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Virginia DeltaCare Provider ListALEXANDRIAALEXANDRIA (cont’d)ANNANDALE (con’t)Mazin AlayssamiProvider # VA000401008416(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413*Joel KesslerProvider # VA000401006677(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600Tae LeeProvider # VA000401008922(1)7002-C Little River TpkAnnandale, VA 22003703-256-7100**Joseph DevylderProvider # VA000438000161(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Said KhalefaProvider # VA000401007592(2)4600 B Pinecrest Office Pk DrAlexandria, VA 22312703-914-0020ARLINGTONStephanie DicksonProvider # VA000401410681(1)5962 Richmond HwyAlexandria, VA 22303571-481-4410*Lawrence KotlerProvider # VA000401004446(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600Khanh DuProvider # VA000401413715(1)3610 Forest DrAlexandria, VA 22302703-578-4221*Kevin KunzProvider # VA000401415369(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Neda Emad-AzmoudehProvider # VA000401007860(1)5249 Duke StreetSte 210Alexandria, VA 22304703-823-2413Sama HamdoonProvider # VA000401415776(1)5249 Duke Street210Alexandria, VA 22304703-823-2413**Rolin HenryProvider # VA000401410508(1)7900 Andrus Rd #2Alexandria, VA 22306703-780-4422Shiva KermanshiProvider # VA000401410790(1)715 Pendleton StAlexandria, VA 22314571-970-3783Shiva KermanshiProvider # VA000401410790(1)101 S Whiting St #100Alexandria, VA 22304703-751-7000Mariam NaeemProvider # VA000401414993(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Jung ParkProvider # VA000401411935(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Homan SolemaninejadProvider # VA000401410638(1)715 Pendleton StAlexandria, VA 22314571-970-3783Homan SolemaninejadProvider # VA000401410638(1)101 S Whiting St #100Alexandria, VA 22304703-751-7000ANNANDALE**Joseph DevylderProvider # VA000438000161(7)7620 Ltl River Tnpk 204Annandale, VA 22003703-354-0686Monica Chang-WatanabeProvider # VA000401412427(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Hung DuongProvider # VA000401410983(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Roselyne GichanaProvider # VA000401413414(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Thuylinh HuynhProvider # VA000401412334(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888*Eun LeeProvider # VA000401413569(1)1050 N Highland StSte 300NArlington, VA 22201703-527-3888Diem NguyenProvider # VA000401410421(1)1050 N Highland St.#300NArlington, VA 22201703-527-3888*Tu-Quynh NguyenProvider # VA000401410610(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-02551ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
ARLINGTON (cont’d)CHANTILLYCHESAPEAKE (cont’d)*Richard PollockProvider # VA000401007979(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-0255***Annapurna BondalapatiProvider # VA000401415769(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Asha ArtisProvider # VA000401413634(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Homan SolemaninejadProvider # VA000401410638(1)900 N Randolph St #103Arlington, VA 22203703-243-3600Sai KhamProvider # VA000401413691(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0217John AshbyProvider # VA000401411276(3)1021 N Eden WaySte 128Chesapeake, VA 23320757-547-8700ASHBURN**Barry MaharajProvider # VA000401410305(1)3910 Centreville Rd #110Chantilly, VA 20151703-668-9494Gretchen DreesProvider # VA000401008890(1)100 Arbor Oak Dr #101Ashland, VA 23005804-798-7388Neal KravitzProvider # VA000401411350(1)20405 Exchange St #260Ashburn, VA 20147703-729-0350***Chiara Rivas-MorelloProvider # VA000463342808(1)20405 Exchange St#210Ashburn, VA 20147703-729-0350Duy-Anh VuProvider # VA000401413312(1)20915 Ashburn Rd #245Asburn, VA 20147703-726-9313BURKE*Tu-Quynh NguyenProvider # VA000401410610(2)8987 Hersand DriveBurke, VA 22015703-978-2525*Richard PollockProvider # VA000401007979(2)8987 Hersand DriveBurke, VA 22015703-978-2525CENTREVILLE*Edward StrittmatterProvider # VA000401007891(1)5957 Centreville Crest LaneCentreville, VA 20121703-815-3636Diem NguyenProvider # VA000401410421(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Archana RejintalaProvider # VA000401412664(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214*Stephen SchroderProvider # VA000401415207(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Vinh TranProvider # VA000401413899(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Xinsheng ZhuProvider # VA000401411645(2)14149 A Roberts Paris CtChantilly, VA 20151703-657-0555Robert BarbourProvider # VA000401006133(1)2520 Gilmerton RdChesapeake, VA 23323757-673-2594Kristen BenesProvider # VA000401413031(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Zachary BerryProvider # VA000401414196(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Darrell BoyceProvider # VA000401007992(1)1711 Parkview DriveChesapeake, VA 23320757-424-6580Kenneth BoydProvider # VA000401007988(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421Kelly BusseyProvider # VA000401410052(2)2995 Churchland Blvd #BChesapeake, VA 23321757-416-5333CHESAPEAKEAmen AlemayehuProvider # VA000401413304(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Benjamin AndersonProvider # VA000401410504(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Thoai-Lan TranProvider # VA000401412959(1)6019 Centreville Crest LaneCentreville, VA 20121703-266-2000*William BusseyProvider # VA000401004066(2)2995 Churchland Blvd #BChesapeake, VA 23321757-416-5333**Valerie ByrnsideProvider # VA000401411443(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Howard CobbProvider # VA000401007814(3)2605 Moses Grandy Tr Ste BChesapeake, VA 23323757-558-06002ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)Kathy DelvaProvider # VA000401415001(1)200 N Battlefield Blvd # 4Chesapeake, VA 23320757-769-7155Pye KyuProvider # VA000401411565(1)1200 N Battlefield BlvdSte 117Chesapeake, VA 23320757-436-4227Warren SachsProvider # VA000401004189(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Bernarda FriasProvider # VA000401414445(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421Joseph GloriaProvider # VA000401008048(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Keith GoldsteinProvider # VA000401007904(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Scott GoodoveProvider # VA000401410548(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002Zaneta HamlinProvider # VA000401413708(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Vanessa HartmanProvider # VA000401414686(1)801 Greenbrier ParkwayChesapeake, VA 23320757-547-3003Kimbrough HornsbyProvider # VA000401411379(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Elleni KapoorProvider # VA000401413954(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270****Albert KonikoffProvider # VA000401004445(2)1230 Progressive DrChesapeake, VA 23320757-436-4026****Bryan KonikoffProvider # VA000401410766(2)1230 Progressive DrChesapeake, VA 23320757-436-4026*Pye KyuProvider # VA000401411565(2)1230 Progressive Dr.Ste. 105Chesapeake, VA 23320757-436-4227Angela LanierProvider # VA000401410700(2)4107 Portsmouth Blvd #107Chesapeake, VA 23321757-488-1421Clara LlodraProvider # VA000401008380(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Michael MarcouProvider # VA000401007701(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Vicki McMillanProvider # VA000401008728(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Darrell MeeksProvider # VA000401007337(2)711 Greenbriar Pkwy #104Chesapeake, VA 23320757-548-1712Louis PeronProvider # VA000401004795(3)501 Independence Pkwy #101Chesapeake, VA 23320757-467-2102Jillian ReynoldsProvider # VA000401412189(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Scott SachsProvider # VA000401412640(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270****Trang SalzbergProvider # VA000401410596(2)1230 Progressive DrChesapeake, VA 23320757-436-4026Ivan SchiffProvider # VA000401004149(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Nathan ShapiroProvider # VA000401415270(3)1230 Progressive DrSte 103Chesapeake, VA 23320757-436-1270Darian SimmonsProvider # VA000401410476(1)801 Volvo Pkwy #113Chesapeake, VA 23320757-436-7000Lauren SingorProvider # VA000401412199(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Thomas SmithProvider # VA000401008820(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Marcus SurProvider # VA000401414439(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Britnie TranProvider # VA000401414441(3)1230 Progressive Dr #103Chesapeake, VA 23320757-673-6250Sheila VacendakProvider # VA000401008843(1)701 Quince PlaceChesapeake, VA 23320757-609-3510Daniel VacendakProvider # VA000401413228(1)701 Quince PlaceChesapeake, VA 23320757-609-35103ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESAPEAKE (cont’d)CHESTER (cont’d)COLONIAL HEIGHTS (cont’d)**Caroline WebberProvider # VA000401411368(2)1230 Progressive DrChesapeake, VA 23320757-436-4026**Robert O'NeillProvider # VA000401412441(2)11971 Ironbridge RoadChester, VA 23831804-748-6350Nirmal BogollagamaProvider # VA000401410789(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177Lee WeinsteinProvider # VA000401007794(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Robert O'NeillProvider # VA000401004685(2)11971 Ironbridge RoadChester, VA 23831804-748-6350*Scott GerardProvider # VA000401007068(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000Julian WillisProvider # VA000401005083(1)801 Greenbrier ParkwayChesapeake, VA 23320757-547-3003**Bradley TrotterProvider # VA000401008539(2)11971 Ironbridge RoadChester, VA 23831804-748-6350James GlaserProvider # VA000401005115(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177Paul YehProvider # VA000401410551(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Gordon WitcherProvider # VA000401005310(2)4301 W Hundred RdChester, VA 23831804-562-2667*Ellen OertelProvider # VA000401007706(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000**Peter ZagurskyProvider # VA000401411371(6)1100 Volvo Parkway #300Chesapeake, VA hen BrownProvider # VA000401007582(1)10110 Iron Bridge RoadChesterfield, VA 23832804-768-9000Xinsheng ZhuProvider # VA000401411645(1)17606 Main StSte 200Dumfries, VA 22026703-445-1999Wakeshi BensonProvider # VA000401411415(1)12230 Iron Bridge Rd #BChester, VA 23831804-404-3804Davis GardnerProvider # VA000401412847(1)7205 Hancock Village DrChesterfield, VA 23832804-332-6310**Paul BrinserProvider # VA000401410148(2)11971 Ironbridge RoadChester, VA 23831804-748-6350*Scott GerardProvider # VA000401007068(2)10320 Memory LnChesterfield, VA 23832804-796-1136Brian BurkeProvider # VA000401413575(2)4301 W Hundred RdChester, VA 23831804-562-2667Mitchell GrimmerProvider # VA000401415649(28)7205 Hancock Village DrChesterfield, VA 23832804-332-6310Steven CastroProvider # VA000401008598(2)2930 West Hundred RdChester, VA 23831804-751-0146*Ellen OertelProvider # VA000401007706(2)10320 Memory LnChesterfield, VA 23832804-796-1136Kristin DavidsonProvider # VA000401414458(2)2930 West Hundred RdChester, VA 23831804-751-0146COLONIAL HEIGHTSRalph AndersonProvider # VA000401008749(2)556 Southpark BlvdColonial Heights, VA 23834804-526-2702FAIRFAXBrian ChaseProvider # VA000401401927(1)1150 Lee HwyFairfax, VA 22030703-520-6376**Moein Jabbar DarjaniProvider # VA000401413097(1)14337 Newbrook DrSte 200Fairfax, VA 22030703-214-2113**Moein Jabbar DarjaniProvider # VA000401413097(1)11050 Lee HighwayFairfax, VA 22030703-520-6376Yasamin RasoolProvider # VA000401416128(1)14337 Newbrook DrSuite 200Fairfax, VA 22030703-214-21134ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
FALLS CHURCHFREDERICKSBURG (cont’d)GAINESVILLE (cont’d)Joshua AndersonProvider # VA000401412572(1)3701 S George Mason DrSte C7NFalls Church, VA 22041703-998-8826Angela DiazProvider # VA000401412527(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400Hicham MekouarProvider # VA000401411070(1)7462 Limestone DrGainesville, VA 20155703-753-3346Camilo DuarteProvider # VA000401412057(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400Mike NguyenProvider # VA000401413735(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279Syed HussainiProvider # VA000401412740(2)927 Maple Grove DrSte 111Fredericksburg, VA 22407540-786-0051Charles ParkProvider # VA000401411122(1)7462 Limestone DrGainesville, VA 20155703-753-3346Jhosdyn BarraganProvider# VA000401415701(1)3701 S George Mason DrSTE #C7NFalls Church, VA 22041703-998-8826Eliana Cuellar-CordovaProvider # VA000401413574(1)3701 S George Mason DrSte C7NFalls Church, VA 22041703-998-8826**Eugene GregoryProvider # VA000401004539(1)6231 Leesburg Pike #402Falls Church, VA 22044703-534-2744Shiva KermanshiProvider # VA000401410790(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060Carter RichardsProvider # VA000401008839(1)974 Bragg RdFredericksburg, VA 22407540-785-5885Tasha WilloughbyProvider # VA000401411109(1)2557 Cowan BlvdFredericksburg, VA 22401540-551-5550Ali ShahrestaniProvider # VA000401415528(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279Jae-Woo JungProvider # VA000401416138(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279GLEN ALLENGAINESVILLE*Tu-Quynh NguyenProvider # VA000401410610(1)311 Park Ave #3Falls Church, VA 22046703-534-4884Gursimran BhangraProvider # VA000401415905(1)8140 Stonewall Shops SquareGainesville, VA 20155571-298-8279Omar AbuhajlehProvider # VA000401412655(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400*Richard PollockProvider # VA000401007979(1)311 Park Ave #3Falls Church, VA 22046703-534-4884*Moein Jabbar DarjaniProvider # VA000401413097(1)8140 Stonewall Shops SquareGainesville, VA 20155714-845-8890**Neil AgnihotriProvider # VA000401412743(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Homan SolemaninejadProvider # VA000401410638(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060****Fadi HasanProvider # VA000401413459(2)7915 Lake Manassas Dr #207Gainesville, VA 20155Smriti BajajProvider # VA000401413916(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200Carla Zamora-RojasProvider# VA000401412958(1)3701 S George Mason DrSTE #C7NFalls Church, VA 22041703-998-8826FREDERICKSBURGRichard ByrdProvider # VA000401007026(2)927 Maple Grove Dr Ste 111Fredericksburg, VA 22407540-786-0051****Justin HardisonProvider # VA000401413670(2)7915 Lake Manassas Dr #207Gainesville, VA 20155**Steve HuangProvider # VA000401415752(1)8140 Stonewall Shops SquareGainesville, VA 20155571-295-8279****Jean-Claude KharmoucheProvider # VA000401008809(2)7915 Lake Manassas Dr #207Gainesville, VA 20155Nasser DamirchiProvider # VA000401008636(2)5243 Hickory Park DrSte DGlen Allen, VA 23059804-270-5005**William DymonProvider # VA000401008625(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-80615ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
GLEN ALLEN (cont’d)GLEN ALLEN (cont’d)HAMPTONGultaj GrewalProvider # VA000401414211(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400**Sean PackProvider # VA000401415596(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Donovan CavesProvider # VA000401414055(1)907 Big Bethel RdHampton, VA 23666757-838-5999Mimi ParkProvider # VA000401412922(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400John ChungProvider # VA000401008234(6)1959 E Pembroke AveHampton, VA 23663757-723-6565**Monroe HarrisProvider # VA000401007107(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Crystal JoyceProvider # VA000401415678(2)3944 Springfield RdGlen Allen, VA 23060804-240-5214**Kanyon KeeneyProvider # VA000401006889(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Manik KhistiProvider # VA000401412158(1)3938 Springfield RdGlen Allen, VA 23060840-747-7400Elizabeth MeiProvider # VA000401008096(3)10170 Staples Mill RdSte BGlen Allen, VA 23060804-726-1870**Lawrence MetzgerProvider # VA000401007540(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Parastu MirmonsefProvider # VA000401412150(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Julius MorrisonProvider # VA000401006978(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Leonard NunnallyProvider # VA000401411817(1)11531 Nuckols RdSte BGlen Allen, VA 23059804-747-0908Saumitra SaravanaProvider # VA000401411038(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Farshid SoltanianProvider # VA000401008668(2)3944 Springfield RdGlen Allen, VA 23060804-270-5214Harry Tatoian JrProvider # VA000401414742(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Richard VillaProvider # VA000401008076(1)10120 West Broad St #LGlen Allen, VA 23060804-747-0137**Damon WatsonProvider # VA000401412132(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061**Bryan WheelerProvider # VA000401416025(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061**Ross WlodawskyProvider # VA000401410693(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Maryam ZareiProvider # VA000401410952(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200Curtis DaileyProvider # VA000401410187(1)2118 Executive DrHampton, VA 23666757-826-5075Richard DonzellProvider # VA000401005565(1)2021 A Cunningham DrSte 6Hampton, VA 23666757-826-7600Ceceil GallopProvider # VA000401005874(1)3709 Kecoughtan RoadHampton, VA 23669757-722-8507Joelle Hendrickson-HairstonProvider # VA000401412630(1)907 Big Bethel RdHampton, VA 23666757-838-5999Yujin JungProvider # VA000401414547(6)1959 E Pembroke AveHampton, VA 23663757-723-6565Rajni KapoorProvider# VA000401414188(1)907 Big Bethel RdHampton, VA 23666757-838-5999****Michael KokorelisProvider # VA000401005924(1)2113 Hartford RoadHampton, VA 23666757-827-1572Elias LlerandiProvider # VA000401411857(1)907 Big Bethel RdHampton, VA 23666757-838-5999Lorenzo ModesteProvider # VA000401007928(1)2238 W Todds St # CHampton, VA 23666757-825-60986ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
HAMPTON (cont’d)HAYES (cont’d)HERNDON (cont’d)Arya NamboodiriProvider # VA000401414098(1)907 Big Bethel RdHampton, VA 23666757-838-5999Yujin JungProvider # VA000401414547(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-9055Syed HussainiProvider # VA000401412740(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115HERNDONDominique KnoxProvider # VA000401415685(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Kyeong ParkProvider # VA000401411191(1)21 Towne Centre WayHampton, VA 23666757-838-9140Donald RobinsonProvider # VA000401006982(1)3709 Kecoughtan RdHampton, VA 23669757-722-8507Jon ScottProvider # VA000401005160(1)1186 Big Bethel RdHampton, VA 23666757-825-6280Jon ScottProvider # VA000401005160(5)2108 Hartford RdHampton, VA 23666757-825-6280**Bradley TrotterProvider # VA000401008539(1)3000 Coliseum Dr, Ste 204Hampton, VA 23666757-838-3975James WatkinsProvider # VA000401004948(2)2207 Executive Dr Ste CHampton, VA 23666757-827-5225Jasper WattsProvider # VA000401005412(1)907 Big Bethel RdHampton, VA 23666757-838-5999Marcus YoungProvider # VA000401413904(1)907 Big Bethel RdHampton, VA 23666757-838-5999HAYESJohn ChungProvider # VA000401008234(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-9055Mazin AlayssamiProvider # VA000401008416(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Jerry BurtonProvider # VA000401414373(1)907 Big Bethel RdHampton, VA 23666757-838-5999Richard ByrdProvider # VA000401007026(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115****Karim ChaddadProvider # VA000401411750(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115**Joseph DevylderProvider # VA000438000161(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Neda Emad-AzmoudehProvider # VA000401007860(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Sama HamdoonProvider # VA000401415776(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Samuel HagosProvider # VA000401414144(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115*Kevin KunzProvider # VA000401415373(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Mariam NaeemProvider # VA000401414996(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Mark OrnoffProvider # VA000401006553(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Jung ParkProvider # VA000401411939(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Sang-Hoon ParkProvider # VA000401412609(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115**Ashish PatelProvider # VA000401411990(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Hima-Bindu ReddyProvider # VA000401411155(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-01157ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
HOPEWELLLEESBURG (cont’d)MECHANICSVILLE (cont’d)Nirmal BogollagamaProvider # VA000401410789(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047****Justin HardisonProvider # VA000401413670(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175Scott CulpepperProvider # VA000401412784(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085**Paul BrinserProvider # VA000401410148(4)502 N 6Th AveHopewell, VA 23860804-541-7837Bradley DelphProvider # VA000401411891(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047Viet NguyenProvider # VA000401414425(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047****Jean-Claude KharmoucheProvider # VA000401008809(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175Barry MaharajProvider # VA000401410305(2)19441 Golf Vista Plaza #130Leesburg, VA 20176703-723-7858Anh PhamProvider # VA000401006304(2)19441 Golf Vista Plaza #130Leesburg, VA 20176703-723-7858MANAKIN SABOT**William DymonProvider # VA000401008625(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061*Jesse HarrisProvider # VA000401411059(1)9102 Rutland Green Way Ste AMechanicsville, VA 23116804-559-3636**Monroe HarrisProvider # VA000401007107(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061**Robert O'NeillProvider # VA000401412441(4)502 N 6th AveHopewell, VA 23860804-541-7837Sarah WilmerProvider # VA000401412878(1)27-A Briggs RdManakin Sabot, VA 23103804-784-2386**Robert O'neillProvider # VA000401004685(4)502 N 6Th AveHopewell, VA 23860804-541-7837Syed HussainiProvider # VA000401412740(1)10081 Market CirManassas, VA 20110703-383-0090**Bradley TrotterProvider # VA000401008539(4)502 N 6Th AveHopewell, VA 23860804-541-7837MECHANICSVILLECrystal JoyceProvider # VA000401415678(1)9097 Atlee Station Rd. Suite 120Mechanicsville, VA 23116804-559-3250**Neil AgnihotriProvider # VA000401412743(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061**Kanyon KeeneyProvider # VA000401006889(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061LEESBURGRalph AndersonProvider # VA000401008749(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Stephen KopeloveProvider # VA000401005074(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Dean GarfieldProvider # VA000401008965(1)21 Loudon St SeLeesburg, VA 20175703-777-4443Smriti BajajProvider # VA000401413916(1)9097 Atlee Station Rd #120Mechanicsville, VA 23116804-559-3250**Brian McAndrewProvider # VA000401410446(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061****Fadi HasanProvider # VA000401413459(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175Nirmal BogollagamaProvider # VA000401410789(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085IVORJohn WilloughbyProvider # VA000401412434(1)8579 Ivor RdIvor, VA 23866757-859-9070Munira JiwaniProvider # VA000401413868(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Elizabeth MeiProvider # VA000401008096(1)9221 Chamberlayne RdMechanicsville, VA 23116804-427-74208ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
Mechanicsville (cont’d)Mechanicsville (cont’d)MIDLOTHIAN (cont’d)**Lawrence MetzgerProvider # VA000401007540(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Allison TranProvider # VA000401415622(1)9097 Atlee Station Rd. Suite 120Mechanicsville, VA 23116804-559-3250**William DymonProvider # VA000401008625(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**John TruittProvider # VA000401410807(1)8249 Crown Colony Pkwy #103Mechanicsville, VA 23116804-789-0230**William DymonProvider # VA000401008625(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Damon WatsonProvider # VA000401412132(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061**Monroe HarrisProvider # VA000401007107(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794Viet NguyenProvider # VA000401414425(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085George OleyProvider # VA000401005517(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Reba OleyProvider # VA000401414880(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011**Sean PackProvider # VA000401415596(11)7481 Right Flank RdSuite 120Mechanicsville, VA 23111804-673-8061Maitry ParikhProvider # VA000401415180(1)8220 Windmill Watch Dr.Mechanicsville, VA 23116804-746-1085Gregory PoquisProvider # VA000401008985(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011**Bryan WheelerProvider # VA000401416026(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-559-5416Lyla Rose WilbyProvider # VA000401411425(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011**Ross WlodawskyProvider # VA000401410693(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Maryam ZareiProvider # VA000401410952(1)9097 Atlee Station Rd #120Mechanicsville, VA 23116804-559-3250**Monroe HarrisProvider # VA000401007107(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200Alexander HawkinsProvider # VA000401410941(1)1310 Alverser PlzMidlothian, VA 23113804-897-9800**Kanyon KeeneyProvider # VA000401006889(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Kanyon KeeneyProvider # VA000401006889(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200MIDLOTHIANKevin KelleherProvider # VA000401411884(1)2412 Colony Crossing PlMidlothian, VA 23112804-739-6673**Neil AgnihotriProvider # VA000401412743(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794John KingProvider # VA000401005334(1)5921 Harbour Lane #300Midlothian, VA 23112804-739-3399*Richard SedwickProvider # VA000401413236(1)9102 Rutland Greey WaySte AMechanicsville, VA 23116804-559-3636**Neil AgnihotriProvider # VA000401412743(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Brian McAndrewProvider # VA000401410446(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794Farshid SoltanianProvider # VA000401008668(1)9097 Atlee Station Rd. Suite 120Mechanicsville, VA 23116804-559-3250Richard ByrdProvider # VA000401007026(3)2929 Polo PkwyMidlothian, VA 23113804-379-3718**Brian McAndrewProvider # VA000401410446(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200Edward RossProvider # VA000401003660(1)7281 Hanover Green DrMechanicsville, VA 23111804-730-94449ALLVAREV 09.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
MIDLOTHIAN (cont’d)MIDLOTHIAN (cont’d)MONTPELIER (cont’d)**Lawrence MetzgerProvider # VA000401007540(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Damon WatsonProvider # VA000401412132(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200Munira JiwaniProvider # VA000401413868(7)16625 Mountain RdMontpelier, VA 23192804-883-0164**Lawrence MetzgerProvider # VA000401007540(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Bryan WheelerProvider # VA000401416021(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200Kevin KeatingProvider # VA000401414709(7)16625 Mountain RdMontpelier, VA 23192804-883-0164Gena NeidertProvider # VA000401411839(1)1310 Alverser PlzMidlothian, VA 23113804-897-9800**Bryan WheelerProvider # VA000401416024(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794NEW KENT**Sean PackProvider # VA000401415596(6)11319 Polo PlaceMidlothian, VA 23113804-673-8061**Ross WlodawskyProvider # VA000401410693(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Sean PackProvider # VA000401415596(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Ross WlodawskyProvider # VA000401410693(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Thomas PadgettProvider # VA000401006720(1)5921 Harbour Lane #200Midlothian, VA 23112804-739-5490Stephen SchroderProvider # VA000401413581(4)2312 Robious Station CircleMidlothian, VA 23113804-501-0501**Thomas PadgettProvider # VA000401006720(3)1680 Huguenot RdMidlothian, VA 23113804-379-7120MONTPELIERNrupur PatelProvider # VA000401411310(2)125 Brown'S Way RdMidlothian, VA 23114804-378-0082**James WallaceProvider # VA000401004729(1)5921 Harbour Lane #200Midlothian, VA 23112804-739-5490**James WallaceProvider # VA000401004729(3)1680 Huguenot RdMidlothian, VA 23113804-379-7120**Damon WatsonProvider # VA000401412132(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794Nirmal BogollagamaProvider # VA000401410789(7)16625 Mountain RdMontpelier, VA 23192804-883-0164Bradley DelphProvider # VA000401411891(7)16625 Mountain RdMontpelier, VA 23192804-883-0164Bradley DelphProvider # VA000401411891(7)16625 Mountain RdMontpelier, VA 23192804-883-0164Sungmin JeounProvider # VA000401414949(7)16625 Mountain RdMontpelier, VA 23192804-883-0164Ana Maya AdkinsProvider # VA000401410364(1)7780 Invicta LnNew Kent, VA 23124804-966-8115NEWPORT NEWSShanail AllenProvider # VA000401411659(1)12420 Warwick BlvdSte 1ANewport News, VA 23606757-595-6224*Steven BarbieriProvider # VA000401006995(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-839
Chesapeake, VA 23320 757-436-1270 **Scott Goodove 757 Provider # VA000401410548(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002 Chesapeake . 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026 CHESAPEAKE (cont'd) Pye Kyu Provider # VA000401411565(1) 1200 N Battlefield Blvd Ste 117 Chesapeake, VA 23320
