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Virginia DeltaCare Provider ListALEXANDRIAALEXANDRIA (cont’d)ALEXANDRIA (cont’d)Mazin AlayssamiProvider # VA000401008416(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Said KhalefaProvider # VA000401007592(2)4600 B Pinecrest Office Pk DrAlexandria, VA 22312703-914-0020Shannon WilliamsProvider # VA000401415329(1)5249 Duke Street210Alexandria, VA 22304703-823-2413**Joseph DevylderProvider # VA000438000161(1)5249 Duke Street 210Alexandria, VA 22304703-823-2413Dominique KnoxProvider # VA000401415681(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Stephanie DicksonProvider # VA000401410681(1)5962 Richmond HwyAlexandria, VA 22303571-481-4410Khanh DuProvider # VA000401413715(1)3610 Forest DrAlexandria, VA 22302703-578-4221Neda 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 22304703-751-7000*Joel KesslerProvider # VA000401006677(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600*Lawrence KotlerProvider # VA000401004446(1)3543 W Braddock Rd #E1Alexandria, VA 22302703-931-6600*Kevin KunzProvider # VA000401415369(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Mariam NaeemProvider # VA000401414993(1)5249 Duke Street210Alexandria, VA 22304703-823-2413Bahru NureProvider # VA000401414796(1)5249 Duke StreetSte 210Alexandria, 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 22003703-354-0686Tae LeeProvider # VA000401008922(1)7002-C Little River TpkAnnandale, VA 22003703-256-7100ARLINGTONMonica 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 22201703-527-38881ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
ARLINGTON (cont’d)CENTREVILLECHESAPEAKEDiem NguyenProvider # VA000401410421(1)1050 N Highland St.#300NArlington, VA 22201703-527-3888*Edward StrittmatterProvider # VA000401007891(1)5957 Centreville Crest LaneCentreville, VA 20121703-815-3636Amen AlemayehuProvider # VA000401413304(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Thoai-Lan TranProvider # VA000401412959(1)6019 Centreville Crest LaneCentreville, VA 20121703-266-2000Benjamin AndersonProvider # VA000401410504(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270CHANTILLYAsha ArtisProvider # VA000401413634(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270*Tu-Quynh NguyenProvider # VA000401410610(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-0255*Richard PollockProvider # VA000401007979(3)3801 N Fairfax Dr #40Arlington, VA 22203703-534-0255Homan SolemaninejadProvider # VA000401410638(1)900 N Randolph St #103Arlington, VA 22203703-243-3600***Annapurna BondalapatiProvider # VA000401415769(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0214Sai KhamProvider # VA000401413691(1)3901 Centerview Dr #TChantilly, VA 20151703-467-0217ASHBURNGretchen 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**Barry MaharajProvider # VA000401410305(1)3910 Centreville Rd #110Chantilly, VA 20151703-668-9494Diem 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 20151703-657-0555*Richard PollockProvider # VA000401007979(2)8987 Hersand DriveBurke, VA 22015703-978-2525John AshbyProvider # VA000401411276(3)1021 N Eden WaySte 128Chesapeake, VA 23320757-547-8700Robert 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 23321757-416-5333*William BusseyProvider # VA000401004066(2)2995 Churchland Blvd #BChesapeake, VA 23321757-416-53332ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)CHESAPEAKE (cont’d)**Valerie ByrnsideProvider # VA000401411443(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002****Albert KonikoffProvider # VA000401004445(2)1230 Progressive DrChesapeake, VA 23320757-436-4026Jillian ReynoldsProvider # VA000401412189(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Howard CobbProvider # VA000401007814(3)2605 Moses Grandy TrSte BChesapeake, VA 23323757-558-0600****Bryan KonikoffProvider # VA000401410766(2)1230 Progressive DrChesapeake, VA 23320757-436-4026Scott SachsProvider # VA000401412640(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Pye KyuProvider # VA000401411565(1)1200 N Battlefield BlvdSte 117Chesapeake, VA 23320757-436-4227Warren SachsProvider # VA000401004189(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270Kathy DelvaProvider # VA000401415001(1)200 N Battlefield Blvd # 4Chesapeake, VA 23320757-769-7155Bernarda 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 23320757-436-1270*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 23320757-467-2102Elleni KapoorProvider # VA000401413954(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 23320757-673-62503ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
CHESAPEAKE (cont’d)CHESTER (cont’d)COLONIAL HEIGHTS (cont’d)Sheila VacendakProvider # VA000401008843(1)701 Quince PlaceChesapeake, VA 23320757-609-3510Steven CastroProvider # VA000401008598(2)2930 West Hundred RdChester, VA 23831804-751-0146Ralph AndersonProvider # VA000401008749(2)556 Southpark BlvdColonial Heights, VA 23834804-526-2702Daniel VacendakProvider # VA000401413228(1)701 Quince PlaceChesapeake, VA 23320757-609-3510Kristin DavidsonProvider # VA000401414458(2)2930 West Hundred RdChester, VA 23831804-751-0146Nirmal BogollagamaProvider # VA000401410789(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177**Caroline WebberProvider # VA000401411368(2)1230 Progressive DrChesapeake, VA 23320757-436-4026**Robert O'NeillProvider # VA000401412441(2)11971 Ironbridge RoadChester, VA 23831804-748-6350*Scott GerardProvider # VA000401007068(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000Lee WeinsteinProvider # VA000401007794(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270**Bradley TrotterProvider # VA000401008539(2)11971 Ironbridge RoadChester, VA 23831804-748-6350James GlaserProvider # VA000401005115(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177Julian WillisProvider # VA000401005083(1)801 Greenbrier ParkwayChesapeake, VA 23320757-547-3003Gordon WitcherProvider # VA000401005310(2)4301 W Hundred RdChester, VA 23831804-562-2667*Ellen OertelProvider # VA000401007706(1)2425 Boulevard #8Colonial Heights, VA 23834804-520-0000Paul YehProvider # VA000401410551(3)1230 Progressive Dr #103Chesapeake, VA 23320757-436-1270CHESTERFIELDDUMFRIES**Peter ZagurskyProvider # VA000401411371(6)1100 Volvo Parkway #300Chesapeake, VA 23320757-412-2002**Stephen BrownProvider # VA000401007582(1)10110 Iron Bridge RoadChesterfield, VA 23832804-768-9000CHESTERDavis GardnerProvider # VA000401412847(1)7205 Hancock Village DrChesterfield, VA 23832804-332-6310Wakeshi BensonProvider # VA000401411415(1)12230 Iron Bridge Rd #BChester, VA 23831804-404-3804*Scott GerardProvider # VA000401007068(2)10320 Memory LnChesterfield, VA 23832804-796-1136**Paul BrinserProvider # VA000401410148(2)11971 Ironbridge RoadChester, VA 23831804-748-6350*Ellen OertelProvider # VA000401007706(2)10320 Memory LnChesterfield, VA 23832804-796-1136Brian BurkeProvider # VA000401413575(2)4301 W Hundred RdChester, VA 23831804-562-2667COLONIAL HEIGHTSTawfiq AlkilaniProvider # VA000401412228(4)798 Southpark Blvd #26Colonial Heights, VA 23834804-520-1177Xinsheng ZhuProvider # VA000401411645(1)17606 Main StSte 200Dumfries, VA 22026703-445-1999FALLS CHURCH**Eugene GregoryProvider # VA000401004539(1)6231 Leesburg Pike #402Falls Church, VA 22044703-534-2744Shiva KermanshiProvider # VA000401410790(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060*Tu-Quynh NguyenProvider # VA000401410610(1)311 Park Ave #3Falls Church, VA 22046703-534-48844ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
FALLS CHURCH (cont’d)GAINESVILLE (cont’d)GLEN ALLEN (cont’d)*Richard PollockProvider # VA000401007979(1)311 Park Ave #3Falls Church, VA 22046703-534-4884****Justin HardisonProvider # VA000401413670(2)7915 Lake Manassas Dr #207Gainesville, VA 20155**Monroe HarrisProvider # VA000401007107(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Homan SolemaninejadProvider # VA000401410638(1)6060 Arlington BlvdFalls Church, VA 22044703-237-0060FREDERICKSBURGRichard ByrdProvider # VA000401007026(2)927 Maple Grove DrSte 111Fredericksburg, VA 22407540-786-0051Angela DiazProvider # VA000401412527(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400Camilo DuarteProvider # VA000401412057(1)5830 Harrison RdFredericksburg, VA 22407540-710-0400Syed HussainiProvider # VA000401412740(2)927 Maple Grove DrSte 111Fredericksburg, VA 22407540-786-0051Carter RichardsProvider # VA000401008839(1)974 Bragg RdFredericksburg, VA 22407540-785-5885Tasha WilloughbyProvider # VA000401411109(1)2557 Cowan BlvdFredericksburg, VA 22401540-551-5550GAINESVILLE*Moein Jabbar DarjaniProvider # VA000401413097(1)8140 Stonewall Shops SquareGainesville, VA 20155714-845-8890****Fadi HasanProvider # VA000401413459(2)7915 Lake Manassas Dr #207Gainesville, VA 20155****Jean-Claude KharmoucheProvider # VA000401008809(2)7915 Lake Manassas Dr #207Gainesville, VA 20155Hicham MekouarProvider # VA000401411070(1)7462 Limestone DrGainesville, VA 20155703-753-3346Charles ParkProvider # VA000401411122(1)7462 Limestone DrGainesville, VA 20155703-753-3346Crystal JoyceProvider # VA000401415678(2)3944 Springfield RdGlen Allen, VA 23060804-240-5214**Kanyon KeeneyProvider # VA000401006889(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061GLEN ALLENManik KhistiProvider # VA000401412158(1)3938 Springfield RdGlen Allen, VA 23060840-747-7400Omar AbuhajlehProvider # VA000401412655(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Elizabeth MeiProvider # VA000401008096(3)10170 Staples Mill RdSte BGlen Allen, VA 23060804-726-1870**Neil AgnihotriProvider # VA000401412743(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061**Lawrence MetzgerProvider # VA000401007540(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Smriti BajajProvider # VA000401413916(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200Parastu MirmonsefProvider # VA000401412150(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Nasser DamirchiProvider # VA000401008636(2)5243 Hickory Park DrSte DGlen Allen, VA 23059804-270-5005**William DymonProvider # VA000401008625(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Gultaj GrewalProvider # VA000401414211(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 23059804-747-0908**Sean PackProvider # VA000401415596(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-80615ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
GLEN ALLEN (cont’d)HAMPTON (cont’d)Mimi ParkProvider # VA000401412922(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Curtis DaileyProvider # VA000401410187(1)2118 Executive DrHampton, VA 23666757-826-5075Saumitra SaravanaProvider # VA000401411038(2)10101 Brook Rd#804-AGlen Allen, VA 23059804-266-2400Richard DonzellProvider # VA000401005565(1)2021 A Cunningham DrSte 6Hampton, VA 23666757-826-7600Simart SehmiProvider # VA000401415303(2)10101 Brook RdSte 804-AGlen Allen, VA 23059804-266-2400Ceceil GallopProvider # VA000401005874(1)3709 Kecoughtan RoadHampton, VA 23669757-722-8507Farshid SoltanianProvider # VA000401008668(2)3944 Springfield RdGlen Allen, VA 23060804-270-5214Richard 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**Ross WlodawskyProvider # VA000401410693(10)11545-A Nuckols RdGlen Allen, VA 23059804-673-8061Maryam ZareiProvider # VA000401410952(2)5201-B Hickory Park DrGlen Allen, VA 23059804-747-4200HAMPTONDonovan CavesProvider # VA000401414055(1)907 Big Bethel RdHampton, VA 23666757-838-5999John ChungProvider # VA000401008234(6)1959 E Pembroke AveHampton, VA 23663757-723-6565Joelle Hendrickson-HairstonProvider # VA000401412630(1)907 Big Bethel RdHampton, VA 23666757-838-5999Joseph Siragusa IIProvider # VA000401410111(50)2114 Hartford Rd #BHampton, VA 23666757-826-3636Yujin JungProvider # VA000401414547(6)1959 E Pembroke AveHampton, VA 23663757-723-6565****Michael KokorelisProvider # VA000401005924(1)2113 Hartford RoadHampton, VA 23666757-827-1572Elias LlerandiProvider # VA000401411857(1)907 Big Bethel RdHampton, VA 23666757-838-5999HAMPTON (cont’d)Kyeong 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 DrSte CHampton, VA 23666757-827-5225Jasper WattsProvider # VA000401005412(1)907 Big Bethel RdHampton, VA 23666757-838-5999Marcus YoungProvider # VA000401413904(1)907 Big Bethel RdHampton, VA 23666757-838-5999HAYESLorenzo ModesteProvider # VA000401007928(1)2238 W Todds St # CHampton, VA 23666757-825-6098Arya NamboodiriProvider # VA000401414098(1)907 Big Bethel RdHampton, VA 23666757-838-5999John ChungProvider # VA000401008234(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-9055Yujin JungProvider # VA000401414547(4)4732 George Washington Mem HwySte AHayes, VA 23072804-693-90556ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
HERNDONHERNDON (cont’d)HOPEWELLMazin AlayssamiProvider # VA000401008416(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115*Kevin KunzProvider # VA000401415373(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Adrian AvramProvider # VA000401412915(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047Richard ByrdProvider # VA000401007026(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Steven LoweProvider # VA000401414495(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115****Karim ChaddadProvider # VA000401411750(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Mariam NaeemProvider # VA000401414996(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115**Joseph DevylderProvider # VA000438000161(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Bahru NureProvider # VA000401414796(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Neda Emad-AzmoudehProvider # VA000401007860(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Mark OrnoffProvider # VA000401006553(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Sama HamdoonProvider # VA000401415776(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Jung ParkProvider # VA000401411939(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Samuel HagosProvider # VA000401414144(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115**Ashish PatelProvider # VA000401411990(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Syed HussainiProvider # VA000401412740(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Hima-Bindu ReddyProvider # VA000401411155(5)13873 Park Center RdSte 137Herndon, VA 20171703-478-0115Dominique KnoxProvider # VA000401415685(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Shannon WilliamsProvider # VA000401415329(5)13873 Park Center RdSTE 137Herndon, VA 20171703-478-0115Nicole BarbourProvider # VA000401411682(8)5303 Plaza DrSte 103Hopewell, VA 23860804-458-5047Milan BhagatProvider # VA000401414059(8)5303 Plaza DrSte 103Hopewell, VA 23860804-458-5047Nirmal BogollagamaProvider # VA000401410789(8)5303 Plaza Dr #103Hopewell, VA 23860804-458-5047**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) 5303Plaza Dr #103 Hopewell, VA23860804-458-5047**Robert O'NeillProvider #VA000401412441(4) 502 N 6thAveHopewell, VA 23860804-541-7837**Robert O'neillProvider #VA000401004685(4) 502 N6Th AveHopewell, VA 23860804-541-78377ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
HOPEWELL (cont’d)MECHANICSVILLEMECHANICSVILLE (cont’d)**Bradley TrotterProvider # VA000401008539(4)502 N 6Th AveHopewell, VA 23860804-541-7837**Neil AgnihotriProvider # VA000401412743(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061**Kanyon KeeneyProvider # VA000401006889(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Ralph AndersonProvider # VA000401008749(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Stephen KopeloveProvider # VA000401005074(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011Smriti BajajProvider # VA000401413916(1)9097 Atlee Station Rd #120Mechanicsville, VA 23116804-559-3250**Brian McAndrewProvider # VA000401410446(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061IVORJohn WilloughbyProvider # VA000401412434(1)8579 Ivor RdIvor, VA 23866757-859-9070LEESBURGDean GarfieldProvider # VA000401008965(1)21 Loudon St SeLeesburg, VA 20175703-777-4443****Fadi HasanProvider # VA000401413459(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175****Justin HardisonProvider # VA000401413670(3)2 Cardinal Park Dr SE #102BLeesburg, VA 20175****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 SABOTSarah WilmerProvider # VA000401412878(1)27-A Briggs RdManakin Sabot, VA 23103804-784-2386Syed HussainiProvider # VA000401412740(1)10081 Market CirManassas, VA 20110703-383-0090Nirmal BogollagamaProvider # VA000401410789(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Scott CulpepperProvider # VA000401412784(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085**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 23116804-673-8061Munira JiwaniProvider # VA000401413868(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Elizabeth MeiProvider # VA000401008096(1)9221 Chamberlayne RdMechanicsville, VA 23116804-427-7420**Lawrence MetzgerProvider # VA000401007540(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Viet 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 23116804-746-10858ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
MECHANICSVILLE (cont’d)MIDLOTHIAN (cont’d)MIDLOTHIAN (cont’d)Gregory PoquisProvider # VA000401008985(2)7016 Lee Park RoadSuite 200Mechanicsville, VA 23111804-282-7011**Neil AgnihotriProvider # VA000401412743(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Brian McAndrewProvider # VA000401410446(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794Richard ByrdProvider # VA000401007026(3)2929 Polo PkwyMidlothian, VA 23113804-379-3718**Brian McAndrewProvider # VA000401410446(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**William DymonProvider # VA000401008625(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Lawrence MetzgerProvider # VA000401007540(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**William DymonProvider # VA000401008625(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Lawrence MetzgerProvider # VA000401007540(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Monroe HarrisProvider # VA000401007107(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794Gena NeidertProvider # VA000401411839(1)1310 Alverser PlzMidlothian, VA 23113804-897-9800**Monroe HarrisProvider # VA000401007107(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Sean PackProvider # VA000401415596(6)11319 Polo PlaceMidlothian, VA 23113804-673-8061Alexander HawkinsProvider # VA000401410941(1)1310 Alverser PlzMidlothian, VA 23113804-897-9800**Sean PackProvider # VA000401415596(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Kanyon KeeneyProvider # VA000401006889(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Thomas PadgettProvider # VA000401006720(1)5921 Harbour Lane #200Midlothian, VA 23112804-739-5490**Kanyon KeeneyProvider # VA000401006889(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Thomas PadgettProvider # VA000401006720(3)1680 Huguenot RdMidlothian, VA 23113804-379-7120MIDLOTHIANKevin KelleherProvider # VA000401411884(1)2412 Colony Crossing PlMidlothian, VA 23112804-739-6673Nrupur PatelProvider # VA000401411310(2)125 Brown'S Way RdMidlothian, VA 23114804-378-0082**Neil AgnihotriProvider # VA000401412743(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794John KingProvider # VA000401005334(1)5921 Harbour Lane #300Midlothian, VA 23112804-739-3399Erin SmithProvider # VA000401413326(3)2929 Polo PkwyMidlothian, VA 23113804-379-3718Jeff RaphaelProvider # VA000401412292(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-1085Edward RossProvider # VA000401003660(1)7281 Hanover Green DrMechanicsville, VA 23111804-730-9444**John TruittProvider # VA000401410807(1)8249 Crown Colony Pkwy #103Mechanicsville, VA 23116804-789-0230**Damon WatsonProvider # VA000401412132(11)7481 Right Flank RdSte 120Mechanicsville, VA 23116804-673-8061Lyla 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 23116804-559-3250Hui ZhouProvider # VA000401415400(1)8220 Windmill Watch DrMechanicsville, VA 23116804-746-10859ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodontist***** Prosthodontist
MIDLOTHIAN (cont’d)MONTPELIER (cont’d)**James WallaceProvider # VA000401004729(1)5921 Harbour Lane #200Midlothian, VA 23112804-739-5490Sungmin JeounProvider #VA000401414949(7) 16625Mountain Rd Montpelier, VA23192804-883-0164**James WallaceProvider # VA000401004729(3)1680 Huguenot RdMidlothian, VA 23113804-379-7120**Damon WatsonProvider # VA000401412132(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Damon WatsonProvider # VA000401412132(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200**Ross WlodawskyProvider # VA000401410693(6)11319 Polo PlaceMidlothian, VA 23113804-794-0794**Ross WlodawskyProvider # VA000401410693(9)6031 Harbour Park DrMidlothian, VA 23112804-608-3200Munira JiwaniProvider #VA000401413868(7) 16625Mountain Rd Montpelier, VA23192804-883-0164Kevin KeatingProvider #VA000401414709(7) 16625Mountain Rd Montpelier, VA23192804-883-0164Jeff RaphaelProvider #VA000401412292(7) 16625Mountain Rd Montpelier, VA23192804-883-0164Hui ZhouProvider #VA000401415400(7) 16625Mountain Rd Montpelier, VA23192804-883-0164NEW KENTStephen SchroderProvider # VA000401413581(4)2312 Robious Station CircleMidlothian, VA 23113804-501-0501MONTPELIERNirmal 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 23192804-883-0164Ana 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 23606757-599-8393Andria Chapman-TaliaferroProvider # VA000401008833(1)748-B McGuire PlNewport News, VA 23601757-310-6904NEWPORT NEWS (cont’d)John ChungProvider # VA000401008234(2)13626 Warwick BlvdSte ANewport News, VA 23602757-833-7217*William DodsonProvider # VA000401410127(4)756 McGuire PlNewport News, VA 23601757-806-6311*Timothy FinklerProvider # VA000401410445(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393*Steven ForteProvider # VA000401008643(1)12528 Warwick Blvd #DNewport News, VA 23606757-599-8393*Madelyn GambrelProvider # VA000401411163(3)12528 Warwick Blvd Ste DNewport News, VA 23606757-599-8393Vanessa HartmanProvider # VA000401414686(3)11713 Jefferson AveSte 100Newport News, VA 23606757-873-3407James HolleyProvider # VA000401007431(3)9916 Warwick BlvdNewport News, VA 23601757-595-3503Yujin JungProvider # VA000401414547(2)13626 Warwick BlvdSte ANewport News, VA 23602757-833-7217Ronald KatzProvider # VA000401411261(1)12420 Warwick BlvdSte 1ANewport News, VA 23606757-595-6224**Jeffrey KenneyProvider # VA000401006963(1)12420 Warwick Blvd #2ANewport News, VA 23606757-595-145710ALLVAREV 01.2018* Endodontist** Oral Surgeon*** Pediatric Dentist**** Periodonti
Chesapeake, VA 23320 757-436-1270 **Scott Goodove Provider # Michael MarcouVA000401410548(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 757-412-2002 Zaneta Hamlin . 1230 Progressive Dr Chesapeake, VA 23320 757-436-4026 VA000401411565(1) 1200 N Battlefield Blvd Ste 117 Chesapeake, VA 23320 757-436-4227 ****Tra
