+ All Categories
Home > Documents > Virginia DeltaCare Provider List - Henrico County Public...

Virginia DeltaCare Provider List - Henrico County Public...

Date post: 05-Apr-2018
Category:
Upload: trankien
View: 222 times
Download: 5 times
Share this document with a friend
35
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
Transcript

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.


Recommended