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PPO Provider Lists (By State) - Dominion Dental Services, Inc.

PPO Provider Lists (By State) - Dominion Dental Services, Inc.

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ACCESS <strong>PPO</strong> DENTIST DIRECTORY<br />

Dentists listed are under contract as of 10/01/12<br />

Last Name First Name MI <strong>Dental</strong> Office Name Office Address City ST ZIP Discipline County<br />

Brosnan Paul J Paul J Brosnan Dmd 5631 Burke Centre Parkway, Suite G Burke VA 22015 Orthodontist Fairfax<br />

Tomaselli Philip J Philip J Tomaselli Dds 5631 Burke Centre Parkway, Suite N Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Jabbari Farnaz Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Kasper Frinet M Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Sedaghatpour Hashem Hashem Sedaghatpour, D.M.D. 5631-D Burke Centre Parkway Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Lanier Stephen Kristen Donohue Dmd Pc 6035 Burke Centre Pkwy, Ste 260 Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Pahlavani Edna Kristen Donohue Dmd Pc 6035 Burke Centre Pkwy, Ste 260 Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Vorchheimer Roger F Roger F. Vorchheimer,D.D.S. 6405 Shiplett Blvd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Elhady Sherif N Sherif N Elhady Dds 6505 Sydenstricker Road, Suite B Burke VA 22015 Orthodontist Fairfax<br />

Leff Gary S Levin And Leff Dds 8987 Hersand Burke VA 22015 Endodontist Fairfax<br />

Levin Stanley M Levin And Leff Dds 8987 Hersand Burke VA 22015 Endodontist Fairfax<br />

Nguyen Tuquynh B Levin And Leff Dds 8987 Hersand Burke VA 22015 Endodontist Fairfax<br />

Pollock Richard M Levin And Leff Dds 8987 Hersand Burke VA 22015 Endodontist Fairfax<br />

Sallen Bruce T Levin And Leff Dds 8987 Hersand Burke VA 22015 Endodontist Fairfax<br />

Pham Dieu M Mia Pham, D.D.S. 8989 Fern Park Drive Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Hoang Anthony Anthony N Hoang 8996 Burke Lake Rd, Ste 200 Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Kim Young H Young Smile <strong>Dental</strong> 9000 Fern Park Dr, A2 Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Anderson David C David C Anderson Dds 9002 Crownwood Court Burke VA 22015 Periodontist Fairfax<br />

Anderson David David C Anderson 9002 Crownwood Ct Burke VA 22015 Periodontist Fairfax<br />

Nguyen Quan Quan Nguyen 9255 Old Keene Mill Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Ton April Quan Nguyen 9255 Old Keene Mill Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Akrami Forough Comfort <strong>Dental</strong> Associates, Pc 9263 Old Keene Mill Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Klioze Earl 9425 Braddock Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Klioze Jeffrey 9425 Braddock Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Torma Audrey Earl E. Klioze & Jeffrey I. Klioze Dds Ltd 9425 Braddock Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Dehyar Joseph Dr. Dehyar & Associates, D.M.D., Pc 9534 Burke Rd. Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Hanna George Dehyar And Associates Dmd 9534 Burke Road Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Gregory Kevin 9570 Burke Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Gupta Raja <strong>Dental</strong> First Associates Llc 9570-A Burke Rd Burke VA 22015 General <strong>Provider</strong> Fairfax<br />

Stern Richard K Richard K. Stern, D.D.S., P.C. Burke Professional Center, 5213-B Lyngate Ct. Burke VA 22015 Orthodontist Fairfax<br />

BBae Ki Kristen t H DDrs. Adili Adili, VVahid, hid LLam, & AAssociates i t 5103 Westfield W tfi ld Bl Blvd. d CCentreville t ill VA 20120 GGeneral l P<strong>Provider</strong> id FFairfax i f<br />

Ahmadzada Zia Intergrity <strong>Dental</strong> 5103 Westfields Boulevard Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Bae Kristen H Intergrity <strong>Dental</strong> 5103 Westfields Boulevard Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Runkle Richard S Intergrity <strong>Dental</strong> 5103 Westfields Boulevard Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Ackerman Jeffery Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Flores Marco Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Hangval Reza Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Lowe Tontra Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Mayer Kelly Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Morales Diego Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Sperling-Habot Keren Jeffrey Ackerman & Associates 5701 Centre Square Dr Centreville VA 20120 Periodontist Fairfax<br />

Ghanbari Mohsen Ghanbari & Koshki, D.D.S., P.C. 5727 Center Square Drive Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Koshki Moeiz Ghanbari & Koshki, D.D.S., P.C. 5727 Center Square Drive Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Martinez Maria Ghanbari & Koshki, D.D.S., P.C. 5727 Center Square Drive Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Mcdonough James M James M. Mcdonough, D.D.S. 5731 Centre Square Dr Centreville VA 20120 Orthodontist Fairfax<br />

Fischer Charles 5895 Trinity Pkwy Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Fischer Katherine B Charles & Katherine Fischer, Dds, Pc 5895 Trinity Pkwy, Ste 200 Centreville VA 20120 General <strong>Provider</strong> Fairfax<br />

Cha Wonje Wonje Cha Dds 13860 Braddock Road, Suite F Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Chuang Shue Jen Shue Jen Chuang Dds & David W. Lucht Dds Plc 13880 Braddock Rd, Ste 311 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Lucht David Shue Jen Chuang Dds & David W. Lucht Dds Plc 13880 Braddock Rd, Ste 311 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Kwon Hyue K Hyue Kyung Kwon, D.D.S., Pc 13880 Braddock Rd., Ste. 101 Centreville VA 20121 Orthodontist Fairfax<br />

Lee Benjamin K Benjamin Lee, D.M.D., & Associates, Pc 13880 Braddock Road, Suite 109 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Ovcharenko Vladyslav Benjamin Lee, D.M.D., & Associates, Pc 13880 Braddock Road, Suite 109 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Hagar Basiony T Centreville <strong>Dental</strong> Group 13890 Braddock Rd, Suite 202 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Lotfi Pouyan Centerville <strong>Dental</strong> Group 13890 Braddock Road, Suite 202 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Sina Nadia My Braces Doctor 13890 Braddock Road, Suite 202 Centreville VA 20121 Orthodontist Fairfax<br />

Chong Jae M Jae M. Chong, D.M.D., Pc 14215-F Centreville Square Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Talaksi Ruksana Centreville Childrens Dentistry 14242 Centreville Sq, Suite M Centreville VA 20121 Pedodontist Fairfax<br />

Stern Richard K Richard K. Stern, D.D.S., P.C. 14245 P Centreville Square Centreville VA 20121 Orthodontist Fairfax<br />

Kim Joongseo Pearlbrite <strong>Dental</strong> Group Pllc 14631 Lee Highway, Suite 116 Centreville VA 20121 Prosthodontist Fairfax<br />

Kasper Frinet M Tae Yong Lee Dds 14631 Lee Highway, Suite 211 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Lee Kimberly K Tae Yong Lee Dds 14631 Lee Highway, Suite 211 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

Lee Tae Y Tae Yong Lee Dds 14631 Lee Highway, Suite 211 Centreville VA 20121 General <strong>Provider</strong> Fairfax<br />

All dentists are currently accepting new patients. VA Access <strong>PPO</strong> Dentists Page 14

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