee Hwy, 301 Centreville VA 20121 General Provider Fairfax Ayass Mohamad 061304 Relaxed Dentistry 14631 Lee Hwy, Suite 301 Centreville VA 20121 General Provider Fairfax Shu Man 061402 V Care Dental LLC 14631 Lee Hwy, Suite 117 Centreville VA 20121 General Provider Fairfax Huynh Thuylinh 050349 Chantilly Dental Center Orthodontics 3901 Centreview Dr, Suite T Chantilly VA 20151 Orthodontist Fairfax Galliani Alvare Mirtha 050348 Chantilly Dental Center Specialists 3901 Centreview Dr, Suite T Chantilly VA 20151 Pedodontist Fairfax Lan Steve 050348 Chantilly Dental Center Specialists 3901 Centreview Dr, Suite T Chantilly VA 20151 Pedodontist Fairfax Liewehr Frederick 050348 Chantilly Dental Center Specialists 3901 Centreview Dr, Suite T Chantilly VA 20151 Endodontist Fairfax Nguyen Phuong 050348 Chantilly Dental Center Specialists 3901 Centreview Dr, Suite T Chantilly VA 20151 Oral Surgeon Fairfax Baveja Julie 050972 Children's Dental Care 14102 Robert Paris Ct Chantilly VA 20151 Pedodontist Fairfax Ali Amal 037667 Diamond Dental Care 13948 Lee Jackson Memorial Hwy Chantilly VA 20151 General Provider Fairfax Johnson Gary 050335 Diamond Dental Care Endodontist 13948 Lee Jackson Mem Hwy Chantilly VA 20151 Endodontist Fairfax * Chaenkwok Don 001387 Donald Chaenkwok, D.D.S. 14012B Sullyfield Circle Chantilly VA 20151 General Provider Fairfax Djeu Stephanie 037661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Huang Tong-Yen 037661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Lee Brian 037661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Ngo Tu-Son 037661 The Virginia Endodontic Group PLC 14149-B Robert Paris Ct. Chantilly VA 20151 Endodontist Fairfax Papp Richard 070989 Westfields Dentistry 4530 Walney Rd, Suite 102 Chantilly VA 20151 General Provider Fairfax Zamora-Rojas Carla 070989 Westfields Dentistry 4530 Walney Rd, Suite 102 Chantilly VA 20151 General Provider Fairfax Berman Robert 000217 Drs Berman & Miller DDS 9942 Main Street Fairfax VA 22031 General Provider Fairfax Miller Jeffrey 000217 Drs Berman & Miller DDS 9942 Main Street Fairfax VA 22031 General Provider Fairfax Banawar Rohini 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Colospate Vidya 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Hoffman Howard 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Nguyen Nikki 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 Orthodontist Fairfax Rahman Murshad 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Wang Peng 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Zurmati Farid 000523 Howard Hoffman, D.D.S., P.C. 9661 -C Main Street Fairfax VA 22031 General Provider Fairfax Chou Melanie 050931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Periodontist Fairfax Kessler Joel 050931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Endodontist Fairfax Le Kathy 050931 Howard Hoffman, D.D.S., P.C. Specialists 9661 C Main St Fairfax VA 22031 Endodontist Fairfax McDonough James 000181 James M. McDonough, D.D.S. 9508-B Lee Hwy. Fairfax VA 22031 Orthodontist Fairfax Choi Mark 002255 Mark K. Choi, D.D.S., P.C. 8301 Arlington Boulevard, Suite 503 Fairfax VA 22031 General Provider Fairfax Small Neil 000218 Neil J. Small, D.D.S., PC 9940 Main Street Fairfax VA 22031 Endodontist Fairfax Le Trung 037961 Trung Q. Le, DDS 9600-I Main St Fairfax VA 22031 General Provider Fairfax Joo Chuck 002529 Chuck C. Joo, D.M.D. 12011 Lee Jackson Mem. Hwy., 104 Fairfax VA 22033 General Provider Fairfax Suk Minjeong 050398 Minjeong Suk DDS PC 4001 Fair Ridge Dr, Suite 105 Fairfax VA 22033 General Provider Fairfax Jaber Margarita 037710 Mira Dental Care 5671 Columbia Pike, 101 Falls Church VA 22041 General Provider Fairfax Mogharbel Tarek 037710 Mira Dental Care 5671 Columbia Pike, 101 Falls Church VA 22041 General Provider Fairfax Mohiuddin Sumayra 037710 Mira Dental Care 5671 Columbia Pike, 101 Falls Church VA 22041 General Provider Fairfax Coleman Norman 001326 Norman K. Coleman, D.D.S. 5205 Leesburg Pike, #509 Falls Church VA 22041 Oral Surgeon Fairfax Amouhashem Parvin 001544 Smile Dental Clinic 3817-A S. George Mason Drive Falls Church VA 22041 General Provider Fairfax Nassar Fadwa 002845 Falls Church Family and Comprehensive Dentistry 6400 Arlington Blvd., Suite 944 Falls Church VA 22042 General Provider Fairfax * Indicates dentist that is accepting current patients only. All Select Plan Dentists Page 46 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 * Kangarloo Ramineh 050943 Gentle Touch Dentistry for All Ages 6521 Arlington Blvd, Suite 112 Falls Church VA 22042 General Provider Fairfax Kaur Taran 002124 Optimum Dental 7389 Lee Highway, Suite 101 Falls Church VA 22042 General Provider Fairfax Shroff Amisha 050547 Apt Dental Associates 7115 Leesburg Pike, Suite 216 Falls Church VA 22043 General Provider Fairfax Moller James 000815 Drs. Seigel & Moller 7641 Leesburg Pike Falls Church VA 22043 General Provider Fairfax Seigel Harold 000815 Drs. Seigel & Moller 7641 Leesburg Pike Falls Church VA 22043 General Provider Fairfax Kermanshi Shiva 033844 Arlington Dental Care PLLC 6060 Arlington Blvd. Falls Church VA 22044 Orthodontist Fairfax Solemaninejad Homan 033844 Arlington Dental Care PLLC 6060 Arlington Blvd. Falls Church VA 22044 General Provider Fairfax Vu Bao 000178 Bao T. Vu, D.D.S. 6081 Arlington Blvd. Falls Church VA 22044 Orthodontist Fairfax Patterson Travis 001103 Drs. Whiston, Patterson & Corcoran 6400 Arlington Blvd., Plaza 1 Lower Level Falls Church VA 22044 Oral Surgeon Fairfax Gregory Eugene 000121 Eugene W. Gregory, D.D.S. 6231 Leesburg Pike #402 Falls Church VA 22044 Oral Surgeon Fairfax Dang Quynh-Anh 051063 Sleepy Hollow Dental PLLC 2946 Sleepy Hollow Rd, Suite 1B Falls Church VA 22044 General Provider Fairfax Le Yen 051063 Sleepy Hollow Dental PLLC 2946 Sleepy Hollow Rd, Suite 1B Falls Church VA 22044 General Provider Fairfax Doppalapudi Vivek 001301 Vivek Doppalapudi, D.D.S. 102 Elden St., Ste 19 Herndon VA 20170 Periodontist Fairfax Alayssami Mazin 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 General Provider Fairfax Byrd Richard 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 Orthodontist Fairfax Chaddad Karim 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 Periodontist Fairfax DeVylder Joseph 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 Oral Surgeon Fairfax Ornoff Mark 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 General Provider Fairfax Reedy Hima-Bindu 000092 Bright Now Dental 13873 Park Center Rd., Suite 137 Herndon VA 20171 General Provider Fairfax Chaddad Karim 050927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd, Suite 137 Herndon VA 20171 Periodontist Fairfax DeVylder Joseph 050927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd, Suite 137 Herndon VA 20171 Oral Surgeon Fairfax Kuppam Swathi 051120 All Smiles Orthodontics 9010 Lorton Station Blvd, Suite 260 Lorton VA 22079 Orthodontist Fairfax Patel Snehal 050664 Snehal Patel DDS 9010 Lorton Station Blvd, Suite 140 Lorton VA 22079 Oral Surgeon Fairfax Mogharbel Tarek 051125 Mira Dental Care at Tysons Corner 8201 Greensboro Dr, Suite 710 Mc Lean VA 22102 General Provider Fairfax Bajwa Preet 061412 A B Dental 11790 H Baron Cameron Ave Reston VA 20190 General Provider Fairfax Bordon Elda 079058 Family and Cosmetic Dentistry 1800 Michael Faraday Dr Reston VA 20190 General Provider Fairfax Naimi Amir 061404 NOVA Oral Maxillofacial & Implant Surgery 11331 Sunset Hills Rd Reston VA 20190 Oral Surgeon Fairfax Pell James 001253 Oral Surgery Associates of Northern Virginia Ltd 1800 Town Center Drive, Suite116 Reston VA 20190 Oral Surgeon Fairfax Wang Richard 001253 Oral Surgery Associates of Northern Virginia Ltd 1800 Town Center Drive, Suite116 Reston VA 20190 Oral Surgeon Fairfax Anoushfar Sherry 000926 Sherry Anoushfar, D.D.S., PC 1984 Isaac Newton Square, Suite 201 Reston VA 20190 General Provider Fairfax Izadi Moshen 000926 Sherry Anoushfar, D.D.S., PC 1984 Isaac Newton Square, Suite 201 Reston VA 20190 General Provider Fairfax Khang Wahn 001483 Perio Implant Center 11866 Sunrise Valley Drive, Suite 101 Reston VA 20191 Periodontist Fairfax Colospate Vidya 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax Grande Marcos 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax Hoffman Howard 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax Nguyen Nikki 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 Orthodontist Fairfax Zarookian Armen 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax Zurmati Farid 000524 Howard Hoffman, D.D.S., P.C. 6340 Brandon Ave. Springfield VA 22150 General Provider Fairfax Chou Melanie 050932 Howard Hoffman, D.D.S., P.C. Specialists 6340 Brandon Ave Springfield VA 22150 Periodontist Fairfax Gutmann J. 000200 J. Steven Gutmann, D.D.S., P.C. 6225 Brandon Ave., #185 Springfield VA 22150 Oral Surgeon Fairfax Sina Nadia 037651 MY BRACES DOCTOR, PC 6525-C Frontier Dr. Springfield VA 22150 Orthodontist Fairfax Khalefa Said 000048 Said M. Khalefa, D.D.S., P.C. 6115 Backlick Rd Springfield VA 22150 General Provider Fairfax Alayssami Mazin 000145 Bright Now Dental 2230 Gallows Rd., Suite 320 Vienna VA 22027 General Provider Fairfax Elkhateeb Mohammad 000145 Bright Now Dental 2230 Gallows Rd., Suite 320 Vienna VA 22027 General Provider Fairfax Chaddad Karim 050928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd, Suite 320 Vienna VA 22027 Periodontist Fairfax DeVylder Joseph 050928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd, Suite 320 Vienna VA 22027 Oral Surgeon Fairfax Patel Ashish 050928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd, Suite 320 Vienna VA 22027 Oral Surgeon Fairfax Schiff Basil 001481 Basil A. Schiff, D.D.S., P.C. 361 Maple Ave W, Suite 200 Vienna VA 22180 Oral Surgeon Fairfax Luna Oscar 050734 Bright Smile Pediatric Dentist 410 Pine St SE Vienna VA 22180 Pedodontist Fairfax Zadeh David 033866 Davoud Zadeh, D.D.S. 308 Dominion Rd. N.E. Vienna VA 22180 General Provider Fairfax Kim JoongSeo 033880 JoongSeo Kim, D.D.S., PC 301 Maple Ave West, Suite 610 Vienna VA 22180 Prosthodontist Fairfax DeVylder Joseph 001220 Joseph J. DeVylder, D.D.S. 407-F Church St., NE Vienna VA 22180 Oral Surgeon Fairfax Kim Sang 079780 Oral Facial and Dental Implant Surgery 361 Maple Ave West, Suite 200 Vienna VA 22180 Oral Surgeon Fairfax Dellork Richard 050350 Richard J Dellork DDS 124 Park St SE, Suite 205 Vienna VA 22180 Endodontist Fairfax Iravani Farideh 002046 Dr. Farideh Irvani, DMD-Spec 1964 Gallows Road #220 Vienna VA 22182 Periodontist Fairfax Johnson Gary 037753 Gary J. Johnson, DDS 8227 Old Courthouse Rd, 201 Vienna VA 22182 Endodontist Fairfax * Le Quan 000115 Le Smile 2070 Chain Bridge Rd., Suite 530 Vienna VA 22182 General Provider Fairfax Choby Mary 000140 Mary Ann Choby, D.M.D., MS 8133 Leesburg Pike, Suite 610 Vienna VA 22182 Endodontist Fairfax Anoushfar Sherry 001302 Sherry Anoushfar, D.D.S., PC 133 East Maple Avenue, Suite 206 Vienna VA 22182 General Provider Fairfax Izadi Moshen 001302 Sherry Anoushfar, D.D.S., PC 133 East Maple Avenue, Suite 206 Vienna VA 22182 General Provider Fairfax Alvarez Juan 033870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 Prosthodontist Fairfax Imao Josemari 033870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Ribeiro Alexandre 033870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Shu Man 033870 Tysons Corner Dentists 8296-A Old Courthouse Rd. Vienna VA 22182 General Provider Fairfax Sperling-Habot Keren 050353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist Fairfax Fariello Arnold 037553 Arnold S. Fariello, D.D.S., PC 10875 Main St., #103 Fairfax VA 22030 General Provider Fairfax City * Indicates dentist that is accepting current patients only. All Select Plan Dentists Page 47 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 45: SELECT PLAN 1 DENTIST DIRECTORY Den

Select Plan Provider Directory - Dominion Dental Services, Inc.

Create successful ePaper yourself

Delete template?

Save as template?