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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 />

Ellis Bita Raymund V Favis 3930 Pender Dr, Ste 170 Fairfax VA 22030 General <strong>Provider</strong> Fairfax City<br />

Favis Raymund Raymund V Favis 3930 Pender Dr, Ste 170 Fairfax VA 22030 General <strong>Provider</strong> Fairfax City<br />

Madani Saman Saman Madani Dmd & Shadi Shareqhi Dds Pc 3930 Pender Dr, Ste 250 Fairfax VA 22030 Pedodontist Fairfax City<br />

Soyfer Vladimir V American Advanced <strong>Dental</strong> Associates 3930 Pender Dr, Suite 150 Fairfax VA 22030 General <strong>Provider</strong> Fairfax City<br />

Soyfer Vladimir American Advanced <strong>Dental</strong> Associates 3930 Pender Drive, Suite 150 Fairfax VA 22030 Oral Surgeon Fairfax City<br />

Rayek Riaz Drs. Rayek And Zier Dds Plc 4210 Fairfax Corner Ave W, Ste 202 Fairfax VA 22030 General <strong>Provider</strong> Fairfax City<br />

Alkeliddar Farrah Let'S Smile Of Fairfax Pllc 4210 Fairfax Corner West Ave, Ste 245 Fairfax VA 22030 Pedodontist Fairfax City<br />

Ghatri Ali Fairfax Orthodontic Associates Pllc 4210 Fairfax Corner West Ave, Ste 245 Fairfax VA 22030 Orthodontist Fairfax City<br />

Bukzin Jay M Northern Virginia Center Oral Facial And Implant S 4211 Fairfax Corner Avenue Eas, Suite 235 Fairfax VA 22030 Oral Surgeon Fairfax City<br />

Doriot Robert E Northern Virginia Center Oral Facial And Implant S 4211 Fairfax Corner Avenue Eas, Suite 235 Fairfax VA 22030 Oral Surgeon Fairfax City<br />

Mccormick Adam P Northern Virginia Center Oral Facial And Implant S 4211 Fairfax Corner Avenue Eas, Suite 235 Fairfax VA 22030 Oral Surgeon Fairfax City<br />

Wortman Michael 9401 Lee Hwy Fairfax VA 22031 General <strong>Provider</strong> Fairfax City<br />

Duckett Lan D Lan D. Duckett, D.D.S., P.C. 101 West Broad Street, Suite 510 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Lyazidi Aicha American <strong>Dental</strong> Care 105 N Virginia Ave, Suites 103 & 105 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Khattak Farida G Dynamic <strong>Dental</strong> Pc 159 Hillwood Ave Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Banker Lawrence K Lawrence Banker, D.D.S. 200 Little Falls Street, Suite 101 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Avin Maryam A Arlington <strong>Dental</strong> Associates Valltos And Maloney 200 Little Falls Street, Suite 201 B Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Sapperstein Evan R Arlington <strong>Dental</strong> Associates Valltos And Maloney 200 Little Falls Street, Suite 201 B Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Valltos Rachael M Arlington <strong>Dental</strong> Associates Valltos And Maloney 200 Little Falls Street, Suite 201 B Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Leff Gary S Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Levin Stanley M Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Nguyen Tuquynh B Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Pollock Richard M Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Sallen Bruce T Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Yang Minglung A Levin Leff And Pollock 311 Park Avenue Falls Church VA 22046 Endodontist Falls Church City<br />

Mortazie Mansour Mansour Mortazie Dds 313 Park Ave, Ste 302 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Boyce Albert M Albert M. Boyce, D.D.S. 313 Park Ave., Suite 101 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Christopher Lourdes A Perio & <strong>Dental</strong> Implant Surgery Ctr Of Falls Church 313 Park Ave., Suite 103 Falls Church VA 22046 Periodontist Falls Church City<br />

Deutsch Charles M Perio & <strong>Dental</strong> Implant Surgery Ctr Of Falls Church 313 Park Ave., Suite 103 Falls Church VA 22046 Periodontist Falls Church City<br />

Favagehi Mehrdad Perio & <strong>Dental</strong> Implant Surgery Ctr Of Falls Church 313 Park Ave., Suite 103 Falls Church VA 22046 Periodontist Falls Church City<br />

DDeutsch t h Ch Charles l M Ch Charles l M DDeutsch t h Dd Dds 313 PPark k AAvenue FFalls ll Ch Church h VA 22046 PPeriodontist i d ti t FFalls ll Ch Church h Cit City<br />

Christopher Lourdes A Christopher & Favagehi, D.D.S., M.S. 313 Park Avenue, Suite 103 Falls Church VA 22046 Periodontist Falls Church City<br />

Favagehi Mehrdad Christopher & Favagehi, D.D.S., M.S. 313 Park Avenue, Suite 103 Falls Church VA 22046 Periodontist Falls Church City<br />

Do Thi H Thi H. Do, Dds Pc 6051-A Arlington Blvd. Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Nieto Johana West Broad <strong>Dental</strong> Pllc 800 W Broad St, Suite 304 Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

Phaeton Nathalie Oasis Pediatric <strong>Dental</strong> Care Pc 800 West Broad Street, Suite 307 Falls Church VA 22046 Pedodontist Falls Church City<br />

Sarraj Ali Ali Sarraj, D.M.D. & Associates, P.C. 932 West Broad St. Falls Church VA 22046 General <strong>Provider</strong> Falls Church City<br />

White Robert J Robert James White Dds 206 East Main Street Remington VA 22734 General <strong>Provider</strong> Fauquier<br />

Kinney Kirk H Kirk H Kinney Dds 6479 Main Street The Plains VA 20198 General <strong>Provider</strong> Fauquier<br />

Kinney Kirk H Kirk H. Kinney, D.D.S. P.O. Box A The Plains VA 20198 General <strong>Provider</strong> Fauquier<br />

Ehreth John John S Ehreth 10 Rock Pointe Ln Warrenton VA 20186 Endodontist Fauquier<br />

Rekow Marlin F Marlin F Rekow Dds Pc 127 E Shirley Ave Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Ali Talib Neibauer <strong>Dental</strong> Care, Pc 251 W Lee Highway 197 Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Ho Sylvie Neibauer <strong>Dental</strong> Care, Pc 251 W Lee Highway 197 Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Raczynska Aneta Anna Neibauer <strong>Dental</strong> Care, Pc 251 W Lee Highway 197 Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Crowder Curtis R Jason S Woodside Dds And Thomas C Sentz Dds 361 Walker Drive, Suite 204 Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Woodside Jason S Jason S Woodside Dds And Thomas C Sentz Dds 361 Walker Drive, Suite 204 Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Woodside Jennifer L Woodside Pediatric Dentistry 400 Holiday Court, Suite 107 Warrenton VA 20186 Pedodontist Fauquier<br />

Harris Jeffrey Jeffrey A Harris 420 Hospital Dr Warrenton VA 20186 General <strong>Provider</strong> Fauquier<br />

Thompson Harvey K Harvey K Thompson Dds 500 N Mason St Franklin VA 23851 General <strong>Provider</strong> Franklin City<br />

Knight Ernest Ernest L Knight 931 Armory Dr, Ste C Franklin VA 23851 General <strong>Provider</strong> Franklin City<br />

Torrey Edwin A Edwin A Torrey Dds 1239 Central Park Boulevard Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Terrill David G David Terrill, D.D.S. 1300 Thornton St. Fredericksburg VA 22401 Orthodontist Fredericksburg City<br />

Porter Dina Central Park <strong>Dental</strong> 1340 Central Park Blvd, Suite 200 Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Zavislak Robert L Central Park <strong>Dental</strong> 1340 Central Park Blvd, Suite 200 Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Farah Mazin Fredericksburg Family Dentistry 1740 Carl D. Silver Parkway Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Najafe Hayat U Fredericksburg Family Dentistry 1740 Carl D. Silver Parkway Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Ahmed Gaafar M <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Amin Ahmad F <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Oral Surgeon Fredericksburg City<br />

Dayse Robert S <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Oral Surgeon Fredericksburg City<br />

Gupta Raja <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

Hukmani Navin <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 Orthodontist Fredericksburg City<br />

Le Tuan N <strong>Dental</strong> One Associates Fredericksburg Pc 201 Park Hill Drive Fredericksburg VA 22401 General <strong>Provider</strong> Fredericksburg City<br />

All dentists are currently accepting new patients. VA Access <strong>PPO</strong> Dentists Page 26

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