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 />
* Pearl Dina 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Reichley John 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Reichley John 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Richards Damdy 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Richards Damdy 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Santos Estelito 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Santos Estelito 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Solarte-Castro Edith 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Solarte-Castro Edith 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Tam Amy 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Tam Amy 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Throckmorton Maria 050719 Konikoff <strong>Dental</strong> Associates 2100 Lynnhaven Pkwy, Suite 100 Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
* Throckmorton Maria 050720 Konikoff <strong>Dental</strong> Associates 2301 A General Booth Blvd Virginia Beach VA 23456 General <strong>Provider</strong> Virginia Beach City<br />
Bergano Allan 000243 Allan L. Bergano, DDS, PC 256 N. Witchduck Rd., Unit D Virginia Beach VA 23462 General <strong>Provider</strong> Virginia Beach City<br />
* Karp Allen 001231 Allen Karp Family Dentistry 4676 Princess Anne Rd, suite 100 Virginia Beach VA 23462 General <strong>Provider</strong> Virginia Beach City<br />
Ford Melvin 001097 Drs. Ford, Guter & Rai 5720 Greenwich Rd. Virginia Beach VA 23462 Oral Surgeon Virginia Beach City<br />
Guter Klaus 001097 Drs. Ford, Guter & Rai 5720 Greenwich Rd. Virginia Beach VA 23462 Oral Surgeon Virginia Beach City<br />
Rai Shaun 001097 Drs. Ford, Guter & Rai 5720 Greenwich Rd. Virginia Beach VA 23462 Oral Surgeon Virginia Beach City<br />
Ochave Frederick 001745 Frederick P. Ochave, D.M.D 289 Independence Blvd., Pembroke 3, Suite #229 Virginia Beach VA 23462 General <strong>Provider</strong> Virginia Beach City<br />
Kern Donald 001533 Harmony <strong>Dental</strong> Group / Donald F Kern DDS 401 Green Meadows Dr, Suite B Virginia Beach VA 23462 General <strong>Provider</strong> Virginia Beach City<br />
Scott Jon 000247 Jon L. Scott, D.D.S., M.S. 114 South Witchduck Rd. Virginia Beach VA 23462 Orthodontist Virginia Beach City<br />
* Gladstone Myron 000201 Drs. Gladstone & Salerno 5318 Providence Rd. Virginia Beach VA 23464 General <strong>Provider</strong> Virginia Beach City<br />
* Salerno James 000201 Drs. Gladstone & Salerno 5318 Providence Rd. Virginia Beach VA 23464 General <strong>Provider</strong> Virginia Beach City<br />
* Smith Jacqueline 050338 Jacqueline B Smith DDS PLLC 1385 Fordham Dr, Suite 106 Virginia Beach VA 23464 General <strong>Provider</strong> Virginia Beach City<br />
Reynolds Jillian 078271 LWSS Dentistry for Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach City<br />
Sachs Scott 078271 LWSS Dentistry for Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach City<br />
Morrison Sanford 000721 S. Neil Morrison, DDS & Melvin R. Morrison, DDS 904 Kempsville Rd., Ste 102 Virginia Beach VA 23464 Oral Surgeon Virginia Beach City<br />
Conelias Trent 002842 Trent P. Conelias, DDS 6033 Providence Rd. Virginia Beach VA 23464 Oral Surgeon Virginia Beach City<br />
* Indicates dentist that is accepting current patients only.<br />
All <strong>Select</strong> <strong>Plan</strong> Dentists Page 54<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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