ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
1
Virginia DeltaCare Provider List
ALEXANDRIA
Mazin Alayssami
Provider # VA000401008416(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 **Joseph Devylder
Provider # VA000438000161(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 Stephanie Dickson
Provider # VA000401410681(1) 5962 Richmond Hwy Alexandria, VA 22303 571-481-4410 Khanh Du
Provider # VA000401413715(1) 3610 Forest Dr Alexandria, VA 22302 703-578-4221 Neda Emad-Azmoudeh
Provider # VA000401007860(1) 5249 Duke Street Ste 210 Alexandria, VA 22304 703-823-2413 Sama Hamdoon
Provider # VA000401415776(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 **Rolin Henry
Provider # VA000401410508(1) 7900 Andrus Rd #2 Alexandria, VA 22306 703-780-4422 Shiva Kermanshi
Provider # VA000401410790(1) 715 Pendleton St Alexandria, VA 22314 571-970-3783 Shiva Kermanshi
Provider # VA000401410790(1) 101 S Whiting St #100 Alexandria, VA 22304 703-751-7000 *Joel Kessler
Provider # VA000401006677(1) 3543 W Braddock Rd #E1 Alexandria, VA 22302 703-931-6600
ALEXANDRIA (cont’d)
Said Khalefa
Provider # VA000401007592(2) 4600 B Pinecrest Office Pk Dr Alexandria, VA 22312 703-914-0020 Dominique Knox
Provider # VA000401415681(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 *Lawrence Kotler
Provider # VA000401004446(1) 3543 W Braddock Rd #E1 Alexandria, VA 22302 703-931-6600 *Kevin Kunz
Provider # VA000401415369(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 Mariam Naeem
Provider # VA000401414993(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 Bahru Nure
Provider # VA000401414796(1) 5249 Duke Street Ste 210 Alexandria, VA 22304 703-823-2413 Jung Park
Provider # VA000401411935(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 Homan Solemaninejad
Provider # VA000401410638(1) 715 Pendleton St Alexandria, VA 22314 571-970-3783 Homan Solemaninejad
Provider # VA000401410638(1) 101 S Whiting St #100 Alexandria, VA 22304 703-751-7000
ALEXANDRIA (cont’d) Shannon Williams
Provider # VA000401415329(1) 5249 Duke Street 210 Alexandria, VA 22304 703-823-2413 ANNANDALE
**Joseph Devylder
Provider # VA000438000161(7) 7620 Ltl River Tnpk 204 Annandale, VA 22003 703-354-0686 Tae Lee
Provider # VA000401008922(1) 7002-C Little River Tpk Annandale, VA 22003 703-256-7100 ARLINGTON
Monica Chang-Watanabe
Provider # VA000401412427(1) 1050 N Highland St Ste 300N Arlington, VA 22201 703-527-3888 Hung Duong
Provider # VA000401410983(1) 1050 N Highland St Ste 300N Arlington, VA 22201 703-527-3888 Roselyne Gichana
Provider # VA000401413414(1) 1050 N Highland St Ste 300N Arlington, VA 22201 703-527-3888 Thuylinh Huynh
Provider # VA000401412334(1) 1050 N Highland St Ste 300N Arlington, VA 22201 703-527-3888 *Eun Lee
Provider # VA000401413569(1) 1050 N Highland St Ste 300N Arlington, VA 22201 703-527-3888
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
2
ARLINGTON (cont’d) Diem Nguyen
Provider # VA000401410421(1) 1050 N Highland St. #300N Arlington, VA 22201 703-527-3888 *Tu-Quynh Nguyen
Provider # VA000401410610(3) 3801 N Fairfax Dr #40 Arlington, VA 22203 703-534-0255 *Richard Pollock
Provider # VA000401007979(3) 3801 N Fairfax Dr #40 Arlington, VA 22203 703-534-0255 Homan Solemaninejad
Provider # VA000401410638(1) 900 N Randolph St #103 Arlington, VA 22203 703-243-3600 ASHBURN Gretchen Drees
Provider # VA000401008890(1) 100 Arbor Oak Dr #101 Ashland, VA 23005 804-798-7388 Neal Kravitz
Provider # VA000401411350(1) 20405 Exchange St #260 Ashburn, VA 20147 703-729-0350 ***Chiara Rivas-Morello
Provider # VA000463342808(1) 20405 Exchange St #210 Ashburn, VA 20147 703-729-0350 Duy-Anh Vu
Provider # VA000401413312(1) 20915 Ashburn Rd #245 Asburn, VA 20147 703-726-9313 BURKE
*Tu-Quynh Nguyen
Provider # VA000401410610(2) 8987 Hersand Drive Burke, VA 22015 703-978-2525 *Richard Pollock
Provider # VA000401007979(2) 8987 Hersand Drive Burke, VA 22015 703-978-2525
CENTREVILLE
*Edward Strittmatter
Provider # VA000401007891(1) 5957 Centreville Crest Lane Centreville, VA 20121 703-815-3636 Thoai-Lan Tran
Provider # VA000401412959(1) 6019 Centreville Crest Lane Centreville, VA 20121 703-266-2000 CHANTILLY
***Annapurna Bondalapati
Provider # VA000401415769(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0214 Sai Kham
Provider # VA000401413691(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0217 **Barry Maharaj
Provider # VA000401410305(1) 3910 Centreville Rd #110 Chantilly, VA 20151 703-668-9494 Diem Nguyen
Provider # VA000401410421(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0214 Archana Rejintala
Provider # VA000401412664(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0214 *Stephen Schroder
Provider # VA000401415207(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0214 Vinh Tran
Provider # VA000401413899(1) 3901 Centerview Dr #T Chantilly, VA 20151 703-467-0214 Xinsheng Zhu
Provider # VA000401411645(2) 14149 A Roberts Paris Ct Chantilly, VA 20151 703-657-0555
CHESAPEAKE
Amen Alemayehu
Provider # VA000401413304(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Benjamin Anderson
Provider # VA000401410504(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Asha Artis
Provider # VA000401413634(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 John Ashby
Provider # VA000401411276(3) 1021 N Eden Way Ste 128 Chesapeake, VA 23320 757-547-8700 Robert Barbour
Provider # VA000401006133(1) 2520 Gilmerton Rd Chesapeake, VA 23323 757-673-2594 Kristen Benes
Provider # VA000401413031(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 **Zachary Berry
Provider # VA000401414196(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002 Darrell Boyce
Provider # VA000401007992(1) 1711 Parkview Drive Chesapeake, VA 23320 757-424-6580 Kenneth Boyd
Provider # VA000401007988(2) 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 757-488-1421 Kelly Bussey
Provider # VA000401410052(2) 2995 Churchland Blvd #B Chesapeake, VA 23321 757-416-5333 *William Bussey
Provider # VA000401004066(2) 2995 Churchland Blvd #B Chesapeake, VA 23321 757-416-5333
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
3
CHESAPEAKE (cont’d)
**Valerie Byrnside
Provider # VA000401411443(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002 Howard Cobb
Provider # VA000401007814(3) 2605 Moses Grandy Tr Ste B Chesapeake, VA 23323 757-558-0600 Kathy Delva
Provider # VA000401415001(1) 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 757-769-7155 Bernarda Frias
Provider # VA000401414445(2) 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 757-488-1421 Joseph Gloria
Provider # VA000401008048(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Keith Goldstein
Provider # VA000401007904(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 **Scott Goodove
Provider # VA000401410548(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002 Zaneta Hamlin
Provider # VA000401413708(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Vanessa Hartman
Provider # VA000401414686(1) 801 Greenbrier Parkway Chesapeake, VA 23320 757-547-3003 Kimbrough Hornsby
Provider # VA000401411379(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Elleni Kapoor
Provider # VA000401413954(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270
CHESAPEAKE (cont’d) ****Albert Konikoff
Provider # VA000401004445(2) 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026 ****Bryan Konikoff
Provider # VA000401410766(2) 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026 Pye Kyu
Provider # VA000401411565(1) 1200 N Battlefield Blvd Ste 117 Chesapeake, VA 23320 757-436-4227 *Pye Kyu
Provider # VA000401411565(2) 1230 Progressive Dr. Ste. 105 Chesapeake, VA 23320 757-436-4227 Angela Lanier
Provider # VA000401410700(2) 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 757-488-1421 Clara Llodra
Provider # VA000401008380(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Michael Marcou
Provider # VA000401007701(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Vicki McMillan
Provider # VA000401008728(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 **Darrell Meeks
Provider # VA000401007337(2) 711 Greenbriar Pkwy #104 Chesapeake, VA 23320 757-548-1712 Louis Peron
Provider # VA000401004795(3) 501 Independence Pkwy #101 Chesapeake, VA 23320 757-467-2102
CHESAPEAKE (cont’d) Jillian Reynolds
Provider # VA000401412189(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Scott Sachs
Provider # VA000401412640(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Warren Sachs
Provider # VA000401004189(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 ****Trang Salzberg
Provider # VA000401410596(2) 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026 Ivan Schiff
Provider # VA000401004149(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Nathan Shapiro
Provider # VA000401415270(3) 1230 Progressive Dr Ste 103 Chesapeake, VA 23320 757-436-1270 Darian Simmons
Provider # VA000401410476(1) 801 Volvo Pkwy #113 Chesapeake, VA 23320 757-436-7000 Lauren Singor
Provider # VA000401412199(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Thomas Smith
Provider # VA000401008820(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Marcus Sur
Provider # VA000401414439(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270 Britnie Tran
Provider # VA000401414441(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-673-6250
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
4
CHESAPEAKE (cont’d)
Sheila Vacendak
Provider # VA000401008843(1) 701 Quince Place Chesapeake, VA 23320 757-609-3510
Daniel Vacendak
Provider # VA000401413228(1) 701 Quince Place Chesapeake, VA 23320 757-609-3510
**Caroline Webber
Provider # VA000401411368(2) 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026
Lee Weinstein
Provider # VA000401007794(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270
Julian Willis
Provider # VA000401005083(1) 801 Greenbrier Parkway Chesapeake, VA 23320 757-547-3003
Paul Yeh
Provider # VA000401410551(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 757-436-1270
**Peter Zagursky
Provider # VA000401411371(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002
CHESTER
Wakeshi Benson
Provider # VA000401411415(1) 12230 Iron Bridge Rd #B Chester, VA 23831 804-404-3804
**Paul Brinser
Provider # VA000401410148(2) 11971 Ironbridge Road Chester, VA 23831 804-748-6350
Brian Burke
Provider # VA000401413575(2) 4301 W Hundred Rd Chester, VA 23831 804-562-2667
CHESTER (cont’d)
Steven Castro
Provider # VA000401008598(2) 2930 West Hundred Rd Chester, VA 23831 804-751-0146
Kristin Davidson
Provider # VA000401414458(2) 2930 West Hundred Rd Chester, VA 23831 804-751-0146
**Robert O'Neill
Provider # VA000401412441(2) 11971 Ironbridge Road Chester, VA 23831 804-748-6350
**Bradley Trotter
Provider # VA000401008539(2) 11971 Ironbridge Road Chester, VA 23831 804-748-6350
Gordon Witcher
Provider # VA000401005310(2) 4301 W Hundred Rd Chester, VA 23831 804-562-2667
CHESTERFIELD
**Stephen Brown
Provider # VA000401007582(1) 10110 Iron Bridge Road Chesterfield, VA 23832 804-768-9000
Davis Gardner
Provider # VA000401412847(1) 7205 Hancock Village Dr Chesterfield, VA 23832 804-332-6310
*Scott Gerard
Provider # VA000401007068(2)10320 Memory LnChesterfield, VA 23832804-796-1136
*Ellen Oertel
Provider # VA000401007706(2)10320 Memory LnChesterfield, VA 23832804-796-1136
COLONIAL HEIGHTS
Tawfiq Alkilani
Provider # VA000401412228(4) 798 Southpark Blvd #26 Colonial Heights, VA 23834 804-520-1177
COLONIAL HEIGHTS (cont’d)
Ralph Anderson Provider # VA000401008749(2) 556 Southpark Blvd Colonial Heights, VA 23834 804-526-2702
Nirmal Bogollagama Provider # VA000401410789(4) 798 Southpark Blvd #26 Colonial Heights, VA 23834 804-520-1177
*Scott GerardProvider # VA000401007068(1) 2425 Boulevard #8Colonial Heights, VA 23834 804-520-0000
James Glaser Provider # VA000401005115(4) 798 Southpark Blvd #26 Colonial Heights, VA 23834 804-520-1177
*Ellen OertelProvider # VA000401007706(1) 2425 Boulevard #8Colonial Heights, VA 23834 804-520-0000
DUMFRIES
Xinsheng Zhu
Provider # VA000401411645(1) 17606 Main St Ste 200 Dumfries, VA 22026 703-445-1999
FALLS CHURCH
**Eugene Gregory
Provider # VA000401004539(1) 6231 Leesburg Pike #402 Falls Church, VA 22044 703-534-2744
Shiva Kermanshi
Provider # VA000401410790(1) 6060 Arlington Blvd Falls Church, VA 22044 703-237-0060
*Tu-Quynh Nguyen
Provider # VA000401410610(1)311 Park Ave #3Falls Church, VA 22046703-534-4884
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
5
FALLS CHURCH (cont’d)
*Richard Pollock
Provider # VA000401007979(1)311 Park Ave #3Falls Church, VA 22046703-534-4884
Homan Solemaninejad
Provider # VA000401410638(1) 6060 Arlington Blvd Falls Church, VA 22044 703-237-0060
FREDERICKSBURG
Richard Byrd
Provider # VA000401007026(2) 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 540-786-0051
Angela Diaz
Provider # VA000401412527(1) 5830 Harrison Rd Fredericksburg, VA 22407 540-710-0400
Camilo Duarte
Provider # VA000401412057(1) 5830 Harrison Rd Fredericksburg, VA 22407 540-710-0400
Syed Hussaini
Provider # VA000401412740(2) 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 540-786-0051
Carter Richards
Provider # VA000401008839(1) 974 Bragg Rd Fredericksburg, VA 22407 540-785-5885
Tasha Willoughby
Provider # VA000401411109(1) 2557 Cowan Blvd Fredericksburg, VA 22401 540-551-5550
GAINESVILLE
*Moein Jabbar Darjani
Provider # VA000401413097(1)8140 Stonewall Shops SquareGainesville, VA 20155714-845-8890
****Fadi Hasan
Provider # VA000401413459(2) 7915 Lake Manassas Dr #207 Gainesville, VA 20155
GAINESVILLE (cont’d)
****Justin Hardison
Provider # VA000401413670(2) 7915 Lake Manassas Dr #207 Gainesville, VA 20155
****Jean-Claude Kharmouche
Provider # VA000401008809(2) 7915 Lake Manassas Dr #207 Gainesville, VA 20155
Hicham Mekouar
Provider # VA000401411070(1) 7462 Limestone Dr Gainesville, VA 20155 703-753-3346
Charles Park
Provider # VA000401411122(1) 7462 Limestone Dr Gainesville, VA 20155 703-753-3346
GLEN ALLEN
Omar Abuhajleh
Provider # VA000401412655(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
**Neil Agnihotri
Provider # VA000401412743(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Smriti Bajaj
Provider # VA000401413916(2) 5201-B Hickory Park Dr Glen Allen, VA 23059 804-747-4200
Nasser Damirchi
Provider # VA000401008636(2) 5243 Hickory Park Dr Ste D Glen Allen, VA 23059 804-270-5005
**William Dymon
Provider # VA000401008625(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Gultaj Grewal
Provider # VA000401414211(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
GLEN ALLEN (cont’d)
**Monroe Harris
Provider # VA000401007107(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Crystal Joyce
Provider # VA000401415678(2) 3944 Springfield Rd Glen Allen, VA 23060 804-240-5214
**Kanyon Keeney
Provider # VA000401006889(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Manik Khisti
Provider # VA000401412158(1) 3938 Springfield Rd Glen Allen, VA 23060 840-747-7400
Elizabeth Mei
Provider # VA000401008096(3) 10170 Staples Mill Rd Ste B Glen Allen, VA 23060 804-726-1870
**Lawrence Metzger
Provider # VA000401007540(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Parastu Mirmonsef
Provider # VA000401412150(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
Julius Morrison
Provider # VA000401006978(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
Leonard Nunnally
Provider # VA000401411817(1) 11531 Nuckols Rd Ste B Glen Allen, VA 23059 804-747-0908
**Sean Pack
Provider # VA000401415596(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
6
GLEN ALLEN (cont’d)
Mimi Park
Provider # VA000401412922(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
Saumitra Saravana
Provider # VA000401411038(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 804-266-2400
Simart Sehmi
Provider # VA000401415303(2) 10101 Brook Rd Ste 804-A Glen Allen, VA 23059 804-266-2400
Farshid Soltanian
Provider # VA000401008668(2) 3944 Springfield Rd Glen Allen, VA 23060 804-270-5214
Richard Villa
Provider # VA000401008076(1) 10120 West Broad St #L Glen Allen, VA 23060 804-747-0137
**Damon Watson
Provider # VA000401412132(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
**Ross Wlodawsky
Provider # VA000401410693(10) 11545-A Nuckols Rd Glen Allen, VA 23059 804-673-8061
Maryam Zarei
Provider # VA000401410952(2) 5201-B Hickory Park Dr Glen Allen, VA 23059 804-747-4200
HAMPTON
Donovan Caves
Provider # VA000401414055(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
John Chung
Provider # VA000401008234(6) 1959 E Pembroke Ave Hampton, VA 23663 757-723-6565
HAMPTON (cont’d)
Curtis Dailey
Provider # VA000401410187(1) 2118 Executive Dr Hampton, VA 23666 757-826-5075
Richard Donzell
Provider # VA000401005565(1) 2021 A Cunningham Dr Ste 6 Hampton, VA 23666 757-826-7600
Ceceil Gallop
Provider # VA000401005874(1) 3709 Kecoughtan Road Hampton, VA 23669 757-722-8507
Joelle Hendrickson-Hairston
Provider # VA000401412630(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
Joseph Siragusa II
Provider # VA000401410111(50) 2114 Hartford Rd #B Hampton, VA 23666 757-826-3636
Yujin Jung
Provider # VA000401414547(6) 1959 E Pembroke Ave Hampton, VA 23663 757-723-6565
****Michael Kokorelis
Provider # VA000401005924(1) 2113 Hartford Road Hampton, VA 23666 757-827-1572
Elias Llerandi
Provider # VA000401411857(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
Lorenzo Modeste
Provider # VA000401007928(1) 2238 W Todds St # C Hampton, VA 23666 757-825-6098
Arya Namboodiri
Provider # VA000401414098(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
HAMPTON (cont’d)
Kyeong Park
Provider # VA000401411191(1) 21 Towne Centre Way Hampton, VA 23666 757-838-9140
Donald Robinson
Provider # VA000401006982(1) 3709 Kecoughtan Rd Hampton, VA 23669 757-722-8507
Jon Scott
Provider # VA000401005160(1) 1186 Big Bethel Rd Hampton, VA 23666 757-825-6280
Jon Scott
Provider # VA000401005160(5) 2108 Hartford Rd Hampton, VA 23666 757-825-6280
**Bradley Trotter
Provider # VA000401008539(1) 3000 Coliseum Dr, Ste 204 Hampton, VA 23666 757-838-3975
James Watkins
Provider # VA000401004948(2) 2207 Executive Dr Ste C Hampton, VA 23666 757-827-5225
Jasper Watts
Provider # VA000401005412(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
Marcus Young
Provider # VA000401413904(1) 907 Big Bethel Rd Hampton, VA 23666 757-838-5999
HAYES
John Chung
Provider # VA000401008234(4) 4732 George Washington Mem Hwy Ste A Hayes, VA 23072 804-693-9055
Yujin Jung
Provider # VA000401414547(4) 4732 George Washington Mem Hwy Ste A Hayes, VA 23072 804-693-9055
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
7
HERNDON
Mazin Alayssami
Provider # VA000401008416(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Richard Byrd
Provider # VA000401007026(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
****Karim Chaddad
Provider # VA000401411750(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
**Joseph Devylder
Provider # VA000438000161(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Neda Emad-Azmoudeh
Provider # VA000401007860(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Sama Hamdoon
Provider # VA000401415776(5) 13873 Park Center Rd STE 137 Herndon, VA 20171 703-478-0115
Samuel Hagos
Provider # VA000401414144(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Syed Hussaini
Provider # VA000401412740(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Dominique Knox
Provider # VA000401415685(5) 13873 Park Center Rd STE 137 Herndon, VA 20171 703-478-0115
HERNDON (cont’d)
*Kevin Kunz
Provider # VA000401415373(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115
Steven Lowe
Provider # VA000401414495(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Mariam Naeem
Provider # VA000401414996(5) 13873 Park Center Rd STE 137 Herndon, VA 20171 703-478-0115
Bahru Nure
Provider # VA000401414796(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Mark Ornoff
Provider # VA000401006553(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Jung Park
Provider # VA000401411939(5) 13873 Park Center Rd STE 137 Herndon, VA 20171 703-478-0115
**Ashish Patel
Provider # VA000401411990(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Hima-Bindu Reddy
Provider # VA000401411155(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 703-478-0115
Shannon Williams
Provider # VA000401415329(5) 13873 Park Center Rd STE 137 Herndon, VA 20171 703-478-0115
HOPEWELL
Adrian Avram Provider # VA000401412915(8) 5303 Plaza Dr #103 Hopewell, VA 23860 804-458-5047
Nicole Barbour Provider # VA000401411682(8) 5303 Plaza Dr Ste 103 Hopewell, VA 23860 804-458-5047
Milan Bhagat Provider # VA000401414059(8) 5303 Plaza Dr Ste 103 Hopewell, VA 23860 804-458-5047
Nirmal Bogollagama Provider # VA000401410789(8) 5303 Plaza Dr #103 Hopewell, VA 23860 804-458-5047
**Paul Brinser Provider # VA000401410148(4) 502 N 6Th Ave Hopewell, VA 23860 804-541-7837
Bradley Delph Provider # VA000401411891(8) 5303 Plaza Dr #103 Hopewell, VA 23860 804-458-5047
Viet Nguyen Provider # VA000401414425(8) 5303 Plaza Dr #103 Hopewell, VA 23860 804-458-5047
**Robert O'Neill Provider # VA000401412441(4) 502 N 6th Ave Hopewell, VA 23860 804-541-7837
**Robert O'neill Provider # VA000401004685(4) 502 N 6Th Ave Hopewell, VA 23860 804-541-7837
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
8
HOPEWELL (cont’d)
**Bradley Trotter
Provider # VA000401008539(4) 502 N 6Th Ave Hopewell, VA 23860 804-541-7837
IVOR
John Willoughby
Provider # VA000401412434(1) 8579 Ivor Rd Ivor, VA 23866 757-859-9070
LEESBURG
Dean Garfield
Provider # VA000401008965(1) 21 Loudon St Se Leesburg, VA 20175 703-777-4443
****Fadi Hasan
Provider # VA000401413459(3) 2 Cardinal Park Dr SE #102B Leesburg, VA 20175
****Justin Hardison
Provider # VA000401413670(3) 2 Cardinal Park Dr SE #102B Leesburg, VA 20175
****Jean-Claude Kharmouche
Provider # VA000401008809(3) 2 Cardinal Park Dr SE #102B Leesburg, VA 20175
Barry Maharaj
Provider # VA000401410305(2) 19441 Golf Vista Plaza #130 Leesburg, VA 20176 703-723-7858
Anh Pham
Provider # VA000401006304(2) 19441 Golf Vista Plaza #130 Leesburg, VA 20176 703-723-7858
MANAKIN SABOT
Sarah Wilmer
Provider # VA000401412878(1) 27-A Briggs RdManakin Sabot, VA 23103804-784-2386
Syed Hussaini
Provider # VA000401412740(1) 10081 Market Cir Manassas, VA 20110 703-383-0090
MECHANICSVILLE
**Neil Agnihotri Provider # VA000401412743(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Ralph Anderson Provider # VA000401008749(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
Smriti Bajaj Provider # VA000401413916(1) 9097 Atlee Station Rd #120 Mechanicsville, VA 23116 804-559-3250
Nirmal Bogollagama Provider # VA000401410789(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
Scott Culpepper Provider # VA000401412784(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
**William Dymon Provider # VA000401008625(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
*Jesse Harris
Provider # VA000401411059(1) 9102 Rutland Green Way Ste A Mechanicsville, VA 23116804-559-3636
**Monroe Harris Provider # VA000401007107(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Munira Jiwani Provider # VA000401413868(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
MECHANICSVILLE (cont’d)
**Kanyon Keeney
Provider # VA000401006889(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Stephen Kopelove
Provider # VA000401005074(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
**Brian McAndrew
Provider # VA000401410446(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Elizabeth Mei
Provider # VA000401008096(1) 9221 Chamberlayne Rd Mechanicsville, VA 23116 804-427-7420
**Lawrence Metzger
Provider # VA000401007540(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Viet Nguyen
Provider # VA000401414425(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
George Oley
Provider # VA000401005517(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
Reba Oley
Provider # VA000401414880(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
**Sean Pack
Provider # VA000401415596(11) 7481 Right Flank Rd Suite 120 Mechanicsville, VA 23111 804-673-8061
Maitry Parikh
Provider # VA000401415180(1) 8220 Windmill Watch Dr. Mechanicsville, VA 23116 804-746-1085
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
9
MECHANICSVILLE (cont’d)
Gregory Poquis
Provider # VA000401008985(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
Jeff Raphael
Provider # VA000401412292(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
Edward Ross
Provider # VA000401003660(1) 7281 Hanover Green Dr Mechanicsville, VA 23111 804-730-9444
**John Truitt
Provider # VA000401410807(1) 8249 Crown Colony Pkwy #103 Mechanicsville, VA 23116 804-789-0230
**Damon Watson
Provider # VA000401412132(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Lyla Rose Wilby
Provider # VA000401411425(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 804-282-7011
**Ross Wlodawsky
Provider # VA000401410693(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 804-673-8061
Maryam Zarei
Provider # VA000401410952(1) 9097 Atlee Station Rd #120 Mechanicsville, VA 23116 804-559-3250
Hui Zhou
Provider # VA000401415400(1) 8220 Windmill Watch Dr Mechanicsville, VA 23116 804-746-1085
MIDLOTHIAN
**Neil Agnihotri
Provider # VA000401412743(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
MIDLOTHIAN (cont’d)
**Neil Agnihotri
Provider # VA000401412743(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
Richard Byrd
Provider # VA000401007026(3) 2929 Polo Pkwy Midlothian, VA 23113 804-379-3718
**William Dymon
Provider # VA000401008625(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**William Dymon
Provider # VA000401008625(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
**Monroe Harris
Provider # VA000401007107(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Monroe Harris
Provider # VA000401007107(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
Alexander Hawkins
Provider # VA000401410941(1) 1310 Alverser Plz Midlothian, VA 23113 804-897-9800
**Kanyon Keeney
Provider # VA000401006889(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Kanyon Keeney
Provider # VA000401006889(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
Kevin Kelleher
Provider # VA000401411884(1) 2412 Colony Crossing Pl Midlothian, VA 23112 804-739-6673
John King
Provider # VA000401005334(1) 5921 Harbour Lane #300 Midlothian, VA 23112 804-739-3399
MIDLOTHIAN (cont’d)
**Brian McAndrew
Provider # VA000401410446(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Brian McAndrew
Provider # VA000401410446(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
**Lawrence Metzger
Provider # VA000401007540(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Lawrence Metzger
Provider # VA000401007540(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
Gena Neidert
Provider # VA000401411839(1) 1310 Alverser Plz Midlothian, VA 23113 804-897-9800
**Sean Pack
Provider # VA000401415596(6) 11319 Polo Place Midlothian, VA 23113 804-673-8061
**Sean Pack
Provider # VA000401415596(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
**Thomas Padgett
Provider # VA000401006720(1) 5921 Harbour Lane #200 Midlothian, VA 23112 804-739-5490
**Thomas Padgett
Provider # VA000401006720(3) 1680 Huguenot Rd Midlothian, VA 23113 804-379-7120
Nrupur Patel
Provider # VA000401411310(2) 125 Brown'S Way Rd Midlothian, VA 23114 804-378-0082
Erin Smith
Provider # VA000401413326(3) 2929 Polo Pkwy Midlothian, VA 23113 804-379-3718
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
10
MIDLOTHIAN (cont’d)
**James Wallace
Provider # VA000401004729(1) 5921 Harbour Lane #200 Midlothian, VA 23112 804-739-5490
**James Wallace
Provider # VA000401004729(3) 1680 Huguenot Rd Midlothian, VA 23113 804-379-7120
**Damon Watson
Provider # VA000401412132(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Damon Watson
Provider # VA000401412132(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
**Ross Wlodawsky
Provider # VA000401410693(6) 11319 Polo Place Midlothian, VA 23113 804-794-0794
**Ross Wlodawsky
Provider # VA000401410693(9) 6031 Harbour Park Dr Midlothian, VA 23112 804-608-3200
Stephen Schroder
Provider # VA000401413581(4) 2312 Robious Station Circle Midlothian, VA 23113 804-501-0501
MONTPELIER
Nirmal Bogollagama
Provider # VA000401410789(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Bradley Delph
Provider # VA000401411891(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Bradley Delph
Provider # VA000401411891(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
MONTPELIER (cont’d)
Sungmin Jeoun Provider # VA000401414949(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Munira Jiwani Provider # VA000401413868(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Kevin Keating Provider # VA000401414709(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Jeff Raphael Provider # VA000401412292(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
Hui Zhou Provider # VA000401415400(7) 16625 Mountain Rd Montpelier, VA 23192 804-883-0164
NEW KENT
Ana Maya Adkins
Provider # VA000401410364(1) 7780 Invicta Ln New Kent, VA 23124 804-966-8115
NEWPORT NEWS
Shanail Allen
Provider # VA000401411659(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 757-595-6224
*Steven Barbieri
Provider # VA000401006995(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393
Andria Chapman-Taliaferro
Provider # VA000401008833(1) 748-B McGuire PlNewport News, VA 23601757-310-6904
NEWPORT NEWS (cont’d) John Chung
Provider # VA000401008234(2) 13626 Warwick Blvd Ste A Newport News, VA 23602 757-833-7217
*William Dodson
Provider # VA000401410127(4)756 McGuire PlNewport News, VA 23601757-806-6311
*Timothy Finkler
Provider # VA000401410445(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393
*Steven Forte
Provider # VA000401008643(1)12528 Warwick Blvd #DNewport News, VA 23606757-599-8393
*Madelyn Gambrel
Provider # VA000401411163(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393
Vanessa Hartman
Provider # VA000401414686(3) 11713 Jefferson Ave Ste 100 Newport News, VA 23606 757-873-3407
James Holley
Provider # VA000401007431(3) 9916 Warwick Blvd Newport News, VA 23601 757-595-3503
Yujin Jung
Provider # VA000401414547(2) 13626 Warwick Blvd Ste A Newport News, VA 23602 757-833-7217
Ronald Katz
Provider # VA000401411261(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 757-595-6224
**Jeffrey Kenney
Provider # VA000401006963(1) 12420 Warwick Blvd #2A Newport News, VA 23606 757-595-1457
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
11
NEWPORT NEWS (cont’d)
*Harold Martinez
Provider # VA000401410241(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393
John Matney
Provider # VA000401003265(1) 12528 Warwick Boulevard Newport News, VA 23606 757-596-8210
Melissa Nazareth
Provider # VA000401008646(1) 2704 Chestnut Ave Newport News, VA 23607 757-247-0890
Agustin Perez
Provider # VA000401007584(2) 710 Denbigh Blvd #5A Newport News, VA 23608 757-877-6003
Melissa Restrepo
Provider # VA000401412071(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 757-595-6224
Yolanda Robinson
Provider # VA000401102707(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 757-595-6224
*Alexander Royzenblat
Provider # VA000401414365(4)756 McGuire PlNewport News, VA 23601757-806-6311
*Ronald Vranas
Provider # VA000401410568(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393
Julian Willis
Provider # VA000401005083(3) 11713 Jefferson Ave Ste 100 Newport News, VA 23606 757-873-3407
Patrick Wyatt
Provider # VA000225746843(1) 12528 Warwick Blvd Ste F Newport News, VA 23606 757-595-7990
NORFOLK
Amen Alemayehu
Provider # VA000401413304(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Amen Alemayehu
Provider # VA000401413304(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
Benjamin Anderson
Provider # VA000401410504(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Asha Artis
Provider # VA000401413634(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
John Ashby
Provider # VA000401411276(2) 7400 Granby Street Norfolk, VA 23505 757-583-4518
Kristen Benes
Provider # VA000401413031(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Kristen Benes
Provider # VA000401413031(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
**Trent Conelias
Provider # VA000401411285(2) 110 Kingsley Ln Ste 303 Norfolk, VA 23505 757-489-1511
***Randy Eberly
Provider # VA000401007838(1) 801 W Little Creek Rd Norfolk, VA 23505 757-827-3399
Irama Forbes
Provider # VA000401412668(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
NORFOLK (cont’d)
Rita Frazier
Provider # VA000401006012(1) 136 E Little Creek Rd Norfolk, VA 23505 757-587-6399
Joseph Gloria
Provider # VA000401008048(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Keith Goldstein
Provider # VA000401007904(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Zaneta Hamlin
Provider # VA000401413708(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
****David Hirschler
Provider # VA000401005300(1) 5900 E Va Beach Blvd 213 Janaf Office Norfolk, VA 23502 757-461-3660
Kevin Honore
Provider # VA000401008216(3) 2370 E Little Creek Rd Norfolk, VA 23518 757-588-8162
Kimbrough Hornsby
Provider # VA000401411379(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Robert Howell
Provider # VA000401006193(2) 9547 Shore Dr Norfolk, VA 23518 757-423-5892
Douglas Hughes
Provider # VA000401005733(1) 1542 E Bayview Boulevard Norfolk, VA 23503 757-583-1212
Wesley Kandare
Provider # VA000401411450(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
Elleni Kapoor
Provider # VA000401413954(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
12
NORFOLK (cont’d)
Elleni Kapoor
Provider # VA000401413954(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
Ronald Katz
Provider # VA000401411261(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
****Bryan Konikoff
Provider # VA000401410766(3) 7400 Granby St Norfolk, VA 23505 757-587-1243
Clara Llodra
Provider # VA000401008380(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Bernadette Mabanglo-Samson
Provider # VA000401413839(1) 425 W 20th St Ste #3 Norfolk, VA 23517 757-622-4245
Michael Marcou
Provider # VA000401007701(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Vicki McMillan
Provider # VA000401008728(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
**Sanford Morrison
Provider # VA000401006550(2) 204 Medical Tower Norfolk, VA 23507 757-625-4947
Jillian Reynolds
Provider # VA000401412189(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Jillian Reynolds
Provider # VA000401412189(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
NORFOLK (cont’d)
Kenneth Reynolds
Provider # VA000401006170(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
Elizabeth Robinson
Provider # VA000401414572(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
Scott Sachs
Provider # VA000401412640(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Scott Sachs
Provider # VA000401412640(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
Warren Sachs
Provider # VA000401004189(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
James Salerno
Provider # VA000401006630(1) 136 E Little Creek Rd Norfolk, VA 23505 757-587-6399
****Trang Salzberg
Provider # VA000401410596(3) 7400 Granby St Norfolk, VA 23505 757-587-1243
Ivan Schiff
Provider # VA000401004149(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Nathan Shapiro
Provider # VA000401415270(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Nathan Shapiro
Provider # VA000401415270(6) 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751
Lauren Singor
Provider # VA000401412199(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
NORFOLK (cont’d)
Thomas Smith
Provider # VA000401008820(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Radwa Sobieh
Provider # VA000401412792(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 757-622-4245
Marcus Sur
Provider # VA000401414439(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Britnie Tran
Provider # VA000401414441(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
Lee Weinstein
Provider # VA000401007794(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
****Ernest Witte
Provider # VA000401006391(1) 5900 E Virginia Beach Blvd #213 Norfolk, VA 23502 757-461-3660
Paul Yeh
Provider # VA000401410551(2) 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453
NORTH CHESTERFIELD
Ralph Anderson
Provider # VA000401008749(1) 1907 W Huguenot Rd North Chesterfield, VA 23235 804-379-6806
Johne Epps
Provider # VA000401414327(1) 9460 Amberdale Dr Ste H North Chesterfield, VA 23236 804-745-7773
George Oley
Provider # VA000401005517(1) 1907 W Huguenot Rd North Chesterfield, VA 23235 804-379-6806
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
13
NORTH CHESTERFIELD (cont’d)
Robert Quilez
Provider # VA000401411036(1) 1907 W Huguenot Rd North Chesterfield, VA 23235 804-379-6806
Simart Sehmi
Provider # VA000401415303(1) 30 Courthouse Rd North Chesterfield, VA 23236
Kime Whitman
Provider # VA000401412975(1) 1907 W Huguenot Rd North Chesterfield, VA 23235 804-379-6806
ONLEY
**Zachary Berry
Provider # VA000401414196(3) 25529 East Main St Onley, VA 23418 757-412-2002
**Valerie Byrnside
Provider # VA000401411443(3) 25529 East Main St Onley, VA 23418 757-412-2002
**Scott Goodove
Provider # VA000401410548(3) 25529 East Main St Onley, VA 23418 757-412-2002
**Peter Zagursky
Provider # VA000401411371(3) 25529 East Main St Onley, VA 23418 757-412-2002
PETERSBURG
**Paul Brinser
Provider # VA000401410148(5) 595 Old Wagner Rd Petersburg, VA 23805 804-732-6532
**Robert O'Neill
Provider # VA000401412441(5) 595 Old Wagner Rd Petersburg, VA 23805 804-732-6532
**Robert O'neill
Provider # VA000401004685(5) 595 Old Wagner Rd Petersburg, VA 23805 804-732-6532
PETERSBURG (cont’d)
**Bradley Trotter
Provider # VA000401008539(5) 595 Old Wagner Rd Petersburg, VA 23805 804-732-6532
POQUOSON
Curtis Dailey
Provider # VA000401410187(2) 534-B Wythe Creek RdPoquoson, VA 23662757-826-5075
PORTSMOUTH
Yugal Behl
Provider # VA000401412905(1) 446 Effingham St First Floor Portsmouth, VA 23704 757-397-9801
Roosevelt Green
Provider # VA000401006417(1) 600 Green Street Portsmouth, VA 23704 757-399-3752
James Holley
Provider # VA000401007431(1) 446 Effingham Street Portsmouth, VA 23704 757-393-2401
Harry Jenkins
Provider # VA000401003244(1) 3349 Portsmouth Blvd Portsmouth, VA 23701 757-393-4361
***J Martin
Provider # VA000401007603(1) 446 Effingham St First Floor Portsmouth, VA 23704 757-397-9801
Kenneth Reynolds
Provider # VA000401006170(1) 1307 Airline Blvd Portsmouth, VA 23707 757-399-4662
Carter Richards
Provider # VA000401008839(1) 446 Effingham Street Portsmouth, VA 23704 757-393-2401
Pretlow Stevenson
Provider # VA000401005195(1) 3412 Columbia Street Portsmouth, VA 23707 757-397-5611
PORTSMOUTH (cont’d)
Richard Sweeney
Provider # VA000401412770(1) 3219 Stamford Rd Portsmouth, VA 23703 757-484-1202
POWHATAN
Ernest Spaur
Provider # VA000401005786(1) 3852 Old Buckingham Rd Powhatan, VA 23139 804-598-3500
RESTON
**David Morgan
Provider # VA000401412738(2) 1800 Town Center Dr #116 Reston, VA 20190 703-435-4414
*Tu-Quynh Nguyen
Provider # VA000401410610(5)11710 Plaza America #150Reston, VA 20190703-481-2096
**James Pell
Provider # VA000401006414(2) 1800 Town Center Dr #116 Reston, VA 20190 703-435-4414
*Richard Pollock
Provider # VA000401007979(5)11710 Plaza America #150Reston, VA 20190703-481-2096
**Richard Wang
Provider # VA000401411829(2) 1800 Town Center Dr #116 Reston, VA 20190 703-435-4414
RICHMOND
Omar Abuhajleh
Provider # VA000401412655(1) 30 Courthouse Rd Richmond, VA 23236 804-379-7855
Ronald Adleman
Provider # VA000401004611(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
**Neil Agnihotri
Provider # VA000401412743(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
14
RICHMOND (cont’d)
**Neil Agnihotri
Provider # VA000401412743(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
Tawfiq Alkilani
Provider # VA000401412228(6) 3500 Grove Ave Ste 104 Richmond, VA 23221 804-358-0001
Ralph Anderson
Provider # VA000401008749(1) 5500 Monument Ave #K Richmond, VA 23226 804-285-9800
Ralph Anderson
Provider # VA000401008749(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
Marielena Arroyo-Pratt
Provider # VA000401008725(2) 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867
*Steven Barbieri
Provider # VA000401006995(2)3107 Hungary Spring RdRichmond, VA 23228804-501-0501
Wakeshi Benson
Provider # VA000401411415(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
***Elizabeth Berry
Provider # VA000401411864(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
*Sanjay Bhagchandani
Provider # VA000401410922(1)5318 B Patterson AveRichmond, VA 23226804-285-0400
***Elizabeth Bortell
Provider # VA000401410308(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
***Tegwyn Brickhouse
Provider # VA000401411639(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
RICHMOND (cont’d)
Jamie Brown
Provider # VA000401411244(1) 3900 Meadowdale Blvd Richmond, VA 23234 804-275-1622
***Brian Burke
Provider # VA000401413575(1) 10409 Midlothian Turnpike Richmond, VA 23235 804-562-2667
Richard Byrd
Provider # VA000401007026(4) 9221 Forest Hill Ave Richmond, VA 23235 804-330-0508
Matthew Cline
Provider # VA000401411756(1) 2212 John Rolfe Pkwy Richmond, VA 23233 804-419-6788
William Coker
Provider # VA000401412155(1) 5500 Monument Ave #C Richmond, VA 23226 804-358-1933
Paul Dacunha
Provider # VA000401411125(2) 8503 Patterson Ave Ste C Richmond, VA 23229 804-262-9563
Bradley Delph
Provider # VA000401411891(6) 3500 Grove Ave Ste 104 Richmond, VA 23221 804-358-0001
Angela Diaz
Provider # VA000401412527(2) 6935 Hull Street Rd Richmond, VA 23224 804-276-4555
Gavin-Rae Donaldson
Provider # VA000401414749(4) 9221 Forest Hill Ave Richmond, VA 23235 804-330-0508
Camilo Duarte
Provider # VA000401412057(2) 6935 Hull Street Rd Richmond, VA 23224 804-276-4555
RICHMOND (cont’d)
**William Dymon Provider # VA000401008625(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**William Dymon Provider # VA000401008625(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
*Timothy FinklerProvider # VA000401410445(2) 3107 Hungary Spring Rd Richmond, VA 23228804-501-0501
Randall Foy Provider # VA000401410159(1) 7229 Forest Ave #105 Richmond, VA 23226 804-288-0102
*Madelyn GambrelProvider # VA000401411163(2) 3107 Hungary Spring Rd Richmond, VA 23228804-501-0501
Dean Garfield Provider # VA000401008965(1) 5500 Monument Ave #G Richmond, VA 23226 804-282-4646
Sanjeeda Hakim Provider # VA000401415171(8) 900 N Hamilton St Ste B Richmond, VA 23221 804-358-0001
**Monroe Harris Provider # VA000401007107(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Monroe Harris Provider # VA000401007107(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
15
RICHMOND (cont’d)
Raidah Hudson
Provider # VA000401006926(1) 4374 S Laburnum Ave Richmond, VA 23231 804-222-3135
***Malinda Husson
Provider # VA000401410708(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
Munira Jiwani
Provider # VA000401413868(6) 3500 Grove Ave Ste 104 Richmond, VA 23221 804-358-0001
Audra Jones
Provider # VA000401410046(1) 1805 Monument Ave Ste 501 Richmond, VA 23220 804-353-3009
John Jones
Provider # VA000401004652(1) 1805 Monument Ave Ste 501 Richmond, VA 23220 804-353-3009
Kevin Keating
Provider # VA000401414709(6) 3500 Grove Ave Ste 104 Richmond, VA 23221 804-358-0001
**Kanyon Keeney
Provider # VA000401006889(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Kanyon Keeney
Provider # VA000401006889(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
*Thomas King
Provider # VA000401005085(1)5700 Old Richmond Ave #19-DRichmond, VA 23226804-285-2333
Stephen Kopelove
Provider # VA000401005074(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
RICHMOND (cont’d)
*Trisha Krause
Provider # VA000401411549(1)5318 B Patterson AveRichmond, VA 23226804-285-0400
J Lilly
Provider # VA000401004665(1) 7834 Forest Hill Ave Richmond, VA 23225 804-320-0773
*Harold Martinez
Provider # VA000401410241(2)3107 Hungary Spring RdRichmond, VA 23228804-501-0501
**Brian McAndrew
Provider # VA000401410446(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Brian McAndrew
Provider # VA000401410446(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
Elizabeth Mei
Provider # VA000401008096(2) 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867
**Lawrence Metzger
Provider # VA000401007540(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Lawrence Metzger
Provider # VA000401007540(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
Sumayra Mohiuddin
Provider # VA000401412196(2) 3000 Hungary Spring Rd Richmond, VA 23228 804-501-0816
Julius Morrison
Provider # VA000401006978(1) 30 Courthouse Rd Richmond, VA 23236 804-379-7855
RICHMOND (cont’d)
Viet Nguyen
Provider # VA000401414425(6) 3500 Grove Ave Ste 104 Richmond, VA 23221 804-358-0001
***Lindsey North
Provider # VA000401414789(4) 9221 Forest Hill Ave Richmond, VA 23235 804-330-0508
George Oley
Provider # VA000401005517(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
Reba Oley
Provider # VA000401414880(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
**Sean Pack
Provider # VA000401415596(2) 7702 Parham Road #103 Richmond, VA 23294 804-270-5028
**Sean Pack
Provider # VA000401415596(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
Gregory Poquis
Provider # VA000401008985(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
Anthony Puller
Provider # VA000401005783(1) 7834 Forest Hill Avenue Suite 6 Richmond, VA 23225 804-272-0563
Afia Rasul
Provider # VA000401414658(2) 3000 Hungary Spring Rd Richmond, VA 23228 804-501-0816
Harini Reddy
Provider # VA000401008889(2) 3000 Hungary Spring Rd Richmond, VA 23228 804-501-0816
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
16
RICHMOND (cont’d)
Melanie Resendes
Provider # VA000401412368(1) 3900 Meadowdale Blvd Richmond, VA 23234 804-275-1622
Graham Rose
Provider # VA000401007742(1) 2010 Bremo Rd #121 Richmond, VA 23226 804-282-9191
Martine Rose
Provider # VA000401007741(1) 2010 Bremo Rd #121 Richmond, VA 23226 804-282-9191
Saumitra Saravana
Provider # VA000401411038(1) 30 Courthouse Rd Richmond, VA 23236 804-379-7855
****Steven Saroff
Provider # VA000401004190(1) 2801 McRae Rd #C1 Richmond, VA 23235 804-272-9079
****Abraham Shait
Provider # VA000401005526(1) 3210 Skipwith Road Richmond, VA 23294 804-270-7070
Deepa Simon
Provider # VA000401411005(2) 3000 Hungary Spring Rd Richmond, VA 23228 804-501-0816
Erin Smith
Provider # VA000401413326(4) 9221 Forest Hill Ave Richmond, VA 23235 804-330-0508
Lavanya Tortiker
Provider # VA000401415426(1) 3000 Hungary Spring Rd Richmond, VA 23228 804-501-0816
Jennifer Tran
Provider # VA000401415674(1) 1907 W Huguenot Rd Richmond, VA 23235 804-379-6806
*Ronald Vranas
Provider # VA000401410568(2)3107 Hungary Spring RdRichmond, VA 23228804-501-0501
RICHMOND (cont’d)
**Damon Watson
Provider # VA000401412132(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Damon Watson
Provider # VA000401412132(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
Lyla Rose Wilby
Provider # VA000401411425(1) 9030 Three Chopt Rd #A Richmond, VA 23229 804-282-7011
***Tiffany Williams
Provider # VA000401414296(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
Gordon Witcher
Provider # VA000401005310(1) 10409 Midlothian Turnpike Richmond, VA 23235 804-562-2667
**Ross Wlodawsky
Provider # VA000401410693(2) 7702 Parham Road Suite 103 A Richmond, VA 23294 804-270-5028
**Ross Wlodawsky
Provider # VA000401410693(5) 5224 Monument Ave Richmond, VA 23226 804-359-4474
***Patrice Wunsch
Provider # VA000401411957(1) 2924 Brook Road Richmond, VA 23220 804-321-7474
Stephen Schroder
Provider # VA000401413581(2) 3107 Hungary Spring Rd Richmond, VA 23228 804-501-0501
SOUTH CHESTERFIELD
Ronald Terry
Provider # VA000401006268(1) 21312 Chesterfield Ave S Chesterfld, VA 23803 804-526-2424
SANDSTON
**Neil Agnihotri
Provider # VA000401412743(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**William Dymon
Provider # VA000401008625(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Monroe Harris
Provider # VA000401007107(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Kanyon Keeney
Provider # VA000401006889(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Brian McAndrew
Provider # VA000401410446(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Lawrence Metzger
Provider # VA000401007540(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Sean Pack
Provider # VA000401415596(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
***Joy Phelps
Provider # VA000401411512(1) 5506 Whiteside Road Sandston, VA 23150 804-322-3669
**Damon Watson
Provider # VA000401412132(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
**Ross Wlodawsky
Provider # VA000401410693(12) 5510 Whiteside Rd Sandston, VA 23150 804-737-0992
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
17
SOUTH RIDING
Neal Kravitz
Provider # VA000401411350(1) 25055 Riding Plz Ste 110 South Riding, VA 20152 703-722-2900
SPOTSYLVANIA
Mazin Alayssami
Provider # VA000401008416(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Michael Blackwood
Provider # VA000401007606(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Nirmal Bogollagama
Provider # VA000401410789(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
**Joseph Devylder
Provider # VA000438000161(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Neda Emad-Azmoudeh
Provider # VA000401007860(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Sama Hamdoon
Provider # VA000401415776(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Samuel Hagos
Provider # VA000401414144(6) 10454 Hilltpop Plaza Way Spotsylvania, VA 22553 540-891-6570
Felisha Kimble-Tanks
Provider # VA000401410844(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Dominique Knox
Provider # VA000401415686(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
SPOTSYLVANIA (cont’d)
Hedieh Kousedhi
Provider # VA000401415049(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
*Kevin Kunz
Provider # VA000401415374(6)10454 Hilltop Plaza WaySpotsylvania, VA 22553540-891-6570
Mariam Naeem
Provider # VA000401414997(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Jung Park
Provider # VA000401411940(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
Shannon Williams
Provider # VA000401415329(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570
SPRINGFIELD
**J Gutmann
Provider # VA000401004423(1) 6225 Brandon Ave #185 Springfield, VA 22150 703-451-4430
Said Khalefa
Provider # VA000401007592(1) 6115 Backlick Road Springfield, VA 22150 703-451-4211
STAFFORD
Mazin Alayssami
Provider # VA000401008416(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Nirmal Bogollagama
Provider # VA000401410789(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Richard Byrd
Provider # VA000401007026(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
STAFFORD (cont’d)
****Karim Chaddad
Provider # VA000401411750(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
**Joseph Devylder
Provider # VA000438000161(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Mohamed Elgazzar
Provider # VA000401411710(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Neda Emad-Azmoudeh
Provider # VA000401007860(3) 392 Garrisonville Rd Ste 205 Stafford, VA 22554 540-659-6816
Dominique Knox
Provider # VA000401415683(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Hedieh Kousedhi
Provider # VA000401415049(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-649-6816
Samuel Hagos
Provider # VA000401414144(3) 392 Garrisonville Rd Ste 205 Stafford, VA 22554 540-659-6816
Sama Hamdoon
Provider # VA000401415776(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
**Rolin Henry
Provider # VA000401410508(2) 315 N Garrisonville Rd Ste 105-B Stafford, VA 22554 703-780-4422
*Kevin Kunz
Provider # VA000401415371(3)392 Garrisonville Rd205Stafford, VA 22554540-659-6816
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
18
STAFFORD (cont’d)
Mariam Naeem
Provider # VA000401414994(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Markus Niepraschk
Provider # VA000401411763(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Jung Park
Provider # VA000401411937(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
**Ashish Patel
Provider # VA000401411990(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
Shannon Williams
Provider # VA000401415329(3) 392 Garrisonville Rd 205 Stafford, VA 22554 540-659-6816
STERLING
Mazin Alayssami
Provider # VA000401008416(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
****Karim Chaddad
Provider # VA000401411750(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
*****Fotini Chrisopoulos
Provider # VA000401414238(1) 46090 Lake Center Plaza #107 Sterling, VA 20165 703-434-3286
*Moein Jabbar Darjani
Provider # VA000401413097(1)21435 Epicerie PlazaSuite 190Sterling, VA 20164703-454-0560
**Joseph Devylder
Provider # VA000438000161(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
STERLING (cont’d)
Michael Eghtessad
Provider # VA000401410302(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
Neda Emad-Azmoudeh
Provider # VA000401007860(4) 6 Pidgeon Hill Dr Ste 210 Sterling, VA 20165 703-444-7102
Samuel Hagos
Provider # VA000401414144(4) 6 Pidgeon Hill Dr Ste 210 Sterling, VA 20165 703-444-7102
Sama Hamdoon
Provider # VA000401415776(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
****Justin Hardison
Provider # VA000401413670(1) 21165 Whitefield Pl #107 Sterling, VA 20165
****Fadi Hasan
Provider # VA000401413459(1) 21165 Whitefield Pl #107 Sterling, VA 20165
Marie Hooshmand
Provider # VA000401008577(1) 21165 Whitfield Pl Ste 101 Sterling, VA 20165 703-444-1656
Manpreet Kaur
Provider # VA000401414647(1) 21453 Epicerie Plaza Suite 190 Sterling, VA 20164 703-454-0560
****Jean-Claude Kharmouche
Provider # VA000401008809(1) 21165 Whitefield Pl #107 Sterling, VA 20165
Dominique Knox
Provider # VA000401415684(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
STERLING (cont’d)
*Kevin Kunz
Provider # VA000401415372(4)6 Pidgeon Hill Dr#210Sterling, VA 20165703-444-7102
Steven Lowe
Provider # VA000401414495(4) 6 Pidgeon Hill Dr Ste 210 Sterling, VA 20165 703-444-7102
Tara Moshiri
Provider # VA000401410136(1) 46090 Lake Center Plaza #107 Sterling, VA 20165 703-434-3286
Mariam Naeem
Provider # VA000401414995(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
Sravanthi Nallavalli
Provider # VA000401411590(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
Bahru Nure
Provider # VA000401414796(4) 6 Pidgeon Hill Dr Ste 210 Sterling, VA 20165 703-444-7102
Jung Park
Provider # VA000401411938(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
Ali Shahrestani
Provider # VA000401415528(1) 21453 Epicerie Plaza Suite 190 Sterling, VA 20164 703-454-0560
Shannon Williams
Provider # VA000401415329(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 703-444-7102
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
19
SUFFOLK
Amen Alemayehu
Provider # VA000401413304(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Benjamin Anderson
Provider # VA000401410504(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Asha Artis
Provider # VA000401413634(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Kristen Benes
Provider # VA000401413031(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
**Zachary Berry
Provider # VA000401414196(4) 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 757-412-2002
**Valerie Byrnside
Provider # VA000401411443(4) 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 757-412-2002
*Jeffrey Domark
Provider # VA000401413366(1)1510 Breezeport Way Ste 400Suffolk, VA 23435757-638-4500
Robert Galbreath
Provider # VA000401008953(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Joseph Gloria
Provider # VA000401008048(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Keith Goldstein
Provider # VA000401007904(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
SUFFOLK (cont’d)
**Scott Goodove
Provider # VA000401410548(4) 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 757-412-2002
Zaneta Hamlin
Provider # VA000401413708(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Kimbrough Hornsby
Provider # VA000401411379(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Elleni Kapoor
Provider # VA000401413954(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
****Bryan Konikoff
Provider # VA000401410766(4) 1510 Breezeport Way #500 Suffolk, VA 23435 757-484-1818
Clara Llodra
Provider # VA000401008380(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Michael Marcou
Provider # VA000401007701(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Vicki McMillan
Provider # VA000401008728(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Jillian Reynolds
Provider # VA000401412189(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Scott Sachs
Provider # VA000401412640(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
SUFFOLK (cont’d)
Warren Sachs
Provider # VA000401004189(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
****Trang Salzberg
Provider # VA000401410596(4) 1510 Breezeport Way #500 Suffolk, VA 23435 757-484-1818
Ivan Schiff
Provider # VA000401004149(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Nathan Shapiro
Provider # VA000401415270(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Lauren Singor
Provider # VA000401412199(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Thomas Smith
Provider # VA000401008820(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Marcus Sur
Provider # VA000401414439(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Thomas Taylor
Provider # VA000401413529(1) 1530 Breezeport Way #500 Suffolk, VA 23435 757-686-3444
Britnie Tran
Provider # VA000401414441(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6250
*Michael Trudeau
Provider # VA000401411970(1)1510 Breezeport Way Ste 400Suffolk, VA 23435757-638-4500
**Caroline Webber
Provider # VA000401411368(4) 1510 Breezeport Way #500 Suffolk, VA 23435 757-484-1818
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
20
SUFFOLK (cont’d)
Lee Weinstein
Provider # VA000401007794(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
Paul Yeh
Provider # VA000401410551(7) 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263
**Peter Zagursky
Provider # VA000401411371(4) 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 757-412-2002
VIENNA
Mazin Alayssami
Provider # VA000401008416(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
****Karim Chaddad
Provider # VA000401411750(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
*Mary Choby
Provider # VA000401005957(1)8133 Leesburg PkSte 610Vienna, VA 22182703-448-8433
**Joseph Devylder
Provider # VA000438000161(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
Neda Emad-Azmoudeh
Provider # VA000401007860(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
Samuel Hagos
Provider # VA000401414144(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
VIENNA (cont’d)
Sama Hamdoon
Provider # VA000401415776(2) 2230 Gallows Rd STE 320 Vienna, VA 22027 703-573-8664
Dominique Knox
Provider # VA000401415682(2) 2230 Gallows Rd STE 320 Vienna, VA 22027 703-573-8664
Hedieh Kousedhi
Provider # VA000401415049(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
*Kevin Kunz
Provider # VA000401415370(2)2230 Gallows RdSTE 320Vienna, VA 22027703-573-8664
Mariam Naeem
Provider # VA000401414993(2) 2230 Gallows Rd STE 320 Vienna, VA 22027 703-573-8664
Bahru Nure
Provider # VA000401414796(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
Jung Park
Provider # VA000401411936(2) 2230 Gallows Rd STE 320 Vienna, VA 22027 703-573-8664
**Ashish Patel
Provider # VA000401411990(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 703-573-8664
Shannon Williams
Provider # VA000401415329(2) 2230 Gallows Rd STE 320 Vienna, VA 22027 703-573-8664
VIRGINIA BEACH
Amen Alemayehu
Provider # VA000401413304(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Amen Alemayehu
Provider # VA000401413304(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Benjamin Anderson
Provider # VA000401410504(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Benjamin Anderson
Provider # VA000401410504(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Asha Artis
Provider # VA000401413634(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Asha Artis
Provider # VA000401413634(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
John Ashby
Provider # VA000401411276(1) 4356 4 Bonney Road #101 Virginia Beach, VA 23452 757-340-7000
Kristen Benes
Provider # VA000401413031(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Kristen Benes
Provider # VA000401413031(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
21
VIRGINIA BEACH (cont’d)
Allan Bergano
Provider # VA000401006224(2) 4460 Corporation Lane Ste 190 Virginia Beach, VA 23462 757-497-2988
Louis Berger
Provider # VA000401412534(1) 2404 Virginia Beach Blvd #106 Virginia Beach, VA 23454 757-498-7878
**Zachary Berry
Provider # VA000401414196(2) 1127 First Colonial Rd Virginia Beach, VA 23454 757-412-2002
*Kelly Bussey
Provider # VA000401410052(1)4542 Bonney Rd #AVirginia Beach, VA 23462757-416-5333
*William Bussey
Provider # VA000401004066(1)4542 Bonney Rd #AVirginia Beach, VA 23462757-416-5333
**Valerie Byrnside
Provider # VA000401411443(2) 1127 First Colonial Rd Virginia Beach, VA 23454 757-412-2002
**Trent Conelias
Provider # VA000401411285(1) 6033 Providence Rd Virginia Beach, VA 23464 757-424-2672
Kathy Delva
Provider # VA000401415001(2) 616 Virginia Beach Blvd Ste #102 Virginia Beach, VA 23451 757-769-7155
*Dean Elattrache
Provider # VA000401410744(2)1369 Laskin Rd #3BVirginia Beach, VA 23454757-427-0144
Kevin Ellis
Provider # VA000401007176(1) 205 34Th St #112 Virginia Beach, VA 23451 757-428-5491
VIRGINIA BEACH (cont’d)
Sheila Field
Provider # VA000401410950(1) 4676 Princess Anne Rd, Ste 100 Virginia Beach, VA 23462 757-495-5010
Rita Frazier
Provider # VA000401006012(4) 4541 Main St Virginia Beach, VA 23462 757-309-4450
Robert Galbreath
Provider # VA000401008953(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Robert Galbreath
Provider # VA000401008953(5) 904 Kempsville Rd Ste 105 Virginia Beach, VA 23464 757-963-0059
Myron Gladstone
Provider # VA000401004418(1) 5318 Providence Road Virginia Beach, VA 23464 757-424-3657
Joseph Gloria
Provider # VA000401008048(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Joseph Gloria
Provider # VA000401008048(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Keith Goldstein
Provider # VA000401007904(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Keith Goldstein
Provider # VA000401007904(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Keith Goldstein
Provider # VA000401007904(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
VIRGINIA BEACH (cont’d)
Stephen Goldstein
Provider # VA000401004091(3) 2521 N Landing Rd Ste 100 Virginia Beach, VA 23456 757-430-9448
**Scott Goodove
Provider # VA000401410548(2) 1127 First Colonial Rd Virginia Beach, VA 23454 757-412-2002
Zaneta Hamlin
Provider # VA401413708(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Zaneta Hamlin
Provider # VA000401413708(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Zaneta Hamlin
Provider # VA000401413708(5) 904 Kempsville Rd Ste 105 Virginia Beach, VA 23464 757-963-0059
****Gary Hartman
Provider # VA000401410554(1) 240 Mustang Tr #1 Virginia Beach, VA 23452 757-498-5480
James Holley
Provider # VA000401007431(1) 940 General Booth Blvd Virginia Beach, VA 23451 757-425-1155
Kimbrough Hornsby
Provider # VA000401411379(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Kimbrough Hornsby
Provider # VA000401411379(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Patricia James
Provider # VA000401008832(2) 5511 Princess Anne Rd #201 Virginia Beach, VA 23462 757-227-3401
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
22
VIRGINIA BEACH (cont’d)
Sungmin Jeoun
Provider # VA000401414949(2) 616 Virginia Beach Blvd #102 Virginia Beach, VA 23451 757-769-7155
Elleni Kapoor
Provider # VA000401413954(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Elleni Kapoor
Provider # VA000401413954(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
****Albert Konikoff
Provider # VA000401004445(1) 477 Viking Drive #190 Virginia Beach, VA 23452 757-486-8611
****Bryan Konikoff
Provider # VA000401410766(1) 477 Viking Drive #190 Virginia Beach, VA 23452 757-486-8611
Clara Llodra
Provider # VA000401008380(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Clara Llodra
Provider # VA000401008380(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Alan Mahanes
Provider # VA000401006803(3) 2521 N Landing Rd Ste 100 Virginia Beach, VA 23456 757-430-9448
Michael Marcou
Provider # VA000401007701(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Michael Marcou
Provider # VA000401007701(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
VIRGINIA BEACH (cont’d)
Michael Marcou
Provider # VA000401007701(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
*Chester Mayo
Provider # VA000401006323(1)477 Viking DrSte 215Virginia Beach, VA 23452757-486-5428
Vicki McMillan
Provider # VA000401008728(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Vicki McMillan
Provider # VA000401008728(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Vicki McMillan
Provider # VA000401008728(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
**Darrell Meeks
Provider # VA000401007337(1) 281 Independence Bl #225 Virginia Beach, VA 23462 757-499-5909
Osama Modjadidi
Provider # VA000401410783(2) 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 757-495-8775
**Sanford Morrison
Provider # VA000401006550(1) 904 Kempsville Road #102 Virginia Beach, VA 23464 757-467-8000
**David Mueller
Provider # VA000401007897(1) 1157 First Colonial Rd #101 Virginia Beach, VA 23454 757-496-8066
***Amy Namsupak
Provider # VA000401415277(1) 2100 Lynnhaven Pkwy #100 Virginia Beach, VA 23456 757-416-1400
VIRGINIA BEACH (cont’d)
Frederick Ochave
Provider # VA000401008927(1) 289 Independence Blvd #229 Virginia Beach, VA 23462 757-497-1618
Jillian Reynolds
Provider # VA000401412189(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Jillian Reynolds
Provider # VA000401412189(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Jillian Reynolds
Provider # VA000401412189(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Kenneth Reynolds
Provider # VA000401006170(2) 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 757-495-8775
Carter Richards
Provider # VA000401008839(1) 940 General Booth Blvd Virginia Beach, VA 23451 757-425-1155
Scott Sachs
Provider # VA000401412640(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Scott Sachs
Provider # VA000401412640(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Warren Sachs
Provider # VA000401004189(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Warren Sachs
Provider # VA000401004189(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
23
VIRGINIA BEACH (cont’d)
James Salerno
Provider # VA000401006630(1) 5318 Providence Road Virginia Beach, VA 23464 757-424-3657
Trang Salzberg
Provider # VA000401410596(1) 477 Viking Drive #190 Virginia Beach, VA 23452 757-486-8611
Ivan Schiff
Provider # VA000401004149(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Ivan Schiff
Provider # VA000401004149(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Geoffrey Scheiber
Provider # VA000401414078(1) 6033 Providence Rd Virginia Beach, VA 23464 757-424-2672
Jon Scott
Provider # VA000401005160(4) 114 S Witchduck Rd Virginia Beach, VA 23462 757-627-9818
Nathan Shapiro
Provider # VA000401415270(8) 2185 Upton Dr Virginia Beach, VA 23454 757-416-5977
Nathan Shapiro
Provider # VA000401415270(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-587-6453
Nathan Shapiro
Provider # VA000401415270(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
****Jeremy Shulman
Provider # VA000401002488(1) 1301 First Colonial Rd Virginia Beach, VA 23454 757-496-8070
VIRGINIA BEACH (cont’d)
Lauren Singor
Provider # VA000401412199(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Lauren Singor
Provider # VA000401412199(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Jacqueline Smith
Provider # VA000401411605(1) 1385 Fordham Dr Ste 106 Virginia Beach, VA 23464 757-424-0095
Thomas Smith
Provider # VA000401008820(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Thomas Smith
Provider # VA000401008820(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Murray Spain
Provider # VA000401007006(2) 3634 South Plaza Trail #101 Virginia Beach, VA 23452 757-498-9510
Murray Spain
Provider # VA000401007006(3) 1127 Independence Blvd Virginia Beach, VA 23455 757-363-8500
Marcus Sur
Provider # VA000401414439(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Marcus Sur
Provider # VA000401414439(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
VIRGINIA BEACH (cont’d)
Maria Throckmorton
Provider # VA000401411061(5) 2829 Shore Dr Virginia Beach, VA 23451 757-333-6866
Britnie Tran
Provider # VA000401414441(1) 904 Kempsville Rd Virginia Beach, VA 23464 757-963-0059
Britnie Tran
Provider # VA000401414441(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
**Curtis Vendetti
Provider # VA000438000214(2) 1240 Perimeter Pkwy Ste 401 Virginia Beach, VA 23454 757-430-7690
**Caroline Webber
Provider # VA000401411368(1) 477 Viking Drive #190 Virginia Beach, VA 23452 757-486-8611
Lee Weinstein
Provider # VA000401007794(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Lee Weinstein
Provider # VA000401007794(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
Paul Yeh
Provider # VA000401410551(1) 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 757-467-6453
Paul Yeh
Provider # VA000401410551(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 757-412-1114
**Peter Zagursky
Provider # VA000401411371(2) 1127 First Colonial Rd Virginia Beach, VA 23454 757-412-2002
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
24
WEST POINT
Nirmal Bogollagama
Provider # VA000401410789(2) 628 Main St West Point, VA 23181 804-843-3233
Bradley Delph
Provider # VA000401411891(2) 628 Main St West Point, VA 23181 804-843-3233
Sam English
Provider # VA000401004082(2) 628 Main St West Point, VA 23181 804-843-3233
Munira Jiwani
Provider # VA000401413868(2) 628 Main St West Point, VA 23181 804-843-3233
Viet Nguyen
Provider # VA000401414425(2) 628 Main St West Point, VA 23181 804-843-3233
Jeff Raphael
Provider # VA000401412292(2) 628 Main St West Point, VA 23181 804-843-3233
Hui Zhou
Provider # VA000401415400(2) 628 Main St West Point, VA 23181 804-843-3233
WILLIAMSBURG
William Fullerton Provider # VA000401008148(1) 5249 Old Towne Rd Williamsburg, VA 23188 757-259-3258
***Rana Graham-Montaque Provider # VA000401411505(1) 213 Bulifants Blvd #B Williamsburg, VA 23188 757-903-4525
WILLIAMSBURG (cont’d)
*Terry Hake
Provider # VA000401008049(1)1761 Jamestown RdSte 102Williamsburg, VA 23185757-229-4115
*Kalisha Jordan
Provider # VA000401411472(1)105 Bulifants Blvd #BWilliamsburg, VA 23188757-903-2577
Dale Lazar
Provider # VA000401005734(5) 4680 - 16A Monticello Ave Williamsburg, VA 23188 757-258-1042
Viet Nguyen
Provider # VA000401414425(5) 4680 - 16A Monticello Ave Williamsburg, VA 23188 757-258-1042
Jeff Raphael
Provider # VA000401412292(5) 4680 - 16A Monticello Ave Williamsburg, VA 23188 757-258-1042
Nancy Schumann
Provider # VA000401007916(2) 5330 Discovery Park Blvd Williamsburg, VA 23188 757-564-0900
Michael Whyte
Provider # VA000401414263(1) 134 Professional Circle Williamsburg, VA 23185 757-903-2529
Kisley Romano
Provider # VA000401415103(5) 4680-16a Montivello Ave Williamsburg, VA 23188 757-258-1042
Hui Zhou
Provider # VA000401415400(5) 4680-16a Monticello Ave Williamsburg, VA 23188 757-258-1042
WINCHESTER
**James Pell
Provider # VA000401006414(1) 170 Garber Ln Ste 2 Winchester, VA 22602 540-667-0100
WINCHESTER (cont’d)
**Richard Wang
Provider # VA000401411829(1) 170 Garber Ln Ste 2 Winchester, VA 22602 540-667-0100
WOODBRIDGE
Hassanoor Abdirahman
Provider # VA000401412394(1) 13601 Office Place #202 Woodbridge, VA 22192 703-986-0434
Andy Ma
Provider # VA000401410721(1) 4585 Daisy Reid Ave #101 Woodbridge, VA 22192 703-680-9296
**David Morgan
Provider # VA000401412738(3) 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 703-897-8983
**Phuong Nguyen
Provider # VA000401412250(1) 4585 Daisy Reid Ave #105 Woodbridge, VA 22192 703-670-6886
*Tu-Quynh Nguyen
Provider # VA000401410610(6)12701 Marblestone Dr #180Woodbridge, VA 22192571-298-2000
Mayur Patel
Provider # VA000401413519(1) 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 703-492-1999
**James Pell
Provider # VA000401006414(3) 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 703-897-8983
*Richard Pollock
Provider # VA000401007979(6)12701 Marblestone Dr #180Woodbridge, VA 22192571-298-2000
Thoai-Lan Tran
Provider # VA000401412959(1) 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 703-492-1999
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
25
WOODBRIDGE (cont’d)
**Richard Wang
Provider # VA000401411829(3) 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 703-897-8983
YORKTOWN
Rajni Kapoor
Provider # VA000401414188(1) 119-C Village AveYorktown, VA 23693757-898-0848
Julian Miller
Provider # VA000401411882(1) 119-C Village AveYorktown, VA 23693757-898-0848
Ellen Nordgren
Provider # VA000401415664(1) 119-C Village AveYorktown, VA 23693757-898-0848
Bonnie Pearson
Provider # VA000401008757(1) 119-C Village AveYorktown, VA 23693757-898-0848
Sebastian Tietze
Provider # VA000401414819(1) 119-C Village AveYorktown, VA 23693757-898-0848
Ariel Wartofsky
Provider # VA000401411866(1) 119-C Village AveYorktown, VA 23693757-898-0848
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
26
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
27
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
28
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
29
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
30
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
31
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
32
DeltaCare Orthodontic Provider List ALEXANDRIA Shiva Kermanshi
Provider # VA000401410790 715 Pendleton St Alexandria, VA 22314 571-970-3783 Shiva Kermanshi
Provider # VA000401410790 101 S. Whiting St., Suite 100 Alexandria, VA 22304 703-751-7000 ARLINGTON Thuy-Linh Huynh Provider # VA000401412334 1050 N Highland St, #300 Arlington, VA 22201 703-5273888 CENTREVILLE Thoai-Lan Tran
Provider # VA000401412959 6019 Centreville Crest Lane Centreville, VA 20121 703-815-0202 CHANTILLY Dan Lee
Provider # VA000401411868 3901 Centerview Dr, #T Chantilly, VA 20151 703-467-0214 CHESAPEAKE John Ashby Provider # VA000401411276 1021 N Eden Way, Suite 128 Chesapeake, VA 23320 757-547-8700 Kristen Benes Provider # VA000401008953 1230 Progressive Dr, # 103 Chesapeake, VA 23320 757-436-1270 CHESTER Wakeshi Benson
Provider # VA000401411415 12230 Iron Bridge Rd, #8 Chester, VA 23831 804-404-3804
COLONIAL HEIGHTS_______________ Ralph Anderson
Provider # VA000401008749 556 Southpark Blvd Colonial Heights, VA 23834 804-526-2702 FALLS CHURCH
Shiva Kermanshi Provider # VA000401410790 6060 Arlington Blvd Falls Church, VA 22044 703-237-0060 FREDERICKSBURG Richard Byrd Provider # VA 000401007026 927 Maple Grove Dr # 111 Fredericksburg, VA 22407 540-786-0051 Syed Hussaini Provider # VA 000401412740 927 Maple Grove Dr # 111 Fredericksburg, VA 22407 540-786-0051 GAINESVILLE Hicham Mekouar Provider # VA000401411070 7462 Limestone Dr Gainesville, VA 20155 703-753-3346 GLEN ALLEN Elizabeth Mei Provider # VA000401008096 10170 Staples Mill Rd, Suite B Glen Allen, VA 23060 804-726-1870 Richard Villa Provider # VA000401008076 10120 West Broad St, Suite L Glen Allen, VA 23060 804-747-0137 HAMPTON Curtis Dailey Provider # VA000401410187 2118 Executive Dr Hampton, VA 23666 757-826-5075
HAMPTON (cont’d) George Dailey Provider # VA000401004072 2118 Executive Dr Hampton, VA 23666 757-826-5075 Jon Scott Provider # VA000401005160 1186 Big Bethel Rd Hampton, VA 23666 757-825-6280 Jon Scott Provider # VA000401005160 2108 Hartford Rd Hampton, VA 23666 757-825-6280 Alexander Waitkus Provider # VA000401004032 2101 Executive Dr, Suite 5E Hampton, VA 23666 757-826-8511 HERNDON Richard Byrd Provider # VA000401007026 13873 Park Center Rd, Suite 137 Herndon, VA 20171 703-478-0115 Syed Hussaini Provider # VA000401412740 13873 Park Center Rd Herndon, VA 20171 703-478-0115 MANASSAS Syed Hussaini Provider # VA000401412740 10081 Market Circle Manassas, VA20110 703-383-0090 MECHANICSVILLE Elizabeth Mei Provider # VA000401008096 9221 Chamberlayne Rd Mechanicsville, VA 23116 804-427-7420
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
33
MIDLOTHIAN Richard Byrd Provider # VA000401007026 2929 Polo Pkwy Midlothian, VA 23113 804-330-0508 Kevin Kelleher Provider # VA000401411884 2412 Colony Crossing Pl Midlothian, VA 23112 804-739-6673 John W. King Provider # VA000401005334 5921 Harbour Lane, #300 Midlothian, VA 23112 804-739-3399 Erin Smith Provider #VA000401413326 2929 Polo Pkwy Midlothian, VA 23113 804-379-3718 NEWPORT NEWS John Matney
Provider # VA000401003265 12528 Warwick Blvd Newport News, VA 23606 757-596-8210 NORFOLK John Ashby Provider # VA000401411276 7400 Granby St Norfolk, VA 23505 757-583-4518 Kristen Benes Provider # VA000401008953 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453 Kristen Benes Provider # VA000401008953 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751 POQUOSON Curtis Dailey
Provider # VA000401410187 534-B Wythe Creek Rd Poquoson, VA 23662 757-826-5075 George Dailey
Provider # VA000401004072 534-B Wythe Creek Rd Poquoson, VA 23662 757-826-5075
PORTSMOUTH Yugal Behl
Provider # VA000401412905 446 Effingham St. Portsmouth, VA 23704 757-397-9801 RICHMOND Ralph Anderson Provider # VA000401008749 5500 Monument Ave, Suite K Richmond, VA 23226 804-285-9800 Ralph Anderson Provider # VA000401008749 1907 W. Huguenot Rd Richmond, VA 23235 804-379-6806 Ralph Anderson Provider # VA000401008749 9030 Three Chopt Rd, Suite A Richmond, VA 23229 804-282-7011 Marielena Arroyo-Pratt Provider # VA000401008725 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867 Wakeshi Benson Provider # VA000401411415 9030 Three Chopt Rd, Suite A Richmond, VA 23229 804-282-7011 Richard Byrd Provider # VA000401007026 6740 Forest Hill Ave, Suite 103 Richmond, VA 23225 804-330-0508 Matthew Cline Provider # VA000472443444 2212 John Rolfe Pkwy 23233 804-419-6788 Elizabeth Mei Provider # VA000401008096 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867 Erin Smith Provider # VA000401413326 9221 Forest Hill Ave. Richmond, VA 23235 804-330-0508
SPOTSYLVANIA Michael Blackwood
Provider # VA000401007606 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570 STAFFORD
Richard Byrd Provider # VA000401007026 392 Garrisonville Rd, Suite 205 Stafford, VA 22554 540-659-6816 Markus Niepraschk
Provider # VA00040141163 392 Garrisonville Rd, Suite 205 Stafford, VA 22554 540-659-6816 SUFFOLK Kristen Benes Provider # VA000401008953 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263 Robert Galbreath Provider # VA000401008953 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263 Randall Kulnis Provider # VA000401008378 1530 Breezeport Way Suffolk, VA 23435 757-686-3444 Thomas Taylor Provider # VA000401413529 1530 Breezeport Way, #500 Suffolk, VA 23435 757-686-3444 VIRGINIA BEACH John Ashby Provider # VA000401411276 4356-4 Bonney Rd., Ste. 101 Virginia Beach, VA 23452 757-340-7000 Kristen Benes Provider # VA000401008953 904 Kempsville Rd Virginia Beach, VA 23464 757-467-6453 Kristen Benes Provider # VA000401008953 1157 First Colonial Rd Virginia Beach, VA 23454 757-412-1114
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
34
VIRGINIA BEACH (cont’d) Robert Galbreath Provider # VA000401008953 1157 First Colonial Rd Virginia Beach, VA 23454 757-412-1114 Robert Galbreath Provider # VA000401008953 904 Kempsville Rd, Suite 105 Virginia Beach, VA 23464 757-963-0059 Jon Scott Provider # VA000401005160 114 S Witchduck Rd Virginia Beach, VA 23462 757-627-9818 Alexander Waitkus Provider # VA000401004032 293 Independence Blvd Virginia Beach, VA 23462 757-340-9020 WOODBRIDGE Thoai-Lan Tran Provider # VA000401412959 14416 Jefferson Davis Hwy, #16 Woodbridge, VA 22191 703-492-1999
ALLVAREV 01.2018 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist
35
These providers are CLOSED to new patients and transfers.
ANNANDALE
Tae Lee Provider # VA000401008922 (1) 7002-C Little River Tpke Annandale, VA 22003 703-256-7100
CHESAPEAKE
Wyatt Ruffin Provider # VA000401006433 (1) 3940 Airline Blvd, Ste. 114 Chesapeake, VA 23321 757-465-4884
GLEN ALLEN Bradley Anderson
Provider # VA000401007267(3) 11420 W. Broad St Glen Allen, VA 23060 804-360-3500 HERNDON
Winfred Hudgins Provider # VA000401007735 (2) 386 Elden St Herndon, VA 20170 703-904-8128
NORFOLK James Reske Provider # VA000401004799 (12) 1727 Cromwell Dr Norfolk, VA 23509 757-622-3776
PORTSMOUTH
Pretlow Stevenson Provider # VA000401005195 (1) 3412 Columbia St Portsmouth, VA 23707 757-397-5611
RICHMOND
Dean Garfield Provider # VA000401008965 (1) 5500 Monument Ave, Suite G Richmond, VA 23226 804-282-4646
VIRGINIA BEACH
James Reske Provider # VA000401004799 (13) 4530 Professional Cir Virginia Beach, VA 23455 757-499-0567
Randolph Savage Provider # VA000401004706 (13) 4530 Professional Cir Virginia Beach, VA 23455 757-499-0567
NOTE: This list is subject to change without notice. Prior to seeking treatment, please verify with your dentist that he/she is a DeltaCare provider. Your dental benefits are available only at DeltaCare dental offices. For additional information on the status of the above providers, as well as new providers, please call Delta Dental at 1-800-862-0838.