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

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ACCESS PPO DENTIST DIRECTORY Dentists listed are under contract as of 10/01/12 Last Name First Name MI Dental Office Name Office Address City ST ZIP Discipline County Wang William W Lorton Town Dental 9010 Lorton Station Boulevard, Suite 135 Lorton VA 22079 Periodontist Fairfax Abdeen Moutaz 9439 Lorton Market St Lorton VA 22079 General Provider Fairfax Park Sunmin Sunmin Park, D.D.S. 1515 Chain Bridge Rd., Suite 304 Mc Lean VA 22101 General Provider Fairfax Shadrin Blanka E Blanka E. Shadrin, D.D.S. 2052 Rockingham St. Mc Lean VA 22101 General Provider Fairfax Kunec Peter P Peter Kunec, D.D.S. 6829 Rosemont Dr. Mc Lean VA 22101 General Provider Fairfax Alyo Iyad Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Anderson Kimberly M Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Arria Adam W Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Aulakh Navdeep Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Bhavnagri Fawzia Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Borkowski David Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Bui Kenneth Q Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Cauthen Ruth Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Claros Claudia M Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Coker William L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Cox Bobby Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Eye Kenneth R Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Fischer Katherine B Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Freyfogle Maria L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Hariri Maryam Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Holton William L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Johnson Curl Jacqueline Y Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Jones David L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Kangarloo Ramineh N Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Kangarloo Ramineh N Smile Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Kelley Gerald Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Kontopanos John A Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Lanier Angela Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Lanier Angela Smile Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Lee Si Hyeon Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax LLevitin iti DDonald ld Bi Big SSmiles il Vi Virginia i i 2010 CCorporate t Rid Ridge, SSuite it 700 MMc Lean L VA 22102 GGeneral l PProvider id FFairfax i f Loving Robert H Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Mahesh Lekshmi Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Mallinak Laura Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Martin Latisha S Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Mohiuddin Sumayra M Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Nachman Alan Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Nachman Alan D Smile Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Navon Ralph S Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Nightengale Tiffany N Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Obertone Raymond C Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Oliver-Rainey Vacora L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Park Ravey Mihae Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Pokukwateng Evelyn N Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Powell Jason Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Randolph Renita W Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Rearden Cathy Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Resendes Melanie A Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Rhodemyre Richard F Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Runkle Richard S Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Sabharwal Smita K Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Sabharwal Smita K Smile Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Saunders Samuel Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Saxton Jacob L Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Schlang Elliott P Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Sheta Amt Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Shin Hye R Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Shroff Amisha N Smile Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Shu Man Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Smith Kathryn N Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Willoughby Tasha N Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Wine William F Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Witherspoon Philip H Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax All dentists are currently accepting new patients. VA Access PPO Dentists Page 20
ACCESS PPO DENTIST DIRECTORY Dentists listed are under contract as of 10/01/12 Last Name First Name MI Dental Office Name Office Address City ST ZIP Discipline County Woolwine Samuel Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Zahedi Nazi Big Smiles Virginia 2010 Corporate Ridge, Suite 700 Mc Lean VA 22102 General Provider Fairfax Gocke Michael T Michael Timothy Gocke Dds 7601 Lewinsville Road, Suite 203 Mc Lean VA 22102 Oral Surgeon Fairfax Hamrah Daria Novasurgicare Pc 8201 Greensboro Dr, Ste 601 Mc Lean VA 22102 Oral Surgeon Fairfax Mogharbel Tarek M Mira Dental Care At Tysons Corner 8201 Greensboro Dr, Suite 710 Mc Lean VA 22102 General Provider Fairfax Nguyen Kristina T Kristina T. Nguyen, D.D.S., P.C. 8201 Greensboro Drive, #220 Mc Lean VA 22102 General Provider Fairfax Stokes Karen M Ideal Dental Solutions 8353 Greensboro Drive, Suite A Mc Lean VA 22102 Endodontist Fairfax Johnson Jr Fred Fred D Johnson Jr 8355 Greensboro Dr, Ste B Mc Lean VA 22102 General Provider Fairfax Yedigarian Rouben Rouben A Yedigarian 8371B Greensboro Dr Mc Lean VA 22102 General Provider Fairfax Yang Ximin Mclean Dental Center Pc 1340 Old Chain Bridge Rd, Ste 401 Mclean VA 22101 Periodontist Fairfax Kelly Isabel Isabel L Kelly Dds Pllc 1449 Dolley Madison Blvd, Ste D Mclean VA 22101 General Provider Fairfax Foretich Eric A Eric A Foretich 1515 Chain Bridge Road, Suite 206 Mclean VA 22101 Oral Surgeon Fairfax Schehl John A John A Schehl Dds 1515 Chain Bridge Road, Suite 210 Mclean VA 22101 General Provider Fairfax Kim Eunghwan Mclean Smart Dental 6829 Elm St, Suite 10 Mclean VA 22101 General Provider Fairfax Lee Yeonju Mclean Smart Dental Specialists 6829 Elm St, Suite 210 Mclean VA 22101 Periodontist Fairfax Ali Ziad A Intergrative Oral & Facial Surgery 6845 Elm St, Suite 305 Mclean VA 22101 Oral Surgeon Fairfax Salartash Shahrzad Skinner Ossakow Associates 1002 Greensboro Drive, Suite 1002 Mclean VA 22102 General Provider Fairfax Salartash Shahrzad Skinner & Ossakow And Associates 8200 Greensboro Dr, Suite 1002 Mclean VA 22102 General Provider Fairfax Hamrah Daria Nova Surgicare Pc 8201 Greensboro Dr, Ste 601 Mclean VA 22102 Oral Surgeon Fairfax Granger Kevin C K C Granger Dds Pa 8363 B Greensboro Dr Mclean VA 22102 General Provider Fairfax Giordano Pasquale J Pasquale J Giordano Dds 2915 Hunter Mill Road, Suite 10 Oakton VA 22124 General Provider Fairfax Casey George M Todd M Casey Dds 2915 Hunter Mill Road, Suite 20 Oakton VA 22124 General Provider Fairfax Casey Todd M Todd M Casey Dds 2915 Hunter Mill Road, Suite 20 Oakton VA 22124 General Provider Fairfax Ahrabi Abbas Oakton Dental Center Pllc 2969 Chain Bridge Rd Oakton VA 22124 General Provider Fairfax Ahrabi Abbas K Oakton Detnal Center 2969 Chain Bridge Road Oakton VA 22124 General Provider Fairfax Morgan Richard J Richard J Morgan Dds Pc 11250 Roger Bacon Dr, Suite 13 Reston VA 20190 Orthodontist Fairfax Patterson Adrian Dr. Stuart L. Graves Dds Ms Pc 11331 Sunset Hills Rd Reston VA 20190 Oral Surgeon Fairfax Yaghmai Pedram Dr. Stuart L. Graves Dds Ms Pc 11331 Sunset Hills Rd Reston VA 20190 Oral Surgeon Fairfax Muss Nicholas A Nicholas A. Muss, Dds, Pc 11339 Sunset Hills Rd. Reston VA 20190 General Provider Fairfax Pal Sandhya A Pal Family Dentistry 11365 Sunset Hills Road Reston VA 20190 General Provider Fairfax LLeff ff GGary S LLevin i LLeff ffAAnd dPPollock ll kAAnd dAAssociates i t 11710 Pl Plaza AAmerica i DDrive, i SSuite it 150 RReston t VA 20190 EEndodontist d d ti t FFairfax i f Levin Stanley M Levin Leff And Pollock And Associates 11710 Plaza America Drive, Suite 150 Reston VA 20190 Endodontist Fairfax Nguyen Tuquynh B Levin Leff And Pollock And Associates 11710 Plaza America Drive, Suite 150 Reston VA 20190 Endodontist Fairfax Pollock Richard M Levin Leff And Pollock And Associates 11710 Plaza America Drive, Suite 150 Reston VA 20190 Endodontist Fairfax Sallen Bruce T Levin Leff And Pollock And Associates 11710 Plaza America Drive, Suite 150 Reston VA 20190 Endodontist Fairfax Hardin Michael T Michael T Hardin Dds 11711 Bowman Green Drive Reston VA 20190 General Provider Fairfax Kazemifar Hoda Reston Serenity Smiles 11717 Bowman Green Dr Reston VA 20190 General Provider Fairfax Bajwa Preet S A B Dental 11790 H Baron Cameron Ave Reston VA 20190 General Provider Fairfax Zacko George George B Zacko Dds 1712 Clubhouse Road, Suite S106 Reston VA 20190 General Provider Fairfax Miamee Gholamali Reston Town Center Dental 1760 Reston Parkway, Suite 415 Reston VA 20190 General Provider Fairfax Miamee Golnaz Reston Town Center Dental 1760 Reston Parkway, Suite 415 Reston VA 20190 General Provider Fairfax Bordon Elda A Family And Cosmetic Dentistry 1800 Michael Faraday Dr Reston VA 20190 General Provider Fairfax Park Jonathan 1800 Town Center Dr Reston VA 20190 Oral Surgeon Fairfax Dolan Patrick Fairfax Oral And Maxillofacial Surgery Pc 1800 Town Center Dr, Ste 416 Reston VA 20190 Oral Surgeon Fairfax Ramsey Cyrus Fairfax Oral And Maxillofacial Surgery Pc 1800 Town Center Dr, Ste 416 Reston VA 20190 Oral Surgeon Fairfax Silloway Kimberly Fairfax Oral And Maxillofacial Surgery Pc 1800 Town Center Dr, Ste 416 Reston VA 20190 General Provider Fairfax Smith Peter Fairfax Oral And Maxillofacial Surgery Pc 1800 Town Center Dr, Ste 416 Reston VA 20190 Oral Surgeon Fairfax Theberge Daniel Fairfax Oral And Maxillofacial Surgery Pc 1800 Town Center Dr, Ste 416 Reston VA 20190 Oral Surgeon Fairfax Morgan David M James A Pell Dds 1800 Town Center Drive Reston VA 20190 Oral Surgeon Fairfax Pell James A James A Pell Dds 1800 Town Center Drive Reston VA 20190 Oral Surgeon Fairfax Wang Richard K James A Pell Dds 1800 Town Center Drive Reston VA 20190 Oral Surgeon Fairfax Pell James A Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Drive, Suite116 Reston VA 20190 Oral Surgeon Fairfax Wang Richard K Oral Surgery Associates Of Northern Virginia Ltd 1800 Town Center Drive, Suite116 Reston VA 20190 Oral Surgeon Fairfax Lee Eun Eun H Lee 1861 Explorer St Reston VA 20190 Prosthodontist Fairfax Leipzig Robert J Eun H Lee 1861 Explorer St Reston VA 20190 General Provider Fairfax Rayek Riaz Eun H Lee 1861 Explorer St Reston VA 20190 General Provider Fairfax Jang Joy Reston Family & Cosmetic Dentistry 1984 Isaac Newton Sq W, Ste 100 Reston VA 20190 General Provider Fairfax Neshat Monica Reston Family & Cosmetic Dentistry 1984 Isaac Newton Sq W, Ste 100 Reston VA 20190 General Provider Fairfax Fan Vivian Reston Orthodontic Associates Pllc 1984 Isaac Newton Sq W, Ste 200 Reston VA 20190 Orthodontist Fairfax Ghatri Ali Reston Orthodontic Associates Pllc 1984 Isaac Newton Sq W, Ste 200 Reston VA 20190 Orthodontist Fairfax Neshat Monica A Reston Family And Cosmetic Dentistry 1984 Isaac Newton Square West, Suite 100 Reston VA 20190 General Provider Fairfax Anoushfar Sherry Sherry Anoushfar, D.D.S., Pc 1984 Isaac Newton Square, Suite 201 Reston VA 20190 General Provider Fairfax Izadi Moshen Sherry Anoushfar, D.D.S., Pc 1984 Isaac Newton Square, Suite 201 Reston VA 20190 General Provider Fairfax All dentists are currently accepting new patients. 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PPO Provider Lists (By State) - Dominion Dental Services, Inc.

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