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 />
* Maniwang Jo-Marie 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Mattioli Michele 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* McCarty Benjamin 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Miranda Joshua 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Morris Mason-Leigh 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Muldoon Catherine 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Parker Richard 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Pearl Dina 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Reichley John 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Richards Damdy 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Santos Estelito 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Solarte-Castro Edith 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Tam Amy 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
* Throckmorton Maria 050724 Konikoff <strong>Dental</strong> Associates 5849 Harbour View Blvd, Suite 100 Suffolk VA 23435 General <strong>Provider</strong> Suffolk City<br />
Reynolds Jillian 078274 LWSS Dentistry for Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk City<br />
Sachs Scott 078274 LWSS Dentistry for Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk City<br />
Byrnside Valerie 051074 Scott R Goodove DDS PLC 5849 Harbour View Blvd, Suite 120 Suffolk VA 23435 Oral Surgeon Suffolk City<br />
Goodove Scott 051074 Scott R Goodove DDS PLC 5849 Harbour View Blvd, Suite 120 Suffolk VA 23435 Oral Surgeon Suffolk City<br />
Harris Christopher 051074 Scott R Goodove DDS PLC 5849 Harbour View Blvd, Suite 120 Suffolk VA 23435 Oral Surgeon Suffolk City<br />
Ellis Kevin 061307 Advanced Sedation Dentistry 616 Virginia Beach Blvd, Suite 102 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
Futerman Len 061307 Advanced Sedation Dentistry 616 Virginia Beach Blvd, Suite 102 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
Oduyelu Bukola 061308 Advanced Sedation Dentistry Specialists 616 Virginia Beach Blvd, Suite 102 Virginia Beach VA 23451 Pedodontist Virginia Beach City<br />
Ellis Kevin 001692 Kevin J. Ellis, D.M.D. Family Dentistry 205 34th Street, Suite 112 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Abdelwahab Tamer 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Ansari Uzma 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Berrada Sanae 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Bozman Jenny 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Chawla Seema 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Dobson Roberta 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Dobson, III Joseph 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Elosta Wael 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Field Marcus 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Field Sheila 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Gioffre Mollie 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Hoek Meredith 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Jones Daniel 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Konikoff David 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Lanigan Jacqueline 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Maclin Ivetta 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Mady Zeyad 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Maniwang Jo-Marie 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Mattioli Michele 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* McCarty Benjamin 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Miranda Joshua 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Morris Mason-Leigh 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Muldoon Catherine 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Parker Richard 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Pearl Dina 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Reichley John 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Richards Damdy 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Santos Estelito 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Solarte-Castro Edith 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Tam Amy 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
* Throckmorton Maria 050723 Konikoff <strong>Dental</strong> Associates 2829 Shore Dr, Suite 100 Virginia Beach VA 23451 General <strong>Provider</strong> Virginia Beach City<br />
Hartman Gary 002163 Gary A. Hartman, D.D.S., MS. Ltd 240 Mustang Tr Virginia Beach VA 23452 Periodontist Virginia Beach City<br />
Konikoff Albert 000255 Konikoff Periodontics, Ltd. 477 Viking Drive, #190 Virginia Beach VA 23452 Periodontist Virginia Beach City<br />
Folck Michael 033857 Mid Atlantic Implant and Oral Surgery Center, PC 272 Bendix Road, Suite 280 Virginia Beach VA 23452 Oral Surgeon Virginia Beach City<br />
Spain Murray 000097 Murray Spain, D.M.D. 3634 S. Plaza Trail #101 Virginia Beach VA 23452 General <strong>Provider</strong> Virginia Beach City<br />
Ashby John 000179 Owens and Dorfman, Ltd. 4356-4 Bonney Rd., #101 Virginia Beach VA 23452 Orthodontist Virginia Beach City<br />
Dailey Curtis 000179 Owens and Dorfman, Ltd. 4356-4 Bonney Rd., #101 Virginia Beach VA 23452 Orthodontist Virginia Beach City<br />
Nido Arthur 000076 Arthur Nido, D.M.D. 525 N. Great Neck Road Virginia Beach VA 23454 General <strong>Provider</strong> Virginia Beach City<br />
Ford Melvin 001096 Drs. Ford, Guter & Rai 933 First Colonial Road, Suite 205 Virginia Beach VA 23454 Oral Surgeon Virginia Beach City<br />
Guter Klaus 001096 Drs. Ford, Guter & Rai 933 First Colonial Road, Suite 205 Virginia Beach VA 23454 Oral Surgeon Virginia Beach City<br />
Rai Shaun 001096 Drs. Ford, Guter & Rai 933 First Colonial Road, Suite 205 Virginia Beach VA 23454 Oral Surgeon Virginia Beach City<br />
Elattrache Dean 002122 General Booth Endodontics, L.L.C. 2020 General Booth Blvd., Suite 100 Virginia Beach VA 23454 Endodontist Virginia Beach City<br />
Leidy Jeffrey 000080 Jeffrey R. Leidy, D.M.D., P.C. 1301 First Colonial Rd. Virginia Beach VA 23454 General <strong>Provider</strong> Virginia Beach City<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 52<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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