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 />
Oley George 000014 George A. Oley, III, D.D.S. 9030 Three Chopt Road, Suite A Richmond VA 23229 General <strong>Provider</strong> Henrico<br />
Poquis Gregory 000014 George A. Oley, III, D.D.S. 9030 Three Chopt Road, Suite A Richmond VA 23229 General <strong>Provider</strong> Henrico<br />
Quilez Robert 000014 George A. Oley, III, D.D.S. 9030 Three Chopt Road, Suite A Richmond VA 23229 General <strong>Provider</strong> Henrico<br />
Wilby Lyla Rose 000014 George A. Oley, III, D.D.S. 9030 Three Chopt Road, Suite A Richmond VA 23229 General <strong>Provider</strong> Henrico<br />
Da Cunha Paul 002718 Paul Da Cunha DMD PC 8503 Patterson Ave, Suite C Richmond VA 23229 General <strong>Provider</strong> Henrico<br />
Stoner Kenneth 000040 Kenneth E. Stoner, D.D.S. & Associates 4922 W. Broad St., Westend Richmond VA 23230 General <strong>Provider</strong> Henrico<br />
Hendrickson-Hai Joelle 002614 Great Expressions, Jack Falvo, DDS 4859 Finlay Street Richmond VA 23231 General <strong>Provider</strong> Henrico<br />
Hudson Raidah 000015 Raidah Hudson, D.D.S., P.C. 4374 S. Laburnum Avenue Richmond VA 23231 General <strong>Provider</strong> Henrico<br />
* Osman Feisal 000766 Feisal Osman 3033 Lauderdale Drive Richmond VA 23233 General <strong>Provider</strong> Henrico<br />
* Hudson Paul 000047 Hudson & Hudson PC 1801 Raintree Dr, Suite A Richmond VA 23238 General <strong>Provider</strong> Henrico<br />
Shait Abraham 000309 Abraham Shait, D.D.S., Ltd. 3210 Skipwith Rd. Richmond VA 23294 Periodontist Henrico<br />
Agnihotri Neil 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Alexander John 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Dymon William 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Harris Monroe 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Keeney Kanyon 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Metzger Lawrence 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Watson Damon 000251 Virginia Oral & Facial Surgery 7650 Parham Rd., Suite 110 Richmond VA 23294 Oral Surgeon Henrico<br />
Agnihotri Neil 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Alexander John 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Dymon William 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Harris Monroe 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Keeney Kanyon 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Metzger Lawrence 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Watson Damon 000252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon Henrico<br />
Avram Adrian 000019 Sam E English II DDS Ltd 5303 Plaza Drive, Suite 103 Hopewell VA 23860 General <strong>Provider</strong> Hopewell City<br />
English, II Sam 000019 Sam E English II DDS Ltd 5303 Plaza Drive, Suite 103 Hopewell VA 23860 General <strong>Provider</strong> Hopewell City<br />
Nguyen Kim 000019 Sam E English II DDS Ltd 5303 Plaza Drive, Suite 103 Hopewell VA 23860 General <strong>Provider</strong> Hopewell City<br />
English, II Sam 002647 Sam E English II DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General <strong>Provider</strong> James City<br />
Raphael Jeff 002647 Sam E English II DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General <strong>Provider</strong> James City<br />
Rhyne Katherine 002647 Sam E English II DDS LLC 4680-16A Monticello Ave. Williamsburg VA 23188 General <strong>Provider</strong> James City<br />
Coker John 050331 John H Coker Jr DMD 9449 Grover Dr, 100 King George VA 22485 Orthodontist King George<br />
English, II Sam 000009 Sam E English II DDS Ltd 628 Main St. West Point VA 23181 General <strong>Provider</strong> King William<br />
Raphael Jeff 000009 Sam E English II DDS Ltd 628 Main St. West Point VA 23181 General <strong>Provider</strong> King William<br />
Eghtessad Mohammed 037695 Gateway <strong>Dental</strong> 44330 Premier Plaza, 140 Ashburn VA 20147 General <strong>Provider</strong> Loudoun<br />
Chaddad Karim 070969 Gateway <strong>Dental</strong> Specialists 44330 Premier Plaza, Suite 140 Ashburn VA 20147 Periodontist Loudoun<br />
Patel Ajit 050882 Ashburn Pediatric <strong>Dental</strong> Center 42882 Truro Parish Dr, Suite 205 Ashburn VA 20148 Pedodontist Loudoun<br />
Longwe Edward 051024 Dulles Oral Surgical Center 24805 Pinebrook Rd, Suite 100 Chantilly VA 20152 Oral Surgeon Loudoun<br />
Omar Anisa 050363 East Gate Orthodontics 25401 Eastern Marketplace Plz, Suite 195 Chantilly VA 20152 Orthodontist Loudoun<br />
Amin Ahmad 037730 South Riding <strong>Dental</strong> Associates, P.C. 25055 Riding Plaza Dr., Suite 270 Chantilly VA 20152 Oral Surgeon Loudoun<br />
Hukmani Navin 037730 South Riding <strong>Dental</strong> Associates, P.C. 25055 Riding Plaza Dr., Suite 270 Chantilly VA 20152 Orthodontist Loudoun<br />
Huynh Thuylinh 037730 South Riding <strong>Dental</strong> Associates, P.C. 25055 Riding Plaza Dr., Suite 270 Chantilly VA 20152 Orthodontist Loudoun<br />
Valleru Silvija 037730 South Riding <strong>Dental</strong> Associates, P.C. 25055 Riding Plaza Dr., Suite 270 Chantilly VA 20152 General <strong>Provider</strong> Loudoun<br />
Zeiaei-Nafchi Saeid 037730 South Riding <strong>Dental</strong> Associates, P.C. 25055 Riding Plaza Dr., Suite 270 Chantilly VA 20152 General <strong>Provider</strong> Loudoun<br />
Rafaat Amirreza 002290 Amirreza Rafaat, D.D.S., P.C. 19450 Deerfield Avenue, Suite 465 Lansdowne VA 20176 General <strong>Provider</strong> Loudoun<br />
Lee Richard 050489 Loudoun Orthodontics 19465 Deerfield Ave, Suite 304 Lansdowne VA 20176 Orthodontist Loudoun<br />
Shojaei Mariah 002091 Mariah Shojaei, D.M.D. 46161 West Lake Drive, #120 Potomac Falls VA 20165 Endodontist Loudoun<br />
Alayssami Mazin 000157 Bright Now <strong>Dental</strong> 6 Pidgeon Hill Dr., Suite 200 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Eghtessad Mohammed 000157 Bright Now <strong>Dental</strong> 6 Pidgeon Hill Dr., Suite 200 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Nallavalli Sravanthi 000157 Bright Now <strong>Dental</strong> 6 Pidgeon Hill Dr., Suite 200 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Parvathaneni Bhavani 000157 Bright Now <strong>Dental</strong> 6 Pidgeon Hill Dr., Suite 200 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Reedy Hima-Bindu 000157 Bright Now <strong>Dental</strong> 6 Pidgeon Hill Dr., Suite 200 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Hooshmand Marie 001808 Marie Hooshmand, D.D.S., P.C. 21165 Whitfield Place, Suite 101 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Chaddad Karim 050929 Mazin Alayssami DMD & Associates PC Specialists 6 Pidgeon Hill Dr, Suite 200 Sterling VA 20165 Periodontist Loudoun<br />
Bidgoli Rashin 001937 Rashin T. Bidgoli, D.D.S. 21145 Whitfield Place, #101 Sterling VA 20165 Endodontist Loudoun<br />
Tolba Mostafa 001937 Rashin T. Bidgoli, D.D.S. 21145 Whitfield Place, #101 Sterling VA 20165 Endodontist Loudoun<br />
Duong Truc 001912 Truc Duong, D.D.S., PC 21145 Whitfield Pl., Suite 103 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Alathari Humam 002058 Zina Alathari, D.M.D. 21155 Whitfield Place, Suite 106 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Alathari Zina 002058 Zina Alathari, D.M.D. 21155 Whitfield Place, Suite 106 Sterling VA 20165 General <strong>Provider</strong> Loudoun<br />
Frankenberry Anishka 078262 Stone Ridge Orthodontics 24600 Millstream Drive, Suite 101 Stone Ridge VA 20105 Orthodontist Loudoun<br />
Amin Ahmad 001729 <strong>Dental</strong> One Associates Manassas PC 7800 Sudley Rd., Suite 7810 Manassas VA 20109 Oral Surgeon Manassas City<br />
Hukmani Navin 001729 <strong>Dental</strong> One Associates Manassas PC 7800 Sudley Rd., Suite 7810 Manassas VA 20109 Orthodontist Manassas City<br />
Khosravi Mitra 001729 <strong>Dental</strong> One Associates Manassas PC 7800 Sudley Rd., Suite 7810 Manassas VA 20109 General <strong>Provider</strong> Manassas City<br />
Rasmussen James 002066 James E. Rasmussen, D.M.D., PC 10600 Crestwood Dr. Manassas VA 20109 Oral Surgeon Manassas City<br />
Ali Ziad 002760 Manassas <strong>Dental</strong> Associates, PC Specialists 10630-B Crestwood Drive Manassas VA 20109 Oral Surgeon Manassas City<br />
Traboulsi Georges 002760 Manassas <strong>Dental</strong> Associates, PC Specialists 10630-B Crestwood Drive Manassas VA 20109 Periodontist Manassas City<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 49<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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