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 />
Hukmani Navin 001731 Woodbridge <strong>Dental</strong> Associates P.C. 14520 Smoketown Rd. Woodbridge VA 22192 Orthodontist Prince William<br />
Valleru Silvija 001731 Woodbridge <strong>Dental</strong> Associates P.C. 14520 Smoketown Rd. Woodbridge VA 22192 General <strong>Provider</strong> Prince William<br />
Zeiaei-Nafchi Saeid 001731 Woodbridge <strong>Dental</strong> Associates P.C. 14520 Smoketown Rd. Woodbridge VA 22192 General <strong>Provider</strong> Prince William<br />
Nguyen Phuong 078278 Woodbridge Oral and Maxillofacial Surgery Center 4585 Daisy Reid Avenue, Suite 105 Woodbridge VA 22192 Oral Surgeon Prince William<br />
* Haston Raymond 000451 Raymond C. Haston, Jr., D.D.S. 14393 Hereford Road Woodbridge VA 22193 General <strong>Provider</strong> Prince William<br />
Morrison Julius 000059 Julius V. Morrison, D.D.S. 530 E Main St., Suite 400 Richmond VA 23219 General <strong>Provider</strong> Richmond City<br />
Exum Antone 079793 Antone Exum DDS 505 W Leight Street, Suite 106 Richmond VA 23220 General <strong>Provider</strong> Richmond City<br />
Adams Randy 000142 Dentistry for Children 300 W. Broad Street Richmond VA 23220 Pedodontist Richmond City<br />
* Jones John 000064 John W. Jones, D.D.S. 1805 Monument Ave., Suite 501 Richmond VA 23220 General <strong>Provider</strong> Richmond City<br />
English, II Sam 002669 Sam E English II DDS LLC 3500 Grove Ave. Richmond VA 23221 General <strong>Provider</strong> Richmond City<br />
Musetti Christopher 002669 Sam E English II DDS LLC 3500 Grove Ave. Richmond VA 23221 General <strong>Provider</strong> Richmond City<br />
Roberts Cameron 002669 Sam E English II DDS LLC 3500 Grove Ave. Richmond VA 23221 General <strong>Provider</strong> Richmond City<br />
Grantham Tabbitha 038060 Grantham Family Dentistry 1122 N 25th St, Suite E Richmond VA 23223 General <strong>Provider</strong> Richmond City<br />
Morrison Julius 001930 Vernon J. Harris East End Community Health Center 719 N. 25th St., 2nd Floor Richmond VA 23223 General <strong>Provider</strong> Richmond City<br />
Byrd Richard 000168 Richard L. Byrd, D.D.S. 101 Cowardin Ave., #306-A Richmond VA 23224 Orthodontist Richmond City<br />
Cade Ronald 001584 Ronald E Cade <strong>Inc</strong> 101 Cowardin Avenue, Suite 206 Richmond VA 23224 Prosthodontist Richmond City<br />
* Puller Anthony 000010 Anthony J Puller DDS 7834 Forest Hill Ave., Suite 6 Richmond VA 23225 General <strong>Provider</strong> Richmond City<br />
Lilly, Jr. J. David 000012 J David Lilly Jr DDS 7834 Forest Hill Avenue Richmond VA 23225 General <strong>Provider</strong> Richmond City<br />
Byrd Richard 000135 Richard L. Byrd, D.D.S., Ltd. 6740 Forest Hill Avenue, Suite 103 Richmond VA 23225 Orthodontist Richmond City<br />
Abubaker A Omar 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
DeLuke Dean 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Desai Bhavik 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Giglio James 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Huband Michael 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Prosthodontist Richmond City<br />
Laskin Daniel 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Lui David 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Smagalski Gary 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Strauss Robert 001699 Dentistry@VCU 521 North 11th Street Richmond VA 23298 Oral Surgeon Richmond City<br />
Terrill David 001068 David Terrill, D.D.S. 11113 Leavells Rd. Fredericksburg VA 22407 Orthodontist Spotsylvania<br />
Romano Frank 000147 Frank D. Romano, D.D.S. 1133 Heatherstone Dr. Fredericksburg VA 22407 General <strong>Provider</strong> Spotsylvania<br />
Byrd Richard 002743 Fredericksburg Pediatric Dentistry 927 Maple Grove Drive, Suite 111 Fredericksburg VA 22407 Orthodontist Spotsylvania<br />
Sina Nadia 037650 MY BRACES DOCTOR, PC 4300 <strong>Plan</strong>k Rd., Suite 230 Fredericksburg VA 22407 Orthodontist Spotsylvania<br />
Pagan Robert 001206 R. David Pagan, D.M.D., P.C. 4224 <strong>Plan</strong>k Rd., Ste.B Fredericksburg VA 22407 Endodontist Spotsylvania<br />
Abuhajleh Omar 037958 Bright Now <strong>Dental</strong> 10454 Hill Top Plaza Way Spotsylvania VA 22553 General <strong>Provider</strong> Spotsylvania<br />
Alayssami Mazin 037958 Bright Now <strong>Dental</strong> 10454 Hill Top Plaza Way Spotsylvania VA 22553 General <strong>Provider</strong> Spotsylvania<br />
Byrd Richard 037958 Bright Now <strong>Dental</strong> 10454 Hill Top Plaza Way Spotsylvania VA 22553 Orthodontist Spotsylvania<br />
Khalaf Athra 037958 Bright Now <strong>Dental</strong> 10454 Hill Top Plaza Way Spotsylvania VA 22553 General <strong>Provider</strong> Spotsylvania<br />
Malghan Nandini 037958 Bright Now <strong>Dental</strong> 10454 Hill Top Plaza Way Spotsylvania VA 22553 General <strong>Provider</strong> Spotsylvania<br />
Coker John 000726 John H Coker Jr DMD 10472 Georgetown Drive Spotsylvania VA 22553 Orthodontist Spotsylvania<br />
* Haston Raymond 000428 Raymond C Haston Jr DDS PC 560 Celebrate Virginia Pkwy, 107 Fredericksburg VA 22406 General <strong>Provider</strong> Stafford<br />
Alayssami Mazin 000156 Bright Now <strong>Dental</strong> 392 Garrisonville Rd., Suite 205 Stafford VA 22554 General <strong>Provider</strong> Stafford<br />
Byrd Richard 000156 Bright Now <strong>Dental</strong> 392 Garrisonville Rd., Suite 205 Stafford VA 22554 Orthodontist Stafford<br />
Elgazzar Mohamed 000156 Bright Now <strong>Dental</strong> 392 Garrisonville Rd., Suite 205 Stafford VA 22554 General <strong>Provider</strong> Stafford<br />
Niepraschk Markus 000156 Bright Now <strong>Dental</strong> 392 Garrisonville Rd., Suite 205 Stafford VA 22554 Orthodontist Stafford<br />
Palle Sunitha 000156 Bright Now <strong>Dental</strong> 392 Garrisonville Rd., Suite 205 Stafford VA 22554 General <strong>Provider</strong> Stafford<br />
Attreed Elizabeth 000854 Elizabeth M Attreed DDS 2832 Jefferson Davis Hwy, Aquia Towne Center Stafford VA 22554 General <strong>Provider</strong> Stafford<br />
Coker John 000842 John H Coker Jr DMD 239 Garrisonville Rd., Suite 101 Stafford VA 22554 Orthodontist Stafford<br />
Chaddad Karim 050930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd, Suite 205 Stafford VA 22554 Periodontist Stafford<br />
Patel Ashish 050930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd, Suite 205 Stafford VA 22554 Oral Surgeon Stafford<br />
* Abdelwahab Tamer 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Ansari Uzma 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Berrada Sanae 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Bozman Jenny 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Chawla Seema 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Dobson Roberta 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Dobson, III Joseph 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Elosta Wael 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Field Marcus 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Field Sheila 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Gioffre Mollie 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Hoek Meredith 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Jones Daniel 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Konikoff David 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Lanigan Jacqueline 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Maclin Ivetta 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Mady Zeyad 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 51<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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