VA+Select+Plan+Provider+List.pdf - Dominion National

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Dentists listed are under contract as of 7/1/18 Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County Berry Zachary 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Goodove Scott 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Zagursky Peter 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon Accomack Kotler Lawrence 224 Lawrence M Kotler DDS Ms 3543 W Braddock Rd Alexandria VA 22302 Endodontist Alexandria City Ardila Gaitan Claudia 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Kim Kyu 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Levine Fernanda 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Montane Ismael 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Upshaw Montressor 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria City Harvey Anna 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Pedodontist Alexandria City Miranda Ruben 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Periodontist Alexandria City Phan Phuong 2274 Phuong Phan DMD PC 1225 Martha Custis Dr Alexandria VA 22302 General Provider Alexandria City Du Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria City Lee Hyo 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Alayssami Mazin 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Emad-Azmoudeh Neda 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Hamdoon Sama 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Knox Dominique 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Naeem Mariam 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Nure Bahru 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Park Jung 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Park Sang Hoon 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 Periodontist Alexandria City Reddy Hima-Bindu 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Williams Shannon 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria City Sangid Maher 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Sangid Ronny 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria City Lee Hyo 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Meza Fernando 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Patel Loken 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria City Solemaninejad Homan 145747 Landmark Dental Care 101 S Whiting St Alexandria VA 22304 General Provider Alexandria City Kim Kyu 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Levine Fernanda 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Upshaw Montressor 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria City Harvey Anna 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Pedodontist Alexandria City Miranda Ruben 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Periodontist Alexandria City Kwon Thomas 342 Thomas S Kwon DDS 4701 Kenmore Ave Alexandria VA 22304 General Provider Alexandria City * Abdeen Moutaz 208597 Alexandria Smiles Dentistry 5234 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Tolson Ronald 215 Ronald E Tolson DDS 5246 Dawes Ave Alexandria VA 22311 General Provider Alexandria City Khalefa Said 1269 Said M Khalefa DDS PC 4600 Pincrest Office Park Dr Alexandria VA 22312 General Provider Alexandria City Asgari Navid 232066 Alexandria Dental Arts 1001 N Fairfax St Alexandria VA 22314 General Provider Alexandria City Stephenson-Frazier Kesha 181520 Parker Gray Pediatric Dental Care PC 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City Vatanka Heidi 181520 Parker Gray Pediatric Dental Care PC 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City * Huynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist Arlington Asher Kevin 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon Arlington Fein Joshua 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Gichana Roselyne 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Gill Kwesi 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist Arlington Lee Eun Young 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Lee Eun Young 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Shambayati Sara 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist Arlington Wray Henry 1391 Henry C Wray DDS 2250 Clarendon Blvd Arlington VA 22201 General Provider Arlington Favagehi Jason 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington Yi John 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington * Lebo Carl 233 Carl G Lebo DDS PC 3801 N Fairfax Dr Arlington VA 22203 General Provider Arlington * Butler Charles 1120 Charles A Butler DDS 3801 Fairfax Dr Arlington VA 22203 General Provider Arlington Kumra Shawn 127008 Elegant Smiles Dental Care 3801 N Fairfax Dr Arlington VA 22203 General Provider Arlington Sangid Maher 178977 Columbia Heights Dental Center Plc 3219 Columbia Pk Arlington VA 22204 General Provider Arlington Sangid Ronny 178977 Columbia Heights Dental Center Plc 3219 Columbia Pk Arlington VA 22204 General Provider Arlington Kim Kyu 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Levine Fernanda 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Montane Ismael 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Upshaw Montressor 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider Arlington Harvey Anna 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Pedodontist Arlington Miranda Ruben 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Periodontist Arlington Lee Hyo 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington Meza Fernando 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington Patel Loken 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist Arlington Shojaei Mariah 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22209 Endodontist Arlington * Saleh Fadi 50933 Fadi Saleh DDS LLC 1911 N Fort Myer Dr Arlington VA 22209 Orthodontist Arlington Mogharbel Tarek 37711 Mira Dental Care 1901 N Moore St Arlington VA 22209 General Provider Arlington SELECT PLAN 1 DENTIST DIRECTORY * Indicates dentist that is accepting current patients only. VA Select Plan Dentists Page 1 1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or facility before seeking treatment to confirm the provider is actively participating in your plan.

Transcript of VA+Select+Plan+Provider+List.pdf - Dominion National

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline CountyBerry Zachary 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon AccomackGoodove Scott 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon AccomackZagursky Peter 51075 Scott R Goodove DDS Plc 25529 E Main St Onley VA 23418 Oral Surgeon AccomackKotler Lawrence 224 Lawrence M Kotler DDS Ms 3543 W Braddock Rd Alexandria VA 22302 Endodontist Alexandria CityArdila Gaitan Claudia 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria CityKim Kyu 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria CityLevine Fernanda 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria CityMontane Ismael 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria CityUpshaw Montressor 247640 Neighborhood Health At King Street Dental 4480 King St Alexandria VA 22302 General Provider Alexandria CityHarvey Anna 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Pedodontist Alexandria CityMiranda Ruben 247627 Neighborhood Health Specialists 4480 King St Alexandria VA 22302 Periodontist Alexandria CityPhan Phuong 2274 Phuong Phan DMD PC 1225 Martha Custis Dr Alexandria VA 22302 General Provider Alexandria CityDu Khanh 136030 Smiley Du Dental 3610 Forest Dr Alexandria VA 22302 General Provider Alexandria CityLee Hyo 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityMeza Fernando 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityPatel Loken 239620 Arlington Alexandria Endodontics PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityAlayssami Mazin 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityEmad-Azmoudeh Neda 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityHamdoon Sama 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityKnox Dominique 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityNaeem Mariam 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityNure Bahru 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityPark Jung 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityPark Sang Hoon 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 Periodontist Alexandria CityReddy Hima-Bindu 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CityWilliams Shannon 144 Bright Now Dental 5249 Duke St Alexandria VA 22304 General Provider Alexandria CitySangid Maher 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria CitySangid Ronny 154203 Duke Dental Care Plc 50 S Pickett St Alexandria VA 22304 General Provider Alexandria CityLee Hyo 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityMeza Fernando 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CityPatel Loken 37720 Fernando J Meza DMD PLLC 4660 Kenmore Ave Alexandria VA 22304 Endodontist Alexandria CitySolemaninejad Homan 145747 Landmark Dental Care 101 S Whiting St Alexandria VA 22304 General Provider Alexandria CityKim Kyu 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria CityLevine Fernanda 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria CityUpshaw Montressor 247641 Neighborhood Health At Wow Bus 3540 Wheeler Ave Alexandria VA 22304 General Provider Alexandria CityHarvey Anna 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Pedodontist Alexandria CityMiranda Ruben 247628 Neighborhood Health Specialists 3540 Wheeler Ave Alexandria VA 22304 Periodontist Alexandria CityKwon Thomas 342 Thomas S Kwon DDS 4701 Kenmore Ave Alexandria VA 22304 General Provider Alexandria City

* Abdeen Moutaz 208597 Alexandria Smiles Dentistry 5234 Dawes Ave Alexandria VA 22311 General Provider Alexandria CityTolson Ronald 215 Ronald E Tolson DDS 5246 Dawes Ave Alexandria VA 22311 General Provider Alexandria CityKhalefa Said 1269 Said M Khalefa DDS PC 4600 Pincrest Office Park Dr Alexandria VA 22312 General Provider Alexandria CityAsgari Navid 232066 Alexandria Dental Arts 1001 N Fairfax St Alexandria VA 22314 General Provider Alexandria CityStephenson-Frazier Kesha 181520 Parker Gray Pediatric Dental Care PC 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria CityVatanka Heidi 181520 Parker Gray Pediatric Dental Care PC 224 N Fayette St Alexandria VA 22314 Pedodontist Alexandria City

* Huynh Thuylinh 50343 Arlington Center For Dentistry Orthodontics 1050 N Highland St Arlington VA 22201 Orthodontist ArlingtonAsher Kevin 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Oral Surgeon ArlingtonFein Joshua 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist ArlingtonGichana Roselyne 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist ArlingtonGill Kwesi 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Pedodontist ArlingtonLee Eun Young 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist ArlingtonLee Eun Young 37805 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist ArlingtonShambayati Sara 221150 Arlington Center For Dentistry Specialists 1050 N Highland St Arlington VA 22201 Endodontist ArlingtonWray Henry 1391 Henry C Wray DDS 2250 Clarendon Blvd Arlington VA 22201 General Provider ArlingtonFavagehi Jason 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider ArlingtonYi John 81559 Crystal City Dental Arts Center 1615 Crystal Square Arcade Arlington VA 22202 General Provider Arlington

* Lebo Carl 233 Carl G Lebo DDS PC 3801 N Fairfax Dr Arlington VA 22203 General Provider Arlington* Butler Charles 1120 Charles A Butler DDS 3801 Fairfax Dr Arlington VA 22203 General Provider Arlington

Kumra Shawn 127008 Elegant Smiles Dental Care 3801 N Fairfax Dr Arlington VA 22203 General Provider ArlingtonSangid Maher 178977 Columbia Heights Dental Center Plc 3219 Columbia Pk Arlington VA 22204 General Provider ArlingtonSangid Ronny 178977 Columbia Heights Dental Center Plc 3219 Columbia Pk Arlington VA 22204 General Provider ArlingtonKim Kyu 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider ArlingtonLevine Fernanda 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider ArlingtonMontane Ismael 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider ArlingtonUpshaw Montressor 247642 Neighborhood Health At Arlington Dental 2100 Washington Blvd Arlington VA 22204 General Provider ArlingtonHarvey Anna 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Pedodontist ArlingtonMiranda Ruben 247630 Neighborhood Health Specialists 2100 Washington Blvd Arlington VA 22204 Periodontist ArlingtonLee Hyo 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist ArlingtonMeza Fernando 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist ArlingtonPatel Loken 239621 Arlington Alexandria Endodontics PLLC 1635 N George Mason Dr Arlington VA 22205 Endodontist ArlingtonShojaei Mariah 37689 Arlington Cosmetic Dental Group 1731 Clarendon Blvd Arlington VA 22209 Endodontist Arlington

* Saleh Fadi 50933 Fadi Saleh DDS LLC 1911 N Fort Myer Dr Arlington VA 22209 Orthodontist ArlingtonMogharbel Tarek 37711 Mira Dental Care 1901 N Moore St Arlington VA 22209 General Provider Arlington

SELECT PLAN1 DENTIST DIRECTORY

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 1

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Delva Kathy 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake CityJeoun Sungmin 98666 Advanced Sedation Dentistry 200 N Battlefield Blvd Chesapeake VA 23320 General Provider Chesapeake CityAshby John 2869 Ashby Orthodontics Ltd 1021 N Eden Way Chesapeake VA 23320 Orthodontist Chesapeake CityBoyce Darrell 2606 Darrell L Boyce DDSpc 1711 Parkview Dr Chesapeake VA 23320 General Provider Chesapeake CityReynolds Jillian 78272 Lwss Dentistry For Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake CitySachs Scott 78272 Lwss Dentistry For Children 1230 Progressive Dr Chesapeake VA 23320 Pedodontist Chesapeake CityQuigg Richard 2765 Richard K Quigg DDS 505 Independence Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityMorrison Sanford 722 S Neil Morrison DDS & Melvin R Morrison DDS 1230 Progressive Center Chesapeake VA 23320 Oral Surgeon Chesapeake CityBerry Zachary 221157 Scott R Goodove DDS Plc 1100 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityBerry Zachary 68494 Scott R Goodove DDS Plc 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityGoodove Scott 221157 Scott R Goodove DDS Plc 1100 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityGoodove Scott 68494 Scott R Goodove DDS Plc 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityPandolfi Philip 221157 Scott R Goodove DDS Plc 1100 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityZagursky Peter 221157 Scott R Goodove DDS Plc 1100 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityZagursky Peter 68494 Scott R Goodove DDS Plc 1533 Volvo Pkwy Chesapeake VA 23320 Oral Surgeon Chesapeake CityCobb Howard 676 Howard P Cobb DDS 2605 Moses Grandy Trl Chesapeake VA 23323 General Provider Chesapeake CityBarbour Robert 79 Robert K Barbour DMD PC 2520 Gilmerton Rd Chesapeake VA 23323 General Provider Chesapeake CityTran Anh 50571 Chester Orthodontics 11300 Ironbridge Rd Chester VA 23831 Orthodontist ChesterfieldRodrigues Shwetha 2817 Shwetha Rodrigues DDS PC 12517 Jefferson Davis Hwy Chester VA 23831 General Provider ChesterfieldBrown Stephen 301 Chesterfield Oral Surgery Inc 10110 Iron Bridge Rd Chesterfield VA 23832 Oral Surgeon ChesterfieldRhea William 100 William H Rhea DDS 10108 Krause Rd Chesterfield VA 23832 General Provider ChesterfieldKelleher Kevin 37690 Kelleher Orthodontics 2412 Colony Crossing Pl Midlothian VA 23112 Orthodontist ChesterfieldPadgett Thomas 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Ln Midlothian VA 23112 Oral Surgeon ChesterfieldWallace James 313 Richmond Oral & Cosmetic Surgeons 5921 Harbour Ln Midlothian VA 23112 Oral Surgeon ChesterfieldAgnihotri Neil 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldDymon William 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldHarris Monroe 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldKeeney Kanyon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldMetzger Lawrence 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldPack Sean 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldWatson Damon 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldWlodawsky Ross 2381 Virginia Oral & Facial Surgery 6031 Harbour Park Dr Midlothian VA 23112 Oral Surgeon ChesterfieldGray Richard 72103 Apex Endodontics 1149 Jefferson Green Cir Midlothian VA 23113 Endodontist ChesterfieldKim Juhan 5 John J Kim DDS 2927 Polo Pkwy Midlothian VA 23113 General Provider ChesterfieldByrd Richard 2394 Richard L Byrd DDS 2929 Polo Pkwy Midlothian VA 23113 Orthodontist ChesterfieldDonaldson Gavin-Rae 2394 Richard L Byrd DDS 2929 Polo Pkwy Midlothian VA 23113 Orthodontist ChesterfieldPadgett Thomas 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd Midlothian VA 23113 Oral Surgeon ChesterfieldWallace James 314 Richmond Oral & Cosmetic Surgeons 1680 Huguenot Rd Midlothian VA 23113 Oral Surgeon ChesterfieldAgnihotri Neil 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldDymon William 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldHarris Monroe 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldKeeney Kanyon 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldMetzger Lawrence 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldPack Sean 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldWatson Damon 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldWlodawsky Ross 250 Virginia Oral & Facial Surgery 11319 Polo Pl Midlothian VA 23113 Oral Surgeon ChesterfieldPatel Nrupur 33886 Railey Hill Dental 125 Browns Way Rd Midlothian VA 23114 General Provider ChesterfieldStoner Kenneth 36 Kenneth E Stoner DDS Family Dentistry 4106 A Meadowdale Blvd North Chesterfield VA 23234 General Provider ChesterfieldJarvandi Fereshteh 55 Fereshteh Jaravandi DDS 4712 Jefferson Davis Hwy Richmond VA 23234 General Provider ChesterfieldAnderson Ralph 99 Dr Oley & Quilez DDS Plc 1907 W Huguenot Rd Richmond VA 23235 Orthodontist ChesterfieldOley George 99 Dr Oley & Quilez DDS Plc 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldQuilez Robert 99 Dr Oley & Quilez DDS Plc 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldTran Jennifer 99 Dr Oley & Quilez DDS Plc 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldWhitman Kime 99 Dr Oley & Quilez DDS Plc 1907 W Huguenot Rd Richmond VA 23235 General Provider ChesterfieldAbuhajeh Omar 234737 Ideal Dental Care Inc 8111 Midlothian Tpke Richmond VA 23235 General Provider ChesterfieldMorrison Julius 34 Julius V Morrison DDS 3501 Courthouse Rd Richmond VA 23236 General Provider ChesterfieldBroas William 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial HeightsEnglish, Ii Sam 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial HeightsGlaser James 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial HeightsLazar Dale 20 Sam E English II DDS LLC 798 Southpark Blvd Colonial Heights VA 23834 General Provider Colonial HeightsLee Jim 238987 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist Fairfax

* Parsa Mitra 37763 Alexandria Orthodontics 2616 Sherwood Hall Ln Alexandria VA 22306 Orthodontist FairfaxKim Kyu 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider FairfaxLevine Fernanda 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider FairfaxMontane Ismael 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider FairfaxUpshaw Montressor 247639 Neighborhood Health At Richmond Highway 6677 Richmond Hwy Alexandria VA 22306 General Provider FairfaxHarvey Anna 247629 Neighborhood Health Specialists 6677 Richmond Hwy Alexandria VA 22306 Pedodontist FairfaxMiranda Ruben 247629 Neighborhood Health Specialists 6677 Richmond Hwy Alexandria VA 22306 Periodontist FairfaxHenry Rolin 1983 Rolin S Henry DDS PC 7900 Andrus Rd Alexandria VA 22306 Oral Surgeon Fairfax

* Nguyen Tuong-Van 1891 Virginia Dental Center 7467 Richmond Hwy Alexandria VA 22306 General Provider Fairfax* Lu Nhien-Phuong 2866 Alexandria Dental Care 1451 Belle Haven Rd Alexandria VA 22307 General Provider Fairfax

Falaiye Victor 51112 The Dentist Office LLC 8808-F Pear Tree Village Ct Alexandria VA 22309 General Provider Fairfax

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 2

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Lee William 183253 Alexandria Braces 6400 Beulah St Alexandria VA 22310 Orthodontist Fairfax* Scott Annette 144434 Annette E Scott DDS PC 6182 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax

Mai Christine 264422 Cosmetic & Family Dentistry 6422 Grovedale Dr Alexandria VA 22310 General Provider Fairfax* Kaur Ajinder 242147 Cosmo Smiles 6214 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax* Ku Tae Sung 242147 Cosmo Smiles 6214 Old Franconia Rd Alexandria VA 22310 General Provider Fairfax

Dadkhah Mina 50941 Smileville Pediatrics 6354 Walker Ln Alexandria VA 22310 Pedodontist FairfaxKumra Shawn 78281 Elegant Smiles Dental Care 4810 Beauregard St Alexandria VA 22312 General Provider FairfaxPhan Phuong 50919 Kingstowne Family & Cosmetic Dentistry 5960 Kingstowne Town Center Alexandria VA 22315 General Provider FairfaxDjeu Stephanie 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxHsu Yu Kai 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxHuang Tong-Yen 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxLee Brian 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxNgo Tu-Son 50974 The Virginia Endodontic Group-Kingstowne 6831Sir Viceroy Dr Alexandria VA 22315 Endodontist FairfaxDurr John 153413 J Christopher Durr DDS Jd 4216 Evergreen Ln Annandale VA 22003 General Provider Fairfax

* Vroom Katherine 2588 Katherine M Vroom DDS 7027 Evergreen Ct Annandale VA 22003 Orthodontist FairfaxKim Kyu 247643 Neighborhood Health Dental At Annandale 7501 Little River Tpke Annandale VA 22003 General Provider FairfaxLevine Fernanda 247643 Neighborhood Health Dental At Annandale 7501 Little River Tpke Annandale VA 22003 General Provider FairfaxMontane Ismael 247643 Neighborhood Health Dental At Annandale 7501 Little River Tpke Annandale VA 22003 General Provider FairfaxUpshaw Montressor 247643 Neighborhood Health Dental At Annandale 7501 Little River Tpke Annandale VA 22003 General Provider FairfaxHarvey Anna 247631 Neighborhood Health Specialists 7501 Little River Tpk Annandale VA 22003 Pedodontist FairfaxMiranda Ruben 247631 Neighborhood Health Specialists 7501 Little River Tpk Annandale VA 22003 Periodontist FairfaxPalizi Alireza 50466 Alireza Palizi DDS PC 5216-A Lyngate Ct Burke VA 22015 General Provider FairfaxDehyar Joseph 2803 Dr Dehyar & Associates DMD PC 9534 Burke Rd Burke VA 22015 General Provider FairfaxJabbari Farnaz 74 Hashem Sedaghatpour DMD 5631-D Burke Centre Pkwy Burke VA 22015 General Provider FairfaxSedaghatpour Hashem 74 Hashem Sedaghatpour DMD 5631-D Burke Centre Pkwy Burke VA 22015 General Provider FairfaxTreff David 144990 Pediatric Dentistry Of Burke PC 5284 Lyngate Ct Burke VA 22015 Pedodontist Fairfax

* Stern Richard 1012 Richard K Stern DDS PC 5213-B Lyngate Ct Burke VA 22015 Orthodontist FairfaxAlkhandak Mustafa 262841 Sofia Smile 9570 A Burke Rd Burke VA 22015 General Provider FairfaxGhanbari Mohsen 1416 Dr Ghanbari & Associates DDS PC 5727 Center Square Dr Centreville VA 20120 General Provider FairfaxYoon Jaewon 147129 Brite Smile Dental Group 14631 Lee Hwy Centreville VA 20121 General Provider FairfaxBeri Anuradha 1452 Jim J Soltani DDS & Associates PC 6019 Centreville Crest Ln Centreville VA 20121 Periodontist FairfaxFarid Mohammad 1452 Jim J Soltani DDS & Associates PC 6019 Centreville Crest Ln Centreville VA 20121 General Provider FairfaxMendes Kevin 1452 Jim J Soltani DDS & Associates PC 6019 Centreville Crest Ln Centreville VA 20121 Orthodontist FairfaxSoltani Jim 1452 Jim J Soltani DDS & Associates PC 6019 Centreville Crest Ln Centreville VA 20121 General Provider FairfaxTran Thoai-Lan 1452 Jim J Soltani DDS & Associates PC 6019 Centreville Crest Ln Centreville VA 20121 Orthodontist Fairfax

* Filippone Louis 50563 Louis C Filippone DDS PC 6138 Redwood Sq Centreville VA 20121 Orthodontist FairfaxShu Man 61402 V Care Dental LLC 14631 Lee Hwy Centreville VA 20121 General Provider Fairfax

* Kham Sai 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Nguyen Diem 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Nguyen Hang 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Rejintala Archana 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Shyamsundar Sharmila 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Tran Cuong 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Tran Vinh 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Vu Duy -Anh 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 General Provider Fairfax* Yamaguchi Maimi 2256 Chantilly Dental Center 3901 Centerview Dr Chantilly VA 20151 Endodontist Fairfax* Bondalapati Annapurna 50349 Chantilly Dental Center Specialists 3901 Centreview Dr Chantilly VA 20151 Pedodontist Fairfax* Mendes Kevin 50349 Chantilly Dental Center Specialists 3901 Centreview Dr Chantilly VA 20151 Orthodontist Fairfax

Baveja Julie 50972 Children'S Dental Care 14102 Robert Paris Ct Chantilly VA 20151 Pedodontist FairfaxJohnson Gary 50335 Diamond Dental Care Endodontist 13948 Lee Jackson Mem Hwy Chantilly VA 20151 Endodontist FairfaxJarwa Samer 141822 Grace Dental Of Virginia 4530 Walney Rd Chantilly VA 20151 General Provider FairfaxDjeu Stephanie 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxHsu Yu Kai 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxHuang Tong-Yen 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxLee Brian 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxNgo Tu-Son 37661 The Virginia Endodontic Group Plc 14149-B Robert Paris Ct Chantilly VA 20151 Endodontist FairfaxAl-Salim Ahmed 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider FairfaxLin Sandy 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider FairfaxLin Thomas 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Periodontist FairfaxLyn Trevann 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Oral Surgeon FairfaxMiller Jeffrey 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 General Provider FairfaxPatel Pratik 176820 Dental One Associates Old Dominion PLLC 9942 Main St Fairfax VA 22031 Endodontist Fairfax

* Babu Sridevi 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Banavar Rohini 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Behnami Farima 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Colomo Mauricio 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Hoffman Howard 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Howell Everett 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Nguyen Nikki 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 Orthodontist Fairfax* Tchuenbou Jeanne 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Wang Peng 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 3

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

* Young Raymond 523 Dental One Associates Woodson Square 9661 C Main St Fairfax VA 22031 General Provider Fairfax* Kessler Joel 221154 Dental One Associates Woodson Square Specialists 9661 C Main St Fairfax VA 22031 Endodontist Fairfax* Zamakhchari Mai 50931 Dental One Associates Woodson Square Specialists 9661 C Main St Fairfax VA 22031 Periodontist Fairfax

Fein Joshua 155936 Virginia Endodontics 3025 Haymaker Ct Fairfax VA 22031 Endodontist FairfaxKim Young 37680 Young Smile Dental 9940 Main St Fairfax VA 22031 General Provider FairfaxKarmacharya Komal 175949 Rk Dental Care 12011 Lee Jackson Mem. Hwy Fairfax VA 22033 General Provider Fairfax

* Zurmati Farid 175245 Zurmati Dental Care PLLC 9015 Silver Brook Rd Fairfax Station VA 22039 General Provider FairfaxMogharbel Tarek 37710 Mira Dental Care 5671 Columbia Pk Falls Church VA 22041 General Provider FairfaxAnderson Joshua 232042 Renova Smiles 3701 S George Mason Dr Falls Church VA 22041 General Provider FairfaxAmouhashem Parvin 1544 Smile Dental Clinic 3817-A S George Mason Dr Falls Church VA 22041 General Provider FairfaxOvcharenko Vladyslav 72077 Your Family Dentist 5666 Columbia Pk Falls Church VA 22041 General Provider FairfaxGichana Roselyne 187345 Falls Church Pediatric Dental Center 6400 Arlington Blvd Falls Church VA 22042 Pedodontist FairfaxSheikh Shazia 240434 Falls Church Pediatric Dental Center 6400 Arlington Blvd Falls Church VA 22042 General Provider Fairfax

* Kangarloo Ramineh 50943 Gentle Touch Dentistry For All Ages 6521 Arlington Blvd Falls Church VA 22042 General Provider FairfaxKaur Manpreet 202790 Apt Dental Associates PC 7115 Leesburg Pk Falls Church VA 22043 General Provider FairfaxShroff Amisha 202790 Apt Dental Associates PC 7115 Leesburg Pk Falls Church VA 22043 General Provider FairfaxJanabi Eli 236823 Smile Studio Inc 7787 Leesburg Pk Falls Church VA 22043 General Provider FairfaxGhanavati Farzin 196529 Angel Heart & Soul Dentistry 2942 Patrick Henry Dr Falls Church VA 22044 General Provider FairfaxImao Josemari 196529 Angel Heart & Soul Dentistry 2942 Patrick Henry Dr Falls Church VA 22044 General Provider FairfaxSolemaninejad Homan 33844 Arlington Dental Care PLLC 6065 Arlington Blvd Falls Church VA 22044 General Provider FairfaxBordon Elda 258907 Capital Care Dental Group PLLC 2946 Sleepy Hollow Rd Falls Church VA 22044 General Provider FairfaxGregory Eugene 121 Eugene W Gregory DDS 6231 Leesburg Pk Falls Church VA 22044 Oral Surgeon FairfaxTran Vinh 173273 Vinh Xuan Tran DDS PC 6329 Arlington Blvd Falls Church VA 22044 General Provider FairfaxZarookian Armen 208601 Armen Zarookian DMD LLC 459 Herndon Pkwy Herndon VA 20170 General Provider FairfaxRafaat Amirreza 243369 Herndon Smile Design 504 Elden St Herndon VA 20170 General Provider FairfaxPham Long 203338 Nova Dental Practice 462 Herndon Pkwy Herndon VA 20170 General Provider FairfaxDoppalapudi Vivek 1301 Vivek Doppalapudi DDS 102 Elden St Herndon VA 20170 Periodontist FairfaxAlayssami Mazin 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxBeiner Christopher 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxBondalapati Annapurna 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Pedodontist FairfaxChaddad Karim 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Periodontist FairfaxDevylder Joseph 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Oral Surgeon FairfaxEghtessad Michael 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxEmad-Azmoudeh Neda 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxGhanim Layth 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxHagos Samuel 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxHamdoon Sama 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxHussaini Syed 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Orthodontist FairfaxJohnson Gary 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Endodontist FairfaxKnox Dominique 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxLowe Steven 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxNaeem Mariam 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxNallavalli Sravanthi 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxNure Bahru 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxOrnoff Mark 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxPark Jung 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxPark Sang Hoon 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Periodontist FairfaxPatel Ashish 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 Oral Surgeon FairfaxReddy Hima-Bindu 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxWilliams Shannon 92 Bright Now Dental 13873 Park Center Rd Herndon VA 20171 General Provider FairfaxChaddad Karim 50927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd Herndon VA 20171 Periodontist FairfaxDevylder Joseph 50927 Mazin Alayssami DMD & Associates PC Specialists 13873 Park Center Rd Herndon VA 20171 Oral Surgeon FairfaxKhattab Samer 266955 Lorton Town Dental 9010 Lorton Station Blvd Lorton VA 22079 General Provider Fairfax

* Elgazzar Mohamed 151113 Family & Cosmetic Dentistry 6845 Elm St Mclean VA 22101 General Provider FairfaxMogharbel Tarek 51125 Mira Dental Care At Tysons Corner 8201 Greensboro Dr Mclean VA 22102 General Provider FairfaxBajwa Preet 61412 A B Dental 11790 H Baron Cameron Ave Reston VA 20190 General Provider FairfaxPell James 1253 Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Dr Reston VA 20190 Oral Surgeon FairfaxWang Richard 1253 Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Dr Reston VA 20190 Oral Surgeon FairfaxAnoushfar Scheherazad 926 Sherry Anoushfar DDS PC 1984 Isaac Newton Square Reston VA 20190 General Provider FairfaxIzadi Mohsen 926 Sherry Anoushfar DDS PC 1984 Isaac Newton Square Reston VA 20190 General Provider Fairfax

* Khang Wahn 1483 Perio Implant Center 11866 Sunrise Valley Dr Reston VA 20191330Periodontist Fairfax* Kessler Joel 50932 Dental One Associates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150 Endodontist Fairfax* Zamakhchari Mai 50932 Dental One Associates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150 Periodontist Fairfax

Zaiber Ansam 247661 Dr Ansam Zaiber LLC 6800 Backlick Rd Springfield VA 22150 General Provider FairfaxChin Charissa 262139 Graceful Smiles LLC 6120 Brandon Ave Springfield VA 22150 General Provider FairfaxGutmann J. 200 J Steven Gutmann DDS PC 6225 Brandon Ave Springfield VA 22150 Oral Surgeon Fairfax

* Sina Nahid 37651 My Braces Doctor, PC 6525-C Frontier Dr Springfield VA 22150 Orthodontist FairfaxKhalefa Said 48 Said M Khalefa DDS PC 6115 Backlick Rd Springfield VA 22150 General Provider FairfaxKim Seung W. 137479 Andrew Kim DDS 8328 Traford Ln Springfield VA 22152 General Provider Fairfax

* Lu Nhien-Phuong 37546 Burke Family & Cosmetic Dentistry 6116 Rolling Rd Springfield VA 22152 General Provider Fairfax

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 4

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Gupta Raja 258924 Dental First Associates LLC 6116 Rolling Rd Springfield VA 22152 General Provider Fairfax* Behnami Farima 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Colomo Mauricio 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Hoffman Howard 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Howell Everett 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Mehta Nirali 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Nguyen Nikki 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251Orthodontist Fairfax* Yim Alicia 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax* Young Raymond 524 Dental One Assoicates (Springfield), Ltd 6340 Brandon Ave Springfield VA 22150251General Provider Fairfax

Elkhateeb Mohammad 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxEmad-Azmoudeh Neda 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxHagos Samuel 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxHamdoon Sama 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxKnox Dominique 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxKousedghi Hedieh 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxNaeem Mariam 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxNure Bahru 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxPark Jung 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxPark Sang Hoon 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 Periodontist FairfaxReddy Hima-Bindu 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxWilliams Shannon 145 Bright Now Dental 2230 Gallows Rd Vienna VA 22027 General Provider FairfaxChaddad Karim 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Periodontist FairfaxDevylder Joseph 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon FairfaxPatel Ashish 50928 Mazin Alayssami DMD & Associates PC Specialists 2230 Gallows Rd Vienna VA 22027 Oral Surgeon FairfaxCitron Wesley 206769 Albert A Citron DMD 307 Maple Ave Vienna VA 22180 Endodontist FairfaxHasnain Abida 257498 Bright Smiles And Associates 410 Pine St Se Vienna VA 22180 General Provider FairfaxDevylder Joseph 1220 Joseph J Devylder DDS 407-F Church St Vienna VA 22180 Oral Surgeon FairfaxFilali Adam 227438 Dental Bright 8605 Westwood Center Dr Vienna VA 22182 Prosthodontist FairfaxIravani Farideh 2046 Dr Farideh Irvani DMD-Spec 1964 Gallows Rd Vienna VA 22182 Periodontist FairfaxJohnson Gary 37753 Gary J Johnson DDS 8227 Old Courthouse Rd Vienna VA 22182 Endodontist FairfaxChoby Mary 140 Mary Ann Choby DMD Ms 8133 Leesburg Pk Vienna VA 22182 Endodontist FairfaxShambayati Sara 155937 Metropolitan Endodontics 8294 C Old Courthouse Rd Vienna VA 22182 Endodontist Fairfax

* Hong Richard 97164 Richard J Hong DMD PC 8230 Boone Blvd Vienna VA 22182 General Provider FairfaxGoldin Richard 148277 Richard R Goldin DDS Ltd 8298 Old Courthouse Rd Vienna VA 22182 Periodontist FairfaxAnoushfar Scheherazad 1302 Sherry Anoushfar DDS PC 133 E Maple Ave Vienna VA 22182 General Provider FairfaxIzadi Mohsen 1302 Sherry Anoushfar DDS PC 133 E Maple Ave Vienna VA 22182 General Provider FairfaxFavagehi Jason 58 Tysons Corner Dental Arts Center 8304-C Old Courthouse Rd Vienna VA 22182 General Provider FairfaxAlvarez Juan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 Prosthodontist FairfaxImao Josemari 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxKiangsoontra Jason 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxLe Hang 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxNguyen Dao 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxPhan Thoaivan 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxRibeiro Alexandre 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxShu Man 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxTran Cuong 33870 Tysons Corner Dentists 8296-A Old Courthouse Rd Vienna VA 22182 General Provider FairfaxAbril Edison 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist FairfaxBeri Anuradha 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Periodontist FairfaxKhalili-Araghi Eiman 50353 Tysons Corner Dentists Specialists 8296 A Old Courthouse Rd Vienna VA 22182 Endodontist FairfaxLe Phu 244311 Tysons Orthodontic Care 8227 Old Courthouse Rd Vienna VA 22182 Orthodontist FairfaxHong Charlie 2679 Charlie H Hong DMD PC 3554 Chain Bridge Rd Fairfax VA 22030 Endodontist Fairfax CityButt Tehreem 37738 Family Dentistry Of Fairfax PC 10391 Democracy Ln Fairfax VA 22030 General Provider Fairfax CityBolarinwa Olumide 236824 I Smile Dental Care 11001-A Lee Hwy Fairfax VA 22030 General Provider Fairfax CityParvathaneni Bhavani 236824 I Smile Dental Care 11001-A Lee Hwy Fairfax VA 22030 General Provider Fairfax CityRaja Taimour 236824 I Smile Dental Care 11001-A Lee Hwy Fairfax VA 22030 General Provider Fairfax City

* Sina Nahid 2237 My Braces Doctor, PC 3925 Old Lee Hwy Fairfax VA 22030 Orthodontist Fairfax CityBehnami Farima 246002 Advanced Dental Solutions PC 313 Park Ave Falls Church VA 22046 General Provider Falls Church City

* Boyce Albert 358 Albert M Boyce DDS 313 Park Ave Falls Church VA 22046 General Provider Falls Church CitySarraj Ali 1322 Ali Sarraj DMD & Associates PC 932 W Broad St Falls Church VA 22046 General Provider Falls Church CityHawasli Ahmad 61349 American Dental Care 105 N Virginia Ave Falls Church VA 22046 Periodontist Falls Church CityLyazidi Aicha 61349 American Dental Care 105 N Virginia Ave Falls Church VA 22046 General Provider Falls Church CityGalliani Alvarez Mirtha 200647 Growing Smiles Of Northern Virginia 80 E Jefferson St Falls Church VA 22046 Pedodontist Falls Church CityHarvey Anna 200647 Growing Smiles Of Northern Virginia 80 E Jefferson St Falls Church VA 22046 Pedodontist Falls Church CityRekow Marlin 78269 Marlin F Rekow DDS PC 127 E Shirley Ave Warrenton VA 20186 General Provider FauquierBeri Anuradha 196541 Dental One Assoc Fredericksburg PC Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg CityLin Thomas 196541 Dental One Assoc Fredericksburg PC Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg CityOswald Sophie 196541 Dental One Assoc Fredericksburg PC Specialists 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityShah Nidhi 196541 Dental One Assoc Fredericksburg PC Specialists 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg CityAmin Ahmad 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityHo Sylvie 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 5

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Hukmani Navin 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Orthodontist Fredericksburg CityJanabi Eli 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityLyn Trevann 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityMohmmed Ahmed 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityMotamedi Saeid 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Periodontist Fredericksburg CityShami Imad 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 Oral Surgeon Fredericksburg CityUsman Malik 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityZeiaei-Nafchi Saeid 1730 Dental One Associates Fredericksburg PC 201 Park Hill Dr Fredericksburg VA 22401 General Provider Fredericksburg CityWilloughby Tasha 68492 Tranquility Dental Center PLLC 2557 Cowan Blvd Fredericksburg VA 22401 General Provider Fredericksburg CityAtayde Maranatha 50570 John Chung DDS Family Dentistry & Associates 4732 George Washington Hwy Hayes VA 23072 General Provider GloucesterChung John 50570 John Chung DDS Family Dentistry & Associates 4732 George Washington Hwy Hayes VA 23072 General Provider GloucesterAtayde Maranatha 50569 John Chung DDS PC 1959 E Pembroke Ave Hampton VA 23663 General Provider Hampton CityChung John 50569 John Chung DDS PC 1959 E Pembroke Ave Hampton VA 23663 General Provider Hampton CityScott Jon 246 Jon L Scott DDS Ms 2108 Hartford Rd Hampton VA 23666 Orthodontist Hampton City

* Klochak Joseph 128645 Joseph Klochak DMD 2240 Coliseum Dr Hampton VA 23666 General Provider Hampton CityPark Kyeong 2844 Kyeong Park DDS 21 Towne Center Way Hampton VA 23666 General Provider Hampton City

* Modeste Lorenzo 29 Lorenzo J Modeste DDS 2238 W Todds Ln Hampton VA 23666 General Provider Hampton CityGallop Ceceil 38 Ceceil C Gallop DDS 3709 Kecoughtan Rd Hampton VA 23669 General Provider Hampton CityRobinson Donald 39 Donald C Robinson DDS 3709 Kecoughtan Rd Hampton VA 23669 General Provider Hampton CityKhara Amanjot 1065 Amanjot Khara DDS PC 6372 Mechanicsville Tpke Mechanicsville VA 23111 General Provider HanoverKoh Myungsuk 244319 Lee Family Dentistry 7522 Lee Davis Rd Mechanicsville VA 23111 General Provider HanoverLee Kyu 244319 Lee Family Dentistry 7522 Lee Davis Rd Mechanicsville VA 23111 General Provider Hanover

* Jordan Morris 299 Morris L Jordan DDS 7239 Mechanicsville Trnpk Mechanicsville VA 23111 General Provider HanoverBroas William 18 Sam E English II DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23111 General Provider HanoverEnglish, Ii Sam 18 Sam E English II DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23111 General Provider HanoverGlaser James 18 Sam E English II DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23111 General Provider HanoverLazar Dale 18 Sam E English II DDS Ltd 8220 Windmill Watch Dr Mechanicsville VA 23111 General Provider HanoverMurphy Walter 306 Walter K Murphy DDS PC 7009 Lee Park Rd Mechanicsville VA 23111 Oral Surgeon HanoverAgnihotri Neil 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverDymon William 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverHarris Monroe 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverKeeney Kanyon 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverMetzger Lawrence 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverPack Sean 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverWatson Damon 253 Virginia Oral & Facial Surgery 7481 Right Flank Rd Mechanicsville VA 23116 Oral Surgeon HanoverAnderson Ralph 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 Orthodontist HanoverKopelove Stephen 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverOley George 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverOley Reba 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverPoquis Gregory 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverQuilez Robert 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverWilby Lyla Rose 230490 George A Oley III DDS 7016 Lee Park Rd Mechanicsvlle VA 23111 General Provider HanoverBroas William 192864 Sam E English II DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider HanoverEnglish, Ii Sam 192864 Sam E English II DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider HanoverGlaser James 192864 Sam E English II DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider HanoverLazar Dale 192864 Sam E English II DDS LLC 16625 Mountain Rd Montpelier VA 23192 General Provider HanoverDamirchi Nasser 37683 Nasser Damirchi DDS PC 5243 Hickory Park Dr Glen Allen VA 23059 General Provider HenricoAnderson Bradley 300 Bradley R Anderson DDS 11420 W Broad St Glen Allen VA 23060 General Provider Henrico

* Exum Antone 244321 Central Virginia Dental Care Plc 10124 W Broad Glen Allen VA 23060 General Provider HenricoDa Cunha Paul 2718 Paul Da Cunha DMD PC 8503 Patterson Ave Henrico VA 23229 General Provider HenricoGarfield Dean 1984 Garfield Family Dentistry 5500 Monument Ave Richmond VA 23226 General Provider HenricoDeleon Nino Carlo 268812 Peach Tree Family Dentistry PC 5500 Monument Ave Richmond VA 23226 General Provider HenricoAgnihotri Neil 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoDymon William 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoHarris Monroe 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoKeeney Kanyon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoMetzger Lawrence 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoPack Sean 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoWatson Damon 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoWlodawsky Ross 37708 Virginia Oral & Facial Surgery 5224 Monument Ave Richmond VA 23226 Oral Surgeon HenricoJarvandi Fereshteh 50476 Dr Jarvandi DDS & Associates 9305 Quioccasin Rd Richmond VA 23229 General Provider HenricoAnderson Ralph 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 Orthodontist HenricoKopelove Stephen 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoOley George 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoOley Reba 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoPoquis Gregory 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoWilby Lyla Rose 14 George A Oley III DDS 9030 Three Chopt Rd Richmond VA 23229 General Provider HenricoLivingston Lynn 2614 Great Expressions Dental Centers 4859 Finlay St Richmond VA 23231 General Provider HenricoMirmonsef Parastu 2614 Great Expressions Dental Centers 4859 Finlay St Richmond VA 23231 General Provider HenricoHudson Raidah 15 Raidah Hudson DDS PC 4374 S Laburnum Ave Richmond VA 23231 General Provider Henrico

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 6

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Agnihotri Neil 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoDymon William 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoHarris Monroe 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoKeeney Kanyon 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoMetzger Lawrence 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoPack Sean 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoWatson Damon 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoWlodawsky Ross 251 Virginia Oral & Facial Surgery 7702 Parham Rd Richmond VA 23294 Oral Surgeon HenricoAgnihotri Neil 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoDymon William 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoHarris Monroe 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoKeeney Kanyon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoMetzger Lawrence 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoPack Sean 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoWatson Damon 252 Virginia Oral & Facial Surgery 5510 Whiteside Dr Sandston VA 23150 Oral Surgeon HenricoBroas William 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityEnglish, Ii Sam 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityGlaser James 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityLazar Dale 19 Sam E English II DDS Ltd 5303 Plaza Dr Hopewell VA 23860 General Provider Hopewell CityBroas William 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityEnglish, Ii Sam 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityGlaser James 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityLazar Dale 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityRomano Kisley 2647 Sam E English II DDS LLC 4680-16A Monticello Ave Williamsburg VA 23188 General Provider James CityBroas William 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamEnglish, Ii Sam 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamGlaser James 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamLazar Dale 9 Sam E English II DDS Ltd 628 Main St West Point VA 23181 General Provider King WilliamEghtessad Michael 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider LoudounJacklis Ghassan 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider LoudounNallavalli Sravanthi 37695 Gateway Dental 44330 Premier Plaza Ashburn VA 20147 General Provider LoudounChaddad Karim 70969 Gateway Dental Specialists 44330 Premier Plaza Ashburn VA 20147 Periodontist Loudoun

* Kravitz Neal 175247 Kravitz Orthodontics 20405 Exchange St Ashburn VA 20147 Orthodontist LoudounRivas-Morello Chiara 176823 Pediatric Dentistry Of One Loudoun 20405 Exchange St Ashburn VA 20147 Pedodontist LoudounGill Kwesi 196525 Dental One Associates South Riding Specialists 25055 Riding Plaza Dr Chantilly VA 20152 Pedodontist Loudoun

* Omar Anisa 50363 East Gate Orthodontics 25401 Eastern Marketplace Plz Chantilly VA 20152 Orthodontist LoudounAmin Ahmad 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 Oral Surgeon LoudounHukmani Navin 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 Orthodontist LoudounHuynh Thuylinh 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 Orthodontist LoudounLyn Trevann 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 Oral Surgeon LoudounOgunbekun Adenike 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounRamisetty Chetana 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounValleru Silvija 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 General Provider LoudounZeiaei-Nafchi Saeid 37730 South Riding Dental Associates PC 25055 Riding Plaza Dr Chantilly VA 20152 General Provider Loudoun

* Lee Richard 50489 Loudoun Orthodontics 19465 Deerfield Ave Lansdowne VA 20176 Orthodontist LoudounRafaat Amirreza 2290 Amirreza Rafaat DDS PC 19450 Deerfield Ave Leesburg VA 20176 General Provider LoudounDaneshvar Arezou 202201 Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 General Provider LoudounJaamac Scheherazade 202201 Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 General Provider LoudounPerumal Naidu Nag Rohini 202201 Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 General Provider LoudounRashid Sumera 202201 Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 General Provider LoudounWilson Lois 202201 Healthworks For Northern Virginia 163 Fort Evans Rd Ne Leesburg VA 20176 General Provider LoudounLam Victor 208581 Embrace Orthodontics Virginia 46175 Westlake Dr Potomac Falls VA 20165 Orthodontist LoudounNguyen Helen 210096 Helen P Nguyen DDS LLC 46175 Westlake Dr Potomac Falls VA 20165 General Provider LoudounShojaei Mariah 2091 Mariah Shojaei DMD 46161 W Lake Dr Potomac Falls VA 20165 Endodontist LoudounAbbasi-Hafshejani Azita 242126 Top Nova Orthodontics 46165 Westlake Dr Potomac Falls VA 20165 Orthodontist Loudoun

* Kravitz Neal 50923 Kravitz Orthodontics 25055 Riding Plaza South Riding VA 20152 Orthodontist Loudoun* Alvarez Juan 200674 Alvarez Dental Smile 14 Pidgeon Hill Dr Sterling VA 20165 Prosthodontist Loudoun

Vu Brian 264425 Brian Vu DDS 21155 Whitfield Pl Sterling VA 20165 General Provider LoudounBeiner Christopher 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounEghtessad Michael 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounEmad-Azmoudeh Neda 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounGhanim Layth 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounHagos Samuel 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounHamdoon Sama 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounKnox Dominique 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounLowe Steven 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounNaeem Mariam 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounNallavalli Sravanthi 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounNure Bahru 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounPark Jung 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider Loudoun

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 7

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Park Sang Hoon 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 Periodontist LoudounReddy Hima-Bindu 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounWilliams Shannon 157 Bright Now Dental 6 Pidgeon Hill Dr Sterling VA 20165 General Provider LoudounHooshmand Marie 1808 Marie Hooshmand DDS PC 21165 Whitfield Pl Sterling VA 20165 General Provider LoudounChaddad Karim 50929 Mazin Alayssami DMD & Associates PC Specialists 6 Pidgeon Hill Dr Sterling VA 20165 Periodontist LoudounBidgoli Rashin 1937 Rashin T Bidgoli DDS 21145 Whitfield Pl Sterling VA 20165 Endodontist LoudounDadkhah Mina 168076 Smileville Kids 46165 Westlake Dr Sterling VA 20165 Pedodontist LoudounDuong Truc 1912 Truc Duong DDS PC 21145 Whitfield Pl Sterling VA 20165 General Provider Loudoun

* Brown FrankenberryAnishka 78262 Stone Ridge Orthodontics 24600 Millstream Dr Stone Ridge VA 20105 Orthodontist LoudounAl-Karagholi Mustafa 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider Manassas CityAmin Ahmad 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas CityBeri Anuradha 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Periodontist Manassas CityHukmani Navin 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Orthodontist Manassas CityKhosravi Mitra 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider Manassas CityLyn Trevann 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas CityRamisetty Chetana 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider Manassas CityShah Nidhi 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Periodontist Manassas CityShami Imad 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas CitySuresh Rishi 1729 Dental One Associates Manassas PC 7800 Sudley Rd Manassas VA 20109 General Provider Manassas CityGill Kwesi 196526 Dental One Associates Manassas PC Specialists 7800 Sudley Rd Manassas VA 20109 Pedodontist Manassas CityOswald Sophie 196526 Dental One Associates Manassas PC Specialists 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas CityShah Nidhi 196526 Dental One Associates Manassas PC Specialists 7800 Sudley Rd Manassas VA 20109 Periodontist Manassas CityShami Imad 196526 Dental One Associates Manassas PC Specialists 7800 Sudley Rd Manassas VA 20109 Oral Surgeon Manassas CityGoldin Richard 148278 Richard R Goldin DDS Ltd 10684 C Crestwood Dr Manassas VA 20109 Periodontist Manassas CityAl-Salim Ahmed 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas CityCai Phu-Quy 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas CityDube Neelam 232046 Sudley Manor Dental Care 10482 Sudley Manor Dr Manassas VA 20109 General Provider Manassas CityJones Linda 210230 Dr. Linda F Jones DDS 8659 Sudley Rd Manassas VA 20110 General Provider Manassas CityBiscombe Terrence 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityMendes Kevin 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 Orthodontist Manassas CityRejintala Archana 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityTran Cuong 50778 Kevin Mendes DDS & Associates PLLC 8404 Dorsey Cir Manassas VA 20110 General Provider Manassas CityAl Doori Ali 230492 Manassas Dental Smiles 8559 Sudley Rd Manassas VA 20110 General Provider Manassas CityUsman Malik 230492 Manassas Dental Smiles 8559 Sudley Rd Manassas VA 20110 General Provider Manassas CityMiranda Ruben 153404 Manassas Family Dentistry 9625 Surveyor Ct Manassas VA 20110 Periodontist Manassas CityRao Sheila 153404 Manassas Family Dentistry 9625 Surveyor Ct Manassas VA 20110 General Provider Manassas CityOgunbekun Adenike 239619 Novaline Dental 9822 Liberia Ave Manassas VA 20110 General Provider Manassas City

* Hussaini Syed 69576 Syed K Hussaini DDS 10081 Market Cir Manassas VA 20110 Orthodontist Manassas CityBolarinwa Olumide 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas CityBolarinwa Olumide 2396 Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110 General Provider Manassas CitySwanson Cristina 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas CitySwanson Cristina 2396 Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110 General Provider Manassas CityUrteaga Jair 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas CityUrteaga Jair 2396 Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110 General Provider Manassas CityYann Borarath 50713 Wellington Dental Associates 9161 Liberia Ave Manassas VA 20110 General Provider Manassas CityYann Borarath 2396 Wellington Dental Associates 10068 Dumfries Rd Manassas VA 20110 General Provider Manassas City

* Marshall Christopher 438 Christopher W Marshall DDS 655 Gloucester Rd Saluda VA 23149 General Provider MiddlesexInniss Halcyon 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider NelsonMills-Robertson Aba 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider NelsonOttersberg Christine 191100 Blue Ridge Dental Center 4038 Thomas Nelson Hwy Arrington VA 22922 General Provider NelsonKenney Jeffrey 198247 Jeffrey N Kenney DDS PLLC 12420 Warwick Blvd Newport News VA 23602 Oral Surgeon Newport News CityChung John 23 John Chung Family Dentistry 13626 Warwick Blvd Newport News VA 23602 General Provider Newport News CityKatz Ronald 2885 Warwick Dental Center 12420 Warwick Blvd Newport News VA 23606 General Provider Newport News City

* Gordon James 851 Drs Branoff & Kress Pa 5819 Frament Ave Norfolk VA 23502 Orthodontist Norfolk CityWitte Ernest 1219 Periodontology Associates 5900 E Va Beach Blvd Norfolk VA 23502 Periodontist Norfolk CityAshby John 2867 Ashby Orthodontics Ltd 7400 Granby St Norfolk VA 23505 Orthodontist Norfolk CityReynolds Jillian 78270 Lwss Dentistry For Children 302 E Little Creek Rd Norfolk VA 23505 Pedodontist Norfolk CitySachs Scott 78270 Lwss Dentistry For Children 302 E Little Creek Rd Norfolk VA 23505 Pedodontist Norfolk CityShapiro Nathan 78270 Lwss Dentistry For Children 302 E Little Creek Rd Norfolk VA 23505 Pedodontist Norfolk CityFrazier Rita 37 Rita Frazier DDS 136 E Little Creek Rd Norfolk VA 23505 General Provider Norfolk CitySalerno James 37 Rita Frazier DDS 136 E Little Creek Rd Norfolk VA 23505 General Provider Norfolk CityConelias Trent 2841 Trent P Conelias DDS 155 Kingsley Ln Norfolk VA 23505 Oral Surgeon Norfolk CityMorrison Sanford 720 S Neil Morrison DDS & Melvin R Morrison DDS 204 Medical Tower Norfolk VA 23507 Oral Surgeon Norfolk CitySpain Murray 2678 Murray Spain DMD 1216 Granby St Norfolk VA 23510 General Provider Norfolk CityForbes Irama 2876 Tidewater Dental Center PLLC 425 W 20Th St Norfolk VA 23517 General Provider Norfolk CityKatz Ronald 2876 Tidewater Dental Center PLLC 425 W 20Th St Norfolk VA 23517 General Provider Norfolk CityReynolds Kenneth 2876 Tidewater Dental Center PLLC 425 W 20Th St Norfolk VA 23517 General Provider Norfolk CityScott Jon 191099 Dr Jon L Scott 4520 Pretty Lake Ave Norfolk VA 23518 Orthodontist Norfolk CityHowell Robert 151818 Robert W Howell DDS 9547 Shore Dr Norfolk VA 23518 General Provider Norfolk CityGriffin Charles 98 Charles F Griffin DDS 3277 S Crater Rd Petersburg VA 23805 General Provider Petersburg City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 8

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Sweeney Richard 51038 Dominion Dentistry PLLC 3219 Stamford Rd Portsmouth VA 23703 General Provider Portsmouth CityMartin J B 259 Friendly Faces Pediatric Dentistry 446 Effingham St Portsmouth VA 23704 Pedodontist Portsmouth CityBehl Yugal 137471 Friendly Faces Pediatric Dentistry Orthodontics 446 Effingham St Portsmouth VA 23704 Orthodontist Portsmouth CityGreen, Jr. Roosevelt 73 Roosevelt T Green Jr DDS 600 S Green St Portsmouth VA 23704 General Provider Portsmouth City

* Reynolds Kenneth 2161 K Bradley Reynolds DDS 1307 Airline Blvd Portsmouth VA 23707 General Provider Portsmouth CityStevenson Pretlow 322 Pretlow Stevenson Jr DDS 3412 Columbia St Portsmouth VA 23707 General Provider Portsmouth City

* Hanania Hanna 2416 Hanna Hannania DDS PC 4319 Dale Blvd Dale City VA 22193 General Provider Prince WilliamBaker Christine 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamChoi Mi-Yon 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamCuellar-Cordova Eliana 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamHasan Amber 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamLam Matthew 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamPatel Sneha 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamPinzon Amparo 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamRay Sheetal 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamShahidi Afsaneh 236818 Greater Prince William Community Health Center 17739 Main St Dumfries VA 22026 General Provider Prince WilliamVu Lynn 230515 Lynn Vu DDS PC 17865 Main St Dumfries VA 22026 General Provider Prince William

* Zhu Xinsheng 37668 Zhu Orthodontics 17606 Main St Dumfries VA 22026 Orthodontist Prince William* Adi Najib 162169 Atlas Walk Dental 7502 Iron Bar Ln Gainesville VA 20155 General Provider Prince William* Shakashiro Randa 162169 Atlas Walk Dental 7502 Iron Bar Ln Gainesville VA 20155 Orthodontist Prince William* Filippone Louis 50564 Louis C Filippone DDS PC 7521 Virginia Oaks Dr Gainesville VA 20155 Orthodontist Prince William

Traboulsi Georges 2760 Manassas Dental Associates PC Specialists 10630-B Crestwood Dr Manassas VA 20109 Periodontist Prince William* Sina Nahid 37649 My Braces Doctor, PC 10630 Crestwood Dr Manassas VA 20109 Orthodontist Prince William

Ahmed Gaafar 79063 Ayesha Sultan DDS PC 6312 Hoadly Rd Manassas VA 20112 General Provider Prince WilliamSultan Ayesha 79063 Ayesha Sultan DDS PC 6312 Hoadly Rd Manassas VA 20112 General Provider Prince WilliamPatel Mayur 81562 Light Family Dental 14416 Jefferson Davis Hwy Woodbridge VA 22191 General Provider Prince William

* Uppalapati Sindhura 154209 Woodbridge Smiles 14904 Jefferson Davis Hwy Woodbridge VA 22191 General Provider Prince WilliamGhanavati Farzin 151111 Angel Hands Dentistry PLLC 13824 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamImao Josemari 151111 Angel Hands Dentistry PLLC 13824 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamPhan Thoaivan 151111 Angel Hands Dentistry PLLC 13824 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamTraboulsi Georges 2761 Bruce Taheri DDS PC Specialists 3114 Golansky Blvd Woodbridge VA 22192 Periodontist Prince WilliamDoan Thao 2131 Dental Center At Lake Ridge 12764 Darby Brooke Ct Woodbridge VA 22192 General Provider Prince WilliamAmin Ahmad 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamBeri Anuradha 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Periodontist Prince WilliamHo Sylvie 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamHukmani Navin 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Orthodontist Prince WilliamJanabi Eli 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamLyn Trevann 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamSuresh Rishi 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamValleru Silvija 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamZeiaei-Nafchi Saeid 1731 Dental One Associates Woodbridge PC 14520 Smoketown Rd Woodbridge VA 22192 General Provider Prince WilliamOswald Sophie 196542 Dental One Associates Woodbridge PC Specialists 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamShah Nidhi 196542 Dental One Associates Woodbridge PC Specialists 14520 Smoketown Rd Woodbridge VA 22192 Periodontist Prince WilliamShami Imad 196542 Dental One Associates Woodbridge PC Specialists 14520 Smoketown Rd Woodbridge VA 22192 Oral Surgeon Prince WilliamBraunfeld Joel 456 Joel R Braunfeld DDS 2239-L Tackett'S Mill Dr Woodbridge VA 22192 General Provider Prince William

* Saleh Fadi 50883 Lake Ridge Orthodontics PC 12662 A Lake Ridge Dr Woodbridge VA 22192 Orthodontist Prince WilliamToyer April 141143 Lifetime Dental Care PLLC Specialists 14573 Potomac Mills Rd Woodbridge VA 22192 Pedodontist Prince WilliamLyazidi Aicha 37671 Occoquan Family & Cosmetic Dentistry 1392 Old Bridge Rd Woodbridge VA 22192 General Provider Prince WilliamPell James 38079 Oral Surgery Associates Of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince WilliamWang Richard 38079 Oral Surgery Associates Of Northern Virginia Ltd 3158 Golansky Blvd Woodbridge VA 22192 Oral Surgeon Prince WilliamKhattab Samer 264412 Potomac Family Dental 14338 Gideon Dr Woodbridge VA 22192 General Provider Prince WilliamUthman Ahmed 264412 Potomac Family Dental 14338 Gideon Dr Woodbridge VA 22192 General Provider Prince WilliamColina Kevin 33879 Sameer Kwatra DDS PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamDulabh Mita 33879 Sameer Kwatra DDS PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamKwatra Sameer 33879 Sameer Kwatra DDS PC 2970 Prince William Pkwy Woodbridge VA 22192 General Provider Prince WilliamNguyen Phuong 78278 Woodbridge Oral & Maxillofacial Surgery Center 4585 Daisy Reid Ave Woodbridge VA 22192 Oral Surgeon Prince WilliamMai Christine 157112 Christine L Mai DDS PC 13885 Hedgewood Dr Woodbridge VA 22193 General Provider Prince William

* Haston Raymond 451 Raymond C Haston Jr DDS PC 14393 Hereford Rd Woodbridge VA 22193 General Provider Prince WilliamAnderson Joshua 232043 Renova Smiles Woodbridge 14007 Minnieville Rd Woodbridge VA 22193 General Provider Prince WilliamCuellar-Cordova Eliana 232043 Renova Smiles Woodbridge 14007 Minnieville Rd Woodbridge VA 22193 General Provider Prince William

* Abubaker Abubaker 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City* Deeb George 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City* Deluke Dean 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City* Laskin Daniel 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City* Radwan Alaaaldin 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City

Radwan Alaaaldin 202199 Vcu Dental Care 1250 E Marshall St Richmond VA 23219 Oral Surgeon Richmond City* Renapurkar Shravan 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City

Renapurkar Shravan 202199 Vcu Dental Care 1250 E Marshall St Richmond VA 23219 Oral Surgeon Richmond City* Strauss Robert 206762 Vcu Dental Care 401 N 11Th St Richmond VA 23219 Oral Surgeon Richmond City

Adams Randy 181508 Adams & Allen 300 W Broad Str Richmond VA 23220 Pedodontist Richmond City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 9

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Allen Brandon 181508 Adams & Allen 300 W Broad Str Richmond VA 23220 Pedodontist Richmond City* Jones John 64 John W Jones DDS 110 N Robinson St Richmond VA 23220 General Provider Richmond City

Broas William 2669 Sam E English II DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond CityEnglish, Ii Sam 2669 Sam E English II DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond CityGlaser James 2669 Sam E English II DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond CityLazar Dale 2669 Sam E English II DDS LLC 900 N Hamilton Str Richmond VA 23221 General Provider Richmond City

* Puller Anthony 10 Anthony J Puller DDS 7834 Forest Hill Ave Richmond VA 23225 General Provider Richmond CityByrd Richard 135 Richard L Byrd DDS 9221 Forest Hill Ave Richmond VA 23225 Orthodontist Richmond CityDonaldson Gavin-Rae 135 Richard L Byrd DDS 9221 Forest Hill Ave Richmond VA 23225 Orthodontist Richmond CityFloyd Jazmin 135 Richard L Byrd DDS 9221 Forest Hill Ave Richmond VA 23225 Pedodontist Richmond CityStoner Kenneth 40 Kenneth E Stoner DDS & Associates 4922 W Broad St Richmond VA 23230 General Provider Richmond CityCade Ronald 1584 Ronald E Cade Inc 9200 Forest Hill Ave Richmond VA 23235 General Provider Richmond CityAbubaker Abubaker 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityDeeb George 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityDeluke Dean 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityLaskin Daniel 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityRadwan Alaaaldin 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityRenapurkar Shravan 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond CityStrauss Robert 1699 Dentistry@Vcu 520 N 12Th St Richmond VA 23298 Oral Surgeon Richmond City

* Radwan Alaaaldin 137476 Dentistry@Vcu Prosthodontics 521 N 11Th St Richmond VA 23298 Oral Surgeon Richmond CityMorrison Julius 59 Julius V Morrison DDS 530 E Main St Richmond VA 23219113General Provider Richmond CityRomano Frank 147 Frank D Romano DDS 1133 Heatherstone Dr Fredericksburg VA 22407 General Provider Spotsylvania

* Sina Nahid 37650 My Braces Doctor, PC 4300 Plank Rd Fredericksburg VA 22407 Orthodontist SpotsylvaniaAl-Faysale Nora 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider SpotsylvaniaAl-Salim Ahmed 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider SpotsylvaniaArafa Mohamed 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider SpotsylvaniaElgazzar Mohamed 80816 Advanced Dental Care Of Fredericksburg 10524 Spotsylvania Ave Fredericksburg VA 22408 General Provider SpotsylvaniaPagan Robert 1206 R David Pagan DMD PC 4224 Plank Rd Fredericksburg VA 22407480Endodontist SpotsylvaniaAlayssami Mazin 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaAl-Quraishi Zaynab 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaBeiner Christopher 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaBlackwood Michael 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 Orthodontist SpotsylvaniaEmad-Azmoudeh Neda 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaGhanim Layth 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaHagos Samuel 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaHamdoon Sama 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaIskander Erene 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaKimble Tanks Felisha 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaKnox Dominique 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaKousedghi Hedieh 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaMalghan Nandini 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaNaeem Mariam 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaPark Jung 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaReddy Hima-Bindu 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaWilliams Shannon 37958 Bright Now Dental 10454 Hill Top Plaza Way Spotsylvania VA 22553 General Provider SpotsylvaniaAl-Faysale Nora 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordAl-Salim Ahmed 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordArafa Mohamed 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordElgazzar Mohamed 266953 Advanced Care Of Stafford 2052 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordAlayssami Mazin 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordBondalapati Annapurna 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Pedodontist StaffordChaddad Karim 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Periodontist StaffordDevylder Joseph 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Oral Surgeon StaffordElgazzar Mohamed 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordEmad-Azmoudeh Neda 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordHagos Samuel 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordHamdoon Sama 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordIskander Erene 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordJohnson Gary 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Endodontist StaffordKnox Dominique 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordKousedghi Hedieh 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordNaeem Mariam 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordNiepraschk Markus 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 Orthodontist StaffordPark Jung 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordReddy Hima-Bindu 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordWilliams Shannon 156 Bright Now Dental 392 Garrisonville Rd Stafford VA 22554 General Provider StaffordAttreed Elizabeth 854 Elizabeth M Attreed DDS 2832 Jefferson Davis Hwy Stafford VA 22554 General Provider StaffordBondalapati Annapurna 50930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd Stafford VA 22554 Pedodontist StaffordChaddad Karim 50930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd Stafford VA 22554 Periodontist StaffordPatel Ashish 50930 Mazin Alayssami DMD & Associates PC Specialists 392 Garrisonville Rd Stafford VA 22554 Oral Surgeon Stafford

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 10

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.

Dentists listed are under contract as of 7/1/18

Last Name First Name Fac ID Dental Office Name Office Address City ST ZIP Discipline County

SELECT PLAN1 DENTIST DIRECTORY

Reynolds Jillian 78274 Lwss Dentistry For Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk CitySachs Scott 78274 Lwss Dentistry For Children 210 Meadow View Blvd Suffolk VA 23435 Pedodontist Suffolk CityBerry Zachary 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityGoodove Scott 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityZagursky Peter 51074 Scott R Goodove DDS Plc 5849 Harbour View Blvd Suffolk VA 23435 Oral Surgeon Suffolk CityDelva Kathy 219110 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach CityJeoun Sungmin 219110 Advanced Sedation Dentistry 616 Virginia Beach Blvd Virginia Beach VA 23451 General Provider Virginia Beach CityEllis Kevin 283278 Dr Kevin J Ellis Dentistry LLC 205 34Th St Virginia Beach VA 23451 General Provider Virginia Beach City

* Ellis Kevin 1692 Kevin J Ellis DMD Family Dentistry 205 34Th St Virginia Beach VA 23451 General Provider Virginia Beach CityElattrache Dean 2122 Laskin Endodontic Specialists 1369 Laskin Rd Virginia Beach VA 23451 Endodontist Virginia Beach CityFord Melvin 1097 Ford & Guter DDS Ltd 2875 Sabre Str Virginia Beach VA 23452 Oral Surgeon Virginia Beach CityGuter Klaus 1097 Ford & Guter DDS Ltd 2875 Sabre Str Virginia Beach VA 23452 Oral Surgeon Virginia Beach CityHartman Gary 2163 Gary A Hartman DDS Ms Ltd 240 Mustang Tr Virginia Beach VA 23452 Periodontist Virginia Beach CityKonikoff Albert 255 Konikoff Salzberg Periodontics 477 Viking Dr Virginia Beach VA 23452 Periodontist Virginia Beach CityKonikoff Bryan 255 Konikoff Salzberg Periodontics 477 Viking Dr Virginia Beach VA 23452 Periodontist Virginia Beach CitySalzberg Trang 255 Konikoff Salzberg Periodontics 477 Viking Dr Virginia Beach VA 23452 Periodontist Virginia Beach CityWebber Caroline 255 Konikoff Salzberg Periodontics 477 Viking Dr Virginia Beach VA 23452 Oral Surgeon Virginia Beach CityFolck Michael 33857 Mid Atlantic Implant & Oral Surgery Center PC 272 Bendix Rd Virginia Beach VA 23452 Oral Surgeon Virginia Beach CitySpain Murray 97 Murray Spain DMD 3634 S Plaza Trail Virginia Beach VA 23452 General Provider Virginia Beach CityMueller David 1754 David P Mueller DDS 1157 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityLeidy Jeffrey 80 Jeffrey R Leidy DMD PC 1301 First Colonial Rd Virginia Beach VA 23454 General Provider Virginia Beach CityShulman Jeremy 1688 Jeremy Shulman DDS Ms 1301 First Colonial Rd Virginia Beach VA 23454 Periodontist Virginia Beach CityReynolds Jillian 78273 Lwss Dentistry For Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach CityReynolds Jillian 243368 Lwss Dentistry For Children 2185 Upton Dr Virginia Beach VA 23454 Pedodontist Virginia Beach CitySachs Scott 78273 Lwss Dentistry For Children 1157 First Colonial Rd Virginia Beach VA 23454 Pedodontist Virginia Beach CitySachs Scott 243368 Lwss Dentistry For Children 2185 Upton Dr Virginia Beach VA 23454 Pedodontist Virginia Beach CityQuigg Richard 1106 Richard K Quigg DDS 984 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityBerry Zachary 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityGoodove Scott 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityPandolfi Philip 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityZagursky Peter 37684 Scott R Goodove DDS Plc 1127 First Colonial Rd Virginia Beach VA 23454 Oral Surgeon Virginia Beach CityBerger Arnold 27 The Doctors Berger DMD Plc 2404 Virginia Beach Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityBerger Fallon 27 The Doctors Berger DMD Plc 2404 Virginia Beach Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityBerger Louis 27 The Doctors Berger DMD Plc 2404 Virginia Beach Blvd Virginia Beach VA 23454 General Provider Virginia Beach CityVendetti Curtis 33861 Virginia Surgical Arts LLC 1240 Perimeter Pkwy Virginia Beach VA 23454 Oral Surgeon Virginia Beach City

* Waterman Jennifer 127686 Waterman Family Dentistry 525 N Great Neck Rd Virginia Beach VA 23454 General Provider Virginia Beach CitySpain Murray 2863 Murray Spain DMD 1127 Independence Blvd Virginia Beach VA 23455 General Provider Virginia Beach CityOduyelu Bukola 1552 Bukola A Oduyelu DDS PC 2264 London Bridge Rd Virginia Beach VA 23456 Pedodontist Virginia Beach CityFord Melvin 1366 Ford & Guter DDS Ltd 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach CityGuter Klaus 1366 Ford & Guter DDS Ltd 2100 Lynnhaven Pkwy Virginia Beach VA 23456 Oral Surgeon Virginia Beach CityGoldstein Stephen 543 Mahanes Dental Group 2521 N Landing Rd Virginia Beach VA 23456 General Provider Virginia Beach CityMahanes Alan 543 Mahanes Dental Group 2521 N Landing Rd Virginia Beach VA 23456 General Provider Virginia Beach City

* Bergano Allan 243 Allan L Bergano DDS PC 4460 Corporation Ln Virginia Beach VA 23462 General Provider Virginia Beach CitySalem Muhanad 202783 Atlantic Family Dentistry 4867 Baxter Rd Virginia Beach VA 23462 General Provider Virginia Beach CityOchave Frederick 1745 Frederick P Ochave DMD 289 Independence Blvd Virginia Beach VA 23462 General Provider Virginia Beach City

* Gladstone Myron 201 Drs Gladstone & Salerno 5318 Providence Rd Virginia Beach VA 23464 General Provider Virginia Beach City* Salerno James 201 Drs Gladstone & Salerno 5318 Providence Rd Virginia Beach VA 23464 General Provider Virginia Beach City* Smith Jacqueline 50338 Jacqueline B Smith DDS PLLC 1385 Fordham Dr Virginia Beach VA 23464 General Provider Virginia Beach City

Reynolds Jillian 78271 Lwss Dentistry For Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach CitySachs Scott 78271 Lwss Dentistry For Children 904 Kempsville Rd Virginia Beach VA 23464 Pedodontist Virginia Beach CityMorrison Sanford 721 S Neil Morrison DDS & Melvin R Morrison DDS 904 Kempsville Rd Virginia Beach VA 23464 Oral Surgeon Virginia Beach CityConelias Trent 2842 Trent P Conelias DDS 6033 Providence Rd Virginia Beach VA 23464 Oral Surgeon Virginia Beach CityAshby John 179 Ashby Orthodontics Ltd 4356-4 Bonney Rd Virginia Beach VA 23452120Orthodontist Virginia Beach CityModjadidi Osama 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462000General Provider Virginia Beach CityReynolds Kenneth 1533 Harmony Dental Group 401 Green Meadows Dr Virginia Beach VA 23462000General Provider Virginia Beach City

* Indicates dentist that is accepting current patients only.VA Select Plan Dentists Page 11

1 Same or as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms proof of loss (except in the case of out-of-area emergencies). Member must enroll with a General Dentist. Fac ID is used to indicate which facility a member chooses. Please contact the provider or

facility before seeking treatment to confirm the provider is actively participating in your plan.