Participating Dentist Directory

Delta Dental Premier

Virginia

Delta Dental Premier

VIRGINIA ABINGDON GENERAL DENTIST BROWN, BOB BROWN DENTAL ASSOCS 915 W Main St Abingdon, VA 24210 (276) 628-9507

BROWN DENTAL ASSOCS 915 W Main St Abingdon, VA 24210 (276) 628-9507

COLLINS, TIMOTHY TIMOTHY E COLLINS DDS 616 Campus Dr Ste 100 Abingdon, VA 24210 (276) 619-5020

DOTY, MICHAEL MICHAEL DOTY DDS 699 Mcbroom St Abingdon, VA 24210 (276) 628-6251

HOOKER, JOHN BROWN DENTAL ASSOCS 915 W Main St Abingdon, VA 24210 (276) 628-9507

MARCHIBRODA, DIANA

HUANG, TONG-YEN

BROWN DENTAL ASSOCS 915 W Main St Abingdon, VA 24210 (276) 628-9507

MARCHIBRODA DIANA 9605 Critzer Shop Rd Afton, VA 22920 (540) 456-6571

THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 (703) 922-9040

ORAL SURGEON HOLLYFIELD, NEIL SUKLE & HOLLYFIELD 403 East Main Street Abingdon, VA 24210 (276) 628-2123

PERKINS, DENNIS SUKLE & HOLLYFIELD 403 East Main Street Abingdon, VA 24210 (276) 628-2123

THURSTON, CHRISTOPHER BROWN DENTAL ASSOCS 915 W Main St Abingdon, VA 24210 (276) 628-9507

ALDIE GENERAL DENTIST ALDIE FAMILY & COSMETIC DENTISTRY 24600 Millstream Dr #470 Aldie, VA 20105 (703) 327-9220

ORTHODONTIST BASSHAM, DEBORAH DEBORAH A BASSHAM DDS MS 414 E Main St Abingdon, VA 24210 (276) 525-1181

PEDIATRIC DENTIST/PEDODONTIST ABINGDON PEDIATRIC DENTISTRY 465 W Main St Abingdon, VA 24212 (276) 739-7942

GREGORY D OWENS DDS 640 West Main St #A Abingdon, VA 24210 (276) 676-2616

SOUTHSIDE COMMUNITY HEALTH SERVICES 8380 Boydton Plank Rd Alberta, VA 23821 (434) 949-7211

SUKLE & HOLLYFIELD 403 East Main Street Abingdon, VA 24210 (276) 628-2123

ROLON, EVELYN

OWENS, GREGORY

PARRIS-WILKINS, TONYA

KANUMILLI, SOWMYA

FRANCES ANNE JOHNSTON DDS 160 Valley St Ne Abingdon, VA 24210 (276) 623-2211

FRENCH H MOORE III DDS PC 321 Court Street Abingdon, VA 24210 (276) 628-7862

KESSLER, JOEL

GENERAL DENTIST

THOMPSON, BRIAN

JOHNSTON, FRANCES

MOORE , FRENCH

ALBERTA

ACCOMAC GENERAL DENTIST DALEY, COLLEEN COLLEEN C DALEY DDS 24050 Lankford Hwy Accomac, VA 23301 (757) 787-7770

SAECKER, J J RAWLS SAECKER DDS 23185 Front St Accomac, VA 23301 (757) 787-4425

AFTON GENERAL DENTIST

ORTHODONTIST FRANKENBERRY, ANISHKA STONE RIDGE ORTHODONTICS 24600 Millstream Dr #101 Aldie, VA 20105 (703) 722-8004

ALEXANDRIA ENDODONTIST DJEU, S GRACE THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 (703) 922-9040

DONGELL, DIANA DAVID PALMIERI DMD 1650 King St Ste 300 Alexandria, VA 22314 (703) 836-0006

HSU, YU KAI THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 (703) 922-9040

LAWRENCE M KOTLER DDS 3543 W Braddock Rd #E1 Alexandria, VA 22302 (703) 931-6600

KOTLER, LAWRENCE LAWRENCE M KOTLER DDS 3543 W Braddock Rd #E1 Alexandria, VA 22302 (703) 931-6600

LEE, BRIAN THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 (703) 922-9040

LEE, H VIVIAN FERNANDO J MEZA DMD PLLC 4660 Kenmore Ave Ste 700 Alexandria, VA 22304 (703) 370-1327

PARTICIPATING PROVIDERS

BROWN, RON

TONEY, TYLER

MEZA, FERNANDO FERNANDO J MEZA DMD PLLC 4660 Kenmore Ave Ste 700 Alexandria, VA 22304 (703) 370-1327

NGO, TU-SON THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 (703) 922-9040

PALMIERI, DAVID DAVID PALMIERI DMD 1650 King St Ste 300 Alexandria, VA 22314 (703) 836-0006

PATEL, LOKEN FERNANDO J MEZA DMD PLLC 4660 Kenmore Ave Ste 700 Alexandria, VA 22304 (703) 370-1327

PORTELL, FRANK DAVID PALMIERI DMD 1650 King St Ste 300 Alexandria, VA 22314 (703) 836-0006

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

1

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA RUSSO-REVAND, JESSICA FERNANDO J MEZA DMD PLLC 4660 Kenmore Ave Ste 700 Alexandria, VA 22304 (703) 370-1327

SCHOENLY, NATHAN

TOLBA, MOSTAFA EXQUISITE DENTAL CARE 300 N Washington St Ste 210 Alexandria, VA 22314 (571) 970-4103

GENERAL DENTIST ABOULHOSN-SANGID, MAHER DUKE DENTAL CARE PLC 50 S Pickett St #229 Alexandria, VA 22304 (703) 212-0000

ACKERMAN, JEFFREY ACKERMAN & ASSOC OF ALEXANDRIA D 5055 Seminary Rd Ste 105 Alexandria, VA 22311 (703) 931-0200

ADAM-ELDIEN, ASHRAF

BELL, ALONZO

CHO, YOUNG

REFLECTION DENTAL LITTLE RIVER 6546 Little River Turnpike Alexandria, VA 22312 (703) 256-3313

ALONZO M BELL DDS 1454 Duke St #200 Alexandria, VA 22314 (703) 836-3384

FOREST FAMILY DENTISTRY PLLC 3608 Forest Dr Alexandria, VA 22302 (703) 671-3511

BEYENE, YODIT ARANGO, ANA

ALEXANDRIA ADVANCED DENTISTRY 4660 Kenmore Ave #318 Alexandria, VA 22304 (703) 751-7300

CHOHAN, EMA

ANA M ARANGO DDS PC 6303 Little River Trnpk #140 Alexandria, VA 22312 (703) 256-7700

ARDILA GAITAN, CLAUDIA

BHULLAR, RAJINDER

CLARK, C

ALEXANDRIA NEIGHBORHOOD HEATLH SERVICES INC 4480 King St Alexandria, VA 22303 (703) 535-5568

RAJINDER S BHULLAR DDS 101 S Whiting St #313 Alexandria, VA 22304 (703) 823-2998

KING CENTRE DENTAL 5695 King Centre Dr B100 Alexandria, VA 22315 (703) 719-9824

BROTHERTON, SAMTHA

COSTA, MAURICIO

SAMTHA BROTHERTON DDS PC 5500 Holmes Run #C5 Alexandria, VA 22304 (703) 212-2001

ANA M ARANGO DDS PC 6303 Little River Trnpk #140 Alexandria, VA 22312 (703) 256-7700

BROWN, CHARLES

DELORENZO, MICHAEL

KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

MICHAEL DELORENZO DMD LLC 801 N Pitt St Ste 111 Alexandria, VA 22314 (703) 549-1288

ASGARI, NAVID ALEXANDRIA DENTAL ART 1001 N Fairfax St #100 Alexandria, VA 22314 (703) 566-8799

ASHOURIPOUR, DARIOUSH LANDMARK SMILE DDS 5249 Duke St #409 Alexandria, VA 22304 (703) 370-6800

ATTIA, MOHAMED MOHAMED ATTA DDS PLLC 6420 Grovedale Dr #100A Alexandria, VA 22310 (703) 719-9305

AVAKIAN, GARY

ADVANCED DENTAL CARE PLLC 1707 Osage St # 402 Alexandria, VA 22302 (703) 578-1700

AVAKIAN GARY V 303 South Columbus St Alexandria, VA 22314 (703) 549-7492

AHMED, SEEMA

AWADZI, GERALD

CENTER FOR DENTAL ANESTHESIOLOGY 5282 & 5284 Dawes Ave Alexandria, VA 22311 (703) 379-6400

NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

BABIEC, DANIEL ALAYSSAMI, MAZIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 5249 Duke Street 210 Alexandria, VA 22304 (703) 823-2413

DANIEL F BABIEC DMD PC 3690 Kl King St Alexandria, VA 22302 (703) 820-0809

BALINO, CELESTE KING CENTRE DENTAL 5695 King Centre Dr B100 Alexandria, VA 22315 (703) 719-9824

BROWN, CHARLES HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

BUNN, STEVEN ERIC MESTAS DDS PC 5115-D Franconia Rd Alexandria, VA 22310 (703) 971-2788

BURTON, FRANCESCA FRANCESCA M BURTON DDS PC 1900 Elkin St Ste 290 Alexandria, VA 22308 (703) 799-4300

CABALLERO, GIOVANNI DANIEL F BABIEC DMD PC 3690 Kl King St Alexandria, VA 22302 (703) 820-0809

CALIGAN, GEOFFREY GEOFFREY CALIGAN DMD PLLC 520 N Henry St Alexandria, VA 22314 (703) 541-8259

ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

PARTICIPATING PROVIDERS

DAVID PALMIERI DMD 1650 King St Ste 300 Alexandria, VA 22314 (703) 836-0006

ALMZAYYEN, MOHAMMED

DHILLON, NAVNEET NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

DICKSON, STEPHANIE DICKSON DENTAL PC 5962 Richmond Hwy Alexandria, VA 22303 (571) 481-4410

DIONISIO, JANICE MAS FAMILY & COSMETIC DENTISTRY 6831 Sir Viceroy Dr #200 Alexandria, VA 22315 (703) 672-0664

DO, HOANG HOANG KIM DO DDS LLC 5266 Dawes Ave Alexandria, VA 22311 (703) 845-8741

DONAHUE, JAMES JAMES J DONAHUE JR DDS 1707 Osage Street #102 Alexandria, VA 22302 (703) 998-6558

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

2

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA DONG, MICHAEL THE CENTER FOR AESTHETIC DENTISTRY 624 N Washington St Alexandria, VA 22314 (703) 299-9899

DONOHUE, KRISTEN

DONOHUE, KRISTEN BYRON P DIXON DDS 8808-F Pear Tree Village Ct Alexandria, VA 22309 (703) 780-2400

DOSEN, GORAN GORAN DOSEN DDS PC 5252 Dawes Ave Alexandria, VA 22311 (703) 933-8500

DU, KHANH SMILEYDU DENTAL LLC 3610 Forest Dr Alexandria, VA 22302 (703) 578-4221

FALAIYE, VICTOR THE DENTIST OFFICE PC 8808-F Pear Tree Village Court Alexandria, VA 22309 (703) 499-9006

FORSEE, JAMES JAMES H FORSEE JR DDS 7608 Hayfield Road Alexandria, VA 22315 (703) 971-2230

FRANK, GERALD FRANK GERALD I 5787 Winston Court Alexandria, VA 22311 (703) 931-4400

GOLUB, MARK

HARRIS, CLIFTON

BRAD M FREEDMAN DDS LTD 4604 D Pinecrest Off Pk Alexandria, VA 22312 (703) 658-9600

MARK E GOLUB DDS PLC 1451 Belle Haven Rd Ste 340 Alexandria, VA 22307 (703) 765-3366

OLD TOWN SMILES 500 Montgomery St #250 Alexandria, VA 22314 (703) 836-7000

GHANBARI, MOHSEN

GOMEZ, PATRICIA

HARTLEY, CAROLINE

MOHSEN GHANBARI DDS 50 South Pickett Street Suite 118 Alexandria, VA 22304 (703) 370-2000

ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

BRYAN D WOOD DDS PC 2000 Huntington Ave Ste 107 Alexandria, VA 22303 (703) 960-8670

GHASEMZADEH-ZOLGHADR, MANDANA

GORE, SHEMIKA

HILL, JESSICA

KING CENTRE DENTAL 5695 King Centre Dr B100 Alexandria, VA 22315 (703) 719-9824

JESSICA L HILL DMD PC 124 S West St #100 Alexandria, VA 22314 (703) 822-7842

GREEN, MICHAEL

HOFFMAN, CORINNE

MICHAEL J GREEN DDS 101 S Whiting St #313 Alexandria, VA 22304 (703) 823-2998

GRANT H SCHNEIDER II DDS PLLC 2802 Sherwood Hall Ln Alexandria, VA 22306 (703) 768-1223

MANDANA ZOLGHADR DDS PC 6082 Franconia Rd #B Alexandria, VA 22310 (703) 719-0064

GHORBANI, PEJMAN BRAD M FREEDMAN DDS & ASSOC 4604-D Pinecrest Office Park Dr Alexandria, VA 22312 (703) 658-9600

GIBBERMAN, LAUREN PAUL GIBBERMAN DDS FAMILY DENISTRY 6303 Little River Turnpike Ste 205 Alexandria, VA 22312 (703) 823-6616

GIBBERMAN, PAUL PAUL GIBBERMAN DDS FAMILY DENISTRY 6303 Little River Turnpike Ste 205 Alexandria, VA 22312 (703) 823-6616

GLASGOW, BOYD HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

GOLDHUSH, WANDA EDDIE S LONGMAN DDS 312 S Washington St #5A Alexandria, VA 22314 (703) 549-1331

FRANK, GERALD

GOLDSTEIN, JOEL

SUPERKIDS PEDIATRIC DENTISTRY 5787 Winston Court Alexandria, VA 22311 (703) 931-4400

JOEL C GOLDSTEIN DDS PC 4605-B Pinecrest Office Park D Alexandria, VA 22312 (703) 658-0550

GRUNDY, RICHARD KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

GRUNDY, RICHARD HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

GUTIERREZ, NORMA SAMTHA BROTHERTON DDS PC 5500 Holmes Run #C5 Alexandria, VA 22304 (703) 212-2001

HUYNH, ANDREW BRAD M FREEDMAN DDS LTD 4604 D Pinecrest Off Pk Alexandria, VA 22312 (703) 658-9600

PARTICIPATING PROVIDERS

JON W WILLIAMS JR DDS LTD 5969 Telegraph Road Alexandria, VA 22310 (703) 960-1160

FREEDMAN, BRAD

IM, JIM KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

IM, JIM HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

HAILEMARIAM, TESFAYE TESFAYE A HAILEMARIAM DDS PC 85 South Bragg St #300 Alexandria, VA 22312 (703) 256-7711

ISKANDER, ERENE

HAN, CHRISTINE

JACKSON, KEVIN

THE CENTER FOR AESTHETIC DENTISTRY 624 N Washington St Alexandria, VA 22314 (703) 299-9899

KEVIN D JACKSON FAMILY DENTISTRY 8101 Hinson Farm Rd #206 Alexandria, VA 22306 (571) 385-4342

HANNA, PETER

JAMALI, MOJGAN

PETER J HANNA JR DDS PC 516 Oronoco Street Alexandria, VA 22314 (703) 549-1960

ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

DANIEL F BABIEC DMD PC 3690 Kl King St Alexandria, VA 22302 (703) 820-0809

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

3

Delta Dental Premier

LEAVENWORTH, KIM

LU, NHIEN

ROBIN S KIM DDS LTD 5130 Duke Street #4 Alexandria, VA 22304 (703) 370-6500

JON W WILLIAMS JR DDS LTD 5969 Telegraph Road Alexandria, VA 22310 (703) 960-1160

ALEXANDRIA DENTAL CARE PC 1451 Belle Haven Rd Ste 210 Alexandria, VA 22307 (703) 955-3950

KOGAN, PAULINA

LEE, BENJAMIN

LUI, KIN

PAULINA G KOGAN DDS PLLC 250 S Whiting St Ste 116 Alexandria, VA 22304 (703) 370-3030

ROBIN S KIM DDS LTD 5130 Duke Street #4 Alexandria, VA 22304 (703) 370-6500

SKYLINE DENTAL PC 5138 Leesburg Pike Alexandria, VA 22302 (703) 379-0800

KUMRA, SHAWN

LEE, KENNETH

MADANI, SHAGHAYEGH

ELEGANT SMILES DENTAL CARE 4810 Beauregard St #300 Alexandria, VA 22312 (703) 750-1099

KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

ALEXANDRIA DENTAL ART 1001 N Fairfax St #100 Alexandria, VA 22314 (703) 566-8799

KUMRA, SHAWN

LEE, KENNETH

MIRA DENTAL CARE PLLC 4810 Beauregard St #300 Alexandria, VA 22312 (703) 750-1099

HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

TOTALLY DENTAL 3223 Duke St #G Alexandria, VA 22314 (703) 212-7070

KWON, KEEHONG

LEGUM, MARTY

PREMIUM FAMILY DENTAL PC 6328 Richmond Hwy #F Alexandria, VA 22306 (703) 765-0165

KHALEFA, SAID

KWON, KEEHONG

DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

ALEXANDRIA KAN, MARYANN MARYANN KAN DDS PC 6389 Little River Tpke Alexandria, VA 22312 (703) 916-0955

KANUMILLI, SOWMYA VIRGINIA DENTAL CLINIC PLC 5138 Leesburg Pike Alexandria, VA 22302 (703) 379-0800

KASPER, FRINET FRINET KASPER DDS PC 1203 Prince St Alexandria, VA 22314 (703) 683-0800

KEAT, JOSIE

SAID M KHALEFA DDS PC 4600 B Pinecrest Office Pk Dr Alexandria, VA 22312 (703) 914-0020

KHAN, RIFHAT ADVANCED DENTAL CARE PLLC 1707 Osage St # 402 Alexandria, VA 22302 (703) 578-1700

KIM, AILEEN BLESSED SMILES LLC 5249 Duke St #L10 Alexandria, VA 22304 (703) 823-8812

KIM, EDWARD KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

KIM, EDWARD HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

FIRST SMILE DENTAL PC 8727A Cooper Rd Alexandria, VA 22309 (571) 312-6898

KWON, THOMAS THOMAS S KWON DDS PC 4701 Kenmore Ave #122 Alexandria, VA 22304 (703) 751-1112

LAVIOLA, JAMIE JAMIE LAVIOLA DMD 831 S. Washington St Alexandria, VA 22314 (703) 549-3300

LE, HANG ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

LE, MAGARETTE REFLECTION DENTAL LITTLE RIVER 6546 Little River Turnpike Alexandria, VA 22312 (703) 256-3313

MAI, CHRISTINE CHRISTINE L MAI DDS PC 6422 Grovedale Dr #101A Alexandria, VA 22310 (703) 971-9737

MAI, TRUC FAMILY DENTISTRY 1466 N Beauregard St Ste B Alexandria, VA 22311 (703) 778-1221

MAI, TRUC LEINER, ZACHARY DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

LEON, CARLA TELEGRAPH DENTISTS 6925 Telegraph Rd Alexandria, VA 22310 (703) 313-6999

LOKITIS, JULIA DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

LONGMAN, EDDIE EDDIE S LONGMAN DDS 312 S Washington St #5A Alexandria, VA 22314 (703) 549-1331

LOPEZ, KATIE KATIE LOPEZ DDS PLLC 7686 Richmond Hwy #201A Alexandria, VA 22306 (703) 672-2442

FAMILY DENTISTRY 181 Comay Terrace Alexandria, VA 22304 (703) 461-3000

PARTICIPATING PROVIDERS

KIM, ROBIN

VIRGINIA (CONT'D)

MAI, TRUC MAI DENTAL TEAM 1911 Ballenger Ave Alexandria, VA 22314 (703) 299-1200

MARAVI, FERNANDO ALEXANDRIA NEIGHBORHOOD HEATLH SERVICES INC 4480 King St Alexandria, VA 22303 (703) 535-5568

MARTINEZ, MARIA MOHSEN GHANBARI DDS 50 South Pickett Street Suite 118 Alexandria, VA 22304 (703) 370-2000

MCDONALD, ANNE ANNE S MCDONALD DMD PC 50 South Pickett St Ste 101 Alexandria, VA 22304 (703) 751-5222

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

4

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA MCQUISTON, SCOTT SCOTT A MCQUISTON DDS 5350 Shawnee Rd #310 Alexandria, VA 22312 (703) 354-0111

MCVAY, THOMAS

MERCADO, ROMINA DANIEL F BABIEC DMD PC 3690 Kl King St Alexandria, VA 22302 (703) 820-0809

MERCADO, ROMINA ROMINA MERCADO DMD PLLC 5249 Duke St #101 Alexandria, VA 22304 (703) 751-4344

MESTAS, ERIC ERIC MESTAS DDS PC 5115-D Franconia Rd Alexandria, VA 22310 (703) 971-2788

MILLER, GLEN MOUNT VERNON DENTAL SMILES 8101 Hinson Farm Rd #216 Alexandria, VA 22306 (703) 360-6455

MISTRY, KEVIN CENTER FOR DENTAL ANESTHESIOLOGY 5282 & 5284 Dawes Ave Alexandria, VA 22311 (703) 379-6400

MOGROVEJO, ERIKA FIRST SMILE DENTAL PC 8727A Cooper Rd Alexandria, VA 22309 (571) 312-6898

MOLLER, GARY KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

NGUYEN, MONIQUE

PARK, HYE

HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

WOODLAWN FAMILY DENTIST 8492 Richmond Hwy 104 Alexandria, VA 22309 (703) 780-3482

GREEN DENTAL OF ALEXANDRIA 1725 Duke St Ste Gr03 Alexandria, VA 22314 (703) 549-1725

MUSMAR, QAIS

NGUYEN, QUYNH

PARK, JUNG

REFLECTION DENTAL LITTLE RIVER 6546 Little River Turnpike Alexandria, VA 22312 (703) 256-3313

VIRGINIA DENTAL CENTER 6230-C North Kings Hwy Alexandria, VA 22303 (703) 768-9400

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 5249 Duke Street 210 Alexandria, VA 22304 (703) 823-2413

NGUYEN, STEVE MWENDO, JIMANI NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

IMPRESSION DENTAL PC 6167 Fuller Court Alexandria, VA 22310 (703) 822-0670

PARKER, MILTON SOUTH VALLEY DENTAL OFFICE 7700-D Richmond Hwy Alexandria, VA 22306 (703) 799-0655

NGUYEN, THUAN NASIR, AISHA AISHA NASIR DMD PLLC 821 Slaters Lane Alexandria, VA 22314 (571) 348-4590

THUAN NGUYEN 5130 Duke St, Ste #8 Alexandria, VA 22304 (703) 823-2848

PATTERSON, DAYNE JON W WILLIAMS JR DDS LTD 5969 Telegraph Road Alexandria, VA 22310 (703) 960-1160

NGUYEN, TUONG-VAN NGUYEN, ASHLEY ASHLEY S NGUYEN DDS PLLC 901 N Washington St #202 Alexandria, VA 22314 (703) 706-9564

VIRGINIA DENTAL CENTER 6230-C North Kings Hwy Alexandria, VA 22303 (703) 768-9400

PHAM, DIANE PETER J HANNA JR DDS PC 516 Oronoco Street Alexandria, VA 22314 (703) 549-1960

NGUYEN, VU NGUYEN, CALVIN ROBIN S KIM DDS LTD 5130 Duke Street #4 Alexandria, VA 22304 (703) 370-6500

NGUYEN, CATHERINE SKYLINE COURT FAMILY DENTAL CARE 5142 Leesburg Pike Alexandria, VA 22302 (703) 998-5559

NGUYEN, CHRISTOPHER KING CENTRE DENTAL 5695 King Centre Dr B100 Alexandria, VA 22315 (703) 719-9824

NGUYEN, HIEU FOREST FAMILY DENTISTRY PLLC 3608 Forest Dr Alexandria, VA 22302 (703) 671-3511

NGUYEN, MIKE NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

PREMIUM FAMILY DENTAL PC 6328 Richmond Hwy #F Alexandria, VA 22306 (703) 765-0165

NGUYEN, VU FIRST SMILE DENTAL PC 8727A Cooper Rd Alexandria, VA 22309 (571) 312-6898

ORENSTEIN, RICHARD HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

OVCHARENKO, VLADYSLAV TELEGRAPH DENTISTS 6925 Telegraph Rd Alexandria, VA 22310 (703) 313-6999

PAHLAVANI, EDNA JON W WILLIAMS JR DDS LTD 5969 Telegraph Road Alexandria, VA 22310 (703) 960-1160

PARTICIPATING PROVIDERS

THOMAS G MCVAY DDS LTD 6000 Stevenson Ave #103 Alexandria, VA 22304 (703) 751-3880

MOLLER, GARY

PHAM, HIEP FOREST FAMILY DENTISTRY PLLC 3608 Forest Dr Alexandria, VA 22302 (703) 671-3511

PHAN, ANH EDDIE S LONGMAN DDS 312 S Washington St #5A Alexandria, VA 22314 (703) 549-1331

PHAN, PHUONG PHUONG PHAN DMD PC 1225 Martha Custis Dr #C6 Alexandria, VA 22302 (703) 931-6344

PHAN, PHUONG KINGSTOWNE FAMILY & COSMETIC DENTISTRY PC 5960 Kingstowne Towne Ctr #140 Alexandria, VA 22315 (703) 719-9210

PRICE, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

5

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA PUGH, GEORGE GEORGE S PUGH DDS LTD 8492 Richmond Highway Woodlawn Garden Apts Alexandria, VA 22309 (703) 780-3300

RAHMAN DENTAL ASSOCIATES PC 4527 Duke Street Alexandria, VA 22304 (703) 751-5052

RATNER, LES DANIEL F BABIEC DMD PC 3690 Kl King St Alexandria, VA 22302 (703) 820-0809

RATNER, LES HILLTOP DENTAL CARE 6481 Old Beulah St Alexandria, VA 22315 (703) 971-1919

REID, DONNA EXQUISITE DENTAL CARE 300 N Washington St Ste 210 Alexandria, VA 22314 (571) 970-4103

ROBERTS, THOMAS MOUNT VERNON DENTAL SMILES 8101 Hinson Farm Rd #216 Alexandria, VA 22306 (703) 360-6455

ROBERTS, THOMAS THOMAS C ROBERTSON JR DMD PC 8101 Hinson Farm Rd #216 Alexandria, VA 22306 (703) 360-6455

ROMANO, FRANK KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

ROMANO, FRANK FRANK D ROMANO DDS PC 7015A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

SHAPIRO, HAROLD

SOLIER, GEORGE

DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

ROMINA MERCADO DMD PLLC 5249 Duke St #101 Alexandria, VA 22304 (703) 751-4344

LACAVA & SOLIER DDS LTD 2616 Sherwood Hall #403 Alexandria, VA 22306 (703) 360-4500

SADEDDIN, HAZIM ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

SAMADNEJAD, FARSHAD ACKERMAN & ASSOC OF ALEXANDRIA D 5055 Seminary Rd Ste 105 Alexandria, VA 22311 (703) 931-0200

SANGID, RONNY DUKE DENTAL CARE PLC 50 S Pickett St #229 Alexandria, VA 22304 (703) 212-0000

SCHEHL, JOHN JOHN A SCHEHL DDS PC 1451 Belle Haven Rd Ste #430 Alexandria, VA 22307 (703) 765-6400

SCHNEIDER, GRANT GRANT H SCHNEIDER II DDS PLLC 2802 Sherwood Hall Ln Alexandria, VA 22306 (703) 768-1223

SCOTT, ANNETTE ANNETTE E SCOTT DDS 6182 Old Franconia Road Alexandria, VA 22310 (703) 971-4333

SELENOU-TEMA, ALAIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 5249 Duke Street 210 Alexandria, VA 22304 (703) 823-2413

SHAFIEI, NIKKI ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

SHAPIRO, HAROLD SHAPIRO HAROLD L 5249 Duke Street #101 Alexandria, VA 22304 (703) 751-4344

SHARAFI, ALIREZA SMILEVILLE DENTISTRY 6354 Walker Ln #103 Alexandria, VA 22310 (703) 417-9722

SPECHLER, JEROME JEROME W SPECHLER DDS 3610 Forest Drive Alexandria, VA 22302 (703) 578-4221

SPITZER, TIMOTHY KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

SILK, ZAHER

SPITZER, TIMOTHY

ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

SILVERMAN, RONALD

TAHERI, BRUCE

RONALD D SIVERMAN DDS 250 S Whiting St #116 Alexandria, VA 22304 (703) 370-3030

ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

SKLAR, ANDREW

TAVAKKOLI, KAMBIZ

ANDREW M SKLAR DDS 4901 Seminary Rd Ste 120 Alexandria, VA 22311 (703) 931-3141

OLD TOWN DENTAL PARTNERS 1500 King St #300 Alexandria, VA 22314 (703) 683-6688

SMITH, HUBERT

TAVAKKOLI, KAMBIZ

HUBERT RAY SMITH 3210 Cunningham Drive Alexandria, VA 22309 (703) 780-7900

KAMRAN TAVAKKOLI DMD & KAMBIZ TAVAKKOLI DMD PC 8403-I Richmond Hwy Alexandria, VA 22309 (703) 360-1070

SNYDER, JAMES

TAVAKKOLI, KAMRAN

CENTER FOR DENTAL ANESTHESIOLOGY 5282 & 5284 Dawes Ave Alexandria, VA 22311 (703) 379-6400

SOLEMANINEJAD, HOMAN LANDMARK DENTAL CARE 101 S Whiting St #100 Alexandria, VA 22304 (703) 751-7000

SOLEMANINEJAD, HOMAN ALEXANDRIA DENTAL CENTER PLLC 715 Pendleton St Alexandria, VA 22314 (571) 970-3783

PARTICIPATING PROVIDERS

RAHMAN, MURSHED

ROSENBLUM, STEPHEN

OLD TOWN DENTAL PARTNERS 1500 King St #300 Alexandria, VA 22314 (703) 683-6688

TAVAKKOLI, KAMRAN KAMRAN TAVAKKOLI DMD & KAMBIZ TAVAKKOLI DMD PC 8403-I Richmond Hwy Alexandria, VA 22309 (703) 360-1070

TOLSON, RONALD RONALD E TOLSON DDS PLLC 5246 Dawes Ave Alexandria, VA 22311 (703) 379-2290

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

6

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA TOWNES, KIMBERLY FLOSS AND SMILE PC 1438 Duke St Alexandria, VA 22314 (703) 212-0602

TRAHOS, NORMAN

TRAN, JULIE DEL RAY SMILES 4 Herbert St Ste A Alexandria, VA 22305 (703) 836-2213

TRAN, KERI LANDMARK DENTAL 6204 Little River Trnpke Alexandria, VA 22312 (703) 658-3000

TRAN, MYVAN KINGSTOWNE FAMILY & COSMETIC DENTISTRY 5960 Kingstowne Town Center Ste 140 Alexandria, VA 22315 (703) 719-9210

WORTMAN, MICHAEL

DEVYLDER, JOSEPH

PAUL GIBBERMAN DDS FAMILY DENISTRY 6303 Little River Turnpike Ste 205 Alexandria, VA 22312 (703) 823-6616

DENTAL ASSOC OF NORTHERN VA PLLC 1500 Belleview Blvd Second Floor Alexandria, VA 22307 (703) 768-4777

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 5249 Duke Street 210 Alexandria, VA 22304 (703) 823-2413

TSUI, NATHAN

YANN, BORIN

FIORUCCI, RICHARD

TSUI NATHAN C 5249 Duke Street Ste 10 Alexandria, VA 22304 (703) 823-8812

LANDSDOWNE FAMILY DENTISTRY 6428 Landsdowne Centre Alexandria, VA 22315 (703) 550-2940

FIORUCCI RICHARD D 1451 Belle Haven Rd Alexandria, VA 22307 (703) 768-1188

VU, JOHN HYBLA VALLEY DENTAL CTR 8120 Richmond Highway Alexandria, VA 22309 (703) 799-7041

WAGMAN, JEFFREY IRVING H WAGMAN DDS PC 3541 W Braddock Rd #202 Alexandria, VA 22302 (703) 379-6187

WALI, SOFIYA SOFIYA WALI DDS PC 3604 Forest Dr Alexandria, VA 22302 (703) 379-9292

EXQUISITE DENTAL CARE 300 N Washington St Ste 210 Alexandria, VA 22314 (571) 970-4103

WHITE, JAY JAY K WHITE DDS LTD 4660 Kenmore Ave #320 Alexandria, VA 22304 (703) 751-7600

TRUONG, TINA BEAUREGARD SHINY DENTAL 4810 Beauregard St #200 Alexandria, VA 22312 (703) 333-5105

TRUONG, TINA TINA TRUONG DDS 6377 Little River Turnpike Alexandria, VA 22312 (703) 333-5105

TSAI, CHIH-PING NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

MAS FAMILY & COSMETIC DENTISTRY 6831 Sir Viceroy Dr #200 Alexandria, VA 22315 (703) 672-0664

ZIER, TARA KINGSTOWNE DENTAL CARE PC 7015-A Manchester Blvd Alexandria, VA 22310 (703) 719-0033

ZIER, TARA HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

WANG, ALICE

TRAN, MYVAN TELEGRAPH DENTISTS 6925 Telegraph Rd Alexandria, VA 22310 (703) 313-6999

HENRY, ROLIN ZAMORA -ROJAS, CARLA

WILLIAMS, JON JON W WILLIAMS JR DDS LTD 5969 Telegraph Road Alexandria, VA 22310 (703) 960-1160

WILLIAMS, SUZANNE WILLIAMS SUZANNE 6214-A Old Franconia Rd Alexandria, VA 22310 (703) 719-6158

WOOD, BRYAN BRYAN D WOOD DDS PC 2000 Huntington Ave Ste 107 Alexandria, VA 22303 (703) 960-8670

ROLIN S HENRY DDS PC 7900 Andrus Rd #2 Alexandria, VA 22306 (703) 780-4422

KUZMIK, MICHAEL DELGADO & KUZMIK 3601 Eisenhower Ave #250 Alexandria, VA 22304 (703) 317-1717

MORGAN, DAVID DAVID M MORGAN DDS MD PLC 124 South West St #103 Alexandria, VA 22314 (703) 751-7841

PARTICIPATING PROVIDERS

DEL RAY SMILES 4 Herbert St Ste A Alexandria, VA 22305 (703) 836-2213

TSAI, JACK

ROTHMAN, JEFFREY

ORAL SURGEON AMIN, AHMAD AHMAD FAROQ AMIN DDS PC 4600 D Pinecrest Office Pk Dr Alexandria, VA 22312 (703) 642-6425

BREWER, KEVIN ALEXANDRIA ORAL SURGERY PC 4660 Kenmore Ave #204 Alexandria, VA 22304 (703) 370-3012

ALEXANDRIA ORAL SURGERY PC 4660 Kenmore Ave #204 Alexandria, VA 22304 (703) 370-3012

ORTHODONTIST HAMMAN, FRANCES HAYFIELD DENTAL CARE 7574 Telegraph Rd Alexandria, VA 22315 (703) 971-2220

KERMANSHI, SHIVA COLEMAN, NORMAN ALEXANDRIA DENTAL ART 1001 N Fairfax St #100 Alexandria, VA 22314 (703) 566-8799

DELGADO, EDWARD DELGADO & KUZMIK 3601 Eisenhower Ave #250 Alexandria, VA 22304 (703) 317-1717

LANDMARK DENTAL CARE 101 S Whiting St #100 Alexandria, VA 22304 (703) 751-7000

KERMANSHI, SHIVA ALEXANDRIA DENTAL CENTER PLLC 715 Pendleton St Alexandria, VA 22314 (571) 970-3783

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

7

Delta Dental Premier

VIRGINIA (CONT'D) ALEXANDRIA KIM, CHRISTINE ROBIN S KIM DDS LTD 5130 Duke Street #4 Alexandria, VA 22304 (703) 370-6500

LEE, WILLIAM

LU, HUNG QUOC FIRST IMPRESSIONS ORTHODONTICS 6479 Old Beulah St Alexandria, VA 22315 (703) 822-0010

TRAN, ANH ALEXANDRIA ORTHODONTICS 2616 Sherwood Hall Ln Ste 302 Alexandria, VA 22306 (703) 780-1418

PEDIATRIC DENTIST/PEDODONTIST AUSTIN, ANGELA ALEXANDRIA CHILDRENS DENTISTRY PC 6303 Little River Trnpk #345 Alexandria, VA 22312 (703) 942-8404

DADKHAH, MINA SMILEVILLE DENTISTRY 6354 Walker Ln #103 Alexandria, VA 22310 (703) 417-9722

GHALEHBAGHI, FARANAK PEDIATRIC & ADOLESCENT DENTISTRY PC 4605-D Pinecrest Office Park Dr Alexandria, VA 22312 (703) 352-4121

LIU, BEN SUPERKIDS PEDIATRIC DENTISTRY 5787 Winston Court Alexandria, VA 22311 (703) 931-4400

ANDERSON, DAVID

ALEXANDRIA PEDIATRIC DENTISTRY PLC 3223 Duke St Ste A Alexandria, VA 22314 (571) 257-5744

DAVID C ANDERSON 5288 Dawes Ave Alexandria, VA 22311 (703) 671-6060

IJADI, MEHRDAD PATEL, ARPI ALEXANDRIA CHILDRENS DENTISTRY PC 6303 Little River Trnpk #345 Alexandria, VA 22312 (703) 942-8404

PHAETON, NATHALIE EXQUISITE DENTAL CARE 300 N Washington St Ste 210 Alexandria, VA 22314 (571) 970-4103

STEPHENSON, KESHA PARKER-GRAY PEDIATRIC DENTAL CARE PC 224 N Fayette St Alexandria, VA 22314 (703) 519-7275

TA, ADAM KINGSTOWNE PEDIATRIC DENTISTRY PLLC 7025 Cd Manchester Blvd Alexandria, VA 22310 (703) 922-4000

TRAN, MY KINGSTOWNE PEDIATRIC DENTISTRY PLLC 7025 Cd Manchester Blvd Alexandria, VA 22310 (703) 922-4000

VATANKA, HEIDI PARKER-GRAY PEDIATRIC DENTAL CARE PC 224 N Fayette St Alexandria, VA 22314 (703) 519-7275

WILSON, ADRIAN ELEGANT SMILES DENTAL CARE 4810 Beauregard St #300 Alexandria, VA 22312 (703) 750-1099

PERIODONTIST ABBOTT, DAVID PETER J HANNA JR DDS PC 516 Oronoco Street Alexandria, VA 22314 (703) 549-1960

ALEXANDRIA DENTAL ART 1001 N Fairfax St #100 Alexandria, VA 22314 (703) 566-8799

LI, JINGCHAO EXQUISITE DENTAL CARE 300 N Washington St Ste 210 Alexandria, VA 22314 (571) 970-4103

SPECIALTY NOT SPECIFIED KARAU, MARY ANN RALPH E KARAU DDS LTD 1213 Belle Haven Rd Alexandria, VA 22307 (703) 765-5505

KARAU, RALPH RALPH E KARAU DDS LTD 1213 Belle Haven Rd Alexandria, VA 22307 (703) 765-5505

ALTAVISTA GENERAL DENTIST BHUSHAN, SARITA

MIRANDA, RUBEN ALEXANDRIA NEIGHBORHOOD HEATLH SERVICES INC 4480 King St Alexandria, VA 22303 (703) 535-5568

MIRANDA, RUBEN LANDMARK DENTAL 6204 Little River Trnpke Alexandria, VA 22312 (703) 658-3000

JULIAN W FIELDS DDS LTD 2180 Lynch Mill Rd Altavista, VA 24517 (434) 369-4702

FIELDS, JULIAN JULIAN W FIELDS DDS LTD 2180 Lynch Mill Rd Altavista, VA 24517 (434) 369-4702

SCHANDORFF, MARK SMITH, KARL KARL A SMITH DDS LLC 2500 N Van Dorn St #128 Alexandria, VA 22302 (703) 894-4867

JULIAN W FIELDS DDS LTD 2180 Lynch Mill Rd Altavista, VA 24517 (434) 369-4702

PARTICIPATING PROVIDERS

ALEXANDRIA BRACES 6400 Beulah Street #103 Alexandria, VA 22310 (703) 347-9876

LOPEZ, JOSEPH

WEST, CHARLES TRABOULSI, GEORGES ALEXANDRIA SMILE DENTISTRY 5234 Dawes Ave Alexandria, VA 22311 (703) 671-0626

ZALEWSKY, JUSTIN JUSTIN ZALEWSKY DMD PLC 4660 Kenmore Ave #300 Alexandria, VA 22304 (703) 823-2422

PROSTHODONTIST CHRISOPOULOS, FOTINI DEL RAY SMILES 4 Herbert St Ste A Alexandria, VA 22305 (703) 836-2213

SALARI, MARJAN NEIBAUER DENTAL CARE PC 8626 Richmond Hwy Alexandria, VA 22309 (703) 554-3500

WEST CHARLES M 511 7Th St Altavista, VA 24517 (434) 369-7784

AMELIA GENERAL DENTIST MORRIS, CHRISTA AMELIA FAMILY DENTISTRY 10160 Superior Way Amelia, VA 23002 (804) 561-4379

STALEY, CATHERINE AMELIA FAMILY DENTISTRY 10160 Superior Way Amelia, VA 23002 (804) 561-4379

AMELIA COURT HOUSE GENERAL DENTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

8

Delta Dental Premier

VIRGINIA (CONT'D) AMELIA COURT HOUSE MUELLER, JENNIFER TRAVIS L MUELLER DDS PC 16320 Goodes Bridge Rd Amelia Court House, VA 23002 (804) 561-1971

MUELLER, TRAVIS

AMHERST GENERAL DENTIST DEAN, JOHN JOHN C DEAN DDS PC 135 S Main St Amherst, VA 24521 (434) 946-7507

ANNANDALE GENERAL DENTIST ALAYSSAMI, MAZIN

KIM, MICHAEL

LIM, MEESUN

JOHNSON C CHENG 6928A Little River Tpke Annandale, VA 22003 (703) 354-6289

E-LINE DENTAL 4600 John Marr Dr Ste 302 Annandale, VA 22003 (703) 658-4211

MEESUM LIM DDS PC 7004-J Little River Tnpk Annandale, VA 22003 (703) 750-3097

CLAROS, CLAUDIA

KIMBLE-TANKS, FELISHA

MEHTA, MURLI

CLAROS DENTAL CARE PC 4231 Markham St #214 Annandale, VA 22003 (703) 272-3943

FELISHA KIMBLE DDS PC 7023 Little River Tpke #104 Annandale, VA 22003 (703) 256-6755

MARK EGBER DDS LTD 7630 Little River Turnpike # 115 Annandale, VA 22003 (703) 256-2556

DURR, JOHN

LE, LAN

NGUYEN, LINH

J CHRISTOPHER DURR 4216 Evergreen Lane Ste 113 Annandale, VA 22003 (703) 941-7020

LAN P LE DDS PC 6922 A Little River Tpke Annandale, VA 22003 (703) 256-1160

TOTAL DENTAL CARE 5017-B Backlick Rd Annandale, VA 22003 (703) 256-1183

EGBER, MARK

LE, THIEN

PARK, HENRY

MARK EGBER DDS LTD 7630 Little River Turnpike # 115 Annandale, VA 22003 (703) 256-2556

SPRINGDALE DENTISTRY 5105-C Backlick Rd Annandale, VA 22003 (703) 942-6612

HENRY PARK DDS INC 7611 Little River Tpke #106W Annandale, VA 22003 (703) 750-0110

EHLE, CHARLES

LE, YEN

PHAM, THANH

EHLE CHARLES E 4006 Lake Boulevard Annandale, VA 22003 (703) 280-4355

YEN V LE DDS & ASSOCIATES PLLC 4330 Evergreen Lane #F1 Annandale, VA 22003 (703) 941-2763

THANH T PHAM DDS PC 6926-D Little River Tpk Annandale, VA 22003 (703) 354-0181

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 7620 Ltl River Tnpk 204 Annandale, VA 22003 (703) 354-0686

FORBES, IRAMA

APANA, ALESIA

GWALTNEY, MICHAEL

STEVEN R JOHNSON DDS PC 4322 Ravensworth Road Annandale, VA 22003 (703) 256-5870

SPRINGDALE DENTISTRY 5105-C Backlick Rd Annandale, VA 22003 (703) 942-6612

BERK, STEVEN

HARRIS, PAUL

STEVEN H BERK DDS PLC 7010 Evergreen Court Annandale, VA 22003 (703) 750-9300

MARK EGBER DDS LTD 7630 Little River Turnpike # 115 Annandale, VA 22003 (703) 256-2556

BOK, JAE

HO, TRUNG

JAE KWON BOK DDS PC 7535 Little River Tnpk Ste 100E Annandale, VA 22003 (703) 956-6222

TRUNG D HO DDS PC 4330 Evergreen Ln #Fi Annandale, VA 22003 (703) 941-5063

BURKE, CAROL

JOHNSON, STEVEN

CAROL P BURKE DDS 4324 C Evergreen Ln Annandale, VA 22003 (703) 750-1302

STEVEN R JOHNSON DDS PC 4322 Ravensworth Road Annandale, VA 22003 (703) 256-5870

I L FORBES DDS PLC 7023 Little River Tpke #104 Annandale, VA 22003 (703) 256-6755

SADEDDIN, HAZIM LEE, HANNAH CROSS POINT DENTAL CARE PC 7535 Little River Tpke #310-C Annandale, VA 22003 (703) 914-1113

LEE, KIMBERLY EVERGREEN DENTISTRY 7002-C Little River Tpk Annandale, VA 22003 (703) 256-7100

LEE, SANG CROSS POINT DENTAL CARE PC 7535 Little River Tpke #310-C Annandale, VA 22003 (703) 914-1113

LEE, TAE EVERGREEN DENTISTRY 7002-C Little River Tpk Annandale, VA 22003 (703) 256-7100

LILLARD, JONATHAN I L FORBES DDS PLC 7023 Little River Tpke #104 Annandale, VA 22003 (703) 256-6755

PARTICIPATING PROVIDERS

TRAVIS L MUELLER DDS PC 16320 Goodes Bridge Rd Amelia Court House, VA 23002 (804) 561-1971

CHENG, JOHNSON

I L FORBES DDS PLC 7023 Little River Tpke #104 Annandale, VA 22003 (703) 256-6755

SADEDDIN, HAZIM MARK EGBER DDS LTD 7630 Little River Turnpike # 115 Annandale, VA 22003 (703) 256-2556

SAVENKOVA, SVITLANA CLAROS DENTAL CARE PC 4231 Markham St #214 Annandale, VA 22003 (703) 272-3943

STEPHENSON, JOHN STEPHENSON ASSOCIATES INC 7501 Little River Turnpike #201 Annandale, VA 22003 (703) 256-4500

TRAN, LINH LINH T TRAN DDS PC & ASSOC 4200 Evergreen Ln Ste 325 Annandale, VA 22003 (703) 916-8571

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

9

Delta Dental Premier

VIRGINIA (CONT'D) ANNANDALE VILLAVICENCIO, OLMEDO OLMEDO I VILLAVICENCIO DDS PC 7501 Little Riv Tpke 105 Annandale, VA 22003 (703) 354-2878

WOODDELL, JOHN

YOON, SEUNG ANNANDALE DENTAL 7006 Little River Turnpike #C Annandale, VA 22003 (301) 231-0080

ORAL SURGEON DEVYLDER, JOSEPH BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 7620 Ltl River Tnpk 204 Annandale, VA 22003 (703) 354-0686

FRANCIONI, SONIA NORTHERN VA ORAL & MAXILLOFACIAL SURGERY ASSOC 7611 Little River Tpke #101E Annandale, VA 22003 (703) 256-2307

FRANCIONI, SONIA DENTAL ASSOC OF NORTHERN VA PLLC 7611 Little River Turnpike Ste 101E Annandale, VA 22003 (703) 256-2307

JACKSON, JULIA DENTAL ASSOC OF NORTHERN VA PLLC 7611 Little River Turnpike Ste 101E Annandale, VA 22003 (703) 256-2307

LABRIOLA, J NORTHERN VA ORAL & MAXILLOFACIAL SURGERY ASSOC 7611 Little River Tpke #101E Annandale, VA 22003 (703) 256-2307

TRAN, TRICIA

CHERON, ROBERT

DENTAL ASSOC OF NORTHERN VA PLLC 7611 Little River Turnpike Ste 101E Annandale, VA 22003 (703) 256-2307

SPRINGDALE KIDZ DENTISTRY PLLC 5047 Backlick Rd. Ste A&B Annandale, VA 22003 (703) 462-8855

NORTHERN VIRGINIA ENDODONTIC ASSOC PLLC 3833 N Fairfax Dr #440 Arlington, VA 22203 (703) 528-8382

ZADEH, HUGH NORTHERN VA ORAL & MAXILLOFACIAL SURGERY ASSOC 7611 Little River Tpke #101E Annandale, VA 22003 (703) 256-2307

ZADEH, HUGH DENTAL ASSOC OF NORTHERN VA PLLC 7611 Little River Turnpike Ste 101E Annandale, VA 22003 (703) 256-2307

ORTHODONTIST ELLIS, DONALD ELLIS ORTHODONTICS PC 4600 John Marr Dr Ste 401 Annandale, VA 22003 (703) 750-9393

PERIODONTIST LIN, THOMAS WILLIAM W WANG DDS PC 4600 John Marr Dr Ste 303 Annandale, VA 22003 (703) 750-0284

PHISUTHIKUL, NORACHAI CENTER FOR DENTOFACIAL AESTHETICS 7630 Little River Tpk Ste #115 Annandale, VA 22003 (703) 256-2556

WANG, WILLIAM WILLIAM W WANG DDS PC 4600 John Marr Dr Ste 303 Annandale, VA 22003 (703) 750-0284

PROSTHODONTIST JI, JOHN JI MANAGEMENT LLC 4322-E Evergreen Ln Annandale, VA 22003 (703) 750-0800

LINDGREN, MEGHAN ELLIS ORTHODONTICS PC 4600 John Marr Dr Ste 401 Annandale, VA 22003 (703) 750-9393

AGGARWAL, HARSHIT CENTER FOR DENTOFACIAL AESTHETICS 7630 Little River Tpk Ste #115 Annandale, VA 22003 (703) 256-2556

APPOMATTOX GENERAL DENTIST HARVEY, PAUL

SMERNOFF, GERALD GERALD N SMERNOFF DDS PC 7501 Little River Tpk Annandale, VA 22003 (703) 941-4212

PAUL D HARVEY DDS 569-A Court St Appomattox, VA 24522 (434) 352-9525

POE, RICHARD VROOM, KATHERINE KATHERINE M VROOM DDS 7027 Evergreen Crt #8 A Annandale, VA 22003 (703) 658-0330

PEDIATRIC DENTIST/PEDODONTIST PAL, GOPAL GOPAL S PAL DDS MS LTD 7540 Little River Tpk Annandale, VA 22003 (703) 642-2828

RICHARD B POE DDS PC 165 Atwood St Appomattox, VA 24522 (434) 352-2301

ARLINGTON ENDODONTIST ASGHAR, IRFAN DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

FEIMSTER, TAWANA ARLINGTON ENDODONTICS PLLC 4350 N Fairfax Dr #160 Arlington, VA 22203 (571) 312-3762

HONG, CHARLIE CHARLIE H HONG DMD PC 4141 North Henderson Rd #13 Arlington, VA 22203 (703) 527-4424

LEE, EUN ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

LEFF, GARY DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

PARTICIPATING PROVIDERS

WOODDELL JOHN D 3299 Woodburn Rd #440 Annandale, VA 22003 (703) 698-9698

LABRIOLA, J

NGUYEN, TU-QUYNH DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

POLLOCK, RICHARD DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

RUSSELL, GREGORY NORTHERN VIRGINIA ENDODONTIC ASSOC PLLC 3833 N Fairfax Dr #440 Arlington, VA 22203 (703) 528-8382

SALLEN, BRUCE DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

10

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON SHAMBAYATI, SARA ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

SHOJAEI, MARIAH

GENERAL DENTIST ABOULHOSN-SANGID, MAHER COLUMBIA HEIGHTS DENTAL 3219 Columbia Pike Ste. #201 Arlington, VA 22204 (703) 979-1100

ADAMS, MONA VIRGINIA DENTAL CARE AT BALLSTON PLLC 915 N Quincy Street Arlington, VA 22203 (703) 276-1010

ADILI, MEHDI IDEAL DENTAL SOLUTIONS 1920 Clarendon Blvd Arlington, VA 22201 (703) 528-0800

AHMADIAN, HOSSEIN ARLINGTON ADVANCED DENTAL CARE 1010 N Glebe Rd #120 Arlington, VA 22201 (703) 974-7501

ANDERSON, ERIKA STEPHEN A MABRY DDS PLC 2800 10Th St N Arlington, VA 22201 (703) 527-3554

ARBUCKLE, ERIC ERIC L ARBUCKLE DDS PC 4141 N Henderson Rd #18 Arlington, VA 22203 (703) 243-9365

CHUZHIN, YELENA

DUDLEY, SCOTT

ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

VIRGINIA DENTAL CARE AT BALLSTON PLLC 915 N Quincy Street Arlington, VA 22203 (703) 276-1010

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

BAHRAMI, BAHARAK

COPELAND, ROBERT

ERIC L ARBUCKLE DDS PC 4141 N Henderson Rd #18 Arlington, VA 22203 (703) 243-9365

COPELAND ROBERT E 4399 Old Dominion Dr Arlington, VA 22207 (703) 243-8288

DUDLEY, SCOTT

BELL, JOHN

COTE, DAVID

JOHN A BELL JR DDS 4625 Old Dominion Drive Arlington, VA 22207 (703) 527-1724

DAVID P COTE DDS PC 1111 Army Navy Dr #Ll02 Arlington, VA 22202 (703) 521-8080

BELT, WILLIAM

COUTIN-GENTRY, J

BELT WILLIAM A 4600 S Four Mile Run C4 Arlington, VA 22204 (703) 671-4473

COUTIN & GENTRY DDS PC 1831 Wilson Blvd Arlington, VA 22201 (703) 522-7733

BUTLER, CHARLES

CUELLAR, GERSON

CHARLES A BUTLER 2250 Clarendon Blvd Store F Arlington, VA 22201 (703) 524-7200

GERSON J CUELLAR DDS PC 611 S Carlin Springs Rd Ste 306 Arlington, VA 22204 (703) 578-0166

CAMPBELL, HUGH

CUELLAR, RUBEN

HUGH K CAMPBELL DDS PC 3401 Columbia Pike #101 Arlington, VA 22204 (703) 486-2273

FIDEL DENTAL GROUP 5500 Columbia Pike #B Arlington, VA 22204 (703) 575-9899

CASTRO-CHABRIER, JENNIFER

DAHMAN, MOUHAMMAD

FIRST FAMILY DENTAL PC 5015 Columbia Pike Arlington, VA 22204 (703) 575-7776

CHANG, MONICA

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

DANIELS, SANDRA

CHO, RAY

DIKEMAN, THERON

ARLINGTON DENTISTRY BY DESIGNS 1012 N Highland St #130B-S Arlington, VA 22201 (703) 841-0300

DANIELS DENTAL GROUP 3801 N Fairfax Dr #25 Arlington, VA 22203 (703) 528-0444

DR THERON DIKEMAN III PC 4399 Old Dominion Dr Arlington, VA 22207 (703) 525-2350

ELITE DENTAL 1025 N. Fillmore St. Ste. C Arlington, VA 22201 (703) 243-4500

DUONG, HUNG ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

ECONOMIDES, MINO ECONOMIDES MINO 1301 N Highland Street Arlington, VA 22201 (703) 522-8320

FARREY, LYNN ART OF DENTISTRY COURTHOUSE 2250 Clarendon Blvd #F Arlington, VA 22201 (703) 778-0854

PARTICIPATING PROVIDERS

ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

BABU, SRIDEVI

FAVAGEHI, JASON CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

FIDEL, ELIDIA ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

FIDEL, ELIDIA FIDEL DENTAL GROUP 5500 Columbia Pike #B Arlington, VA 22204 (703) 575-9899

FINNERTY, RAYMOND RAYMOND FINNERTY & LINDA WU 1600 Wilson Blvd Ste 620 Arlington, VA 22209 (703) 524-0288

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

11

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON FLANAGAN, MICHELLE MICHELLE KEANEY FLANAGAN DMD PLLC 1005 N Glebe Rd #480 Arlington, VA 22201 (703) 528-2369

FORBES, GRAHAM

FUENTES, AGNES AGNES B FUENTES DDS 2445 Army Navy Dr Ste 100 Arlington, VA 22206 (703) 521-7802

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

GORE, SHEMIKA ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

GREGORY, MARY MARY GREGORY DDS 4500 Old Dominion Dr Arlington, VA 22207 (703) 527-6495

GRUNDY, RICHARD

ARLINGTON DENTAL SOLUTIONS 3801 Fairfax Drive Ste 50 Arlington, VA 22203 (703) 524-7031

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

GENTRY, PHILIP

GRUNTZ, RICHARD

COUTIN & GENTRY DDS PC 1831 Wilson Blvd Arlington, VA 22201 (703) 522-7733

RICHARD D GRUNTZ DDS PC 1600 L Crystal Sq Arcade Arlington, VA 22202 (703) 412-1122

GIALANELLA, MATTHEW

HANLEY, BRUCE

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

BRUCE HANLEY DDS & ASSOC PLLC 2501 North Glebe Rd #200 Arlington, VA 22207 (703) 524-7100

GARRETT, TAMARA

HARRIS, CLIFTON GICHANA, ROSELYNE ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

CHONG W LEE & JOSPEH J OH DDS LLC 4141 N Henderson Rd #16 Arlington, VA 22203 (703) 841-0016

HOANG, DUOLAINEY GLIKMAN, SANDRA FIRST FAMILY DENTAL PC 5015 Columbia Pike Arlington, VA 22204 (703) 575-7776

PENTAGON DENTAL OFFICE Pentagon Concourse Room 2E1073 Arlington, VA 22202 (703) 695-1100

HUSKER, REBEKAH GOFF, WILLIAM DENTAL CARE AT CRYSTAL PARK 2231 Crystal Drive #150 Arlington, VA 22202 (703) 892-0883

DENTAL CARE AT CRYSTAL PARK 2231 Crystal Drive #150 Arlington, VA 22202 (703) 892-0883

JOHNSON, STEVEN

KUMRA, SHAWN

JOHNSON STEVEN D 1635 N George Mason #160 Arlington, VA 22205 (703) 522-3363

SBK DDS PC 3801 N Fairfax Drive Ste 4 2 Arlington, VA 22203 (703) 750-1099

KARMACHARYA, KOMAL CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

KAYMANESH, SHAGHAYEGH CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

KERN, APRIL VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

KHALIL, JOSEPH ARLINGTON DENTISTRY BY DESIGNS 1012 N Highland St #130B-S Arlington, VA 22201 (703) 841-0300

KIM, CHAD ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

KLEIN, ELIZABETH APEX DENTAL CARE 3565 Lee Highway #S3B Arlington, VA 22207 (571) 447-5577

KLEYMAN, BORIS BK DENTAL 901 N Stuart St #101 Arlington, VA 22203 (703) 822-5583

KRYGOWSKI, JOHN JOHN J KRYGOWSKI DDS PC 2719 North Washington Blvd Arlington, VA 22201 (703) 243-1810

KUMRA, SHAWN BALLSTON DENTAL CLINIC 900 N Randolph St Ste 103 Arlington, VA 22203 (703) 527-5270

KWON, JUDY CHONG W LEE & JOSPEH J OH DDS LLC 4141 N Henderson Rd #16 Arlington, VA 22203 (703) 841-0016

LAKAS, GREGORY GREGORY LAKAS DDS & ELIZABETH T SHAEFFER DDS INC 1301 N Highland St Arlington, VA 22201 (703) 522-8894

LAVECCHIA, GREG GREG L LAVECCHIA DMD PC 1515 Wilson Blvd #103 Arlington, VA 22209 (703) 528-3336

PARTICIPATING PROVIDERS

IDEAL DENTAL SOLUTIONS 1920 Clarendon Blvd Arlington, VA 22201 (703) 528-0800

GOLDSTEIN, ADAM

LAVECCHIA, LOUIS GREG L LAVECCHIA DMD PC 1515 Wilson Blvd #103 Arlington, VA 22209 (703) 528-3336

LEBO, CARL CARL G LEBO DDS PC 3801 N Fairfax Drive #72 Arlington, VA 22203 (703) 525-0233

LEE, KIRSTEN CHONG W LEE & JOSPEH J OH DDS LLC 4141 N Henderson Rd #16 Arlington, VA 22203 (703) 841-0016

LESSNE, WILLIAM LESSNE WILLIAM D 2501 N Glebe Rd Ste 102 Arlington, VA 22207 (703) 526-9700

LEUNG, JONATHAN LESSNE WILLIAM D 2501 N Glebe Rd Ste 102 Arlington, VA 22207 (703) 526-9700

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

12

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON LEVINE, FERNANDA FIDEL DENTAL GROUP 5500 Columbia Pike #B Arlington, VA 22204 (703) 575-9899

LY, DONG-PHUONG

MA, ANDY ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

MABRY, STEPHEN STEPHEN A MABRY DDS PLC 2800 10Th St N Arlington, VA 22201 (703) 527-3554

MARAVI, FERNANDO FM DENTAL GROUP 2301 Columbia Pike Ste 126 Arlington, VA 22204 (703) 566-1121

MISTRY, KEVIN LIGHTHOUSE DENTAL ARLINGTON PC 2445 26Th Road So Arlington, VA 22206 (703) 920-6600

MOONEY, BRIGID DAVID P COTE DDS PC 1111 Army Navy Dr #Ll02 Arlington, VA 22202 (703) 521-8080

MOORE, CLARISSA CNS DENTAL 3650 S Glebe Rd #195 Arlington, VA 22202 (703) 304-3881

MORRIS, B B BLAIR MORRIS DDS PC 2501 N Glebe Rd Ste 302 Arlington, VA 22207 (703) 524-7466

PAHLAVANI, EDNA

RAOUFINIA, NIMA

CHONG W LEE & JOSPEH J OH DDS LLC 4141 N Henderson Rd #16 Arlington, VA 22203 (703) 841-0016

GREGORY LAKAS DDS & ELIZABETH T SHAEFFER DDS INC 1301 N Highland St Arlington, VA 22201 (703) 522-8894

ARLINGTON DENTAL CENTER 3801 N Fairfax Dr Ste 70 Arlington, VA 22203 (703) 465-9183

MOVAGHARI, PARINAZ DENTAL DEVOTION PLLC 1005 N. Glebe Rd. Ste. #460 Arlington, VA 22201 (703) 528-1222

NASR, FLAVIO FLAVIO W NASR DDS PC 2103 Crystal Plaza Arcade Arlington, VA 22202 (703) 415-0555

NGUYEN, STEVE COLUMBIA PIKE DENTAL PC 5555 Columbia Pike Ste 102 Arlington, VA 22204 (703) 820-8282

NGUYEN, VU FIRST FAMILY DENTAL PC 5015 Columbia Pike Arlington, VA 22204 (703) 575-7776

NIKKHAH, JASON ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

OH, JOSEPH CHONG W LEE & JOSPEH J OH DDS LLC 4141 N Henderson Rd #16 Arlington, VA 22203 (703) 841-0016

PALABRICA, ROSARIO RAYMOND FINNERTY & LINDA WU 1600 Wilson Blvd Ste 620 Arlington, VA 22209 (703) 524-0288

PAPINSICK, ANTHONY ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

PARTRICK, JEREMIAH JEREMIAH N PATRICK JR DDS PC 3801 N Fairfax Dr #65 Arlington, VA 22203 (703) 522-6111

PATEL, SHARLI CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

PERUMAL NAIDU NAGAIAH, ROHINI COLUMBIA PIKE FAMILY DENTISTRY 2407 Columbia Pike #280 Arlington, VA 22204 (571) 312-4111

PHAN, TUYET-MAI OZTURK, SERDAR ARLINGTON FAMILY DENTAL CENTER 2522 Lee Highway Arlington, VA 22201 (703) 243-1166

OZTURK, SERDAR ARLINGTON COSMETIC OF GENERAL DENTISTRY 2522 Lee Hwy Arlington, VA 22201 (703) 243-1166

PHAN TUYET-MAI 4001 North 9Th St Ste 218 Arlington, VA 22203 (703) 522-0510

RAOUFINIA, ARJANG ARLINGTON DENTAL CENTER 3801 N Fairfax Dr Ste 70 Arlington, VA 22203 (703) 465-9183

RAOUFINIA, ARJANG ARLINGTON DENTAL CENTER 6011 Wilson Blvd Arlington, VA 22205 (703) 532-0123

RAOUFINIA, NIMA ARLINGTON DENTAL CENTER 6011 Wilson Blvd Arlington, VA 22205 (703) 532-0123

REIS, LAUREN ARLINGTON COSMETIC & FAMILY DENTISTRY 1701 Clarendon Blvd #250-B Arlington, VA 22209 (703) 636-7878

ROCA, ADAM AURELIO A ROCA 3138 N 10Th St Ste 301 Arlington, VA 22201 (703) 522-2600

ROCA, AURELIO AURELIO A ROCA 3138 N 10Th St Ste 301 Arlington, VA 22201 (703) 522-2600

ROCA, LUPITA

PARTICIPATING PROVIDERS

TRANSCENDENTAL DENTISTRY 200 N Glebe Rd #225 Arlington, VA 22203 (703) 248-1111

MORTAZIE, MICHAEL

ARLINGTON SMILE CENTER LLC 6950 Fairfax Dr Arlington, VA 22213 (703) 237-7622

RUBIN, MICHAEL MICHAEL F RUBIN DMD 2121 Columbia Pike #100 Arlington, VA 22204 (703) 521-8843

RUEDA, SANTIAGO ADVANCE DENTAL CARE CTR 2111 Jefferson Davis Hwy Arlington, VA 22202 (703) 415-0505

SABHARWAL, AMAN BALLSTON DENTAL CLINIC 900 N Randolph St Ste 103 Arlington, VA 22203 (703) 527-5270

SADEDDIN, HAZIM ARLINGTON SMILES PC 5730 Washington Blvd Arlington, VA 22205 (703) 241-0678

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

13

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON SANGID, RONNY COLUMBIA HEIGHTS DENTAL 3219 Columbia Pike Ste. #201 Arlington, VA 22204 (703) 979-1100

SCHANTZ, CARA

WANG, PENG

ARZADON, JOSEPH

GREAT SMILE DENTAL 900 N Randolph St #103 Arlington, VA 22203 (703) 243-3600

ARLINGTON LIGHT DENTAL 2445 26Th Rd South Arlington, VA 22206 (703) 920-6600

SOLTANI, SHAHROKH

WILLIAMS, KRISTEN

JOSEPH M ARZADON MD DDS PC 611 S Carlin Springs Road Suite 308 Arlington, VA 22204 (703) 998-3971

BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

KRISTEN BOWLING WILLIAMS DDS PC 801 N Quincy St #110 Arlington, VA 22203 (703) 778-7610

STEWART, JENNIFER VIRGINIA DENTAL CARE AT BALLSTON PLLC 915 N Quincy Street Arlington, VA 22203 (703) 276-1010

WOO, JANSEN

TAMHANKAR, NISHA

WRAY, HENRY

KRISTEN BOWLING WILLIAMS DDS PC 801 N Quincy St #110 Arlington, VA 22203 (703) 778-7610

HENRY C WRAY 2250 Clarendon Blvd #F Arlington, VA 22201 (703) 243-6868

JANSEN WOO DDS PC 1701 Clarendon Blvd #200 Arlington, VA 22209 (703) 528-8118

SCHANTZ, CARA CNS DENTAL 3650 S Glebe Rd #195 Arlington, VA 22202 (703) 304-3881

SCHOBEL, BRIAN VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

WU, LINDA TECHAPANIT, CHANTARAT CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

SHAEFFER, ELIZABETH GREGORY LAKAS DDS & ELIZABETH T SHAEFFER DDS INC 1301 N Highland St Arlington, VA 22201 (703) 522-8894

RAYMOND FINNERTY & LINDA WU 1600 Wilson Blvd Ste 620 Arlington, VA 22209 (703) 524-0288

YI, JOHN URTEAGA, JAIR DENTAL DEVOTION PLLC 1005 N. Glebe Rd. Ste. #460 Arlington, VA 22201 (703) 528-1222

CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

VAN SLOOTEN, BRIAN

ZADEH, DAVID

CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

DZ DENTAL 611 S Carlin Springs Rd #408 Arlington, VA 22204 (703) 671-7500

SIDOR, ANNA

VO, DUY

SHIN, LEO

DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

SISEL, JEFFREY JEFFREY A SISEL DDS PC 2800 S Shirlington Rd #770 Arlington, VA 22206 (703) 931-5333

DUY Q VO DDS PC 947 S. George Mason Dr Arlington, VA 22204 (703) 521-0900

VU, DUY-ANH TRANSCENDENTAL DENTISTRY 200 N Glebe Rd #225 Arlington, VA 22203 (703) 248-1111

ZAMANI, AMIR ADVANCE DENTAL CARE CTR 2111 Jefferson Davis Hwy Arlington, VA 22202 (703) 415-0505

ORAL SURGEON ARMANIOUS, MARK WHISTON PATTERSON & CORCOCORAN 2501 North Glebe Rd #203 Arlington, VA 22207 (703) 522-6440

ASHER, KEVIN ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

BLAIS, KENNETH JOSEPH M ARZADON MD DDS PC 611 S Carlin Springs Road Suite 308 Arlington, VA 22204 (703) 998-3971

BUKZIN, JAY MEYER CLINIC PLLC 1050 N Highland St #220 Arlington, VA 22201 (703) 483-9591

BUKZIN, JAY BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

PARTICIPATING PROVIDERS

VIRGINIA CENTER FOR COSMETIC & GENERAL DENTISTRY 1025 N Fillmore St Ste A Arlington, VA 22201 (703) 243-7744

SOLEMANINEJAD, HOMAN

CORCORAN, THEODORE WHISTON PATTERSON & CORCOCORAN 2501 North Glebe Rd #203 Arlington, VA 22207 (703) 522-6440

COVIELLO, VINCENT CNS DENTAL 3650 S Glebe Rd #195 Arlington, VA 22202 (703) 304-3881

HAMRAH, DARIA BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

HERRERA, MARICIO MEYER CLINIC PLLC 1050 N Highland St #220 Arlington, VA 22201 (703) 483-9591

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

14

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON JACKS, THOMAS JOSEPH M ARZADON MD DDS PC 611 S Carlin Springs Road Suite 308 Arlington, VA 22204 (703) 998-3971

JOSEPH M ARZADON MD DDS PC 611 S Carlin Springs Road Suite 308 Arlington, VA 22204 (703) 998-3971

NGUYEN, PHUONG ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

BLANK, DEREK

BRAIN, JEFFREY

HAROLD FRANK 200 N Glebe Rd #128 Arlington, VA 22203 (703) 522-2225

DR CHRISTINE REARDON 3565 Lee Highway #A Arlington, VA 22207 (703) 579-0367

FIDEL DENTAL GROUP 5500 Columbia Pike #B Arlington, VA 22204 (703) 575-9899

HESSAMFAR, RAMIN

CRUZ-CHU, CARLOS

KOH, RICHARD

AMERICAN BRACES & SMILE CENTER 611 S Carlin Springs Rd #303 Arlington, VA 22204 (703) 594-4959

ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

ARLINGTON COSMETIC OF GENERAL DENTISTRY 2522 Lee Hwy Arlington, VA 22201 (703) 243-1166

HUYNH, THUYLINH

GILL, KWESI

KOHLI, MALIKA

ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

ARLINGTON CENTER FOR DENTISTRY 1050 N Highland St Ste 300N Arlington, VA 22201 (703) 527-3888

COLUMBIA PIKE FAMILY DENTISTRY 2407 Columbia Pike #280 Arlington, VA 22204 (571) 312-4111

IVERSON, DARIN

LIN, CHI-YI

LAKKIS, DIMA

IVERSON ORTHODONTICS 5401-B Lee Hwy Arlington, VA 22207 (703) 536-7846

CRYSTAL CITY DENTAL ARTS CENTER PC 1615 E Crystal Sqaure Arcade Arlington, VA 22202 (571) 267-1400

RAYMOND FINNERTY & LINDA WU 1600 Wilson Blvd Ste 620 Arlington, VA 22209 (703) 524-0288

MUIR-YOUNG, NATALIE

MIRANDA, RUBEN

ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

FM DENTAL GROUP 2301 Columbia Pike Ste 126 Arlington, VA 22204 (703) 566-1121

KERMANSHI, SHIVA PASHAPOUR, ALI PASHAPOUR ORAL & FACIAL SURGERY 1016 North Highland St #131 Arlington, VA 22201 (703) 566-1990

PATEL, DIPA ARLINGTON ORAL & MAXILLOFACIAL SURGERY 3801 N Fairfax Dr #20 Arlington, VA 22203 (703) 566-1908

PATTERSON, TRAVIS WHISTON PATTERSON & CORCOCORAN 2501 North Glebe Rd #203 Arlington, VA 22207 (703) 522-6440

ORTHODONTIST ABIGAIL, CURTIS ARLINGTON ORTHODONTICS 3801 N Fairfax Dr #60 Arlington, VA 22203 (703) 522-0522

AUGUSTUS, SANA ARLINGTON ENDODONTICS PLLC 4350 N Fairfax Dr #160 Arlington, VA 22203 (571) 312-3762

ELIDIA C FIDEL DDS PLC 5555 Columbia Pike #102 Arlington, VA 22204 (703) 575-9899

KIM, EUNYOUNG ARLINGTON LIGHT DENTAL 2445 26Th Rd South Arlington, VA 22206 (703) 920-6600

SALEH, FADI FADI SALEH DDS LLC 1911 N Fort Myer Dr #101 Arlington, VA 22209 (703) 351-7645

THARIANI, HANI HANI THARIANI DDS MMSC PC 2501 N Glebe Rd #300 Arlington, VA 22207 (703) 527-5654

PEDIATRIC DENTIST/PEDODONTIST BARHAM, LATOYA ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

PARTICIPATING PROVIDERS

LIANG, DAVID

FRANK, HAROLD

OH, EUNSEOK NELSON, EDWARD EDWARD J NELSON DMD PC 2501 N Glebe Rd Ste 100 Arlington, VA 22207 (703) 525-8200

REARDON, CHRISTINE DR CHRISTINE REARDON 3565 Lee Highway #A Arlington, VA 22207 (703) 579-0367

TINGLING, FLAVIA ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

PERIODONTIST AKMAL, OMER VIRGINIA DENTAL CARE AT BALLSTON PLLC 915 N Quincy Street Arlington, VA 22203 (703) 276-1010

ARLINGTON COSMETIC DENTAL GROUP 1731 Clarendon Blvd Arlington, VA 22201 (703) 812-8800

OH, EUNSEOK ARLINGTON LIGHT DENTAL 2445 26Th Rd South Arlington, VA 22206 (703) 920-6600

PATRON, ALFONSO ALFONSO PATRON DDS PLLC 1600 Wilson Blvd #960 Arlington, VA 22209 (703) 465-5080

PATRON, ALFONSO BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

PHISUTHIKUL, NORACHAI DRS LEVIN LEFF & POLLOCK 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 534-0255

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

15

Delta Dental Premier

VIRGINIA (CONT'D) ARLINGTON SEALS, ASHLEY ARLINGTON ENDODONTICS PLLC 4350 N Fairfax Dr #160 Arlington, VA 22203 (571) 312-3762

SPERLING-HABOT, KEREN

ASHOURIPOUR, DARIOUSH

BLUE RIDGE HEALTH CENTER 4038 Thomas Nelson Hwy Arrington, VA 22922 (434) 263-4000

ASHBURN DENTAL ARTS 43330 Junction Plz Ste 122 Ashburn, VA 20147 (703) 729-7900

ASHBURN ENDODONTIST CASTRO, ELBALILA ADVANCED ENDODONTICS OF VIRGINIA PLLC 21001 Sycolin Rd Suite #320 Ashburn, VA 20147 (703) 858-4700

LEE, BRIAN

PROSTHODONTIST ABOU NAHLAH, ESAM BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

AYASS, MOHAMAD AYAS LLC 3801 N Fairfax Dr Ste 55 Arlington, VA 22203 (703) 527-0637

HAMALIAN, TECHKOUHIE SMILE DESIGNER 1911 N Fort Myer Dr #101 Arlington, VA 22209 (703) 351-7645

HUANG, MICHIKO BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

SPECIALTY NOT SPECIFIED KERMANSHI, SHIVA ARLINGTON PEDIATRIC DENTISTRY 5500 Columbia Pike #A Arlington, VA 22204 (703) 671-5437

ARRINGTON GENERAL DENTIST CRISTI, IVONA BLUE RIDGE HEALTH CENTER 4038 Thomas Nelson Hwy Arrington, VA 22922 (434) 263-4000

DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

LEE, JOSEPH ASHBURN ENDODONTICS PC 44110 Ashburn Shopping Plz Ste 211 Ashburn, VA 20147 (703) 723-3700

LIEWEHR, FREDERICK

ROXANNE AZMOUDEH DDS PC 44355 Premier Plz Ste 100 Ashburn, VA 20147 (703) 858-9146

BACHOUR, MAYA LOUDOUN SMILE CENTER 20405 Exhcange St #201 Ashburn, VA 20147 (703) 297-4407

BAMBREY, DINA DINA BAMBREY DMD PC 44025 Pipeline Plz Ste 120 Ashburn, VA 20147 (703) 726-9119

BHIDE, SATYAJEET DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

BOB, GREGORY

WINBERG, TIERNEY

BURO, RONALD

GENERAL DENTIST ABEL, ANNA LOUDON DENTAL ARTS DDS PLLC 44121 Harry Bird Highway #160 Ashburn, VA 20147 (703) 858-7777

ALDERMAN, DOUGLAS FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

ARMENTROUT, NADIA LOUDOUN SMILE CENTER 20405 Exhcange St #201 Ashburn, VA 20147 (703) 297-4407

GREENWAY SMILES LLC 43490 Yukon Drive #114-116 Ashburn, VA 20148 (571) 222-4243

AZMOUDEH, ROXANNE

IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

GNANASUNDARAM, SREEPREETHI

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

DUCHATELLER-CANGE, RUTH RUTH K DUCHATELLIER CANGE 22621 Amendola Terrace Ste 110 Ashburn, VA 20148 (703) 723-0400

GOODE, AMBER IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

GRIMMER, LONNY ASHBROOK CENTER FOR DENTISTRY 44345 Premier Plz Ste 230 Ashburn, VA 20147 (703) 723-1400

HALL, ROBERT DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

HAN, MICHAEL MICHAEL S HAN DDS PC 20905 Professional Plaza #210 Ashburn, VA 20147 (703) 723-9909

PARTICIPATING PROVIDERS

BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 (703) 294-6144

MILLS-ROBERTSON, ABA

HAN, VICTOR VICTOR HAN DDS LLC 43150 Broadlands Center #158 Ashburn, VA 20148 (703) 726-1600

HARTZ, GARY DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

HOCHMAN, HILLARY FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

EGHTESSAD, MICHAEL GATEWAY DENTAL 44330 Premier Plaza Ste 140 Ashburn, VA 20147 (703) 726-0333

HOWARD, KARRIE DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

GHORBANI, PEJMAN ROXANNE AZMOUDEH DDS PC 44355 Premier Plz Ste 100 Ashburn, VA 20147 (703) 858-9146

JAFARI, MAHNAZ AA FAMILY DENTISTRY 22855 Brambleton Plaza #206 Ashburn, VA 20148 (703) 542-6434

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

16

Delta Dental Premier

VIRGINIA (CONT'D) ASHBURN KAUR, HEMANI ESTHETIQUE DENTISTRY 44345 Premier Plaza Ste 220 Ashburn, VA 20147 (703) 729-6222

KIM, MICHAEL

KIM, SUHAD GOOSE CREEK VILLAGE DENTAL 21001 Sycolin Road Suite 240 Ashburn, VA 20147 (703) 723-4224

LANS, IKARS

PEAKS, KELLY

RIOS, JORGE

NV SMILES PC 44095 Pipeline Plaza #400 Ashburn, VA 20147 (703) 723-7131

FIRST IMPRESSION DENTAL PLLC 43810 Central Station Dr #100 Ashburn, VA 20147 (571) 465-2114

JORGE R RIOS INC 44340 Premier Plaza #200 Ashburn, VA 20147 (703) 858-4222

NIKKHAH, POURAN AFFORDABLE DENTAL CARE 44365 Premier Plz Ste 230 Ashburn, VA 20147 (703) 726-4444

BELMONT DENTISTRY 44121 Harry Byrd Hwy Ste 280 Ashburn, VA 20147 (703) 723-1200

NOVICK, ARTHUR DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

NOVICK, KENDRA

LE, DAVID

NWANESHIUDU, CHIOMA

ASHBROOK CENTER FOR DENTISTRY 44345 Premier Plz Ste 230 Ashburn, VA 20147 (703) 723-1400

BROADLANDS COMPLETE DENTAL 43170 Southern Walk Plaza 116 Ashburn, VA 20148 (703) 687-4320

LIM, PHANITH

PAPAGEORGIOU, NICHOLAS

ASHBURN DIVINE DENTAL 20915 Ashburn Rd #205 Ashburn, VA 20147 (703) 858-0288

NICHOLAS PAPAGEORGIOU DDS PC 44330 Premier Plaza #200 Ashburn, VA 20147 (703) 433-9516

ASHBURN DIVINE DENTAL 20915 Ashburn Rd #205 Ashburn, VA 20147 (703) 858-0288

MOOSE, BOBBI FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

NALLAVALLI, SRAVANTHI GATEWAY DENTAL 44330 Premier Plaza Ste 140 Ashburn, VA 20147 (703) 726-0333

RYAN PARK DENTISTRY 43480 Yukon Dr Ste 204 Ashburn, VA 20147 (703) 729-8277

NIKPOURFARD, MATT

IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

LIN, LULU

RIZVI, ZIA PENA, ESTELA

DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

ZIA RIZVI DDS PC 42882 Truro Parish Dr Ste 208 Ashburn, VA 20148 (703) 858-1904

RUSZ, JOESPH PHAN, CHUONG LOUDON DENTAL ARTS DDS PLLC 44121 Harry Bird Highway #160 Ashburn, VA 20147 (703) 858-7777

PROPOGGIO, SUSAN IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

QURESHI, WASIM VIRGINIA SMILES DENTAL CARE 21001 Sycolin Rd #100 Ashburn, VA 20147 (571) 291-9666

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

RUSZNAK, ZOLTAN ASHBURN DENTISTRY TODAY 20925 Professional Plaza Ste 330 Ashburn, VA 20147 (703) 726-8700

SABHARWAL, AMAN FAMILY DENTISTRY & IMPLANT CENTER 44031 Ashburn Shopping Plaza Ste #131 Ashburn, VA 20147 (703) 858-3456

PARTICIPATING PROVIDERS

GOOSE CREEK VILLAGE DENTAL 21001 Sycolin Road Suite 240 Ashburn, VA 20147 (703) 723-4224

NGUYEN, PHUONG-UYEN

SHARMA, SUMIT RAHIM, HARESS HARESS RAHIM DMD PLLC 22855 Brambleton Plaza Ste 208 Ashburn, VA 20148 (703) 327-5533

RANZURMAL, MINA JORGE R RIOS INC 44340 Premier Plaza #200 Ashburn, VA 20147 (703) 858-4222

DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

SVECHOTA-KINGSBURY, BRUCE DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

PARK, JOHN BROADLANDS COMPLETE DENTAL 43170 Southern Walk Plaza 116 Ashburn, VA 20148 (703) 687-4320

RAY, RONALD

PARK, KYUNG

REEVES, CARTER

WHITE TREE DENTAL 44031 Pipeline Plaza # 215 Ashburn, VA 20147 (703) 726-8804

FIRST IMPRESSION DENTAL PLLC 43810 Central Station Dr #100 Ashburn, VA 20147 (571) 465-2114

PATEL, AMIT AMIT B PATEL DDS PC 20600 Gordon Park Sq Ste 110 Ashburn, VA 20147 (703) 724-4470

RONALD RAY DDS PC 43930 Farmwell Hunt #136 Ashburn, VA 20147 (703) 858-0045

VILLARROEL-SOTO, CLAUDIA FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

VU, TUAN FRIENDS & FAMILY DENTISTRY PLLC 44121 Harry Byrd Hwy #155 Ashburn, VA 20147 (571) 918-0077

ORAL SURGEON

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

17

Delta Dental Premier

VIRGINIA (CONT'D) ASHBURN BLUHM, ANDREW

DANG, TUONG-ANH

ABRIL, EDISON

BROADLANDS ORTHODONTICS 42882 Truro Parish Dr #210 Ashburn, VA 20148 (703) 726-6561

LYNDA N DEAN-DURU DDS PC 44025 Pipeline Plaza Unit 1-225 Ashburn, VA 20147 (703) 723-8440

GREENWAY SMILES LLC 43490 Yukon Drive #114-116 Ashburn, VA 20148 (571) 222-4243

DEAN-DURU, LYNDA

BERI, ANURANDA

LYNDA N DEAN-DURU DDS PC 44025 Pipeline Plaza Unit 1-225 Ashburn, VA 20147 (703) 723-8440

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

ISLAND, MARIA

CHADDAD, KARIM

NOVA PEDIATRIC DENTISTRY 21785 Filigree Ct Suite 208 Ashburn, VA 20147 (703) 729-7005

GATEWAY DENTAL 44330 Premier Plaza Ste 140 Ashburn, VA 20147 (703) 726-0333

JAJU, RISHITA

KOH, RICHARD

LYNDA N DEAN-DURU DDS PC 44025 Pipeline Plaza Unit 1-225 Ashburn, VA 20147 (703) 723-8440

ASHBURN DIVINE DENTAL 20915 Ashburn Rd #205 Ashburn, VA 20147 (703) 858-0288

LOUDOUN ORAL & MAXILLOFACIAL SURGERY 44340 Premier Plz Ste 100 Ashburn, VA 20147 (703) 729-8700

HESSAMFAR, RAMIN

DORSCH, STEVE

KORTAM, SAHIRA

LOUDOUN ORAL & MAXILLOFACIAL SURGERY 44340 Premier Plz Ste 100 Ashburn, VA 20147 (703) 729-8700

ASHBURN ORTHODONTICS 44345 Premier Plaza #140 Ashburn, VA 20147 (703) 729-7210

RAMIN HESSAMFAR DMD MS PC 44355 Premier Plaza Ste 100 Ashburn, VA 20147 (703) 726-6561

KRAVITZ, NEAL PATEL, CHIRAG ASHBURN ORAL SURGERY 20405 Exchange St #251 Ashburn, VA 20147 (703) 342-4220

PEDIATRIC DENTISTRY OF ONE LOUDOUN 20405 Exchange St #260 Ashburn, VA 20147 (703) 729-0350

PATEL, SUKETU

LEE, WILLIAM

MARZBAN, COURTNEY

KOOSHKI, BIJAN

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

NOVA PEDIATRIC DENTISTRY 21785 Filigree Ct Suite 208 Ashburn, VA 20147 (703) 729-7005

LIDA SADR DDS PC 44031 Ashburn Shpg Plz #131 Ashburn, VA 20147 (703) 858-3456

VANDERVORT, GENE

MULLEN, STEVEN

PATEL, AJIT

LOUDOUN ORAL & MAXILLOFACIAL SURGERY 44340 Premier Plz Ste 100 Ashburn, VA 20147 (703) 729-8700

IKARS V LANS DDS & ASSOC PC 44110 Ashburn Shopping Plz Ste 166 Ashburn, VA 20147 (703) 729-1400

AJIT A PATEL 42882 Truro Parish Dr #201 Ashburn, VA 20148 (703) 726-4333

RODRIGUEZ, CRISTELLE

ORTHODONTIST CASAGRANDE, ZACHARY ZACHARY CASAGRANDE DDS MS PC 22855 Brambleton Plz Ste 200 Ashburn, VA 20148 (703) 327-1718

DACZKOWSKI, THOMAS DACZKOWSKI ORTHODONTICS 20925 Professional Plaza #210 Ashburn, VA 20147 (703) 723-8838

ERRERA, JOSEPH AJIT A PATEL 42882 Truro Parish Dr #201 Ashburn, VA 20148 (703) 726-4333

NELSON, KRISTIN ZACHARY CASAGRANDE DDS MS PC 22855 Brambleton Plz Ste 200 Ashburn, VA 20148 (703) 327-1718

NOVA CHILDRENS DENTISTRY OF ASHBURN 44121 Harry Byrd Highway Ste 265 Ashburn, VA 20147 (703) 858-1550

WOO, VALERIE ULLRICH, COURTNEY NOVA PEDIATRIC DENTISTRY 21785 Filigree Ct Suite 208 Ashburn, VA 20147 (703) 729-7005

NOVA PEDIATRIC DENTISTRY 21785 Filigree Ct Suite 208 Ashburn, VA 20147 (703) 729-7005

WOOD, PATRICIA

PEDIATRIC DENTIST/PEDODONTIST BHATTI, BUSHRA PEDIATRIC DENTISTRY OF ONE LOUDOUN 20405 Exchange St #260 Ashburn, VA 20147 (703) 729-0350

LYNDA N DEAN-DURU DDS PC 44025 Pipeline Plaza Unit 1-225 Ashburn, VA 20147 (703) 723-8440

PERIODONTIST ABRIL, EDISON FUSION DENTAL 20955 Professional Plaza Ste 110 Ashburn, VA 20147 (703) 723-0014

PROSTHODONTIST

PARTICIPATING PROVIDERS

HESSAMFAR, RAMIN

MARTINEZ, LUIS DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 437-8811

SADR, LIDA LIDA SADR DDS PC 44031 Ashburn Shpg Plz #131 Ashburn, VA 20147 (703) 858-3456

ASHLAND ENDODONTIST OLTRA ESPLUGUES, ENRIQUE VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

GENERAL DENTIST BHARAL, POONUM VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

18

Delta Dental Premier

VIRGINIA (CONT'D) ASHLAND BIRD, ELIOT ELIOT W BIRD DDS 10640 Charter Hill Ct Ste 101 Ashland, VA 23005 (804) 550-1222

BOND, MARK

BUHLER, JOHN VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

CASTRO-CHABRIER, JENNIFER LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

CATOGGIO, MICHAEL VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

DIEFENDERFER, MARK VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

DREES, GRETCHEN ASHLAND DENTAL ARTS 100 Arbor Oak Dr #101 Ashland, VA 23005 (804) 798-7388

FLANAGAN, CHAD VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

GRUZYNSKA, HANNA LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

NORDEEN, KYLE

PURCELL, ALLISON

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

HALEY, THOMAS

PERKINSON, S

ROGERS, DALE

THOMAS MAXWELL HALEY DDS PLLC 214 England St Ashland, VA 23005 (804) 798-8121

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

RESSLER, CHRISTINE HARRINGTON, NOLA NOLA W HARRINGTON DMD PC 105 Lee St Ashland, VA 23005 (804) 798-8447

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

ROPER, ERIK HEFELE, WILLIAM WILLIAM J HEFELE DDS 200 Virginia Street Ashland, VA 23005 (804) 798-8019

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

SMITH, JOHN IACHINI, DIANE VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

SMITH JOHN C JR 116 N Railroad Ave #2 Ashland, VA 23005 (804) 798-5061

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

VINSON, ALEXA LARKIN, STEVEN VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

MURRY, BRITTNEY LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

NASH, COLLEEN VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

BASSETT GENERAL DENTIST TONY A RAMSEY 15 Ridgewood Rd Po Box 1601 Bassett, VA 24055 (276) 629-2715

BEALETON TURNAGE, NEIL

KORPICS, LOUIS

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

RAMSEY, TONY SPEARS, BRIAN

KIM, KYU

PERIODONTIST ABBOTT, DAVID

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

GUTHRIE, JAMES

LOUIS J KORPICS JR DDS PC 130 Thompson Street Ashland, VA 23005 (804) 798-2776

ORTHODONTIST BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

MARCUS, RICHARD VIRGINIA FAMILY DENTISTRY PC 10500 Atlee Station Rd Ashland, VA 23005 (804) 550-3324

GENERAL DENTIST REYNOLDS, GAVIN GAVIN E REYNOLDS DDS PC 6360 Village Center Dr Bealeton, VA 22712 (540) 439-1088

BEDFORD GENERAL DENTIST BAILEY, ANTHONY PEAKSVIEW DENTAL LLC 167 West Main St Bedford, VA 24523 (540) 586-8106

HURT, GARRETT GARRETT E HURT DDS PC 423 E. Main St #2 Bedford, VA 24523 (540) 586-3215

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

19

Delta Dental Premier

VIRGINIA (CONT'D) BEDFORD OWEN, JOHN PEAKSVIEW DENTAL LLC 167 West Main St Bedford, VA 24523 (540) 586-8106

POLK, DAVID

RICHARDSON, THOMAS THOMAS M RICHARDSON DDS PC 163 W. Main St. Bedford, VA 24523 (540) 586-6000

SHERMAN, FRANK FRANK L SHERMAN JR DDS PC 308 E Main St Bedford, VA 24523 (540) 586-8080

WALERKO, PHILP PEAKSVIEW DENTAL LLC 167 West Main St Bedford, VA 24523 (540) 586-8106

WOLF, RUDOLF PEAKSVIEW DENTAL LLC 167 West Main St Bedford, VA 24523 (540) 586-8106

BERRYVILLE GENERAL DENTIST ALLEN, DANDRIDGE DANDRIDGE B ALLEN 100 Chalmers Ct Berryville, VA 22611 (540) 955-2220

BARADARAN, EBRAHIM EBRAHIM H BARADARAN DMD PC 100 W Main St Berryville, VA 22611 (540) 955-1189

ANTHONY, RICHARD

JACOB, KEZIA

CLARK D FORTNET DDS PLLC 117 E Main St Berryville, VA 22611 (540) 955-4220

RICHARD L ANTHONY DDS 200 Professional Park Dr. #7 Blacksburg, VA 24060 (540) 552-8870

COOK FAMILY DENTISTRY 611 S Main St Blacksburg, VA 24060 (540) 951-8383

KAISER, GINA

ATHERTON, KIMBERLYN

MCCOY, LARRY

KAISER & MALONY DDS PC 322 N Buckmarsh St Ste B Berryville, VA 22611 (540) 955-0270

NEW RIVER VALLEY DENTAL 1400 S Main St Ste 1401 Blacksburg, VA 24060 (540) 951-2260

LARRY W MCCOY DDS PC 907 Hethwood Blvd Blacksburg, VA 24060 (540) 552-4805

MALONY, NICOLE

BASS, JAY

ROBERTS, ANNA

KAISER & MALONY DDS PC 322 N Buckmarsh St Ste B Berryville, VA 22611 (540) 955-0270

JAY M BASS DDS PC 200 Washington St Se Blacksburg, VA 24060 (540) 552-2551

COOK FAMILY DENTISTRY 611 S Main St Blacksburg, VA 24060 (540) 951-8383

COOK, LOREN

ROBERTSON, JOHN

COOK FAMILY DENTISTRY 611 S Main St Blacksburg, VA 24060 (540) 951-8383

JAY M BASS DDS PC 200 Washington St Se Blacksburg, VA 24060 (540) 552-2551

FRIEND, SARAH

SCHNECKER, DENNIS

COOK FAMILY DENTISTRY 611 S Main St Blacksburg, VA 24060 (540) 951-8383

DANIEL E THOMPSON & DENNIS C SCHNECKER PC 614 South Main St Blacksburg, VA 24060 (540) 953-2980

BIG STONE GAP GENERAL DENTIST ALLRED, KEVIN KEVIN M ALLRED DDS PC 407 3Rd Ave East Big Stone Gap, VA 24219 (276) 523-0931

DAVIS, HERBERT H NEAL DAVIS DDS PC 518 Powell Ave East Big Stone Gap, VA 24219 (276) 523-2691

BLACKSBURG ENDODONTIST ANKRUM, MATTHEW MATTHEW ANKRUM DDS MS PC 3708 S Main St #H Blacksburg, VA 24060 (540) 552-1100

LANIER, LEANDER LANIER ENDODONTIC GROUP 2609 Sheffield Dr Blacksburg, VA 24060 (540) 552-0101

MATRI, AHMED LANIER ENDODONTIC GROUP 2609 Sheffield Dr Blacksburg, VA 24060 (540) 552-0101

GENERAL DENTIST ANKRUM, MICHAEL MICHAEL J ANKRUM DDS PC 211 West Clay St Blacksburg, VA 24060 (540) 552-0050

GLASGOW, MATTHEW MATTHEW W GLASGOW DDS PC 222 Progress St Ne Blacksburg, VA 24060 (540) 552-3111

PARTICIPATING PROVIDERS

PEAKSVIEW DENTAL LLC 167 West Main St Bedford, VA 24523 (540) 586-8106

FORTNEY, CLARK

TEBBENKAMP, JUSTIN JUSTIN N TEBBENKAMP DDS PC 1305 North Main St Blacksburg, VA 24060 (540) 961-3279

HARRIS, CHARLES CHARLES E HARRIS DDS PC 210 Professional Park Dr #11 Blacksburg, VA 24060 (540) 951-3989

THOMPSON, DAMON REAL LIFE DENTAL CARE 202 South Main St Ste 101 Blacksburg, VA 24060 (540) 552-5433

HARRIS, LUKE WALLACE L HUFF DDS INC 3708 S Main St #C Blacksburg, VA 24060 (540) 552-4781

HUFF, CHRISTOPHER CHRISTOPHER B HUFF DDS 3708 S Main St #C Blacksburg, VA 24060 (540) 951-4833

HUFF, WALLACE WALLACE L HUFF DDS INC 3708 S Main St #C Blacksburg, VA 24060 (540) 552-4781

THOMPSON, DANIEL DANIEL E THOMPSON & DENNIS C SCHNECKER PC 614 South Main St Blacksburg, VA 24060 (540) 953-2980

TOMODA, MATTHEW DANIEL E THOMPSON & DENNIS C SCHNECKER PC 614 South Main St Blacksburg, VA 24060 (540) 953-2980

ORAL SURGEON

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

20

Delta Dental Premier

VIRGINIA (CONT'D) BLACKSBURG BOYLE, RICHARD NRV ORAL & MAXILLOFACIAL SURGERY LTD 100 Professional Park Dr #1 Blacksburg, VA 24060 (540) 951-8777

BRADSHAW, JAMES

CAMPBELL, CLARENCE

DRAPER, THOMAS

JAMES L BRADSHAW DDS 131 N Main St Blackstone, VA 23824 (434) 292-4665

CLARENCE CAMPBELL III DDS PC 117 Courthouse Lane Bowling Green, VA 22427 (804) 633-6040

PARKSIDE FAMILY DENTISTRY 100 Parkside Dr Bridgewater, VA 22812 (540) 828-3518

PHILLIP D PRATER DDS LLC 929 South Main St Blackstone, VA 23824 (434) 292-3695

IRBY, LEWIS

NRV ORAL & MAXILLOFACIAL SURGERY LTD 100 Professional Park Dr #1 Blacksburg, VA 24060 (540) 951-8777

WILLIAM IRBY JR DDS PC 929 South Main St Blackstone, VA 23824 (434) 292-3695

WALLACE, DAVID DAVID A WALLACE 3712 South Main St Blacksburg, VA 24060 (540) 552-7222

ORTHODONTIST TURNER, RANDOLPH R L TURNER DDS LTD 800 S Main St Blacksburg, VA 24060 (540) 552-2334

PERIODONTIST BUYER, JOHN NEW RIVER PERIODONTICS & DENTAL IMPLANT CENTER 2612 Sheffield Dr Blacksburg, VA 24060 (540) 951-4848

LENTZ, JOHN NEW RIVER PERIODONTICS & DENTAL IMPLANT CENTER 2612 Sheffield Dr Blacksburg, VA 24060 (540) 951-4848

BLACKSTONE

CAROLINE FAMILY PRACTICE 102 West Broaddus Ave #200 Bowling Green, VA 22427 (804) 632-1030

BOYKINS GENERAL DENTIST BROWNE, WINSTON

PRATER, PHILLIP NRV ORAL & MAXILLOFACIAL SURGERY LTD 100 Professional Park Dr #1 Blacksburg, VA 24060 (540) 951-8777

SASTRY, PREETI

PHILLIP D PRATER DDS LLC 929 South Main St Blackstone, VA 23824 (434) 292-3695

WINSTON M BROWNE III DDS 18197 Virginia Ave Boykins, VA 23827 (757) 654-6226

BRAMBLETON REITZ, MARK MARK G REITZ DDS PLLC 103 E Broad St Blackstone, VA 23824 (434) 292-5318

BLAND GENERAL DENTIST LAMBERT, OLENA BLAND FAMILY DENTISTRY LTD 537 Main St Bland, VA 24315 (276) 688-3667

GENERAL DENTIST BROWNING, STEPHANIE LITTLE SMILES 42395 Ryan Rd #104 Brambleton, VA 20148 (703) 542-7000

COSTA, SHANE LITTLE SMILES 42395 Ryan Rd #104 Brambleton, VA 20148 (703) 542-7000

MAZHARI, SHELIA

BLUE RIDGE GENERAL DENTIST MILLER, KEITH KEITH A MILLER 3613 Blue Ridge Blvd Blue Ridge, VA 24064 (540) 977-6060

BLUEFIELD GENERAL DENTIST

LITTLE SMILES 42395 Ryan Rd #104 Brambleton, VA 20148 (703) 542-7000

PEDIATRIC DENTIST/PEDODONTIST SALEH, LARA LITTLE SMILES 42395 Ryan Rd #104 Brambleton, VA 20148 (703) 542-7000

GENERAL DENTIST

NEEL, ANITA PARKSIDE FAMILY DENTISTRY 100 Parkside Dr Bridgewater, VA 22812 (540) 828-3518

SADOON, IHAB PARKSIDE FAMILY DENTISTRY 100 Parkside Dr Bridgewater, VA 22812 (540) 828-3518

SMITH, RICHARD PARKSIDE FAMILY DENTISTRY 100 Parkside Dr Bridgewater, VA 22812 (540) 828-3518

BRISTOL GENERAL DENTIST ARNOLD, WILLIAM JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

BETTIS, VICTORIA VICTORIA C BETTIS DDS LLC 2426 Lee Hwy Ste. 110 Bristol, VA 24202 (276) 669-1370

BUNN, ROBERT JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

DINWIDDIE, AMELIA

KOVACH, DAVID DAVID A KOVACH DDS PC 517 Tazewell Ave Bluefield, VA 24605 (276) 322-4023

PARKSIDE FAMILY DENTISTRY 100 Parkside Dr Bridgewater, VA 22812 (540) 828-3518

PARTICIPATING PROVIDERS

HOWARD, CLINTON

VANGILDER, JAMES

MILLER, GLEN

IRBY, LEWIS

SINADA, NUTHYLA LITTLE SMILES 42395 Ryan Rd #104 Brambleton, VA 20148 (703) 542-7000

BOWLING GREEN

JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

JESSUP, RONALD

BRIDGEWATER GENERAL DENTIST GENERAL DENTIST

RONALD D JESSUP DMD PC 14245 Lee Highway Bristol, VA 24202 (276) 628-8164

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

21

Delta Dental Premier

VIRGINIA (CONT'D) BRISTOL KELLY, DAVID DAVID R KELLY DDS PC 1941 Euclid Ave Bristol, VA 24201 (276) 669-0112

MARTIN, SONYA

MILLER, SCOTT HORIZON FAMILY DENTISTRY 15325 Lee Hwy Bristol, VA 24202 (276) 466-9800

PETTIT, JEFFREY JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

DRYDEN, BRENT

AKRAMI, FOROUGH

GAINESVILLE FAMILY DENTAL CTR 12701 Braemar Village Plz Bristow, VA 20136 (703) 368-1272

BRENT D DRYDEN DDS PC 2166 Magnolia Ave Buena Vista, VA 24416 (540) 261-2284

COMFORT DENTAL ASSOCIATES PC 9263 Old Keene Mill Road Burke, VA 22015 (703) 455-3338

POULSEN, BRIAN POKU-KWATENG, EVELYN BRISTOW DENTAL CARE INC 10398 Bristow Center Dr Bristow, VA 20136 (703) 361-0401

GAINESVILLE FAMILY DENTAL CTR 12701 Braemar Village Plz Bristow, VA 20136 (703) 368-1272

ORTHODONTIST MOLLOV, NIKOLAY MODERN ORTHODONTICS 10298 Bristow Center Dr Bristow, VA 20136 (703) 436-0006

PROSTHODONTIST KOH, PHILIP

JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

GAINESVILLE FAMILY DENTAL CTR 12701 Braemar Village Plz Bristow, VA 20136 (703) 368-1272

SEAVER, JAMES

ORTHODONTIST BASSHAM, DEBORAH DEBORAH A BASSHAM DDS MS Three 21St St Bristol, VA 24201 (276) 466-4404

WOOD, LEIGHTON TRI-CITIES ORTHODONTIC SPECIALISTS 103 Linden Square Dr Bristol, VA 24202 (276) 642-0043

BRISTOW GENERAL DENTIST

ANDERSON, ERIKA JAMES L GYURICZA DDS PC 5212 B Lyngate Court Burke, VA 22015 (703) 978-5660

BURGESS STUBBLEFIELD, MARGARET

PITTMAN, TYLER

JAMES M SEAVER DDS PC 1740 Euclid Avenue Bristol, VA 24201 (276) 466-2028

BRENT D DRYDEN DDS PC 2166 Magnolia Ave Buena Vista, VA 24416 (540) 261-2284

BROOKNEAL GENERAL DENTIST DRAKE, WILLIAM WILLIAM L DRAKE JR DDS 258 Main St Brookneal, VA 24528 (434) 376-2460

FISHER, RICHARD FISHER RICHARD L 215 A Main St Brookneal, VA 24528 (434) 376-2238

BUENA VISTA GENERAL DENTIST

GENERAL DENTIST FINA, LESLIE FINA FAMILY DENTAL LLC 746 Jessie Dupont Mem Hwy Burgess, VA 22432 (804) 453-3101

RADCLIFFE, STEPHEN STEPHEN S RADCLIFFE DDS 216 Jesse Dupont Mem Hwy Burgess, VA 22432 (804) 453-4361

BURKE ENDODONTIST ASGHAR, IRFAN DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

BERTMAN, DAVID BERTMAN DAVID 9005 Fern Park Drive Burke, VA 22015 (703) 425-6100

BRIGLEB, RICHARD RICHARD C BRIGLEB DDS 9006-A Fern Park Dr Burke, VA 22015 (703) 978-6000

DEHYAR, JOSEPH DEHYAR & ASSOC DMD PC 9534 Burke Rd Burke, VA 22015 (703) 764-0650

PARTICIPATING PROVIDERS

SONYA K MARTIN DDS LLC 2426 Lee Hwy Ste 110 Bristol, VA 24202 (276) 644-1155

COLOSPATE, VIDYA

DONOHUE, KRISTEN KRISTEN DONOHUE DMD PC 6035 Burke Centre Parkway Ste 260 Burke, VA 22015 (703) 978-1446

LEFF, GARY DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

ELHUSSEIN, FAISAL ROLLING VALLEY DENTAL PLC 6405 Shiplett Blvd Burke, VA 22015 (954) 667-8136

NGUYEN, TU-QUYNH DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

FOX, ERIK LAWRENCE T FOX DDS PC 5200 Lyngate Court Burke, VA 22015 (703) 978-5253

POLLOCK, RICHARD DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

CAMPBELL, MARGARET

SALLEN, BRUCE

MARGARET A CAMPBELL DDS INC 2131 Magnolia Ave Buena Vista, VA 24416 (540) 261-7723

DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

GENERAL DENTIST

FOX, LAWRENCE LAWRENCE T FOX DDS PC 5200 Lyngate Court Burke, VA 22015 (703) 978-5253

GHORBANI, PEJMAN DR PEJMAN GHORBANI DMD PLLC 6050-D Burke Commons Rd Burke, VA 22015 (703) 250-5072

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

22

Delta Dental Premier

VIRGINIA (CONT'D) BURKE GUPTA, RAJA DENTAL FIRST ASSOC LLC 9570-A Burke Rd Burke, VA 22015 (703) 323-9394

GYURICZA, JAMES

HOANG, ANTHONY BURKE SEDATION DENTISTRY 8996 Burke Lake Rd #200 Burke, VA 22015 (703) 503-8996

JABBARI, FARNAZ HASHEM SEDAGHATPOUR DMD PC 5631 Burke Center Pkwy Ste D Burke, VA 22015 (703) 250-5790

JONES, LEONARD LEONARD A JONES JR DDS PC 5631 Burke Centre Pkwy #M Burke, VA 22015 (703) 250-3111

KHAN, NABEEL NABEEL KHAN DDS PC 9554 Old Keene Mill Rd #C Burke, VA 22015 (703) 440-5075

KHASRAGHI, FARANAK COMFORT DENTAL ASSOCIATES PC 9263 Old Keene Mill Road Burke, VA 22015 (703) 455-3338

KIM, YOUNG YOUNG H KIM DMD PC 9000 Fern Park Dr Unit A2 Burke, VA 22015 (703) 425-1846

KLIOZE, EARL EARL E & JEFFREY I KLIOZE DDS LTD 9425 Braddock Road Burke, VA 22015 (703) 323-8820

SEDAGHATPOUR, HASHEM

EARL E & JEFFREY I KLIOZE DDS LTD 9425 Braddock Road Burke, VA 22015 (703) 323-8820

HASHEM SEDAGHATPOUR DMD PC 5631 Burke Center Pkwy Ste D Burke, VA 22015 (703) 250-5790

MARZBAN, PAMELA

SIDOR, ANNA

PAMELA MARZBAN DDS PC 8996 Burke Lake Rd #101 Burke, VA 22015 (703) 323-8200

DRS LEVIN LEFF & POLLOCK 8987 Hersand Drive Burke, VA 22015 (703) 978-2525

MCMILLAN, ALEX

SPEICHER, MARY

ALEX MCMILLAN IV DDS PC 6035 Burke Centre Parkway Ste #330 Burke, VA 22015 (703) 503-9490

JAMES L GYURICZA DDS PC 5212 B Lyngate Court Burke, VA 22015 (703) 978-5660

SPITZER, TIMOTHY NAGLE, JEREMY JAMES L GYURICZA DDS PC 5212 B Lyngate Court Burke, VA 22015 (703) 978-5660

COMFORT DENTAL ASSOCIATES PC 9263 Old Keene Mill Road Burke, VA 22015 (703) 455-3338

NGUYEN, QUAN

TOMASELLI, PHILIP

APRIL T TON & QUAN NGUYEN DDS PC 9255 Old Keene Mill Road Burke, VA 22015 (703) 455-0409

PHILIP J TOMASELLI JR DDS PC 5631 Burke Centre Ste N Burke, VA 22015 (703) 425-4225

WILSON-HARTMAN, MELANIE JAMES L GYURICZA DDS PC 5212 B Lyngate Court Burke, VA 22015 (703) 978-5660

ZIER, TARA KINGS PARK DENTAL PARTNERS 8996 Burke Lake Rd #200 Burke, VA 22015 (703) 764-7800

ORAL SURGEON DOLAN, PATRICK ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

GOCKE, MICHAEL PAMELA MARZBAN DDS PC 8996 Burke Lake Rd #101 Burke, VA 22015 (703) 323-8200

LIU, FREDERICK ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

PARTICIPATING PROVIDERS

JAMES L GYURICZA DDS PC 5212 B Lyngate Court Burke, VA 22015 (703) 978-5660

KLIOZE, JEFFREY

TON, APRIL APRIL T TON & QUAN NGUYEN DDS PC 9255 Old Keene Mill Road Burke, VA 22015 (703) 455-0409

NAIMI, AMIR

PAUL T OLENYN DDS LTD 5207 A Lynngate Court Burke, VA 22015 (703) 978-8560

PALIZI, ALIREZA

TORMA, AUDREY

PARK, JONATHAN

ALIREZA PALIZI DDS PC 5216-A Lyngate Ct Burke, VA 22015 (703) 978-7900

EARL E & JEFFREY I KLIOZE DDS LTD 9425 Braddock Road Burke, VA 22015 (703) 323-8820

ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

OLENYN, PAUL

RICE, RICHARD RICHARD O RICE DMD PC 5511 Westcliff Ct Burke, VA 22015 (703) 323-5500

SANCHEZ DE LOZADA, MIA DIEU MIA PHAM DDS PC 8989 Fern Park Dr Burke, VA 22015 (703) 323-1300

STUART L GRAVES DDS MS PC 5206 Lyngate Ct Burke, VA 22015 (703) 425-5010

PATTERSON, ADRIAN VORCHHEIMER, ROGER ROGER F VORCHEIMER DDS 6405 Shiplett Boulevard Burke, VA 22015 (703) 455-5466

STUART L GRAVES DDS MS PC 5206 Lyngate Ct Burke, VA 22015 (703) 425-5010

RAMSEY, CYRUS WILLIS, JAMES BURKE DENTAL PLLC 9006 Fern Park Dr #A Burke, VA 22015 (703) 978-6000

ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

ROBERTSON, STEVEN ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

23

Delta Dental Premier

VIRGINIA (CONT'D) BURKE SILLOWAY, KIMBERLY ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

SMITH, PETER

THEBERGE, DANIEL ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

YAGHMAI, PEDRAM STUART L GRAVES DDS MS PC 5206 Lyngate Ct Burke, VA 22015 (703) 425-5010

ORTHODONTIST BROSNAN, PAUL PAUL J BROSNAN DMD PC 5631 Burke Centre Pkwy #G Burke, VA 22015 (703) 250-7343

CETLIN, DENNIS DENNIS R CETLIN DMD 9316-C Old Keene Mill Road Burke, VA 22015 (703) 455-9683

ELHADY, SHERIF SHERIF N ELHADY DDS MS PC 6505-B Sydenstricker Rd Burke, VA 22015 (703) 440-0100

ELLIS, DONALD ELLIS ORTHODONTICS PC 5631-B Burke Ctr Burke, VA 22015 (703) 250-2214

KLIMA, RODNEY RODNEY J KLIMA DDS PC 5204 B Lyngate Court Burke, VA 22015 (703) 425-5125

TREFF, DAVID

SHIRK, WINFIELD

GOLDEN DENTAL ASSOC 5200 Lyngate Ct Burke, VA 22015 (703) 978-1903

PEDIATRIC DENTISTRY OF BURKE VA 5284 Lyngate Ct Burke, VA 22015 (703) 712-8077

RICHARD COTTRELL DDS Po Box 254 367 Northumberland Hwy Callao, VA 22435 (804) 529-7339

STERN, RICHARD RICHARD K STERN DDS PC 5213-B Lyngate Court Burke, VA 22015 (703) 425-2494

WOODDELL, CAROL CAROL WOODDELL DDS LLC 9295 Old Keene Mill Rd Burke, VA 22015 (703) 440-9701

TOMS, KEVIN RODNEY J KLIMA DDS PC 5204 B Lyngate Court Burke, VA 22015 (703) 425-5125

PEDIATRIC DENTIST/PEDODONTIST BUNIN, SARA GARY R KRAMER DDS 5631 Burke Centre Parkway Ste F Burke, VA 22015 (703) 978-0051

GOLDEN, ALAN GOLDEN DENTAL ASSOC 5200 Lyngate Ct Burke, VA 22015 (703) 978-1903

KHATEEB, MARIAM GOLDEN DENTAL ASSOC 5200 Lyngate Ct Burke, VA 22015 (703) 978-1903

KRAMER, GARY GARY R KRAMER DDS 5631 Burke Centre Parkway Ste F Burke, VA 22015 (703) 978-0051

LEAF, SCOTT SCOTT H LEAF DDS BURKE PLC 9316 Old Keene Mill Rd Ste C Burke, VA 22015 (703) 455-9683

LIN, CHI-YI SCOTT H LEAF DDS BURKE PLC 9316 Old Keene Mill Rd Ste C Burke, VA 22015 (703) 455-9683

PERIODONTIST

ORTHODONTIST SACHNO, ERIKA RICHARD COTTRELL DDS Po Box 254 367 Northumberland Hwy Callao, VA 22435 (804) 529-7339

ANDERSON, DAVID DAVID C ANDERSON 9002 Crownwood Court Burke, VA 22015 (703) 978-6010

DIAZ, JENNIFER RBH PERIODONTICS & IMPLANT DENTISTRY 9570-A Burke Rd Burke, VA 22015 (703) 273-7144

SPECIALTY NOT SPECIFIED BAKER, JUSTIN ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

CANA GENERAL DENTIST SCHNEIDER, JOSEPH CANA DENTAL CENTER 16257 Fancy Gap Hwy Cana, VA 24317 (276) 755-4081

CAPE CHARLES GENERAL DENTIST SELPH, BARNEY SELPH BARNEY S 726 Randolph Ave Cape Charles, VA 23310 (757) 331-1589

PARTICIPATING PROVIDERS

ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

SARMENT, SYLVIE

SLEPSKY, PETER HUR, JOHN ZUSSMAN SMITH &DOLAN PC 5252 Lyngate Court #101 Burke, VA 22015 (703) 764-2077

CALLAO GENERAL DENTIST HERNANDEZ, ARIADNE RICHARD COTTRELL DDS Po Box 254 367 Northumberland Hwy Callao, VA 22435 (804) 529-7339

MARTIN, GABRIEL RICHARD COTTRELL DDS Po Box 254 367 Northumberland Hwy Callao, VA 22435 (804) 529-7339

PETER SLEPSKY DDS PC 24023 Fairview Rd Cape Charles, VA 23310 (757) 331-6004

CASTLEWOOD GENERAL DENTIST COPAS, J JEFFREY MARK COPAS DDS 19308 Hwy 58 Castlewood, VA 24224 (276) 762-2323

CENTREVILLE ENDODONTIST ACOSTA, RAFAEL CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

24

Delta Dental Premier

VIRGINIA (CONT'D) CENTREVILLE STRITTMATTER, EDWARD EDWARD J STRITTMATTER JR DDS PC 5957 Centreville Crest Lane Centreville, VA 20121 (703) 815-3636

GENERAL DENTIST CENTREVILLE DENTAL WELLNESS CENTER PC 14245-F Centreville Square Centreville, VA 20121 (703) 815-0775

EDWARDS, DAMITA

HO, HOANG

BK DENTAL ARTS PC 13890 Braddock Rd #305 Centreville, VA 20121 (703) 815-2875

DAMITA EDWARDS DDS PLLC 6211 Centreville Rd #600 Centreville, VA 20121 (703) 961-8808

SKINNER OSSAKOW & ASSOC DDS PC 5651 Stone Rd Centreville, VA 20120 (703) 830-3092

CHONG, JAE

FISCHER, CHARLES

JAE M CHONG DMD PC 14215-F Centreville Sq Centreville, VA 20121 (703) 825-1191

CHARLES & KATHERINE FISCHER DDS PC 5895 Trinity Center Pkwy Ste 200 Centreville, VA 20120 (703) 818-1500

HUTCHISON, BRUCE

FISCHER, KATHERINE

JARRELL, WHITNEY

CHARLES & KATHERINE FISCHER DDS PC 5895 Trinity Center Pkwy Ste 200 Centreville, VA 20120 (703) 818-1500

HUTCHISON & GORMAN PLLC 14245-P Centreville Sq Centreville, VA 20121 (703) 830-9110

CHUANG, SHUE SHUE JEN CHUANG & DAVID W LUCHT PLC 13880 Braddock Rd #311 Centreville, VA 20121 (703) 803-9223

CHUN, JAMES AHMADZADA, ZIA DULLES DENTAL GROUP 5103 Westfields Blvd Centreville, VA 20120 (703) 802-8999

GHANBARI & KOSHKI DDS PC 5727 Centre Square Dr Centreville, VA 20120 (703) 803-9200

COWELL, CHRISTINA JOSE I AUNON DDS PC 6134 Redwood Sq Ctr Ste 202 Centreville, VA 20121 (703) 266-2483

CENTREVILLE DENTAL WELLNESS CENTER PC 14245-F Centreville Square Centreville, VA 20121 (703) 815-0775

BAWA, ANOOP

CRUZ, MARIA

BAWA DENTISTRY 14631 Lee Hwy Ste 201 Centreville, VA 20121 (703) 266-0111

JOSE I AUNON DDS PC 6134 Redwood Sq Ctr Ste 202 Centreville, VA 20121 (703) 266-2483

BAWA, RAJDEEP

DHILLON, NAVNEET

BAWA DENTISTRY 14631 Lee Hwy Ste 201 Centreville, VA 20121 (703) 266-0111

AUNON, JOSE

BAXI, FAIRY NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

CHA, WONJE C & R DENTAL CARE AT CENTREVILLE 13860-F Braddock Rd Centreville, VA 20121 (703) 825-7070

HUTCHISON & GORMAN PLLC 14245-P Centreville Sq Centreville, VA 20121 (703) 830-9110

JONES, NEAL FLORES, MARCO CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

GHANBARI, MOHSEN GHANBARI & KOSHKI DDS PC 5727 Centre Square Dr Centreville, VA 20120 (703) 803-9200

NEAL B JONES DDS 14001 B Saint Germain Dr Centreville, VA 20121 (703) 802-0630

KAUR, PALWINDER NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

PARTICIPATING PROVIDERS

ABEL, JASON

CHOI, BOKYU

KAZMI, SANA GORMAN, MICHAEL HUTCHISON & GORMAN PLLC 14245-P Centreville Sq Centreville, VA 20121 (703) 830-9110

NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

HAGAR, BASIONY

KIM, JOONGSEO

CENTREVILLE DENTAL GROUP 13890 Braddock Rd #202 Centreville, VA 20121 (703) 825-7339

JOONGSEO KIM 14631 Lee Highway # 116 Centreville, VA 20121 (703) 988-9006

DONG, MICHAEL

HAN, SUNG

KIM, THOMAS

SKINNER OSSAKOW & ASSOC DDS PC 5651 Stone Rd Centreville, VA 20120 (703) 830-3092

BAWA DENTISTRY 14631 Lee Hwy Ste 201 Centreville, VA 20121 (703) 266-0111

TIMOTHY KIM & THOMAS KIM DDS PC 5900 Fort Dr Ste 209 Centreville, VA 20121 (703) 378-5777

HANGVAL, REZA DURR, JOHN SKINNER OSSAKOW & ASSOC DDS PC 5651 Stone Rd Centreville, VA 20120 (703) 830-3092

CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

KIM, TIMOTHY TIMOTHY KIM & THOMAS KIM DDS PC 5900 Fort Dr Ste 209 Centreville, VA 20121 (703) 378-5777

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

25

Delta Dental Premier

VIRGINIA (CONT'D) CENTREVILLE LE, LUONG-HUNG LUONG-HUNG N LE DDS PC 14637 Lee Hwy #104 Centreville, VA 20121 (703) 266-9099

LEE, BENJAMIN

LEE, KIMBERLY CENTRAL DENTISTRY 14631 Lee Hwy Ste 211 Centreville, VA 20121 (703) 825-7840

LEE, TAE CENTRAL DENTISTRY 14631 Lee Hwy Ste 211 Centreville, VA 20121 (703) 825-7840

LUCHT, DAVID SHUE JEN CHUANG & DAVID W LUCHT PLC 13880 Braddock Rd #311 Centreville, VA 20121 (703) 803-9223

MALGHAN, NANDINI CENTREVILLE DENTAL GROUP 13890 Braddock Rd Ste 202 Centreville, VA 20121 (703) 825-7339

MARTINEZ, MARIA GHANBARI & KOSHKI DDS PC 5727 Centre Square Dr Centreville, VA 20120 (703) 803-9200

MAYER, KELLY CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

MERCADO, ROMINA CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

SKINNER, KEVIN

DOLAN, PATRICK

HUTCHISON & GORMAN PLLC 14245-P Centreville Sq Centreville, VA 20121 (703) 830-9110

SKINNER OSSAKOW & ASSOC DDS PC 5651 Stone Rd Centreville, VA 20120 (703) 830-3092

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

SOLTANI, JIM

LIU, FREDERICK

JIM J SOLTANI DDS & ASSOCIATES PC 6019 Centreville Crest Lane Centreville, VA 20121 (703) 815-0202

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

TRINH, PHUONG

PARK, JONATHAN

GHANBARI & KOSHKI DDS PC 5727 Centre Square Dr Centreville, VA 20120 (703) 803-9200

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

MORALES, DIEGO CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

ODONNELL, WILLIAM WILLIAM A ODONNELL DDS 5675 Stone Rd Ste 205 Centreville, VA 20120 (703) 818-1553

OSSAKOW, WILLIAM SKINNER OSSAKOW & ASSOC DDS PC 5651 Stone Rd Centreville, VA 20120 (703) 830-3092

VAKAY, RENA CENTREVILLE DENTAL WELLNESS CENTER PC 14245-F Centreville Square Centreville, VA 20121 (703) 815-0775

OVCHARENKO, VLADYSLAV BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 Centreville, VA 20121 (703) 830-9990

NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

KIDZ DENTISTRY 6101 Redwood Square Cir #300 Centreville, VA 20121 (703) 222-0111

YI, JOHN BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 Centreville, VA 20121 (703) 830-9990

SALEH, LARA CENTREVILLE DENTAL WELLNESS CENTER PC 14245-F Centreville Square Centreville, VA 20121 (703) 815-0775

SHU, MAN V CARE DENTAL 14631 Lee Highway #117 Centreville, VA 20121 (703) 815-0007

ROBERTSON, STEVEN FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

WOOD, PATRICIA

RAMAI, SHELDON NEIBAUER DENTAL CARECENTREVILLE 5742 Pickwick Rd #15 Centreville, VA 20121 (703) 688-2056

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

WHITE, KAREN

PALLE, SUNITHA CENTREVILLE DENTAL GROUP 13890 Braddock Rd Ste 202 Centreville, VA 20121 (703) 825-7339

RAMSEY, CYRUS

PARTICIPATING PROVIDERS

BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 Centreville, VA 20121 (703) 830-9990

MOONEY, BRIGID

YOON, JAEWON BRITE SMILE DENTAL GROUP 14631 Lee Hwy #116 Centreville, VA 20121 (703) 447-5204

ORAL SURGEON

SILLOWAY, KIMBERLY FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

SMITH, PETER FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

THEBERGE, DANIEL FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

BURGER, BRENTON BRENTON W BURGER 5713 Centre Sq Centreville, VA 20120 (703) 266-8770

WOJCIK, ROSE BRENTON W BURGER 5713 Centre Sq Centreville, VA 20120 (703) 266-8770

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

26

Delta Dental Premier

VIRGINIA (CONT'D) CENTREVILLE YAGHMAI, PEDRAM BAWA DENTISTRY 14631 Lee Hwy Ste 201 Centreville, VA 20121 (703) 266-0111

ORTHODONTIST

MILLER, ROBERT

TRAN, TRICIA

KIM, JOONGSEO

MILLER ORTHODONTICS PC 6101 Redwood Square Ctr Ste 305 Centreville, VA 20121 (703) 818-8860

KIDZ DENTISTRY 6101 Redwood Square Cir #300 Centreville, VA 20121 (703) 222-0111

PEARLBRITE DENTAL GROUP PLLC 14631 Lee Hwy #117 Centreville, VA 20121 (703) 281-7011

SINA, NAHID MY BRACES DOCTOR PC 13890 Braddock Rd Ste 202 Centreville, VA 20121 (703) 369-0099

STERN, RICHARD

CHERON ORTHODONTICS 6101 Redwood Square Center #305 Centreville, VA 20121 (703) 818-8860

RICHARD K STERN DDS PC 14245-P Centreville Sq Centreville, VA 20121 (703) 830-9444

FILIPPONE, LOUIS

TRAN, THOAI-LAN

LOUIS C FILIPPONE DDS PC 6138 Redwood Square Ctr Ste 103 Centreville, VA 20121 (703) 815-0127

JIM J SOLTANI DDS & ASSOCIATES PC 6019 Centreville Crest Lane Centreville, VA 20121 (703) 815-0202

KIM, CHRISTINE BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 Centreville, VA 20121 (703) 830-9990

VAHAB, PHILIP KIDZ DENTISTRY 6101 Redwood Square Cir #300 Centreville, VA 20121 (703) 222-0111

BERI, ANURANDA JIM J SOLTANI DDS & ASSOCIATES PC 6019 Centreville Crest Lane Centreville, VA 20121 (703) 815-0202

CHEN, CLIFF BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 Centreville, VA 20121 (703) 830-9990

SPERLING-HABOT, KEREN CONTEMPORARY DENTISTRY OF VIRGINIA 5701 Centre Square Dr Centreville, VA 20120 (703) 968-7022

PROSTHODONTIST

CHANTILLY ENDODONTIST DJEU, S GRACE THE VIRGINIA ENDODONTIC GROUP 14149-B Robert Paris Ct Chantilly, VA 20151 (703) 378-3115

HSU, YU KAI THE VIRGINIA ENDODONTIC GROUP 14149-B Robert Paris Ct Chantilly, VA 20151 (703) 378-3115

HUANG, TONG-YEN THE VIRGINIA ENDODONTIC GROUP 14149-B Robert Paris Ct Chantilly, VA 20151 (703) 378-3115

AYASS, MOHAMAD KIM, EUNYOUNG VIRGINIA ORTHODONTICS & PERIODONTICS 14631 Lee Hwy #211 Centreville, VA 20121 (703) 539-9239

KWON, HYUE HYUE K KWON DDS MDS 13880 Braddock Rd #101 Centreville, VA 20121 (703) 815-6455

LEE, RICHARD TOSHIKI MATSUI 13890 Braddock Rd Ste 106 Centreville, VA 20121 (703) 830-3363

LEE, RICHARD KIDS DENTAL CASTLE 13890 Braddock Rd #106 Centreville, VA 20121 (703) 830-3363

MILLER, JULIANA MILLER ORTHODONTICS PC 6101 Redwood Square Ctr Ste 305 Centreville, VA 20121 (703) 818-8860

PEDIATRIC DENTIST/PEDODONTIST DANG, TUONG-ANH KIDZ DENTISTRY 6101 Redwood Square Cir #300 Centreville, VA 20121 (703) 222-0111

GHATAK, MONAMIE KIDZ DENTISTRY 6101 Redwood Square Cir #300 Centreville, VA 20121 (703) 222-0111

AYAS II DENTAL LLC 14631 Lee Hwy #301 Centreville, VA 20121 (703) 830-2256

HONG, DONG-SOO C & R DENTAL CARE AT CENTREVILLE 13860-F Braddock Rd Centreville, VA 20121 (703) 825-7070

SPECIALTY NOT SPECIFIED BAKER, JUSTIN

MATSUI, TOSHIKI TOSHIKI MATSUI 13890 Braddock Rd Ste 106 Centreville, VA 20121 (703) 830-3363

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

TALAKSI, RUKSANA

HUR, JOHN

CENTREVILLE CHILDRENS DENTISTRY 14245-M Centreville Sq Centreville, VA 20121 (703) 266-9090

FAIRFAX ORAL & MAXILLOFACIAL SURGERY PC 6211 Centreville Rd Ste 800 Centreville, VA 20121 (703) 266-0026

PARTICIPATING PROVIDERS

CHERON, ANN-COLTER

PERIODONTIST

LEE, BRIAN THE VIRGINIA ENDODONTIC GROUP 14149-B Robert Paris Ct Chantilly, VA 20151 (703) 378-3115

LIEWEHR, FREDERICK CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

NGO, TU-SON THE VIRGINIA ENDODONTIC GROUP 14149-B Robert Paris Ct Chantilly, VA 20151 (703) 378-3115

GENERAL DENTIST AHMED, SHABREZ PINE TREE DENTAL CHANTILLY PLLC 4090 Lafayette Center Drive Suite F Chantilly, VA 20151 (703) 678-6666

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

27

Delta Dental Premier

VIRGINIA (CONT'D) CHANTILLY ALTEMEMI, NADINE CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

BABINGTON, DAVID

BABINGTON, WILLIAM CHANTILLY DENTIST PC 3910 Centreville Rd Ste 200 Chantilly, VA 20151 (703) 378-5600

CHAEN KWOK, DON DON CHAEN KWOK DDS PC 14012B Sullyfield Circle Chantilly, VA 20151 (703) 378-1695

DEAN, HENRY DEAN FAMILY DENTISTRY 24805 Pinebrook Rd #212 Chantilly, VA 20152 (703) 327-9909

DOMINGUEZ-GARCIA, OSCAR VERONICA M ENRIQUEZ DDS INC 14102 Sullyfield Cir #500 Chantilly, VA 20151 (703) 378-4004

DUONG, HUNG CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

EJTEMAI, NASTARAN AHMED G AZIZ DDS 14102 Sullyfield Cir #500 Chantilly, VA 20151 (703) 378-4004

EMAD, NEAL NOVA DENTAL CARE 14018-F Sullyfield Circle Chantilly, VA 20151 (703) 222-0202

VERONICA M ENRIQUEZ DDS INC 14102 Sullyfield Cir #500 Chantilly, VA 20151 (703) 378-4004

KRISHNAMOORTHY, SAVITHA TOOTH FAIRY FAMILY & COSMETIC DENTISTRY 24805 Pinebrook Rd Ste 200 Chantilly, VA 20152 (703) 327-3334

EVANS, JOEL EVANS JOEL B 4501 Daly Dr #310 Chantilly, VA 20151 (703) 378-1010

LEE, ESTHER PLEASANT VALLEY DENTAL LLC 4080 Lafayette Center Dr #200 Chantilly, VA 20151 (703) 961-0225

FAVAGEHI, JASON CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

LEON, CARLA VERONICA M ENRIQUEZ DDS INC 14102 Sullyfield Cir #500 Chantilly, VA 20151 (703) 378-4004

GRIMES, MARK GRIMES FAMILY DENTISTRY 4437 Brookfield Corp Dr #107 Chantilly, VA 20151 (703) 222-5400

LILLARD, JONATHAN OUR NOVA DENTIST 14165 A Robert Paris Ct Chantilly, VA 20151 (703) 953-3343

GUIRGUIS, JOHN NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

NGUYEN, CHRISTINE CHRISTINE NGUYEN DDS 14012-B Sullyfield Cir Chantilly, VA 20151 (703) 378-1695

NGUYEN, DIEM CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

NGUYEN, QUYNH-CHI PARADISE SMILES OF CHANTILLY PLLC 4090-A Airline Pkwy Chantilly, VA 20151 (703) 955-7200

NIKSERESHT, KAMRAN NIK FAMILY AND COSMETIC DENTISTRY 14415 Chantilly Crossing Lane Chantilly, VA 20151 (703) 961-0707

PATEL, SHARLI TRANSCENDENTAL DENTISTRY 14012-B Sullyfield Cir Chantilly, VA 20151 (703) 378-1695

CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

NIK FAMILY AND COSMETIC DENTISTRY 14415 Chantilly Crossing Lane Chantilly, VA 20151 (703) 961-0707

MA, ANDY

PHAN, TRUC

HASHAM, OMAR

MODARESI, MINA

LY, DONG-PHUONG

PARTICIPATING PROVIDERS

CHANTILLY DENTIST PC 3910 Centreville Rd Ste 200 Chantilly, VA 20151 (703) 378-5600

ENRIQUEZ, VERONICA

HAN, SUNG

NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

LAFAYETTE FAMILY DENTISTRY PLLC 4229 Lafayette Ctr Dr #1225 Chantilly, VA 20151 (703) 378-1177

AVONLEA FAMILY & COSMETIC DENTISTRY 24805 Pinebrook Rd Ste 112 Chantilly, VA 20152 (703) 433-1122

SANDHU, MANINDERJIT

MUHAMMAD, SULTAN

SOH, HAN

NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

HONG, JONG NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

CHANTILLY DENTAL 4300 Chantilly Shpg Ctr #1C Chantilly, VA 20151 (703) 961-1101

NAGLE, JEREMY

SPITZER, TIMOTHY

JARWA, SAMER GRACE DENTAL OF VIRGINIA 4530 Walney Rd #102 Chantilly, VA 20151 (703) 870-7784

KONERU, JYOTHI

CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

CHANTILLY FAMILY & COSMETIC DENTISTRY 14100 Robert Paris Ct Chantilly, VA 20151 (571) 287-7301

OUR NOVA DENTIST 14165 A Robert Paris Ct Chantilly, VA 20151 (703) 953-3343

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

28

Delta Dental Premier

VIRGINIA (CONT'D) CHANTILLY TECHAPANIT, CHANTARAT CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

TO, BRYANT

TON, THERESA THERESA TON 4080 Lafayette Center Dr Ste 140 Chantilly, VA 20151 (703) 449-8572

TRUVAN, DANNY TRUSMILES DENTAL PLC 4501 Daly Dr #105 Chantilly, VA 20151 (703) 657-2966

BAVEJA, JULIE

BREEN, APRIL

DULLES ORAL SURGICAL CENTER INC 24805 Pinebrook Rd #100 Chantilly, VA 20152 (170) 332-7095

CHILDRENS DENTAL CARE PC 14102 Robert Paris Ct Chantilly, VA 20151 (703) 870-7370

CENTRAL VIRGINIA HEALTH CENTER 9950 Courthouse Rd Charles City, VA 23030 (804) 829-6600

BETHEL-SOPPET, SHIRLEY MAHARAJ, BARRY ANN PHAM & BARRY MAHARAJ DDS PC 3910 Centreville Rd #110 Chantilly, VA 20151 (703) 668-9494

OSWALD, SOPHIE PARADISE SMILES OF CHANTILLY PLLC 4090-A Airline Pkwy Chantilly, VA 20151 (703) 955-7200

PHAM, ANH ANN PHAM & BARRY MAHARAJ DDS PC 3910 Centreville Rd #110 Chantilly, VA 20151 (703) 668-9494

ORTHODONTIST BRITTO, A DENIS

URQUIAGA, CLAUDIO CHANTILLY SMILES 13948 Lee Jackson Mem Hwy Chantilly, VA 20151 (703) 378-5010

A DENIS BRITTO DDS PC 4080 Lafayette Center Dr #160A Chantilly, VA 20151 (703) 230-6784

LEE, DAN VAMARAJU, BINDU NEIBAUER DENTAL CARE PC 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20152 (703) 542-3171

CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

VU, DUY-ANH CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

MIKE C YEO DDS 13916 Metrotech Dr Chantilly, VA 20151 (703) 488-9922

ORAL SURGEON

CHILDRENS DENTISTRY AT PLEASANT VALLEY 4080 Lafayette Center Dr Ste 160B Chantilly, VA 20151 (703) 230-1000

GHATAK, MONAMIE CHILDRENS DENTISTRY AT PLEASANT VALLEY 4080 Lafayette Center Dr Ste 160B Chantilly, VA 20151 (703) 230-1000

JORDAN, MARIAN CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

LIN, CHI-YI CHANTILLY DENTAL ARTS CENTER 13655-A Lee Jackson Hwy Chantilly, VA 20151 (703) 263-7222

BRYANT, MELBA CENTRAL VIRGINIA HEALTH CENTER 9950 Courthouse Rd Charles City, VA 23030 (804) 829-6600

PARRIS-WILKINS, TONYA CENTRAL VIRGINIA HEALTH CENTER 9950 Courthouse Rd Charles City, VA 23030 (804) 829-6600

CHARLOTTE COURT HOUSE GENERAL DENTIST PARRIS-WILKINS, TONYA CENTRAL VIRGINIA HEALTH SERVICES INC 165 Legrande Ave Charlotte Court House, VA 23923 (434) 542-5560

STAPLES, KRISTINA CENTRAL VIRGINIA HEALTH SERVICES INC 165 Legrande Ave Charlotte Court House, VA 23923 (434) 542-5560

CHARLOTTESVILLE PERIODONTIST

ENDODONTIST

NIK FAMILY AND COSMETIC DENTISTRY 14415 Chantilly Crossing Lane Chantilly, VA 20151 (703) 961-0707

COON, DAVID

CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

OMAR, ANISA

AKMAL, OMER

GROVER, ROBERT

DR ANISA OMAR DDS PC 25401 Eastern Mrktplace Plz #100 Chantilly, VA 20152 (703) 542-6336

CHANTILLY DENTAL CENTER 3901 Centerview Dr #T Chantilly, VA 20151 (703) 467-0214

UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

ZHU, XINSHENG YEO, MIKE

BRITTO, MALA

ABRIL, EDISON MENDES, KEVIN

VERA-LOPEZ, KARINA

SHIRLEY F BETHEL 4229 Lafayette Ctr Dr Ste 1400 Chantilly, VA 20151 (703) 378-2000

XINSHENG ZHU DDS PC 14149 A Roberts Paris Ct Chantilly, VA 20151 (703) 657-0555

PARTICIPATING PROVIDERS

CHANTILLY FAMILY & COSMETIC DENTISTRY 14100 Robert Paris Ct Chantilly, VA 20151 (571) 287-7301

LONGWE, EDWARD

CHARLES CITY GENERAL DENTIST

DAVID J COON DDS PC 277 Hydraulic Ridge Rd #205 Charlottesville, VA 22901 (434) 973-4301

GROVER, ROBERT UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

PEDIATRIC DENTIST/PEDODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

29

Delta Dental Premier

VIRGINIA (CONT'D) CHARLOTTESVILLE GROVER, ROBERT ROBERT GROVER DDS 240 Hydraulic Ridge Rd Unit 103 Charlottesville, VA 22901 (434) 973-1221

HELLEBERG, JOHN

VAGNETTI, MARK PIEDMONT ENDODONTICS LLC 320 Winding River Lane #302 Charlottesville, VA 22911 (434) 260-7025

GENERAL DENTIST

DAVIS, KRISTA

GALBRAITH, TED

DJ BICKERS DDS 320 Winding River Ln #201 Charlottesville, VA 22911 (434) 984-6400

LEE FAMILY DENTISTRY 2202 N Berkshire Rd #103 Charlottesville, VA 22901 (434) 293-9916

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

BRANDT, KATHRYN SWISHER DENTAL PLLC 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 (434) 973-1222

BROOKS, CYNTHIA GILRAIN & BROOKS DDS PC 1461 Greenbrier Place Charlottesville, VA 22901 (434) 977-7080

BURSE TODD, JESSICA RICE & RICE FAMILY DENTISTRY 325 Four Leaf Lane Ste. #10 Charlottesville, VA 22903 (434) 823-2290

AKEEL, ED

CLARKE, STEPHEN

ED A AKEEL DDS 2003 Woodbrook Ct Charlottesville, VA 22901 (434) 975-6181

CLARKE & FARMER DDS LTD 1227 Cedar Court Road Charlottesville, VA 22903 (434) 296-8043

ALCORN, ELIZABETH

CRISTI, IVONA

ELIZABETH A ALCORN DDS 90 Whitewood Rd Ste 6 Charlottesville, VA 22901 (434) 973-6386

JAMES E RICE DDS 325 Four Leaf Ln Ste 10 Charlottesville, VA 22903 (434) 823-2290

BAGHERI, DESIREE

CROWDER, CURTIS

JC WOLFE DDS AND ASSOC 300 Hickman Rd Ste 201 Charlottesville, VA 22911 (434) 923-0303

DJ BICKERS DDS 320 Winding River Ln #201 Charlottesville, VA 22911 (434) 984-6400

BARBERIO, FRANK

CROWDER, NILOOFAR

FRANK BARBERIO 300 Hickman Rd #102 Charlottesville, VA 22911 (434) 296-3941

GILRAIN & BROOKS DDS PC 1461 Greenbrier Place Charlottesville, VA 22901 (434) 977-7080

BEARLEY, DANIEL BEARLEY DENTAL PC 901 Preston Ave #200 Charlottesville, VA 22903 (434) 296-8034

BELLAVANCE, JULIEN JAY KNIGHT DDS PLC 2202 N Berkshire Rd Ste 203 Charlottesville, VA 22901 (434) 293-9793

DAVIS, KRISTA WAFF JOSEPH J III 2202 N Berkshire Rd #103 Charlottesville, VA 22901 (434) 293-9916

FARMER, JAMES CLARKE & FARMER DDS LTD 1227 Cedar Court Road Charlottesville, VA 22903 (434) 296-8043

FLAHERTY, BROOKE HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

GILRAIN, DAVID GILRAIN & BROOKS DDS PC 1461 Greenbrier Place Charlottesville, VA 22901 (434) 977-7080

GROVER, ROBERT UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

GROVER, ROBERT UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

FRAITES, STEPHEN DR STEPHEN J FRAITES 914 Belvedere Way Charlottesville, VA 22901 (434) 293-4053

GRUPP, WILLIAM WILLIAM A GRUPP II DDS PC 944 Glenwood Station Ln #203 Charlottesville, VA 22901 (434) 973-7011

FRIEDLANDER, MARK MARK S FRIEDLANDER DDS 300 Hickman Rd #101 Charlottesville, VA 22911 (434) 973-2520

GUERRIER, JULIA KATHRYN COOK 895 Rio East Ct #B Charlottesville, VA 22901 (434) 817-5437

GALBRAITH, TED UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

HARDING, EMILY

GALBRAITH, TED

HARDING, EMILY

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

KATHRYN COOK 895 Rio East Ct #B Charlottesville, VA 22901 (434) 817-5437

CRUZ-ORCUTT, NOEMI

GALBRAITH, TED

HOARD, BRIAN

DAVID & REBECCA SWETT DDS PC 900 Rio East Ct # B Charlottesville, VA 22901 (434) 979-3940

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

GALBRAITH, TED

HOARD, BRIAN

DALLEY, DAVID BEARLEY DENTAL PC 901 Preston Ave #200 Charlottesville, VA 22903 (434) 296-8034

PARTICIPATING PROVIDERS

DAVID J COON DDS PC 277 Hydraulic Ridge Rd #205 Charlottesville, VA 22901 (434) 973-4301

BICKERS, DUANE

UVA KLUGE CHILDRENS REHAB CTR 2270 Ivy Road Charlottesville, VA 22903 (434) 924-8246

EMILY HARDING DMD INC 2120 Ivy Rd Charlottesville, VA 22903 (434) 270-0304

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

30

Delta Dental Premier

VIRGINIA (CONT'D) CHARLOTTESVILLE HOARD, BRIAN UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

HOARD, BRIAN

HODGES, JEFFERY ALBEMARLE DENTAL ASSOC 2250 Old Ivy Rd #3 Charlottesville, VA 22905 (434) 293-8944

HUND, LAWRENCE AESTHETIC DENTISTRY OF CHARLOTTESVILLE PC 900 Gardens Blvd Ste 600 Charlottesville, VA 22901 (434) 984-3455

MARTOF, ANDREW

PAIGE, BENEGAL

UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

BENEGAL S PAIGE DDS 408 East Market St #206 Charlottesville, VA 22902 (434) 977-1206

LEINBACH, THOMAS

MARTOF, ANDREW

PARKER, RICHARD

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

RICHARD A PARKER 300 Hickman Rd Ste 101 Charlottesville, VA 22911 (434) 973-2520

LEINBACH, THOMAS

MAYBEE, DAVID

PATEL, JATIN

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

LEINBACH, THOMAS UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

LIPPARD, HAL HAL M LIPPARD DDS 505 Faulconer Drive 1 D Charlottesville, VA 22903 (434) 293-9311

JONES, FRANK FRANK D JONES DDS 90 Whitewood Rd #3 Charlottesville, VA 22901 (434) 973-7695

LOVELL, ERIC MARK S FRIEDLANDER DDS 300 Hickman Rd #101 Charlottesville, VA 22911 (434) 973-2520

KNIERIM, R R SCOTT KNIERIM DDS 259 Hydraulic Rd Ste 203 Charlottesville, VA 22901 (434) 973-1222

KNIERIM, R SWISHER DENTAL PLLC 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 (434) 973-1222

KNIGHT, JOHN JAY KNIGHT DDS PLC 2202 N Berkshire Rd Ste 203 Charlottesville, VA 22901 (434) 293-9793

LANIER, ANGELA RICE & RICE FAMILY DENTISTRY 325 Four Leaf Lane Ste. #10 Charlottesville, VA 22903 (434) 823-2290

LYON, BETTY LYON JOHN S DDS 2700 Hydraulic Road Charlottesville, VA 22901 (434) 973-2968

LYON, JOHN LYON JOHN S DDS 2700 Hydraulic Road Charlottesville, VA 22901 (434) 973-2968

MARTOF, ANDREW UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

MARTOF, ANDREW UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

DR DAVID A MAYBEE DDS PLC 540 Radford La Charlottesville, VA 22903 (434) 823-1274

JAY KNIGHT DDS PLC 2202 N Berkshire Rd Ste 203 Charlottesville, VA 22901 (434) 293-9793

MICHAEL, SHADIA

PHILLIPS, DOUGLAS

KATHRYN COOK 895 Rio East Ct #B Charlottesville, VA 22901 (434) 817-5437

DOUGLAS R PHILLIPS DDS 2375 Commonwealth Dr Ste A Charlottesville, VA 22901 (434) 973-5873

MINUTELLA, NICHOLAS

POTTER, WILLIAM

CHARLOTTESVILLE BLUE RIDGE DENTAL PLC 2320 Commonwealth Dr Charlottesville, VA 22901 (434) 978-1510

AESTHETIC DENTISTRY OF CHARLOTTESVILLE PC 900 Gardens Blvd Ste 600 Charlottesville, VA 22901 (434) 984-3455

NEEL, ANITA

RASMUSSEN, KENNETH

AESTHETIC DENTISTRY OF CHARLOTTESVILLE PC 900 Gardens Blvd Ste 600 Charlottesville, VA 22901 (434) 984-3455

KENNETH G RASMUSSEN DMD PC 1752 Timber Wood Blvd Charlottesville, VA 22911 (434) 974-6492

OTT, BRIAN

RICE, JAMES

FOREST LAKES DENTAL 1769 Worth Park Charlottesville, VA 22911 (434) 964-0088

PARTICIPATING PROVIDERS

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

LEINBACH, THOMAS

RICE & RICE FAMILY DENTISTRY 325 Four Leaf Lane Ste. #10 Charlottesville, VA 22903 (434) 823-2290

RICE, JAMES OTT, SARAH FOREST LAKES DENTAL 1769 Worth Park Charlottesville, VA 22911 (434) 964-0088

DRS RICE & RICE DDS 325 Four Leaf Ln #10 Charlottesville, VA 22903 (434) 823-2290

RICE, JENNIFER OWUOR, CHRISTINE HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

OWUOR, CHRISTINE MARK S FRIEDLANDER DDS 300 Hickman Rd #101 Charlottesville, VA 22911 (434) 973-2520

RICE & RICE FAMILY DENTISTRY 325 Four Leaf Lane Ste. #10 Charlottesville, VA 22903 (434) 823-2290

RICE, JENNIFER DRS RICE & RICE DDS 325 Four Leaf Ln #10 Charlottesville, VA 22903 (434) 823-2290

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

31

Delta Dental Premier

VIRGINIA (CONT'D) CHARLOTTESVILLE SAPON, MARK SWISHER DENTAL PLLC 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 (434) 973-1222

SCHAAP, ALEX

SCHOEB, JOHN CHARLOTTESVILLE BLUE RIDGE DENTAL 2320 Commonwealth Dr Charlottesville, VA 22901 (434) 978-1510

SCHOEB, JOHN CHARLOTTESVILLE BLUE RIDGE DENTAL PLC 2320 Commonwealth Dr Charlottesville, VA 22901 (434) 978-1510

WOLFE, JOHN

HILL, NICHOLAS

HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

JC WOLFE DDS AND ASSOC 300 Hickman Rd Ste 201 Charlottesville, VA 22911 (434) 923-0303

SWETT, DAVID

WOLFE, MELISSA

CHARLOTTESVILLE ORAL SURGERY & DENTAL IMPLANT CENTER 2202 North Berkshire #201 Charlottesville, VA 22901 (434) 295-0911

DAVID & REBECCA SWETT DDS PC 900 Rio East Ct # B Charlottesville, VA 22901 (434) 979-3940

JC WOLFE DDS AND ASSOC 300 Hickman Rd Ste 201 Charlottesville, VA 22911 (434) 923-0303

YEARGAN, JODY SWETT, REBECCA DAVID & REBECCA SWETT DDS PC 900 Rio East Ct # B Charlottesville, VA 22901 (434) 979-3940

SWISHER, CHARLES SWISHER DENTAL PLLC 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 (434) 973-1222

TAYLOR, ELLIS TRICE TAYLOR 408 E Market St #106 Charlottesville, VA 22902 (434) 296-7459

SMAGALSKI, GARY UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

TISDELLE, GEORGE COMPREHENSIVE DENTAL 2214 Ivy Rd Suite 106 Charlottesville, VA 22903 (434) 295-6880

SOLIS, RICARDO BLUE RIDGE FAMILY DENTISTRY PC 335 Greenbrier Drive Ste 204 Charlottesville, VA 22901 (434) 296-5250

VEGA, OSCAR

SPANO, BRAD

WHITMER, GREGORY

BRAD SPANO DDS PC 1200 Five Springs Rd Ste 101 Charlottesville, VA 22902 (434) 984-8828

HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

GREGORY L WHITMER DDS PLC 2202 N Berkshire Rd #102 Charlottesville, VA 22901 (434) 295-9747

STATES, MICHAEL CLARKE & FARMER DDS LTD 1227 Cedar Court Road Charlottesville, VA 22903 (434) 296-8043

STUMP, LAUREN DOWNTOWN DENTAL 1101 E Jefferson St Ste 7 Charlottesville, VA 22902 (434) 971-7400

WHYNOTT, CHRISTOPHER DOWNTOWN DENTAL 1101 E Jefferson St Ste 7 Charlottesville, VA 22902 (434) 971-7400

WHYNOTT, CHRISTOPHER HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

JODY L YEARGAN DDS PC 3048-A Berkmar Dr Charlottesville, VA 22901 (434) 973-0363

YOUNG, MARK MARK C YOUNG DDS 1100 West Main Street Charlottesville, VA 22903 (434) 979-1365

ORAL SURGEON AMRHEIN, EDWARD CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

COLLINS, R R JONAS COLLINS DMD PC 880 Rio East Court #B Charlottesville, VA 22901 (434) 975-4200

CONNER, GREGORY CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

EISENHARDT, PETER CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

FAIRCLOTH, W CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

HILL, NICHOLAS CHARLOTTESVILLE ORAL SURGERY & DENTAL IMPLANT CTR PLLC 675 Peter Jefferson Pkwy Ste 270 Charlottesville, VA 22911 (434) 295-0911

HOARD, MARTIN HOLLYMEAD DENTAL ARTS PLC 1538 Insurance Ln Charlottesville, VA 22911 (434) 973-4649

IBANEZ, CARLOS CHARLOTTESVILLE ORAL SURGERY & DENTAL IMPLANT CENTER 2202 North Berkshire #201 Charlottesville, VA 22901 (434) 295-0911

IBANEZ, CARLOS CHARLOTTESVILLE ORAL SURGERY & DENTAL IMPLANT CTR PLLC 675 Peter Jefferson Pkwy Ste 270 Charlottesville, VA 22911 (434) 295-0911

PARTICIPATING PROVIDERS

BLUE RIDGE FAMILY DENTISTRY PC 335 Greenbrier Drive Ste 204 Charlottesville, VA 22901 (434) 296-5250

STUMP, LAUREN

SMAGALSKI, GARY UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

SMAGALSKI, GARY UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

SMAGALSKI, GARY UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

SOLOMON, JAMES CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

32

Delta Dental Premier

VIRGINIA (CONT'D) CHARLOTTESVILLE TRICKER, NATHANIEL CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

WILHELM, MILES

ORTHODONTIST CLINE, MATTHEW JAY KNIGHT DDS PLC 2202 N Berkshire Rd Ste 203 Charlottesville, VA 22901 (434) 293-9793

CLOTH, MARK MARK S CLOTH DDS PC 1445 East Rio Td Ste 1 Charlottesville, VA 22901 (434) 964-2464

DENNIS, SUZANNE SUZANNE M DENNIS DDS MS PC 895 Rio East Ct #A Charlottesville, VA 22901 (434) 973-4446

GALBREATH, ROBERT UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

HAMER, DAVID HAMER & HAMER DDS PC 2202 N Berkshire #101 Charlottesville, VA 22901 (434) 296-0188

HORBALY, WILLIAM UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

CLIFFORD, KEVIN

ABBOTT, DAVID

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

HORBALY, WILLIAM

CLIFFORD, KEVIN

DARU, ANTARA

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

HORBALY, WILLIAM

COOK, KATHRYN

UVA OPERATING ROOMS Lee Street & 11Th St S Charlottesville, VA 22908 (434) 924-1774

KATHRYN COOK 895 Rio East Ct #B Charlottesville, VA 22901 (434) 817-5437

INOUYE, DAVID

DIXON, JENNIFER

DAVID K INOUYE DMD 233 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 975-7435

NIEPRASCHK, MARKUS SOUTH SIDE ORTHODONTICS PC 32 Mill Creek Dr #107 Charlottesville, VA 22902 (434) 977-9473

REBELLATO, GIUSEPPE GIUSEPPE REBELLATO DDS PC 1470 Pantops Mountain Place Charlottesville, VA 22911 (434) 984-1817

WEIS, BARTON CHARLOTTESVILLE ORTHODONTICS PC 1101 E Jefferson St Ste 5 Charlottesville, VA 22902 (434) 971-9601

PEDIATRIC DENTIST/PEDODONTIST

CHARLOTTESVILLE PEDIATRIC DENTISTRY 229 Connor Dr Charlottesville, VA 22911 (434) 975-7336

PETERS, BARRETT PIEDMONT PEDIATRIC DENTISTRY 240 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 (434) 973-4344

STUMP, AARON CHARLOTTESVILLE PEDIATRIC DENTISTRY 229 Connor Dr Charlottesville, VA 22911 (434) 975-7336

PERIODONTIST ABBOTT, DAVID UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

CLIFFORD, KEVIN

ABBOTT, DAVID

UVA CHILDRENS HOSP UVA OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. Charlottesville, VA 22908 (434) 924-8251

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

CLIFFORD, KEVIN

ABBOTT, DAVID

UVA CHILDRENS HOSP UVA PEDIATRIC DENTISTRY 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 (434) 924-8251

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 924-1774

CHARLOTTESVILLE PERIODONTICS LLC 2202 N. Berkshire Rd. Ste. #204 Charlottesville, VA 22901 (434) 529-8885

SHAH, NIDHI NIDHI SHAH BDS MDS 2202 N Berkshire Rd #204 Charlottesville, VA 22901 (434) 529-8885

SMOCK, SHERMAN DRS RICE & RICE DDS 325 Four Leaf Ln #10 Charlottesville, VA 22903 (434) 823-2290

CHASE CITY GENERAL DENTIST THOMAS, WILLIAM WILLIAM LYNN THOMAS DDS PC 237 E Fifth St Chase City, VA 23924 (434) 372-3636

PARTICIPATING PROVIDERS

CENTRAL VA ORAL & FACIAL SURGEONS PLC 244 Hydraulic Ridge Rd Charlottesville, VA 22901 (434) 973-3348

HORBALY, WILLIAM

CHATHAM GENERAL DENTIST CAIRNS, DONALD DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

CLIFTON, JEFFREY DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

EVANS, JAMES DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

33

Delta Dental Premier

VIRGINIA (CONT'D)

ENDODONTIST AMODIO, TIFFANY

CHATHAM KEATING, KEVIN PAUL W MILLER DDS PLC 6 South Main St Po Box 430 Chatham, VA 24531 (434) 432-0610

MEADE, AMANDA

MILLER, PAUL PAUL W MILLER DDS PLC 6 South Main St Po Box 430 Chatham, VA 24531 (434) 432-0610

PAYNE, ALBERT DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

STAFFORD, DAVID DANVILLE DENTAL ASSOCIATES PC 19144 Us Hwy North 29 Chatham, VA 24531 (434) 432-8793

CHERITON

BUSSEY, KELLY BUSSEY ENDODONTICS PC 2995 Churchland Blvd #B Chesapeake, VA 23321 (757) 416-5333

BUSSEY, WILLIAM BUSSEY ENDODONTICS PC 2995 Churchland Blvd #B Chesapeake, VA 23321 (757) 416-5333

KYU, PYE PYE P KYU DDS MSD PLLC 1230 Progressive Dr. Ste. 105 Chesapeake, VA 23320 (757) 436-4227

PERON, LOUIS LOUIS C PERON DDS MS PC 501 Independence Pkwy #101 Chesapeake, VA 23320 (757) 467-2102

GENERAL DENTIST ADAMS, PETER PETER ADAMS DDS INC 502 Bud Drive Ste 102 Chesapeake, VA 23322 (757) 547-0222

ALEMAYEHU, AMEN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

GENERAL DENTIST ROOT, NOEL BAYVIEW COMMUNITY HEALTH CTR 22214 South Bayside Rd Cheriton, VA 23316 (757) 789-7777

SHELLEY, STEPHANIE BAYVIEW COMMUNITY HEALTH CTR 22214 South Bayside Rd Cheriton, VA 23316 (757) 789-7777

CHESAPEAKE

ANDERSON, BENJAMIN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

ARTIS, ASHA LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

CARROLL, CECIL

STEPHEN A ASAM DDS PC 632 Cedar Rd #A Chesapeake, VA 23322 (757) 436-3595

CECIL J CARROLL DDS PLLC 4310 Indian River Rd Ste 1 Chesapeake, VA 23325 (757) 420-8790

BAKER, JAMES

CASINGAL, PEDRO

BRIAN P MIDGETTE DDS PC 3326 Taylor Road #100 Chesapeake, VA 23321 (757) 483-4700

PEDRO L CASINGAL JR DDS PC 810 S Battlefield Blvd Chesapeake, VA 23322 (757) 482-7977

BALINO, CELESTE

CERNIWAY, LEON

DANIEL M ETHERIDGE DDS LTD 1059 Eden Way North Ste 100 Chesapeake, VA 23320 (757) 547-2266

LEON A CERNIWAY DMD PC 680 Kingsborough Sq Ste A Chesapeake, VA 23320 (757) 547-9339

BARBOUR, ROBERT

CHAWLA, SEEMA

ROBERT K BARBOUR DMD PC 2520 Gilmerton Rd Chesapeake, VA 23323 (757) 487-4121

KONIKOFF DENTAL 1533 Volvo Parkway S #100 Chesapeake, VA 23320 (757) 410-9960

BECKER, ADAM

COBB, HOWARD

KONIKOFF DENTAL ASSOC 1419 Cedar Rd #100 Chesapeake, VA 23322 (757) 410-5878

HOWARD P COBB 2605 Moses Grandy Tr Ste B Chesapeake, VA 23323 (757) 558-0600

BELL, TAMMARA

COOPER, KEVIN

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

KEVIN C COOPER DDS PC 3105 Western Branch Blvd Suite 5 Chesapeake, VA 23321 (757) 483-5152

PARTICIPATING PROVIDERS

PAUL W MILLER DDS PLC 6 South Main St Po Box 430 Chatham, VA 24531 (434) 432-0610

LOUIS C PERON DDS MS PC 501 Independence Pkwy #101 Chesapeake, VA 23320 (757) 467-2102

ASAM, STEPHEN

CURLING, JOSHUA BOYCE, DARRELL DARRELL L BOYCE DDS PC 1711 Parkview Drive Chesapeake, VA 23320 (757) 424-6580

EDINBURGH FAMILY DENTISTRY 200 Carmichael Way #600 Chesapeake, VA 23322 (757) 204-7210

CWIAK, KARI BOYLAN, RYAN RYAN R BOYLAN DDS PC 528 Albemarle Dr #200 Chesapeake, VA 23322 (757) 547-5105

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

BOZMAN, JENNY

DENBAR, MICHAEL

KONIKOFF DENTAL ASSOC 1419 Cedar Rd #100 Chesapeake, VA 23322 (757) 410-5878

MICHAEL S DENBAR DDS 1245-L Cedar Rd Chesapeake, VA 23322 (757) 382-9336

BRAR, PREMJEET

DO, SEAN

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

GENTLECARE FAMILY DENSTISTRY PC 1341 S Military Hwy Chesapeake, VA 23320 (757) 333-0093

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

34

Delta Dental Premier

VIRGINIA (CONT'D) CHESAPEAKE DUKES, J J MICHAEL DUKES DDS PC 501 Cedar Rd Ste 1A Chesapeake, VA 23322 (757) 548-0000

DUNHAM, ELIZABETH

EGELAND-LEWIS, MARTHA CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 711 Greenbrier Parkway #101 Chesapeake, VA 23320 (757) 436-7700

EGELAND-LEWIS, MARTHA CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 425-2332

EGELAND-LEWIS, MARTHA THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTYRY 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 482-2876

ELGOHARY, ANTHONY ANTHONY A ELGOHARY DMD LLC 3115 Western Branch Blvd Ste 103 Chesapeake, VA 23321 (757) 484-4197

ENGLE, SCOTT KONIKOFF DENTAL ASSOC 1419 Cedar Rd #100 Chesapeake, VA 23322 (757) 410-5878

ESTRADA, CHARITO ESTRADA & ESTRADA PC 1354 Kempsville Rd #101 Chesapeake, VA 23320 (757) 548-1611

GRINDLAY, KENNETH

ISHOM, THOMAS

ESTRADA & ESTRADA PC 1354 Kempsville Rd #101 Chesapeake, VA 23320 (757) 548-1611

KENNETH E GRINDLAY DDS PC 228 Mount Pleasant Road Chesapeake, VA 23322 (757) 482-0026

THOMAS J ISHOM DDS PC 3217 Western Branch Blvd. #C Chesapeake, VA 23321 (757) 484-3729

ETHERIDGE, DANIEL

GUTIERREZ, JEREL

JENKINS, HARRY

DANIEL M ETHERIDGE DDS LTD 1059 Eden Way North Ste 100 Chesapeake, VA 23320 (757) 547-2266

EDINBURGH FAMILY DENTISTRY 200 Carmichael Way #600 Chesapeake, VA 23322 (757) 204-7210

HARRY E JENKINS DDS PC 1220 Greenbrier Pkwy #120 Chesapeake, VA 23320 (757) 547-9616

FIELD, MARCUS

HALEY, MARY

JENNINGS, KEVIN

KONIKOFF DENTAL ASSOC 1419 Cedar Rd #100 Chesapeake, VA 23322 (757) 410-5878

ADVANCED SEDATION DENTISTRY 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 769-7155

FAMILY DENTISTRY 211 Providence Road #11 Chesapeake, VA 23325 (757) 523-9002

FORBES, ALAN ALBERT P SOLOMON DDS 805 N Battlefield Blvd. #125 Chesapeake, VA 23320 (757) 547-2171

JOHNSTON, FRANK HARRELL, GIBSON DANIEL M ETHERIDGE DDS LTD 1059 Eden Way North Ste 100 Chesapeake, VA 23320 (757) 547-2266

FOSTER, BENJAMIN BEN W FOSTER JR DDS INC 3800 Poplar Hill Rd #F Chesapeake, VA 23321 (757) 484-8564

FAMILY DENTISTRY PC 1222 Chesapeake Avenue Chesapeake, VA 23324 (757) 543-3517

KANDARE, WESLEY HAYDU, JAMES DR JAMES A HAYDU PC 2737 Campostella Rd Chesapeake, VA 23324 (757) 543-7973

ADVANCED SEDATION DENTISTRY 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 769-7155

CROSSROADS FAMILY DENTISTRY 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 (757) 488-1421

HOLWICK, ROBERT

KAPOOR, ELLENI

BENNETT A THOMAS DDS PC 1300 Cedar Road Chesapeake, VA 23322 (757) 548-3238

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

GLORIA, JOSEPH

HORNSBY, KIMBROUGH

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

GOLDMAN, MARK

HOWARD, ROBERT

MARK A GOLDMAN DDS PC 2995 Churchland Blvd Ste A Chesapeake, VA 23321 (757) 638-0900

ROBERT J HOWARD DDS 308 N Geo Wash Hwy Ste 2 Chesapeake, VA 23323 (757) 485-5245

GOLDSTEIN, KEITH

HUGHES, JOSEPH

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

JOSEPH C HUGHES JR 109 Byron St Chesapeake, VA 23320 (757) 436-4214

FRIAS, BERNARDA

IRELAND, MICHAEL GRAHAM, DAVID GRAHAM DAVID B 524 Albemarle Drive #9 Chesapeake, VA 23322 (757) 547-7070

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

PARTICIPATING PROVIDERS

KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd Chesapeake, VA 23320 (757) 548-0957

ESTRADA, CRAIG

KONIKOFF, DAVID KONIKOFF DENTAL ASSOC 1419 Cedar Rd #100 Chesapeake, VA 23322 (757) 410-5878

KONIKOFF, DAVID KONIKOFF DENTAL 1533 Volvo Parkway S #100 Chesapeake, VA 23320 (757) 410-9960

KONIKOFF, DAVID KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd Chesapeake, VA 23320 (757) 548-0957

LANIER, ANGELA CROSSROADS FAMILY DENTISTRY 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 (757) 488-1421

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

35

Delta Dental Premier

VIRGINIA (CONT'D) CHESAPEAKE LETELLIER, PAUL PAUL LETELLIER 133 Kempsville Rd Ste 103 Chesapeake, VA 23320 (757) 436-0026

LEWIS, DAVID

LEWIS, DAVID CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 425-2332

LEWIS, DAVID THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTYRY 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 482-2876

LEWIS, DAVID

NEWMAN, MICHAEL

PHILLIPS, SARAH

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd Chesapeake, VA 23320 (757) 548-0957

ADVANCED SEDATION DENTISTRY 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 769-7155

NIVER, KRYSTIE MCMILLAN, VICKI LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

MIDGETTE, BRIAN BRIAN P MIDGETTE DDS PC 3326 Taylor Road #100 Chesapeake, VA 23321 (757) 483-4700

MILLER, JULIAN GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

MILNER, JAN JAN E MILNER DDS 1113 Eden Square Chesapeake, VA 23320 (757) 436-1200

THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTYRY 905 N Battlefield Blvd #102 Chesapeake, VA 23320 (757) 547-2770

MODJADIDI, OSAMA

LLODRA, CLARA

MULDOON, CATHERINE

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

CHESAPEAKE FAMILY DENTAL PC 113 Gainsborough Sq #101 Chesapeake, VA 23320 (757) 548-5619

KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd Chesapeake, VA 23320 (757) 548-0957

MURTHY, ROOPA LYNCH RONALD D 369 Johnstown Road Chesapeake, VA 23322 (757) 546-0301

PEDIATRIC DENTAL CARE OF TIDEWATER 1032 Volvo Pkwy #3 Chesapeake, VA 23320 (757) 484-8262

MANIWANG, JO MARIE

NACHMAN, ALAN

LYNCH, RONALD

KONIKOFF DENTAL 1533 Volvo Parkway S #100 Chesapeake, VA 23320 (757) 410-9960

ALBERT P SOLOMON DDS 805 N Battlefield Blvd. #125 Chesapeake, VA 23320 (757) 547-2171

GOOD NEIGHBOR DENTAL AT EDINBURGH PLLC 236 Carmichael Way Ste #312 Chesapeake, VA 23322 (757) 932-5200

RAHMAN, NABEEL

OLIVEIRA FILHO, JAYME

REYNOLDS, JILLIAN

ESTRADA & ESTRADA PC 1354 Kempsville Rd #101 Chesapeake, VA 23320 (757) 548-1611

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

OLIVEIRA FILHO, JAYME CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 711 Greenbrier Parkway #101 Chesapeake, VA 23320 (757) 436-7700

PARVIN, KAREN

NABEEL RAHMAN DDS PC 109 Gainsborough Square Suite N Chesapeake, VA 23320 (757) 547-2323

RHODES, JAMES WIGGINS & RHODES 111 Mill Creek Parkway Chesapeake, VA 23328 (757) 487-8111

RICE, COLLIN

COASTAL SMILE DESIGN 1464 Mt Pleasant Rd #26 Chesapeake, VA 23322 (757) 233-9885

DANIEL M ETHERIDGE DDS LTD 1059 Eden Way North Ste 100 Chesapeake, VA 23320 (757) 547-2266

PATE, DAVID

ROBINSON, ELIZABETH

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 711 Greenbrier Parkway #101 Chesapeake, VA 23320 (757) 436-7700

PATE, DAVID CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 425-2332

PATE, DAVID THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTYRY 905 N Battlefield Blvd #102 Chesapeake, VA 23320 (757) 547-2770

PAXTON, KELLY BRIAN P MIDGETTE DDS PC 3326 Taylor Road #100 Chesapeake, VA 23321 (757) 483-4700

PARTICIPATING PROVIDERS

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 711 Greenbrier Parkway #101 Chesapeake, VA 23320 (757) 436-7700

MARCOU, MICHAEL

ADVANCED SEDATION DENTISTRY 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 769-7155

SACHS, SCOTT LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

SACHS, WARREN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

SALYER, LAYMON LAYMAN A SALYER DDS PC 3933 Portsmouth Blvd Ste 200 Chesapeake, VA 23321 (757) 488-8853

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

36

Delta Dental Premier

VIRGINIA (CONT'D) CHESAPEAKE SANDHU, NAVDEEP ADVANCED SEDATION DENTISTRY 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 769-7155

SCHIFF, IVAN

SHARROCK, MICHAEL FAMILY DENTISTRY 1457 Mount Pleasant Rd #103 Chesapeake, VA 23322 (757) 482-1212

SIMMONS, DARIAN DRS CLARK PRICE & SIMMONS PC 801 Volvo Pkwy #113 Chesapeake, VA 23320 (757) 436-7000

SINGOR, LAUREN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

SMITH, THOMAS LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

SOLOMON, ALBERT ALBERT P SOLOMON DDS 805 N Battlefield Blvd. #125 Chesapeake, VA 23320 (757) 547-2171

SOTACK, MARY MARY JEAN SOTACK DDS 3105 Western Branch Blvd Ste 6 Chesapeake, VA 23321 (757) 484-7503

VILLASIS, JUAN

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 711 Greenbrier Parkway #101 Chesapeake, VA 23320 (757) 436-7700

ESTRADA & ESTRADA PC 1354 Kempsville Rd #101 Chesapeake, VA 23320 (757) 548-1611

SUR, MARCUS LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

TAM, AMY KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd Chesapeake, VA 23320 (757) 548-0957

TANGUILIG-THOMAS, ELIZABETH BENNETT A THOMAS DDS PC 1300 Cedar Road Chesapeake, VA 23322 (757) 548-3238

THOMAS, BENNETT BENNETT A THOMAS DDS PC 1300 Cedar Road Chesapeake, VA 23322 (757) 548-3238

THOMAS-WEBB, SONYA SONYA L THOMAS-WEBB DDS PC 910 Great Bridge Blvd Suite 106 Chesapeake, VA 23320 (757) 549-0025

TURCK, MICHAEL MICHAEL D TURCK DDS PC 931 Providence Rd Chesapeake, VA 23325 (757) 366-0330

VACENDAK, DANIEL VACENDAK DENTISTRY 701 Quince Place Chesapeake, VA 23320 (757) 609-3510

VACENDAK, SHEILA VACENDAK DENTISTRY 701 Quince Place Chesapeake, VA 23320 (757) 609-3510

WALLS, WILLIAM WILLIAM H WALLS DDS PC 656 Independence Pkwy #210 Chesapeake, VA 23320 (757) 548-1919

WEINSTEIN, LEE LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

WEISBERG, ARNOLD EASTERN VIRGINIA FAMILY & COSMETIC DENTISTRY 3221 Western Branch Blvd Chesapeake, VA 23321 (757) 483-6297

WEISBERG, ARNOLD WEISBERG ARNOLD J 3221 Western Branch Blvd Chesapeake, VA 23321 (757) 483-6297

WEISBERG, BARCLAY EASTERN VIRGINIA FAMILY & COSMETIC DENTISTRY 3221 Western Branch Blvd Chesapeake, VA 23321 (757) 483-6297

WILLIS, JULIAN J DEWEY WILLIS III DDS PC 801 Greenbrier Parkway Chesapeake, VA 23320 (757) 547-3003

WISSINK, ANDREA KONIKOFF DENTAL 1533 Volvo Parkway S #100 Chesapeake, VA 23320 (757) 410-9960

WRIGHT, CHARLES MOERSCHELL & WRIGHT INC 548 S Battlefield Blvd Chesapeake, VA 23322 (757) 482-3304

ORAL SURGEON BEALE, FRANK COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 350 Johnstown Road #A Chesapeake, VA 23320 (757) 547-9725

BERRY, ZACHARY SCOTT R GOODOVE DDS PLC 1533 Volvo Parkway #250 Chesapeake, VA 23320 (757) 412-2002

BYRNSIDE, VALERIE SCOTT R GOODOVE DDS PLC 1533 Volvo Parkway #250 Chesapeake, VA 23320 (757) 412-2002

GLIKSMAN, JOSEPH GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

GOODOVE, SCOTT SCOTT R GOODOVE DDS PLC 1533 Volvo Parkway #250 Chesapeake, VA 23320 (757) 412-2002

PARTICIPATING PROVIDERS

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

STANGE, F

MAUGERI, MICHAEL COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 350 Johnstown Road #A Chesapeake, VA 23320 (757) 547-9725

MEEKS, DARRELL FREDERIC R LEVITIN DDS DARRELL A MEEKS DMD LTD 711 Greenbriar Pkwy #104 Chesapeake, VA 23320 (757) 548-1712

MORGAN, JOHN GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

OLSON, CHARLES YEH, PAUL LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

DRS FRITZ & OLSON PC 4037 Taylor Rd #B Chesapeake, VA 23321 (757) 484-9441

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

37

Delta Dental Premier

VIRGINIA (CONT'D) CHESAPEAKE PRILLAMAN, PAUL PAUL E PRILLAMAN III DDS PLC 905 Battlefield Blvd N #101 Chesapeake, VA 23320 (757) 547-2820

SZAKALY, BRIAN

WEBBER, CAROLINE KONIKOFF SALZBERG PERIODONTICS LTD 1230 Progressive Dr Chesapeake, VA 23320 (757) 436-4026

WEBBER, CAROLINE COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 350 Johnstown Road #A Chesapeake, VA 23320 (757) 547-9725

YEH, FRANK COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 350 Johnstown Road #A Chesapeake, VA 23320 (757) 547-9725

ZAGURSKY, PETER SCOTT R GOODOVE DDS PLC 1533 Volvo Parkway #250 Chesapeake, VA 23320 (757) 412-2002

ORTHODONTIST ANDERSON, HOLLY WALKER W SHIVAR ANTHONY R PELUSO HOLLY H ANDERSEN DDS 711 Greenbrier Parkway Ste 102 Chesapeake, VA 23320 (757) 547-7002

ASHBY, JOHN ASHBY ORTHODONTICS LTD 1021 N Eden Way Ste 128 Chesapeake, VA 23320 (757) 547-8700

KLAR, NEAL

BRAXTON, DARCHELLE

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

KLAR VOORHEES ORTHODONTICS PC 1533 Volvo Parkway #200 Chesapeake, VA 23320 (757) 549-1919

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

BENES, KRISTEN

PELUSO, ANTHONY

GAROFALIS, HARALAMBOS

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1230 Progressive Dr #103 Chesapeake, VA 23320 (757) 436-1270

WALKER W SHIVAR ANTHONY R PELUSO HOLLY H ANDERSEN DDS 711 Greenbrier Parkway Ste 102 Chesapeake, VA 23320 (757) 547-7002

GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

BIVINS, WILLIAM W TODD BIVINS DDS MS PC 220 Mt Pleasant Rd #200 Chesapeake, VA 23322 (757) 546-3888

HASTY, MICHAEL ROY, CARL CARL P ROY DDS MS PLC 684B Battlefield Blvd Chesapeake, VA 23320 (757) 549-1115

CHRISTENSON, BRAD BRAD CHRISTENSON DDS PC 350 Johnstown Rd #B Chesapeake, VA 23322 (757) 482-7660

DUSEK, THOMAS THOMAS O DUSEK DDS 104 American Legion Rd Chesapeake, VA 23321 (757) 484-9300

HATCHER, WILLIAM WILLIAM R HATCHER DDS MS PC 3253 Taylor Rd #100 Chesapeake, VA 23321 (757) 488-6080

HATCHER, WILLIAM WILLIAM R HATCHER DDS MS PC 940 Cedar Rd #104 Chesapeake, VA 23322 (757) 606-1387

JONES, ANTONIA WILLIAM R HATCHER DDS MS PC 3253 Taylor Rd #100 Chesapeake, VA 23321 (757) 488-6080

JONES, ANTONIA WILLIAM R HATCHER DDS MS PC 940 Cedar Rd #104 Chesapeake, VA 23322 (757) 606-1387

KLAR, LAWRENCE KLAR VOORHEES ORTHODONTICS PC 1533 Volvo Parkway #200 Chesapeake, VA 23320 (757) 549-1919

ROSENBLUM LEVIN BARNEY 905 N Battlefield Blvd #106 Chesapeake, VA 23320 (757) 548-3030

LEVIN, MARK SHIVAR, WALKER WALKER W SHIVAR ANTHONY R PELUSO HOLLY H ANDERSEN DDS 711 Greenbrier Parkway Ste 102 Chesapeake, VA 23320 (757) 547-7002

VOORHEES HUSSON, MARNI KLAR VOORHEES ORTHODONTICS PC 1533 Volvo Parkway #200 Chesapeake, VA 23320 (757) 549-1919

WEXEL, WALTER WALTER K WEXEL 548 Battlefield Blvd S. Chesapeake, VA 23322 (757) 482-5105

WOODARD, MONICA THOMAS WOODARD DDS 1403 Greenbrier Pkwy #420 Chesapeake, VA 23320 (757) 523-0114

WOODARD, THOMAS THOMAS WOODARD DDS 1403 Greenbrier Pkwy #420 Chesapeake, VA 23320 (757) 523-0114

ROSENBLUM LEVIN BARNEY 905 N Battlefield Blvd #106 Chesapeake, VA 23320 (757) 548-3030

MARTIN, J GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS 237 Hanbury Rd East Chesapeake, VA 23322 (757) 932-0097

PARTICIPATING PROVIDERS

DRS FRITZ & OLSON PC 4037 Taylor Rd #B Chesapeake, VA 23321 (757) 484-9441

BEHL, YUGAL

MEISE, HOLLY PEDIATRIC DENTAL CARE OF TIDEWATER 1032 Volvo Pkwy #3 Chesapeake, VA 23320 (757) 484-8262

ROSENBLUM, SCOTT ROSENBLUM LEVIN BARNEY 905 N Battlefield Blvd #106 Chesapeake, VA 23320 (757) 548-3030

SANKOWSKI, CHRISTINE PEDIATRIC DENTAL CARE OF TIDEWATER 1032 Volvo Pkwy #3 Chesapeake, VA 23320 (757) 484-8262

SPRUILL, DAVID

PEDIATRIC DENTIST/PEDODONTIST BARNEY, JOHN

DANIEL M ETHERIDGE DDS LTD 1059 Eden Way North Ste 100 Chesapeake, VA 23320 (757) 547-2266

ROSENBLUM LEVIN BARNEY 905 N Battlefield Blvd #106 Chesapeake, VA 23320 (757) 548-3030

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

38

Delta Dental Premier

VIRGINIA (CONT'D) CHESAPEAKE WEIS, MORGAN PEDIATRIC DENTAL CARE OF TIDEWATER 1032 Volvo Pkwy #3 Chesapeake, VA 23320 (757) 484-8262

PERIODONTIST BRUCE K BARR DDS PC 350 Johnstown Rd Chesapeake, VA 23320 (757) 422-0005

KONIKOFF, ALBERT KONIKOFF SALZBERG PERIODONTICS LTD 1230 Progressive Dr Chesapeake, VA 23320 (757) 436-4026

KONIKOFF, BRYAN KONIKOFF SALZBERG PERIODONTICS LTD 1230 Progressive Dr Chesapeake, VA 23320 (757) 436-4026

MARINAK, KENNETH BRUCE K BARR DDS PC 350 Johnstown Rd Chesapeake, VA 23320 (757) 422-0005

NIVER, ERIC EASTERN VIRGINIA FAMILY & COSMETIC DENTISTRY 3221 Western Branch Blvd Chesapeake, VA 23321 (757) 483-6297

NIVER, ERIC BRIAN P MIDGETTE DDS PC 3326 Taylor Road #100 Chesapeake, VA 23321 (757) 483-4700

NIVER, ERIC CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 825 Battlefield Blvd S Chesapeake, VA 23322 (757) 425-2332

CASH, JEFFREY

GALSTAN, SAMUEL

JOHN J ROSS DDS 501- Independence Parkway Lake Center One Chesapeake, VA 23320 (757) 436-3537

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

SAMUEL W GALSTAN DDS 12290 Ironbridge Road Chester, VA 23831 (804) 768-8165

CASTRO, STEVEN

GAMACHE, MARC

STEVEN A CASTRO DDS PC 2930 West Hundred Rd Chester, VA 23831 (804) 751-0146

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

CIOS, CHRIS

GHAZARIAN, MISHA

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

CRONLY, JO

HANLEY, MICHAEL

CHILDRENS DENTISTRY OF VIRGINIA PC 12220 Iron Bridge Rd #B Chester, VA 23831 (804) 639-6445

MICHAEL R HANLEY DDS LTD 13295 Rivers Bend Blvd Chester, VA 23836 (804) 530-3539

SALZBERG, TRANG KONIKOFF SALZBERG PERIODONTICS LTD 1230 Progressive Dr Chesapeake, VA 23320 (757) 436-4026

CHESTER GENERAL DENTIST AGAPIS, TONY TONY AGAPIS DDS PC 2480 Osborne Road Chester, VA 23831 (804) 748-0101

ALDRED, MATTHEW SHWETHA RODRIGUES DDS PC 12517 Jefferson Davis Hwy Chester, VA 23831 (804) 748-2555

APPLEBY, PETER VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

BACH, MELANIE MELANIE A BACH DDS PLLC 10322 Ironbridge Rd Chester, VA 23831 (804) 717-5400

BEAM, DAVID COMPLETE FAMILY DENTISTRY 11601 Iron Bridge Rd 204 Chester, VA 23831 (804) 717-5100

BURKE, BRIAN JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 562-2667

CALLERY, WILLIAM JDM DENTAL PLC 4516 W Hundred Rd Chester, VA 23831 (804) 748-8677

HEROD, BRIAN CROWDER, VICTORIA MELANIE A BACH DDS PLLC 10322 Ironbridge Rd Chester, VA 23831 (804) 717-5400

STEVEN A CASTRO DDS PC 2930 West Hundred Rd Chester, VA 23831 (804) 751-0146

HILLIER, JOSEPH DAVIDSON, KRISTIN STEVEN A CASTRO DDS PC 2930 West Hundred Rd Chester, VA 23831 (804) 751-0146

PARTICIPATING PROVIDERS

BARR, BRUCE

ROSS, JOHN

JOSEPH C HILLIER DDS PC 4701 Buckingham Court Chester, VA 23831 (804) 748-5008

JOHANSEN, STEPHEN DELPH, BRADLEY COMPLETE FAMILY DENTISTRY 11601 Iron Bridge Rd 204 Chester, VA 23831 (804) 717-5100

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

JORDAN, EDWARD FELTON, WALTER MEADOWDALE FAMILY DENTISTRY 10611 Greenyard Way Ste A Chester, VA 23831 (804) 717-2099

FERRY, DAVID DAVID R FERRY DDS PC 13030 Rivers Bend Rd Chester, VA 23836 (804) 530-3200

FORMICA, LOUIS VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

KILBOURNE, MICHAEL MICHAEL S KILBOURNE DDS 11701 Chester Rd Chester, VA 23831 (804) 748-5105

KUHN, TODD MURRY & KUHN DENTISTRY 6600 Courtyard Rd Chester, VA 23831 (804) 796-9500

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

39

Delta Dental Premier

VIRGINIA (CONT'D) CHESTER LOPEZ, ROCIO VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

MABANGLO-SAMSON, BERNADETTE

MAURER, JEFFREY JDM DENTAL PLC 4516 W Hundred Rd Chester, VA 23831 (804) 748-8677

MONTGOMERY, TYRUS JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 562-2667

MOSEY, JAMES VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

MULE, MERISSA VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

MURRY, BRITTNEY MURRY & KUHN DENTISTRY 6600 Courtyard Rd Chester, VA 23831 (804) 796-9500

MURRY, DONALD MURRY & KUHN DENTISTRY 6600 Courtyard Rd Chester, VA 23831 (804) 796-9500

MURRY, KENNETH MURRY & KUHN DENTISTRY 6600 Courtyard Rd Chester, VA 23831 (804) 796-9500

SHWETHA RODRIGUES DDS PC 12619 Jefferson Davis Hwy Chester, VA 23831 (804) 748-2555

PRUGH, REED PRUGH REED D 11703 Chester Rd Chester, VA 23831 (804) 748-2225

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

RODRIGUES, SHWETHA SHWETHA RODRIGUES DDS PC 12517 Jefferson Davis Hwy Chester, VA 23831 (804) 748-2555

SULLIVAN, KIT VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

WARD, CHRISTINE SAMUEL W GALSTAN DDS 12290 Ironbridge Road Chester, VA 23831 (804) 768-8165

WILMER, SARAH MELANIE A BACH DDS PLLC 10322 Ironbridge Rd Chester, VA 23831 (804) 717-5400

WITCHER, GORDON COMPLETE FAMILY DENTISTRY 11601 Iron Bridge Rd 204 Chester, VA 23831 (804) 717-5100

ORAL SURGEON BRINSER, PAUL SOUTHSIDE ORAL & FACIAL SURGERY 11971 Ironbridge Road Chester, VA 23831 (804) 748-6350

ONEILL, ROBERT SOUTHSIDE ORAL & FACIAL SURGERY 11971 Ironbridge Road Chester, VA 23831 (804) 748-6350

TROTTER, BRADLEY SOUTHSIDE ORAL & FACIAL SURGERY 11971 Ironbridge Road Chester, VA 23831 (804) 748-6350

ORTHODONTIST

PEDIATRIC DENTIST/PEDODONTIST EDWARDS, JUSTIN THE CENTER FOR PEDIATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 318-1623

BENSON, WAKESHI WB ORTHODONTICS 12230 Iron Bridge Rd #B Chester, VA 23831 (804) 404-3804

BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

DAVIS, GEORGE DRS DAVIS & NYCZEPIR LTD 10436 Ironbridge Rd Chester, VA 23831 (804) 748-3234

MARCUS, RICHARD VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

NYCZEPIR, DAVID DRS DAVIS & NYCZEPIR LTD 10436 Ironbridge Rd Chester, VA 23831 (804) 748-3234

PURCELL, ALLISON VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

ROGERS, DALE VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

SPEARS, MELANIE VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

TRAN, ANH MILESTONE ORTHODONTICS 11300 Ironbridge Rd Ste B Chester, VA 23831 (804) 796-9099

FLOWERS, JOHN CHILDRENS DENTISTRY OF VIRGINIA PC 12220 Iron Bridge Rd #B Chester, VA 23831 (804) 639-6445

IMAFIDON, TIMOTHY THE CENTER FOR PEDIATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 318-1623

IMAFIDON, TIMOTHY JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 562-2667

PARTICIPATING PROVIDERS

COMPLETE FAMILY DENTISTRY 11601 Iron Bridge Rd 204 Chester, VA 23831 (804) 717-5100

PEERY, JAMES

KUHN, AMANDA CHILDRENS DENTISTRY OF VIRGINIA PC 12220 Iron Bridge Rd #B Chester, VA 23831 (804) 639-6445

WEBB, MICHAEL THE CENTER FOR PEDIATRIC DENTISTRY & SEDATION 4301 W Hundred Rd Chester, VA 23831 (804) 318-1623

PERIODONTIST VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 (804) 751-0300

CHESTERFIELD ENDODONTIST GERARD, SCOTT SCOTT E GERARD DDS 10320 Memory Lane Ste C Chesterfield, VA 23832 (804) 796-1136

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

40

Delta Dental Premier

VIRGINIA (CONT'D) CHESTERFIELD GERARD, SCOTT SOUTHSIDE ENDODONTIST 10320 Memory Ln Chesterfield, VA 23832 (804) 796-1136

OERTEL, ELLEN

SIEGEL GERHARD, CLAIRE SOUTHSIDE ENDODONTIST 10320 Memory Ln Chesterfield, VA 23832 (804) 796-1136

GENERAL DENTIST BREEDEN, TIMOTHY TIMOTHY M BREEDEN DDS 10003 Courtview Lane Chesterfield, VA 23832 (804) 748-6433

BROTH, STUART DR MICHAEL PFAB DDS PC 14912 Hull Street Rd Chesterfield, VA 23832 (804) 639-9622

CONNER, THOMAS THOMAS A CONNER DDS 9510 Ironbridge Rd #100 Chesterfield, VA 23832 (804) 768-7600

DODSON-GORDON, SHERRY

DR MICHAEL PFAB DDS PC 14912 Hull Street Rd Chesterfield, VA 23832 (804) 639-9622

RAIKA, ANA DR MICHAEL PFAB DDS PC 14912 Hull Street Rd Chesterfield, VA 23832 (804) 639-9622

RHEA, WILLIAM RHEA WILLIAM H 10108 Krause Rd #102 Chesterfield, VA 23832 (804) 751-0609

AMBURGEY, STEVEN STEVEN E AMBURGEY DDS PLLC 112 East Main St Po Box 2297 Chilhowie, VA 24319 (276) 646-0082

THOMPSON, WILLIAM WILLIAM B THOMPSON DDS PC 409 Chilhowie St Chilhowie, VA 24319 (276) 646-3541

CHINCOTEAGUE GENERAL DENTIST

SMILEY, CHRISTOPHER

BROAS, WILLIAM

SMILEY CHRISTOPHER B 9401 Courthouse Rd #306 Chesterfield, VA 23832 (804) 748-9211

MORRISON DENTAL GROUP-CHINCOTEAGUE 4009 Main St Chincoteague, VA 23336 (757) 336-1260

ORAL SURGEON BROWN, STEPHEN CHESTERFIELD ORAL SURGERY INC 10110 Iron Bridge Road Chesterfield, VA 23832 (804) 768-9000

ORTHODONTIST TRAN, ANH CHESTER ORTHODONTICS PC 6425 Chesterfield Meadows Chesterfield, VA 23832 (804) 796-9099

PERIODONTIST MORETTI, JOY

CHESTERFIELD DENTISTRY 10331 Memory Ln Chesterfield, VA 23832 (804) 748-6677

VIRGINIA PERIO LTD 10320 Memory Ln Ste 2 Chesterfield, VA 23832 (804) 748-9553

GARDNER, DAVIS

SLAGLE, JAMES

DAVIS GARDNER DDS PC 7205 Hancock Village Dr Chesterfield, VA 23832 (804) 277-4878

VIRGINIA PERIO LTD 10320 Memory Ln Ste 2 Chesterfield, VA 23832 (804) 748-9553

MOORE, ERNEST

SPERLING-HABOT, KEREN

ERNEST E MOORE DDS PC 6425 Chesterfield Meadows Dr Chesterfield, VA 23832 (804) 796-9500

GENERAL DENTIST

VIRGINIA PERIO LTD 10320 Memory Ln Ste 2 Chesterfield, VA 23832 (804) 748-9553

CHILHOWIE

HAMLETT, SHERYLE ISLAND DENTAL LLC 3897 Main St Chincoteague, VA 23336 (757) 336-5116

MCCRADY, CARL MORRISON DENTAL GROUP-CHINCOTEAGUE 4009 Main St Chincoteague, VA 23336 (757) 336-1260

MORRISON, ROBERT

SPENCE, TEDDY ISLAND DENTAL 3897 Main St Chincoteague, VA 23336 (757) 336-5116

SPENCE, TEDDY ISLAND DENTAL LLC 3897 Main St Chincoteague, VA 23336 (757) 336-5116

CHRISTIANSBURG GENERAL DENTIST ABREU FUERTE, ORLANDO KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

AGRAWAL, NITIN KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

BASS, JAY NEW RIVER DENTAL GROUP 209 Roanoke St Ste 6 Christiansburg, VA 24073 (540) 382-3291

PARTICIPATING PROVIDERS

SOUTHSIDE ENDODONTIST 10320 Memory Ln Chesterfield, VA 23832 (804) 796-1136

PFAB, MICHAEL

BHAVNAGRI, FAWZIA NEW RIVER VALLEY DENTAL 601 Roanoke St Christiansburg, VA 24073 (540) 382-0163

MORRISON DENTAL GROUP-CHINCOTEAGUE 4009 Main St Chincoteague, VA 23336 (757) 336-1260

CHANG, MICHAEL

MURPHY, STEPHEN

CHENNUPATI, NAVEEN

MORRISON DENTAL GROUP-CHINCOTEAGUE 4009 Main St Chincoteague, VA 23336 (757) 336-1260

KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

NEW RIVER VALLEY DENTAL 601 Roanoke St Christiansburg, VA 24073 (540) 382-0163

CRISTI, IVONA SANCHEZ OCASIO, JESUS MORRISON DENTAL GROUP-CHINCOTEAGUE 4009 Main St Chincoteague, VA 23336 (757) 336-1260

KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

GAMEZ, MYRNA KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

41

Delta Dental Premier

VIRGINIA (CONT'D) CHRISTIANSBURG HARMON, THOMAS KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

JONES, DAVID

JOSEPH, MARIE FEE CLINIC OF THE NEW RIVER VALLEY INC 215 Roanoke St Christiansburg, VA 24073 (540) 381-0820

LEWIS, MILLER

TURNER, RANDOLPH

SLAUGHTER, KEVIN

KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

R L TURNER DDS LTD 301 Radford St Christiansburg, VA 24073 (540) 552-2334

SLAUGHTER & SLAUGHTER FAMILY DENTISTRY 1401 Main St Clifton Forge, VA 24422 (540) 862-4495

RICE, JAMES NEW RIVER VALLEY DENTAL 601 Roanoke St Christiansburg, VA 24073 (540) 382-0163

SOWAN, JAMIL KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

TATE, CARTER NEW RIVER DENTAL GROUP 209 Roanoke St Ste 6 Christiansburg, VA 24073 (540) 382-3291

TEBBENKAMP, JUSTIN

NEW RIVER VALLEY DENTAL 601 Roanoke St Christiansburg, VA 24073 (540) 382-0163

NEW RIVER DENTAL GROUP 209 Roanoke St Ste 6 Christiansburg, VA 24073 (540) 382-3291

LEWIS, MILLER

WORKIE, DANIEL

RICE DENTISTRY OF CHRISRIANSBURG PC 601 Roanoke St Christiansburg, VA 24073 (540) 382-0201

MOREL, ADALGISA KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

NEWTON, RICHARD RICHARD M NEWTON 209 Roanoke Street #6 Christiansburg, VA 24073 (540) 382-3291

ONEAL, LATANYA KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

PANDHER, RAMONA KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

YANG, HUI FEE CLINIC OF THE NEW RIVER VALLEY INC 215 Roanoke St Christiansburg, VA 24073 (540) 381-0820

ORAL SURGEON MORGAN, JOHN KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

PEDIATRIC DENTIST/PEDODONTIST AMACHER, DARCY S DARCY AMACHER DDS 105 Akers Farm Rd Christiansburg, VA 24073 (540) 394-3300

ABBASI-HAFSHEJANI, AZITA KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

SLAUGHTER & SLAUGHTER FAMILY DENTISTRY 1401 Main St Clifton Forge, VA 24422 (540) 862-4495

CLINTWOOD BURKE, BRIAN KOOL SMILES VAN PC 135 Conston Ave Christiansburg, VA 24073 (800) 920-9947

PERIODONTIST SHIELDS, WALTER DR WALTER D SHIELDS DDS MS 120 Ponderosa Dr Ste B Christiansburg, VA 24073 (540) 382-7960

CHURCHVILLE GENERAL DENTIST SPILLERS, RONALD JAMES W WILLIS III DDS PLC 21 Scenic Hwy Ste 103 Churchville, VA 24421 (540) 337-6004

TAYLOR, EMERY JAMES W WILLIS III DDS PLC 21 Scenic Hwy Ste 103 Churchville, VA 24421 (540) 337-6004

WILLIS, JAMES JAMES W WILLIS III DDS PLC 21 Scenic Hwy Ste 103 Churchville, VA 24421 (540) 337-6004

CLIFTON ORTHODONTIST

SLAUGHTER, TERRY

GENERAL DENTIST YOON, HEATHER CLIFTON DENTAL CARE PC 5730 Union Mill Rd Clifton, VA 20124 (703) 818-0007

CLIFTON FORGE GENERAL DENTIST

GENERAL DENTIST ROBINSON, WILLIAM WILLIAM S ROBINSON DDS 5367 Dickenson Hwy Clintwood, VA 24228 (276) 926-4777

COEBURN GENERAL DENTIST RAYMOND, MARK COEBURN DENTISTRY 131 Odle Hill Coeburn, VA 24230 (276) 395-6632

PARTICIPATING PROVIDERS

RICE DENTISTRY OF CHRISRIANSBURG PC 601 Roanoke St Christiansburg, VA 24073 (540) 382-0201

RASMUSSEN, JAY

COLLINSVILLE GENERAL DENTIST LAVINDER, MICHAEL LAVINDER MICHAEL E 4940 Kings Mtn Road Collinsville, VA 24078 (276) 647-1494

RHODAY, JOHN JOHN W RHODAY DDS PC 4721 King Mountain Rd Collinsville, VA 24078 (276) 647-3802

UNTERBRINK, DENISE DENISE J UNTERBRINK DDS PC 2200 Daniels Creek Rd Collinsville, VA 24078 (276) 647-5310

COLONIAL HEIGHTS ENDODONTIST GERARD, SCOTT SOUTHSIDE ENDODONTICS PC 2425 Boulevard #8 Colonial Heights, VA 23834 (804) 520-0000

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

42

Delta Dental Premier

VIRGINIA (CONT'D) COLONIAL HEIGHTS LIEWEHR, FREDERICK HEAVENLY SMILES DENTISTRY PLLC 1100-A Boulevard Colonial Heights, VA 23834 (804) 892-1330

SOUTHSIDE ENDODONTICS PC 2425 Boulevard #8 Colonial Heights, VA 23834 (804) 520-0000

SIEGEL GERHARD, CLAIRE SOUTHSIDE ENDODONTICS PC 2425 Boulevard #8 Colonial Heights, VA 23834 (804) 520-0000

GENERAL DENTIST AHMED, MOHAMED DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

ALKILANI, TAWFIQ SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

ALLAYMOUNI, MHD AMER DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

BAILEY, DAVINA KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

BATES, RICHARD RICHARD W BATES DDS PC 3610 Boulevard Colonial Heights, VA 23834 (804) 526-0937

BELTRAMI, MARCO BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

KOHEIL, YOSRELDIN

NGUYEN, VIET

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

KOMMINENI, SANATH

NICHOLS, ASHLEY

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

KREUZER, LUIZA

O'DONNELL, DAVID

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

DIXON, BRYAN

KUPPERI, VINUTHA

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

CHENNUPATI, NAVEEN KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

DIMITROFF, EMILY

PANDHER, RAMONA

PARRIS-WILKINS, TONYA MALAN, DAVID

ENGLISH, SAM

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

SOUTHSIDE FAMILY & COSMETIC DENTISTRY PC 3505 Boulevard Colonial Heights, VA 23834 (804) 520-5009

SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

FEARON, ANDREEN

MATIAS, THIAGO

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

FRIEND, BASIL

MEADE, RAYMOND

BASIL J FRIEND II DDS PC 15806 Jeff Davis Highway Colonial Heights, VA 23834 (804) 520-8994

MEADE RAYMOND L 2018 Boulevard Colonial Heights, VA 23834 (804) 520-1741

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

GLASER, JAMES

MENDOZA, ISRAEL

PHILLIPS, SARAH

SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

JONES, GALE

MONSMAN, JOHN

POOLE, ADAM

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

JOHN E MONSMAN DMD PLLC 3401 Boulevard Colonial Heights, VA 23834 (804) 526-0807

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

KIM, CHAD

NASIF, YASER

RHODES, DANIEL

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

PARTICIPATING PROVIDERS

OERTEL, ELLEN

BLACKHAM, CRAIG

PATEL, VAISHALI KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

PEAT, ASHLEY

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

43

Delta Dental Premier

VIRGINIA (CONT'D) COLONIAL HEIGHTS ROADCAP, RICHARD RICHARD F ROADCAP DDS 3501 Boulevard Colonial Heights, VA 23834 (804) 520-4770

ROJAS, JUAN

SARAVANA, SAUMITRA DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

SCHLEICHER, THOMAS THOMAS G SCHLEICHER DDS PLC 3630 Boulevard Colonial Heights, VA 23834 (804) 526-0231

SHAH, ROHINI KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

SIMON, ALEXANDER DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

STAFFORD, MATTHEW BELTRAMI & DIXON ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-4088

STANSFIELD, MICHAEL MICHAEL A STANSFIELD DDS & ASSOCIATES LTD 3660 Boulevard # F Colonial Heights, VA 23834 (804) 526-2200

SZUBIAK, STANISLAW KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

BEYER, JEFFREY

KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

COMMONWEALTH ORTHODONTICS PLC 456 Charles Dimmock Pkwy #9 Colonial Heights, VA 23834 (804) 520-7292

VARKEY, GEORGE DR GEORGE VARKEY DMD PC 723 South Park Blvd Suite F Colonial Heights, VA 23834 (804) 504-0012

JI, JOHN

VERNON, J

JI, JOHN

J KELLER VERNON DDS LTD 241 Charles Dimmock Pkwy Ste 2 Colonial Heights, VA 23834 (804) 520-0699

VOLKOVA, IRINA SAM E ENGLISH II DDS LLC 798 Southpark Blvd #26 Colonial Heights, VA 23834 (804) 520-1177

WANG, QIN KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

ZAINUL ABEDEEN, ANAS KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

ORAL SURGEON HERRERA, MARICIO KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

SHUFFORD, EARL SHUFFORD EARL L 3524 Boulevard Colonial Heights, VA 23834 (804) 520-4092

ORTHODONTIST ANDERSON, RALPH ANDERSON ORTHODONTICS LTD 556 Southpark Blvd Colonial Heights, VA 23834 (804) 526-2702

JI MANAGEMENT LLC 798 South Park Blvd #12 Colonial Heights, VA 23834 (804) 520-6050 JI ORTHODONTICS LLC 798 South Park Blvd #12 Colonial Heights, VA 23834 (804) 520-6050

MARQUEZ, RHINA KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

PEDIATRIC DENTIST/PEDODONTIST

CREWE GENERAL DENTIST BELTRAMI, MARCO BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

BLACKHAM, CRAIG BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

DIXON, BRYAN BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

KREUZER, LUIZA BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

BURKE, BRIAN KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 526-4889

MALAN, DAVID BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

PARTICIPATING PROVIDERS

HEAVENLY SMILES DENTISTRY PLLC 1100-A Boulevard Colonial Heights, VA 23834 (804) 892-1330

TAILOR, PRIYA

GOKLI, MEERA PEDIATRIC DENTISTRY & ORTHO OF VA 651 Southpark Blvd Colonial Heights, VA 23834 (804) 526-9815

RHODES, DANIEL

KEETON, DAVID

TRUONG, QUYNHMAI

PEDIATRIC DENTISTRY & ORTHO OF VA 651 Southpark Blvd Colonial Heights, VA 23834 (804) 526-9815

QUYNHMAI T TRUONG 101 Mason St Crewe, VA 23930 (434) 645-9602

LUBBE, STEVEN PEDIATRIC DENTISTRY & ORTHO OF VA 651 Southpark Blvd Colonial Heights, VA 23834 (804) 526-9815

COVINGTON GENERAL DENTIST AHMED, SYED

BELTRAMI ENTERPRISES INC 600 West Virginia Ave Crewe, VA 23930 (434) 645-7558

PERIODONTIST GASKINS, CHARLES GASKINS & ASSOCIATES DDS PLLC 101 Mason St Crewe, VA 23930 (804) 794-9611

CROZET GENERAL DENTIST

BRIGHT SMILE DENTAL CLINIC 229 N Monroe Ave Covington, VA 24426 (540) 967-8178

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

44

Delta Dental Premier

VIRGINIA (CONT'D) CROZET PODBESEK, BRIAN CROZET FAMILY DENTAL 5690 Three Notch'D Rd Ste 100 Ste 100 Crozet, VA 22932 (434) 823-4080

SCHOEB, JOHN

TAYLOR, EMERY CROZET FAMILY DENTAL 5690 Three Notch'D Rd Ste 100 Ste 100 Crozet, VA 22932 (434) 823-4080

WILLIS, JAMES CROZET FAMILY DENTAL 5690 Three Notch'D Rd Ste 100 Ste 100 Crozet, VA 22932 (434) 823-4080

ORAL SURGEON IBANEZ, CARLOS CHARLOTTESVILLE ORAL SURGERY & DENTAL IMPLANT 1005 Heathercroft Cir #200 Crozet, VA 22932 (434) 295-0911

PEDIATRIC DENTIST/PEDODONTIST

HIJAZ, IYAD

R DAVID PAGAN DMD 18470 Crossroad Pkwy Culpeper, VA 22701 (540) 825-7250

NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

PATIL, SUDHA

JAIN, KHUSHBOO

SUSHANT MAHAJAN DMD MS PC 691 Laurel St Ste #200 Culpeper, VA 22701 (540) 727-0122

NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

GENERAL DENTIST AHMED, SHABREZ NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

ASHBY, COURTNEY OLAN D PARR JR DDS 1043 Oaklawn Dr Ste B Culpeper, VA 22701 (540) 829-9922

ASHMAWY, TAREK CULPEPER DENTAL GROUP PLC 415 S Main St #101 Culpeper, VA 22701 (540) 825-7676

AYLOR, SCOTT SCOTT A AYLOR DENTIST PLLC 530 Sunset Lane Culpeper, VA 22701 (540) 825-9288

BAXI, FAIRY NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

CLIFFORD, KEVIN CROZET PEDIATRIC DENTISTRY 1005 Heathercroft Circle #300 Crozet, VA 22932 (434) 205-4594

BREEDEN, A BREEDEN A WAYNE JR 1156 Old Rixeyville Road Culpeper, VA 22701 (540) 825-5599

CULPEPER ENDODONTIST MAHAJAN, SUSHANT SUSHANT MAHAJAN DMD MS PC 691 Laurel St Ste #200 Culpeper, VA 22701 (540) 727-0122

KHEDR, YASSER CULPEPER DENTAL GROUP PLC 415 S Main St #101 Culpeper, VA 22701 (540) 825-7676

MILLS, CHRISTINA CHRISTINA P MILLS DDS LLC 1701 Sunset Lane Culpeper, VA 22701 (540) 825-1366

PARR, OLAN OLAN D PARR JR DDS 1043 Oaklawn Dr Ste B Culpeper, VA 22701 (540) 829-9922

POPAT, NITESH NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

SHARMA, MOHIT NEIBAUER DENTAL CARE PC 15187 Montanus Dr Culpeper, VA 22701 (540) 727-0093

EISENHARDT, PETER CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

FAIRCLOTH, W CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

SOLOMON, JAMES CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

TRICKER, NATHANIEL CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

WILHELM, MILES CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

PARTICIPATING PROVIDERS

JOHN C SCHOEB 5974 Jarmans Gap Rd Ste 200 Crozet, VA 22932 (434) 823-2385

PAGAN, ROBERT

ORTHODONTIST EPPARD, HOLLY HOLLY EPPARD DDS MS PC 1100 Sunset Lane Ste 110 Culpeper, VA 22701 (540) 525-6064

THOMSON, SHIBU FAMILY DENTAL CARE PC 1400 Sunset Ln #4210 Culpeper, VA 22701 (540) 825-9132

ORAL SURGEON

BUTLER, SHANNON

AMRHEIN, EDWARD

SHANNON M BUTLER DDS PC 1051 Oaklawn Dr Culpeper, VA 22701 (540) 825-0230

CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

ERRERA, JOSEPH GRIFFIN & ERRERA ORTHODONTICS 505 Radio Ln Culpeper, VA 22701 (540) 825-8001

GRIFFIN, ALFRED GRIFFIN & ERRERA ORTHODONTICS 505 Radio Ln Culpeper, VA 22701 (540) 825-8001

DICKERSON, SONDRA FAMILY DENTAL CARE PC 1400 Sunset Ln #4210 Culpeper, VA 22701 (540) 825-9132

CONNER, GREGORY CENTRAL VA ORAL & FACIAL SURGEONS PLC 1400 Sunset Ln Culpeper, VA 22701 (540) 825-3069

MILLER, ROBERT MILLER ORTHODONTICS PC 1100 Sunset Ln # 1110 Culpeper, VA 22701 (540) 825-6064

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

45

Delta Dental Premier

VIRGINIA (CONT'D) CULPEPER DALE CITY GENERAL DENTIST CHAUDHARY, MOHIT

CHIN, CHARISSA MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

FAIRFAX, CERINA RAYMOND C HASTON JR DDS 14393 Hereford Road Dale City, VA 22193 (703) 670-8400

HASTON, RAYMOND RAYMOND C HASTON JR DDS 14393 Hereford Road Dale City, VA 22193 (703) 670-8400

TAHMASEBI-BOLDAJI, JILA MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

ORTHODONTIST

WILLIAMS, ADAM

CAIRNS, DONALD

MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

DALEVILLE GENERAL DENTIST

PERIODONTIST DOPPALAPUDI, VIVEK MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

ENDODONTIST

ADAMS, MICHAEL

MESAROS, SAMUEL

MICHAEL P ADAMS 1314 Roanoke Rd Daleville, VA 24083 (540) 992-1140

SAMUEL V MESAROS PC 115 Cottonwood Ln Danville, VA 24540 (434) 791-4700

COOTS, FREDERICK COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

GENERAL DENTIST

COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

VESS, FREEMONT FREMONT A VESS JR DDS 24 Tinker Mill Rd Daleville, VA 24083 (540) 992-1020

WARD, SCOTT COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

DAVID D CHILDRESS DDS PC 1108 Main St Danville, VA 24541 (434) 792-9036

DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

RIVERVIEW DENTAL CARE PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

QUINN, STEPHEN

CHILDRESS, DAVID

CLIFTON, JEFFREY

BRINKLEY, RACHEL

COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

KEVIN P SNOW DDS PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

COOTS WARD CROSS FAMILY DENTISTRY 175 Market Ridge Daleville, VA 24083 (540) 992-1004

LAVINDER, LISA

CHENNUPATI, NAVEEN

BRINKLEY, RACHEL

CROSS, GRIFFIN

NGUYEN, NIKKI MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

DANVILLE

BRINKLEY, RACHEL GEOFFREY E JOHNSON DDS PC 4035 Riverside Dr Danville, VA 24541 (434) 797-1853

BROWN, DEREK RIVERVIEW DENTAL CARE PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

BROWN, JARROD JARROD H BROWN DDS PC 1108 Main St Danville, VA 24541 (434) 793-9674

CAIRNS, DONALD DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

CAIRNS, DONALD DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

CLIFTON, JEFFREY DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

PARTICIPATING PROVIDERS

MAPLEDALE FAMILY DENTISTRY PC 5812 Mapledale Plaza Dale City, VA 22193 (703) 580-9900

SANZ-MOLINER, JAVIER

CLIFTON, JEFFREY DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

CUTRIGHT, BARRY CUTRIGHT BARRY K 300 Piney Forest Road Danville, VA 24540 (434) 799-1100

CUTRIGHT, MARTHA CUTRIGHT MARTHA C 300 Piney Forest Road Danville, VA 24540 (434) 799-1100

EASON, DAVID PATHS COMMUNITY DENTAL CLINIC 705 Main St Danville, VA 24541 (434) 797-8502

EVANS, JAMES DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

46

Delta Dental Premier

VIRGINIA (CONT'D) DANVILLE EVANS, JAMES DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

EVANS, JAMES

GAMEZ, MYRNA KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

GAUGHT, KEITH ROSE SATTERFIELD DMD PLLC 4821 Riverside Dr Rt 58W Danville, VA 24541 (434) 822-0440

GOSNEY, JAMES GOSNEY JAMES E 753 Main Street Danville, VA 24541 (434) 792-1130

GREKOS, APOSTOLOS PAUL G GREKOS 2657 Franklin Turnpike Danville, VA 24540 (434) 793-6914

GROGAN, FRANK LAWRENCE A HAYES DDS PLLC 288 Piney Forest Rd Danville, VA 24540 (434) 797-2357

GROGAN, FRANK FRANK T GROGAN III DDS PC 288 Piney Forest Rd Danville, VA 24540 (434) 797-3598

HAIRSTON, ZACHARY ZACHARY P HAIRSTON DDS PC 190 Watson St Danville, VA 24541 (434) 792-0700

MOREL, ADALGISA

SATTERFIELD, ROSE

KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

ROSE SATTERFIELD DMD PLLC 4821 Riverside Dr Rt 58W Danville, VA 24541 (434) 822-0440

HARTIGAN, JAMES

OWENS, JESSICA

SILVERS, ARTHUR

PATHS COMMUNITY DENTAL CLINIC 705 Main St Danville, VA 24541 (434) 797-8502

JESSICA J OWENS DMD PC 190 Watson St Danville, VA 24541 (434) 792-0700

A T SILVERS DMD 140 Piney Forest Rd Suite 1 Danville, VA 24540 (434) 793-4116

PANDHER, RAMONA

SMITH, MARK

KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

MARK PHILIP SMITH DDS PC 816 West Main St Danville, VA 24541 (434) 792-2845

PATEL, VAIBHAVI

SNOW, KEVIN

VSP DENTAL INC 767 Piney Forest Rd Danville, VA 24540 (434) 797-4181

KEVIN P SNOW DDS PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

HAYES, LAWRENCE LAWRENCE A HAYES DDS PLLC 288 Piney Forest Rd Danville, VA 24540 (434) 797-2357

HELTON, DONNA DONNA F HELTON 1422 West Main St Danville, VA 24543 (434) 792-5416

PAYNE, ALBERT HOWARD, GREGORY GREGORY D HOWARD DDS 1121 W Main Street Danville, VA 24541 (434) 793-2633

JOHNSON, GEOFFREY

DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

PAYNE, ALBERT

RIVERVIEW DENTAL CARE PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

JOHNSON, GEOFFREY

PAYNE, ALBERT

GEOFFREY E JOHNSON DDS PC 4035 Riverside Dr Danville, VA 24541 (434) 797-1853

KULHARI, SNEHLATA KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

MALLERY, MALCOLM MALCOLM J MALLERY DDS 568 West Main Street Danville, VA 24541 (434) 799-0120

MIRZA, JAVERIA KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

SNOW, KEVIN RIVERVIEW DENTAL CARE PC 4035 Riverside Dr Danville, VA 24541 (434) 793-2045

SOWAN, JAMIL KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

PARTICIPATING PROVIDERS

DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

HARMON, THOMAS

STAFFORD, DAVID DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

STAFFORD, DAVID PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES PC 1429 South Boston Road Danville, VA 24540 (434) 799-5097

PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

DANVILLE DENTAL ASSOCIATES PC 5011 Riverside Dr Danville, VA 24541 (434) 822-1332

STAFFORD, DAVID DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A Danville, VA 24540 (434) 799-8825

WALL, JESSE JESSE R WALL DDS PC 1045 Main St #6 Danville, VA 24541 (434) 792-8622

ORAL SURGEON

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

47

Delta Dental Premier

VIRGINIA (CONT'D) DANVILLE MANRY, HERBERT WENTZ & MANRY 501 Rison Street #110 Danville, VA 24541 (434) 792-5134

MORGAN, JOHN

SHERWOOD, RICHARD RICHARD L SHERWOOD DDS PC 990 Main Street Ste 304 Danville, VA 24541 (434) 792-4046

WENTZ, WILLARD WENTZ & MANRY 501 Rison Street #110 Danville, VA 24541 (434) 792-5134

ORTHODONTIST ABBASI-HAFSHEJANI, AZITA KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

SEILER, JOSEPH

DANVILLE PEDIATRIC DENTISTRY 4545 Riverside Dr Ste C Danville, VA 24541 (434) 791-2142

BUCKINGHAM FAMILY DENTISTRY PC 15875 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2826

PERIODONTIST CARLISH, ROBERT ROBERT S CARLISH DMD 140 Piney Forest Road Danville, VA 24540 (434) 793-1400

PROSTHODONTIST BARRERO, CARLOS CUTRIGHT BARRY K 300 Piney Forest Road Danville, VA 24540 (434) 799-1100

GENERAL DENTIST LENNON, CHARLES C BEN LENNON DDS INC 15613 General Puller Hwy Deltaville, VA 23043 (804) 776-9484

DILLWYN GENERAL DENTIST

DR EDWARD P SNYDER PC 789 Piney Forest Rd Danville, VA 24540 (434) 792-8900

BUCKINGHAM FAMILY DENTISTRY PC 15875 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2826

SPURRIER, BRYAN

DETAR, MATTHEW

BRYAN R SPURRIER DDS PA 808 Piney Forest Rd Danville, VA 24540 (434) 792-0141

PEDIATRIC DENTIST/PEDODONTIST BURKE, BRIAN KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

BUCKINGHAM FAMILY DENTISTRY PC 15875 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2826

DINWIDDIE GENERAL DENTIST MILLS-ROBERTSON, ABA DINWIDDIE FAMILY DENTISTRY 13855 Courthouse Rd Dinwiddie, VA 23841 (804) 469-5916

DELTAVILLE

BRYANT, JOSEPH SNYDER, EDWARD

SEILER, KATHLEEN

WALTER E SAXON JR DDS PC 15320 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2600

NEWCOMB, BRANDON WALTER E SAXON JR DDS PC 15320 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2600

SAXON, WALTER WALTER E SAXON JR DDS PC 15320 N James Madison Hwy Dillwyn, VA 23936 (434) 983-2600

DUBLIN GENERAL DENTIST FRENCH, CHARLES

DUMFRIES GENERAL DENTIST ALACHNOWICZ, J J DAVID ALACHNOWICZ 3759 Fettler Park Dr Dumfries, VA 22025 (703) 634-2529

DHILLON, NAVNEET NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

FARAH, MAZIN MONTCLAIR FAMILY DENTISTRY 3709 Fettler Park Dr Dumfries, VA 22026 (703) 441-2044

HALE, JAMES JAMES D HALE DDS 17569 Old Stage Coach Rd Dumfries, VA 22026 (703) 221-3444

FRENCH FAMILY DENTISTRY PLLC 254 W Main St Dublin, VA 24084 (540) 674-4191

HASSAN, NADDER

FRENCH, JANET

KASSAN, GREGG

FRENCH FAMILY DENTISTRY PLLC 254 W Main St Dublin, VA 24084 (540) 674-4191

DENTAL SERENITY 17181 Wayside Dr Dumfries, VA 22026 (703) 445-9600

PARTICIPATING PROVIDERS

KOOL SMILES VAN PC 364 Lowes Dr #J Danville, VA 24540 (434) 688-0337

MOSLEY, MONICA

GREGG L KASSAN DDS PC 5077 Waterway Dr Dumfries, VA 22025 (703) 897-0463

KAUR, PALWINDER HARVEY, GREGORY HARVEY DENTISTRY NRV PC 4664 Lee Hwy Dublin, VA 24084 (540) 674-8891

NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

KAZMI, SANA VELANDER, BREANNA HARVEY DENTISTRY NRV PC 4664 Lee Hwy Dublin, VA 24084 (540) 674-8891

NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

KHEDR, YASSER

DULLES ORTHODONTIST BARAKAT, RANA BARAKAT ORTHODONTICS PC 45745 Nokes Blvd Ste 175 Dulles, VA 20166 (703) 433-9330

DUMFRIES DENTAL ARTS 17775 Main St Ste. #103 Dumfries, VA 22026 (703) 445-9022

KING, HOANG KING HOANG N 17865 Main St Dumfries, VA 22026 (703) 221-7000

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

48

Delta Dental Premier

VIRGINIA (CONT'D) DUMFRIES MARVDASHTI, NIKTA HERNDON DENTAL ARTS 17775 Main St # 103 Dumfries, VA 22026 (703) 445-9022

MORRIS, TAMESHA

NAEEM, NASEER DUMFRIES DENTAL ASSOCIATES 18043 Dumfries Shopping Plaza Dumfries, VA 22026 (703) 221-4535

NAJAFE, HAYAT MONTCLAIR FAMILY DENTISTRY 3709 Fettler Park Dr Dumfries, VA 22026 (703) 441-2044

NALLURI, JATIN NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

SILK, ZAHER ZAHER SILK DDS 3729 Fettler Park Dr #B6 Dumfries, VA 22025 (703) 441-9590

SURENDRAN, SWAPNA NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

YAQUI, LUIS NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr Dumfries, VA 22025 (703) 221-3295

ZAND, TARANEH HERNDON DENTAL ARTS 17775 Main St # 103 Dumfries, VA 22026 (703) 445-9022

ORTHODONTIST

TRAN, MY

POTOMAC PEDIATRIC DENTISTRY 16708 Jefferson Davis Hwy Ste #115 Dumfries, VA 22026 (703) 221-4040

ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

DUNN LORING ZHU, XINSHENG XINSHENG ZHU DDS PC 17606 Main St Ste 200 Dumfries, VA 22026 (703) 445-1999

PEDIATRIC DENTIST/PEDODONTIST BRAXTON, DARCHELLE ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

DAVIS, RHEA ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

GENERAL DENTIST CHANG, JONATHAN JONATHAN CHANG DDS PC 2301 Gallows Rd #215 Dunn Loring, VA 22027 (703) 560-6500

DUNNLORING GENERAL DENTIST CHONG, JAE SUK SUN O DDS 2136 B Gallows Road Dunnloring, VA 22027 (703) 698-5400

SUK, SUN SUK SUN O DDS 2136 B Gallows Road Dunnloring, VA 22027 (703) 698-5400

LE, HAU POTOMAC PEDIATRIC DENTISTRY 16708 Jefferson Davis Hwy Ste #115 Dumfries, VA 22026 (703) 221-4040

RAI, SHWETHA ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

EARLYSVILLE GENERAL DENTIST DELPH, BRADLEY EARLYSVILLE FAMILY DENTISTRY 690 Bent Oaks Dr Ste 102 Earlysville, VA 22936 (434) 964-1116

ELKTON GENERAL DENTIST

SHAH, RITU

DAVIS, RON

ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

DAVID DENTAL CENTERS 205 West Spotwood Tr Elkton, VA 22827 (540) 298-9419

FLAHERTY, CRAIG SHINGLER, ARSHIA ARSHIA SHINGLER DDS & RHEA DAVIS DDS PLC 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 (703) 221-4040

DR JON M TRABOSH DDS PC 160 W Spotswood Ave Elkton, VA 22827 (540) 298-1581

TRABOSH, JON DR JON M TRABOSH DDS PC 160 W Spotswood Ave Elkton, VA 22827 (540) 298-1581

USNICK, JANICE DR JON M TRABOSH DDS PC 160 W Spotswood Ave Elkton, VA 22827 (540) 298-1581

EMPORIA GENERAL DENTIST HARMAN, DOUGLAS DOUGLAS W HARMON DDS PC 510 Belfield Dr Emporia, VA 23847 (434) 634-4164

HAWLEY, JULIE DOUGLAS W HARMON DDS PC 510 Belfield Dr Emporia, VA 23847 (434) 634-4164

PALMER, ROGER ROGER A PALMER DDS 307-D Dogwood Lane Emporia, VA 23847 (434) 634-5157

SWENSON, KEVIN KEVIN S SWENSON DDS PC 552 N Main St Emporia, VA 23847 (434) 634-0035

PARTICIPATING PROVIDERS

DENTAL SERENITY 17181 Wayside Dr Dumfries, VA 22026 (703) 445-9600

LEE, JIM

EWING GENERAL DENTIST PATTERSON, CHERYL CHERYL D PATTERSON DMD 126 Blakemore Mill Rd Ewing, VA 24248 (276) 861-4011

EXMORE GENERAL DENTIST SLEPSKY, PETER PETER SLEPSKY DDS PC 4208 Seaside Rd Exmore, VA 23350 (757) 414-5005

SPENCE, TERRY SPENCE & SPENCE DDS 3060 Main St Exmore, VA 23350 (757) 442-3313

FAIRFAX ENDODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

49

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX ACOSTA, RAFAEL CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

FEIN, JOSHUA

GOLIAN, TIMOTHY TIMOTHY GOLIAN DDS PC 3925 Chain Bridge Rd Ste 304 Fairfax, VA 22030 (703) 273-8798

HONG, CHARLIE CHARLIE H HONG DMD PC 3554 Chainbridge Rd Fairfax, VA 22030 (703) 359-4447

KESSLER, JOEL HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

PATEL, JAYESH JAYESH PATEL 4210 Fairfax Corner W Ave Ste 230 Fairfax, VA 22030 (703) 631-1136

PATEL, PRATIK SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

TOLBA, MOSTAFA NATURAL HORIZON WELLNESS CENTER 11230 Waples Mill Rd #125 Fairfax, VA 22030 (703) 246-9355

GENERAL DENTIST ABINADER, NANTADLA NANTADLA Z ABINADER DDS 8301 Arlington Blvd Ste T-1 Fairfax, VA 22031 (703) 204-9200

BANAVAR, ROHINI

CHA, MYONG

AESTHETIC DENTISTRY OF FAIRFAX 4103 Chain Bridge Road Ste. Ll100 Fairfax, VA 22030 (703) 218-8142

HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

MYONG J CHA DDS PC 3915 Old Lee Hwy #22-D Fairfax, VA 22030 (703) 273-5033

BARAKAT, HISHAM

CHIN, VIRGINIA

MOSAIC SMILES PC 8303 Arlington Blvd Ste 104 Fairfax, VA 22031 (703) 207-0700

JOHN S K HSU DDS & VIRGINIA J CHIN DDS PC 10801 Main St Ste 500 & 600 Fairfax, VA 22030 (703) 352-2500

AKINBI, FOLAKE PHOENIX SMILES DENTAL CENTER 9854 Main St Fairfax, VA 22031 (703) 278-8866

ALCANTARA, CHRISTIAN CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

ALKISHTAINI, MAHA MAI KOUSSA DDS AND MAHA ALKISHTAINI DDS PLC 8500 Executive Park Ave # 208 Fairfax, VA 22031 (703) 663-8276

AMIRSAYAFI, PAYAM LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

ARBABI, SHEILA SMILES AT FAIRFAX CORNER 4210 Fairfax Corner West Ave Ste. #220 Fairfax, VA 22030 (703) 222-3245

ARIANI, MEHRAN FAIRFAX DENTAL CENTER 4000 Virginia St Fairfax, VA 22032 (703) 273-1443

AYATI, MARJUN BRENDA J YOUNG DDS PC 8316 Arlington Blvd #226 Fairfax, VA 22031 (703) 560-6301

BABU, SRIDEVI HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

BAREKZI, NASSIR SMILES AT FAIRFAX CORNER 4210 Fairfax Corner West Ave Ste. #220 Fairfax, VA 22030 (703) 222-3245

BASSIRI, MICHAEL BASSIRI MICHAEL K 3891 Plaza Drive Fairfax, VA 22030 (703) 385-9161

BERMAN, ROBERT DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

BHASKAR, MONA MONA BHASKAR DDS PC 9844 A Main St Fairfax, VA 22031 (703) 218-4144

BOBBIO, JENNIFER MOSAIC SMILES PC 8303 Arlington Blvd Ste 104 Fairfax, VA 22031 (703) 207-0700

BUTT, TEHREEM FAMILY DENTISTRY OF FAIRFAX PC 10391 Democracy Ln Ste A Fairfax, VA 22030 (703) 273-7999

CHOE, MARK FAIRFAX ADVANCED GENERAL DENTISTRY PC 9528 Arlington Boulevard Fairfax Circle Plaza Fairfax, VA 22031 (703) 279-3400

CHOI, CHARLSON FAIRFAX DENTISTRY 11351 Random Hills Rd Ste #102 Fairfax, VA 22030 (703) 691-2221

CHOI, JIN SKINNER OSSAKOW & ASSOC DDS PC 3903 Fair Ridge Dr #207 Fairfax, VA 22033 (703) 385-2772

PARTICIPATING PROVIDERS

VIRGINIA ENDODONTICS 3025 Hamaker Ct Ste 320 Fairfax, VA 22031 (703) 539-0400

ABOULKHAIR, MOSTAFA

CHOI, JIN DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

CHOI, MARK MARK K CHOI DDS PC 8301 Arlington Blvd Ste 503 Fairfax, VA 22031 (703) 207-7077

CHONG, NATHAN NATHAN S CHONG DDS LLC 9428 Main St Fairfax, VA 22031 (703) 323-5296

CABALLERO, GIOVANNI DENTAL SOLUTIONS OF FAIRFAX 11211 Waples Mill Rd #300 Fairfax, VA 22030 (703) 865-7622

CHUNG, CHI WHAN CHI WHAN CHUNG 3611 Chain Bridge Rd #B Fairfax, VA 22030 (703) 273-8450

CERTA, KIMBERLY NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

50

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX COLLAZO, WALTER NATURAL HORIZON WELLNESS CENTER 11230 Waples Mill Rd #125 Fairfax, VA 22030 (703) 246-9355

DANG, QUYEN

DEHYAR, JOSEPH FAIR LAKES DENTAL 12989 Fairlakes Shopping Centre Fairfax, VA 22033 (703) 222-1230

DEVGON, DENISE RICHARD D PAPP DDS PC 3903 Fair Ridge Dr #214 Fairfax, VA 22033 (703) 263-9388

DHILLON, NAVNEET NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

DICKSON, NANA ALLEGRA DENTAL GROUP 3040 Williams Dr #201 Fairfax, VA 22031 (571) 419-6897

DO, KIM KIM QUY DO DDS LLC 8303 Arlington Blvd #101 Fairfax, VA 22031 (703) 876-2606

DONOHUE, RICHARD RICHARD F DONOHUE DDS PC 10529 A Braddock Rd Fairfax, VA 22032 (703) 250-2970

DONOHUE, STEPHEN H CHARLES JELINEK JR DDS 8505 Arlington Blvd #260 Fairfax, VA 22031 (703) 560-8700

FLORES, MARCO

HANGVAL, REZA

THOMAS M DRUMMOND DMD PC 2665 Prosperity Ave Ste 15 Fairfax, VA 22031 (703) 560-1660

CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

GAITAN, RICARDO

HARTLEY, CAROLINE

GAITAN & OSINOVSKY 8301 Arlington Blvd #403 Fairfax, VA 22031 (703) 206-0466

HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

GALLIAN, MARY-STUART

HASSAN, NADDER

MARY-STUART GALLIAN, DMD, PC 10090 Main Street Fairfax, VA 22031 (703) 273-4500

HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

DRUMMOND, THOMAS THOMAS M DRUMMOND DMD PC 2665 Prosperity Ave Ste 15 Fairfax, VA 22031 (703) 560-1660

EA-LIM, BOPHARY BOPHARY K EA-LIM DDS LLC 4001 Fair Ridge Dr. Suite 105 Fairfax, VA 22033 (703) 352-0741

EJTEMAI, NASTARAN NASTARAN EJTEMAI DDS PC 9671 A Main St Fairfax, VA 22031 (703) 323-0700

ELHADY, SHERIF SHERIF N ELHADY DDS 3903 Fairridge Dr #215 Fairfax, VA 22033 (757) 539-8686

ELLENBOGEN, GARY DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

ELLIS, BITA RAYMUND V FAVIS DDS PC 3930 Pender Dr #170 Fairfax, VA 22030 (703) 267-6627

ERICKSEN, DANA DANA W ERICKSEN DDS 3554 Chainbridge Rd #401 Fairfax, VA 22030 (703) 385-3226

FAIRFAX, CERINA CERINA W FAIRFAX DDS PC 9500-B Lee Hwy Fairfax, VA 22031 (703) 273-1033

FAVIS, RAYMUND RAYMUND V FAVIS DDS PC 3930 Pender Dr #170 Fairfax, VA 22030 (703) 267-6627

HEMEDAN, NADA GATENS, ROBERT ROBERT E GATENS DDS 11208 Waple Mill Rd Ste 100 Fairfax, VA 22030 (703) 352-2073

SUCCESS DENTAL GROUP PLC 9671-A Main St Fairfax, VA 22031 (703) 978-0000

HINDMAN, EDWARD GIBERSON, KENNETH KENNETH R GIBERSON DDS LTD 10875 Main Street #206 Fairfax, VA 22030 (703) 273-2040

GREENSPAN, GARY DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

GRIECO, JOSEPH JOSEPH P GRIECO JR DDS PC 3541 Chain Bridge Rd #1 Fairfax, VA 22030 (703) 385-9700

HAERI, MARYAM JAKLIN BEZIK & ASSOC PERIO & IMP 11150 Fairfax Blvd Ste 301 Fairfax, VA 22030 (703) 934-4474

HAM, SAMUEL SAMUEL S HAM DDS PC 11351 Random Hills Rd #102 Fairfax, VA 22030 (703) 691-2221

EDWARD R HINDMAN JR DDS PC 8303 Arlington Blvd #104 Fairfax, VA 22031 (703) 207-0700

HINDMAN, EDWARD

PARTICIPATING PROVIDERS

OPTIMAL HEALTH CENTER 8303 Arlington Blvd #107 Fairfax, VA 22031 (703) 573-1313

DRUMMOND, TANYA

MOSAIC SMILES PC 8303 Arlington Blvd Ste 104 Fairfax, VA 22031 (703) 207-0700

HO, STEWART STEWART C HO DMD PC 3929 Old Lee Hwy #91-D Fairfax, VA 22030 (703) 385-1617

HOANG-NGUYEN, JACQUELYN GENTLE DENTISTRY 3913 Old Lee Hwy Ste 32D Fairfax, VA 22030 (703) 877-2200

HOFFMAN, HOWARD HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

HONG, RICHARD SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

51

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX HOWELL, EVERETT HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

HSU, JOHN

JELINEK, HOWARD H CHARLES JELINEK JR DDS 8505 Arlington Blvd #260 Fairfax, VA 22031 (703) 560-8700

JOO, CHUCK FAIR OAKS DENTAL CARE 12011 Lee Jackson Mem Hwy Ste 104 Fairfax, VA 22033 (703) 766-1575

KAMALI, TOURAJ FAMILY DENTAL CARE 10611 Judicial Dr Fairfax, VA 22030 (703) 385-0303

KANG, DON NATURADENT PC 9508-A Lee Hwy Fairfax, VA 22031 (703) 652-4265

KARMACHARYA, KOMAL RK DENTAL CARE LLC 12011 Lee Jackson Memorial Hwy #502 Fairfax, VA 22033 (571) 295-7757

LEAVENWORTH, KIM

MAHAJAN, ALKA

NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

NATURAL HORIZON WELLNESS CENTER 11230 Waples Mill Rd #125 Fairfax, VA 22030 (703) 246-9355

PROGRESSIVE DENTAL CARE PLLC 8301 Arlington Blvd Ste T2 Fairfax, VA 22031 (703) 909-4626

LEE, EUN HYE

MANRIQUE, HUGO

RAYEK & ZIER DDS PLC 4210 Fairfax Corner West Ave Ste 220 Fairfax, VA 22030 (703) 222-3245

ERIC R CAPPS DDS PC 11001 Lee Hwy Ste A Fairfax, VA 22030 (703) 691-9740

KI, LAURA LAURA Y KI DDS PC 4001 Fair Ridge Dr Ste 205 Fairfax, VA 22033 (703) 273-2545

KIM, JENNIFER ADVANCED COSMETIC DENTISTRY OF NOVA PC 3903 Fair Ridge Dr #212 Fairfax, VA 22033 (703) 865-6880

SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

ROGER MARCELLIN DDS PC 12011 Lee Jackson #503 Fairfax, VA 22033 (703) 293-9100

MAYER, KELLY LEE, PAUL PAUL M LEE DDS PC 3975 Fair Ridge Dr N 305 Fairfax, VA 22033 (703) 352-9600

CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

LEVINE, ROBERT

MERCADO, ROMINA

LEVINE ROBERT A 3918 Prosperity Ave #203 Fairfax, VA 22031 (703) 280-1300

CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

KIM, JUYOUNG JUYOUNG HA KIM 3927 Old Lee Hwy Ste 102E Fairfax, VA 22030 (703) 691-1004

KIRKSEY, CHARLES FAMILY DENTAL CARE 10611 Judicial Dr Fairfax, VA 22030 (703) 385-0303

LI, TIN TIN W LI DDS PLLC 10801 Main St Ste 500 Fairfax, VA 22030 (703) 815-2041

KOT, DARIUSZ DARIUSZ P KOT DDS PC 11211 Waples Mill Rd 300 Fairfax, VA 22030 (703) 352-8015

KOUSSA, MAI MAI KOUSSA DDS AND MAHA ALKISHTAINI DDS PLC 8500 Executive Park Ave # 208 Fairfax, VA 22031 (703) 663-8276

LE, HANG MY FAIRFAX DENTAL 3930 Pender Drive Ste 220 Fairfax, VA 22030 (571) 969-3368

KAUR, NAMRATA NOVA FAMILY DENTISTRY PC 9401 Lee Hwy Ste 204 Fairfax, VA 22031 (703) 267-6103

NATHAN C LEE DDS PC 3611 B Chain Bridge Rd Fairfax, VA 22030 (703) 273-8450

KIM, JERRY

KARMACHARYA, KOMAL LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

MARCELLIN, ROGER LEE, NATHAN

LE, TRUNG

PARTICIPATING PROVIDERS

JOHN S K HSU DDS & VIRGINIA J CHIN DDS PC 10801 Main St Ste 500 & 600 Fairfax, VA 22030 (703) 352-2500

KAZMI, SANA

METZDORF, DAVID DAVID W METZDORF JR DDS PC 4001 Fair Ridge Dr #100 Fairfax, VA 22033 (703) 352-5222

LIM, PHANITH CHANTILLY GREEN DENTAL CARE 13035 D Lee Jackson Mem Hwy Fairfax, VA 22033 (703) 378-2466

MILLER, JEFFREY

LUCK, LEAH

MILLER, VERONICA

SKINNER OSSAKOW & ASSOC DDS PC 3903 Fair Ridge Dr #207 Fairfax, VA 22033 (703) 385-2772

JAMIE PARK DDS 10680 Main St, Ste 150 Fairfax, VA 22030 (703) 385-4569

DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

MORALES, DIEGO LUONG, SUSAN TUAN NGUYEN DDS PC 3077 Nutley St Fairfax, VA 22031 (703) 280-1100

CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

FAIR CITY DENTAL CARE 9600 Main St #I Fairfax, VA 22031 (703) 978-3541

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

52

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX MURRAY, MALCOLM MALCOLM J MURRAY DDS PC 3941 Old Lee Hwy Fairfax, VA 22030 (703) 934-5540

NAGLE, JEREMY

NALLURI, JATIN NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

NAM, JOHNNY JOHNNY K NAM DDS PC 9561 Braddock Rd Fairfax, VA 22032 (703) 323-6500

NGO, HOWARD SMILES 4 FAIRFAX PLC 11351 Random Hills Rd #290 Fairfax, VA 22030 (703) 865-6677

NGUYEN, CHRISTINE CHRISTINE NGUYEN DDS 3611B Chain Bridge Rd Fairfax, VA 22030 (703) 378-1695

NGUYEN, HIEU OPTIMAL HEALTH CENTER 8303 Arlington Blvd #107 Fairfax, VA 22031 (703) 573-1313

NGUYEN, LAN LAN NGUYEN DDS 9671-D Main Street Fairfax, VA 22031 (703) 503-5211

NGUYEN, TUAN TUAN NGUYEN DDS PC 3077 Nutley St Fairfax, VA 22031 (703) 280-1100

PHAN, DUY-MAN

ROSENBLUM, STEPHEN

NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

FAMILY & COSMETIC DENTISTRY 9526-A Lee Hwy Fairfax, VA 22031 (703) 934-9444

DENTAL ASSOC OF NORTHERN VA PLLC 9401 Lee Hwy #200 Fairfax, VA 22031 (703) 273-8111

OSSAKOW, WILLIAM

PHAN, THOAIVAN

SKINNER OSSAKOW & ASSOC DDS PC 3903 Fair Ridge Dr #207 Fairfax, VA 22033 (703) 385-2772

PHAN THOAVIAN 12011 Lee Jackson Mem Hwy Ste 102A Fairfax, VA 22033 (703) 766-1575

PAK, JUNG

PIERCE, LAURA

JUNG S PAK 11001 Lee Hwy #A Fairfax, VA 22030 (703) 691-9740

PIERCE & RYAN DENTISTRY PLLC 13035 A Lee Jackson Memorial Hwy Fairfax, VA 22033 (703) 968-6956

PANDAK, HILARY FAMILY DENTISTRY 11208 Waples Mill Rd 101 Fairfax, VA 22030 (703) 691-1511

PAPP, RICHARD RICHARD D PAPP DDS PC 3903 Fair Ridge Dr #214 Fairfax, VA 22033 (703) 263-9388

PARK, CHARLES NATURAL HORIZON WELLNESS CENTER 11230 Waples Mill Rd #125 Fairfax, VA 22030 (703) 246-9355

PARK, JAMIE JAMIE PARK DDS 10680 Main St, Ste 150 Fairfax, VA 22030 (703) 385-4569

PATEL, KINJAL JAKLIN BEZIK & ASSOC PERIO & IMP 11150 Fairfax Blvd Ste 301 Fairfax, VA 22030 (703) 934-4474

PHAM, ANH CHANTILLY GREEN DENTAL CARE 13035 D Lee Jackson Mem Hwy Fairfax, VA 22033 (703) 378-2466

ROTTER, MICHAEL DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

RUEDA, SANTIAGO VA DENTAL GROUP PLLC 3911 Old Lee Hwy Ste 42-C Fairfax, VA 22030 (703) 385-3800

RYAN, DANIELLE PLATA, RAUL PLATA RAUL E 8704 Lee Highway #103 Fairfax, VA 22031 (703) 573-4455

PIERCE & RYAN DENTISTRY PLLC 13035 A Lee Jackson Memorial Hwy Fairfax, VA 22033 (703) 968-6956

RAMISETTY, CHETANA DENTAL SOLUTIONS OF FAIRFAX 11211 Waples Mill Rd #300 Fairfax, VA 22030 (703) 865-7622

SAGHIR, RIFFAT

RAYEK, RIAZ

SAREEN, DEEPTI

RAYEK & ZIER DDS PLC 4210 Fairfax Corner West Ave Ste 220 Fairfax, VA 22030 (703) 222-3245

SAREEN DENTAL 4473 Market Commons Dr Fairfax, VA 22033 (703) 865-4488

RAYEK, RIAZ

SAYEED, AFREEN

SMILES AT FAIRFAX CORNER 4210 Fairfax Corner West Ave Ste. #220 Fairfax, VA 22030 (703) 222-3245

DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

PARTICIPATING PROVIDERS

DAVID P SIBLEY DDS 3700 Joseph Siewick Dr Ste 307 Fairfax, VA 22033 (703) 715-9227

NWANESHIUDU, CHIOMA

AFREEN SAYEED DDS PLLC 11213 A Lee Hwy Fairfax, VA 22030 (703) 591-4111

SCHECHT, WAYNE RAYO, SAMUEL SAMUEL F RAYO DDS 8303 Arlington Blvd Ste 103 Fairfax, VA 22031 (703) 560-7200

DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

SCHECHT, WAYNE ROSENBLUM, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

DENTAL ASSOC OF NORTHERN VA PLLC 9401 Lee Hwy #200 Fairfax, VA 22031 (703) 273-8111

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

53

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX SELLERS, JOHN JOHN G SELLERS JR DDS 3879 Plaza Drive Fairfax, VA 22030 (703) 691-9041

SHAAFI, MOJGAN

SHAFIEI, NIKKI LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

SHAREGHI, SHADI

TRAN, QUANG

YALAMANCHILI, PADMAJA

MICAHEL S SONG DDS PC 3975 Fair Ridge Dr Ste 301 N Fairfax, VA 22033 (703) 385-5455

FAMILY AND COSMETIC DENTISTRY 8626 Lee Hwy Ste 203 Fairfax, VA 22031 (703) 698-5155

DR PADMAJA YALAMANCHILI 10875 Main Street Fairfax, VA 22030 (703) 591-4010

SOYFER, VLADIMIR AADA INC 3930 Pender Dr #150 Fairfax, VA 22030 (703) 359-9080

STEPHEN C ST LOUIS 4001 Legato Rd Ste 203 Fairfax, VA 22033 (703) 385-7177

WILLIAM R STRINGHAM DDS PC 3545 Chain Bridge Rd #5 Fairfax, VA 22030 (703) 273-5545

SHEWMAKER, DALE

STRINGHAM, WILLIAM

DALE P SHEWMAKER DDS PC 10623 Braddock Rd Fairfax, VA 22032 (703) 385-6960

WILLIAM R STRINGHAM DDS PC 3545 Chain Bridge Rd #5 Fairfax, VA 22030 (703) 273-5545

SIBLEY, DAVID

SUK, MINJEONG

DAVID P SIBLEY DDS 3700 Joseph Siewick Dr Ste 307 Fairfax, VA 22033 (703) 715-9227

MINJEONG SUK DDS PC 4001 Fair Ridge Dr Ste 105 Fairfax, VA 22033 (703) 352-2810

SIMANEK, MILAN

SWEENEY, JOHN

FAMILY DENTAL CARE 10611 Judicial Dr Fairfax, VA 22030 (703) 385-0303

JOHN J SWEENEY DDS LTD 13035A Lee Jackson Hwy Fairfax, VA 22033 (703) 968-6956

SINGH, GEETIKA

TRAN, AN

NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

FAMILY AND COSMETIC DENTISTRY 8626 Lee Hwy Ste 203 Fairfax, VA 22031 (703) 698-5155

WILLIAM R STRINGHAM DDS PC 3545 Chain Bridge Rd #5 Fairfax, VA 22030 (703) 273-5545

TRAN, ANNAH FAIR LAKES FAMILY & COSMETIC DENTISTRY 12110 Monument Dr Ste A Fairfax, VA 22033 (703) 273-4505

LEE PLAZA DENTAL 11725 Lee Hwy #A23 Fairfax, VA 22030 (703) 293-6300

YI, CHANG TSAI, CHIH-PING NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

STRINGHAM, MATTHEW

STRINGHAM, MATTHEW

JANET K SONG DDS 3915 Old Lee Hwy #22D Fairfax, VA 22030 (703) 385-1866

FAIRFAX DENTAL ASSOC PC 11166 Fairfax Blvd Ste 400 Fairfax, VA 22030 (703) 691-3015

ST LOUIS, STEPHEN

SUNNY SMILES PEDIATRIC & FAMILY DENTISTRY 3930 Pender Dr #250 Fairfax, VA 22030 (703) 865-5779

SONG, JANET

YI, AMANDA TRIVEDI, KALPANA

FAIRFAX CORNER DENTAL 4210 Fairfax Corner W Ave #225 Fairfax, VA 22030 (703) 222-2992

YI, TYLER TUMMARELLO, MARK FAMILY DENTISTRY 11208 Waples Mill Rd 101 Fairfax, VA 22030 (703) 691-1511

SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

YOON, JAE VACCARO, THOMAS THOMAS G VACCARO DDS PC 11130 Fairfax Blvd #201 Fairfax, VA 22030 (703) 591-1007

JAE S YOON DDS PC 8300 Arlington Blvd #E2 Fairfax, VA 22031 (703) 207-9077

YOON, JANGYEUL VAMARAJU, BINDU NEIBAUER DENTAL CARE PC 9547-A Fairfax Blvd Fairfax, VA 22031 (703) 359-2879

PARTICIPATING PROVIDERS

MOJGAN SHAAFI DDS PC 3541 Chainbridge Rd #3 Fairfax, VA 22030 (703) 273-3663

SONG, MICHAEL

JANGYEUL YOON DDS PC 10807 Main St Ste 200 Fairfax, VA 22030 (703) 261-6999

YOUNG, BRENDA VARGAS, LIDA VA DENTAL GROUP PLLC 3911 Old Lee Hwy Ste 42-C Fairfax, VA 22030 (703) 385-3800

BRENDA J YOUNG DDS PC 8316 Arlington Blvd #226 Fairfax, VA 22031 (703) 560-6301

YOUNG, RAYMOND WALI, SOFIYA SOFIYA WALI DDS II PC 8622-D Lee Hwy Fairfax, VA 22031 (703) 663-8645

HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

YU, FAN WANG, PENG HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

PREMIER DENTAL ARTS PLLC 4001 Fair Ridge Dr #105 Fairfax, VA 22033 (703) 865-6276

ZHU, TINGTING WEAVER, YOLONDA FAIRFAX DENTAL CENTER 4000 Virginia St Fairfax, VA 22032 (703) 273-1443

TINGTING ZHU DMD LLC 3613 Chain Bridge Rd #A Fairfax, VA 22030 (703) 893-6680

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

54

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX ZIER, TARA RAYEK & ZIER DDS PLC 4210 Fairfax Corner West Ave Ste 220 Fairfax, VA 22030 (703) 222-3245

ORAL SURGEON DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

DOLAN, PATRICK

SMITH, PETER

KIM, CHRISTINE

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

RAYEK & ZIER DDS PLC 4210 Fairfax Corner West Ave Ste 220 Fairfax, VA 22030 (703) 222-3245

RAMSEY, CYRUS DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

SMITH, PETER DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

RAMSEY, CYRUS

THEBERGE, DANIEL

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

THEBERGE, DANIEL

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

ROBERTSON, STEVEN

DORIOT, ROBERT

ROBERTSON, STEVEN

TRINH, HUY

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

NORTHERN VIRGINIA CENTER FOR ORAL FACIAL & IMPLANT SURGERY 4211 Fairfax Corner East Ave #235 Fairfax, VA 22030 (703) 449-8888

ROBERT E DORIOT II DDS 4211 Fairfax Corner Ave #235 Fairfax, VA 22030 (703) 449-8888

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

LIU, FREDERICK DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

LIU, FREDERICK

SHAMI, IMAD ROBERT E DORIOT II DDS 4211 Fairfax Corner Ave #235 Fairfax, VA 22030 (703) 449-8888

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

SHIN, THOMAS

LYN, TREVANN

SILLOWAY, KIMBERLY

DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

PARK, JONATHAN

SILLOWAY, KIMBERLY

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

TEEHO SPECIALTY GROUP LLC 10721 Main St Ste #300 Fairfax, VA 22030 (703) 591-7000

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3600 Joseph Siewick Dr Fairfax, VA 22033 (703) 352-1493

ORTHODONTIST DJEU, GARRET GARRET DJEU DMD PC 10875 Main St Ste 106 Fairfax, VA 22030 (703) 691-8388

FLEMING, HAROLD JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 (703) 383-3434

GHATRI, ALI LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

KIM, CHRISTINE JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 (703) 383-3434

LEE, JIM LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

LEE, SORA SORA LEE ORTHODONTICS LLC 11351 Random Hills Rd Ste #102 Fairfax, VA 22030 (703) 691-2221

MCDONOUGH, JAMES JAMES M MCDONOUGH DDS MS 9508-B Lee Highway Fairfax, VA 22031 (703) 273-4085

METZDORF, DAVID DAVID METZDORF ORTHODONTIST PC 4001 Fair Ridge Dr Fairfax, VA 22033 (703) 352-5222

PARTICIPATING PROVIDERS

DOLAN, PATRICK

PARK, JONATHAN

NGUYEN, NIKKI HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

PRYOR, DENNIS DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

SINA, NAHID MY BRACES DOCTOR PC 3925 Old Lee Hwy #51C Fairfax, VA 22030 (703) 877-0990

PEDIATRIC DENTIST/PEDODONTIST COULTER, CHARLES DENTISTRY FOR CHILDREN OF VA LLC 10611 Braddock Rd Fairfax, VA 22032 (703) 745-5128

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

55

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX FONTES, FERNANDA JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 (703) 383-3434

GHALEHBAGHI, FARANAK

GHATAK, MONAMIE LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

HA, JENNY JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 (703) 383-3434

HAN, JOHN JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 (703) 383-3434

LE, HAU LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

MADANI, SAMAN SUNNY SMILES PEDIATRIC & FAMILY DENTISTRY 3930 Pender Dr #250 Fairfax, VA 22030 (703) 865-5779

RODRIGUEZ, CRISTELLE LETS SMILE OF FAIRFAX PLLC 4210 Fairfax Corner West Ave Fairfax, VA 22030 (703) 424-7678

SHARIF, SHERRY SHOHREH SHARIF DDS PC 3700 Joseph Siewick Dr #104 Fairfax, VA 22033 (703) 620-9122

DIAZ, JENNIFER

TRABOULSI, GEORGES

DENTISTRY FOR CHILDREN OF VA LLC 10611 Braddock Rd Fairfax, VA 22032 (703) 745-5128

JENNIFER H DIAZ DMD MC & ASSOC PC 9514-C Lee Highway Fairfax, VA 22031 (703) 273-7144

SMILES AT FAIRFAX CORNER 4210 Fairfax Corner West Ave Ste. #220 Fairfax, VA 22030 (703) 222-3245

FISHER, STEVEN

ZAMAKHCHARI, MAI

CHANTILLY GREEN DENTAL CARE 13035 D Lee Jackson Mem Hwy Fairfax, VA 22033 (703) 378-2466

HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

PERIODONTIST ABRIL, EDISON RBH PERIODONTICS & IMPLANT DENTISTRY 8301 Arlington Blvd #207 Fairfax, VA 22031 (703) 273-7144

ABRIL, EDISON SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

BEZIK, JAKLIN JAKLIN BEZIK & ASSOC PERIO & IMP 11150 Fairfax Blvd Ste 301 Fairfax, VA 22030 (703) 934-4474

CHEN, CLIFF SUNRISE DENTAL 8622 A Lee Highway Fairfax, VA 22031 (703) 876-4600

CHOU, MELANIE HOWARD HOFFMAN DDS PC 9661 C Main Street Fairfax, VA 22031 (703) 425-3737

CHOUDHARY, KHALID DENTAL ASSOC OF NORTHERN VA PLLC 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22033 (703) 273-5354

CHOUDHARY, KHALID DENTAL ASSOC OF NORTHERN VA PLLC 9401 Lee Hwy #200 Fairfax, VA 22031 (703) 273-8111

DIAZ, JENNIFER RBH PERIODONTICS & IMPLANT DENTISTRY 8301 Arlington Blvd #207 Fairfax, VA 22031 (703) 273-7144

KANG, TAEHEON DEEP ROOTS PERIODONTICS PLLC 11130 Fairfax Blvd Ste 100 Fairfax, VA 22030 (703) 865-5911

KANG, TAEHEON VA DENTAL GROUP PLLC 3911 Old Lee Hwy Ste 42-C Fairfax, VA 22030 (703) 385-3800

KOH, RICHARD CHANTILLY GREEN DENTAL CARE 13035 D Lee Jackson Mem Hwy Fairfax, VA 22033 (703) 378-2466

PROSTHODONTIST CHOI, CHARLSON PREMIER SMILES 8316 Arlington Blvd Ste #218 Fairfax, VA 22031 (703) 884-2414

HAMALIAN, TECHKOUHIE SMILES AT FAIRFAX CORNER 4210 Fairfax Corner West Ave Ste. #220 Fairfax, VA 22030 (703) 222-3245

KIM, DAVID TEEHO SPECIALTY GROUP LLC 10721 Main St Ste #300 Fairfax, VA 22030 (703) 591-7000

PARTICIPATING PROVIDERS

FARANAK GHALEHBAGHI DDS 10875 Main St. #105 Fairfax, VA 22030 (703) 352-4121

WEISS, HILARY

KOH, RICHARD NOVA FAMILY DENTISTRY PC 9401 Lee Hwy Ste 204 Fairfax, VA 22031 (703) 267-6103

LIN, THOMAS DRS BERMAN & MILLER 9942 Main St Fairfax, VA 22031 (703) 273-6622

OH, DONGHA NATURADENT PC 9508-A Lee Hwy Fairfax, VA 22031 (703) 652-4265

SPERLING-HABOT, KEREN CONTEMPORARY DENTISTRY OF VIRGINIA 10525 Braddock Road #9A Fairfax, VA 22032 (703) 323-4626

KOH, PHILIP FAIRFAX PROSTHODONTICS & DENTAL ASSOCIATES 10721 Main St #100 Fairfax, VA 22030 (703) 433-0234

SPECIALTY NOT SPECIFIED BAKER, JUSTIN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

HUR, JOHN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 10530 Rosehaven St #111 Fairfax, VA 22030 (703) 352-1493

FAIRFAX STATION GENERAL DENTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

56

Delta Dental Premier

VIRGINIA (CONT'D) FAIRFAX STATION LANZARO, PETER PETER J LANZARO DDS 8918 Village Shops Dr Fairfax Station, VA 22039 (703) 690-0102

LIN, SANDY

NOVICK, ROY NOVICK ROY D DDS 5616 G Ox Road Fairfax Station, VA 22039 (703) 978-4746

TRAN, MINH-DUC PETER J LANZARO DDS 8918 Village Shops Dr Fairfax Station, VA 22039 (703) 690-0102

ZURMATI, FARID ZURMATI DENTAL CARE PLLC 9015 Silver Brook Rd #102 Fairfax Station, VA 22039 (703) 646-5100

FALLS CHURCH ENDODONTIST ASGHAR, IRFAN DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

AHMAD, AMEERA

ARIAN, BAHRAM

DAVID PALMIERI DMD 7115 Leesburg Pike #309 Falls Church, VA 22043 (703) 534-0330

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

SMILE DENTAL CLINIC 3817-A S. George Mason Dr Falls Church, VA 22041 (703) 575-9700

POLLOCK, RICHARD

AHMAD, FARAH

BALDERSON, CHELSEA

DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

SMILE CENTER CLINIC 5645 Columbia Pike Falls Church, VA 22041 (703) 379-1900

OPTIMUM DENTAL 7389 Lee Highway Ste 101 Falls Church, VA 22042 (703) 468-4437

PORTELL, FRANK

AHMAD, IMANEY

BERRADA, SANAE

DAVID PALMIERI DMD 7115 Leesburg Pike #309 Falls Church, VA 22043 (703) 534-0330

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

SANAE BOUALLALI BERRADA DDS PC 7641 Leesburg Pike Falls Church, VA 22043 (703) 821-8111

SALLEN, BRUCE

ALHRASHI, FADI

DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

DR FADI ALHRASHI DDS PLLC 5659 Columbia Pike #100 Falls Church, VA 22041 (703) 417-9840

SCHOENLY, NATHAN

AL-KARAGHOLI, MUSTAFA

DAVID PALMIERI DMD 7115 Leesburg Pike #309 Falls Church, VA 22043 (703) 534-0330

MERRIFIELD SMILES 8190 Strawberry Lane #10 Falls Church, VA 22042 (703) 204-0050

TOLBA, MOSTAFA

AMOUHASHEM, PARVIN

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

SMILE DENTAL CLINIC 3817-A S. George Mason Dr Falls Church, VA 22041 (703) 575-9700

YELAMANCHI, CHETAN

ANANTHASEKAR, RAJALAKSHMI

WEST BROAD DENTAL 800 W Broad St Ste 304 Falls Church, VA 22046 (703) 237-3516

GENERAL DENTIST

DONGELL, DIANA

ADAM-ELDIEN, ASHRAF

DAVID PALMIERI DMD 7115 Leesburg Pike #309 Falls Church, VA 22043 (703) 534-0330

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

LEFF, GARY DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

NGUYEN, TU-QUYNH DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

WEST FALLS CHURCH DENTAL 7395 Lee Highway #F Falls Church, VA 22042 (703) 641-8717

ANDERSON, JOSHUA RENOVA SMILES 3701 S. George Mason Dr. #C7N Falls Church, VA 22041 (703) 998-8826

ADAM-ELDIEN, ASHRAF

APONTE, ALEXANDRA

CARING DENTAL PC 6316 Castle Place #201 Falls Church, VA 22044 (703) 237-7777

GENTLE TOUCH DENTAL PC 400 S Maple Ave #103 Falls Church, VA 22046 (703) 752-4253

AGRAWAL, NITIN

ARBABI, SHEILA

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

BOMAR, STEPHANIE DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

BOYCE, ALBERT BOYCE ALBERT M 313 Park Avenue #101 Falls Church, VA 22046 (703) 534-3177

PARTICIPATING PROVIDERS

FAIRFAX STATION DENTAL 5616 G Ox Rd Fairfax Station, VA 22039 (703) 978-4746

PALMIERI, DAVID

BUI, TUYEN TUYEN Q BUI DMD MPH 7297-G Lee Hwy Falls Church, VA 22042 (703) 538-5500

BUTT, TEHREEM BROADWAY DENTAL ASSOC 815 W Broad St Falls Church, VA 22046 (703) 533-8668

BUTTS, DAVID DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

CHAUDHARI, UMA GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

CHAUDHRY, MAQSOOD GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

57

Delta Dental Premier

VIRGINIA (CONT'D) FALLS CHURCH CHAUDHRY, MAQSOOD BROADWAY DENTAL ASSOC 815 W Broad St Falls Church, VA 22046 (703) 533-8668

CHAUDHRY, SULTAN

CHAUDHRY, SULTAN BROADWAY DENTAL ASSOC 815 W Broad St Falls Church, VA 22046 (703) 533-8668

CHENNUPATI, NAVEEN KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

CHIMATA, AMEENA SMILE CENTER CLINIC 5645 Columbia Pike Falls Church, VA 22041 (703) 379-1900

CHIN, CHARISSA SKYLINE TOWERS DENTAL GROUP 5601 Seminary Rd #3 Falls Church, VA 22041 (703) 671-9311

EL-HAGE, BASSEM

HIDALGO, MADELINE

HEALTHY SMILES DENTAL 3000 Annandale Rd. #106 Falls Church, VA 22042 (703) 204-1771

BASSEM AHMED EL-HAGE DDS PC 313 Park Avenue Ste G12 Falls Church, VA 22046 (703) 237-2932

GENTLE TOUCH DENTAL PC 400 S Maple Ave #103 Falls Church, VA 22046 (703) 752-4253

DE VITO, JANICE OPTIMUM DENTAL 7389 Lee Hwy #101 Falls Church, VA 22042 (703) 876-4700

DESIO, JOSEPH DRS HERRMANN AND DESIO PC 510 N Washington St #301 Falls Church, VA 22046 (703) 237-3131

DO, THI THI H DO DDS PC 6051-A Arlington Blvd Falls Church, VA 22044 (703) 237-2299

DOUGHERTY, WILLIAM WILLIAM DOUGHERTY III PLC 200 Little Falls #506 Falls Church, VA 22046 (703) 532-3300

DUCKETT, LAN LAN D DUCKETT DDS PC 101 West Broad St #510 Falls Church, VA 22046 (703) 241-5775

DANESH, RABI BAILEYS CROSSROADS DENTAL SERVICES 5622 Columbia Pike #103 Falls Church, VA 22041 (703) 347-9854

DANG, LOAN DANG LOAN 6404 J Seven Corners Pl Falls Church, VA 22044 (703) 536-8864

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

DR DINA EDELBI DMD 5659 Columbia Pike Ste 100 Falls Church, VA 22041 (703) 417-9840

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

GHAMARY, GHAFOOR SKYLINE TOWERS DENTAL GROUP 5601 Seminary Rd #3 Falls Church, VA 22041 (703) 671-9311

GREENSPAN, GARY DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

ANH GRIMM DDS PC 2946 Sleepy Hollow Rd Ste 1-B Falls Church, VA 22044 (703) 534-6226

GROSSO, MICHAEL EJTEMAI, NASTARAN NASTARAN EJTEMAI DDS & ASSOCIATES PC 7115 Leesburg Pike Ste 310 Falls Church, VA 22043 (703) 237-6767

EJTEMAI, NASTARAN NASTARAN EJTEMAI 7115 Leesburg Pike #310 Falls Church, VA 22043 (703) 237-6767

EL QASEM, ASMAA GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

SEVEN CORNERS DENTAL CENTER PC 6079 Arlington Blvd Falls Church, VA 22044 (703) 534-3331

HO, SYLVIE FUCHS, STEVEN

GRIMM, QUYNH-ANH EDELBI, DINA

CHU, OLIVER DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

HO, HIEP FISHMAN, EDWARD

MICHAEL E GROSSO 2946 Sleepy Hollow Rd #2G Falls Church, VA 22044 (703) 532-0072

HASEEB, NOREEN GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

HERRMANN, HENRY DRS HERRMANN AND DESIO PC 510 N Washington St #301 Falls Church, VA 22046 (703) 237-3131

AMAZING SMILES 444 West Broad St #D Falls Church, VA 22046 (703) 462-8800

HOANG, LONG LONG K HOANG DDS 6069 Arlington Blvd Falls Church, VA 22044 (703) 534-6600

HOWANITZ, JOAN DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

PARTICIPATING PROVIDERS

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

DAO, QUYEN

IMAO, JOSEMARI ANGEL HEART & SOM DENTISTRY 2942 Patrick Henry Dr Falls Church, VA 22044 (703) 533-8808

JALALI, MAHNAZ GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

JONES, ELIZABETH ELIZABETH M JONES DDS PC 2843 Hartland Rd, Ste 100 Falls Church, VA 22043 (703) 573-0200

JONES, MIATA COMFORT FIRST FAMILY DENTAL 450 N Washington St #D Falls Church, VA 22046 (703) 538-2806

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

58

Delta Dental Premier

VIRGINIA (CONT'D) FALLS CHURCH KANGARLOO, RAMINEH GENTLE TOUCH DENTISTRY FOR ALL AGES 6521 Arlington Blvd Ste 112 Falls Church, VA 22042 (703) 933-1121

KAUR, TARAN

KHALAF, ATHRA GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

KHAN, RIFHAT GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

KHATTAB, SAMER MERRIFIELD SMILES 8190 Strawberry Lane #10 Falls Church, VA 22042 (703) 204-0050

KHATTAK, FARIDA DYNAMIC DENTAL PC 159 Hillwood Ave Falls Church, VA 22046 (703) 531-0010

KHATTAK, FARIDA GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

KHATTAK, FARIDA BROADWAY DENTAL ASSOC 815 W Broad St Falls Church, VA 22046 (703) 533-8668

LEGUM, MARTY

NAWAZ, MIRWEISS

SAORY KONG DDS PC 6408 H Seven Corners Pl Falls Church, VA 22044 (703) 538-4570

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

ALLIE & SELINA TRAN PC 6134 A Arlington Blvd #26-B Falls Church, VA 22044 (703) 237-4521

KONG, TEPY TEPY V KONG DDS PC 6408 Seven Corners Pl #4 Falls Church, VA 22044 (703) 538-4630

KUMRA, SHAWN MIRA DENTAL CARE PLLC 5671 Columbia Pike Ste 101 Falls Church, VA 22041 (703) 845-9090

LAZOUR, JAMES LAZOUR JAMES R 6319 Castle Place #1B Falls Church, VA 22044 (703) 536-8800

LE, HANG DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

ANITA KIANIMANSEH DMD INC 5205 Leesburg Pike # 1406 Falls Church, VA 22041 (703) 998-4244

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

LOBO, MIGNONETTE MIGNONETTE LOBO INC 6319 Castle Pl Ste 1A Falls Church, VA 22044 (703) 536-4900

LONGAUER, EARL EJ LONGAUER DDS PC 6231 Leesburg Pk Ste 304 Falls Church, VA 22044 (703) 533-8200

LYAZIDI, AICHA

NGUYEN, HUNG HUNG M NGUYEN DDS PC 7244 Arlington Blvd Falls Church, VA 22042 (703) 206-9202

NGUYEN, PHUONG-MAI BAN T VU DMD PC 6081 Arlington Boulevard Falls Church, VA 22044 (703) 538-2282

NGUYEN, QUOC NGUYEN & ASSOCIATES DENTAL PC 2901 Telestar Ct #120 Falls Church, VA 22042 (703) 992-0708

NGUYEN, TRAN

AMERICAN DENTAL CARE INC 105 North Virginia Ave #103/105 Falls Church, VA 22046 (703) 533-7286

NGUYEN TRAN-YEN-PHONG DMD PC 7297-D Lee Highway Falls Church, VA 22042 (703) 536-9886

MATIAS, THIAGO

NGUYEN, VU

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

GENTLE TOUCH DENTAL PC 400 S Maple Ave #103 Falls Church, VA 22046 (703) 752-4253

SLEEPY HOLLOW DENTAL PLLC 2946 Sleepy Hollow Rd #1B 7 Corners Med Art Bld Falls Church, VA 22044 (703) 534-6226

MOGHARBEL, TAREK

NIETO, JOHANA

MIRA DENTAL CARE PLLC 5671 Columbia Pike Ste 101 Falls Church, VA 22041 (703) 845-9090

WEST BROAD DENTAL 800 W Broad St Ste 304 Falls Church, VA 22046 (703) 237-3516

LEBONITTE, ROBERT

MOLLER, JAMES

OCHANA, LAILA

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

SEIGEL & MOLLER 7641 Leesburg Pike Falls Church, VA 22044 (703) 821-8111

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

NASSAR, FADWA

O'DONNELL, DAVID

FALLS CHURCH COMPREHENSIVE FAMILY DENTISTRY 6400 Arlington Blvd #944 Falls Church, VA 22042 (703) 534-7900

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

LE, TRUNG ALLIE & SELINA TRAN PC 6134 A Arlington Blvd #26-B Falls Church, VA 22044 (703) 237-4521

LE, YEN

LEE, VINCENT KIANIMANESH, ANITA

LEINER, ZACHARY

DR VINCENT LEE 5881 Leesburg Pike #502 Falls Church, VA 22041 (703) 820-4646

PARTICIPATING PROVIDERS

OPTIMUM DENTAL 7389 Lee Hwy #101 Falls Church, VA 22042 (703) 876-4700

KONG, SAORY

ONEAL, LATANYA KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

59

Delta Dental Premier

VIRGINIA (CONT'D) FALLS CHURCH OVCHARENKO, VLADYSLAV YOUR FAMILY DENTIST 5666 Columbia Pike #A Falls Church, VA 22041 (703) 417-9622

PAESANI, MICHAEL

PANDHER, RAMONA KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

PATEL, NIMISHA NIMISHA V PATEL DDS PLC 7115 Leesburg Pike Ste 320 Falls Church, VA 22043 (703) 533-1733

PEEBLES, REBECCA WEST FALLS CHURCH DENTAL 7395 Lee Highway #F Falls Church, VA 22042 (703) 641-8717

PEYSER, BRIAN RICHARD A PEYSER DDS PC 2251 Pimmit Dr. Ste. C-4 Falls Church, VA 22043 (703) 893-3333

PEYSER, RICHARD RICHARD A PEYSER DDS PC 2251 Pimmit Dr. Ste. C-4 Falls Church, VA 22043 (703) 893-3333

PHAM, JENNIFER TEPY V KONG DDS PC 6408 Seven Corners Pl #4 Falls Church, VA 22044 (703) 538-4630

PHAM, LONG ALL SMILES DENTAL OF FALLS CHURCH PLLC 6400-K Seven Corners Pl Falls Church, VA 22044 (703) 237-7820

SABA, LEILA

SHROFF, AMISHA

PHAM HUU MINH DDS PC 6400 A Seven Corners Pl Falls Church, VA 22044 (703) 538-5010

FALLS CHURCH DENTAL CARE 7115 Leesburg Pike Ste 205 Falls Church, VA 22043 (703) 534-3444

APT DENTAL ASSOC PC 7115 Leesburg Pike Ste 216 Falls Church, VA 22043 (703) 532-4400

PHAM, THANG

SALUMBIDES, JOSEPHINE

SIDOR, ANNA

ALL SMILES DENTAL OF FALLS CHURCH PLLC 6400-K Seven Corners Pl Falls Church, VA 22044 (703) 237-7820

GENTLE TOUCH DENTAL PC 400 S Maple Ave #103 Falls Church, VA 22046 (703) 752-4253

DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

SAPPERSTEIN, EVAN

SOLEMANINEJAD, HOMAN

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

ARLINGTON DENTAL ASSOCIATES PLC 200 Little Falls St #201-B Falls Church, VA 22046 (703) 534-1222

ARLINGTON DENTAL CARE PLLC 6060 Arlington Blvd Falls Church, VA 22044 (703) 237-0060

POOLE, ADAM

SARRAJ, ALI

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

ALI SARRAJ DMD & ASSOC PC 932 W Broad St Falls Church, VA 22046 (703) 534-9200

PUNAJI, SOWMYA

SAYEED, AFREEN

OPTIMUM DENTAL 7389 Lee Hwy #101 Falls Church, VA 22042 (703) 876-4700

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

PHILLIPS, SARAH

STEINBACH, BORIS BORIS J STEINBACH DDS PC 5881 Leesburg Pike #505 Falls Church, VA 22041 (703) 820-6150

STEWART, JENNIFER

QIU, KENNETH DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

RIZKALLA, ADEL ADEL RIZKALLA DDS 3100 S Manchester St #T4 Falls Church, VA 22044 (703) 671-2222

ROSENBLUM, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

ROTTER, MICHAEL DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

SAYEED, AFREEN KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

SCHECHT, WAYNE DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

SEIGEL, HAROLD SANAE BOUALLALI BERRADA DDS PC 7641 Leesburg Pike Falls Church, VA 22043 (703) 821-8111

SEIGEL, HAROLD SEIGEL & MOLLER 7641 Leesburg Pike Falls Church, VA 22044 (703) 821-8111

SHAFIEI, NIKKI DEEPAK S KAKAR DDS INC 7115 Leesburg Pike #210-212 Falls Church, VA 22043 (703) 534-1611

DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

PARTICIPATING PROVIDERS

FALLS CHURCH SMILE CENTER 200 Little Falls St Ste 101 Falls Church, VA 22046 (703) 237-7725

PHAM, MINH

TAHMASEBI-BOLDAJI, JILA SKYLINE TOWERS DENTAL GROUP 5601 Seminary Rd #3 Falls Church, VA 22041 (703) 671-9311

TEMBURNI, AMARJEET BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

TEMBURNI, AMARJEET AMARJEET TEMBURNI 2843 Hartland Rd Ste 250 Falls Church, VA 22043 (703) 676-3690

TRAN, ALLIE ALLIE & SELINA TRAN PC 6134 A Arlington Blvd #26-B Falls Church, VA 22044 (703) 237-4521

TRAN, HOANG-OANH ALLIE & SELINA TRAN PC 6134 A Arlington Blvd #26-B Falls Church, VA 22044 (703) 237-4521

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

60

Delta Dental Premier

VIRGINIA (CONT'D) FALLS CHURCH TRAN, MINH-DUC TEPY V KONG DDS PC 6408 Seven Corners Pl #4 Falls Church, VA 22044 (703) 538-4630

TRAN, VINH

TRIEU, HAI TRUE SMILE 7255 Arlington Blvd Falls Church, VA 22042 (703) 663-8759

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

ZUBAIRI, SADIA DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

ORAL SURGEON

DEEPAK S KAKAR DDS INC 7115 Leesburg Pike #210-212 Falls Church, VA 22043 (703) 534-1611

ACE ORTHODONTICS 2841 Hartland Rd Ste #302 Falls Church, VA 22043 (703) 560-3745

WHISTON PATTERSON & CORCOCORAN 6400 Arlington Blvd Plaza 1 Lobby Level Falls Church, VA 22042 (703) 534-6500

TUNG, PARIANA COVIELLO, VINCENT COVIELLO ORAL SURGERY P C 2843 Hartland Rd Ste 150 Falls Church, VA 22043 (703) 639-0027

URBAN, DAVID GREGORY, EUGENE EUGENE W GREGORY DDS 6231 Leesburg Pike #402 Falls Church, VA 22044 (703) 534-2744

VALLTOS, RACHAEL ARLINGTON DENTAL ASSOCIATES PLC 200 Little Falls St #201-B Falls Church, VA 22046 (703) 534-1222

IYER, MALINI

WAQAR, RUKHSANA

PATTERSON, TRAVIS

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

WHISTON PATTERSON & CORCOCORAN 6400 Arlington Blvd Plaza 1 Lobby Level Falls Church, VA 22042 (703) 534-6500

GENE Y WOO DDS PC 6400-E Seven Corners Pla Falls Church, VA 22044 (703) 237-0322

BYRD, RICHARD

WHISTON PATTERSON & CORCOCORAN 6400 Arlington Blvd Plaza 1 Lobby Level Falls Church, VA 22042 (703) 534-6500

CORCORAN, THEODORE

WOO, GENE

BERMAN & LEE ORTHODONTICS INC 311 Park Ave. Falls Church, VA 22046 (703) 241-9191

CHANG, JU-HAN

RT 7 & PATRICK HENRY DENTAL CARE 6201 Leesburg Pk #401 Falls Church, VA 22044 (703) 533-3960

DAVID W URBAN DDS PC 313 Park Avenue #305 Falls Church, VA 22046 (703) 532-1712

BERMAN, SCOTT

ARMANIOUS, MARK

TRUONG, THANH HUONG

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

ORTHODONTIST

COVIELLO ORAL SURGERY P C 2843 Hartland Rd Ste 150 Falls Church, VA 22043 (703) 639-0027

PHAM, ANH PHAM HUU MINH DDS PC 6400 A Seven Corners Pl Falls Church, VA 22044 (703) 538-5010

FELDMAN, IRWIN

LEE, DAN GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

LEE, EDWIN BERMAN & LEE ORTHODONTICS INC 311 Park Ave. Falls Church, VA 22046 (703) 241-9191

MARQUEZ, RHINA THE POTOMAC CENTER OF ORTHODONTICS 3705 S George Mason Dr #C7S Falls Church, VA 22041 (703) 820-1011

PRYOR, DENNIS

IRWIN S FELDMAN DDS LTD 313 Park Ave Ste 1 Falls Church, VA 22046 (703) 534-3730

DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

FELDMAN, SETH

STANG, CHRISTINE

IRWIN S FELDMAN DDS LTD 313 Park Ave Ste 1 Falls Church, VA 22046 (703) 534-3730

FLEMING, HAROLD FLEMING HAROLD A 2959 Sleepy Hollow Rd Falls Church, VA 22044 (703) 534-8711

FRANKENBERRY, ANISHKA SKYLINE TOWERS DENTAL GROUP 5601 Seminary Rd #3 Falls Church, VA 22041 (703) 671-9311

KERMANSHI, SHIVA ARLINGTON DENTAL CARE PLLC 6060 Arlington Blvd Falls Church, VA 22044 (703) 237-0060

LEE, DAN MERRIFIELD ORTHODONTICS PLLC 2843 Hartland Rd #100 Falls Church, VA 22043 (703) 573-0200

OASIS PEDIATRIC DENTAL CARE 800 W Broad St #307 Falls Church, VA 22046 (703) 854-1710

PARTICIPATING PROVIDERS

VINH XUAN TRAN DDS PC 6329 Arlington Blvd Ste C Falls Church, VA 22044 (703) 237-6703

WRYTER, JULIET

TRAN, JADE GENTLE TOUCH DENTAL PC 400 S Maple Ave #103 Falls Church, VA 22046 (703) 752-4253

PEDIATRIC DENTIST/PEDODONTIST BANAJI, GIRISH BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

GALLIANI-ALVAREZ, MIRTHA LITTLE SMILES OF NORTHERN VIRGINIA PLLC 80E Jefferson St Ste 400B Falls Church, VA 22046 (703) 241-5437

GHATAK, MONAMIE BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

61

Delta Dental Premier

VIRGINIA (CONT'D) FALLS CHURCH GICHANA, ROSELYNE FALLS CHURCH PEDIATRIC DENTAL CENTER 6400 Arlington Blvd #80 Falls Church, VA 22042 (571) 296-1669

KAKAR, DEEPAK

KIM, SUNGHEE BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

LE, HAU DEEPAK S KAKAR DDS INC 7115 Leesburg Pike #210-212 Falls Church, VA 22043 (703) 534-1611

MERDAD, HISHAM KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

PHAETON, NATHALIE OASIS PEDIATRIC DENTAL CARE 800 W Broad St #307 Falls Church, VA 22046 (703) 854-1710

RAZDAN, SHINJNI BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

VATANKA, HEIDI BANAJI PEDIATRIC DENTAL SPECIALISTS 2843 Hartland Rd #200 Falls Church, VA 22043 (703) 849-1300

PERIODONTIST

PHISUTHIKUL, NORACHAI

WEST BROAD DENTAL 800 W Broad St Ste 304 Falls Church, VA 22046 (703) 237-3516

DRS LEVIN LEFF & POLLOCK 311 Park Ave #3 Falls Church, VA 22046 (703) 534-4884

AL-JOBURI, WESAM

PROSTHODONTIST

GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

CARLOS, FRANCISCO A GARRETT GOULDIN 103 West Broad St #601 Falls Church, VA 22046 (703) 534-1766

CHOUDHARY, KHALID DENTAL ASSOC OF NORTHERN VA PLLC 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 671-1020

CHRISTOPHER, LOURDES L A CHRISTOPHER DDS MS & M FAVAGEHI DDS MS PLLC 313 Park Avenue Suite 103 Falls Church, VA 22046 (703) 237-3700

FAVAGEHI, MEHRDAD L A CHRISTOPHER DDS MS & M FAVAGEHI DDS MS PLLC 313 Park Avenue Suite 103 Falls Church, VA 22046 (703) 237-3700

PEROUTKA, JOHN

DENTAL CENTER OF MERRIFIELD 2841 Hartland Rd #202 Falls Church, VA 22043 (703) 663-8859

MICHAEL E KRONE DDS & ASSOC 115 N Va Street Farmville, VA 23901 (434) 391-1211

OSHEA, MICHAEL

STEPHENS, JAMES

MICHAEL J OSHEA DDS 3701 S George Mason Dr #C7N Falls Church, VA 22041 (703) 998-8826

JAMES R STEPHENS DDS 201 A Street Farmville, VA 23901 (434) 392-4021

SPECIALTY NOT SPECIFIED

CARVAJAL, WILLIAM

KOOL SMILES 6537 Arlington Blvd Falls Church, VA 22042 (703) 536-2661

CENTRAL VA ORAL & FACIAL SURGERY 1509 West Third St #203 Farmville, VA 23901 (434) 394-2329

VU, BAO BAO T VU DDS MDS 6081 Arlington Blvd Falls Church, VA 22044 (703) 532-4949

FARMVILLE GENERAL DENTIST

ANITA KIANIMANSEH DMD INC 5205 Leesburg Pike # 1406 Falls Church, VA 22041 (703) 998-4244

KOH, RICHARD

BURRELL, MELVIN

KOH, RICHARD TRUE SMILE 7255 Arlington Blvd Falls Church, VA 22042 (703) 663-8759

MIRANDA, RUBEN GROVE DENTAL CLINIC 3400 Payne St Ste 101 Falls Church, VA 22041 (703) 578-0000

ORAL SURGEON

LE, BAO-QUYEN

CHARLES E ADKINS JR DDS PLLC 707 W Third St Farmville, VA 23901 (434) 391-3399

LAN D DUCKETT DDS PC 101 West Broad St #510 Falls Church, VA 22046 (703) 241-5775

TIMOTHY D MARSHALL DDS PLLC 420 East 3Rd St Farmville, VA 23901 (434) 395-1228

CHRISOPOULOS, FOTINI

ADKINS, CHARLES IJADI, MEHRDAD

MARSHALL, TIMOTHY

MELVIN BURRELL DDS 101 South Bridge St Farmville, VA 23901 (434) 395-1041

JOHNSON, ANDREW ANDREW P JOHNSON DDS PC 1707 E Third St Farmville, VA 23901 (434) 392-8185

KRONE, MICHAEL MICHAEL E KRONE DDS & ASSOC 115 N Va Street Farmville, VA 23901 (434) 391-1211

CHALK, EVAN CENTRAL VA ORAL & FACIAL SURGERY 1509 West Third St #203 Farmville, VA 23901 (434) 394-2329

PARTICIPATING PROVIDERS

DEEPAK S KAKAR DDS INC 7115 Leesburg Pike #210-212 Falls Church, VA 22043 (703) 534-1611

ABRIL, EDISON

PINCH, JOHN CENTRAL VA ORAL & FACIAL SURGERY 1509 West Third St #203 Farmville, VA 23901 (434) 394-2329

PEDIATRIC DENTIST/PEDODONTIST ZIMA, ANDREW FARMVILLE PEDIATRIC DENTISTRY 201 A Street Farmville, VA 23901 (434) 808-1657

FISHERSVILLE ENDODONTIST HERRING, CAROLYN CAROLYN C HERRING 9 Pinnacle Dr Ste #101 Fishersville, VA 22939 (540) 886-0531

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

62

Delta Dental Premier

VIRGINIA (CONT'D) FISHERSVILLE GENERAL DENTIST

ROWE, SAMUEL

BURGOYNE, COREY

ROBERTS, CAROLE

SAMUEL F ROWE DDS 9 Pinnacle Dr Ste #A01 Fishersville, VA 22939 (540) 866-5371

BLUE RIDGE ORAL SURGERY INC 54 S Medical Park Dr Fishersville, VA 22939 (540) 886-2956

LIBBEY FAMILY DENTISTRY INC 206 Enterprise Dr Forest, VA 24551 (434) 316-9090

COLLINS, ELIZABETH

SALZBERG, ADAM

AUGUSTA REGIONAL CLINIC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

AUGUSTA DENTAL 41 S Medical Park Dr Fishersville, VA 22939 (540) 885-4589

COLLINS, ELIZABETH

SCHULZ, ALBERT AUGUSTA REGIONAL CLINIC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

SCHULZ, ALBERT GOODWIN, WILLIAM BLUE RIDGE ORAL SURGERY INC 54 S Medical Park Dr Fishersville, VA 22939 (540) 886-2956

AUGUSTA REGIONAL DENTAL CLINIC INC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

SPILLERS, RONALD HAMMOCK, MARK MARK A HAMMOCK LTD 49 Tinkling Spring Rd Fishersville, VA 22939 (540) 942-9013

LACY, JOHN AUGUSTA REGIONAL CLINIC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

AUGUSTA REGIONAL CLINIC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

SPILLERS, RONALD AUGUSTA REGIONAL DENTAL CLINIC INC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

LACY, JOHN

TAYLOR, EMERY

AUGUSTA REGIONAL DENTAL CLINIC INC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

JAMES W WILLIS II DDS PLC 41 South Medical Park Dr Fishersville, VA 22939 (540) 885-4611

GENERAL DENTIST CONDUFF, JOSEPH CONDUFF JOSEPH H JR 103 W. Main Street Floyd, VA 24091 (540) 745-4171

FRENCH, CHARLES NORA M FRENCH DMD LTD 201 E Main St #12 Floyd, VA 24091 (540) 745-4902

FOREST GENERAL DENTIST

SAMUEL F ROWE DDS 9 Pinnacle Dr Ste #A01 Fishersville, VA 22939 (540) 866-5371

JAMES W WILLIS II DDS PLC 41 South Medical Park Dr Fishersville, VA 22939 (540) 885-4611

ORAL SURGEON O'BRIEN, KEITH KEITH S OBRIEN DMD PC 9 Pinnacle Dr Ste 103 Fishersville, VA 22939 (540) 885-1500

PODBESEK, BRIAN JAMES W WILLIS II DDS PLC 41 South Medical Park Dr Fishersville, VA 22939 (540) 885-4611

BRANDT, MATTHEW BLUE RIDGE ORAL SURGERY INC 54 S Medical Park Dr Fishersville, VA 22939 (540) 886-2956

GARLAND G GENTRY DDS PC 1045 Thomas Jefferson Rd Ste 2A Forest, VA 24551 (434) 316-6050

WHEELER, KYLE KYLE W WHEELER DDS PC 1084 Thomas Jefferson Rd #5 Forest, VA 24551 (434) 385-6398

ORTHODONTIST PRILLAMAN, WILLIAM ORTHODONTIC ARTS 306 Brook Park Pl Forest, VA 24551 (434) 385-4499

CLAIBORNE, SHANE

STERNE, RICHARD

SHANE R CLAIBORNE DDS PLLC 16862 Forest Rd Forest, VA 24551 (434) 944-9763

ORTHODONTIC ARTS 306 Brook Park Pl Forest, VA 24551 (434) 385-4499

EVANS, DALE DALE C EVANS DDS PC 18042 Forest Rd Forest, VA 24551 (434) 385-6505

GENTRY, GARLAND GARLAND G GENTRY DDS PC 1045 Thomas Jefferson Rd Ste 2A Forest, VA 24551 (434) 316-6050

WILLIS, JAMES LAMAY, ASHLEY

SCHANDORFF, MARK

KING, CHRISTOPHER

FRANCONIA GENERAL DENTIST PISCIOTTA, DOMINICK DOMINICK J PISCIOTTA 6408 Grovedale Dr #100 Franconia, VA 22315 (703) 313-0404

FRANKLIN GENERAL DENTIST

ADVANCED CLINICAL DENTISTRY 1835 Graves Mill Rd #2 Forest, VA 24551 (434) 316-9220

KNIGHT, ERNEST

LIBBEY, ANNE

KOONTZ, GREGORY

LIBBEY FAMILY DENTISTRY INC 206 Enterprise Dr Forest, VA 24551 (434) 316-9090

PARTICIPATING PROVIDERS

AUGUSTA REGIONAL DENTAL CLINIC INC 342 Mule Academy Rd Fishersville, VA 22939 (540) 332-5619

FLOYD

ERNEST L KNIGHT DDS 931-C Armory Dr Franklin, VA 23851 (757) 562-4320

THORNTON KOONTZ & SPALDING PLC 1301 Armory Drive Franklin, VA 23851 (757) 562-2165

LIBBEY, CHRISTOPHER LIBBEY FAMILY DENTISTRY INC 206 Enterprise Dr Forest, VA 24551 (434) 316-9090

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

63

Delta Dental Premier

VIRGINIA (CONT'D) FRANKLIN RUFFIN, WYATT NANSEMOND SUFFOLK ORAL CARE 1200 Armory Dr #E Franklin, VA 23851 (757) 562-4885

SPALDING, HARRY

THOMPSON, HARVEY HARVEY K THOMPSON DDS 500 N Main St Franklin, VA 23851 (757) 562-5156

THORNTON, WILLIAM THORNTON KOONTZ & SPALDING PLC 1301 Armory Drive Franklin, VA 23851 (757) 562-2165

FRANKTOWN GENERAL DENTIST GRIGGS, EDWARD FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

KORDIS, ALEX FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

NIGHTENGALE, TIFFANY FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

ROOT, NOEL FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

HEBERTSON, MARK

FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

MARK HEBERTSON DDS PC 3504 Plank Rd Ste 301 Fredericksburg, VA 22407 (540) 785-8877

LIEWEHR, FREDERICK SHELLEY, STEPHANIE FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

SORIN, MARK FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

R DAVID PAGAN DMD PC 4224 Plank Rd Fredericksburg, VA 22407 (540) 785-7545

PAGAN, ROBERT R DAVID PAGAN DMD PC 4224 Plank Rd Fredericksburg, VA 22407 (540) 785-7545

GENERAL DENTIST

ANDERSON, JOSHUA SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

ARAFA, MOHAMED ADVANCED DENTAL CARE OF FREDERICKSBURG PC 10524 Spotsylvania Ave # 104 Fredericksburg, VA 22408 (540) 891-9911

ARVAN, NICKOLAS NICKOLAS C ARVAN DDS PLC 11111 Leavells Rd Fredericksburg, VA 22407 (540) 898-1747

AFSAHI, ARAM WOLPIN, SCOTT FRANKTOWN COMMUNITY HEALTH CENTER 9159 Franktown Rd Franktown, VA 23354 (757) 442-4819

FREDERICKSBG GENERAL DENTIST COX, GREGORY DOCTORS GREGORY R COX & SHERRY L WILKERSON COX PC 410 Chatham Square Office Park Fredericksbg, VA 22405 (540) 373-5825

ORTHODONTIST WILKERSON-COX, SHERRI DOCTORS GREGORY R COX & SHERRY L WILKERSON COX PC 410 Chatham Square Office Park Fredericksbg, VA 22405 (540) 373-5825

FREDERICKSBRG GENERAL DENTIST WALLER, CARTER BIGSMILE DENTAL 1417 Parcell St Fredericksbrg, VA 22401 (540) 899-1777

FREDERICKSBURG PEDIATRIC & COSMETIC DENTISTRY 4300 Plank Rd Ste 230 Fredericksburg, VA 22407 (540) 785-5300

AFSAHI, ARAM ARAM ADAM AFSAHI 4300 Plank Rd #230 Fredericksburg, VA 22407 (540) 785-5300

AGRAWAL, NITIN KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

AHMADIYAR, SASAN SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

AHMADIYAR, SASAN STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

AL-KARAGHOLI, MUSTAFA MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

FREDERICKSBURG ENDODONTIST

ALLEN, CAMILLE ALLEN & TATEM DDS PC 10705 Spotsylvania Ave #102 Fredericksburg, VA 22408 (540) 891-5521

AWADZI, GERALD NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

BAILEY, DAVINA KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

PARTICIPATING PROVIDERS

THORNTON KOONTZ & SPALDING PLC 1301 Armory Drive Franklin, VA 23851 (757) 562-2165

SAVAGE, DENNIS

BAILEY, RYAN RYAN BAILEY DDS PLLC 10705 Courthouse Rd Ste 118 Fredericksburg, VA 22407 (540) 369-4949

BALIAN, ALEXANDER ALEXANDER H BALIAN DDS PC 7119 Salem Fields Blvd #102 Fredericksburg, VA 22407 (540) 786-2000

BAXI, FAIRY NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

BURNS, G BURNS FAMILY DENTISTRY PC 242 Butler Road #101 Fredericksburg, VA 22405 (540) 373-6557

BURNS, GROVER BURNS FAMILY DENTISTRY PC 242 Butler Road #101 Fredericksburg, VA 22405 (540) 373-6557

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

64

Delta Dental Premier

VIRGINIA (CONT'D) FREDERICKSBURG CAMPBELL, JEFFREY POPE & SHETTY PLLC 1420 Central Park Blvd #201 Fredericksburg, VA 22401 (540) 786-0696

CHENG, GEORGE

CHONG, JAE RAYMOND C HASTON JR DDS PC 560 Celebrate Va Pkwy #107 Fredericksburg, VA 22406 (540) 286-1110

CHRISTOFAKIS, EMIL MARSHALL DENTAL PLC 159 Lichfield Blvd #107 Fredericksburg, VA 22406 (540) 373-2273

CHUNG, HEE-CHUL DR CARLOS A HERESI & ASSOC PLLC 112 Falcon Drive Fredericksburg, VA 22408 (540) 898-8805

CRUZ, JAZRIEL JAZRIEL CRIZ DDS INC 2405 Charles Street Fredericksburg, VA 22401 (540) 371-7777

CULDA, DANA DC DENTAL CARE PLLC 402 Chatham Square Offc Park Fredericksburg, VA 22405 (540) 373-4444

DHINGRA, PALLAVI JASON T LIPSCOMB DDS PC 200 Executive Center Pkwy Ste 104 Fredericksburg, VA 22401 (540) 373-1641

DIAZ, ANGELA D & D FAMILY DENTISTRY PC 5830 Harrison Rd Fredericksburg, VA 22407 (540) 710-0400

GOLLAPALLI, NAGALATHA

HIDALGO, CATHIE

KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

FREDERICKSBURG SMILE CTR 2330 Plank Rd Fredericksburg, VA 22401 (540) 899-7791

DUARTE, CAMILO

GOLLAPALLI, NAGALATHA

HIJAZ, IYAD

D & D FAMILY DENTISTRY PC 5830 Harrison Rd Fredericksburg, VA 22407 (540) 710-0400

GENTLE TOUCH FAMILY & COSMETIC DENTISTRY 4147 Plank Road Fredericksburg, VA 22407 (540) 785-5316

DUONG, SON

NEIBAUER DENTAL CARE PC 11 Smoke House Dr Ste 115 Fredericksburg, VA 22406 (540) 899-7751

HOLLEY, JAMES

COMMUNITY HEALTH CENTER OF RAPPAHANNOCK REGION 2217 Princess Anne St #110 Fredericksburg, VA 22401 (540) 732-0560

GUIRGUIS, JOHN JOHN GUIRGUIS DMD PLLC 717 Westwood Office Park Fredericksburg, VA 22401 (540) 371-0920

HOLLEY DENTISTRY OF FREDERICKBURG 974 Bragg Rd Fredericksburg, VA 22407 (540) 785-5885

ELSTNER, EARL

GUPTA, RAJA

HUDDLE, DAVID

E THOMAS ELSTNER JR DMD 3511 Meekins Dr Fredericksburg, VA 22407 (540) 785-4491

MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

FARAH, MAZIN

DAVID F HUDDLE DDS 1995 Jeff Davis Hwy #101 Fredericksburg, VA 22401 (540) 899-5451

IJADI, MEHRDAD

FARAH AND NAJAFE DENTAL ASSOC PC 1740 Carl D Silver Pky Fredericksburg, VA 22401 (540) 548-8878

GUTTERY, DARRELL QUALITY DENTAL PLLC 5100 Southpoint Parkway Fredericksburg, VA 22407 (540) 710-1088

SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

FEARON, ANDREEN

HASTON, RAYMOND

IMAO, JOSEMARI

KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

FUSARO, JOSEPH FREDERICKSBURG DENTAL CARE 10620 Courthouse Rd Fredericksburg, VA 22407 (540) 898-8616

GALATRO, DEREK DEREK J GALATRO DDS PC 131 Park Hill Dr Ste A Fredericksburg, VA 22401 (540) 373-0602

GEJJI, DIPTI NEIBAUER DENTAL CARE PC 3128 Cowan Blvd Fredericksburg, VA 22401 (540) 899-9511

GEJJI, DIPTI NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

RAYMOND C HASTON JR DDS PC 560 Celebrate Va Pkwy #107 Fredericksburg, VA 22406 (540) 286-1110

HEDAYATI, KOUROS SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

HEDAYATI, KOUROS STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

HERESI, CARLOS DR CARLOS A HERESI & ASSOC PLLC 112 Falcon Drive Fredericksburg, VA 22408 (540) 898-8805

HERESI, CARLOS CARLOS ALAN HERESI DDS PC 2501 Fall Hill Ave #A Fredericksburg, VA 22401 (540) 371-6929

PARTICIPATING PROVIDERS

BATTLEFIELD DENTAL OF FREDERICKSBURG 5996 Plank Rd Fredericksburg, VA 22407 (540) 300-1562

DIMITROFF, EMILY

FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

JAIN, KHUSHBOO NEIBAUER DENTAL CARE PC 11 Smoke House Dr Ste 115 Fredericksburg, VA 22406 (540) 899-7751

JIRAL, PAUL NEIBAUER DENTAL CARE PC 3128 Cowan Blvd Fredericksburg, VA 22401 (540) 899-9511

JIRAL, PAUL NEIBAUER DENTAL CARE PC 9859 Jefferson Davis Hwy Fredericksburg, VA 22407 (540) 891-0071

JOHNSON, JAMIE FREDERICKSBURG DENTAL CARE 10620 Courthouse Rd Fredericksburg, VA 22407 (540) 898-8616

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

65

Delta Dental Premier

VIRGINIA (CONT'D) FREDERICKSBURG KARMACHARYA, KOMAL CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

KARRI, SHILPA

KARRI, SHILPA NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

KHATTAK, RANA RANA A KHATTAK DDS 2601 Princess Anne St Fredericksburg, VA 22401 (540) 373-0711

KIM, CHAD KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

KIM, SEAN RIVER CLUB DENTAL CARE 10861 Tidewater Trail Fredericksburg, VA 22408 (540) 371-7684

KIM, SUN RAYMOND C HASTON JR DDS PC 560 Celebrate Va Pkwy #107 Fredericksburg, VA 22406 (540) 286-1110

KING, ROBERT JASON T LIPSCOMB DDS PC 200 Executive Center Pkwy Ste 104 Fredericksburg, VA 22401 (540) 373-1641

KLEIN, ELIZABETH NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

MCAVOY, BRIAN

KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

PROGRESSIVE DENTAL OF FREDERICKSBURG PC 1239 Central Park Blvd Fredericksburg, VA 22401 (540) 785-3733

KUO, BRIAN NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

MEARS, GENE MEARS GENE C 2301 Fall Hill Avenue Fredericksburg, VA 22401 (540) 373-7901

KUPPERI, VINUTHA KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

MERCADO, ROMINA

LIPSCOMB, JASON

MERCADO, ROMINA

JASON T LIPSCOMB DDS PC 200 Executive Center Pkwy Ste 104 Fredericksburg, VA 22401 (540) 373-1641

LIPSCOMB, JASON BATTLEFIELD DENTAL OF FREDERICKSBURG 5996 Plank Rd Fredericksburg, VA 22407 (540) 300-1562

LIVESAY, RICHARD FREDERICKSBURG DENTAL CARE 10620 Courthouse Rd Fredericksburg, VA 22407 (540) 898-8616

LOPEZ, YARISSA C & L DENTISTRY PLLC 10740-C Courthouse Rd Fredericksburg, VA 22408 (540) 898-8555

LUI, KIN FRANK D ROMANO DDS PC 1133 Heatherstone Dr Fredericksburg, VA 22407 (540) 785-8525

MARSHALL, MARVIN MARSHALL DENTAL PLC 159 Lichfield Blvd #107 Fredericksburg, VA 22406 (540) 373-2273

MARTIN, GABRIEL RICHARD COTTRELL DDS 5100 Southpoint Pkwy Fredericksburg, VA 22407 (540) 710-1088

CARLOS ALAN HERESI DDS PC 2501 Fall Hill Ave #A Fredericksburg, VA 22401 (540) 371-6929 HOLLEY DENTISTRY OF FREDERICKBURG 974 Bragg Rd Fredericksburg, VA 22407 (540) 785-5885

MORCH, MICHAEL MICHAEL MORCH DDS PC 6308 5 Mile Center Pk Bldg 2 Ste 209 Fredericksburg, VA 22407 (540) 785-2558

NAJAFE, HAYAT FARAH AND NAJAFE DENTAL ASSOC PC 1740 Carl D Silver Pky Fredericksburg, VA 22401 (540) 548-8878

NEIBAUER, JUSTIN FREEDOM FAMILY DENTISTRY 10039 Jefferson Davis Hwy Fredericksburg, VA 22407 (540) 898-8998

ODEH, OSAMA KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

ONDERDONK, ANDREA POPE & SHETTY PLLC 1420 Central Park Blvd #201 Fredericksburg, VA 22401 (540) 786-0696

PARRIS-WILKINS, TONYA COMMUNITY HEALTH CENTER OF RAPPAHANNOCK REGION 2217 Princess Anne St #110 Fredericksburg, VA 22401 (540) 732-0560

PATEL, BHAVINKUMAR NEIBAUER DENTAL CARE PC 9859 Jefferson Davis Hwy Fredericksburg, VA 22407 (540) 891-0071

PEREZ, RICARDO SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

PERRY-WRIGHT, ARLENE WRIGHT DENTAL CARE 407 Chatham Square Office Park Fredericksburg, VA 22405 (540) 899-9446

PORTER, DINA CENTRAL PARK DENTAL 1340 Central Park Blvd Ste 200 Fredericksburg, VA 22401 (540) 786-9559

PARTICIPATING PROVIDERS

NEIBAUER DENTAL CARE PC 11 Smoke House Dr Ste 115 Fredericksburg, VA 22406 (540) 899-7751

KOMMINENI, SANATH

RAMAI, SHELDON NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

RICHARDS, CARTER HOLLEY DENTISTRY OF FREDERICKBURG 974 Bragg Rd Fredericksburg, VA 22407 (540) 785-5885

RIEMAN, FRANCIS FRANCIS E RIEMAN DDS 717 Westwood Office Park Fredericksburg, VA 22401 (540) 371-0920

ROMANO, FRANK FRANK D ROMANO DDS PC 1133 Heatherstone Dr Fredericksburg, VA 22407 (540) 785-8525

PANDHER, RAMONA KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

66

Delta Dental Premier

VIRGINIA (CONT'D) FREDERICKSBURG SAGHIR, RIFFAT MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

SARAVANA, SAUMITRA

SHAFIEI, NIKKI FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

SINCLAIR, EMILY FREDERICKSBURG SMILE CTR 2330 Plank Rd Fredericksburg, VA 22401 (540) 899-7791

WAY-RODRIGUEZ, JORGE

DAYSE, ROBERT

NEIBAUER DENTAL CARE PC 3128 Cowan Blvd Fredericksburg, VA 22401 (540) 899-9511

STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

SWANSON, JOSHUA

WILLHIDE, JOHN

QUALITY DENTAL PLLC 5100 Southpoint Parkway Fredericksburg, VA 22407 (540) 710-1088

JOHN W WILLHIDE DDS LTD 121 Park Hill Dr #A Fredericksburg, VA 22401 (540) 373-1660

TAILOR, PRIYA

WILLIAMS, VERNON

KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

FAMILY FIRST DENTAL 4425 Plank Rd #B Fredericksburg, VA 22407 (301) 237-9469

TATEM, TAURUS

WILLOUGHBY, TASHA

ALLEN & TATEM DDS PC 10705 Spotsylvania Ave #102 Fredericksburg, VA 22408 (540) 891-5521

TRANQUILITY DENTAL CENTER 2557 Cowan Blvd Fredericksburg, VA 22401 (540) 551-5550

TORREY, EDWIN

YOUSEFI, ASHKAN

EDWIN A TORREY DDS PC 1239 Central Park Blvd Fredericksburg, VA 22401 (540) 785-3733

STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

TORREY, EDWIN SMART, DANIELLE HOLLEY DENTISTRY OF FREDERICKBURG 974 Bragg Rd Fredericksburg, VA 22407 (540) 785-5885

PROGRESSIVE DENTAL OF FREDERICKSBURG PC 1239 Central Park Blvd Fredericksburg, VA 22401 (540) 785-3733

TSAI, CHIH-PING ST GEORGE, SUSAN FREDERICKSBURG SMILE CTR 2330 Plank Rd Fredericksburg, VA 22401 (540) 899-7791

NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

VELLANKI, SWATI STARNES, NAZIE NEIBAUER DENTAL CARE PC 11 Smoke House Dr Ste 115 Fredericksburg, VA 22406 (540) 899-7751

NEIBAUER DENTAL CARE PC 3128 Cowan Blvd Fredericksburg, VA 22401 (540) 899-9511

VILD, DIANN STORM, MATTHEW C & L DENTISTRY PLLC 10740-C Courthouse Rd Fredericksburg, VA 22408 (540) 898-8555

STORM, MATTHEW MATTHEW T STORM DDS 10740-C Courthouse Road Fredericksburg, VA 22408 (540) 898-8555

VILD DIANN M 4805 Plank Rd Fredericksburg, VA 22407 (540) 786-2311

WAY-RODRIGUEZ, JORGE SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

ZAINUL ABEDEEN, ANAS KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

ZAVISLAK, ROBERT CENTRAL PARK DENTAL 1340 Central Park Blvd Ste 200 Fredericksburg, VA 22401 (540) 786-9559

ORAL SURGEON ALLEN, HARVEY HARVEY W ALLEN DDS LTD 1701 Fall Hill Ave Ste 100 Fredericksburg, VA 22401 (540) 373-2350

BAILEY, RYAN RYAN M BAILEY DDS MD 1380 Central Park Blvd #109 Fredericksburg, VA 22401 (540) 710-8880

BROWN, STEPHEN FREDERICKSBURG REGIONAL ORAL SURGERY CENTER INC 210 Executive Center Pkwy Fredericksburg, VA 22401 (540) 374-1010

HAAS, H H CHRIS HAAS DDS 516 Westwood Office Park Fredericksburg, VA 22401 (540) 371-0031

HAMRAH, DARIA CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

IZADI, KEYOUMARS KEYOUMARS IZADI MD DDS PLLC 409 Chatham Square Pk Fredericksburg, VA 22405 (540) 371-4131

LYN, TREVANN MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

PARTICIPATING PROVIDERS

PEARL FAMILY DENTAL 754 Warrenton Rd #103 Fredericksburg, VA 22406 (540) 370-8504

SUN, DAVID

MORGAN, DAVID SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

MORGAN, DAVID STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

MORGAN, DAVID CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

OSWALD, SOPHIE MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

SHIN, THOMAS FREDERICKSBURG SMILE CTR 2330 Plank Rd Fredericksburg, VA 22401 (540) 899-7791

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

67

Delta Dental Premier

VIRGINIA (CONT'D) FREDERICKSBURG WILHELM, MILES SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

ALMY, DIANA FREDERICKSBURG ORTHODONTICS 10618 Spotsylvania Ave Fredericksburg, VA 22408 (540) 898-7211

BYRD, RICHARD FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

CASPERSEN, MATTHEW MATTHEW H CASPERSEN DDS MS 408 Chatham Square Office Pk Fredericksburg, VA 22405 (540) 371-2611

FAN, VIVIAN CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

GHATRI, ALI SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

GHATRI, ALI CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

KAKAR, DEEPAK

MOTAMEDI, SAEID

FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

SASAN AHMADIYAR DDS & ASSOC 10608 Leavells Rd Fredericksburg, VA 22407 (540) 710-6000

LEE, JIM

LE, HAU

CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

FREDERICKSBURG PEDIATRIC DENTISTRY 927 Maple Grove Dr Ste 111 Fredericksburg, VA 22407 (540) 786-0051

MARQUEZ, RHINA KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

MERDAD, HISHAM KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

MY BRACES DOCTOR PC 4300 Plank Rd Ste 230 Fredericksburg, VA 22407 (703) 785-5300

POPE, H POPE & SHETTY PLLC 1420 Central Park Blvd #201 Fredericksburg, VA 22401 (540) 786-0696

TERRILL, DAVID DAVID G TERRILL DDS MS 11113 Leavells Rd Fredericksburg, VA 22407 (540) 898-1400

TERRILL, DAVID DAVID G TERRILL DDS MS 1300 Thornton Street Fredericksburg, VA 22408 (540) 371-3250

PEDIATRIC DENTIST/PEDODONTIST BURKE, BRIAN KOOL SMILES VAN PC 3533 Plank Rd Fredericksburg, VA 22407 (540) 736-4949

EDWARDS, JUSTIN PEDIATRIC DENTISTRY OF FREDERICKSBURG 1300 Thornton St. Ste. 101 Fredericksburg, VA 22401 (540) 371-3222

CLEARCARE DENTAL PLLC 3940 West Plank Rd Ste W Fredericksburg, VA 22407 (540) 785-4494

STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

MOTAMEDI, SAEID MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

PROSTHODONTIST

SINA, NAHID

GHATAK, MONAMIE HUKMANI, NAVIN

MOTAMEDI, SAEID

AGGARWAL, HARSHIT MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

SHETTY, NAVIN POPE & SHETTY PLLC 1420 Central Park Blvd #201 Fredericksburg, VA 22401 (540) 786-0696

VITSKY, PAUL PAUL L VITSKY DDS 1300 Thornton St Fredericksburg, VA 22401 (540) 371-3222

PERIODONTIST CULBERSON, JAMES JAMES M CULBERSON DMD MS 12104 Sheraton Hills Dr Fredericksburg, VA 22407 (540) 548-2605

IJADI, MEHRDAD STAFFORD DENTAL ASSOC 20 Plantation Dr Ste 139 Fredericksburg, VA 22406 (540) 368-2273

LIN, THOMAS MILTON STAR DDS FREDERICKSBURG PC 201 Park Hill Dr Fredericksburg, VA 22401 (540) 310-4986

SALARI, MARJAN NEIBAUER DENTAL CARE PC 5630 Plank Rd Fredericksburg, VA 22407 (540) 548-3602

PARTICIPATING PROVIDERS

ORTHODONTIST

HUSSAINI, SYED

SALARI, MARJAN NEIBAUER DENTAL CARE PC 9859 Jefferson Davis Hwy Fredericksburg, VA 22407 (540) 891-0071

FRONT ROYAL GENERAL DENTIST ABDOUN, EZZAT HABIBA DENTAL PC 1516 North Shenandoah Ave Ste B Front Royal, VA 22630 (540) 636-2003

ADEEB, AYMAN WARREN DENTAL CENTER 842 N Shenandoah Ave #1 Front Royal, VA 22630 (540) 631-1515

BROADHEAD, DAISY FRONT ROYAL DENTAL CARE 80 W 4Th St Front Royal, VA 22630 (540) 635-4567

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

68

Delta Dental Premier

VIRGINIA (CONT'D) FRONT ROYAL BROADHEAD, FREDERICK FRONT ROYAL DENTAL CARE 80 W 4Th St Front Royal, VA 22630 (540) 635-4567

BYERS, PAUL

ENDODONTIST PICHARDO, MICHAEL MICHAEL R PICHARDO DDS PLLC 7915 Lake Manassas Dr #203 Gainesville, VA 20155 (703) 753-4901

GENERAL DENTIST ADI, NAJIB ATLAS WALK DENTAL 7502 Iron Bar Ln Gainesville, VA 20155 (703) 646-1211

HEARNE, WILLIAM ALL SMILES DENTISTRY 841 N Shenandoah Ave Front Royal, VA 22630 (540) 635-4497

HEGGADE, SOUMYATA PEARLY WHITESFAMILY DENTISTRY 842 N Shenandoah Ave #1 Front Royal, VA 22630 (540) 631-1515

HEGGADE, SOUMYATA WARREN DENTAL CENTER 842 N Shenandoah Ave #1 Front Royal, VA 22630 (540) 631-1515

MARTI, ARTHI ALL SMILES DENTISTRY 841 N Shenandoah Ave Front Royal, VA 22630 (540) 635-4497

SARTELLE, HARRY APPLE VALLEY DENTAL GROUP PLC 869 John Marshall Hwy Ste A Front Royal, VA 22630 (540) 635-2493

TRUONG, KEVIN RIVERTON DENTAL CARE PLLC 50 Riverton Commons Dr Ste #C-60 Front Royal, VA 22630 (540) 613-1008

PEDIATRIC DENTIST/PEDODONTIST AGARWAL, GAURAV VALLEY PEDIATRIC DENTISTRY 920 N Shenandoah Ave #2 Front Royal, VA 22630 (540) 551-5600

APONTE, CARLOS GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

ARMENTROUT, NADIA NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

AYERS, LAWRENCE LAWRENCE F AYERS III DDS 7120 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 754-8809

BASSIRI, MICHAEL MICHAEL K BASSIRI 7915 Lake Manassas Dr Ste 104 Gainesville, VA 20155 (703) 753-0202

BATISTAS, THEO GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

BOUDREAU, JAMES NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

BUNIN, KEVIN GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

CAMPBELL, DONALD GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

CARINO, BRIAN CARINO FAMILY DENTISTRY AT LAKE MANASSAS 7915 Lake Manassas Dr Ste 201 Gainesville, VA 20155 (703) 754-6622

CARINO, SARAH CARINO FAMILY DENTISTRY AT LAKE MANASSAS 7915 Lake Manassas Dr Ste 201 Gainesville, VA 20155 (703) 754-6622

CHEHADE, TONY GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

DAVENPORT, FALINE GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

DUBE, NEELAM NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

EZZELDIN, AHMED AHMED EZZELDIN 7522 Old Linton Hall Rd Gainesville, VA 20155 (703) 753-8600

GOSWAMI, RAMA GAINESVILLE FAMILY DENTISTRY PLC 14535 John Marshall Hwy Ste 101 Gainesville, VA 20155 (571) 261-2330

GOSWAMI, RASHMI GAINESVILLE FAMILY DENTISTRY PLC 14535 John Marshall Hwy Ste 101 Gainesville, VA 20155 (571) 261-2330

GREER, PHYLLIS GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

GUIRGUIS, JOHN NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

HASHAM, OMAR NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

HONG, JONG NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

HOUSER, JOHN CHRIS HOUSER DMD PC 7100 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 754-5800

JONES-ROGERS, LINDA

PARTICIPATING PROVIDERS

APPLE VALLEY DENTAL GROUP PLC 869 John Marshall Hwy Ste A Front Royal, VA 22630 (540) 635-2493

GAINESVILLE

ROGERS & JONES-ROGERS PLC 7450 Heritage Village Plz Unit 102 Gainesville, VA 20155 (571) 248-6585

KAZMI, SANA NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

KEAN, EDWARD GREENHILL FAMILY DENTAL CARE 14535 John Marshall Hwy 209 Gainesville, VA 20155 (703) 753-2252

KHURANA, NATASHA NATASHA KHURANA DDS 7915 Lake Manassas Drive Suite 301 Gainesville, VA 20155 (571) 248-1501

LIU, LINA GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

69

Delta Dental Premier

VIRGINIA (CONT'D) GAINESVILLE MANRIQUE, HUGO GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

MESSIH, HAIDY

MOORE, CLARISSA ALVORADA DENTISTRY 13922 Estate Manor Drive Gainesville, VA 20155 (703) 754-7788

NGUYEN, LOC LOC V NGUYEN DMD PC 6844 Piedmont Center Plaza Gainesville, VA 20155 (703) 754-1999

NGUYEN, LONG LAKE MANASSAS DENTAL CENTER LLC 7915 Lake Manassas Dr Ste 115 Gainesville, VA 20155 (571) 261-9470

NWANESHIUDU, CHIOMA NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

OLANO, MAGALI DRS POLACK AND OLANO PC 7431 New Linton Hall Rd Gainesville, VA 20155 (703) 753-8753

OLSEN, KIMBERLEY GREENHILL FAMILY DENTAL CARE 14535 John Marshall Hwy 209 Gainesville, VA 20155 (703) 753-2252

PARK, CHARLES GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

SUN, WENHUI

LABELLA, CARL

GREENHILL FAMILY DENTAL CARE 14535 John Marshall Hwy 209 Gainesville, VA 20155 (703) 753-2252

GREENHILL FAMILY DENTAL CARE 14535 John Marshall Hwy 209 Gainesville, VA 20155 (703) 753-2252

PRINCE WILLIAM ORAL MAXILLOFACIAL & IMPLANT SURGERY 7500 Iron Bar Ln Ste 203 Gainesville, VA 20155 (571) 248-0368

PLEICKHARDT, STEVE

TRINH, PHUONG

AMERICAN DENTAL ASSOCIATES PLLC 7500 Iron Bar Ln Ste 201 Gainesville, VA 20155 (703) 753-6695

PHUONG H TRINH DMD PLLC 7220 Heritage Village Plx Ste 101 Gainesville, VA 20155 (703) 754-5993

TSAI, CHIH-PING QUIGGINS, MELISSA GAINESVILLE DENTAL ASSOC PLLC 7521 Virginia Oaks Dr #230 Gainesville, VA 20155 (703) 754-7151

RACZYNSKA, ANETA NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

ROGERS, LLOYD ROGERS & JONES-ROGERS PLC 7450 Heritage Village Plz Unit 102 Gainesville, VA 20155 (571) 248-6585

SHARMA, MOHIT NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

SPEICHER, MARY LAKE MANASSAS DENTAL CENTER LLC 7915 Lake Manassas Dr Ste 115 Gainesville, VA 20155 (571) 261-9470

SUMNER, LYDIA TIMOTHY K SUMNER 7548 Gardner Park Dr Gainesville, VA 20155 (571) 248-4415

SUMNER, TIMOTHY TIMOTHY K SUMNER 7548 Gardner Park Dr Gainesville, VA 20155 (571) 248-4415

NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

ORAL SURGEON ARZADON, JOSEPH JOSEPH M ARZADON MD DDS PC 7230 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 753-5268

LIANG, DAVID JOSEPH M ARZADON MD DDS PC 7230 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 753-5268

MCDONALD, CABEL GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

MOOSE, DAVID PRINCE WILLIAM ORAL MAXILLOFACIAL & IMPLANT SURGERY 7500 Iron Bar Ln Ste 203 Gainesville, VA 20155 (571) 248-0368

BLAIS, KENNETH JOSEPH M ARZADON MD DDS PC 7230 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 753-5268

BUKZIN, JAY JAY M BUKZIN DDS PC 7915 Lake Manassas Dr Ste 304 Gainesville, VA 20155 (703) 753-7933

BURGER, BRENTON PRINCE WILLIAM ORAL MAXILLOFACIAL & IMPLANT SURGERY 7500 Iron Bar Ln Ste 203 Gainesville, VA 20155 (571) 248-0368

ORTHODONTIST DUNEGAN, MICHAEL

PARTICIPATING PROVIDERS

NEIBAUER DENTAL CARE PC 14642 Lee Hwy Gainesville, VA 20155 (703) 754-7110

PHAM, JENNIFER

MICHAEL G DUNEGAN DDS MS 7001 Heritage Village Plaza #130 Gainesville, VA 20155 (703) 753-4996

EKOH, MADUEKE TEEM ORTHODONTICS PLLC 14634 Lee Hwy Gainesville, VA 20155 (703) 753-4777

FILIPPONE, LOUIS LOUIS C FILIPPONE DDS PC 7521 Virginia Oaks Dr #120 Gainesville, VA 20155 (703) 754-4880

HERRERA, MARICIO

KHOURI, JOHN

JAY M BUKZIN DDS PC 7915 Lake Manassas Dr Ste 304 Gainesville, VA 20155 (703) 753-7933

JOHN KHOURI PLLC 14535 John Marshall Hwy #111 Gainesville, VA 20155 (571) 248-4262

JACKS, THOMAS

MEKOUAR, HICHAM

JOSEPH M ARZADON MD DDS PC 7230 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 753-5268

GATEWAY DENTAL 7462 Limestone Dr Gainesville, VA 20155 (703) 753-3346

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

70

Delta Dental Premier

VIRGINIA (CONT'D) GAINESVILLE SHAKASHIRO, RANDA ATLAS WALK DENTAL 7502 Iron Bar Ln Gainesville, VA 20155 (703) 646-1211

VAHAB, PHILIP

YI, PETER GAINESVILLE OTHODONTICS PLLC 7530 Limestone Dr Gainesville, VA 20155 (571) 261-9117

PEDIATRIC DENTIST/PEDODONTIST

CLEMONS, MARK

MONTGOMERY, JEFFREY

GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

MARK D CLEMONS DMD PC 301 W Grayson St Galax, VA 24333 (276) 236-6321

JEFFREY D MONTGOMERY DDS PC 267 Kane St Ste 101 Gate City, VA 24251 (276) 386-6162

HANNA, GARY SHAH, RITU GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

SHINGLER, ARSHIA GAINESVILLE PEDIATRIC DENTISTRY 13555 Wellington Ctr Circle Gainesville, VA 20155 (703) 754-7580

SHINGLER, ARSHIA GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

AMANTE, ALVIN

TRAN, MY

SMILEZ PEDIATRIC DENTAL GROUP 7521 Virginia Oaks Drive Ste 210 Gainesville, VA 20155 (703) 754-7151

GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

BRAXTON, DARCHELLE GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

DAVIS, RHEA GAINESVILLE PEDIATRIC DENTISTRY 13555 Wellington Ctr Circle Gainesville, VA 20155 (703) 754-7580

DAVIS, RHEA GAINESVILLE PEDIATRIC DENTISTRY 7534 Limestone Dr Gainesville, VA 20155 (703) 754-1580

RAI, SHWETHA GAINESVILLE PEDIATRIC DENTISTRY 13555 Wellington Ctr Circle Gainesville, VA 20155 (703) 754-7580

PERIODONTIST HARDISON, JUSTIN JEAN-CLAUDE KHARMOUCHE DMD PC 7915 Lake Manassas Dr Unit 207 Gainesville, VA 20155 (571) 261-4867

KHARMOUCHE, JEAN-CLAUDE JEAN-CLAUDE KHARMOUCHE DMD PC 7915 Lake Manassas Dr Unit 207 Gainesville, VA 20155 (571) 261-4867

PROSTHODONTIST POLACK, MARIANO DRS POLACK AND OLANO PC 7431 New Linton Hall Rd Gainesville, VA 20155 (703) 753-8753

GALAX GENERAL DENTIST

GARY C HANNA DMD 1129 South Main St Galax, VA 24333 (276) 236-6109

JONES, ETHAN RONALD D JONES DDS PC 1001 East Stuart Drive Galax, VA 24333 (276) 236-0562

LARROWE, EUGENIA DAVID C RITCHIE DDS 1022 East Stuart Drive Galax, VA 24333 (276) 236-4925

RITCHIE, DAVID DAVID C RITCHIE DDS 1022 East Stuart Drive Galax, VA 24333 (276) 236-4925

ORAL SURGEON PERKINS, DENNIS SUKLE HOLLYFIELD ABBOTT & PERKINS 209 Painter St Galax, VA 24333 (276) 783-8131

THOMPSON, BRIAN SUKLE HOLLYFIELD ABBOTT & PERKINS 209 Painter St Galax, VA 24333 (276) 783-8131

ORTHODONTIST WOODS, HUNTER HUNTER K WOODS DDS MS PC 209 Painter St Galax, VA 24333 (276) 236-2978

GATE CITY GENERAL DENTIST

TEMPLETON, DAVID DAVID E TEMPLETON DDS PC 633 E Jackson St #C14 Gate City, VA 24251 (276) 386-2808

GLADE SPRING GENERAL DENTIST THURSTON, CHRISTOPHER GLADE DENTAL CLINIC 634 S. Monte Vista Dr. Glade Spring, VA 24340 (276) 429-5111

TONEY, TYLER GLADE DENTAL CLINIC 634 S. Monte Vista Dr. Glade Spring, VA 24340 (276) 429-5111

GLEN ALLEN ENDODONTIST

PARTICIPATING PROVIDERS

NATASHA KHURANA DDS 7915 Lake Manassas Drive Suite 301 Gainesville, VA 20155 (571) 248-1501

RAI, SHWETHA

OLTRA ESPLUGUES, ENRIQUE VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

GENERAL DENTIST ABUHAJLEH, OMAR HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

AHMED, MOHAMED GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

AHMED, MOHAMED MOHAMED H AHMED 9840-B W. Broad St. Glen Allen, VA 23060 (804) 270-9989

CHAFFIN, WRAY WRAY W CHAFFIN II DMD PC 116 Ravine St Ste 102 Gate City, VA 24251 (276) 386-6231

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

71

Delta Dental Premier

VIRGINIA (CONT'D) GLEN ALLEN ANDERSON, BRADLEY BRADLEY R ANDERSON DDS 11420 West Broad St Glen Allen, VA 23060 (804) 360-3500

ANDRE, JOHN

BABIK, MAJD CROSS RIDGE FAMILY & COSMETIC DENTISTRY 10170 Staples Mill Rd Ste A Glen Allen, VA 23060 (804) 755-8050

BAJAJ, SMRITI MARYAM ZAREI DDS PC 5201-B Hickory Park Dr Glen Allen, VA 23059 (804) 747-4200

BHARAL, POONUM VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

BLASSIC, KIM WEST END DENTAL 5225 Hickory Park Dr Ste D Glen Allen, VA 23059 (804) 270-5225

BOND, MARK VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

BROKAW, MATTHEW MATTHEW R BROKAW DDS 4924 Dominion Blvd #B Glen Allen, VA 23060 (804) 270-6200

BROTH, STUART SURYA P DHAKAR DDS PC 4440 Springfield Rd Ste 101 Glen Allen, VA 23060 (804) 217-9820

DIEFENDERFER, MARK

JOSHI, MITSU

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

CAMPBELL, JEFFREY

ELGARAWANY, IBRAHIM

KHISTI, MANIK

POPE & SHETTY PLLC 11551 Nuckols Road Suite A Glen Allen, VA 23059 (804) 273-6818

HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

MANIK R KHISTI LLC 3938 Springfield Rd Glen Allen, VA 23060 (840) 747-7400

CATOGGIO, MICHAEL

EPPS, JOHNE

KOHEIL, YOSRELDIN

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

CHARY, MALLIKA

EXUM, ANTONE

KOWAL, MARK

SURYA P DHAKAR DDS PC 4440 Springfield Rd Ste 101 Glen Allen, VA 23060 (804) 217-9820

ATONE C EXUM DDS & ASSOCIATES 10124 W Broad St #Q Glen Allen, VA 23060 (804) 212-2501

FAMILY DENTISTRY OF SHORT PUMP 11549-A Nuckols Road Glen Allen, VA 23059 (804) 527-2982

FLANAGAN, CHAD

LARKIN, STEVEN

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

FORTNER, GLENN

MACILWAINE, RICHARD

GLENN W FORTNER DDS 3950 Springfield Rd Glen Allen, VA 23060 (804) 346-4600

FAMILY DENTISTRY OF SHORT PUMP 11549-A Nuckols Road Glen Allen, VA 23059 (804) 527-2982

COOKE, THOMAS COOKE RICHARDSON OVERST 11551 Nuckols Rd Ste B Glen Allen, VA 23059 (804) 270-7737

CRISP, LISA TWIN HICKORY DENTAL 5368 Twin Hickory Rd Glen Allen, VA 23059 (804) 747-0020

DAMERON, KAREN KAREN COLE DAMERON DDS PC 4424 Springfield Rd Ste 100 Glen Allen, VA 23060 (804) 270-5353

GIBBERMAN, AVI DR AVI B GIBBERMAN DDS PLLC 9830 Brook Rd Glen Allen, VA 23059 (804) 264-7008

DAMIRCHI, NASSER NASSER DAMIRCHI DDS 5243 Hickory Park Dr Ste D Glen Allen, VA 23059 (804) 270-5005

HAZELGROVE, KIRK KIRK R HAZELGROVE DDS PC 10317 W. Broad St Glen Allen, VA 23060 (804) 747-4001

DHAKAR, ADITYA SURYA P DHAKAR DDS PC 4440 Springfield Rd Ste 101 Glen Allen, VA 23060 (804) 217-9820

IACHINI, DIANE VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

DHAKAR, SURYA SURYA P DHAKAR DDS PC 4440 Springfield Rd Ste 101 Glen Allen, VA 23060 (804) 217-9820

PARTICIPATING PROVIDERS

JOHN J ANDRE DDS PC 10863 West Broad Street Glen Allen, VA 23060 (804) 346-8330

BUHLER, JOHN

JIWANI, MUNIRA HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

MADURANTAKAM, PARTHASARATHY SURYA P DHAKAR DDS PC 4440 Springfield Rd Ste 101 Glen Allen, VA 23060 (804) 217-9820

MENDOZA, ISRAEL GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

MORRISON, JULIUS HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

NASH, COLLEEN VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

72

Delta Dental Premier

VIRGINIA (CONT'D) GLEN ALLEN NORRIS, CLINTON CLINTON J NORRIS DDS PC 4445 Cox Road Glen Allen, VA 23060 (804) 747-0044

NUNNALLY, LEONARD

ONDERDONK, ANDREA POPE & SHETTY PLLC 11551 Nuckols Road Suite A Glen Allen, VA 23059 (804) 273-6818

OVERSTREET, DOUGLAS COOKE RICHARDSON OVERST 11551 Nuckols Rd Ste B Glen Allen, VA 23059 (804) 270-7737

THEKKETHOTTIYIL, GEORGEA

COOKE RICHARDSON OVERST 11551 Nuckols Rd Ste B Glen Allen, VA 23059 (804) 270-7737

FARSHID SOLTANIAN DDS PC 3944 Springfield Rd Glen Allen, VA 23060 (804) 270-5214

ROPER, ERIK

THOMPSON, HARPER

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

COOKE RICHARDSON OVERST 11551 Nuckols Rd Ste B Glen Allen, VA 23059 (804) 270-7737

SARAVANA, SAUMITRA

TURNAGE, NEIL

HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

SARAVANA, SAUMITRA GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

VARKEY, GEORGE

SEAN SHAHREYAR SAYYAR DDS PC 5231 Hickory Park Dr Ste E Glen Allen, VA 23059 (804) 290-8001

MOHAMED H AHMED 9840-B W. Broad St. Glen Allen, VA 23060 (804) 270-9989

WONG, DENNIS SHAH, ROHINI HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

PERKINSON, S VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

SIMON, ALEXANDER GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

FARSHID SOLTANIAN DDS PC 3944 Springfield Rd Glen Allen, VA 23060 (804) 270-5214

SZUBIAK, STANISLAW GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

RESSLER, CHRISTINE VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

TABOR, CHRISTIAN CHRISTIAN S TABOR DMD PC 12000 Wyndham Lake Dr #A Glen Allen, VA 23059 (804) 364-7122

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

HARRIS, MONROE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

WLODAWSKY, ROSS MARYAM ZAREI DDS PC 5201-B Hickory Park Dr Glen Allen, VA 23059 (804) 747-4200

ZELAZNY, LLOYD SOLTANIAN, FARSHID

REID, JOHN JOHNNY REID DMD LLC 9817 West Broad St Glen Allen, VA 23060 (804) 270-6830

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

ZAREI, MARYAM

RANDOLPH, RENITA POPE & SHETTY PLLC 11551 Nuckols Road Suite A Glen Allen, VA 23059 (804) 273-6818

GEORGE VARKEY DMD PC 9840-B W Broad St Glen Allen, VA 23060 (804) 270-9989

SAYYAR, SHAHREYAR

PATEL, KUNJAL TWIN HICKORY DENTAL 5368 Twin Hickory Rd Glen Allen, VA 23059 (804) 588-8088

VARKEY, GEORGE

DYMON, WILLIAM

PARTICIPATING PROVIDERS

LEONARD IRVIN NUNNALLY III DDS PC 11531 Nuckols Rd Ste B Glen Allen, VA 23059 (804) 747-0908

RICHARDSON-OVERSTREET, SUSAN

ZELAZNY FAMILY DENTISTRY 10128 Brook Rd Glen Allen, VA 23059 (804) 627-0215

ORAL SURGEON

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

ORTHODONTIST BIBONA, KEVIN RILEY & WILTSHIRE INC 4204 A Park Place Court Glen Allen, VA 23060 (804) 747-9105

AGNIHOTRI, NEIL

BRASSINGTON, BRYAN

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11545-A Nuckols Rd Glen Allen, VA 23059 (804) 673-8061

RILEY & WILTSHIRE INC 4204 A Park Place Court Glen Allen, VA 23060 (804) 747-9105

BUELOW, DWIGHT CAMPBELL, ROBERT POPE SHETTY & CAMPBELL 11551 Nuckols Rd #A Glen Allen, VA 23059 (804) 273-6818

VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

73

Delta Dental Premier

VIRGINIA (CONT'D) GLEN ALLEN CLINE, MATTHEW HAPPY SMILES VCC LLC 10101 Brook Rd #804-A Glen Allen, VA 23059 (804) 266-2400

IUORNO, FRANK

MARCUS, RICHARD VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

HENDRICKSEN, ALF

SHOWALTER, PERRY

POPE & SHETTY PLLC 11551 Nuckols Road Suite A Glen Allen, VA 23059 (804) 273-6818

A R HENDRICKSEN DDS INC 8642 Forest Rd Hwy 221 Goode, VA 24556 (540) 587-5707

DR PERRY L SHOWALTER DDS 5324 George Wash Mem Hwy Grafton, VA 23692 (757) 898-0822

SHETTY, NAVIN POPE & SHETTY PLLC 11551 Nuckols Road Suite A Glen Allen, VA 23059 (804) 273-6818

PERIODONTIST VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

GLOUCESTER GENERAL DENTIST

MEI, ELIZABETH DOMINION ORTHODONTICS PC 10170 Staples Mill Rd Ste B Glen Allen, VA 23060 (804) 726-1870

PURCELL, ALLISON VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

RILEY, JAMES RILEY & WILTSHIRE INC 4204 A Park Place Court Glen Allen, VA 23060 (804) 747-9105

ROGERS, DALE VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd Glen Allen, VA 23060 (804) 672-4900

VILLA, RICHARD RICHARD H VILLA DMD PC 10120 West Broad St #L Glen Allen, VA 23060 (804) 747-0137

WILTSHIRE, CURTIS RILEY & WILTSHIRE INC 4204 A Park Place Court Glen Allen, VA 23060 (804) 747-9105

PEDIATRIC DENTIST/PEDODONTIST

HARRIS, CHARLES C R HARRIS JR DDS LTD 6423 Canon Way Gloucester, VA 23061 (804) 642-4893

GORDONSVILLE GENERAL DENTIST

LEIGH, TIMOTHY TIMOTHY A LEIGH DDS PC 6661 Main St Gloucester, VA 23061 (804) 693-2575

BROWNING, STEPHANIE

SPRING CREEK FAMILY DENTISTRY 34 Jefferson Court Gordonsville, VA 22942 (540) 832-3232

SHANE R COSTA DDS PC 10135 Colvin Run Rd Great Falls, VA 22066 (703) 757-0833

COSTA, SHANE KNIGHT, JOHN SPRING CREEK FAMILY DENTISTRY 34 Jefferson Court Gordonsville, VA 22942 (540) 832-3232

PATEL, JATIN SPRING CREEK FAMILY DENTISTRY 34 Jefferson Court Gordonsville, VA 22942 (540) 832-3232

SAPON, MARK SPRING CREEK FAMILY DENTISTRY 34 Jefferson Court Gordonsville, VA 22942 (540) 832-3232

THOMPSON, JACK

POUCHOT, DANIEL

JACK F THOMPSON III DDS LLC 402 N Main St Gordonsville, VA 22942 (540) 832-3141

DANIEL E POUCHOT DDS PLLC 5659 Parkway Sr Ste 140 Gloucester, VA 23061 (804) 210-1246

CLINE, MATTHEW

GOOCHLAND GENERAL DENTIST HUDGINS, WILLIAM DR W MICHAEL HUDGINS PC 2979 River Rd W Goochland, VA 23063 (804) 556-2530

ORTHODONTIST SPRING CREEK FAMILY DENTISTRY 34 Jefferson Court Gordonsville, VA 22942 (540) 832-3232

GENERAL DENTIST

SHANE R COSTA DDS PC 10135 Colvin Run Rd Great Falls, VA 22066 (703) 757-0833

GRECO, DONNA GREAT FALLS FAMILY & COSMETIC DENTISTRY PLC 774 B Walker Rd Great Falls, VA 22066 (703) 759-4707

GRECO, DONNA ACKERMAN & ASSOC OF GREAT FALLS LTD 774 B Walker Rd Great Falls, VA 22066 (703) 759-4707

MAZHARI, SHELIA SHANE R COSTA DDS PC 10135 Colvin Run Rd Great Falls, VA 22066 (703) 757-0833

PHAM, LONG ALL SMILES DENTAL 1025 B Seneca Rd Great Falls, VA 22066 (571) 306-7676

SOK, ERICA ALL SMILES DENTAL 1025 B Seneca Rd Great Falls, VA 22066 (571) 306-7676

GRAFTON GENERAL DENTIST ALEXANDER, ROBERT

GOODE

GENERAL DENTIST

BELLAVANCE, JULIEN

LAGONEGRO, ANN ANN L LAGONEGRO DMD PC 6093 George Washington Mem Hwy Gloucester, VA 23061 (804) 693-9600

GREAT FALLS

PARTICIPATING PROVIDERS

WEST END ORTHODONTICS 12000 Wyndham Lake Dr #C Glen Allen, VA 23059 (804) 364-8366

POPE, H

ROBERT M ALEXANDER DDS 105 Terrebonne Rd Grafton, VA 23692 (757) 898-4625

ORTHODONTIST BATH, GREGORY GREGORY D BATH DDS PC 737 Walker Rd Great Falls, VA 22066 (703) 759-9453

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

74

Delta Dental Premier

VIRGINIA (CONT'D) GREAT FALLS GARAI, ALLEN ALLEN S GARAI DDS 9912 D Georgetown Pike Great Falls, VA 22066 (703) 281-4668

TRATENSEK, KAREN

PERIODONTIST SPERLING-HABOT, KEREN ACKERMAN & ASSOC OF GREAT FALLS LTD 774 B Walker Rd Great Falls, VA 22066 (703) 759-4707

GRETNA GENERAL DENTIST

BRAR, KANWARJIT

CWIAK, KARI

ALEXANDER DAVID J 2019 Cunningham Dr #314 Hampton, VA 23666 (757) 838-2201

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

AMOAH, EMMANUEL

BRAR, PREMJEET

RESOLUTION DENTAL 1194 Big Bethel Road Hampton, VA 23666 (757) 325-9015

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

AMOAH, EMMANUEL KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

BRAR, PREMJEET KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

BARRETT, MARC DR JOSEPH R KLOCHAK DMD 2240-C Coliseum Drive Hampton, VA 23666 (757) 826-1121

BROWN, BRUCE

BECKER, STEVEN

BROWN, BRUCE

STEVEN J BECKER DMD PC 1-B Riverdale Dr Hampton, VA 23666 (757) 838-7879

DANIEL S WILLIAMS DDS PC 70 West Mercury Blvd Hampton, VA 23669 (757) 722-2929 DENTAL CARE OF HAMPTON 70 West Mercury Blvd #102 Hampton, VA 23669 (757) 722-2929

BOND, MICHAEL MICHAEL L BOND DDS 603 S. Main St Gretna, VA 24557 (434) 656-3573

BELL, EDWIN STEVEN L PERLMAN DDS LTD 2613 West Mercury Blvd Hampton, VA 23666 (757) 826-7372

HAMPTON ENDODONTIST NESBITT, PAULA KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

GENERAL DENTIST ABUALSOUD, ARWA FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

ADESHARA, KARISHMA KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

BULLOCK, STEVE COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

BELL, TAMMARA COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

CAVES, DONOVAN

BIGELOW, GILBERT

CHUNG, JOHN

STEVEN L PERLMAN DDS LTD 2613 West Mercury Blvd Hampton, VA 23666 (757) 826-7372

BOOTH, JEFFREY JEFFREY P BOOTH DDS 2212 Executive Drive #A Hampton, VA 23666 (757) 827-0001

JASPER N WATTS DDS PC 907 Big Bethel Rd Hampton, VA 23666 (757) 838-5999

JOHN CHUNG DDS PC 1959 E Pembroke Ave Hampton, VA 23663 (757) 723-6565

CLARK, JOANN JOANN CLARK FAMILY DENTISTRY PC 2214 Executive Drive Suite A Hampton, VA 23666 (757) 838-9486

BOYD, KENNETH THE FOLECK CENTER 2400 Cunningham Dr Hampton, VA 23666 (757) 838-8411

CORNETTE, WILLIAM HAMPTON FAMILY DENTAL 1817 Todds Ln Hampton, VA 23666 (757) 827-7770

DAFO, DANIEL KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

DONZELL, RICHARD RICHARD J DONZELL JR DDS 2021 A Cunningham Dr Ste 6 Hampton, VA 23666 (757) 826-7600

DREELIN, ROBERT ROBERT A DREELIN DDS PC 3834 Kecoughtan Rd Hampton, VA 23669 (757) 727-7726

FAMILANT, LAWRENCE LAWRENCE J FAMILANT 18 West Mellen St Hampton, VA 23663 (757) 722-5316

PARTICIPATING PROVIDERS

ALLEN S GARAI DDS 9912 D Georgetown Pike Great Falls, VA 22066 (703) 281-4668

ALEXANDER, DAVID

FEILD, ROBERT FEILD DENTISTRY 171 Foxhill Rd Hampton, VA 23669 (757) 851-4400

FEILD, THOMAS FEILD DENTISTRY 171 Foxhill Rd Hampton, VA 23669 (757) 851-4400

FOLECK, ADAM THE FOLECK CENTER 2400 Cunningham Dr Hampton, VA 23666 (757) 838-8411

FRANCIS, HUNTER HUNTER C FRANCIS DDS 2038 Nickerson Blvd Hampton, VA 23663 (757) 851-3530

FRANCIS, SCOTT SCOTT H FRANCIS DDS 2038 Nickerson Blvd Hampton, VA 23663 (757) 851-3530

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

75

Delta Dental Premier

VIRGINIA (CONT'D) HAMPTON GALLOP, CECEIL CECEIL C GALLOP 3709 Kecoughtan Road Hampton, VA 23669 (757) 722-8507

GRAHAM-MONTAQUE, RANA

GUNDECHA, SHANUP FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

HARMON, THOMAS KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

HARRISON, JAMES HARRISON & SMITH DDS PC 2240 Coliseum Dr Hampton, VA 23666 (757) 827-0250

HENDRICKSON-HAIRSTON, JOELLE JASPER N WATTS DDS PC 907 Big Bethel Rd Hampton, VA 23666 (757) 838-5999

HOFFMAN, LISA LISA D HOFFMAN DDS 47 West Queens Wy Hampton, VA 23669 (757) 722-8815

HOFFMAN, RICHARD RICHARD S HOFFMAN DDS 47 West Queens Way Hampton, VA 23669 (757) 722-8815

HUTCHINGS, MICHAEL HAMPTON FAMILY DENTAL 1817 Todds Ln Hampton, VA 23666 (757) 827-7770

KLOCHAK, JOSEPH

MEYERS, CHRISTIAN

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

DR JOSEPH R KLOCHAK DMD 2240-C Coliseum Drive Hampton, VA 23666 (757) 826-1121

DENTAL CARE OF HAMPTON 70 West Mercury Blvd #102 Hampton, VA 23669 (757) 722-2929

LEJEUNE, BARRY

MILLER, DAVID

BARRY LEJEUNE DDS 1130 Big Bethel Rd Hampton, VA 23666 (757) 827-9114

DAVID L MILLER DDS 1 Charlton Drive Hampton, VA 23666 (757) 838-0008

LIMON, FRANCISCO

MILLER, JULIAN

THE FOLECK CENTER 2400 Cunningham Dr Hampton, VA 23666 (757) 838-8411

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

JAYASWAL, NEERAV GOOD NEIGHBOR DENTAL AT WILLOW OAKS 208 Foxhill Rd Hampton, VA 23669 (757) 850-2100

JIWANI, MUNIRA FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

JONES, ANTONIA COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

JUNG, YUJIN JOHN CHUNG DDS PC 1959 E Pembroke Ave Hampton, VA 23663 (757) 723-6565

KAUR, AJINDER KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

KAYMANESH, SHAGHAYEGH KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

KIM, CHAD KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

LLERANDI, ELIAS JASPER N WATTS DDS PC 907 Big Bethel Rd Hampton, VA 23666 (757) 838-5999

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

MODESTE LORENZO J 2238 W Todds St # C Hampton, VA 23666 (757) 825-6098

MATAR, USAMA FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

NAVUBOTHU, PADMALATHA FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

MATIAS, THIAGO KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

NICHOLS, ASHLEY RESOLUTION DENTAL 1194 Big Bethel Road Hampton, VA 23666 (757) 325-9015

MCCORMICK, MICHAEL MICHAEL P MCCORMICK JR DDS PC 901 Enterprise Pkwy Ste 500 Hampton, VA 23666 (757) 896-4900

O'DONNELL, DAVID

MCDONALD, PAMELA

PANDHER, RAMONA

MICHAEL P MCCORMICK JR DDS PC 901 Enterprise Pkwy Ste 500 Hampton, VA 23666 (757) 896-4900

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

PARK, KYEONG MCNEILL, SU

KIRPAL, ABHISHEK

MODESTE, LORENZO

PARTICIPATING PROVIDERS

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

IRELAND, MICHAEL

HARRISON & SMITH DDS PC 2240 Coliseum Dr Hampton, VA 23666 (757) 827-0250

PARK DENTAL 21 Towne Centre Way Hampton, VA 23666 (757) 838-9140

PATEL, KINJAL MEYERS, CHRISTIAN DANIEL S WILLIAMS DDS PC 70 West Mercury Blvd Hampton, VA 23669 (757) 722-2929

FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

76

Delta Dental Premier

VIRGINIA (CONT'D) HAMPTON PERLMAN, STEVEN STEVEN L PERLMAN DDS LTD 2613 West Mercury Blvd Hampton, VA 23666 (757) 826-7372

PHILLIPS, SARAH

UTTERBACK, BRUCE

MRAZIK, JACK

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

JACK A MRAZIK 3000 Coliseum Dr #204 Sentara Care Plex Hampton, VA 23666 (757) 838-3975

SCOTT, TAMASHA

WATKINS, JAMES

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

JAMES D WATKINS DDS 2207 Executive Dr Ste C Hampton, VA 23666 (757) 827-5225

SHARIF, ASIF

WATTS, JASPER

KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

JASPER N WATTS DDS PC 907 Big Bethel Rd Hampton, VA 23666 (757) 838-5999

SIRAGUSA , JOSEPH

WILLIAMS, DANIEL

JOSEPH SIRAGUSA DDS PC 2114 Hartford Rd #B Hampton, VA 23666 (757) 826-3636

DANIEL S WILLIAMS DDS PC 70 West Mercury Blvd Hampton, VA 23669 (757) 722-2929

PHILLIPS, SARAH KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

POOLE, ADAM RESOLUTION DENTAL 1194 Big Bethel Road Hampton, VA 23666 (757) 325-9015

POOLE, ADAM KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

RASMUSSEN, JAY KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

RASTOGI, LOVEENA KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

REIMER, MICHAEL KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

ROBINSON, DONALD DONALD C ROBINSON DDS 3709 Kecoughtan Rd Hampton, VA 23669 (757) 722-8507

SKRBA, SLADJANA KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

SMITH, ERIC HARRISON & SMITH DDS PC 2240 Coliseum Dr Hampton, VA 23666 (757) 827-0250

STEELE, BEN KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

STELMACH, MICHELLE

WILLIAMS, DANIEL DENTAL CARE OF HAMPTON 70 West Mercury Blvd #102 Hampton, VA 23669 (757) 722-2929

YOUNG, MARCUS JASPER N WATTS DDS PC 907 Big Bethel Rd Hampton, VA 23666 (757) 838-5999

YU, SANG HUN KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

ORAL SURGEON

FAMILY DENTAL OF VIRGINIA LLC 2040 Coliseum Dr #A27 Hampton, VA 23666 (757) 262-0020

DAVENPORT, WILLIAM

TABOR, WILLIAM

GLIKSMAN, JOSEPH

HAMPTON DENTAL ASSOC 1420 North King Street Hampton, VA 23669 (757) 851-6187

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

TDT OMS 901 Enterprise Pkwy #100 Hampton, VA 23666 (757) 825-8355

TRAN, BRITNIE KOOL SMILES 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665

MORGAN, JOHN COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

PHELPS, MAYNARD TDT OMS 901 Enterprise Pkwy #100 Hampton, VA 23666 (757) 825-8355

TANKERSLEY, KENNETH TDT OMS 901 Enterprise Pkwy #100 Hampton, VA 23666 (757) 825-8355

ORTHODONTIST BEHL, YUGAL COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

DAILEY, CURTIS CURTIS W DAILEY DDS PLLC 2118 Executive Dr Hampton, VA 23666 (757) 826-5075

PARTICIPATING PROVIDERS

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

SANKEPALLY, DIVYA

DAILEY, GEORGE CURTIS W DAILEY DDS PLLC 2118 Executive Dr Hampton, VA 23666 (757) 826-5075

FULTON, CATHERINE CATHERINE ODEN FULTON DDS PLC 1029 W Mercury Blvd Hampton, VA 23666 (757) 838-2006

RIGGS, GARY GARY A RIGGS JR DMD 1610 B Aberdeen Rd Hampton, VA 23666 (757) 838-3830

SCOTT, JON JON L SCOTT DDS PC 1186 Big Bethel Rd Hampton, VA 23666 (757) 825-6280

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

77

Delta Dental Premier

VIRGINIA (CONT'D) HAMPTON SCOTT, JON JON L SCOTT DDS PC 2108 Hartford Rd Hampton, VA 23666 (757) 825-6280

WAITKUS, ALEXANDER

WEXEL, WALTER WALTER K WEXEL DDS 901 Enterprise Pkwy Ste 500 Hampton, VA 23666 (757) 896-4900

ANDERSON, JOAN

HERNANDEZ, LAURA

STEVEN C FISHER 2212 Executive Dr Hampton, VA 23666 (757) 827-0001

ROCKTOWN FAMILY DENTLAL CARE 1971 F Evelyn Byrd Harrisonburg, VA 22801 (540) 705-0102

SOLIS DENTAL PC 1587 Port Republic Rd Ste 2 Harrisonburg, VA 22801 (540) 437-8422

DR MICHAEL J KOKORELIS INC 2113 Hartford Road Hampton, VA 23666 (757) 827-1572

BRAXTON, DARCHELLE COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

EBERLY, RANDY RANDY J EBERLY DMD 2111 Hartford Rd Hampton, VA 23666 (757) 827-3399

COLISEUM PEDIATRIC DENTISTRY 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

PHELPS, JOY MICHAEL P MCCORMICK JR DDS PC 901 Enterprise Pkwy Ste 500 Hampton, VA 23666 (757) 896-4900

TAPP-REID, DONNAMARIA DONNAMARIA TAPP-REID DDS 2202 Executive Drive Ste. E Hampton, VA 23666 (757) 838-8855

CAITLIN BATCHELOR DDS PC 1920 Medical Ave #J Harrisonburg, VA 22801 (540) 432-9992

DR JENS GENTLE DENTISTRY 1589 Port Republic Rd Ste 2 Harrisonburg, VA 22801 (540) 432-1600

HUTSON, H

GENERAL DENTIST HARDEE, SHEILA HARVEY DENTISTRY SML PC 12925 Booker T Washington Hwy Ste 202 Hardy, VA 24101 (540) 721-2448

HARVEY DENTISTRY SML PC 12925 Booker T Washington Hwy Ste 202 Hardy, VA 24101 (540) 721-2448

MORRIS, WILLIAM HARVEY DENTISTRY SML PC 12925 Booker T Washington Hwy Ste 202 Hardy, VA 24101 (540) 721-2448

HARRISONBURG ENDODONTIST

GAROFALIS, HARALAMBOS

BATCHELOR, CAITLIN

HARDY

HARVEY, GREGORY

PEDIATRIC DENTIST/PEDODONTIST

HUFFMAN, JENNIFER

KOKORELIS, MICHAEL

KENEE, DAVID VALLEY ENDODONTICS 1880 Country Club Rd Harrisonburg, VA 22802 (540) 433-3636

MCKEARNEY, ROBERT VALLEY ENDODONTICS 1880 Country Club Rd Harrisonburg, VA 22802 (540) 433-3636

BIERY, KATHRYN MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

BURSE TODD, JESSICA KEN COPELAND FAMILY DENTISTRY 590 Neff Ave Ste 100 Harrisonburg, VA 22801 (540) 437-4090

CALVANO, DENNIS CALVANO & LAGRUA PLC 3340 Emmaus Rd Harrisonburg, VA 22801 (540) 433-2613

CHALKER, JENNIFER

MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

JOSHUA, GINA SMALLWOOD & MCKOWN-SMALLWOOD DDS PC 4102 Quarles Ct Harrisonburg, VA 22801 (540) 433-2288

LAGRUA, DANIEL CALVANO & LAGRUA PLC 3340 Emmaus Rd Harrisonburg, VA 22801 (540) 433-2613

MCKOWN-SMALLWOOD, KELLY

JENNIFER W CHALKER DDS PLC 4104 Quarles Court Harrisonburg, VA 22801 (540) 434-4343

SMALLWOOD & MCKOWN-SMALLWOOD DDS PC 4102 Quarles Ct Harrisonburg, VA 22801 (540) 433-2288

COPELAND, KENNETH

NEESE, DANNY

KEN COPELAND FAMILY DENTISTRY 590 Neff Ave Ste 100 Harrisonburg, VA 22801 (540) 437-4090

EYE, KENNETH EXCEPTIONAL SMILES FAMILY DENTISTRY 563 University Blvd Ste 140 Harrisonburg, VA 22801 (540) 434-5500

GENERAL DENTIST AMIRSAYAFI, PAYAM

H MCNEILL HUTSON 129 University Blvd #C Harrisonburg, VA 22801 (540) 434-1125

FOWLER, J J TODD FOWLER DDS PC 2870 B South Main St Harrisonburg, VA 22801 (540) 434-2423

PARTICIPATING PROVIDERS

ALEXANDER M WAITKUS DDS MS PC 2101 Executive Dr, 5 E Hampton, VA 23666 (757) 826-8511

FISHER, STEVEN

DANNY B NEESE DDS 4102 Quarles Court Harrisonburg, VA 22801 (540) 433-2288

NEESE, DANNY SMALLWOOD & MCKOWN-SMALLWOOD DDS PC 4102 Quarles Ct Harrisonburg, VA 22801 (540) 433-2288

ROBERTS, CAMERON CALVANO & LAGRUA PLC 3340 Emmaus Rd Harrisonburg, VA 22801 (540) 433-2613

PERIODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

78

Delta Dental Premier

VIRGINIA (CONT'D) HARRISONBURG SCHAAP, ALEX MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

SMALLWOOD, ANTHONY

SOLIS, RICARDO SOLIS DENTAL PC 1587 Port Republic Rd Ste 2 Harrisonburg, VA 22801 (540) 437-8422

SONI, SHWETA MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

SPILLERS, RONALD HARRISONBURG COMMUNITY HEALTH CENTER 1380 Little Sorrell Dr Ste 100 Harrisonburg, VA 22801 (540) 236-3688

SAUNDERS, VICTOR

LOMBARD, JOSEPH

PHILIP J PANDOLFI DMD PLLC 2105 Evelyn Byrd Ave Harrisonburg, VA 22801 (540) 433-1751

SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 119-A University Blvd Harrisonburg, VA 22801 (540) 434-8575

JOSEPH A LOMBARD JR 2630 George Wash Hwy Hayes, VA 23072 (804) 642-2120

PAULETTE, STEPHEN MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

RAMSEY, BRENT WHITNEY & RAMSEY ORAL & FACIAL SURGERY PC 2071 Pro Pointe Ln Harrisonburg, VA 22801 (540) 437-1230

WHITNEY, JAMES WHITNEY & RAMSEY ORAL & FACIAL SURGERY PC 2071 Pro Pointe Ln Harrisonburg, VA 22801 (540) 437-1230

ORTHODONTIST TAMKIN, LEWIS TAMKIN LEWIS D Dukes Plaza Shop Center 2225 South Main Street Harrisonburg, VA 22801 (540) 434-9732

PERIODONTIST BLACK, BARBARA

WOLTERS, DWAYNE WOLTERS DWAYNE 2262 Blue Stone Hills Dr Harrisonburg, VA 22801 (540) 433-3080

ORAL SURGEON KLAMUT, KENNETH KENNETH M KLAMUT DDS 129 University Blvd. Harrisonburg, VA 22801 (540) 432-1300

MCLAUGHLIN, JOHN MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

MOUNTAIN VIEW DENTAL TEAM PLLC 4100 Quarles Court Harrisonburg, VA 22801 (540) 432-0609

DICKSON, JEFFREY SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 119-A University Blvd Harrisonburg, VA 22801 (540) 434-8575

SAUNDERS, STEVEN SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 119-A University Blvd Harrisonburg, VA 22801 (540) 434-8575

SPECIALTY NOT SPECIFIED WEILER, MICHAEL MICHAEL A WEILER DMD PC 119 Universtiy Blvd #D Harrisonburg, VA 22801 (540) 433-3790

HAYES

LOMBARD, JOSEPH J LOMBARD DDS & N VOGT DDS 2630 George Washington Hwy Hayes, VA 23072 (804) 642-2120

RAPHAEL, JEFF HAYES FAMILY DENTISTRY 3073 George Washington Hwy Hayes, VA 23072 (804) 642-2212

GENERAL DENTIST BONESTEEL, JOHN R & C DENTAL INC 4121 George Wash Mem Hwy Hayes, VA 23072 (804) 684-9905

CHUNG, JOHN JOHN CHUNG DDS PC 4732 George Washington Mem Hwy Ste A Hayes, VA 23072 (804) 693-9055

DREELIN, ROBERT HAYES FAMILY DENTISTRY 3073 George Washington Hwy Hayes, VA 23072 (804) 642-2212

FOSTER, PETER

RENDER, PHILIP PHILIP J RENDER 7198 Chapman Drive Hayes, VA 23072 (804) 684-9971

VOGT, NATHAN J LOMBARD DDS & N VOGT DDS 2630 George Washington Hwy Hayes, VA 23072 (804) 642-2120

VOGT, NATHAN NATHAN M VOGT 2630 George Washington Mem Hwy Hayes, VA 23072 (804) 642-2120

ORAL SURGEON DAVENPORT, WILLIAM

PETER M FOSTER DDS PLLC 2630 George Washington Mem Hwy Hayes, VA 23072 (804) 642-2120

TDT OMS 2656 George Washington Mem Hwy #105 Hayes, VA 23072 (804) 684-9325

GEORGE, ROBERT

PHELPS, MAYNARD

HAYES FAMILY DENTISTRY 3073 George Washington Hwy Hayes, VA 23072 (804) 642-2212

GORDON, DIANN HAYES FAMILY DENTISTRY 3073 George Washington Hwy Hayes, VA 23072 (804) 642-2212

JUNG, YUJIN JOHN CHUNG DDS PC 4732 George Washington Mem Hwy Ste A Hayes, VA 23072 (804) 693-9055

PARTICIPATING PROVIDERS

SMALLWOOD & MCKOWN-SMALLWOOD DDS PC 4102 Quarles Ct Harrisonburg, VA 22801 (540) 433-2288

PANDOLFI, PHILIP

TDT OMS 2656 George Washington Mem Hwy #105 Hayes, VA 23072 (804) 684-9325

TANKERSLEY, KENNETH TDT OMS 2656 George Washington Mem Hwy #105 Hayes, VA 23072 (804) 684-9325

ORTHODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

79

Delta Dental Premier

VIRGINIA (CONT'D) HAYES MORRIS, DAVID DAVID A MORRIS DDS PC 2674 B George Wash Mem Hwy Hayes, VA 23072 (804) 642-2112

PERIODONTIST HARVEY WOODRUFF III 2654 Route 17 Hayes, VA 23072 (804) 642-3558

HAYMARKET GENERAL DENTIST GRIFFITHS, JOLANTA STANLEY F KAYES DDS PC 6735 Hunting Path Rd Haymarket, VA 20169 (703) 754-2300

HAYMARKET FAMILY & COSMETIC DENTISTRY PC 15100 Washington St Ste 202 Haymarket, VA 20169 (703) 754-0727

REANGBER, SINA LIFETIME SMILES PLLC 5391 Merchants View Sq Haymarket, VA 20169 (571) 248-0700

VAKAY, RENA MOVAK PC DBA HAYMARKET DENTAL COMPLETE CARE 6735 Leaberry Way Haymarket, VA 20169 (703) 753-7077

YAQUI, LUIS SMILES ON HAYMARKET 4420 Costello Way Haymarket, VA 20169 (703) 753-8129

ORTHODONTIST

KARNS, JASON

BROSNAN, PAUL

LIFETIME SMILES PLLC 5391 Merchants View Sq Haymarket, VA 20169 (571) 248-0700

ADVANCED ORTHODONTICS 5321 Merchants View Sq Haymarket, VA 20169 (571) 248-0300

KAYES, STANLEY

GOOZH, STEVEN

STANLEY F KAYES DDS PC 6735 Hunting Path Rd Haymarket, VA 20169 (703) 754-2300

STEVEN W GOOZH DDS PC 4420 Costello Way Haymarket, VA 20169 (571) 248-8371

LOWE, TONTRA

PRYOR, DENNIS

AWESOME SMILES DENTAL CENTER 6468 Trading Square Haymarket, VA 20169 (571) 261-2600

ADVANCED ORTHODONTICS 5321 Merchants View Sq Haymarket, VA 20169 (571) 248-0300

HAYSI

GENERAL DENTIST BAICY, SARAH

FEIMSTER, TAWANA

SARAH A BAICY DMD PC 7113 Three Chopt Rd #200 Henrico, VA 23226 (804) 288-8200

MICHAEL G CATTAFESTA DDS PC 2579 John Milton Dr #350 Herndon, VA 20171 (703) 620-4050

BALL, SHARI MICHAEL O MCMUNN DDS & ASSOC PC 8804 Patterson Ave #100 Henrico, VA 23229 (804) 740-7212

LEE, H VIVIAN

EASTERLING, ROBERT

SHAMBAYATI, SARA

HENRICO COUNTY HEALTH DEPT 8600 Dixon Powers Dr Henrico, VA 23273 (804) 501-4658

MOJDEH VESALLI DDS 505 Huntmar Park Dr #150 Herndon, VA 20170 (703) 736-0900

FREEMAN, MARK MARK FREEMAN FAMILY DENTISTRY 3290 Church Road Henrico, VA 23233 (804) 270-3080

KHALAF, ATHRA PEARL SMILE PLLC 8600 Quioccasin Rd Ste 205 Henrico, VA 23229 (804) 740-0646

MCMUNN, MICHAEL MICHAEL O MCMUNN DDS & ASSOC PC 8804 Patterson Ave #100 Henrico, VA 23229 (804) 740-7212

ROSE, JENNIFER JENNIFER T ROSE DDS PC 7110-C Patterson Ave Henrico, VA 23229 (804) 285-8290

MILLER, GLEN MILLER DDS OF HAYMARKET PC 6735 Leaberry Way Haymarket, VA 20169 (703) 753-7077

MOON, JEFF MOVAK PC DBA HAYMARKET DENTAL COMPLETE CARE 6735 Leaberry Way Haymarket, VA 20169 (703) 753-7077

GENERAL DENTIST BAKER, SHERRY STONE MTN HEALTH SERVIC 162 Med Ctr Blvd Haysi, VA 24256 (276) 865-5121

LYNN, LARRY LARRY W LYNN Main St Haysi, VA 24256 (276) 865-5917

HENRICO

ENDODONTIST

WOOD, WILLIAM WILLIAM C WOOD JR DDS 4908 Monument Ave #201 Henrico, VA 23230 (804) 358-9743

ORTHODONTIST

VIVIAN LEE DDS 505 Huntmar Park D #150 Herndon, VA 20170 (703) 736-0900

GENERAL DENTIST AHMAD, IMANEY THE TOOTH DOC FAMILY DENTISTRY 2465 Centerville Rd Ste J-15 Herndon, VA 20171 (703) 793-0291

ALAYSSAMI, MAZIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

PARTICIPATING PROVIDERS

WOODRUFF, HARVEY

MORTVEDT, DAVID

AL-KARAGHOLI, MUSTAFA AL-KARAGHOLI DENTISTRY OF HERNDON 1094 Elden St Herndon, VA 20170 (703) 787-2273

ASSAR, SHAWDI DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 Herndon, VA 20170 (703) 471-8080

AYOUBI, IMAN ALLURE DENTAL LLC 171 Elden St #2C3 Herndon, VA 20170 (703) 956-6168

HORSEY, GUSTAV

BLACK, ANTHONY

HORSEY ORTHODONTICS LLC 4106 E Parham Rd Ste A Henrico, VA 23228 (804) 672-3030

SUNRISE VALLEY DENTAL ASSOCIATES PLLC 12950 Highland Crossing Dr #F Herndon, VA 20171 (703) 787-9670

HERNDON

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

80

Delta Dental Premier

VIRGINIA (CONT'D) HERNDON BOMAR, STEPHANIE DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

CATTAFESTA, MICHAEL

CHOHAN, EMA NEW HORIZONS DENTAL CENTER 1020 Elden St. Ste. #106 Herndon, VA 20170 (703) 955-4221

CHU, OLIVER DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

CUELLAR, GERSON COSMETIC FAMILY DENTAL 131 Elden St Ste 101 Herndon, VA 20170 (703) 481-1118

CUJAR, ANA MARIA AMC DENTAL SPA 104 Elden St Ste 10 Herndon, VA 20170 (703) 889-5420

DILOLLI, SONIA VIRGINIA DENTISTRY BY DESIGN 102 Elden St #15 Herndon, VA 20170 (703) 478-9574

DORJEE, JIGMEY HERNDON FAMILY DENTAL 112 Elden St #N Herndon, VA 20170 (703) 787-9000

DUBE, NEELAM HERNDON FAMILY DENTAL 112 Elden St #N Herndon, VA 20170 (703) 787-9000

HO, TRUNG

MEER, B ROBERT

NEW HORIZONS DENTAL CENTER 1020 Elden St. Ste. #106 Herndon, VA 20170 (703) 955-4221

TRUNG D HO DDS PC 462 Herndon Pkwy Ste 106 Herndon, VA 20170 (703) 941-5063

ELDEN FAMILY DENTAL 131 Elden St Ste 100 Herndon, VA 20170 (703) 657-0000

HOPKINS, JAMES

MUHAMMAD, SULTAN

DRS MCILVEEN & FREEDMAN PC 131 Elden Street #130 Herndon, VA 20170 (703) 689-3900

SKINNER OSSAKOW & ASSOC DDS PC 3065-A Centreville Rd Herndon, VA 20171 (703) 437-0333

NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

GANJI, NAZILA

HUDGINS, WINFRED

COSMETIC & FAMILY DENTISTRY 13515 Dulles Technology Dr Ste A Herndon, VA 20171 (703) 793-3030

WINFRED P HUDGINS DDS PC 150 Elden St Ste 255 Herndon, VA 20170 (703) 435-9163

GARRETT, WANDA

JASSAL, RAMAN

WANDA F GARRETT DDS LTD 1031 Sterling Road #103 Herndon, VA 20170 (703) 435-5051

HERNDON FAMILY DENTAL 112 Elden St #N Herndon, VA 20170 (703) 787-9000

GRANDE, MARCOS

JEFFERIES, MARK

MARCOS GRANDE DDS PLLC 108 Elden Street #10 Herndon, VA 20170 (703) 471-7164

DR MARK S JEFFERIES DMD PLC 500 Grove St #303 Herndon, VA 20170 (703) 793-1771

GRIMMER, BRYAN

KATZ, ABRAHAM

BRYAN L GRIMMER DDS 131 Elden St #101 Herndon, VA 20170 (703) 478-0315

ABRAHAM A KATZ DDS 102 Elden St Ste 15 Herndon, VA 20170 (703) 478-9574

GUIRGUIS, JOHN

KAUR, SANDEEP

NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

SUNRISE VALLEY DENTAL 12950 Highland Crossing Dr. Ste. F Herndon, VA 20171 (703) 787-9670

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

HAKIM, FARHAD

KWON, HYUKSOO

OSSAKOW, WILLIAM

M F HAKIMELAHI DDS INC 625 Elden St #201 Herndon, VA 20170 (703) 955-4222

HYUKSOO KWON DDS P C 346 Elden St Herndon, VA 20170 (703) 956-6995

SKINNER OSSAKOW & ASSOC DDS PC 3065-A Centreville Rd Herndon, VA 20171 (703) 437-0333

HASHAM, OMAR

LAM, TONY

NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 Herndon, VA 20170 (703) 471-8080

HEDAYATI, KOUROS

LE, HANG

ELHAM SAFARI DDS PC 555 Grove St Ste 108 Herndon, VA 20170 (703) 787-7778

DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

FREEDMAN, JOYCE

MURTHY, PRAMILA DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 Herndon, VA 20170 (703) 471-8080

NAEEM, NASEER HERNDON WALKING SMILES 201 Elden St #102 Herndon, VA 20170 (703) 437-6366

NGUYEN, CALVIN FRANKLIN DENTAL 13320-I Franklin Farm Rd Herndon, VA 20171 (703) 870-7675

NIKPOURFARD, MATT

PARTICIPATING PROVIDERS

MICHAEL G CATTAFESTA DDS PC 2579 John Milton Dr #350 Herndon, VA 20171 (703) 620-4050

ESTWANI, ISAM

DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 Herndon, VA 20170 (703) 471-8080

ORNOFF, MARK

PARK, JOHN NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

PARK, SUN SUN PARK DDS PC 102 Elden St #17 Herndon, VA 20170 (571) 485-9098

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

81

Delta Dental Premier

VIRGINIA (CONT'D) HERNDON QIU, KENNETH DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

REDDY, HIMA-BINDU

SAFARI, ELHAM ELHAM SAFARI DDS PC 555 Grove St Ste 108 Herndon, VA 20170 (703) 787-7778

SANATI, ARDALAN ACCLAIM DENTAL GROUP 209 Elden Street # 210 Herndon, VA 20170 (703) 709-0102

SINGH, SIMRANJIT NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

SKINNER, KEVIN SKINNER OSSAKOW & ASSOC DDS PC 3065-A Centreville Rd Herndon, VA 20171 (703) 437-0333

SOULES, LANA

DEVYLDER, JOSEPH

VAHAB, PHILIP

SMILES BY DESIGN PLLC 12950 Highland Crossing Dr Ste G Herndon, VA 20171 (703) 437-1800

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

DRS MCILVEEN & FREEDMAN PC 131 Elden Street #130 Herndon, VA 20170 (703) 689-3900

TAJALLI, FLORA ACCLAIM DENTAL GROUP 209 Elden Street # 210 Herndon, VA 20170 (703) 709-0102

TSAI, CHIH-PING NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

USMAN, MALIK HERNDON WALKING SMILES 201 Elden St #102 Herndon, VA 20170 (703) 437-6366

VAMARAJU, BINDU NEIBAUER DENTAL CARE PC 12973 Highland Crossing Dr #E Herndon, VA 20171 (703) 435-9178

VESSALI, MOJDEH MOJDEH VESALLI DDS 505 Huntmar Park Dr #150 Herndon, VA 20170 (703) 736-0900

WILSON, LOIS DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

ZAND, TARANEH

LANA SOULES DDS INC 112 Elden St #S Herndon, VA 20170 (703) 787-3585

HERNDON DENTAL ARTS 12973 Highland Crossing Dr Ste B Herndon, VA 20171 (703) 953-3307

STEWART, JENNIFER

ZAROOKIAN, ARMEN

DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

SUK, SUN COSMETIC & FAMILY DENTISTRY 13515 Dulles Technology Dr Ste A Herndon, VA 20171 (703) 793-3030

ARMEN ZAROOKIAN DMD FAMILY & COSMETIC DENTISTRY 459 Herndon Parkway #4 Herndon, VA 20170 (703) 870-7377

ZUBAIRI, SADIA DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

ORTHODONTIST

PEDIATRIC DENTIST/PEDODONTIST

APT, KOLMAN

COULTER, CHARLES

KOLMAN P APT PC 106 Elden Street #19 Herndon, VA 20170 (703) 437-8700

DENTISTRY FOR CHILDREN OF VA LLC 13015 Worldgate Dr Herndon, VA 20170 (703) 745-5128

BERMAN, SCOTT BERMAN & LEE ORTHODONTICS INC 13350 Franklin Farm Rd. Ste. #3`0 Herndon, VA 20171 (703) 241-9191

MCILVEEN, LEZLEY

BYRD, RICHARD

MONSALVE, CARLOS

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

CARLOS H MONSALVE DDS PC 13350 Franklin Farm Rd Ste 310 Herndon, VA 20171 (703) 481-1115

CETLIN, DENNIS DENNIS R CETLIN DMD 112 Elden St Ste O Herndon, VA 20170 (703) 689-4858

HUSSAINI, SYED BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

LEE, EDWIN BERMAN & LEE ORTHODONTICS INC 13350 Franklin Farm Rd. Ste. #3`0 Herndon, VA 20171 (703) 241-9191

NAGHDI, JINA NAGHDI JINA 131 Elden Street Ste 120 Herndon, VA 20170 (703) 471-8333

THARIANI, HANI PREMIER ORTHODONTICS 624 Monroe St Herndon, VA 20170 (703) 527-5654

DRS MCILVEEN & FREEDMAN PC 131 Elden Street #130 Herndon, VA 20170 (703) 689-3900

SEARS, ROBERT ROBERT S SEARS DDS 150 Elden St Ste 200 Herndon, VA 20170 (703) 707-2070

PARTICIPATING PROVIDERS

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

TAHIM, GEETIKA

WEISS, HILARY DENTISTRY FOR CHILDREN OF VA LLC 13015 Worldgate Dr Herndon, VA 20170 (703) 745-5128

PERIODONTIST CHADDAD, KARIM BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

DOPPALAPUDI, VIVEK VIVEK A DOPPALAPUDI DDS MS PC 102 Elden St #19 Herndon, VA 20170 (703) 464-0900

KOOSHKI, BIJAN DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 Herndon, VA 20170 (703) 471-8080

ORAL SURGEON Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

82

Delta Dental Premier

VIRGINIA (CONT'D) HERNDON PATRON, ALFONSO MOJDEH VESALLI DDS 505 Huntmar Park Dr #150 Herndon, VA 20170 (703) 736-0900

PROSTHODONTIST DENTAL CENTER OF HERNDON 1110 Elden St Ste E108 Herndon, VA 20170 (703) 318-7200

PARK, SI-WOON BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 13873 Park Center Rd Ste 137 Herndon, VA 20171 (703) 478-0115

HIGHLAND SPRINGS GENERAL DENTIST BAUM, PHILIP PHILIP J BAUM DDS 1001 West Nine Mile Road Highland Springs, VA 23075 (804) 737-7373

CARTER, ROY ROY T CARTER II 1001 West Nine Mile Rd Highland Springs, VA 23075 (804) 737-7482

HOWARD, PAULETTE PAULETTE C HOWARD DDS 607 East Nine Mile Rd Highland Springs, VA 23075 (804) 326-9310

KNAYSI, FRED FRED A KNAYSI 1001 W Nine Mile Road Highland Springs, VA 23075 (804) 737-1182

HILLSVILLE GENERAL DENTIST GOAD, MARLON MARLON A GOAD DDS PC 1202 N Main St Hillsville, VA 24343 (276) 728-5899

DOMBROSKI, JESSICA

VOLKOVA, IRINA

DAVID M HARVEY DDS INC 130 Court St Hillsville, VA 24343 (276) 728-9611

ELLIS FAMILY DENTISTRY 3416 Woodlawn St Hopewell, VA 23860 (804) 458-6733

SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

MARTIN, SONYA

ELLIS, DAVID

WEBB, JAMES

WEST STUART DENTAL ARTS CENTER PC 1192 W Stuart Dr Hillsville, VA 24343 (276) 728-2164

ELLIS FAMILY DENTISTRY 3416 Woodlawn St Hopewell, VA 23860 (804) 458-6733

JAMES P WEBB DDS 104 Main Street Plaza Hopewell, VA 23860 (804) 541-1896

ELLIS, JONATHAN NESTER, BRAD WEST STUART DENTAL ARTS CENTER PC 1192 W Stuart Dr Hillsville, VA 24343 (276) 728-2164

HONAKER GENERAL DENTIST BALL, MARK STEVE BALL DDS PC 5298 Redbud Hwy Honaker, VA 24260 (276) 873-4003

HOPEWELL GENERAL DENTIST AVRAM, ADRIAN SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

BLAIR, DEAN SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

COGHILL, THOMAS THOMAS M COGHILL DDS 2001 West Broadway Hopewell, VA 23860 (804) 541-8333

DELPH, BRADLEY SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

DIXON, BRYAN COMMONWEALTH DENTISTRY 210 N 4Th Ave Hopewell, VA 23860 (804) 458-3009

ELLIS FAMILY DENTISTRY 3416 Woodlawn St Hopewell, VA 23860 (804) 458-6733

ENGLISH, SAM SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

HENRY, WILLIAM WILLIAM C HENRY DDS PC 114 E City Point Rd Hopewell, VA 23860 (804) 458-6020

MALAN, DAVID COMMONWEALTH DENTISTRY 210 N 4Th Ave Hopewell, VA 23860 (804) 458-3009

NASIF, YASER SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

NGUYEN, VIET SAM E ENGLISH II DDS LTD 5303 Plaza Dr #103 Hopewell, VA 23860 (804) 458-5047

RHODES, DANIEL COMMONWEALTH DENTISTRY 210 N 4Th Ave Hopewell, VA 23860 (804) 458-3009

ORAL SURGEON BRINSER, PAUL SOUTHSIDE ORAL & FACIAL SURGERY 502 N 6Th Ave Hopewell, VA 23860 (804) 541-7837

ONEILL, ROBERT SOUTHSIDE ORAL & FACIAL SURGERY 502 N 6Th Ave Hopewell, VA 23860 (804) 541-7837

TROTTER, BRADLEY SOUTHSIDE ORAL & FACIAL SURGERY 502 N 6Th Ave Hopewell, VA 23860 (804) 541-7837

HOT SPRINGS GENERAL DENTIST DIAMOND, MARTIN ALLEGHANY HIGHLANDS DENTAL CARE PC 6084 Sam Snead Hwy Hot Springs, VA 24445 (540) 839-3500

HARMON, THOMAS ALLEGHANY HIGHLANDS DENTAL CARE PC 6084 Sam Snead Hwy Hot Springs, VA 24445 (540) 839-3500

HUDGINS PROSTHODONTIST

STAFFORD, MATTHEW COMMONWEALTH DENTISTRY 210 N 4Th Ave Hopewell, VA 23860 (804) 458-3009

PARTICIPATING PROVIDERS

CHRISOPOULOS, FOTINI

HARVEY, DAVID

BARNARD, W W CALVIN BARNARD DDS 44 Cricket Hill Rd Hudgins, VA 23076 (804) 505-1020

HURT

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

83

Delta Dental Premier

VIRGINIA (CONT'D) HURT GENERAL DENTIST

GEE, CARROLL

PANZETTA, JAMES

DONAHUE, JAMES

CARROLL M GEE JR 121 Flatrock Rd Kenbridge, VA 23944 (434) 676-3067

JAMES J PANZETTA 244 South Dr Kilmarnock, VA 22482 (804) 435-9890

JAMES WM DONAHUE & RAMONA PANDHER DDS 5212 Kings Wood Lane King George, VA 22485 (540) 663-2221

WALTON, GUY

KREUZER, LUIZA

GUY W WALTON JR DDS 221 Main St Staunton Plaza Hurt, VA 24563 (434) 324-8241

BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

INDEPENDENCE

MINICLIER, GORDON GORDON JOSEPH MINICLIER DDS PC 150 West Main St Independence, VA 24348 (276) 773-3521

IVOR GENERAL DENTIST WILLOUGHBY, JOHN IVOR DENTAL CENTER 8579 Ivor Rd Ivor, VA 23866 (757) 859-9070

KELLER GENERAL DENTIST WINGFIELD, WILLIAM WILLIAM R WINGFIELD DDS 18093 N R North Street Keller, VA 23401 (757) 787-7718

KENBRIDGE GENERAL DENTIST BELTRAMI, MARCO BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

BLACKHAM, CRAIG BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

DIXON, BRYAN BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

RHODES, DANIEL BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

ZIMA, ANDREW BELTRAMI ENTERPRISES INC Po Box C 202 E 5Th Ave Kenbridge, VA 23944 (434) 676-8023

KEYSVILLE GENERAL DENTIST

GENERAL DENTIST CHENG, GEORGE RICHARD COTTRELL DDS PC 11060 Smile Way King George, VA 22485 (540) 775-7671

HERNANDEZ, ARIADNE RICHARD COTTRELL DDS PC 11060 Smile Way King George, VA 22485 (540) 775-7671

JAMES DONAHUE DDS & SAMUEL CHO DDS 5212 Kings Wood Ln King George, VA 22485 (540) 663-2221

LA CROSSE GENERAL DENTIST HAMILTON, PAUL LACROSSE FAMILY DENTISTRY 103 College St La Crosse, VA 23950 (434) 757-7300

MARTIN, GABRIEL RICHARD COTTRELL DDS PC 11060 Smile Way King George, VA 22485 (540) 775-7671

MOORE, WENDY WENDY M MOORE DDS PC 9449 Grover Dr King George, VA 22485 (540) 775-5774

CAMPBELL, MICHAEL

PANDHER, RAMONA

MICHAEL A CAMPBELL DDS LTD 126 J Street Keysville, VA 23947 (434) 736-8748

JAMES WM DONAHUE & RAMONA PANDHER DDS 5212 Kings Wood Lane King George, VA 22485 (540) 663-2221

RUTHERFORD, BILLY BILLY M RUTHERFORD DDS 126 J Street Keysville, VA 23947 (434) 736-8748

DONAHUE, JAMES

SHIRK, WINFIELD

LAKE RIDGE ENDODONTIST WYNKOOP, TODD TODD E WYNKOOP DDS PC 12510-C Lake Ridge Dr Lake Ridge, VA 22192 (703) 494-8624

PARTICIPATING PROVIDERS

GENERAL DENTIST

MALAN, DAVID

KING GEORGE

GENERAL DENTIST DOST, ROBERT ROBERT C DOST DDS 1990 Old Bridge Rd #301 Lake Ridge, VA 22192 (703) 491-4040

LYAZIDI, AICHA

RICHARD COTTRELL DDS PC 11060 Smile Way King George, VA 22485 (540) 775-7671

OCCOQUAN FAMILY & COSMETIC DENTISTRY 1392 Old Bridge Rd Lake Ridge, VA 22192 (703) 490-9094

SPORY, PHILIP

MERCADO, ROMINA

KILMARNOCK GENERAL DENTIST LAZAR, DALE DENTAL CARE PC 283 North Main St Po Box 730 Kilmarnock, VA 22482 (804) 435-3008

NICKERSON, MICHAEL MICHAEL D NICKERSON DDS 240 S. Main St Kilmarnock, VA 22482 (804) 435-6916

KING GEORGE DENTAL 15521 Real Estate Ave Ste 200 King George, VA 22485 (540) 663-3139

OCCOQUAN FAMILY & COSMETIC DENTISTRY 1392 Old Bridge Rd Lake Ridge, VA 22192 (703) 490-9094

ORTHODONTIST SACHNO, ERIKA RICHARD COTTRELL DDS PC 11060 Smile Way King George, VA 22485 (540) 775-7671

MOSTOFI, MINA LAKE RIDGE DENTAL CLINIC 12724 Directors Loop Lake Ridge, VA 22192 (703) 494-9171

PERIODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

84

Delta Dental Premier

VIRGINIA (CONT'D) LAKE RIDGE THOMAS, MARVETTE THE DENTAL SPA OF MARV THOMAS DDS PLLC 12351 & 12516 Dillingham Sq Lake Ridge, VA 22192 (703) 580-8288

ORTHODONTIST LAKE RIDGE DENTAL CLINIC 12724 Directors Loop Lake Ridge, VA 22192 (703) 494-9171

NIKPOURFARD, REZA

HUBBARD, THOMAS

WAEL M ELOSTA PLLC 19415 Deerfield Ave Ste 309 Lansdowne, VA 20176 (703) 729-1818

REZA NIKPOURFARD DDS PC 19415 Deerfield Ave #309 Lansdowne, VA 20176 (703) 729-1818

THOMAS M HUBBARD DDS 200 Court St Lawrenceville, VA 23868 (434) 848-2323

EMAM, ATIYEH

RAFAAT, AMIRREZA

ATIYEH EMAM DDS LLC 44135 Woodridge Pkwy #280 Lansdowne, VA 20176 (703) 858-9200

AMIRREZA RAFAAT DDS PC 19450 Deerfield Ave #465 Lansdowne, VA 20176 (703) 724-4220

FRAMES, STEVEN TRACEY T NGUYEN DDS PC 19465 Deerfield Ave Ste 406 Lansdowne, VA 20176 (703) 723-7810

GWALTNEY, MICHAEL REDDY, SWATHI OCCOQUAN FAMILY & COSMETIC DENTISTRY 1392 Old Bridge Rd Lake Ridge, VA 22192 (703) 490-9094

PERIODONTIST ABRIL, EDISON OCCOQUAN FAMILY & COSMETIC DENTISTRY 1392 Old Bridge Rd Lake Ridge, VA 22192 (703) 490-9094

HUR, YONG LAKE RIDGE DENTAL CLINIC 12724 Directors Loop Lake Ridge, VA 22192 (703) 494-9171

PROSTHODONTIST

MICHAEL P GWALTNEY DDS 44055 Riverside Parkway #212 Lansdowne, VA 20176 (703) 729-7447

HOWARD, KARRIE TRACEY T NGUYEN DDS PC 19465 Deerfield Ave Ste 406 Lansdowne, VA 20176 (703) 723-7810

KAMBOH, KARAN LANSDOWNE DENTAL ASSOC PC 19415 Deerfield Ave #207 Lansdowne, VA 20176 (571) 223-2434

KAMBOH, KARAN LANSDOWNE DENTAL ASSOCIATES 19415 Deerfield Ave #207 Lansdowne, VA 20176 (571) 223-2434

ALVAREZ, JUAN OCCOQUAN FAMILY & COSMETIC DENTISTRY 1392 Old Bridge Rd Lake Ridge, VA 22192 (703) 490-9094

LANSDOWNE GENERAL DENTIST ELLINGTON, PAUL PAUL D ELLINGTON DDS PLC 44115 Woodridge Pkwy Ste 280 Ste 280 Lansdowne, VA 20176 (703) 858-2380

KANDARE, WESLEY TRACEY T NGUYEN DDS PC 19465 Deerfield Ave Ste 406 Lansdowne, VA 20176 (703) 723-7810

KASSEM, SAMEH SAMEH M KASSEM DDS PC 44055 Riverside Pky #212 Lansdowne, VA 20176 (703) 729-7447

KHATTAB, SAMER PAUL D ELLINGTON DDS PLC 44115 Woodridge Pkwy Ste 280 Ste 280 Lansdowne, VA 20176 (703) 858-2380

PEDIATRIC DENTIST/PEDODONTIST GAZORI, MICHAEL LITTLE PEARLS DENTISTRY FOR CHILDREN PC 19465 Deerfield Ave Ste 302 Lansdowne, VA 20176 (703) 726-3030

KAFLE, SUMANA LITTLE PEARLS DENTISTRY FOR CHILDREN PC 19465 Deerfield Ave Ste 302 Lansdowne, VA 20176 (703) 726-3030

STAVER, TATIANA LITTLE PEARLS DENTISTRY FOR CHILDREN PC 19465 Deerfield Ave Ste 302 Lansdowne, VA 20176 (703) 726-3030

PERIODONTIST IWAMOTO, CLAUDIO LANSDOWNE PERIODONTICS & IMPANT DENTISTRY 19490 Sandridge Way #270 Lansdowne, VA 20176 (703) 858-3838

LAWRENCEVILLE GENERAL DENTIST EVANS, MARK MARK T EVANS DDS 1676 Lawrenceville Plank Rd Lawrenceville, VA 23868 (434) 848-3411

LEBANON GENERAL DENTIST CLARK, RISA BALL & FERGUSON DDS PC 138 Highland Dr Lebanon, VA 24266 (276) 889-5141

FERGUSON, JULIE BALL & FERGUSON DDS PC 138 Highland Dr Lebanon, VA 24266 (276) 889-5141

FERGUSON, JUSTIN BALL & FERGUSON DDS PC 138 Highland Dr Lebanon, VA 24266 (276) 889-5141

LEESBURG ENDODONTIST

PARTICIPATING PROVIDERS

KERMANSHI, SHIVA

ELOSTA, WAEL

CANBY, FREDERICK FREDERICK L CANBY DDS MS PC 2 Cardinal Park Dr #106-A Leesburg, VA 20175 (703) 779-7900

MILLS, CORDELIA LANSDOWNE DENTAL ARTS 19440 Golf Vista Pl #250 Leesburg, VA 20176 (703) 858-5990

GENERAL DENTIST ABTAHI, NARJES FAMILY & COSMETIC DENTISTRY OF LANSDOWNE 19420 Golf Vista Plz Ste 210 Leesburg, VA 20176 (703) 724-0015

ADAMS, DANNY HORNE, SUZANNE HORNE SUZANNE J 200 Court Street Lawrenceville, VA 23868 (434) 848-2323

DANNY L ADAMS 202 S King Street Leesburg, VA 20175 (703) 777-1162

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

85

Delta Dental Premier

VIRGINIA (CONT'D) LEESBURG ALI, TALIB AVATAR DENTAL CARE PLLC 545G E Market St Leesburg, VA 20176 (703) 669-8600

AMAN, MOHAMMAD

ARRIA, ADAM GENTLE FAMILY DENTISTRY OF LEESBURG 19 Catoctin Cir Ne Leesburg, VA 20176 (703) 737-0070

HASHAM, OMAR

JUN HYUK CHUNG DMD PC 19440 Golf Vista Plaza Ste 25 Leesburg, VA 20176 (703) 858-5990

NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

COCHRAN, BRIAN

HONG, JONG

COCHRAN FAMILY DENTAL PC 1503 Dodona Terrace Ste. 210 Leesburg, VA 20175 (703) 771-9034

NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

COLLAZO, WALTER

KIM, SUHAD

HERBERT DENTAL GROUP A PARTNERHSHIP 2 Cardinal Park Dr Se #201A Leesburg, VA 20175 (703) 777-8777

LOUDOUN COMMUNITY HEALTH CTR 163 Fort Evans Ne Leesburg, VA 20176 (571) 434-0022

COWELL, CHRISTINA

KOKEL, DEIDRA

DRS VARNEY & LEIPZIG PLC 540 Ft Evans Rd Ste 100 Leesburg, VA 20176 (703) 779-7779

DEIDRA BIRD KOKEL DDS PC 17-C Fort Evans Rd Ne Leesburg, VA 20176 (703) 777-5025

DANESHVAR, AREZOU

LEE, LEONARDO

LOUDOUN COMMUNITY HEALTH CTR 163 Fort Evans Ne Leesburg, VA 20176 (571) 434-0022

A WINK AND A SMILE PLLC 19369 Promenade Dr Ste K102 Leesburg, VA 20176 (571) 333-1250

ASHTON, GARY CARDINAL PARK FAMILY DENTAL CARE 2 Cardinal Park Dr Ste 204A Leesburg, VA 20175 (703) 779-2296

BACHOUR, MAYA ADVANCED DENTAL CARE 1602 Village Market Blvd #130 Leesburg, VA 20175 (571) 455-0466

LEIPZIG, ROBERT DOE, MICHAEL ADDAX DENTAL 546 East Market St Leesburg, VA 20176 (703) 777-5939

BIRKITT, CARY CARY T BIRKITT DDS LTD 18 Loudoun St Se Leesburg, VA 20175 (703) 777-4440

BLACK, ANTHONY LOUDOUN FAMILY & COSMETIC DENTISTRY 44125 Woodridge Pkwy #160 Leesburg, VA 20176 (703) 858-9067

LOZA, JOSE FULLER, ROBERT DRS FULLER & SPENCER-FULLER PC 706 South King Street #5 Leesburg, VA 20175 (703) 771-8500

GARCIA, MAURICIO LEESBURG FAMILY DENTISTRY 21 Fort Evans Rd Ne #E Leesburg, VA 20176 (703) 777-7307

BROWN, AMANDA HERBERT DENTAL GROUP A PARTNERHSHIP 2 Cardinal Park Dr Se #201A Leesburg, VA 20175 (703) 777-8777

BURO, RONALD FAMILY FIRST DENTAL CENTER 230 Fort Evans Rd Ne Leesburg, VA 20176 (703) 777-1515

DRS VARNEY & LEIPZIG PLC 540 Ft Evans Rd Ste 100 Leesburg, VA 20176 (703) 779-7779

GROY, DAVID DAVID S GROY 18 Wirt St Sw Leesburg, VA 20175 (703) 777-5600

GWALTNEY, MICHAEL KENNETH ROTHSCHILD DDS 823 S King St Ste E Leesburg, VA 20175 (703) 777-3150

LEESBURG DENTAL 602 South King St Ste 302 Leesburg, VA 20175 (703) 777-2442

LOZA, LUIS LEESBURG DENTAL 602 South King St Ste 302 Leesburg, VA 20175 (703) 777-2442

MANRIQUE, HUGO CARDINAL PARK FAMILY DENTAL CARE 2 Cardinal Park Dr Ste 204A Leesburg, VA 20175 (703) 779-2296

MANRIQUE, HUGO LEESBURG DENTAL 602 South King St Ste 302 Leesburg, VA 20175 (703) 777-2442

MAYO, GREGORY MAYO FAMILY DENTISTRY 22 Davis Ave Sw Leesburg, VA 20175 (703) 777-3510

MAYO, RYAN MAYO FAMILY DENTISTRY 22 Davis Ave Sw Leesburg, VA 20175 (703) 777-3510

MAYO, STEPHEN MAYO FAMILY DENTISTRY 22 Davis Ave Sw Leesburg, VA 20175 (703) 777-3510

MERONEY, DAVID DAVID S MERONEY DDS 21 Loudoun Street Leesburg, VA 20175 (703) 777-4443

MIKHAIL, RAYMOND ADVANCED DENTAL CARE 1602 Village Market Blvd #130 Leesburg, VA 20175 (571) 455-0466

MISTRY, KEVIN

PARTICIPATING PROVIDERS

LEESBURG PREMIER DENTAL PLLC 161 Fort Evans Rd Ne #300 Leesburg, VA 20176 (571) 332-7170

CHUNG, JUN

SAXENA DENTAL INC 552 Fort Evans Dr Ste 100 Leesburg, VA 20176 (703) 771-9494

MOON, SUE CORNERSTONE DENTAL 2 Cardinal Park Dr #206-A Leesburg, VA 20175 (703) 771-3389

NAGY, WHITNEY LOUDOUN COMMUNITY HEALTH CTR 163 Fort Evans Ne Leesburg, VA 20176 (571) 434-0022

NELSON, GARY GARY S NELSON DMD 21-E Fort Evans Rd Ne Leesburg, VA 20176 (703) 777-7307

NWANESHIUDU, CHIOMA NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

86

Delta Dental Premier

VIRGINIA (CONT'D) LEESBURG RANJBAR, SHAHLA SHAHLA RANJBAR 1507 Dodona Terrace Se #110 Leesburg, VA 20175 (703) 669-8688

RASHID, SUMERA

ROSINSKI, ASHLEY DRS FULLER & SPENCER-FULLER PC 706 South King Street #5 Leesburg, VA 20175 (703) 771-8500

ROTHSCHILD, KENNETH KENNETH ROTHSCHILD DDS 823 S King St Ste E Leesburg, VA 20175 (703) 777-3150

SALAS, CHRISTOPHER DRS VARNEY & LEIPZIG PLC 540 Ft Evans Rd Ste 100 Leesburg, VA 20176 (703) 779-7779

SANDHU, MANINDERJIT NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

SHAH, BIJAL DRS VARNEY & LEIPZIG PLC 540 Ft Evans Rd Ste 100 Leesburg, VA 20176 (703) 779-7779

SIDHU, RUPINDER SAXENA DENTAL INC 552 Fort Evans Dr Ste 100 Leesburg, VA 20176 (703) 771-9494

SOOD, VANDANA VANDANA SOOD DMD LLC 19420 Golf Vista Plz Ste 360 Leesburg, VA 20176 (703) 723-9332

CHANG, BRIAN

VIGLIANTE, CRAIG

DRS FULLER & SPENCER-FULLER PC 706 South King Street #5 Leesburg, VA 20175 (703) 771-8500

VILLAGE ORAL & IMPLANT SURGERY 1503 Dodona Terrace Se #105 Leesburg, VA 20175 (855) 373-7688

POTOMAC SURGICAL ARTS PC 19440 Golf Vista Plz Ste 130 Leesburg, VA 20176 (703) 723-5366

SUBRAMANIAN, DEEPA

DORSCH, STEVE

NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

LOUDOUN ORAL & MAXILLOFACIAL SURGERY 821 S King St Ste F Leesburg, VA 20175 (703) 771-1771

HUKMANI, NAVIN

MAHARAJ, BARRY

LEE, RICHARD

SWIGER, RALPH RALPH B SWIGER II DDS 211 Gibson St Nw Ste 110 Leesburg, VA 20176 (703) 777-6100

LOUDOUN ORTHODONTICS 19465 Deerfield Ave Ste 304 Leesburg, VA 20176 (703) 858-0303

MOOSE, DAVID

MORGAN, KELLY

INSTITUTE OF FACIAL & ORAL SURGERY PLLC 44115 Woodbridge Pkwy #200 Leesburg, VA 20176 (703) 729-0077

WELSTEAD, LLEWELLYN DRS FULLER & SPENCER-FULLER PC 706 South King Street #5 Leesburg, VA 20175 (703) 771-8500

PATEL, SUKETU INSTITUTE OF FACIAL & ORAL SURGERY PLLC 44115 Woodbridge Pkwy #200 Leesburg, VA 20176 (703) 729-0077

PELKOFSKI, JOSEPH JOSEPH J PELKOFSKI DMD 16 Royal St Se Leesburg, VA 20175 (703) 777-5200

WERNER, ALYSSA NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 Leesburg, VA 20175 (571) 209-9197

PHAM, ANH LANSDOWNE ORAL SURGERY 19441 Golf Vista Plaza #130 Leesburg, VA 20176 (703) 723-7858

ORAL SURGEON BLUHM, ANDREW LOUDOUN ORAL & MAXILLOFACIAL SURGERY 821 S King St Ste F Leesburg, VA 20175 (703) 771-1771

S RUSSELL MULLEN DDS PC 1509 Dodona Terrace #201 Leesburg, VA 20175 (703) 771-9887

NIEPRASCHK, MARKUS LEGACY ORTHODONTICS PLC 540 Fort Evans Rd Ne #102 Leesburg, VA 20176 (703) 777-8277

STRANGE, ROBERT ROBERT S STRANGE DMD MDS PLC 17E Fort Evans Rd Leesburg, VA 20176 (703) 777-9200

SUPAN, PAUL

YI, JOHN CORNERSTONE DENTAL 2 Cardinal Park Dr #206-A Leesburg, VA 20175 (703) 771-3389

KELLY E MORGAN DMD MS PC 19420 Golf Vista Plaza Ste 120 Leesburg, VA 20176 (703) 723-5900

MULLEN, STEVEN

VARNEY, SANDRA DRS VARNEY & LEIPZIG PLC 540 Ft Evans Rd Ste 100 Leesburg, VA 20176 (703) 779-7779

LANSDOWNE ORTHODONTICS 19415 Deerfield Ave Ste #306 Leesburg, VA 20176 (703) 858-3600

LANSDOWNE ORAL SURGERY 19441 Golf Vista Plaza #130 Leesburg, VA 20176 (703) 723-7858

ULLRICH, JOHN LOUDOUN FAMILY & COSMETIC DENTISTRY 44125 Woodridge Pkwy #160 Leesburg, VA 20176 (703) 858-9067

ORTHODONTIST

PARTICIPATING PROVIDERS

LOUDOUN COMMUNITY HEALTH CTR 163 Fort Evans Ne Leesburg, VA 20176 (571) 434-0022

SPENCER-FULLER, JOY

STRICKLAND, FRANK VILLAGE ORAL & IMPLANT SURGERY 1503 Dodona Terrace Se #105 Leesburg, VA 20175 (855) 373-7688

VANDERVORT, GENE LOUDOUN ORAL & MAXILLOFACIAL SURGERY 821 S King St Ste F Leesburg, VA 20175 (703) 771-1771

PAUL F SUPAN 823 S King St Ste A Leesburg, VA 20175 (703) 771-1220

PEDIATRIC DENTIST/PEDODONTIST DELACRUZ, CAROLA TREASURED SMILES PEDIATRIC DENTISTRY 1509 Dodona Terrace Ste 105 A Leesburg, VA 20175 (571) 293-0244

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

87

Delta Dental Premier

VIRGINIA (CONT'D) LEESBURG LAN, STEVE LOUDOUN PEDIATRIC DENTISTRY 540 Fort Evans Rd Ne Ste 110 Leesburg, VA 20176 (703) 771-0007

WOOD, PATRICIA

PERIODONTIST KOH, RICHARD SHAHLA RANJBAR 1507 Dodona Terrace Se #110 Leesburg, VA 20175 (703) 669-8688

PFOHL, DAVID DAVID C PFOHL DMD 821 S King St Leesburg, VA 20175 (703) 430-0938

PROSTHODONTIST LOZA, JUAN LEESBURG DENTAL 602 South King St Ste 302 Leesburg, VA 20175 (703) 777-2442

LEXINGTON GENERAL DENTIST CASSILLY, ERIN ROCKBRIDGE AREA HEALTH CTR 25 Northridge Lane Lexington, VA 24450 (540) 464-8700

GOODWIN, WILLIAM BLUE RIDGE ORAL SURGERY INC 112 B Houston St Lexington, VA 24450 (540) 886-2956

HULL, ROBERT ROBERT C HULL DDS PC 650 N Lee Hwy Ste 1 Lexington, VA 24450 (540) 463-3826

NGUYEN, TU-QUYNH

KALRA, RAJIV

SHENANDOAH DENTAL STUDIO 30 Crossing Lane #110 Lexington, VA 24450 (540) 464-9953

LORTON STATION DENTAL CARE 8998 Lorton Station Blvd Ste E Lorton, VA 22079 (703) 339-3898

REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

SHERMAN, HEIDI

SALLEN, BRUCE

LIN, SANDY

HEIDI A SHERMAN DDS 106 Mclaughlin St Lexington, VA 24450 (540) 464-3700

WALSH DENTAL CARE 9010 Lorton Station Blvd Ste 150 Lorton, VA 22079 (703) 339-5690

LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 (703) 372-5665

VAUGHAN, GARY

YELAMANCHI, CHETAN

MESSIH, HAIDY

GARY M VAUGHAN DDS 55 Comfort Way Ste 3 Lexington, VA 24450 (540) 463-6579

GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

ORAL SURGEON

GENERAL DENTIST

BRANDT, MATTHEW

BASA, EMOKE

BLUE RIDGE ORAL SURGERY INC 112 B Houston St Lexington, VA 24450 (540) 886-2956

LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 (703) 372-5665

BRENDMOEN, SARA BURGOYNE, COREY BLUE RIDGE ORAL SURGERY INC 112 B Houston St Lexington, VA 24450 (540) 886-2956

ORTHODONTIST HAMMOND, ALBIN DR A B HAMMOND PC 208 E Washington St Lexington, VA 24450 (540) 463-7744

LOCUST GROVE

ROSENMAN-BRENDMOEN PLLC 8988 Lortin Station Blvd Ste 101 Lorton, VA 22079 (703) 541-3110

TED SHERWIN DDS PC 4444 Germanna Hwy Ste 301 Locust Grove, VA 22508 (540) 972-4000

LORTON ENDODONTIST MILLS, CORDELIA GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

COMPREHENSIVE DENTAL CARE OF LORTON STATION 9010 Lorton Station Blvd #230 Lorton, VA 22079 (703) 337-4272

NGUYEN, DAO LORTON STATION DENTAL CARE 8998 Lorton Station Blvd Ste E Lorton, VA 22079 (703) 339-3898

BRENDMOEN, SARA

OHRI, PUJA

SPRINGFIELD LORTON DENTAL GROUP 8988 Lorton Station Blvd #101 Lorton, VA 22079 (703) 541-3110

GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

PARK, CHARLES DO, CHI LORTON VALLEY DENTAL PLLC 8971 Ox Rd #230B Lorton, VA 22079 (703) 493-8190

REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

REEVES, EDWARD

GENERAL DENTIST SHERWIN, TED

MOFFITT, ROBERT

PARTICIPATING PROVIDERS

LOUDOUN PEDIATRIC DENTISTRY 540 Fort Evans Rd Ne Ste 110 Leesburg, VA 20176 (703) 771-0007

PAREDES, OMAR

HIJAZ, IYAD REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

AESTHETIC DENTISTRY OF LORTON PLC 7764 Armistead Rd #100 Lorton, VA 22079 (703) 339-5090

HO, HOANG

REEVES, RYAN

GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

AESTHETIC DENTISTRY OF LORTON PLC 7764 Armistead Rd #100 Lorton, VA 22079 (703) 339-5090

JASANI, KRINA REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

88

Delta Dental Premier

VIRGINIA (CONT'D) LORTON ROSENMAN, LAWRENCE SPRINGFIELD LORTON DENTAL GROUP 8988 Lorton Station Blvd #101 Lorton, VA 22079 (703) 541-3110

THLICK, SU-EN

TSAI, CHIH-PING REFLECTION DENTAL LORTON 9439 Lorton Market St Lorton, VA 22079 (703) 372-2728

TUPMAN, S SPRINGFIELD LORTON DENTAL GROUP 8988 Lorton Station Blvd #101 Lorton, VA 22079 (703) 541-3110

WALSH, EUGENIA WALSH DENTAL CARE 9010 Lorton Station Blvd Ste 150 Lorton, VA 22079 (703) 339-5690

WILLIS, JAMES SPRINGFIELD LORTON DENTAL GROUP 8988 Lorton Station Blvd #101 Lorton, VA 22079 (703) 541-3110

ORAL SURGEON PATEL, SNEHAL SNEHAL PATEL DDS MD 9010 Lorton Station Blvd Ste 140 Lorton, VA 22079 (703) 436-4633

ORTHODONTIST AHN, SOOYEON GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

WANG, WILLIAM

GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 (703) 372-5665

POLACK, AMANDA WALSH DENTAL CARE 9010 Lorton Station Blvd Ste 150 Lorton, VA 22079 (703) 339-5690

REDDY, SWATHI ALL SMILES ORTHODONTICS 9010 Lorton Station Blvd #260 Lorton, VA 22079 (703) 337-4414

PEDIATRIC DENTIST/PEDODONTIST BIGGS, KRISTINA DESTINATION SMILE 9010 Lorton Station Blvd #120 Lorton, VA 22079 (703) 339-3993

TINGLING, FLAVIA DESTINATION SMILE 9010 Lorton Station Blvd #120 Lorton, VA 22079 (703) 339-3993

PERIODONTIST HAN, SOK WOONG GENTLE DENTAL CARE 8170-D Silverbrook Rd Lorton, VA 22079 (703) 495-9992

LIN, THOMAS LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 (703) 372-5665

MARVIL, LISA ROSENMAN-BRENDMOEN PLLC 8988 Lortin Station Blvd Ste 101 Lorton, VA 22079 (703) 541-3110

MARVIL, LISA SPRINGFIELD LORTON DENTAL GROUP 8988 Lorton Station Blvd #101 Lorton, VA 22079 (703) 541-3110

LOUISA GENERAL DENTIST ANDRE, JOHN JOHN J ANDRE DDS PC 208 Elm St #B Louisa, VA 23093 (540) 967-0777

DUNHAM, ELIZABETH LOUISA COMPREHENSIVE DENTAL PLLC 411 E Main St Louisa, VA 23093 (540) 967-5800

MIRMONSEF, PARASTU HEALTH & WELLNESS CTR OF LOUISA 115 Jefferson Hwy Suite 9 Louisa, VA 23093 (540) 967-9401

PARRIS-WILKINS, TONYA HEALTH & WELLNESS CTR OF LOUISA 115 Jefferson Hwy Suite 9 Louisa, VA 23093 (540) 967-9401

LOVETTSVILLE GENERAL DENTIST JOHNSTON, CARROLL LOVETTSVILLE DENTAL ARTS 2 N Light St Lovettsville, VA 20180 (540) 822-4224

LURAY GENERAL DENTIST ASHMAWY, TAREK TAREK ASHMAWY 156 E Main St Luray, VA 22835 (540) 743-4810

HEARD, HARRY HARRY H HEARD III DDS PC 33 N Bank St Luray, VA 22835 (540) 743-3434

RUFFNER, SCOTT SCOTT A RUFFNER DDS PC 114 Allison Drive Luray, VA 22835 (540) 743-1510

PARTICIPATING PROVIDERS

LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 (703) 372-5665

LEE, DAN

SPRAGUE, PATRICK SPRAGUE PATRICK E 4 Canaan Street Luray, VA 22835 (540) 743-5132

PEARLMAN, DARRYL DARRYL PEARLMAN 35 Industrial Dr Louisa, VA 23093 (540) 967-5554

STAPLES, KRISTINA HEALTH & WELLNESS CTR OF LOUISA 115 Jefferson Hwy Suite 9 Louisa, VA 23093 (540) 967-9401

WAKEFIELD, KERI HEALTH & WELLNESS CTR OF LOUISA 115 Jefferson Hwy Suite 9 Louisa, VA 23093 (540) 967-9401

WILLIAMS, M KURT LOUISA COMPREHENSIVE DENTAL PLLC 411 E Main St Louisa, VA 23093 (540) 967-5800

LYNCHBURG ENDODONTIST BLACK, SAMUEL GENTLE ENDODONTICS OF LYNCHBURG 3700 Old Forest Road Lynchburg, VA 24501 (434) 333-0382

BLACK, SAMUEL JAMES L STANLEY DDS PC 3712 Old Forest Rd #100 Lynchburg, VA 24501 (434) 385-0273

REYNOLDS, DUSTIN FOREST HILL ENDODONTICS 2904 Old Forest Rd Lynchburg, VA 24501 (434) 439-4942

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

89

Delta Dental Premier

VIRGINIA (CONT'D) LYNCHBURG STANLEY, JAMES JAMES L STANLEY DDS PC 3712 Old Forest Rd #100 Lynchburg, VA 24501 (434) 385-0273

WALKER, MICHAEL

WALKER, THOMAS HILL CITY ENDODONTICS 101 Richeson Dr Lynchburg, VA 24501 (434) 385-1117

WOZNIAK, DAVID JAMES L STANLEY DDS PC 3712 Old Forest Rd #100 Lynchburg, VA 24501 (434) 385-0273

GENERAL DENTIST ANDERSON-KIMBLE, JANIE GLENN A KIMBLE DDS PLLC 2323 Memorial Ave #22 Lynchburg, VA 24501 (434) 847-5847

AUSTIN, KEITH DR KEITH AUSTIN & DR JONAS SPIEGEL 3718 Old Forest Road Lynchburg, VA 24501 (434) 385-6000

MILLER, CULVER

GRABEEL DANIEL E 1949 Thomson Drive Lynchburg, VA 24501 (434) 846-5951

CULVER W MILLER DMD 22525 Timberlake Dr Lynchburg, VA 24502 (434) 239-6485

BUNN, ROBERT

HATCH, STEVEN

O'DONNELL, DAVID

PARKER DENTAL PC 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

DAVID W ODONNELL DDS PC 3700 Old Forest Rd Lynchburg, VA 24501 (434) 385-9454

BURTON, JAMES

HOWARD, JOHN

OLDHAM, BOBBI

CENTRAL VIRGINIA FAMILY DENTISTRY 20936 Timberlake Rd Lynchburg, VA 24502 (434) 237-0004

CENTRAL VIRGINIA FAMILY DENTISTRY 20936 Timberlake Rd Lynchburg, VA 24502 (434) 237-0004

D MICHAEL PARKER DDS 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

CHALK, JENNA

KENNY, KAREN

FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

LYNCHBURG DENTAL CENTER PC 3719 Old Forest Rd Lynchburg, VA 24501 (434) 384-7611

CRAWFORD, CARRINGTON

KIMBLE, GLENN

LYNCHBURG DENTAL CENTER PC 3719 Old Forest Rd Lynchburg, VA 24501 (434) 384-7611

GLENN A KIMBLE DDS PLLC 2323 Memorial Ave #22 Lynchburg, VA 24501 (434) 847-5847

CRAWFORD, CARRINGTON

LENTZ, BRAD

D MICHAEL PARKER DDS 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

CRIST, JASON BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

BARRICK, JOHN JOHN A BARRICK DDS LTD 1934 Thomson Dr Lynchburg, VA 24501 (434) 846-1614

BINDER, JOSHUA FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

BOUCHER, SHELLI RILEY DENTAL ASSOC OF CENTRAL VIRGINIA INC 3709 Old Forest Rd Lynchburg, VA 24501 (434) 385-7707

DAVIS, MICHAEL CENTRAL VIRGINIA FAMILY DENTISTRY 20936 Timberlake Rd Lynchburg, VA 24502 (434) 237-0004

DRAPER, THOMAS LYNCHBURG FAMILY DENTISTRY PC 22437 Timberlake Rd Lynchburg, VA 24502 (434) 832-7008

LYNCHBURG DENTAL CENTER PC 3719 Old Forest Rd Lynchburg, VA 24501 (434) 384-7611

LYSENKO, JENNIFER FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

MCAVOY, BRIAN

OLDHAM, BOBBI PARKER DENTAL PC 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

OLDHAM, RICHARD PARKER DENTAL PC 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

OVERBY, TIMOTHY DR TIMOTHY OVERBY DMD INC 20841 Timberlake Rd Lynchburg, VA 24502 (434) 239-8907

PARTICIPATING PROVIDERS

JAMES L STANLEY DDS PC 3712 Old Forest Rd #100 Lynchburg, VA 24501 (434) 385-0273

GRABEEL, DANIEL

BUNN, ROBERT

PARKER, MICHAEL D MICHAEL PARKER DDS 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

PARKER, MICHAEL PARKER DENTAL PC 3615 Old Forest Rd Lynchburg, VA 24501 (434) 385-7718

FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

PEERY, JAMES

MIDKIFF, KEVIN

PETTICOLAS, AUGUSTUS

KEVIN S MIDKIFF DDS 20331 B Timberlake Road Lynchburg, VA 24502 (434) 239-8133

PETTICOLAS AUGUSTUS 1342 Park Avenue Lynchburg, VA 24501 (434) 528-3375

JAMES M PEERY JR DDS PC 2229 Murrell Rd Lynchburg, VA 24501 (434) 847-5331

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

90

Delta Dental Premier

VIRGINIA (CONT'D) LYNCHBURG PHILLIPS, W W LEE PHILLIPS DDS PC 4700 Fort Ave Lynchburg, VA 24502 (434) 239-7411

PIKULA, AGATA

READ, ALLEN READ ALLEN T 2811 Linkhorne Drive Lynchburg, VA 24503 (434) 384-3100

RILEY, JEFFREY RILEY DENTAL ASSOC OF CENTRAL VIRGINIA INC 3709 Old Forest Rd Lynchburg, VA 24501 (434) 385-7707

RILEY, MICHAEL RILEY DENTAL ASSOC OF CENTRAL VIRGINIA INC 3709 Old Forest Rd Lynchburg, VA 24501 (434) 385-7707

CHALK, EVAN

CLAIBORNE, JENNIFER

ELLIOTT SHEARER DDS 1900 Tate Springs Rd #4 Lynchburg, VA 24501 (434) 528-3131

CENTRAL VIRGINIA ORAL & FACIAL SURGERY 101 Archway Ct Lynchburg, VA 24502 (434) 832-8040

CENTRAL VIRGINIA ORTHODONTICS PC 7802 Timberlake Rd Lynchburg, VA 24502 (434) 385-4746

GURAYA, RAJDEEP

PYLE, KEITH

DR RAJ GURAYA DDS LTD 1922 Thomson Dr Lynchburg, VA 24501 (434) 845-1121

CHILDRENS DENTISTRY & ORTHODONTICS OF LYNCHBURG 105 Paulette Cir Lynchburg, VA 24502 (434) 237-0125

SORENSON, ROBERT ROBERT N SORENSON DDS PC 2309 Atherholt Road Lynchburg, VA 24501 (434) 846-8025

TOONE, GREGORY GREGORY J TOONE DDS PC 105 Candlewood Ct Lynchburg, VA 24502 (434) 239-8222

TYLER, MICHAEL MICHAEL W TYLER DDS 22437 Timberlake Rd Lynchburg, VA 24502 (434) 832-7008

WHITE, WILLIAM W M WHITE JR 1938 Thomson Dr Lynchburg, VA 24501 (434) 847-5743

WOOLWINE, SAMUEL BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

YEAGER, DANIEL BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

SAUNDERS, ROY

YEAGER, VICTORIA

ROBERTS, CAROLE

SAUNDERS ROY L JR 3200 Waterlick Road Lynchburg, VA 24502 (434) 239-8028

SAWYER, SUMMER CHILDRENS DENTAL HEALTH OF LYNCHBURG 7802 Timberlake Road Lynchburg, VA 24502 (434) 239-6948

SHEA, THOMAS BRADY & CRIST DENTISTS INC 8116 Timberlake Road Lynchburg, VA 24502 (434) 239-2651

FOREST DENTAL PARTNERS PLLC 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 385-7307

ORAL SURGEON CARVAJAL, WILLIAM CENTRAL VIRGINIA ORAL & FACIAL SURGERY 101 Archway Ct Lynchburg, VA 24502 (434) 832-8040

MAGID, MITCHELL MOUNTAINVIEW ORAL SURGERY & IMPLANT CTR 1612 Graves Mill Rd Lynchburg, VA 24502 (434) 316-7111

MCANDREW, BRIAN CENTRAL VIRGINIA ORAL & FACIAL SURGERY 101 Archway Ct Lynchburg, VA 24502 (434) 832-8040

PINCH, JOHN CENTRAL VIRGINIA ORAL & FACIAL SURGERY 101 Archway Ct Lynchburg, VA 24502 (434) 832-8040

ORTHODONTIST BAUGHER, ERIC CENTRAL VIRGINIA ORTHODONTICS 7802 Timberlake Rd Lynchburg, VA 24502 (434) 385-4746

BLACK, ELENA ELENA BLACK DDS PHD PC 3700 Old Forest Road Lynchburg, VA 24501 (434) 515-0370

BLANCHETTE, MARK DR MARK E BLANCHETTE DDS MS INC 1925 Thomson Dr Lynchburg, VA 24501 (434) 846-4014

PEDIATRIC DENTIST/PEDODONTIST SAWYER, SHANNON CHILDRENS DENTAL HEALTH OF LYNCHBURG 7802 Timberlake Road Lynchburg, VA 24502 (434) 239-6948

SITTASON, SHEPHERD CHILDREN'S DENTISTRY OF LYNCHBURG 105 Paulette Cir Lynchburg, VA 24502 (434) 237-0125

PARTICIPATING PROVIDERS

CHILDREN'S DENTISTRY OF LYNCHBURG 105 Paulette Cir Lynchburg, VA 24502 (434) 237-0125

SHEARER, ELLIOT

PERIODONTIST ANDERSON, RYAN PERIODONTAL HEALTH ASSOC PC 525 Leesville Rd Lynchburg, VA 24502 (434) 455-2444

SMOCK, SHERMAN PERIODONTAL HEALTH ASSOC PC 525 Leesville Rd Lynchburg, VA 24502 (434) 455-2444

MADISON GENERAL DENTIST DEVIESE, DAVID DAVID M DEVIESE DDS PC 306 S. Main St Madison, VA 22727 (540) 948-4488

CLAIBORNE, JENNIFER CENTRAL VIRGINIA ORTHODONTICS 7802 Timberlake Rd Lynchburg, VA 24502 (434) 385-4746

SMITH, JAMES JAMES C SMITH III DDS 1226 N Main St Madison, VA 22727 (540) 948-5500

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

91

Delta Dental Premier

VIRGINIA (CONT'D) MADISON VEGA, OSCAR MADISON FAMILY DENTISTRY PLLC 306 S. Main St. Madison, VA 22727 (540) 948-4488

MADISON HEIGHTS

FLEENOR, WILLIAM JOHNSON HEALTH CENTER 239 Trojan Ln Madison Heights, VA 24572 (434) 947-5967

GOLDEN, R

AL-KARAGHOLI, MUSTAFA

BEHNAMI, FARIMA

CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

DETAR, MATTHEW

ANDERSON, JOSHUA

BELL, HUNTER

DRS DOLLARD AND PICCININO PC 10682-C Crestwood Dr Manassas, VA 20109 (703) 368-8120

AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

HUNTER C BELL DDS 8725 Digges Road Manassas, VA 20110 (703) 368-5595

EHRETH, JOHN

ANJUM, SHAZIA

JOHN S EHRETH DDS 8707 Digges Road Manassas, VA 20110 (703) 257-0481

KEVIN MENDES DDS & ASSOC PLLC 8404 Dorsey Cir Manassas, VA 20110 (703) 368-4725

BENSON, GERALD

PICCININO, MICHAEL ARMELLINI, DEBORA

R KELLY GOLDEN DDS PC 692 Dillard Rd Madison Heights, VA 24572 (434) 846-1981

DRS DOLLARD AND PICCININO PC 10682-C Crestwood Dr Manassas, VA 20109 (703) 368-8120

SUTHERLAND, WILLIAM

THORPE, JEFFREY

AWADZI, GERALD

WILLIAM M SUTHERLAND DDS 4312 S Amherst Highway Madison Heights, VA 24572 (434) 847-0171

DRS DOLLARD AND PICCININO PC 10682-C Crestwood Dr Manassas, VA 20109 (703) 368-8120

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

MANAKIN SABOT GENERAL DENTIST GLICK, STEPHEN STEPHEN E GLICK DDS PC 1600 Hockett Rd Manakin Sabot, VA 23103 (804) 784-4150

MURCHIE, PETER PETER R MURCHIE DDS FAMILY DENTISTRY 115 Broad Street Rd #C Manakin Sabot, VA 23103 (804) 784-4624

WILMER, SARAH SARAH C WILMER PLLC 27-A Briggs Rd Manakin Sabot, VA 23103 (804) 784-2386

MANASSAS ENDODONTIST

GENERAL DENTIST ABDELWAHAB, TAMER GALLERIA DENTAL ARTS 8711 Digges Rd Manassas, VA 20110 (703) 368-9777

AFSAHI, ARAM ARAM AFSAHI DDS PC 10630-A Crestwood Dr Manassas, VA 20109 (703) 369-0099

AHMADIYAR, SASAN AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

AHMED, GAAFAR AYESHA SULTAN DDS PC 6312 Hoadly Rd Manassas, VA 20112 (703) 730-7770

TOP DENTAL PRACTICE PC 10529 Crestwood Dr #103 Manassas, VA 20109 (703) 393-9393

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

BISCOMBE, TERRENCE KEVIN MENDES DDS & ASSOC PLLC 8404 Dorsey Cir Manassas, VA 20110 (703) 368-4725

BISCOMBE, TERRENCE KEVIN MENDES DDS & ASSOC PLLC 8609 Sudley Rd Ste 102 Manassas, VA 20110 (703) 330-5755

AWADZI, GERALD

BISSON, RUBY

REFLECTION DENTAL MANASSAS 9675 Liberia Ave #101 Manassas, VA 20110 (703) 369-2323

RUBY ANN E BISSON DMD PC 10670-B Crestwood Dr Manassas, VA 20109 (703) 361-0555

PARTICIPATING PROVIDERS

GENERAL DENTIST

ACOSTA, RAFAEL

BUI, KENNETH BAWA, ANOOP BAWA DENTISTRY 8567-A Sudley Rd Manassas, VA 20110 (703) 369-4545

Q SMILES DENTAL 7815 Sudley Rd Manassas, VA 20109 (571) 208-1325

BUI-NGUYEN, THAO BAWA, RAJDEEP BAWA DENTISTRY 8567-A Sudley Rd Manassas, VA 20110 (703) 369-4545

THAO BUI-NGUYEN DDS PC 8557 Sudley Road Manassas, VA 20110 (703) 361-3261

CHANG, JHIA-MING BEHESHTI, SOREN KOUROSH MEHRABIAN DDS & ASSOC PC 10751 Ambassador Dr Ste 101 Manassas, VA 20109 (301) 608-9800

I SMILE DENTAL CARE 10695 Sudley Manor Dr #102 Manassas, VA 20109 (703) 369-2200

CHOHAN, EMA MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

92

Delta Dental Premier

VIRGINIA (CONT'D) MANASSAS CLAUSTRO, JOANNA CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

DAVID A DEBENEDETTO DDS 9380 Forestwood Lane #E Manassas, VA 20110 (703) 368-4344

DELE, KENNEDY KOUROSH MEHRABIAN DDS & ASSOC PC 10751 Ambassador Dr Ste 101 Manassas, VA 20109 (301) 608-9800

DUBE, NEELAM DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

FLORES, MARCO CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

FREIDANK, CHRISTIAN

IJADI, MEHRDAD

KIM, GLORIA

STONEWALL DENTAL ASSOCIATES 8719 Stonewall Road Manassas, VA 20110 (703) 368-1000

AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

FREIDANK & FREIDANK DDS LTD 9613 Champion Court Manassas, VA 20110 (703) 368-4713

GREER, PHYLLIS

JAMALI, MOJGAN

KIM, JAMIE

AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

KOUROSH MEHRABIAN DDS & ASSOC PC 10751 Ambassador Dr Ste 101 Manassas, VA 20109 (301) 608-9800

GWALTNEY, MICHAEL

JONES, LINDA

KIM, SUN

MANASSAS FAMILY DENTISTRY 9625 Surveyor Ct Ste 101 Manassas, VA 20110 (703) 365-0700

LINDA F JONES DDS PC 8659 Sudley Rd Manassas, VA 20110 (703) 330-1700

BORARATH YANN DDS PC 9161 Liberia Ave Ste 101 Manassas, VA 20110 (703) 330-2466

HAGAR, BASIONY

KALER, JATINDER

LE, HANG

MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

KAY DENTAL CARE 8393 Centreville Rd Manassas, VA 20111 (703) 686-4343

MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

KAUR, KAMALJIT HANGVAL, REZA CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

HASHAM, OMAR NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

FREIDANK & FREIDANK DDS LTD 9613 Champion Court Manassas, VA 20110 (703) 368-4713

HASSAN, NADDER

GERALD, MARK

HEDAYATI, KOUROS

DR MARK P GERALD DDS PLC 8559 Sudley Rd Manassas, VA 20110 (703) 368-0580

AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

GOMEZ, PATRICIA MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

NADDER M HASSAN 9954 Liberia Ave Manassas, VA 20110 (703) 335-1020

HODGE, JEREMY KIDS & FAMILY DENTAL PC 9012 Mathis Ave Manassas, VA 20110 (571) 921-1111

KAY DENTAL CARE 8393 Centreville Rd Manassas, VA 20111 (703) 686-4343

LEE, KEVIN

KAY, VICTORIA

LEE, KEVIN

DRS TERANGO & KAY PC 10753 B Ambassador Drive Manassas, VA 20109 (703) 369-7173

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

PARTICIPATING PROVIDERS

DEBENEDETTO, DAVID

GRANATO, JEROME

REFLECTION DENTAL MANASSAS 9675 Liberia Ave #101 Manassas, VA 20110 (703) 369-2323

KAZMI, SANA NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

KAZMI, SANA

MALGHAN, NANDINI ARK DENTAL 8725 Digges Rd Manassas, VA 20110 (703) 368-5595

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

MALGHAN, NANDINI

KHOSRAVI, MITRA

MAYER, KELLY

MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

HUNTER C BELL DDS 8725 Digges Road Manassas, VA 20110 (703) 368-5595

CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

93

Delta Dental Premier

VIRGINIA (CONT'D) MANASSAS MEHRABIAN, KOUROSH KOUROSH MEHRABIAN DDS & ASSOC PC 10751 Ambassador Dr Ste 101 Manassas, VA 20109 (301) 608-9800

NGUYEN, LONG

RACZYNSKA, ANETA

SADEDDIN, HAZIM

SUDLEY FAMILY DENTISTRY 8739 Plantation Lane Manassas, VA 20110 (703) 368-0704

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

PALLE, SUNITHA

RAFIQ, RABIA

ARK DENTAL 8725 Digges Rd Manassas, VA 20110 (703) 368-5595

I SMILE DENTAL CARE 10695 Sudley Manor Dr #102 Manassas, VA 20109 (703) 369-2200

PALLE, SUNITHA

REFLECTION DENTAL MANASSAS 9675 Liberia Ave #101 Manassas, VA 20110 (703) 369-2323

HUNTER C BELL DDS 8725 Digges Road Manassas, VA 20110 (703) 368-5595

PARK, KENNETH MONTALVAN, CESAR MP DENTAL ASSOCIATES DDS PC 7806 Centreville Rd Manassas, VA 20111 (703) 368-1166

MORALES, DIEGO CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

MWENDO, JIMANI NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

KENNETH H PARK DMD PC 10573 Crestwood Dr Manassas, VA 20109 (703) 368-8166

PARKER, JEFFREY KEVIN MENDES DDS & ASSOC PLLC 8404 Dorsey Cir Manassas, VA 20110 (703) 368-4725

PARTOVI, MARJAN MP DENTAL ASSOCIATES DDS PC 7806 Centreville Rd Manassas, VA 20111 (703) 368-1166

PATEL, VIKASKUMAR NAEEM, NASEER DUMFRIES DENTAL ASSOC 12701 Galveston Ct Manassas, VA 20112 (703) 670-0202

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

NALLURI, JATIN

PEEBLES, REBECCA

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

NELSON, CHARLES THE NELSON DENTAL PRACTICE 9216 Centreville Rd Manassas, VA 20110 (703) 361-2141

NGUYEN, LOC LOC NGUYEN DMD PC 9806 Liberia Ave Manassas, VA 20110 (703) 366-3300

PEREZ, RICARDO AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

RAJA, TAIMOUR I SMILE DENTAL CARE 10695 Sudley Manor Dr #102 Manassas, VA 20109 (703) 369-2200

RAMAI, SHELDON

NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

SANDHU, MANINDERJIT I SMILE DENTAL CARE 10695 Sudley Manor Dr #102 Manassas, VA 20109 (703) 369-2200

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

SAYEED, AFREEN

RAMISETTY, CHETANA

SCHEIDER, PHILLIP

MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

PHILLIP C SCHEIDER DDS 8577-B Sudley Rd Manassas, VA 20110 (703) 368-5885

KIDS & FAMILY DENTAL PC 9012 Mathis Ave Manassas, VA 20110 (571) 921-1111

PARTICIPATING PROVIDERS

MOLOKWU, RUTH

SALAS, CHRISTOPHER

SCHUYLER, GARY RAO, SHEILA MANASSAS FAMILY DENTISTRY 9625 Surveyor Ct Ste 101 Manassas, VA 20110 (703) 365-0700

GARY A SCHUYLER DDS PC 8705 Digges Rd Manassas, VA 20110 (703) 368-9966

SHAFIEI, NIKKI REJINTALA, ARCHANA KEVIN MENDES DDS & ASSOC PLLC 8404 Dorsey Cir Manassas, VA 20110 (703) 368-4725

ROBINSON, MARGO KIDS & FAMILY DENTAL PC 9012 Mathis Ave Manassas, VA 20110 (571) 921-1111

ROSINSKI, KENNETH KENNETH A ROSINSKI DDS PC 10620 A Crestwood Drive Manassas, VA 20109 (703) 361-2911

MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

SHAFIEI, NIKKI SONU KAKAR DDS INC 9001 Digges Rd Ste 202 Manassas, VA 20110 (703) 368-1169

SHAH, ADVAIT I SMILE DENTAL CARE 10695 Sudley Manor Dr #102 Manassas, VA 20109 (703) 369-2200

SHARMA, MOHIT NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

94

Delta Dental Premier

VIRGINIA (CONT'D) MANASSAS SILK, ZAHER MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

TERANGO, LARRY

YANN, BORARATH

MORGAN, DAVID

DRS TERANGO & KAY PC 10753 B Ambassador Drive Manassas, VA 20109 (703) 369-7173

BORARATH YANN DDS PC 9161 Liberia Ave Ste 101 Manassas, VA 20110 (703) 330-2466

AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

TSAI, CHIH-PING NEIBAUER DENTAL CARE PC 10051 Market Circle Manassas, VA 20110 (571) 921-9103

YANN, BORARATH INNOVATION DENTAL 9940 Sowder Village Sq Manassas, VA 20109 (703) 330-3933

TSAI, CHIH-PING

ZAPF, MICHAEL

ELAINE K SOURS DDS PC 8719 Plantation Lane Manassas, VA 20110 (703) 369-5544

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

MICHAEL E ZAPF DDS 8711 Digges Road Manassas, VA 20110 (703) 368-9777

STALLINGS, EDDIE EDDIE R STALLINGS JR DDS 8428 Dorsey Circle #102 Manassas, VA 20110 (703) 335-5886

URTEAGA, JAIR

SUBRAMANIAN, DEEPA

URTEAGA, JAIR

DENTAL PROFESSIONALS OF VA PC 11670 Sudley Manor Dr Manassas, VA 20109 (571) 359-6424

SULTAN, AYESHA AYESHA SULTAN DDS PC 6312 Hoadly Rd Manassas, VA 20112 (703) 730-7770

SWANSON, CRISTINA BORARATH YANN DDS PC 10068 Dumfries Rd Manassas, VA 20110 (703) 330-0430

SWANSON, CRISTINA BORARATH YANN DDS PC 9161 Liberia Ave Ste 101 Manassas, VA 20110 (703) 330-2466

SWANSON, CRISTINA INNOVATION DENTAL 9940 Sowder Village Sq Manassas, VA 20109 (703) 330-3933

TAHERI, BRUCE MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

BORARATH YANN DDS PC 10068 Dumfries Rd Manassas, VA 20110 (703) 330-0430 BORARATH YANN DDS PC 9161 Liberia Ave Ste 101 Manassas, VA 20110 (703) 330-2466

URTEAGA, JAIR INNOVATION DENTAL 9940 Sowder Village Sq Manassas, VA 20109 (703) 330-3933

VALDIVIESO, GINO MP DENTAL ASSOCIATES DDS PC 7806 Centreville Rd Manassas, VA 20111 (703) 368-1166

WAY-RODRIGUEZ, JORGE AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

WHITE, LINDA LINDA J WHITE DDS PC 7518-A Diplomat Dr Manassas, VA 20109 (703) 257-1900

YANN, BORARATH BORARATH YANN DDS PC 10068 Dumfries Rd Manassas, VA 20110 (703) 330-0430

ORAL SURGEON AMIN, AHMAD MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

ARGINTAR, BARRY BARRY C ARGINTAR DDS PC 9001 Digges Road #102 Manassas, VA 20110 (703) 361-2200

DAYSE, ROBERT MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

JACKSON, JULIA NO VA ORAL & MAXILLOFACIAL SURGERY ASSOC 10600 Crestwood Dr Manassas, VA 20109 (703) 368-7874

LABRIOLA, J NO VA ORAL & MAXILLOFACIAL SURGERY ASSOC 10600 Crestwood Dr Manassas, VA 20109 (703) 368-7874

LYN, TREVANN MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

ORTHODONTIST DACZKOWSKI, THOMAS DACZKOWSKI ORTHODONTICS 9001 Digges Rd #202 Manassas, VA 20110 (703) 361-4278

DUNEGAN, MICHAEL DUNEGAN MICHAEL G 8715 Stonewall Road Manassas, VA 20110 (703) 361-5698

GHATRI, ALI AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

PARTICIPATING PROVIDERS

SOURS, ELAINE

OSWALD, SOPHIE

HUKMANI, NAVIN MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

HUSSAINI, SYED S KALIM HUSSAINI DDS PLLC 10081 Market Cir Manassas, VA 20110 (703) 383-0090

HUTCHISON, ALICIA POTOMAC ORTHODONTICS 10625 Crestwood Dr Manassas, VA 20109 (703) 361-4455

KERMANSHI, SHIVA MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

95

Delta Dental Premier

VIRGINIA (CONT'D) MANASSAS MENDES, KEVIN KEVIN MENDES DDS & ASSOC PLLC 8404 Dorsey Cir Manassas, VA 20110 (703) 368-4725

MENDES, KEVIN

SINA, NAHID MY BRACES DOCTOR PC 10630-A Crestwood Dr Manassas, VA 20109 (703) 369-0099

SINA, NAHID NAHID SINA DMD MS 10630-A Crestwood Dr Manassas, VA 20109 (703) 369-0099

YI, PETER KIDS & FAMILY DENTAL PC 9012 Mathis Ave Manassas, VA 20110 (571) 921-1111

PEDIATRIC DENTIST/PEDODONTIST CRANDALL, DAWN STONEWALL DENTAL ASSOCIATES 8719 Stonewall Road Manassas, VA 20110 (703) 368-1000

GILL, KWESI MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

KAKAR, DEEPAK SONU KAKAR DDS INC 9001 Digges Rd Ste 202 Manassas, VA 20110 (703) 368-1169

HAR, GREGORY

LIANG, DAVID

SONU KAKAR DDS INC 9001 Digges Rd Ste 202 Manassas, VA 20110 (703) 368-1169

D GREGORY HAR DDS PC 10670 A Crestwood Dr Manassas, VA 20109 (703) 392-8528

JOSEPH M ARZADON MD DDS PC 9110 Railroad Dr Ste 100 Manassas Park, VA 20111 (703) 330-3223

PERIODONTIST BERI, ANURANDA MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

GOLDIN, RICHARD RICHARD GOLDIN DDS LTD 10684-C Crestwood Dr Manassas, VA 20109 (703) 361-6866

MIRANDA, RUBEN MANASSAS FAMILY DENTISTRY 9625 Surveyor Ct Ste 101 Manassas, VA 20110 (703) 365-0700

MOTAMEDI, SAEID MILTON STAR DDS MANASSAS PC 7800 Sudley Rd Suite 7810 Manassas, VA 20109 (703) 367-0599

MOTAMEDI, SAEID AHMADIYAR & MOTAMEDI II PLLC 7806 Sudley Rd #210 Manassas, VA 20109 (703) 331-1313

PATRON, ALFONSO MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

MANASSAS PARK MANQUIN GENERAL DENTIST AJANDEH, SEAN AJANDEH DDS PC 9115 Andrew Dr Manassas Park, VA 20111 (703) 530-9000

BATISTAS, THEO RAILROAD DENTAL ASSOC 9110 Railroad Dr Ste 201 Manassas Park, VA 20111 (703) 365-0230

DIAZ, MARITZA RAILROAD DENTAL ASSOC 9110 Railroad Dr Ste 201 Manassas Park, VA 20111 (703) 365-0230

KIM, EDWARD RAILROAD DENTAL ASSOC 9110 Railroad Dr Ste 201 Manassas Park, VA 20111 (703) 365-0230

YAVROM, MONICA RAILROAD DENTAL ASSOC 9110 Railroad Dr Ste 201 Manassas Park, VA 20111 (703) 365-0230

ORAL SURGEON ARZADON, JOSEPH JOSEPH M ARZADON MD DDS PC 9110 Railroad Dr Ste 100 Manassas Park, VA 20111 (703) 330-3223

SPERLING-HABOT, KEREN CONTEMPORARY DENTISTRY OF VIRGINIA 8100 Ashton Ave #212 Manassas, VA 20109 (703) 369-5442

BLAIS, KENNETH JOSEPH M ARZADON MD DDS PC 9110 Railroad Dr Ste 100 Manassas Park, VA 20111 (703) 330-3223

TRABOULSI, GEORGES MANASSAS DENTAL ASSOCIATES PC 10630-B Crestwood Dr Manassas, VA 20109 (703) 330-5578

PROSTHODONTIST

JACKS, THOMAS JOSEPH M ARZADON MD DDS PC 9110 Railroad Dr Ste 100 Manassas Park, VA 20111 (703) 330-3223

GENERAL DENTIST TOWNSEND, DAVID DAVID E TOWNSEND DDS PC 41 Dabneys Mill Rd Manquin, VA 23106 (804) 769-3005

MARION GENERAL DENTIST DEMAREE, NEIL NEIL D DEMAREE DDS PC 322 E Main St Marion, VA 24354 (276) 783-8611

GATES, JAMES GATES DENTISTRY 1128 N Main St #A Marion, VA 24354 (276) 783-6818

PARTICIPATING PROVIDERS

KEVIN MENDES DDS & ASSOC PLLC 8609 Sudley Rd Ste 102 Manassas, VA 20110 (703) 330-5755

LE, HAU

GATES, JUSTIN GATES DENTISTRY 1128 N Main St #A Marion, VA 24354 (276) 783-6818

PERKINS, NANCY NANCY B PERKINS DDS PC 649 Park Blvd Marion, VA 24354 (276) 783-2845

RICHARDSON, EMMETT EMMETT V RICHARDSON III DDS 635 Park Boulevard Marion, VA 24354 (276) 783-4442

ORAL SURGEON HOLLYFIELD, NEIL SUKLE & HOLLYFIELD 645 Park Blvd Marion, VA 24354 (276) 783-8131

PERKINS, DENNIS SUKLE & HOLLYFIELD 645 Park Blvd Marion, VA 24354 (276) 783-8131

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

96

Delta Dental Premier

VIRGINIA (CONT'D) MARION THOMPSON, BRIAN SUKLE & HOLLYFIELD 645 Park Blvd Marion, VA 24354 (276) 783-8131

ORTHODONTIST HUNTER K WOODS DDS MS PC 639 Park Blvd Marion, VA 24354 (276) 783-7800

SOWAN, JAMIL

HELSEL, DAVID

JA JORDAN DDS LTD 1103 Brookdale St # E Martinsville, VA 24112 (276) 632-2634

PEDIATRIC DENTAL CARE OF VIRGINIA PC 1152 East Church St Martinsville, VA 24112 (276) 403-5500

DAVID F HELSEL DDS Main St Bldg 410 Ste A Mathews, VA 23109 (804) 725-7500

MALLINAK, EMILY

STERMER, GEORGE

MALLINAK, LAURA

STERMER, GEORGE

MALLINAK FAMILY DENTISTRY LLC 604 E Church St Martinsville, VA 24112 (276) 632-2189

MARSHALL GENERAL DENTIST HAGAR, BASIONY MARSHALL DENTAL CARE 4199H Winchester Rd Marshall, VA 20115 (540) 364-8040

MALLINAK, RAYMOND MALLINAK FAMILY DENTISTRY LLC 604 E Church St Martinsville, VA 24112 (276) 632-2189

MIDKIFF, KENNETH

MARTINSVILLE GENERAL DENTIST AYERS, CHARLES MARTINSVILLE FAMILY DENTAL 25 Cleveland Ave Ste. A Martinsville, VA 24112 (276) 632-6219

CLARK, RISA MARTINSVILLE SMILES PLLC 407 Starling Ave Martinsville, VA 24112 (276) 632-9266

CRABTREE, MARK MARTINSVILLE SMILES PLLC 407 Starling Ave Martinsville, VA 24112 (276) 632-9266

GENDRON, GREGORY G T GENDRON DDS PC 7 Cleveland Ave. Martinsville, VA 24112 (276) 638-7626

JENKINS, CHARLES MARTINSVILLE SMILES PLLC 407 Starling Ave Martinsville, VA 24112 (276) 632-9266

MC KENNY

MALLINAK FAMILY DENTISTRY LLC 604 E Church St Martinsville, VA 24112 (276) 632-2189

KENNETH B MIDKIFF DDS LTD 19 Cleveland Ave Martinsville, VA 24112 (276) 632-5655

DENTURE EXPRESS OF MARTINSVILLE LLC 5 Dudley St Martinsville, VA 24112 (276) 632-1565 G A STERMER JR DDS LTD 5 Dudley St Martinsville, VA 24112 (276) 638-3265

WALROD, JOHN JOHN H WALROD DDS PLC 15 Cleveland Ave #4 Martinsville, VA 24112 (276) 632-1265

WILSON, JAMES JAMES L WILSON DDS PC 15 Cleveland Ave Ste 5 Martinsville, VA 24114 (276) 632-4600

ORTHODONTIST

MIRZA, JAVERIA

JONES, DAVID

G A STERMER JR DDS LTD 5 Dudley St Martinsville, VA 24112 (276) 638-3265

DR DAVID C JONES 25 Cleveland Ave #E Martinsville, VA 24112 (276) 638-8888

MOORE, J PEYTON

SNYDER, EDWARD

J PEYTON MOORE DDS 101 Cleveland Ave Ste E-5 Martinsville, VA 24112 (276) 632-3963

DR EDWARD P SNYDER PC 101 Cleveland Avenue Suite #6 Martinsville, VA 24112 (276) 632-4144

GENERAL DENTIST WRAY, RONALD WRAY RONALD L 10806 Rives Ave Mc Kenny, VA 23872 (804) 478-4455

MC LEAN GENERAL DENTIST FARAHI, FRED FRED F FARAHI DDS PC 1401 Chainbridge Rd Ste 301 Mc Lean, VA 22101 (703) 821-1633

FRANKS, ALLEN ALLEN G FRANKS DDS PC 6801 Whittier Ave #202 Mc Lean, VA 22101 (703) 356-2336

PARTICIPATING PROVIDERS

WOODS, HUNTER

JORDAN, JAMES

KELLY, ISABEL ISABEL LESTER KELLY DDS PLLC 1449-D Dolley Madison Blvd Mc Lean, VA 22101 (703) 748-3384

LEVINE, PAUL PAUL E LEVINE DDS 6707 Old Dominion Dr#230 Mc Lean, VA 22101 (703) 356-3960

LINDEMANN, SCOTT MUEHLECK, JAMES MARTINSVILLE FAMILY DENTAL 25 Cleveland Ave Ste. A Martinsville, VA 24112 (276) 632-6219

SHEARER, JAMES MARTINSVILLE FAMILY DENTAL 25 Cleveland Ave Ste. A Martinsville, VA 24112 (276) 632-6219

PEDIATRIC DENTIST/PEDODONTIST BROWN, GABRIEL PEDIATRIC DENTAL CARE OF VIRGINIA PC 1152 East Church St Martinsville, VA 24112 (276) 403-5500

SCOTT P LINDEMANN DDS 6845 Elm Street #610 Mc Lean, VA 22101 (703) 356-5512

SHADRIN, BLANKA BLANKA E SHADRIN 2052 Rockingham Street Mc Lean, VA 22101 (703) 538-2343

MATHEWS GENERAL DENTIST

YEDIGARIAN, ROUBEN YEDIGARIAN ROUBEN A 8371 B Greensboro Drive Mc Lean, VA 22102 (703) 821-0882

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

97

Delta Dental Premier

COKER, WILLIAM

GILMAN, DAVID

MEHDI ADILI DDS 8353-A Greensboro Drive Mclean, VA 22102 (703) 442-0442

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

COLEMAN, NORMAN

BATCHELOR, CAITLIN

COVANEY, SHARON

GOCKE, FIZZAH

FORETICH ERIC A 1515 Chainbridge Rd #206 Mc Lean, VA 22102 (703) 893-8800

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

VIRGINIA ORAL FACIAL & IMPLANT SURGERY 7601 Lewisville Rd Ste 203 Mclean, VA 22102 (703) 388-2805

FORETICH, ERIC

BEATTY, HANNAH

DAMERON, KAREN

FORETICH ERIC A 1515 Chainbridge Rd #206 Mc Lean, VA 22102 (703) 893-8800

MEHDI ADILI DDS 8353-A Greensboro Drive Mclean, VA 22102 (703) 442-0442

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BEHNAMI, FARIMA

DEWINKLER, JOHN

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

VAN G LE DDS PC 1313 Dolley Madison Blvd #209 Mclean, VA 22101 (703) 356-7890

BLAKE, SUSAN

DHOLOO, PAREEN

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BOLDUC, MATTHEW

DICKEY-FARR, CLAIRE

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BROWN-DOONQUAH, THERESA

ELGAZZAR, MOHAMED

MC LEAN ORAL SURGEON

MCLEAN ENDODONTIST CHUN, EDWARD MCLEAN ENDODONTICS LLC 1313 Dolley Madison Blvd Ste 307 Mclean, VA 22101 (703) 847-0989

NESBITT, PAULA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

TOLBA, MOSTAFA NOVEL SMILES 8180 Greensboro Dr #100 Mclean, VA 22102 (703) 942-8882

GENERAL DENTIST ADILI, MEHDI IDEAL DENTAL SOLUTIONS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 (703) 442-0442

ALRIQ, HOSAM BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

ANDERSON, TYSON BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

MOHAMED ELGAZZAR DDS PC 6845 Elm St #615 Mclean, VA 22101 (703) 734-1233

HAYDU, JAMES BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

HU, ZHAOLIANG MCLEAN DENTAL CENTER 1340 Old Chain Bridge Rd #401 Mclean, VA 22101 (703) 663-8136

JESNECK, MAE BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

PARTICIPATING PROVIDERS

BACHOUR, MAYA

VIRGINIA (CONT'D)

JONES, DAVID BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

KIM, EUNGHWAN MCLEAN SMART DENTAL 6829 Elm St #210 Mclean, VA 22101 (703) 639-0807

ENOCH, MARGARET CAUDILL, CAROL BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

IDEAL DENTAL SOLUTIONS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 (703) 442-0442

KIM, WILSON SMILE GALLERIA 8251 Greensboro Dr #120 Mclean, VA 22102 (703) 992-7272

FISCHER, KATHERINE CHAND, UPPASNA DR UPPASNA 1477 Chain Bridge Rd Ste 101 Mclean, VA 22101 (703) 448-9100

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

KNUPPEL, DOROTHY BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

FORBES, GRAHAM CLAROS, CLAUDIA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

IDEAL DENTAL SOLUTIONS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 (703) 442-0442

KREUZER, LUIZA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

98

Delta Dental Premier

VIRGINIA (CONT'D) MCLEAN KRIEGER, ELLEN ELLEN V KRIEGER 6707 Old Dominion Dr #230 Ste 230 Mclean, VA 22101 (703) 673-6363

KUMRA, SHAWN

LANIER, ANGELA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

LARSON, DAVID BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

LEE, SEHMI BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

LEE, SI-HYEON BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

MARTIN, LATISHA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

MAYO, STEPHEN BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

MELTON, ANGELA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

PONRAJ, ERNEST

SAXTON, JACOB

MEHDI ADILI DDS 8353-A Greensboro Drive Mclean, VA 22102 (703) 442-0442

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

MOGHARBEL, TAREK

RANDOLPH, RENITA

SBEIH, IZZAT

MIRA DENTAL CARE OF TYSONS CORNER 8201 Greensboro Dr #710 Mclean, VA 22102 (571) 633-9455

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

NOVEL SMILES 8180 Greensboro Dr #100 Mclean, VA 22102 (703) 942-8882

RAY, SHEETAL

SCHEHL, JOHN

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

JOHN A SCHEHL, DDS PC 1515 Chain Bridge Rd Mclean, VA 22101 (703) 532-2022

MOHIUDDIN, SUMAYRA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

REARDEN, CATHY NGUYEN, KRISTINA KRISTINA T NGUYEN DDS PC 8201 Greensboro Dr #220 Mclean, VA 22102 (703) 288-3446

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

ROELOFS, RENAE NIKKHAH, JASON BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

RONIS, JAMES ONEAL, LATANYA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

JAMES M RONIS DDS 6845 Elm Street Ste 607 Mclean, VA 22101 (703) 442-9199

ROSENBERG, ROBERT OSSAKOW, WILLIAM SKINNER OSSAKOW & ASSOC 8200 Greensboro Dr #1002 Mclean, VA 22102 (703) 734-0515

RK ROSENBERG DDS 1311-A Dolley Madison Blvd Mclean, VA 22101 (703) 893-1776

RUZZO, JOSEPH PARK, SUNMIN MCLEAN FAMILY & COSMETIC DENTISTRY 1515 Chain Bridge Rd #304 Mclean, VA 22101 (703) 821-0080

PATEL, MONICA BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

POKU-KWATENG, EVELYN SMILE VIRGINIA PLLC 2010 Corporate Rdge Ste 700 Mclean, VA 22102 (888) 833-8441

DENTAL GROUP OF TYSONS 7901 Jones Branch Dr #220 Mclean, VA 22102 (703) 448-3312

SABA, RAMEZ RAMEZ SABA DDS 6707 Old Dominion Dr #245 Mclean, VA 22101 (703) 827-2611

SALARTASH, SHAHRZAD SKINNER OSSAKOW & ASSOC 8200 Greensboro Dr #1002 Mclean, VA 22102 (703) 734-0515

SCHEHL, JOHN DENTAL CARE OF MCLEAN 6711 Whittier Ave Ste. #201 Mclean, VA 22101 (703) 356-2020

SCHLANG, ELLIOT BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

SELANDER, ANN BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

PARTICIPATING PROVIDERS

MIRA DENTAL CARE OF TYSONS CORNER 8201 Greensboro Dr #710 Mclean, VA 22102 (571) 633-9455

MIKHAIL, RAYMOND

SEPAHI, SAMAN IDEAL DENTAL SOLUTIONS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 (703) 442-0442

SHANNON, ANDREW TERNISKY 6711 Whittier Ave Mclean, VA 22101 (703) 356-1875

SKINNER, KEVIN SKINNER OSSAKOW & ASSOC 8200 Greensboro Dr #1002 Mclean, VA 22102 (703) 734-0515

SMITH, KATHRYN BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

99

Delta Dental Premier

VIRGINIA (CONT'D) MCLEAN VAN, NICOLE NICOLE VAN DDS 8300 Greensboro Dr Mclean, VA 22102 (703) 556-0091

VILLARROEL-SOTO, CLAUDIA

WILSON, LOIS LOIS WILSON DDS PC 6845 Elm St Ste 615 Mclean, VA 22101 (703) 734-1233

WILSON, LOIS SKINNER OSSAKOW & ASSOC 8200 Greensboro Dr #1002 Mclean, VA 22102 (703) 734-0515

WILTBANK, BRADLEY BRADLEY D WILTBANK DMD PC 1313 Dolley Madison #209 Mclean, VA 22101 (703) 356-7890

YANG, XIMIN MCLEAN DENTAL CENTER 1340 Old Chain Bridge Rd #401 Mclean, VA 22101 (703) 663-8136

YI, CHANG

DAVIS, JEFFREY

SMILES AND DENTAL CARE PLLC 7901 Jones Branch Dr #220 Mclean, VA 22102 (703) 559-5118

JEFFREY P DAVID DDS PC 7601 Lewinsville Rd Ste 208 Mclean, VA 22102 (703) 848-8444

ORAL SURGEON ALI, ZIAD INTEGRATIVE ORAL & FACIAL SURGERY LLC 6845 Elm St #305 Mclean, VA 22101 (703) 388-2889

FRANCIONI, SONIA NOVEL SMILES 8180 Greensboro Dr #100 Mclean, VA 22102 (703) 942-8882

VIRGINIA ORAL FACIAL & IMPLANT SURGERY 7601 Lewisville Rd Ste 203 Mclean, VA 22102 (703) 388-2805

HAMRAH, DARIA NOVA SURGICARE PC 8201 Greensboro Dr Ste 601 Mclean, VA 22102 (703) 288-4495

NOKKEO, JAY INTEGRATIVE ORAL & FACIAL SURGERY LLC 6845 Elm St #305 Mclean, VA 22101 (703) 388-2889

YOUNOSZAI, ABRAHAM

LEE, WILLIAM

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

TERNISKY, CRIS TERNISKY 6711 Whittier Ave Mclean, VA 22101 (703) 356-1875

PERIODONTIST IDEAL DENTAL SOLUTIONS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 (703) 442-0442

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

BAJAJ, SMRITI ATLEE STATION FAMILY DENTISTRY 9097 Atlee Station Rd #120 Mechanicsville, VA 23116 (804) 559-3250

BLAIR, DEAN SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

HAN & AHN DMD PC 6845 Elm St Mclean, VA 22101 (703) 356-7001

SMILE GALLERIA 8251 Greensboro Dr #120 Mclean, VA 22102 (703) 992-7272

TRAN, THOAI-LAN NOVEL SMILES 8180 Greensboro Dr #100 Mclean, VA 22102 (703) 942-8882

PEDIATRIC DENTIST/PEDODONTIST

BOLTON, FRANK FRANK A BOLTON III DDS 9245 Shady Grove Rd Ste A Mechanicsville, VA 23116 (804) 730-1178

CARPIO, LILLIAN LILLIAN C CARPIO DDS PC 1355 Beverly Rd #210 Mclean, VA 22101 (703) 288-3570

BOND, MARK VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

LEE, YEONJU MCLEAN SMART DENTAL 6829 Elm St #210 Mclean, VA 22101 (703) 639-0807

PROSTHODONTIST TEHRANI, NEGAR

ORTHODONTIST AHN, SOOYEON

ZHANG, JINGHUA

NEDA ETESSAM DDS 1401 Chain Bridge Rd Ste 301 Mclean, VA 22101 (703) 821-1633

ADLEMAN, RONALD

AZGHANDI, RAMIN GOCKE, MICHAEL

AURA CENTER FOR AESTHETIC DENTISTRY 6870 Elm St Ste 300 Mclean, VA 22101 (703) 748-1900

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

ETESSAM, NEDA

GENERAL DENTIST

PARTICIPATING PROVIDERS

BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441

ZIA, ASMA

AURA CENTER FOR AESTHETIC DENTISTRY 6870 Elm St Ste 300 Mclean, VA 22101 (703) 748-1900

MECHANICSVILLE ENDODONTIST HARRIS, JESSE EAST COAST ENDODONTICS 9102 Rutland Green Way Ste A Mechanicsville, VA 23116 (804) 559-3636

WISNIEWSKI, JOHN GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

BOYLE, JOHN J P BOYLE AND KIMBERLY B BOYLE DDS PC 6366 Mechanicsville Tpke Ste 205 Mechanicsville, VA 23111 (804) 569-0530

BOYLE, KIMBERLY J P BOYLE AND KIMBERLY B BOYLE DDS PC 6366 Mechanicsville Tpke Ste 205 Mechanicsville, VA 23111 (804) 569-0530

BUHLER, JOHN VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

CASH, JEFFREY VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

100

Delta Dental Premier

VIRGINIA (CONT'D) MECHANICSVILLE CATOGGIO, MICHAEL VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

CULPEPPER, SCOTT

DIEFENDERFER, MARK VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

DUNHAM, BRYSON JOSEPH W ELROD JR DDS LTD 7516 Right Flank Rd Mechanicsville, VA 23116 (804) 746-1300

ELROD , JOSEPH JOSEPH W ELROD JR DDS LTD 7516 Right Flank Rd Mechanicsville, VA 23116 (804) 746-1300

ENGLISH, SAM SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

FLANAGAN, CHAD VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

FUTRELL, ROBERT ROBERT G FUTRELL JR DDS LLC 8417 Northrun Medical Dr Mechanicsville, VA 23111 (804) 730-1773

GREENWOOD, OLIVER OLIVER C GREENWOOD JR DDS PLLC 8092 Elm Dr Mechanicsville, VA 23111 (804) 746-0127

MAJOR, DAVID

RAPHAEL, JEFF

DR RUSSELL HARDEN DDS PC 9245 Shady Grove Rd Ste A Mechanicsville, VA 23116 (804) 730-1073

DAVID W MAJOR DDS 8167 Ladiestown Rd Mechanicsville, VA 23111 (804) 730-9712

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

IACHINI, DIANE

MEADE, AMANDA

RESSLER, CHRISTINE

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

JIWANI, MUNIRA

NASH, COLLEEN

ROPER, ERIK

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

JORDAN, MORRIS

NASIF, YASER

SELDEN, STEPHEN

MORRIS L JORDAN JR DDS PC 7239 Mechanicsville Pike Mechanicsville, VA 23111 (804) 730-9414

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

STEPHEN F SELDEN DDS LTD 7239 Mechanicsville Pike Mechanicsville, VA 23111 (804) 746-7545

KENNEALY, SARAH

NGUYEN, VIET

SHAIA, PAUL

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

KHARA, AMANJOT

OLEY, GEORGE

STANOVICK, PAUL

DR AMANJOT KHARA DDS PC 6372 Mechanicsville Tpke #106 Mechanicsville, VA 23111 (804) 559-5808

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

PAUL R STANOVICK DDS PC 4005 Fox Hunter Ln Mechanicsville, VA 23111 (804) 781-1919

KOH, MYUNGSUK

PATEL, ANISHA

STRAUSS, ZACHARY

LEE FAMILY DENTISTRY 7347 Bell Creek Rd #400 Mechanicsville, VA 23111 (804) 559-1016

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

FAMILY & COSMETIC DENTISTRY 7266 Edgeworth Rd Mechanicsville, VA 23111 (804) 746-5327

KOPELOVE, STEPHEN

PERKINSON, S

TURNAGE, NEIL

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

LARKIN, STEVEN

POQUIS, GREGORY

VOLKOVA, IRINA

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

LEE, KYU

POSENAU, JERRY

WILBY, LYLA ROSE

LEE FAMILY DENTISTRY 7347 Bell Creek Rd #400 Mechanicsville, VA 23111 (804) 559-1016

JERRY L POSENAU DDS PC 7575 Cold Harbor Road Mechanicsville, VA 23111 (804) 730-1424

GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

SAM E ENGLISH II DDS LTD 8220 Windmill Watch Dr Mechanicsville, VA 23116 (804) 746-1085

HARDEN, RUSSELL

101

Delta Dental Premier

VIRGINIA (CONT'D) MECHANICSVILLE WONG, DENNIS VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

ZAREI, MARYAM

ZAUN, PHILLIP PHILLIP C ZAUN DDS 9245-A Shady Grove Rd Mechanicsville, VA 23116 (804) 730-6775

ZIMA, ANDREW HANOVER PEDIATRIC DENTISTRY 8203 Center Path Ln Ste A Mechanicsville, VA 23116 (804) 746-7382

ORAL SURGEON AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

MARCUS, RICHARD

KORDIS, ALEX

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

MEI, ELIZABETH

NIGHTENGALE, TIFFANY

DOMINION ORTHODONTICS 9221 Chamberlayne Rd Mechanicsville, VA 23116 (804) 427-7420

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

PURCELL, ALLISON

ROOT, NOEL

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

REGIMBAL, PAMELA

SAVAGE, DENNIS

PAMELA F REGIMBAL DDS PLLC 8266 Jupiter Dr Mechanicsville, VA 23116 (804) 746-7720

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

ROGERS, DALE

SHELLEY, STEPHANIE

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

ROSS, EDWARD

SORIN, MARK

ROSS EDWARD F JR 7281 Hanover Green Dr Mechanicsville, VA 23111 (804) 730-9444

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

MURPHY, WALTER WALTER K MURPHY DDS PC 7009 Lee Park Rd Mechanicsville, VA 23111 (804) 746-1864

TRUITT, JOHN JOHN E TRUITT DDS PC 8249 Crown Colony Pkwy #103 Mechanicsville, VA 23116 (804) 789-0230

WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

WLODAWSKY, ROSS NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

LEWIS, HOLLY

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

HARRIS, MONROE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 (804) 673-8061

PEDIATRIC DENTIST/PEDODONTIST

ORTHODONTIST ANDERSON, RALPH GEORGE A OLEY III PLC 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 (804) 282-7011

HANOVER PEDIATRIC DENTISTRY 8203 Center Path Ln Ste A Mechanicsville, VA 23116 (804) 746-7382

PERIODONTIST

BUELOW, DWIGHT

VOTH, STEPHANIE

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 730-3400

GERMANE, NICHOLAS GERMANE NICHOLAS 7478 Lee Davis Rd Mechanicsville, VA 23111 (804) 730-2622

MELFA GENERAL DENTIST GRIGGS, EDWARD

PARTICIPATING PROVIDERS

ATLEE STATION FAMILY DENTISTRY 9097 Atlee Station Rd #120 Mechanicsville, VA 23116 (804) 559-3250

MCANDREW, BRIAN

WOLPIN, SCOTT PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

MIDDLEBURG GENERAL DENTIST HELVEY, GREGG HELVEY GREGG A 14 W Marshall Street Middleburg, VA 20117 (540) 687-5855

ORTHODONTIST ERRERA, JOSEPH ALFRED C GRIFFIN JR DDS LTD 107 West Federal St Middleburg, VA 20118 (540) 347-1888

PUNGOTEAGUE DENTAL UNIT 28480 Bobtown Rd Melfa, VA 23410 (757) 789-7777

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

102

Delta Dental Premier

VIRGINIA (CONT'D)

GENERAL DENTIST ABBOTT, JERYL

MIDDLEBURG GRIFFIN, ALFRED ALFRED C GRIFFIN JR DDS LTD 107 West Federal St Middleburg, VA 20118 (540) 347-1888

MIDLOTHIAN

BURNS, DONNA DONNA A BURNS DDS PC 1507 W Huguenot Rd Ste 203 Midlothian, VA 23113 (804) 794-4644

GRAY, RICHARD

ANDERSON, TYSON ANDERSON FAMILY DENTISTRY PLLC 13841 Hull St Rd #5 Midlothian, VA 23112 (804) 744-1280

ANGUS, FRANK ANGUS DENTISTRY 2400 Pagehurst Drive Midlothian, VA 23113 (804) 794-6893

APEX ENDODONTICS OF VIRGINIA PC 1149 Jefferson Green Circle Midlothian, VA 23113 (804) 378-9152

ANGUS, LEE

HOLBERT, PAIGE

ANGUS, REBECCA

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

ANGUS DENTISTRY 2400 Pagehurst Drive Midlothian, VA 23113 (804) 794-6893

HOLBERT, PAIGE VIRGINIA FAMILY DENTISTRY PC 14253 Midlothian Tpke Midlothian, VA 23113 (804) 379-1011

ANGUS DENTISTRY 1500 Huguenot Rd #107 Midlothian, VA 23113 (804) 379-9399

ANGUS, WILLIAM ANGUS DENTISTRY 2400 Pagehurst Drive Midlothian, VA 23113 (804) 794-6893

HOLBERT, PAIGE VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

OLTRA ESPLUGUES, ENRIQUE VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

APPLEBY, PETER VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

APPLEBY, PETER VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

APPLEBY, PETER OVERTON, BRUCE BRUCE W OVERTON DDS PC 6037 Harbour Park Dr Midlothian, VA 23112 (804) 744-3636

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

BARRETT, CHARLES PACKER, GARDINER BRUCE W OVERTON DDS PC 6037 Harbour Park Dr Midlothian, VA 23112 (804) 744-3636

CHARLES H BARRETT DDS 1230 Alverser Dr Ste 104 Midlothian, VA 23113 (804) 794-2144

BUHLER, JOHN

M SCOTT GORE DDS PC 14431 Sommerville Ct Ste A Midlothian, VA 23113 (804) 794-4588

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

BHARAL, POONUM

CAHN, JAMES

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

JERYL A ABBOTT DDS PC 151 Legordan Dr Midlothian, VA 23114 (804) 379-9177

BHARAL, POONUM VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

BHARAL, POONUM VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

BIGGERS, HOOD HOOD E BIGGERS DDS PC 13542 Waterford Pl Midlothian, VA 23112 (804) 744-4000

BITTLER, SCOTT SCOTT E BITTLER DDS PC 5161 Craig Rath Blvd Midlothian, VA 23112 (804) 744-9051

BLACKBURN, JEFF JEFF BLACKBURN DDS PC 2301 Robious Station Cir Midlothian, VA 23113 (804) 378-7888

BOND, MARK VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

BOOTH, CATHERINE ROBERT N PENTERSON DDS 5954 Harbour Park Dr Midlothian, VA 23112 (804) 739-1600

CASH, JEFFREY VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

CATOGGIO, MICHAEL VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

CIOS, CHRIS VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

CIOS, CHRIS VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

PARTICIPATING PROVIDERS

ENDODONTIST

JERYL A ABBOTT DDS PC 151 Legordan Dr Midlothian, VA 23114 (804) 379-9177

BARRETT, CHARLES

CLEVELAND, RUSSELL RUSSELL A CLEVELAND DDS 1670 Huguenot Rd Midlothian, VA 23113 (804) 794-4564

COX, STUART P STUART COX DDS INC 2330 Colony Crossings Pl Midlothian, VA 23112 (804) 222-8140

CRICHTON, CATHERINE VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

BOOTH, STEPHEN

CRICHTON, CATHERINE

ROBERT N PENTERSON DDS 5954 Harbour Park Dr Midlothian, VA 23112 (804) 739-1600

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

103

Delta Dental Premier

VIRGINIA (CONT'D) MIDLOTHIAN CRICHTON, CATHERINE VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

CRICHTON, JAMES

CRICHTON, JAMES VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

CRICHTON, JAMES VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

CROCKER, MARK MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

CRONLY, JO CHILDRENS DENTISTRY OF VIRGINIA PC 2400 Colony Crossing Pl Midlothian, VA 23112 (804) 639-6445

CROWDER, VICTORIA M SCOTT GORE DDS PC 14431 Sommerville Ct Ste A Midlothian, VA 23113 (804) 794-4588

DAVIS, JULIA DAVIS DENTAL GROUP 14253 Midlothian Turnpike Midlothian, VA 23113 (804) 320-2009

DENONCOURT, JAMIE VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

DENONCOURT, JAMIE

ESTILL, ANDREW

GHAZARIAN, MISHA

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

DEVERA, GENEVIEVE

FLANAGAN, CHAD

GB DEVERA DDS PC 2373 Colony Crossing Pl Midlothian, VA 23112 (804) 739-3131

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

DIEFENDERFER, MARK

FORMICA, LOUIS

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

DUNHAM, ELIZABETH JEFF BLACKBURN DDS PC 2301 Robious Station Cir Midlothian, VA 23113 (804) 378-7888

DURHAM, DAVID MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

EDMONDSON, DAVID JANINE RANDAZZO DENTISTRY 2300 Robious Station Circle Midlothian, VA 23113 (804) 897-2900

ELIAS, THOMAS THOMAS G ELIAS DMD PC 6043 Harbour Park Dr Midlothian, VA 23112 (804) 739-8287

ESTES, MATTHEW SWIFT CREEK DENTAL CENTER 6025 Harbour Park Dr Midlothian, VA 23112 (804) 739-7391

ESTILL, ANDREW VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

ESTILL, ANDREW VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

GHAZARIAN, MISHA VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

GORE, M M SCOTT GORE DDS PC 14431 Sommerville Ct Ste A Midlothian, VA 23113 (804) 794-4588

FORMICA, LOUIS

GUTHRIE, JAMES

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

JAMES GUTHRIE JR 6025 Harbour Park Dr Midlothian, VA 23112 (804) 739-7391

FULLER, JANIS

HARRIS, SHARON

JANIS L FULLER DDS PC 1230 Alverser Dr #100 Midlothian, VA 23113 (804) 594-2570

SHARON FREELAND HARRIS DMD PC 4906 Millridge Pkwy E Midlothian, VA 23112 (804) 744-4335

GALLEGOS, JOSE JOSE E GALLEGOS DDS PC 6508 Woodlake Village Cir Midlothian, VA 23112 (804) 739-9190

HAWKINS, ALEXANDER

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

DENONCOURT, JAMIE

ALEXANDER N HAWKINS DDS 1310 Alverser Plz Midlothian, VA 23113 (804) 897-9800

GAMACHE, MARC VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

GAMACHE, MARC

HELFRICH, KATHERINE VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

HELFRICH, KATHERINE

GARDEN, LAURA

HELFRICH, KATHERINE

JEFF BLACKBURN DDS PC 2301 Robious Station Cir Midlothian, VA 23113 (804) 378-7888

GHAZARIAN, MISHA VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789 VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

HEROD, BRIAN WILLIAMS & NEIGHBORS 1009 Crowder Drive Midlothian, VA 23113 (804) 794-8745

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

104

Delta Dental Premier

VIRGINIA (CONT'D) MIDLOTHIAN HOOVER, AMANDA M SCOTT GORE DDS PC 14431 Sommerville Ct Ste A Midlothian, VA 23113 (804) 794-4588

HOOVER, JARED

HYDER, ZAIN VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

HYDER, ZAIN VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

HYDER, ZAIN VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

IACHINI, DIANE VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

JOHANSEN, STEPHEN VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

JOHANSEN, STEPHEN VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

JONES, PATRICE ALEXANDER N HAWKINS DDS 1310 Alverser Plz Midlothian, VA 23113 (804) 897-9800

JORDAN, EDWARD VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

LEVENSON, LANNY

MOSEY, JAMES

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

LANNY R LEVENSON 1507 West Huguenot Rd Ste 100 Midlothian, VA 23113 (804) 379-9800

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

KILLAR, CURT

LOPEZ, ROCIO

MOSHER, RUSSELL

CURT J KILLAR DDS PC 6540 Woodlake Village Cir Midlothian, VA 23112 (804) 739-4194

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

MOSHER RUSSELL N 1320 Alverser Plaza Midlothian, VA 23113 (804) 379-6971

KOELMEL, JEFFREY SWIFT CREEK DENTAL 5921 Harbour Lane #100 Midlothian, VA 23112 (804) 739-1414

LOPEZ, ROCIO VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

MULE, MERISSA VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

KOELMEL, JEFFREY

MAMRICK, RONALD

MULE, MERISSA

SWIFT CREEK DENTAL CENTER 6025 Harbour Park Dr Midlothian, VA 23112 (804) 739-7391

RONALD C MAMRICK DDS PC 1807 Huguenot Rd Ste 124 Midlothian, VA 23113 (804) 423-1600

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

KRONE, MICHAEL

MARSHALL, TIMOTHY

HARBOUR DENTAL 13628 Hull Street Rd #14 Midlothian, VA 23112 (804) 739-6818

MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

KUHN, TODD

MASON, ERIKA

DR DONALD R MURRY JR DDS PC 14269 Midlothian Turnpike Midlothian, VA 23113 (804) 379-7677

ERIKA C MASON DDS 11061 Hull Street Road Midlothian, VA 23112 (804) 745-0666

DR DONALD R MURRY JR DDS PC 14269 Midlothian Turnpike Midlothian, VA 23113 (804) 379-7677

MAYERS, AUTUMN

MURRY, DONALD

LARKIN, STEVEN VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

ALLGOOD FAMILY DENTISTRY PLLC 5921 Harbour Lane, Ste #100 Midlothian, VA 23112 (804) 739-0000

LEARY, BRUCE

MONACELL, WILLIAM

BRUCE A LEARY DDS PC 1165 Jefferson Green Cir Midlothian, VA 23113 (804) 379-7864

MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

LEE, SEHMI

MOSEY, JAMES

APPLE TREE DENTISTRY PLLC 13925 Coalfield Commons Plc #102 Midlothian, VA 23114 (804) 897-3345

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

LEE, SEHMI

MOSEY, JAMES

JERYL A ABBOTT DDS PC 151 Legordan Dr Midlothian, VA 23114 (804) 379-9177

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

MULE, MERISSA VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

MURRY, BRITTNEY

PARTICIPATING PROVIDERS

M SCOTT GORE DDS PC 14431 Sommerville Ct Ste A Midlothian, VA 23113 (804) 794-4588

JORDAN, EDWARD

DR DONALD R MURRY JR DDS PC 14269 Midlothian Turnpike Midlothian, VA 23113 (804) 379-7677

MURRY, KENNETH DR DONALD R MURRY JR DDS PC 14269 Midlothian Turnpike Midlothian, VA 23113 (804) 379-7677

NASH, COLLEEN VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

NEIGHBORS, ROBERT WILLIAMS & NEIGHBORS 1009 Crowder Drive Midlothian, VA 23113 (804) 794-8745

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

105

Delta Dental Premier

VIRGINIA (CONT'D) MIDLOTHIAN OLIVERO, THOMAS THOMAS A J OLIVERO DDS PLC 112 Walton Park Ln Midlothian, VA 23114 (804) 794-2802

ORISTIAN, ALEXIS

ORISTIAN, ALEXIS VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

ORISTIAN, ALEXIS VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

PATEL, NRUPUR RAILEY HILL DENTAL 125 Brown'S Way Rd Midlothian, VA 23114 (804) 378-0082

PAYNE, STEPHEN STEPHEN K PAYNE DDS 300 Browns Hill Court Midlothian, VA 23114 (804) 379-0875

PENTERSON, ROBERT ROBERT N PENTERSON DDS 5954 Harbour Park Dr Midlothian, VA 23112 (804) 739-1600

PERKINSON, S VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

PERKINSON, WILLIAM VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

PERKINSON, WILLIAM VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

SEKHON, NAVNEET

THEWS, SCOTT

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

BELLGRADE DENTAL CENTER 2611 Promenade Pkwy Midlothian, VA 23113 (804) 794-6900

PEROUTKA, JOHN

SIMON, ALEXANDER

TRAWICK, DONALD

HARBOUR DENTAL 13628 Hull Street Rd #14 Midlothian, VA 23112 (804) 739-6818

VIRGINIA CENTER FOR ADVANCED DENTISTRY BRANDERMILL LLC 2330 Colony Crossing Place Midlothian, VA 23112 (804) 639-8338

DONALD G TRAWICK DDS PC 13841 Hull St Rd #1 Midlothian, VA 23112 (804) 739-5791

PRICE, ASHLYN ALLGOOD FAMILY DENTISTRY PLLC 5921 Harbour Lane, Ste #100 Midlothian, VA 23112 (804) 739-0000

RANDAZZO, JANINE JANINE RANDAZZO DENTISTRY 2300 Robious Station Circle Midlothian, VA 23113 (804) 897-2900

RESSLER, CHRISTINE VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

RICKMAN, JAMES JAMES T RICKMAN IV DDS PC 4904 Millridge Pkwy Midlothian, VA 23112 (804) 744-9622

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

ROPER, ERIK VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

SCHLENSKER, SCOTT JOSE E GALLEGOS DDS PC 6508 Woodlake Village Cir Midlothian, VA 23112 (804) 739-9190

SIMON, DEEPA VIRGINIA CENTER FOR ADVANCED DENTISTRY BRANDERMILL LLC 2330 Colony Crossing Place Midlothian, VA 23112 (804) 639-8338

SORENSON, ROBERT MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

SPARKS, SARAH VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

SPARKS, SARAH VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

SPARKS, SARAH VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

SULLIVAN, KIT VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

SULLIVAN, KIT VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

TRENT, FAITH FAITH TRENT DDS PC 13700 Genito Rd Midlothian, VA 23112 (804) 744-1877

TURNAGE, NEIL VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

VACCA, RICHARD RICHARD S VACCA DDS LTD 5921 Harbour Ln Ste 400 Midlothian, VA 23112 (804) 739-9191

VARKEY, GEORGE

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

PERKINSON, WILLIAM

VIRGINIA CENTER FOR ADVANCED DENTISTRY BRANDERMILL LLC 2330 Colony Crossing Place Midlothian, VA 23112 (804) 639-8338

VELLUCCI, JESSICA MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

WARD, CHRISTOPHER VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

WARD, CHRISTOPHER VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

WARD, CHRISTOPHER TAFO-TABUE, HENDRICK HENDRICK B TAFO-TABUE DDS PC 11627 Midlothian Turnpike Midlothian, VA 23113 (804) 897-8550

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

106

Delta Dental Premier

VIRGINIA (CONT'D) MIDLOTHIAN WEBBER, TERRENCE TERENCE WEBBER DDS PC 5921 Harbour Ln Ste 500 Midlothian, VA 23112 (804) 639-7500

WICKER, MARYBETH

WICKER, MARYBETH VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

WICKER, MARYBETH

HARRIS, MONROE

PADGETT, THOMAS

RALPH ZENTGRAF DDS PC 13860 Raised Antler Circle #B Midlothian, VA 23112 (804) 739-6163

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

RICHMOND ORAL & COSMETIC SURGEONS 1680 Huguenot Rd Midlothian, VA 23113 (804) 379-7120

HARRIS, MONROE

PADGETT, THOMAS

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

RICHMOND ORAL & COSMETIC SURGEONS 5921 Harbour Lane #200 Midlothian, VA 23112 (804) 739-5490

KEENEY, KANYON

SARRAF, AMMAR

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

COMMONWEALTH ORAL & FACIAL SURGERY 1807 W Huguenot Rd 122 Midlothian, VA 23113 (804) 354-1671

ORAL SURGEON AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

CYR, JEFFREY

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

COMMONWEALTH ORAL & FACIAL SURGERY 1807 W Huguenot Rd 122 Midlothian, VA 23113 (804) 354-1671

WILLIAMS, JEFFREY

CYR, JEFFREY

WILLIAMS & NEIGHBORS 1009 Crowder Drive Midlothian, VA 23113 (804) 794-8745

COMMONWEALTH ORAL & FACIAL SURGERY 5942 Harbour Park Dr Midlothian, VA 23112 (804) 354-1600

WONG, DENNIS VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

WONG, JOSHUA VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

WONG, JOSHUA VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

WONG, JOSHUA VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

ZEIDLER, DENNIS DENNIS N ZEIDLER DMD PLLC 13321-C Midlothian Tnpk Midlothian, VA 23113 (804) 794-5304

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

ESCHENROEDER, THOMAS COMMONWEALTH ORAL & FACIAL SURGERY 1807 W Huguenot Rd 122 Midlothian, VA 23113 (804) 354-1671

FERGUSON, ANDREW COMMONWEALTH ORAL & FACIAL SURGERY 5942 Harbour Park Dr Midlothian, VA 23112 (804) 354-1600

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

WALLACE, JAMES RICHMOND ORAL & COSMETIC SURGEONS 1680 Huguenot Rd Midlothian, VA 23113 (804) 379-7120

MCANDREW, BRIAN

WALLACE, JAMES

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

RICHMOND ORAL & COSMETIC SURGEONS 5921 Harbour Lane #200 Midlothian, VA 23112 (804) 739-5490

MCANDREW, BRIAN NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

METZGER, LAWRENCE

WATSON, DAMON

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

ZENTGRAF, RALPH

WLODAWSKY, ROSS NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 11319 Polo Place Midlothian, VA 23113 (804) 794-0794

MILLER, MICHAEL

WLODAWSKY, ROSS

COMMONWEALTH ORAL & FACIAL SURGERY 1807 W Huguenot Rd 122 Midlothian, VA 23113 (804) 354-1671

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 6031 Harbour Park Dr Midlothian, VA 23112 (804) 608-3200

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

107

Delta Dental Premier

BYRD, RICHARD

MARCUS, RICHARD

ROGERS, DALE

DR RICHARD LEE BYRD PC 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

COMMONWEALTH ORAL & FACIAL SURGERY 1807 W Huguenot Rd 122 Midlothian, VA 23113 (804) 354-1671

BYRD, RICHARD

MARCUS, RICHARD

MIDLOTHIAN FAMILY DENTISTRY 14420 Sommerville Court Midlothian, VA 23113 (804) 897-7900

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

ZOGHBY, GREGG

BYRD, RICHARD

MARCUS, RICHARD

COMMONWEALTH ORAL & FACIAL SURGERY 5942 Harbour Park Dr Midlothian, VA 23112 (804) 354-1600

DR RICHARD LEE BYRD PC 2929 Polo Pkwy Midlothian, VA 23113 (804) 379-3718

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

DABNEY, C

NYCZEPIR, DAVID

DR C WILLIAM DABNEY PC 304 Browns Hill Court Midlothian, VA 23114 (804) 794-8943

DRS DAVIS & NYCZEPIR LTD 1009 Crowder Dr Midlothian, VA 23113 (804) 794-4213

VIRGINIA (CONT'D) MIDLOTHIAN ZOGHBY, GREGG

BEYER, JEFFREY COMMONWEALTH ORTHODONTICS 6657 Lake Harbour Drive Midlothian, VA 23112 (804) 739-6600

BIBONA, KEVIN RILEY WILTSHIRE & BRASSINGTON INC 13901 Coalfield Commons Place Bldg 5 Ste 101 Midlothian, VA 23114 (804) 794-9557

BRASSINGTON, BRYAN RILEY WILTSHIRE & BRASSINGTON INC 13901 Coalfield Commons Place Bldg 5 Ste 101 Midlothian, VA 23114 (804) 794-9557

DABNEY, C C WILLIAM DABNEY PC 4904 Millridge Parkway Market Square At Brandermill Midlothian, VA 23112 (804) 744-1468

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

PURCELL, ALLISON DAVIS, GEORGE DRS DAVIS & NYCZEPIR LTD 1009 Crowder Dr Midlothian, VA 23113 (804) 794-4213

DUNLEVY, HARRY JACK DUNLEVY DMD MS 11601 Robious Rd. #130 Midlothian, VA 23113 (804) 794-3498

VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

PURCELL, ALLISON VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

RILEY, JAMES

KELLEHER ORTHODONTICS LLC 2412 Colony Crossing Pl Midlothian, VA 23112 (804) 739-6673

RILEY WILTSHIRE & BRASSINGTON INC 13901 Coalfield Commons Place Bldg 5 Ste 101 Midlothian, VA 23114 (804) 794-9557

KING, JOHN

ROGERS, DALE

KELLEHER, KEVIN BUELOW, DWIGHT

PURCELL, ALLISON

JOHN W KING DDS 5921 Harbour Lane #300 Midlothian, VA 23112 (804) 739-3399

LEE, RICHARD LEE RICHARD H 14267 Midlothian Tpk Midlothian, VA 23113 (804) 379-2205

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

ROGERS, DALE VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

DR RICHARD LEE BYRD PC 2929 Polo Pkwy Midlothian, VA 23113 (804) 379-3718

SPEARS, MELANIE DR RICHARD LEE BYRD PC 2929 Polo Pkwy Midlothian, VA 23113 (804) 379-3718

WILTSHIRE, CURTIS RILEY WILTSHIRE & BRASSINGTON INC 13901 Coalfield Commons Place Bldg 5 Ste 101 Midlothian, VA 23114 (804) 794-9557

PEDIATRIC DENTIST/PEDODONTIST EDDLETON, RAYMONIA ROGER E WOOD NICHOLAS C LOMBORDOZZI DDS PC 11601 Robious Rd Ste 130 Midlothian, VA 23113 (804) 794-3498

PARTICIPATING PROVIDERS

ORTHODONTIST

SMITH, ERIN

EDWARDS, JUSTIN CHILDRENS DENTISTRY OF VIRGINIA PC 2400 Colony Crossing Pl Midlothian, VA 23112 (804) 639-6445

FLOWERS, JOHN CHILDRENS DENTISTRY OF VIRGINIA PC 2400 Colony Crossing Pl Midlothian, VA 23112 (804) 639-6445

GOKLI, MEERA PEDIATRIC DENTISTRY & ORTHO OF VA 13841 Hull Street Rd Midlothian, VA 23112 (804) 739-0963

IMAFIDON, TIMOTHY DR RICHARD LEE BYRD PC 2929 Polo Pkwy Midlothian, VA 23113 (804) 379-3718

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

108

Delta Dental Premier

VIRGINIA (CONT'D) MIDLOTHIAN KEETON, DAVID PEDIATRIC DENTISTRY & ORTHO OF VA 13841 Hull Street Rd Midlothian, VA 23112 (804) 739-0963

KUHN, AMANDA

JANINE RANDAZZO DENTISTRY 2300 Robious Station Circle Midlothian, VA 23113 (804) 897-2900

VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

VOTH, STEPHANIE LOMBARDOZZI, NICHOLAS ROGER E WOOD NICHOLAS C LOMBORDOZZI DDS PC 11601 Robious Rd Ste 130 Midlothian, VA 23113 (804) 794-3498

LUBBE, STEVEN PEDIATRIC DENTISTRY & ORTHO OF VA 13841 Hull Street Rd Midlothian, VA 23112 (804) 739-0963

WOOD, ROGER ROGER E WOOD NICHOLAS C LOMBORDOZZI DDS PC 11601 Robious Rd Ste 130 Midlothian, VA 23113 (804) 794-3498

VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23112 (804) 739-6500

PROSTHODONTIST KIM, JUHAN JUHAN JOHN KIM DDS 2927 Polo Parkway Midlothian, VA 23113 (804) 378-9100

MILFORD GENERAL DENTIST BARRETT, ELIZABETH CENTRAL VA HEALTH SERVICES 17202 Richmond Turnpike Milford, VA 22514 (804) 633-5465

VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr Midlothian, VA 23114 (804) 379-1011

BLOCK, CARL VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd Midlothian, VA 23113 (804) 794-9789

BLOCK, CARL CARL M BLOCK 2312 Robious Station Circle Midlothian, VA 23113 (804) 378-2068

MORETTI, JOY WILLIAMS & NEIGHBORS 1009 Crowder Drive Midlothian, VA 23113 (804) 794-8745

ERIC J SMITH DDS PC 4860 Rucker Rd #3 Moneta, VA 24121 (540) 297-7737

SMITH, ERIC VISHAL SHAH DMD PLLC 4860 Rucker Rd #3 Moneta, VA 24121 (540) 297-7737

MONTCLAIR GENERAL DENTIST CONRAD, PAUL ANH ZIRNSTEIN DDS PC 16150 Country Club Dr. Montclair, VA 22025 (703) 670-4838

CONRAD, PAUL PAUL W CONRAD DDS PC & J DAVID ALACHNOWICZ DDS 16150 Country Club Drive Montclair, VA 22025 (703) 670-4838

ZIRNSTEIN, ANH ANH ZIRNSTEIN DDS PC 16150 Country Club Dr. Montclair, VA 22025 (703) 670-4838

ZIRNSTEIN, ANH PAUL W CONRAD DDS PC & J DAVID ALACHNOWICZ DDS 16150 Country Club Drive Montclair, VA 22025 (703) 670-4838

MONTEREY

PERIODONTIST BLOCK, CARL

SMITH, ERIC

TRAHOS, MICHAEL MICHAEL N TRAHOS DDS LTD 18204 Sparta Rd Milford, VA 22514 (804) 633-2171

TRAHOS, NORMAN MICHAEL N TRAHOS DDS LTD 18204 Sparta Rd Milford, VA 22514 (804) 633-2171

MONETA GENERAL DENTIST SHAH, VISHAL VISHAL SHAH DMD PLLC 4860 Rucker Rd #3 Moneta, VA 24121 (540) 297-7737

GENERAL DENTIST ARMENTROUT, WILLIAM HIGHLAND MEDICAL CENTER INC 120 Jackson River Rd Monterey, VA 24465 (540) 468-6440

CASEY, BARBARA HIGHLAND MEDICAL CENTER INC 120 Jackson River Rd Monterey, VA 24465 (540) 468-6440

MALLOW, JOHN HIGHLAND MEDICAL CENTER INC 120 Jackson River Rd Monterey, VA 24465 (540) 468-6440

SPILLERS, RONALD HIGHLAND MEDICAL CENTER INC 120 Jackson River Rd Monterey, VA 24465 (540) 468-6440

MONTPELIER GENERAL DENTIST ALDRED, MATTHEW ALDRED FAMILY DENTISTRY 17084 Mountain Road Montpelier, VA 23192 (804) 883-6070

DELPH, BRADLEY SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

ENGLISH, SAM SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

JIWANI, MUNIRA SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

PARTICIPATING PROVIDERS

CHILDRENS DENTISTRY OF VIRGINIA PC 2400 Colony Crossing Pl Midlothian, VA 23112 (804) 639-6445

SANZ-MOLINER, JAVIER

KEATING, KEVIN SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

NASIF, YASER SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

NGUYEN, VIET SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

RAPHAEL, JEFF SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

109

Delta Dental Premier

VIRGINIA (CONT'D) MONTPELIER ROWE, JAMES JAMES S ROWE DDS 16698 Mountain Road Montpelier, VA 23192 (804) 883-6347

SOLTANIAN, FARSHID

RICE, JENNIFER

BARADARAN, EBRAHIM

FAR SOLTANIAN DDS PC 2701 Turner Road N Chesterfld, VA 23224 (804) 276-8576

DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

EBRAHIM H BARADARAN DMD PC 297 Market St #2 New Castle, VA 24127 (540) 864-5125

NARROWS GENERAL DENTIST WHEELER, STEVEN

VOLKOVA, IRINA

S LEE WHEELER DDS PC 112 Center St Narrows, VA 24124 (540) 726-3904

NELLYSFORD MONTROSS GENERAL DENTIST JOHNSON, G CENTRAL VIRGINIA HEALTH CENTER 18849 Kings Hwy Montross, VA 22520 (804) 493-9999

PALMER, CHARLES CHARLES B PALMER DDS 15587 Kings Hwy Montross, VA 22520 (804) 493-8993

STAPLES, KRISTINA CENTRAL VIRGINIA HEALTH CENTER 18849 Kings Hwy Montross, VA 22520 (804) 493-9999

MOUNT JACKSON

GENERAL DENTIST BURSE TODD, JESSICA DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

CRISTI, IVONA DR JAMES E RICE 2905 Rockfish Vly Hwy Nellysford, VA 22958 (434) 361-2442

FOSTER, BONNIE DRS RICE & RICE DDS 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

LANIER, ANGELA DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

GENERAL DENTIST ZALE, DANIEL DANIEL ZALE 5338 Main St Mount Jackson, VA 22842 (540) 477-2901

N CHESTERFLD GENERAL DENTIST SMITH, SANDRA DR SANDRA J SMITH DDS INC 3805 Jefferson Davis Hwy N Chesterfld, VA 23234 (804) 743-9235

DRS RICE & RICE DDS 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

PERIODONTIST

DRS RICE & RICE DDS 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

RICE, JAMES DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

RICE, JAMES DRS RICE & RICE DDS 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

MONROE CO HEALTH CTR BOARD OF TRUSTEES 230 Market Street New Castle, VA 24127 (540) 864-5556

SMOCK, SHERMAN DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

SMOCK, SHERMAN DRS RICE & RICE DDS 2905 Rockfish Valley Hwy Nellysford, VA 22958 (434) 361-2442

NEW CANTON GENERAL DENTIST FRITZ, MARTIN CENTRAL VIRGINIA HEALTH SERVICES INC 25892 N James Madison Hwy New Canton, VA 23123 (434) 581-3271

PARRIS-WILKINS, TONYA CENTRAL VIRGINIA HEALTH SERVICES INC 25892 N James Madison Hwy New Canton, VA 23123 (434) 581-3271

RUSSO, EDWARD OTTERSBERG, CHRISTINE

CORNICK, JAMES

CENTRAL VIRGINIA HEALTH SERVICES INC 25892 N James Madison Hwy New Canton, VA 23123 (434) 581-3271

NEW CASTLE GENERAL DENTIST ARMENTROUT, WILLIAM MONROE CO HEALTH CTR BOARD OF TRUSTEES 230 Market Street New Castle, VA 24127 (540) 864-5556

KYLE, LAWRENCE MONROE CO HEALTH CTR BOARD OF TRUSTEES 230 Market Street New Castle, VA 24127 (540) 864-5556

VILLIER, DONALD MONROE CO HEALTH CTR BOARD OF TRUSTEES 230 Market Street New Castle, VA 24127 (540) 864-5556

NEW CHURCH GENERAL DENTIST

PARTICIPATING PROVIDERS

SAM E ENGLISH II DDS LLC 16625 Mountain Rd Montpelier, VA 23192 (804) 883-0164

RICE, JENNIFER

GRIGGS, EDWARD ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

KORDIS, ALEX ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

NIGHTENGALE, TIFFANY ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

ROOT, NOEL ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

SAVAGE, DENNIS ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

110

Delta Dental Premier

VIRGINIA (CONT'D) NEW CHURCH SHELLEY, STEPHANIE ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

SORIN, MARK

WOLPIN, SCOTT ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

NEW KENT GENERAL DENTIST

ADESHARA, KARISHMA

BRABSON, ANITA

DR STEVEN G FORTE DDS ENDODONTICS 12528 Warwick Blvd #D Newport News, VA 23606 (757) 599-8393

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

HOLLEY & HOLLEY FAMILY DENTISTRY PC 9916 Warwick Blvd Newport News, VA 23601 (757) 595-3503

AGRAWAL, NITIN GAMBREL, MADELYN COMMONWEALTH ENDODONTICS PC 12528 Warwick Blvd Ste D Newport News, VA 23606 (757) 599-8393

HOCKETT, JEFFREY WILLIAM S DODSON JR DMD 756 Mcguire Pl Newport News, VA 23601 (757) 806-6311

HORSPOOL, BRYAN DANIEL G STOCKBURGER DDS PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 (757) 873-2577

MAYA ADKINS, ANA MAIDSTONE DENTAL 7780 Invicta Ln New Kent, VA 23124 (804) 966-8115

NEWPORT NEWS ENDODONTIST BARBIERI, STEVEN COMMONWEALTH ENDODONTICS PC 12528 Warwick Blvd Ste D Newport News, VA 23606 (757) 599-8393

CHAMBERLIAN, THADDEUS DANIEL G STOCKBURGER DDS PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 (757) 873-2577

DODSON, WILLIAM WILLIAM S DODSON JR DMD 756 Mcguire Pl Newport News, VA 23601 (757) 806-6311

FINKLER, TIMOTHY COMMONWEALTH ENDODONTICS PC 12528 Warwick Blvd Ste D Newport News, VA 23606 (757) 599-8393

MARTINEZ, HAROLD COMMONWEALTH ENDODONTICS PC 12528 Warwick Blvd Ste D Newport News, VA 23606 (757) 599-8393

NESBITT, PAULA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

ROYZENBLAT, ALEXANDER WILLIAM S DODSON JR DMD 756 Mcguire Pl Newport News, VA 23601 (757) 806-6311

TRIMMER, WILLIAM WILLIAM T TRIMMER DDS 729 Thimble Shoals Blvd Suite 2E Newport News, VA 23606 (757) 873-2098

VRANAS, RONALD COMMONWEALTH ENDODONTICS PC 12528 Warwick Blvd Ste D Newport News, VA 23606 (757) 599-8393

GENERAL DENTIST

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

BRAR, PREMJEET

ALLEN, SHANAIL

BRAR, PREMJEET

RONALD W KATZ 12420 Warwick Blvd Ste 1A Newport News, VA 23606 (757) 595-6224

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096 PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

AMOAH, EMMANUEL KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

ANDERSON, PAUL PAUL N ANDERSON DDS 13195 Warwick Blvd Ste 1A Newport News, VA 23602 (757) 874-4007

ARANGO, ANA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

ARTZER, MARK MARK B ARTZER DDS 748-A Mcguire Pl Newport News, VA 23601 (757) 595-8405

BARNWELL, VELMA VELMA W BARNWELL DDS PC 606 Denbigh Blvd #103 Newport News, VA 23608 (757) 875-5556

BECKER, SIDNEY BECKER SIDNEY 12821 Jefferson Ave Newport News, VA 23608 (757) 874-7155

BELL, TAMMARA PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

BROAS, WILLIAM GOOD NEIGHBOR DENTAL AT OYSTER POINT 401 Oyster Point Rd Ste C Newport News, VA 23602 (757) 249-8921

BROWN, BRUCE DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

PARTICIPATING PROVIDERS

ATLANTIC DENTAL 5219 Lankford Highway New Church, VA 23415 (757) 824-5676

FORTE, STEVEN

CASH, ELIZABETH OYSTER POINT DENTISTRY 11848 Rock Landing Dr #301 Newport News, VA 23606 (757) 596-6211

CATHEY, HENRY HENRY A CATHEY JR DDS 710 Denbigh Blvd Bldg 1 #C Newport News, VA 23608 (757) 874-5511

CHAPMAN-TALIAFERRO, ANDRIA ANDRIA CHAPMAN-TALIAFERRO DDS PC 748-B Mcguire Pl Newport News, VA 23601 (757) 310-6904

CHENNUPATI, NAVEEN KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

111

Delta Dental Premier

VIRGINIA (CONT'D) NEWPORT NEWS CHUNG, JOHN DR JONG CHUNG 13626 Warwick Blvd Ste A Newport News, VA 23602 (757) 833-7217

CONNOLLY, SUSAN

COOKE, DONALD DONALD D COOKE DDS 606 Denbigh Blvd Ste 300 Newport News, VA 23608 (757) 874-8612

COVANEY, SHARON COVANEY & COVANEY DDS PC 760 Pilot House Dr #E Newport News, VA 23606 (757) 596-6850

CREAL, ALBERT ALBERT F CREAL DDS 12695 Mcmanus Blvd #3 A Newport News, VA 23602 (757) 898-6060

CWIAK, KARI PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

DENISON, JOHN JOHN J DENISON DDS PC 895 City Center Blvd #106 Newport News, VA 23606 (757) 873-9000

DOLLAR, JAMES JAMES F DOLLAR DDS PLLC 12725 Patrick Henry Dr Newport News, VA 23602 (757) 874-6712

ELLIS, ROBERT JAMES F DOLLAR DDS PLLC 12725 Patrick Henry Dr Newport News, VA 23602 (757) 874-6712

GUPTA, GARIMA

JACOBS, GEORGE

THE CARING DENTIST 1405 Kiln Creek Parkway #J Newport News, VA 23602 (757) 875-0763

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

LINK JACOBS & LINK DDS PC 11007 Warwick Blvd #3 Newport News, VA 23601 (757) 596-7000

FORD, JERMEL

HARMON, THOMAS

JOBE, JOHN

PENINSULA INSTITUTE FOR COMM HLTH 1033 28Th St Newport News, VA 23607 (757) 928-3810

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

JOBE & JOBE INC PC 91 29Th Street Newport News, VA 23607 (757) 244-5881

HARTLEY, JACOB

JOHNSON-SPRUIELL, GLORIA

FORETICH, JEROME J F FORETICH JR DDS 716 Denbigh Blvd #B-4 Newport News, VA 23608 (757) 877-0775

MORRISON DENTAL GROUP NEWPORT NEWS 710 Denbigh Blvd Bldg 1 Ste C Newport News, VA 23608 (757) 220-0330

FREEMAN, GERALD

HASENFELT, BROOKE

GERALD Q FREEMAN JR DDS LLC 12482 Warwick Blvd #G Newport News, VA 23606 (757) 599-3182

WILLIAM T GRIFFIN DDS PC 709 Mobjack Place Newport News, VA 23606 (757) 873-3001

HERRING, KENT GIBBONS, WALTER WALTER S GIBBONS DDS 113 Main St Newport News, VA 23601 (757) 595-0983

HERRING KENT 12700 Mcmanus Blvd #102B Newport News, VA 23602 (757) 877-7667

HINSON, LANNY GOODWIN, CLIFFORD CLIFFORD T GOODWIN DDS 12610 Patrick Henry Dr #G Newport News, VA 23602 (757) 930-3744

DANIEL G STOCKBURGER DDS PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 (757) 873-2577

GRAHAM, LORETTA

HOBBS, JESSE

LORETTA P GRAHAM DDS PC 15410 Warwick Boulevard Newport News, VA 23608 (757) 886-9169

DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

GREEN, WILLIAM W T GREEN INC 13128 Warwick Blvd Newport News, VA 23602 (757) 249-1731

GREENWELL, KIMBERLY WILLIAM T GRIFFIN DDS PC 709 Mobjack Place Newport News, VA 23606 (757) 873-3001

GRIFFIN, WILLIAM WILLIAM T GRIFFIN DDS PC 709 Mobjack Place Newport News, VA 23606 (757) 873-3001

HOLLEY, JAMES HOLLEY & HOLLEY FAMILY DENTISTRY PC 9916 Warwick Blvd Newport News, VA 23601 (757) 595-3503

IRELAND, MICHAEL PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

LORETTA P GRAHAM DDS PC 15410 Warwick Boulevard Newport News, VA 23608 (757) 886-9169

JONES, GALE KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

JUNG, YUJIN DR JONG CHUNG 13626 Warwick Blvd Ste A Newport News, VA 23602 (757) 833-7217

PARTICIPATING PROVIDERS

JAMES F DOLLAR DDS PLLC 12725 Patrick Henry Dr Newport News, VA 23602 (757) 874-6712

EPSTEIN, ROSS

KATZ, RONALD RONALD W KATZ 12420 Warwick Blvd Ste 1A Newport News, VA 23606 (757) 595-6224

KAYMANESH, SHAGHAYEGH KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KIM, CHAD KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KIRPAL, ABHISHEK KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KUPPERI, VINUTHA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

112

Delta Dental Premier

VIRGINIA (CONT'D) NEWPORT NEWS LAWS, THOMAS LAWS THOMAS F 525 Oyster Point Rd Ste C Newport News, VA 23602 (757) 249-3803

LEE, SI-HYEON

LINK, MICHAEL LINK JACOBS & LINK DDS PC 11007 Warwick Blvd #3 Newport News, VA 23601 (757) 596-7000

LOVING, PRESTON LOVING PRESTON B 732 Thimble Shoals #206 Newport News, VA 23606 (757) 873-2299

LYNCH, RONALD KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

LYNN, ANNE A CATHERINE LYNN 12829 Jefferson Ave #107 Newport News, VA 23608 (757) 875-1132

MAESO, ANDRES MAESO ANDRES S 606 Denbigh Blvd #107 Newport News, VA 23608 (757) 877-4304

MARTIN, SHANNON SHANNON M MARTIN DDS 12650-A Warwick Blvd Newport News, VA 23606 (757) 930-9100

MASTROS, KRISTIN DR THOMAS E WITTY JR PC 41 Old Oyster Point Rd Ste H Newport News, VA 23602 (757) 249-5128

PANDHER, RAMONA

REIMER, MICHAEL

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

MCGILL, ALLEN

PAULEY, RICHARD

RESTREPO, MELISSA

ALLEN R MCGILL DDS PC 11747 Jefferson Ave #5C Newport News, VA 23606 (757) 595-9979

RICHARD L PAULEY DDS 14752 Warwick Boulevard Newport News, VA 23608 (757) 874-4501

RONALD W KATZ 12420 Warwick Blvd Ste 1A Newport News, VA 23606 (757) 595-6224

MENGES, MARTIN

PEREZ, AGUSTIN

RICHARDS, CARTER

MARTIN J MENGES 12528 Warwick Blvd Newport News, VA 23606 (757) 591-8515

AGUSTIN S PEREZ DDS 710 Denbigh Blvd #5A Newport News, VA 23608 (757) 877-6003

HOLLEY & HOLLEY FAMILY DENTISTRY PC 9916 Warwick Blvd Newport News, VA 23601 (757) 595-3503

MEYERS, CHRISTIAN

PEREZ, TIMOTHY

DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

TIMOTHY P PEREZ 1311 Radius Way Newport News, VA 23602 (757) 877-6003

ROBINSON, DONALD SMILES AHEAD DENTAL PLLC 478 Denbigh Blvd Newport News, VA 23608 (757) 872-9907

PHAM, HEATHER MILLER, JULIAN PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

NAZARETH, MELISSA ESSENTIAL DENTAL SERVICES 2704 Chestnut Ave Newport News, VA 23607 (757) 247-0890

NICHOLS, ASHLEY KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

ODEH, OSAMA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

O'DONNELL, DAVID KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

OWEN, JOHN TIDEWATER FAMILY DENTISTRY 559 Denbigh Blvd Newport News, VA 23608 (757) 877-6787

RONALD W KATZ 12420 Warwick Blvd Ste 1A Newport News, VA 23606 (757) 595-6224

SAGMAN, MICHAEL SAGMAN MICHAEL E 732 Thimble Shoals Blvd #903 Newport News, VA 23606 (757) 873-3600

PHILLIPS, SARAH KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

PHILLIPS, SARAH PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

POOLE, ADAM KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

PRICE, MCKINLEY DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

PARTICIPATING PROVIDERS

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

MATIAS, THIAGO

SANCHEZ OCASIO, JESUS MORRISON DENTAL GROUP NEWPORT NEWS 710 Denbigh Blvd Bldg 1 Ste C Newport News, VA 23608 (757) 220-0330

SCOTT, TAMASHA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

SCOTT, TAMASHA DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

SLATTERY, MATTHEW MATTHEW SLATTERY PLLC 802 Old Oyster Point Rd Newport News, VA 23602 (757) 595-2511

RASTOGI, LOVEENA KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

SMITH, ERIC OYSTER POINT DENTISTRY 11848 Rock Landing Dr #301 Newport News, VA 23606 (757) 596-6211

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

113

Delta Dental Premier

VIRGINIA (CONT'D) NEWPORT NEWS STOCKBURGER, DANIEL DANIEL G STOCKBURGER DDS PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 (757) 873-2577

TAO-YI, SONIA

TRAN, BRITNIE KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

TROLENBERG, WILLIAM WILLIAM F TROLENBERG IV DDS PC 11318 Jefferson Ave Newport News, VA 23601 (757) 595-2191

VENNE, MARKO MARKO VENNE DDS 186 Arthur Way Newport News, VA 23602 (757) 874-8919

WATSON, BENJAMIN BENJAMIN T WATSON III DDS PLC 729 Thimble Shoals Blvd #7E Newport News, VA 23606 (757) 873-3322

WILLIS, JULIAN J DEWEY WILLIS III DDS & ASSOC 11713 Jefferson Ave Ste 100 Newport News, VA 23606 (757) 873-3407

WITTY, THOMAS DR THOMAS E WITTY JR PC 41 Old Oyster Point Rd Ste H Newport News, VA 23602 (757) 249-5128

YOUNG, MARCUS DENTAL CARE AT OYSTER POINT 635 Pilot House Dr Newport News, VA 23606 (757) 873-2777

KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

ORAL SURGEON CABANISS, CHARLES COLONY SQUARE MAXILLOFACIAL SURGEONS PC 710 Denbigh Blvd Ste 7D Newport News, VA 23608 (757) 877-9325

DAVENPORT, WILLIAM TDT OMS 716 Denbigh Blvd #C1 Newport News, VA 23608 (757) 874-6501

HERRERA, MARICIO KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

KENNEY, JEFFREY JEFFREY N KENNEY DDS PLLC 12420 Warwick Blvd #2A Newport News, VA 23606 (757) 595-1457

LEE, N NUMA RAY LEE DDS PLLC 11842 Rock Landing Dr #105 Newport News, VA 23606 (757) 596-1200

LEIST, JOHN COLONY SQUARE MAXILLOFACIAL SURGEONS PC 710 Denbigh Blvd Ste 7D Newport News, VA 23608 (757) 877-9325

MORGAN, JOHN KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

PHELPS, MAYNARD TDT OMS 716 Denbigh Blvd #C1 Newport News, VA 23608 (757) 874-6501

TANKERSLEY, KENNETH TDT OMS 716 Denbigh Blvd #C1 Newport News, VA 23608 (757) 874-6501

ORTHODONTIST BABCOCK, DANIEL BABCOCK DANIEL M 640 Denbigh Blvd #1 Newport News, VA 23608 (757) 874-4420

BEHL, YUGAL PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

FORREST, DAVID DAVID L FORREST DDS PLLC 729 Thimble Shoals Blvd Ste 7A Newport News, VA 23606 (757) 873-8800

JONES, ANTONIA PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

MATNEY, JOHN MATNEY JOHN L 12528 Warwick Boulevard Newport News, VA 23606 (757) 596-8210

ROSS, VICKI PENINSULA ORTHODONTICS PC 401 Oyster Pt Rd #D Newport News, VA 23602 (757) 249-4203

MORGAN, JOHN

RUBENSTEIN, LORETTA

PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

LKRUBENSTEIN PLLC 12725 Mcmanus Blvd Ste 1B Newport News, VA 23602 (757) 874-0990

SMITH, SHAUN KOOL SMILES 14346 Warwick Blvd Ste 418 Newport News, VA 23602 (757) 886-2096

WYATT, PATRICK PATRICK R WYATT DDS 12528 Warwick Blvd Ste F Newport News, VA 23606 (757) 595-7990

PEDIATRIC DENTIST/PEDODONTIST BRAXTON, DARCHELLE PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

GAROFALIS, HARALAMBOS OYSTER POINT ORAL & FACIAL SURGERY 11842 Rock Landing #105 Newport News, VA 23606 (757) 838-0800

GAROFALIS, HARALAMBOS PENINSULA PEDIATRIC DENTISTRY PC 220 Nat Turner Blvd Newport News, VA 23606 (757) 240-5711

HUIE, MARK

PARTICIPATING PROVIDERS

WILLIAM T GRIFFIN DDS PC 709 Mobjack Place Newport News, VA 23606 (757) 873-3001

YU, SANG HUN

AVENT & HUIE DDS PLC 12725 Mcmanus Blvd Bldg 1 #A Newport News, VA 23602 (757) 874-0660

PERIODONTIST ANDERSON, JENNIFER DANIEL G STOCKBURGER DDS PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 (757) 873-2577

ANDERSON, JENNIFER LOVING PRESTON B 732 Thimble Shoals #206 Newport News, VA 23606 (757) 873-2299

DAIL, RAY RAY A DAIL DDS 716 Denbigh Blvd #A-4 Newport News, VA 23608 (757) 872-7777

GREEN, BARRY BARRY L GREEN DMD MS LTD 716 Denbigh Blvd #C-2 Newport News, VA 23608 (757) 874-5455

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

114

Delta Dental Premier

VIRGINIA (CONT'D) NEWPORT NEWS PROSTHODONTIST

AHMAD, AMEERA

BONNIE, MARSHALL

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

BONNIE & HOROWITZ LLC 7400 Granby St Norfolk, VA 23505 (757) 587-7400

COVANEY, MICHAEL

ALEMAYEHU, AMEN

COVANEY & COVANEY DDS PC 760 Pilot House Dr #E Newport News, VA 23606 (757) 596-6850

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

NORFOLK

NESBITT, PAULA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

NESBITT, PAULA KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

GENERAL DENTIST ADAM-ELDIEN, ASHRAF KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

ADAM-ELDIEN, ASHRAF KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

ADESHARA, KARISHMA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

ADESHARA, KARISHMA KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

AGRAWAL, NITIN KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

AHMAD, AMEERA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

LEFCOE WEINSTEIN SACHS SCHIFF LTD 302 E Little Creek Rd Norfolk, VA 23505 (757) 416-7751

ANDERSON, BENJAMIN LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

ARTIS, ASHA LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

ATTIA, MOHAMED EINHORN & FOLECK LTD 201 College Place #111 Norfolk, VA 23510 (757) 623-0283

ATTIA, MOHAMED EINHORN & FOLECK LTD 241 Corporate Blvd Ste 220 Norfolk, VA 23502 (757) 965-7696

AVILES, FRANCISCO UNITED DENTISTRY PC 7909 Bison Avenue Norfolk, VA 23518 (757) 301-6789

BAKER, JOHN J PATRICK BAKER DDS PLC 1170 Lexan Ave #187 Norfolk, VA 23508 (757) 440-1360

BHATTI, PARVEEN WILLIAM E TUGGLE DDS PC 5715 Sellger Dr Norfolk, VA 23502 (757) 466-1700

MARSHALL BONNIE 7400 Granby Street Norfolk, VA 23505 (757) 587-7400

BOYD, KENNETH EINHORN & FOLECK LTD 201 College Place #111 Norfolk, VA 23510 (757) 623-0283

BOYD, KENNETH EINHORN & FOLECK LTD 241 Corporate Blvd Ste 220 Norfolk, VA 23502 (757) 965-7696

BRACKEN, MONLEUDY KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

BRACKEN, MONLEUDY KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

BRAR, PREMJEET KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

BRAR, PREMJEET KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

BREININGER, BYRON KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

BURTON, JERRY BURTON FAMILY DENTISTRY 110 Kingsley Lane Norfolk, VA 23505 (757) 489-1600

CANDLER, ROBERT ROBERT A CANDLER DDS 116 Janaf Office Bldg Norfolk, VA 23502 (757) 461-8173

GHENT FAMILY DENTISTRY LLC 2200 Colonial Ave Ste 12 Norfolk, VA 23517 (757) 626-0633

CHENNUPATI, NAVEEN KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

CLAYTON, CHARLES CLAYTON CHARLES G 327 West 21St Street Norfolk, VA 23517 (757) 624-1834

COLSON-SCOTT, MELLANDA MELLANDA COLSON SCOTT 1021 Sunset Dr Norfolk, VA 23503 (757) 587-1485

COTE, CARMEN AZALEA FAMILY DENTISTRY 7913 Azalea Garden Rd Norfolk, VA 23518 (757) 587-4433

PARTICIPATING PROVIDERS

ENDODONTIST

ALEMAYEHU, AMEN

BONNIE, MARSHALL

CAUTHEN, RUTH

COX, DANIEL WILLIAM E TUGGLE DDS PC 5715 Sellger Dr Norfolk, VA 23502 (757) 466-1700

DETWEILER, MELANIE NORFOLK DENTAL CARE 5621 Tidewater Dr Norfolk, VA 23509 (757) 622-3776

DILAURA, THOMAS DILAURA THOMAS J 9323 Granby Street Norfolk, VA 23503 (757) 588-6257

DIMITROFF, EMILY RITA FRAZIER DDS PC 136 E Little Creek Rd Norfolk, VA 23505 (757) 587-6399

DONALDSON, GAVIN-RAE KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

115

Delta Dental Premier

VIRGINIA (CONT'D) NORFOLK EL BADAWY, TAREK KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

FLEMING, LISA

FLOYD, JAZMIN NORFOLK DENTAL CARE 5621 Tidewater Dr Norfolk, VA 23509 (757) 622-3776

FOLECK, ADAM EINHORN & FOLECK LTD 201 College Place #111 Norfolk, VA 23510 (757) 623-0283

FOLECK, ADAM EINHORN & FOLECK LTD 241 Corporate Blvd Ste 220 Norfolk, VA 23502 (757) 965-7696

FORBES, IRAMA TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

FRAZIER, RITA RITA FRAZIER DDS PC 136 E Little Creek Rd Norfolk, VA 23505 (757) 587-6399

GLORIA, JOSEPH

KANDARE, WESLEY

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

HAMLETT, SHERYLE SHERYLE L HAMLETT DDS 1600 E Little Creek Rd Ste 330 Norfolk, VA 23518 (757) 587-1588

HARMON, THOMAS KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

HARMON, THOMAS KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

HONORE, KEVIN KEVIN F HONORE DDS PC 2370 E Little Creek Rd Norfolk, VA 23518 (757) 588-8162

HORNSBY, KIMBROUGH LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

HOROWITZ, ANDREW BONNIE & HOROWITZ LLC 7400 Granby St Norfolk, VA 23505 (757) 587-7400

HOROWITZ, ANDREW ANDREW I HOROWITZ 7400 Granby Street Norfolk, VA 23505 (757) 587-7400

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

HOWELL, ROBERT

GOLDSTEIN, KEITH

HUGHES, DOUGLAS

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

DOUGLAS JOHN HUGHES DDS 1542 E Bayview Boulevard Norfolk, VA 23503 (757) 583-1212

ROBERT W HOWELL DDS 9547 Shore Dr Norfolk, VA 23518 (757) 423-5892

KENT, JOHN PARTNERS IN DENTAL HEALTH II LLC 738 E Bayview Blvd #3 Norfolk, VA 23503 (757) 588-1563

KAPOOR, ELLENI

KENT, JOHN

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

PARTNERS IN DENTAL HEALTH III LLC 7923 Halprin Dr Norfolk, VA 23518 (757) 587-0874

KAPOOR, ELLENI LEFCOE WEINSTEIN SACHS SCHIFF LTD 302 E Little Creek Rd Norfolk, VA 23505 (757) 416-7751

KAPOOR, RAJNI KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

KAPOOR, RAJNI KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

KATZ, RONALD TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

KAUR, AJINDER

KENT, MATHEW PARTNERS IN DENTAL HEALTH III LLC 7923 Halprin Dr Norfolk, VA 23518 (757) 587-0874

KESSER, HOWARD KESSER HOWARD L 900 W Little Creek Road Norfolk, VA 23505 (757) 423-1021

KIRPAL, ABHISHEK KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

KIRPAL, ABHISHEK KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

KONIKOFF, STEPHEN

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

KONIKOFF FAMILY DENTISTRY 220 W Brambleton Ave #110 Norfolk, VA 23505 (757) 583-1536

KAUR, AJINDER

KONIKOFF, STEPHEN

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

KENT, DEAN

LAPETINA, JOHN

PARTNERS IN DENTAL HEALTH II LLC 738 E Bayview Blvd #3 Norfolk, VA 23503 (757) 588-1563

KENT, DEAN PARTNERS IN DENTAL HEALTH III LLC 7923 Halprin Dr Norfolk, VA 23518 (757) 587-0874

PARTICIPATING PROVIDERS

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

GUPTA, GARIMA

JOHN B LAPETINA JR DDS PC 9601 Granby St Norfolk, VA 23503 (757) 588-0276

LEE, JAMES KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

116

Delta Dental Premier

VIRGINIA (CONT'D) NORFOLK LEFTA-HOSKINS, FOTINA KONIKOFF FAMILY DENTISTRY 220 W Brambleton Ave #110 Norfolk, VA 23505 (757) 583-1536

LEFTA-HOSKINS, FOTINA

LIMON, FRANCISCO EINHORN & FOLECK LTD 201 College Place #111 Norfolk, VA 23510 (757) 623-0283

LIMON, FRANCISCO KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

LIMON, FRANCISCO EINHORN & FOLECK LTD 241 Corporate Blvd Ste 220 Norfolk, VA 23502 (757) 965-7696

LIMON, FRANCISCO

OBERRY, VERNON

PHILLIPS, SARAH

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

VERNON E OBERRY JR DDS PC 708 Medical Tower Norfolk, VA 23507 (757) 627-1882

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

MARSHALL, DAVID DAVID T MARSHALL DDS PC 110 Kingsley Lane #203 203 Depaul Medical Bld Norfolk, VA 23505 (757) 489-4221

MARSHALL, ROBYN VERNON E OBERRY JR DDS PC 708 Medical Tower Norfolk, VA 23507 (757) 627-1882

MATIAS, THIAGO KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

MATIAS, THIAGO KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

MCMILLAN, VICKI

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

LLODRA, CLARA

MOOREFIELD, KALLIE

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

LONGMAN, BRUCE BRUCE LONGMAN DDS LLC 601 Childrens Ln Norfolk, VA 23507 (757) 495-4700

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

MOSES, STEPHEN KONIKOFF FAMILY DENTISTRY 220 W Brambleton Ave #110 Norfolk, VA 23505 (757) 583-1536

MOSES, STEPHEN LYNCH, RONALD KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

NOTTINGHAM, JAMES JAMES H NOTTINGHAM DMD 142 W York St Ste 705 Norfolk, VA 23510 (757) 623-9545

ODEH, OSAMA KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

O'DONNELL, DAVID KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

O'DONNELL, DAVID KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

OKEEFE, EDWARD EDWARD OKEEFE 1232 W Little Creek Rd Norfolk, VA 23505 (757) 440-7955

PANDHER, RAMONA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

PHILLIPS, SARAH KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

POOLE, ADAM KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

POOLE, ADAM KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

RAMSEY, HARRY HARRY E RAMSEY JR DDS PC 110 Kingsley Ln #504 Norfolk, VA 23505 (757) 489-1811

RASMUSSEN, JAY KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

PANDHER, RAMONA

REIMER, MICHAEL

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

PARET, KATHERINE KONIKOFF FAMILY DENTISTRY 220 W Brambleton Ave #110 Norfolk, VA 23505 (757) 583-1536

REIMER, MICHAEL KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

PARET, KATHERINE

REYNOLDS, JILLIAN

KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

PENTECOST, GRACE

REYNOLDS, JILLIAN

WILLIAM E TUGGLE DDS PC 5715 Sellger Dr Norfolk, VA 23502 (757) 466-1700

PARTICIPATING PROVIDERS

KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

MARCOU, MICHAEL

LEFCOE WEINSTEIN SACHS SCHIFF LTD 302 E Little Creek Rd Norfolk, VA 23505 (757) 416-7751

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

117

Delta Dental Premier

SMITH-KAYAL, ALISA

UTTERBACK, BRUCE

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

KONIKOFF FAMILY DENTISTRY 220 W Brambleton Ave #110 Norfolk, VA 23505 (757) 583-1536

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

SCOTT, TAMASHA

SMITH-KAYAL, ALISA

UTTERBACK, BRUCE

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

KONIKOFF FAMILY DENTIST 7400 Granby Street Norfolk, VA 23505 (757) 583-1535

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

ROBINSON, ELIZABETH

SELDEN, ROBERT

SOBIEH, RADWA

WATSON, JAMES

TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

ROBERT M SELDEN JR DDS PC 885 Kempsville Rd #302 Norfolk, VA 23502 (757) 461-1988

TIDEWATER DENTAL CENTER PLLC 425 W 20Th St Ste 3 Norfolk, VA 23517 (757) 622-4245

WATSON JAMES L JR 703 E Va Beach Blvd Norfolk, VA 23504 (757) 622-3391

NORFOLK REYNOLDS, KENNETH

SHARIF, ASIF SACHS, SCOTT LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

SACHS, SCOTT LEFCOE WEINSTEIN SACHS SCHIFF LTD 302 E Little Creek Rd Norfolk, VA 23505 (757) 416-7751

SACHS, WARREN LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

SALEM, MUHANAD KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

SALEM, MUHANAD KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

SALERNO, JAMES RITA FRAZIER DDS PC 136 E Little Creek Rd Norfolk, VA 23505 (757) 587-6399

SCHIFF, IVAN LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

SHARIF, ASIF KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

WEINSTEIN, LEE SPAIN, MURRAY MURRAY SPAIN JR DMD PC 1216 Granby St #2 Norfolk, VA 23510 (757) 625-1817

SPAIN, MURRAY KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

SHETA, AMR EAST BEACH DENTAL AMR SHETA DDS 4520 Pretty Lake Ave #20 Norfolk, VA 23518 (757) 362-0600

STEELE, BEN HEALTHY SMILES EAST OCEAN VIEW 9581 Shore Dr Norfolk, VA 23518 (757) 393-6363

SINGOR, LAUREN LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

SKRBA, SLADJANA KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

SMITH, THOMAS LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

WEISBERG, EDWARD EDWARD J WEISBERG DDS 801 W Little Creek Rd #B Norfolk, VA 23505 (757) 440-0044

WILSON, NATASHA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

WILSON, NATASHA SUR, MARCUS LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

SKRBA, SLADJANA KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

PARTICIPATING PROVIDERS

SCOTT, TAMASHA

VIRGINIA (CONT'D)

TABOR, WILLIAM WM DONALD TABOR JR DDS PLC 108 W 20Th St Norfolk, VA 23517 (757) 622-7544

TRAN, BRITNIE KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

TUGGLE, WILLIAM WILLIAM E TUGGLE DDS PC 5715 Sellger Dr Norfolk, VA 23502 (757) 466-1700

KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

YEH, PAUL LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

YU, SANG HUN KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

YU, SANG HUN KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

118

Delta Dental Premier

VIRGINIA (CONT'D) NORFOLK ZENO, ALLAN ALLAN S ZENO DDS 1232 W Little Creek Rd #500 Norfolk, VA 23505 (757) 583-4579

ORAL SURGEON TRENT P CONELIAS DDS PC 110 Kingsley Ln Ste 303 Norfolk, VA 23505 (757) 489-1511

KROCHMAL, JAMES JAMES E KROCHMAL DDS PC 400 W Brambleton Ave #310 Norfolk, VA 23510 (757) 440-7777

MORRISON, SANFORD MORRISON & MORRISON 204 Medical Tower Norfolk, VA 23507 (757) 625-4947

ORTHODONTIST ANDERSON, HOLLY DRS SHIVAR PELUSO & ANDERSEN PC 302 East Little Creek Rd #300 Norfolk, VA 23505 (757) 424-5308

ASHBY, JOHN ASHBY ORTHODONTICS LTD 7400 Granby Street Norfolk, VA 23505 (757) 583-4518

BENES, KRISTEN LEFCOE WEINSTEIN SACHS SCHIFF LTD 300 East Little Creek Rd Norfolk, VA 23505 (757) 587-6453

EBERLY, RANDY

CATHERINE ODEN FULTON DDS PLC 110 Kingsley Ln 403 Depaul Medical Bldg Norfolk, VA 23505 (757) 489-1331

RANDY J EBERLY DMD 801 W Little Creek Rd Norfolk, VA 23505 (757) 827-3399

HUTCHINS, GREGORY GREGORY M HUTCHINS DDS 1806 Hampton Blvd Norfolk, VA 23517 (757) 627-7555

PELUSO, ANTHONY DRS SHIVAR PELUSO & ANDERSEN PC 302 East Little Creek Rd #300 Norfolk, VA 23505 (757) 424-5308

HAMLIN, DAURA DRS HAMLIN & MORGAN PLC 1806 Hampton Blvd #A Norfolk, VA 23517 (757) 627-7550

MORGAN, PAMELA DRS HAMLIN & MORGAN PLC 1806 Hampton Blvd #A Norfolk, VA 23517 (757) 627-7550

PERIODONTIST HIRSCHLER, DAVID

SCOTT ORTHODONTICS 4520 Pretty Lake Rd Norfolk, VA 23518 (757) 825-6280

PERIODONTOLOGY ASSOC 5900 E Va Beach Blvd 213 Janaf Office Norfolk, VA 23502 (757) 461-3660

SHIVAR, WALKER

KONIKOFF, BRYAN

SCOTT, JON

NORTH CHESTERFIELD GENERAL DENTIST APPLEBY, PETER VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

CASH, JEFFREY VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

CIOS, CHRIS VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

CRICHTON, CATHERINE VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

DRS SHIVAR PELUSO & ANDERSEN PC 302 East Little Creek Rd #300 Norfolk, VA 23505 (757) 424-5308

KONIKOFF SALZBERG PERIODONTICS LTD 7400 Granby St Norfolk, VA 23505 (757) 587-1243

CRICHTON, JAMES

SMITH, SHAUN

SALZBERG, TRANG

CUMBEY, J

KOOL SMILES 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665

SMITH, SHAUN KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 466-3622

WOODARD, MONICA THOMAS WOODARD DDS 415-8 Military Hwy Norfolk, VA 23502 (757) 455-5040

BENES, KRISTEN

WOODARD, THOMAS

LEFCOE WEINSTEIN SACHS SCHIFF LTD 302 E Little Creek Rd Norfolk, VA 23505 (757) 416-7751

THOMAS WOODARD DDS 415-8 Military Hwy Norfolk, VA 23502 (757) 455-5040

PEDIATRIC DENTIST/PEDODONTIST

KONIKOFF SALZBERG PERIODONTICS LTD 7400 Granby St Norfolk, VA 23505 (757) 587-1243

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

PARTICIPATING PROVIDERS

CONELIAS, TRENT

FULTON, CATHERINE

J LLOYD CUMBEY DDS LTD 2701 Turner Road North Chesterfield, VA 23224 (804) 276-8576

EPPS, JOHNE WITTE, ERNEST PERIODONTOLOGY ASSOC 5900 E Va Beach Blvd 213 Janaf Office Norfolk, VA 23502 (757) 461-3660

PROSTHODONTIST DAVIS, KEENAN PARTNERS IN DENTAL HEALTH II LLC 738 E Bayview Blvd #3 Norfolk, VA 23503 (757) 588-1563

DAVIS, KEENAN PARTNERS IN DENTAL HEALTH III LLC 7923 Halprin Dr Norfolk, VA 23518 (757) 587-0874

JOHNE JASPER EPPS DDS PLC 9460 Amberdale Dr Ste H North Chesterfield, VA 23236 (804) 304-9670

ESTILL, ANDREW VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

FORMICA, LOUIS VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

GAMACHE, MARC VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

119

Delta Dental Premier

VIRGINIA (CONT'D) NORTH CHESTERFIELD HELFRICH, KATHERINE VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

HYDER, ZAIN

JOHANSEN, STEPHEN VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

JORDAN, EDWARD VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

LOPEZ, ROCIO VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

MALONE, DOUGLAS MALONE DOUGLAS R 9413 Hull Street Rd #B1 North Chesterfield, VA 23236 (804) 745-4550

MOON, JEFF MODERN DENTISTRY PC 7410 Hull Street Rd #101 North Chesterfield, VA 23235 (804) 477-8687

MOSEY, JAMES VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

MULE, MERISSA VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

WHITMAN, KIME

CLISSO, MONICA

MODERN DENTISTRY PC 7410 Hull Street Rd #101 North Chesterfield, VA 23235 (804) 477-8687

OLEY - QUILEZ DDS PLC 1907 W Huguenot Rd North Chesterfield, VA 23235 (804) 379-6806

CLISSO DENTISTRY PC 807 Park Ave Norton, VA 24273 (276) 679-6030

OLEY, GEORGE

WICKER, MARYBETH

HORNE, WILLIAM

OLEY - QUILEZ DDS PLC 1907 W Huguenot Rd North Chesterfield, VA 23235 (804) 379-6806

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

WILLIAM C HORNE JR DDS PC 204 Chestnut St Norton, VA 24273 (276) 679-0040

ORISTIAN, ALEXIS

WONG, JOSHUA

MAYERCHAK, MICHELLE

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

DESIGNING SMILES 728 Commonwealth Dr Norton, VA 24273 (276) 679-7171

PERKINSON, WILLIAM VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

QUILEZ, ROBERT OLEY - QUILEZ DDS PLC 1907 W Huguenot Rd North Chesterfield, VA 23235 (804) 379-6806

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

SHAH, ROHINI MODERN DENTISTRY PC 7410 Hull Street Rd #101 North Chesterfield, VA 23235 (804) 477-8687

SPARKS, SARAH VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

SULLIVAN, KIT VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

WARD, CHRISTOPHER VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

ORTHODONTIST ANDERSON, RALPH OLEY - QUILEZ DDS PLC 1907 W Huguenot Rd North Chesterfield, VA 23235 (804) 379-6806

BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

MARCUS, RICHARD VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

PURCELL, ALLISON VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

MONTGOMERY, JEFFREY JEFFREY D MONTGOMERY DDS PC 616 Market St Norton, VA 24273 (276) 679-5141

NAUSS, STEVEN STEVEN E NAUSS DDS 102 15Th St Nw Ste 302 Norton, VA 24273 (276) 679-8400

OAK HILL GENERAL DENTIST BAKHTYARI, FARSHAD PREMIER DENTAL CARE PC 2579 John Milton Dr Ste 250 Oak Hill, VA 20171 (703) 860-8860

OAKTON GENERAL DENTIST

ROGERS, DALE

ADAMS, LAUREN

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

DR LAUREN ADAMS 2915 Hunter Mill Rd Ste 5 Oakton, VA 22124 (703) 281-4456

PERIODONTIST VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

NORTON GENERAL DENTIST

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 6441 Ironbridge Rd North Chesterfield, VA 23234 (804) 743-8166

NASIF, YASER

AHRABI, ABBAS OAKTON DENTAL CENTER PLLC 2969 Chain Bridge Rd Oakton, VA 22124 (703) 938-3405

CASEY, TODD TODD M CASEY DDS PC 2915 Hunter Mill Rd #20 Oakton, VA 22124 (703) 938-7773

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

120

Delta Dental Premier

VIRGINIA (CONT'D) OAKTON GIORDANO, PASQUALE OAKTON DENTISTRY BY DESIGN 2915 Hunter Mill Rd Ste 10 Oakton, VA 22124 (703) 938-4300

GIORDANO, PASQUALE

ASHBY, COURTNEY

MERA, JOSE

SPENCER G SHELLEY 25485 Lankford Hwy Onley, VA 23418 (757) 787-7000

VICKY HALE DDS PLLC 111 Spicer Mill Rd #A Orange, VA 22960 (540) 672-3661

JOSE A MERA DDS PC & ASSOC 68 Heritage Dr #5 Palmyra, VA 22963 (434) 589-5327

CHUNG, HEE-CHUL

SCHOLL, LEO

PIEDMONT REGIONAL DENTAL CLINIC INC 13296 James Madison Hwy Orange, VA 22960 (540) 661-0008

JOSE A MERA DDS PC & ASSOC 68 Heritage Dr #5 Palmyra, VA 22963 (434) 589-5327

ORAL SURGEON BERRY, ZACHARY GOODOVE ORAL SURGERY EASTERN SHORE 25529 East Main St Onley, VA 23418 (757) 412-2002

BYRNSIDE, VALERIE OAKTON DENTISTRY BY DESIGN 2915 Hunter Mill Rd Ste 10 Oakton, VA 22124 (703) 938-4300

GOODOVE ORAL SURGERY EASTERN SHORE 25529 East Main St Onley, VA 23418 (757) 412-2002

SAMRA, CHRISTINA

GOODOVE, SCOTT

KHALIL, JOSEPH

AESTHETIC DENTISTRY OF OAKTON 2936 Chain Bridge Rd #200 Oakton, VA 22124 (703) 255-1150

ORTHODONTIST MCGRATH, KEVIN OAKTON FAMILY ORTHODONTICS 2968-B Chain Bridge Rd Oakton, VA 22124 (703) 938-1900

PEDIATRIC DENTIST/PEDODONTIST MOFAKHAMI, NILOOFAR NILOOFAR MOFAKHAMI DDS PLLC 2944 Hunter Mill Rd Ste 202 Oakton, VA 22124 (703) 255-3424

ONANCOCK GENERAL DENTIST FOSQUE, FLETCHER FOSQUE FLETCHER D 5 Fairgrounds Rd Onancock, VA 23417 (757) 787-2565

ONLEY GENERAL DENTIST

GOODOVE ORAL SURGERY EASTERN SHORE 25529 East Main St Onley, VA 23418 (757) 412-2002

ZAGURSKY, PETER GOODOVE ORAL SURGERY EASTERN SHORE 25529 East Main St Onley, VA 23418 (757) 412-2002

ORTHODONTIST SABOL, GEORGE DRS SAVAGE SABOL & VISSER LTD 25529 E Main St Onley, VA 23418 (757) 787-7878

SAVAGE, ANTHONY DRS SAVAGE SABOL & VISSER LTD 25529 E Main St Onley, VA 23418 (757) 787-7878

VISSER, BRITT DRS SAVAGE SABOL & VISSER LTD 25529 E Main St Onley, VA 23418 (757) 787-7878

ORANGE GENERAL DENTIST

SCHROEDER, STEPHEN DUNBAR, PATRICIA PIEDMONT REGIONAL DENTAL CLINIC INC 13296 James Madison Hwy Orange, VA 22960 (540) 661-0008

HALE, VICKY VICKY HALE DDS PLLC 111 Spicer Mill Rd #A Orange, VA 22960 (540) 672-3661

HARDING, EMILY PIEDMONT REGIONAL DENTAL CLINIC INC 13296 James Madison Hwy Orange, VA 22960 (540) 661-0008

JEFFREY, EMMA PIEDMONT REGIONAL DENTAL CLINIC INC 13296 James Madison Hwy Orange, VA 22960 (540) 661-0008

SHERWIN, TED TED SHERWIN DDS PC 111-D Spicers Mill Rd Orange, VA 22960 (540) 672-2605

PEDIATRIC DENTIST/PEDODONTIST LAUGHLIN, ROBERT PIEDMONT REGIONAL DENTAL CLINIC INC 13296 James Madison Hwy Orange, VA 22960 (540) 661-0008

PALMYRA GENERAL DENTIST

JOSE A MERA DDS PC & ASSOC 68 Heritage Dr #5 Palmyra, VA 22963 (434) 589-5327

SPENCE, JEFFREY JEFFREY A SPENCE DDS PC 40 Joshua Ln Palmyra, VA 22963 (434) 589-6999

THOMPSON, JACK DR JACK F THOMPSON III 13653 James Madison Hwy Palmyra, VA 22963 (434) 589-3871

WARD, GLORIA

PARTICIPATING PROVIDERS

OAKTON DENTISTRY BY DESIGN 2936 Chain Bridge Rd Ste 200 Oakton, VA 22124 (703) 938-4300

SHELLEY, SPENCER

JOSE A MERA DDS PC & ASSOC 68 Heritage Dr #5 Palmyra, VA 22963 (434) 589-5327

PARKSLEY GENERAL DENTIST FEI, TIAN TIAN FEI DDS 24277 Cooke St. Parksley, VA 23421 (757) 665-7729

GRIGGS, EDWARD METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

KORDIS, ALEX METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

NIGHTENGALE, TIFFANY METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

121

Delta Dental Premier

VIRGINIA (CONT'D) PARKSLEY ROOT, NOEL METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

SAVAGE, DENNIS

SHELLEY, STEPHANIE METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

SORIN, MARK METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

WOLPIN, SCOTT METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

PEARISBURG GENERAL DENTIST

GENERAL DENTIST ROBERSON, JAMES JAMES M ROBERSON DDS 128 S Kentucky St Pennington Gap, VA 24277 (276) 546-3121

SHELBURNE, STEPHEN LEE FAMILY DENTAL PLC 41830 E Morgan Ave Pennington Gap, VA 24277 (276) 546-2042

PETERSBURG GENERAL DENTIST

KHALAF, ATHRA DENTAL FIRST 104 Morton Ave Petersburg, VA 23805 (804) 732-0056

GEORGE J LAKE DDS 1940 S Sycamore St Petersburg, VA 23805 (804) 733-4641

MORRISON, JULIUS BHAGAT, MILAN SOUTHSIDE DENTAL ASSOCIATES 3277 South Crater Rd #B Petersburg, VA 23805 (804) 732-5776

BROWN, SHEILANDICE CENTRAL VIRGINIA HEALTH SERVICES INC 321 Poplar Dr Petersburg, VA 23805 (804) 733-5591

DOWDY, HUGH DOWDY HUGH C JR 700 S Sycamore Street Petersburg, VA 23803 (804) 861-2571

EPPS, JOHNE DENTAL FIRST 104 Morton Ave Petersburg, VA 23805 (804) 732-0056

FLOYD, JAZMIN DENTAL FIRST 104 Morton Ave Petersburg, VA 23805 (804) 732-0056

STUBBS, PAUL STUBBS DDS INC 300 Tazewell St Pearisburg, VA 24134 (540) 921-3323

JAMES K JOHNSON DDS 6204 Duncan Road Petersburg, VA 23803 (804) 861-6464

LAKE, GEORGE

STUBBS, JULIE STUBBS DDS INC 300 Tazewell St Pearisburg, VA 24134 (540) 921-3323

JOHNSON, JAMES

THE PETERSBURG SMILE CENTER PC 34-E Medical Park Blvd Petersburg, VA 23805 (804) 732-8800

KOK, ALISTAIR A LEON KOK DDS PC 722 Wenonah Ave Pearisburg, VA 24134 (540) 921-1215

DENTAL FIRST 104 Morton Ave Petersburg, VA 23805 (804) 732-0056

BARBOUR, NICOLE

ANKRUM, MICHAEL MICHAEL J ANKRUM DDS PC 722 Wenonah Ave Pearisburg, VA 24134 (540) 921-1215

JIWANI, MUNIRA

GRIFFIN, CHARLES GRIFFIN CHARLES F 3277 S Crater Rd Petersburg, VA 23805 (804) 733-8446

DENTAL FIRST 104 Morton Ave Petersburg, VA 23805 (804) 732-0056

MUNN, WILLIAM SOUTHSIDE DENTAL ASSOC 3277 South Crater Rd Petersburg, VA 23805 (804) 732-5776

PARRIS-WILKINS, TONYA CENTRAL VIRGINIA HEALTH SERVICES INC 321 Poplar Dr Petersburg, VA 23805 (804) 733-5591

PEARSON, BONNIE PEARSON BONNIE J 10545 S. Crater Rd Petersburg, VA 23805 (804) 732-8557

RICHARDSON, EUGENE RICHARDSON EUGENE 23 Shore St. Petersburg, VA 23803 (804) 861-5331

RICHARDSON, EUGENE EUGENE A RICHARDSON III DDS 23 Shore Street Petersburg, VA 23803 (804) 861-5331

VOLKOVA, IRINA GRIFFIN CHARLES F 3277 S Crater Rd Petersburg, VA 23805 (804) 733-8446

WILSON, LORI WILSON DENTAL GROUP 2010 Wakefield Ave Petersburg, VA 23805 (804) 733-6740

ORAL SURGEON BRINSER, PAUL SOUTHSIDE ORAL & FACIAL SURGERY LTD 595 Old Wagner Rd Petersburg, VA 23805 (804) 732-6532

ONEILL, ROBERT SOUTHSIDE ORAL & FACIAL SURGERY LTD 595 Old Wagner Rd Petersburg, VA 23805 (804) 732-6532

TROTTER, BRADLEY SOUTHSIDE ORAL & FACIAL SURGERY LTD 595 Old Wagner Rd Petersburg, VA 23805 (804) 732-6532

PARTICIPATING PROVIDERS

METOMPKIN DENTAL UNIT 24501 Parksley Rd Parksley, VA 23421 (757) 665-1159

PENNINGTON GAP

PERIODONTIST MORETTI, JOY VIRGINIA PERIO LTD 9 Holly Hill Dr Petersburg, VA 23805 (804) 733-9490

SHAH, NIDHI VIRGINIA PERIO LTD 9 Holly Hill Dr Petersburg, VA 23805 (804) 733-9490

SLAGLE, JAMES VIRGINIA PERIO LTD 9 Holly Hill Dr Petersburg, VA 23805 (804) 733-9490

SPERLING-HABOT, KEREN VIRGINIA PERIO LTD 9 Holly Hill Dr Petersburg, VA 23805 (804) 733-9490

POQUOSON

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

122

Delta Dental Premier

VIRGINIA (CONT'D) POQUOSON GENERAL DENTIST

DAILEY, GEORGE

BELL, TAMMARA

CARROLL, STEVEN

CURTIS W DAILEY DDS PLLC 534-B Wythe Creek Rd Poquoson, VA 23662 (757) 826-5075

FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

DRS ALTHOUSE CARROLL & ALPERIN 3410 County St Portsmouth, VA 23707 (757) 393-2568

GOLDSTONE, JOHN

RIGGS, GARY

HUNT SMILE DESIGN 358 Wyth Creek Rd Poquoson, VA 23662 (757) 868-6651

GARY A RIGGS JR DMD 360 E Wythe Creek Rd Poquoson, VA 23662 (757) 868-0021

WILLIAM G HARPER DDS PC 235 Wythe Creek Rd Poquoson, VA 23662 (757) 868-8152

HUNT, DAWN HUNT SMILE DESIGN 358 Wyth Creek Rd Poquoson, VA 23662 (757) 868-6651

PORTSMOUTH ENDODONTIST NESBITT, PAULA KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

GENERAL DENTIST ADAM-ELDIEN, ASHRAF

HUNT, JOHN HUNT SMILE DESIGN 358 Wyth Creek Rd Poquoson, VA 23662 (757) 868-6651

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

ADESHARA, KARISHMA HUNT, WILLIAM HUNT SMILE DESIGN 358 Wyth Creek Rd Poquoson, VA 23662 (757) 868-6651

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

AHMAD, AMEERA MOORE, ALFRED WILLIAM G HARPER DDS PC 235 Wythe Creek Rd Poquoson, VA 23662 (757) 868-8152

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

ALPERIN, LORI FAMILY DENTISTRY 534-A Wythe Creek Rd Poquoson, VA 23662 (757) 868-9334

DRS ALTHOUSE CARROLL & ALPERIN 3410 County St Portsmouth, VA 23707 (757) 393-2568

TAYLOR, RUSSELL

ALTHOUSE, ELLIOTT

TAYLOR, DONALD

FAMILY DENTISTRY 534-A Wythe Creek Rd Poquoson, VA 23662 (757) 868-9334

ORTHODONTIST DAILEY, CURTIS CURTIS W DAILEY DDS PLLC 534-B Wythe Creek Rd Poquoson, VA 23662 (757) 826-5075

DRS ALTHOUSE CARROLL & ALPERIN 3410 County St Portsmouth, VA 23707 (757) 393-2568

BALUYUT, AMY MICHAEL EDENFIELD DDS PC 6263 Portsmouth Blvd Portsmouth, VA 23701 (757) 488-1285

STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

BIGELOW, GILBERT STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

BIRSCH, FREDERICK

FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

DUNKIN, CHRISTINA STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

FREDERICK T BIRSCH DDS 3413 South Street Portsmouth, VA 23707 (757) 393-9929

DUNKIN, CHRISTINA

BOYD, KENNETH

DUNKIN, CHRISTINA

MICHAEL EDENFIELD DDS PC 6263 Portsmouth Blvd Portsmouth, VA 23701 (757) 488-1285

BRABSON, ANITA ANITA BRABSON 3620 County St Portsmouth, VA 23707 (757) 397-8877

BRACKEN, MONLEUDY KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

BRAR, PREMJEET KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

BRAR, PREMJEET FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165 CHILDRENS DENTAL WORLD 6224 Portsmouth Blvd Ste 300 Portsmouth, VA 23701 (757) 337-0451

PARTICIPATING PROVIDERS

HARPER, WILLIAM

CWIAK, KARI BIGELOW, GILBERT

EDENFIELD, MICHAEL MICHAEL EDENFIELD DDS PC 6263 Portsmouth Blvd Portsmouth, VA 23701 (757) 488-1285

EL BADAWY, TAREK KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

GOLDSTEIN, STEPHEN STEPHEN M GOLDSTEIN DDS LTD 6263 Portsmouth Blvd Portsmouth, VA 23701 (757) 488-1285

GREEN, ROOSEVELT DR ROOSEVELT T GREEN JR DDS 600 Green Street Portsmouth, VA 23704 (757) 399-3752

CAHOON, ROGER ROGER H CAHOON DDS PC 3300 High Street #5 Portsmouth, VA 23707 (757) 393-1241

HARMON, THOMAS KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

123

Delta Dental Premier

VIRGINIA (CONT'D) PORTSMOUTH HOLLEY, JAMES HOLLEY & HOLLEY FAMILY DENTISTRY PC 446 Effingham Street Portsmouth, VA 23704 (757) 393-2401

FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

JENKINS, HARRY JENKINS DENTAL GROUP 3349 Portsmouth Blvd Portsmouth, VA 23701 (757) 393-4361

KAPOOR, RAJNI KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KAUR, AJINDER KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KAYMANESH, SHAGHAYEGH KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KIM, CHAD KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KIRPAL, ABHISHEK KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KUPPERI, VINUTHA KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

LYNCH, RONALD

MOSS, STANLEY

STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

MATIAS, THIAGO

MURTHY, ROOPA

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

PEDIATRIC DENTAL CARE OF TIDEWATER PC 5915 W High St Portsmouth, VA 23703 (757) 484-8262

LANG, LESLIE STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

LANG, STEVEN STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

LANG, STEVEN STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

LANG, STEVEN CHILDRENS DENTAL WORLD 6224 Portsmouth Blvd Ste 300 Portsmouth, VA 23701 (757) 337-0451

LANGSTON, ROBIN HAMPTON ROADS COMMUNITY HEALTH CENTER 664 Lincoln St Portsmouth, VA 23704 (757) 399-4588

LESINSKI, FRANCIS DBA PORTSMOUTH FAMILY DENTAL 4409 George Washington Hwy Portsmouth, VA 23702 (757) 485-2225

MCCLUNG, ALICIA STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

MCCLUNG, ALICIA STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

MILLER, JULIAN FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

MOJARES, ELIZABETH STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

MOJARES, ELIZABETH STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

NICHOLS, ASHLEY KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

O'DONNELL, DAVID KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

PANDHER, RAMONA KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

PARTICIPATING PROVIDERS

IRELAND, MICHAEL

LANG, LESLIE

PHILLIPS, SARAH KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

POOLE, ADAM KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

LIMON, FRANCISCO

MOJARES, ELIZABETH

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

HAMPTON ROADS COMMUNITY HEALTH CENTER 664 Lincoln St Portsmouth, VA 23704 (757) 399-4588

RASMUSSEN, JAY

MOOREFIELD, KALLIE

REIMER, MICHAEL

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

MOSS, STANLEY

REYNOLDS, KENNETH

STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 Portsmouth, VA 23701 (757) 488-8884

K BRADLEY REYNOLDS DDS PLLC 1307 Airline Blvd Portsmouth, VA 23707 (757) 399-4662

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

LOVELL, ERIC LOVELL FAMILY DENTISTRY PC 5717 Churchland Blvd Portsmouth, VA 23703 (757) 484-1675

LOVELL, MARY LOVELL FAMILY DENTISTRY PC 5717 Churchland Blvd Portsmouth, VA 23703 (757) 484-1675

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

124

Delta Dental Premier

VIRGINIA (CONT'D) PORTSMOUTH RHODES, JAMES WIGGINS & RHODES 1305 Rodman Avenue Portsmouth, VA 23707 (757) 397-3296

RICHARDS, CARTER

SALEM, MUHANAD KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

SANKOWSKI, CHRISTINE PEDIATRIC DENTAL CARE OF TIDEWATER PC 5915 W High St Portsmouth, VA 23703 (757) 484-8262

SELLERS, VERNON

MARTIN, J

DOMINION DENTISTRY PLLC 3219 Stamford Rd Portsmouth, VA 23703 (757) 484-1202

DODSON TAYLOR & JETT INC 3116 Tyre Neck Road Portsmouth, VA 23703 (757) 483-2110

FRIENDLY FACES PEDIATRIC DENTISTRY PC 446 Effingham St First Floor Portsmouth, VA 23704 (757) 397-9801

TRAN, BRITNIE KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

UTTERBACK, BRUCE KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

WIGGINS, BENJAMIN WIGGINS & RHODES 1305 Rodman Avenue Portsmouth, VA 23707 (757) 397-3296

WILSON, JOSEPH STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 (757) 397-5165

WILSON, JOSEPH SCOTT, TAMASHA KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

CHILDRENS DENTAL WORLD 6224 Portsmouth Blvd Ste 300 Portsmouth, VA 23701 (757) 337-0451

WILSON, NATASHA SHARIF, ASIF KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

YU, SANG HUN SHARPE, ISIAH ISIAH R SHARPE III 344 Effingham St Portsmouth, VA 23704 (757) 398-0404

SKRBA, SLADJANA KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

STEVENSON, PRETLOW DR PRETLOW L STEVENSON JR 3412 Columbia Street Portsmouth, VA 23707 (757) 397-5611

KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

ORAL SURGEON JETT, L DODSON TAYLOR & JETT INC 3116 Tyre Neck Road Portsmouth, VA 23703 (757) 483-2110

LARUSSO, MARK DODSON TAYLOR & JETT INC 3116 Tyre Neck Road Portsmouth, VA 23703 (757) 483-2110

ORTHODONTIST BEHL, YUGAL FRIENDLY FACES PEDIATRIC DENTISTRY PC 446 Effingham St First Floor Portsmouth, VA 23704 (757) 397-9801

MORRIS, GLENWOOD DOCTORS MORRIS & MORRIS LTD 5857 Trucker St Portsmouth, VA 23703 (757) 397-7038

SMITH, SHAUN KOOL SMILES 4072 Victory Blvd Portsmouth, VA 23701 (757) 465-3834

TAYLOR, GARY DOCTORS MORRIS & MORRIS LTD 5857 Trucker St Portsmouth, VA 23703 (757) 397-7038

PEDIATRIC DENTIST/PEDODONTIST BIRSCH, LAURIE LAURIE A BIRSCH DDS PC 3413 South St Portsmouth, VA 23707 (757) 398-1234

BRAXTON, DARCHELLE FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

GAROFALIS, HARALAMBOS FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

MARTIN, J FRIENDLY FACES PEDIATRIC DENTISTRY AND ORTHODONTICS 446 Effingham Street Portsmouth, VA 23704 (757) 325-9959

MEISE, HOLLY PEDIATRIC DENTAL CARE OF TIDEWATER PC 5915 W High St Portsmouth, VA 23703 (757) 484-8262

WEIS, MORGAN PEDIATRIC DENTAL CARE OF TIDEWATER PC 5915 W High St Portsmouth, VA 23703 (757) 484-8262

POTOMAC FALLS ENDODONTIST

PARTICIPATING PROVIDERS

HOLLEY & HOLLEY FAMILY DENTISTRY PC 446 Effingham Street Portsmouth, VA 23704 (757) 393-2401

SWEENEY, RICHARD

SHAMBAYATI, SARA MARIAH A SHOJAEI DMD PC 46161 West Lake Dr Ste 120 Potomac Falls, VA 20165 (703) 406-3180

SHOJAEI, MARIAH MARIAH A SHOJAEI DMD PC 46161 West Lake Dr Ste 120 Potomac Falls, VA 20165 (703) 406-3180

GENERAL DENTIST ABDELRAZEK, JAILAN POTOMAC FALLS FAMILY DENTISTRY LLC 46165 West Lake Dr #110 Potomac Falls, VA 20165 (703) 444-6150

ABEL, ANNA ABEL PHAN AND ASSOCIATES DDS PLLC 46161 Westlake Dr Ste100 Potomac Falls, VA 20165 (703) 433-9999

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

125

Delta Dental Premier

VIRGINIA (CONT'D) POTOMAC FALLS ANSARI, UZMA LOWES ISLAND DENTISTRY 20789 Great Falls Plaza #104 Potomac Falls, VA 20165 (703) 444-4441

BARAKAT, HISHAM

ELLINGTON, PAUL ELLINGTON & HUBERT DDS PC 46175 Westlake Dr Ste 130 Potomac Falls, VA 20165 (703) 444-5108

JACKOMIS, WILLIAM WILLIAM R JACKOMIS DDS PC 46161 West Lake Dr #110 Potomac Falls, VA 20165 (703) 444-9244

BROTH, STUART

HYER, MARGARET

AMEAR M TADROS DMD PC 46090 Lake Center Plz Ste 202 Potomac Falls, VA 20165 (703) 430-2020

POWHATAN GENTLE DENTISTRY PLC 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

MICHAEL D PFAB DDS AND ASSOCIATES 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

CRICHTON, CATHERINE

KUHN, TODD

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

DONALD R MURRY JR DDS PC 3250 Anderson Hwy Powhatan, VA 23139 (804) 598-2600

CRICHTON, JAMES

LARKIN, STEVEN

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

DENONCOURT, JAMIE

MATKOWSKY, PETER

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

PETER MATKOWSKY DDS INC 1664 Anderson Hwy Powhatan, VA 23139 (804) 897-3339

DEVERA, GENEVIEVE

MOSEY, JAMES

POWHATAN GENTLE DENTISTRY PLC 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

ORTHODONTIST IZADI, MOHAMMED MOHAMMED IZADI DDS PLLC 46175 Westlake Dr #420 Potomac Falls, VA 20165 (703) 430-8214

TRAN, THOAI-LAN PAL DENTAL GROUP 46161 Westlake Dr #310 Potomac Falls, VA 20165 (703) 444-4188

WIGER, JOHN JOHN C WIGER DDS MS PC 46165 Westlake Dr #300 Potomac Falls, VA 20165 (703) 444-9373

PEDIATRIC DENTIST/PEDODONTIST

KHATTAB, SAMER

PAL, GOPAL

ELLINGTON & HUBERT DDS PC 46175 Westlake Dr Ste 130 Potomac Falls, VA 20165 (703) 444-5108

PAL DENTAL GROUP 46161 Westlake Dr #310 Potomac Falls, VA 20165 (703) 444-4188

NGUYEN, PHUONG-UYEN PAL DENTAL GROUP 46161 Westlake Dr #310 Potomac Falls, VA 20165 (703) 444-4188

PAL, SANDHYA PAL DENTAL GROUP 46161 Westlake Dr #310 Potomac Falls, VA 20165 (703) 444-4188

PERIODONTIST ABRIL, EDISON PAL DENTAL GROUP 46161 Westlake Dr #310 Potomac Falls, VA 20165 (703) 444-4188

POUND

ABEL PHAN AND ASSOCIATES DDS PLLC 46161 Westlake Dr Ste100 Potomac Falls, VA 20165 (703) 433-9999

RAOUFINIA, NIMA LOWES ISLAND DENTISTRY 20789 Great Falls Plaza #104 Potomac Falls, VA 20165 (703) 444-4441

MURRY, BRITTNEY ESTILL, ANDREW VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

DONALD R MURRY JR DDS PC 3250 Anderson Hwy Powhatan, VA 23139 (804) 598-2600

MURRY, DONALD GAMACHE, MARC VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

DONALD R MURRY JR DDS PC 3250 Anderson Hwy Powhatan, VA 23139 (804) 598-2600

MURRY, KENNETH

GENERAL DENTIST ROBERSON, JAMES

PHAN, CHUONG

PARTICIPATING PROVIDERS

LOWES ISLAND DENTISTRY 20789 Great Falls Plaza #104 Potomac Falls, VA 20165 (703) 444-4441

TADROS, AMEAR

JAMES M ROBERSON DDS 8438 Main Street Pound, VA 24279 (276) 796-4523

POWHATAN GENERAL DENTIST BOND, MARK VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

GHAZARIAN, MISHA VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

DONALD R MURRY JR DDS PC 3250 Anderson Hwy Powhatan, VA 23139 (804) 598-2600

PARK, MIMI HYDER, KHUDSIA POWHATAN GENTLE DENTISTRY PLC 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

POWHATAN GENTLE DENTISTRY PLC 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

PERKINSON, WILLIAM VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

126

Delta Dental Premier

VIRGINIA (CONT'D) POWHATAN PFAB, MICHAEL MICHAEL D PFAB DDS AND ASSOCIATES 2105 Academy Rd #J Powhatan, VA 23139 (804) 598-8951

RESSLER, CHRISTINE

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

ROPER, ERIK VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

SPARKS, SARAH VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

SPAUR, ERNEST E TRACY SPAUR DDS 3852 Old Buckingham Rd Powhatan, VA 23139 (804) 598-3500

TURNAGE, NEIL VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

WARD, CHRISTOPHER VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

WICKER, MARYBETH VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

ORTHODONTIST

FORMICA, LOUIS

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

MARCUS, RICHARD

GAMACHE, MARC

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PURCELL, ALLISON

JOHANSEN, STEPHEN

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

ROGERS, DALE

JORDAN, EDWARD

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PERIODONTIST VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

PRINCE GEORGE GENERAL DENTIST BOWMAN, SHANNON PRINCE GEORGE COSMETIC & FAMILY DENTISTRY PC 5727 Allin Rd Prince George, VA 23875 (804) 862-4416

LOPEZ, ROCIO VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PARRIS-WILKINS, TONYA CENTRAL VIRGINIA HEALTH CENTER 4260 Crossing Blvd #2 Prince George, VA 23875 (804) 452-5800

ROBERTS, DAVID VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

BRYANT, MELBA CENTRAL VIRGINIA HEALTH CENTER 4260 Crossing Blvd #2 Prince George, VA 23875 (804) 452-5800

SULLIVAN, KIT

CIOS, CHRIS

YANDLE, DAVID

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PRINCE GEORGE COSMETIC & FAMILY DENTISTRY PC 5727 Allin Rd Prince George, VA 23875 (804) 862-4416

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

DENONCOURT, JAMIE VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

ORTHODONTIST PURCELL, ALLISON

SPEARS, MELANIE VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PERIODONTIST VOTH, STEPHANIE VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

PROVIDENCE FORGE GENERAL DENTIST ROSEMOND, RANDALL RANDALL S ROSEMOND DDS 3521 N Courthouse Rd Providence Forge, VA 23140 (804) 966-7202

PURCELLVILLE GENERAL DENTIST ARMENTROUT, NADIA DENTAL SMILES AT PURCELLVILLE 100 Purcellville Gateway #D Purcellville, VA 20132 (540) 338-3330

PARTICIPATING PROVIDERS

VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. Powhatan, VA 23139 (804) 598-3000

BUELOW, DWIGHT

BROWN, AMANDA HERBERT DENTAL GROUP 921 E. Main St. Ste. C Purcellville, VA 20132 (540) 338-4814

COLLAZO, WALTER HERBERT DENTAL GROUP 921 E. Main St. Ste. C Purcellville, VA 20132 (540) 338-4814

DANESHVAR, AREZOU MAIN STREET FAMILY DENTISTRY PC 850 E Main St Ste D Purcellville, VA 20132 (540) 751-2221

DIRENZO, GREGORY GREGORY S DIRENZO DMD PC 540 E Main St Purcellville, VA 20132 (540) 338-6262

VIRGINIA FAMILY DENTISTRY PC 4710 Puddledock Rd Prince George, VA 23875 (804) 526-4822

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

127

Delta Dental Premier

VIRGINIA (CONT'D) PURCELLVILLE GELDART, GREGORY GREGORY W GELDART DMD PLC 17340 Pickwick Dr #100 Purcellville, VA 20132 (540) 338-3186

KATZ, ABRAHAM

LINCOLN, KELLY GREGORY S DIRENZO DMD PC 540 E Main St Purcellville, VA 20132 (540) 338-6262

MAIN STREET FAMILY DENTISTRY PC 850 E Main St Ste D Purcellville, VA 20132 (540) 751-2221

ORTHODONTIST

GOLDEN, ALAN ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

TARI, KIANOUSH

JONES, HERSCHEL

KIANOUSH TARI 1021 E Main St #A Purcellville, VA 20132 (540) 338-0004

ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

PEDIATRIC DENTIST/PEDODONTIST MONAJEMY, NOOSHIN PURCELLVILLE PEDIATRIC DENTISTRY P C 17333 Pickwick Driver Ste A-B Purcellville, VA 20132 (571) 213-9452

NORBO, KIRK

DENTAL SMILES AT PURCELLVILLE 100 Purcellville Gateway #D Purcellville, VA 20132 (540) 338-3330

PERIODONTIST MARVIL, LISA MARVIL PERIODONTICS 17341 Pickwick Dr Ste B Purcellville, VA 20132 (540) 338-4588

QUANTICO GENERAL DENTIST DUMLAO, RUSTICO

SHARP, MARTHA GREGORY W GELDART DMD PLC 17340 Pickwick Dr #100 Purcellville, VA 20132 (540) 338-3186

SMITH, MARK AESTHETIC RESTORATIVE DENTISTRY OF PURCELLVILLE 201 N Maple Ave Ste 202 Purcellville, VA 20132 (540) 338-9400

SMITH, TIMOTHY TIMOTHY A SMITH DDS PC 609-T East Main St Purcellville, VA 20132 (540) 338-0110

ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

GRISIUS ORTHODONTICS 610 East Main St Purcellville, VA 20132 (540) 338-8125

NORBO DENTAL PLLC 441 E Main St Purcellville, VA 20132 (540) 338-7325

SALAS, CHRISTOPHER

AMANTE, ALVIN

GRISIUS, THOMAS

NORBO, JUSTIN

NORBO DENTAL PLLC 441 E Main St Purcellville, VA 20132 (540) 338-7325

PEDIATRIC DENTIST/PEDODONTIST

ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

GARCIA, MAURICIO ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

ORTHODONTIST HENNIGH, ROGER ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

KHATEEB, MARIAM ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave Quantico, VA 22134 (703) 640-1000

QUINTON GENERAL DENTIST SCHULTZ, ALLEN ALLEN D SCHULTZ DDS LTD 2690 Dispatch Road Po Box 130 Quinton, VA 23141 (804) 932-4940

TIBBS, VICKI VICKI L TIBBS DDS PC 2632 Pocahontas Trail Quinton, VA 23141 (804) 932-4537

YORGEY, KENNETH KENNETH A YORGEY DMD PC 3215 Rock Creek Villa Dr Ste F Quinton, VA 23141 (804) 932-5396

RADFORD

BURNINGHAM, TYLER DENTISTS INC 1151 East Main St #A Radford, VA 24141 (540) 639-1674

EVANS, GLENN DENTISTS INC 1151 East Main St #A Radford, VA 24141 (540) 639-1674

HOSKINS, ROBERT R GRAHAM HOSKINS DMD 6051 Belspring Rd Radford, VA 24141 (540) 639-6688

MCCUIN, STEPHEN STEPHEN D MCCUIN DDS PC 116 Third Avenue Radford, VA 24141 (540) 639-2921

MOWER, MATTHEW DENTISTS INC 1151 East Main St #A Radford, VA 24141 (540) 639-1674

SCHARNHORST, SCOTT

PARTICIPATING PROVIDERS

DENTISTRY BY DESIGN 921 E Main St #C Purcellville, VA 20132 (540) 338-4814

ZARRINFAR, ALLEN

DENTISTS INC 1151 East Main St #A Radford, VA 24141 (540) 639-1674

YOUNG, GLENN DENTISTS INC 1151 East Main St #A Radford, VA 24141 (540) 639-1674

ORAL SURGEON BOYLE, RICHARD NRV ORAL & MAXILLOFACIAL SURGERY LTD 6061 Belspring Rd Radford, VA 24141 (540) 951-8777

ENDODONTIST BLACK, SAMUEL STEPHEN D MCCUIN DDS PC 116 Third Avenue Radford, VA 24141 (540) 639-2921

HOWARD, CLINTON NRV ORAL & MAXILLOFACIAL SURGERY LTD 6061 Belspring Rd Radford, VA 24141 (540) 951-8777

GENERAL DENTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

128

Delta Dental Premier

VIRGINIA (CONT'D) RADFORD VANGILDER, JAMES NRV ORAL & MAXILLOFACIAL SURGERY LTD 6061 Belspring Rd Radford, VA 24141 (540) 951-8777

ORTHODONTIST KISER ORTHODONTICS 1151 E Main St #C Radford, VA 24141 (540) 639-0111

VAUGHAN, DENNIS DENNIS L VAUGHAN DDS 600 Second St Radford, VA 24141 (540) 639-3002

REMINGTON GENERAL DENTIST ASHBY, COURTNEY REMINGTON FAMILY DENTISTRY 206 East Main St Remington, VA 22734 (540) 439-8335

WHITE, ROBERT ROBERT J WHITE 206 E. Main Street Remington, VA 22734 (540) 439-8335

RESTON ENDODONTIST ASGHAR, IRFAN DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

BESNER, EDWARD BESNER & FABIO 11359 A Sunset Hills Rd Reston, VA 20190 (703) 437-6666

BESNER, EDWARD LANCTOT & JOHNSON DENTAL ASSOCIATES PC 11359 Sunset Hills Rd #A Reston, VA 20190 (703) 437-6666

BESNER & FABIO 11359 A Sunset Hills Rd Reston, VA 20190 (703) 437-6666

BRAMWELL, JOHN LANCTOT & JOHNSON DENTAL ASSOCIATES PC 11359 Sunset Hills Rd #A Reston, VA 20190 (703) 437-6666

DETAR, MATTHEW FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

DOLLARD, WAYNE FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

FABIO, MICHAEL LANCTOT & JOHNSON DENTAL ASSOCIATES PC 11359 Sunset Hills Rd #A Reston, VA 20190 (703) 437-6666

FEIN, JOSHUA BESNER & FABIO 11359 A Sunset Hills Rd Reston, VA 20190 (703) 437-6666

JOHNSON, HORACE

NGUYEN, TU-QUYNH DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

SMILES AT RESTON TOWN CENTER 1861 Explorer St Reston, VA 20190 (703) 437-0007

PATEL, PRATIK

BELMONTE, STEPHEN

SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

PICCININO, MICHAEL FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

POLLOCK, RICHARD DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

PORTELL, FRANK BESNER & FABIO 11359 A Sunset Hills Rd Reston, VA 20190 (703) 437-6666

SALLEN, BRUCE DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

GENERAL DENTIST

LANCTOT & JOHNSON DENTAL ASSOCIATES PC 11359 Sunset Hills Rd #A Reston, VA 20190 (703) 437-6666

ALDERMAN, DOUGLAS

LANCTOT, SLOAN

ANOUSHFAR, SCHEHERAZAD

LANCTOT & JOHNSON DENTAL ASSOCIATES PC 11359 Sunset Hills Rd #A Reston, VA 20190 (703) 437-6666

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

SHERRY ANOUSHFAR DDS PC 1984 Isaac Newton Sq West Ste 201 Reston, VA 20190 (703) 318-8133

LEE, BRIAN DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

LEFF, GARY DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

BAREKZI, NASSIR

BAJWA, PREET AB DENTAL 11790-H Baron Cameron Ave Reston, VA 20190 (703) 787-3593

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

BHIDE, SATYAJEET DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

CHANG, JHIA-MING RAJA RAFIQ AND ASSOCIATES 11700 Plaza America Dr #140 Reston, VA 20190 (571) 222-4900

CHEUNG, JENNY RESTON DENTAL CARE 11345 Sunset Hill Rd Reston, VA 20190 (703) 689-0110

PARTICIPATING PROVIDERS

KISER, MARSHALL

BRAMWELL, JOHN

CLARK, BRIAN WATT & CLARK LLC 1950 Roland Clarke #420 Reston, VA 20191 (703) 391-2600

DANG, QUYEN OPTIMAL HEALTH CENTER 1801 Robert Fulton Dr # 250 Reston, VA 20191 (703) 391-2222

DARVISHIAN, ARAMESH ARAMESH DARVISHIAN DDS PLLC 12040 South Lake Dr Ste 200 Reston, VA 20191 (703) 955-4440

DARY, PATRICIA RESTON DENTAL CARE 11345 Sunset Hill Rd Reston, VA 20190 (703) 689-0110

DELANEY, WHITNEY WATT & CLARK LLC 1950 Roland Clarke #420 Reston, VA 20191 (703) 391-2600

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

129

Delta Dental Premier

VIRGINIA (CONT'D) RESTON DIBENEDETTO, NICHOLAS MESSINA CANAL MOAWAD DDS PC 1886 Metro Center Dr #600 Reston, VA 20190 (703) 318-8200

DILLON, KATHLEEN

DOYLE, MYRA FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

DUNNE, FRANK FRANK J DUNNE DDS PC 11872 Sunrise Valley Dr #100 Reston, VA 20191 (703) 390-1100

FARHANGI, SAHEL RESTON TOWN CENTER DENTAL 1760 Reston Parkway #415 Reston, VA 20190 (703) 956-9444

FORSBERGH, ERIC FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

HALL, ROBERT DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

HAN, JOHN EXPRESSIONS DENTAL CARE 11515 Sunrise Valley Dr Reston, VA 20191 (703) 757-6453

HARTZ, GARY DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

KIM, JERRY

MUSS, NICHOLAS

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

NICHOLAS A MUSS DDS PC 11339 Sunset Hills Road Reston, VA 20190 (703) 689-2697

HONG, JASON RESTON DENTAL CENTER 12359 Sunrise Valley Dr #250 Reston, VA 20191 (703) 860-8613

HONG, RICHARD SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

HOWARD, KARRIE DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

JANG, JOY RESTON FAMILY & COSMETIC DENTISTRY PC 1984 Isaac Newton Sq W Ste100 Reston, VA 20190 (703) 437-5555

JONES, RICHARD WATT & CLARK LLC 1950 Roland Clarke #420 Reston, VA 20191 (703) 391-2600

KANUMILLI, SOWMYA ARAMESH DARVISHIAN DDS PLLC 12040 South Lake Dr Ste 200 Reston, VA 20191 (703) 955-4440

KAZEMIFAR, HODA RESTON SERENITY HODA KAZEMIFAR DMD PC 11717 Bowman Green Dr Reston, VA 20190 (571) 313-8415

KHATTAB, SAMER RESTON TOWN CENTER DENTAL 1760 Reston Parkway #415 Reston, VA 20190 (703) 956-9444

KIM, JERRY AMY TON DDS PLLC 11868 Sunrise Valley Dr. Suite #100 Reston, VA 20191 (703) 860-6700

KIM, SONNY RESTON FAMILY DENTAL CARE 11876 Sunrise Valley Dr #101 Reston, VA 20191 (703) 390-9191

KWON, JUDY FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

MADISON, JOSEPH JOSEPH D MADISON DMD LTD 11800 Sunrise Valley Dr Suite 1137 Reston, VA 20191 (703) 391-8836

MALYAVANTHAM, DATTATHRI DATTATHRI MALYAVANTHAM 1939 Roland Clarke Pl, Ste 120 Reston, VA 20191 (571) 313-0607

MARCUS, CARLENE MARCUS DENTAL CARE 1800 Michael Faraday Dr Reston, VA 20190 (703) 435-3030

MIAMEE, ALI RESTON TOWN CENTER DENTAL 1760 Reston Parkway #415 Reston, VA 20190 (703) 956-9444

MIAMEE, NAZY DENTAL ONE - RESTON 11490 Commerce Park Dr #110 Reston, VA 20191 (703) 498-2507

MOVAGHARI, PARINAZ PAL FAMILY DENTISTRY PC 11365 Sunset Hills Rd Reston, VA 20190 (703) 437-8337

MYLES, WAYNE WAYNE S MYLES DDS PC 11730 Plaza America Dr #110 Reston, VA 20190 (703) 925-0800

NANDURI, MAHATHI SMILEZONE FAMILY & COSMETIC DENTISTRY 11705 Bowman Green Dr Reston, VA 20190 (703) 662-1625

NESHAT, MONICA RESTON FAMILY & COSMETIC DENTISTRY PC 1984 Isaac Newton Sq W Ste100 Reston, VA 20190 (703) 437-5555

NGUYEN, HIEU OPTIMAL HEALTH CENTER 1801 Robert Fulton Dr # 250 Reston, VA 20191 (703) 391-2222

PARTICIPATING PROVIDERS

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

HOCHMAN, HILLARY

NGUYEN, VIET WATT & CLARK LLC 1950 Roland Clarke #420 Reston, VA 20191 (703) 391-2600

NOVICK, ARTHUR DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

NOVICK, KENDRA DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

PAL, SANDHYA PAL FAMILY DENTISTRY PC 11365 Sunset Hills Rd Reston, VA 20190 (703) 437-8337

PHAM, HANAH RESTON SUNRISE DENTISTRY PC 12359 Sunrise Valley Dr #330 Reston, VA 20191 (703) 860-4148

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

130

Delta Dental Premier

VIRGINIA (CONT'D) RESTON RAFIQ, RABIA RAJA RAFIQ AND ASSOCIATES 11700 Plaza America Dr #140 Reston, VA 20190 (571) 222-4900

RAJA, TAIMOUR

RUSZ, JOESPH FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

RYE, LESLIE MESSINA CANAL MOAWAD DDS PC 1886 Metro Center Dr #600 Reston, VA 20190 (703) 318-8200

SANDHU, MANINDERJIT RAJA RAFIQ AND ASSOCIATES 11700 Plaza America Dr #140 Reston, VA 20190 (571) 222-4900

NOVA DENTAL 11872 Sunrise Valley Dr #101 Reston, VA 20191 (571) 313-1535

SVECHOTA-KINGSBURY, BRUCE DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

TON, AMY AMY TON DDS PLLC 11868 Sunrise Valley Dr. Suite #100 Reston, VA 20191 (703) 860-6700

TSANG, DAVID WATT & CLARK LLC 1950 Roland Clarke #420 Reston, VA 20191 (703) 391-2600

YI, TYLER SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

YI, TYLER AMY TON DDS PLLC 11868 Sunrise Valley Dr. Suite #100 Reston, VA 20191 (703) 860-6700

SENSENBRENNER, DIANA DATTATHRI MALYAVANTHAM 1939 Roland Clarke Pl, Ste 120 Reston, VA 20191 (571) 313-0607

ZACKO, GEORGE ZACKO & SHATTUCK LTD 1712 Clubhouse Road Suite 106 Reston, VA 20190 (703) 471-6600

SHARMA, SUMIT DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

SHAW, CHRISTINA DATTATHRI MALYAVANTHAM 1939 Roland Clarke Pl, Ste 120 Reston, VA 20191 (571) 313-0607

SIDOR, ANNA DRS LEVIN LEFF & POLLOCK 11710 Plaza America #150 Reston, VA 20190 (703) 481-2096

ORAL SURGEON DOLAN, PATRICK ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

LIU, FREDERICK ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

MORGAN, DAVID ORAL SURGERY ASSOC OF NORTHERN VA 1800 Town Center Dr #116 Reston, VA 20190 (703) 435-4414

NAIMI, AMIR

WANG, RICHARD

STUART L GRAVES DDS MS PC 11331 Sunset Hills Rd Sunset Hills Professional Park Reston, VA 20190 (703) 736-1640

ORAL SURGERY ASSOC OF NORTHERN VA 1800 Town Center Dr #116 Reston, VA 20190 (703) 435-4414

PARK, JONATHAN

YAGHMAI, PEDRAM

ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

STUART L GRAVES DDS MS PC 11331 Sunset Hills Rd Sunset Hills Professional Park Reston, VA 20190 (703) 736-1640

PATEL, SUKETU FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

PATTERSON, ADRIAN STUART L GRAVES DDS MS PC 11331 Sunset Hills Rd Sunset Hills Professional Park Reston, VA 20190 (703) 736-1640

PELL, JAMES ORAL SURGERY ASSOC OF NORTHERN VA 1800 Town Center Dr #116 Reston, VA 20190 (703) 435-4414

RAMSEY, CYRUS ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

ROBERTSON, STEVEN ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

SILLOWAY, KIMBERLY ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

ORTHODONTIST FAN, VIVIAN RESTON ORTHODONTIC ASSOCIATES PLLC 1984 Isaac Newton Sq West Ste 200 Reston, VA 20190 (703) 435-1500

GHATRI, ALI RESTON ORTHODONTIC ASSOCIATES PLLC 1984 Isaac Newton Sq West Ste 200 Reston, VA 20190 (703) 435-1500

GULERIA, ALPITA ALLI MAKKER GULERIA DMD 12359 Sunrise Valley Dr #210 Reston, VA 20191 (703) 391-8800

KIM, CHRISTINE SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

KIM, CHRISTINE RESTON ORTHODONTICS 1984 Isaac Newton Sq #W Reston, VA 20190 (703) 939-8000

LEE, JIM

ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

RESTON ORTHODONTIC ASSOCIATES PLLC 1984 Isaac Newton Sq West Ste 200 Reston, VA 20190 (703) 435-1500

THEBERGE, DANIEL

LEE, WILLIAM

SMITH, PETER

ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

PARTICIPATING PROVIDERS

RAJA RAFIQ AND ASSOCIATES 11700 Plaza America Dr #140 Reston, VA 20190 (571) 222-4900

SUN, RICHARD

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

131

Delta Dental Premier

VIRGINIA (CONT'D) RESTON MORGAN, RICHARD RICHARD J MORGAN DDS PC 11250 Roger Bacon Dr #13 Reston, VA 20190 (703) 437-7775

STANG, CHRISTINE

TISSERONT, STEPHAN STEPHAN TISSERONT DDS PC 11720 Plaza America Dr #110 Reston, VA 20190 (703) 773-1200

PEDIATRIC DENTIST/PEDODONTIST AVERNE, ROBERT FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

FERNANDES, JOYCE FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

KALANTAR, NEDA NEDA KALANTAR DDS PLLC 1984 Isaac Newton Sq Ste 200 Reston, VA 20190 (703) 435-1500

PERIODONTIST ABRIL, EDISON FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

ABRIL, EDISON SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

CHEN, CLIFF SUNRISE DENTAL 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 (703) 860-6700

THORPE, JEFFREY

AMY TON DDS PLLC 11868 Sunrise Valley Dr. Suite #100 Reston, VA 20191 (703) 860-6700

FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

FIELDS, CHARLES CHARLES R FIELDS DMD PC 1886 Metro Center Dr #610 Reston, VA 20190 (703) 689-4442

ILCHYSHYN, NICHOLAS FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

KHANG, WAHN PERIO IMPLANT CENTER WAHN KHANG DMD PC 11866 Sunrise Valley Dr. #101 Reston, VA 20191 (703) 648-0500

PROSTHODONTIST LEE, EUN HYE SMILES AT RESTON TOWN CENTER 1861 Explorer St Reston, VA 20190 (703) 437-0007

MARTINEZ, LUIS DRS NOVICK HARTZ & HALL PC 11325 Sunset Hills Road Reston, VA 20190 (703) 437-8811

SYNNOTT, SCOTT FUSION DENTAL 11503 Sunrise Valley Dr Reston, VA 20191 (703) 860-3200

SPECIALTY NOT SPECIFIED BAKER, JUSTIN ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

HUR, JOHN ZUSSMAN SMITH &DOLAN PC 1800 Towne Cntr Dr #416 Reston, VA 20190 (703) 435-7100

RICHLANDS GENERAL DENTIST BAYS, THOMAS MARCUS B BUSKILL DDS PC 200 Alleghany St Richlands, VA 24641 (276) 963-3705

BUSKILL, MARCUS MARCUS B BUSKILL DDS PC 200 Alleghany St Richlands, VA 24641 (276) 963-3705

MUSICK, LORI LORI B MUSICK DDS PC 107 Tazewell Ave Richlands, VA 24641 (276) 964-7418

ROBERTS, ERIK LORI B MUSICK DDS PC 107 Tazewell Ave Richlands, VA 24641 (276) 964-7418

RICHMOND ENDODONTIST BARBIERI, STEVEN COMMONWEALTH ENDODONTICS PC 3107 Hungary Spring Rd Richmond, VA 23228 (804) 501-0501

BHAGCHANDANI, SANJAY TRISHA A KRAUSE DMD MS PLLC 5318 B Patterson Ave Richmond, VA 23226 (804) 285-0400

FINKLER, TIMOTHY COMMONWEALTH ENDODONTICS PC 3107 Hungary Spring Rd Richmond, VA 23228 (804) 501-0501

GAMBREL, MADELYN COMMONWEALTH ENDODONTICS PC 3107 Hungary Spring Rd Richmond, VA 23228 (804) 501-0501

KING, THOMAS THOMAS E KING JR 5700 Old Richmond Ave #19-D Richmond, VA 23226 (804) 285-2333

KRAUSE, TRISHA TRISHA A KRAUSE DMD MS PLLC 5318 B Patterson Ave Richmond, VA 23226 (804) 285-0400

MARTINEZ, HAROLD COMMONWEALTH ENDODONTICS PC 3107 Hungary Spring Rd Richmond, VA 23228 (804) 501-0501

MYERS, GARRY VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

PACKER, GARDINER CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

PARTICIPATING PROVIDERS

CHRISTINE STANG PC 11353 Sunset Hills Rd Reston, VA 20190 (703) 435-8282

CHEN, CLIFF

REPLOGLE, KARAN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

VRANAS, RONALD COMMONWEALTH ENDODONTICS PC 3107 Hungary Spring Rd Richmond, VA 23228 (804) 501-0501

WISNIEWSKI, JOHN GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

WOZNIAK, DAVID WOZNIAK DAVID S 301 Twin Ridge Ln Richmond, VA 23235 (804) 272-0041

GENERAL DENTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

132

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND ABDUL-NABI, ANWAR NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

ABRAMOV, YURIY

ARMENTROUT, WILLIAM

BELT, DOUGLAS

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

DAILY PLANET 517 West Grace Street Richmond, VA 23220 (804) 783-2505

BELT DOUGLAS S 5700 Old Richmond Ave A6 Richmond, VA 23226 (804) 288-1290

AVRAM, ADRIAN

BELTRAMI, MARCO

ADRIAN C AVRAM DDS PLLC 1006 Pump Rd #101 Richmond, VA 23238 (804) 740-0834

COMMONWEALTH DENTISTRY 6750 Forest Hill Ave Richmond, VA 23225 (804) 272-7040

BAILEY, DAVINA

BENCH, STEPHEN

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

AGRAWAL, NITIN KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

GREAT EXPRESSIONS DENTAL CENTERS 4859 Finlay Street Richmond, VA 23231 (804) 222-6069

AHMAD, AMEERA

ABUALSOUD, ARWA

AHMED, SADAF

BAILEY, DAVINA

FAMILY DENTAL OF VIRGININA 3904 Hull St #A Richmond, VA 23224 (804) 233-0007

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

ABUALSOUD, ARWA

AHMED, SADAF

HERO DENTAL OF RICHMOND PC 5322 Chamberlayne Road Richmond, VA 23227 (804) 266-5040

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

AHMED, SYED ABUHAJLEH, OMAR

BALL, TYLER RONALD JESSUP DDS PC 1130 Wilkinson Rd Richmond, VA 23227 (804) 261-4020

BARBATO, ISABEL

HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

ADAMS, COURTNEY

ALKILANI, TAWFIQ

BARBATO, ISABEL

WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

ADAMS, WILLIAM

ALLEN, BRANDON

BAUM, JAMES

WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

ADAMS & ALLEN DDS PC 300 West Broad Street Richmond, VA 23220 (804) 780-2888

DRS BAUM & MORRE DDS INC 25 S Nansemond St Richmond, VA 23221 (804) 359-5041

ADLEMAN, RONALD

AL-SAMIR, ZAID

BEABOUT, KRISTEN

GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

DAVID C CIRCEO DDS PC 6113 Lakeside Ave Richmond, VA 23228 (804) 262-9824

RONALD JESSUP DDS PC 1130 Wilkinson Rd Richmond, VA 23227 (804) 261-4020

ADLER, MOLLY

ANTINOPOULOS, PETER

BECK, DAVID

BRENT A RUSNAK DDS PC 7820 Shrader Rd Richmond, VA 23294 (804) 262-1060

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

DENTAL PROFESSIONALS OF VA PC 11540 Midlothian Turnpike Richmond, VA 23235 (804) 594-6916

BERNSTEIN, ALLEN ALLEN D BERNSTEIN DMD 2821 Parham Road #102 Richmond, VA 23294 (804) 270-4397

BIGELOW, ROBERT ROBERT W BIGELOW DDS PLLC 5700 Old Richmond Ave Ste A-4 Richmond, VA 23226 (804) 741-7440

PARTICIPATING PROVIDERS

AGRAWAL, NITIN

BILLINGSLEY, CHERYL CHERYL BRADFORD BILLINGSLEY DDS PC 10446 Ridgefield Parkway Richmond, VA 23233 (804) 740-4485

BISCHOFF, ROBERT ROBERT A BISCHOFF DDS 9603-B Gayton Rd Richmond, VA 23233 (804) 741-2000

BLACKHAM, CRAIG CRAIG BLACKHAM PLLC 7063 Messer Rd Richmond, VA 23231 (804) 222-3310

BOLAND, WILLIAM BOLAND WILLIAM T III 5700 Old Richmond Av D15 Richmond, VA 23226 (804) 288-4103

BOND, MARK VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

133

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND BOONE, MELANIE MELANIE L BOONE DDS PC 5734 Brook Rd Richmond, VA 23227 (804) 264-0224

BRADLEY, BRENDA

BRAR, KANWARJIT KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

BROTH, STUART SMILES FOR ALL 505 Leigh St #204 Richmond, VA 23220 (804) 269-3951

BROTH, STUART SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

BROWN, STEPHEN DRS BROWN & REYNOLDS PRTNS 10410 Ridgefield Pkwy #200 Richmond, VA 23233 (804) 754-4161

BROWN, STEPHEN BROWN REYNOLDS & SNOW DENTISTRY 6901 Patterson Ave Richmond, VA 23226 (804) 288-5324

BRUNI, FRANK FRANK D BRUNI DDS 9220 Forest Hill Ave #A6 Richmond, VA 23235 (804) 272-4711

BUHLER, JOHN VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

CHOI, SUNGWON

CRISTI, IVONA

JILL BUSSEY DMD PC 3514 Grove Ave Richmond, VA 23221 (804) 644-5225

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

CARRILLO, JUAN

CHUNG, HEE-CHUL

JUAN CARILLO DMD PLLC 2008 John Rolfe Pkwy Ste B1 Richmond, VA 23238 (804) 754-2020

GREAT EXPRESSIONS DENTAL CENTERS 4859 Finlay Street Richmond, VA 23231 (804) 222-6069

CROWLEY, BENJAMIN

CIRCEO, DAVID

CULPEPPER, SCOTT

DAVID C CIRCEO DDS PC 6113 Lakeside Ave Richmond, VA 23228 (804) 262-9824

DENTAL PROFESSIONALS OF VA PC 11540 Midlothian Turnpike Richmond, VA 23235 (804) 594-6916

COE, JULIE

CULPEPPER, SCOTT

BENJAMIN CROWLEY DDS PC 6808 Stoneman Rd Richmond, VA 23228 (804) 266-4989

CATOGGIO, MICHAEL VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

CAUDILL, CAROL GLEN ALLEN DENTISTRY PLLC 2314 E Parham Rd Richmond, VA 23225 (804) 261-1970

CERTOSIMO, ALFRED VIRGINIA COMMONWEALTH UNIVERSITY 520 North 12Th Street Richmond, VA 23298 (804) 828-9190

CERTOSIMO, ALFRED VIRGINIA COMMONWEALTH UNIVERSITY 521 North 11Th Street Richmond, VA 23298 (804) 786-0781

CHARY, MALLIKA DHAKAR FAMILY DENTISTRY 1633 Williamsburg Rd Richmond, VA 23231 (804) 447-4801

CHENG, GEORGE JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

CHENNUPATI, NAVEEN KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

CHENNUPATI, NAVEEN KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

COHEN, JEROME JEROME A COHEN DDS 5700 Old Richmond Ave Ste G27 Richmond, VA 23226 (804) 285-7525

COKER, WILLIAM

NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

DACUNHA, PAUL PAUL Y DACUNHA DMD PC 8503 Patterson Ave Ste C Richmond, VA 23229 (804) 262-9563

DAHLKE, WILLIAM

W L COKER III DDS PLLC 5500 Monument Ave #C Richmond, VA 23226 (804) 358-1933

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

COOK, BRUCE

DAVIA, ALLEN

BRUCE C COOK DDS PC 3300 Grove Ave Richmond, VA 23221 (804) 359-2136

COX, JOSEPH JOSEPH C COX JR 3850 Gaskins Road #230 Richmond, VA 23233 (804) 346-8882

COX, ROBERT J SCOTT DUFF III DDS & ROBERT Y COX DDS LTD 4909 Grove Ave Richmond, VA 23226 (804) 355-3100

COX, STUART STUART COX 4788 Finlay Street #2 Richmond, VA 23231 (804) 222-8140

PARTICIPATING PROVIDERS

B SHAY BRADLEY DDS PC 7032 Forest Hill Ave Richmond, VA 23225 (804) 272-2840

BUSSEY, JILL

ALLEN J DAVIA DDS PC 501 Libbie Ave Richmond, VA 23226 (804) 282-4429

DELPH, BRADLEY SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

DESAI, BHAVIK VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

DETAR, MATTHEW JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

134

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND DHAKAR, ADITYA DHAKAR FAMILY DENTISTRY 1633 Williamsburg Rd Richmond, VA 23231 (804) 447-4801

DHAKAR, SURYA

DHINGRA, PALLAVI JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

DIAZ, ANGELA D & D FAMILY DENTISTRY PC 6935 Hull Street Rd Richmond, VA 23224 (804) 276-4555

DIEFENDERFER, MARK VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

DIMITROFF, EMILY KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

DIMITROFF, EMILY KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

DO, ANH FAMILY & COSMETIC DENTISTRY 7828 Shrader Rd Richmond, VA 23294 (804) 358-3842

DOWDY, SARAH SARAH M DOWDY DDS PC 5700 Old Richmond Ave #E22 Richmond, VA 23226 (804) 285-8609

FEARON, ANDREEN

D & D FAMILY DENTISTRY PC 6935 Hull Street Rd Richmond, VA 23224 (804) 276-4555

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

DUFF, J J SCOTT DUFF III DDS & ROBERT Y COX DDS LTD 4909 Grove Ave Richmond, VA 23226 (804) 355-3100

EASTERLING, ROBERT GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

FEARON, ANDREEN KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

FINLEY-PARKER, KATHRYN KATHRYN S FINLEY-PARKER DDS INC 4807 Hermitage Rd #101 Richmond, VA 23227 (804) 266-8547

EASTERLING, ROBERT

FLAMER, ANDREA

EAST END COMMUNITY HEALTH CTR 719 North 25Th St Richmond, VA 23223 (804) 780-0840

VERNON J HARRIS MEDICAL CENTER 2025 E Main St #105 Richmond, VA 23223 (804) 780-0840

ELCHEKHA, HOUSSAM ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

ELGARAWANY, IBRAHIM HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

ENGLISH, SAM SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

EPPERLY, ASHLEY WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

FLAMER, ANDREA EAST END COMMUNITY HEALTH CTR 719 North 25Th St Richmond, VA 23223 (804) 780-0840

FLANAGAN, CHAD VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

FLEENOR, WILLIAM VERNON J HARRIS MEDICAL CENTER 2025 E Main St #105 Richmond, VA 23223 (804) 780-0840 GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

FOY, RANDALL EVENS, STEVEN EVENS STEVEN E 5311 Patterson Avenue Richmond, VA 23226 (804) 282-6665

H ANDREW FRATKIN DDS PC 2301 North Parham Rd Ste 2 Richmond, VA 23229 (804) 346-4066

FUMAGALI, CECILE CHAD M VAN SCYOC DDS PC 2821 Parham Rd Ste 202 Richmond, VA 23294 (804) 270-7425

GARDNER, EDWARD EDWARD D GARDNER JR DDS PLC 8133 Forest Hill Ave #201 Richmond, VA 23235 (804) 272-2010

GARFIELD, DEAN GARFIELD FAMILY DENTISTRY 5500 Monument Ave #G Richmond, VA 23226 (804) 282-4646

FLAMER, ANDREA

FLEENOR, WILLIAM EPPS, JOHNE

FRATKIN, H

ANDREW S NORMAN DDS KURT M OBECK DDS AND RANDALL C FOY DDS 7229 Forest Ave #105 Richmond, VA 23226 (804) 288-0102

GILES, JERNICE DAILY PLANET 517 West Grace Street Richmond, VA 23220 (804) 783-2505

PARTICIPATING PROVIDERS

DHAKAR FAMILY DENTISTRY 1633 Williamsburg Rd Richmond, VA 23231 (804) 447-4801

DUARTE, CAMILO

GOTTLIEB, RIKI VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

GRAHAM, JEFFREY DRS BAUM & MORRE DDS INC 25 S Nansemond St Richmond, VA 23221 (804) 359-5041

GRAHAM-MONTAQUE, RANA KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

GRANTHAM, TABBITHA GRANTHAM FAMILY DENTISTRY 1122 N 25Th St Ste E Richmond, VA 23223 (804) 649-0240

GRAY, DOMINICQUE ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

135

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND GUNDECHA, SHANUP FAMILY DENTAL OF VIRGININA 3904 Hull St #A Richmond, VA 23224 (804) 233-0007

GUTHRIE, MARCI

HUDSON, PAUL

JEWETT, CHARLES

JONES, JOHN

HUDSON & HUDSON PC 1801 Raintree Dr Ste A Richmond, VA 23238 (804) 740-8059

CHARLES P JEWETT DDS PC 9021 Forest Hill Ave #D1 Richmond, VA 23235 (804) 272-2955

JOHN W JONES DDS PLC 1805 Monument Ave Ste 501 Richmond, VA 23220 (804) 353-3009

HUDSON, RAIDAH

JIWANI, MUNIRA

JONES, PERRY

HUDSON RAIDAH 4374 S Laburnum Ave Richmond, VA 23231 (804) 222-3135

HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

JONES PERRY E 2803 Mcrae Road #B2 Richmond, VA 23235 (804) 320-2496

HYDER, KHUDSIA

HACKETT, CHARLES

IACHINI, DIANE

CHARLES J HACKETT JR DDS PC 1807 Libbie Ave #100 Richmond, VA 23226 (804) 288-9111

VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

KHUDSIA HYDER DDS 9015 Forest Hill Ave Richmond, VA 23235 (180) 420-1068

IMBERY, TERENCE HAMILTON, MICHAEL MICHAEL D HAMILTON DDS 6714 Patterson Avenue Richmond, VA 23226 (804) 282-4476

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

HART, FARYL

JAIN, KHUSHBOO

FARYL K HART DDS 2103 E Parham Rd #102 Richmond, VA 23228 (804) 266-2074

DENTAL PROFESSIONALS OF VA PC 11540 Midlothian Turnpike Richmond, VA 23235 (804) 594-6916

HAUEIS, ROMAN

JAIN, KHUSHBOO

WILLIAM T LUCAS DDS & ROMAN T HAUEIS DMD PC 3811 Westerre Pkwy #C Richmond, VA 23233 (804) 747-0116

HEROLD, WILLIAM WILLIAM K HEROLD DDS PC 9023 Forest Hill Ave #1-E Richmond, VA 23235 (804) 327-9922

HERRING, CAREY C NELSON HERRING DDS 5700 Old Richmond Ave Ste A2 Richmond, VA 23226 (804) 282-5031

HUBAND, MICHAEL VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

JARVANDI, FERESHTEH FERESHTEH JARVANDI DDS PC 4712 Jefferson Davis Hwy Richmond, VA 23234 (804) 271-9828

JARVANDI, FERESHTEH FERESHTEH JARVANDI DDS PC 9305 Quioccasin Rd Richmond, VA 23229 (804) 750-1080

JESSUP, RONALD RONALD JESSUP DDS PC 1130 Wilkinson Rd Richmond, VA 23227 (804) 261-4020

JIWANI, MUNIRA SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

JOSHI, MITSU VISTA DENTAL PLLC 9195 Staples Mill Rd Richmond, VA 23228 (804) 672-7070

JOHNSON, CHARLES

JOSHI, MITSU

CHARLES K JOHNSON DDS 1405 Westover Hills Blvd #1 Richmond, VA 23225 (804) 232-1533

SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

JOHNSON, G

KEATING, KEVIN

DAVID C CIRCEO DDS PC 6113 Lakeside Ave Richmond, VA 23228 (804) 262-9824

SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

JOHNSON-CURL, JACQUELINE

KEMLER, DAVID

JACQUELINE JOHNSON-CURL DDS PC 5007 Brook Rd Richmond, VA 23227 (804) 264-4068

JONES, AUDRA JOHN W JONES DDS PLC 1805 Monument Ave Ste 501 Richmond, VA 23220 (804) 353-3009

JONES, GALE KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

JONES, GALE KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

JONES, GALE GALE F JONES DDS PC 5251 S Laburnum Ave Richmond, VA 23231 (804) 222-4003

DAVID A KEMLER DDS 5954 Brook Rd Richmond, VA 23227 (804) 266-7976

PARTICIPATING PROVIDERS

JAMES RIVER FAMILY DENTISTRY PC 2805 Mcrae Rd Richmond, VA 23235 (804) 323-4200

KENNEALY, SARAH GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

KENNETT, FRED FRED F KENNETT DDS PHD 11453 Robious Road Richmond, VA 23235 (804) 330-4324

KESSLER, FRED FRED N KESSLER DDS 2006 Bremo Rd. #200 Richmond, VA 23226 (804) 282-9517

KIM, CHAD KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

136

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND KIM, CHAD KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

KING, ROBERT

KITTRELL, JOHN JOHN S KITTRELL DDS 2600 Grove Ave Richmond, VA 23220 (804) 359-6471

KITTS, CONNIE KATHRYN S FINLEY-PARKER DDS INC 4807 Hermitage Rd #101 Richmond, VA 23227 (804) 266-8547

KNAYSI, FRED FRED A KNAYSI 8921 Three Chopt Rd #304 Richmond, VA 23229 (804) 282-6005

KOGANTI, RANI VERNON J HARRIS MEDICAL CENTER 2025 E Main St #105 Richmond, VA 23223 (804) 780-0840

KOGANTI, RANI GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

KOGANTI, RANI KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

KOGANTI, RANI EAST END COMMUNITY HEALTH CTR 719 North 25Th St Richmond, VA 23223 (804) 780-0840

LARSON, DAVID

DYNAMIC DENTAL HEALTH ASSOC OF VA PC 9327 Midlothian Trpke #1A Richmond, VA 23235 (804) 323-3944

DYNAMIC DENTAL HEALTH ASSOC OF VA PC 9327 Midlothian Trpke #1A Richmond, VA 23235 (804) 323-3944

KOMMINENI, SANATH

LEE, ELIZABETH

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

ELIZABETH A LEE DDS PC 5700 Old Richmond Rd Ste D17 Richmond, VA 23226 (804) 288-4526

KOMMINENI, SANATH KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

KOMMINENI, SANATH HERO DENTAL OF RICHMOND PC 5322 Chamberlayne Road Richmond, VA 23227 (804) 266-5040

KONTOPANOS, GREGORY GREGORY K KONTOPANOS DDS & ASSOC 3525 Iron Bridge Road Richmond, VA 23234 (804) 275-7477

KOPELOVE, STEPHEN GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

KRAFT, RACHEL STERLING ARDEN M 2500 Monument Ave Richmond, VA 23220 (804) 359-3449

KUPPERI, VINUTHA KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

KUPPERI, VINUTHA KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

LARKIN, STEVEN VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

LEE, SI-HYEON KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

LENOIR, ROBERT DRS BROWN & REYNOLDS PRTNS 10410 Ridgefield Pkwy #200 Richmond, VA 23233 (804) 754-4161

LENOIR, ROBERT BROWN REYNOLDS & SNOW DENTISTRY 6901 Patterson Ave Richmond, VA 23226 (804) 288-5324

LEVIN, JEFFREY COMMONWEALTH PROSTHODONTICS 8917 Fargo Rd Ste B Richmond, VA 23229 (804) 346-3366

LILLY, J J DAVID LILLY JR DDS 7834 Forest Hill Ave Richmond, VA 23225 (804) 320-0773

LIPSCOMB, JASON JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

LITTLE, KEITH DENTAL PROFESSIONALS OF VA PC 11540 Midlothian Turnpike Richmond, VA 23235 (804) 594-6916

LITTLE, KEITH

LIVINGSTON, LYNN GREAT EXPRESSIONS DENTAL CENTERS 4859 Finlay Street Richmond, VA 23231 (804) 222-6069

LUCAS, WILLIAM WILLIAM T LUCAS DDS & ROMAN T HAUEIS DMD PC 3811 Westerre Pkwy #C Richmond, VA 23233 (804) 747-0116

LUKANUSKI, STACY STACY Z LUKANUSKI DDS PLC 2105 E Parham Rd Ste 107 Richmond, VA 23228 (804) 264-9460

MADURANTAKAM, PARTHASARATHY DHAKAR FAMILY DENTISTRY 1633 Williamsburg Rd Richmond, VA 23231 (804) 447-4801

MAIER, WHITNEY ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

PARTICIPATING PROVIDERS

JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

KOHEIL, YOSRELDIN

MALAN, DAVID COMMONWEALTH DENTISTRY 6750 Forest Hill Ave Richmond, VA 23225 (804) 272-7040

MARINELLI, STEVEN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

MATIAS, THIAGO KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

MATIAS, THIAGO KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

137

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND MCCOMB, JACK MCCOMB & STEWART DENTISTRY PC 2902 Hungary Spring Rd Richmond, VA 23228 (804) 672-1400

MOHANTY, SUJIT

MORRISON, JULIUS

MUSTIAN, JOHN

SK MOHANTY DDS PC 1782 Parham Rd Richmond, VA 23229 (804) 527-1009

EAST END COMMUNITY HEALTH CTR 719 North 25Th St Richmond, VA 23223 (804) 780-0840

MUSTIAN EDWARD L III 5700 Old Richmond Ave #8 Richmond, VA 23226 (804) 285-9548

MOHIUDDIN, SUMAYRA HARINI B REDDY DMD LLC 3000 Hungary Spring Rd Richmond, VA 23228 (804) 501-0816

MCCOMB, JACK MONTANO, RONALD HERO DENTAL OF RICHMOND PC 5322 Chamberlayne Road Richmond, VA 23227 (804) 266-5040

MENDOZA, ISRAEL ISRAEL MENDOZA & ASSOC LLC 2303 N Parham Rd Ste 5 Richmond, VA 23229 (804) 501-8483

MERA, JOSE JOSE A MERA DDS PC 11507 Allecingie Pkwy Richmond, VA 23235 (804) 379-9375

MEREDITH-SMITH, JODIE EDWARD D GARDNER JR DDS PLC 8133 Forest Hill Ave #201 Richmond, VA 23235 (804) 272-2010

MILLAN, ALIRIO SMILES FOR ALL 505 Leigh St #204 Richmond, VA 23220 (804) 269-3951

MILLAN, ALIRIO SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

MILLER, ELIZABETH ATKINS MAESTRELLO & ASSOC PEDIATRIC DENTISTRY 2560 Gaskins Rd Richmond, VA 23233 (804) 741-2226

MIRMONSEF, PARASTU GREAT EXPRESSIONS DENTAL CENTERS 4859 Finlay Street Richmond, VA 23231 (804) 222-6069

PATRICIA A MOSS DDS 6714 Patterson Ave #201 Richmond, VA 23226 (804) 282-3197

MONTGOMERY, TYRUS JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 10409 Midlothian Turnpike Richmond, VA 23235 (804) 562-2667

MORGAN, GARY JOSEPH H MORGAN DDS LTD 2301 Hilliard Road Lakeside Medical Center Ste11 Richmond, VA 23228 (804) 266-8769

MORGAN, JOSEPH JOSEPH H MORGAN DDS LTD 2301 Hilliard Road Lakeside Medical Center Ste11 Richmond, VA 23228 (804) 266-8769

MORRISON, JULIUS GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

MORRISON, JULIUS HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

MORRISON, JULIUS JULIUS V MORRISON DDS PC 3501 Courthouse Rd Richmond, VA 23236 (804) 745-9183

MORRISON, JULIUS JULIUS V MORRISON DDS PC 530 E Main St Ste 400 Richmond, VA 23219 (804) 648-1305

ROSSETTI & MYERS 2613 North Parham Road Richmond, VA 23294 (804) 747-0090

NASH, COLLEEN MUELLER, TRAVIS TRAVIS L MUELLER DDS PC 3424 Lauderdale Drive Richmond, VA 23233 (804) 360-1800

MUELLER, TRAVIS

VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

NASIF, YASER

WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

MULLIGAN, DANIEL

NAVUBOTHU, PADMALATHA

DANIEL J MULLIGAN DDS 9217 Midlothian Tpke Richmond, VA 23235 (804) 320-1153

FAMILY DENTAL OF VIRGININA 3904 Hull St #A Richmond, VA 23224 (804) 233-0007

MULLINS, EDMUND

NGUYEN, KIM

BENJAMIN CROWLEY DDS PC 6808 Stoneman Rd Richmond, VA 23228 (804) 266-4989

MULLINS, EDMUND EDMUND E MULLINS JR DDS 6808 Stoneman Rd Richmond, VA 23228 (804) 266-4989

MUNCY, BEATRICE JAMES L MUNCY DDS 2817 N Parham Road Richmond, VA 23294 (804) 290-0490

MUNCY, JAMES JAMES L MUNCY DDS 2817 N Parham Road Richmond, VA 23294 (804) 290-0490

MUSTIAN, EDWARD MUSTIAN EDWARD L III 5700 Old Richmond Ave #8 Richmond, VA 23226 (804) 285-9548

PARTICIPATING PROVIDERS

MCCOMB & STEWART DENTISTRY PC 530 East Main St #500 Richmond, VA 23219 (804) 643-6665

MYERS, PRISCILLA MOSS, PATRICIA

KIM PHUONG NGUYEN DDS LLC 1801 Raintree Dr #B Richmond, VA 23238 (804) 740-8360

NGUYEN, VIET SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

NICHOLS, ASHLEY KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

NORMAN, ANDREW ANDREW S NORMAN DDS KURT M OBECK DDS AND RANDALL C FOY DDS 7229 Forest Ave #105 Richmond, VA 23226 (804) 288-0102

NORRGARD, JEFFEREY JEFFEREY W NORRGARD DDS PC 3300 Grove Ave Richmond, VA 23221 (804) 359-6009

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

138

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND NYSTROM, CHERYL JOSE A MERA DDS PC 11507 Allecingie Pkwy Richmond, VA 23235 (804) 379-9375

OBECK, KURT

OCTAVE, WILLIAM VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

O'DONNELL, DAVID KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

O'DONNELL, DAVID KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

OGUNDIPE, OLUWATOYIN KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

OLEY, GEORGE GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

OSMAN, FEISAL OSMAN FEISAL 3033 Lauderdale Dr Richmond, VA 23233 (804) 364-1696

PAIGE, JASON JASON R PAIGE DDS PC 2928 North Ave Richmond, VA 23222 (804) 321-4065

PHILLIPS, SARAH

RESENDES, MELANIE

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

MELANIE RESENDES DDS PLLC 3900 Meadowdale Blvd Richmond, VA 23234 (804) 275-1622

PANDHER, RAMONA

PHILLIPS, SARAH

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

PANZARELLA, CARL

POPAT, NITESH

JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

DENTAL PROFESSIONALS OF VA PC 11540 Midlothian Turnpike Richmond, VA 23235 (804) 594-6916

PATEL, ANISHA

POPAT, NITESH

GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

PATEL, VAISHALI KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

PATEL, VAISHALI KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

PEAT, ASHLEY COMMONWEALTH DENTISTRY 6750 Forest Hill Ave Richmond, VA 23225 (804) 272-7040

PEMBERTON, DAVID DAVID B PEMBERTON DDS PC 101 Cowardin Ave Ste 303 Richmond, VA 23224 (804) 233-6811

PEMBERTON, DAVID DAVID B PEMBERTON DDS PC 3501 Courthouse Rd Richmond, VA 23236 (804) 233-6811

PERKINSON, S VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

NEIBAUER DENTAL CARE PC 11736 W. Broad St. #112 Richmond, VA 23233 (804) 360-8890

POPLI, VISHAL ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

POQUIS, GREGORY GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

PULLER, ANTHONY PULLER ANTHONY J 7834 Forest Hill Avenue Suite 6 Richmond, VA 23225 (804) 272-0563

RASUL, AFIA HARINI B REDDY DMD LLC 3000 Hungary Spring Rd Richmond, VA 23228 (804) 501-0816

REDDY, HARINI HARINI B REDDY DMD LLC 3000 Hungary Spring Rd Richmond, VA 23228 (804) 501-0816

REDWINE, WILLIAM WILLIAM JAMES REDWINE DDS 6808 Stoneman Rd Richmond, VA 23228 (804) 266-8704

RESSLER, CHRISTINE VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

REYNOLDS, ELIZABETH DRS BROWN & REYNOLDS PRTNS 10410 Ridgefield Pkwy #200 Richmond, VA 23233 (804) 754-4161

REYNOLDS, ELIZABETH BROWN REYNOLDS & SNOW DENTISTRY 6901 Patterson Ave Richmond, VA 23226 (804) 288-5324

REYNOLDS, JOHN REYNOLDS FAMILY DENTISTRY PLC 5700 Old Richmond Ave Ste A3 Richmond, VA 23226 (804) 282-8712

PARTICIPATING PROVIDERS

ANDREW S NORMAN DDS KURT M OBECK DDS AND RANDALL C FOY DDS 7229 Forest Ave #105 Richmond, VA 23226 (804) 288-0102

PANDHER, RAMONA

ROBINSON, ELI ELI W ROBINSON DDS PLC 2303 N Parham Rd Ste 5 Richmond, VA 23229 (804) 346-9049

ROELOFS, RENAE DYNAMIC DENTAL HEALTH ASSOC OF VA PC 9327 Midlothian Trpke #1A Richmond, VA 23235 (804) 323-3944

ROPER, ERIK VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

ROSE, GRAHAM COMPREHENSIVE FAMILY DENTISTRY 2010 Bremo Rd #121 Richmond, VA 23226 (804) 282-9191

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

139

Delta Dental Premier

SIMON, DEEPA

STAFFORD, MATTHEW

JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

COMMONWEALTH DENTISTRY 6750 Forest Hill Ave Richmond, VA 23225 (804) 272-7040

SHAH, ROHINI

SINCLAIR, EMILY

STEADMAN, ROBERT

VERNON J HARRIS MEDICAL CENTER 2025 E Main St #105 Richmond, VA 23223 (804) 780-0840

JASON T LIPSCOMB DDS PC 1205 E Main St Richmond, VA 23219 (804) 648-6684

ROBERT B STEADMAN DDS PC 9220 Forest Hill Ave A5 Richmond, VA 23235 (804) 272-3200

ROSSETTI & MYERS 2613 North Parham Road Richmond, VA 23294 (804) 747-0090

SHAH, ROHINI

SMITH, JESSICA

STERLING, ARDEN

GLENWOOD MEDICAL CENTER 2709 Byron St Richmond, VA 23223 (804) 525-1851

SMILES FOR ALL 505 Leigh St #204 Richmond, VA 23220 (804) 269-3951

STERLING ARDEN M 2500 Monument Ave Richmond, VA 23220 (804) 359-3449

RUSNAK, BRENT

SHAH, ROHINI

SMITH, JESSICA

RICHMOND ROSE, MARTINE COMPREHENSIVE FAMILY DENTISTRY 2010 Bremo Rd #121 Richmond, VA 23226 (804) 282-9191

ROSSETTI, MICHAEL

BRENT A RUSNAK DDS PC 7820 Shrader Rd Richmond, VA 23294 (804) 262-1060

SARAVANA, SAUMITRA HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

SARRETT, DAVID VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

SAUNDERS, PAUL PAUL L SAUNDERS DDS 3422 Pump Rd Richmond, VA 23233 (804) 364-0909

SAVAGE, HARRY HARRY E SAVAGE JR DDS 1400 N 26Th St Richmond, VA 23223 (804) 643-7889

SCHMITT, STEVEN

HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

SHAH, ROHINI EAST END COMMUNITY HEALTH CTR 719 North 25Th St Richmond, VA 23223 (804) 780-0840

SHAH, RUPAL GLEN ALLEN DENTISTRY PLLC 2314 E Parham Rd Richmond, VA 23225 (804) 261-1970

SHAIA, PAUL GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

SHAN, AILIN AILIN SHAN DMD PLLC 5412 Glenside Dr Unit C Bldg 3 Richmond, VA 23228 (804) 380-0165

SILL, LAURENCE

STEVEN B SCHMITT 6911 Patterson Avenue Richmond, VA 23226 (804) 282-3613

REYNOLDS FAMILY DENTISTRY PLC 5700 Old Richmond Ave Ste A3 Richmond, VA 23226 (804) 282-8712

SCHOLL, LEO

SILL, LAURENCE

JOSE A MERA DDS PC 11507 Allecingie Pkwy Richmond, VA 23235 (804) 379-9375

L SCOTT SILL DDS PC 5700 Old Richmond Avenue Suite A 3 Richmond, VA 23226 (804) 282-8712

SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

SNOW, WESLEY DRS BROWN & REYNOLDS PRTNS 10410 Ridgefield Pkwy #200 Richmond, VA 23233 (804) 754-4161

SNOW, WESLEY BROWN REYNOLDS & SNOW DENTISTRY 6901 Patterson Ave Richmond, VA 23226 (804) 288-5324

SOLTANIAN, FARSHID MEADOWDALE DENTAL CENTER 4121 Meadowdale Blvd Richmond, VA 23234 (804) 303-9654

STEWART, HENRY HENRY I STEWART IV DDS 12091 Gayton Road Richmond, VA 23238 (804) 740-9127

STEWART, TIMOTHY MCCOMB & STEWART DENTISTRY PC 2902 Hungary Spring Rd Richmond, VA 23228 (804) 672-1400

STEWART, TIMOTHY

PARTICIPATING PROVIDERS

SCHROEDER, STEPHEN

VIRGINIA (CONT'D)

MCCOMB & STEWART DENTISTRY PC 530 East Main St #500 Richmond, VA 23219 (804) 643-6665

STONER, KENNETH KENNETH E STONER DDS 4106-A Meadowdale Blvd Richmond, VA 23234 (804) 743-3490

SPAINHOUR, STEPHEN

STONER, KENNETH

STEPHEN E SPAINHOUR DDS 8917 Fargo Rd #A Richmond, VA 23229 (804) 747-7001

KENNETH STONER DDS 4922 B West Broad Street Richmond, VA 23230 (804) 282-4279

SPITZER, JAY

STRAUS, FRANK

JAY B SPITZER DDS 3312 Parham Road Richmond, VA 23294 (804) 747-0105

ADVANCED DENTAL CARE OF RICHMOND 2020 John Rolfe Pkwy Richmond, VA 23238 (804) 741-4177

STAAS, JENNIFER WILLIAM R ADAMS DDS PC 4315 Grove Ave Richmond, VA 23221 (804) 288-4089

SVIRSKY, JOHN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

140

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND SZUBIAK, STANISLAW KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

SZUBIAK, STANISLAW

TAILOR, PRIYA KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

TAILOR, PRIYA KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

TALTON, JOHN TALTON & RENKENBERGER PLC 10444 Patterson Ave Richmond, VA 23233 (804) 740-3402

TARASIDIS, VERA JOSE A MERA DDS PC 11507 Allecingie Pkwy Richmond, VA 23235 (804) 379-9375

VINSON, ALEXA

WILKINSON, DAVID

EDWARD J THOMASON DDS Libbie Medical Center 5700 Old Richmond Ave Ste C-11 Richmond, VA 23226 (804) 282-7096

BRENT A RUSNAK DDS PC 7820 Shrader Rd Richmond, VA 23294 (804) 262-1060

DR CM WILKINSON & ASSOC PC 9015 Forest Hill Ave Richmond, VA 23235 (804) 272-6800

VOLKOVA, IRINA

WILLIAMS, TIFFANY

GLEN ALLEN DENTISTRY PLLC 2314 E Parham Rd Richmond, VA 23225 (804) 261-1970

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

TIESWORTH, DANIEL FRED F KENNETT DDS PHD 11453 Robious Road Richmond, VA 23235 (804) 330-4324

TODD, STEPHEN STEPHEN J TODD DDS PC 513 Forest Ave Ste A Richmond, VA 23229 (804) 288-1267

TROW, THOMAS THOMAS H TROW 7834 Forest Hill Ave Richmond, VA 23225 (804) 272-2205

TURNAGE, NEIL VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

UPSHUR, CONWAY VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

VAHDANI, THOMAS TAVASSOLI, AMIR SMILES FOR ALL 505 Leigh St #204 Richmond, VA 23220 (804) 269-3951

TAVASSOLI, AMIR SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

TAYLOR, JAMES JAMES E TAYLOR JR DDS 5700 Old Ricmond Ave B-9 Richmond, VA 23226 (804) 282-9418

THOMAS, SUSAN RICHMOND SMILE CENTER 11201 Huguenot Rd Richmond, VA 23235 (804) 320-6800

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

VAN SCYOC, CHAD CHAD M VAN SCYOC DDS PC 2821 Parham Rd Ste 202 Richmond, VA 23294 (804) 270-7425

VILLALBA, PATRICIA ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

VOLKOVA, IRINA SAM E ENGLISH II DDS LLC 3500 Grove Ave Ste 104 Richmond, VA 23221 (804) 358-0001

WADE, FRANK F ANDERSON WADE DDS 204 Hamilton St Richmond, VA 23221 (804) 358-8204

WARD, GLORIA JOSE A MERA DDS PC 11507 Allecingie Pkwy Richmond, VA 23235 (804) 379-9375

WAY, WILLIAM WESTHAMPTON DENTISTRY 118 Libbie Ave Richmond, VA 23226 (804) 288-0948

WEISS, BARRY BARRY WEISS DDS 9606 Patterson Avenue Richmond, VA 23229 (804) 740-9118

WHITMAN, KIME GLEN ALLEN DENTISTRY PLLC 2314 E Parham Rd Richmond, VA 23225 (804) 261-1970

WILBY, LYLA ROSE GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

WILKINSON, CLAUDE DR CM WILKINSON & ASSOC PC 9015 Forest Hill Ave Richmond, VA 23235 (804) 272-6800

WILSON, NATASHA HERO DENTAL OF RICHMOND PC 5322 Chamberlayne Road Richmond, VA 23227 (804) 266-5040

WONG, DENNIS VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

WOOLFOLK, ROYCE ROYCE W WOOLFOLK JR DDS 4908 Monument Ave Ste 101 Richmond, VA 23230 (804) 358-0002

PARTICIPATING PROVIDERS

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

THOMASON, EDWARD

WORKIE, DANIEL KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

WORKIE, DANIEL ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

WRIGHT, THOMAS THOMAS J WRIGHT JR DDS LTD 6740 Forest Hill Ave Ste 201 Richmond, VA 23225 (804) 320-8894

YOUNG, M BRENT A RUSNAK DDS PC 7820 Shrader Rd Richmond, VA 23294 (804) 262-1060

YOUNG, STEPHEN STEPHEN S YOUNG DDS PC 1107 Westbriar Drive Richmond, VA 23238 (804) 741-2812

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

141

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND ZAINUL ABEDEEN, ANAS KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

ZAINUL ABEDEEN, ANAS

ORAL SURGEON ABUBAKER, A VCU DENTAL CARE 401 N. 11Th St. Richmond, VA 23219 (804) 628-6637

ABUBAKER, A VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

CYR, JEFFREY COMMONWEALTH ORAL & FACIAL SURGERY 3811 Westerre Pkwy Ste A Richmond, VA 23233 (804) 354-1600

CYR, JEFFREY COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

CYR, JEFFREY COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

FERGUSON, ANDREW COMMONWEALTH ORAL & FACIAL SURGERY 3811 Westerre Pkwy Ste A Richmond, VA 23233 (804) 354-1600

DELUKE, DEAN

FERGUSON, ANDREW

VCU DENTAL CARE 401 N. 11Th St. Richmond, VA 23219 (804) 628-6637

COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

DELUKE, DEAN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

ERCOLE, AARON SMILE 32 9732 Midlothian Tpke Richmond, VA 23235 (804) 320-3683

ESCHENROEDER, THOMAS COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

ESCHENROEDER, THOMAS COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

HARRIS, MONROE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

HARRIS, MONROE

MILLER, MICHAEL

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

COMMONWEALTH ORAL & FACIAL SURGERY 3811 Westerre Pkwy Ste A Richmond, VA 23233 (804) 354-1600

HERRERA, MARICIO

MILLER, MICHAEL

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

HERRERA, MARICIO

MILLER, MICHAEL

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

ESCHENROEDER, THOMAS COMMONWEALTH ORAL & FACIAL SURGERY 3811 Westerre Pkwy Ste A Richmond, VA 23233 (804) 354-1600

MCANDREW, BRIAN

COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

ERCOLE, AARON SMILES FOR ALL 505 Leigh St #204 Richmond, VA 23220 (804) 269-3951

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

FERGUSON, ANDREW

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

MCANDREW, BRIAN

PARTICIPATING PROVIDERS

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

DEEB, GEORGE

COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

MORGAN, JOHN KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

NELSON, JAMES COMMONWEALTH ORAL & FACIAL SURGERY 3811 Westerre Pkwy Ste A Richmond, VA 23233 (804) 354-1600

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

142

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND NELSON, JAMES COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

NELSON, JAMES

PADGETT, THOMAS DRS WALLACE & PADGETT PC 7100 Jahnke Rd Richmond, VA 23225 (804) 379-7120

RENAPURKAR, SHRAVAN VCU DENTAL CARE 401 N. 11Th St. Richmond, VA 23219 (804) 628-6637

RENAPURKAR, SHRAVAN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

SARRAF, AMMAR COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

SMAGALSKI, GARY ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

SMAGALSKI, GARY HERO DENTAL OF RICHMOND PC 5322 Chamberlayne Road Richmond, VA 23227 (804) 266-5040

STRAUSS, ROBERT VCU DENTAL CARE 401 N. 11Th St. Richmond, VA 23219 (804) 628-6637

ANDERSON, RALPH

DAVIS, GEORGE

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

DRS DAVIS & NYCZEPIR LTD 9015 Forest Hill Ave Richmond, VA 23235 (804) 272-7528

ARROYO-PRATT, MARIELENA

GARDNER, WILLIAM

WALLACE, JAMES DRS WALLACE & PADGETT PC 7100 Jahnke Rd Richmond, VA 23225 (804) 379-7120

WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

WLODAWSKY, ROSS NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave Richmond, VA 23226 (804) 359-4474

WLODAWSKY, ROSS NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 7702 Parham Road Suite 103 A Richmond, VA 23294 (804) 270-5028

ZOGHBY, GREGG COMMONWEALTH ORAL & FACIAL SURGERY 5801 Bremo Rd Richmond, VA 23226 (804) 354-1602

ZOGHBY, GREGG COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

ORTHODONTIST

DOMINION ORTHODONTICS PC 5247 S Laburnum Ave Richmond, VA 23231 (804) 236-5867

WILLIAM GRAHAM GARDNER DDS PC 1206 Willow Lawn Dr Richmond, VA 23226 (804) 282-6436

BATES, SHELDON

HOLBERT, MICHAEL

BATES ORTHODONTICS 3800 Stillman Parkway Ste 101 Richmond, VA 23233 (804) 934-9292

BATES, SHELDON BATES ORTHODONTICS 4025 Mechaincsville Turnpike Richmond, VA 23223 (804) 321-4958

BENSON, WAKESHI GEORGE A OLEY III PLC 9030 Three Chopt Rd #A Richmond, VA 23229 (804) 282-7011

BIBONA, KEVIN RILEY & WILTSHIRE INC 8503 Patterson Avenue Richmond, VA 23229 (804) 740-7281

BRASSINGTON, BRYAN RILEY & WILTSHIRE INC 8503 Patterson Avenue Richmond, VA 23229 (804) 740-7281

BUELOW, DWIGHT VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

BYRD, RICHARD RICHARD L BYRD DDS PC & ASSOC 9221 Forest Hill Ave Richmond, VA 23235 (804) 330-0508

ANDERSON, RALPH ANDERSON ORTHODONTICS LTD 5500 Monument Ave #K Richmond, VA 23226 (804) 285-9800

CLINE, MATTHEW HAPPY SMILES LLC 30 Courthouse Rd Richmond, VA 23236 (804) 379-7855

HOLBERT FAMILY ORTHODONTICS 10200 Three Chopt Rd #B Richmond, VA 23233 (804) 270-7824

INOUYE, DAVID KENNETH STONER DDS 4922 B West Broad Street Richmond, VA 23230 (804) 282-4279

LINDAUER, STEVEN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

PARTICIPATING PROVIDERS

COMMONWEALTH ORAL & FACIAL SURGERY 8503 Patterson Ave Richmond, VA 23229 (804) 354-1601

STRAUSS, ROBERT

MARCUS, RICHARD VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

MARQUEZ, RHINA KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

MARQUEZ, RHINA KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

MEI, ELIZABETH DOMINION ORTHODONTICS PC 5247 S Laburnum Ave Richmond, VA 23231 (804) 236-5867

NYCZEPIR, DAVID DRS DAVIS & NYCZEPIR LTD 9015 Forest Hill Ave Richmond, VA 23235 (804) 272-7528

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

143

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND PURCELL, ALLISON VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

RILEY, JAMES

ROGERS, DALE

BURKE, BRIAN

HUSSON, MALINDA

ROANOKE SMILES YOUTH DENTISTRY LLC 5322 Chamberlayne Ave Richmond, VA 23227 (719) 562-4461

KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

PEDIATRIC DENTIST/PEDODONTIST ADAMS, RANDY ADAMS & ALLEN DDS PC 300 West Broad Street Richmond, VA 23220 (804) 780-2888

ATKINS, CARL

BURKE, BRIAN KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

CARNEY, JACQUELINE KOOL SMILES 3824 Mechanicsville Pike Unit 12 Richmond, VA 23223 (804) 321-5665

VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

ATKINS MAESTRELLO & ASSOC PEDIATRIC DENTISTRY 2560 Gaskins Rd Richmond, VA 23233 (804) 741-2226

CARNEY, JACQUELINE

SCARBOROUGH, LARRY

BERRY, ELIZABETH

CARTER, SOBIA

CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

MARTH A DAWSON DDS PLC 4025 Mechanicsville Tpke Richmond, VA 23223 (804) 321-6800

CASAGRANDE COSTA RUSNAK & SCARBOROUGH BLLC 7820 Shrader Rd Richmond, VA 23294 (804) 672-8607

SMITH, ERIN RICHARD L BYRD DDS PC & ASSOC 9221 Forest Hill Ave Richmond, VA 23235 (804) 330-0508

SPEARS, MELANIE RICHARD L BYRD DDS PC & ASSOC 9221 Forest Hill Ave Richmond, VA 23235 (804) 330-0508

THOMAS, CHARLES CHARLES P THOMAS JR DDS PC 2201 Pump Rd Richmond, VA 23233 (804) 740-2642

TUFEKCI, ESER VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

WILTSHIRE, CURTIS RILEY & WILTSHIRE INC 8503 Patterson Avenue Richmond, VA 23229 (804) 740-7281

BERRY, ELIZABETH

KOOL SMILES 4722 N Southside Plaza Ste 24 Richmond, VA 23224 (804) 319-5665

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

DAWSON, MARTHA

BORTELL, ELIZABETH

EDWARDS, JUSTIN

CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

BRICKHOUSE, TEGWYN CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

BRICKHOUSE, TEGWYN VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

BURKE, BRIAN JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 10409 Midlothian Turnpike Richmond, VA 23235 (804) 562-2667

MARTH A DAWSON DDS PLC 4025 Mechanicsville Tpke Richmond, VA 23223 (804) 321-6800

IMAFIDON, TIMOTHY THE CENTER FOR PEDIATRIC DENTISTY & SEDATION 10409 Midlothian Tpke Richmond, VA 23235 (804) 562-2667

IMAFIDON, TIMOTHY JUST 4 KIDS PEDATRIC DENTISTRY & SEDATION 10409 Midlothian Turnpike Richmond, VA 23235 (804) 562-2667

IMAFIDON, TIMOTHY RICHARD L BYRD DDS PC & ASSOC 9221 Forest Hill Ave Richmond, VA 23235 (804) 330-0508

KEETON, DAVID CHILDRENS HOSPITAL OF VIRGINIA 2924 Brook Rd Richmond, VA 23220 (804) 739-0963

PARTICIPATING PROVIDERS

RILEY & WILTSHIRE INC 8503 Patterson Avenue Richmond, VA 23229 (804) 740-7281

YI, PETER

KENDIG, ROBERT THE CENTER FOR PEDIATRIC DENTISTY & SEDATION 10409 Midlothian Tpke Richmond, VA 23235 (804) 562-2667

HARMAN, ASHLEY WEST END PEDIATRIC DENTISTRY 12205 Gayton Rd #A Richmond, VA 23238 (804) 741-1400

HUSSON, MALINDA ATKINS MAESTRELLO & ASSOC PEDIATRIC DENTISTRY 2560 Gaskins Rd Richmond, VA 23233 (804) 741-2226

HUSSON, MALINDA CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

ROBERT O KENDIG DDS LTD 8010 Ridge Road #1 Richmond, VA 23229 (804) 282-2323

LAUGHLIN, ROBERT CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

LAUGHLIN, ROBERT VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

LENTINI, ERIKA MARTH A DAWSON DDS PLC 4025 Mechanicsville Tpke Richmond, VA 23223 (804) 321-6800

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

144

Delta Dental Premier

VIRGINIA (CONT'D) RICHMOND LEWIS, HOLLY CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

MAESTRELLO, CHRISTOPHER

MERRELL, DAVID JEFFREY P BLAIR DDS PC 12205 Gayton Rd Richmond, VA 23238 (804) 741-1400

MERRELL, DAVID WEST END PEDIATRIC DENTISTRY 12205 Gayton Rd #A Richmond, VA 23238 (804) 741-1400

MOURINO, ARTHUR ATKINS MAESTRELLO & ASSOC PEDIATRIC DENTISTRY 2560 Gaskins Rd Richmond, VA 23233 (804) 741-2226

PATEL, SHITAL DBA BON SECOURS PEDIATRIC DENTAL ASSOCIATES 6900 Forest Ave #110 Richmond, VA 23230 (804) 893-8915

PISCITELLI, WILLIAM DBA BON SECOURS PEDIATRIC DENTAL ASSOCIATES 6900 Forest Ave #110 Richmond, VA 23230 (804) 893-8915

UNKEL, JOHN BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC 5875 Bremo Rd Ste 104 Richmond, VA 23226 (804) 893-8715

GUNSOLLEY, JOHN

CADE, RONALD

DBA BON SECOURS PEDIATRIC DENTAL ASSOCIATES 6900 Forest Ave #110 Richmond, VA 23230 (804) 893-8915

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

RONALD E CADE DMD MS INC 9200 Forest Hill Ave #5C Richmond, VA 23235 (804) 233-2881

WEBB, MICHAEL

KOERTGE, THOMAS

THE CENTER FOR PEDIATRIC DENTISTY & SEDATION 10409 Midlothian Tpke Richmond, VA 23235 (804) 562-2667

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

WILLIAMS, TIFFANY

LANNING, SHARON

CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

COE, YONG

WUNSCH, PATRICE CHILDRENS HOSPITAL 2924 Brook Road Richmond, VA 23220 (804) 321-7474

WUNSCH, PATRICE VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

LIN, ZHAO VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

SAROFF, STEVEN

HARINI B REDDY DMD LLC 3000 Hungary Spring Rd Richmond, VA 23228 (804) 501-0816

COE, YONG VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

KAZANOGLU, ALTUG VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

ROANOKE ENDODONTIST

STEPHEN A SAROFF DDS PC 2801 Mcrae Rd #C1 Richmond, VA 23235 (804) 272-9079

BAGBY, ROBIN

DARU, ANTARA

SHAIT, ABRAHAM

BAGBY, ROBIN

STEPHEN A SAROFF DDS PC 2801 Mcrae Rd #C1 Richmond, VA 23235 (804) 272-9079

SHAIT ABRAHAM 3210 Skipwith Road Richmond, VA 23294 (804) 270-7070

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

GASKINS, CHARLES

SWEENEY, KEVIN

GASKINS & ASSOCIATES DDS PLLC 703 N Courthouse Rd #201 Richmond, VA 23236 (804) 794-9611

KEVIN C SWEENEY DDS PERIO & IMPLANTOLOGY LTD 8530 Mayland Drive Richmond, VA 23294 (804) 270-3131

GOLOB DEEB, JANINA

VOTH, STEPHANIE

VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd Richmond, VA 23233 (804) 364-7010

PERIODONTIST

GRIFFIN, BARRY BARRY I GRIFFIN DDS 5500 Monument Ave Suite N Richmond, VA 23226 (804) 288-7211

PROSTHODONTIST BETZHOLD, WILLIAM VCU DENTAL FACULTY PRACTICE ASSOC 520/521 N 11Th/12Th St Richmond, VA 23298 (804) 828-3368

CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

PARTICIPATING PROVIDERS

ATKINS MAESTRELLO & ASSOC PEDIATRIC DENTISTRY 2560 Gaskins Rd Richmond, VA 23233 (804) 741-2226

UNKEL, JOHN

BAGBY, ROBIN BLUE RIDGE ENDODONTICS 4102 Electric Road Sw Roanoke, VA 24018 (540) 772-9515

HUNT, MICHAEL MICHAEL G HUNT DDS PC 4910 Valley View Blvd Roanoke, VA 24012 (540) 563-5858

LAWSON, SEAN LAWSON ENDODONTICS INC 4370 Starkey Rd #3 Roanoke, VA 24018 (540) 989-9070

MAYERCHAK, MICHAEL CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

145

Delta Dental Premier

VIRGINIA (CONT'D) ROANOKE MAYERCHAK, MICHAEL CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

MAYERCHAK, MICHAEL

MORRIS, MICHAEL BLUE RIDGE ENDODONTICS 4102 Electric Road Sw Roanoke, VA 24018 (540) 772-9515

GENERAL DENTIST AHMED, SYED ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

ALLARA, JACK JACK M ALLARA II DDS PC 5710 Airport Rd Nw Roanoke, VA 24012 (540) 362-3047

ALLAYMOUNI, MHD AMER SIMPLY STRAIGHT PC 1502 Williamson Rd Ste. A-1000 Roanoke, VA 24012 (540) 206-2203

ALLEN, MARY DISA JOSHUA L DEMICHELE DDS PLLC 4051 Postal Dr Roanoke, VA 24018 (540) 774-0061

ALMZAYYEN, MOHAMMED SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

ALMZAYYEN, MOHAMMED SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

BRAJDIC, DAVID

CONKLIN, CHARLES

STEVEN N ANAMA DDS PC 4119 Brandon Ave Sw Roanoke, VA 24018 (540) 776-6555

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

BAILEY, DAVINA

BRAJDIC, DAVID

COOTS, FREDERICK

KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

BANKS, ROBERT SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

BANKS, ROBERT SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

BANKS, ROBERT HUNTING HILLS DENTISTRY PC 4572 Franklin Rd Sw Roanoke, VA 24014 (540) 769-5020

BENCH, STEPHEN PEGGY LOVECCHIO DDS PC 2766 Electric Rd #A2 Roanoke, VA 24018 (540) 904-2300

BENCH, STEPHEN ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

BRAJDIC, DAVID CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

BURCHETT, PAUL HOWARD HARRISON & PAUL BURCHETT DDS PC 2945 Peters Creek Rd Sw Roanoke, VA 24019 (540) 562-4001

CAPRIO, DIANNE SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325 SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

CARTER, JOHN JOHN C CARTER DDS 4907 Brambleton Ave Roanoke, VA 24018 (540) 774-3143

CHANG, MICHAEL RICE DENTISTRY OF ROANOKE PC 4207 Colonial Ave Roanoke, VA 24018 (540) 989-4549

BIELAWSKI, ROBERT ROBERT M BIELAWSKI 6232 Peters Creek Rd Roanoke, VA 24019 (540) 362-3846

CLARK, JEFFREY ROBINSON & CLARK DDS LTD 3310 Franklin Rd Roanoke, VA 24014 (540) 342-7221

BRADLEY, JEANNENE STAR CITY FAMILY DENTISTRY INC 5505 Williamson Rd Roanoke, VA 24012 (540) 366-0335

CRISTI, IVONA ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

CROSS, GRIFFIN COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

DAMIANO, JOSEPH JOSEPH R DAMIANO DDS 7752 Williamson Rd Roanoke, VA 24019 (540) 362-9519

CAPRIO, DIANNE

BHAVNAGRI, FAWZIA RICE DENTISTRY OF ROANOKE PC 4207 Colonial Ave Roanoke, VA 24018 (540) 989-4549

COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

CONKLIN, CHARLES CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

PARTICIPATING PROVIDERS

BLUE RIDGE ENDODONTICS 4102 Electric Road Sw Roanoke, VA 24018 (540) 772-9515

ANAMA, STEVEN

DEMICHELE, JOSHUA JOSHUA L DEMICHELE DDS PLLC 4051 Postal Dr Roanoke, VA 24018 (540) 774-0061

DICKEY, FLOYD DRS LYNCH DICKEY & SINGLETON DENTISTS INC 1510 Franklin Rd Sw Roanoke, VA 24016 (540) 343-5521

DICKEY-FARR, CLAIRE DRS LYNCH DICKEY & SINGLETON DENTISTS INC 1510 Franklin Rd Sw Roanoke, VA 24016 (540) 343-5521

ELCHEKHA, HOUSSAM ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

146

Delta Dental Premier

VIRGINIA (CONT'D) ROANOKE ESCHENBACH, SEAN J IAN LOWDON JR DDS PC 6027 Peters Creek Rd Roanoke, VA 24019 (540) 366-5373

ESCHENBACH, SEAN

FITZGERALD, DAVID FITZGERALD DAVID K 6220 Peters Creek Rd Nw Roanoke, VA 24019 (540) 366-3999

GALLAHER, THOMAS GREGORY S HUGHES DMD PC 2840 Hershberger Rd Nw #C Roanoke, VA 24017 (540) 366-8325

GAMEZ, MYRNA KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

GRAY, DOMINICQUE ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

HARRIS, JOHN NEW HORIZONS DENTAL CARE 3716 Melrose Ave Nw Roanoke, VA 24017 (540) 362-0360

HARRISON, HOWARD HOWARD HARRISON & PAUL BURCHETT DDS PC 2945 Peters Creek Rd Sw Roanoke, VA 24019 (540) 562-4001

HARVEY, GREGORY HARVEY DENTISTRY NRKE PC 5049-C Valley View Blvd Roanoke, VA 24012 (540) 904-0300

JONES, MICHAEL

LOVECCHIO, PEGGY

W ROBERT HAUN 4346 Starkey Rd #4 Roanoke, VA 24018 (540) 774-7767

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

PEGGY LOVECCHIO DDS PC 2766 Electric Rd #A2 Roanoke, VA 24018 (540) 904-2300

HENRITZE, ANDREW

KAISER, ROBERT

LUBECK, JONATHAN

ANDREW W HENRITZE DDS PC 3611 Brambleton Ave Roanoke, VA 24018 (540) 989-6600

NORTH ROANOKE DENTAL ASSOCIATES PC 6108 Peters Creek Rd Roanoke, VA 24019 (504) 366-8662

GARY A ROACH DDS LTD 5004 Brambleton Ave Roanoke, VA 24018 (540) 774-1019

HUFFMAN, RICHARD HUFFMAN AND KREGER FAMILY DENTISTRY 4346 Starkey Road #3 Roanoke, VA 24018 (540) 989-3321

HUFFMAN, RICHARD KINNEY & HUFFMAN DDS PC 4346 Starkey Road #3 Roanoke, VA 24018 (540) 989-3321

HUTCHISON, KAREN HUNTING HILLS DENTISTRY PC 4572 Franklin Rd Sw Roanoke, VA 24014 (540) 769-5020

LYNCH, SEAN KINNEY, ROBERT KINNEY & HUFFMAN DDS PC 4346 Starkey Road #3 Roanoke, VA 24018 (540) 989-3321

DRS LYNCH DICKEY & SINGLETON DENTISTS INC 1510 Franklin Rd Sw Roanoke, VA 24016 (540) 343-5521

KLEIN, RICHARD

MAIER, WHITNEY

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

KLEIN, RICHARD CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

JOHNSON, AMANDA ROLLER WILLIAM O 3615 Brambleton Ave Roanoke, VA 24018 (540) 772-9373

JONES, DAVID RICE DENTISTRY OF ROANOKE PC 4207 Colonial Ave Roanoke, VA 24018 (540) 989-4549

JONES, LEE CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

KREGER, LEE HUFFMAN AND KREGER FAMILY DENTISTRY 4346 Starkey Road #3 Roanoke, VA 24018 (540) 989-3321

LADIMER, ERIC SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

LADIMER, ERIC SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

JONES, LEE

LAVINDER, LISA

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

JONES, MICHAEL

LEVINE, ANDREW

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

HUNTING HILLS DENTISTRY PC 4572 Franklin Rd Sw Roanoke, VA 24014 (540) 769-5020

MAY, R ALAN R ALAN MAY DDS PLLC 7051 Williamson Rd Roanoke, VA 24019 (540) 366-1001

PARTICIPATING PROVIDERS

SEAN LEON ESCHENBACH LLC 6027 Peters Creek Rd Roanoke, VA 24019 (540) 366-5373

HAUN, WILLIAM

MAYERCHAK, MICHELLE RICE DENTISTRY OF ROANOKE PC 4207 Colonial Ave Roanoke, VA 24018 (540) 989-4549

MOORE, ERNEST CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

MOORE, ERNEST CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

MOORE, WILLIAM WILLIAM U MOORE DDS PLLC 6232 Peters Creek Rd Roanoke, VA 24019 (540) 362-3846

NEWMAN, ANNE HARVEY DENTISTRY NRKE PC 5049-C Valley View Blvd Roanoke, VA 24012 (540) 904-0300

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

147

Delta Dental Premier

VIRGINIA (CONT'D) ROANOKE NEWSOME, ELISE SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

NEWSOME, ELISE

NEWTON, RICHARD NEW HORIZONS DENTAL CARE 3716 Melrose Ave Nw Roanoke, VA 24017 (540) 362-0360

ROSS, ROBERT

SKINNER, GREGORY

KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

R DOUGLAS ROSS DDS PC 1602 Grandin Rd Roanoke, VA 24015 (540) 344-9361

GREGORY P SKINNER DDS PC 3548 Orange Ave Ne Roanoke, VA 24012 (540) 344-6688

POWELL, NATALIE

RUSSELL, H

SMITH, KENNETH

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

H PATRICK RUSSELL DMD 4736 Starkey Rd Ste B Roanoke, VA 24018 (540) 772-7135

KENNETH N SMITH DDS 4110 Plantation Road Roanoke, VA 24012 (540) 563-1734

POWELL, NATALIE

RYAN, CRAIG

SONG, EUNICE

HOWARD HARRISON & PAUL BURCHETT DDS PC 2945 Peters Creek Rd Sw Roanoke, VA 24019 (540) 562-4001

ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

SEMTNER, MONICA

SOWAN, JAMIL

SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

PEDIATRIC DENTAL CARE OF VA 4903 Starkey Rd #300 Roanoke, VA 24018 (540) 904-2700

SEMTNER, MONICA

SOWAN, JAMIL

SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

SEMTNER, ROBERT

SOWERS, STEVEN

SEMTNER & SEMTNER DDS INC 2840-C Hershberger Rd Roanoke, VA 24017 (540) 366-8325

STEVEN E SOWERS 2660 Electric Rd Ste A Roanoke, VA 24018 (540) 774-8288

CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

POWELL, NATALIE CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

NORBO, RANDY RANDY J NORBO DDS PC 1414 Franklin Rd Roanoke, VA 24016 (540) 344-4798

QUINN, STEPHEN COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

OKUNUGA, OLALEKAN KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

RAMSEY, ALEXANDER RAMSEY ALEXANDER W 3501 Franklin Rd Roanoke, VA 24014 (540) 342-6800

PARK, YOUNG YOUNG C PARK DDS PC 623 Abney Rd Roanoke, VA 24012 (540) 563-9398

REYNOLDS, JAMES

SEMTNER, ROBERT

JAMES D REYNOLDS DDS LTD 5000 Brambleton Ave Roanoke, VA 24018 (540) 769-6370

SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

RICE, JAMES

SHEPPARD, COREY

RICE DENTISTRY OF ROANOKE PC 4207 Colonial Ave Roanoke, VA 24018 (540) 989-4549

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

PARKS, CHARLES GARY A ROACH DDS LTD 5004 Brambleton Ave Roanoke, VA 24018 (540) 774-1019

PHAM, JACOB 5 STARS DENTAL 6212 Peters Creek Rd Nw Roanoke, VA 24019 (540) 563-0519

POPLI, VISHAL ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

ROBINSON, LYNN ROBINSON & CLARK DDS LTD 3310 Franklin Rd Roanoke, VA 24014 (540) 342-7221

ROLLER, WILLIAM ROLLER WILLIAM O 3615 Brambleton Ave Roanoke, VA 24018 (540) 772-9373

SHEPPARD, COREY CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

SINGLETON, JOHN DRS LYNCH DICKEY & SINGLETON DENTISTS INC 1510 Franklin Rd Sw Roanoke, VA 24016 (540) 343-5521

PARTICIPATING PROVIDERS

SEMTNER & SEMTNER 4370 Starkey Rd #1B Roanoke, VA 24018 (540) 989-0112

POPLI, VISHAL

SURAT, ERIC ERIC M SURAT DDS 2502 Broadway Avenue Roanoke, VA 24014 (540) 344-6003

VILLALBA, PATRICIA ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

WARD, SCOTT COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

WHITE, BRANDON CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

148

Delta Dental Premier

VIRGINIA (CONT'D) ROANOKE WHITE, BRANDON CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

WHITE, BRANDON

WHITE, JULIE HUNTING HILLS DENTISTRY PC 4572 Franklin Rd Sw Roanoke, VA 24014 (540) 769-5020

WILLIAMS, ADAM COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

WORKIE, DANIEL

MEISHA, DALIA

AARON, GAVIN

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

SIMPLY STRAIGHT PC 1502 Williamson Rd Ste. A-1000 Roanoke, VA 24012 (540) 206-2203

MARGOLIS, JASON

MEISHA, DALIA

ADVANCED PERIO CONCEPTS INC 3005 Peters Creek Rd Roanoke, VA 24019 (540) 562-3166

ROANOKE ORAL SURGERY INC 6035 Peters Creek Rd Roanoke, VA 24019 (540) 362-5900

STRAIGHT SMILES OF ROANOKE PLLC 1502 Williamson Rd #A 1000 Roanoke, VA 24012 (540) 206-2203

MCCLUNG, JAMES ROANOKE ORAL SURGERY INC 6035 Peters Creek Rd Roanoke, VA 24019 (540) 362-5900

MEADOR, LARRY VALLEY ORAL SURGERY PC 4437 Starkey Rd Sw Ste B Roanoke, VA 24018 (540) 774-5900

PARULIS, ALBERT CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

PARULIS, ALBERT

WRIGHT, D

SMAGALSKI, GARY

WRIGHT DENTAL ASSOC 4736 Starkey Rd Roanoke, VA 24018 (540) 989-4698

ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

ROANOKE ORAL SURGERY INC 6035 Peters Creek Rd Roanoke, VA 24019 (540) 362-5900

WRYTER, JULIET ROANOKE SMILES YOUTH DENTISTRY LLC 5002 Airport Rd #130 Roanoke, VA 24012 (540) 362-5437

YODA, KYOKO CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

YODA, KYOKO CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

ORAL SURGEON

ORTHODONTIST ABBASI-HAFSHEJANI, AZITA KOOL SMILES 5002 Airport Rd, Nw Unit #130 Roanoke, VA 24012 (770) 916-5037

BLACK, ELENA STRAIGHT SMILES OF ROANOKE PLLC 1502 Williamson Rd #A 1000 Roanoke, VA 24012 (540) 206-2203

JONES, DAVID DAVID L JONES DDS PC 6220 Peters Creek Rd Roanoke, VA 24019 (540) 563-1640

ACHARYA, PRIYA CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

ROCKHILL, AMY

ACHARYA, PRIYA

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

COOTS WARD DENTISTRY 1930 Electric Rd Roanoke, VA 24018 (540) 989-1170

ROCKHILL, AMY

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

CARILION MEDICAL CENTER 1906 Belleview Ave Roanoke, VA 24014 (540) 981-7000

ROCKHILL, AMY

ACHARYA, PRIYA

WOLFE, BARRY

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

SHIMELESS, LAELAYE

WOLFE, BARRY

STRAIGHT SMILES OF ROANOKE PLLC 1502 Williamson Rd #A 1000 Roanoke, VA 24012 (540) 206-2203

WOLFE & PENN LTD 4405 Starkey Road #A Roanoke, VA 24018 (540) 772-2913

PARTICIPATING PROVIDERS

CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24014 (540) 981-8166

MARGOLIS, JASON

ROCKY MOUNT PEDIATRIC DENTIST/PEDODONTIST BROWN, GABRIEL

GENERAL DENTIST ALEXANDER, BRIAN

PEDIATRIC DENTAL CARE OF VA 4903 Starkey Rd #300 Roanoke, VA 24018 (540) 904-2700

BRIAN S ALEXANDER DDS 1656 N Main St Rocky Mount, VA 24151 (540) 483-3368

DAVIS, JOHN

BURT, CHARLES

CARILION DENTAL CARE PEDIATRICS 101 Elm Ave Se Roanoke, VA 24013 (540) 224-4380

DAVIS, JOHN DAVIS JOHN J 6112 Peters Creek Road Roanoke, VA 24019 (540) 563-1660

DR CHARLES R BURT DDS 1175 Franklin St Rocky Mount, VA 24151 (540) 483-7577

CLEMENS, CHARLES FRANKLIN DENTAL ASSOC PLC 490 South Main St #201 Rocky Mount, VA 24151 (540) 483-5241

PERIODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

149

Delta Dental Premier

VIRGINIA (CONT'D) ROCKY MOUNT CORNICK, JAMES CROOKED ROAD FAMILY DENTISTRY 40 Tanyard Rd Rocky Mount, VA 24151 (540) 483-5544

RADFORD, MILLARD

RICHARDSON, SARIAH FRANKLIN DENTAL ASSOC PLC 490 South Main St #201 Rocky Mount, VA 24151 (540) 483-5241

ROBERTS, KRISTIN FRANKLIN DENTAL ASSOC PLC 490 South Main St #201 Rocky Mount, VA 24151 (540) 483-5241

WHITE, BRANDON BRIAN S ALEXANDER DDS 1656 N Main St Rocky Mount, VA 24151 (540) 483-3368

ORTHODONTIST JONES, DAVID DAVID L JONES DDS PC 490 S Main St #202 Rocky Mount, VA 24151 (540) 483-7946

ROSSLYN GENERAL DENTIST ALTEMEMI, NADINE JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

FAVAGEHI, JASON JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

MOGHARBEL, TAREK MIRA DENTAL CARE 1901 N Moore St #501 Rosslyn, VA 22209 (703) 807-0808

NAGLE, JEREMY JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

PATEL, SHARLI JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

TECHAPANIT, CHANTARAT JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

PERIODONTIST PATRON, ALFONSO JASON F FAVAGEHI DDS PC 1000 Wilson Blvd Ste M745 Rosslyn, VA 22209 (703) 527-6453

ROUND HILL GENERAL DENTIST GRADY, SEAN SEAN GRADY DDS 2 West Loudoun St Round Hill, VA 20141 (540) 338-0046

KEAN, EDWARD SEAN GRADY DDS 2 West Loudoun St Round Hill, VA 20141 (540) 338-0046

RUCKERSVILLE GENERAL DENTIST FLAHERTY, BROOKE GREEN COMPREHENSIVE FAMILY DENTISTRY 140 Stoneridge Dr #200 Ruckersville, VA 22968 (434) 985-1052

OWUOR, CHRISTINE

GENERAL DENTIST

GREEN COMPREHENSIVE FAMILY DENTISTRY 140 Stoneridge Dr #200 Ruckersville, VA 22968 (434) 985-1052

HAGAR, BASIONY

SAULS, LATASHA

KORPICS, LOUIS

GREEN COMPREHENSIVE FAMILY DENTISTRY 140 Stoneridge Dr #200 Ruckersville, VA 22968 (434) 985-1052

ASHLAND FAMILY DENTISTRY 17488 Center Dr Ste #3A Ruther Glen, VA 22546 (804) 448-1102

LADYSMITH DENTAL CENTER 18010 Jefferson Davis Hwy Ruther Glen, VA 22546 (804) 589-1493

VINSON, ALEXA STUMP, LAUREN GREEN COMPREHENSIVE FAMILY DENTISTRY 140 Stoneridge Dr #200 Ruckersville, VA 22968 (434) 985-1052

WHYNOTT, CHRISTOPHER GREEN COMPREHENSIVE FAMILY DENTISTRY 140 Stoneridge Dr #200 Ruckersville, VA 22968 (434) 985-1052

ORTHODONTIST BROWN, CAMDEN CAMDEN BROWN DMD MS PC 8291 Seminole Trail Ruckersville, VA 22968 (434) 990-5722

RURAL RETREAT GENERAL DENTIST SPRAKER, MICHAEL MICHAEL W SPRAKER DDS PC 104 E Railroad Ave Rural Retreat, VA 24368 (276) 686-4211

RUSTBURG GENERAL DENTIST RILEY, DAVID PATRICK M TODD DDS 1052 Village Hwy Rustburg, VA 24588 (434) 332-5919

TODD, PATRICK PATRICK M TODD DDS 1052 Village Hwy Rustburg, VA 24588 (434) 332-5919

ASHLAND FAMILY DENTISTRY 17488 Center Dr Ste #3A Ruther Glen, VA 22546 (804) 448-1102

S CHESTERFLD GENERAL DENTIST TERRY, RONALD RONALD M TERRY DMD 21312 Chesterfield Ave S Chesterfld, VA 23803 (804) 526-2424

SALEM

PARTICIPATING PROVIDERS

MILLARD RADFORD DDS 740 Old Franklin Tpke #3 Rocky Mount, VA 24151 (540) 489-8191

LIN, CHI-YI

ENDODONTIST MERIAN, ROBERT SOUTHWEST VIRGINIA ENDODONTICS 1940 Braeburn Drive Salem, VA 24153 (540) 989-6648

GENERAL DENTIST CLOUDT, REBECCA DENTAL ASSOCIATES PLLC 403 Boulevard Salem, VA 24153 (540) 389-0225

CRAWFORD, GARY GARY CRAWFORD DDS 1930 Braeburn Dr Salem, VA 24153 (540) 774-1955

GALLAHER, THOMAS GREGORY T HARVEY DMD PC 1618 W Main St Salem, VA 24153 (540) 389-0720

RUTHER GLEN

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

150

Delta Dental Premier

VIRGINIA (CONT'D) SALEM HALL, MICHAEL DENTAL ASSOCIATES PLLC 403 Boulevard Salem, VA 24153 (540) 389-0225

HARVEY, GREGORY

HOYE, JAMES DENTAL ASSOCIATES PLLC 403 Boulevard Salem, VA 24153 (540) 389-0225

MILLS, MICHELE MILLS & SHANNON DMD PC 3533 Keagy Rd Salem, VA 24153 (540) 989-5700

OBRIEN, KEVIN GRANT SPRINKLE III 511 Boulevard Salem, VA 24153 (540) 389-0330

ROBERTS, BRICE GREGORY T HARVEY DMD PC 1618 W Main St Salem, VA 24153 (540) 389-0720

SHANNON, TRAVIS MILLS & SHANNON DMD PC 3533 Keagy Rd Salem, VA 24153 (540) 989-5700

SPRINKLE, GRANT GRANT SPRINKLE III 511 Boulevard Salem, VA 24153 (540) 389-0330

STEPHENS, MATTHEW DENTAL ASSOCIATES PLLC 403 Boulevard Salem, VA 24153 (540) 389-0225

DAVILA, RICARDO

THOMPSON, HARPER

DENTAL ASSOCIATES PLLC 403 Boulevard Salem, VA 24153 (540) 389-0225

DAVILA RICARDO W 2845 General Puller Hwy Saluda, VA 23149 (804) 758-3806

COOKE RICHARDSON OVERST 39 W Williamsburg Road Sandston, VA 23150 (804) 737-7402

WILSON, SARAH

MARSHALL, CHRISTOPHER

THWEATT, BRADFORD

GREGORY T HARVEY DMD PC 1618 W Main St Salem, VA 24153 (540) 389-0720

CHRISTOPHER W MARSHALL PC 655 Gloucester Rd Saluda, VA 23149 (804) 758-2143

E ALEXANDER WHITE & BRADFORD R THWEATT DDS PC 5500 Whiteside Rd Sandston, VA 23150 (804) 737-4444

ORAL SURGEON ABBOTT, MICHAEL DRS GOLD & ABBOTT LTD 1940 Braeburn Drive Salem, VA 24153 (540) 989-5257

SCROGGINS, SAMUEL SOUTHWEST VIRGINIA ORAL & MAXILLOFACIAL SURGERY PLLC 1940 Braeburn Dr #A Salem, VA 24153 (540) 989-5257

SCROGGINS, SAMUEL DRS GOLD & ABBOTT LTD 1940 Braeburn Drive Salem, VA 24153 (540) 989-5257

SALTVILLE GENERAL DENTIST BULLOCK, JERI SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC 319 Fifth Ave Saltville, VA 24370 (276) 496-4492

MEADE, AMANDA SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC 319 Fifth Ave Saltville, VA 24370 (276) 496-4492

STUART, KATHERINE SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC 319 Fifth Ave Saltville, VA 24370 (276) 496-4492

SALUDA GENERAL DENTIST

SANDSTON GENERAL DENTIST COOKE, THOMAS COOKE RICHARDSON OVERST 39 W Williamsburg Road Sandston, VA 23150 (804) 737-7402

LAMBRECHTS, MARCEL MARCEL LAMBRECHTS JR DDS PLLC 43 W Williamsburg Rd Sandston, VA 23150 (804) 737-2403

MUNN, WILLIAM WILLIAM B MUNN DDS INC 30 West Williamsburg Rd Sandston, VA 23150 (804) 328-2200

WHITE, EDWIN E ALEXANDER WHITE & BRADFORD R THWEATT DDS PC 5500 Whiteside Rd Sandston, VA 23150 (804) 737-4444

ORAL SURGEON AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

DYMON, WILLIAM NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

PARTICIPATING PROVIDERS

GREGORY T HARVEY DMD PC 1618 W Main St Salem, VA 24153 (540) 389-0720

STEPHENS, NATHAN

OVERSTREET, DOUGLAS COOKE RICHARDSON OVERST 39 W Williamsburg Road Sandston, VA 23150 (804) 737-7402

PEROUTKA, JOHN MARCEL LAMBRECHTS JR DDS PLLC 43 W Williamsburg Rd Sandston, VA 23150 (804) 737-2403

RICHARDSON-OVERSTREET, SUSAN COOKE RICHARDSON OVERST 39 W Williamsburg Road Sandston, VA 23150 (804) 737-7402

SUYES, DAVID SUYES DAVID R JR 4 East Williamsburg Road Sandston, VA 23150 (804) 737-2226

HARRIS, MONROE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

KEENEY, KANYON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

MCANDREW, BRIAN NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

METZGER, LAWRENCE NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

151

Delta Dental Premier

VIRGINIA (CONT'D)

GENERAL DENTIST COOK, P

SANDSTON WATSON, DAMON NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5510 Whiteside Rd Sandston, VA 23150 (804) 737-0992

ORTHODONTIST FAN, VIVIAN EAST END OTHODONTICS INC 45 W Williamsburg Rd Sandston, VA 23150 (804) 737-8777

MONACELL, JOHN JOHN F MONACELL DDS PC 1343 E Williamsburg Road Sandston, VA 23150 (804) 737-6757

PEDIATRIC DENTIST/PEDODONTIST PHELPS, JOY COMMONWEALTH PEDIATRIC DENTAL SPECIALISTS PLLC 5506 Whiteside Road Sandston, VA 23150 (804) 322-3669

DELK, CAMPBELL SMITHFIELD FAMILY DENTISTRY 309 Main St Smithfield, VA 23430 (757) 357-4121

HARRISON, JAMES SMITHFIELD DENTAL 12746 Courthouse Hwy Smithfield, VA 23430 (757) 357-6779

HARRISON, JAMES SMITHFIELD DENTAL PC 12746 Courthouse Hwy Smithfield, VA 23430 (757) 357-6779

HOWARD, JENNIFER ISLE OF WIGHT FAMILY & COSMETIC DENTISTRY PC 200 Gumwood Dr Smithfield, VA 23430 (757) 356-1212

MCNEILL, SU SMITHFIELD DENTAL 12746 Courthouse Hwy Smithfield, VA 23430 (757) 357-6779

MCNEILL, SU SMITHFIELD DENTAL PC 12746 Courthouse Hwy Smithfield, VA 23430 (757) 357-6779

SMITH, ERIC BAIER, RICHARD RICHARD H BAIER DDS 1936 West River Rd Scottsville, VA 24590 (434) 286-3326

SHAWSVILLE GENERAL DENTIST ARMOUR, WILLIAM WILLIAM ARMOUR 6910 Roanoke Rd Shawsville, VA 24162 (540) 268-2254

SMITHFIELD

HALIFAX REGINAL DENTAL CLINIC 101 Aubrey'S Loop Rd South Boston, VA 24592 (434) 517-8367

ORTHODONTIST BERRY, ZANE PARKS ORTHODONTICS 18496 Canteberry Ln Smithfield, VA 23431 (757) 357-7321

PARKS, MEREDITH PARKS ORTHODONTICS 18496 Canteberry Ln Smithfield, VA 23431 (757) 357-7321

SOUTH BOSTON GENERAL DENTIST BROWN, BRIDGET

SCOTTSVILLE GENERAL DENTIST

OLIVER, TRISSTAR

SMITHFIELD ORAL & MAXILLOFACIAL SURGERY 200 Gumwood Dr Smithfield, VA 23430 (757) 356-9020

SMITHFIELD DENTAL PC 12746 Courthouse Hwy Smithfield, VA 23430 (757) 357-6779

TERWILLIGER, GAYLE GAYLE TERWILLIGER DDS APDC 1617 South Church St Smithfield, VA 23430 (757) 357-7500

ORAL SURGEON

HALIFAX REGINAL DENTAL CLINIC 101 Aubrey'S Loop Rd South Boston, VA 24592 (434) 517-8367

OWEN, WILLIAM WILLIAM OWEN JR DDS & DEBRA CLATCOM DDS PLLC 431 Main St South Boston, VA 24592 (434) 572-3205

YU, SANG HUN KWANG W KIM DDS PLLC 410 Mineral St South Boston, VA 24592 (434) 572-4928

ORAL SURGEON PRIEST, JAMES JAMES H PRIEST DDS LTD 420 Hamilton Blvd South Boston, VA 24592 (434) 572-8975

SOUTH HILL GENERAL DENTIST

CARR, WILLIAM

BAILEY, STEPHEN

CARR WILLIAM F 331 Main St South Boston, VA 24592 (434) 575-8164

STEPHEN W BAILEY DMD PC 119 South Mecklenburg Av South Hill, VA 23970 (434) 447-6481

CLAYCOMB, DEBRA

MORRIS, KENDALL

WILLIAM OWEN JR DDS & DEBRA CLATCOM DDS PLLC 431 Main St South Boston, VA 24592 (434) 572-3205

KENNETH WWAYNE MORRIS DDS LTD 604 N Thomas St South Hill, VA 23970 (434) 447-4464

COMPTON, ANNE

MORRIS, KENNETH

HALIFAX REGINAL DENTAL CLINIC 101 Aubrey'S Loop Rd South Boston, VA 24592 (434) 517-8367

KENNETH WWAYNE MORRIS DDS LTD 604 N Thomas St South Hill, VA 23970 (434) 447-4464

KIM, KWANG

OKUNUGA, OLALEKAN

KWANG W KIM DDS PLLC 410 Mineral St South Boston, VA 24592 (434) 572-4928

OLALEKAN OKUNUGA DDS PC 1165 E Atlantic St South Hill, VA 23970 (434) 447-2492

PARTICIPATING PROVIDERS

WLODAWSKY, ROSS

SMITHFIELD FAMILY DENTISTRY 309 Main St Smithfield, VA 23430 (757) 357-4121

SZAKALY, BRIAN

KREMPL, ROBERT ROBERT J KREMPL 507 N Main St South Boston, VA 24592 (434) 572-6688

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

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Delta Dental Premier

VIRGINIA (CONT'D) SOUTH HILL THOMPSON, K K WILSON THOMPSON JR DDS INC 107 N Brook Ave South Hill, VA 23970 (434) 447-3309

OGUNBEKUN, ADENIKE SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

OH, JOSEPH

LYN, TREVANN

TSAI, I-TANG

SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

PEDIATRIC DENTISTRY OF SOUTH RIDING 25055 Riding Plaza #240 South Riding, VA 20152 (703) 542-3545

ORTHODONTIST HUKMANI, NAVIN

ABROL, MALINI

RAMISETTY, CHETANA

CARL M STEGER DDS & ASSOC PLLC 43063 Peacock Market Plaza #125 South Riding, VA 20152 (703) 327-0327

SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

HUKMANI, NAVIN

CHARAIPOTRA, NEIL

RODRIGUEZ, CRISTELLE

SOUTH RIDING FAMILY DENTISTRY 43063 Peacock Market Plz Ste 125 South Riding, VA 20152 (703) 327-0327

NOVA CHILDRENS DENTISTRY OF ASHBURN 43130 Amberwood Plaza #230 South Riding, VA 20152 (703) 858-1550

KWON, JUDY

STEGER, CARL

AESTHETIC DENTISTRY OF SOUTH RIDING 25055 Riding Plz #250 South Riding, VA 20152 (703) 327-7705

CARL M STEGER DDS & ASSOC PLLC 43063 Peacock Market Plaza #125 South Riding, VA 20152 (703) 327-0327

LEE, KIRSTEN

VALLERU, SILVIJA

AESTHETIC DENTISTRY OF SOUTH RIDING 25055 Riding Plz #250 South Riding, VA 20152 (703) 327-7705

SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

LIN, LULU

ZEIAEI-NAFCHI, SAEID

PEDIATRIC DENTISTRY OF SOUTH RIDING 25055 Riding Plaza #240 South Riding, VA 20152 (703) 542-3545

SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

SOUTH RIDING GENERAL DENTIST

MURPHY, ANNA CARL M STEGER DDS & ASSOC PLLC 43063 Peacock Market Plaza #125 South Riding, VA 20152 (703) 327-0327

NGUYEN, LINH

ORAL SURGEON AMIN, AHMAD SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142 NAVIN HUKMANI DDS LLC 43130 Amberwood Plaza Suite #225 South Riding, VA 20152 (703) 996-3520

HUYNH, THUYLINH SOUTH RIDING DENTAL ASSOC PC 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 (703) 348-8142

KRAVITZ, NEAL KRAVITZ ORTHODONTICS 25055 Riding Plz Ste 110 South Riding, VA 20152 (703) 722-2900

LEE, WILLIAM NOVA CHILDRENS DENTISTRY OF ASHBURN 43130 Amberwood Plaza #230 South Riding, VA 20152 (703) 858-1550

PEDIATRIC DENTIST/PEDODONTIST CHU, THERESE

GENERAL DENTIST ALAYSSAMI, MAZIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

DAY, JEFFREY JEFFREY D DAY DDS PC 10466 Georgetown Dr Spotsylvania, VA 22553 (540) 898-8181

GHANIM, LAYTH BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

KHALAF, ATHRA BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

KIMBLE-TANKS, FELISHA BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

LUI, KIN

PEDIATRIC DENTISTRY OF SOUTH RIDING 25055 Riding Plaza #240 South Riding, VA 20152 (703) 542-3545

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

DELACRUZ, CAROLA

MALGHAN, NANDINI

PEDIATRIC DENTISTRY OF SOUTH RIDING 25055 Riding Plaza #240 South Riding, VA 20152 (703) 542-3545

PARTICIPATING PROVIDERS

AESTHETIC DENTISTRY OF SOUTH RIDING 25055 Riding Plz #250 South Riding, VA 20152 (703) 327-7705

SPOTSYLVANIA

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

RIDING PLAZA DENTAL CARE PLLC 25055 Riding Plz Ste 210 South Riding, VA 20152 (703) 327-9935

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

153

Delta Dental Premier

VIRGINIA (CONT'D) SPOTSYLVANIA PARK, JUNG BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

SCELFO, PETER

WILLIAMSON, M WILLIAMSON M MADISON 9137 Courthouse Rd #100 Spotsylvania, VA 22553 (540) 582-6247

ORAL SURGEON COOK, THOMAS AHMADIYAR & MOTAMEDI PLLC 10406 Courthouse Rd Spotsylvania, VA 22553 (540) 898-7645

DEVYLDER, JOSEPH BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

ORTHODONTIST BEECROFT, STEPHEN BEECROFT ORTHODONTICS LTD 10472 Georgetown Dr Spotsylvania, VA 22553 (540) 898-2200

BLACKWOOD, MICHAEL BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

BYRD, RICHARD BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 10454 Hilltop Plaza Way Spotsylvania, VA 22553 (540) 891-6570

SPRINGFIELD ENDODONTIST

ABOUSY, SAWSAN

BESNER FABIO BRAMWELL DENTAL ASSOC 6120 Brandon Ave Ste 314 Springfield, VA 22150 (703) 569-0000

GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

BESNER, EDWARD LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

BRAMWELL, JOHN BESNER FABIO BRAMWELL DENTAL ASSOC 6120 Brandon Ave Ste 314 Springfield, VA 22150 (703) 569-0000

BRAMWELL, JOHN LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

FEIN, JOSHUA

AGUILAR GARCIA, WILSON SONRISAS AND SMILES DENTAL CARE PLLC 7015 Old Keene Mill Rd Ste 101 Springfield, VA 22150 (703) 879-6939

ALAYSSAMI, MAZIN DRS ALAYSSAMI & HAMID PC 6230 E Rolling Rd Springfield, VA 22152 (703) 451-6100

ALKISHTAINI, MAHA HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

ALKISHTAINI, MAHA

BESNER FABIO BRAMWELL DENTAL ASSOC 6120 Brandon Ave Ste 314 Springfield, VA 22150 (703) 569-0000

GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

JOHNSON, HORACE

ARGENTIERI, ROBERT

LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

ROBERT D ARGENTIERI DDS 6201 Old Keene Mill Ct Springfield, VA 22152 (703) 569-6644

ASGARI, NAVID LANCTOT, SLOAN LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

PORTELL, FRANK BESNER FABIO BRAMWELL DENTAL ASSOC 6120 Brandon Ave Ste 314 Springfield, VA 22150 (703) 569-0000

GENERAL DENTIST

FAMILY DENTISTRY 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

BARLOW, MILJENKA APPLE FAMILY DENTISTRY 6220 Rolling Road Springfield, VA 22152 (703) 569-6770

BOGACKI, KATHERINE BOGACKI & BOGACKI DDS PC 8344 Traford Ln Springfield, VA 22152 (703) 451-2867

ABINADER, NANTADLA FAMILY DENTISTRY 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

BOGACKI, RUSSELL BOGACKI & BOGACKI DDS PC 8344 Traford Ln Springfield, VA 22152 (703) 451-2867

BRENDMOEN, SARA ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

CHARAIPOTRA, NEIL NORTHERN VIRGINIA DENTAL ASSOCIATES 6116 Rolling Road #316 Springfield, VA 22152 (703) 451-8332

CHAUDHRY, MAQSOOD BROOKFIELD DENTAL ASSOC LLC 7108 Brookfield Plz Springfield, VA 22150 (703) 913-1377

CHAUDHRY, SULTAN BROOKFIELD DENTAL ASSOC LLC 7108 Brookfield Plz Springfield, VA 22150 (703) 913-1377

CHUN, JAMES JAMES J CHUN DMD PC 6800 Backlick Rd Ste 101 Springfield, VA 22150 (703) 569-2822

PARTICIPATING PROVIDERS

SCELFO PETER J DDS 10466 Georgetown Drive Spotsylvania, VA 22553 (540) 898-8181

BESNER, EDWARD

COCOLIS, PETER PETER K COCOLIS DMD PLC 5803 Rolling Rd #211 Springfield, VA 22152 (703) 912-3800

COLOSPATE, VIDYA HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

COULTER, JUDITH NORTHERN VIRGINIA DENTAL ASSOCIATES 6116 Rolling Road #316 Springfield, VA 22152 (703) 451-8332

DASILVA, EMILY PETER K COCOLIS DMD PLC 5803 Rolling Rd #211 Springfield, VA 22152 (703) 912-3800

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

154

Delta Dental Premier

VIRGINIA (CONT'D) SPRINGFIELD DU, KHANH ADVANTAGE DENTAL CARE 7022-A Commerce St Springfield, VA 22150 (703) 644-9786

EL-GHOBASHI, AHMED

EVANS, CANDACE EVANS CANDACE E 6203 Old Keene Mill Ct Springfield, VA 22152 (703) 569-2137

GAITAN, RICARDO DRS ALAYSSAMI & HAMID PC 6230 E Rolling Rd Springfield, VA 22152 (703) 451-6100

GEJJI, DIPTI DENTAL CARE OF SPRINGFIELD 6671-B Backlick Rd Springfield, VA 22150 (703) 992-7050

GLIKMAN, SANDRA ADVANTAGE DENTAL CARE 7022-A Commerce St Springfield, VA 22150 (703) 644-9786

GOTTLIEB, BRIAN HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

GRIMMER, BRYAN TRAN QUANG C 5413D Backlick Road Springfield, VA 22151 (703) 256-4243

GRUBERG, JOSEPH JOSEPH M GRUBERG DMD 7485 Huntsman Boulevard Springfield, VA 22153 (703) 569-4422

HUSKER, REBEKAH

LEE, WS

GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

SPRINGFIELD ESTHETIC DENTAL CENTER 5312 Carolina Pl Springfield, VA 22151 (703) 354-8811

DR W S MAGGIE LEE DDS PC 6120 Brandon Ave Ste 103 Springfield, VA 22150 (703) 569-8991

HAMID, GHADA

KALRA, RAJIV

DRS ALAYSSAMI & HAMID PC 6230 E Rolling Rd Springfield, VA 22152 (703) 451-6100

DENTAL CARE OF SPRINGFIELD 6671-B Backlick Rd Springfield, VA 22150 (703) 992-7050

HARTLEY, CAROLINE

KANLI, EROL

HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

NORTHERN VIRGINIA DENTAL ASSOCIATES 6116 Rolling Road #316 Springfield, VA 22152 (703) 451-8332

HO, HOANG

KARRI, SHILPA

ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

DENTAL CARE OF SPRINGFIELD 6671-B Backlick Rd Springfield, VA 22150 (703) 992-7050

LINDSEY, DAVID LINDSEY DAVID A DDS 8344 Traford Ln Springfield, VA 22152 (703) 569-0081

LU, NHIEN BURKE FAMILY & COSMETIC DENTISTRY 6116 Rolling Rd #108 Springfield, VA 22152 (703) 764-1112

MADANI, SHAGHAYEGH

MAIURANO, AUDREY KHALEFA, SAID

HOANG, BINH BINH K HOANG DDS PLC 7004 Backlick Ct Springfield, VA 22151 (703) 256-2605

SAID M KHALEFA DDS PC 6115 Backlick Road Springfield, VA 22150 (703) 451-4211

HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

HOM, DAVID DAVID HOM DDS 9001 Braddock Rd #350 Springfield, VA 22151 (703) 425-6700

4 GREAT SMILES 8328-B Traford Ln Springfield, VA 22152 (703) 569-2046

SINA MALEKUTI DDS PC 6120 Brandon Ave #303 Springfield, VA 22150 (703) 451-3211

GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

LAZEAR FAMILY DENTISTRY 8134 Old Keene Mill Rd Ste 203 Springfield, VA 22152 (703) 569-2080

LAZEAR, W HOWELL, EVERETT HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

SINA MALEKUTI DDS PC 6120 Brandon Ave #303 Springfield, VA 22150 (703) 451-3211

MARKOFF, BRUCE KOUSSA, MAI

LAZEAR, MICHAEL HOOSHANGI, MITRA

AUDREY M MAIURANO 7841 Rolling Rd #C Springfield, VA 22153 (703) 455-5555

MALEKUTI, SINA KIM, ANDREW

HOFFMAN, HOWARD

FAMILY DENTISTRY 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

PARTICIPATING PROVIDERS

AHMED N ELGHOBASHI 6120 Brandon Ave Ste 214 Springfield, VA 22150 (703) 451-1656

HADITHI, DEENA

LAZEAR FAMILY DENTISTRY 8134 Old Keene Mill Rd Ste 203 Springfield, VA 22152 (703) 569-2080

LEE, KIE KIE D LEE DDS 6200 Old Keene Mill Ct Springfield, VA 22152 (703) 569-8000

BRUCE MARKOFF DDS LTD 6124 Brandon Avenue Springfield, VA 22150 (703) 451-4500

MAZHARI, SHELIA HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

MAZHARI, SHELIA DENTAL CARE OF SPRINGFIELD 6671-B Backlick Rd Springfield, VA 22150 (703) 992-7050

MOGROVEJO, ERIKA ADVANTAGE DENTAL CARE 7022-A Commerce St Springfield, VA 22150 (703) 644-9786

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

155

Delta Dental Premier

VIRGINIA (CONT'D) SPRINGFIELD NASTEA, CRISTINA CRISTINA E NASTEA DDS PC 8134 Old Keene Mill Rd Ste 202 Springfield, VA 22152 (703) 569-9494

NGUYEN, VU

ORNOFF, MARK DRS ALAYSSAMI & HAMID PC 6230 E Rolling Rd Springfield, VA 22152 (703) 451-6100

PARK, KENNETH KENNETH H PARK DMD & ASSOCIATES PC 6116 Rolling Rd Ste 214 Springfield, VA 22152 (703) 664-6800

PIERCE, LAURA ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

PRICE, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 5417-D Backlick Rd Springfield, VA 22151 (703) 750-9404

RAMAI, SHELDON DENTAL CARE OF SPRINGFIELD 6671-B Backlick Rd Springfield, VA 22150 (703) 992-7050

ROSENBLUM, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 5417-D Backlick Rd Springfield, VA 22151 (703) 750-9404

ROSENBLUM, STEPHEN DENTAL ASSOCOF NORTHERN VA PLLC 6417 Loisdale Rd #205 Springfield, VA 22150 (703) 971-3100

TUNG, PARIANA

ZAROOKIAN, ARMEN

ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

BROOKFIELD DENTAL ASSOC LLC 7108 Brookfield Plz Springfield, VA 22150 (703) 913-1377

HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

RYAN, DANIELLE

TUPMAN, S

ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

SABA, MARYAM

WATSON, ETHEL

SPRINGFIELD HEALTHY SMILE PC 8338 Traford Ln Springfield, VA 22152 (703) 866-7000

E LEA WATSON DMD MAPC 6828 Commerce St #104 Springfield, VA 22150 (703) 752-2500

WILLIS, JAMES SAID, MASOOD ADVANCE DENTAL 7011 Backlick Court Springfield, VA 22151 (703) 333-6077

ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

SCHNEIDER, ALLEN

WINKLER, MARK

A L SCHNEIDER DDS INC 6120 Brandon Ave #204 Springfield, VA 22150 (703) 451-2331

NORTHERN VIRGINIA DENTAL ASSOCIATES 6116 Rolling Road #316 Springfield, VA 22152 (703) 451-8332

SULTANZADA, YAMA ADVANCE DENTAL 7011 Backlick Court Springfield, VA 22151 (703) 333-6077

TAYLOR, RYAN JOSEPH M GRUBERG DMD 7485 Huntsman Boulevard Springfield, VA 22153 (703) 569-4422

THOMAS, WILLIAM WILLIAM H THOMAS DDS PC 6209 Old Keene Mill Ct Springfield, VA 22152 (703) 569-7977

TRAN, QUANG TRAN QUANG C 5413D Backlick Road Springfield, VA 22151 (703) 256-4243

WORTMAN, MICHAEL DENTAL ASSOC OF NORTHERN VA PLLC 5417-D Backlick Rd Springfield, VA 22151 (703) 750-9404

YKEDA, CECILIA CECILIA YKEDA DDS 8342 Traford Ln Springfield, VA 22152 (703) 644-5955

YOON, DAVID DAVID S YOON DMD PLLC 6120 Brandon Ave #204 Springfield, VA 22150 (703) 451-2331

YOUNG, RAYMOND HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

ORAL SURGEON COLEMAN, NORMAN FAMILY DENTISTRY 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

GUTMANN, J J STEVEN GUTMANN 6225 Brandon Ave #185 Springfield, VA 22150 (703) 451-4430

PATEL, SNEHAL SPRINGFIELD ORAL SURGERY 6120 Brandon Ave Ste 301 Springfield, VA 22150 (703) 436-4633

ORTHODONTIST GHATRI, ALI SPRINGFIELD ORTHODONTIC ASSOCIATES PLLC 6564 Loisdale Ct Ste 325 Springfield, VA 22150 (703) 719-5828

PARTICIPATING PROVIDERS

ADVANTAGE DENTAL CARE 7022-A Commerce St Springfield, VA 22150 (703) 644-9786

ROSENMAN, LAWRENCE

HRECHKA, KENNETH ROLLING ROAD ORTHODONTICS 7841 Rolling Road #F Springfield, VA 22153 (703) 455-1339

HUDSON, JAMES BILODEAU HUDSON ORTHODONTICS 6116 Rolling Rd #201 Springfield, VA 22152 (703) 451-4666

HUGHES, DAVID DAVID R HUGHES DDS LLC 8314 Traford Ln Springfield, VA 22152 (703) 451-0502

LEE, JIM SPRINGFIELD ORTHODONTIC ASSOCIATES PLLC 6564 Loisdale Ct Ste 325 Springfield, VA 22150 (703) 719-5828

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

156

Delta Dental Premier

VIRGINIA (CONT'D) SPRINGFIELD METZDORF, DAVID DAVID METZDORF ORTHODONTIST PC 6320 Augusta Drive Springfield, VA 22150 (703) 644-4141

NGUYEN, NIKKI

OLIVER, MAYA GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

PRYOR, DENNIS DENNIS P PRYOR DMD 7493 Huntsman Blvd Springfield, VA 22153 (703) 455-1505

SINA, NAHID MY BRACES DOCTOR PC 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

PEDIATRIC DENTIST/PEDODONTIST FONTES, FERNANDA PEDIATRIC DENTAL CARE 6120 Brandon Ave #114 Springfield, VA 22150 (703) 992-7100

HA, JENNY PEDIATRIC DENTAL CARE 6120 Brandon Ave #114 Springfield, VA 22150 (703) 992-7100

HAN, JOHN PEDIATRIC DENTAL CARE 6120 Brandon Ave #114 Springfield, VA 22150 (703) 992-7100

NAHEE WILLIAMS MCDONALD DDS PC 7841 Rolling Road #F Springfield, VA 22153 (703) 455-1339

PERIODONTIST AL-JOBURI, WESAM GENERAL DENTISTRY & ORTHODONTICS 7210 Old Keene Mill Rd Springfield, VA 22150 (703) 644-7300

CHADDAD, KARIM DRS ALAYSSAMI & HAMID PC 6230 E Rolling Rd Springfield, VA 22152 (703) 451-6100

CHOU, MELANIE HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

IJADI, MEHRDAD FAMILY DENTISTRY 6525-C Frontier Dr Springfield, VA 22150 (703) 313-7000

KARAPETIAN, CHRISTINE CHRISTINE KARAPETIAN DDS PC 6116 Rolling Rd #312 Springfield, VA 22152 (703) 569-4040

STAFFORD ENDODONTIST TOLBA, MOSTAFA MOSTAFA S TOLBA 556 Garrisonville Rd Ste 200 Stafford, VA 22554 (540) 602-7889

GENERAL DENTIST AHMADIYAR, SASAN SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

ALAYSSAMI, MAZIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

AMIRSAYAFI, PAYAM RED APPLE PEDIATRIC DENTAL TEAM 1003 Garrisonville Rd Stafford, VA 22556 (540) 318-5577

ANDERSON, JOSHUA SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

ATTREED, ELIZABETH MARVIL, LISA ROSENMAN-BRENDMOEN & ASSOC PLLC 5419-C Backlick Rd Springfield, VA 22151 (703) 256-8554

ZAMAKHCHARI, MAI HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

SPECIALTY NOT SPECIFIED FABIO, MICHAEL LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

ELIZABETH M ATTREED DDS PC 2832 Jeff Davis Hwy Aquia Ctr Stafford, VA 22554 (540) 659-5161

CAHOON, JOSHUA CAHOON FAMILY DENTAL 282 Choptank Rd #101 Stafford, VA 22556 (540) 628-0684

CHAND, UPPASNA STAFFORD FAMILY DENTAL CARE 35 Walpole St Ste 201 Stafford, VA 22554 (540) 720-7332

DUNBAR, PATRICIA STAFFORD SMILE DESIGN PC 12 Pga Dr Ste 201 Stafford, VA 22554 (540) 720-2627

DZIEJMA, ROBERT GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

ELGAZZAR, MOHAMED BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

GUTIERREZ, NORMA AQUIA DENTAL CARE 2712 Jefferson Davis Hwy #201 Stafford, VA 22554 (540) 720-8630

GUTTERY, DARRELL QUALITY DENTAL PLLC 125 Hospital Center Blvd Ste 105 Stafford, VA 22554 (540) 242-5251

PARTICIPATING PROVIDERS

HOWARD HOFFMAN DDS SPRINGFIELD LTD 6340 Brandon Ave Springfield, VA 22150 (703) 644-0080

WILLIAMS, NAHEE

HAN, SUNG GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

HEDAYATI, KOUROS SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

HICKS, KAREN STAFFORD FAMILY DENTAL CARE 35 Walpole St Ste 201 Stafford, VA 22554 (540) 720-7332

HUGHES, TIMOTHY STAFFORD SMILE DESIGN PC 12 Pga Dr Ste 201 Stafford, VA 22554 (540) 720-2627

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

157

Delta Dental Premier

VIRGINIA (CONT'D) STAFFORD IJADI, MEHRDAD SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

JOHNSON, TERRY

KIM, DAVID DAVID KIM DDS PC 364 Garrisonville Rd #107 Stafford, VA 22554 (540) 657-6500

LUCK, LEAH STAFFORD SMILE DESIGN PC 12 Pga Dr Ste 201 Stafford, VA 22554 (540) 720-2627

LUI, KIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

LYAZIDI, AICHA AQUIA DENTAL CARE INC 2712 Jefferson Davis Hwy Stafford, VA 22554 (540) 720-8630

MISTO, JIM GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

MOORE, ANDREW ANDREW L MOORE JR DDS PC 2063 Jefferson Davis Hwy Stafford, VA 22554 (540) 659-7515

MWENDO, JIMANI NEIBAUER DENTAL CARE PC 20 Berkshire Dr Stafford, VA 22554 (540) 720-7720

SCHWARTZ, JAMES

PATEL, ASHISH

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

SWANSON, JOSHUA PATEL, JAY BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

PATEL, RAJ RAJ PATEL DDS INC 2757 Jefferson Davis Hwy #119 Stafford, VA 22554 (540) 659-2000

PATIL, VINAYAK NEIBAUER DENTAL CARE PC 20 Berkshire Dr Stafford, VA 22554 (540) 720-7720

QUALITY DENTAL PLLC 125 Hospital Center Blvd Ste 105 Stafford, VA 22554 (540) 242-5251

TOMS, MICHELLE MOSTAFA S TOLBA 556 Garrisonville Rd Ste 200 Stafford, VA 22554 (540) 602-7889

WAY-RODRIGUEZ, JORGE SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

WILLIAMS, VERNON PEREZ, RICARDO SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

RAI, SHIVAPRASANNA S RAI DDS PC 239 Garrisonville Rd Ste 102 Stafford, VA 22554 (540) 657-0867

RAINEY, VACORA VACORA L RAINEY DDS PLC 1229 Garrisonville Rd Ste 101 Stafford, VA 22556 (540) 318-8708

REATEGUI, PATRICIA

GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

YAQUI, LUIS NEIBAUER DENTAL CARE PC 20 Berkshire Dr Stafford, VA 22554 (540) 720-7720

ORAL SURGEON DEVYLDER, JOSEPH BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

STAFFORD SMILES COSMETIC CENTER 623 Garrisonville Rd Stafford, VA 22555 (540) 659-6650

HENRY, ROLIN

SACHDEV, AMAN

MORGAN, DAVID

STAFFORD SMILE DESIGN PC 12 Pga Dr Ste 201 Stafford, VA 22554 (540) 720-2627

ROLIN S HENRY DDS PC 315 N Garrisonville Rd Ste 105-B Stafford, VA 22554 (703) 780-4422

SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

ORTHODONTIST BEECROFT, STEPHEN BEECROFT ORTHODONTICS LTD 239 Garrisonville Rd Stafford, VA 22554 (540) 659-6300

BYRD, RICHARD BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

GHATRI, ALI SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

LUPI, JAMES JAMES E LUPI DDS PC 477 Garrisonville Rd #101 Stafford, VA 22554 (540) 720-4178

PARTICIPATING PROVIDERS

MILLENNIUM DENTAL PC 11 Hope Rd #201 Stafford, VA 22554 (540) 288-8560

PALLE, SUNITHA

NIEPRASCHK, MARKUS BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

PERIODONTIST CHADDAD, KARIM BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-6816

MOTAMEDI, SAEID SASAN AHMADIYAR DDS & ASSOC 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645

SETHI, SHALINI S RAI DDS PC 239 Garrisonville Rd Ste 102 Stafford, VA 22554 (540) 657-0867

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

158

Delta Dental Premier

VIRGINIA (CONT'D) STAFFORD ZALEWSKY, JUSTIN GARRISONVILLE DENTAL LLC 481 Garrisonville Rd #105 Stafford, VA 22554 (540) 659-4900

PROSTHODONTIST STAFFORD SMILES COSMETIC CENTER 623 Garrisonville Rd Stafford, VA 22555 (540) 659-6650

WELD, GEORGIA NEIBAUER DENTAL CARE PC 20 Berkshire Dr Stafford, VA 22554 (540) 720-7720

STAUNTON GENERAL DENTIST

BRUMBAUGH, BRIAN

MILLS, CORDELIA

JUSTIN P KARREL 504 N Coalter St Staunton, VA 24401 (540) 885-1631

DR BRIAN BRUMBAUGH 15 Gosnell Crossing Staunton, VA 24401 (540) 213-2244

PARIKH PC 20 Pidgeon Hill Dr #204 Sterling, VA 20165 (703) 444-5678

MALONE, CHRISTOPHER STAUNTON DENTAL CARE 1600 Coalter St #304 Staunton, VA 24401 (540) 885-2000

ROLLER, MATTHEW MATTHEW C ROLLER 251 Frontier Dr Staunton, VA 24401 (540) 886-3777

SEDWICK, RICHARD STAUNTON DENTAL CARE 1600 Coalter St #304 Staunton, VA 24401 (540) 885-2000

TESTERMAN, EDWARD E ROSS TESTERMAN JR DDS PC 504 N Coalter Street Staunton, VA 24401 (540) 885-1631

ADAMS, KATHLEEN KATIE ADAMS DDS PC 502 N Coalter St Staunton, VA 24401 (540) 887-3304

WOLFE, MELISSA MELISSA L WOLFE DDS 18 Haggerty Lane #104 Staunton, VA 24401 (540) 885-5050

BANG, JEFFREY JEFFREY E BANG DMD PC 420 Commerce Rd Staunton, VA 24401 (540) 885-8667

BOYLES, JOHN JOHN E BOYLES DDS 369 N. Coalter St Staunton, VA 24401 (540) 886-3261

COOKE, JAMES JAMES R COOKE JR DDS 25 North Central Avenue Staunton, VA 24401 (540) 886-6363

HANNA, WILLIAM HANNA WILLIAM B 110 Mactanly Pl #A Staunton, VA 24401 (540) 886-7012

ORAL SURGEON BIGELOW, WILLIAM WILLIAM C BIGELOW DDS PC 110-C Mactanly Pl Staunton, VA 24401 (540) 213-8750

ORTHODONTIST ASHLEY, CHANDA ASHLEY ORTHODONTICS 211 Edgewood Rd Staunton, VA 24401 (540) 885-6815

CLOTH, MARK MARK S CLOTH DDS PC 500 N Coalter St Staunton, VA 24401 (540) 886-8331

PEDIATRIC DENTIST/PEDODONTIST

STEPHENS CITY GENERAL DENTIST GROMLING, THOMAS THOMAS A GROMLING DDS 100 Highlander Rd Stephens City, VA 22655 (540) 869-4377

LIM, YOUNG STEPHENS CITY FAMILY DENTISTRY PC 175 Warrior Dr Stephens City, VA 22655 (540) 869-2600

PATEL, PRATIK RASHIN T BIDGOLI DMD PC 21145 Whitfield Pl #101 Sterling, VA 20165 (703) 444-4229

TOLBA, MOSTAFA RASHIN T BIDGOLI DMD PC 21145 Whitfield Pl #101 Sterling, VA 20165 (703) 444-4229

TOLBA, MOSTAFA ARTISTE DENTISTRY LLC 46090 Lake Center Plaza #107 Sterling, VA 20165 (703) 434-3286

STIEBEL, WILLIAM STIEBEL WILLIAM L 1021 Aylor Road Stephens City, VA 22655 (540) 869-2737

SWEENEY, CHRISTABEL THOMAS A GROMLING DDS 100 Highlander Rd Stephens City, VA 22655 (540) 869-4377

TALIAFERRO, RICHARD STEPHENS CITY FAMILY DENTISTRY PC 175 Warrior Dr Stephens City, VA 22655 (540) 869-2600

PERIODONTIST

GENERAL DENTIST AGHAEE, ALI AGHAEE & NOURI DDS PC 46175 Westlake Dr Ste 220 Sterling, VA 20165 (703) 404-9111

PARTICIPATING PROVIDERS

HUANG, PETERSON

KARREL, JUSTIN

ALATHARI, HUMAM ZINA ALATHARI DMD PC 21155 Whitfield Pl Ste 106 Sterling, VA 20165 (703) 444-5553

ALATHARI, ZINA ZINA ALATHARI DMD PC 21155 Whitfield Pl Ste 106 Sterling, VA 20165 (703) 444-5553

BRILL, BYRON

ALAYSSAMI, MAZIN

BYRON A BRILL 203 Salem Church Rd Stephens City, VA 22655 (540) 869-4200

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

STERLING ENDODONTIST BIDGOLI, RASHIN RASHIN T BIDGOLI DMD PC 21145 Whitfield Pl #101 Sterling, VA 20165 (703) 444-4229

AVIN, HAMID HAMID AHMADI AVIN DDS PC 47100 Community Plaza #165 Sterling, VA 20164 (703) 444-5222

AVIN, MARYAM HAMID AHMADI AVIN DDS PC 47100 Community Plaza #165 Sterling, VA 20164 (703) 444-5222

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

159

Delta Dental Premier

VIRGINIA (CONT'D) STERLING BURSICH, THOMAS STERLING DENTAL CENTER 21155 Whitfield Place #104 Sterling, VA 20165 (703) 433-0234

CHAUDHRY, MAQSOOD

CHAUDHRY, SULTAN ADAMS SMILE CENTER 46161 West Lake Dr #220 Sterling, VA 20165 (703) 430-1212

CHOHAN, EMA FAMILY & COSMETIC DENTISTRY 46400 Benedict Dr #109 Sterling, VA 20164 (703) 444-3412

CLAUSTRO, JOANNA JOANNA CLAUSTRO DMD PLLC 21495 Ridgetop Circle Ste. #100 Sterling, VA 20166 (703) 406-8600

DINH, ASHLEY ASHLEY DINH DDS PC 107 E Holly Ave #5 Sterling, VA 20164 (703) 430-6655

DUONG, TRUC TRUC DUONG DDS PC 21145 Whitfield Pl #103 Sterling, VA 20165 (703) 404-1115

EGHTESSAD, MICHAEL BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

FINAMORE, PAUL PAUL R FINAMORE DDS 46161 Westlake Dr #230 Sterling, VA 20165 (703) 421-2600

KIM, JOHN

NOURI, BRUCE

RICARDO GAITAN DDS PC 21525 Ridgetop Cir Ste 220 Sterling, VA 20166 (703) 450-5302

MODERN DENTAL OF STERLING 46165 Westlake Dr #320 Sterling, VA 20165 (703) 430-9300

AGHAEE & NOURI DDS PC 46175 Westlake Dr Ste 220 Sterling, VA 20165 (703) 404-9111

GHANIM, LAYTH

LEE, GLORIA

PARIKH, ANUJA

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

GLORIA LEE DDS PC 21800 Towncenter Plz Ste 266-B Sterling, VA 20164 (703) 433-2436

PARIKH PC 20 Pidgeon Hill Dr #204 Sterling, VA 20165 (703) 444-5678

MALYAVANTHAM, DATTATHRI

PARK, JUNG

HAEBERER, ALFRED ALFRED F HAEBERER III DMD 21145 Whitfield Pl Ste 102 Sterling, VA 20165 (703) 433-2155

HEDAYATI, KOUROS ARTISTE DENTISTRY LLC 46090 Lake Center Plaza #107 Sterling, VA 20165 (703) 434-3286

HOOSHMAND, MARIE MARIE HOOSHMAND DDS PC 21165 Whitfield Pl Ste 101 Sterling, VA 20165 (703) 444-1656

HUBBARD, RACHEL MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

HUGHES, EDWARD FAMILY COSMETIC IMPLANT DENT 46440 Benedict Dr #201 Sterling, VA 20164 (703) 444-1152

JAFARI, MAHNAZ FAMILY COSMETIC & IMPLANT DENTISTRY 21495 Ridgetop Circle Suite 303 Sterling, VA 20166 (703) 433-1400

KAVIANPOUR, ZAHRA FAMILY & COSMETIC DENTISTRY 46400 Benedict Dr #109 Sterling, VA 20164 (703) 444-3412

KIANPOUR, KOUROSH KKMP LLC 46396 Benedict Dr #230 Sterling, VA 20164 (703) 421-8988

DATTATHRI MALYAVANTHAM 21475 Ridgetop Cir #230 Sterling, VA 20166 (703) 444-9900

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

MITNICK, HOWARD

PARTOVI, MOJGAN

MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

KKMP LLC 46396 Benedict Dr #230 Sterling, VA 20164 (703) 421-8988

MODARESI, MINA

PATEL, SACHI

REGAL DENTAL CARE 45985-160 Regal Plz Sterling, VA 20165 (703) 433-1122

MOSAIC DENTAL 46169 Westlake Dr Ste 330 Sterling, VA 20165 (703) 444-5111

MOSHIRI, TARA

RANZURMAL, MINA

ARTISTE DENTISTRY LLC 46090 Lake Center Plaza #107 Sterling, VA 20165 (703) 434-3286

JR RIOS DDS PLC 21495 Ridgetop Circle #200 Sterling, VA 20166 (703) 450-8803

NALLAVALLI, SRAVANTHI

REDDY, HIMA-BINDU

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

NAWAZ, MIRWEISS

RIOS, JORGE

MIRWEISS NAWAZ DDS PLLC 46179 Westlake Dr Ste 230 Sterling, VA 20165 (703) 430-3838

JR RIOS DDS PLC 21495 Ridgetop Circle #200 Sterling, VA 20166 (703) 450-8803

NGUYEN, LOC

RUBINO, RICHARD

LOC NGUYEN DDS 21155 Whitfield Pl Ste 101 Sterling, VA 20165 (703) 430-9317

RICHARD P RUBINO DDS 46400 Benedict Dr #101 Sterling, VA 20164 (703) 450-1408

NGUYEN, THI

RUPARELIA, SHREYESH

THI A NGUYEN DMD PC 21165 Whitfield Pl #104 Sterling, VA 20165 (703) 421-4642

PARTICIPATING PROVIDERS

ADAMS SMILE CENTER 46161 West Lake Dr #220 Sterling, VA 20165 (703) 430-1212

GAITAN, RICARDO

RUPARELIA DDS PC 46302 Mcclellan Way Sterling, VA 20165 (703) 444-5095

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

160

Delta Dental Premier

VIRGINIA (CONT'D) STERLING SATTAR, JOHN JOHN H SATTAR DDS PC 20 Pidgeon Hill Dr #105 Sterling, VA 20165 (703) 450-9723

SENSENBRENNER, DIANA

SHARAFI, ALIREZA MINA DADKHAH DDS PLLC 46165 Westlake Dr Ste 200 Sterling, VA 20165 (703) 665-3810

SHAW, CHRISTINA DATTATHRI MALYAVANTHAM 21475 Ridgetop Cir #230 Sterling, VA 20166 (703) 444-9900

FAVAGEHI & KOSHKI DDS PC 21495 Ridgetop Cir 100 Sterling, VA 20166 (703) 406-8600

TRAN, BERNARD GLORIA LEE DDS PC 21800 Towncenter Plz Ste 266-B Sterling, VA 20164 (703) 433-2436

VU, CINDY STERLING DENTAL CLINIC 22330 S. Sterling Blvd Ste A104 Sterling, VA 20164 (703) 433-1151

VU, CINDY CINDY VU DDS PC 22350 S. Sterling Blvd. #A110 Sterling, VA 20164 (703) 433-1154

XIA, JOYCE LAKE CENTER DENTAL CARE PC 46090 Lake Center Plz #105 Sterling, VA 20165 (703) 444-9888

SHIN, HYE STERLING DENTAL CENTER 21155 Whitfield Pl Ste 104 Sterling, VA 20165 (703) 433-0234

SOLTANI, SHAHROKH REZA NIKPOURFARD DDS 21495 Ridgetop Cir #100 Sterling, VA 20166 (703) 406-8600

STAVER, TATIANA MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

SUK, MINJEONG MARIE HOOSHMAND DDS PC 21165 Whitfield Pl Ste 101 Sterling, VA 20165 (703) 444-1656

TERRYL A WHITE DDS MS 20 Pidgeon Hill Dr. #207 Sterling, VA 20165 (703) 444-5337

PEDIATRIC DENTIST/PEDODONTIST DADKHAH, MINA MINA DADKHAH DDS PLLC 46165 Westlake Dr Ste 200 Sterling, VA 20165 (703) 665-3810

HERBST, HEIDI MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

LIU, BEN SUPERKIDS PEDIATRIC DENTISTRY 46175 Westlake Dr Ste 430 Sterling, VA 20165 (703) 774-0014

MARZBAN, COURTNEY

SHEIKH, SHEHZAD SHEHZAD SHEIKH DMD MS PC 46400 Benedict Dr Ste 205 Sterling, VA 20164 (703) 430-6432

WHITE, TERRYL

ORAL SURGEON BURGER, BRENTON BRENTON W BURGER 20 Pidgeon Hill Dr #205 Sterling, VA 20165 (703) 444-2206

DEVYLDER, JOSEPH BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

WOJCIK, ROSE BRENTON W BURGER 20 Pidgeon Hill Dr #205 Sterling, VA 20165 (703) 444-2206

MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

MONAJEMY, NOOSHIN MITNICK & HERBST PC 21475 Ridgetop Cir Ste 200 Sterling, VA 20166 (703) 444-3710

SKORDALAKIS, EMMANUEL EMMANUEL SKORDALAKIS DDS MA PC 46950 Jennings Farm Dr Ste 160 Sterling, VA 20164 (703) 421-3000

PERIODONTIST AL-JOBURI, WESAM

ORTHODONTIST JONES, JOHN JOHN H JONES III LTD 20 Pidgeon Hill Dr Ste 206 Sterling, VA 20165 (703) 421-0893

SABA, SHADI SABA ORTHODONTICS 21155 Whitfield Place #107 Sterling, VA 20165 (703) 404-7222

ARTISTE DENTISTRY LLC 46090 Lake Center Plaza #107 Sterling, VA 20165 (703) 434-3286

AL-JOBURI, WESAM FAMILY & COSMETIC DENTISTRY 46400 Benedict Dr #109 Sterling, VA 20164 (703) 444-3412

BERI, ANURANDA REZA NIKPOURFARD DDS 21495 Ridgetop Cir #100 Sterling, VA 20166 (703) 406-8600

CHADDAD, KARIM BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 Sterling, VA 20165 (703) 444-7102

HARDISON, JUSTIN JEAN-CLAUDE KHARMOUCHE DMD PC 21165 Whitefield Pl Ste 107 Sterling, VA 20165 (703) 444-4377

KHARMOUCHE, JEAN-CLAUDE JEAN-CLAUDE KHARMOUCHE DMD PC 21165 Whitefield Pl Ste 107 Sterling, VA 20165 (703) 444-4377

LIN, THOMAS REGAL DENTAL CARE 45985-160 Regal Plz Sterling, VA 20165 (703) 433-1122

PARTICIPATING PROVIDERS

DATTATHRI MALYAVANTHAM 21475 Ridgetop Cir #230 Sterling, VA 20166 (703) 444-9900

TAHERI, BRUCE

MARVIL, LISA LOUDOUN PERIODONTICS 14 Pidgeon Hill Dr Ste 360 Sterling, VA 20165 (540) 338-4588

PATRON, ALFONSO REZA NIKPOURFARD DDS 21495 Ridgetop Cir #100 Sterling, VA 20166 (703) 406-8600

PFOHL, DAVID LOUDOUN PERIODONTICS PLLC 14 Pidgeon Hill Dr #360 Sterling, VA 20165 (703) 430-0938

SHAH, NIDHI ADAMS SMILE CENTER 46161 West Lake Dr #220 Sterling, VA 20165 (703) 430-1212

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

161

Delta Dental Premier

VIRGINIA (CONT'D) STERLING SPERLING-HABOT, KEREN REZA NIKPOURFARD DDS 21495 Ridgetop Cir #100 Sterling, VA 20166 (703) 406-8600

PROSTHODONTIST ALVAREZ DENTAL SMILE 14 Pidgeon Hill Dr Ste 170 Sterling, VA 20165 (703) 433-0080

STONE RIDGE GENERAL DENTIST

ARTIS, ASHA

GLORIA, JOSEPH

MICHAEL L JONES DDS 797 Woodland Dr Stuart, VA 24171 (276) 694-7311

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

BACHAS, TED

GOLDSTEIN, KEITH

TED L BACHAS DDS 6550 Hampton Roads Pkwy #105 Suffolk, VA 23435 (757) 483-6155

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

KORNETT, NOEL KORNETT NOEL P 113 W Blue Ridge St Stuart, VA 24171 (276) 694-3371

STUARTS DRAFT GENERAL DENTIST BELL, ANITA ANITA L BELL 2835 Stuarts Draft Hwy Stuarts Draft, VA 24477 (540) 337-1324

CAO-ROTHWELL, HONG

HUTCHENS, JAMES

HONG CAO-ROTHWELL DMD PC 42010 Village Center Plz #120 Stone Ridge, VA 20105 (703) 327-0441

JAMES F HUTCHENS DDS 2780 Stuart Draft Hwy Suite 102 Stuarts Draft, VA 24477 (540) 337-2400

BOYD, JANA RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

BOYD, JANA HARBOUR VIEW DENTAL CENTER 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-3636

BRACKEN, MONLEUDY

ORAL SURGEON ARMANIOUS, MARK MARK M ARMANIOUS 24600 Millstream Dr #490 Stone Ridge, VA 20105 (703) 327-5655

STRASBURG GENERAL DENTIST THOMAS, KEN THOMAS FAMILY DENTISTRY OF STRASBURG PLC 33820 Old Valley Pike #1 Strasburg, VA 22657 (540) 465-3980

SUFFOLK ENDODONTIST DOMARK, JEFFREY TRUDEAU ENDODONTICS PC 1510 Breezeport Way Ste 400 Suffolk, VA 23435 (757) 638-4500

TRUDEAU, MICHAEL TRUDEAU ENDODONTICS PC 1510 Breezeport Way Ste 400 Suffolk, VA 23435 (757) 638-4500

GENERAL DENTIST ALEMAYEHU, AMEN

THOMAS, STEPHEN THOMAS FAMILY DENTISTRY OF STRASBURG PLC 33820 Old Valley Pike #1 Strasburg, VA 22657 (540) 465-3980

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

ANDERSON, BENJAMIN

STUART GENERAL DENTIST HUTCHENS, GREG GREGORY T HUTCHENS DDS 112 E Blue Ridge St Stuart, VA 24171 (276) 694-3177

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

GWALTNEY, STEVE STEVE A GWALTNEY DDS PC 2486 Pruden Blvd Suffolk, VA 23434 (757) 539-3021

HARDY, KENNETH KENNETH E HARDY DDS 1622 Holland Road Suffolk, VA 23434 (757) 539-2998

HENDRICKS, ARTHUR

KONIKOFF DENTAL ASSOC 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 (757) 606-1450

BRADSHAW J DWIGHT 5501-D Bennett'S Pasture Rd Suffolk, VA 23435 (757) 484-1444

BRADSHAW, J

HORNSBY, KIMBROUGH

BRADSHAW J DWIGHT 5501-D Bennett'S Pasture Rd Suffolk, VA 23435 (757) 484-1444

CAVES, DONOVAN PENINSULA INSTITUTE FOR COMM HLTH 157 North Main St Suffolk, VA 23434 (757) 925-1866

EL BADAWY, TAREK SUFFOLK COMPLETE DENTAL CARE 6255 College Dr Ste E Suffolk, VA 23435 (757) 663-5716

PARTICIPATING PROVIDERS

ALVAREZ, JUAN

JONES, MICHAEL

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

HOWARD, JENNIFER BRADSHAW J DWIGHT 5501-D Bennett'S Pasture Rd Suffolk, VA 23435 (757) 484-1444

HOWELL, R LEROY RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

HOWELL, R LEROY FIELD, SHEILA BRADSHAW J DWIGHT 5501-D Bennett'S Pasture Rd Suffolk, VA 23435 (757) 484-1444

HARBOUR VIEW DENTAL CENTER 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-3636

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

162

Delta Dental Premier

VIRGINIA (CONT'D) SUFFOLK HOWELL, RALPH RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

HOWELL, RALPH

KAPOOR, ELLENI LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

SAGUN, MARVIN

WEINSTEIN, LEE

RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

RAINEY, VERNON VERNON L RAINEY DDS 426 West Washington Street Suffolk, VA 23434 (757) 934-0476

HARBOUR VIEW DENTAL CENTER 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-3636

RAMSAY, JAMIE

SANTOS, ESTELITO

NANSEMOND SUFFOLK DENTISTRY 150 Burnetts Way Ste 300B Suffolk, VA 23434 (757) 934-8500

RAWLS, CHARLES

LIN, ALBERT KONIKOFF DENTAL ASSOC 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 (757) 606-1450

LLODRA, CLARA LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

MARCOU, MICHAEL LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

MCMILLAN, VICKI LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

KONIKOFF DENTAL ASSOC 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 (757) 606-1450

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

RESCHENTHALER, CORINNE

SINGOR, LAUREN

RL HOWELL DDS & ASSOCIATES PC 102 Western Ave Suffolk, VA 23434 (757) 539-7695

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

RESCHENTHALER, CORINNE HARBOUR VIEW DENTAL CENTER 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-3636

YEH, PAUL LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

ZAK-RAMSAY, HEATHER HEATHER ZAK-RAMSEY DMD PC 1429 Holland Road Suffolk, VA 23434 (757) 539-8002

SCHIFF, IVAN

RAWLS CHARLES H JR 2900 Godwin Blvd Suffolk, VA 23434 (757) 539-1588

KONIKOFF, DAVID KONIKOFF DENTAL ASSOC 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 (757) 606-1450

SAGUN, MARVIN

SMITH, THOMAS LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

REYNOLDS, JILLIAN LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

SUMMERLIN, JACK

SACHS, SCOTT

SUR, MARCUS

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

SACHS, WARREN

TAYLOR, ALAN

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

ALAN TAYLOR DDS 1622 Holland Rd Suffolk, VA 23434 (757) 539-2998

KONIKOFF DENTAL ASSOC 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 (757) 606-1450

ORAL SURGEON BERRY, ZACHARY GOODOVE ORAL SURGERY & DENTAL IMPLANTS SUFFOLK 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 (757) 412-2002

BYRNSIDE, VALERIE GOODOVE ORAL SURGERY & DENTAL IMPLANTS SUFFOLK 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 (757) 412-2002

PARTICIPATING PROVIDERS

HARBOUR VIEW DENTAL CENTER 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-3636

MYERS, AUBREY

GOODOVE, SCOTT GOODOVE ORAL SURGERY & DENTAL IMPLANTS SUFFOLK 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 (757) 412-2002

JETT, L DRS DODSON TAYLOR & JETT INC 2441 Pruden Blvd Suffolk, VA 23434 (757) 934-0767

LARUSSO, MARK DRS DODSON TAYLOR & JETT INC 2441 Pruden Blvd Suffolk, VA 23434 (757) 934-0767

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

163

Delta Dental Premier

VIRGINIA (CONT'D) SUFFOLK MORGAN, ANNE HARBOUR VIEW ORAL & FACIAL SURGERY PLLC 1520 Breezeport Way Ste 600 Ste 600 Suffolk, VA 23435 (757) 686-2703

MORGAN, ANNE

MORGAN, JOHN HARBOUR VIEW ORAL & FACIAL SURGERY PLLC 1520 Breezeport Way Ste 600 Ste 600 Suffolk, VA 23435 (757) 686-2703

KONIKOFF, BRYAN

CATRON, GLENN

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

KONIKOFF SALZBERG PERIODONTICS LTD 1510 Breezeport Way #500 Suffolk, VA 23435 (757) 484-1818

GLENN L CATRON DMD PC 994 Ben Bolt Ave Tazewell, VA 24651 (276) 988-5554

GALBREATH, ROBERT

SALZBERG, TRANG

LEFCOE WEINSTEIN SACHS SCHIFF LTD 210 Meadow View Blvd Suffolk, VA 23435 (757) 673-6263

KONIKOFF SALZBERG PERIODONTICS LTD 1510 Breezeport Way #500 Suffolk, VA 23435 (757) 484-1818

CLINE, MISTY

HEARNE, STEVEN STEVEN P HEARNE DDS PC 1034 Hillpoint Blvd North Suffolk, VA 23434 (757) 925-0407

KLAR, LAWRENCE KLAR VOORHEES ORTHODONTICS PC 5849 Harbour View Blvd Suffolk, VA 23435 (757) 606-1671

MORGAN, JOHN HARBOUR VIEW ORAL & FACIAL SURGERY PLLC 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-2703

KLAR, NEAL KLAR VOORHEES ORTHODONTICS PC 5849 Harbour View Blvd Suffolk, VA 23435 (757) 606-1671

SELLERS, VERNON DRS DODSON TAYLOR & JETT INC 2441 Pruden Blvd Suffolk, VA 23434 (757) 934-0767

PARKS, MEREDITH

WEBBER, CAROLINE

TAYLOR, THOMAS

KONIKOFF SALZBERG PERIODONTICS LTD 1510 Breezeport Way #500 Suffolk, VA 23435 (757) 484-1818

TAYLOR ORTHODONTICS 1530 Breezeport Way #500 Suffolk, VA 23435 (757) 686-3444

ZAGURSKY, PETER GOODOVE ORAL SURGERY & DENTAL IMPLANTS SUFFOLK 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 (757) 412-2002

KULNIS ORTHODONTICS PC 1530 Breezeport Wy Ste 500 Suffolk, VA 23435 (757) 686-3444

ANDERSON, ROBERT ROBERT ANDERSON DDS LTD 2490 A Pruden Boulevard Suffolk, VA 23434 (757) 934-3000

GENERAL DENTIST COLINA, JOEY COLINA DENTAL CENTER 1646 Tappahannock Blvd. Tappahannock, VA 22560 (804) 443-5984

LEMING, DEAN DEAN D LEMING DDS PC 625 Charlotte St Tappahannock, VA 22560 (804) 443-3820

WOLCOTT, HOLLIS HOLLIS W WOLCUTT DDS PC 523 Daingerfield Rd Tappahannock, VA 22560 (804) 443-6642

ORTHODONTIST

KLAR VOORHEES ORTHODONTICS PC 5849 Harbour View Blvd Suffolk, VA 23435 (757) 606-1671

WOODARD ORTHODONTICS 5833 Harbour View Blvd #A Suffolk, VA 23435 (757) 686-3955

PERIODONTIST

FRANCISCO, PETER STEVEN D LUTZ DDS PC 215 S Central Ave Tazewell, VA 24651 (276) 988-4549

HOUSEHOLDER, RONALD RONALD W HOUSEHOLDER DDS 125 Ben Bolt Ave Tazewell, VA 24651 (276) 988-7522

LUTZ, MEGAN STEVEN D LUTZ DDS PC 215 S Central Ave Tazewell, VA 24651 (276) 988-4549

LUTZ, STEVEN STEVEN D LUTZ DDS PC 215 S Central Ave Tazewell, VA 24651 (276) 988-4549

THE PLAINS

FABER, BETH BETH L FABER DDS MS PC 1790 Ball St Tappahannock, VA 22560 (804) 443-6419

PERIODONTIST GASKINS, CHARLES

VOORHEES HUSSON, MARNI

WOODARD, MONICA

ORTHODONTIST

TAPPAHANNOCK

STEVEN D LUTZ DDS PC 215 S Central Ave Tazewell, VA 24651 (276) 988-4549

PARTICIPATING PROVIDERS

HARBOUR VIEW ORAL & FACIAL SURGERY PLLC 5837 Harbour View Blvd Suffolk, VA 23435 (757) 686-2703

BENES, KRISTEN

GASKINS & ASSOCIATES DDS PLLC 1413 Tappahannock Blvd Ste 5 Tappahannock, VA 22560 (804) 794-9611

TAZEWELL GENERAL DENTIST ABRAHAMS, RODNEY RODNEY R ABRAHAMS DDS 990 Ben Bolt Ave Tazewell, VA 24651 (276) 979-1121

GENERAL DENTIST KINNEY, KIRK KIRK H KINNEY DDS PC 6479 Main St Po Box A The Plains, VA 20198 (540) 253-7403

TIMBERVILLE GENERAL DENTIST ROBBINS, ALAN ALAN D ROBBINS DDS 204 W Riverside Dr Timberville, VA 22853 (540) 896-5351

TROUTVILLE GENERAL DENTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

164

Delta Dental Premier

VIRGINIA (CONT'D) TROUTVILLE MILLER, SCOTT SCOTT K MILLER DDS PC 5511 Lee Hiway Troutville, VA 24175 (540) 992-1404

TYSONS CORNER

FARHOUMAND, FARSHAD FARSHAD FARHOUMAND 1500 Cornerside Blvd #500 Tysons Corner, VA 22182 (703) 625-6229

VERONA GENERAL DENTIST CALVANO, DENNIS CALVANO & LAGRUA PLC 1557 Commerce Rd #204 Verona, VA 24482 (540) 248-2500

JONES, TREACY TREACY D JONES PLC 56 Quick'S Mill Rd Verona, VA 24482 (540) 248-0424

LAGRUA, DANIEL CALVANO & LAGRUA PLC 1557 Commerce Rd #204 Verona, VA 24482 (540) 248-2500

ROBERTS, CAMERON CALVANO & LAGRUA PLC 1557 Commerce Rd #204 Verona, VA 24482 (540) 248-2500

VICTORIA GENERAL DENTIST GOODMAN, ASHLEE SDHS FAMILY DENTISTRY 1685 K-V Rd Victoria, VA 23974 (434) 696-4180

SWEENEY, JOHN SDHS FAMILY DENTISTRY 1685 K-V Rd Victoria, VA 23974 (434) 696-4180

ENDODONTIST ALEXANDER, SASHA TYSONS CORNER ENDODONTICS 8150 Leesburg Pike #502 Vienna, VA 22182 (703) 288-3299

CHOBY, MARY MARY ANN CHOBY DMD MS 8133 Leesburg Pk Ste 610 Vienna, VA 22182 (703) 448-8433

CITRON, ALBERT ALBERT A CITRON DMD 307 Maple Ave W Ste H Vienna, VA 22180 (703) 938-5920

DELLORK, RICHARD RICHARD J DELLORK DDS 124 Park St Se Ste 205 Vienna, VA 22180 (703) 281-5522

JOHNSON, GARY GARY J JOHNSON DDS 8227 Old Courthouse Rd Ste 201 Vienna, VA 22182 (703) 883-3990

NGUYEN, TU-QUYNH ALBERT A CITRON DMD 307 Maple Ave W Ste H Vienna, VA 22180 (703) 938-5920

SALLEN, BRUCE ALBERT A CITRON DMD 307 Maple Ave W Ste H Vienna, VA 22180 (703) 938-5920

TOLBA, MOSTAFA

BADIPOUR, MANA

PRITI NAIK DDS PLC 8230 Boone Blvd Ste 320 Vienna, VA 22182 (703) 288-1800

WESTWOOD DENTAL 8618 Westwood Center Dr #109 Vienna, VA 22182 (703) 848-1999

TOLBA, MOSTAFA TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

TOLBA, MOSTAFA TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

ABOUSY, SAWSAN

BARAKAT, DANY DANY A BARAKAT 2672 - G Avenir Place Vienna, VA 22180 (703) 573-2777

BARAKAT, HISHAM

IRIS DENTAL CARE 305 Maple Ave West #E Vienna, VA 22180 (703) 865-8455

VIENNA SMILES 2553 Chain Bridge Rd Vienna, VA 22181 (703) 938-0212

AKMAL, OMER

BOLDUC, MATTHEW

VIRGINIA DENTAL CARE AT VIENNA PLLC 301 Maple Ave W #300 Vienna, VA 22180 (703) 242-4555

MATTHEW S BOLDUC DDS PC 301 Maple Ave W. Ste. #300 Vienna, VA 22180 (717) 032-4245

BRADLEY, STEPHEN ALAYSSAMI, MAZIN BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 2230 Gallows Rd Ste 320 Vienna, VA 22027 (703) 573-8664

ALBARQ, EYAD EYAD ALBARQ DDS PC 8603 Westwood Center Drive Suite 310 Vienna, VA 22182 (571) 282-3939

METROPOLITAN ENDODONTICS 8294 Old Courthouse Rd Ste C Vienna, VA 22182 (703) 992-7202

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

SUH, BRIAN

ARIANI, MEHRAN

TYSONS CORNER ENDODONTICS 8150 Leesburg Pike #502 Vienna, VA 22182 (703) 288-3299

TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

GENERAL DENTIST

ALTEMEMI, NADINE SHAMBAYATI, SARA

BANZON, MARIE

TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

PARTICIPATING PROVIDERS

GENERAL DENTIST

VIENNA

BRADLEY & SEVILLA 307 Maple Avenue W #G Vienna, VA 22180 (703) 242-8416

CHA, WONJE W CHA DDS & K RYEE DDS PC 1964 Gallows Rd #230 Vienna, VA 22182 (703) 448-6909

CLAYBROOK, ROBERT CLAYBROOK ROBERT A 2573 Chain Bridge Rd Vienna, VA 22181 (703) 281-0855

COVEL, JEROME JEROME A COVEL DDS PC 120 Beulah Rd Ne Vienna, VA 22180 (703) 938-2000

DIVALENTIN, ROBERT ROBERT E DIVALENTIN DDS LTD 502 Maple Ave. West Vienna, VA 22180 (703) 281-0800

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

165

Delta Dental Premier

VIRGINIA (CONT'D) VIENNA DONOHUE, STEPHEN MICHAEL D P SILVEUS DDS PC 8150 Leesburg Pike Ste 503 Vienna, VA 22182 (703) 532-2020

DWIVEDI, ANIL

EDELBI, DINA DINA EDELBI DMD PLLC 8310-A Old Courthouse Rd Vienna, VA 22182 (703) 356-0250

ELKHATEEB, MOHAMMAD

KIM, JOON

MICHAEL, ADELE

MONARCH DENTISTRY 8300 Boone Ave #140 Vienna, VA 22182 (703) 714-7374

JOON KIM DMD PLLC 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

HALL, JOHN

KIM, JOONGSEO

MILLER, VERONICA

JOHN W HALL DDS LTD 133 Maple Ave E #204 Vienna, VA 22180 (703) 255-0040

PEARLBRITE DENTAL INC 301 Maple Ave W #610 Vienna, VA 22180 (703) 281-7011

PARK PLACE 115 Park St #201 Vienna, VA 22180 (703) 268-5550

LAURENT, BARRY

MOSTOFI, MINA

LAURENT BARRY D 8292 B Old Courthouse Rd Vienna, VA 22182 (703) 893-1603

TYSON DENTAL CLINIC 1964 Gallows Rd #220 Vienna, VA 22182 (703) 848-8448

LE, HANG

NAGLE, JEREMY

TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

HALL, JOHN DIANE PHAM DDS 133 Maple Ave East Ste #204 Vienna, VA 22180 (703) 255-0040

HENON, JAMES JEROME A COVEL DDS PC 120 Beulah Rd Ne Vienna, VA 22180 (703) 938-2000

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 2230 Gallows Rd Ste 320 Vienna, VA 22027 (703) 573-8664

HONG, JASON

ELLENBOGEN, GARY

HONG, RICHARD

DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

BOONE DENTAL 8230 Boone Blvd Ste 208 Vienna, VA 22182 (703) 506-0800

TYSONS DENTAL DESIGN CTR 8150 Leesburg Pk #830 Vienna, VA 22182 (703) 388-2883

HOOSHANGI, MITRA EMAD, NEAL NOVA DENTAL CARE 307 F Maple Avenue West Suite 100 Vienna, VA 22180 (703) 631-0028

FARHOUMAND, FARAH FARHOUMAND FARAH 8150 Leesburg Pike #920 Vienna, VA 22182 (703) 636-2442

FARHOUMAND, FOAD FARHOUMAND FOAD H 8150 Leesburg Pike #920 Vienna, VA 22182 (703) 636-2442

FAVAGEHI, JASON JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

MITRA HOOSHANGI DDS 2112 Gallows Rd #D Vienna, VA 22182 (703) 893-7900

IZADI, MOHSEN SHERRY ANOUSHFAR DDS 133 E Maple Ave #206 Vienna, VA 22180 (703) 319-9880

KAO, WEI-LEA WEI-LEA KAO DDS 407 Church St Ne Ste B Vienna, VA 22180 (703) 255-9038

KIM, JONG RYUL JOON KIM DMD PLLC 8133 Leesburg Pike # 150 Vienna, VA 22182 (703) 992-7888

LE, QUAN LE & LE DDS PLLC 2070 Chain Bridge Rd Ste 530 Vienna, VA 22182 (703) 448-3527

NAIK, PRITI PRITI NAIK DDS PLC 8230 Boone Blvd Ste 320 Vienna, VA 22182 (703) 288-1800

LE, TRANG TRANG T LE DDS LTD 133 Maple Ave E Ste 200 Vienna, VA 22180 (703) 938-6476

PARTICIPATING PROVIDERS

ANIL DWIVEDI DMD 2071 Chain Bridge Rd #410 Vienna, VA 22182 (703) 734-1080

FLENNIKEN, NEIL

OSINOVSKY, ALEXANDER TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

LEBONITTE, ROBERT DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

PACE, WARREN

LEINER, ZACHARY

PARK, ADAM

DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

VIENNA COSMETIC & FAMILY DENTISTRY 2563 Chainbridge Rd Vienna, VA 22181 (703) 281-0902

LIN, CHI-YI

PATEL, SHARLI

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

LU, NHIEN

PHAM, DIANE

VIENNA DENTAL CARE PC 303 Maple Ave W Ste H Vienna, VA 22180 (703) 466-0613

JOHN W HALL DDS LTD 133 Maple Ave E #204 Vienna, VA 22180 (703) 255-0040

W JOSEPH PACE JR DDS PC 110 Pleasant St Ste B Vienna, VA 22180 (703) 938-6800

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

166

Delta Dental Premier

VIRGINIA (CONT'D) VIENNA PHAM, DIANE DIANE PHAM DDS 133 Maple Ave East Ste #204 Vienna, VA 22180 (703) 255-0040

PHAM, HIEP

PHAN, THOAIVAN TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

PLETA, EVA EVA M PLETA DDS 8308-C Old Courthouse Rd Vienna, VA 22182 (703) 893-1100

POPLI, KRIS KRIS POPLI DDS PC 8206 Leesburg Pike #308 Vienna, VA 22182 (703) 448-8600

RISMANI-FLENNIKEN, SUZAN MONARCH DENTISTRY 8300 Boone Ave #140 Vienna, VA 22182 (703) 714-7374

ROGOWSKI, DAVID ROGOWSKI & MALONEY PARTNERSHIP 307 M Maple Ave West Vienna, VA 22180 (703) 281-1090

ROSENBLUM, STEPHEN DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

RYEE, JAMES W CHA DDS & K RYEE DDS PC 1964 Gallows Rd #230 Vienna, VA 22182 (703) 448-6909

SONG, MICHAEL

YAZDANI, FOROUGH

VIENNA DENTAL CARE 360 Maple Ave W Ste C Vienna, VA 22180 (703) 281-1311

MICHAEL S SONG 115 Park St #300-A Vienna, VA 22180 (703) 385-5455

VIENNA FAMILY DENTISTS PC 212 Park St Se Vienna, VA 22180 (703) 938-0774

SANATI, ARDALAN

SRIRAM, KANAKA

ZADEH, DAVID

A SANATI DDS & S SHAHRAM DDS PC 8605 Westwood Center Dr #210 Vienna, VA 22182 (703) 442-0770

KANAKA SRIRAM DDS PC 410 Maple Ave W Ste 2 Vienna, VA 22180 (703) 255-2326

DZ DENTAL 308 Dominion Rd Ne Vienna, VA 22180 (703) 671-7500

STACK, HOLLIE

ZAKHOUR, HIBA

JEROME A COVEL DDS PC 120 Beulah Rd Ne Vienna, VA 22180 (703) 938-2000

HIBA ZAKHOUR DDS PLLC 8310 Old Courthouse Rd #A Vienna, VA 22182 (703) 356-0250

SCHECHT, WAYNE DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

SEVILLA, MARIA BRADLEY & SEVILLA 307 Maple Avenue W #G Vienna, VA 22180 (703) 242-8416

SHAHRAM, SHOHREH A SANATI DDS & S SHAHRAM DDS PC 8605 Westwood Center Dr #210 Vienna, VA 22182 (703) 442-0770

STEWART, JENNIFER VIRGINIA DENTAL CARE AT VIENNA PLLC 301 Maple Ave W #300 Vienna, VA 22180 (703) 242-4555

A J SHANNON DMD PLC 301 Maple Ave Ste 200 Vienna, VA 22180 (703) 319-8370

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

COLEMAN, NORMAN NORMAN K COLEMAN DDS PC 8150 Leesburg Pike #920 Vienna, VA 22182 (703) 820-1306

DELGADO, EDWARD ANDREW THOMPSON DDS PC 243 Church St Nw Ste 300-C Vienna, VA 22180 (703) 255-0552

MICHAEL D P SILVEUS DDS PC 8150 Leesburg Pike Ste 503 Vienna, VA 22182 (703) 532-2020

UNITED DENTAL GROUP TYSONS 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

BRITTANY L VO DDS 1300 Beulah Road Vienna, VA 22182 (703) 757-1000

VU, KHAI SLOAT, INGA INGA SLOAT DMD PLLC 303 Maple Ave W #A Vienna, VA 22180 (571) 236-1557

DELGADO & KUZMIK 8230 Leesburg Pike #720 Vienna, VA 22182 (703) 506-1414

DEVYLDER, JOSEPH

VO, BRITTANY SILVEUS, MICHAEL

FARHOUMAND FARSHAD 8150 Leesburg Pike #920 Vienna, VA 22182 (703) 625-6229

JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

TRINH, PHUONG SHIN, LEO

COLEMAN, NORMAN

TECHAPANIT, CHANTARAT

THOMPSON, ANDREW SHANNON, ANDREW

ORAL SURGEON

PARTICIPATING PROVIDERS

PLEASANT DENTAL CARE 112 Pleasant St Nw #B Vienna, VA 22180 (703) 272-7688

SABET, SHAHRAM

KHAI VU DDS PC 301 Maple Ave W #140 Vienna, VA 22180 (703) 938-0559

WHITTINGTON, RICHARD WHITTINGTON RICHARD 212 Park St Se Vienna, VA 22180 (703) 938-8333

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 2230 Gallows Rd Ste 320 Vienna, VA 22027 (703) 573-8664

DEVYLDER, JOSEPH JOSEPH J DEVYLDER 407 F Church St Ne Vienna, VA 22180 (703) 938-5664

KIM, SANG CHRISTOPHER E BONACCI DDS MD PC 361 Maple Ave West #200 Vienna, VA 22180 (703) 255-9400

KIM, SANG SANG YOON KIM DMD MD PC 361 Maple Ave West #200 Vienna, VA 22180 (703) 934-5993

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

167

Delta Dental Premier

VIRGINIA (CONT'D) VIENNA KUZMIK, MICHAEL DELGADO & KUZMIK 8230 Leesburg Pike #720 Vienna, VA 22182 (703) 506-1414

PATEL, ASHISH

ORTHODONTIST BATH, GREGORY GREGORY D BATH DDS PC 2535 Chain Bridge Rd Vienna, VA 22181 (703) 938-4614

GARAI, ALLEN ALLEN S GARAI 427 Maple Ave W Vienna, VA 22180 (703) 281-4868

GHAFFARI, ASHKAN GHAFFARI ORTHODONTICS LTD 100 Church St Ne Vienna, VA 22180 (703) 281-0466

KIM, EUNYOUNG VIRGINIA ORTHODONTICS & PERIODONTICS 301 Maple Ave West #440 Vienna, VA 22180 (703) 539-9166

KWON, HYUE HYUE K KWON DDS MDS 8227 Old Courthouse Rd #201 Vienna, VA 22182 (703) 883-3873

LE, PHU TYSONS ORTHODONTIC CARE 8227 Old Courthouse Rd #210 Vienna, VA 22182 (703) 288-4862

AL-JOBURI, WESAM

LI, JINGCHAO

UNITED DENTAL GROUP TYSONS 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

IRIS DENTAL CARE 305 Maple Ave West #E Vienna, VA 22180 (703) 865-8455

UNITED DENTAL GROUP TYSONS 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

NGUYEN, DENISE

BERI, ANURANDA

DENISE T NGUYEN DDS PC 8298 C Old Courthouse Rd Vienna, VA 22182 (703) 847-6544

ANURADHA BERI DDS LLC 8230 Boone Blvd #320 Vienna, VA 22182 (703) 288-1800

BERI, ANURANDA TRATENSEK, KAREN ALLEN S GARAI 427 Maple Ave W Vienna, VA 22180 (703) 281-4868

TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

CHADDAD, KARIM

PEDIATRIC DENTIST/PEDODONTIST BAVEJA, JULIE PEDIATRIC DENTITRY OF TYSONS CORNER LLC 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 349-9038

GANJAVI, SARAH VIENNA PEDIATRIC DENTISTRY PC 301 Maple Ave West Ste 400 Vienna, VA 22180 (703) 938-6600

ISLAND, MARIA MARIA GEMA ISLAND 1500 Cornerside Blvd Ste 310 Vienna, VA 22182 (703) 790-1320

LUNA, OSCAR BRIGHT SMILES PEDIATRIC DENTIST PLLC 410 Pine St Se Vienna, VA 22180 (703) 938-1415

SKORDALAKIS, EMMANUEL EMMANUEL SKORDALAKIS DDS MA PC 301 W Maple Ave Ste 200 Vienna, VA 22180 (703) 319-8370

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 2230 Gallows Rd Ste 320 Vienna, VA 22027 (703) 573-8664

CHOUDHARY, KHALID DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

FARR, MICHAEL MICHAEL V FARR DDSPC 301 Maple Ave Ste 440 Vienna, VA 22180 (703) 938-3770

GOLDIN, RICHARD RICHARD GOLDIN DDS LTD 8298-C Old Courthouse Rd Vienna, VA 22182 (703) 821-8880

HOWANITZ, JOAN DENTAL ASSOC OF NORTHERN VA PLLC 8100 Boone Blvd Ste. #100 Vienna, VA 22182 (703) 734-1095

IRAVANI, FARIDEH TYSON DENTAL CLINIC 1964 Gallows Rd #220 Vienna, VA 22182 (703) 848-8448

PERIODONTIST NGUYEN, DENISE JOON KIM DMD PLLC 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

ABRIL, EDISON TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

LI, JINGCHAO JOON KIM DMD PLLC 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

OH, EUNSEOK VIRGINIA ORTHODONTICS & PERIODONTICS 301 Maple Ave West #440 Vienna, VA 22180 (703) 539-9166

PATRON, ALFONSO JASON FARR FAVAGEHI & MOEIZ KOSHKI DDS OC 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 356-1200

SPERLING-HABOT, KEREN KEREN SPERLING-HABOT DMD MS PC 303 Maple Ave West #H Vienna, VA 22180 (571) 234-1344

SPERLING-HABOT, KEREN TYSONS DENTAL ASSOCIATES 8230 Boone Blvd Ste 410 Vienna, VA 22182 (703) 848-8906

PARTICIPATING PROVIDERS

BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 2230 Gallows Rd Ste 320 Vienna, VA 22027 (703) 573-8664

NGUYEN, DENISE

PROSTHODONTIST ALVAREZ, JUAN TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

GUO, JUANLI IMPLANT & DENTAL ART PLLC 8321 Old Courthouse Rd #120 Vienna, VA 22182 (703) 992-0674

HONG, DONG-SOO JOON KIM DMD PLLC 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

HONG, DONG-SOO UNITED DENTAL GROUP TYSONS 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 992-7888

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

168

Delta Dental Premier

VIRGINIA (CONT'D) VIENNA OSSEIRAN, H TYSONS CORNER ADVANCED DENTAL CTR 8150 Leesburg Pike Ste 900 Vienna, VA 22182 (703) 288-4700

PARK, SI-WOON

SPECIALTY NOT SPECIFIED IWAMOTO, CLAUDIO TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd Vienna, VA 22182 (703) 848-8889

DR STEVENS KANETZKE DDS LLC 224 W Virginia Ave Po Box 555 Vinton, VA 24179 (540) 342-8756

GENERAL DENTIST BENCH, STEPHEN BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

BLACK, DAVID BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

DAVIS, GERALD GERALD WAYNE DAVIS DDS 356 E Virginia Ave Vinton, VA 24179 (540) 344-7222

HARDEE, SHEILA BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

HARVEY, GREGORY BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

W ANTHONY MEARES DDS PC 621 Lynnhaven Pkwy #170 Virginia Beach, VA 23452 (757) 200-6222

MAYO, CHESTER MAYO ENDODONTICS 477 Viking Dr Ste 215 Virginia Beach, VA 23452 (757) 486-5428

MEARES, WILLIAM LAW, ZACHARY ZACHARY LAW DDS PLLC 1337 Hardy Rd Vinton, VA 24179 (540) 342-4945

BUSSEY, KELLY BUSSEY ENDODONTICS PC 4542 Bonney Rd #A Virginia Beach, VA 23462 (757) 416-5333

W ANTHONY MEARES DDS PC 621 Lynnhaven Pkwy #170 Virginia Beach, VA 23452 (757) 200-6222

NESBITT, PAULA NEAL, ELIZABETH BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

BUSSEY, WILLIAM BUSSEY ENDODONTICS PC 4542 Bonney Rd #A Virginia Beach, VA 23462 (757) 416-5333

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

OGDEN, CHRISTINE ROBERTS, BRICE BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

SKAFF, VICTOR

VINTON

BERNIER-RODRIGUEZ, JOSEPH

ZACHARY LAW DDS PLLC 1337 Hardy Rd Vinton, VA 24179 (540) 342-4945

WILSON, SARAH BLUE RIDGE DENTAL GROUP 1335 Hardy Rd Vinton, VA 24179 (540) 342-7865

JAMES Y CHAU DDS PC 1724 Sir William Osler Dr Virginia Beach, VA 23454 (757) 481-1894

LASKIN ENDODONTIC SPECIALISTS 1369 Laskin Rd #3B Virginia Beach, VA 23454 (757) 427-0144

CHAU, JAMES

OGDEN, CHRISTINE

CHAU, JAMES

OGDEN ENDODONTICS HILLTOP 1724 Sir William Osler Dr Virginia Beach, VA 23454 (757) 481-1894

OGDEN ENDODONTICS HILLTOP 1724 Sir William Osler Dr Virginia Beach, VA 23454 (757) 481-1894

CHAU, JAMES

OGDEN, CHRISTINE

OGDEN ENDODONTICS PLLC 351 Edwin Drive #103 Virginia Beach, VA 23462 (757) 499-9839

DEMAYO, THOMAS

ORAL SURGEON KEVORKIAN, GEORGE GEORGE KEVORKIAN JR DDS PC 895 E. Washington Avenue Vinton, VA 24179 (540) 344-7252

VIRGINIA BEACH ENDODONTIST AMODIO, TIFFANY TIDEWATER ENDODONTICS 2180 Mccomas Way Ste 104 Virginia Beach, VA 23456 (757) 301-7650

BAILEY, JEFFREY JEFFREY C BAILEY DDS MS PC 1432 N Great Neck Rd #102 Virginia Beach, VA 23454 (757) 486-7857

THOMAS J DEMAYO DDS PC 762 Independence Blvd #400 Virginia Beach, VA 23455 (757) 557-0600

ELATTRACHE, DEAN LASKIN ENDODONTIC SPECIALISTS 1369 Laskin Rd #3B Virginia Beach, VA 23454 (757) 427-0144

ENGEL, GREGORY GREGORY T ENGEL DMD MS PLLC 1432 Great Neck Rd Ste 102 Virginia Beach, VA 23454 (757) 486-7857

MARTIN, JUSTIN OCEANFRONT ENDODONTICS 1200 First Colonial Rd Ste 201 Virginia Beach, VA 23454 (757) 333-3399

PARTICIPATING PROVIDERS

TYSONS CORNER COSMETIC & IMPLANT DENTISTRY 8320 Old Courthouse Rd Ste 402 Vienna, VA 22182 (703) 356-3970

KANETZKE, STEVEN

OGDEN ENDODONTICS PLLC 351 Edwin Drive #103 Virginia Beach, VA 23462 (757) 499-9839

GENERAL DENTIST ABRAHAM, RUTH VA BEACH MERCY DENTAL CLINIC INC 5724 Princess Anne Rd Virginia Beach, VA 23462 (757) 490-1110

ADAMS, PETER PETER J ADAMS 4312 Holland Rd Ste 108 Virginia Beach, VA 23452 (757) 498-6420

ADESHARA, KARISHMA KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

AHMAD, AMEERA KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

169

Delta Dental Premier

BHATT, RASHMI

BRAR, PREMJEET

ATLANTIC DENTAL CARE PLC 1000 First Colonial Rd #104 Virginia Beach, VA 23454 (757) 496-0993

RASHMI BHATT DDS PC 5660 Indian River Rd Virginia Beach, VA 23464 (757) 523-0898

BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

BAY, WOLFGANG

BHATTI, PARVEEN

BREDOLOGOS, STELIANOS

WOLFGANG J BAY DMD 1625 Salem Rd. #101 Virginia Beach, VA 23456 (757) 495-6005

HOWARD A MENELSOHN DDS PC 2133 Upton Dr #120 Virginia Beach, VA 23454 (757) 563-9111

BREDOLOGOS FAMILY DENTISTRY 1917 Laskin Road #106 Virginia Beach, VA 23454 (757) 425-1828

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

BEK, JEFFREY

BHATTI, PARVEEN

ANDERSON, BENJAMIN

BELL, TAMMARA

VIRGINIA BEACH ALEMAYEHU, AMEN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

ALEMAYEHU, AMEN

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

J R BEK DDS PC 1767 Princess Anne Rd Virginia Beach, VA 23456 (757) 426-6151

BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

ANDERSON, BENJAMIN

BENSON, KIMBERLY

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SANDBRIDGE FAMILY DENTAL CARE 2105 Princess Anne Rd Ste #108 Virginia Beach, VA 23456 (757) 644-4857

ANDERSON, J

BERGANO, ALLAN

J WESLEY ANDERSON JR DDS 1658 Pleasure House Rd Ste 105 Virginia Beach, VA 23455 (757) 464-1964

ALLAN L BERGANO DDS PC 256 N Witchduck Rd Unit D Virginia Beach, VA 23462 (757) 497-2988

ARNAUDIN, RICHARD

BERGER, ARNOLD

ATLANTIC DENTAL CARE PLC 1000 First Colonial Rd #104 Virginia Beach, VA 23454 (757) 496-0993

THE DOCTORS BERGER DMD PLC 2404 Virginia Beach Blvd #106 Virginia Beach, VA 23454 (757) 498-7878

ARTIS, ASHA LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

ARTIS, ASHA LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

BALL, JULIE JULIE H BALL DMD PC 1515 Lynnhaven Pkwy Virginia Beach, VA 23453 (757) 427-1600

BERGER, FALLON THE DOCTORS BERGER DMD PLC 2404 Virginia Beach Blvd #106 Virginia Beach, VA 23454 (757) 498-7878

BERGER, LOUIS THE DOCTORS BERGER DMD PLC 2404 Virginia Beach Blvd #106 Virginia Beach, VA 23454 (757) 498-7878

HOWARD A MENELSOHN DDS PC 6095 Indian River Rd Virginia Beach, VA 23464 (757) 424-1976

BITTNER, RANDALL

BREININGER, BYRON B DAVID BREININGER DDS PC 1453 Kempsville Rd Ste 104 Virginia Beach, VA 23464 (757) 467-9622

BROAS, WILLIAM

SEABOARD DENTAL SERVICES PLLC 1112 Laskin Rd #B Virginia Beach, VA 23451 (757) 425-1335

GOOD NEIGHBOR DENTAL AT RED MILL 2133 Upton Drive Ste 120 Virginia Beach, VA 23454 (757) 563-9111

BLANCHARD, DEBORAH

BRYANT, NATHANIEL

BLANCHARD DENTISTRY PLLC 32Nd St & Holly Rd Pinewood Sq #506 Virginia Beach, VA 23451 (757) 321-1300

DENTISTRY FIRST 5564 Indian River Rd Virginia Beach, VA 23464 (757) 366-5084

PARTICIPATING PROVIDERS

BARTON, DANIEL

VIRGINIA (CONT'D)

BUIST, CHARLES BLYTHE, PHILIP DR PHILIP A BLYTHE DDS 3872 Holland Rd Virginia Beach, VA 23452 (757) 463-0740

DENTISTRY FIRST 5564 Indian River Rd Virginia Beach, VA 23464 (757) 366-5084

BUKOVAC, JAMES BOYD, JANA YOUNG FAMILY & COSMETIC DENTISTRY 2005 Lynnhaven Pkwy Virginia Beach, VA 23456 (757) 554-0962

BRABSON, ANITA DR DERRICK M BROADAWAY DDS 3809 Princess Anne Rd #111 Virginia Beach, VA 23456 (757) 471-6672

BRAR, PREMJEET KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

JAMES J BUKOVAC DDS PC 1832 Kempsville Rd #104 Virginia Beach, VA 23464 (757) 479-1610

BUKOVAC, JAMES JAMES P RITTER DDS 3933 Bonney Road Virginia Beach, VA 23452 (757) 631-9700

BURTON, JERRY GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

BURTON, JERRY CHRISTOPHER A HOOPER DDS ASSOC LTD 840 First Colonial Rd Ste S-103 Virginia Beach, VA 23451 (757) 496-7300

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

170

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH CAMPBELL DOWNS, REBECCA DOWNS DENTAL CARE PLLC 1825 Colonial Medical Court Virginia Beach, VA 23454 (757) 428-8404

CAMPBELL, JASON

CAMPBELL, MASON-LEIGH KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

CARAVAS, JERRY JERRY G CARAVAS JR DDS PC 307 Lynnhaven Pkwy #101 Virginia Beach, VA 23452 (757) 471-6020

CHEGINI, HOUMAN YOUNG FAMILY & COSMETIC DENTISTRY 2005 Lynnhaven Pkwy Virginia Beach, VA 23456 (757) 554-0962

CHENNUPATI, NAVEEN KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

CHERIN, JACK JACK I CHERIN DMD 1444 Kempsville Rd Ste 101 Virginia Beach, VA 23464 (757) 497-8611

CLARKSON, CARRIE GARY NEWELL DDS 5333 Indian River Rd Virginia Beach, VA 23464 (757) 420-1507

CLARKSON, CARRIE GARY NEWELL DDS INC 987 Providence Sq. Sh. Ctr. Virginia Beach, VA 23464 (757) 420-1507

DOBSON, ROBERTA

FINNERTY, KEVIN

EARNEST D COALTER JR DDS 933 First Colonial Rd #104 Virginia Beach, VA 23454 (757) 491-8075

KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

KEVIN FINNERTY DDS PC 1450 Kempsville Rd Virginia Beach, VA 23464 (757) 424-6644

CONRAD, CALEB

DOLENUCK, RICHARD

FLOOD, SCOTT

KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

RICHARD P DOLENUCK DDS PC 4169 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 463-3834

THEODORE R SMITH JR DDS 4221 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-3919

COX, DANIEL

DOOLEY, MARY

FOLCK, MICHAEL

MIGUEL FERNANDEZ DDS LTD 5121 Greenwich Rd #102 Virginia Beach, VA 23462 (757) 497-4825

MARY T DOOLEY DDS 114 S Witchduck Rd #201 Virginia Beach, VA 23462 (757) 486-4880

MICHAEL P FOLCK DDS 328 Louisa Ave #120 Virginia Beach, VA 23454 (757) 428-7440

COX, WILLIAM

DUNHAM, THOMAS

FOLCK, VINITA

SHIFLET COX & MORGAN PLC 3145 Virginia Beach Blvd #104 Virginia Beach, VA 23452 (757) 340-7602

THOMAS DUNHAM CENTRE FOR DENTAL EXCELLENCE 2008 General Booth Blvd #A Virginia Beach, VA 23454 (757) 427-7130

SMILE BY DESIGN 281 Independence Blvd #210 Virginia Beach, VA 23462 (757) 499-9639

CRUSER, MELVIN MELVIN E CRUSER III DDS PC 1209 Independence Blvd #110 Virginia Beach, VA 23455 (757) 490-3111

CWIAK, KARI BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

DAVIS, DEBRA DEBRA A DAVIS DDS PC 1020 Independence Blvd #113 Virginia Beach, VA 23455 (757) 464-0723

DETWEILER, MELANIE INDEPENDENCE DENTAL CARE 4530 Professional Circle Virginia Beach, VA 23455 (757) 499-0567

DIMITROFF, EMILY HOWARD A MENELSOHN DDS PC 2133 Upton Dr #120 Virginia Beach, VA 23454 (757) 563-9111

DIMITROFF, EMILY RITA FRAZIER DDS PC 4541 Main St Virginia Beach, VA 23462 (757) 309-4450

FOSTER, DAVID EGELAND-LEWIS, MARTHA CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 303 35Th St #103 Virginia Beach, VA 23451 (757) 482-2876

ELLIS, KEVIN KEVIN J ELLIS DMD 205 34Th St #112 Virginia Beach, VA 23451 (757) 428-5491

ESPARZA, SARAH PATRICIA A LOTT DDS PC 762 Independence Blvd #794 Virginia Beach, VA 23455 (757) 499-4707

FASANO, MARYBETH MARYBETH FASANO DMD PC 984 First Colonial Rd #200 Virginia Beach, VA 23454 (757) 412-2235

FERNANDEZ, MIGUEL MIGUEL FERNANDEZ DDS LTD 5121 Greenwich Rd #102 Virginia Beach, VA 23462 (757) 497-4825

FIELD, SHEILA RICHARD D FOSTER DMD LTD 417 S Witchduck Rd Virginia Beach, VA 23462 (757) 490-0595

FOSTER DENTISTRY PLLC 609 Lynnhaven Pkwy Virginia Beach, VA 23452 (757) 340-8852

FOSTER, RICHARD

PARTICIPATING PROVIDERS

SEASIDE DENTISTRY 3300 Princess Anne Rd #715 Virginia Beach, VA 23456 (757) 689-4363

COALTER, EARNEST

RICHARD D FOSTER DMD LTD 417 S Witchduck Rd Virginia Beach, VA 23462 (757) 490-0595

FRAZIER, RITA RITA FRAZIER DDS PC 4541 Main St Virginia Beach, VA 23462 (757) 309-4450

FUHRMANN, RONALD RONALD C FUHRMANN DDS PC 232 Business Park Dr #220 Virginia Beach, VA 23462 (757) 499-8465

FUNDA, ANN-MARIE FUNDA ANN-MARIE 1752 Sir William Osler Virginia Beach, VA 23454 (757) 496-3862

FURMAN, RANDALL FURMAN RANDALL I 879 Lynnhaven Pkwy Ste 109 Virginia Beach, VA 23452 (757) 468-4684

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

171

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH GEDDES, BRANDON DENTISTRY FIRST 5564 Indian River Rd Virginia Beach, VA 23464 (757) 366-5084

GIGLIOTTI, FRANK

GIGLIOTTI, MICHAEL ATLANTIC DENTAL CARE PLC 1000 First Colonial Rd #104 Virginia Beach, VA 23454 (757) 496-0993

GIOFFRE, MOLLIE MICHAEL P FOLCK DDS 328 Louisa Ave #120 Virginia Beach, VA 23454 (757) 428-7440

GLADSTONE, MYRON GLADSTONE & SALERNO 5318 Providence Road Virginia Beach, VA 23464 (757) 424-3657

GLICK, ARTHUR ARTHUR L GLICK 533 Newtown Road #117 Virginia Beach, VA 23462 (757) 499-3163

GLORIA, JOSEPH LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

GLORIA, JOSEPH LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

GOLDSTEIN, KEITH LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

HAMILTON, PAUL

HOEK, MEREDITH

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

GARY NEWELL DDS INC 987 Providence Sq. Sh. Ctr. Virginia Beach, VA 23464 (757) 420-1507

HOEK ESTHETIC FAMILY DENTISTRY INC 1169 Nimmo Parkway # 242 Virginia Beach, VA 23456 (757) 689-3355

GOLDSTEIN, STEPHEN MAHANES DENTISTRY 2521 N Landing Rd Ste 100 Virginia Beach, VA 23456 (757) 430-9448

GOWDA, SHANTALA SHANTALA GOWDA DMD 397 Little Neck Rd Bldg 3400 #101 Virginia Beach, VA 23452 (757) 498-5142

GROY, DAVID GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

GROY, DAVID CHRISTOPHER A HOOPER DDS ASSOC LTD 840 First Colonial Rd Ste S-103 Virginia Beach, VA 23451 (757) 496-7300

GUNN, ALLEN ALLEN G GUNN DDS PLLC 2865 Lynnhaven Dr Virginia Beach, VA 23451 (757) 481-3000

HAMILTON, PAUL ROBERT IERVOLINO DDS 987 Providence Square Virginia Beach, VA 23464 (757) 495-2100

HARMON, THOMAS KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

RICHARD B HARRIS DDS LTD 1809 Colonial Medical Ct Ste 2 Virginia Beach, VA 23454 (757) 481-3737

HARRISON, BERARD BERARD HARRISON DDS 4600 Westgrove Court Virginia Beach, VA 23455 (757) 460-1222

HEFFELFINGER, MICHAEL DENNIS F HOWARD DDS PC 501 21St Street Virginia Beach, VA 23451 (757) 428-6656

HENDRICKS, ARTHUR HENDRICKS FAMILY DENTISTRY PC 737 Little Neck Rd Virginia Beach, VA 23452 (757) 486-4469

GUTHRIE, ALFRED

HENDRICKS, HARLAN

ALFRED R GUTHRIE JR DDS 3500 Virginia Beach Blvd #400 Virginia Beach, VA 23452 (757) 340-1465

HALEY, MARY MAHANES DENTISTRY 2521 N Landing Rd Ste 100 Virginia Beach, VA 23456 (757) 430-9448

HALEY, MARY ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Virginia Beach, VA 23451 (757) 769-7155

ADAM M HOGAN 2021 Pleasure House Rd Virginia Beach, VA 23455 (757) 464-3514

HOGAN, ADAM DENTISTRY FIRST 5564 Indian River Rd Virginia Beach, VA 23464 (757) 366-5084

HARRIS, RICHARD

DENTISTRY FIRST 5564 Indian River Rd Virginia Beach, VA 23464 (757) 366-5084

GUNN, ALLEN

HOGAN, ADAM

HENDRICKS FAMILY DENTISTRY PC 737 Little Neck Rd Virginia Beach, VA 23452 (757) 486-4469

HERMAN, BARRY GREGORY A SCHRUMPF DDS 1300 Kempsville Rd #1 Virginia Beach, VA 23464 (757) 467-8181

HERMELIN, MARK MARK J HERMELIN DDS PC 337 Edwin Dr Ste 101 Virginia Beach, VA 23462 (757) 497-4746

HOLLEY, JAMES HOLLEY FAMILY DENTISTRY OF VA BEACH 940 General Booth Blvd Virginia Beach, VA 23451 (757) 425-1155

HOLMES, ASHLEY ROBERT D WERNICK DDS PC 2004 Sandbridge Rd #100 Virginia Beach, VA 23456 (757) 427-2212

PARTICIPATING PROVIDERS

ATLANTIC DENTAL CARE PLC 1000 First Colonial Rd #104 Virginia Beach, VA 23454 (757) 496-0993

GOLDSTEIN, KEITH

HOOPER, CHRISTOPHER JOHN BLASZCZAK DENTAL CARE PC 3400 Holland Rd Virginia Beach, VA 23452 (757) 427-1301

HOOPER, CHRISTOPHER GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

HOOPER, CHRISTOPHER CHRISTOPHER A HOOPER DDS ASSOC LTD 840 First Colonial Rd Ste S-103 Virginia Beach, VA 23451 (757) 496-7300

HORNSBY, KIMBROUGH LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

HORNSBY, KIMBROUGH LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

172

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH HORWITZ, ABBEY ABBEY HORWITZ DDS 2142 Great Neck Square Virginia Beach, VA 23454 (757) 481-3699

HOSEK, ERIC

HOSEK, LINDSEY ERIC A HOSEK DDS PC 1357 N Great Neck Rd #101 Virginia Beach, VA 23454 (757) 481-5900

HOWARD, DENNIS DENNIS F HOWARD DDS PC 501 21St Street Virginia Beach, VA 23451 (757) 428-6656

IERVOLINO, ROBERT ROBERT IERVOLINO DDS 987 Providence Square Virginia Beach, VA 23464 (757) 495-2100

INGRAM, DANIEL DANIEL W INGRAM DDS 1212 Lake James Dr #A Virginia Beach, VA 23464 (757) 420-4214

INGRAM, DANIEL COASTAL FAMILY & COSMETIC DENTISTRY 3176 Holland Rd #101 Virginia Beach, VA 23453 (757) 301-7000

IRELAND, MICHAEL BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

JAMES, PATRICIA ARTFUL SMILES 506 S Independence Blvd Ste 100 Virginia Beach, VA 23452 (757) 227-3401

KAPOOR, ELLENI

KENT, JOHN

SMILECARE FAMILY DENTISTRY 4312 Holland Rd #108 Virginia Beach, VA 23452 (757) 498-6420

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

PARTNERS IN DENTAL HEALTH V LLC 3809 Princess Anne Rd. Ste. #111 Virginia Beach, VA 23456 (757) 471-6672

JENKINS, ARTHUR

KAPOOR, ELLENI

ARTHUR REX JENKINS DDS PC 836 First Colonial Road Virginia Beach, VA 23451 (757) 428-8747

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

JONES, DANIEL

KENT, MATHEW PARTNERS IN DENTAL HEALTH IV 2245 W Great Neck Rd #1 Virginia Beach, VA 23451 (757) 481-7392

DAVID L JONES DDS & ASSOC PC 2236 General Booth Blvd #100 Virginia Beach, VA 23456 (757) 427-9300

KAPOOR, RAJNI

KENT, MATHEW

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

PARTNERS IN DENTAL HEALTH 317 Edwin Dr Virginia Beach, VA 23462 (757) 499-2100

JONES, DAVID

KARP, ALLEN

DAVID L JONES DDS & ASSOC PC 2236 General Booth Blvd #100 Virginia Beach, VA 23456 (757) 427-9300

KAHAN, MICHAEL ATLANTIC DENTAL CARE PLC 2129 General Booth Blvd #117 Virginia Beach, VA 23454 (757) 563-8000

KAISER, DAVID THOMAS A MCKEE DDS PC 5261 Challedon Dr Virginia Beach, VA 23462 (757) 499-2444

KANDARE, WESLEY MILONAS FAMILY DENTISTRY 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23451 (757) 481-3000

KANDARE, WESLEY GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

ALLEN KARP FAMILY DENTISTRY 4676 Princess Anne Rd Ste 100 Virginia Beach, VA 23462 (757) 495-5010

PARTNERS IN DENTAL HEALTH V LLC 3809 Princess Anne Rd. Ste. #111 Virginia Beach, VA 23456 (757) 471-6672

KAUR, AJINDER

KENT, THOMAS

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

KENT, DEAN PARTNERS IN DENTAL HEALTH IV 2245 W Great Neck Rd #1 Virginia Beach, VA 23451 (757) 481-7392

KENT, DEAN PARTNERS IN DENTAL HEALTH 317 Edwin Dr Virginia Beach, VA 23462 (757) 499-2100

KANDARE, WESLEY ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Ste 102 Virginia Beach, VA 23451 (757) 769-7155

JAMES P RITTER DDS 1832 Kempsville Rd #104 Virginia Beach, VA 23452 (757) 631-9700

KENT, THOMAS JAMES P RITTER DDS 3933 Bonney Road Virginia Beach, VA 23452 (757) 631-9700

KIM, CHAD KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

KENT, DEAN

KING, CHRISTOPHER

PARTNERS IN DENTAL HEALTH V LLC 3809 Princess Anne Rd. Ste. #111 Virginia Beach, VA 23456 (757) 471-6672

CHRISTOPHER TODD KING DDS 4605 Haygood Rd Virginia Beach, VA 23455 (757) 464-6228

KANDARE, WESLEY ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Virginia Beach, VA 23451 (757) 769-7155

KENT, MATHEW

PARTICIPATING PROVIDERS

ERIC A HOSEK DDS PC 1357 N Great Neck Rd #101 Virginia Beach, VA 23454 (757) 481-5900

JAVEED, ASRA

KIRPAL, ABHISHEK KENT, JOHN PARTNERS IN DENTAL HEALTH IV 2245 W Great Neck Rd #1 Virginia Beach, VA 23451 (757) 481-7392

KENT, JOHN PARTNERS IN DENTAL HEALTH 317 Edwin Dr Virginia Beach, VA 23462 (757) 499-2100

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

KONDOFF, RONALD LYALL KONDOFF KANTER & KANTER 5291 Greenwich Rd Virginia Beach, VA 23462 (757) 493-8100

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

173

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH KONIKOFF, DAVID KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

KONIKOFF, DAVID

KONIKOFF, DAVID KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

KORDULAK, JOHN JOHN L KORDULAK DDS LTD 855 Kempsville Rd Virginia Beach, VA 23464 (757) 495-4700

KORMAN, ROBERT ROBERT P KORMAN DDS PC 1115 First Colonial Rd Virginia Beach, VA 23454 (757) 412-4060

LLODRA, CLARA

RONALD I LEFTON DDS PC 4732 Princess Anne Rd Virginia Beach, VA 23462 (757) 467-6000

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

LEIBOWITZ, LAWRENCE

LLODRA, CLARA

LAWRENCE LEIBOWITZ DDS PC 1932 Kempsville Rd Ste 101 Virginia Beach, VA 23464 (757) 424-3555

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

LEIDY, JEFFREY DR JEFFREY R LEIDY PC 1301 First Colonial Rd Virginia Beach, VA 23454 (757) 463-1500

LONGMAN, BRUCE JOHN L KORDULAK DDS LTD 855 Kempsville Rd Virginia Beach, VA 23464 (757) 495-4700

LEWIS, DAVID

MADDUX, NICHOLAS MADDUX ORTHODONTICS 351 Edwin Dr. Ste 104 Virginia Beach, VA 23462 (757) 499-3530

MAHANES, ALAN MAHANES DENTISTRY 2521 N Landing Rd Ste 100 Virginia Beach, VA 23456 (757) 430-9448

MAHESH, LEKSHMI LEKSHMI MAHESH DDS PC 405 S Parliament Dr Ste 101 Virginia Beach, VA 23462 (757) 499-7300

MALLORY, DALE

THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY 303 35Th St #103 Virginia Beach, VA 23451 (757) 425-2332

LOTT, PATRICIA

LEWIS, DAVID

LUMA, EVELYN

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 303 35Th St #103 Virginia Beach, VA 23451 (757) 482-2876

EVELYN LUMA DDS PLLC 1244 Perimeter Parkway #444 Virginia Beach, VA 23454 (757) 430-2600

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

LYALL, MARSHALL

MARCOU, MICHAEL

KUENZLI, PETER

LEWIS, MARY

FOSTER DENTISTRY PLLC 609 Lynnhaven Pkwy Virginia Beach, VA 23452 (757) 340-8852

MARY H LEWIS DDS 328 N Great Neck Rd #105 Virginia Beach, VA 23454 (757) 631-9200

LANIGAN, JACQUELINE

LIMON, FRANCISCO

KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

LANIGAN, PETER

LITTLE, KEITH

KONIKOFF DENTAL ASSOC 2301-A General Booth Blvd Virginia Beach, VA 23456 (757) 427-5100

INDEPENDENCE DENTAL CARE 4530 Professional Circle Virginia Beach, VA 23455 (757) 499-0567

LEE, SOLOMON

LLEWELLYN, CHARLES

CARING-HAND SMILE CENTER LLC 1577 General Booth Blvd #107 Virginia Beach, VA 23454 (757) 428-8282

DR CHARLES LLEWELLYN III DDS 1729 Wildwood Dr Ste. #104 Virginia Beach, VA 23454 (757) 428-2571

PATRICIA A LOTT DDS PC 762 Independence Blvd #794 Virginia Beach, VA 23455 (757) 499-4707

DALE L MALLORY 4867 Baxter Road #101-A Virginia Beach, VA 23462 (757) 499-8139

MARCOU, MICHAEL

LYALL KONDOFF KANTER & KANTER 5291 Greenwich Rd Virginia Beach, VA 23462 (757) 493-8100

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

LYNCH, RONALD

MARSHALL, ROBYN

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

VERNON E OBERRY JR DDS PC 1062 Laskin Rd Virginia Beach, VA 23451 (757) 428-2121

MABANGLO-SAMSON, BERNADETTE

MARTIN, ANTHONY

RICHARD D FOSTER DMD LTD 417 S Witchduck Rd Virginia Beach, VA 23462 (757) 490-0595

MACLIN, IVETTA KONIKOFF DENTAL ASSOC 2301-A General Booth Blvd Virginia Beach, VA 23456 (757) 427-5100

MADDUX, KRISTEN MICHAEL P FOLCK DDS 328 Louisa Ave #120 Virginia Beach, VA 23454 (757) 428-7440

PARTICIPATING PROVIDERS

KONIKOFF DENTAL ASSOC 2301-A General Booth Blvd Virginia Beach, VA 23456 (757) 427-5100

LEFTON, RONALD

GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

MATAR, USAMA KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

MATIAS, THIAGO KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

174

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH MAVROMATIS, JACK JACK MAVROMATIS DDS LTD 2248 Sunstates Court #103 Virginia Beach, VA 23451 (757) 496-9123

MCCARTY, BENJAMIN

MCKEE, TOM THOMAS A MCKEE DDS PC 5261 Challedon Dr Virginia Beach, VA 23462 (757) 499-2444

MCMILLAN, VICKI

NEWELL, GARY

PATE, DAVID

BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

GARY NEWELL DDS 5333 Indian River Rd Virginia Beach, VA 23464 (757) 420-1507

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 303 35Th St #103 Virginia Beach, VA 23451 (757) 482-2876

MILONAS, JIM MILONAS FAMILY DENTISTRY 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23451 (757) 481-3000

MIRANDA, JOSHUA KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

MODJADIDI, OSAMA MILONAS FAMILY DENTISTRY 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23451 (757) 481-3000

NEWELL, GARY GARY NEWELL DDS INC 987 Providence Sq. Sh. Ctr. Virginia Beach, VA 23464 (757) 420-1507

NORTON, CAROLYN KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

OBERRY, VERNON VERNON E OBERRY JR DDS PC 1062 Laskin Rd Virginia Beach, VA 23451 (757) 428-2121

MODJADIDI, OSAMA

OCHAVE, FREDERICK

HARMONY DENTAL GROUP PLLC 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 (757) 495-8775

FREDERICK P OCHAVE DMD 289 Independence Blvd #229 Virginia Beach, VA 23462 (757) 497-1618

MOOREFIELD, KALLIE

O'DONNELL, DAVID

LANDSTOWN DENTAL CARE 1909 Landstown Centre Way Suite #100 Virginia Beach, VA 23456 (757) 689-6680

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

MEADER, LON

MOOREFIELD, KALLIE

OHARA, THOMAS

MEADER FAMILY DENTISTRY 5505 Indian River Rd #200 Virginia Beach, VA 23464 (757) 424-1300

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

MCMILLAN, VICKI LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

MENDELSOHN, HOWARD HOWARD A MENELSOHN DDS PC 2133 Upton Dr #120 Virginia Beach, VA 23454 (757) 563-9111

MENDELSOHN, HOWARD HOWARD A MENELSOHN DDS PC 6095 Indian River Rd Virginia Beach, VA 23464 (757) 424-1976

MENDRINOS, MARIA BREDOLOGOS FAMILY DENTISTRY 1917 Laskin Road #106 Virginia Beach, VA 23454 (757) 425-1828

MOOREFIELD, KALLIE INDEPENDENCE DENTAL CARE 4530 Professional Circle Virginia Beach, VA 23455 (757) 499-0567

MORGAN, CAROL CAROL F MORGAN DDS VB PLLC 984 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1400

MORGAN, MICHAEL SHIFLET COX & MORGAN PLC 3145 Virginia Beach Blvd #104 Virginia Beach, VA 23452 (757) 340-7602

THOMAS J OHARA DDS PC 242 Mustang Tr Ste 9 Virginia Beach, VA 23452 (757) 340-1153

OLIVER, TRACY TRACY OLIVER DDS 2484 N Landing Rd Virginia Beach, VA 23456 (757) 471-5480

PANDHER, RAMONA KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

PATE, DAVID THE CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY 303 35Th St #103 Virginia Beach, VA 23451 (757) 425-2332

PEARL, DINA KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

PELAEZ, JORGE DENTISTRY OF VIRGINIA BEACH 1805 Colonial Medical Court Virginia Beach, VA 23454 (757) 961-4300

PELLERIN, ROBERT ROBERT D PELLERIN DDS PC 351 Edwin Dr Ste 101 Virginia Beach, VA 23462 (757) 490-2017

PEREZ, TIMOTHY THOMAS J OHARA DDS PC 242 Mustang Tr Ste 9 Virginia Beach, VA 23452 (757) 340-1153

PARTICIPATING PROVIDERS

KONIKOFF DENTAL ASSOC 2301-A General Booth Blvd Virginia Beach, VA 23456 (757) 427-5100

MILLER, JULIAN

PHAUP, ALEXIS ROBERT D WERNICK DDS PC 2004 Sandbridge Rd #100 Virginia Beach, VA 23456 (757) 427-2212

PHILLIPS, SARAH KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

PHILLIPS, SARAH ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Virginia Beach, VA 23451 (757) 769-7155

PHILLIPS, SARAH ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Ste 102 Virginia Beach, VA 23451 (757) 769-7155

POOLE, ADAM KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

175

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH POOLE, CHARLES POOLE CHARLES K 5393 Wesleyan Drive #107 Virginia Beach, VA 23455 (757) 499-5163

POPE, ROBERT

REICHLEY, JOHN KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 Virginia Beach, VA 23456 (757) 416-1400

REIMER, MICHAEL GENTLE DENTAL CENTER 3497 Holland Rd #113 Virginia Beach, VA 23452 (757) 431-1300

REIMER, MICHAEL KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

REIMER, MICHAEL CHRISTOPHER A HOOPER DDS ASSOC LTD 840 First Colonial Rd Ste S-103 Virginia Beach, VA 23451 (757) 496-7300

RESNICK, ELIZABETH ELIZABETH J RESNICK DDS PC 1092 Laskin Road #110 Virginia Beach, VA 23451 (757) 428-5543

REYNOLDS, JILLIAN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

REYNOLDS, JILLIAN LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SACHS, WARREN

HARMONY DENTAL GROUP PLLC 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 (757) 495-8775

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SCHONBRUN, DAVID

HOLLEY FAMILY DENTISTRY OF VA BEACH 940 General Booth Blvd Virginia Beach, VA 23451 (757) 425-1155

SALEM, MUHANAD

SCHRUMPF, GREGORY

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

GREGORY A SCHRUMPF DDS 1300 Kempsville Rd #1 Virginia Beach, VA 23464 (757) 467-8181

RICHMOND, LESLIE

SALERNO, JAMES

SCOTT, TAMASHA

LESLIE I RICHMOND DDS PC 4417 A Shore Drive Virginia Beach, VA 23455 (757) 460-1939

GLADSTONE & SALERNO 5318 Providence Road Virginia Beach, VA 23464 (757) 424-3657

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

RITTER, JAMES

SANDHU, NAVDEEP

SELF, OSCAR

JAMES P RITTER DDS 1832 Kempsville Rd #104 Virginia Beach, VA 23452 (757) 631-9700

ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Ste 102 Virginia Beach, VA 23451 (757) 769-7155

RICHARDS, CARTER

RITTER, JAMES JAMES P RITTER DDS 3933 Bonney Road Virginia Beach, VA 23452 (757) 631-9700

ROBINSON, ELIZABETH ADVANCED SEDATION DENTISTRY 616 Virginia Beach Blvd Ste 102 Virginia Beach, VA 23451 (757) 769-7155

SACHS, SCOTT LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

SACHS, SCOTT LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SACHS, WARREN LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

ATLANTIC DENTAL CARE PLC 4529 E Honeygrove Rd #301 Virginia Beach, VA 23455 (757) 460-1234

O W SELF JR DDS 3145 Va Beach Blvd #100 Virginia Beach, VA 23452 (757) 340-5009

SHARIF, ASIF SANTOS, STEPHANIE SMILE BY DESIGN 281 Independence Blvd #210 Virginia Beach, VA 23462 (757) 499-9639

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

PARTICIPATING PROVIDERS

ROBERT A POPE DDS PLC 1609 Pleasure House Rd Virginia Beach, VA 23455 (757) 464-3321

REYNOLDS, KENNETH

SHIFLET, HARVEY SAVAGE, CARY CARY L SAVAGE JR DDS 4400 Corporation Lane 101 Virginia Beach, VA 23462 (757) 499-3522

SHIFLET COX & MORGAN PLC 3145 Virginia Beach Blvd #104 Virginia Beach, VA 23452 (757) 340-7602

SIMS, MICHAEL SAVAGE, RANDOLPH INDEPENDENCE DENTAL CARE 4530 Professional Circle Virginia Beach, VA 23455 (757) 499-0567

MICHAEL J SIMS DMD PC 2109 Mccomas Way Virginia Beach, VA 23456 (757) 427-0695

SINCLAIR, JOHN AESTHETIC FAMILY DENTISTRY 1805 Laskin Rd #100 Virginia Beach, VA 23454 (757) 321-1870

COASTAL COSMETIC DENTISTRY 1369 Laskin Road # 3A Virginia Beach, VA 23451 (757) 222-3731

SCHIFF, IVAN

SINGOR, LAUREN

SAXTON, JACOB

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

SCHIFF, IVAN

SINGOR, LAUREN

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

176

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH SKRBA, SLADJANA KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

SMITH, JACQUELINE

SMITH, STEPHANIE THEODORE R SMITH JR DDS 4221 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-3919

SMITH, THEODORE THEODORE R SMITH JR DDS 4221 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-3919

SMITH, THOMAS LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

SMITH, THOMAS LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SNYDER, CASEY TRACY OLIVER DDS 2484 N Landing Rd Virginia Beach, VA 23456 (757) 471-5480

SPAIN, MURRAY MURRAY SPAIN JR DMD PC 1127 Independence Blvd Virginia Beach, VA 23455 (757) 363-8500

SPAIN, MURRAY MURRAY SPAIN JR DMD PC 3634 South Plaza Trail #101 Virginia Beach, VA 23452 (757) 498-9510

WATERMAN, JENNIFER

YOUNG, LYNETTE

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

WATERMAN FAMILY DENTISTRY 525 N Great Neck Rd Virginia Beach, VA 23454 (757) 340-8155

YOUNG FAMILY & COSMETIC DENTISTRY 2005 Lynnhaven Pkwy Virginia Beach, VA 23456 (757) 554-0962

SUR, MARCUS

WEINSTEIN, LEE

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

WEINSTEIN, LEE SWEENEY, PIA

YU, SANG HUN KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

YUNG, STEFANIE

ASSOCIATED DENTAL CARE 814 N Newtown Rd Virginia Beach, VA 23462 (757) 490-0419

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

SWEIRY, ELI

WERNICK, ROBERT

ELI SWEIRY DDS FAMILY AND COSMETIC DENTISTRY 4667 Haygood Rd Ste 501 Virginia Beach, VA 23455 (757) 464-0011

ROBERT D WERNICK DDS PC 2004 Sandbridge Rd #100 Virginia Beach, VA 23456 (757) 427-2212

SHABANA ZAHIR DMD PC 367 Independence Blvd Virginia Beach, VA 23462 (757) 962-7000

WHITE, ALLEN

ZAPATERO, DAG

THROCKMORTON, DAVID OCEAN ATLANTIC DENTAL 3720 Holland Rd #102 Virginia Beach, VA 23452 (757) 498-1663

THROCKMORTON, MARIA KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

JAYME TOMCHIK DMD PC 4624 Pembroke Blvd Ste 103 Virginia Beach, VA 23455 (757) 460-2250

DAG ZAPATERO DDS 3020 Shore Drive Ste A Virginia Beach, VA 23451 (757) 481-3893

WILSON, NATASHA

ZIMMER, ANDREW

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

JONATHAN D WONG DDS LTD 1186 Lynnhaven Pkwy Virginia Beach, VA 23452 (757) 468-4867

WOODLOCK, KRISTA TRAN, BRITNIE KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

SOUTH BEACH DENTISTRY 2401 Seaboard Rd #106 Virginia Beach, VA 23456 (757) 427-9449

YEH, PAUL UTTERBACK, BRUCE

ZAHIR, SHABANA

DENNIS F HOWARD DDS PC 501 21St Street Virginia Beach, VA 23451 (757) 428-6656

WONG, JONATHAN TOMCHIK, JAYME

JONATHAN D WONG DDS LTD 1186 Lynnhaven Pkwy Virginia Beach, VA 23452 (757) 468-4867

KOOL SMILES 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 (757) 467-5665

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

UTTERBACK, BRUCE

YEH, PAUL

ASSOCIATED DENTAL CARE 814 N Newtown Rd Virginia Beach, VA 23462 (757) 490-0419

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

PARTICIPATING PROVIDERS

JACQUELINE B SMITH DDS PC 1385 Fordham Dr Ste 106 Virginia Beach, VA 23464 (757) 424-0095

SUR, MARCUS

ANDREW J ZIMMER DDS 1604 Hilltop West #216 Virginia Beach, VA 23451 (757) 491-5070

ORAL SURGEON BEALE, FRANK COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 2117 Mccomas Way Ste A Virginia Beach, VA 23456 (757) 426-6155

BEALE, FRANK COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 3720 Holland Rd Ste 100 Virginia Beach, VA 23452 (757) 340-0446

BERRY, ZACHARY SCOTT R GOODOVE DDS PLC 1127 First Colonial Rd Virginia Beach, VA 23454 (757) 412-2002

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

177

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH BYRNSIDE, VALERIE SCOTT R GOODOVE DDS PLC 1127 First Colonial Rd Virginia Beach, VA 23454 (757) 412-2002

COLELLA, PETER

CONELIAS, TRENT TRENT P CONELIAS DDS PC 6033 Providence Rd Virginia Beach, VA 23464 (757) 424-2672

FOLCK, MICHAEL MID ATLANTIC IMPLANT & ORAL SURGERY CTR PC 272 Bendix Rd Ste 280 Virginia Beach, VA 23452 (757) 340-9146

VENDETTI, CURTIS

ASHBY, JOHN

ORAL SURGERY OF TIDEWATER 2875 Sabre St #260 Virginia Beach, VA 23452 (757) 499-6886

VIRGINIA SURGICAL ARTS LLC 1240 Perimeter Pkwy Ste 401 Virginia Beach, VA 23454 (757) 430-7690

ASHBY ORTHODONTICS LTD 4356 4 Bonney Road #101 Virginia Beach, VA 23452 (757) 340-7000

GUTER, KLAUS

WEBBER, CAROLINE

BEHL, YUGAL

RAWLS KELLY & FORD LTD 2100 Lynnhaven Pkwy Ste 102 Virginia Beach, VA 23456 (757) 499-6886

COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 2117 Mccomas Way Ste A Virginia Beach, VA 23456 (757) 426-6155

BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

WEBBER, CAROLINE

BENES, KRISTEN

GUTER, KLAUS ORAL SURGERY OF TIDEWATER 2875 Sabre St #260 Virginia Beach, VA 23452 (757) 499-6886

MAUGERI, MICHAEL COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 2117 Mccomas Way Ste A Virginia Beach, VA 23456 (757) 426-6155

MAUGERI, MICHAEL COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 3720 Holland Rd Ste 100 Virginia Beach, VA 23452 (757) 340-0446

FORD, MELVIN RAWLS KELLY & FORD LTD 2100 Lynnhaven Pkwy Ste 102 Virginia Beach, VA 23456 (757) 499-6886

FORD, MELVIN ORAL SURGERY OF TIDEWATER 2875 Sabre St #260 Virginia Beach, VA 23452 (757) 499-6886

GLIKSMAN, JOSEPH BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

GOODOVE, SCOTT SCOTT R GOODOVE DDS PLC 1127 First Colonial Rd Virginia Beach, VA 23454 (757) 412-2002

GRAY, JAMES RAWLS KELLY & FORD LTD 2100 Lynnhaven Pkwy Ste 102 Virginia Beach, VA 23456 (757) 499-6886

MEEKS, DARRELL FREDERIC R LEVITIN DDS DARRELL A MEEKS DMD LTD 281 Independence Bl #225 Virginia Beach, VA 23462 (757) 499-5909

COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 3720 Holland Rd Ste 100 Virginia Beach, VA 23452 (757) 340-0446

LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

WEBBER, CAROLINE

BENES, KRISTEN

KONIKOFF SALZBERG PERIODONTICS LTD 477 Viking Drive #190 Virginia Beach, VA 23452 (757) 486-8611

LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 (757) 467-6453

YEH, FRANK

DAVIDSON, JEREMY

COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 2117 Mccomas Way Ste A Virginia Beach, VA 23456 (757) 426-6155

YEH, FRANK COASTAL VIRGINIA ORAL & MAXILLOFACIAL SURGERY PC 3720 Holland Rd Ste 100 Virginia Beach, VA 23452 (757) 340-0446

MORRISON, SANFORD MORRISON & MORRISON 904 Kempsville Road #102 Virginia Beach, VA 23464 (757) 467-8000

ZAGURSKY, PETER SCOTT R GOODOVE DDS PLC 1127 First Colonial Rd Virginia Beach, VA 23454 (757) 412-2002

MUELLER, DAVID DAVID P MUELLER DDS 1157 First Colonial Rd #101 Virginia Beach, VA 23454 (757) 496-8066

QUIGG, RICHARD RICHARD K QUIGG DDS PC 984 First Colonial Rd Ste 300 Virginia Beach, VA 23454 (757) 496-6690

RAI, SHAUN SHAUN B RAI DMD PLLC 933 First Colonial Rd Ste 205 Virginia Beach, VA 23454 (757) 425-5781

ORTHODONTIST ALBINDER, KENNETH KENNETH ALBINDER DDS MS LTD 4291 Holland Road #112 Virginia Beach, VA 23452 (757) 495-7866

ANDERSON, HOLLY DRS SHIVAR PELUSO & ANDERSEN PC 3145 Virginia Beach Blvd #101 Virginia Beach, VA 23452 (757) 424-5308

DAVIDSON ORTHODONTICS 401 Great Neck Rd #122 Virginia Beach, VA 23454 (757) 962-2499

PARTICIPATING PROVIDERS

KONIKOFF DENTAL ASSOC 2829 Shore Dr Virginia Beach, VA 23451 (757) 333-6866

GRAY, JAMES

FULTON, CATHERINE CATHERINE ODEN FULTON DDS PLC 5660 Indian River Rd #125 Virginia Beach, VA 23464 (757) 489-1331

GALBREATH, ROBERT LEFCOE WEINSTEIN SACHS SCHIFF LTD 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 (757) 412-1114

GALBREATH, ROBERT LEFCOE WEINSTEIN SACHS SCHIFF LTD 904 Kempsville Rd Ste 105 Virginia Beach, VA 23464 (757) 963-0059

HOLMES, PATRICK KLAR VOORHEES ORTHODONTICS PC 5241 Providence Rd Virginia Beach, VA 23464 (757) 495-3110

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

178

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH JONES, ANTONIA BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

KAUR, PARDEEP

KLAR, LAWRENCE KLAR VOORHEES ORTHODONTICS PC 2401 Seaboard Rd #107 Virginia Beach, VA 23456 (757) 427-9200

KLAR, LAWRENCE KLAR VOORHEES ORTHODONTICS PC 5241 Providence Rd Virginia Beach, VA 23464 (757) 495-3110

KLAR, LAWRENCE KLAR VOORHEES ORTHODONTICS PC 996 First Colonel Rd Virginia Beach, VA 23454 (757) 496-6030

KLAR, NEAL KLAR VOORHEES ORTHODONTICS PC 2401 Seaboard Rd #107 Virginia Beach, VA 23456 (757) 427-9200

KLAR, NEAL KLAR VOORHEES ORTHODONTICS PC 5241 Providence Rd Virginia Beach, VA 23464 (757) 495-3110

KLAR, NEAL KLAR VOORHEES ORTHODONTICS PC 996 First Colonel Rd Virginia Beach, VA 23454 (757) 496-6030

MARCONYAK, LOUIS MARCONYAK LOUIS J 351 Edwin Drive #104 Virginia Beach, VA 23464 (757) 499-3530

SAVAGE, ANTHONY

VOORHEES HUSSON, MARNI

DRS SHIVAR PELUSO & ANDERSEN PC 3145 Virginia Beach Blvd #101 Virginia Beach, VA 23452 (757) 424-5308

DRS SAVAGE SABOL & VISSER LTD 2129 General Booth Blvd #120 Virginia Beach, VA 23454 (757) 427-1350

KLAR VOORHEES ORTHODONTICS PC 5241 Providence Rd Virginia Beach, VA 23464 (757) 495-3110

SAVAGE, ANTHONY

VOORHEES HUSSON, MARNI

GARY A RIGGS JR DMD 853 Kempsville Rd Virginia Beach, VA 23464 (757) 467-4608

DRS SAVAGE SABOL & VISSER LTD 829 First Colonial Road Virginia Beach, VA 23451 (757) 428-1110

KLAR VOORHEES ORTHODONTICS PC 996 First Colonel Rd Virginia Beach, VA 23454 (757) 496-6030

ROY, CARL

SCOTT, JON

WAITKUS, ALEXANDER

JON L SCOTT DDS PC 114 S Witchduck Rd Virginia Beach, VA 23462 (757) 627-9818

TOWN CENTER ORTHODONTICS 293 Independence Blvd Ste 108 Virginia Beach, VA 23462 (757) 340-9020

SHIVAR, WALKER

WEXEL, WALTER

DRS SHIVAR PELUSO & ANDERSEN PC 3145 Virginia Beach Blvd #101 Virginia Beach, VA 23452 (757) 424-5308

WALTER K WEXEL 2140 Great Neck Square Virginia Beach, VA 23454 (757) 481-2378

RIGGS, GARY

CARL P ROY DDS MS PLC 4388 Holland Rd #200 Virginia Beach, VA 23452 (757) 471-2900

SABOL, GEORGE DRS SAVAGE SABOL & VISSER LTD 1300 Kempsville Rd Virginia Beach, VA 23464 (757) 495-3643

SABOL, GEORGE DRS SAVAGE SABOL & VISSER LTD 1609 Pleasure House Rd Virginia Beach, VA 23455 (757) 460-8879

SABOL, GEORGE DRS SAVAGE SABOL & VISSER LTD 2129 General Booth Blvd #120 Virginia Beach, VA 23454 (757) 427-1350

SABOL, GEORGE

VISSER, BRITT DRS SAVAGE SABOL & VISSER LTD 1300 Kempsville Rd Virginia Beach, VA 23464 (757) 495-3643

VISSER, BRITT DRS SAVAGE SABOL & VISSER LTD 1609 Pleasure House Rd Virginia Beach, VA 23455 (757) 460-8879

DRS SAVAGE SABOL & VISSER LTD 829 First Colonial Road Virginia Beach, VA 23451 (757) 428-1110

VISSER, BRITT

SAVAGE, ANTHONY

VISSER, BRITT

DRS SAVAGE SABOL & VISSER LTD 1300 Kempsville Rd Virginia Beach, VA 23464 (757) 495-3643

SAVAGE, ANTHONY DRS SAVAGE SABOL & VISSER LTD 1609 Pleasure House Rd Virginia Beach, VA 23455 (757) 460-8879

DRS SAVAGE SABOL & VISSER LTD 2129 General Booth Blvd #120 Virginia Beach, VA 23454 (757) 427-1350 DRS SAVAGE SABOL & VISSER LTD 829 First Colonial Road Virginia Beach, VA 23451 (757) 428-1110

VOORHEES HUSSON, MARNI KLAR VOORHEES ORTHODONTICS PC 2401 Seaboard Rd #107 Virginia Beach, VA 23456 (757) 427-9200

ZAKI, TAREK TAREK O ZAKI DDS 2029 Lynnhaven Pkwy Ste 700 Virginia Beach, VA 23456 (757) 416-1100

PARTICIPATING PROVIDERS

BUKOLA A ODUYELU DDS PC 2264 London Bridge Rd Virginia Beach, VA 23456 (757) 563-2670

PELUSO, ANTHONY

PEDIATRIC DENTIST/PEDODONTIST BARNEY, JOHN ROSENBLUM LEVIN BARNEY HASTY 1055 Kempsville Road Virginia Beach, VA 23464 (757) 474-1200

BARNEY, JOHN ROSENBLUM LEVIN BARNEY 1368 North Great Neck Rd Virginia Beach, VA 23454 (757) 496-8300

BARNEY, JOHN ROSENBLUM LEVIN BARNEY 4169 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-2525

BRAXTON, DARCHELLE BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

BROWN, TOWNSEND TOWNSEND BROWN JR DDS 1300 Kempsville Rd #5 Virginia Beach, VA 23464 (757) 467-7797

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

179

Delta Dental Premier

LEVIN, MARK

BARR, BRUCE

NIVER, ERIC

ROSENBLUM LEVIN BARNEY 4169 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-2525

BRUCE K BARR DDS PC 853 Kempsville Rd Virginia Beach, VA 23464 (757) 467-0404

MARTIN, J

CAVALLARI, KENNETH

CENTER FOR RESTORATIVE COSMETIC & IMPLANT DENTISTRY PC 303 35Th St #103 Virginia Beach, VA 23451 (757) 482-2876

BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

KENNETH J CAVALLARI DDS 984 First Colonial Rd #300 Virginia Beach, VA 23454 (757) 412-0235

ODUYELU, BUKOLA

GRAY, ANDREW

BUKOLA A ODUYELU DDS PC 2264 London Bridge Rd Virginia Beach, VA 23456 (757) 563-2670

GRAYS PERIODONTAL CENTER 1244 Perimeter Prkwy #442 Virginia Beach, VA 23454 (757) 716-3539

ROSENBLUM, SCOTT

HARTMAN, GARY

ROSENBLUM LEVIN BARNEY HASTY 1055 Kempsville Road Virginia Beach, VA 23464 (757) 474-1200

GARY A HARTMAN DDS MS 240 Mustang Tr #1 Virginia Beach, VA 23452 (757) 498-5480

ROSENBLUM LEVIN BARNEY HASTY 1055 Kempsville Road Virginia Beach, VA 23464 (757) 474-1200

ROSENBLUM, SCOTT

KONIKOFF, ALBERT

HASTY, MICHAEL

ROSENBLUM, SCOTT

VIRGINIA (CONT'D) VIRGINIA BEACH CLARK, JESSICA TOWNSEND BROWN JR DDS 1300 Kempsville Rd #5 Virginia Beach, VA 23464 (757) 467-7797

COX, THOMAS

GAROFALIS, HARALAMBOS BEHL ORTHODONTICS 4291 Holland Rd #112 Virginia Beach, VA 23452 (757) 495-7866

HASTY, MICHAEL

ROSENBLUM LEVIN BARNEY 1368 North Great Neck Rd Virginia Beach, VA 23454 (757) 496-8300

HASTY, MICHAEL ROSENBLUM LEVIN BARNEY 4169 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-2525

HERCE, DAVID KONIKOFF DENTAL ASSOCIATES INC 2100 Lynnhaven Parkway Ste #200 Virginia Beach, VA 23456 (757) 961-4000

LEVIN, MARK ROSENBLUM LEVIN BARNEY HASTY 1055 Kempsville Road Virginia Beach, VA 23464 (757) 474-1200

LEVIN, MARK ROSENBLUM LEVIN BARNEY 1368 North Great Neck Rd Virginia Beach, VA 23454 (757) 496-8300

ROSENBLUM LEVIN BARNEY 1368 North Great Neck Rd Virginia Beach, VA 23454 (757) 496-8300 ROSENBLUM LEVIN BARNEY 4169 Virginia Beach Blvd Virginia Beach, VA 23452 (757) 486-2525

SUNDIN, ALLAN ALLAN SUNDIN DDS MS PC 1385 Laskin Road Virginia Beach, VA 23451 (757) 425-1547

WADHWA, PUNEET KONIKOFF DENTAL ASSOCIATES INC 2100 Lynnhaven Parkway Ste #200 Virginia Beach, VA 23456 (757) 961-4000

WEIS, MORGAN PEDIATRIC DENTAL CARE OF TIDEWATER PC 2125 Mccomas Way Ste #105 Virginia Beach, VA 23456 (757) 484-8262

PERIODONTIST BARR, BRUCE BRUCE K BARR DDS PC 1369 Laskin Road Virginia Beach, VA 23451 (757) 422-0005

KONIKOFF SALZBERG PERIODONTICS LTD 477 Viking Drive #190 Virginia Beach, VA 23452 (757) 486-8611

KONIKOFF, BRYAN KONIKOFF SALZBERG PERIODONTICS LTD 477 Viking Drive #190 Virginia Beach, VA 23452 (757) 486-8611

HOWARD A MENELSOHN DDS PC 6095 Indian River Rd Virginia Beach, VA 23464 (757) 424-1976

ROGGE, ROD ROD ROGGE DDS PC 762 Independence Blvd Ste 500 Virginia Beach, VA 23455 (757) 333-7444

ROSS, JOHN JOHN J ROSS DDS 621 Lynnhaven Pkwy Ste 255 Virginia Beach, VA 23452 (757) 340-2356

SALZBERG, TRANG KONIKOFF SALZBERG PERIODONTICS LTD 477 Viking Drive #190 Virginia Beach, VA 23452 (757) 486-8611

PARTICIPATING PROVIDERS

COX PEDIATRIC DENTISTRY PC 3145 Virginia Beach Blvd Ste 200 Virginia Beach, VA 23452 (757) 340-2400

NIVER, ERIC

SHULMAN, JEREMY JEREMY SHULMAN 1301 First Colonial Rd Virginia Beach, VA 23454 (757) 496-8070

KOOSHKI, BIJAN HOWARD A MENELSOHN DDS PC 6095 Indian River Rd Virginia Beach, VA 23464 (757) 424-1976

LANDY, NEIL NEIL A LANDY DMD 281 Independence Bl #231 Virginia Beach, VA 23462 (757) 490-3830

MARINAK, KENNETH BRUCE K BARR DDS PC 1369 Laskin Road Virginia Beach, VA 23451 (757) 422-0005

MARINAK, KENNETH BRUCE K BARR DDS PC 853 Kempsville Rd Virginia Beach, VA 23464 (757) 467-0404

PROSTHODONTIST BRADY, TIMOTHY TOWN CENTER FAMILY DENTISTRY 4701 Columbus St Ste 105 Virginia Beach, VA 23462 (757) 473-5706

DAVIS, KEENAN PARTNERS IN DENTAL HEALTH IV 2245 W Great Neck Rd #1 Virginia Beach, VA 23451 (757) 481-7392

DAVIS, KEENAN PARTNERS IN DENTAL HEALTH 317 Edwin Dr Virginia Beach, VA 23462 (757) 499-2100

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

180

Delta Dental Premier

VIRGINIA (CONT'D) VIRGINIA BEACH DAVIS, KEENAN PARTNERS IN DENTAL HEALTH V LLC 3809 Princess Anne Rd. Ste. #111 Virginia Beach, VA 23456 (757) 471-6672

SADR, LIDA

WARRENTON ENDODONTIST EHRETH, JOHN JOHN S EHRETH DDS 10 Rock Pointe Ln Warrenton, VA 20186 (540) 351-0009

GENERAL DENTIST ALLISON, WILLIAM ROBERT C FLIKEID DDS PL 220 Culpeper Street Suite 201 Warrenton, VA 20186 (540) 347-3396

AWADZI, GERALD NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

BAXI, FAIRY NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

CHILDRESS, JAMIE G VINCENT J MURRAY DDS PC 5 Rock Pointe Ln #100 Warrenton, VA 20186 (540) 349-0056

CROWDER, CURTIS JASON S WOODSIDE DDS & THOMAS C SENTZ DDS PC 361 Walker Dr Ste 204 Warrenton, VA 20186 (540) 341-4111

KAZMI, SANA

SHEARER, RYAN

HERRMANN & DESIO LLC 24B John Marshall St Warrenton, VA 20186 (540) 347-5000

NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

RYAN M SHEARER DDS LTD 381 Stuyvesant Street Suite #3 Warrenton, VA 20186 (540) 347-2233

FLIKEID, ROBERT

KHURANA, NATASHA

TSAI, CHIH-PING

ROBERT C FLIKEID DDS PL 220 Culpeper Street Suite 201 Warrenton, VA 20186 (540) 347-3396

HOSPITAL DENTISTRY FOR KIDS 500 Hospital Dr Warrenton, VA 20186 (571) 308-2997

NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

FOSTER, BONNIE

KIM, CHAD

TUDOR, CYNTHIA

WARRENTON DENTAL CENTER PLLC 410 Rosedale Court #170 Warrenton, VA 20186 (540) 351-0170

NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

THOMAS C SENTZ DDS 33 Main Street Warrenton, VA 20186 (540) 347-4154

KOERNER, MICHAEL

VLASEK, NATALIE

ROBERT C FLIKEID DDS PL 220 Culpeper Street Suite 201 Warrenton, VA 20186 (540) 347-3396

ROBERT C FLIKEID DDS PL 220 Culpeper Street Suite 201 Warrenton, VA 20186 (540) 347-3396

MESSIH, HAIDY

WALTHER, WILLIAM

NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

RYAN M SHEARER DDS LTD 381 Stuyvesant Street Suite #3 Warrenton, VA 20186 (540) 347-2233

MURRAY, VINCENT

WOODSIDE, JASON

VINCENT J MURRAY DDS PC 5 Rock Pointe Ln #100 Warrenton, VA 20186 (540) 349-0056

JASON S WOODSIDE DDS & THOMAS C SENTZ DDS PC 361 Walker Dr Ste 204 Warrenton, VA 20186 (540) 341-4111

GRIFFIN, SUSAN THOMAS C SENTZ DDS 33 Main Street Warrenton, VA 20186 (540) 347-4154

GRIFFIN, SUSAN JASON S WOODSIDE DDS & THOMAS C SENTZ DDS PC 361 Walker Dr Ste 204 Warrenton, VA 20186 (540) 341-4111

HARRE, JOHN JOHN W HARRE DDS PC 10 Rock Point Ln Warrenton, VA 20186 (540) 349-1220

PARTICIPATING PROVIDERS

HOWARD A MENELSOHN DDS PC 6095 Indian River Rd Virginia Beach, VA 23464 (757) 424-1976

DESIO, JOSEPH

RACZYNSKA, ANETA HARRIS, JEFFREY JEFFREY A HARRIS DDS PC 420 Hospital Dr Warrenton, VA 20186 (540) 347-2777

NEIBAUER DENTAL CARE PC 251 West Lee Hwy #197 Warrenton, VA 20186 (540) 347-9364

REKOW, MARLIN HERRMANN, HENRY HERRMANN & DESIO LLC 24B John Marshall St Warrenton, VA 20186 (540) 347-5000

MARLIN F REKOW DDS PC 127 E Shirley Avenue Warrenton, VA 20186 (540) 878-5903

SENTZ, THOMAS HOFFMAN, GERALD GERALD A HOFFMAN 6402 Lee Highway Warrenton, VA 20187 (540) 347-5650

JELINEK, JAMES JAMES W JELINEK DDS & SUSAN A YUNG DDS PC 60 Rock Pointe Ln Warrenton, VA 20186 (540) 349-0033

THOMAS C SENTZ DDS 33 Main Street Warrenton, VA 20186 (540) 347-4154

SENTZ, THOMAS JASON S WOODSIDE DDS & THOMAS C SENTZ DDS PC 361 Walker Dr Ste 204 Warrenton, VA 20186 (540) 341-4111

YUNG, SUSAN JAMES W JELINEK DDS & SUSAN A YUNG DDS PC 60 Rock Pointe Ln Warrenton, VA 20186 (540) 349-0033

ZOPP, BRYAN ROBERT C FLIKEID DDS PL 220 Culpeper Street Suite 201 Warrenton, VA 20186 (540) 347-3396

ORAL SURGEON CHANG, BRIAN WARRENTON DENTAL CENTER PLLC 410 Rosedale Court #170 Warrenton, VA 20186 (540) 351-0170

ORTHODONTIST

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

181

Delta Dental Premier

VIRGINIA (CONT'D) WARRENTON ERRERA, JOSEPH ALFRED C GRIFFIN JR DDS LTD 179 Broadview Avenue Warrenton, VA 20186 (540) 347-1888

GRIFFIN, ALFRED

WARSAW FAMILY DENTISTRY Po Box 367 5671 Richmond Rd Warsaw, VA 22572 (804) 333-4054

PUGH, ROY ROY E PUGH DDS LTD 5671 Richmond Rd Warsaw, VA 22572 (804) 333-4054

WASHINGTON GENERAL DENTIST ASHMAWY, TAREK

MILLER, JULIANA MILLER ORTHODONTICS PC 361 Walker Dr Ste 201 Warrenton, VA 20186 (540) 349-1331

RAPPAHANNOCK DENTAL CARE 12699 Lee Hwy Washington, VA 22747 (540) 987-9872

KANUMILLI, SOWMYA MILLER, ROBERT MILLER ORTHODONTICS PC 361 Walker Dr Ste 201 Warrenton, VA 20186 (540) 349-1331

RAPPAHANNOCK DENTAL CARE 12699 Lee Hwy Washington, VA 22747 (540) 987-9872

WAYNESBORO PEDIATRIC DENTIST/PEDODONTIST WOODSIDE, JENNIFER WOODSIDE PEDIATRIC DENTISTRY 331 Walker Dr #2 Warrenton, VA 20186 (540) 341-0014

PERIODONTIST HIRSHMAN, NINA PIEDMONT PERIODONTICS 331 Walker Dr #1 Warrenton, VA 20186 (540) 347-0957

SANZ-MOLINER, JAVIER WARRENTON DENTAL CENTER PLLC 410 Rosedale Court #170 Warrenton, VA 20186 (540) 351-0170

WARSAW GENERAL DENTIST CHANDLER, IRINA CHANDLER FAMILY DENTISTRY 253 Main St Warsaw, VA 22572 (804) 333-0226

GENERAL DENTIST BERBES, WILLIAM BERBES WILLIAM C 1305 13Th Street Waynesboro, VA 22980 (540) 949-8550

BOWMAN, KENNETH BOWMAN FAMILY DENTISTRY PLLC 2542 Jefferson Highway Ste 104 Waynesboro, VA 22980 (540) 943-8545

CHALDARES, DIANE CHALDARES DIANE P 101 Pelham Dr. Waynesboro, VA 22980 (540) 943-9703

CROWDER, CURTIS CROWDER COMPREHENSIVE DENTISTRY 41 Stoneridge Dr Waynesboro, VA 22980 (540) 943-5211

CROWDER, E CROWDER COMPREHENSIVE DENTISTRY 41 Stoneridge Dr Waynesboro, VA 22980 (540) 943-5211

CUNNINGHAM, MICHAEL MICHAEL T CUNNINGHAM DDS PC 365 S Linden Ave Waynesboro, VA 22980 (540) 943-4215

WILSON, ROBERT ROBERT CLYDE WILSON DDS PC 437 S Magnolia Ave Waynesboro, VA 22980 (540) 943-7077

ORAL SURGEON

DAVIS, RUSTY

COLLINS, R

MAGNOLIA DENTAL CORPORATION PC 400 S Magnolia Ave Waynesboro, VA 22980 (540) 943-2723

R JONAS COLLINS DMD PC 920 Shenandoah Village Dr #122 Waynesboro, VA 22980 (540) 949-5333

KLAMUT, KENNETH KIVLIGHAN, MICHAEL MICHAEL F KIVLIGHAN DDS PC 1305 13Th St Unit D-2 Waynesboro, VA 22980 (540) 943-1222

KENNETH M KLAMUT DDS 361 South Linden Ave Waynesboro, VA 22980 (540) 943-8476

LACY, JOHN MANSFIELD, RICHARD RICHARD S MANSFIELD DDS PC 107 Stonewall Dr Waynesboro, VA 22980 (540) 943-2859

MILLER, RICHARDS MAGNOLIA DENTAL CORPORATION PC 400 S Magnolia Ave Waynesboro, VA 22980 (540) 943-2723

ROLLER, J DANIEL ROLLER FAMILY DENTISTRY PC 1420 13Th St Waynesboro, VA 22980 (540) 943-1114

ROLLER, JOHN ROLLER FAMILY DENTISTRY PC 1420 13Th St Waynesboro, VA 22980 (540) 943-1114

SHIN, REBECCA BOWMAN FAMILY DENTISTRY PLLC 2542 Jefferson Highway Ste 104 Waynesboro, VA 22980 (540) 943-8545

STOUT, MICHAEL MICHAEL E STOUT DDS PC 30 Stoneridge Dr #102 Waynesboro, VA 22980 (540) 949-8053

JOHN H LACY JR 361 S Linden Ave Waynesboro, VA 22980 (540) 943-8476

ORTHODONTIST ASHLEY, CHANDA DWYER & ASHLEY ORTHODONTICS 2542 Jefferson Highway Waynesboro, VA 22980 (540) 943-1865

PARTICIPATING PROVIDERS

ALFRED C GRIFFIN JR DDS LTD 179 Broadview Avenue Warrenton, VA 20186 (540) 347-1888

LEE, SOLOMON

PEDIATRIC DENTIST/PEDODONTIST PETERS, BARRETT PIEDMONT PEDIATRIC DENTISTRY 2520 West Main Street Waynesboro, VA 22980 (434) 973-4344

WEST POINT GENERAL DENTIST DELPH, BRADLEY SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

ENGLISH, SAM SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

182

Delta Dental Premier

VIRGINIA (CONT'D) WEST POINT JIWANI, MUNIRA SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

NASIF, YASER

NEALE, MARK DR MARK M NEALE DDS 428 9Th St West Point, VA 23181 (804) 843-3602

NGUYEN, VIET SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

RAPHAEL, JEFF SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

VOLKOVA, IRINA SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

WEYERS CAVE GENERAL DENTIST WADE, TIMOTHY TIMOTHY R WADE DDS 1151 Keezle Town Rd Weyers Cave, VA 24486 (540) 234-8686

WILLIAMSBURG ENDODONTIST HAKE, TERRY TERRY H HAKE DDS PC 1761 Jamestown Rd Ste 102 Williamsburg, VA 23185 (757) 229-4115

BURDEN, JAMES

ENGLISH, SAM

NEW TOWN DENTAL ARTS 4939 Courthouse St Williamsburg, VA 23188 (757) 259-0741

JAMES A BURDEN DDS 277 Mclaws Cir Williamsburg, VA 23185 (757) 229-1224

SAM E ENGLISH II DDS LLC 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 258-1042

JORDAN, KALISHA

CAPRIO, DIANNE

FASHING, GISELA

JORDAN ENDODONTICS 105 Bulifants Blvd #B Williamsburg, VA 23188 (757) 903-2577

NEW TOWN DENTAL ARTS 4939 Courthouse St Williamsburg, VA 23188 (757) 259-0741

GISELA FASHING DDS 325 Mclaws Cir Ste 1 Williamsburg, VA 23185 (757) 229-8991

THOMPSON, MATTHEW

CHERRY, DONALD

FASHING, MARIA

JORDAN ENDODONTICS 105 Bulifants Blvd #B Williamsburg, VA 23188 (757) 903-2577

DR D W CHERRY DDS FAGD PC 2225 South Henry St #1 Williamsburg, VA 23185 (757) 253-2500

GISELA FASHING DDS 325 Mclaws Cir Ste 1 Williamsburg, VA 23185 (757) 229-8991

CONTRACT, MONICA

FISCELLA, HELEN

MONICA J CONTRACT DMD PC 1130 Old Colony La #100 Williamsburg, VA 23185 (757) 220-6727

HELEN C FISCELLA DDS PC 1161 Professional Dr Williamsburg, VA 23185 (757) 253-0400

GENERAL DENTIST BELL, TAMMARA WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

BENCH, STEPHEN JAMES A BURDEN DDS 277 Mclaws Cir Williamsburg, VA 23185 (757) 229-1224

BLANEY, THEODORE BLANEY LACHINE BOXX PC 1118-A Professional Dr Williamsburg, VA 23185 (757) 229-5570

BOXX, ERIC BLANEY LACHINE BOXX PC 1118-A Professional Dr Williamsburg, VA 23185 (757) 229-5570

BROAS, WILLIAM ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

BROAS, WILLIAM ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

BULLOCK, STEVE WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

CONTRACT, MONICA CAROL F MORGAN DDS PC 1130 Old Colony Lane Suite 100 Williamsburg, VA 23185 (757) 220-6727

FOSTER, PETER ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

CURRY, LISA

FOSTER, PETER

CURRY DENTAL CENTER PLC 312-H Lightfoot Rd Williamsburg, VA 23188 (757) 220-3450

ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

CWIAK, KARI

FREY, GILBERT

WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

HELEN C FISCELLA DDS PC 1161 Professional Dr Williamsburg, VA 23185 (757) 253-0400

PARTICIPATING PROVIDERS

SAM E ENGLISH II DDS LTD 628 Main St West Point, VA 23181 (804) 843-3233

HORSPOOL, BRYAN

FULLER, ROSS DOERING, STEVEN ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

WILLIAMSBURG DENTAL GROUP PLC 106 Bacon Ave Williamsburg, VA 23185 (757) 229-3099

DOERING, STEVEN

FULLER, ROSS

ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

WILLIAMSBURG DENTAL GROUP PLC 1319 Jamestown Rd Williamsburg, VA 23185 (757) 229-7210

DUNNILL, BRETT WILLIAMSBURG FAMILY DENTISTRY 213 Bulifants Blvd #E Williamsburg, VA 23188 (757) 345-5500

FULLERTON, WILLIAM WILLIAMSBRG AREA MED ASST CORP 5249 Old Towne Rd Williamsburg, VA 23188 (757) 259-3258

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

183

Delta Dental Premier

VIRGINIA (CONT'D) WILLIAMSBURG GILFILLAN, ANDREW ANDREW G GILFILLAN DDS 491 Mclaws Circle #1 Williamsburg, VA 23185 (757) 253-0598

GOLDSTEIN, IRA

GOLDSTEIN, IRA ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

GRAHAM-MONTAQUE, RANA PEDIATRIC DENTAL SPECIALISTS PLLC 213 Bulifants Blvd #B Williamsburg, VA 23188 (866) 977-8747

HALL, STACEY WILLIAMSBURG CENTER FOR DENTAL HEALTH 5231 Monticello Ave Williamsburg, VA 23188 (757) 565-6303

HARTLEY, JACOB ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

HARTLEY, JACOB ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

HAWTHORNE, BURNELL LIFETIME FAMILY DENTAL 7349 Richmond Rd Williamsburg, VA 23188 (757) 564-8942

HENLEY, C TIMOTHY K JOHNSTON DDS & ASSOCIATES 7450 Richmond Rd Williamsburg, VA 23188 (757) 564-0804

MCCRADY, CARL

NESTER, ASHLEY

WILLIAMSBURG FAMILY DENTISTRY 213 Bulifants Blvd #E Williamsburg, VA 23188 (757) 345-5500

ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

WILLIAMSBURG DENTAL GROUP PLC 106 Bacon Ave Williamsburg, VA 23185 (757) 229-3099

MILLER, JULIAN

NESTER, ASHLEY

IRELAND, MICHAEL WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

MORGAN, CAROL JOHNSON, JUSTIN NEW TOWN DENTAL ARTS 4939 Courthouse St Williamsburg, VA 23188 (757) 259-0741

MONICA J CONTRACT DMD PC 1130 Old Colony La #100 Williamsburg, VA 23185 (757) 220-6727

MORRISON, ROBERT KADOLPH, ADAM ADAM J KADOLPH DMD PC 7151 Richmond Rd Ste 303 Williamsburg, VA 23188 (757) 565-3737

KUPCHA, JOHN TIMOTHY K JOHNSTON DDS & ASSOCIATES 7450 Richmond Rd Williamsburg, VA 23188 (757) 564-0804

LACHINE, RICHARD BLANEY LACHINE BOXX PC 1118-A Professional Dr Williamsburg, VA 23185 (757) 229-5570

MAHARTY, DAVID ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

MAHARTY, DAVID ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

MCCOY, RICHARD GISELA FASHING DDS 325 Mclaws Cir Ste 1 Williamsburg, VA 23185 (757) 229-8991

MCCRADY, CARL ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

WILLIAMSBURG DENTAL GROUP PLC 1319 Jamestown Rd Williamsburg, VA 23185 (757) 229-7210

NGUYEN, VIET SAM E ENGLISH II DDS LLC 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 258-1042

OGLESBY, JEFFREY OGLESBY JEFFREY S 1313 Jamestown Rd #205 Williamsburg, VA 23185 (757) 229-3052

MORRISON, ROBERT ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

MORRISON, ROBERT CRANIAL FACIAL IMAGING CENTER INC 7151 Richmond Rd #306 Williamsburg, VA 23188 (757) 476-6714

MURPHY, STEPHEN ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

MURPHY, STEPHEN ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

NASIF, YASER SAM E ENGLISH II DDS LLC 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 258-1042

NEALE, MARK DR MARK M NEALE DDS 5000 New Point Rd #2101 Williamsburg, VA 23188 (757) 229-8050

OWENS, EDWARD EDWARD A OWENS INC 211 Bulifants Blvd Ste A Williamsburg, VA 23188 (757) 229-6414

PARTICIPATING PROVIDERS

ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

HUBBARD, RACHEL

PATEL, ANISHA ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

PETERSEN, KATHERINE WILLIAMSBURG CENTER FOR DENTAL HEALTH 5231 Monticello Ave Williamsburg, VA 23188 (757) 565-6303

PHILLIPS, SARAH WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

PIASCIK, CHRISTINE CHRISTINE L PIASCIK DDS 1769 B Jamestown Road Williamsburg, VA 23185 (757) 229-8920

RAPHAEL, JEFF SAM E ENGLISH II DDS LLC 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 258-1042

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

184

Delta Dental Premier

VIRGINIA (CONT'D) WILLIAMSBURG RUBIN, RICK WILLIAMSBURG FAMILY DENTISTRY 213 Bulifants Blvd #E Williamsburg, VA 23188 (757) 345-5500

ROBERT F MORRISON DMD PC 1131 Professional Drive Williamsburg, VA 23185 (757) 220-0330

SANCHEZ OCASIO, JESUS ROBERT F MORRISON DMD PC 7151 Richmond Rd #305 Williamsburg, VA 23188 (757) 258-7778

SARMIERE, LAWRENCE HELEN C FISCELLA DDS PC 1161 Professional Dr Williamsburg, VA 23185 (757) 253-0400

SCHUMANN, NANCY NANCY Y SCHUMANN DDS PC 5330 Discovery Park Blvd Williamsburg, VA 23188 (757) 564-0900

SHUCK, MICHAEL MICHAEL C SHUCK DDS PC 1480-2A Quarterpath Rd Williamsburg, VA 23185 (757) 345-2295

SMALLS, RONALD RONALD J SMALLS DDS 1309 Jamestown Rd Ste 103 Williamsburg, VA 23185 (757) 229-0620

SPEEGLE, JOHN LIFETIME FAMILY DENTAL 7349 Richmond Rd Williamsburg, VA 23188 (757) 564-8942

SPRINGMANN, SEBASTIANA NEW TOWN DENTAL ARTS 4939 Courthouse St Williamsburg, VA 23188 (757) 259-0741

MORGAN, JOHN

PUGLIESE, RICHARD

STENSLAND DENTAL STUDIO 5372 Discovery Park Blvd #104 Williamsburg, VA 23188 (757) 645-4055

WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

STENVALL, MEGHAN TIMOTHY K JOHNSTON DDS & ASSOCIATES 7450 Richmond Rd Williamsburg, VA 23188 (757) 564-0804

WEST, L

PERIODONTIST

WILLIAMSBURG ORAL & MAXILLOFACIAL SURGERY PC 195 Strawberry Plains Rd Williamsburg, VA 23188 (757) 229-6692

VOLKOVA, IRINA SAM E ENGLISH II DDS LLC 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 258-1042

WALKER, DAVID WALKER DAVID G 813 Richmond Rd Williamsburg, VA 23185 (757) 229-6278

WENDELL, BRYAN BLANEY LACHINE BOXX PC 1118-A Professional Dr Williamsburg, VA 23185 (757) 229-5570

WHYTE, MICHAEL MICHAEL J WHYTE DDS PC 134 Professional Circle Williamsburg, VA 23185 (757) 903-2529

WINNEBERGER, WALTER WALTER GEORGE WINNEBERGER 104 Bypass Road #202 Williamsburg, VA 23185 (757) 229-6960

ORAL SURGEON HARTMANN, PAUL PAUL K HARTMANN DDS PLLC 1323 Jamestown Rd #203 Williamsburg, VA 23185 (757) 253-2393

KIELY, KEVIN COASTAL ORAL MAXILLOFACIAL SURG & IMPLANTS 5408 Discovery Park Blvd #101 Williamsburg, VA 23188 (757) 208-0138

ORTHODONTIST BERRY, ZANE PARKS ORTHODONTICS PC 1116-A Professional Dr Williamsburg, VA 23185 (757) 229-4181

NIVER, ERIC NEW TOWN DENTAL ARTS 4939 Courthouse St Williamsburg, VA 23188 (757) 259-0741

SCHROER, MICHAEL MICHAEL SCHROER DDS 461 Mclaws Cir Ste 1 Williamsburg, VA 23185 (757) 221-0249

WINCHESTER JONES, ANTONIA WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

PARKS, MEREDITH PARKS ORTHODONTICS PC 1116-A Professional Dr Williamsburg, VA 23185 (757) 229-4181

WENDELL, PETER WILLIAMSBURG ORTHODONTICS 4097-A Ironbound Rd Williamsburg, VA 23188 (757) 253-1200

PEDIATRIC DENTIST/PEDODONTIST BRAXTON, DARCHELLE WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

GAROFALIS, HARALAMBOS WILLIAMSBURG PEDIATRIC DENTISTRY PLLC 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 (757) 259-9703

PUGLIESE, RICHARD RICHARD A PUGLIESE DDS 5388 Discovery Park Blvd Ste 240 Williamsburg, VA 23188 (757) 259-9703

GENERAL DENTIST ADEEB, AYMAN VALLEY DENTAL GROUP 500 W Jubal Early Dr #200 Winchester, VA 22601 (540) 535-2006

AGRAWAL, NITIN

PARTICIPATING PROVIDERS

SANCHEZ OCASIO, JESUS

STENSLAND, STEVEN

KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

AMOS, ROBERT DAVIS FAMILY DENTAL 2270 Valor Dr Ste 105 Winchester, VA 22601 (540) 545-7878

BOTROS, MENA VALLEY DENTAL GROUP 500 W Jubal Early Dr #200 Winchester, VA 22601 (540) 535-2006

CHOI, SUNGWON KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

CLAROS, CLAUDIA KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

185

Delta Dental Premier

VIRGINIA (CONT'D) WINCHESTER DAVIS, JEFFREY DAVIS FAMILY DENTAL 2270 Valor Dr Ste 105 Winchester, VA 22601 (540) 545-7878

GARNES, RICHARD

GROMLING, THOMAS

VARANELLI, FRANKLIN

MORGAN, DAVID

KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

FRANK J VARANELLI DDS PC 522 Amherst St Winchester, VA 22601 (540) 667-9180

SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC 170 Garber Ln Ste 2 Winchester, VA 22602 (540) 667-0100

LEE, SI-HYEON SHINE DENTAL 381 Gateway Drive #9 Winchester, VA 22603 (540) 773-3206

LESKIV, VASYL GIOVANNI P IUCULANO DDS PC 212 Linden Dr Ste 150 Winchester, VA 22601 (540) 662-4866

DENTAL CLINIC OF NORTHERN SHENANDOAH VALLEY 301 North Cameron St #200 Winchester, VA 22601 (540) 536-1684

MILLER, TAMMIE

HAYNIE, TALON

NEUMANN, JOHN

TALON HAYNIE DDS PLLC 1813 Plaza Dr Winchester, VA 22601 (801) 361-8021

JOHN H NEUMANN DDS PC 1002 Amherst St Bldg B Winchester, VA 22601 (540) 667-7600

HEGGADE, SOUMYATA

NICHOLS, ASHLEY

VALLEY DENTAL GROUP 500 W Jubal Early Dr #200 Winchester, VA 22601 (540) 535-2006

KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

IUCULANO, GIOVANNI

NWANESHIUDU, CHIOMA

GIOVANNI P IUCULANO DDS PC 212 Linden Dr Ste 150 Winchester, VA 22601 (540) 662-4866

KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

KING, ROBERT

RICHARDSON, KELLY

ROBERT D KING DDS 1220 Amherst St Winchester, VA 22601 (540) 662-4328

GIOVANNI P IUCULANO DDS PC 212 Linden Dr Ste 150 Winchester, VA 22601 (540) 662-4866

KNOTTS, CINDY

SAIF, MINA

WINCHESTER FAMILY DENTISTRY 3034 Valley Ave #104 Winchester, VA 22601 (540) 665-0077

VALLEY DENTAL GROUP 500 W Jubal Early Dr #200 Winchester, VA 22601 (540) 535-2006

T K NEAL MILLER DDS PC 2325 Valor Drive Winchester, VA 22601 (540) 450-8888

THAMMINENI, KISHORE LE, BAO-QUYEN KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

WINCHESTER FAMILY DENTAL CARE 1330 Amherst St Ste B Winchester, VA 22601 (540) 773-3282

WESTOVER, AUSTIN JOHN H NEUMANN DDS PC 1002 Amherst St Bldg B Winchester, VA 22601 (540) 667-7600

WESTOVER, MITRA JOHN H NEUMANN DDS PC 1002 Amherst St Bldg B Winchester, VA 22601 (540) 667-7600

WON, JENNIFER ROBERT D KING DDS 1220 Amherst St Winchester, VA 22601 (540) 662-4328

WRYTER, JULIET KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

ZEBARTH, STEPHEN STEPHEN M ZEBARTH DDS PC 110 West Cork St Winchester, VA 22601 (540) 722-4182

ORAL SURGEON AMOS, EDWARD EDWARD L AMOS DDS 1002A Amherst St Winchester, VA 22601 (540) 667-8287

COVIELLO, VINCENT WINCHESTER ORAL SURGERY CENTER PC 172 Linden Dr #111 Winchester, VA 22601 (540) 536-3100

PELL, JAMES SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC 170 Garber Ln Ste 2 Winchester, VA 22602 (540) 667-0100

REDMON, DAVID DR ERIC REDMON DDS 36 W Whitlock Ave Winchester, VA 22601 (540) 665-4432

STARLEY, ERIC WINCHESTER ORAL SURGERY CENTER PC 172 Linden Dr #111 Winchester, VA 22601 (540) 536-3100

WANG, RICHARD SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC 170 Garber Ln Ste 2 Winchester, VA 22602 (540) 667-0100

PARTICIPATING PROVIDERS

RICHARD O GARNES DDS PLC 1813 Plaza Dr Winchester, VA 22601 (540) 667-3267

LEE, SI-HYEON

ORTHODONTIST STAGGERS, JULIE JULIE A STAGGERS DDS MS 3052 Valley Ave Ste 100 Winchester, VA 22601 (540) 722-6700

PEDIATRIC DENTIST/PEDODONTIST AGARWAL, GAURAV VALLEY PEDIATRIC DENTISTRY 1705 Amherst St Ste 201 Winchester, VA 22601 (540) 667-5437

AGARWAL, GAURAV IYER, MALINI WINCHESTER ORAL SURGERY CENTER PC 172 Linden Dr #111 Winchester, VA 22601 (540) 536-3100

VALLEY PEDIATRIC DENTISTRY 650 Cedar Creek Grade Ste 205 Winchester, VA 22601 (540) 667-5437

GIBSON, MELISSA SHENANDOAH SMILES PEDATRIC DENTISTRY 519 West Jubal Early Dr #101 Winchester, VA 22601 (855) 549-4146

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

186

Delta Dental Premier

VIRGINIA (CONT'D)

GENERAL DENTIST KILGORE, ROBERT

WINCHESTER MERDAD, HISHAM KOOL SMILES VAN PC 2065 S Pleasant Valley Rd Winchester, VA 22601 (540) 931-0300

ROBERT D KILGORE DMD PC 106 Water St Wise, VA 24293 (276) 328-5291

WOODBRIDGE ENDODONTIST

PERIODONTIST SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 1705 Amherst St #202 Winchester, VA 22601 (540) 662-6400

ASGHAR, IRFAN DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

KESSLER, JOEL HANSON, BENJAMIN BENJAMIN S HANSON DDS MS PC 1805 Plaza Dr Winchester, VA 22601 (540) 535-0401

SAUNDERS, STEVEN SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 1705 Amherst St #202 Winchester, VA 22601 (540) 662-6400

SAUNDERS, VICTOR SHENANDOAH VALLEY IMPLANT INSTITUTE LLC 1705 Amherst St #202 Winchester, VA 22601 (540) 662-6400

WINDSOR GENERAL DENTIST DEMSKO, HAROLD DR HAROLD DEMSKO 70 E Windsor Blvd Ste D Windsor, VA 23487 (757) 242-6781

SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

LEFF, GARY DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

ANDERSON, JOSHUA

DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

GENERAL DENTIST ABDIRAHMAN, HASSANOOR WOODBRIDGE FAMILY DENTAL 13601 Office Place #202 Woodbridge, VA 22192 (703) 986-0434

AGULLANA, SHEILA SHEILA A AGULLANA 13625 Office Place #102 Woodbridge, VA 22192 (703) 670-7071

AGULLANA, SHEILA KIUMARS KARBASI DDS P C 13625 Office Place Ste 102 Woodbridge, VA 22192 (703) 670-7071

NGUYEN, TU-QUYNH DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

PATEL, PRATIK SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

DUNHAM, BENJAMIN

PATEL, PRATIK

DR HAROLD DEMSKO 70 E Windsor Blvd Ste D Windsor, VA 23487 (757) 242-6781

HANNA HANANIA DDS PC 4319 Dale Blvd Woodbridge, VA 22193 (703) 897-8554

GARDNER, DAVIS

POLLOCK, RICHARD

DR HAROLD DEMSKO 70 E Windsor Blvd Ste D Windsor, VA 23487 (757) 242-6781

DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

KIDZ DENTAL PC 13648 Jefferson Davs Hwy Woodbridge, VA 22191 (571) 441-1380

BARZGAR, ARTIN CHERRYWOOD DENTAL ASSOC 13895 Hedgewood Dr #237 Woodbridge, VA 22193 (703) 565-5078

BENSON, GERALD NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

BOUDREAU, JAMES AHMADIAN, HOSSEIN FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

MILLS, CORDELIA HANNA HANANIA DDS PC 4319 Dale Blvd Woodbridge, VA 22193 (703) 897-8554

ASHTAKALA, CHARANPREET

AHMADIYAR, SASAN LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

AKRAMI, FOROUGH COUNTY CENTER DENTAL GROUP 4008 Genesee Pl #205 Woodbridge, VA 22192 (703) 670-4888

ALATHARI, HUMAM POTOMAC DENTAL CARE PC 1912 Optiz Blvd Woodbridge, VA 22191 (703) 490-4667

ALATHARI, ZINA POTOMAC DENTAL CARE PC 1912 Optiz Blvd Woodbridge, VA 22191 (703) 490-4667

NEIBAUER DENTAL CARE PC 13334 Minnieville Rd Woodbridge, VA 22192 (703) 910-3285

BOUDREAU, JAMES

PARTICIPATING PROVIDERS

DICKSON, JEFFREY

SALLEN, BRUCE

NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

BOURONCLE, SEBASTIAN NEW SMILES DENTAL 1900 Opitz Blvd #C Woodbridge, VA 22191 (703) 494-0820

BRANDT, JASON JASON D BRANDT DDS 13663 Office Pl #103 Woodbridge, VA 22192 (703) 878-2100

BRAUNFELD, JOEL JOEL R BRAUNFELD DDS PC 2239-L Tackett'S Mill Dr Woodbridge, VA 22192 (703) 491-2200

BUKZIN, MITCHELL BUKZIN MITCHELL J 4391 Ridgewood Center Dr Woodbridge, VA 22192 (703) 590-4666

WISE Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

187

Delta Dental Premier

VIRGINIA (CONT'D) WOODBRIDGE BUKZIN, MITCHELL KARINA VERA-LOPEZ DDS PLLC 4391 Ridgewood Center Dr, Ste C Woodbridge, VA 22192 (703) 590-4666

CERTA, KIMBERLY

CHOHAN, EMA FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

CHOI, MI-YON GREATER PRINCE WILLIAM COMM HEALTH CTR 4379 Ridgewood Center Dr #102 Woodbridge, VA 22192 (703) 680-7950

COLEMAN, MARILYN MARILYN E COLEMAN DDS 2200 Opitz Blvd Ste 220 Woodbridge, VA 22191 (703) 492-0080

COLINA, KEVIN SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

CREAMER, WESLEY WESLEY S CREAMER DMD PLC 4315 Ridgewood Center Dr Woodbridge, VA 22192 (703) 670-4994

CUELLAR-CORDOVA, ELIANA GREATER PRINCE WILLIAM COMM HEALTH CTR 4379 Ridgewood Center Dr #102 Woodbridge, VA 22192 (703) 680-7950

DHILLON, NAVNEET NEIBAUER DENTAL CARE PC 13334 Minnieville Rd Woodbridge, VA 22192 (703) 910-3285

GERALD, MATTHEW

JAVIER, RYAN

NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

MATTHEW P GERLAD DDS 1918 Opitz Blvd Woodbridge, VA 22191 (703) 494-2144

SMILE DENTAL CARE PC 13885 Hedgewood #101 Woodbridge, VA 22193 (703) 763-3371

DOAN, THAO

GOMEZ, PATRICIA

KARBASI, KIUMARS

DENTAL CENTER AT LAKE RIDGE 12764 Darby Brooke Court Woodbridge, VA 22192 (703) 499-8888

FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

KIUMARS KARBASI DDS P C 13625 Office Place Ste 102 Woodbridge, VA 22192 (703) 670-7071

GUTIERREZ, NORMA

KHASRAGHI, FARANAK

NORMA GUTIERREZ DDS 13625 Office Pl #102 Woodbridge, VA 22192 (703) 670-7071

COUNTY CENTER DENTAL GROUP 4008 Genesee Pl #205 Woodbridge, VA 22192 (703) 670-4888

DOMBROSKI, JESSICA ERIC C VASEY DDS 13478 Minnieville Rd #202 Woodbridge, VA 22192 (703) 670-5376

HANANIA, HANNA DULABH, MITA SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

HANNA HANANIA DDS PC 4319 Dale Blvd Woodbridge, VA 22193 (703) 897-8554

KIM, ANDREW ANDREW Y KIM DDS PC 12618 Lake Ridge Dr Woodbridge, VA 22192 (703) 494-2150

HEDAYATI, KOUROS DUMLAO, RUSTICO ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

DUMLAO, RUSTICO ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

DUNN, NOELLE SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

ESTELL, JENNILYN MARILYN E COLEMAN DDS 2200 Opitz Blvd Ste 220 Woodbridge, VA 22191 (703) 492-0080

GARCIA, MAURICIO ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

GARCIA, MAURICIO ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

KIM, PETER

HODGE, JEREMY

KIM, SANDRA

KIDZ DENTAL PC 13648 Jefferson Davs Hwy Woodbridge, VA 22191 (571) 441-1380

GREATER PRINCE WILLIAM COMM HEALTH CTR 4379 Ridgewood Center Dr #102 Woodbridge, VA 22192 (703) 680-7950

PETER H D KIM DDS PC 14136 Minnieville Rd Woodbridge, VA 22193 (703) 583-4466

PARTICIPATING PROVIDERS

KIMBELY CERT DDS PLC 12739 Directors Loop Woodbridge, VA 22192 (703) 494-4490

DHILLON, NAVNEET

HOWELL, JOHN JOHN N HOWELL II DDS LTD 14007 Minnieville Rd Woodbridge, VA 22193 (703) 670-5414

KING, MICHAEL TEAM DENTAL 16689 River Ridge Blvd Woodbridge, VA 22191 (703) 221-9759

IMAO, JOSEMARI ANGEL HANDS DENTISTRY PLLC 13824 Smoketown Rd Woodbridge, VA 22192 (571) 285-2980

KWATRA, SAMEER SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

JAMALI, MOJGAN FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

LE, HANG FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

JAVA, ROBERT ROBERT G JAVA 3401 Commission Ct #202 Woodbridge, VA 22192 (703) 494-7799

LIN, SANDY SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

188

Delta Dental Premier

VIRGINIA (CONT'D) WOODBRIDGE LOBO, CHERYL WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

LOBO, NATALIE

PHAN, THOAIVAN

SIDOR, ANNA

LAWRENCE R MULLER DDS PC 3302 Old Bridge Road #F Woodbridge, VA 22192 (703) 497-9709

ANGEL HANDS DENTISTRY PLLC 13824 Smoketown Rd Woodbridge, VA 22192 (571) 285-2980

DRS LEVIN LEFF POLLOCK & ASSOCIATES LTD 12701 Marblestone Dr #180 Woodbridge, VA 22192 (571) 298-2000

MWENDO, JIMANI

PRASANNA, MYSORE

NEIBAUER DENTAL CARE PC 13334 Minnieville Rd Woodbridge, VA 22192 (703) 910-3285

SMILE FOR LIFE DENTISTRY 1455 Old Bridge Rd Ste 205 Woodbridge, VA 22192 (703) 494-2226

NALLURI, JATIN

PUNAJI, SOWMYA

NEIBAUER DENTAL CARE PC 13334 Minnieville Rd Woodbridge, VA 22192 (703) 910-3285

LEGACY DENTAL CARE 12739 Directors Loop Woodbridge, VA 22192 (703) 494-4490

NGUYEN, CINDY

RAY, SHEETAL

NEW SMILES DENTAL 1900 Opitz Blvd #C Woodbridge, VA 22191 (703) 494-0820

SMILE DENTAL CARE PC 13885 Hedgewood #101 Woodbridge, VA 22193 (703) 763-3371

GREATER PRINCE WILLIAM COMM HEALTH CTR 4379 Ridgewood Center Dr #102 Woodbridge, VA 22192 (703) 680-7950

LOTFI, PATRICK

NGUYEN, KEVIN

LOBO, ROBERT

WOODBRIDGE COMFORT DENTAL CARE 14605 Potomac Branch Dr #120 Woodbridge, VA 22191 (703) 580-8181

KEVIN NGUYEN DDS PLLC 14130 Noble Wood Plz Ste 207-208 Woodbridge, VA 22193 (703) 878-9000

WOODBRIDGE DENTAL CENTER 4585 Daisy Reid Ave #101 Woodbridge, VA 22192 (703) 680-9296

NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

KIDZ DENTAL PC 13648 Jefferson Davs Hwy Woodbridge, VA 22191 (571) 441-1380

CHRISTINE L MAI 13885 Hedgewood Dr Ste 209 Woodbridge, VA 22193 (571) 285-5023

NILES RAYMOND R 1960 Daniel Stuart Sq Woodbridge, VA 22191 (703) 494-4101

FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

KOUROSH MEHRABIAN DDS & ASSOC PC 14904 Jefferson Davis Hwy #304 Woodbridge, VA 22192 (703) 490-4949

MORCH, MICHAEL MICHAEL MORCH DDS PC 3138 Golansky Blvd. #101 Woodbridge, VA 22192 (703) 878-7969

MORIARTY-VASQUEZ, MARY ROBERT G JAVA 3401 Commission Ct #202 Woodbridge, VA 22192 (703) 494-7799

CHERRYWOOD DENTAL ASSOC 13895 Hedgewood Dr #237 Woodbridge, VA 22193 (703) 565-5078

VIRGINIA DENTAL CARE 2070 Old Bridge Rd Ste 201 Woodbridge, VA 22192 (703) 499-9902

POTOMAC MILLS FAMILY PLC 14338 Gideon Dr Woodbridge, VA 22192 (703) 348-8070

SAYEED, AFREEN KIDZ DENTAL PC 13648 Jefferson Davs Hwy Woodbridge, VA 22191 (571) 441-1380

PEREZ, RICARDO LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

SPITZER, TIMOTHY COUNTY CENTER DENTAL GROUP 4008 Genesee Pl #205 Woodbridge, VA 22192 (703) 670-4888

SULTANZADA, YAMA VIRGINIA DENTAL CARE 2070 Old Bridge Rd Ste 201 Woodbridge, VA 22192 (703) 499-9902

SURENDRAN, SWAPNA NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

TAHERI, BRUCE FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

SALUMBIDES, JOSEPHINE

PATEL, MAYUR YOGI DENTAL PLLC 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 (703) 492-1999

CHARLES L SOURS JR DDS 12606 A Lake Ridge Dr Woodbridge, VA 22192 (703) 491-2131

SAID, MASOOD

PAKPOUR, DESABEH MEHRABIAN, KOUROSH

SOURS, CHARLES

SADEDDIN, HAZIM

NILES, RAYMOND MAI, CHRISTINE

FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

ROBINSON, MARGO

NGUYEN, MIKE MA, ANDY

SILK, ZAHER

PARTICIPATING PROVIDERS

WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

MULLER, LAWRENCE

SHAFIEI, NIKKI FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

TAVAKKOLI, KAMBIZ KAMRAN TAVAKKOLI DMD & KAMBIZ TAVAKKOLI DMD PC 12500 Lake Ridge Dr Woodbridge, VA 22192 (703) 494-3176

TAVAKKOLI, KAMRAN KAMRAN TAVAKKOLI DMD & KAMBIZ TAVAKKOLI DMD PC 12500 Lake Ridge Dr Woodbridge, VA 22192 (703) 494-3176

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

189

Delta Dental Premier

VIRGINIA (CONT'D) WOODBRIDGE THLICK, SU-EN SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

TOYER, LEONARD

TRAN, KERI POTOMAC MILLS FAMILY PLC 14338 Gideon Dr Woodbridge, VA 22192 (703) 348-8070

TRAN, VINH SMILE DENTAL CARE PC 13885 Hedgewood #101 Woodbridge, VA 22193 (703) 763-3371

TSAI, CHIH-PING NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

UPPALAPATI, SINDHURA ALINE DENTAL ASSOCIATES PC 14904 Jefferson Davis Hwy #304 Woodbridge, VA 22191 (703) 910-4805

VALLERU, SILVIJA WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

DOLAN, PATRICK

MORGAN, DAVID

KARINA VERA-LOPEZ DDS PLLC 4391 Ridgewood Center Dr, Ste C Woodbridge, VA 22192 (703) 590-4666

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

WAY-RODRIGUEZ, JORGE FRANCIONI, SONIA

WRIGHT, RITA

FRANCIONI, SONIA

NGUYEN, PHUONG

JD LABRIOLA DDS & DJ CANTOR DMD PLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

WOODBRIDGE ORAL & MAXILLOFACIAL SURGERY CTR 4585 Daisy Reid Ave #105 Woodbridge, VA 22192 (703) 670-6886

GOCKE, MICHAEL

OSWALD, SOPHIE

KENNETH P BYRNE DDS PC 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 (703) 897-8983

WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

RITA D WRIGHT DMD 3985 Prince William Pkwy #103 Woodbridge, VA 22192 (703) 878-7883

DENTAL ASSOC OF NORTHERN VA PLLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

ORAL SURGERY ASSOC OF NORTHERN VA 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 (703) 897-8983

YAQUI, LUIS NEIBAUER DENTAL CARE PC 13334 Minnieville Rd Woodbridge, VA 22192 (703) 910-3285

YOO, YOUNG YOUNG A YOO DDS PC 4192 Merchants Plz Woodbridge, VA 22192 (703) 897-0555

YOUSEFI, ASHKAN LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

ZEIAEI-NAFCHI, SAEID WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

ORAL SURGEON AMIN, AHMAD

JACKSON, JULIA DENTAL ASSOC OF NORTHERN VA PLLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

PARK, JONATHAN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

LABRIOLA, J DENTAL ASSOC OF NORTHERN VA PLLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

LABRIOLA, J JD LABRIOLA DDS & DJ CANTOR DMD PLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

LIU, FREDERICK

ERIC C VASEY DDS 13478 Minnieville Rd #202 Woodbridge, VA 22192 (703) 670-5376

WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

VAUGHN, PARIS

DAYSE, ROBERT

LYN, TREVANN

PURE DENTAL 12581 Milstead Way Ste 204 Woodbridge, VA 22192 (571) 285-2577

WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

VASEY, ERIC

MORGAN, DAVID

LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

PARTICIPATING PROVIDERS

LIFETIME DENTAL CARE PLLC 14573 Potomac Mills Rd Woodbridge, VA 22192 (703) 499-9779

VERA-LOPEZ, KARINA

WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

PELL, JAMES ORAL SURGERY ASSOC OF NORTHERN VA 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 (703) 897-8983

RAMSEY, CYRUS DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

ROBERTSON, STEVEN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

SILLOWAY, KIMBERLY DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

190

Delta Dental Premier

VIRGINIA (CONT'D) WOODBRIDGE SMITH, PETER DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

THEBERGE, DANIEL

KUMRA, BOB

AMANTE, ALVIN

HAROLD FRANK 4335 Ridgewood Ctr Dr Woodbridge, VA 22193 (703) 590-6966

YOGI DENTAL PLLC 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 (703) 492-1999

ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

FRANKENBERRY, ANISHKA

LEE, DAN

FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

HENNIGH, ROGER

LITSCHEL, KATE

ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

BRITESTARS PEDIATRIC DENTISTRY PLLC 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 490-5050

HENNIGH, ROGER WANG, RICHARD ORAL SURGERY ASSOC OF NORTHERN VA 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 (703) 897-8983

ZADEH, HUGH DENTAL ASSOC OF NORTHERN VA PLLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

ZADEH, HUGH JD LABRIOLA DDS & DJ CANTOR DMD PLC 2020-A Opitz Blvd Woodbridge, VA 22191 (703) 494-9173

ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

HESSAMFAR, RAMIN AMERICAN BRACES AND SMILE CENTER 14130 Noblewood Plz Ste 107 Woodbridge, VA 22192 (703) 897-6453

HUKMANI, NAVIN WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

HUSSAINI, SYED

ORTHODONTIST ABDEL-WAHAB, MONA BRITESTARS PEDIATRIC DENTISTRY PLLC 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 490-5050

BRITTO, A DENIS BRITTO ORTHODONTICS 12581 Milstead Way #304 Woodbridge, VA 22192 (703) 583-6784

FLEMING, HAROLD WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

HUTCHISON, ALICIA POTOMAC ORTHODONTICS PLLC 2200 Opitz Blvd Ste 370 Woodbridge, VA 22191 (703) 494-9118

KERMANSHI, SHIVA FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

KIM, EUNYOUNG LIGHT DENTAL INC 14416 Jefferson Davis Hwy Woodbridge, VA 22191 (703) 492-1999

MITTAL, NITIKA WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

MORGAN, KELLY WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

SALEH, FADI LAKE RIDGE ORTHODONTICS 12662A Lake Ridge Drive Woodbridge, VA 22192 (703) 491-5166

STERN, FREDERICK F G STERN DDS INC 2200 Opitz Blvd #370 Woodbridge, VA 22191 (703) 494-9118

TRAN, THOAI-LAN YOGI DENTAL PLLC 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 (703) 492-1999

YI, PETER KIDZ DENTAL PC 13648 Jefferson Davs Hwy Woodbridge, VA 22191 (571) 441-1380

PEDIATRIC DENTIST/PEDODONTIST

AMANTE, ALVIN ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

BRITTO, MALA BRITTOS CHOLDRENS DENTISTRY 12581 Milstead Way #305 Woodbridge, VA 22192 (703) 670-1991

GHATAK, MONAMIE BRITTOS CHOLDRENS DENTISTRY 12581 Milstead Way #305 Woodbridge, VA 22192 (703) 670-1991

GOLDEN, ALAN ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

PARTICIPATING PROVIDERS

DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

FRANK, HAROLD

GOLDEN, ALAN ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

HOLMES, JESSICA BRITESTARS PEDIATRIC DENTISTRY PLLC 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 490-5050

JONES, HERSCHEL ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

JONES, HERSCHEL ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

KHATEEB, MARIAM ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 (703) 670-9169

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

191

Delta Dental Premier

VIRGINIA (CONT'D) WOODBRIDGE KHATEEB, MARIAM ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 Woodbridge, VA 22193 (703) 670-9169

LE, HAU

MADANI, SAMAN

TRABOULSI, GEORGES

CAMPBELL, OMER

STEVEN C FISHER DDS MS 13625 Office Pl Ste 102 Woodbridge, VA 22192 (703) 670-7071

FAMILY & COSMETIC DENTISTRY 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 583-2800

DRS CAMPBELL THROCKMORTON & COPENHAVEN PC 210 Loretto Dr Wytheville, VA 24382 (276) 228-3361

FISHER, STEVEN KIUMARS KARBASI DDS P C 13625 Office Place Ste 102 Woodbridge, VA 22192 (703) 670-7071

IJADI, MEHRDAD LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

COUNTY CENTER DENTAL GROUP 4008 Genesee Pl #205 Woodbridge, VA 22192 (703) 670-4888

LAKKIS, DIMA

PHAM, GINA

LIN, THOMAS

BRITESTARS PEDIATRIC DENTISTRY PLLC 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 490-5050

SU-EN C THLICK DMD INC 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 670-2114

HANNA HANANIA DDS PC 4319 Dale Blvd Woodbridge, VA 22193 (703) 897-8554

MOTAMEDI, SAEID TOYER, APRIL LIFETIME DENTAL CARE PLLC 14573 Potomac Mills Rd Woodbridge, VA 22192 (703) 499-9779

PERIODONTIST BERI, ANURANDA WOODBRIDGE DENTAL ASSOC PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

CHEN, CLIFF NEW SMILES DENTAL 1900 Opitz Blvd #C Woodbridge, VA 22191 (703) 494-0820

CHEN, CLIFF WOODBRIDGE FAMILY & COSMETIC DENTISTRY PLLC 4421 Dale Blvd Woodbridge, VA 22193 (703) 680-2070

LAKERIDGE DENTAL ASSOCIATES 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 (571) 572-3445

MOTAMEDI, SAEID MILTON STAR DDS WOODBRIDGE PC 14520 Smoketown Rd Woodbridge, VA 22192 (703) 491-4489

PROSTHODONTIST ESTAFANOUS, EMAD STEFANO DENTAL CENTER 13885 Hedgewood Dr #225 Woodbridge, VA 22193 (202) 644-8844

SALARI, MARJAN NEIBAUER DENTAL CARE PC 14901 Potomac Town Pl #175 Woodbridge, VA 22191 (703) 580-5515

SPECIALTY NOT SPECIFIED BAKER, JUSTIN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

HUR, JOHN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 672-4200

WOODSTOCK GENERAL DENTIST EYE, KENNETH KENNETH R EYE DDS PC 408 S Main St Woodstock, VA 22664 (540) 459-4341

NELSON, JOHN JOHN MICHAEL NELSON DDS MS 3166 Golansky Blvd #101 Woodbridge, VA 22192 (703) 730-2931

REDDY, BINDU SAMEER KWATRA DDS PC 2970 Prince William Pkwy Woodbridge, VA 22192 (703) 583-7720

TAMI, RICHARD TAMI RICHARD G 2200 Opitz Blvd Ste 205 Woodbridge, VA 22191 (703) 491-2974

HERNANDEZ, LAURA HERNANDEZ-DAUER DMD OF WOODSTOCK PC 130 E Reservoir Rd Woodstock, VA 22664 (540) 459-2173

ORAL SURGEON KLAMUT, KENNETH KENNETH M KLAMUT DDS 124 Valley Vista Dr Woodstock, VA 22664 (540) 810-7710

WYTHEVILLE GENERAL DENTIST

COPENHAVER, RICHARD DRS CAMPBELL THROCKMORTON & COPENHAVEN PC 210 Loretto Dr Wytheville, VA 24382 (276) 228-3361

THROCKMORTON, DENNIS DRS CAMPBELL THROCKMORTON & COPENHAVEN PC 210 Loretto Dr Wytheville, VA 24382 (276) 228-3361

ORAL SURGEON HOLLYFIELD, NEIL SUKLE HOLLYFIELD ABBOTT & PERKINS 470 W. Spring Street Wytheville, VA 24382 (276) 783-8131

PARTICIPATING PROVIDERS

BRITESTARS PEDIATRIC DENTISTRY PLLC 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 490-5050

FISHER, STEVEN

PERKINS, DENNIS SUKLE HOLLYFIELD ABBOTT & PERKINS 470 W. Spring Street Wytheville, VA 24382 (276) 783-8131

THOMPSON, BRIAN SUKLE HOLLYFIELD ABBOTT & PERKINS 470 W. Spring Street Wytheville, VA 24382 (276) 783-8131

ORTHODONTIST WOODS, HUNTER HUNTER K WOODS DDS MS PC 470 West Spring St Wytheville, VA 24382 (276) 236-2978

YORKTOWN GENERAL DENTIST ALLEN, SHANAIL VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

192

Delta Dental Premier

VIRGINIA (CONT'D) YORKTOWN BLANEY, THEODORE BOXX AND BLANEY DMD PC 113 Hampton Hwy Yorktown, VA 23693 (757) 867-8765

BOOKER, WAYNE

BOWLER, MICHAEL MICHAEL W BOWLER DDS 4310 Geo Washington Hwy Yorktown, VA 23692 (757) 898-1919

BOXX, ERIC BOXX AND BLANEY DMD PC 113 Hampton Hwy Yorktown, VA 23693 (757) 867-8765

CASH, ALLAN YORKSHIRE FAMILY DENTISTRY PC 3212 Hampton Hwy #A Yorktown, VA 23693 (757) 867-9341

COLEMAN, JAMES DR J MICHAEL COLEMAN DDS 5033 B George Washington Mem Hwy Yorktown, VA 23692 (757) 874-4700

ELDRIDGE, KEITH GUY G LEVY DDS PC 3120 Kiln Creek Pkwy Ste L Yorktown, VA 23693 (757) 877-9281

EZEKIEL, JEFFREY JEFFREY L EZEKIAL DDS PC 3301 Hampton Hwy #M Yorktown, VA 23693 (757) 867-5003

GEARY, BRYAN GEARY FAMILY & COSMETIC DENTISTRY 105 Terrebonne Rd Yorktown, VA 23692 (757) 898-4661

NEILL, KENNEDY

WARTOFSKY, ARIEL

YORKSHIRE FAMILY DENTISTRY PC 3212 Hampton Hwy #A Yorktown, VA 23693 (757) 867-9341

K E NEILL JR DDS LTD 219 Cook Road Yorktown, VA 23690 (757) 898-6832

VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

NOVAK, IRINA

WENDELL, BRYAN

YORKTOWN DENTAL PLLC 4326 Geo. Washington Mem. Hwy. Yorktown, VA 23692 (757) 898-6788

BOXX AND BLANEY DMD PC 113 Hampton Hwy Yorktown, VA 23693 (757) 867-8765

PETERSEN, KATHERINE

WHITE, CALVIN

VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

CALVIN R WHITE JR DDS 4101 George Wash Memorial Hwy Yorktown, VA 23692 (757) 898-7200

GOLRICH, SCOTT GRAFTON SMILE CARE 4030-A Geo Washington Mem Hwy Yorktown, VA 23692 (757) 898-4646

HARRISON, JAMES YORKSHIRE FAMILY DENTISTRY PC 3212 Hampton Hwy #A Yorktown, VA 23693 (757) 867-9341

LACHINE, RICHARD BOXX AND BLANEY DMD PC 113 Hampton Hwy Yorktown, VA 23693 (757) 867-8765

LANGKAU, WALTER VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

QUIROS, LUIS MICHAEL W BOWLER DDS 4310 Geo Washington Hwy Yorktown, VA 23692 (757) 898-1919

REIMER, MICHAEL DR ANTHONY L MARTIN & ASSOC PC 301 Village Ave #E Yorktown, VA 23693 (757) 886-0300

SEABURG, RAYMOND LEVY, GUY GUY G LEVY DDS PC 3120 Kiln Creek Pkwy Ste L Yorktown, VA 23693 (757) 877-9281

VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

SYED, CHAND MARTIN, ANTHONY DR ANTHONY L MARTIN & ASSOC PC 301 Village Ave #E Yorktown, VA 23693 (757) 886-0300

MCDANIEL, RODNEY YORKTOWN DENTAL PLLC 4326 Geo. Washington Mem. Hwy. Yorktown, VA 23692 (757) 898-6788

MILLER, JULIAN VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

MORGAN, FABIENNE DRS MORGAN & BOOKER LLC 6632 D Geo Wash Mem Hwy Yorktown, VA 23692 (757) 898-5468

TABB FAMILY DENTAL 106 Yorktown Rd Yorktown, VA 23693 (757) 867-9000

VAUGHAN, KEITH MICHAEL W BOWLER DDS 4310 Geo Washington Hwy Yorktown, VA 23692 (757) 898-1919

VAUGHAN, KEITH KEITH E VAUGHAN DDS 6521 George Washington Mem Hwy Yorktown, VA 23692 (757) 898-3366

VILLASIS, JUAN VICTORY DENTAL PLLC 119-C Village Ave Yorktown, VA 23693 (757) 898-0848

ORTHODONTIST BERRY, ZANE PARKS ORTHODONTICS 211 Village Ave #A Yorktown, VA 23693 (757) 874-6655

PARKS, MEREDITH PARKS ORTHODONTICS 211 Village Ave #A Yorktown, VA 23693 (757) 874-6655

PARTICIPATING PROVIDERS

DRS MORGAN & BOOKER LLC 6632 D Geo Wash Mem Hwy Yorktown, VA 23692 (757) 898-5468

GEORGE, ROBERT

PERIODONTIST ANDERSON, JENNIFER GUY G LEVY DDS PC 3120 Kiln Creek Pkwy Ste L Yorktown, VA 23693 (757) 877-9281

ZION CROSSROADS PEDIATRIC DENTIST/PEDODONTIST DIXON, JENNIFER CHARLOTTESVILLE PEDIATRIC DENTISTRY 70 Jefferson Ct Ste 101 Zion Crossroads, VA 22942 (540) 832-6657

STUMP, AARON CHARLOTTESVILLE PEDIATRIC DENTISTRY 70 Jefferson Ct Ste 101 Zion Crossroads, VA 22942 (540) 832-6657

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

193

Delta Dental Premier

A

1,57,64 Aguilar Garcia, Wilson 154 ..................................................................................... Agullana, Sheila 187 ..................................................................................... Ahmad, Ameera 115,123,133,169,5 ..................................................................................... 7 Ahmad, Farah 57 ..................................................................................... Ahmad, Imaney 57,80 ..................................................................................... Ahmadian, Hossein 11,187 ..................................................................................... Ahmadiyar, Sasan 157,187,64,92 ..................................................................................... Ahmadzada, Zia 25 ..................................................................................... Ahmed, Gaafar 92 ..................................................................................... Ahmed, Mohamed 43,71 ..................................................................................... Ahmed, Sadaf 133 ..................................................................................... Ahmed, Seema 2 ..................................................................................... Ahmed, Shabrez 27,45 ..................................................................................... Ahmed, Syed 133,146,44 ..................................................................................... Ahn, Sooyeon 100,89 ..................................................................................... Ahrabi, Abbas 120 ..................................................................................... Ajandeh, Sean 96 ..................................................................................... Akeel, Ed 30 ..................................................................................... Akinbi, Folake 50 ..................................................................................... Akmal, Omer 15,165,29 ..................................................................................... Akrami, Forough 187,22 ..................................................................................... Alachnowicz, J 48 ..................................................................................... Alathari, Humam 159,187 ..................................................................................... Alathari, Zina 159,187 ..................................................................................... Alayssami, Mazin 153,154,157,159,1 ..................................................................................... 65,2,80,9 Albarq, Eyad 165 ..................................................................................... Albinder, Kenneth 178 ..................................................................................... Alcantara, Christian 50 ..................................................................................... Alcorn, Elizabeth 30 ..................................................................................... Alderman, Douglas 129,16 ..................................................................................... Aldred, Matthew 109,39 ..................................................................................... Alemayehu, Amen 115,162,170,34 ..................................................................................... Alexander, Brian 149 ..................................................................................... Alexander, David 75 ..................................................................................... Alexander, Robert 74 ..................................................................................... Alexander, Sasha 165 ..................................................................................... Alhrashi, Fadi 57 ..................................................................................... Ali, Talib 86 ..................................................................................... Ali, Ziad 100 ..................................................................................... Al-Joburi, Wesam 157,161,168,62 ..................................................................................... Al-Karagholi, Mustafa 57,64,80,92 ..................................................................................... Alkilani, Tawfiq 133,43 ..................................................................................... Alkishtaini, Maha 154,50 ..................................................................................... Allara, Jack 146 ..................................................................................... Allaymouni, Mhd Amer 146,43 ..................................................................................... Allen, Brandon 133 ..................................................................................... Allen, Camille 64 ..................................................................................... Allen, Dandridge 20 ..................................................................................... Allen, Harvey 67 ..................................................................................... Allen, Mary Disa 146 ..................................................................................... Allen, Shanail 111,192 ..................................................................................... Allison, William 181 ..................................................................................... Allred, Kevin 20 ..................................................................................... Almy, Diana 68 ..................................................................................... Almzayyen, Mohammed 146,2 ..................................................................................... Alperin, Lori 123 .....................................................................................

Alriq, Hosam 98 ..................................................................................... Al-Samir, Zaid 133 ..................................................................................... Altememi, Nadine 150,165,28 ..................................................................................... Althouse, Elliott 123 ..................................................................................... Alvarez, Juan 162,168,85 ..................................................................................... Amacher, Darcy 42 ..................................................................................... Aman, Mohammad 86 ..................................................................................... Amante, Alvin 128,191,71 ..................................................................................... Amburgey, Steven 41 ..................................................................................... Amin, Ahmad 153,190,7,95 ..................................................................................... Amirsayafi, Payam 157,50,78 ..................................................................................... Amoah, Emmanuel 111,75 ..................................................................................... Amodio, Tiffany 169,34 ..................................................................................... Amos, Edward 186 ..................................................................................... Amos, Robert 185 ..................................................................................... Amouhashem, Parvin 57 ..................................................................................... Amrhein, Edward 32,45 ..................................................................................... Anama, Steven 146 ..................................................................................... Ananthasekar, Rajalakshmi 57 ..................................................................................... Anderson, Benjamin 115,162,170,34 ..................................................................................... Anderson, Bradley 72 ..................................................................................... Anderson, David 24,8 ..................................................................................... Anderson, Erika 11,22 ..................................................................................... Anderson, Holly 119,178,38 ..................................................................................... Anderson, J 170 ..................................................................................... Anderson, Jennifer 114,193 ..................................................................................... Anderson, Joan 78 ..................................................................................... Anderson, Joshua 157,187,57,64,92 ..................................................................................... Anderson, Paul 111 ..................................................................................... Anderson, Ralph 102,120,143,44 ..................................................................................... Anderson, Robert 164 ..................................................................................... Anderson, Ryan 91 ..................................................................................... Anderson, Tyson 103,98 ..................................................................................... Anderson-Kimble, Janie 90 ..................................................................................... Andre, John 72,89 ..................................................................................... Angus, Frank 103 ..................................................................................... Angus, Lee 103 ..................................................................................... Angus, Rebecca 103 ..................................................................................... Angus, William 103 ..................................................................................... Anjum, Shazia 92 ..................................................................................... Ankrum, Matthew 20 ..................................................................................... Ankrum, Michael 122,20 ..................................................................................... Anoushfar, Scheherazad 129 ..................................................................................... Ansari, Uzma 126 ..................................................................................... Anthony, Richard 20 ..................................................................................... Antinopoulos, Peter 133 ..................................................................................... Apana, Alesia 9 ..................................................................................... Aponte, Alexandra 57 ..................................................................................... Aponte, Carlos 69 ..................................................................................... Appleby, Peter 103,119,39 ..................................................................................... Apt, Kolman 82 ..................................................................................... Arafa, Mohamed 64 ..................................................................................... Arango, Ana 111,2 ..................................................................................... Arbabi, Sheila 50,57 ..................................................................................... Arbuckle, Eric 11 ..................................................................................... Ardila Gaitan, Claudia 2 ..................................................................................... Argentieri, Robert 154 ..................................................................................... Argintar, Barry 95 ..................................................................................... Arian, Bahram 57 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Aaron, Gavin 149 ..................................................................................... Abbasi-Hafshejani, Azita 149,42,48 ..................................................................................... Abbott, David 19,33,8 ..................................................................................... Abbott, Jeryl 103 ..................................................................................... Abbott, Michael 151 ..................................................................................... Abdelrazek, Jailan 125 ..................................................................................... Abdel-Wahab, Mona 191 ..................................................................................... Abdelwahab, Tamer 92 ..................................................................................... Abdirahman, Hassanoor 187 ..................................................................................... Abdoun, Ezzat 68 ..................................................................................... Abdul-Nabi, Anwar 133 ..................................................................................... Abel, Anna 125,16 ..................................................................................... Abel, Jason 25 ..................................................................................... Abigail, Curtis 15 ..................................................................................... Abinader, Nantadla 154,50 ..................................................................................... Abou Nahlah, Esam 16 ..................................................................................... Aboulhosn-Sangid, Maher 11,2 ..................................................................................... Aboulkhair, Mostafa 50 ..................................................................................... Abousy, Sawsan 154,165 ..................................................................................... Abraham, Ruth 169 ..................................................................................... Abrahams, Rodney 164 ..................................................................................... Abramov, Yuriy 133 ..................................................................................... Abreu Fuerte, Orlando 41 ..................................................................................... Abril, Edison 126,132,168,18,29, ..................................................................................... 56,62,85 Abrol, Malini 153 ..................................................................................... Abtahi, Narjes 85 ..................................................................................... Abualsoud, Arwa 133,75 ..................................................................................... Abubaker, A 142 ..................................................................................... Abuhajleh, Omar 133,71 ..................................................................................... Acharya, Priya 149 ..................................................................................... Ackerman, Jeffrey 2 ..................................................................................... Acosta, Rafael 24,50,92 ..................................................................................... Adam-Eldien, Ashraf 115,123,2,57 ..................................................................................... Adams, Courtney 133 ..................................................................................... Adams, Danny 85 ..................................................................................... Adams, Kathleen 159 ..................................................................................... Adams, Lauren 120 ..................................................................................... Adams, Michael 46 ..................................................................................... Adams, Mona 11 ..................................................................................... Adams, Peter 169,34 ..................................................................................... Adams, Randy 144 ..................................................................................... Adams, William 133 ..................................................................................... Adeeb, Ayman 185,68 ..................................................................................... Adeshara, Karishma 111,115,123,169,7 ..................................................................................... 5 Adi, Najib 69 ..................................................................................... Adili, Mehdi 11,98 ..................................................................................... Adkins, Charles 62 ..................................................................................... Adleman, Ronald 100,133 ..................................................................................... Adler, Molly 133 ..................................................................................... Afsahi, Aram 64,92 ..................................................................................... Agapis, Tony 39 ..................................................................................... Agarwal, Gaurav 186,69 ..................................................................................... Aggarwal, Harshit 10,68 ..................................................................................... Aghaee, Ali 159 ..................................................................................... Agnihotri, Neil 102,107,142,151,7 ..................................................................................... 3

Agrawal, Nitin 111,115,133,185,4 .....................................................................................

194

Delta Dental Premier

B Babcock, Daniel ..................................................................................... Babiec, Daniel ..................................................................................... Babik, Majd ..................................................................................... Babington, David ..................................................................................... Babington, William ..................................................................................... Babu, Sridevi ..................................................................................... Bach, Melanie ..................................................................................... Bachas, Ted .....................................................................................

114 2 72 28 28 11,50 39 162

Bachour, Maya 16,86,98 ..................................................................................... Badipour, Mana 165 ..................................................................................... Bagby, Robin 145 ..................................................................................... Bagheri, Desiree 30 ..................................................................................... Bahrami, Baharak 11 ..................................................................................... Baicy, Sarah 80 ..................................................................................... Baier, Richard 152 ..................................................................................... Bailey, Anthony 19 ..................................................................................... Bailey, Davina 133,146,43,64 ..................................................................................... Bailey, Jeffrey 169 ..................................................................................... Bailey, Ryan 64,67 ..................................................................................... Bailey, Stephen 152 ..................................................................................... Bajaj, Smriti 100,72 ..................................................................................... Bajwa, Preet 129 ..................................................................................... Baker, James 34 ..................................................................................... Baker, John 115 ..................................................................................... Baker, Justin 132,192,24,27,56 ..................................................................................... Baker, Sherry 80 ..................................................................................... Bakhtyari, Farshad 120 ..................................................................................... Balderson, Chelsea 57 ..................................................................................... Balian, Alexander 64 ..................................................................................... Balino, Celeste 2,34 ..................................................................................... Ball, Julie 170 ..................................................................................... Ball, Mark 83 ..................................................................................... Ball, Shari 80 ..................................................................................... Ball, Tyler 133 ..................................................................................... Baluyut, Amy 123 ..................................................................................... Bambrey, Dina 16 ..................................................................................... Banaji, Girish 61 ..................................................................................... Banavar, Rohini 50 ..................................................................................... Bang, Jeffrey 159 ..................................................................................... Banks, Robert 146 ..................................................................................... Banzon, Marie 165 ..................................................................................... Baradaran, Ebrahim 110,20 ..................................................................................... Barakat, Dany 165 ..................................................................................... Barakat, Hisham 126,165,50 ..................................................................................... Barakat, Rana 48 ..................................................................................... Barbato, Isabel 133 ..................................................................................... Barberio, Frank 30 ..................................................................................... Barbieri, Steven 111,132 ..................................................................................... Barbour, Nicole 122 ..................................................................................... Barbour, Robert 34 ..................................................................................... Barekzi, Nassir 129,50 ..................................................................................... Barham, Latoya 15 ..................................................................................... Barlow, Miljenka 154 ..................................................................................... Barnard, W 83 ..................................................................................... Barney, John 179,38 ..................................................................................... Barnwell, Velma 111 ..................................................................................... Barr, Bruce 180,39 ..................................................................................... Barrero, Carlos 48 ..................................................................................... Barrett, Charles 103 ..................................................................................... Barrett, Elizabeth 109 ..................................................................................... Barrett, Marc 75 ..................................................................................... Barrick, John 90 ..................................................................................... Barton, Daniel 170 ..................................................................................... Barzgar, Artin 187 ..................................................................................... Basa, Emoke 88 ..................................................................................... Bass, Jay 20,41 ..................................................................................... Bassham, Deborah 1,22 .....................................................................................

Bassiri, Michael 50,69 ..................................................................................... Batchelor, Caitlin 78,98 ..................................................................................... Bates, Richard 43 ..................................................................................... Bates, Sheldon 143 ..................................................................................... Bath, Gregory 168,74 ..................................................................................... Batistas, Theo 69,96 ..................................................................................... Baugher, Eric 91 ..................................................................................... Baum, James 133 ..................................................................................... Baum, Philip 83 ..................................................................................... Baveja, Julie 168,29 ..................................................................................... Bawa, Anoop 25,92 ..................................................................................... Bawa, Rajdeep 25,92 ..................................................................................... Baxi, Fairy 181,25,45,64 ..................................................................................... Bay, Wolfgang 170 ..................................................................................... Bays, Thomas 132 ..................................................................................... Beabout, Kristen 133 ..................................................................................... Beale, Frank 177,37 ..................................................................................... Beam, David 39 ..................................................................................... Bearley, Daniel 30 ..................................................................................... Beatty, Hannah 98 ..................................................................................... Beck, David 133 ..................................................................................... Becker, Adam 34 ..................................................................................... Becker, Sidney 111 ..................................................................................... Becker, Steven 75 ..................................................................................... Beecroft, Stephen 154,158 ..................................................................................... Beheshti, Soren 92 ..................................................................................... Behl, Yugal 114,125,178,38,77 ..................................................................................... Behnami, Farima 92,98 ..................................................................................... Bek, Jeffrey 170 ..................................................................................... Bell, Alonzo 2 ..................................................................................... Bell, Anita 162 ..................................................................................... Bell, Edwin 75 ..................................................................................... Bell, Hunter 92 ..................................................................................... Bell, John 11 ..................................................................................... Bell, Tammara 111,123,170,183,3 ..................................................................................... 4,75 Bellavance, Julien 30,74 ..................................................................................... Belmonte, Stephen 129 ..................................................................................... Belt, Douglas 133 ..................................................................................... Belt, William 11 ..................................................................................... Beltrami, Marco 133,43,44,84 ..................................................................................... Bench, Stephen 133,146,169,183 ..................................................................................... Benes, Kristen 119,164,178,38 ..................................................................................... Benson, Gerald 187,92 ..................................................................................... Benson, Kimberly 170 ..................................................................................... Benson, Wakeshi 143,40 ..................................................................................... Berbes, William 182 ..................................................................................... Bergano, Allan 170 ..................................................................................... Berger, Arnold 170 ..................................................................................... Berger, Fallon 170 ..................................................................................... Berger, Louis 170 ..................................................................................... Beri, Anuranda 161,168,18,192,27, ..................................................................................... 96 Berk, Steven 9 ..................................................................................... Berman, Robert 50 ..................................................................................... Berman, Scott 61,82 ..................................................................................... Bernier-Rodriguez, Joseph 169 ..................................................................................... Bernstein, Allen 133 ..................................................................................... Berrada, Sanae 57 ..................................................................................... Berry, Elizabeth 144 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Ariani, Mehran 165,50 ..................................................................................... Armanious, Mark 14,162,61 ..................................................................................... Armellini, Debora 92 ..................................................................................... Armentrout, Nadia 127,16,69 ..................................................................................... Armentrout, William 109,110,133 ..................................................................................... Armour, William 152 ..................................................................................... Arnaudin, Richard 170 ..................................................................................... Arnold, William 21 ..................................................................................... Arria, Adam 86 ..................................................................................... Arroyo-Pratt, Marielena 143 ..................................................................................... Artis, Asha 115,162,170,34 ..................................................................................... Artzer, Mark 111 ..................................................................................... Arvan, Nickolas 64 ..................................................................................... Arzadon, Joseph 14,70,96 ..................................................................................... Asam, Stephen 34 ..................................................................................... Asgari, Navid 154,2 ..................................................................................... Asghar, Irfan 10,129,187,22,57 ..................................................................................... Ashby, Courtney 121,129,45 ..................................................................................... Ashby, John 119,178,38 ..................................................................................... Asher, Kevin 14 ..................................................................................... Ashley, Chanda 159,182 ..................................................................................... Ashmawy, Tarek 182,45,89 ..................................................................................... Ashouripour, Darioush 16,2 ..................................................................................... Ashtakala, Charanpreet 187 ..................................................................................... Ashton, Gary 86 ..................................................................................... Assar, Shawdi 80 ..................................................................................... Atherton, Kimberlyn 20 ..................................................................................... Atkins, Carl 144 ..................................................................................... Attia, Mohamed 115,2 ..................................................................................... Attreed, Elizabeth 157 ..................................................................................... Augustus, Sana 15 ..................................................................................... Aunon, Jose 25 ..................................................................................... Austin, Angela 8 ..................................................................................... Austin, Keith 90 ..................................................................................... Avakian, Gary 2 ..................................................................................... Averne, Robert 132 ..................................................................................... Aviles, Francisco 115 ..................................................................................... Avin, Hamid 159 ..................................................................................... Avin, Maryam 159 ..................................................................................... Avram, Adrian 133,83 ..................................................................................... Awadzi, Gerald 181,2,64,92 ..................................................................................... Ayass, Mohamad 16,27 ..................................................................................... Ayati, Marjun 50 ..................................................................................... Ayers, Charles 97 ..................................................................................... Ayers, Lawrence 69 ..................................................................................... Aylor, Scott 45 ..................................................................................... Ayoubi, Iman 80 ..................................................................................... Azghandi, Ramin 100 ..................................................................................... Azmoudeh, Roxanne 16 .....................................................................................

195

Delta Dental Premier

Block, Carl 109 ..................................................................................... Bluhm, Andrew 18,87 ..................................................................................... Blythe, Philip 170 ..................................................................................... Bob, Gregory 16 ..................................................................................... Bobbio, Jennifer 50 ..................................................................................... Bogacki, Katherine 154 ..................................................................................... Bogacki, Russell 154 ..................................................................................... Bok, Jae 9 ..................................................................................... Boland, William 133 ..................................................................................... Bolduc, Matthew 165,98 ..................................................................................... Bolton, Frank 100 ..................................................................................... Bomar, Stephanie 57,81 ..................................................................................... Bond, Mark 100,103,126,133,1 ..................................................................................... 9,72 Bond, Michael 75 ..................................................................................... Bonesteel, John 79 ..................................................................................... Bonnie, Marshall 115 ..................................................................................... Booker, Wayne 193 ..................................................................................... Boone, Melanie 134 ..................................................................................... Booth, Catherine 103 ..................................................................................... Booth, Jeffrey 75 ..................................................................................... Booth, Stephen 103 ..................................................................................... Bortell, Elizabeth 144 ..................................................................................... Botros, Mena 185 ..................................................................................... Boucher, Shelli 90 ..................................................................................... Boudreau, James 187,69 ..................................................................................... Bouroncle, Sebastian 187 ..................................................................................... Bowler, Michael 193 ..................................................................................... Bowman, Kenneth 182 ..................................................................................... Bowman, Shannon 127 ..................................................................................... Boxx, Eric 183,193 ..................................................................................... Boyce, Albert 57 ..................................................................................... Boyce, Darrell 34 ..................................................................................... Boyd, Jana 162,170 ..................................................................................... Boyd, Kenneth 115,123,75 ..................................................................................... Boylan, Ryan 34 ..................................................................................... Boyle, John 100 ..................................................................................... Boyle, Kimberly 100 ..................................................................................... Boyle, Richard 128,21 ..................................................................................... Boyles, John 159 ..................................................................................... Bozman, Jenny 34 ..................................................................................... Brabson, Anita 111,123,170 ..................................................................................... Bracken, Monleudy 115,123,162 ..................................................................................... Bradley, Brenda 134 ..................................................................................... Bradley, Jeannene 146 ..................................................................................... Bradley, Stephen 165 ..................................................................................... Bradshaw, J 162 ..................................................................................... Bradshaw, James 21 ..................................................................................... Brady, Timothy 180 ..................................................................................... Brain, Jeffrey 15 ..................................................................................... Brajdic, David 146 ..................................................................................... Bramwell, John 129,154 ..................................................................................... Brandt, Jason 187 ..................................................................................... Brandt, Kathryn 30 ..................................................................................... Brandt, Matthew 63,88 ..................................................................................... Brar, Kanwarjit 134,75 ..................................................................................... Brar, Premjeet 111,115,123,170,3 ..................................................................................... 4,75 Brassington, Bryan 108,143,73 ..................................................................................... Braunfeld, Joel 187 .....................................................................................

Braxton, Darchelle 114,125,179,185,3 ..................................................................................... 8,49,71,78 Bredologos, Stelianos 170 ..................................................................................... Breeden, A 45 ..................................................................................... Breeden, Timothy 41 ..................................................................................... Breen, April 29 ..................................................................................... Breininger, Byron 115,170 ..................................................................................... Brendmoen, Sara 154,88 ..................................................................................... Brewer, Kevin 7 ..................................................................................... Brickhouse, Tegwyn 144 ..................................................................................... Brigleb, Richard 22 ..................................................................................... Brill, Byron 159 ..................................................................................... Brinkley, Rachel 46 ..................................................................................... Brinser, Paul 122,40,83 ..................................................................................... Britto, A Denis 191,29 ..................................................................................... Britto, Mala 191,29 ..................................................................................... Broadhead, Daisy 68 ..................................................................................... Broadhead, Frederick 69 ..................................................................................... Broas, William 111,170,183,41 ..................................................................................... Brokaw, Matthew 72 ..................................................................................... Brooks, Cynthia 30 ..................................................................................... Brosnan, Paul 24,80 ..................................................................................... Broth, Stuart 126,134,41,72 ..................................................................................... Brotherton, Samtha 2 ..................................................................................... Brown, Amanda 127,86 ..................................................................................... Brown, Bob 1 ..................................................................................... Brown, Bridget 152 ..................................................................................... Brown, Bruce 111,75 ..................................................................................... Brown, Camden 150 ..................................................................................... Brown, Charles 2 ..................................................................................... Brown, Derek 46 ..................................................................................... Brown, Gabriel 149,97 ..................................................................................... Brown, Jarrod 46 ..................................................................................... Brown, Ron 1 ..................................................................................... Brown, Sheilandice 122 ..................................................................................... Brown, Stephen 134,41,67 ..................................................................................... Brown, Townsend 179 ..................................................................................... Brown-Doonquah, Theresa 98 ..................................................................................... Browne, Winston 21 ..................................................................................... Browning, Stephanie 21,74 ..................................................................................... Brumbaugh, Brian 159 ..................................................................................... Bruni, Frank 134 ..................................................................................... Bryant, Joseph 48 ..................................................................................... Bryant, Melba 127,29 ..................................................................................... Bryant, Nathaniel 170 ..................................................................................... Buelow, Dwight 102,108,120,127,1 ..................................................................................... 43,19,40,73 Buhler, John 100,103,134,19,72 ..................................................................................... Bui, Kenneth 92 ..................................................................................... Bui, Tuyen 57 ..................................................................................... Bui-Nguyen, Thao 92 ..................................................................................... Buist, Charles 170 ..................................................................................... Bukovac, James 170 ..................................................................................... Bukzin, Jay 14,70 ..................................................................................... Bukzin, Mitchell 188 ..................................................................................... Bullock, Jeri 151 ..................................................................................... Bullock, Steve 183,75 ..................................................................................... Bunin, Kevin 69 ..................................................................................... Bunin, Sara 24 ..................................................................................... Bunn, Robert 21,90 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Berry, Zachary 121,163,177,37 ..................................................................................... Berry, Zane 152,185,193 ..................................................................................... Bertman, David 22 ..................................................................................... Besner, Edward 129,154 ..................................................................................... Bethel-Soppet, Shirley 29 ..................................................................................... Bettis, Victoria 21 ..................................................................................... Betzhold, William 145 ..................................................................................... Beyene, Yodit 2 ..................................................................................... Beyer, Jeffrey 108,44 ..................................................................................... Bezik, Jaklin 56 ..................................................................................... Bhagat, Milan 122 ..................................................................................... Bhagchandani, Sanjay 132 ..................................................................................... Bharal, Poonum 103,18,72 ..................................................................................... Bhaskar, Mona 50 ..................................................................................... Bhatt, Rashmi 170 ..................................................................................... Bhatti, Bushra 18 ..................................................................................... Bhatti, Parveen 115,170 ..................................................................................... Bhavnagri, Fawzia 146,41 ..................................................................................... Bhide, Satyajeet 129,16 ..................................................................................... Bhullar, Rajinder 2 ..................................................................................... Bhushan, Sarita 8 ..................................................................................... Bibona, Kevin 108,143,73 ..................................................................................... Bickers, Duane 30 ..................................................................................... Bidgoli, Rashin 159 ..................................................................................... Bielawski, Robert 146 ..................................................................................... Biery, Kathryn 78 ..................................................................................... Bigelow, Gilbert 123,75 ..................................................................................... Bigelow, Robert 133 ..................................................................................... Bigelow, William 159 ..................................................................................... Biggers, Hood 103 ..................................................................................... Biggs, Kristina 89 ..................................................................................... Billingsley, Cheryl 133 ..................................................................................... Binder, Joshua 90 ..................................................................................... Bird, Eliot 19 ..................................................................................... Birkitt, Cary 86 ..................................................................................... Birsch, Frederick 123 ..................................................................................... Birsch, Laurie 125 ..................................................................................... Bischoff, Robert 133 ..................................................................................... Biscombe, Terrence 92 ..................................................................................... Bisson, Ruby 92 ..................................................................................... Bittler, Scott 103 ..................................................................................... Bittner, Randall 170 ..................................................................................... Bivins, William 38 ..................................................................................... Black, Anthony 80,86 ..................................................................................... Black, Barbara 79 ..................................................................................... Black, David 169 ..................................................................................... Black, Elena 149,91 ..................................................................................... Black, Samuel 128,89 ..................................................................................... Blackburn, Jeff 103 ..................................................................................... Blackham, Craig 133,43,44,84 ..................................................................................... Blackwood, Michael 154 ..................................................................................... Blair, Dean 100,83 ..................................................................................... Blais, Kenneth 14,70,96 ..................................................................................... Blake, Susan 98 ..................................................................................... Blanchard, Deborah 170 ..................................................................................... Blanchette, Mark 91 ..................................................................................... Blaney, Theodore 183,193 ..................................................................................... Blank, Derek 15 ..................................................................................... Blassic, Kim 72 .....................................................................................

196

Delta Dental Premier

C Caballero, Giovanni 2,50 ..................................................................................... Cabaniss, Charles 114 ..................................................................................... Cade, Ronald 145 ..................................................................................... Cahn, James 103 ..................................................................................... Cahoon, Joshua 157 ..................................................................................... Cahoon, Roger 123 ..................................................................................... Cairns, Donald 33,46 ..................................................................................... Caligan, Geoffrey 2 ..................................................................................... Callery, William 39 ..................................................................................... Calvano, Dennis 165,78 ..................................................................................... Campbell Downs, Rebecca 171 ..................................................................................... Campbell, Clarence 21 ..................................................................................... Campbell, Donald 69 ..................................................................................... Campbell, Hugh 11 ..................................................................................... Campbell, Jason 171 ..................................................................................... Campbell, Jeffrey 65,72 ..................................................................................... Campbell, Margaret 22 ..................................................................................... Campbell, Mason-Leigh 171 ..................................................................................... Campbell, Michael 84 ..................................................................................... Campbell, Omer 192 ..................................................................................... Campbell, Robert 73 ..................................................................................... Canby, Frederick 85 ..................................................................................... Candler, Robert 115 ..................................................................................... Cao-Rothwell, Hong 162 ..................................................................................... Caprio, Dianne 146,183 .....................................................................................

Caravas, Jerry 171 ..................................................................................... Carino, Brian 69 ..................................................................................... Carino, Sarah 69 ..................................................................................... Carlish, Robert 48 ..................................................................................... Carlos, Francisco 62 ..................................................................................... Carney, Jacqueline 144 ..................................................................................... Carpio, Lillian 100 ..................................................................................... Carr, William 152 ..................................................................................... Carrillo, Juan 134 ..................................................................................... Carroll, Cecil 34 ..................................................................................... Carroll, Steven 123 ..................................................................................... Carter, John 146 ..................................................................................... Carter, Roy 83 ..................................................................................... Carter, Sobia 144 ..................................................................................... Carvajal, William 62,91 ..................................................................................... Casagrande, Zachary 18 ..................................................................................... Casey, Barbara 109 ..................................................................................... Casey, Todd 120 ..................................................................................... Cash, Allan 193 ..................................................................................... Cash, Elizabeth 111 ..................................................................................... Cash, Jeffrey 100,103,119,39 ..................................................................................... Casingal, Pedro 34 ..................................................................................... Caspersen, Matthew 68 ..................................................................................... Cassilly, Erin 88 ..................................................................................... Castro, Elbalila 16 ..................................................................................... Castro, Steven 39 ..................................................................................... Castro-Chabrier, Jennifer 11,19 ..................................................................................... Cathey, Henry 111 ..................................................................................... Catoggio, Michael 101,103,134,19,72 ..................................................................................... Catron, Glenn 164 ..................................................................................... Cattafesta, Michael 81 ..................................................................................... Caudill, Carol 134,98 ..................................................................................... Cauthen, Ruth 115 ..................................................................................... Cavallari, Kenneth 180 ..................................................................................... Caves, Donovan 162,75 ..................................................................................... Cerniway, Leon 34 ..................................................................................... Certa, Kimberly 188,50 ..................................................................................... Certosimo, Alfred 134 ..................................................................................... Cetlin, Dennis 24,82 ..................................................................................... Cha, Myong 50 ..................................................................................... Cha, Wonje 165,25 ..................................................................................... Chaddad, Karim 157,158,161,168,1 ..................................................................................... 8,82 Chaen Kwok, Don 28 ..................................................................................... Chaffin, Wray 71 ..................................................................................... Chaldares, Diane 182 ..................................................................................... Chalk, Evan 62,91 ..................................................................................... Chalk, Jenna 90 ..................................................................................... Chalker, Jennifer 78 ..................................................................................... Chamberlian, Thaddeus 111 ..................................................................................... Chand, Uppasna 157,98 ..................................................................................... Chandler, Irina 182 ..................................................................................... Chang, Brian 181,87 ..................................................................................... Chang, Jhia-Ming 129,92 ..................................................................................... Chang, Jonathan 49 ..................................................................................... Chang, Ju-Han 61 ..................................................................................... Chang, Michael 146,41 ..................................................................................... Chang, Monica 11 ..................................................................................... Chapman-Taliaferro, Andria 111 .....................................................................................

Charaipotra, Neil 153,154 ..................................................................................... Chary, Mallika 134,72 ..................................................................................... Chau, James 169 ..................................................................................... Chaudhari, Uma 57 ..................................................................................... Chaudhary, Mohit 46 ..................................................................................... Chaudhry, Maqsood 154,160,58 ..................................................................................... Chaudhry, Sultan 154,160,58 ..................................................................................... Chawla, Seema 34 ..................................................................................... Chegini, Houman 171 ..................................................................................... Chehade, Tony 69 ..................................................................................... Chen, Cliff 132,192,27,56 ..................................................................................... Cheng, George 134,65,84 ..................................................................................... Cheng, Johnson 9 ..................................................................................... Chennupati, Naveen 111,115,134,171,4 ..................................................................................... 1,43,46,58 Cherin, Jack 171 ..................................................................................... Cheron, Ann-Colter 27 ..................................................................................... Cheron, Robert 10 ..................................................................................... Cherry, Donald 183 ..................................................................................... Cheung, Jenny 129 ..................................................................................... Childress, David 46 ..................................................................................... Childress, Jamie G 181 ..................................................................................... Chimata, Ameena 58 ..................................................................................... Chin, Charissa 46,58 ..................................................................................... Chin, Virginia 50 ..................................................................................... Cho, Ray 11 ..................................................................................... Cho, Young 2 ..................................................................................... Choby, Mary 165 ..................................................................................... Choe, Mark 50 ..................................................................................... Chohan, Ema 160,188,2,81,92 ..................................................................................... Choi, Bokyu 25 ..................................................................................... Choi, Charlson 50,56 ..................................................................................... Choi, Jin 50 ..................................................................................... Choi, Mark 50 ..................................................................................... Choi, Mi-Yon 188 ..................................................................................... Choi, Sungwon 134,185 ..................................................................................... Chong, Jae 25,49,65 ..................................................................................... Chong, Nathan 50 ..................................................................................... Chou, Melanie 157,56 ..................................................................................... Choudhary, Khalid 168,56,62 ..................................................................................... Chrisopoulos, Fotini 62,8,83 ..................................................................................... Christenson, Brad 38 ..................................................................................... Christofakis, Emil 65 ..................................................................................... Christopher, Lourdes 62 ..................................................................................... Chu, Oliver 58,81 ..................................................................................... Chu, Therese 153 ..................................................................................... Chuang, Shue 25 ..................................................................................... Chun, Edward 98 ..................................................................................... Chun, James 154,25 ..................................................................................... Chung, Chi Whan 50 ..................................................................................... Chung, Hee-Chul 121,134,65 ..................................................................................... Chung, John 112,75,79 ..................................................................................... Chung, Jun 86 ..................................................................................... Chuzhin, Yelena 11 ..................................................................................... Cios, Chris 103,119,127,39 ..................................................................................... Circeo, David 134 ..................................................................................... Citron, Albert 165 ..................................................................................... Claiborne, Jennifer 91 ..................................................................................... Claiborne, Shane 63 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Bunn, Steven 2 ..................................................................................... Burchett, Paul 146 ..................................................................................... Burden, James 183 ..................................................................................... Burger, Brenton 161,26,70 ..................................................................................... Burgoyne, Corey 63,88 ..................................................................................... Burke, Brian 144,39,42,44,48,68 ..................................................................................... Burke, Carol 9 ..................................................................................... Burningham, Tyler 128 ..................................................................................... Burns, Donna 103 ..................................................................................... Burns, G 64 ..................................................................................... Burns, Grover 64 ..................................................................................... Buro, Ronald 16,86 ..................................................................................... Burrell, Melvin 62 ..................................................................................... Burse Todd, Jessica 110,30,78 ..................................................................................... Bursich, Thomas 160 ..................................................................................... Burt, Charles 149 ..................................................................................... Burton, Francesca 2 ..................................................................................... Burton, James 90 ..................................................................................... Burton, Jerry 115,170 ..................................................................................... Buskill, Marcus 132 ..................................................................................... Bussey, Jill 134 ..................................................................................... Bussey, Kelly 169,34 ..................................................................................... Bussey, William 169,34 ..................................................................................... Butler, Charles 11 ..................................................................................... Butler, Shannon 45 ..................................................................................... Butt, Tehreem 50,57 ..................................................................................... Butts, David 57 ..................................................................................... Buyer, John 21 ..................................................................................... Byers, Paul 69 ..................................................................................... Byrd, Richard 108,143,154,158,6 ..................................................................................... 1,68,82 Byrnside, Valerie 121,163,178,37 .....................................................................................

197

Delta Dental Premier

Cooke, Donald 112 ..................................................................................... Cooke, James 159 ..................................................................................... Cooke, Thomas 151,72 ..................................................................................... Coon, David 29 ..................................................................................... Cooper, Kevin 34 ..................................................................................... Coots, Frederick 146,46 ..................................................................................... Copas, J 24 ..................................................................................... Copeland, Kenneth 78 ..................................................................................... Copeland, Robert 11 ..................................................................................... Copenhaver, Richard 192 ..................................................................................... Corcoran, Theodore 14,61 ..................................................................................... Cornette, William 75 ..................................................................................... Cornick, James 110,150 ..................................................................................... Costa, Mauricio 2 ..................................................................................... Costa, Shane 21,74 ..................................................................................... Cote, Carmen 115 ..................................................................................... Cote, David 11 ..................................................................................... Coulter, Charles 55,82 ..................................................................................... Coulter, Judith 154 ..................................................................................... Coutin-Gentry, J 11 ..................................................................................... Covaney, Michael 115 ..................................................................................... Covaney, Sharon 112,98 ..................................................................................... Covel, Jerome 165 ..................................................................................... Coviello, Vincent 14,186,61 ..................................................................................... Cowell, Christina 25,86 ..................................................................................... Cox, Daniel 115,171 ..................................................................................... Cox, Gregory 64 ..................................................................................... Cox, Joseph 134 ..................................................................................... Cox, Robert 134 ..................................................................................... Cox, Stuart 103,134 ..................................................................................... Cox, Thomas 180 ..................................................................................... Cox, William 171 ..................................................................................... Crabtree, Mark 97 ..................................................................................... Crandall, Dawn 96 ..................................................................................... Crawford, Carrington 90 ..................................................................................... Crawford, Gary 150 ..................................................................................... Creal, Albert 112 ..................................................................................... Creamer, Wesley 188 ..................................................................................... Crichton, Catherine 104,119,126 ..................................................................................... Crichton, James 104,119,126 ..................................................................................... Crisp, Lisa 72 ..................................................................................... Crist, Jason 90 ..................................................................................... Cristi, Ivona 110,134,146,16,30, ..................................................................................... 41 Crocker, Mark 104 ..................................................................................... Cronly, Jo 104,39 ..................................................................................... Cross, Griffin 146,46 ..................................................................................... Crowder, Curtis 181,182,30 ..................................................................................... Crowder, E 182 ..................................................................................... Crowder, Niloofar 30 ..................................................................................... Crowder, Victoria 104,39 ..................................................................................... Crowley, Benjamin 134 ..................................................................................... Cruser, Melvin 171 ..................................................................................... Cruz, Jazriel 65 ..................................................................................... Cruz, Maria 25 ..................................................................................... Cruz-Chu, Carlos 15 ..................................................................................... Cruz-Orcutt, Noemi 30 ..................................................................................... Cuellar, Gerson 11,81 ..................................................................................... Cuellar, Ruben 11 .....................................................................................

Cuellar-Cordova, Eliana 188 ..................................................................................... Cujar, Ana Maria 81 ..................................................................................... Culberson, James 68 ..................................................................................... Culda, Dana 65 ..................................................................................... Culpepper, Scott 101,134 ..................................................................................... Cumbey, J 119 ..................................................................................... Cunningham, Michael 182 ..................................................................................... Curling, Joshua 34 ..................................................................................... Curry, Lisa 183 ..................................................................................... Cutright, Barry 46 ..................................................................................... Cutright, Martha 46 ..................................................................................... Cwiak, Kari 112,123,171,183,3 ..................................................................................... 4,75 Cyr, Jeffrey 107,142 .....................................................................................

D Dabney, C 108 ..................................................................................... Dacunha, Paul 134 ..................................................................................... Daczkowski, Thomas 18,95 ..................................................................................... Dadkhah, Mina 161,8 ..................................................................................... Dafo, Daniel 75 ..................................................................................... Dahlke, William 134 ..................................................................................... Dahman, Mouhammad 11 ..................................................................................... Dail, Ray 114 ..................................................................................... Dailey, Curtis 123,77 ..................................................................................... Dailey, George 123,77 ..................................................................................... Daley, Colleen 1 ..................................................................................... Dalley, David 30 ..................................................................................... Dameron, Karen 72,98 ..................................................................................... Damiano, Joseph 146 ..................................................................................... Damirchi, Nasser 72 ..................................................................................... Danesh, Rabi 58 ..................................................................................... Daneshvar, Arezou 127,86 ..................................................................................... Dang, Loan 58 ..................................................................................... Dang, Quyen 129,51 ..................................................................................... Dang, Tuong-Anh 18,27 ..................................................................................... Daniels, Sandra 11 ..................................................................................... Dao, Quyen 58 ..................................................................................... Daru, Antara 145,33 ..................................................................................... Darvishian, Aramesh 129 ..................................................................................... Dary, Patricia 129 ..................................................................................... Dasilva, Emily 154 ..................................................................................... Davenport, Faline 69 ..................................................................................... Davenport, William 114,77,79 ..................................................................................... Davia, Allen 134 ..................................................................................... Davidson, Jeremy 178 ..................................................................................... Davidson, Kristin 39 ..................................................................................... Davila, Ricardo 151 ..................................................................................... Davis, Debra 171 ..................................................................................... Davis, George 108,143,40 ..................................................................................... Davis, Gerald 169 ..................................................................................... Davis, Herbert 20 ..................................................................................... Davis, Jeffrey 100,186 ..................................................................................... Davis, John 149 ..................................................................................... Davis, Julia 104 ..................................................................................... Davis, Keenan 119,181 ..................................................................................... Davis, Krista 30 ..................................................................................... Davis, Michael 90 ..................................................................................... Davis, Rhea 49,71 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Clark, Brian 129 ..................................................................................... Clark, C 2 ..................................................................................... Clark, Jeffrey 146 ..................................................................................... Clark, Jessica 180 ..................................................................................... Clark, Joann 75 ..................................................................................... Clark, Risa 85,97 ..................................................................................... Clarke, Stephen 30 ..................................................................................... Clarkson, Carrie 171 ..................................................................................... Claros, Claudia 185,9,98 ..................................................................................... Claustro, Joanna 160,93 ..................................................................................... Claybrook, Robert 165 ..................................................................................... Claycomb, Debra 152 ..................................................................................... Clayton, Charles 115 ..................................................................................... Clemens, Charles 149 ..................................................................................... Clemons, Mark 71 ..................................................................................... Cleveland, Russell 103 ..................................................................................... Clifford, Kevin 33,45 ..................................................................................... Clifton, Jeffrey 33,46 ..................................................................................... Cline, Matthew 143,33,74 ..................................................................................... Cline, Misty 164 ..................................................................................... Clisso, Monica 120 ..................................................................................... Cloth, Mark 159,33 ..................................................................................... Cloudt, Rebecca 150 ..................................................................................... Coalter, Earnest 171 ..................................................................................... Cobb, Howard 34 ..................................................................................... Cochran, Brian 86 ..................................................................................... Cocolis, Peter 154 ..................................................................................... Coe, Julie 134 ..................................................................................... Coe, Yong 145 ..................................................................................... Coghill, Thomas 83 ..................................................................................... Cohen, Jerome 134 ..................................................................................... Coker, William 134,98 ..................................................................................... Colella, Peter 178 ..................................................................................... Coleman, James 193 ..................................................................................... Coleman, Marilyn 188 ..................................................................................... Coleman, Norman 156,167,7,98 ..................................................................................... Colina, Joey 164 ..................................................................................... Colina, Kevin 188 ..................................................................................... Collazo, Walter 127,51,86 ..................................................................................... Collins, Elizabeth 63 ..................................................................................... Collins, R 182,32 ..................................................................................... Collins, Timothy 1 ..................................................................................... Colospate, Vidya 154,22 ..................................................................................... Colson-Scott, Mellanda 115 ..................................................................................... Compton, Anne 152 ..................................................................................... Conduff, Joseph 63 ..................................................................................... Conelias, Trent 119,178 ..................................................................................... Conklin, Charles 146 ..................................................................................... Conner, Gregory 32,45 ..................................................................................... Conner, Thomas 41 ..................................................................................... Connolly, Susan 112 ..................................................................................... Conrad, Caleb 171 ..................................................................................... Conrad, Paul 109 ..................................................................................... Contract, Monica 183 ..................................................................................... Cook, Bruce 134 ..................................................................................... Cook, Kathryn 33 ..................................................................................... Cook, Loren 20 ..................................................................................... Cook, P 152 ..................................................................................... Cook, Thomas 154 .....................................................................................

198

Delta Dental Premier

Dilolli, Sonia 81 ..................................................................................... Dimitroff, Emily 115,135,171,43,65 ..................................................................................... Dinh, Ashley 160 ..................................................................................... Dinwiddie, Amelia 21 ..................................................................................... Dionisio, Janice 2 ..................................................................................... Direnzo, Gregory 127 ..................................................................................... Divalentin, Robert 165 ..................................................................................... Dixon, Bryan 43,44,83,84 ..................................................................................... Dixon, Jennifer 193,33 ..................................................................................... Djeu, Garret 55 ..................................................................................... Djeu, S Grace 1,27 ..................................................................................... Do, Anh 135 ..................................................................................... Do, Chi 88 ..................................................................................... Do, Hoang 2 ..................................................................................... Do, Kim 51 ..................................................................................... Do, Sean 34 ..................................................................................... Do, Thi 58 ..................................................................................... Doan, Thao 188 ..................................................................................... Dobson, Roberta 171 ..................................................................................... Dodson, William 111 ..................................................................................... Dodson-Gordon, Sherry 41 ..................................................................................... Doe, Michael 86 ..................................................................................... Doering, Steven 183 ..................................................................................... Dolan, Patrick 131,190,23,26,55 ..................................................................................... Dolenuck, Richard 171 ..................................................................................... Dollar, James 112 ..................................................................................... Dollard, Wayne 129 ..................................................................................... Domark, Jeffrey 162 ..................................................................................... Dombroski, Jessica 188,83 ..................................................................................... Dominguez-Garcia, Oscar 28 ..................................................................................... Donahue, James 2,84 ..................................................................................... Donaldson, Gavin-Rae 115 ..................................................................................... Dong, Michael 25,3 ..................................................................................... Dongell, Diana 1,57 ..................................................................................... Donohue, Kristen 22,3 ..................................................................................... Donohue, Richard 51 ..................................................................................... Donohue, Stephen 166,51 ..................................................................................... Donzell, Richard 75 ..................................................................................... Dooley, Mary 171 ..................................................................................... Doppalapudi, Vivek 46,82 ..................................................................................... Doriot, Robert 55 ..................................................................................... Dorjee, Jigmey 81 ..................................................................................... Dorsch, Steve 18,87 ..................................................................................... Dosen, Goran 3 ..................................................................................... Dost, Robert 84 ..................................................................................... Doty, Michael 1 ..................................................................................... Dougherty, William 58 ..................................................................................... Dowdy, Hugh 122 ..................................................................................... Dowdy, Sarah 135 ..................................................................................... Doyle, Myra 130 ..................................................................................... Drake, William 22 ..................................................................................... Draper, Thomas 21,90 ..................................................................................... Dreelin, Robert 75,79 ..................................................................................... Drees, Gretchen 19 ..................................................................................... Drummond, Tanya 51 ..................................................................................... Drummond, Thomas 51 ..................................................................................... Dryden, Brent 22 ..................................................................................... Du, Khanh 155,3 ..................................................................................... Duarte, Camilo 135,65 .....................................................................................

Dube, Neelam 69,81,93 ..................................................................................... Duchateller-Cange, Ruth 16 ..................................................................................... Duckett, Lan 58 ..................................................................................... Dudley, Scott 11 ..................................................................................... Duff, J 135 ..................................................................................... Dukes, J 35 ..................................................................................... Dulabh, Mita 188 ..................................................................................... Dumlao, Rustico 128,188 ..................................................................................... Dunbar, Patricia 121,157 ..................................................................................... Dunegan, Michael 70,95 ..................................................................................... Dunham, Benjamin 187 ..................................................................................... Dunham, Bryson 101 ..................................................................................... Dunham, Elizabeth 104,35,89 ..................................................................................... Dunham, Thomas 171 ..................................................................................... Dunkin, Christina 123 ..................................................................................... Dunlevy, Harry 108 ..................................................................................... Dunn, Noelle 188 ..................................................................................... Dunne, Frank 130 ..................................................................................... Dunnill, Brett 183 ..................................................................................... Duong, Hung 11,28 ..................................................................................... Duong, Son 65 ..................................................................................... Duong, Truc 160 ..................................................................................... Durham, David 104 ..................................................................................... Durr, John 25,9 ..................................................................................... Dusek, Thomas 38 ..................................................................................... Dwivedi, Anil 166 ..................................................................................... Dymon, William 102,107,142,151,7 ..................................................................................... 3 Dziejma, Robert 157 .....................................................................................

E

PARTICIPATING PROVIDERS

Davis, Ron 49 ..................................................................................... Davis, Rusty 182 ..................................................................................... Dawson, Martha 144 ..................................................................................... Day, Jeffrey 153 ..................................................................................... Dayse, Robert 190,67,95 ..................................................................................... De Vito, Janice 58 ..................................................................................... Dean, Henry 28 ..................................................................................... Dean, John 9 ..................................................................................... Dean-Duru, Lynda 18 ..................................................................................... Debenedetto, David 93 ..................................................................................... Deeb, George 142 ..................................................................................... Dehyar, Joseph 22,51 ..................................................................................... Delacruz, Carola 153,87 ..................................................................................... Delaney, Whitney 129 ..................................................................................... Dele, Kennedy 93 ..................................................................................... Delgado, Edward 167,7 ..................................................................................... Delk, Campbell 152 ..................................................................................... Dellork, Richard 165 ..................................................................................... Delorenzo, Michael 2 ..................................................................................... Delph, Bradley 109,134,182,39,49, ..................................................................................... 83 Deluke, Dean 142 ..................................................................................... Demaree, Neil 96 ..................................................................................... Demayo, Thomas 169 ..................................................................................... Demichele, Joshua 146 ..................................................................................... Demsko, Harold 187 ..................................................................................... Denbar, Michael 34 ..................................................................................... Denison, John 112 ..................................................................................... Dennis, Suzanne 33 ..................................................................................... Denoncourt, Jamie 104,126,127 ..................................................................................... Desai, Bhavik 134 ..................................................................................... Desio, Joseph 181,58 ..................................................................................... Detar, Matthew 129,134,48,92 ..................................................................................... Detweiler, Melanie 115,171 ..................................................................................... Devera, Genevieve 104,126 ..................................................................................... Devgon, Denise 51 ..................................................................................... Deviese, David 91 ..................................................................................... Devylder, Joseph 10,154,158,161,16 ..................................................................................... 7,7,82 Dewinkler, John 98 ..................................................................................... Dhakar, Aditya 135,72 ..................................................................................... Dhakar, Surya 135,72 ..................................................................................... Dhillon, Navneet 188,2,25,48,51 ..................................................................................... Dhingra, Pallavi 135,65 ..................................................................................... Dholoo, Pareen 98 ..................................................................................... Diamond, Martin 83 ..................................................................................... Diaz, Angela 135,65 ..................................................................................... Diaz, Jennifer 24,56 ..................................................................................... Diaz, Maritza 96 ..................................................................................... Dibenedetto, Nicholas 130 ..................................................................................... Dickerson, Sondra 45 ..................................................................................... Dickey, Floyd 146 ..................................................................................... Dickey-Farr, Claire 146,98 ..................................................................................... Dickson, Jeffrey 187,79 ..................................................................................... Dickson, Nana 51 ..................................................................................... Dickson, Stephanie 2 ..................................................................................... Diefenderfer, Mark 101,104,135,19,72 ..................................................................................... Dikeman, Theron 11 ..................................................................................... Dilaura, Thomas 115 ..................................................................................... Dillon, Kathleen 130 .....................................................................................

Ea-Lim, Bophary 51 ..................................................................................... Eason, David 46 ..................................................................................... Easterling, Robert 135,80 ..................................................................................... Eberly, Randy 119,78 ..................................................................................... Economides, Mino 11 ..................................................................................... Eddleton, Raymonia 108 ..................................................................................... Edelbi, Dina 166,58 ..................................................................................... Edenfield, Michael 123 ..................................................................................... Edmondson, David 104 ..................................................................................... Edwards, Damita 25 ..................................................................................... Edwards, Justin 108,144,40,68 ..................................................................................... Egber, Mark 9 ..................................................................................... Egeland-Lewis, Martha 171,35 ..................................................................................... Eghtessad, Michael 16,160 ..................................................................................... Ehle, Charles 9 ..................................................................................... Ehreth, John 181,92 ..................................................................................... Eisenhardt, Peter 32,45 ..................................................................................... Ejtemai, Nastaran 28,51,58 ..................................................................................... Ekoh, Madueke 70 ..................................................................................... El Badawy, Tarek 116,123,162 ..................................................................................... El Qasem, Asmaa 58 ..................................................................................... Elattrache, Dean 169 ..................................................................................... Elchekha, Houssam 135,146 ..................................................................................... Eldridge, Keith 193 ..................................................................................... Elgarawany, Ibrahim 135,72 ..................................................................................... Elgazzar, Mohamed 157,98 ..................................................................................... El-Ghobashi, Ahmed 155 ..................................................................................... Elgohary, Anthony 35 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

199

Delta Dental Premier

F Faber, Beth 164 ..................................................................................... Fabio, Michael 129,157 ..................................................................................... Faircloth, W 32,45 .....................................................................................

Fairfax, Cerina 46,51 ..................................................................................... Falaiye, Victor 3 ..................................................................................... Familant, Lawrence 75 ..................................................................................... Fan, Vivian 131,152,68 ..................................................................................... Farah, Mazin 48,65 ..................................................................................... Farahi, Fred 97 ..................................................................................... Farhangi, Sahel 130 ..................................................................................... Farhoumand, Farah 166 ..................................................................................... Farhoumand, Farshad 165 ..................................................................................... Farhoumand, Foad 166 ..................................................................................... Farmer, James 30 ..................................................................................... Farr, Michael 168 ..................................................................................... Farrey, Lynn 11 ..................................................................................... Fasano, Marybeth 171 ..................................................................................... Fashing, Gisela 183 ..................................................................................... Fashing, Maria 183 ..................................................................................... Favagehi, Jason 11,150,166,28 ..................................................................................... Favagehi, Mehrdad 62 ..................................................................................... Favis, Raymund 51 ..................................................................................... Fearon, Andreen 135,43,65 ..................................................................................... Fei, Tian 121 ..................................................................................... Feild, Robert 75 ..................................................................................... Feild, Thomas 75 ..................................................................................... Feimster, Tawana 10,80 ..................................................................................... Fein, Joshua 129,154,50 ..................................................................................... Feldman, Irwin 61 ..................................................................................... Feldman, Seth 61 ..................................................................................... Felton, Walter 39 ..................................................................................... Ferguson, Andrew 107,142 ..................................................................................... Ferguson, Julie 85 ..................................................................................... Ferguson, Justin 85 ..................................................................................... Fernandes, Joyce 132 ..................................................................................... Fernandez, Miguel 171 ..................................................................................... Ferry, David 39 ..................................................................................... Fidel, Elidia 11 ..................................................................................... Field, Marcus 35 ..................................................................................... Field, Sheila 162,171 ..................................................................................... Fields, Charles 132 ..................................................................................... Fields, Julian 8 ..................................................................................... Filippone, Louis 27,70 ..................................................................................... Fina, Leslie 22 ..................................................................................... Finamore, Paul 160 ..................................................................................... Finkler, Timothy 111,132 ..................................................................................... Finley-Parker, Kathryn 135 ..................................................................................... Finnerty, Kevin 171 ..................................................................................... Finnerty, Raymond 11 ..................................................................................... Fiorucci, Richard 7 ..................................................................................... Fiscella, Helen 183 ..................................................................................... Fischer, Charles 25 ..................................................................................... Fischer, Katherine 25,98 ..................................................................................... Fisher, Richard 22 ..................................................................................... Fisher, Steven 192,56,78 ..................................................................................... Fishman, Edward 58 ..................................................................................... Fitzgerald, David 147 ..................................................................................... Flaherty, Brooke 150,30 ..................................................................................... Flaherty, Craig 49 ..................................................................................... Flamer, Andrea 135 ..................................................................................... Flanagan, Chad 101,104,135,19,72 ..................................................................................... Flanagan, Michelle 12 .....................................................................................

Fleenor, William 135,92 ..................................................................................... Fleming, Harold 191,55,61 ..................................................................................... Fleming, Lisa 116 ..................................................................................... Flenniken, Neil 166 ..................................................................................... Flikeid, Robert 181 ..................................................................................... Flood, Scott 171 ..................................................................................... Flores, Marco 25,51,93 ..................................................................................... Flowers, John 108,40 ..................................................................................... Floyd, Jazmin 116,122 ..................................................................................... Folck, Michael 171,178 ..................................................................................... Folck, Vinita 171 ..................................................................................... Foleck, Adam 116,75 ..................................................................................... Fontes, Fernanda 157,56 ..................................................................................... Forbes, Alan 35 ..................................................................................... Forbes, Graham 12,98 ..................................................................................... Forbes, Irama 116,9 ..................................................................................... Ford, Jermel 112 ..................................................................................... Ford, Melvin 178 ..................................................................................... Foretich, Eric 98 ..................................................................................... Foretich, Jerome 112 ..................................................................................... Formica, Louis 104,119,127,39 ..................................................................................... Forrest, David 114 ..................................................................................... Forsbergh, Eric 130 ..................................................................................... Forsee, James 3 ..................................................................................... Forte, Steven 111 ..................................................................................... Fortner, Glenn 72 ..................................................................................... Fortney, Clark 20 ..................................................................................... Fosque, Fletcher 121 ..................................................................................... Foster, Benjamin 35 ..................................................................................... Foster, Bonnie 110,181 ..................................................................................... Foster, David 171 ..................................................................................... Foster, Peter 183,79 ..................................................................................... Foster, Richard 171 ..................................................................................... Fowler, J 78 ..................................................................................... Fox, Erik 22 ..................................................................................... Fox, Lawrence 22 ..................................................................................... Foy, Randall 135 ..................................................................................... Fraites, Stephen 30 ..................................................................................... Frames, Steven 85 ..................................................................................... Francioni, Sonia 10,100,190 ..................................................................................... Francis, Hunter 75 ..................................................................................... Francis, Scott 75 ..................................................................................... Francisco, Peter 164 ..................................................................................... Frank, Gerald 3 ..................................................................................... Frank, Harold 15,191 ..................................................................................... Frankenberry, Anishka 1,191,61 ..................................................................................... Franks, Allen 97 ..................................................................................... Fratkin, H 135 ..................................................................................... Frazier, Rita 116,171 ..................................................................................... Freedman, Brad 3 ..................................................................................... Freedman, Joyce 81 ..................................................................................... Freeman, Gerald 112 ..................................................................................... Freeman, Mark 80 ..................................................................................... Freidank, Christian 93 ..................................................................................... French, Charles 48,63 ..................................................................................... French, Janet 48 ..................................................................................... Frey, Gilbert 183 ..................................................................................... Frias, Bernarda 35 ..................................................................................... Friedlander, Mark 30 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Elhady, Sherif 24,51 ..................................................................................... El-Hage, Bassem 58 ..................................................................................... Elhussein, Faisal 22 ..................................................................................... Elias, Thomas 104 ..................................................................................... Elkhateeb, Mohammad 166 ..................................................................................... Ellenbogen, Gary 166,51 ..................................................................................... Ellington, Paul 126,85 ..................................................................................... Ellis, Bita 51 ..................................................................................... Ellis, David 83 ..................................................................................... Ellis, Donald 10,24 ..................................................................................... Ellis, Jonathan 83 ..................................................................................... Ellis, Kevin 171 ..................................................................................... Ellis, Robert 112 ..................................................................................... Elosta, Wael 85 ..................................................................................... Elrod , Joseph 101 ..................................................................................... Elstner, Earl 65 ..................................................................................... Emad, Neal 166,28 ..................................................................................... Emam, Atiyeh 85 ..................................................................................... Engel, Gregory 169 ..................................................................................... Engle, Scott 35 ..................................................................................... English, Sam 101,109,135,182,1 ..................................................................................... 83,43,83 Enoch, Margaret 98 ..................................................................................... Enriquez, Veronica 28 ..................................................................................... Eppard, Holly 45 ..................................................................................... Epperly, Ashley 135 ..................................................................................... Epps, Johne 119,122,135,72 ..................................................................................... Epstein, Ross 112 ..................................................................................... Ercole, Aaron 142 ..................................................................................... Ericksen, Dana 51 ..................................................................................... Errera, Joseph 102,18,182,45 ..................................................................................... Eschenbach, Sean 147 ..................................................................................... Eschenroeder, Thomas 107,142 ..................................................................................... Esparza, Sarah 171 ..................................................................................... Estafanous, Emad 192 ..................................................................................... Estell, Jennilyn 188 ..................................................................................... Estes, Matthew 104 ..................................................................................... Estill, Andrew 104,119,126 ..................................................................................... Estrada, Charito 35 ..................................................................................... Estrada, Craig 35 ..................................................................................... Estwani, Isam 81 ..................................................................................... Etessam, Neda 100 ..................................................................................... Etheridge, Daniel 35 ..................................................................................... Evans, Candace 155 ..................................................................................... Evans, Dale 63 ..................................................................................... Evans, Glenn 128 ..................................................................................... Evans, James 33,47 ..................................................................................... Evans, Joel 28 ..................................................................................... Evans, Mark 85 ..................................................................................... Evens, Steven 135 ..................................................................................... Exum, Antone 72 ..................................................................................... Eye, Kenneth 192,78 ..................................................................................... Ezekiel, Jeffrey 193 ..................................................................................... Ezzeldin, Ahmed 69 .....................................................................................

200

Delta Dental Premier

G Gaitan, Ricardo 155,160,51 ..................................................................................... Galatro, Derek 65 ..................................................................................... Galbraith, Ted 30 ..................................................................................... Galbreath, Robert 164,178,33 ..................................................................................... Gallaher, Thomas 147,150 ..................................................................................... Gallegos, Jose 104 ..................................................................................... Gallian, Mary-Stuart 51 ..................................................................................... Galliani-Alvarez, Mirtha 61 ..................................................................................... Gallop, Ceceil 76 ..................................................................................... Galstan, Samuel 39 ..................................................................................... Gamache, Marc 104,119,126,127,3 ..................................................................................... 9 Gambrel, Madelyn 111,132 ..................................................................................... Gamez, Myrna 147,41,47 ..................................................................................... Ganjavi, Sarah 168 ..................................................................................... Ganji, Nazila 81 ..................................................................................... Garai, Allen 168,75 ..................................................................................... Garcia, Mauricio 128,188,86 ..................................................................................... Garden, Laura 104 ..................................................................................... Gardner, Davis 187,41 ..................................................................................... Gardner, Edward 135 ..................................................................................... Gardner, William 143 ..................................................................................... Garfield, Dean 135 ..................................................................................... Garnes, Richard 186 ..................................................................................... Garofalis, Haralambos 114,125,180,185,3 ..................................................................................... 8,78 Garrett, Tamara 12 ..................................................................................... Garrett, Wanda 81 ..................................................................................... Gaskins, Charles 145,164,44 ..................................................................................... Gatens, Robert 51 ..................................................................................... Gates, James 96 ..................................................................................... Gates, Justin 96 ..................................................................................... Gaught, Keith 47 ..................................................................................... Gazori, Michael 85 ..................................................................................... Geary, Bryan 193 ..................................................................................... Geddes, Brandon 172 ..................................................................................... Gee, Carroll 84 ..................................................................................... Gejji, Dipti 155,65 ..................................................................................... Geldart, Gregory 128 ..................................................................................... Gendron, Gregory 97 ..................................................................................... Gentry, Garland 63 .....................................................................................

Gentry, Philip 12 ..................................................................................... George, Robert 193,79 ..................................................................................... Gerald, Mark 93 ..................................................................................... Gerald, Matthew 188 ..................................................................................... Gerard, Scott 41,42 ..................................................................................... Germane, Nicholas 102 ..................................................................................... Ghaffari, Ashkan 168 ..................................................................................... Ghalehbaghi, Faranak 56,8 ..................................................................................... Ghamary, Ghafoor 58 ..................................................................................... Ghanbari, Mohsen 25,3 ..................................................................................... Ghanim, Layth 153,160 ..................................................................................... Ghasemzadeh-Zolghadr, Mandana 3 ..................................................................................... Ghatak, Monamie 191,27,29,56,61,68 ..................................................................................... Ghatri, Ali 131,156,158,55,68, ..................................................................................... 95 Ghazarian, Misha 104,126,39 ..................................................................................... Ghorbani, Pejman 16,22,3 ..................................................................................... Gialanella, Matthew 12 ..................................................................................... Gibberman, Avi 72 ..................................................................................... Gibberman, Lauren 3 ..................................................................................... Gibberman, Paul 3 ..................................................................................... Gibbons, Walter 112 ..................................................................................... Giberson, Kenneth 51 ..................................................................................... Gibson, Melissa 186 ..................................................................................... Gichana, Roselyne 12,62 ..................................................................................... Gigliotti, Frank 172 ..................................................................................... Gigliotti, Michael 172 ..................................................................................... Giles, Jernice 135 ..................................................................................... Gilfillan, Andrew 184 ..................................................................................... Gill, Kwesi 15,96 ..................................................................................... Gilman, David 98 ..................................................................................... Gilrain, David 30 ..................................................................................... Gioffre, Mollie 172 ..................................................................................... Giordano, Pasquale 121 ..................................................................................... Gladstone, Myron 172 ..................................................................................... Glaser, James 43 ..................................................................................... Glasgow, Boyd 3 ..................................................................................... Glasgow, Matthew 20 ..................................................................................... Glick, Arthur 172 ..................................................................................... Glick, Stephen 92 ..................................................................................... Glikman, Sandra 12,155 ..................................................................................... Gliksman, Joseph 178,37,77 ..................................................................................... Gloria, Joseph 116,162,172,35 ..................................................................................... Gnanasundaram, Sreepreethi 16 ..................................................................................... Goad, Marlon 83 ..................................................................................... Gocke, Fizzah 98 ..................................................................................... Gocke, Michael 100,190,23 ..................................................................................... Goff, William 12 ..................................................................................... Gokli, Meera 108,44 ..................................................................................... Golden, Alan 128,191,24 ..................................................................................... Golden, R 92 ..................................................................................... Goldhush, Wanda 3 ..................................................................................... Goldin, Richard 168,96 ..................................................................................... Goldman, Mark 35 ..................................................................................... Goldstein, Adam 12 ..................................................................................... Goldstein, Ira 184 ..................................................................................... Goldstein, Joel 3 ..................................................................................... Goldstein, Keith 116,162,172,35 ..................................................................................... Goldstein, Stephen 123,172 .....................................................................................

Goldstone, John 123 ..................................................................................... Golian, Timothy 50 ..................................................................................... Gollapalli, Nagalatha 65 ..................................................................................... Golob Deeb, Janina 145 ..................................................................................... Golrich, Scott 193 ..................................................................................... Golub, Mark 3 ..................................................................................... Gomez, Patricia 188,3,93 ..................................................................................... Goode, Amber 16 ..................................................................................... Goodman, Ashlee 165 ..................................................................................... Goodove, Scott 121,163,178,37 ..................................................................................... Goodwin, Clifford 112 ..................................................................................... Goodwin, William 63,88 ..................................................................................... Goozh, Steven 80 ..................................................................................... Gordon, Diann 79 ..................................................................................... Gore, M 104 ..................................................................................... Gore, Shemika 12,3 ..................................................................................... Gorman, Michael 25 ..................................................................................... Gosney, James 47 ..................................................................................... Goswami, Rama 69 ..................................................................................... Goswami, Rashmi 69 ..................................................................................... Gottlieb, Brian 155 ..................................................................................... Gottlieb, Riki 135 ..................................................................................... Gowda, Shantala 172 ..................................................................................... Grabeel, Daniel 90 ..................................................................................... Grady, Sean 150 ..................................................................................... Graham, David 35 ..................................................................................... Graham, Jeffrey 135 ..................................................................................... Graham, Loretta 112 ..................................................................................... Graham-Montaque, Rana 135,184,76 ..................................................................................... Granato, Jerome 93 ..................................................................................... Grande, Marcos 81 ..................................................................................... Grantham, Tabbitha 135 ..................................................................................... Gray, Andrew 180 ..................................................................................... Gray, Dominicque 135,147 ..................................................................................... Gray, James 178 ..................................................................................... Gray, Richard 103 ..................................................................................... Greco, Donna 74 ..................................................................................... Green, Barry 114 ..................................................................................... Green, Michael 3 ..................................................................................... Green, Roosevelt 123 ..................................................................................... Green, William 112 ..................................................................................... Greenspan, Gary 51,58 ..................................................................................... Greenwell, Kimberly 112 ..................................................................................... Greenwood, Oliver 101 ..................................................................................... Greer, Phyllis 69,93 ..................................................................................... Gregory, Eugene 61 ..................................................................................... Gregory, Mary 12 ..................................................................................... Grekos, Apostolos 47 ..................................................................................... Grieco, Joseph 51 ..................................................................................... Griffin, Alfred 103,182,45 ..................................................................................... Griffin, Barry 145 ..................................................................................... Griffin, Charles 122 ..................................................................................... Griffin, Susan 181 ..................................................................................... Griffin, William 112 ..................................................................................... Griffiths, Jolanta 80 ..................................................................................... Griggs, Edward 102,110,121,64 ..................................................................................... Grimes, Mark 28 ..................................................................................... Grimm, Quynh-Anh 58 ..................................................................................... Grimmer, Bryan 155,81 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Friend, Basil 43 ..................................................................................... Friend, Sarah 20 ..................................................................................... Fritz, Martin 110 ..................................................................................... Fuchs, Steven 58 ..................................................................................... Fuentes, Agnes 12 ..................................................................................... Fuhrmann, Ronald 171 ..................................................................................... Fuller, Janis 104 ..................................................................................... Fuller, Robert 86 ..................................................................................... Fuller, Ross 183 ..................................................................................... Fullerton, William 183 ..................................................................................... Fulton, Catherine 119,178,77 ..................................................................................... Fumagali, Cecile 135 ..................................................................................... Funda, Ann-Marie 171 ..................................................................................... Furman, Randall 171 ..................................................................................... Fusaro, Joseph 65 ..................................................................................... Futrell, Robert 101 .....................................................................................

201

Delta Dental Premier

H Ha, Jenny 157,56 ..................................................................................... Haas, H 67 ..................................................................................... Hackett, Charles 136 ..................................................................................... Hadithi, Deena 155 ..................................................................................... Haeberer, Alfred 160 ..................................................................................... Haeri, Maryam 51 ..................................................................................... Hagar, Basiony 150,25,93,97 ..................................................................................... Hailemariam, Tesfaye 3 ..................................................................................... Hairston, Zachary 47 ..................................................................................... Hake, Terry 183 ..................................................................................... Hakim, Farhad 81 ..................................................................................... Hale, James 48 ..................................................................................... Hale, Vicky 121 ..................................................................................... Haley, Mary 172,35 ..................................................................................... Haley, Thomas 19 ..................................................................................... Hall, John 166 ..................................................................................... Hall, Michael 151 ..................................................................................... Hall, Robert 130,16 ..................................................................................... Hall, Stacey 184 ..................................................................................... Ham, Samuel 51 ..................................................................................... Hamalian, Techkouhie 16,56 ..................................................................................... Hamer, David 33 ..................................................................................... Hamid, Ghada 155 .....................................................................................

Hamilton, Michael 136 ..................................................................................... Hamilton, Paul 172,84 ..................................................................................... Hamlett, Sheryle 116,41 ..................................................................................... Hamlin, Daura 119 ..................................................................................... Hamman, Frances 7 ..................................................................................... Hammock, Mark 63 ..................................................................................... Hammond, Albin 88 ..................................................................................... Hamrah, Daria 100,14,67 ..................................................................................... Han, Christine 3 ..................................................................................... Han, John 130,157,56 ..................................................................................... Han, Michael 16 ..................................................................................... Han, Sok Woong 89 ..................................................................................... Han, Sung 157,25,28 ..................................................................................... Han, Victor 16 ..................................................................................... Hanania, Hanna 188 ..................................................................................... Hangval, Reza 25,51,93 ..................................................................................... Hanley, Bruce 12 ..................................................................................... Hanley, Michael 39 ..................................................................................... Hanna, Gary 71 ..................................................................................... Hanna, Peter 3 ..................................................................................... Hanna, William 159 ..................................................................................... Hanson, Benjamin 187 ..................................................................................... Har, Gregory 96 ..................................................................................... Hardee, Sheila 169,78 ..................................................................................... Harden, Russell 101 ..................................................................................... Harding, Emily 121,30 ..................................................................................... Hardison, Justin 161,71 ..................................................................................... Hardy, Kenneth 162 ..................................................................................... Harman, Ashley 144 ..................................................................................... Harman, Douglas 49 ..................................................................................... Harmon, Thomas 112,116,123,172,4 ..................................................................................... 2,47,76,83 Harper, William 123 ..................................................................................... Harre, John 181 ..................................................................................... Harrell, Gibson 35 ..................................................................................... Harrington, Nola 19 ..................................................................................... Harris, Charles 20,74 ..................................................................................... Harris, Clifton 12,3 ..................................................................................... Harris, Jeffrey 181 ..................................................................................... Harris, Jesse 100 ..................................................................................... Harris, John 147 ..................................................................................... Harris, Luke 20 ..................................................................................... Harris, Monroe 102,107,142,151,7 ..................................................................................... 3 Harris, Paul 9 ..................................................................................... Harris, Richard 172 ..................................................................................... Harris, Sharon 104 ..................................................................................... Harrison, Berard 172 ..................................................................................... Harrison, Howard 147 ..................................................................................... Harrison, James 152,193,76 ..................................................................................... Hart, Faryl 136 ..................................................................................... Hartigan, James 47 ..................................................................................... Hartley, Caroline 155,3,51 ..................................................................................... Hartley, Jacob 112,184 ..................................................................................... Hartman, Gary 180 ..................................................................................... Hartmann, Paul 185 ..................................................................................... Hartz, Gary 130,16 ..................................................................................... Harvey, David 83 ..................................................................................... Harvey, Gregory 147,151,169,48,78 ..................................................................................... Harvey, Paul 10 .....................................................................................

Haseeb, Noreen 58 ..................................................................................... Hasenfelt, Brooke 112 ..................................................................................... Hasham, Omar 28,69,81,86,93 ..................................................................................... Hassan, Nadder 48,51,93 ..................................................................................... Haston, Raymond 46,65 ..................................................................................... Hasty, Michael 180,38 ..................................................................................... Hatch, Steven 90 ..................................................................................... Hatcher, William 38 ..................................................................................... Haueis, Roman 136 ..................................................................................... Haun, William 147 ..................................................................................... Hawkins, Alexander 104 ..................................................................................... Hawley, Julie 49 ..................................................................................... Hawthorne, Burnell 184 ..................................................................................... Haydu, James 35,98 ..................................................................................... Hayes, Lawrence 47 ..................................................................................... Haynie, Talon 186 ..................................................................................... Hazelgrove, Kirk 72 ..................................................................................... Heard, Harry 89 ..................................................................................... Hearne, Steven 164 ..................................................................................... Hearne, William 69 ..................................................................................... Hebertson, Mark 64 ..................................................................................... Hedayati, Kouros 157,160,188,65,81, ..................................................................................... 93 Hefele, William 19 ..................................................................................... Heffelfinger, Michael 172 ..................................................................................... Heggade, Soumyata 186,69 ..................................................................................... Helfrich, Katherine 104,120 ..................................................................................... Helleberg, John 30 ..................................................................................... Helsel, David 97 ..................................................................................... Helton, Donna 47 ..................................................................................... Helvey, Gregg 102 ..................................................................................... Hemedan, Nada 51 ..................................................................................... Hendricks, Arthur 162,172 ..................................................................................... Hendricks, Harlan 172 ..................................................................................... Hendricksen, Alf 74 ..................................................................................... Hendrickson-Hairston, Joelle 76 ..................................................................................... Henley, C 184 ..................................................................................... Hennigh, Roger 128,191 ..................................................................................... Henon, James 166 ..................................................................................... Henritze, Andrew 147 ..................................................................................... Henry, Rolin 158,7 ..................................................................................... Henry, William 83 ..................................................................................... Herbst, Heidi 161 ..................................................................................... Herce, David 180 ..................................................................................... Heresi, Carlos 65 ..................................................................................... Herman, Barry 172 ..................................................................................... Hermelin, Mark 172 ..................................................................................... Hernandez, Ariadne 24,84 ..................................................................................... Hernandez, Laura 192,78 ..................................................................................... Herod, Brian 104,39 ..................................................................................... Herold, William 136 ..................................................................................... Herrera, Maricio 114,14,142,44,70 ..................................................................................... Herring, Carey 136 ..................................................................................... Herring, Carolyn 62 ..................................................................................... Herring, Kent 112 ..................................................................................... Herrmann, Henry 181,58 ..................................................................................... Hessamfar, Ramin 15,18,191 ..................................................................................... Hicks, Karen 157 ..................................................................................... Hidalgo, Cathie 65 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Grimmer, Lonny 16 ..................................................................................... Grindlay, Kenneth 35 ..................................................................................... Grisius, Thomas 128 ..................................................................................... Grogan, Frank 47 ..................................................................................... Gromling, Thomas 159,186 ..................................................................................... Grosso, Michael 58 ..................................................................................... Grover, Robert 30 ..................................................................................... Groy, David 172,86 ..................................................................................... Gruberg, Joseph 155 ..................................................................................... Grundy, Richard 12,3 ..................................................................................... Gruntz, Richard 12 ..................................................................................... Grupp, William 30 ..................................................................................... Gruzynska, Hanna 19 ..................................................................................... Guerrier, Julia 30 ..................................................................................... Guirguis, John 28,65,69,81 ..................................................................................... Guleria, Alpita 131 ..................................................................................... Gundecha, Shanup 136,76 ..................................................................................... Gunn, Allen 172 ..................................................................................... Gunsolley, John 145 ..................................................................................... Guo, Juanli 168 ..................................................................................... Gupta, Garima 112,116 ..................................................................................... Gupta, Raja 23,65 ..................................................................................... Guraya, Rajdeep 91 ..................................................................................... Guter, Klaus 178 ..................................................................................... Guthrie, Alfred 172 ..................................................................................... Guthrie, James 104,19 ..................................................................................... Guthrie, Marci 136 ..................................................................................... Gutierrez, Jerel 35 ..................................................................................... Gutierrez, Norma 157,188,3 ..................................................................................... Gutmann, J 156 ..................................................................................... Guttery, Darrell 157,65 ..................................................................................... Gwaltney, Michael 85,86,9,93 ..................................................................................... Gwaltney, Steve 162 ..................................................................................... Gyuricza, James 23 .....................................................................................

202

Delta Dental Premier

Horowitz, Andrew 116 ..................................................................................... Horsey, Gustav 80 ..................................................................................... Horspool, Bryan 111,183 ..................................................................................... Horwitz, Abbey 173 ..................................................................................... Hosek, Eric 173 ..................................................................................... Hosek, Lindsey 173 ..................................................................................... Hoskins, Robert 128 ..................................................................................... Householder, Ronald 164 ..................................................................................... Houser, John 69 ..................................................................................... Howanitz, Joan 168,58 ..................................................................................... Howard, Clinton 128,21 ..................................................................................... Howard, Dennis 173 ..................................................................................... Howard, Gregory 47 ..................................................................................... Howard, Jennifer 152,162 ..................................................................................... Howard, John 90 ..................................................................................... Howard, Karrie 130,16,85 ..................................................................................... Howard, Paulette 83 ..................................................................................... Howard, Robert 35 ..................................................................................... Howell, Everett 155,52 ..................................................................................... Howell, John 188 ..................................................................................... Howell, R Leroy 162 ..................................................................................... Howell, Ralph 163 ..................................................................................... Howell, Robert 116 ..................................................................................... Hoye, James 151 ..................................................................................... Hrechka, Kenneth 156 ..................................................................................... Hsu, John 52 ..................................................................................... Hsu, Yu Kai 1,27 ..................................................................................... Hu, Zhaoliang 98 ..................................................................................... Huang, Michiko 16 ..................................................................................... Huang, Peterson 159 ..................................................................................... Huang, Tong-Yen 1,27 ..................................................................................... Huband, Michael 136 ..................................................................................... Hubbard, Rachel 160,184 ..................................................................................... Hubbard, Thomas 85 ..................................................................................... Huddle, David 65 ..................................................................................... Hudgins, William 74 ..................................................................................... Hudgins, Winfred 81 ..................................................................................... Hudson, James 156 ..................................................................................... Hudson, Paul 136 ..................................................................................... Hudson, Raidah 136 ..................................................................................... Huff, Christopher 20 ..................................................................................... Huff, Wallace 20 ..................................................................................... Huffman, Jennifer 78 ..................................................................................... Huffman, Richard 147 ..................................................................................... Hughes, David 156 ..................................................................................... Hughes, Douglas 116 ..................................................................................... Hughes, Edward 160 ..................................................................................... Hughes, Joseph 35 ..................................................................................... Hughes, Timothy 157 ..................................................................................... Huie, Mark 114 ..................................................................................... Hukmani, Navin 153,191,68,87,95 ..................................................................................... Hull, Robert 88 ..................................................................................... Hund, Lawrence 31 ..................................................................................... Hunt, Dawn 123 ..................................................................................... Hunt, John 123 ..................................................................................... Hunt, Michael 145 ..................................................................................... Hunt, William 123 ..................................................................................... Hur, John 132,192,24,27,56 ..................................................................................... Hur, Yong 85 .....................................................................................

Hurt, Garrett 19 ..................................................................................... Husker, Rebekah 12,155 ..................................................................................... Hussaini, Syed 191,68,82,95 ..................................................................................... Husson, Malinda 144 ..................................................................................... Hutchens, Greg 162 ..................................................................................... Hutchens, James 162 ..................................................................................... Hutchings, Michael 76 ..................................................................................... Hutchins, Gregory 119 ..................................................................................... Hutchison, Alicia 191,95 ..................................................................................... Hutchison, Bruce 25 ..................................................................................... Hutchison, Karen 147 ..................................................................................... Hutson, H 78 ..................................................................................... Huynh, Andrew 3 ..................................................................................... Huynh, Thuylinh 15,153 ..................................................................................... Hyder, Khudsia 126,136 ..................................................................................... Hyder, Zain 105,120 ..................................................................................... Hyer, Margaret 126 .....................................................................................

I Iachini, Diane 101,105,136,19,72 ..................................................................................... Ibanez, Carlos 32,45 ..................................................................................... Iervolino, Robert 173 ..................................................................................... Ijadi, Mehrdad 157,158,192,62,65, ..................................................................................... 68,8,93 Ilchyshyn, Nicholas 132 ..................................................................................... Im, Jim 3 ..................................................................................... Imafidon, Timothy 108,144,40 ..................................................................................... Imao, Josemari 188,58,65 ..................................................................................... Imbery, Terence 136 ..................................................................................... Ingram, Daniel 173 ..................................................................................... Inouye, David 143,33 ..................................................................................... Iravani, Farideh 168 ..................................................................................... Irby, Lewis 21 ..................................................................................... Ireland, Michael 112,124,173,184,3 ..................................................................................... 5,76 Ishom, Thomas 35 ..................................................................................... Iskander, Erene 3 ..................................................................................... Island, Maria 168,18 ..................................................................................... Iuculano, Giovanni 186 ..................................................................................... Iuorno, Frank 74 ..................................................................................... Iverson, Darin 15 ..................................................................................... Iwamoto, Claudio 169,85 ..................................................................................... Iyer, Malini 186,61 ..................................................................................... Izadi, Keyoumars 67 ..................................................................................... Izadi, Mohammed 126 ..................................................................................... Izadi, Mohsen 166 .....................................................................................

PARTICIPATING PROVIDERS

Hidalgo, Madeline 58 ..................................................................................... Hijaz, Iyad 45,65,88 ..................................................................................... Hill, Jessica 3 ..................................................................................... Hill, Nicholas 32 ..................................................................................... Hillier, Joseph 39 ..................................................................................... Hindman, Edward 51 ..................................................................................... Hinson, Lanny 112 ..................................................................................... Hirschler, David 119 ..................................................................................... Hirshman, Nina 182 ..................................................................................... Ho, Hiep 58 ..................................................................................... Ho, Hoang 155,25,88 ..................................................................................... Ho, Stewart 51 ..................................................................................... Ho, Sylvie 58 ..................................................................................... Ho, Trung 81,9 ..................................................................................... Hoang, Anthony 23 ..................................................................................... Hoang, Binh 155 ..................................................................................... Hoang, Duolainey 12 ..................................................................................... Hoang, Long 58 ..................................................................................... Hoang-Nguyen, Jacquelyn 51 ..................................................................................... Hoard, Brian 31 ..................................................................................... Hoard, Martin 32 ..................................................................................... Hobbs, Jesse 112 ..................................................................................... Hochman, Hillary 130,16 ..................................................................................... Hockett, Jeffrey 111 ..................................................................................... Hodge, Jeremy 188,93 ..................................................................................... Hodges, Jeffery 31 ..................................................................................... Hoek, Meredith 172 ..................................................................................... Hoffman, Corinne 3 ..................................................................................... Hoffman, Gerald 181 ..................................................................................... Hoffman, Howard 155,51 ..................................................................................... Hoffman, Lisa 76 ..................................................................................... Hoffman, Richard 76 ..................................................................................... Hogan, Adam 172 ..................................................................................... Holbert, Michael 143 ..................................................................................... Holbert, Paige 103 ..................................................................................... Holley, James 112,124,172,65 ..................................................................................... Hollyfield, Neil 1,192,96 ..................................................................................... Holmes, Ashley 172 ..................................................................................... Holmes, Jessica 191 ..................................................................................... Holmes, Patrick 178 ..................................................................................... Holwick, Robert 35 ..................................................................................... Hom, David 155 ..................................................................................... Hong, Charlie 10,50 ..................................................................................... Hong, Dong-Soo 168,27 ..................................................................................... Hong, Jason 130,166 ..................................................................................... Hong, Jong 28,69,86 ..................................................................................... Hong, Richard 130,166,51 ..................................................................................... Honore, Kevin 116 ..................................................................................... Hooker, John 1 ..................................................................................... Hooper, Christopher 172 ..................................................................................... Hooshangi, Mitra 155,166 ..................................................................................... Hooshmand, Marie 160 ..................................................................................... Hoover, Amanda 105 ..................................................................................... Hoover, Jared 105 ..................................................................................... Hopkins, James 81 ..................................................................................... Horbaly, William 33 ..................................................................................... Horne, Suzanne 85 ..................................................................................... Horne, William 120 ..................................................................................... Hornsby, Kimbrough 116,162,172,35 .....................................................................................

J Jabbari, Farnaz 23 ..................................................................................... Jackomis, William 126 ..................................................................................... Jacks, Thomas 15,70,96 ..................................................................................... Jackson, Julia 10,190,95 ..................................................................................... Jackson, Kevin 3 ..................................................................................... Jacob, Kezia 20 ..................................................................................... Jacobs, George 112 ..................................................................................... Jafari, Mahnaz 16,160 ..................................................................................... Jain, Khushboo 136,45,65 ..................................................................................... Jaju, Rishita 18 ..................................................................................... Jalali, Mahnaz 58 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

203

Delta Dental Premier

Jones, Linda 93 ..................................................................................... Jones, Miata 58 ..................................................................................... Jones, Michael 147,162 ..................................................................................... Jones, Neal 25 ..................................................................................... Jones, Patrice 105 ..................................................................................... Jones, Perry 136 ..................................................................................... Jones, Richard 130 ..................................................................................... Jones, Treacy 165 ..................................................................................... Jones-Rogers, Linda 69 ..................................................................................... Joo, Chuck 52 ..................................................................................... Jordan, Edward 105,120,127,39 ..................................................................................... Jordan, James 97 ..................................................................................... Jordan, Kalisha 183 ..................................................................................... Jordan, Marian 29 ..................................................................................... Jordan, Morris 101 ..................................................................................... Joseph, Marie 42 ..................................................................................... Joshi, Mitsu 136,72 ..................................................................................... Joshua, Gina 78 ..................................................................................... Jung, Yujin 112,76,79 .....................................................................................

K Kadolph, Adam 184 ..................................................................................... Kafle, Sumana 85 ..................................................................................... Kahan, Michael 173 ..................................................................................... Kaiser, David 173 ..................................................................................... Kaiser, Gina 20 ..................................................................................... Kaiser, Robert 147 ..................................................................................... Kakar, Deepak 62,68,96 ..................................................................................... Kalantar, Neda 132 ..................................................................................... Kaler, Jatinder 93 ..................................................................................... Kalra, Rajiv 155,88 ..................................................................................... Kamali, Touraj 52 ..................................................................................... Kamboh, Karan 85 ..................................................................................... Kan, Maryann 4 ..................................................................................... Kandare, Wesley 116,173,35,85 ..................................................................................... Kanetzke, Steven 169 ..................................................................................... Kang, Don 52 ..................................................................................... Kang, Taeheon 56 ..................................................................................... Kangarloo, Ramineh 59 ..................................................................................... Kanli, Erol 155 ..................................................................................... Kanumilli, Sowmya 1,130,182,4 ..................................................................................... Kao, Wei-Lea 166 ..................................................................................... Kapoor, Elleni 116,163,173,35 ..................................................................................... Kapoor, Rajni 116,124,173 ..................................................................................... Karapetian, Christine 157 ..................................................................................... Karau, Mary Ann 8 ..................................................................................... Karau, Ralph 8 ..................................................................................... Karbasi, Kiumars 188 ..................................................................................... Karmacharya, Komal 12,52,66 ..................................................................................... Karns, Jason 80 ..................................................................................... Karp, Allen 173 ..................................................................................... Karrel, Justin 159 ..................................................................................... Karri, Shilpa 155,66 ..................................................................................... Kasper, Frinet 4 ..................................................................................... Kassan, Gregg 48 ..................................................................................... Kassem, Sameh 85 ..................................................................................... Katz, Abraham 128,81 ..................................................................................... Katz, Ronald 112,116 ..................................................................................... Kaur, Ajinder 116,124,173,76 .....................................................................................

Kaur, Hemani 17 ..................................................................................... Kaur, Kamaljit 93 ..................................................................................... Kaur, Namrata 52 ..................................................................................... Kaur, Palwinder 25,48 ..................................................................................... Kaur, Pardeep 179 ..................................................................................... Kaur, Sandeep 81 ..................................................................................... Kaur, Taran 59 ..................................................................................... Kavianpour, Zahra 160 ..................................................................................... Kay, Victoria 93 ..................................................................................... Kayes, Stanley 80 ..................................................................................... Kaymanesh, Shaghayegh 112,12,124,76 ..................................................................................... Kazanoglu, Altug 145 ..................................................................................... Kazemifar, Hoda 130 ..................................................................................... Kazmi, Sana 181,25,48,52,69,93 ..................................................................................... Kean, Edward 150,69 ..................................................................................... Keat, Josie 4 ..................................................................................... Keating, Kevin 109,136,34 ..................................................................................... Keeney, Kanyon 102,107,142,151,7 ..................................................................................... 3 Keeton, David 109,144,44 ..................................................................................... Kelleher, Kevin 108 ..................................................................................... Kelly, David 22 ..................................................................................... Kelly, Isabel 97 ..................................................................................... Kemler, David 136 ..................................................................................... Kendig, Robert 144 ..................................................................................... Kenee, David 78 ..................................................................................... Kennealy, Sarah 101,136 ..................................................................................... Kennett, Fred 136 ..................................................................................... Kenney, Jeffrey 114 ..................................................................................... Kenny, Karen 90 ..................................................................................... Kent, Dean 116,173 ..................................................................................... Kent, John 116,173 ..................................................................................... Kent, Mathew 116,173 ..................................................................................... Kent, Thomas 173 ..................................................................................... Kermanshi, Shiva 15,16,191,61,7,85, ..................................................................................... 95 Kern, April 12 ..................................................................................... Kesser, Howard 116 ..................................................................................... Kessler, Fred 136 ..................................................................................... Kessler, Joel 1,187,50 ..................................................................................... Kevorkian, George 169 ..................................................................................... Khalaf, Athra 122,153,59,80 ..................................................................................... Khalefa, Said 155,4 ..................................................................................... Khalil, Joseph 12,121 ..................................................................................... Khan, Nabeel 23 ..................................................................................... Khan, Rifhat 4,59 ..................................................................................... Khang, Wahn 132 ..................................................................................... Khara, Amanjot 101 ..................................................................................... Kharmouche, Jean-Claude 161,71 ..................................................................................... Khasraghi, Faranak 188,23 ..................................................................................... Khateeb, Mariam 128,192,24 ..................................................................................... Khattab, Samer 126,130,59,85 ..................................................................................... Khattak, Farida 59 ..................................................................................... Khattak, Rana 66 ..................................................................................... Khedr, Yasser 45,48 ..................................................................................... Khisti, Manik 72 ..................................................................................... Khosravi, Mitra 93 ..................................................................................... Khouri, John 70 ..................................................................................... Khurana, Natasha 181,69 ..................................................................................... Ki, Laura 52 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Jamali, Mojgan 188,3,93 ..................................................................................... James, Patricia 173 ..................................................................................... Jang, Joy 130 ..................................................................................... Jarrell, Whitney 25 ..................................................................................... Jarvandi, Fereshteh 136 ..................................................................................... Jarwa, Samer 28 ..................................................................................... Jasani, Krina 88 ..................................................................................... Jassal, Raman 81 ..................................................................................... Java, Robert 188 ..................................................................................... Javeed, Asra 173 ..................................................................................... Javier, Ryan 188 ..................................................................................... Jayaswal, Neerav 76 ..................................................................................... Jefferies, Mark 81 ..................................................................................... Jeffrey, Emma 121 ..................................................................................... Jelinek, Howard 52 ..................................................................................... Jelinek, James 181 ..................................................................................... Jenkins, Arthur 173 ..................................................................................... Jenkins, Charles 97 ..................................................................................... Jenkins, Harry 124,35 ..................................................................................... Jennings, Kevin 35 ..................................................................................... Jesneck, Mae 98 ..................................................................................... Jessup, Ronald 136,21 ..................................................................................... Jett, L 125,163 ..................................................................................... Jewett, Charles 136 ..................................................................................... Ji, John 10,44 ..................................................................................... Jiral, Paul 65 ..................................................................................... Jiwani, Munira 101,109,122,136,1 ..................................................................................... 83,72,76 Jobe, John 112 ..................................................................................... Johansen, Stephen 105,120,127,39 ..................................................................................... Johnson, Amanda 147 ..................................................................................... Johnson, Andrew 62 ..................................................................................... Johnson, Charles 136 ..................................................................................... Johnson, G 110,136 ..................................................................................... Johnson, Gary 165 ..................................................................................... Johnson, Geoffrey 47 ..................................................................................... Johnson, Horace 129,154 ..................................................................................... Johnson, James 122 ..................................................................................... Johnson, Jamie 65 ..................................................................................... Johnson, Justin 184 ..................................................................................... Johnson, Steven 12,9 ..................................................................................... Johnson, Terry 158 ..................................................................................... Johnson-Curl, Jacqueline 136 ..................................................................................... Johnson-Spruiell, Gloria 112 ..................................................................................... Johnston, Carroll 89 ..................................................................................... Johnston, Frances 1 ..................................................................................... Johnston, Frank 35 ..................................................................................... Jones, Antonia 114,179,185,38,76 ..................................................................................... Jones, Audra 136 ..................................................................................... Jones, Daniel 173 ..................................................................................... Jones, David 147,149,150,173,4 ..................................................................................... 2,97,98 Jones, Elizabeth 58 ..................................................................................... Jones, Ethan 71 ..................................................................................... Jones, Frank 31 ..................................................................................... Jones, Gale 112,136,43 ..................................................................................... Jones, Herschel 128,191 ..................................................................................... Jones, John 136,161 ..................................................................................... Jones, Lee 147 ..................................................................................... Jones, Leonard 23 .....................................................................................

204

Delta Dental Premier

Klar, Neal 164,179,38 ..................................................................................... Klein, Elizabeth 12,66 ..................................................................................... Klein, Richard 147 ..................................................................................... Kleyman, Boris 12 ..................................................................................... Klima, Rodney 24 ..................................................................................... Klioze, Earl 23 ..................................................................................... Klioze, Jeffrey 23 ..................................................................................... Klochak, Joseph 76 ..................................................................................... Knaysi, Fred 137,83 ..................................................................................... Knierim, R 31 ..................................................................................... Knight, Ernest 63 ..................................................................................... Knight, John 31,74 ..................................................................................... Knotts, Cindy 186 ..................................................................................... Knuppel, Dorothy 98 ..................................................................................... Koelmel, Jeffrey 105 ..................................................................................... Koerner, Michael 181 ..................................................................................... Koertge, Thomas 145 ..................................................................................... Kogan, Paulina 4 ..................................................................................... Koganti, Rani 137 ..................................................................................... Koh, Myungsuk 101 ..................................................................................... Koh, Philip 22,56 ..................................................................................... Koh, Richard 15,18,56,62,88 ..................................................................................... Koheil, Yosreldin 137,43,72 ..................................................................................... Kohli, Malika 15 ..................................................................................... Kok, Alistair 122 ..................................................................................... Kokel, Deidra 86 ..................................................................................... Kokorelis, Michael 78 ..................................................................................... Kommineni, Sanath 137,43,66 ..................................................................................... Kondoff, Ronald 173 ..................................................................................... Koneru, Jyothi 28 ..................................................................................... Kong, Saory 59 ..................................................................................... Kong, Tepy 59 ..................................................................................... Konikoff, Albert 180,39 ..................................................................................... Konikoff, Bryan 119,164,180,39 ..................................................................................... Konikoff, David 163,174,35 ..................................................................................... Konikoff, Stephen 116 ..................................................................................... Kontopanos, Gregory 137 ..................................................................................... Koontz, Gregory 63 ..................................................................................... Kooshki, Bijan 18,180,82 ..................................................................................... Kopelove, Stephen 101,137 ..................................................................................... Kordis, Alex 102,110,121,64 ..................................................................................... Kordulak, John 174 ..................................................................................... Korman, Robert 174 ..................................................................................... Kornett, Noel 162 ..................................................................................... Korpics, Louis 150,19 ..................................................................................... Kortam, Sahira 18 ..................................................................................... Kot, Dariusz 52 ..................................................................................... Kotler, Lawrence 1 ..................................................................................... Koussa, Mai 155,52 ..................................................................................... Kovach, David 21 ..................................................................................... Kowal, Mark 72 ..................................................................................... Kraft, Rachel 137 ..................................................................................... Kramer, Gary 24 ..................................................................................... Krause, Trisha 132 ..................................................................................... Kravitz, Neal 153,18 ..................................................................................... Kreger, Lee 147 ..................................................................................... Krempl, Robert 152 ..................................................................................... Kreuzer, Luiza 43,44,84,98 ..................................................................................... Krieger, Ellen 99 .....................................................................................

Krishnamoorthy, Savitha 28 ..................................................................................... Krochmal, James 119 ..................................................................................... Krone, Michael 105,62 ..................................................................................... Krygowski, John 12 ..................................................................................... Kuenzli, Peter 174 ..................................................................................... Kuhn, Amanda 109,40 ..................................................................................... Kuhn, Todd 105,126,39 ..................................................................................... Kulhari, Snehlata 47 ..................................................................................... Kumra, Bob 191 ..................................................................................... Kumra, Shawn 12,4,59,99 ..................................................................................... Kuo, Brian 66 ..................................................................................... Kupcha, John 184 ..................................................................................... Kupperi, Vinutha 112,124,137,43,66 ..................................................................................... Kuzmik, Michael 168,7 ..................................................................................... Kwatra, Sameer 188 ..................................................................................... Kwon, Hyue 168,27 ..................................................................................... Kwon, Hyuksoo 81 ..................................................................................... Kwon, Judy 12,130,153 ..................................................................................... Kwon, Keehong 4 ..................................................................................... Kwon, Thomas 4 ..................................................................................... Kyle, Lawrence 110 ..................................................................................... Kyu, Pye 34 .....................................................................................

L Labella, Carl 70 ..................................................................................... Labriola, J 10,190,95 ..................................................................................... Lachine, Richard 184,193 ..................................................................................... Lacy, John 182,63 ..................................................................................... Ladimer, Eric 147 ..................................................................................... Lagonegro, Ann 74 ..................................................................................... Lagrua, Daniel 165,78 ..................................................................................... Lakas, Gregory 12 ..................................................................................... Lake, George 122 ..................................................................................... Lakkis, Dima 15,192 ..................................................................................... Lam, Tony 81 ..................................................................................... Lamay, Ashley 63 ..................................................................................... Lambert, Olena 21 ..................................................................................... Lambrechts, Marcel 151 ..................................................................................... Lan, Steve 88 ..................................................................................... Lanctot, Sloan 129,154 ..................................................................................... Landy, Neil 180 ..................................................................................... Lang, Leslie 124 ..................................................................................... Lang, Steven 124 ..................................................................................... Langkau, Walter 193 ..................................................................................... Langston, Robin 124 ..................................................................................... Lanier, Angela 110,31,35,99 ..................................................................................... Lanier, Leander 20 ..................................................................................... Lanigan, Jacqueline 174 ..................................................................................... Lanigan, Peter 174 ..................................................................................... Lanning, Sharon 145 ..................................................................................... Lans, Ikars 17 ..................................................................................... Lanzaro, Peter 57 ..................................................................................... Lapetina, John 116 ..................................................................................... Larkin, Steven 101,105,126,137,1 ..................................................................................... 9,72 Larrowe, Eugenia 71 ..................................................................................... Larson, David 137,99 ..................................................................................... Larusso, Mark 125,163 ..................................................................................... Laughlin, Robert 121,144 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Kianimanesh, Anita 59 ..................................................................................... Kianpour, Kourosh 160 ..................................................................................... Kiely, Kevin 185 ..................................................................................... Kilbourne, Michael 39 ..................................................................................... Kilgore, Robert 187 ..................................................................................... Killar, Curt 105 ..................................................................................... Kim, Aileen 4 ..................................................................................... Kim, Andrew 155,188 ..................................................................................... Kim, Chad 112,12,124,137,17 ..................................................................................... 3,181,43,66,76 Kim, Christine 131,27,55,8 ..................................................................................... Kim, David 158,56 ..................................................................................... Kim, Edward 4,96 ..................................................................................... Kim, Eunghwan 98 ..................................................................................... Kim, Eunyoung 15,168,191,27 ..................................................................................... Kim, Gloria 93 ..................................................................................... Kim, Jamie 93 ..................................................................................... Kim, Jennifer 52 ..................................................................................... Kim, Jerry 130,52 ..................................................................................... Kim, John 160 ..................................................................................... Kim, Jong Ryul 166 ..................................................................................... Kim, Joon 166 ..................................................................................... Kim, Joongseo 166,25,27 ..................................................................................... Kim, Juhan 109 ..................................................................................... Kim, Juyoung 52 ..................................................................................... Kim, Kwang 152 ..................................................................................... Kim, Kyu 19 ..................................................................................... Kim, Michael 17,9 ..................................................................................... Kim, Peter 188 ..................................................................................... Kim, Robin 4 ..................................................................................... Kim, Sandra 188 ..................................................................................... Kim, Sang 167 ..................................................................................... Kim, Sean 66 ..................................................................................... Kim, Sonny 130 ..................................................................................... Kim, Suhad 17,86 ..................................................................................... Kim, Sun 66,93 ..................................................................................... Kim, Sunghee 62 ..................................................................................... Kim, Thomas 25 ..................................................................................... Kim, Timothy 25 ..................................................................................... Kim, Wilson 98 ..................................................................................... Kim, Young 23 ..................................................................................... Kimble, Glenn 90 ..................................................................................... Kimble-Tanks, Felisha 153,9 ..................................................................................... King, Christopher 173,63 ..................................................................................... King, Hoang 48 ..................................................................................... King, John 108 ..................................................................................... King, Michael 188 ..................................................................................... King, Robert 137,186,66 ..................................................................................... King, Thomas 132 ..................................................................................... Kinney, Kirk 164 ..................................................................................... Kinney, Robert 147 ..................................................................................... Kirksey, Charles 52 ..................................................................................... Kirpal, Abhishek 112,116,124,173,7 ..................................................................................... 6 Kiser, Marshall 129 ..................................................................................... Kittrell, John 137 ..................................................................................... Kitts, Connie 137 ..................................................................................... Kivlighan, Michael 182 ..................................................................................... Klamut, Kenneth 182,192,79 ..................................................................................... Klar, Lawrence 164,179,38 .....................................................................................

205

Delta Dental Premier

Lee, Si-Hyeon 113,137,186,99 ..................................................................................... Lee, Solomon 174,182 ..................................................................................... Lee, Sora 55 ..................................................................................... Lee, Tae 26,9 ..................................................................................... Lee, Vincent 59 ..................................................................................... Lee, William 100,131,153,18,8 ..................................................................................... Lee, Ws 155 ..................................................................................... Lee, Yeonju 100 ..................................................................................... Leff, Gary 10,129,187,22,57 ..................................................................................... Lefta-Hoskins, Fotina 117 ..................................................................................... Lefton, Ronald 174 ..................................................................................... Legum, Marty 4,59 ..................................................................................... Leibowitz, Lawrence 174 ..................................................................................... Leidy, Jeffrey 174 ..................................................................................... Leigh, Timothy 74 ..................................................................................... Leinbach, Thomas 31 ..................................................................................... Leiner, Zachary 166,4,59 ..................................................................................... Leipzig, Robert 86 ..................................................................................... Leist, John 114 ..................................................................................... Lejeune, Barry 76 ..................................................................................... Leming, Dean 164 ..................................................................................... Lennon, Charles 48 ..................................................................................... Lenoir, Robert 137 ..................................................................................... Lentini, Erika 144 ..................................................................................... Lentz, Brad 90 ..................................................................................... Lentz, John 21 ..................................................................................... Leon, Carla 28,4 ..................................................................................... Lesinski, Francis 124 ..................................................................................... Leskiv, Vasyl 186 ..................................................................................... Lessne, William 12 ..................................................................................... Letellier, Paul 36 ..................................................................................... Leung, Jonathan 12 ..................................................................................... Levenson, Lanny 105 ..................................................................................... Levin, Jeffrey 137 ..................................................................................... Levin, Mark 180,38 ..................................................................................... Levine, Andrew 147 ..................................................................................... Levine, Fernanda 13 ..................................................................................... Levine, Paul 97 ..................................................................................... Levine, Robert 52 ..................................................................................... Levy, Guy 193 ..................................................................................... Lewis, David 174,36 ..................................................................................... Lewis, Holly 102,145 ..................................................................................... Lewis, Mary 174 ..................................................................................... Lewis, Miller 42 ..................................................................................... Li, Jingchao 168,8 ..................................................................................... Li, Tin 52 ..................................................................................... Liang, David 15,70,96 ..................................................................................... Libbey, Anne 63 ..................................................................................... Libbey, Christopher 63 ..................................................................................... Liewehr, Frederick 16,27,43,64 ..................................................................................... Lillard, Jonathan 28,9 ..................................................................................... Lilly, J 137 ..................................................................................... Lim, Meesun 9 ..................................................................................... Lim, Phanith 17,52 ..................................................................................... Lim, Young 159 ..................................................................................... Limon, Francisco 117,124,174,76 ..................................................................................... Lin, Albert 163 ..................................................................................... Lin, Chi-Yi 15,150,166,24,29 ..................................................................................... Lin, Lulu 153,17 .....................................................................................

Lin, Sandy 188,57,88 ..................................................................................... Lin, Thomas 10,161,192,56,68,8 ..................................................................................... 9 Lin, Zhao 145 ..................................................................................... Lincoln, Kelly 128 ..................................................................................... Lindauer, Steven 143 ..................................................................................... Lindemann, Scott 97 ..................................................................................... Lindgren, Meghan 10 ..................................................................................... Lindsey, David 155 ..................................................................................... Link, Michael 113 ..................................................................................... Lippard, Hal 31 ..................................................................................... Lipscomb, Jason 137,66 ..................................................................................... Litschel, Kate 191 ..................................................................................... Little, Keith 137,174 ..................................................................................... Liu, Ben 161,8 ..................................................................................... Liu, Frederick 131,190,23,26,55 ..................................................................................... Liu, Lina 69 ..................................................................................... Livesay, Richard 66 ..................................................................................... Livingston, Lynn 137 ..................................................................................... Llerandi, Elias 76 ..................................................................................... Llewellyn, Charles 174 ..................................................................................... Llodra, Clara 117,163,174,36 ..................................................................................... Lobo, Cheryl 189 ..................................................................................... Lobo, Mignonette 59 ..................................................................................... Lobo, Natalie 189 ..................................................................................... Lobo, Robert 189 ..................................................................................... Lokitis, Julia 4 ..................................................................................... Lombard, Joseph 79 ..................................................................................... Lombardozzi, Nicholas 109 ..................................................................................... Longauer, Earl 59 ..................................................................................... Longman, Bruce 117,174 ..................................................................................... Longman, Eddie 4 ..................................................................................... Longwe, Edward 29 ..................................................................................... Lopez, Joseph 8 ..................................................................................... Lopez, Katie 4 ..................................................................................... Lopez, Rocio 105,120,127,40 ..................................................................................... Lopez, Yarissa 66 ..................................................................................... Lotfi, Patrick 189 ..................................................................................... Lott, Patricia 174 ..................................................................................... Lovecchio, Peggy 147 ..................................................................................... Lovell, Eric 124,31 ..................................................................................... Lovell, Mary 124 ..................................................................................... Loving, Preston 113 ..................................................................................... Lowe, Tontra 80 ..................................................................................... Loza, Jose 86 ..................................................................................... Loza, Juan 88 ..................................................................................... Loza, Luis 86 ..................................................................................... Lu, Hung Quoc 8 ..................................................................................... Lu, Nhien 155,166,4 ..................................................................................... Lubbe, Steven 109,44 ..................................................................................... Lubeck, Jonathan 147 ..................................................................................... Lucas, William 137 ..................................................................................... Lucht, David 26 ..................................................................................... Luck, Leah 158,52 ..................................................................................... Lui, Kin 153,158,4,66 ..................................................................................... Lukanuski, Stacy 137 ..................................................................................... Luma, Evelyn 174 ..................................................................................... Luna, Oscar 168 ..................................................................................... Luong, Susan 52 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Laurent, Barry 166 ..................................................................................... Lavecchia, Greg 12 ..................................................................................... Lavecchia, Louis 12 ..................................................................................... Lavinder, Lisa 147,46 ..................................................................................... Lavinder, Michael 42 ..................................................................................... Laviola, Jamie 4 ..................................................................................... Law, Zachary 169 ..................................................................................... Laws, Thomas 113 ..................................................................................... Lawson, Sean 145 ..................................................................................... Lazar, Dale 84 ..................................................................................... Lazear, Michael 155 ..................................................................................... Lazear, W 155 ..................................................................................... Lazour, James 59 ..................................................................................... Le, Bao-Quyen 186,62 ..................................................................................... Le, David 17 ..................................................................................... Le, Hang 166,188,4,52,59,81 ..................................................................................... ,93 Le, Hau 192,49,56,62,68,96 ..................................................................................... Le, Lan 9 ..................................................................................... Le, Luong-Hung 26 ..................................................................................... Le, Magarette 4 ..................................................................................... Le, Phu 168 ..................................................................................... Le, Quan 166 ..................................................................................... Le, Thien 9 ..................................................................................... Le, Trang 166 ..................................................................................... Le, Trung 52,59 ..................................................................................... Le, Yen 59,9 ..................................................................................... Leaf, Scott 24 ..................................................................................... Leary, Bruce 105 ..................................................................................... Leavenworth, Kim 4,52 ..................................................................................... Lebo, Carl 12 ..................................................................................... Lebonitte, Robert 166,59 ..................................................................................... Lee, Benjamin 26,4 ..................................................................................... Lee, Brian 1,129,16,27 ..................................................................................... Lee, Dan 191,29,61,89 ..................................................................................... Lee, Edwin 61,82 ..................................................................................... Lee, Elizabeth 137 ..................................................................................... Lee, Esther 28 ..................................................................................... Lee, Eun 10 ..................................................................................... Lee, Eun Hye 132,52 ..................................................................................... Lee, Gloria 160 ..................................................................................... Lee, H Vivian 1,80 ..................................................................................... Lee, Hannah 9 ..................................................................................... Lee, James 116 ..................................................................................... Lee, Jim 131,156,49,55,68 ..................................................................................... Lee, Joseph 16 ..................................................................................... Lee, Kenneth 4 ..................................................................................... Lee, Kevin 93 ..................................................................................... Lee, Kie 155 ..................................................................................... Lee, Kimberly 26,9 ..................................................................................... Lee, Kirsten 12,153 ..................................................................................... Lee, Kyu 101 ..................................................................................... Lee, Leonardo 86 ..................................................................................... Lee, N 114 ..................................................................................... Lee, Nathan 52 ..................................................................................... Lee, Paul 52 ..................................................................................... Lee, Richard 108,27,87 ..................................................................................... Lee, Sang 9 ..................................................................................... Lee, Sehmi 105,99 .....................................................................................

206

Delta Dental Premier

M Ma, Andy 13,189,28 ..................................................................................... Mabanglo-Samson, Bernadette 174,40 ..................................................................................... Mabry, Stephen 13 ..................................................................................... Macilwaine, Richard 72 ..................................................................................... Maclin, Ivetta 174 ..................................................................................... Madani, Saman 192,56 ..................................................................................... Madani, Shaghayegh 155,4 ..................................................................................... Maddux, Kristen 174 ..................................................................................... Maddux, Nicholas 174 ..................................................................................... Madison, Joseph 130 ..................................................................................... Madurantakam, Parthasarathy 137,72 ..................................................................................... Maeso, Andres 113 ..................................................................................... Maestrello, Christopher 145 ..................................................................................... Magid, Mitchell 91 ..................................................................................... Mahajan, Alka 52 ..................................................................................... Mahajan, Sushant 45 ..................................................................................... Mahanes, Alan 174 ..................................................................................... Maharaj, Barry 29,87 ..................................................................................... Maharty, David 184 ..................................................................................... Mahesh, Lekshmi 174 ..................................................................................... Mai, Christine 189,4 ..................................................................................... Mai, Truc 4 ..................................................................................... Maier, Whitney 137,147 ..................................................................................... Maiurano, Audrey 155 ..................................................................................... Major, David 101 ..................................................................................... Malan, David 137,43,44,83,84 ..................................................................................... Malekuti, Sina 155 ..................................................................................... Malghan, Nandini 153,26,93 ..................................................................................... Mallery, Malcolm 47 ..................................................................................... Mallinak, Emily 97 ..................................................................................... Mallinak, Laura 97 ..................................................................................... Mallinak, Raymond 97 ..................................................................................... Mallory, Dale 174 ..................................................................................... Mallow, John 109 ..................................................................................... Malone, Christopher 159 ..................................................................................... Malone, Douglas 120 ..................................................................................... Malony, Nicole 20 ..................................................................................... Malyavantham, Dattathri 130,160 ..................................................................................... Mamrick, Ronald 105 ..................................................................................... Maniwang, Jo Marie 36 ..................................................................................... Manrique, Hugo 52,70,86 ..................................................................................... Manry, Herbert 48 .....................................................................................

Mansfield, Richard 182 ..................................................................................... Maravi, Fernando 13,4 ..................................................................................... Marcellin, Roger 52 ..................................................................................... Marchibroda, Diana 1 ..................................................................................... Marconyak, Louis 179 ..................................................................................... Marcou, Michael 117,163,174,36 ..................................................................................... Marcus, Carlene 130 ..................................................................................... Marcus, Richard 102,108,120,127,1 ..................................................................................... 43,19,40,74 Margolis, Jason 149 ..................................................................................... Marinak, Kenneth 180,39 ..................................................................................... Marinelli, Steven 137 ..................................................................................... Markoff, Bruce 155 ..................................................................................... Marquez, Rhina 143,44,61,68 ..................................................................................... Marshall, Christopher 151 ..................................................................................... Marshall, David 117 ..................................................................................... Marshall, Marvin 66 ..................................................................................... Marshall, Robyn 117,174 ..................................................................................... Marshall, Timothy 105,62 ..................................................................................... Marti, Arthi 69 ..................................................................................... Martin, Anthony 174,193 ..................................................................................... Martin, Gabriel 24,66,84 ..................................................................................... Martin, J 125,180,38 ..................................................................................... Martin, Justin 169 ..................................................................................... Martin, Latisha 99 ..................................................................................... Martin, Shannon 113 ..................................................................................... Martin, Sonya 22,83 ..................................................................................... Martinez, Harold 111,132 ..................................................................................... Martinez, Luis 132,18 ..................................................................................... Martinez, Maria 26,4 ..................................................................................... Martof, Andrew 31 ..................................................................................... Marvdashti, Nikta 49 ..................................................................................... Marvil, Lisa 128,157,161,89 ..................................................................................... Marzban, Courtney 161,18 ..................................................................................... Marzban, Pamela 23 ..................................................................................... Mason, Erika 105 ..................................................................................... Mastros, Kristin 113 ..................................................................................... Matar, Usama 174,76 ..................................................................................... Matias, Thiago 113,117,124,137,1 ..................................................................................... 74,43,59,76 Matkowsky, Peter 126 ..................................................................................... Matney, John 114 ..................................................................................... Matri, Ahmed 20 ..................................................................................... Matsui, Toshiki 27 ..................................................................................... Maugeri, Michael 178,37 ..................................................................................... Maurer, Jeffrey 40 ..................................................................................... Mavromatis, Jack 175 ..................................................................................... May, R Alan 147 ..................................................................................... Maya Adkins, Ana 111 ..................................................................................... Maybee, David 31 ..................................................................................... Mayer, Kelly 26,52,93 ..................................................................................... Mayerchak, Michael 146 ..................................................................................... Mayerchak, Michelle 120,147 ..................................................................................... Mayers, Autumn 105 ..................................................................................... Mayo, Chester 169 ..................................................................................... Mayo, Gregory 86 ..................................................................................... Mayo, Ryan 86 ..................................................................................... Mayo, Stephen 86,99 ..................................................................................... Mazhari, Shelia 155,21,74 .....................................................................................

Mcandrew, Brian 102,107,142,151,9 ..................................................................................... 1 Mcavoy, Brian 66,90 ..................................................................................... Mccarty, Benjamin 175 ..................................................................................... Mcclung, Alicia 124 ..................................................................................... Mcclung, James 149 ..................................................................................... Mccomb, Jack 138 ..................................................................................... Mccormick, Michael 76 ..................................................................................... Mccoy, Larry 20 ..................................................................................... Mccoy, Richard 184 ..................................................................................... Mccrady, Carl 184,41 ..................................................................................... Mccuin, Stephen 128 ..................................................................................... Mcdaniel, Rodney 193 ..................................................................................... Mcdonald, Anne 4 ..................................................................................... Mcdonald, Cabel 70 ..................................................................................... Mcdonald, Pamela 76 ..................................................................................... Mcdonough, James 55 ..................................................................................... Mcgill, Allen 113 ..................................................................................... Mcgrath, Kevin 121 ..................................................................................... Mcilveen, Lezley 82 ..................................................................................... Mckearney, Robert 78 ..................................................................................... Mckee, Tom 175 ..................................................................................... Mckown-Smallwood, Kelly 78 ..................................................................................... Mclaughlin, John 79 ..................................................................................... Mcmillan, Alex 23 ..................................................................................... Mcmillan, Vicki 117,163,175,36 ..................................................................................... Mcmunn, Michael 80 ..................................................................................... Mcneill, Su 152,76 ..................................................................................... Mcquiston, Scott 5 ..................................................................................... Mcvay, Thomas 5 ..................................................................................... Meade, Amanda 101,151,34 ..................................................................................... Meade, Raymond 43 ..................................................................................... Meader, Lon 175 ..................................................................................... Meador, Larry 149 ..................................................................................... Meares, William 169 ..................................................................................... Mears, Gene 66 ..................................................................................... Meeks, Darrell 178,37 ..................................................................................... Meer, B Robert 81 ..................................................................................... Mehrabian, Kourosh 189,94 ..................................................................................... Mehta, Murli 9 ..................................................................................... Mei, Elizabeth 102,143,74 ..................................................................................... Meise, Holly 125,38 ..................................................................................... Meisha, Dalia 149 ..................................................................................... Mekouar, Hicham 70 ..................................................................................... Melton, Angela 99 ..................................................................................... Mendelsohn, Howard 175 ..................................................................................... Mendes, Kevin 29,96 ..................................................................................... Mendoza, Israel 138,43,72 ..................................................................................... Mendrinos, Maria 175 ..................................................................................... Menges, Martin 113 ..................................................................................... Mera, Jose 121,138 ..................................................................................... Mercado, Romina 26,5,52,66,84 ..................................................................................... Merdad, Hisham 187,62,68 ..................................................................................... Meredith-Smith, Jodie 138 ..................................................................................... Merian, Robert 150 ..................................................................................... Meroney, David 86 ..................................................................................... Merrell, David 145 ..................................................................................... Mesaros, Samuel 46 ..................................................................................... Messih, Haidy 181,70,88 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Lupi, James 158 ..................................................................................... Lutz, Megan 164 ..................................................................................... Lutz, Steven 164 ..................................................................................... Ly, Dong-Phuong 13,28 ..................................................................................... Lyall, Marshall 174 ..................................................................................... Lyazidi, Aicha 158,59,84 ..................................................................................... Lyn, Trevann 153,190,55,67,95 ..................................................................................... Lynch, Ronald 113,117,124,174,3 ..................................................................................... 6 Lynch, Sean 147 ..................................................................................... Lynn, Anne 113 ..................................................................................... Lynn, Larry 80 ..................................................................................... Lyon, Betty 31 ..................................................................................... Lyon, John 31 ..................................................................................... Lysenko, Jennifer 90 .....................................................................................

207

Delta Dental Premier

Molokwu, Ruth 94 ..................................................................................... Monacell, John 152 ..................................................................................... Monacell, William 105 ..................................................................................... Monajemy, Nooshin 128,161 ..................................................................................... Monsalve, Carlos 82 ..................................................................................... Monsman, John 43 ..................................................................................... Montalvan, Cesar 94 ..................................................................................... Montano, Ronald 138 ..................................................................................... Montgomery, Jeffrey 120,71 ..................................................................................... Montgomery, Tyrus 138,40 ..................................................................................... Moon, Jeff 120,80 ..................................................................................... Moon, Sue 86 ..................................................................................... Mooney, Brigid 13,26 ..................................................................................... Moore , French 1 ..................................................................................... Moore, Alfred 123 ..................................................................................... Moore, Andrew 158 ..................................................................................... Moore, Clarissa 13,70 ..................................................................................... Moore, Ernest 147,41 ..................................................................................... Moore, J Peyton 97 ..................................................................................... Moore, Wendy 84 ..................................................................................... Moore, William 147 ..................................................................................... Moorefield, Kallie 117,124,175 ..................................................................................... Moose, Bobbi 17 ..................................................................................... Moose, David 70,87 ..................................................................................... Morales, Diego 26,52,94 ..................................................................................... Morch, Michael 189,66 ..................................................................................... Morel, Adalgisa 42,47 ..................................................................................... Moretti, Joy 109,122,41 ..................................................................................... Morgan, Anne 164 ..................................................................................... Morgan, Carol 175,184 ..................................................................................... Morgan, David 131,158,186,190,6 ..................................................................................... 7,7,95 Morgan, Fabienne 193 ..................................................................................... Morgan, Gary 138 ..................................................................................... Morgan, John 114,142,164,185,3 ..................................................................................... 7,42,48,77 Morgan, Joseph 138 ..................................................................................... Morgan, Kelly 191,87 ..................................................................................... Morgan, Michael 175 ..................................................................................... Morgan, Pamela 119 ..................................................................................... Morgan, Richard 132 ..................................................................................... Moriarty-Vasquez, Mary 189 ..................................................................................... Morris, B 13 ..................................................................................... Morris, Christa 8 ..................................................................................... Morris, David 80 ..................................................................................... Morris, Glenwood 125 ..................................................................................... Morris, Kendall 152 ..................................................................................... Morris, Kenneth 152 ..................................................................................... Morris, Michael 146 ..................................................................................... Morris, Tamesha 49 ..................................................................................... Morris, William 78 ..................................................................................... Morrison, Julius 122,138,72 ..................................................................................... Morrison, Robert 184,41 ..................................................................................... Morrison, Sanford 119,178 ..................................................................................... Mortazie, Michael 13 ..................................................................................... Mortvedt, David 80 ..................................................................................... Moses, Stephen 117 ..................................................................................... Mosey, James 105,120,126,40 ..................................................................................... Mosher, Russell 105 ..................................................................................... Moshiri, Tara 160 .....................................................................................

Mosley, Monica 48 ..................................................................................... Moss, Patricia 138 ..................................................................................... Moss, Stanley 124 ..................................................................................... Mostofi, Mina 166,84 ..................................................................................... Motamedi, Saeid 158,192,68,96 ..................................................................................... Mourino, Arthur 145 ..................................................................................... Movaghari, Parinaz 13,130 ..................................................................................... Mower, Matthew 128 ..................................................................................... Mrazik, Jack 77 ..................................................................................... Muehleck, James 97 ..................................................................................... Mueller, David 178 ..................................................................................... Mueller, Jennifer 9 ..................................................................................... Mueller, Travis 138,9 ..................................................................................... Muhammad, Sultan 28,81 ..................................................................................... Muir-Young, Natalie 15 ..................................................................................... Muldoon, Catherine 36 ..................................................................................... Mule, Merissa 105,120,40 ..................................................................................... Mullen, Steven 18,87 ..................................................................................... Muller, Lawrence 189 ..................................................................................... Mulligan, Daniel 138 ..................................................................................... Mullins, Edmund 138 ..................................................................................... Muncy, Beatrice 138 ..................................................................................... Muncy, James 138 ..................................................................................... Munn, William 122,151 ..................................................................................... Murchie, Peter 92 ..................................................................................... Murphy, Anna 153 ..................................................................................... Murphy, Stephen 184,41 ..................................................................................... Murphy, Walter 102 ..................................................................................... Murray, Malcolm 53 ..................................................................................... Murray, Vincent 181 ..................................................................................... Murry, Brittney 105,126,19,40 ..................................................................................... Murry, Donald 105,126,40 ..................................................................................... Murry, Kenneth 105,126,40 ..................................................................................... Murthy, Pramila 81 ..................................................................................... Murthy, Roopa 124,36 ..................................................................................... Musick, Lori 132 ..................................................................................... Musmar, Qais 5 ..................................................................................... Muss, Nicholas 130 ..................................................................................... Mustian, Edward 138 ..................................................................................... Mustian, John 138 ..................................................................................... Mwendo, Jimani 158,189,5,94 ..................................................................................... Myers, Aubrey 163 ..................................................................................... Myers, Garry 132 ..................................................................................... Myers, Priscilla 138 ..................................................................................... Myles, Wayne 130 .....................................................................................

PARTICIPATING PROVIDERS

Mestas, Eric 5 ..................................................................................... Metzdorf, David 157,52,55 ..................................................................................... Metzger, Lawrence 102,107,142,151,7 ..................................................................................... 3 Meyers, Christian 113,76 ..................................................................................... Meza, Fernando 1 ..................................................................................... Miamee, Ali 130 ..................................................................................... Miamee, Nazy 130 ..................................................................................... Michael, Adele 166 ..................................................................................... Michael, Shadia 31 ..................................................................................... Midgette, Brian 36 ..................................................................................... Midkiff, Kenneth 97 ..................................................................................... Midkiff, Kevin 90 ..................................................................................... Mikhail, Raymond 86,99 ..................................................................................... Millan, Alirio 138 ..................................................................................... Miller, Culver 90 ..................................................................................... Miller, David 76 ..................................................................................... Miller, Elizabeth 138 ..................................................................................... Miller, Glen 21,5,80 ..................................................................................... Miller, Jeffrey 52 ..................................................................................... Miller, Julian 113,124,175,184,1 ..................................................................................... 93,36,76 Miller, Juliana 182,27 ..................................................................................... Miller, Keith 21 ..................................................................................... Miller, Michael 107,142 ..................................................................................... Miller, Paul 34 ..................................................................................... Miller, Richards 182 ..................................................................................... Miller, Robert 182,27,45 ..................................................................................... Miller, Scott 165,22 ..................................................................................... Miller, Tammie 186 ..................................................................................... Miller, Veronica 166,52 ..................................................................................... Mills, Christina 45 ..................................................................................... Mills, Cordelia 159,187,85,88 ..................................................................................... Mills, Michele 151 ..................................................................................... Mills-Robertson, Aba 16,48 ..................................................................................... Milner, Jan 36 ..................................................................................... Milonas, Jim 175 ..................................................................................... Miniclier, Gordon 84 ..................................................................................... Minutella, Nicholas 31 ..................................................................................... Miranda, Joshua 175 ..................................................................................... Miranda, Ruben 15,62,8,96 ..................................................................................... Mirmonsef, Parastu 138,89 ..................................................................................... Mirza, Javeria 47,97 ..................................................................................... Misto, Jim 158 ..................................................................................... Mistry, Kevin 13,5,86 ..................................................................................... Mitnick, Howard 160 ..................................................................................... Mittal, Nitika 191 ..................................................................................... Modaresi, Mina 160,28 ..................................................................................... Modeste, Lorenzo 76 ..................................................................................... Modjadidi, Osama 175,36 ..................................................................................... Mofakhami, Niloofar 121 ..................................................................................... Moffitt, Robert 88 ..................................................................................... Mogharbel, Tarek 150,59,99 ..................................................................................... Mogrovejo, Erika 155,5 ..................................................................................... Mohanty, Sujit 138 ..................................................................................... Mohiuddin, Sumayra 138,99 ..................................................................................... Mojares, Elizabeth 124 ..................................................................................... Moller, Gary 5 ..................................................................................... Moller, James 59 ..................................................................................... Mollov, Nikolay 22 .....................................................................................

N Nachman, Alan 36 ..................................................................................... Naeem, Naseer 49,81,94 ..................................................................................... Naghdi, Jina 82 ..................................................................................... Nagle, Jeremy 150,166,23,28,53 ..................................................................................... Nagy, Whitney 86 ..................................................................................... Naik, Priti 166 ..................................................................................... Naimi, Amir 131,23 ..................................................................................... Najafe, Hayat 49,66 ..................................................................................... Nallavalli, Sravanthi 160,17 ..................................................................................... Nalluri, Jatin 189,49,53,94 ..................................................................................... Nam, Johnny 53 ..................................................................................... Nanduri, Mahathi 130 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

208

Delta Dental Premier

Nguyen, Phuong-Mai 59 ..................................................................................... Nguyen, Phuong-Uyen 126,17 ..................................................................................... Nguyen, Quan 23 ..................................................................................... Nguyen, Quoc 59 ..................................................................................... Nguyen, Quynh 5 ..................................................................................... Nguyen, Quynh-Chi 28 ..................................................................................... Nguyen, Steve 13,5 ..................................................................................... Nguyen, Thi 160 ..................................................................................... Nguyen, Thuan 5 ..................................................................................... Nguyen, Tran 59 ..................................................................................... Nguyen, Tuan 53 ..................................................................................... Nguyen, Tuong-Van 5 ..................................................................................... Nguyen, Tu-Quynh 10,129,165,187,22, ..................................................................................... 57,88 Nguyen, Viet 101,109,130,138,1 ..................................................................................... 83,184,43,83 Nguyen, Vu 13,156,5,59 ..................................................................................... Nichols, Ashley 113,124,138,186,4 ..................................................................................... 3,76 Nickerson, Michael 84 ..................................................................................... Niepraschk, Markus 158,33,87 ..................................................................................... Nieto, Johana 59 ..................................................................................... Nightengale, Tiffany 102,110,121,64 ..................................................................................... Nikkhah, Jason 13,99 ..................................................................................... Nikkhah, Pouran 17 ..................................................................................... Nikpourfard, Matt 17,81 ..................................................................................... Nikpourfard, Reza 85 ..................................................................................... Nikseresht, Kamran 28 ..................................................................................... Niles, Raymond 189 ..................................................................................... Niver, Eric 180,185,39 ..................................................................................... Niver, Krystie 36 ..................................................................................... Nokkeo, Jay 100 ..................................................................................... Norbo, Justin 128 ..................................................................................... Norbo, Kirk 128 ..................................................................................... Norbo, Randy 148 ..................................................................................... Nordeen, Kyle 19 ..................................................................................... Norman, Andrew 138 ..................................................................................... Norrgard, Jefferey 138 ..................................................................................... Norris, Clinton 73 ..................................................................................... Norton, Carolyn 175 ..................................................................................... Nottingham, James 117 ..................................................................................... Nouri, Bruce 160 ..................................................................................... Novak, Irina 193 ..................................................................................... Novick, Arthur 130,17 ..................................................................................... Novick, Kendra 130,17 ..................................................................................... Novick, Roy 57 ..................................................................................... Nunnally, Leonard 73 ..................................................................................... Nwaneshiudu, Chioma 17,186,53,70,86 ..................................................................................... Nyczepir, David 108,143,40 ..................................................................................... Nystrom, Cheryl 139 .....................................................................................

O O`Brien, Keith 63 ..................................................................................... O`Donnell, David 113,117,124,139,1 ..................................................................................... 75,43,59,76,90 Obeck, Kurt 139 ..................................................................................... Oberry, Vernon 117,175 ..................................................................................... Obrien, Kevin 151 ..................................................................................... Ochana, Laila 59 ..................................................................................... Ochave, Frederick 175 .....................................................................................

Octave, William 139 ..................................................................................... Odeh, Osama 113,117,66 ..................................................................................... Odonnell, William 26 ..................................................................................... Oduyelu, Bukola 180 ..................................................................................... Oertel, Ellen 41,43 ..................................................................................... Ogden, Christine 169 ..................................................................................... Oglesby, Jeffrey 184 ..................................................................................... Ogunbekun, Adenike 153 ..................................................................................... Ogundipe, Oluwatoyin 139 ..................................................................................... Oh, Dongha 56 ..................................................................................... Oh, Eunseok 15,168 ..................................................................................... Oh, Joseph 13,153 ..................................................................................... Ohara, Thomas 175 ..................................................................................... Ohri, Puja 88 ..................................................................................... Okeefe, Edward 117 ..................................................................................... Okunuga, Olalekan 148,152 ..................................................................................... Olano, Magali 70 ..................................................................................... Oldham, Bobbi 90 ..................................................................................... Oldham, Richard 90 ..................................................................................... Olenyn, Paul 23 ..................................................................................... Oley, George 101,120,139 ..................................................................................... Oliveira Filho, Jayme 36 ..................................................................................... Oliver, Maya 157 ..................................................................................... Oliver, Tracy 175 ..................................................................................... Oliver, Trisstar 152 ..................................................................................... Olivero, Thomas 106 ..................................................................................... Olsen, Kimberley 70 ..................................................................................... Olson, Charles 37 ..................................................................................... Oltra Esplugues, Enrique 103,18,71 ..................................................................................... Omar, Anisa 29 ..................................................................................... Onderdonk, Andrea 66,73 ..................................................................................... Oneal, Latanya 42,59,99 ..................................................................................... Oneill, Robert 122,40,83 ..................................................................................... Orenstein, Richard 5 ..................................................................................... Oristian, Alexis 106,120 ..................................................................................... Ornoff, Mark 156,81 ..................................................................................... Oshea, Michael 62 ..................................................................................... Osinovsky, Alexander 166 ..................................................................................... Osman, Feisal 139 ..................................................................................... Ossakow, William 26,53,81,99 ..................................................................................... Osseiran, H 169 ..................................................................................... Oswald, Sophie 190,29,67,95 ..................................................................................... Ott, Brian 31 ..................................................................................... Ott, Sarah 31 ..................................................................................... Ottersberg, Christine 110 ..................................................................................... Ovcharenko, Vladyslav 26,5,60 ..................................................................................... Overby, Timothy 90 ..................................................................................... Overstreet, Douglas 151,73 ..................................................................................... Overton, Bruce 103 ..................................................................................... Owen, John 113,20 ..................................................................................... Owen, William 152 ..................................................................................... Owens, Edward 184 ..................................................................................... Owens, Gregory 1 ..................................................................................... Owens, Jessica 47 ..................................................................................... Owuor, Christine 150,31 ..................................................................................... Ozturk, Serdar 13 .....................................................................................

PARTICIPATING PROVIDERS

Nash, Colleen 101,105,138,19,72 ..................................................................................... Nasif, Yaser 101,109,120,138,1 ..................................................................................... 83,184,43,83 Nasir, Aisha 5 ..................................................................................... Nasr, Flavio 13 ..................................................................................... Nassar, Fadwa 59 ..................................................................................... Nastea, Cristina 156 ..................................................................................... Nauss, Steven 120 ..................................................................................... Navubothu, Padmalatha 138,76 ..................................................................................... Nawaz, Mirweiss 160,59 ..................................................................................... Nazareth, Melissa 113 ..................................................................................... Neal, Elizabeth 169 ..................................................................................... Neale, Mark 183,184 ..................................................................................... Neel, Anita 21,31 ..................................................................................... Neese, Danny 78 ..................................................................................... Neibauer, Justin 66 ..................................................................................... Neighbors, Robert 105 ..................................................................................... Neill, Kennedy 193 ..................................................................................... Nelson, Charles 94 ..................................................................................... Nelson, Edward 15 ..................................................................................... Nelson, Gary 86 ..................................................................................... Nelson, James 143 ..................................................................................... Nelson, John 192 ..................................................................................... Nelson, Kristin 18 ..................................................................................... Nesbitt, Paula 111,115,123,169,7 ..................................................................................... 5,98 Neshat, Monica 130 ..................................................................................... Nester, Ashley 184 ..................................................................................... Nester, Brad 83 ..................................................................................... Neumann, John 186 ..................................................................................... Newcomb, Brandon 48 ..................................................................................... Newell, Gary 175 ..................................................................................... Newman, Anne 147 ..................................................................................... Newman, Michael 36 ..................................................................................... Newsome, Elise 148 ..................................................................................... Newton, Richard 148,42 ..................................................................................... Ngo, Howard 53 ..................................................................................... Ngo, Tu-Son 1,27 ..................................................................................... Nguyen, Ashley 5 ..................................................................................... Nguyen, Calvin 5,81 ..................................................................................... Nguyen, Catherine 5 ..................................................................................... Nguyen, Christine 28,53 ..................................................................................... Nguyen, Christopher 5 ..................................................................................... Nguyen, Cindy 189 ..................................................................................... Nguyen, Dao 88 ..................................................................................... Nguyen, Denise 168 ..................................................................................... Nguyen, Diem 28 ..................................................................................... Nguyen, Hieu 130,5,53 ..................................................................................... Nguyen, Hung 59 ..................................................................................... Nguyen, Kevin 189 ..................................................................................... Nguyen, Kim 138 ..................................................................................... Nguyen, Kristina 99 ..................................................................................... Nguyen, Lan 53 ..................................................................................... Nguyen, Linh 153,9 ..................................................................................... Nguyen, Loc 160,70,94 ..................................................................................... Nguyen, Long 70,94 ..................................................................................... Nguyen, Mike 189,5 ..................................................................................... Nguyen, Monique 5 ..................................................................................... Nguyen, Nikki 157,46,55 ..................................................................................... Nguyen, Phuong 15,190 .....................................................................................

P Pace, Warren .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

166

209

Delta Dental Premier

Pashapour, Ali 15 ..................................................................................... Pate, David 175,36 ..................................................................................... Patel, Ajit 18 ..................................................................................... Patel, Amit 17 ..................................................................................... Patel, Anisha 101,139,184 ..................................................................................... Patel, Arpi 8 ..................................................................................... Patel, Ashish 158,168 ..................................................................................... Patel, Bhavinkumar 66 ..................................................................................... Patel, Chirag 18 ..................................................................................... Patel, Dipa 15 ..................................................................................... Patel, Jatin 31,74 ..................................................................................... Patel, Jay 158 ..................................................................................... Patel, Jayesh 50 ..................................................................................... Patel, Kinjal 53,76 ..................................................................................... Patel, Kunjal 73 ..................................................................................... Patel, Loken 1 ..................................................................................... Patel, Mayur 189 ..................................................................................... Patel, Monica 99 ..................................................................................... Patel, Nimisha 60 ..................................................................................... Patel, Nrupur 106 ..................................................................................... Patel, Pratik 129,159,187,50 ..................................................................................... Patel, Raj 158 ..................................................................................... Patel, Sachi 160 ..................................................................................... Patel, Sharli 13,150,166,28 ..................................................................................... Patel, Shital 145 ..................................................................................... Patel, Snehal 156,89 ..................................................................................... Patel, Suketu 131,18,87 ..................................................................................... Patel, Vaibhavi 47 ..................................................................................... Patel, Vaishali 139,43 ..................................................................................... Patel, Vikaskumar 94 ..................................................................................... Patil, Sudha 45 ..................................................................................... Patil, Vinayak 158 ..................................................................................... Patron, Alfonso 15,150,161,168,83, ..................................................................................... 96 Patterson, Adrian 131,23 ..................................................................................... Patterson, Cheryl 49 ..................................................................................... Patterson, Dayne 5 ..................................................................................... Patterson, Travis 15,61 ..................................................................................... Paulette, Stephen 79 ..................................................................................... Pauley, Richard 113 ..................................................................................... Paxton, Kelly 36 ..................................................................................... Payne, Albert 34,47 ..................................................................................... Payne, Christopher 34,47 ..................................................................................... Payne, Stephen 106 ..................................................................................... Peaks, Kelly 17 ..................................................................................... Pearl, Dina 175 ..................................................................................... Pearlman, Darryl 89 ..................................................................................... Pearson, Bonnie 122 ..................................................................................... Peat, Ashley 139,43 ..................................................................................... Peebles, Rebecca 60,94 ..................................................................................... Peery, James 40,90 ..................................................................................... Pelaez, Jorge 175 ..................................................................................... Pelkofski, Joseph 87 ..................................................................................... Pell, James 131,186,190 ..................................................................................... Pellerin, Robert 175 ..................................................................................... Peluso, Anthony 119,179,38 ..................................................................................... Pemberton, David 139 ..................................................................................... Pena, Estela 17 ..................................................................................... Pentecost, Grace 117 .....................................................................................

Penterson, Robert 106 ..................................................................................... Perez, Agustin 113 ..................................................................................... Perez, Ricardo 158,189,66,94 ..................................................................................... Perez, Timothy 113,175 ..................................................................................... Perkins, Dennis 1,192,71,96 ..................................................................................... Perkins, Nancy 96 ..................................................................................... Perkinson, S 101,106,139,19,73 ..................................................................................... Perkinson, William 106,120,126 ..................................................................................... Perlman, Steven 77 ..................................................................................... Peron, Louis 34 ..................................................................................... Peroutka, John 106,151,62 ..................................................................................... Perry-Wright, Arlene 66 ..................................................................................... Perumal Naidu Nagaiah, Rohini 13 ..................................................................................... Peters, Barrett 182,33 ..................................................................................... Petersen, Katherine 184,193 ..................................................................................... Petticolas, Augustus 90 ..................................................................................... Pettit, Jeffrey 22 ..................................................................................... Peyser, Brian 60 ..................................................................................... Peyser, Richard 60 ..................................................................................... Pfab, Michael 127,41 ..................................................................................... Pfohl, David 161,88 ..................................................................................... Phaeton, Nathalie 62,8 ..................................................................................... Pham, Anh 29,53,61,87 ..................................................................................... Pham, Diane 167,5 ..................................................................................... Pham, Gina 192 ..................................................................................... Pham, Hanah 130 ..................................................................................... Pham, Heather 113 ..................................................................................... Pham, Hiep 167,5 ..................................................................................... Pham, Jacob 148 ..................................................................................... Pham, Jennifer 60,70 ..................................................................................... Pham, Long 60,74 ..................................................................................... Pham, Minh 60 ..................................................................................... Pham, Thang 60 ..................................................................................... Pham, Thanh 9 ..................................................................................... Phan, Anh 5 ..................................................................................... Phan, Chuong 126,17 ..................................................................................... Phan, Duy-Man 53 ..................................................................................... Phan, Phuong 5 ..................................................................................... Phan, Thoaivan 167,189,53 ..................................................................................... Phan, Truc 28 ..................................................................................... Phan, Tuyet-Mai 13 ..................................................................................... Phaup, Alexis 175 ..................................................................................... Phelps, Joy 152,78 ..................................................................................... Phelps, Maynard 114,77,79 ..................................................................................... Phillips, Douglas 31 ..................................................................................... Phillips, Sarah 113,117,124,139,1 ..................................................................................... 75,184,36,43,60,77 Phillips, W 91 ..................................................................................... Phisuthikul, Norachai 10,15,62 ..................................................................................... Piascik, Christine 184 ..................................................................................... Piccinino, Michael 129,92 ..................................................................................... Pichardo, Michael 69 ..................................................................................... Pierce, Laura 156,53 ..................................................................................... Pikula, Agata 91 ..................................................................................... Pinch, John 62,91 ..................................................................................... Pisciotta, Dominick 63 ..................................................................................... Piscitelli, William 145 ..................................................................................... Pittman, Tyler 22 ..................................................................................... Plata, Raul 53 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Packer, Gardiner 103,132 ..................................................................................... Padgett, Thomas 107,143 ..................................................................................... Paesani, Michael 60 ..................................................................................... Pagan, Robert 45,64 ..................................................................................... Pahlavani, Edna 13,5 ..................................................................................... Paige, Benegal 31 ..................................................................................... Paige, Jason 139 ..................................................................................... Pak, Jung 53 ..................................................................................... Pakpour, Desabeh 189 ..................................................................................... Pal, Gopal 10,126 ..................................................................................... Pal, Sandhya 126,130 ..................................................................................... Palabrica, Rosario 13 ..................................................................................... Palizi, Alireza 23 ..................................................................................... Palle, Sunitha 158,26,94 ..................................................................................... Palmer, Charles 110 ..................................................................................... Palmer, Roger 49 ..................................................................................... Palmieri, David 1,57 ..................................................................................... Pandak, Hilary 53 ..................................................................................... Pandher, Ramona 113,117,124,139,1 ..................................................................................... 75,42,43,47,60,66, 76,84 Pandolfi, Philip 79 ..................................................................................... Panzarella, Carl 139 ..................................................................................... Panzetta, James 84 ..................................................................................... Papageorgiou, Nicholas 17 ..................................................................................... Papinsick, Anthony 13 ..................................................................................... Papp, Richard 53 ..................................................................................... Paredes, Omar 88 ..................................................................................... Paret, Katherine 117 ..................................................................................... Parikh, Anuja 160 ..................................................................................... Park, Adam 166 ..................................................................................... Park, Charles 53,70,88 ..................................................................................... Park, Henry 9 ..................................................................................... Park, Hye 5 ..................................................................................... Park, Jamie 53 ..................................................................................... Park, John 17,81 ..................................................................................... Park, Jonathan 131,190,23,26,55 ..................................................................................... Park, Jung 154,160,5 ..................................................................................... Park, Kenneth 156,94 ..................................................................................... Park, Kyeong 76 ..................................................................................... Park, Kyung 17 ..................................................................................... Park, Mimi 126 ..................................................................................... Park, Si-Woon 169,83 ..................................................................................... Park, Sun 81 ..................................................................................... Park, Sunmin 99 ..................................................................................... Park, Young 148 ..................................................................................... Parker, Jeffrey 94 ..................................................................................... Parker, Michael 90 ..................................................................................... Parker, Milton 5 ..................................................................................... Parker, Richard 31 ..................................................................................... Parks, Charles 148 ..................................................................................... Parks, Meredith 152,164,185,193 ..................................................................................... Parr, Olan 45 ..................................................................................... Parris-Wilkins, Tonya 1,110,122,127,29,4 ..................................................................................... 3,66,89 Partovi, Marjan 94 ..................................................................................... Partovi, Mojgan 160 ..................................................................................... Partrick, Jeremiah 13 ..................................................................................... Parulis, Albert 149 ..................................................................................... Parvin, Karen 36 .....................................................................................

210

Delta Dental Premier

Q Qiu, Kenneth ..................................................................................... Quigg, Richard ..................................................................................... Quiggins, Melissa ..................................................................................... Quilez, Robert ..................................................................................... Quinn, Stephen ..................................................................................... Quiros, Luis ..................................................................................... Qureshi, Wasim .....................................................................................

60,82 178 70 120 148,46 193 17

R Raczynska, Aneta 181,70,94 ..................................................................................... Radcliffe, Stephen 22 ..................................................................................... Radford, Millard 150 .....................................................................................

Rafaat, Amirreza 85 ..................................................................................... Rafiq, Rabia 131,94 ..................................................................................... Rahim, Haress 17 ..................................................................................... Rahman, Murshed 6 ..................................................................................... Rahman, Nabeel 36 ..................................................................................... Rai, Shaun 178 ..................................................................................... Rai, Shivaprasanna 158 ..................................................................................... Rai, Shwetha 49,71 ..................................................................................... Raika, Ana 41 ..................................................................................... Rainey, Vacora 158 ..................................................................................... Rainey, Vernon 163 ..................................................................................... Raja, Taimour 131,94 ..................................................................................... Ramai, Sheldon 156,26,66,94 ..................................................................................... Ramisetty, Chetana 153,53,94 ..................................................................................... Ramsay, Jamie 163 ..................................................................................... Ramsey, Alexander 148 ..................................................................................... Ramsey, Brent 79 ..................................................................................... Ramsey, Cyrus 131,190,23,26,55 ..................................................................................... Ramsey, Harry 117 ..................................................................................... Ramsey, Tony 19 ..................................................................................... Randazzo, Janine 106 ..................................................................................... Randolph, Renita 73,99 ..................................................................................... Ranjbar, Shahla 87 ..................................................................................... Ranzurmal, Mina 160,17 ..................................................................................... Rao, Sheila 94 ..................................................................................... Raoufinia, Arjang 13 ..................................................................................... Raoufinia, Nima 126,13 ..................................................................................... Raphael, Jeff 101,109,183,184,7 ..................................................................................... 9 Rashid, Sumera 87 ..................................................................................... Rasmussen, Jay 117,124,42,77 ..................................................................................... Rasmussen, Kenneth 31 ..................................................................................... Rastogi, Loveena 113,77 ..................................................................................... Rasul, Afia 139 ..................................................................................... Ratner, Les 6 ..................................................................................... Rawls, Charles 163 ..................................................................................... Ray, Ronald 17 ..................................................................................... Ray, Sheetal 189,99 ..................................................................................... Rayek, Riaz 53 ..................................................................................... Raymond, Mark 42 ..................................................................................... Rayo, Samuel 53 ..................................................................................... Razdan, Shinjni 62 ..................................................................................... Read, Allen 91 ..................................................................................... Reangber, Sina 80 ..................................................................................... Rearden, Cathy 99 ..................................................................................... Reardon, Christine 15 ..................................................................................... Reategui, Patricia 158 ..................................................................................... Rebellato, Giuseppe 33 ..................................................................................... Reddy, Bindu 192 ..................................................................................... Reddy, Harini 139 ..................................................................................... Reddy, Hima-Bindu 160,82 ..................................................................................... Reddy, Swathi 85,89 ..................................................................................... Redmon, David 186 ..................................................................................... Redwine, William 139 ..................................................................................... Reeves, Carter 17 ..................................................................................... Reeves, Edward 88 ..................................................................................... Reeves, Ryan 88 ..................................................................................... Regimbal, Pamela 102 ..................................................................................... Reichley, John 176 .....................................................................................

Reid, Donna 6 ..................................................................................... Reid, John 73 ..................................................................................... Reimer, Michael 113,117,124,176,1 ..................................................................................... 93,77 Reis, Lauren 13 ..................................................................................... Reitz, Mark 21 ..................................................................................... Rejintala, Archana 94 ..................................................................................... Rekow, Marlin 181 ..................................................................................... Renapurkar, Shravan 143 ..................................................................................... Render, Philip 79 ..................................................................................... Replogle, Karan 132 ..................................................................................... Reschenthaler, Corinne 163 ..................................................................................... Resendes, Melanie 139 ..................................................................................... Resnick, Elizabeth 176 ..................................................................................... Ressler, Christine 101,106,127,139,1 ..................................................................................... 9,73 Restrepo, Melissa 113 ..................................................................................... Reynolds, Dustin 89 ..................................................................................... Reynolds, Elizabeth 139 ..................................................................................... Reynolds, Gavin 19 ..................................................................................... Reynolds, James 148 ..................................................................................... Reynolds, Jillian 117,163,176,36 ..................................................................................... Reynolds, John 139 ..................................................................................... Reynolds, Kenneth 118,124,176 ..................................................................................... Rhea, William 41 ..................................................................................... Rhoday, John 42 ..................................................................................... Rhodes, Daniel 43,44,83,84 ..................................................................................... Rhodes, James 125,36 ..................................................................................... Rice, Collin 36 ..................................................................................... Rice, James 110,148,31,42 ..................................................................................... Rice, Jennifer 110,31 ..................................................................................... Rice, Richard 23 ..................................................................................... Richards, Carter 113,125,176,66 ..................................................................................... Richardson, Emmett 96 ..................................................................................... Richardson, Eugene 122 ..................................................................................... Richardson, Kelly 186 ..................................................................................... Richardson, Sariah 150 ..................................................................................... Richardson, Thomas 20 ..................................................................................... Richardson-Overstreet, Susan 151,73 ..................................................................................... Richmond, Leslie 176 ..................................................................................... Rickman, James 106 ..................................................................................... Rieman, Francis 66 ..................................................................................... Riggs, Gary 123,179,77 ..................................................................................... Riley, David 150 ..................................................................................... Riley, James 108,144,74 ..................................................................................... Riley, Jeffrey 91 ..................................................................................... Riley, Michael 91 ..................................................................................... Rios, Jorge 160,17 ..................................................................................... Rismani-Flenniken, Suzan 167 ..................................................................................... Ritchie, David 71 ..................................................................................... Ritter, James 176 ..................................................................................... Rizkalla, Adel 60 ..................................................................................... Rizvi, Zia 17 ..................................................................................... Roadcap, Richard 44 ..................................................................................... Robbins, Alan 164 ..................................................................................... Roberson, James 122,126 ..................................................................................... Roberts, Anna 20 ..................................................................................... Roberts, Brice 151,169 ..................................................................................... Roberts, Cameron 165,78 ..................................................................................... Roberts, Carole 63,91 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Pleickhardt, Steve 70 ..................................................................................... Pleta, Eva 167 ..................................................................................... Podbesek, Brian 45,63 ..................................................................................... Poe, Richard 10 ..................................................................................... Poku-Kwateng, Evelyn 22,99 ..................................................................................... Polack, Amanda 89 ..................................................................................... Polack, Mariano 71 ..................................................................................... Polk, David 20 ..................................................................................... Pollock, Richard 10,129,187,22,57 ..................................................................................... Ponraj, Ernest 99 ..................................................................................... Poole, Adam 113,117,124,175,4 ..................................................................................... 3,60,77 Poole, Charles 176 ..................................................................................... Popat, Nitesh 139,45 ..................................................................................... Pope, H 68,74 ..................................................................................... Pope, Robert 176 ..................................................................................... Popli, Kris 167 ..................................................................................... Popli, Vishal 139,148 ..................................................................................... Poquis, Gregory 101,139 ..................................................................................... Portell, Frank 1,129,154,57 ..................................................................................... Porter, Dina 66 ..................................................................................... Posenau, Jerry 101 ..................................................................................... Potter, William 31 ..................................................................................... Pouchot, Daniel 74 ..................................................................................... Poulsen, Brian 22 ..................................................................................... Powell, Natalie 148 ..................................................................................... Prasanna, Mysore 189 ..................................................................................... Prater, Phillip 21 ..................................................................................... Price, Ashlyn 106 ..................................................................................... Price, Mckinley 113 ..................................................................................... Price, Stephen 156,5 ..................................................................................... Priest, James 152 ..................................................................................... Prillaman, Paul 38 ..................................................................................... Prillaman, William 63 ..................................................................................... Propoggio, Susan 17 ..................................................................................... Prugh, Reed 40 ..................................................................................... Pryor, Dennis 157,55,61,80 ..................................................................................... Pugh, George 6 ..................................................................................... Pugh, Roy 182 ..................................................................................... Pugliese, Richard 185 ..................................................................................... Puller, Anthony 139 ..................................................................................... Punaji, Sowmya 189,60 ..................................................................................... Purcell, Allison 102,108,120,127,1 ..................................................................................... 44,19,40,74 Pyle, Keith 91 .....................................................................................

211

Delta Dental Premier

Rubino, Richard ..................................................................................... Rueda, Santiago ..................................................................................... Ruffin, Wyatt ..................................................................................... Ruffner, Scott ..................................................................................... Ruparelia, Shreyesh ..................................................................................... Rusnak, Brent ..................................................................................... Russell, Gregory ..................................................................................... Russell, H ..................................................................................... Russo, Edward ..................................................................................... Russo-Revand, Jessica ..................................................................................... Rusz, Joesph ..................................................................................... Rusznak, Zoltan ..................................................................................... Rutherford, Billy ..................................................................................... Ruzzo, Joseph ..................................................................................... Ryan, Craig ..................................................................................... Ryan, Danielle ..................................................................................... Rye, Leslie ..................................................................................... Ryee, James .....................................................................................

160 13,53 64 89 160 140 10 148 110 2 131,17 17 84 99 148 156,53 131 167

S Saba, Leila 60 ..................................................................................... Saba, Maryam 156 ..................................................................................... Saba, Ramez 99 ..................................................................................... Saba, Shadi 161 ..................................................................................... Sabet, Shahram 167 ..................................................................................... Sabharwal, Aman 13,17 ..................................................................................... Sabol, George 121,179 ..................................................................................... Sachdev, Aman 158 ..................................................................................... Sachno, Erika 24,84 ..................................................................................... Sachs, Scott 118,163,176,36 ..................................................................................... Sachs, Warren 118,163,176,36 ..................................................................................... Sadeddin, Hazim 13,189,6,9,94 ..................................................................................... Sadoon, Ihab 21 ..................................................................................... Sadr, Lida 18,181 ..................................................................................... Saecker, J 1 ..................................................................................... Safari, Elham 82 ..................................................................................... Saghir, Riffat 53,67 ..................................................................................... Sagman, Michael 113 ..................................................................................... Sagun, Marvin 163 ..................................................................................... Said, Masood 156,189 ..................................................................................... Saif, Mina 186 ..................................................................................... Salari, Marjan 192,68,8 ..................................................................................... Salartash, Shahrzad 99 ..................................................................................... Salas, Christopher 128,87,94 ..................................................................................... Saleh, Fadi 15,191 ..................................................................................... Saleh, Lara 21,26 ..................................................................................... Salem, Muhanad 118,125,176 ..................................................................................... Salerno, James 118,176 ..................................................................................... Sallen, Bruce 10,129,165,187,22, ..................................................................................... 57,88 Salumbides, Josephine 189,60 ..................................................................................... Salyer, Laymon 36 ..................................................................................... Salzberg, Adam 63 ..................................................................................... Salzberg, Trang 119,164,180,39 ..................................................................................... Samadnejad, Farshad 6 ..................................................................................... Samra, Christina 121 ..................................................................................... Sanati, Ardalan 167,82 ..................................................................................... Sanchez De Lozada, Mia 23 ..................................................................................... Sanchez Ocasio, Jesus 113,185,41 .....................................................................................

Sandhu, Maninderjit 131,28,87,94 ..................................................................................... Sandhu, Navdeep 176,37 ..................................................................................... Sangid, Ronny 14,6 ..................................................................................... Sankepally, Divya 77 ..................................................................................... Sankowski, Christine 125,38 ..................................................................................... Santos, Estelito 163 ..................................................................................... Santos, Stephanie 176 ..................................................................................... Sanz-Moliner, Javier 109,182,46 ..................................................................................... Sapon, Mark 32,74 ..................................................................................... Sapperstein, Evan 60 ..................................................................................... Saravana, Saumitra 140,44,67,73 ..................................................................................... Sareen, Deepti 53 ..................................................................................... Sarment, Sylvie 24 ..................................................................................... Sarmiere, Lawrence 185 ..................................................................................... Saroff, Steven 145 ..................................................................................... Sarraf, Ammar 107,143 ..................................................................................... Sarraj, Ali 60 ..................................................................................... Sarrett, David 140 ..................................................................................... Sartelle, Harry 69 ..................................................................................... Sastry, Preeti 21 ..................................................................................... Sattar, John 161 ..................................................................................... Satterfield, Rose 47 ..................................................................................... Sauls, Latasha 150 ..................................................................................... Saunders, Paul 140 ..................................................................................... Saunders, Roy 91 ..................................................................................... Saunders, Steven 187,79 ..................................................................................... Saunders, Victor 187,79 ..................................................................................... Savage, Anthony 121,179 ..................................................................................... Savage, Cary 176 ..................................................................................... Savage, Dennis 102,110,122,64 ..................................................................................... Savage, Harry 140 ..................................................................................... Savage, Randolph 176 ..................................................................................... Savenkova, Svitlana 9 ..................................................................................... Sawyer, Shannon 91 ..................................................................................... Sawyer, Summer 91 ..................................................................................... Saxon, Walter 48 ..................................................................................... Saxton, Jacob 176,99 ..................................................................................... Sayeed, Afreen 189,53,60,94 ..................................................................................... Sayyar, Shahreyar 73 ..................................................................................... Sbeih, Izzat 99 ..................................................................................... Scarborough, Larry 144 ..................................................................................... Scelfo, Peter 154 ..................................................................................... Schaap, Alex 32,79 ..................................................................................... Schandorff, Mark 63,8 ..................................................................................... Schantz, Cara 14 ..................................................................................... Scharnhorst, Scott 128 ..................................................................................... Schecht, Wayne 167,53,60 ..................................................................................... Schehl, John 6,99 ..................................................................................... Scheider, Phillip 94 ..................................................................................... Schiff, Ivan 118,163,176,37 ..................................................................................... Schlang, Elliot 99 ..................................................................................... Schleicher, Thomas 44 ..................................................................................... Schlensker, Scott 106 ..................................................................................... Schmitt, Steven 140 ..................................................................................... Schnecker, Dennis 20 ..................................................................................... Schneider, Allen 156 ..................................................................................... Schneider, Grant 6 ..................................................................................... Schneider, Joseph 24 ..................................................................................... Schobel, Brian 14 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Roberts, David 106,120,127,40 ..................................................................................... Roberts, Erik 132 ..................................................................................... Roberts, Kristin 150 ..................................................................................... Roberts, Thomas 6 ..................................................................................... Robertson, John 20 ..................................................................................... Robertson, Steven 131,190,23,26,55 ..................................................................................... Robinson, Donald 113,77 ..................................................................................... Robinson, Eli 139 ..................................................................................... Robinson, Elizabeth 118,176,36 ..................................................................................... Robinson, Lynn 148 ..................................................................................... Robinson, Margo 189,94 ..................................................................................... Robinson, William 42 ..................................................................................... Roca, Adam 13 ..................................................................................... Roca, Aurelio 13 ..................................................................................... Roca, Lupita 13 ..................................................................................... Rockhill, Amy 149 ..................................................................................... Rodrigues, Shwetha 40 ..................................................................................... Rodriguez, Cristelle 153,18,56 ..................................................................................... Roelofs, Renae 139,99 ..................................................................................... Rogers, Dale 102,108,120,127,1 ..................................................................................... 44,19,40,74 Rogers, Lloyd 70 ..................................................................................... Rogge, Rod 180 ..................................................................................... Rogowski, David 167 ..................................................................................... Rojas, Juan 44 ..................................................................................... Roller, J Daniel 182 ..................................................................................... Roller, John 182 ..................................................................................... Roller, Matthew 159 ..................................................................................... Roller, William 148 ..................................................................................... Rolon, Evelyn 1 ..................................................................................... Romano, Frank 6,66 ..................................................................................... Ronis, James 99 ..................................................................................... Root, Noel 102,110,122,34,64 ..................................................................................... Roper, Erik 101,106,127,139,1 ..................................................................................... 9,73 Rose, Graham 139 ..................................................................................... Rose, Jennifer 80 ..................................................................................... Rose, Martine 140 ..................................................................................... Rosemond, Randall 127 ..................................................................................... Rosenberg, Robert 99 ..................................................................................... Rosenblum, Scott 180,38 ..................................................................................... Rosenblum, Stephen 156,167,53,6,60 ..................................................................................... Rosenman, Lawrence 156,89 ..................................................................................... Rosinski, Ashley 87 ..................................................................................... Rosinski, Kenneth 94 ..................................................................................... Ross, Edward 102 ..................................................................................... Ross, John 180,39 ..................................................................................... Ross, Robert 148 ..................................................................................... Ross, Vicki 114 ..................................................................................... Rossetti, Michael 140 ..................................................................................... Rothman, Jeffrey 7 ..................................................................................... Rothschild, Kenneth 87 ..................................................................................... Rotter, Michael 53,60 ..................................................................................... Rowe, James 110 ..................................................................................... Rowe, Samuel 63 ..................................................................................... Roy, Carl 179,38 ..................................................................................... Royzenblat, Alexander 111 ..................................................................................... Rubenstein, Loretta 114 ..................................................................................... Rubin, Michael 13 ..................................................................................... Rubin, Rick 185 .....................................................................................

212

Delta Dental Premier

Shan, Ailin 140 ..................................................................................... Shannon, Andrew 167,99 ..................................................................................... Shannon, Travis 151 ..................................................................................... Shapiro, Harold 6 ..................................................................................... Sharafi, Alireza 161,6 ..................................................................................... Shareghi, Shadi 54 ..................................................................................... Sharif, Asif 118,125,176,77 ..................................................................................... Sharif, Sherry 56 ..................................................................................... Sharma, Mohit 45,70,94 ..................................................................................... Sharma, Sumit 131,17 ..................................................................................... Sharp, Martha 128 ..................................................................................... Sharpe, Isiah 125 ..................................................................................... Sharrock, Michael 37 ..................................................................................... Shaw, Christina 131,161 ..................................................................................... Shea, Thomas 91 ..................................................................................... Shearer, Elliot 91 ..................................................................................... Shearer, James 97 ..................................................................................... Shearer, Ryan 181 ..................................................................................... Sheikh, Shehzad 161 ..................................................................................... Shelburne, Stephen 122 ..................................................................................... Shelley, Spencer 121 ..................................................................................... Shelley, Stephanie 102,111,122,34,64 ..................................................................................... Sheppard, Corey 148 ..................................................................................... Sherman, Frank 20 ..................................................................................... Sherman, Heidi 88 ..................................................................................... Sherwin, Ted 121,88 ..................................................................................... Sherwood, Richard 48 ..................................................................................... Sheta, Amr 118 ..................................................................................... Shetty, Navin 68,74 ..................................................................................... Shewmaker, Dale 54 ..................................................................................... Shields, Walter 42 ..................................................................................... Shiflet, Harvey 176 ..................................................................................... Shimeless, Laelaye 149 ..................................................................................... Shin, Hye 161 ..................................................................................... Shin, Leo 14,167 ..................................................................................... Shin, Rebecca 182 ..................................................................................... Shin, Thomas 55,67 ..................................................................................... Shingler, Arshia 49,71 ..................................................................................... Shirk, Winfield 24,84 ..................................................................................... Shivar, Walker 119,179,38 ..................................................................................... Shojaei, Mariah 11,125 ..................................................................................... Showalter, Perry 74 ..................................................................................... Shroff, Amisha 60 ..................................................................................... Shu, Man 26 ..................................................................................... Shuck, Michael 185 ..................................................................................... Shufford, Earl 44 ..................................................................................... Shulman, Jeremy 180 ..................................................................................... Sibley, David 54 ..................................................................................... Sidhu, Rupinder 87 ..................................................................................... Sidor, Anna 131,14,189,23,60 ..................................................................................... Siegel Gerhard, Claire 41,43 ..................................................................................... Silk, Zaher 189,49,6,95 ..................................................................................... Sill, Laurence 140 ..................................................................................... Silloway, Kimberly 131,190,24,26,55 ..................................................................................... Silverman, Ronald 6 ..................................................................................... Silvers, Arthur 47 ..................................................................................... Silveus, Michael 167 ..................................................................................... Simanek, Milan 54 ..................................................................................... Simmons, Darian 37 .....................................................................................

Simon, Alexander 106,44,73 ..................................................................................... Simon, Deepa 106,140 ..................................................................................... Sims, Michael 176 ..................................................................................... Sina, Nahid 157,27,55,68,96 ..................................................................................... Sinada, Nuthyla 21 ..................................................................................... Sinclair, Emily 140,67 ..................................................................................... Sinclair, John 176 ..................................................................................... Singh, Geetika 54 ..................................................................................... Singh, Simranjit 82 ..................................................................................... Singleton, John 148 ..................................................................................... Singor, Lauren 118,163,176,37 ..................................................................................... Siragusa , Joseph 77 ..................................................................................... Sisel, Jeffrey 14 ..................................................................................... Sittason, Shepherd 91 ..................................................................................... Skaff, Victor 169 ..................................................................................... Skinner, Gregory 148 ..................................................................................... Skinner, Kevin 26,82,99 ..................................................................................... Sklar, Andrew 6 ..................................................................................... Skordalakis, Emmanuel 161,168 ..................................................................................... Skrba, Sladjana 118,125,177,77 ..................................................................................... Slagle, James 122,41 ..................................................................................... Slattery, Matthew 113 ..................................................................................... Slaughter, Kevin 42 ..................................................................................... Slaughter, Terry 42 ..................................................................................... Slepsky, Peter 24,49 ..................................................................................... Sloat, Inga 167 ..................................................................................... Smagalski, Gary 32 ..................................................................................... Smalls, Ronald 185 ..................................................................................... Smallwood, Anthony 79 ..................................................................................... Smart, Danielle 67 ..................................................................................... Smernoff, Gerald 10 ..................................................................................... Smiley, Christopher 41 ..................................................................................... Smith, Eric 109,113,152,77 ..................................................................................... Smith, Erin 108,144 ..................................................................................... Smith, Hubert 6 ..................................................................................... Smith, Jacqueline 177 ..................................................................................... Smith, James 91 ..................................................................................... Smith, Jessica 140 ..................................................................................... Smith, John 19 ..................................................................................... Smith, Karl 8 ..................................................................................... Smith, Kathryn 99 ..................................................................................... Smith, Kenneth 148 ..................................................................................... Smith, Mark 128,47 ..................................................................................... Smith, Peter 131,191,24,26,55 ..................................................................................... Smith, Richard 21 ..................................................................................... Smith, Sandra 110 ..................................................................................... Smith, Shaun 114,119,125 ..................................................................................... Smith, Stephanie 177 ..................................................................................... Smith, Theodore 177 ..................................................................................... Smith, Thomas 118,163,177,37 ..................................................................................... Smith, Timothy 128 ..................................................................................... Smith-Kayal, Alisa 118 ..................................................................................... Smock, Sherman 110,33,91 ..................................................................................... Snow, Kevin 47 ..................................................................................... Snow, Wesley 140 ..................................................................................... Snyder, Casey 177 ..................................................................................... Snyder, Edward 48,97 ..................................................................................... Snyder, James 6 ..................................................................................... Sobieh, Radwa 118 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Schoeb, John 32,45 ..................................................................................... Schoenly, Nathan 2,57 ..................................................................................... Scholl, Leo 121,140 ..................................................................................... Schonbrun, David 176 ..................................................................................... Schroeder, Stephen 121,140 ..................................................................................... Schroer, Michael 185 ..................................................................................... Schrumpf, Gregory 176 ..................................................................................... Schultz, Allen 128 ..................................................................................... Schulz, Albert 63 ..................................................................................... Schumann, Nancy 185 ..................................................................................... Schuyler, Gary 94 ..................................................................................... Schwartz, James 158 ..................................................................................... Scott, Annette 6 ..................................................................................... Scott, Jon 119,179,78 ..................................................................................... Scott, Tamasha 113,118,125,176,7 ..................................................................................... 7 Scroggins, Samuel 151 ..................................................................................... Seaburg, Raymond 193 ..................................................................................... Seals, Ashley 16 ..................................................................................... Sears, Robert 82 ..................................................................................... Seaver, James 22 ..................................................................................... Sedaghatpour, Hashem 23 ..................................................................................... Sedwick, Richard 159 ..................................................................................... Seigel, Harold 60 ..................................................................................... Seiler, Joseph 48 ..................................................................................... Seiler, Kathleen 48 ..................................................................................... Sekhon, Navneet 106 ..................................................................................... Selander, Ann 99 ..................................................................................... Selden, Robert 118 ..................................................................................... Selden, Stephen 101 ..................................................................................... Selenou-Tema, Alain 6 ..................................................................................... Self, Oscar 176 ..................................................................................... Sellers, John 54 ..................................................................................... Sellers, Vernon 125,164 ..................................................................................... Selph, Barney 24 ..................................................................................... Semtner, Monica 148 ..................................................................................... Semtner, Robert 148 ..................................................................................... Sensenbrenner, Diana 131,161 ..................................................................................... Sentz, Thomas 181 ..................................................................................... Sepahi, Saman 99 ..................................................................................... Sethi, Shalini 158 ..................................................................................... Sevilla, Maria 167 ..................................................................................... Shaafi, Mojgan 54 ..................................................................................... Shadrin, Blanka 97 ..................................................................................... Shaeffer, Elizabeth 14 ..................................................................................... Shafiei, Nikki 189,54,6,60,67,94 ..................................................................................... Shah, Advait 94 ..................................................................................... Shah, Bijal 87 ..................................................................................... Shah, Nidhi 122,161,33 ..................................................................................... Shah, Ritu 49,71 ..................................................................................... Shah, Rohini 120,140,44,73 ..................................................................................... Shah, Rupal 140 ..................................................................................... Shah, Vishal 109 ..................................................................................... Shahram, Shohreh 167 ..................................................................................... Shaia, Paul 101,140 ..................................................................................... Shait, Abraham 145 ..................................................................................... Shakashiro, Randa 71 ..................................................................................... Shambayati, Sara 11,125,165,80 ..................................................................................... Shami, Imad 55 .....................................................................................

213

Delta Dental Premier

Staley, Catherine 8 ..................................................................................... Stallings, Eddie 95 ..................................................................................... Stang, Christine 132,61 ..................................................................................... Stange, F 37 ..................................................................................... Stanley, James 90 ..................................................................................... Stanovick, Paul 101 ..................................................................................... Stansfield, Michael 44 ..................................................................................... Staples, Kristina 110,29,89 ..................................................................................... Starley, Eric 186 ..................................................................................... Starnes, Nazie 67 ..................................................................................... States, Michael 32 ..................................................................................... Staver, Tatiana 161,85 ..................................................................................... Steadman, Robert 140 ..................................................................................... Steele, Ben 118,77 ..................................................................................... Steger, Carl 153 ..................................................................................... Steinbach, Boris 60 ..................................................................................... Stelmach, Michelle 77 ..................................................................................... Stensland, Steven 185 ..................................................................................... Stenvall, Meghan 185 ..................................................................................... Stephens, James 62 ..................................................................................... Stephens, Matthew 151 ..................................................................................... Stephens, Nathan 151 ..................................................................................... Stephenson, John 9 ..................................................................................... Stephenson, Kesha 8 ..................................................................................... Sterling, Arden 140 ..................................................................................... Stermer, George 97 ..................................................................................... Stern, Frederick 191 ..................................................................................... Stern, Richard 24,27 ..................................................................................... Sterne, Richard 63 ..................................................................................... Stevenson, Pretlow 125 ..................................................................................... Stewart, Henry 140 ..................................................................................... Stewart, Jennifer 14,167,60,82 ..................................................................................... Stewart, Timothy 140 ..................................................................................... Stiebel, William 159 ..................................................................................... Stockburger, Daniel 114 ..................................................................................... Stoner, Kenneth 140 ..................................................................................... Storm, Matthew 67 ..................................................................................... Stout, Michael 182 ..................................................................................... Strange, Robert 87 ..................................................................................... Straus, Frank 140 ..................................................................................... Strauss, Robert 143 ..................................................................................... Strauss, Zachary 101 ..................................................................................... Strickland, Frank 87 ..................................................................................... Stringham, Matthew 54 ..................................................................................... Stringham, William 54 ..................................................................................... Strittmatter, Edward 25 ..................................................................................... Stuart, Katherine 151 ..................................................................................... Stubblefield, Margaret 22 ..................................................................................... Stubbs, Julie 122 ..................................................................................... Stubbs, Paul 122 ..................................................................................... Stump, Aaron 193,33 ..................................................................................... Stump, Lauren 150,32 ..................................................................................... Subramanian, Deepa 87,95 ..................................................................................... Suh, Brian 165 ..................................................................................... Suk, Minjeong 161,54 ..................................................................................... Suk, Sun 49,82 ..................................................................................... Sullivan, Kit 106,120,127,40 ..................................................................................... Sultan, Ayesha 95 ..................................................................................... Sultanzada, Yama 156,189 .....................................................................................

Summerlin, Jack 163 ..................................................................................... Sumner, Lydia 70 ..................................................................................... Sumner, Timothy 70 ..................................................................................... Sun, David 67 ..................................................................................... Sun, Richard 131 ..................................................................................... Sun, Wenhui 70 ..................................................................................... Sundin, Allan 180 ..................................................................................... Supan, Paul 87 ..................................................................................... Sur, Marcus 118,163,177,37 ..................................................................................... Surat, Eric 148 ..................................................................................... Surendran, Swapna 189,49 ..................................................................................... Sutherland, William 92 ..................................................................................... Suyes, David 151 ..................................................................................... Svechota-Kingsbury, Bruce 131,17 ..................................................................................... Svirsky, John 140 ..................................................................................... Swanson, Cristina 95 ..................................................................................... Swanson, Joshua 158,67 ..................................................................................... Sweeney, Christabel 159 ..................................................................................... Sweeney, John 165,54 ..................................................................................... Sweeney, Kevin 145 ..................................................................................... Sweeney, Pia 177 ..................................................................................... Sweeney, Richard 125 ..................................................................................... Sweiry, Eli 177 ..................................................................................... Swenson, Kevin 49 ..................................................................................... Swett, David 32 ..................................................................................... Swett, Rebecca 32 ..................................................................................... Swiger, Ralph 87 ..................................................................................... Swisher, Charles 32 ..................................................................................... Syed, Chand 193 ..................................................................................... Synnott, Scott 132 ..................................................................................... Szakaly, Brian 152,38 ..................................................................................... Szubiak, Stanislaw 141,44,73 .....................................................................................

PARTICIPATING PROVIDERS

Soh, Han 28 ..................................................................................... Sok, Erica 74 ..................................................................................... Solemaninejad, Homan 14,6,60 ..................................................................................... Solier, George 6 ..................................................................................... Solis, Ricardo 32,79 ..................................................................................... Solomon, Albert 37 ..................................................................................... Solomon, James 32,45 ..................................................................................... Soltani, Jim 26 ..................................................................................... Soltani, Shahrokh 14,161 ..................................................................................... Soltanian, Farshid 110,140,73 ..................................................................................... Song, Eunice 148 ..................................................................................... Song, Janet 54 ..................................................................................... Song, Michael 167,54 ..................................................................................... Soni, Shweta 79 ..................................................................................... Sood, Vandana 87 ..................................................................................... Sorenson, Robert 106,91 ..................................................................................... Sorin, Mark 102,111,122,64 ..................................................................................... Sotack, Mary 37 ..................................................................................... Soules, Lana 82 ..................................................................................... Sours, Charles 189 ..................................................................................... Sours, Elaine 95 ..................................................................................... Sowan, Jamil 148,42,47,97 ..................................................................................... Sowers, Steven 148 ..................................................................................... Soyfer, Vladimir 54 ..................................................................................... Spain, Murray 118,177 ..................................................................................... Spainhour, Stephen 140 ..................................................................................... Spalding, Harry 64 ..................................................................................... Spano, Brad 32 ..................................................................................... Sparks, Sarah 106,120,127 ..................................................................................... Spaur, Ernest 127 ..................................................................................... Spears, Brian 19 ..................................................................................... Spears, Melanie 108,127,144,40 ..................................................................................... Spechler, Jerome 6 ..................................................................................... Speegle, John 185 ..................................................................................... Speicher, Mary 23,70 ..................................................................................... Spence, Jeffrey 121 ..................................................................................... Spence, Teddy 41 ..................................................................................... Spence, Terry 49 ..................................................................................... Spencer-Fuller, Joy 87 ..................................................................................... Sperling-Habot, Keren 122,16,162,168,27, ..................................................................................... 41,56,75,96 Spillers, Ronald 109,42,63,79 ..................................................................................... Spitzer, Jay 140 ..................................................................................... Spitzer, Timothy 189,23,28,6 ..................................................................................... Spory, Philip 84 ..................................................................................... Sprague, Patrick 89 ..................................................................................... Spraker, Michael 150 ..................................................................................... Springmann, Sebastiana 185 ..................................................................................... Sprinkle, Grant 151 ..................................................................................... Spruill, David 38 ..................................................................................... Spurrier, Bryan 48 ..................................................................................... Sriram, Kanaka 167 ..................................................................................... St George, Susan 67 ..................................................................................... St Louis, Stephen 54 ..................................................................................... Staas, Jennifer 140 ..................................................................................... Stack, Hollie 167 ..................................................................................... Stafford, David 34,47 ..................................................................................... Stafford, Matthew 140,44,83 ..................................................................................... Staggers, Julie 186 .....................................................................................

T Ta, Adam 8 ..................................................................................... Tabor, Christian 73 ..................................................................................... Tabor, William 118,77 ..................................................................................... Tadros, Amear 126 ..................................................................................... Tafo-Tabue, Hendrick 106 ..................................................................................... Taheri, Bruce 161,189,6,95 ..................................................................................... Tahim, Geetika 82 ..................................................................................... Tahmasebi-Boldaji, Jila 46,60 ..................................................................................... Tailor, Priya 141,44,67 ..................................................................................... Tajalli, Flora 82 ..................................................................................... Talaksi, Ruksana 27 ..................................................................................... Taliaferro, Richard 159 ..................................................................................... Talton, John 141 ..................................................................................... Tam, Amy 37 ..................................................................................... Tamhankar, Nisha 14 ..................................................................................... Tami, Richard 192 ..................................................................................... Tamkin, Lewis 79 ..................................................................................... Tanguilig-Thomas, Elizabeth 37 ..................................................................................... Tankersley, Kenneth 114,77,79 ..................................................................................... Tao-Yi, Sonia 114 ..................................................................................... Tapp-Reid, Donnamaria 78 ..................................................................................... Tarasidis, Vera 141 ..................................................................................... Tari, Kianoush 128 ..................................................................................... Tate, Carter 42 ..................................................................................... Tatem, Taurus 67 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

214

Delta Dental Premier

Tisdelle, George 32 ..................................................................................... Tisseront, Stephan 132 ..................................................................................... To, Bryant 29 ..................................................................................... Todd, Patrick 150 ..................................................................................... Todd, Stephen 141 ..................................................................................... Tolba, Mostafa 157,159,165,2,50,5 ..................................................................................... 7,98 Tolson, Ronald 6 ..................................................................................... Tomaselli, Philip 23 ..................................................................................... Tomchik, Jayme 177 ..................................................................................... Tomoda, Matthew 20 ..................................................................................... Toms, Kevin 24 ..................................................................................... Toms, Michelle 158 ..................................................................................... Ton, Amy 131 ..................................................................................... Ton, April 23 ..................................................................................... Ton, Theresa 29 ..................................................................................... Toney, Tyler 1,71 ..................................................................................... Toone, Gregory 91 ..................................................................................... Torma, Audrey 23 ..................................................................................... Torrey, Edwin 67 ..................................................................................... Townes, Kimberly 7 ..................................................................................... Townsend, David 96 ..................................................................................... Toyer, April 192 ..................................................................................... Toyer, Leonard 190 ..................................................................................... Trabosh, Jon 49 ..................................................................................... Traboulsi, Georges 192,56,8,96 ..................................................................................... Trahos, Michael 109 ..................................................................................... Trahos, Norman 109,7 ..................................................................................... Tran, Allie 60 ..................................................................................... Tran, An 54 ..................................................................................... Tran, Anh 40,41,8 ..................................................................................... Tran, Annah 54 ..................................................................................... Tran, Bernard 161 ..................................................................................... Tran, Britnie 114,118,125,177,7 ..................................................................................... 7 Tran, Hoang-Oanh 60 ..................................................................................... Tran, Jade 61 ..................................................................................... Tran, Julie 7 ..................................................................................... Tran, Keri 190,7 ..................................................................................... Tran, Linh 9 ..................................................................................... Tran, Minh-Duc 57,61 ..................................................................................... Tran, My 49,71,8 ..................................................................................... Tran, Myvan 7 ..................................................................................... Tran, Quang 156,54 ..................................................................................... Tran, Thoai-Lan 100,126,191,27 ..................................................................................... Tran, Tricia 10,27 ..................................................................................... Tran, Vinh 190,61 ..................................................................................... Tratensek, Karen 168,75 ..................................................................................... Trawick, Donald 106 ..................................................................................... Treff, David 24 ..................................................................................... Trent, Faith 106 ..................................................................................... Tricker, Nathaniel 33,45 ..................................................................................... Trieu, Hai 61 ..................................................................................... Trimmer, William 111 ..................................................................................... Trinh, Huy 55 ..................................................................................... Trinh, Phuong 167,26,70 ..................................................................................... Trivedi, Kalpana 54 ..................................................................................... Trolenberg, William 114 ..................................................................................... Trotter, Bradley 122,40,83 ..................................................................................... Trow, Thomas 141 .....................................................................................

Trudeau, Michael 162 ..................................................................................... Truitt, John 102 ..................................................................................... Truong, Kevin 69 ..................................................................................... Truong, Quynhmai 44 ..................................................................................... Truong, Thanh Huong 61 ..................................................................................... Truong, Tina 7 ..................................................................................... Truvan, Danny 29 ..................................................................................... Tsai, Chih-Ping 181,190,54,67,7,70 ..................................................................................... ,82,89,95 Tsai, I-Tang 153 ..................................................................................... Tsai, Jack 7 ..................................................................................... Tsang, David 131 ..................................................................................... Tsui, Nathan 7 ..................................................................................... Tudor, Cynthia 181 ..................................................................................... Tufekci, Eser 144 ..................................................................................... Tuggle, William 118 ..................................................................................... Tummarello, Mark 54 ..................................................................................... Tung, Pariana 156,61 ..................................................................................... Tupman, S 156,89 ..................................................................................... Turck, Michael 37 ..................................................................................... Turnage, Neil 101,106,127,141,1 ..................................................................................... 9,73 Turner, Randolph 21,42 ..................................................................................... Tyler, Michael 91 .....................................................................................

U Ullrich, Courtney 18 ..................................................................................... Ullrich, John 87 ..................................................................................... Unkel, John 145 ..................................................................................... Unterbrink, Denise 42 ..................................................................................... Uppalapati, Sindhura 190 ..................................................................................... Upshur, Conway 141 ..................................................................................... Urban, David 61 ..................................................................................... Urquiaga, Claudio 29 ..................................................................................... Urteaga, Jair 14,95 ..................................................................................... Usman, Malik 82 ..................................................................................... Usnick, Janice 49 ..................................................................................... Utterback, Bruce 118,125,177,77 .....................................................................................

PARTICIPATING PROVIDERS

Tavakkoli, Kambiz 189,6 ..................................................................................... Tavakkoli, Kamran 189,6 ..................................................................................... Tavassoli, Amir 141 ..................................................................................... Taylor, Alan 163 ..................................................................................... Taylor, Donald 123 ..................................................................................... Taylor, Ellis 32 ..................................................................................... Taylor, Emery 42,45,63 ..................................................................................... Taylor, Gary 125 ..................................................................................... Taylor, James 141 ..................................................................................... Taylor, Russell 123 ..................................................................................... Taylor, Ryan 156 ..................................................................................... Taylor, Thomas 164 ..................................................................................... Tebbenkamp, Justin 20,42 ..................................................................................... Techapanit, Chantarat 14,150,167,29 ..................................................................................... Tehrani, Negar 100 ..................................................................................... Temburni, Amarjeet 60 ..................................................................................... Templeton, David 71 ..................................................................................... Terango, Larry 95 ..................................................................................... Ternisky, Cris 100 ..................................................................................... Terrill, David 68 ..................................................................................... Terry, Ronald 150 ..................................................................................... Terwilliger, Gayle 152 ..................................................................................... Testerman, Edward 159 ..................................................................................... Thammineni, Kishore 186 ..................................................................................... Thariani, Hani 15,82 ..................................................................................... Theberge, Daniel 131,191,24,26,55 ..................................................................................... Thekkethottiyil, Georgea 73 ..................................................................................... Thews, Scott 106 ..................................................................................... Thlick, Su-En 190,89 ..................................................................................... Thomas, Bennett 37 ..................................................................................... Thomas, Charles 144 ..................................................................................... Thomas, Ken 162 ..................................................................................... Thomas, Marvette 85 ..................................................................................... Thomas, Stephen 162 ..................................................................................... Thomas, Susan 141 ..................................................................................... Thomas, William 156,33 ..................................................................................... Thomason, Edward 141 ..................................................................................... Thomas-Webb, Sonya 37 ..................................................................................... Thompson, Andrew 167 ..................................................................................... Thompson, Brian 1,192,71,97 ..................................................................................... Thompson, Damon 20 ..................................................................................... Thompson, Daniel 20 ..................................................................................... Thompson, Harper 151,73 ..................................................................................... Thompson, Harvey 64 ..................................................................................... Thompson, Jack 121,74 ..................................................................................... Thompson, K 153 ..................................................................................... Thompson, Matthew 183 ..................................................................................... Thompson, William 41 ..................................................................................... Thomson, Shibu 45 ..................................................................................... Thornton, William 64 ..................................................................................... Thorpe, Jeffrey 132,92 ..................................................................................... Throckmorton, David 177 ..................................................................................... Throckmorton, Dennis 192 ..................................................................................... Throckmorton, Maria 177 ..................................................................................... Thurston, Christopher 1,71 ..................................................................................... Thweatt, Bradford 151 ..................................................................................... Tibbs, Vicki 128 ..................................................................................... Tiesworth, Daniel 141 ..................................................................................... Tingling, Flavia 15,89 .....................................................................................

V Vacca, Richard 106 ..................................................................................... Vaccaro, Thomas 54 ..................................................................................... Vacendak, Daniel 37 ..................................................................................... Vacendak, Sheila 37 ..................................................................................... Vagnetti, Mark 30 ..................................................................................... Vahab, Philip 27,71,82 ..................................................................................... Vahdani, Thomas 141 ..................................................................................... Vakay, Rena 26,80 ..................................................................................... Valdivieso, Gino 95 ..................................................................................... Valleru, Silvija 153,190 ..................................................................................... Valltos, Rachael 61 ..................................................................................... Vamaraju, Bindu 29,54,82 ..................................................................................... Van Scyoc, Chad 141 ..................................................................................... Van Slooten, Brian 14 ..................................................................................... Van, Nicole 100 ..................................................................................... Vandervort, Gene 18,87 ..................................................................................... Vangilder, James 129,21 ..................................................................................... Varanelli, Franklin 186 ..................................................................................... Vargas, Lida 54 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

215

Delta Dental Premier

W Wade, Frank ..................................................................................... Wade, Timothy ..................................................................................... Wadhwa, Puneet ..................................................................................... Wagman, Jeffrey ..................................................................................... Waitkus, Alexander ..................................................................................... Wakefield, Keri ..................................................................................... Walerko, Philp ..................................................................................... Wali, Sofiya ..................................................................................... Walker, David ..................................................................................... Walker, Michael .....................................................................................

141 183 180 7 179,78 89 20 54,7 185 90

Walker, Thomas 90 ..................................................................................... Wall, Jesse 47 ..................................................................................... Wallace, David 21 ..................................................................................... Wallace, James 107,143 ..................................................................................... Waller, Carter 64 ..................................................................................... Walls, William 37 ..................................................................................... Walrod, John 97 ..................................................................................... Walsh, Eugenia 89 ..................................................................................... Walther, William 181 ..................................................................................... Walton, Guy 84 ..................................................................................... Wang, Alice 7 ..................................................................................... Wang, Peng 14,54 ..................................................................................... Wang, Qin 44 ..................................................................................... Wang, Richard 131,186,191 ..................................................................................... Wang, William 10,89 ..................................................................................... Waqar, Rukhsana 61 ..................................................................................... Ward, Christine 40 ..................................................................................... Ward, Christopher 106,120,127 ..................................................................................... Ward, Gloria 121,141 ..................................................................................... Ward, Scott 148,46 ..................................................................................... Wartofsky, Ariel 193 ..................................................................................... Waterman, Jennifer 177 ..................................................................................... Watkins, James 77 ..................................................................................... Watson, Benjamin 114 ..................................................................................... Watson, Damon 102,107,143,152,7 ..................................................................................... 3 Watson, Ethel 156 ..................................................................................... Watson, James 118 ..................................................................................... Watts, Jasper 77 ..................................................................................... Way, William 141 ..................................................................................... Way-Rodriguez, Jorge 158,190,67,95 ..................................................................................... Weaver, Yolonda 54 ..................................................................................... Webb, James 83 ..................................................................................... Webb, Michael 145,40 ..................................................................................... Webber, Caroline 164,178,38 ..................................................................................... Webber, Terrence 107 ..................................................................................... Weiler, Michael 79 ..................................................................................... Weinstein, Lee 118,163,177,37 ..................................................................................... Weis, Barton 33 ..................................................................................... Weis, Morgan 125,180,39 ..................................................................................... Weisberg, Arnold 37 ..................................................................................... Weisberg, Barclay 37 ..................................................................................... Weisberg, Edward 118 ..................................................................................... Weiss, Barry 141 ..................................................................................... Weiss, Hilary 56,82 ..................................................................................... Weld, Georgia 159 ..................................................................................... Welstead, Llewellyn 87 ..................................................................................... Wendell, Bryan 185,193 ..................................................................................... Wendell, Peter 185 ..................................................................................... Wentz, Willard 48 ..................................................................................... Werner, Alyssa 87 ..................................................................................... Wernick, Robert 177 ..................................................................................... West, Charles 8 ..................................................................................... West, L 185 ..................................................................................... Westover, Austin 186 ..................................................................................... Westover, Mitra 186 ..................................................................................... Wexel, Walter 179,38,78 ..................................................................................... Wheeler, Kyle 63 ..................................................................................... Wheeler, Steven 110 .....................................................................................

White, Allen 177 ..................................................................................... White, Brandon 149,150 ..................................................................................... White, Calvin 193 ..................................................................................... White, Edwin 151 ..................................................................................... White, Jay 7 ..................................................................................... White, Julie 149 ..................................................................................... White, Karen 26 ..................................................................................... White, Linda 95 ..................................................................................... White, Robert 129 ..................................................................................... White, Terryl 161 ..................................................................................... White, William 91 ..................................................................................... Whitman, Kime 120,141 ..................................................................................... Whitmer, Gregory 32 ..................................................................................... Whitney, James 79 ..................................................................................... Whittington, Richard 167 ..................................................................................... Whynott, Christopher 150,32 ..................................................................................... Whyte, Michael 185 ..................................................................................... Wicker, Marybeth 107,120,127 ..................................................................................... Wiger, John 126 ..................................................................................... Wiggins, Benjamin 125 ..................................................................................... Wilby, Lyla Rose 101,141 ..................................................................................... Wilhelm, Miles 33,45,68 ..................................................................................... Wilkerson-Cox, Sherri 64 ..................................................................................... Wilkinson, Claude 141 ..................................................................................... Wilkinson, David 141 ..................................................................................... Willhide, John 67 ..................................................................................... Williams, Adam 149,46 ..................................................................................... Williams, Daniel 77 ..................................................................................... Williams, Jeffrey 107 ..................................................................................... Williams, Jon 7 ..................................................................................... Williams, Kristen 14 ..................................................................................... Williams, M Kurt 89 ..................................................................................... Williams, Nahee 157 ..................................................................................... Williams, Suzanne 7 ..................................................................................... Williams, Tiffany 141,145 ..................................................................................... Williams, Vernon 158,67 ..................................................................................... Williamson, M 154 ..................................................................................... Willis, James 156,23,42,45,63,89 ..................................................................................... Willis, Julian 114,37 ..................................................................................... Willoughby, John 84 ..................................................................................... Willoughby, Tasha 67 ..................................................................................... Wilmer, Sarah 40,92 ..................................................................................... Wilson, Adrian 8 ..................................................................................... Wilson, James 97 ..................................................................................... Wilson, Joseph 125 ..................................................................................... Wilson, Lois 100,82 ..................................................................................... Wilson, Lori 122 ..................................................................................... Wilson, Natasha 118,125,141,177 ..................................................................................... Wilson, Robert 182 ..................................................................................... Wilson, Sarah 151,169 ..................................................................................... Wilson-Hartman, Melanie 23 ..................................................................................... Wiltbank, Bradley 100 ..................................................................................... Wiltshire, Curtis 108,144,74 ..................................................................................... Winberg, Tierney 16 ..................................................................................... Wingfield, William 84 ..................................................................................... Winkler, Mark 156 ..................................................................................... Winneberger, Walter 185 ..................................................................................... Wisniewski, John 100,132 ..................................................................................... Wissink, Andrea 37 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Varkey, George 106,44,73 ..................................................................................... Varney, Sandra 87 ..................................................................................... Vasey, Eric 190 ..................................................................................... Vatanka, Heidi 62,8 ..................................................................................... Vaughan, Dennis 129 ..................................................................................... Vaughan, Gary 88 ..................................................................................... Vaughan, Keith 193 ..................................................................................... Vaughn, Paris 190 ..................................................................................... Vega, Oscar 32,92 ..................................................................................... Velander, Breanna 48 ..................................................................................... Vellanki, Swati 67 ..................................................................................... Vellucci, Jessica 106 ..................................................................................... Vendetti, Curtis 178 ..................................................................................... Venne, Marko 114 ..................................................................................... Vera-Lopez, Karina 190,29 ..................................................................................... Vernon, J 44 ..................................................................................... Vess, Freemont 46 ..................................................................................... Vessali, Mojdeh 82 ..................................................................................... Vigliante, Craig 87 ..................................................................................... Vild, Diann 67 ..................................................................................... Villa, Richard 74 ..................................................................................... Villalba, Patricia 141,148 ..................................................................................... Villarroel-Soto, Claudia 100,17 ..................................................................................... Villasis, Juan 193,37 ..................................................................................... Villavicencio, Olmedo 10 ..................................................................................... Villier, Donald 110 ..................................................................................... Vinson, Alexa 141,150,19 ..................................................................................... Visser, Britt 121,179 ..................................................................................... Vitsky, Paul 68 ..................................................................................... Vlasek, Natalie 181 ..................................................................................... Vo, Brittany 167 ..................................................................................... Vo, Duy 14 ..................................................................................... Vogt, Nathan 79 ..................................................................................... Volkova, Irina 101,110,122,141,1 ..................................................................................... 83,185,44,83 Voorhees Husson, Marni 164,179,38 ..................................................................................... Vorchheimer, Roger 23 ..................................................................................... Voth, Stephanie 102,109,120,127,1 ..................................................................................... 45,19,40,74 Vranas, Ronald 111,132 ..................................................................................... Vroom, Katherine 10 ..................................................................................... Vu, Bao 62 ..................................................................................... Vu, Cindy 161 ..................................................................................... Vu, Duy-Anh 14,29 ..................................................................................... Vu, John 7 ..................................................................................... Vu, Khai 167 ..................................................................................... Vu, Tuan 17 .....................................................................................

216

Delta Dental Premier

X Xia, Joyce .....................................................................................

161

Y Yaghmai, Pedram 131,24,27 ..................................................................................... Yalamanchili, Padmaja 54 ..................................................................................... Yandle, David 127 ..................................................................................... Yang, Hui 42 .....................................................................................

Yang, Ximin 100 ..................................................................................... Yann, Borarath 95 ..................................................................................... Yann, Borin 7 ..................................................................................... Yaqui, Luis 158,190,49,80 ..................................................................................... Yavrom, Monica 96 ..................................................................................... Yazdani, Forough 167 ..................................................................................... Yeager, Daniel 91 ..................................................................................... Yeager, Victoria 91 ..................................................................................... Yeargan, Jody 32 ..................................................................................... Yedigarian, Rouben 97 ..................................................................................... Yeh, Frank 178,38 ..................................................................................... Yeh, Paul 118,163,177,37 ..................................................................................... Yelamanchi, Chetan 57,88 ..................................................................................... Yeo, Mike 29 ..................................................................................... Yi, Amanda 54 ..................................................................................... Yi, Chang 100,54 ..................................................................................... Yi, John 14,26,87 ..................................................................................... Yi, Peter 144,191,71,96 ..................................................................................... Yi, Tyler 131,54 ..................................................................................... Ykeda, Cecilia 156 ..................................................................................... Yoda, Kyoko 149 ..................................................................................... Yoo, Young 190 ..................................................................................... Yoon, David 156 ..................................................................................... Yoon, Heather 42 ..................................................................................... Yoon, Jae 54 ..................................................................................... Yoon, Jaewon 26 ..................................................................................... Yoon, Jangyeul 54 ..................................................................................... Yoon, Seung 10 ..................................................................................... Yorgey, Kenneth 128 ..................................................................................... Young, Brenda 54 ..................................................................................... Young, Glenn 128 ..................................................................................... Young, Lynette 177 ..................................................................................... Young, M 141 ..................................................................................... Young, Marcus 114,77 ..................................................................................... Young, Mark 32 ..................................................................................... Young, Raymond 156,54 ..................................................................................... Young, Stephen 141 ..................................................................................... Younoszai, Abraham 100 ..................................................................................... Yousefi, Ashkan 190,67 ..................................................................................... Yu, Fan 54 ..................................................................................... Yu, Sang Hun 114,118,125,152,1 ..................................................................................... 77,77 Yung, Stefanie 177 ..................................................................................... Yung, Susan 181 .....................................................................................

Zamora -Rojas, Carla 7 ..................................................................................... Zand, Taraneh 49,82 ..................................................................................... Zapatero, Dag 177 ..................................................................................... Zapf, Michael 95 ..................................................................................... Zarei, Maryam 102,73 ..................................................................................... Zarookian, Armen 156,82 ..................................................................................... Zarrinfar, Allen 128 ..................................................................................... Zaun, Phillip 102 ..................................................................................... Zavislak, Robert 67 ..................................................................................... Zebarth, Stephen 186 ..................................................................................... Zeiaei-Nafchi, Saeid 153,190 ..................................................................................... Zeidler, Dennis 107 ..................................................................................... Zelazny, Lloyd 73 ..................................................................................... Zeno, Allan 119 ..................................................................................... Zentgraf, Ralph 107 ..................................................................................... Zhang, Jinghua 100 ..................................................................................... Zhu, Tingting 54 ..................................................................................... Zhu, Xinsheng 29,49 ..................................................................................... Zia, Asma 100 ..................................................................................... Zier, Tara 23,55,7 ..................................................................................... Zima, Andrew 102,62,84 ..................................................................................... Zimmer, Andrew 177 ..................................................................................... Zirnstein, Anh 109 ..................................................................................... Zoghby, Gregg 108,143 ..................................................................................... Zopp, Bryan 181 ..................................................................................... Zubairi, Sadia 61,82 ..................................................................................... Zurmati, Farid 57 .....................................................................................

PARTICIPATING PROVIDERS

Witcher, Gordon 40 ..................................................................................... Witte, Ernest 119 ..................................................................................... Witty, Thomas 114 ..................................................................................... Wlodawsky, Ross 102,107,143,152,7 ..................................................................................... 3 Wojcik, Rose 161,26 ..................................................................................... Wolcott, Hollis 164 ..................................................................................... Wolf, Rudolf 20 ..................................................................................... Wolfe, Barry 149 ..................................................................................... Wolfe, John 32 ..................................................................................... Wolfe, Melissa 159,32 ..................................................................................... Wolpin, Scott 102,111,122,64 ..................................................................................... Wolters, Dwayne 79 ..................................................................................... Won, Jennifer 186 ..................................................................................... Wong, Dennis 102,107,141,73 ..................................................................................... Wong, Jonathan 177 ..................................................................................... Wong, Joshua 107,120 ..................................................................................... Woo, Gene 61 ..................................................................................... Woo, Jansen 14 ..................................................................................... Woo, Valerie 18 ..................................................................................... Wood, Bryan 7 ..................................................................................... Wood, Leighton 22 ..................................................................................... Wood, Patricia 18,26,88 ..................................................................................... Wood, Roger 109 ..................................................................................... Wood, William 80 ..................................................................................... Woodard, Monica 119,164,38 ..................................................................................... Woodard, Thomas 119,38 ..................................................................................... Wooddell, Carol 24 ..................................................................................... Wooddell, John 10 ..................................................................................... Woodlock, Krista 177 ..................................................................................... Woodruff, Harvey 80 ..................................................................................... Woods, Hunter 192,71,97 ..................................................................................... Woodside, Jason 181 ..................................................................................... Woodside, Jennifer 182 ..................................................................................... Woolfolk, Royce 141 ..................................................................................... Woolwine, Samuel 91 ..................................................................................... Workie, Daniel 141,149,42 ..................................................................................... Wortman, Michael 156,7 ..................................................................................... Wozniak, David 132,90 ..................................................................................... Wray, Henry 14 ..................................................................................... Wray, Ronald 97 ..................................................................................... Wright, Charles 37 ..................................................................................... Wright, D 149 ..................................................................................... Wright, Rita 190 ..................................................................................... Wright, Thomas 141 ..................................................................................... Wryter, Juliet 149,186,61 ..................................................................................... Wu, Linda 14 ..................................................................................... Wunsch, Patrice 145 ..................................................................................... Wyatt, Patrick 114 ..................................................................................... Wynkoop, Todd 84 .....................................................................................

Z Zacko, George 131 ..................................................................................... Zadeh, David 14,167 ..................................................................................... Zadeh, Hugh 10,191 ..................................................................................... Zagursky, Peter 121,164,178,38 ..................................................................................... Zahir, Shabana 177 ..................................................................................... Zainul Abedeen, Anas 142,44,67 ..................................................................................... Zakhour, Hiba 167 ..................................................................................... Zaki, Tarek 179 ..................................................................................... Zak-Ramsay, Heather 163 ..................................................................................... Zale, Daniel 110 ..................................................................................... Zalewsky, Justin 159,8 ..................................................................................... Zamakhchari, Mai 157,56 ..................................................................................... Zamani, Amir 14 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

217

Delta Dental Premier

ENDODONTIST

Schoenly, Nathan 2,57 ..................................................................................... Shambayati, Sara 11,125,165,80 ..................................................................................... Shojaei, Mariah 11,125 ..................................................................................... Siegel Gerhard, Claire 41,43 ..................................................................................... Stanley, James 90 ..................................................................................... Strittmatter, Edward 25 ..................................................................................... Suh, Brian 165 ..................................................................................... Thompson, Matthew 183 ..................................................................................... Thorpe, Jeffrey 92 ..................................................................................... Tolba, Mostafa 157,159,165,2,50,5 ..................................................................................... 7,98 Trimmer, William 111 ..................................................................................... Trudeau, Michael 162 ..................................................................................... Vagnetti, Mark 30 ..................................................................................... Vranas, Ronald 111,132 ..................................................................................... Walker, Michael 90 ..................................................................................... Walker, Thomas 90 ..................................................................................... Winberg, Tierney 16 ..................................................................................... Wisniewski, John 100,132 ..................................................................................... Wozniak, David 132,90 ..................................................................................... Wynkoop, Todd 84 ..................................................................................... Yelamanchi, Chetan 57,88 .....................................................................................

GENERAL DENTIST Abbott, Jeryl 103 ..................................................................................... Abdelrazek, Jailan 125 ..................................................................................... Abdelwahab, Tamer 92 ..................................................................................... Abdirahman, Hassanoor 187 ..................................................................................... Abdoun, Ezzat 68 ..................................................................................... Abdul-Nabi, Anwar 133 ..................................................................................... Abel, Anna 125,16 ..................................................................................... Abel, Jason 25 ..................................................................................... Abinader, Nantadla 154,50 ..................................................................................... Aboulhosn-Sangid, Maher 11,2 ..................................................................................... Aboulkhair, Mostafa 50 ..................................................................................... Abousy, Sawsan 154,165 ..................................................................................... Abraham, Ruth 169 ..................................................................................... Abrahams, Rodney 164 ..................................................................................... Abramov, Yuriy 133 ..................................................................................... Abreu Fuerte, Orlando 41 ..................................................................................... Abrol, Malini 153 ..................................................................................... Abtahi, Narjes 85 ..................................................................................... Abualsoud, Arwa 133,75 ..................................................................................... Abuhajleh, Omar 133,71 ..................................................................................... Ackerman, Jeffrey 2 ..................................................................................... Adam-Eldien, Ashraf 115,123,2,57 ..................................................................................... Adams, Courtney 133 ..................................................................................... Adams, Danny 85 ..................................................................................... Adams, Kathleen 159 ..................................................................................... Adams, Lauren 120 ..................................................................................... Adams, Michael 46 ..................................................................................... Adams, Mona 11 ..................................................................................... Adams, Peter 169,34 ..................................................................................... Adams, William 133 ..................................................................................... Adeeb, Ayman 185,68 ..................................................................................... Adeshara, Karishma 111,115,123,169,75 ..................................................................................... Adi, Najib 69 ..................................................................................... Adili, Mehdi 11,98 ..................................................................................... Adkins, Charles 62 ..................................................................................... Adleman, Ronald 100,133 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Acosta, Rafael 24,50,92 ..................................................................................... Alexander, Sasha 165 ..................................................................................... Amodio, Tiffany 169,34 ..................................................................................... Ankrum, Matthew 20 ..................................................................................... Asghar, Irfan 10,129,187,22,57 ..................................................................................... Bagby, Robin 145 ..................................................................................... Bailey, Jeffrey 169 ..................................................................................... Barbieri, Steven 111,132 ..................................................................................... Bernier-Rodriguez, Joseph 169 ..................................................................................... Besner, Edward 129,154 ..................................................................................... Bhagchandani, Sanjay 132 ..................................................................................... Bidgoli, Rashin 159 ..................................................................................... Black, Samuel 128,89 ..................................................................................... Bramwell, John 129,154 ..................................................................................... Burns, Donna 103 ..................................................................................... Bussey, Kelly 169,34 ..................................................................................... Bussey, William 169,34 ..................................................................................... Canby, Frederick 85 ..................................................................................... Castro, Elbalila 16 ..................................................................................... Chamberlian, Thaddeus 111 ..................................................................................... Chau, James 169 ..................................................................................... Cheron, Robert 10 ..................................................................................... Choby, Mary 165 ..................................................................................... Chun, Edward 98 ..................................................................................... Citron, Albert 165 ..................................................................................... Coon, David 29 ..................................................................................... Dellork, Richard 165 ..................................................................................... Demayo, Thomas 169 ..................................................................................... Detar, Matthew 129,92 ..................................................................................... Djeu, S Grace 1,27 ..................................................................................... Dodson, William 111 ..................................................................................... Dollard, Wayne 129 ..................................................................................... Domark, Jeffrey 162 ..................................................................................... Dongell, Diana 1,57 ..................................................................................... Ehreth, John 181,92 ..................................................................................... Elattrache, Dean 169 ..................................................................................... Engel, Gregory 169 ..................................................................................... Fabio, Michael 129 ..................................................................................... Feimster, Tawana 10,80 ..................................................................................... Fein, Joshua 129,154,50 ..................................................................................... Finkler, Timothy 111,132 ..................................................................................... Forte, Steven 111 ..................................................................................... Gambrel, Madelyn 111,132 ..................................................................................... Gerard, Scott 41,42 ..................................................................................... Golian, Timothy 50 ..................................................................................... Gray, Richard 103 ..................................................................................... Grover, Robert 30 ..................................................................................... Hake, Terry 183 ..................................................................................... Harris, Jesse 100 ..................................................................................... Hebertson, Mark 64 ..................................................................................... Helleberg, John 30 ..................................................................................... Herring, Carolyn 62 ..................................................................................... Hockett, Jeffrey 111 ..................................................................................... Holbert, Paige 103 ..................................................................................... Hong, Charlie 10,50 ..................................................................................... Horspool, Bryan 111,183 ..................................................................................... Hsu, Yu Kai 1,27 ..................................................................................... Huang, Tong-Yen 1,27 .....................................................................................

Hunt, Michael 145 ..................................................................................... Johnson, Gary 165 ..................................................................................... Johnson, Horace 129,154 ..................................................................................... Jordan, Kalisha 183 ..................................................................................... Kenee, David 78 ..................................................................................... Kessler, Joel 1,187,50 ..................................................................................... King, Thomas 132 ..................................................................................... Kotler, Lawrence 1 ..................................................................................... Krause, Trisha 132 ..................................................................................... Kyu, Pye 34 ..................................................................................... Lanctot, Sloan 129,154 ..................................................................................... Lanier, Leander 20 ..................................................................................... Lawson, Sean 145 ..................................................................................... Lee, Brian 1,129,16,27 ..................................................................................... Lee, Eun 10 ..................................................................................... Lee, H Vivian 1,80 ..................................................................................... Lee, Joseph 16 ..................................................................................... Leff, Gary 10,129,187,22,57 ..................................................................................... Liewehr, Frederick 16,27,43,64 ..................................................................................... Mahajan, Sushant 45 ..................................................................................... Martin, Justin 169 ..................................................................................... Martinez, Harold 111,132 ..................................................................................... Matri, Ahmed 20 ..................................................................................... Mayerchak, Michael 146 ..................................................................................... Mayo, Chester 169 ..................................................................................... Mckearney, Robert 78 ..................................................................................... Meares, William 169 ..................................................................................... Merian, Robert 150 ..................................................................................... Mesaros, Samuel 46 ..................................................................................... Meza, Fernando 1 ..................................................................................... Mills, Cordelia 159,187,85,88 ..................................................................................... Morris, Michael 146 ..................................................................................... Myers, Garry 132 ..................................................................................... Nesbitt, Paula 111,115,123,169,75 ..................................................................................... ,98 Ngo, Tu-Son 1,27 ..................................................................................... Nguyen, Tu-Quynh 10,129,165,187,22, ..................................................................................... 57,88 Oertel, Ellen 41,43 ..................................................................................... Ogden, Christine 169 ..................................................................................... Oltra Esplugues, Enrique 103,18,71 ..................................................................................... Overton, Bruce 103 ..................................................................................... Packer, Gardiner 103,132 ..................................................................................... Pagan, Robert 45,64 ..................................................................................... Palmieri, David 1,57 ..................................................................................... Patel, Jayesh 50 ..................................................................................... Patel, Loken 1 ..................................................................................... Patel, Pratik 129,159,187,50 ..................................................................................... Patil, Sudha 45 ..................................................................................... Peron, Louis 34 ..................................................................................... Piccinino, Michael 129,92 ..................................................................................... Pichardo, Michael 69 ..................................................................................... Pollock, Richard 10,129,187,22,57 ..................................................................................... Portell, Frank 1,129,154,57 ..................................................................................... Replogle, Karan 132 ..................................................................................... Reynolds, Dustin 89 ..................................................................................... Royzenblat, Alexander 111 ..................................................................................... Russell, Gregory 10 ..................................................................................... Russo-Revand, Jessica 2 ..................................................................................... Sallen, Bruce 10,129,165,187,22, ..................................................................................... 57,88

218

Delta Dental Premier

Amburgey, Steven 41 ..................................................................................... Amirsayafi, Payam 157,50,78 ..................................................................................... Amoah, Emmanuel 111,75 ..................................................................................... Amos, Robert 185 ..................................................................................... Amouhashem, Parvin 57 ..................................................................................... Anama, Steven 146 ..................................................................................... Ananthasekar, Rajalakshmi 57 ..................................................................................... Anderson, Benjamin 115,162,170,34 ..................................................................................... Anderson, Bradley 72 ..................................................................................... Anderson, Erika 11,22 ..................................................................................... Anderson, J 170 ..................................................................................... Anderson, Joan 78 ..................................................................................... Anderson, Joshua 157,187,57,64,92 ..................................................................................... Anderson, Paul 111 ..................................................................................... Anderson, Tyson 103,98 ..................................................................................... Anderson-Kimble, Janie 90 ..................................................................................... Andre, John 72,89 ..................................................................................... Angus, Frank 103 ..................................................................................... Angus, Lee 103 ..................................................................................... Angus, Rebecca 103 ..................................................................................... Angus, William 103 ..................................................................................... Anjum, Shazia 92 ..................................................................................... Ankrum, Michael 122,20 ..................................................................................... Anoushfar, Scheherazad 129 ..................................................................................... Ansari, Uzma 126 ..................................................................................... Anthony, Richard 20 ..................................................................................... Antinopoulos, Peter 133 ..................................................................................... Apana, Alesia 9 ..................................................................................... Aponte, Alexandra 57 ..................................................................................... Aponte, Carlos 69 ..................................................................................... Appleby, Peter 103,119,39 ..................................................................................... Arafa, Mohamed 64 ..................................................................................... Arango, Ana 111,2 ..................................................................................... Arbabi, Sheila 50,57 ..................................................................................... Arbuckle, Eric 11 ..................................................................................... Ardila Gaitan, Claudia 2 ..................................................................................... Argentieri, Robert 154 ..................................................................................... Arian, Bahram 57 ..................................................................................... Ariani, Mehran 165,50 ..................................................................................... Armellini, Debora 92 ..................................................................................... Armentrout, Nadia 127,16,69 ..................................................................................... Armentrout, William 109,110,133 ..................................................................................... Armour, William 152 ..................................................................................... Arnaudin, Richard 170 ..................................................................................... Arnold, William 21 ..................................................................................... Arria, Adam 86 ..................................................................................... Artis, Asha 115,162,170,34 ..................................................................................... Artzer, Mark 111 ..................................................................................... Arvan, Nickolas 64 ..................................................................................... Asam, Stephen 34 ..................................................................................... Asgari, Navid 154,2 ..................................................................................... Ashby, Courtney 121,129,45 ..................................................................................... Ashmawy, Tarek 182,45,89 ..................................................................................... Ashouripour, Darioush 16,2 ..................................................................................... Ashtakala, Charanpreet 187 ..................................................................................... Ashton, Gary 86 ..................................................................................... Assar, Shawdi 80 ..................................................................................... Atherton, Kimberlyn 20 ..................................................................................... Attia, Mohamed 115,2 ..................................................................................... Attreed, Elizabeth 157 ..................................................................................... Aunon, Jose 25 .....................................................................................

Austin, Keith 90 ..................................................................................... Avakian, Gary 2 ..................................................................................... Aviles, Francisco 115 ..................................................................................... Avin, Hamid 159 ..................................................................................... Avin, Maryam 159 ..................................................................................... Avram, Adrian 133,83 ..................................................................................... Awadzi, Gerald 181,2,64,92 ..................................................................................... Ayati, Marjun 50 ..................................................................................... Ayers, Charles 97 ..................................................................................... Ayers, Lawrence 69 ..................................................................................... Aylor, Scott 45 ..................................................................................... Ayoubi, Iman 80 ..................................................................................... Azmoudeh, Roxanne 16 ..................................................................................... Babiec, Daniel 2 ..................................................................................... Babik, Majd 72 ..................................................................................... Babington, David 28 ..................................................................................... Babington, William 28 ..................................................................................... Babu, Sridevi 11,50 ..................................................................................... Bach, Melanie 39 ..................................................................................... Bachas, Ted 162 ..................................................................................... Bachour, Maya 16,86,98 ..................................................................................... Badipour, Mana 165 ..................................................................................... Bagheri, Desiree 30 ..................................................................................... Bahrami, Baharak 11 ..................................................................................... Baicy, Sarah 80 ..................................................................................... Baier, Richard 152 ..................................................................................... Bailey, Anthony 19 ..................................................................................... Bailey, Davina 133,146,43,64 ..................................................................................... Bailey, Ryan 64 ..................................................................................... Bailey, Stephen 152 ..................................................................................... Bajaj, Smriti 100,72 ..................................................................................... Bajwa, Preet 129 ..................................................................................... Baker, James 34 ..................................................................................... Baker, John 115 ..................................................................................... Baker, Sherry 80 ..................................................................................... Bakhtyari, Farshad 120 ..................................................................................... Balderson, Chelsea 57 ..................................................................................... Balian, Alexander 64 ..................................................................................... Balino, Celeste 2,34 ..................................................................................... Ball, Julie 170 ..................................................................................... Ball, Mark 83 ..................................................................................... Ball, Shari 80 ..................................................................................... Ball, Tyler 133 ..................................................................................... Baluyut, Amy 123 ..................................................................................... Bambrey, Dina 16 ..................................................................................... Banavar, Rohini 50 ..................................................................................... Bang, Jeffrey 159 ..................................................................................... Banks, Robert 146 ..................................................................................... Banzon, Marie 165 ..................................................................................... Baradaran, Ebrahim 110,20 ..................................................................................... Barakat, Dany 165 ..................................................................................... Barakat, Hisham 126,165,50 ..................................................................................... Barbato, Isabel 133 ..................................................................................... Barberio, Frank 30 ..................................................................................... Barbour, Nicole 122 ..................................................................................... Barbour, Robert 34 ..................................................................................... Barekzi, Nassir 129,50 ..................................................................................... Barlow, Miljenka 154 ..................................................................................... Barnwell, Velma 111 ..................................................................................... Barrett, Charles 103 ..................................................................................... Barrett, Elizabeth 109 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Adler, Molly 133 ..................................................................................... Afsahi, Aram 64,92 ..................................................................................... Agapis, Tony 39 ..................................................................................... Aghaee, Ali 159 ..................................................................................... Agrawal, Nitin 111,115,133,185,41 ..................................................................................... ,57,64 Aguilar Garcia, Wilson 154 ..................................................................................... Agullana, Sheila 187 ..................................................................................... Ahmad, Ameera 115,123,133,169,57 ..................................................................................... Ahmad, Farah 57 ..................................................................................... Ahmad, Imaney 57,80 ..................................................................................... Ahmadian, Hossein 11,187 ..................................................................................... Ahmadiyar, Sasan 157,187,64,92 ..................................................................................... Ahmadzada, Zia 25 ..................................................................................... Ahmed, Gaafar 92 ..................................................................................... Ahmed, Mohamed 43,71 ..................................................................................... Ahmed, Sadaf 133 ..................................................................................... Ahmed, Seema 2 ..................................................................................... Ahmed, Shabrez 27,45 ..................................................................................... Ahmed, Syed 133,146,44 ..................................................................................... Ahrabi, Abbas 120 ..................................................................................... Ajandeh, Sean 96 ..................................................................................... Akeel, Ed 30 ..................................................................................... Akinbi, Folake 50 ..................................................................................... Akmal, Omer 165 ..................................................................................... Akrami, Forough 187,22 ..................................................................................... Alachnowicz, J 48 ..................................................................................... Alathari, Humam 159,187 ..................................................................................... Alathari, Zina 159,187 ..................................................................................... Alayssami, Mazin 153,154,157,159,16 ..................................................................................... 5,2,80,9 Albarq, Eyad 165 ..................................................................................... Alcantara, Christian 50 ..................................................................................... Alcorn, Elizabeth 30 ..................................................................................... Alderman, Douglas 129,16 ..................................................................................... Aldred, Matthew 109,39 ..................................................................................... Alemayehu, Amen 115,162,170,34 ..................................................................................... Alexander, Brian 149 ..................................................................................... Alexander, David 75 ..................................................................................... Alexander, Robert 74 ..................................................................................... Alhrashi, Fadi 57 ..................................................................................... Ali, Talib 86 ..................................................................................... Al-Karagholi, Mustafa 57,64,80,92 ..................................................................................... Alkilani, Tawfiq 133,43 ..................................................................................... Alkishtaini, Maha 154,50 ..................................................................................... Allara, Jack 146 ..................................................................................... Allaymouni, Mhd Amer 146,43 ..................................................................................... Allen, Brandon 133 ..................................................................................... Allen, Camille 64 ..................................................................................... Allen, Dandridge 20 ..................................................................................... Allen, Mary Disa 146 ..................................................................................... Allen, Shanail 111,192 ..................................................................................... Allison, William 181 ..................................................................................... Allred, Kevin 20 ..................................................................................... Almzayyen, Mohammed 146,2 ..................................................................................... Alperin, Lori 123 ..................................................................................... Alriq, Hosam 98 ..................................................................................... Al-Samir, Zaid 133 ..................................................................................... Altememi, Nadine 150,165,28 ..................................................................................... Althouse, Elliott 123 ..................................................................................... Aman, Mohammad 86 .....................................................................................

219

Delta Dental Premier

Bhide, Satyajeet 129,16 ..................................................................................... Bhullar, Rajinder 2 ..................................................................................... Bhushan, Sarita 8 ..................................................................................... Bickers, Duane 30 ..................................................................................... Bielawski, Robert 146 ..................................................................................... Biery, Kathryn 78 ..................................................................................... Bigelow, Gilbert 123,75 ..................................................................................... Bigelow, Robert 133 ..................................................................................... Biggers, Hood 103 ..................................................................................... Billingsley, Cheryl 133 ..................................................................................... Binder, Joshua 90 ..................................................................................... Bird, Eliot 19 ..................................................................................... Birkitt, Cary 86 ..................................................................................... Birsch, Frederick 123 ..................................................................................... Bischoff, Robert 133 ..................................................................................... Biscombe, Terrence 92 ..................................................................................... Bisson, Ruby 92 ..................................................................................... Bittler, Scott 103 ..................................................................................... Bittner, Randall 170 ..................................................................................... Black, Anthony 80,86 ..................................................................................... Black, David 169 ..................................................................................... Blackburn, Jeff 103 ..................................................................................... Blackham, Craig 133,43,44,84 ..................................................................................... Blair, Dean 100,83 ..................................................................................... Blake, Susan 98 ..................................................................................... Blanchard, Deborah 170 ..................................................................................... Blaney, Theodore 183,193 ..................................................................................... Blassic, Kim 72 ..................................................................................... Blythe, Philip 170 ..................................................................................... Bob, Gregory 16 ..................................................................................... Bobbio, Jennifer 50 ..................................................................................... Bogacki, Katherine 154 ..................................................................................... Bogacki, Russell 154 ..................................................................................... Bok, Jae 9 ..................................................................................... Boland, William 133 ..................................................................................... Bolduc, Matthew 165,98 ..................................................................................... Bolton, Frank 100 ..................................................................................... Bomar, Stephanie 57,81 ..................................................................................... Bond, Mark 100,103,126,133,19 ..................................................................................... ,72 Bond, Michael 75 ..................................................................................... Bonesteel, John 79 ..................................................................................... Bonnie, Marshall 115 ..................................................................................... Booker, Wayne 193 ..................................................................................... Boone, Melanie 134 ..................................................................................... Booth, Catherine 103 ..................................................................................... Booth, Jeffrey 75 ..................................................................................... Booth, Stephen 103 ..................................................................................... Botros, Mena 185 ..................................................................................... Boucher, Shelli 90 ..................................................................................... Boudreau, James 187,69 ..................................................................................... Bouroncle, Sebastian 187 ..................................................................................... Bowler, Michael 193 ..................................................................................... Bowman, Kenneth 182 ..................................................................................... Bowman, Shannon 127 ..................................................................................... Boxx, Eric 183,193 ..................................................................................... Boyce, Albert 57 ..................................................................................... Boyce, Darrell 34 ..................................................................................... Boyd, Jana 162,170 ..................................................................................... Boyd, Kenneth 115,123,75 ..................................................................................... Boylan, Ryan 34 .....................................................................................

Boyle, John 100 ..................................................................................... Boyle, Kimberly 100 ..................................................................................... Boyles, John 159 ..................................................................................... Bozman, Jenny 34 ..................................................................................... Brabson, Anita 111,123,170 ..................................................................................... Bracken, Monleudy 115,123,162 ..................................................................................... Bradley, Brenda 134 ..................................................................................... Bradley, Jeannene 146 ..................................................................................... Bradley, Stephen 165 ..................................................................................... Bradshaw, J 162 ..................................................................................... Bradshaw, James 21 ..................................................................................... Brajdic, David 146 ..................................................................................... Brandt, Jason 187 ..................................................................................... Brandt, Kathryn 30 ..................................................................................... Brar, Kanwarjit 134,75 ..................................................................................... Brar, Premjeet 111,115,123,170,34 ..................................................................................... ,75 Braunfeld, Joel 187 ..................................................................................... Bredologos, Stelianos 170 ..................................................................................... Breeden, A 45 ..................................................................................... Breeden, Timothy 41 ..................................................................................... Breen, April 29 ..................................................................................... Breininger, Byron 115,170 ..................................................................................... Brendmoen, Sara 154,88 ..................................................................................... Brigleb, Richard 22 ..................................................................................... Brinkley, Rachel 46 ..................................................................................... Broadhead, Daisy 68 ..................................................................................... Broadhead, Frederick 69 ..................................................................................... Broas, William 111,170,183,41 ..................................................................................... Brokaw, Matthew 72 ..................................................................................... Brooks, Cynthia 30 ..................................................................................... Broth, Stuart 126,134,41,72 ..................................................................................... Brotherton, Samtha 2 ..................................................................................... Brown, Amanda 127,86 ..................................................................................... Brown, Bob 1 ..................................................................................... Brown, Bridget 152 ..................................................................................... Brown, Bruce 111,75 ..................................................................................... Brown, Charles 2 ..................................................................................... Brown, Derek 46 ..................................................................................... Brown, Jarrod 46 ..................................................................................... Brown, Ron 1 ..................................................................................... Brown, Sheilandice 122 ..................................................................................... Brown, Stephen 134 ..................................................................................... Brown-Doonquah, Theresa 98 ..................................................................................... Browne, Winston 21 ..................................................................................... Browning, Stephanie 21,74 ..................................................................................... Bruni, Frank 134 ..................................................................................... Bryant, Joseph 48 ..................................................................................... Bryant, Melba 127,29 ..................................................................................... Bryant, Nathaniel 170 ..................................................................................... Buhler, John 100,103,134,19,72 ..................................................................................... Bui, Kenneth 92 ..................................................................................... Bui, Tuyen 57 ..................................................................................... Bui-Nguyen, Thao 92 ..................................................................................... Buist, Charles 170 ..................................................................................... Bukovac, James 170 ..................................................................................... Bukzin, Mitchell 188 ..................................................................................... Bullock, Jeri 151 ..................................................................................... Bullock, Steve 183,75 ..................................................................................... Bunin, Kevin 69 ..................................................................................... Bunn, Robert 21,90 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Barrett, Marc 75 ..................................................................................... Barrick, John 90 ..................................................................................... Barton, Daniel 170 ..................................................................................... Barzgar, Artin 187 ..................................................................................... Basa, Emoke 88 ..................................................................................... Bass, Jay 20,41 ..................................................................................... Bassiri, Michael 50,69 ..................................................................................... Batchelor, Caitlin 78,98 ..................................................................................... Bates, Richard 43 ..................................................................................... Batistas, Theo 69,96 ..................................................................................... Baum, James 133 ..................................................................................... Baum, Philip 83 ..................................................................................... Bawa, Anoop 25,92 ..................................................................................... Bawa, Rajdeep 25,92 ..................................................................................... Baxi, Fairy 181,25,45,64 ..................................................................................... Bay, Wolfgang 170 ..................................................................................... Bays, Thomas 132 ..................................................................................... Beabout, Kristen 133 ..................................................................................... Beam, David 39 ..................................................................................... Bearley, Daniel 30 ..................................................................................... Beatty, Hannah 98 ..................................................................................... Beck, David 133 ..................................................................................... Becker, Adam 34 ..................................................................................... Becker, Sidney 111 ..................................................................................... Becker, Steven 75 ..................................................................................... Beheshti, Soren 92 ..................................................................................... Behnami, Farima 92,98 ..................................................................................... Bek, Jeffrey 170 ..................................................................................... Bell, Alonzo 2 ..................................................................................... Bell, Anita 162 ..................................................................................... Bell, Edwin 75 ..................................................................................... Bell, Hunter 92 ..................................................................................... Bell, John 11 ..................................................................................... Bell, Tammara 111,123,170,183,34 ..................................................................................... ,75 Bellavance, Julien 30,74 ..................................................................................... Belmonte, Stephen 129 ..................................................................................... Belt, Douglas 133 ..................................................................................... Belt, William 11 ..................................................................................... Beltrami, Marco 133,43,44,84 ..................................................................................... Bench, Stephen 133,146,169,183 ..................................................................................... Benson, Gerald 187,92 ..................................................................................... Benson, Kimberly 170 ..................................................................................... Berbes, William 182 ..................................................................................... Bergano, Allan 170 ..................................................................................... Berger, Arnold 170 ..................................................................................... Berger, Fallon 170 ..................................................................................... Berger, Louis 170 ..................................................................................... Berk, Steven 9 ..................................................................................... Berman, Robert 50 ..................................................................................... Bernstein, Allen 133 ..................................................................................... Berrada, Sanae 57 ..................................................................................... Bertman, David 22 ..................................................................................... Bettis, Victoria 21 ..................................................................................... Beyene, Yodit 2 ..................................................................................... Bhagat, Milan 122 ..................................................................................... Bharal, Poonum 103,18,72 ..................................................................................... Bhaskar, Mona 50 ..................................................................................... Bhatt, Rashmi 170 ..................................................................................... Bhatti, Parveen 115,170 ..................................................................................... Bhavnagri, Fawzia 146,41 .....................................................................................

220

Delta Dental Premier

Castro-Chabrier, Jennifer 11,19 ..................................................................................... Cathey, Henry 111 ..................................................................................... Catoggio, Michael 101,103,134,19,72 ..................................................................................... Catron, Glenn 164 ..................................................................................... Cattafesta, Michael 81 ..................................................................................... Caudill, Carol 134,98 ..................................................................................... Cauthen, Ruth 115 ..................................................................................... Caves, Donovan 162,75 ..................................................................................... Cerniway, Leon 34 ..................................................................................... Certa, Kimberly 188,50 ..................................................................................... Certosimo, Alfred 134 ..................................................................................... Cha, Myong 50 ..................................................................................... Cha, Wonje 165,25 ..................................................................................... Chaen Kwok, Don 28 ..................................................................................... Chaffin, Wray 71 ..................................................................................... Chaldares, Diane 182 ..................................................................................... Chalk, Jenna 90 ..................................................................................... Chalker, Jennifer 78 ..................................................................................... Chand, Uppasna 157,98 ..................................................................................... Chandler, Irina 182 ..................................................................................... Chang, Jhia-Ming 129,92 ..................................................................................... Chang, Jonathan 49 ..................................................................................... Chang, Michael 146,41 ..................................................................................... Chang, Monica 11 ..................................................................................... Chapman-Taliaferro, Andria 111 ..................................................................................... Charaipotra, Neil 153,154 ..................................................................................... Chary, Mallika 134,72 ..................................................................................... Chaudhari, Uma 57 ..................................................................................... Chaudhary, Mohit 46 ..................................................................................... Chaudhry, Maqsood 154,160,58 ..................................................................................... Chaudhry, Sultan 154,160,58 ..................................................................................... Chawla, Seema 34 ..................................................................................... Chegini, Houman 171 ..................................................................................... Chehade, Tony 69 ..................................................................................... Cheng, George 134,65,84 ..................................................................................... Cheng, Johnson 9 ..................................................................................... Chennupati, Naveen 111,115,134,171,41 ..................................................................................... ,43,46,58 Cherin, Jack 171 ..................................................................................... Cherry, Donald 183 ..................................................................................... Cheung, Jenny 129 ..................................................................................... Childress, David 46 ..................................................................................... Childress, Jamie G 181 ..................................................................................... Chimata, Ameena 58 ..................................................................................... Chin, Charissa 46,58 ..................................................................................... Chin, Virginia 50 ..................................................................................... Cho, Ray 11 ..................................................................................... Cho, Young 2 ..................................................................................... Choe, Mark 50 ..................................................................................... Chohan, Ema 160,188,2,81,92 ..................................................................................... Choi, Bokyu 25 ..................................................................................... Choi, Charlson 50 ..................................................................................... Choi, Jin 50 ..................................................................................... Choi, Mark 50 ..................................................................................... Choi, Mi-Yon 188 ..................................................................................... Choi, Sungwon 134,185 ..................................................................................... Chong, Jae 25,49,65 ..................................................................................... Chong, Nathan 50 ..................................................................................... Christofakis, Emil 65 ..................................................................................... Chu, Oliver 58,81 ..................................................................................... Chuang, Shue 25 .....................................................................................

Chun, James 154,25 ..................................................................................... Chung, Chi Whan 50 ..................................................................................... Chung, Hee-Chul 121,134,65 ..................................................................................... Chung, John 112,75,79 ..................................................................................... Chung, Jun 86 ..................................................................................... Chuzhin, Yelena 11 ..................................................................................... Cios, Chris 103,119,127,39 ..................................................................................... Circeo, David 134 ..................................................................................... Claiborne, Shane 63 ..................................................................................... Clark, Brian 129 ..................................................................................... Clark, C 2 ..................................................................................... Clark, Jeffrey 146 ..................................................................................... Clark, Joann 75 ..................................................................................... Clark, Risa 85,97 ..................................................................................... Clarke, Stephen 30 ..................................................................................... Clarkson, Carrie 171 ..................................................................................... Claros, Claudia 185,9,98 ..................................................................................... Claustro, Joanna 160,93 ..................................................................................... Claybrook, Robert 165 ..................................................................................... Claycomb, Debra 152 ..................................................................................... Clayton, Charles 115 ..................................................................................... Clemens, Charles 149 ..................................................................................... Clemons, Mark 71 ..................................................................................... Cleveland, Russell 103 ..................................................................................... Clifton, Jeffrey 33,46 ..................................................................................... Cline, Misty 164 ..................................................................................... Clisso, Monica 120 ..................................................................................... Cloudt, Rebecca 150 ..................................................................................... Coalter, Earnest 171 ..................................................................................... Cobb, Howard 34 ..................................................................................... Cochran, Brian 86 ..................................................................................... Cocolis, Peter 154 ..................................................................................... Coe, Julie 134 ..................................................................................... Coghill, Thomas 83 ..................................................................................... Cohen, Jerome 134 ..................................................................................... Coker, William 134,98 ..................................................................................... Coleman, James 193 ..................................................................................... Coleman, Marilyn 188 ..................................................................................... Colina, Joey 164 ..................................................................................... Colina, Kevin 188 ..................................................................................... Collazo, Walter 127,51,86 ..................................................................................... Collins, Elizabeth 63 ..................................................................................... Collins, Timothy 1 ..................................................................................... Colospate, Vidya 154,22 ..................................................................................... Colson-Scott, Mellanda 115 ..................................................................................... Compton, Anne 152 ..................................................................................... Conduff, Joseph 63 ..................................................................................... Conklin, Charles 146 ..................................................................................... Conner, Thomas 41 ..................................................................................... Connolly, Susan 112 ..................................................................................... Conrad, Caleb 171 ..................................................................................... Conrad, Paul 109 ..................................................................................... Contract, Monica 183 ..................................................................................... Cook, Bruce 134 ..................................................................................... Cook, Loren 20 ..................................................................................... Cook, P 152 ..................................................................................... Cooke, Donald 112 ..................................................................................... Cooke, James 159 ..................................................................................... Cooke, Thomas 151,72 ..................................................................................... Cooper, Kevin 34 ..................................................................................... Coots, Frederick 146,46 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Bunn, Steven 2 ..................................................................................... Burchett, Paul 146 ..................................................................................... Burden, James 183 ..................................................................................... Burke, Brian 39 ..................................................................................... Burke, Carol 9 ..................................................................................... Burningham, Tyler 128 ..................................................................................... Burns, G 64 ..................................................................................... Burns, Grover 64 ..................................................................................... Buro, Ronald 16,86 ..................................................................................... Burrell, Melvin 62 ..................................................................................... Burse Todd, Jessica 110,30,78 ..................................................................................... Bursich, Thomas 160 ..................................................................................... Burt, Charles 149 ..................................................................................... Burton, Francesca 2 ..................................................................................... Burton, James 90 ..................................................................................... Burton, Jerry 115,170 ..................................................................................... Buskill, Marcus 132 ..................................................................................... Bussey, Jill 134 ..................................................................................... Butler, Charles 11 ..................................................................................... Butler, Shannon 45 ..................................................................................... Butt, Tehreem 50,57 ..................................................................................... Butts, David 57 ..................................................................................... Byers, Paul 69 ..................................................................................... Caballero, Giovanni 2,50 ..................................................................................... Cahn, James 103 ..................................................................................... Cahoon, Joshua 157 ..................................................................................... Cahoon, Roger 123 ..................................................................................... Cairns, Donald 33,46 ..................................................................................... Caligan, Geoffrey 2 ..................................................................................... Callery, William 39 ..................................................................................... Calvano, Dennis 165,78 ..................................................................................... Campbell Downs, Rebecca 171 ..................................................................................... Campbell, Clarence 21 ..................................................................................... Campbell, Donald 69 ..................................................................................... Campbell, Hugh 11 ..................................................................................... Campbell, Jason 171 ..................................................................................... Campbell, Jeffrey 65,72 ..................................................................................... Campbell, Margaret 22 ..................................................................................... Campbell, Mason-Leigh 171 ..................................................................................... Campbell, Michael 84 ..................................................................................... Campbell, Omer 192 ..................................................................................... Candler, Robert 115 ..................................................................................... Cao-Rothwell, Hong 162 ..................................................................................... Caprio, Dianne 146,183 ..................................................................................... Caravas, Jerry 171 ..................................................................................... Carino, Brian 69 ..................................................................................... Carino, Sarah 69 ..................................................................................... Carr, William 152 ..................................................................................... Carrillo, Juan 134 ..................................................................................... Carroll, Cecil 34 ..................................................................................... Carroll, Steven 123 ..................................................................................... Carter, John 146 ..................................................................................... Carter, Roy 83 ..................................................................................... Casey, Barbara 109 ..................................................................................... Casey, Todd 120 ..................................................................................... Cash, Allan 193 ..................................................................................... Cash, Elizabeth 111 ..................................................................................... Cash, Jeffrey 100,103,119,39 ..................................................................................... Casingal, Pedro 34 ..................................................................................... Cassilly, Erin 88 ..................................................................................... Castro, Steven 39 .....................................................................................

221

Delta Dental Premier

Dahman, Mouhammad 11 ..................................................................................... Daley, Colleen 1 ..................................................................................... Dalley, David 30 ..................................................................................... Dameron, Karen 72,98 ..................................................................................... Damiano, Joseph 146 ..................................................................................... Damirchi, Nasser 72 ..................................................................................... Danesh, Rabi 58 ..................................................................................... Daneshvar, Arezou 127,86 ..................................................................................... Dang, Loan 58 ..................................................................................... Dang, Quyen 129,51 ..................................................................................... Daniels, Sandra 11 ..................................................................................... Dao, Quyen 58 ..................................................................................... Darvishian, Aramesh 129 ..................................................................................... Dary, Patricia 129 ..................................................................................... Dasilva, Emily 154 ..................................................................................... Davenport, Faline 69 ..................................................................................... Davia, Allen 134 ..................................................................................... Davidson, Kristin 39 ..................................................................................... Davila, Ricardo 151 ..................................................................................... Davis, Debra 171 ..................................................................................... Davis, Gerald 169 ..................................................................................... Davis, Herbert 20 ..................................................................................... Davis, Jeffrey 186 ..................................................................................... Davis, Julia 104 ..................................................................................... Davis, Krista 30 ..................................................................................... Davis, Michael 90 ..................................................................................... Davis, Ron 49 ..................................................................................... Davis, Rusty 182 ..................................................................................... Day, Jeffrey 153 ..................................................................................... De Vito, Janice 58 ..................................................................................... Dean, Henry 28 ..................................................................................... Dean, John 9 ..................................................................................... Debenedetto, David 93 ..................................................................................... Dehyar, Joseph 22,51 ..................................................................................... Delaney, Whitney 129 ..................................................................................... Dele, Kennedy 93 ..................................................................................... Delk, Campbell 152 ..................................................................................... Delorenzo, Michael 2 ..................................................................................... Delph, Bradley 109,134,182,39,49, ..................................................................................... 83 Demaree, Neil 96 ..................................................................................... Demichele, Joshua 146 ..................................................................................... Demsko, Harold 187 ..................................................................................... Denbar, Michael 34 ..................................................................................... Denison, John 112 ..................................................................................... Denoncourt, Jamie 104,126,127 ..................................................................................... Desai, Bhavik 134 ..................................................................................... Desio, Joseph 181,58 ..................................................................................... Detar, Matthew 134,48 ..................................................................................... Detweiler, Melanie 115,171 ..................................................................................... Devera, Genevieve 104,126 ..................................................................................... Devgon, Denise 51 ..................................................................................... Deviese, David 91 ..................................................................................... Dewinkler, John 98 ..................................................................................... Dhakar, Aditya 135,72 ..................................................................................... Dhakar, Surya 135,72 ..................................................................................... Dhillon, Navneet 188,2,25,48,51 ..................................................................................... Dhingra, Pallavi 135,65 ..................................................................................... Dholoo, Pareen 98 ..................................................................................... Diamond, Martin 83 ..................................................................................... Diaz, Angela 135,65 .....................................................................................

Diaz, Maritza 96 ..................................................................................... Dibenedetto, Nicholas 130 ..................................................................................... Dickerson, Sondra 45 ..................................................................................... Dickey, Floyd 146 ..................................................................................... Dickey-Farr, Claire 146,98 ..................................................................................... Dickson, Nana 51 ..................................................................................... Dickson, Stephanie 2 ..................................................................................... Diefenderfer, Mark 101,104,135,19,72 ..................................................................................... Dikeman, Theron 11 ..................................................................................... Dilaura, Thomas 115 ..................................................................................... Dillon, Kathleen 130 ..................................................................................... Dilolli, Sonia 81 ..................................................................................... Dimitroff, Emily 115,135,171,43,65 ..................................................................................... Dinh, Ashley 160 ..................................................................................... Dinwiddie, Amelia 21 ..................................................................................... Dionisio, Janice 2 ..................................................................................... Direnzo, Gregory 127 ..................................................................................... Divalentin, Robert 165 ..................................................................................... Dixon, Bryan 43,44,83,84 ..................................................................................... Do, Anh 135 ..................................................................................... Do, Chi 88 ..................................................................................... Do, Hoang 2 ..................................................................................... Do, Kim 51 ..................................................................................... Do, Sean 34 ..................................................................................... Do, Thi 58 ..................................................................................... Doan, Thao 188 ..................................................................................... Dobson, Roberta 171 ..................................................................................... Dodson-Gordon, Sherry 41 ..................................................................................... Doe, Michael 86 ..................................................................................... Doering, Steven 183 ..................................................................................... Dolenuck, Richard 171 ..................................................................................... Dollar, James 112 ..................................................................................... Dombroski, Jessica 188,83 ..................................................................................... Dominguez-Garcia, Oscar 28 ..................................................................................... Donahue, James 2 ..................................................................................... Donaldson, Gavin-Rae 115 ..................................................................................... Dong, Michael 25,3 ..................................................................................... Donohue, Kristen 22,3 ..................................................................................... Donohue, Richard 51 ..................................................................................... Donohue, Stephen 166,51 ..................................................................................... Donzell, Richard 75 ..................................................................................... Dooley, Mary 171 ..................................................................................... Dorjee, Jigmey 81 ..................................................................................... Dosen, Goran 3 ..................................................................................... Dost, Robert 84 ..................................................................................... Doty, Michael 1 ..................................................................................... Dougherty, William 58 ..................................................................................... Dowdy, Hugh 122 ..................................................................................... Dowdy, Sarah 135 ..................................................................................... Doyle, Myra 130 ..................................................................................... Drake, William 22 ..................................................................................... Draper, Thomas 21,90 ..................................................................................... Dreelin, Robert 75,79 ..................................................................................... Drees, Gretchen 19 ..................................................................................... Drummond, Tanya 51 ..................................................................................... Drummond, Thomas 51 ..................................................................................... Dryden, Brent 22 ..................................................................................... Du, Khanh 155,3 ..................................................................................... Duarte, Camilo 135,65 ..................................................................................... Dube, Neelam 69,81,93 ..................................................................................... Duchateller-Cange, Ruth 16 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Copas, J 24 ..................................................................................... Copeland, Kenneth 78 ..................................................................................... Copeland, Robert 11 ..................................................................................... Copenhaver, Richard 192 ..................................................................................... Cornette, William 75 ..................................................................................... Cornick, James 110,150 ..................................................................................... Costa, Mauricio 2 ..................................................................................... Costa, Shane 21,74 ..................................................................................... Cote, Carmen 115 ..................................................................................... Cote, David 11 ..................................................................................... Coulter, Judith 154 ..................................................................................... Coutin-Gentry, J 11 ..................................................................................... Covaney, Sharon 112,98 ..................................................................................... Covel, Jerome 165 ..................................................................................... Cowell, Christina 25,86 ..................................................................................... Cox, Daniel 115,171 ..................................................................................... Cox, Gregory 64 ..................................................................................... Cox, Joseph 134 ..................................................................................... Cox, Robert 134 ..................................................................................... Cox, Stuart 103,134 ..................................................................................... Cox, William 171 ..................................................................................... Crabtree, Mark 97 ..................................................................................... Crawford, Carrington 90 ..................................................................................... Crawford, Gary 150 ..................................................................................... Creal, Albert 112 ..................................................................................... Creamer, Wesley 188 ..................................................................................... Crichton, Catherine 104,119,126 ..................................................................................... Crichton, James 104,119,126 ..................................................................................... Crisp, Lisa 72 ..................................................................................... Crist, Jason 90 ..................................................................................... Cristi, Ivona 110,134,146,16,30, ..................................................................................... 41 Crocker, Mark 104 ..................................................................................... Cronly, Jo 104,39 ..................................................................................... Cross, Griffin 146,46 ..................................................................................... Crowder, Curtis 181,182,30 ..................................................................................... Crowder, E 182 ..................................................................................... Crowder, Niloofar 30 ..................................................................................... Crowder, Victoria 104,39 ..................................................................................... Crowley, Benjamin 134 ..................................................................................... Cruser, Melvin 171 ..................................................................................... Cruz, Jazriel 65 ..................................................................................... Cruz, Maria 25 ..................................................................................... Cruz-Orcutt, Noemi 30 ..................................................................................... Cuellar, Gerson 11,81 ..................................................................................... Cuellar, Ruben 11 ..................................................................................... Cuellar-Cordova, Eliana 188 ..................................................................................... Cujar, Ana Maria 81 ..................................................................................... Culda, Dana 65 ..................................................................................... Culpepper, Scott 101,134 ..................................................................................... Cumbey, J 119 ..................................................................................... Cunningham, Michael 182 ..................................................................................... Curling, Joshua 34 ..................................................................................... Curry, Lisa 183 ..................................................................................... Cutright, Barry 46 ..................................................................................... Cutright, Martha 46 ..................................................................................... Cwiak, Kari 112,123,171,183,34 ..................................................................................... ,75 Dacunha, Paul 134 ..................................................................................... Dafo, Daniel 75 ..................................................................................... Dahlke, William 134 .....................................................................................

222

Delta Dental Premier

English, Sam 101,109,135,182,18 ..................................................................................... 3,43,83 Enoch, Margaret 98 ..................................................................................... Enriquez, Veronica 28 ..................................................................................... Epperly, Ashley 135 ..................................................................................... Epps, Johne 119,122,135,72 ..................................................................................... Epstein, Ross 112 ..................................................................................... Ericksen, Dana 51 ..................................................................................... Eschenbach, Sean 147 ..................................................................................... Esparza, Sarah 171 ..................................................................................... Estell, Jennilyn 188 ..................................................................................... Estes, Matthew 104 ..................................................................................... Estill, Andrew 104,119,126 ..................................................................................... Estrada, Charito 35 ..................................................................................... Estrada, Craig 35 ..................................................................................... Estwani, Isam 81 ..................................................................................... Etheridge, Daniel 35 ..................................................................................... Evans, Candace 155 ..................................................................................... Evans, Dale 63 ..................................................................................... Evans, Glenn 128 ..................................................................................... Evans, James 33,47 ..................................................................................... Evans, Joel 28 ..................................................................................... Evans, Mark 85 ..................................................................................... Evens, Steven 135 ..................................................................................... Exum, Antone 72 ..................................................................................... Eye, Kenneth 192,78 ..................................................................................... Ezekiel, Jeffrey 193 ..................................................................................... Ezzeldin, Ahmed 69 ..................................................................................... Fairfax, Cerina 46,51 ..................................................................................... Falaiye, Victor 3 ..................................................................................... Familant, Lawrence 75 ..................................................................................... Farah, Mazin 48,65 ..................................................................................... Farahi, Fred 97 ..................................................................................... Farhangi, Sahel 130 ..................................................................................... Farhoumand, Farah 166 ..................................................................................... Farhoumand, Farshad 165 ..................................................................................... Farhoumand, Foad 166 ..................................................................................... Farmer, James 30 ..................................................................................... Farrey, Lynn 11 ..................................................................................... Fasano, Marybeth 171 ..................................................................................... Fashing, Gisela 183 ..................................................................................... Fashing, Maria 183 ..................................................................................... Favagehi, Jason 11,150,166,28 ..................................................................................... Favis, Raymund 51 ..................................................................................... Fearon, Andreen 135,43,65 ..................................................................................... Fei, Tian 121 ..................................................................................... Feild, Robert 75 ..................................................................................... Feild, Thomas 75 ..................................................................................... Felton, Walter 39 ..................................................................................... Ferguson, Julie 85 ..................................................................................... Ferguson, Justin 85 ..................................................................................... Fernandez, Miguel 171 ..................................................................................... Ferry, David 39 ..................................................................................... Fidel, Elidia 11 ..................................................................................... Field, Marcus 35 ..................................................................................... Field, Sheila 162,171 ..................................................................................... Fields, Julian 8 ..................................................................................... Fina, Leslie 22 ..................................................................................... Finamore, Paul 160 ..................................................................................... Finley-Parker, Kathryn 135 ..................................................................................... Finnerty, Kevin 171 .....................................................................................

Finnerty, Raymond 11 ..................................................................................... Fiscella, Helen 183 ..................................................................................... Fischer, Charles 25 ..................................................................................... Fischer, Katherine 25,98 ..................................................................................... Fisher, Richard 22 ..................................................................................... Fishman, Edward 58 ..................................................................................... Fitzgerald, David 147 ..................................................................................... Flaherty, Brooke 150,30 ..................................................................................... Flaherty, Craig 49 ..................................................................................... Flamer, Andrea 135 ..................................................................................... Flanagan, Chad 101,104,135,19,72 ..................................................................................... Flanagan, Michelle 12 ..................................................................................... Fleenor, William 135,92 ..................................................................................... Fleming, Lisa 116 ..................................................................................... Flenniken, Neil 166 ..................................................................................... Flikeid, Robert 181 ..................................................................................... Flood, Scott 171 ..................................................................................... Flores, Marco 25,51,93 ..................................................................................... Floyd, Jazmin 116,122 ..................................................................................... Folck, Michael 171 ..................................................................................... Folck, Vinita 171 ..................................................................................... Foleck, Adam 116,75 ..................................................................................... Forbes, Alan 35 ..................................................................................... Forbes, Graham 12,98 ..................................................................................... Forbes, Irama 116,9 ..................................................................................... Ford, Jermel 112 ..................................................................................... Foretich, Jerome 112 ..................................................................................... Formica, Louis 104,119,127,39 ..................................................................................... Forsbergh, Eric 130 ..................................................................................... Forsee, James 3 ..................................................................................... Fortner, Glenn 72 ..................................................................................... Fortney, Clark 20 ..................................................................................... Fosque, Fletcher 121 ..................................................................................... Foster, Benjamin 35 ..................................................................................... Foster, Bonnie 110,181 ..................................................................................... Foster, David 171 ..................................................................................... Foster, Peter 183,79 ..................................................................................... Foster, Richard 171 ..................................................................................... Fowler, J 78 ..................................................................................... Fox, Erik 22 ..................................................................................... Fox, Lawrence 22 ..................................................................................... Foy, Randall 135 ..................................................................................... Fraites, Stephen 30 ..................................................................................... Frames, Steven 85 ..................................................................................... Francis, Hunter 75 ..................................................................................... Francis, Scott 75 ..................................................................................... Francisco, Peter 164 ..................................................................................... Frank, Gerald 3 ..................................................................................... Franks, Allen 97 ..................................................................................... Fratkin, H 135 ..................................................................................... Frazier, Rita 116,171 ..................................................................................... Freedman, Brad 3 ..................................................................................... Freedman, Joyce 81 ..................................................................................... Freeman, Gerald 112 ..................................................................................... Freeman, Mark 80 ..................................................................................... Freidank, Christian 93 ..................................................................................... French, Charles 48,63 ..................................................................................... French, Janet 48 ..................................................................................... Frey, Gilbert 183 ..................................................................................... Frias, Bernarda 35 ..................................................................................... Friedlander, Mark 30 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Duckett, Lan 58 ..................................................................................... Dudley, Scott 11 ..................................................................................... Duff, J 135 ..................................................................................... Dukes, J 35 ..................................................................................... Dulabh, Mita 188 ..................................................................................... Dumlao, Rustico 128,188 ..................................................................................... Dunbar, Patricia 121,157 ..................................................................................... Dunham, Benjamin 187 ..................................................................................... Dunham, Bryson 101 ..................................................................................... Dunham, Elizabeth 104,35,89 ..................................................................................... Dunham, Thomas 171 ..................................................................................... Dunkin, Christina 123 ..................................................................................... Dunn, Noelle 188 ..................................................................................... Dunne, Frank 130 ..................................................................................... Dunnill, Brett 183 ..................................................................................... Duong, Hung 11,28 ..................................................................................... Duong, Son 65 ..................................................................................... Duong, Truc 160 ..................................................................................... Durham, David 104 ..................................................................................... Durr, John 25,9 ..................................................................................... Dwivedi, Anil 166 ..................................................................................... Dziejma, Robert 157 ..................................................................................... Ea-Lim, Bophary 51 ..................................................................................... Eason, David 46 ..................................................................................... Easterling, Robert 135,80 ..................................................................................... Economides, Mino 11 ..................................................................................... Edelbi, Dina 166,58 ..................................................................................... Edenfield, Michael 123 ..................................................................................... Edmondson, David 104 ..................................................................................... Edwards, Damita 25 ..................................................................................... Egber, Mark 9 ..................................................................................... Egeland-Lewis, Martha 171,35 ..................................................................................... Eghtessad, Michael 16,160 ..................................................................................... Ehle, Charles 9 ..................................................................................... Ejtemai, Nastaran 28,51,58 ..................................................................................... El Badawy, Tarek 116,123,162 ..................................................................................... El Qasem, Asmaa 58 ..................................................................................... Elchekha, Houssam 135,146 ..................................................................................... Eldridge, Keith 193 ..................................................................................... Elgarawany, Ibrahim 135,72 ..................................................................................... Elgazzar, Mohamed 157,98 ..................................................................................... El-Ghobashi, Ahmed 155 ..................................................................................... Elgohary, Anthony 35 ..................................................................................... Elhady, Sherif 51 ..................................................................................... El-Hage, Bassem 58 ..................................................................................... Elhussein, Faisal 22 ..................................................................................... Elias, Thomas 104 ..................................................................................... Elkhateeb, Mohammad 166 ..................................................................................... Ellenbogen, Gary 166,51 ..................................................................................... Ellington, Paul 126,85 ..................................................................................... Ellis, Bita 51 ..................................................................................... Ellis, David 83 ..................................................................................... Ellis, Jonathan 83 ..................................................................................... Ellis, Kevin 171 ..................................................................................... Ellis, Robert 112 ..................................................................................... Elosta, Wael 85 ..................................................................................... Elrod , Joseph 101 ..................................................................................... Elstner, Earl 65 ..................................................................................... Emad, Neal 166,28 ..................................................................................... Emam, Atiyeh 85 ..................................................................................... Engle, Scott 35 .....................................................................................

223

Delta Dental Premier

Gichana, Roselyne 12 ..................................................................................... Gigliotti, Frank 172 ..................................................................................... Gigliotti, Michael 172 ..................................................................................... Giles, Jernice 135 ..................................................................................... Gilfillan, Andrew 184 ..................................................................................... Gilman, David 98 ..................................................................................... Gilrain, David 30 ..................................................................................... Gioffre, Mollie 172 ..................................................................................... Giordano, Pasquale 121 ..................................................................................... Gladstone, Myron 172 ..................................................................................... Glaser, James 43 ..................................................................................... Glasgow, Boyd 3 ..................................................................................... Glasgow, Matthew 20 ..................................................................................... Glick, Arthur 172 ..................................................................................... Glick, Stephen 92 ..................................................................................... Glikman, Sandra 12,155 ..................................................................................... Gloria, Joseph 116,162,172,35 ..................................................................................... Gnanasundaram, Sreepreethi 16 ..................................................................................... Goad, Marlon 83 ..................................................................................... Gocke, Fizzah 98 ..................................................................................... Goff, William 12 ..................................................................................... Golden, R 92 ..................................................................................... Goldhush, Wanda 3 ..................................................................................... Goldman, Mark 35 ..................................................................................... Goldstein, Adam 12 ..................................................................................... Goldstein, Ira 184 ..................................................................................... Goldstein, Joel 3 ..................................................................................... Goldstein, Keith 116,162,172,35 ..................................................................................... Goldstein, Stephen 123,172 ..................................................................................... Goldstone, John 123 ..................................................................................... Gollapalli, Nagalatha 65 ..................................................................................... Golrich, Scott 193 ..................................................................................... Golub, Mark 3 ..................................................................................... Gomez, Patricia 188,3,93 ..................................................................................... Goode, Amber 16 ..................................................................................... Goodman, Ashlee 165 ..................................................................................... Goodwin, Clifford 112 ..................................................................................... Goodwin, William 63,88 ..................................................................................... Gordon, Diann 79 ..................................................................................... Gore, M 104 ..................................................................................... Gore, Shemika 12,3 ..................................................................................... Gorman, Michael 25 ..................................................................................... Gosney, James 47 ..................................................................................... Goswami, Rama 69 ..................................................................................... Goswami, Rashmi 69 ..................................................................................... Gottlieb, Brian 155 ..................................................................................... Gottlieb, Riki 135 ..................................................................................... Gowda, Shantala 172 ..................................................................................... Grabeel, Daniel 90 ..................................................................................... Grady, Sean 150 ..................................................................................... Graham, David 35 ..................................................................................... Graham, Jeffrey 135 ..................................................................................... Graham, Loretta 112 ..................................................................................... Graham-Montaque, Rana 135,184,76 ..................................................................................... Granato, Jerome 93 ..................................................................................... Grande, Marcos 81 ..................................................................................... Grantham, Tabbitha 135 ..................................................................................... Gray, Dominicque 135,147 ..................................................................................... Greco, Donna 74 ..................................................................................... Green, Michael 3 ..................................................................................... Green, Roosevelt 123 .....................................................................................

Green, William 112 ..................................................................................... Greenspan, Gary 51,58 ..................................................................................... Greenwell, Kimberly 112 ..................................................................................... Greenwood, Oliver 101 ..................................................................................... Greer, Phyllis 69,93 ..................................................................................... Gregory, Mary 12 ..................................................................................... Grekos, Apostolos 47 ..................................................................................... Grieco, Joseph 51 ..................................................................................... Griffin, Charles 122 ..................................................................................... Griffin, Susan 181 ..................................................................................... Griffin, William 112 ..................................................................................... Griffiths, Jolanta 80 ..................................................................................... Griggs, Edward 102,110,121,64 ..................................................................................... Grimes, Mark 28 ..................................................................................... Grimm, Quynh-Anh 58 ..................................................................................... Grimmer, Bryan 155,81 ..................................................................................... Grimmer, Lonny 16 ..................................................................................... Grindlay, Kenneth 35 ..................................................................................... Grogan, Frank 47 ..................................................................................... Gromling, Thomas 159,186 ..................................................................................... Grosso, Michael 58 ..................................................................................... Grover, Robert 30 ..................................................................................... Groy, David 172,86 ..................................................................................... Gruberg, Joseph 155 ..................................................................................... Grundy, Richard 12,3 ..................................................................................... Gruntz, Richard 12 ..................................................................................... Grupp, William 30 ..................................................................................... Gruzynska, Hanna 19 ..................................................................................... Guerrier, Julia 30 ..................................................................................... Guirguis, John 28,65,69,81 ..................................................................................... Gundecha, Shanup 136,76 ..................................................................................... Gunn, Allen 172 ..................................................................................... Gupta, Garima 112,116 ..................................................................................... Gupta, Raja 23,65 ..................................................................................... Guthrie, Alfred 172 ..................................................................................... Guthrie, James 104,19 ..................................................................................... Guthrie, Marci 136 ..................................................................................... Gutierrez, Jerel 35 ..................................................................................... Gutierrez, Norma 157,188,3 ..................................................................................... Guttery, Darrell 157,65 ..................................................................................... Gwaltney, Michael 85,86,9,93 ..................................................................................... Gwaltney, Steve 162 ..................................................................................... Gyuricza, James 23 ..................................................................................... Hackett, Charles 136 ..................................................................................... Hadithi, Deena 155 ..................................................................................... Haeberer, Alfred 160 ..................................................................................... Haeri, Maryam 51 ..................................................................................... Hagar, Basiony 150,25,93,97 ..................................................................................... Hailemariam, Tesfaye 3 ..................................................................................... Hairston, Zachary 47 ..................................................................................... Hakim, Farhad 81 ..................................................................................... Hale, James 48 ..................................................................................... Hale, Vicky 121 ..................................................................................... Haley, Mary 172,35 ..................................................................................... Haley, Thomas 19 ..................................................................................... Hall, John 166 ..................................................................................... Hall, Michael 151 ..................................................................................... Hall, Robert 130,16 ..................................................................................... Hall, Stacey 184 ..................................................................................... Ham, Samuel 51 ..................................................................................... Hamid, Ghada 155 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Friend, Basil 43 ..................................................................................... Friend, Sarah 20 ..................................................................................... Fritz, Martin 110 ..................................................................................... Fuchs, Steven 58 ..................................................................................... Fuentes, Agnes 12 ..................................................................................... Fuhrmann, Ronald 171 ..................................................................................... Fuller, Janis 104 ..................................................................................... Fuller, Robert 86 ..................................................................................... Fuller, Ross 183 ..................................................................................... Fullerton, William 183 ..................................................................................... Fumagali, Cecile 135 ..................................................................................... Funda, Ann-Marie 171 ..................................................................................... Furman, Randall 171 ..................................................................................... Fusaro, Joseph 65 ..................................................................................... Futrell, Robert 101 ..................................................................................... Gaitan, Ricardo 155,160,51 ..................................................................................... Galatro, Derek 65 ..................................................................................... Galbraith, Ted 30 ..................................................................................... Gallaher, Thomas 147,150 ..................................................................................... Gallegos, Jose 104 ..................................................................................... Gallian, Mary-Stuart 51 ..................................................................................... Gallop, Ceceil 76 ..................................................................................... Galstan, Samuel 39 ..................................................................................... Gamache, Marc 104,119,126,127,39 ..................................................................................... Gamez, Myrna 147,41,47 ..................................................................................... Ganji, Nazila 81 ..................................................................................... Garcia, Mauricio 128,188,86 ..................................................................................... Garden, Laura 104 ..................................................................................... Gardner, Davis 187,41 ..................................................................................... Gardner, Edward 135 ..................................................................................... Garfield, Dean 135 ..................................................................................... Garnes, Richard 186 ..................................................................................... Garrett, Tamara 12 ..................................................................................... Garrett, Wanda 81 ..................................................................................... Gatens, Robert 51 ..................................................................................... Gates, James 96 ..................................................................................... Gates, Justin 96 ..................................................................................... Gaught, Keith 47 ..................................................................................... Geary, Bryan 193 ..................................................................................... Geddes, Brandon 172 ..................................................................................... Gee, Carroll 84 ..................................................................................... Gejji, Dipti 155,65 ..................................................................................... Geldart, Gregory 128 ..................................................................................... Gendron, Gregory 97 ..................................................................................... Gentry, Garland 63 ..................................................................................... Gentry, Philip 12 ..................................................................................... George, Robert 193,79 ..................................................................................... Gerald, Mark 93 ..................................................................................... Gerald, Matthew 188 ..................................................................................... Ghamary, Ghafoor 58 ..................................................................................... Ghanbari, Mohsen 25,3 ..................................................................................... Ghanim, Layth 153,160 ..................................................................................... Ghasemzadeh-Zolghadr, Mandana 3 ..................................................................................... Ghazarian, Misha 104,126,39 ..................................................................................... Ghorbani, Pejman 16,22,3 ..................................................................................... Gialanella, Matthew 12 ..................................................................................... Gibberman, Avi 72 ..................................................................................... Gibberman, Lauren 3 ..................................................................................... Gibberman, Paul 3 ..................................................................................... Gibbons, Walter 112 ..................................................................................... Giberson, Kenneth 51 .....................................................................................

224

Delta Dental Premier

Heard, Harry 89 ..................................................................................... Hearne, William 69 ..................................................................................... Hedayati, Kouros 157,160,188,65,81, ..................................................................................... 93 Hefele, William 19 ..................................................................................... Heffelfinger, Michael 172 ..................................................................................... Heggade, Soumyata 186,69 ..................................................................................... Helfrich, Katherine 104,120 ..................................................................................... Helsel, David 97 ..................................................................................... Helton, Donna 47 ..................................................................................... Helvey, Gregg 102 ..................................................................................... Hemedan, Nada 51 ..................................................................................... Hendricks, Arthur 162,172 ..................................................................................... Hendricks, Harlan 172 ..................................................................................... Hendricksen, Alf 74 ..................................................................................... Hendrickson-Hairston, Joelle 76 ..................................................................................... Henley, C 184 ..................................................................................... Henon, James 166 ..................................................................................... Henritze, Andrew 147 ..................................................................................... Henry, William 83 ..................................................................................... Heresi, Carlos 65 ..................................................................................... Herman, Barry 172 ..................................................................................... Hermelin, Mark 172 ..................................................................................... Hernandez, Ariadne 24,84 ..................................................................................... Hernandez, Laura 192,78 ..................................................................................... Herod, Brian 104,39 ..................................................................................... Herold, William 136 ..................................................................................... Herring, Carey 136 ..................................................................................... Herring, Kent 112 ..................................................................................... Herrmann, Henry 181,58 ..................................................................................... Hicks, Karen 157 ..................................................................................... Hidalgo, Cathie 65 ..................................................................................... Hidalgo, Madeline 58 ..................................................................................... Hijaz, Iyad 45,65,88 ..................................................................................... Hill, Jessica 3 ..................................................................................... Hillier, Joseph 39 ..................................................................................... Hindman, Edward 51 ..................................................................................... Hinson, Lanny 112 ..................................................................................... Ho, Hiep 58 ..................................................................................... Ho, Hoang 155,25,88 ..................................................................................... Ho, Stewart 51 ..................................................................................... Ho, Sylvie 58 ..................................................................................... Ho, Trung 81,9 ..................................................................................... Hoang, Anthony 23 ..................................................................................... Hoang, Binh 155 ..................................................................................... Hoang, Duolainey 12 ..................................................................................... Hoang, Long 58 ..................................................................................... Hoang-Nguyen, Jacquelyn 51 ..................................................................................... Hoard, Brian 31 ..................................................................................... Hobbs, Jesse 112 ..................................................................................... Hochman, Hillary 130,16 ..................................................................................... Hodge, Jeremy 188,93 ..................................................................................... Hodges, Jeffery 31 ..................................................................................... Hoek, Meredith 172 ..................................................................................... Hoffman, Corinne 3 ..................................................................................... Hoffman, Gerald 181 ..................................................................................... Hoffman, Howard 155,51 ..................................................................................... Hoffman, Lisa 76 ..................................................................................... Hoffman, Richard 76 ..................................................................................... Hogan, Adam 172 ..................................................................................... Holley, James 112,124,172,65 .....................................................................................

Holmes, Ashley 172 ..................................................................................... Holwick, Robert 35 ..................................................................................... Hom, David 155 ..................................................................................... Hong, Jason 130,166 ..................................................................................... Hong, Jong 28,69,86 ..................................................................................... Hong, Richard 130,166,51 ..................................................................................... Honore, Kevin 116 ..................................................................................... Hooker, John 1 ..................................................................................... Hooper, Christopher 172 ..................................................................................... Hooshangi, Mitra 155,166 ..................................................................................... Hooshmand, Marie 160 ..................................................................................... Hoover, Amanda 105 ..................................................................................... Hoover, Jared 105 ..................................................................................... Hopkins, James 81 ..................................................................................... Horne, Suzanne 85 ..................................................................................... Horne, William 120 ..................................................................................... Hornsby, Kimbrough 116,162,172,35 ..................................................................................... Horowitz, Andrew 116 ..................................................................................... Horwitz, Abbey 173 ..................................................................................... Hosek, Eric 173 ..................................................................................... Hosek, Lindsey 173 ..................................................................................... Hoskins, Robert 128 ..................................................................................... Householder, Ronald 164 ..................................................................................... Houser, John 69 ..................................................................................... Howanitz, Joan 58 ..................................................................................... Howard, Dennis 173 ..................................................................................... Howard, Gregory 47 ..................................................................................... Howard, Jennifer 152,162 ..................................................................................... Howard, John 90 ..................................................................................... Howard, Karrie 130,16,85 ..................................................................................... Howard, Paulette 83 ..................................................................................... Howard, Robert 35 ..................................................................................... Howell, Everett 155,52 ..................................................................................... Howell, John 188 ..................................................................................... Howell, R Leroy 162 ..................................................................................... Howell, Ralph 163 ..................................................................................... Howell, Robert 116 ..................................................................................... Hoye, James 151 ..................................................................................... Hsu, John 52 ..................................................................................... Hu, Zhaoliang 98 ..................................................................................... Huband, Michael 136 ..................................................................................... Hubbard, Rachel 160,184 ..................................................................................... Hubbard, Thomas 85 ..................................................................................... Huddle, David 65 ..................................................................................... Hudgins, William 74 ..................................................................................... Hudgins, Winfred 81 ..................................................................................... Hudson, Paul 136 ..................................................................................... Hudson, Raidah 136 ..................................................................................... Huff, Christopher 20 ..................................................................................... Huff, Wallace 20 ..................................................................................... Huffman, Jennifer 78 ..................................................................................... Huffman, Richard 147 ..................................................................................... Hughes, Douglas 116 ..................................................................................... Hughes, Edward 160 ..................................................................................... Hughes, Joseph 35 ..................................................................................... Hughes, Timothy 157 ..................................................................................... Hull, Robert 88 ..................................................................................... Hund, Lawrence 31 ..................................................................................... Hunt, Dawn 123 ..................................................................................... Hunt, John 123 ..................................................................................... Hunt, William 123 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Hamilton, Michael 136 ..................................................................................... Hamilton, Paul 172,84 ..................................................................................... Hamlett, Sheryle 116,41 ..................................................................................... Hammock, Mark 63 ..................................................................................... Han, Christine 3 ..................................................................................... Han, John 130 ..................................................................................... Han, Michael 16 ..................................................................................... Han, Sung 157,25,28 ..................................................................................... Han, Victor 16 ..................................................................................... Hanania, Hanna 188 ..................................................................................... Hangval, Reza 25,51,93 ..................................................................................... Hanley, Bruce 12 ..................................................................................... Hanley, Michael 39 ..................................................................................... Hanna, Gary 71 ..................................................................................... Hanna, Peter 3 ..................................................................................... Hanna, William 159 ..................................................................................... Hardee, Sheila 169,78 ..................................................................................... Harden, Russell 101 ..................................................................................... Harding, Emily 121,30 ..................................................................................... Hardy, Kenneth 162 ..................................................................................... Harman, Douglas 49 ..................................................................................... Harmon, Thomas 112,116,123,172,42 ..................................................................................... ,47,76,83 Harper, William 123 ..................................................................................... Harre, John 181 ..................................................................................... Harrell, Gibson 35 ..................................................................................... Harrington, Nola 19 ..................................................................................... Harris, Charles 20,74 ..................................................................................... Harris, Clifton 12,3 ..................................................................................... Harris, Jeffrey 181 ..................................................................................... Harris, John 147 ..................................................................................... Harris, Luke 20 ..................................................................................... Harris, Paul 9 ..................................................................................... Harris, Richard 172 ..................................................................................... Harris, Sharon 104 ..................................................................................... Harrison, Berard 172 ..................................................................................... Harrison, Howard 147 ..................................................................................... Harrison, James 152,193,76 ..................................................................................... Hart, Faryl 136 ..................................................................................... Hartigan, James 47 ..................................................................................... Hartley, Caroline 155,3,51 ..................................................................................... Hartley, Jacob 112,184 ..................................................................................... Hartz, Gary 130,16 ..................................................................................... Harvey, David 83 ..................................................................................... Harvey, Gregory 147,151,169,48,78 ..................................................................................... Harvey, Paul 10 ..................................................................................... Haseeb, Noreen 58 ..................................................................................... Hasenfelt, Brooke 112 ..................................................................................... Hasham, Omar 28,69,81,86,93 ..................................................................................... Hassan, Nadder 48,51,93 ..................................................................................... Haston, Raymond 46,65 ..................................................................................... Hatch, Steven 90 ..................................................................................... Haueis, Roman 136 ..................................................................................... Haun, William 147 ..................................................................................... Hawkins, Alexander 104 ..................................................................................... Hawley, Julie 49 ..................................................................................... Hawthorne, Burnell 184 ..................................................................................... Haydu, James 35,98 ..................................................................................... Hayes, Lawrence 47 ..................................................................................... Haynie, Talon 186 ..................................................................................... Hazelgrove, Kirk 72 .....................................................................................

225

Delta Dental Premier

Johansen, Stephen 105,120,127,39 ..................................................................................... Johnson, Amanda 147 ..................................................................................... Johnson, Andrew 62 ..................................................................................... Johnson, Charles 136 ..................................................................................... Johnson, G 110,136 ..................................................................................... Johnson, Geoffrey 47 ..................................................................................... Johnson, James 122 ..................................................................................... Johnson, Jamie 65 ..................................................................................... Johnson, Justin 184 ..................................................................................... Johnson, Steven 12,9 ..................................................................................... Johnson, Terry 158 ..................................................................................... Johnson-Curl, Jacqueline 136 ..................................................................................... Johnson-Spruiell, Gloria 112 ..................................................................................... Johnston, Carroll 89 ..................................................................................... Johnston, Frances 1 ..................................................................................... Johnston, Frank 35 ..................................................................................... Jones, Antonia 76 ..................................................................................... Jones, Audra 136 ..................................................................................... Jones, Daniel 173 ..................................................................................... Jones, David 147,173,42,98 ..................................................................................... Jones, Elizabeth 58 ..................................................................................... Jones, Ethan 71 ..................................................................................... Jones, Frank 31 ..................................................................................... Jones, Gale 112,136,43 ..................................................................................... Jones, John 136 ..................................................................................... Jones, Lee 147 ..................................................................................... Jones, Leonard 23 ..................................................................................... Jones, Linda 93 ..................................................................................... Jones, Miata 58 ..................................................................................... Jones, Michael 147,162 ..................................................................................... Jones, Neal 25 ..................................................................................... Jones, Patrice 105 ..................................................................................... Jones, Perry 136 ..................................................................................... Jones, Richard 130 ..................................................................................... Jones, Treacy 165 ..................................................................................... Jones-Rogers, Linda 69 ..................................................................................... Joo, Chuck 52 ..................................................................................... Jordan, Edward 105,120,127,39 ..................................................................................... Jordan, James 97 ..................................................................................... Jordan, Morris 101 ..................................................................................... Joseph, Marie 42 ..................................................................................... Joshi, Mitsu 136,72 ..................................................................................... Joshua, Gina 78 ..................................................................................... Jung, Yujin 112,76,79 ..................................................................................... Kadolph, Adam 184 ..................................................................................... Kahan, Michael 173 ..................................................................................... Kaiser, David 173 ..................................................................................... Kaiser, Gina 20 ..................................................................................... Kaiser, Robert 147 ..................................................................................... Kaler, Jatinder 93 ..................................................................................... Kalra, Rajiv 155,88 ..................................................................................... Kamali, Touraj 52 ..................................................................................... Kamboh, Karan 85 ..................................................................................... Kan, Maryann 4 ..................................................................................... Kandare, Wesley 116,173,35,85 ..................................................................................... Kanetzke, Steven 169 ..................................................................................... Kang, Don 52 ..................................................................................... Kangarloo, Ramineh 59 ..................................................................................... Kanli, Erol 155 ..................................................................................... Kanumilli, Sowmya 1,130,182,4 ..................................................................................... Kao, Wei-Lea 166 .....................................................................................

Kapoor, Elleni 116,163,173,35 ..................................................................................... Kapoor, Rajni 116,124,173 ..................................................................................... Karbasi, Kiumars 188 ..................................................................................... Karmacharya, Komal 12,52,66 ..................................................................................... Karns, Jason 80 ..................................................................................... Karp, Allen 173 ..................................................................................... Karrel, Justin 159 ..................................................................................... Karri, Shilpa 155,66 ..................................................................................... Kasper, Frinet 4 ..................................................................................... Kassan, Gregg 48 ..................................................................................... Kassem, Sameh 85 ..................................................................................... Katz, Abraham 128,81 ..................................................................................... Katz, Ronald 112,116 ..................................................................................... Kaur, Ajinder 116,124,173,76 ..................................................................................... Kaur, Hemani 17 ..................................................................................... Kaur, Kamaljit 93 ..................................................................................... Kaur, Namrata 52 ..................................................................................... Kaur, Palwinder 25,48 ..................................................................................... Kaur, Sandeep 81 ..................................................................................... Kaur, Taran 59 ..................................................................................... Kavianpour, Zahra 160 ..................................................................................... Kay, Victoria 93 ..................................................................................... Kayes, Stanley 80 ..................................................................................... Kaymanesh, Shaghayegh 112,12,124,76 ..................................................................................... Kazemifar, Hoda 130 ..................................................................................... Kazmi, Sana 181,25,48,52,69,93 ..................................................................................... Kean, Edward 150,69 ..................................................................................... Keat, Josie 4 ..................................................................................... Keating, Kevin 109,136,34 ..................................................................................... Kelly, David 22 ..................................................................................... Kelly, Isabel 97 ..................................................................................... Kemler, David 136 ..................................................................................... Kennealy, Sarah 101,136 ..................................................................................... Kennett, Fred 136 ..................................................................................... Kenny, Karen 90 ..................................................................................... Kent, Dean 116,173 ..................................................................................... Kent, John 116,173 ..................................................................................... Kent, Mathew 116,173 ..................................................................................... Kent, Thomas 173 ..................................................................................... Kern, April 12 ..................................................................................... Kesser, Howard 116 ..................................................................................... Kessler, Fred 136 ..................................................................................... Khalaf, Athra 122,153,59,80 ..................................................................................... Khalefa, Said 155,4 ..................................................................................... Khalil, Joseph 12,121 ..................................................................................... Khan, Nabeel 23 ..................................................................................... Khan, Rifhat 4,59 ..................................................................................... Khara, Amanjot 101 ..................................................................................... Khasraghi, Faranak 188,23 ..................................................................................... Khattab, Samer 126,130,59,85 ..................................................................................... Khattak, Farida 59 ..................................................................................... Khattak, Rana 66 ..................................................................................... Khedr, Yasser 45,48 ..................................................................................... Khisti, Manik 72 ..................................................................................... Khosravi, Mitra 93 ..................................................................................... Khurana, Natasha 181,69 ..................................................................................... Ki, Laura 52 ..................................................................................... Kianimanesh, Anita 59 ..................................................................................... Kianpour, Kourosh 160 ..................................................................................... Kilbourne, Michael 39 ..................................................................................... Kilgore, Robert 187 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Hurt, Garrett 19 ..................................................................................... Husker, Rebekah 12,155 ..................................................................................... Hutchens, Greg 162 ..................................................................................... Hutchens, James 162 ..................................................................................... Hutchings, Michael 76 ..................................................................................... Hutchison, Bruce 25 ..................................................................................... Hutchison, Karen 147 ..................................................................................... Hutson, H 78 ..................................................................................... Huynh, Andrew 3 ..................................................................................... Hyder, Khudsia 126,136 ..................................................................................... Hyder, Zain 105,120 ..................................................................................... Hyer, Margaret 126 ..................................................................................... Iachini, Diane 101,105,136,19,72 ..................................................................................... Iervolino, Robert 173 ..................................................................................... Ijadi, Mehrdad 158,65,93 ..................................................................................... Im, Jim 3 ..................................................................................... Imao, Josemari 188,58,65 ..................................................................................... Imbery, Terence 136 ..................................................................................... Ingram, Daniel 173 ..................................................................................... Irby, Lewis 21 ..................................................................................... Ireland, Michael 112,124,173,184,35 ..................................................................................... ,76 Ishom, Thomas 35 ..................................................................................... Iskander, Erene 3 ..................................................................................... Iuculano, Giovanni 186 ..................................................................................... Izadi, Mohsen 166 ..................................................................................... Jabbari, Farnaz 23 ..................................................................................... Jackomis, William 126 ..................................................................................... Jackson, Kevin 3 ..................................................................................... Jacob, Kezia 20 ..................................................................................... Jacobs, George 112 ..................................................................................... Jafari, Mahnaz 16,160 ..................................................................................... Jain, Khushboo 136,45,65 ..................................................................................... Jalali, Mahnaz 58 ..................................................................................... Jamali, Mojgan 188,3,93 ..................................................................................... James, Patricia 173 ..................................................................................... Jang, Joy 130 ..................................................................................... Jarrell, Whitney 25 ..................................................................................... Jarvandi, Fereshteh 136 ..................................................................................... Jarwa, Samer 28 ..................................................................................... Jasani, Krina 88 ..................................................................................... Jassal, Raman 81 ..................................................................................... Java, Robert 188 ..................................................................................... Javeed, Asra 173 ..................................................................................... Javier, Ryan 188 ..................................................................................... Jayaswal, Neerav 76 ..................................................................................... Jefferies, Mark 81 ..................................................................................... Jeffrey, Emma 121 ..................................................................................... Jelinek, Howard 52 ..................................................................................... Jelinek, James 181 ..................................................................................... Jenkins, Arthur 173 ..................................................................................... Jenkins, Charles 97 ..................................................................................... Jenkins, Harry 124,35 ..................................................................................... Jennings, Kevin 35 ..................................................................................... Jesneck, Mae 98 ..................................................................................... Jessup, Ronald 136,21 ..................................................................................... Jewett, Charles 136 ..................................................................................... Jiral, Paul 65 ..................................................................................... Jiwani, Munira 101,109,122,136,18 ..................................................................................... 3,72,76 Jobe, John 112 .....................................................................................

226

Delta Dental Premier

Koheil, Yosreldin 137,43,72 ..................................................................................... Kok, Alistair 122 ..................................................................................... Kokel, Deidra 86 ..................................................................................... Kommineni, Sanath 137,43,66 ..................................................................................... Kondoff, Ronald 173 ..................................................................................... Koneru, Jyothi 28 ..................................................................................... Kong, Saory 59 ..................................................................................... Kong, Tepy 59 ..................................................................................... Konikoff, David 163,174,35 ..................................................................................... Konikoff, Stephen 116 ..................................................................................... Kontopanos, Gregory 137 ..................................................................................... Koontz, Gregory 63 ..................................................................................... Kopelove, Stephen 101,137 ..................................................................................... Kordis, Alex 102,110,121,64 ..................................................................................... Kordulak, John 174 ..................................................................................... Korman, Robert 174 ..................................................................................... Kornett, Noel 162 ..................................................................................... Korpics, Louis 150,19 ..................................................................................... Kot, Dariusz 52 ..................................................................................... Koussa, Mai 155,52 ..................................................................................... Kovach, David 21 ..................................................................................... Kowal, Mark 72 ..................................................................................... Kraft, Rachel 137 ..................................................................................... Kreger, Lee 147 ..................................................................................... Krempl, Robert 152 ..................................................................................... Kreuzer, Luiza 43,44,84,98 ..................................................................................... Krieger, Ellen 99 ..................................................................................... Krishnamoorthy, Savitha 28 ..................................................................................... Krone, Michael 105,62 ..................................................................................... Krygowski, John 12 ..................................................................................... Kuenzli, Peter 174 ..................................................................................... Kuhn, Todd 105,126,39 ..................................................................................... Kulhari, Snehlata 47 ..................................................................................... Kumra, Shawn 12,4,59,99 ..................................................................................... Kuo, Brian 66 ..................................................................................... Kupcha, John 184 ..................................................................................... Kupperi, Vinutha 112,124,137,43,66 ..................................................................................... Kwatra, Sameer 188 ..................................................................................... Kwon, Hyuksoo 81 ..................................................................................... Kwon, Judy 12,130,153 ..................................................................................... Kwon, Keehong 4 ..................................................................................... Kwon, Thomas 4 ..................................................................................... Kyle, Lawrence 110 ..................................................................................... Lachine, Richard 184,193 ..................................................................................... Lacy, John 63 ..................................................................................... Ladimer, Eric 147 ..................................................................................... Lagonegro, Ann 74 ..................................................................................... Lagrua, Daniel 165,78 ..................................................................................... Lakas, Gregory 12 ..................................................................................... Lake, George 122 ..................................................................................... Lam, Tony 81 ..................................................................................... Lamay, Ashley 63 ..................................................................................... Lambert, Olena 21 ..................................................................................... Lambrechts, Marcel 151 ..................................................................................... Lang, Leslie 124 ..................................................................................... Lang, Steven 124 ..................................................................................... Langkau, Walter 193 ..................................................................................... Langston, Robin 124 ..................................................................................... Lanier, Angela 110,31,35,99 ..................................................................................... Lanigan, Jacqueline 174 ..................................................................................... Lanigan, Peter 174 .....................................................................................

Lans, Ikars 17 ..................................................................................... Lanzaro, Peter 57 ..................................................................................... Lapetina, John 116 ..................................................................................... Larkin, Steven 101,105,126,137,19 ..................................................................................... ,72 Larrowe, Eugenia 71 ..................................................................................... Larson, David 137,99 ..................................................................................... Laurent, Barry 166 ..................................................................................... Lavecchia, Greg 12 ..................................................................................... Lavecchia, Louis 12 ..................................................................................... Lavinder, Lisa 147,46 ..................................................................................... Lavinder, Michael 42 ..................................................................................... Laviola, Jamie 4 ..................................................................................... Law, Zachary 169 ..................................................................................... Laws, Thomas 113 ..................................................................................... Lazar, Dale 84 ..................................................................................... Lazear, Michael 155 ..................................................................................... Lazear, W 155 ..................................................................................... Lazour, James 59 ..................................................................................... Le, Bao-Quyen 186 ..................................................................................... Le, David 17 ..................................................................................... Le, Hang 166,188,4,52,59,81, ..................................................................................... 93 Le, Lan 9 ..................................................................................... Le, Luong-Hung 26 ..................................................................................... Le, Magarette 4 ..................................................................................... Le, Quan 166 ..................................................................................... Le, Thien 9 ..................................................................................... Le, Trang 166 ..................................................................................... Le, Trung 52,59 ..................................................................................... Le, Yen 59,9 ..................................................................................... Leary, Bruce 105 ..................................................................................... Leavenworth, Kim 4,52 ..................................................................................... Lebo, Carl 12 ..................................................................................... Lebonitte, Robert 166,59 ..................................................................................... Lee, Benjamin 26,4 ..................................................................................... Lee, Elizabeth 137 ..................................................................................... Lee, Esther 28 ..................................................................................... Lee, Eun Hye 52 ..................................................................................... Lee, Gloria 160 ..................................................................................... Lee, Hannah 9 ..................................................................................... Lee, James 116 ..................................................................................... Lee, Kenneth 4 ..................................................................................... Lee, Kevin 93 ..................................................................................... Lee, Kie 155 ..................................................................................... Lee, Kimberly 26,9 ..................................................................................... Lee, Kirsten 12,153 ..................................................................................... Lee, Kyu 101 ..................................................................................... Lee, Leonardo 86 ..................................................................................... Lee, Nathan 52 ..................................................................................... Lee, Paul 52 ..................................................................................... Lee, Sang 9 ..................................................................................... Lee, Sehmi 105,99 ..................................................................................... Lee, Si-Hyeon 113,137,186,99 ..................................................................................... Lee, Solomon 174,182 ..................................................................................... Lee, Tae 26,9 ..................................................................................... Lee, Vincent 59 ..................................................................................... Lee, Ws 155 ..................................................................................... Lefta-Hoskins, Fotina 117 ..................................................................................... Lefton, Ronald 174 ..................................................................................... Legum, Marty 4,59 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Killar, Curt 105 ..................................................................................... Kim, Aileen 4 ..................................................................................... Kim, Andrew 155,188 ..................................................................................... Kim, Chad 112,12,124,137,173 ..................................................................................... ,181,43,66,76 Kim, David 158 ..................................................................................... Kim, Edward 4,96 ..................................................................................... Kim, Eunghwan 98 ..................................................................................... Kim, Gloria 93 ..................................................................................... Kim, Jamie 93 ..................................................................................... Kim, Jennifer 52 ..................................................................................... Kim, Jerry 130,52 ..................................................................................... Kim, John 160 ..................................................................................... Kim, Jong Ryul 166 ..................................................................................... Kim, Joon 166 ..................................................................................... Kim, Joongseo 166,25 ..................................................................................... Kim, Juyoung 52 ..................................................................................... Kim, Kwang 152 ..................................................................................... Kim, Kyu 19 ..................................................................................... Kim, Michael 17,9 ..................................................................................... Kim, Peter 188 ..................................................................................... Kim, Robin 4 ..................................................................................... Kim, Sandra 188 ..................................................................................... Kim, Sean 66 ..................................................................................... Kim, Sonny 130 ..................................................................................... Kim, Suhad 17,86 ..................................................................................... Kim, Sun 66,93 ..................................................................................... Kim, Thomas 25 ..................................................................................... Kim, Timothy 25 ..................................................................................... Kim, Wilson 98 ..................................................................................... Kim, Young 23 ..................................................................................... Kimble, Glenn 90 ..................................................................................... Kimble-Tanks, Felisha 153,9 ..................................................................................... King, Christopher 173,63 ..................................................................................... King, Hoang 48 ..................................................................................... King, Michael 188 ..................................................................................... King, Robert 137,186,66 ..................................................................................... Kinney, Kirk 164 ..................................................................................... Kinney, Robert 147 ..................................................................................... Kirksey, Charles 52 ..................................................................................... Kirpal, Abhishek 112,116,124,173,76 ..................................................................................... Kittrell, John 137 ..................................................................................... Kitts, Connie 137 ..................................................................................... Kivlighan, Michael 182 ..................................................................................... Klein, Elizabeth 12,66 ..................................................................................... Klein, Richard 147 ..................................................................................... Kleyman, Boris 12 ..................................................................................... Klioze, Earl 23 ..................................................................................... Klioze, Jeffrey 23 ..................................................................................... Klochak, Joseph 76 ..................................................................................... Knaysi, Fred 137,83 ..................................................................................... Knierim, R 31 ..................................................................................... Knight, Ernest 63 ..................................................................................... Knight, John 31,74 ..................................................................................... Knotts, Cindy 186 ..................................................................................... Knuppel, Dorothy 98 ..................................................................................... Koelmel, Jeffrey 105 ..................................................................................... Koerner, Michael 181 ..................................................................................... Kogan, Paulina 4 ..................................................................................... Koganti, Rani 137 ..................................................................................... Koh, Myungsuk 101 .....................................................................................

227

Delta Dental Premier

Longman, Eddie 4 ..................................................................................... Lopez, Katie 4 ..................................................................................... Lopez, Rocio 105,120,127,40 ..................................................................................... Lopez, Yarissa 66 ..................................................................................... Lotfi, Patrick 189 ..................................................................................... Lott, Patricia 174 ..................................................................................... Lovecchio, Peggy 147 ..................................................................................... Lovell, Eric 124,31 ..................................................................................... Lovell, Mary 124 ..................................................................................... Loving, Preston 113 ..................................................................................... Lowe, Tontra 80 ..................................................................................... Loza, Jose 86 ..................................................................................... Loza, Luis 86 ..................................................................................... Lu, Nhien 155,166,4 ..................................................................................... Lubeck, Jonathan 147 ..................................................................................... Lucas, William 137 ..................................................................................... Lucht, David 26 ..................................................................................... Luck, Leah 158,52 ..................................................................................... Lui, Kin 153,158,4,66 ..................................................................................... Lukanuski, Stacy 137 ..................................................................................... Luma, Evelyn 174 ..................................................................................... Luong, Susan 52 ..................................................................................... Lutz, Megan 164 ..................................................................................... Lutz, Steven 164 ..................................................................................... Ly, Dong-Phuong 13,28 ..................................................................................... Lyall, Marshall 174 ..................................................................................... Lyazidi, Aicha 158,59,84 ..................................................................................... Lynch, Ronald 113,117,124,174,36 ..................................................................................... Lynch, Sean 147 ..................................................................................... Lynn, Anne 113 ..................................................................................... Lynn, Larry 80 ..................................................................................... Lyon, Betty 31 ..................................................................................... Lyon, John 31 ..................................................................................... Lysenko, Jennifer 90 ..................................................................................... Ma, Andy 13,189,28 ..................................................................................... Mabanglo-Samson, Bernadette 174,40 ..................................................................................... Mabry, Stephen 13 ..................................................................................... Macilwaine, Richard 72 ..................................................................................... Maclin, Ivetta 174 ..................................................................................... Madani, Shaghayegh 155,4 ..................................................................................... Maddux, Kristen 174 ..................................................................................... Maddux, Nicholas 174 ..................................................................................... Madison, Joseph 130 ..................................................................................... Madurantakam, Parthasarathy 137,72 ..................................................................................... Maeso, Andres 113 ..................................................................................... Mahajan, Alka 52 ..................................................................................... Mahanes, Alan 174 ..................................................................................... Maharty, David 184 ..................................................................................... Mahesh, Lekshmi 174 ..................................................................................... Mai, Christine 189,4 ..................................................................................... Mai, Truc 4 ..................................................................................... Maier, Whitney 137,147 ..................................................................................... Maiurano, Audrey 155 ..................................................................................... Major, David 101 ..................................................................................... Malan, David 137,43,44,83,84 ..................................................................................... Malekuti, Sina 155 ..................................................................................... Malghan, Nandini 153,26,93 ..................................................................................... Mallery, Malcolm 47 ..................................................................................... Mallinak, Emily 97 ..................................................................................... Mallinak, Laura 97 ..................................................................................... Mallinak, Raymond 97 .....................................................................................

Mallory, Dale 174 ..................................................................................... Mallow, John 109 ..................................................................................... Malone, Christopher 159 ..................................................................................... Malone, Douglas 120 ..................................................................................... Malony, Nicole 20 ..................................................................................... Malyavantham, Dattathri 130,160 ..................................................................................... Mamrick, Ronald 105 ..................................................................................... Maniwang, Jo Marie 36 ..................................................................................... Manrique, Hugo 52,70,86 ..................................................................................... Mansfield, Richard 182 ..................................................................................... Maravi, Fernando 13,4 ..................................................................................... Marcellin, Roger 52 ..................................................................................... Marchibroda, Diana 1 ..................................................................................... Marcou, Michael 117,163,174,36 ..................................................................................... Marcus, Carlene 130 ..................................................................................... Marinelli, Steven 137 ..................................................................................... Markoff, Bruce 155 ..................................................................................... Marshall, Christopher 151 ..................................................................................... Marshall, David 117 ..................................................................................... Marshall, Marvin 66 ..................................................................................... Marshall, Robyn 117,174 ..................................................................................... Marshall, Timothy 105,62 ..................................................................................... Marti, Arthi 69 ..................................................................................... Martin, Anthony 174,193 ..................................................................................... Martin, Gabriel 24,66,84 ..................................................................................... Martin, Latisha 99 ..................................................................................... Martin, Shannon 113 ..................................................................................... Martin, Sonya 22,83 ..................................................................................... Martinez, Maria 26,4 ..................................................................................... Martof, Andrew 31 ..................................................................................... Marvdashti, Nikta 49 ..................................................................................... Marzban, Pamela 23 ..................................................................................... Mason, Erika 105 ..................................................................................... Mastros, Kristin 113 ..................................................................................... Matar, Usama 174,76 ..................................................................................... Matias, Thiago 113,117,124,137,17 ..................................................................................... 4,43,59,76 Matkowsky, Peter 126 ..................................................................................... Maurer, Jeffrey 40 ..................................................................................... Mavromatis, Jack 175 ..................................................................................... May, R Alan 147 ..................................................................................... Maya Adkins, Ana 111 ..................................................................................... Maybee, David 31 ..................................................................................... Mayer, Kelly 26,52,93 ..................................................................................... Mayerchak, Michelle 120,147 ..................................................................................... Mayers, Autumn 105 ..................................................................................... Mayo, Gregory 86 ..................................................................................... Mayo, Ryan 86 ..................................................................................... Mayo, Stephen 86,99 ..................................................................................... Mazhari, Shelia 155,21,74 ..................................................................................... Mcavoy, Brian 66,90 ..................................................................................... Mccarty, Benjamin 175 ..................................................................................... Mcclung, Alicia 124 ..................................................................................... Mccomb, Jack 138 ..................................................................................... Mccormick, Michael 76 ..................................................................................... Mccoy, Larry 20 ..................................................................................... Mccoy, Richard 184 ..................................................................................... Mccrady, Carl 184,41 ..................................................................................... Mccuin, Stephen 128 ..................................................................................... Mcdaniel, Rodney 193 ..................................................................................... Mcdonald, Anne 4 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Leibowitz, Lawrence 174 ..................................................................................... Leidy, Jeffrey 174 ..................................................................................... Leigh, Timothy 74 ..................................................................................... Leinbach, Thomas 31 ..................................................................................... Leiner, Zachary 166,4,59 ..................................................................................... Leipzig, Robert 86 ..................................................................................... Lejeune, Barry 76 ..................................................................................... Leming, Dean 164 ..................................................................................... Lennon, Charles 48 ..................................................................................... Lenoir, Robert 137 ..................................................................................... Lentz, Brad 90 ..................................................................................... Leon, Carla 28,4 ..................................................................................... Lesinski, Francis 124 ..................................................................................... Leskiv, Vasyl 186 ..................................................................................... Lessne, William 12 ..................................................................................... Letellier, Paul 36 ..................................................................................... Leung, Jonathan 12 ..................................................................................... Levenson, Lanny 105 ..................................................................................... Levin, Jeffrey 137 ..................................................................................... Levine, Andrew 147 ..................................................................................... Levine, Fernanda 13 ..................................................................................... Levine, Paul 97 ..................................................................................... Levine, Robert 52 ..................................................................................... Levy, Guy 193 ..................................................................................... Lewis, David 174,36 ..................................................................................... Lewis, Mary 174 ..................................................................................... Lewis, Miller 42 ..................................................................................... Li, Tin 52 ..................................................................................... Libbey, Anne 63 ..................................................................................... Libbey, Christopher 63 ..................................................................................... Lillard, Jonathan 28,9 ..................................................................................... Lilly, J 137 ..................................................................................... Lim, Meesun 9 ..................................................................................... Lim, Phanith 17,52 ..................................................................................... Lim, Young 159 ..................................................................................... Limon, Francisco 117,124,174,76 ..................................................................................... Lin, Albert 163 ..................................................................................... Lin, Chi-Yi 150,166 ..................................................................................... Lin, Lulu 153,17 ..................................................................................... Lin, Sandy 188,57,88 ..................................................................................... Lincoln, Kelly 128 ..................................................................................... Lindemann, Scott 97 ..................................................................................... Lindsey, David 155 ..................................................................................... Link, Michael 113 ..................................................................................... Lippard, Hal 31 ..................................................................................... Lipscomb, Jason 137,66 ..................................................................................... Little, Keith 137,174 ..................................................................................... Liu, Lina 69 ..................................................................................... Livesay, Richard 66 ..................................................................................... Livingston, Lynn 137 ..................................................................................... Llerandi, Elias 76 ..................................................................................... Llewellyn, Charles 174 ..................................................................................... Llodra, Clara 117,163,174,36 ..................................................................................... Lobo, Cheryl 189 ..................................................................................... Lobo, Mignonette 59 ..................................................................................... Lobo, Natalie 189 ..................................................................................... Lobo, Robert 189 ..................................................................................... Lokitis, Julia 4 ..................................................................................... Lombard, Joseph 79 ..................................................................................... Longauer, Earl 59 ..................................................................................... Longman, Bruce 117,174 .....................................................................................

228

Delta Dental Premier

Mirza, Javeria 47,97 ..................................................................................... Misto, Jim 158 ..................................................................................... Mistry, Kevin 13,5,86 ..................................................................................... Mitnick, Howard 160 ..................................................................................... Modaresi, Mina 160,28 ..................................................................................... Modeste, Lorenzo 76 ..................................................................................... Modjadidi, Osama 175,36 ..................................................................................... Moffitt, Robert 88 ..................................................................................... Mogharbel, Tarek 150,59,99 ..................................................................................... Mogrovejo, Erika 155,5 ..................................................................................... Mohanty, Sujit 138 ..................................................................................... Mohiuddin, Sumayra 138,99 ..................................................................................... Mojares, Elizabeth 124 ..................................................................................... Moller, Gary 5 ..................................................................................... Moller, James 59 ..................................................................................... Molokwu, Ruth 94 ..................................................................................... Monacell, William 105 ..................................................................................... Monsman, John 43 ..................................................................................... Montalvan, Cesar 94 ..................................................................................... Montano, Ronald 138 ..................................................................................... Montgomery, Jeffrey 120,71 ..................................................................................... Montgomery, Tyrus 138,40 ..................................................................................... Moon, Jeff 120,80 ..................................................................................... Moon, Sue 86 ..................................................................................... Mooney, Brigid 13,26 ..................................................................................... Moore , French 1 ..................................................................................... Moore, Alfred 123 ..................................................................................... Moore, Andrew 158 ..................................................................................... Moore, Clarissa 13,70 ..................................................................................... Moore, Ernest 147,41 ..................................................................................... Moore, J Peyton 97 ..................................................................................... Moore, Wendy 84 ..................................................................................... Moore, William 147 ..................................................................................... Moorefield, Kallie 117,124,175 ..................................................................................... Moose, Bobbi 17 ..................................................................................... Morales, Diego 26,52,94 ..................................................................................... Morch, Michael 189,66 ..................................................................................... Morel, Adalgisa 42,47 ..................................................................................... Morgan, Carol 175,184 ..................................................................................... Morgan, Fabienne 193 ..................................................................................... Morgan, Gary 138 ..................................................................................... Morgan, Joseph 138 ..................................................................................... Morgan, Michael 175 ..................................................................................... Moriarty-Vasquez, Mary 189 ..................................................................................... Morris, B 13 ..................................................................................... Morris, Christa 8 ..................................................................................... Morris, Kendall 152 ..................................................................................... Morris, Kenneth 152 ..................................................................................... Morris, Tamesha 49 ..................................................................................... Morris, William 78 ..................................................................................... Morrison, Julius 122,138,72 ..................................................................................... Morrison, Robert 184,41 ..................................................................................... Mortazie, Michael 13 ..................................................................................... Mortvedt, David 80 ..................................................................................... Moses, Stephen 117 ..................................................................................... Mosey, James 105,120,126,40 ..................................................................................... Mosher, Russell 105 ..................................................................................... Moshiri, Tara 160 ..................................................................................... Moss, Patricia 138 ..................................................................................... Moss, Stanley 124 ..................................................................................... Mostofi, Mina 166,84 .....................................................................................

Movaghari, Parinaz 13,130 ..................................................................................... Mower, Matthew 128 ..................................................................................... Muehleck, James 97 ..................................................................................... Mueller, Jennifer 9 ..................................................................................... Mueller, Travis 138,9 ..................................................................................... Muhammad, Sultan 28,81 ..................................................................................... Muldoon, Catherine 36 ..................................................................................... Mule, Merissa 105,120,40 ..................................................................................... Muller, Lawrence 189 ..................................................................................... Mulligan, Daniel 138 ..................................................................................... Mullins, Edmund 138 ..................................................................................... Muncy, Beatrice 138 ..................................................................................... Muncy, James 138 ..................................................................................... Munn, William 122,151 ..................................................................................... Murchie, Peter 92 ..................................................................................... Murphy, Anna 153 ..................................................................................... Murphy, Stephen 184,41 ..................................................................................... Murray, Malcolm 53 ..................................................................................... Murray, Vincent 181 ..................................................................................... Murry, Brittney 105,126,19,40 ..................................................................................... Murry, Donald 105,126,40 ..................................................................................... Murry, Kenneth 105,126,40 ..................................................................................... Murthy, Pramila 81 ..................................................................................... Murthy, Roopa 124,36 ..................................................................................... Musick, Lori 132 ..................................................................................... Musmar, Qais 5 ..................................................................................... Muss, Nicholas 130 ..................................................................................... Mustian, Edward 138 ..................................................................................... Mustian, John 138 ..................................................................................... Mwendo, Jimani 158,189,5,94 ..................................................................................... Myers, Aubrey 163 ..................................................................................... Myers, Priscilla 138 ..................................................................................... Myles, Wayne 130 ..................................................................................... Nachman, Alan 36 ..................................................................................... Naeem, Naseer 49,81,94 ..................................................................................... Nagle, Jeremy 150,166,23,28,53 ..................................................................................... Nagy, Whitney 86 ..................................................................................... Naik, Priti 166 ..................................................................................... Najafe, Hayat 49,66 ..................................................................................... Nallavalli, Sravanthi 160,17 ..................................................................................... Nalluri, Jatin 189,49,53,94 ..................................................................................... Nam, Johnny 53 ..................................................................................... Nanduri, Mahathi 130 ..................................................................................... Nash, Colleen 101,105,138,19,72 ..................................................................................... Nasif, Yaser 101,109,120,138,18 ..................................................................................... 3,184,43,83 Nasir, Aisha 5 ..................................................................................... Nasr, Flavio 13 ..................................................................................... Nassar, Fadwa 59 ..................................................................................... Nastea, Cristina 156 ..................................................................................... Nauss, Steven 120 ..................................................................................... Navubothu, Padmalatha 138,76 ..................................................................................... Nawaz, Mirweiss 160,59 ..................................................................................... Nazareth, Melissa 113 ..................................................................................... Neal, Elizabeth 169 ..................................................................................... Neale, Mark 183,184 ..................................................................................... Neel, Anita 21,31 ..................................................................................... Neese, Danny 78 ..................................................................................... Neibauer, Justin 66 ..................................................................................... Neighbors, Robert 105 ..................................................................................... Neill, Kennedy 193 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Mcdonald, Pamela 76 ..................................................................................... Mcgill, Allen 113 ..................................................................................... Mckee, Tom 175 ..................................................................................... Mckown-Smallwood, Kelly 78 ..................................................................................... Mcmillan, Alex 23 ..................................................................................... Mcmillan, Vicki 117,163,175,36 ..................................................................................... Mcmunn, Michael 80 ..................................................................................... Mcneill, Su 152,76 ..................................................................................... Mcquiston, Scott 5 ..................................................................................... Mcvay, Thomas 5 ..................................................................................... Meade, Amanda 101,151,34 ..................................................................................... Meade, Raymond 43 ..................................................................................... Meader, Lon 175 ..................................................................................... Mears, Gene 66 ..................................................................................... Meer, B Robert 81 ..................................................................................... Mehrabian, Kourosh 189,94 ..................................................................................... Mehta, Murli 9 ..................................................................................... Melton, Angela 99 ..................................................................................... Mendelsohn, Howard 175 ..................................................................................... Mendoza, Israel 138,43,72 ..................................................................................... Mendrinos, Maria 175 ..................................................................................... Menges, Martin 113 ..................................................................................... Mera, Jose 121,138 ..................................................................................... Mercado, Romina 26,5,52,66,84 ..................................................................................... Meredith-Smith, Jodie 138 ..................................................................................... Meroney, David 86 ..................................................................................... Messih, Haidy 181,70,88 ..................................................................................... Mestas, Eric 5 ..................................................................................... Metzdorf, David 52 ..................................................................................... Meyers, Christian 113,76 ..................................................................................... Miamee, Ali 130 ..................................................................................... Miamee, Nazy 130 ..................................................................................... Michael, Adele 166 ..................................................................................... Michael, Shadia 31 ..................................................................................... Midgette, Brian 36 ..................................................................................... Midkiff, Kenneth 97 ..................................................................................... Midkiff, Kevin 90 ..................................................................................... Mikhail, Raymond 86,99 ..................................................................................... Millan, Alirio 138 ..................................................................................... Miller, Culver 90 ..................................................................................... Miller, David 76 ..................................................................................... Miller, Elizabeth 138 ..................................................................................... Miller, Glen 21,5,80 ..................................................................................... Miller, Jeffrey 52 ..................................................................................... Miller, Julian 113,124,175,184,19 ..................................................................................... 3,36,76 Miller, Keith 21 ..................................................................................... Miller, Paul 34 ..................................................................................... Miller, Richards 182 ..................................................................................... Miller, Scott 165,22 ..................................................................................... Miller, Tammie 186 ..................................................................................... Miller, Veronica 166,52 ..................................................................................... Mills, Christina 45 ..................................................................................... Mills, Michele 151 ..................................................................................... Mills-Robertson, Aba 16,48 ..................................................................................... Milner, Jan 36 ..................................................................................... Milonas, Jim 175 ..................................................................................... Miniclier, Gordon 84 ..................................................................................... Minutella, Nicholas 31 ..................................................................................... Miranda, Joshua 175 ..................................................................................... Mirmonsef, Parastu 138,89 .....................................................................................

229

Delta Dental Premier

Norbo, Randy 148 ..................................................................................... Nordeen, Kyle 19 ..................................................................................... Norman, Andrew 138 ..................................................................................... Norrgard, Jefferey 138 ..................................................................................... Norris, Clinton 73 ..................................................................................... Norton, Carolyn 175 ..................................................................................... Nottingham, James 117 ..................................................................................... Nouri, Bruce 160 ..................................................................................... Novak, Irina 193 ..................................................................................... Novick, Arthur 130,17 ..................................................................................... Novick, Kendra 130,17 ..................................................................................... Novick, Roy 57 ..................................................................................... Nunnally, Leonard 73 ..................................................................................... Nwaneshiudu, Chioma 17,186,53,70,86 ..................................................................................... Nystrom, Cheryl 139 ..................................................................................... O`Brien, Keith 63 ..................................................................................... O`Donnell, David 113,117,124,139,17 ..................................................................................... 5,43,59,76,90 Obeck, Kurt 139 ..................................................................................... Oberry, Vernon 117,175 ..................................................................................... Obrien, Kevin 151 ..................................................................................... Ochana, Laila 59 ..................................................................................... Ochave, Frederick 175 ..................................................................................... Octave, William 139 ..................................................................................... Odeh, Osama 113,117,66 ..................................................................................... Odonnell, William 26 ..................................................................................... Oglesby, Jeffrey 184 ..................................................................................... Ogunbekun, Adenike 153 ..................................................................................... Ogundipe, Oluwatoyin 139 ..................................................................................... Oh, Joseph 13,153 ..................................................................................... Ohara, Thomas 175 ..................................................................................... Ohri, Puja 88 ..................................................................................... Okeefe, Edward 117 ..................................................................................... Okunuga, Olalekan 148,152 ..................................................................................... Olano, Magali 70 ..................................................................................... Oldham, Bobbi 90 ..................................................................................... Oldham, Richard 90 ..................................................................................... Olenyn, Paul 23 ..................................................................................... Oley, George 101,120,139 ..................................................................................... Oliveira Filho, Jayme 36 ..................................................................................... Oliver, Tracy 175 ..................................................................................... Oliver, Trisstar 152 ..................................................................................... Olivero, Thomas 106 ..................................................................................... Olsen, Kimberley 70 ..................................................................................... Onderdonk, Andrea 66,73 ..................................................................................... Oneal, Latanya 42,59,99 ..................................................................................... Orenstein, Richard 5 ..................................................................................... Oristian, Alexis 106,120 ..................................................................................... Ornoff, Mark 156,81 ..................................................................................... Osinovsky, Alexander 166 ..................................................................................... Osman, Feisal 139 ..................................................................................... Ossakow, William 26,53,81,99 ..................................................................................... Ott, Brian 31 ..................................................................................... Ott, Sarah 31 ..................................................................................... Ottersberg, Christine 110 ..................................................................................... Ovcharenko, Vladyslav 26,5,60 ..................................................................................... Overby, Timothy 90 ..................................................................................... Overstreet, Douglas 151,73 ..................................................................................... Owen, John 113,20 ..................................................................................... Owen, William 152 ..................................................................................... Owens, Edward 184 .....................................................................................

Owens, Gregory 1 ..................................................................................... Owens, Jessica 47 ..................................................................................... Owuor, Christine 150,31 ..................................................................................... Ozturk, Serdar 13 ..................................................................................... Pace, Warren 166 ..................................................................................... Paesani, Michael 60 ..................................................................................... Pahlavani, Edna 13,5 ..................................................................................... Paige, Benegal 31 ..................................................................................... Paige, Jason 139 ..................................................................................... Pak, Jung 53 ..................................................................................... Pakpour, Desabeh 189 ..................................................................................... Pal, Sandhya 126,130 ..................................................................................... Palabrica, Rosario 13 ..................................................................................... Palizi, Alireza 23 ..................................................................................... Palle, Sunitha 158,26,94 ..................................................................................... Palmer, Charles 110 ..................................................................................... Palmer, Roger 49 ..................................................................................... Pandak, Hilary 53 ..................................................................................... Pandher, Ramona 113,117,124,139,17 ..................................................................................... 5,42,43,47,60,66,76 ,84 Panzarella, Carl 139 ..................................................................................... Panzetta, James 84 ..................................................................................... Papageorgiou, Nicholas 17 ..................................................................................... Papinsick, Anthony 13 ..................................................................................... Papp, Richard 53 ..................................................................................... Paredes, Omar 88 ..................................................................................... Paret, Katherine 117 ..................................................................................... Parikh, Anuja 160 ..................................................................................... Park, Adam 166 ..................................................................................... Park, Charles 53,70,88 ..................................................................................... Park, Henry 9 ..................................................................................... Park, Hye 5 ..................................................................................... Park, Jamie 53 ..................................................................................... Park, John 17,81 ..................................................................................... Park, Jung 154,160,5 ..................................................................................... Park, Kenneth 156,94 ..................................................................................... Park, Kyeong 76 ..................................................................................... Park, Kyung 17 ..................................................................................... Park, Mimi 126 ..................................................................................... Park, Sun 81 ..................................................................................... Park, Sunmin 99 ..................................................................................... Park, Young 148 ..................................................................................... Parker, Jeffrey 94 ..................................................................................... Parker, Michael 90 ..................................................................................... Parker, Milton 5 ..................................................................................... Parker, Richard 31 ..................................................................................... Parks, Charles 148 ..................................................................................... Parr, Olan 45 ..................................................................................... Parris-Wilkins, Tonya 1,110,122,127,29,4 ..................................................................................... 3,66,89 Partovi, Marjan 94 ..................................................................................... Partovi, Mojgan 160 ..................................................................................... Partrick, Jeremiah 13 ..................................................................................... Parvin, Karen 36 ..................................................................................... Pate, David 175,36 ..................................................................................... Patel, Amit 17 ..................................................................................... Patel, Anisha 101,139,184 ..................................................................................... Patel, Bhavinkumar 66 ..................................................................................... Patel, Jatin 31,74 ..................................................................................... Patel, Jay 158 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Nelson, Charles 94 ..................................................................................... Nelson, Gary 86 ..................................................................................... Neshat, Monica 130 ..................................................................................... Nester, Ashley 184 ..................................................................................... Nester, Brad 83 ..................................................................................... Neumann, John 186 ..................................................................................... Newcomb, Brandon 48 ..................................................................................... Newell, Gary 175 ..................................................................................... Newman, Anne 147 ..................................................................................... Newman, Michael 36 ..................................................................................... Newsome, Elise 148 ..................................................................................... Newton, Richard 148,42 ..................................................................................... Ngo, Howard 53 ..................................................................................... Nguyen, Ashley 5 ..................................................................................... Nguyen, Calvin 5,81 ..................................................................................... Nguyen, Catherine 5 ..................................................................................... Nguyen, Christine 28,53 ..................................................................................... Nguyen, Christopher 5 ..................................................................................... Nguyen, Cindy 189 ..................................................................................... Nguyen, Dao 88 ..................................................................................... Nguyen, Diem 28 ..................................................................................... Nguyen, Hieu 130,5,53 ..................................................................................... Nguyen, Hung 59 ..................................................................................... Nguyen, Kevin 189 ..................................................................................... Nguyen, Kim 138 ..................................................................................... Nguyen, Kristina 99 ..................................................................................... Nguyen, Lan 53 ..................................................................................... Nguyen, Linh 153,9 ..................................................................................... Nguyen, Loc 160,70,94 ..................................................................................... Nguyen, Long 70,94 ..................................................................................... Nguyen, Mike 189,5 ..................................................................................... Nguyen, Monique 5 ..................................................................................... Nguyen, Phuong-Mai 59 ..................................................................................... Nguyen, Phuong-Uyen 126,17 ..................................................................................... Nguyen, Quan 23 ..................................................................................... Nguyen, Quoc 59 ..................................................................................... Nguyen, Quynh 5 ..................................................................................... Nguyen, Quynh-Chi 28 ..................................................................................... Nguyen, Steve 13,5 ..................................................................................... Nguyen, Thi 160 ..................................................................................... Nguyen, Thuan 5 ..................................................................................... Nguyen, Tran 59 ..................................................................................... Nguyen, Tuan 53 ..................................................................................... Nguyen, Tuong-Van 5 ..................................................................................... Nguyen, Viet 101,109,130,138,18 ..................................................................................... 3,184,43,83 Nguyen, Vu 13,156,5,59 ..................................................................................... Nichols, Ashley 113,124,138,186,43 ..................................................................................... ,76 Nickerson, Michael 84 ..................................................................................... Nieto, Johana 59 ..................................................................................... Nightengale, Tiffany 102,110,121,64 ..................................................................................... Nikkhah, Jason 13,99 ..................................................................................... Nikkhah, Pouran 17 ..................................................................................... Nikpourfard, Matt 17,81 ..................................................................................... Nikpourfard, Reza 85 ..................................................................................... Nikseresht, Kamran 28 ..................................................................................... Niles, Raymond 189 ..................................................................................... Niver, Krystie 36 ..................................................................................... Norbo, Justin 128 ..................................................................................... Norbo, Kirk 128 .....................................................................................

230

Delta Dental Premier

Phan, Chuong 126,17 ..................................................................................... Phan, Duy-Man 53 ..................................................................................... Phan, Phuong 5 ..................................................................................... Phan, Thoaivan 167,189,53 ..................................................................................... Phan, Truc 28 ..................................................................................... Phan, Tuyet-Mai 13 ..................................................................................... Phaup, Alexis 175 ..................................................................................... Phillips, Douglas 31 ..................................................................................... Phillips, Sarah 113,117,124,139,17 ..................................................................................... 5,184,36,43,60,77 Phillips, W 91 ..................................................................................... Piascik, Christine 184 ..................................................................................... Pierce, Laura 156,53 ..................................................................................... Pikula, Agata 91 ..................................................................................... Pisciotta, Dominick 63 ..................................................................................... Pittman, Tyler 22 ..................................................................................... Plata, Raul 53 ..................................................................................... Pleickhardt, Steve 70 ..................................................................................... Pleta, Eva 167 ..................................................................................... Podbesek, Brian 45,63 ..................................................................................... Poe, Richard 10 ..................................................................................... Poku-Kwateng, Evelyn 22,99 ..................................................................................... Polk, David 20 ..................................................................................... Ponraj, Ernest 99 ..................................................................................... Poole, Adam 113,117,124,175,43 ..................................................................................... ,60,77 Poole, Charles 176 ..................................................................................... Popat, Nitesh 139,45 ..................................................................................... Pope, Robert 176 ..................................................................................... Popli, Kris 167 ..................................................................................... Popli, Vishal 139,148 ..................................................................................... Poquis, Gregory 101,139 ..................................................................................... Porter, Dina 66 ..................................................................................... Posenau, Jerry 101 ..................................................................................... Potter, William 31 ..................................................................................... Pouchot, Daniel 74 ..................................................................................... Poulsen, Brian 22 ..................................................................................... Powell, Natalie 148 ..................................................................................... Prasanna, Mysore 189 ..................................................................................... Prater, Phillip 21 ..................................................................................... Price, Ashlyn 106 ..................................................................................... Price, Mckinley 113 ..................................................................................... Price, Stephen 156,5 ..................................................................................... Propoggio, Susan 17 ..................................................................................... Prugh, Reed 40 ..................................................................................... Pugh, George 6 ..................................................................................... Pugh, Roy 182 ..................................................................................... Puller, Anthony 139 ..................................................................................... Punaji, Sowmya 189,60 ..................................................................................... Qiu, Kenneth 60,82 ..................................................................................... Quiggins, Melissa 70 ..................................................................................... Quilez, Robert 120 ..................................................................................... Quinn, Stephen 148,46 ..................................................................................... Quiros, Luis 193 ..................................................................................... Qureshi, Wasim 17 ..................................................................................... Raczynska, Aneta 181,70,94 ..................................................................................... Radcliffe, Stephen 22 ..................................................................................... Radford, Millard 150 ..................................................................................... Rafaat, Amirreza 85 ..................................................................................... Rafiq, Rabia 131,94 ..................................................................................... Rahim, Haress 17 .....................................................................................

Rahman, Murshed 6 ..................................................................................... Rahman, Nabeel 36 ..................................................................................... Rai, Shivaprasanna 158 ..................................................................................... Raika, Ana 41 ..................................................................................... Rainey, Vacora 158 ..................................................................................... Rainey, Vernon 163 ..................................................................................... Raja, Taimour 131,94 ..................................................................................... Ramai, Sheldon 156,26,66,94 ..................................................................................... Ramisetty, Chetana 153,53,94 ..................................................................................... Ramsay, Jamie 163 ..................................................................................... Ramsey, Alexander 148 ..................................................................................... Ramsey, Harry 117 ..................................................................................... Ramsey, Tony 19 ..................................................................................... Randazzo, Janine 106 ..................................................................................... Randolph, Renita 73,99 ..................................................................................... Ranjbar, Shahla 87 ..................................................................................... Ranzurmal, Mina 160,17 ..................................................................................... Rao, Sheila 94 ..................................................................................... Raoufinia, Arjang 13 ..................................................................................... Raoufinia, Nima 126,13 ..................................................................................... Raphael, Jeff 101,109,183,184,79 ..................................................................................... Rashid, Sumera 87 ..................................................................................... Rasmussen, Jay 117,124,42,77 ..................................................................................... Rasmussen, Kenneth 31 ..................................................................................... Rastogi, Loveena 113,77 ..................................................................................... Rasul, Afia 139 ..................................................................................... Ratner, Les 6 ..................................................................................... Rawls, Charles 163 ..................................................................................... Ray, Ronald 17 ..................................................................................... Ray, Sheetal 189,99 ..................................................................................... Rayek, Riaz 53 ..................................................................................... Raymond, Mark 42 ..................................................................................... Rayo, Samuel 53 ..................................................................................... Read, Allen 91 ..................................................................................... Reangber, Sina 80 ..................................................................................... Rearden, Cathy 99 ..................................................................................... Reategui, Patricia 158 ..................................................................................... Reddy, Harini 139 ..................................................................................... Reddy, Hima-Bindu 160,82 ..................................................................................... Redwine, William 139 ..................................................................................... Reeves, Carter 17 ..................................................................................... Reeves, Edward 88 ..................................................................................... Reeves, Ryan 88 ..................................................................................... Reichley, John 176 ..................................................................................... Reid, Donna 6 ..................................................................................... Reid, John 73 ..................................................................................... Reimer, Michael 113,117,124,176,19 ..................................................................................... 3,77 Reis, Lauren 13 ..................................................................................... Reitz, Mark 21 ..................................................................................... Rejintala, Archana 94 ..................................................................................... Rekow, Marlin 181 ..................................................................................... Render, Philip 79 ..................................................................................... Reschenthaler, Corinne 163 ..................................................................................... Resendes, Melanie 139 ..................................................................................... Resnick, Elizabeth 176 ..................................................................................... Ressler, Christine 101,106,127,139,19 ..................................................................................... ,73 Restrepo, Melissa 113 ..................................................................................... Reynolds, Elizabeth 139 ..................................................................................... Reynolds, Gavin 19 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Patel, Kinjal 53,76 ..................................................................................... Patel, Kunjal 73 ..................................................................................... Patel, Mayur 189 ..................................................................................... Patel, Monica 99 ..................................................................................... Patel, Nimisha 60 ..................................................................................... Patel, Nrupur 106 ..................................................................................... Patel, Raj 158 ..................................................................................... Patel, Sachi 160 ..................................................................................... Patel, Sharli 13,150,166,28 ..................................................................................... Patel, Vaibhavi 47 ..................................................................................... Patel, Vaishali 139,43 ..................................................................................... Patel, Vikaskumar 94 ..................................................................................... Patil, Vinayak 158 ..................................................................................... Patterson, Cheryl 49 ..................................................................................... Patterson, Dayne 5 ..................................................................................... Pauley, Richard 113 ..................................................................................... Paxton, Kelly 36 ..................................................................................... Payne, Albert 34,47 ..................................................................................... Payne, Christopher 34,47 ..................................................................................... Payne, Stephen 106 ..................................................................................... Peaks, Kelly 17 ..................................................................................... Pearl, Dina 175 ..................................................................................... Pearlman, Darryl 89 ..................................................................................... Pearson, Bonnie 122 ..................................................................................... Peat, Ashley 139,43 ..................................................................................... Peebles, Rebecca 60,94 ..................................................................................... Peery, James 40,90 ..................................................................................... Pelaez, Jorge 175 ..................................................................................... Pellerin, Robert 175 ..................................................................................... Pemberton, David 139 ..................................................................................... Pena, Estela 17 ..................................................................................... Pentecost, Grace 117 ..................................................................................... Penterson, Robert 106 ..................................................................................... Perez, Agustin 113 ..................................................................................... Perez, Ricardo 158,189,66,94 ..................................................................................... Perez, Timothy 113,175 ..................................................................................... Perkins, Nancy 96 ..................................................................................... Perkinson, S 101,106,139,19,73 ..................................................................................... Perkinson, William 106,120,126 ..................................................................................... Perlman, Steven 77 ..................................................................................... Peroutka, John 106,151,62 ..................................................................................... Perry-Wright, Arlene 66 ..................................................................................... Perumal Naidu Nagaiah, Rohini 13 ..................................................................................... Petersen, Katherine 184,193 ..................................................................................... Petticolas, Augustus 90 ..................................................................................... Pettit, Jeffrey 22 ..................................................................................... Peyser, Brian 60 ..................................................................................... Peyser, Richard 60 ..................................................................................... Pfab, Michael 127,41 ..................................................................................... Pham, Anh 53 ..................................................................................... Pham, Diane 167,5 ..................................................................................... Pham, Hanah 130 ..................................................................................... Pham, Heather 113 ..................................................................................... Pham, Hiep 167,5 ..................................................................................... Pham, Jacob 148 ..................................................................................... Pham, Jennifer 60,70 ..................................................................................... Pham, Long 60,74 ..................................................................................... Pham, Minh 60 ..................................................................................... Pham, Thang 60 ..................................................................................... Pham, Thanh 9 ..................................................................................... Phan, Anh 5 .....................................................................................

231

Delta Dental Premier

Roller, William 148 ..................................................................................... Romano, Frank 6,66 ..................................................................................... Ronis, James 99 ..................................................................................... Root, Noel 102,110,122,34,64 ..................................................................................... Roper, Erik 101,106,127,139,19 ..................................................................................... ,73 Rose, Graham 139 ..................................................................................... Rose, Jennifer 80 ..................................................................................... Rose, Martine 140 ..................................................................................... Rosemond, Randall 127 ..................................................................................... Rosenberg, Robert 99 ..................................................................................... Rosenblum, Stephen 156,167,53,6,60 ..................................................................................... Rosenman, Lawrence 156,89 ..................................................................................... Rosinski, Ashley 87 ..................................................................................... Rosinski, Kenneth 94 ..................................................................................... Ross, Robert 148 ..................................................................................... Rossetti, Michael 140 ..................................................................................... Rothschild, Kenneth 87 ..................................................................................... Rotter, Michael 53,60 ..................................................................................... Rowe, James 110 ..................................................................................... Rowe, Samuel 63 ..................................................................................... Rubin, Michael 13 ..................................................................................... Rubin, Rick 185 ..................................................................................... Rubino, Richard 160 ..................................................................................... Rueda, Santiago 13,53 ..................................................................................... Ruffin, Wyatt 64 ..................................................................................... Ruffner, Scott 89 ..................................................................................... Ruparelia, Shreyesh 160 ..................................................................................... Rusnak, Brent 140 ..................................................................................... Russell, H 148 ..................................................................................... Russo, Edward 110 ..................................................................................... Rusz, Joesph 131,17 ..................................................................................... Rusznak, Zoltan 17 ..................................................................................... Rutherford, Billy 84 ..................................................................................... Ruzzo, Joseph 99 ..................................................................................... Ryan, Craig 148 ..................................................................................... Ryan, Danielle 156,53 ..................................................................................... Rye, Leslie 131 ..................................................................................... Ryee, James 167 ..................................................................................... Saba, Leila 60 ..................................................................................... Saba, Maryam 156 ..................................................................................... Saba, Ramez 99 ..................................................................................... Sabet, Shahram 167 ..................................................................................... Sabharwal, Aman 13,17 ..................................................................................... Sachdev, Aman 158 ..................................................................................... Sachs, Scott 118,163,176,36 ..................................................................................... Sachs, Warren 118,163,176,36 ..................................................................................... Sadeddin, Hazim 13,189,6,9,94 ..................................................................................... Sadoon, Ihab 21 ..................................................................................... Saecker, J 1 ..................................................................................... Safari, Elham 82 ..................................................................................... Saghir, Riffat 53,67 ..................................................................................... Sagman, Michael 113 ..................................................................................... Sagun, Marvin 163 ..................................................................................... Said, Masood 156,189 ..................................................................................... Saif, Mina 186 ..................................................................................... Salartash, Shahrzad 99 ..................................................................................... Salas, Christopher 128,87,94 ..................................................................................... Saleh, Lara 26 ..................................................................................... Salem, Muhanad 118,125,176 ..................................................................................... Salerno, James 118,176 .....................................................................................

Salumbides, Josephine 189,60 ..................................................................................... Salyer, Laymon 36 ..................................................................................... Salzberg, Adam 63 ..................................................................................... Samadnejad, Farshad 6 ..................................................................................... Samra, Christina 121 ..................................................................................... Sanati, Ardalan 167,82 ..................................................................................... Sanchez De Lozada, Mia 23 ..................................................................................... Sanchez Ocasio, Jesus 113,185,41 ..................................................................................... Sandhu, Maninderjit 131,28,87,94 ..................................................................................... Sandhu, Navdeep 176,37 ..................................................................................... Sangid, Ronny 14,6 ..................................................................................... Sankepally, Divya 77 ..................................................................................... Sankowski, Christine 125 ..................................................................................... Santos, Estelito 163 ..................................................................................... Santos, Stephanie 176 ..................................................................................... Sapon, Mark 32,74 ..................................................................................... Sapperstein, Evan 60 ..................................................................................... Saravana, Saumitra 140,44,67,73 ..................................................................................... Sareen, Deepti 53 ..................................................................................... Sarmiere, Lawrence 185 ..................................................................................... Sarraj, Ali 60 ..................................................................................... Sarrett, David 140 ..................................................................................... Sartelle, Harry 69 ..................................................................................... Sastry, Preeti 21 ..................................................................................... Sattar, John 161 ..................................................................................... Satterfield, Rose 47 ..................................................................................... Sauls, Latasha 150 ..................................................................................... Saunders, Paul 140 ..................................................................................... Saunders, Roy 91 ..................................................................................... Savage, Cary 176 ..................................................................................... Savage, Dennis 102,110,122,64 ..................................................................................... Savage, Harry 140 ..................................................................................... Savage, Randolph 176 ..................................................................................... Savenkova, Svitlana 9 ..................................................................................... Sawyer, Summer 91 ..................................................................................... Saxon, Walter 48 ..................................................................................... Saxton, Jacob 176,99 ..................................................................................... Sayeed, Afreen 189,53,60,94 ..................................................................................... Sayyar, Shahreyar 73 ..................................................................................... Sbeih, Izzat 99 ..................................................................................... Scelfo, Peter 154 ..................................................................................... Schaap, Alex 32,79 ..................................................................................... Schandorff, Mark 63,8 ..................................................................................... Schantz, Cara 14 ..................................................................................... Scharnhorst, Scott 128 ..................................................................................... Schecht, Wayne 167,53,60 ..................................................................................... Schehl, John 6,99 ..................................................................................... Scheider, Phillip 94 ..................................................................................... Schiff, Ivan 118,163,176,37 ..................................................................................... Schlang, Elliot 99 ..................................................................................... Schleicher, Thomas 44 ..................................................................................... Schlensker, Scott 106 ..................................................................................... Schmitt, Steven 140 ..................................................................................... Schnecker, Dennis 20 ..................................................................................... Schneider, Allen 156 ..................................................................................... Schneider, Grant 6 ..................................................................................... Schneider, Joseph 24 ..................................................................................... Schobel, Brian 14 ..................................................................................... Schoeb, John 32,45 ..................................................................................... Scholl, Leo 121,140 ..................................................................................... Schonbrun, David 176 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Reynolds, James 148 ..................................................................................... Reynolds, Jillian 117,163,176,36 ..................................................................................... Reynolds, John 139 ..................................................................................... Reynolds, Kenneth 118,124,176 ..................................................................................... Rhea, William 41 ..................................................................................... Rhoday, John 42 ..................................................................................... Rhodes, Daniel 43,44,83,84 ..................................................................................... Rhodes, James 125,36 ..................................................................................... Rice, Collin 36 ..................................................................................... Rice, James 110,148,31,42 ..................................................................................... Rice, Jennifer 110,31 ..................................................................................... Rice, Richard 23 ..................................................................................... Richards, Carter 113,125,176,66 ..................................................................................... Richardson, Emmett 96 ..................................................................................... Richardson, Eugene 122 ..................................................................................... Richardson, Kelly 186 ..................................................................................... Richardson, Sariah 150 ..................................................................................... Richardson, Thomas 20 ..................................................................................... Richardson-Overstreet, Susan 151,73 ..................................................................................... Richmond, Leslie 176 ..................................................................................... Rickman, James 106 ..................................................................................... Rieman, Francis 66 ..................................................................................... Riley, David 150 ..................................................................................... Riley, Jeffrey 91 ..................................................................................... Riley, Michael 91 ..................................................................................... Rios, Jorge 160,17 ..................................................................................... Rismani-Flenniken, Suzan 167 ..................................................................................... Ritchie, David 71 ..................................................................................... Ritter, James 176 ..................................................................................... Rizkalla, Adel 60 ..................................................................................... Rizvi, Zia 17 ..................................................................................... Roadcap, Richard 44 ..................................................................................... Robbins, Alan 164 ..................................................................................... Roberson, James 122,126 ..................................................................................... Roberts, Anna 20 ..................................................................................... Roberts, Brice 151,169 ..................................................................................... Roberts, Cameron 165,78 ..................................................................................... Roberts, Carole 63,91 ..................................................................................... Roberts, David 106,120,127,40 ..................................................................................... Roberts, Erik 132 ..................................................................................... Roberts, Kristin 150 ..................................................................................... Roberts, Thomas 6 ..................................................................................... Robertson, John 20 ..................................................................................... Robinson, Donald 113,77 ..................................................................................... Robinson, Eli 139 ..................................................................................... Robinson, Elizabeth 118,176,36 ..................................................................................... Robinson, Lynn 148 ..................................................................................... Robinson, Margo 189,94 ..................................................................................... Robinson, William 42 ..................................................................................... Roca, Adam 13 ..................................................................................... Roca, Aurelio 13 ..................................................................................... Roca, Lupita 13 ..................................................................................... Rodrigues, Shwetha 40 ..................................................................................... Rodriguez, Cristelle 153 ..................................................................................... Roelofs, Renae 139,99 ..................................................................................... Rogers, Lloyd 70 ..................................................................................... Rogowski, David 167 ..................................................................................... Rojas, Juan 44 ..................................................................................... Roller, J Daniel 182 ..................................................................................... Roller, John 182 ..................................................................................... Roller, Matthew 159 .....................................................................................

232

Delta Dental Premier

Shelley, Stephanie 102,111,122,34,64 ..................................................................................... Sheppard, Corey 148 ..................................................................................... Sherman, Frank 20 ..................................................................................... Sherman, Heidi 88 ..................................................................................... Sherwin, Ted 121,88 ..................................................................................... Sheta, Amr 118 ..................................................................................... Shewmaker, Dale 54 ..................................................................................... Shiflet, Harvey 176 ..................................................................................... Shin, Hye 161 ..................................................................................... Shin, Leo 14,167 ..................................................................................... Shin, Rebecca 182 ..................................................................................... Shirk, Winfield 24,84 ..................................................................................... Showalter, Perry 74 ..................................................................................... Shroff, Amisha 60 ..................................................................................... Shu, Man 26 ..................................................................................... Shuck, Michael 185 ..................................................................................... Sibley, David 54 ..................................................................................... Sidhu, Rupinder 87 ..................................................................................... Sidor, Anna 131,14,189,23,60 ..................................................................................... Silk, Zaher 189,49,6,95 ..................................................................................... Sill, Laurence 140 ..................................................................................... Silverman, Ronald 6 ..................................................................................... Silvers, Arthur 47 ..................................................................................... Silveus, Michael 167 ..................................................................................... Simanek, Milan 54 ..................................................................................... Simmons, Darian 37 ..................................................................................... Simon, Alexander 106,44,73 ..................................................................................... Simon, Deepa 106,140 ..................................................................................... Sims, Michael 176 ..................................................................................... Sinclair, Emily 140,67 ..................................................................................... Sinclair, John 176 ..................................................................................... Singh, Geetika 54 ..................................................................................... Singh, Simranjit 82 ..................................................................................... Singleton, John 148 ..................................................................................... Singor, Lauren 118,163,176,37 ..................................................................................... Siragusa , Joseph 77 ..................................................................................... Sisel, Jeffrey 14 ..................................................................................... Skaff, Victor 169 ..................................................................................... Skinner, Gregory 148 ..................................................................................... Skinner, Kevin 26,82,99 ..................................................................................... Sklar, Andrew 6 ..................................................................................... Skrba, Sladjana 118,125,177,77 ..................................................................................... Slattery, Matthew 113 ..................................................................................... Slaughter, Kevin 42 ..................................................................................... Slaughter, Terry 42 ..................................................................................... Slepsky, Peter 24,49 ..................................................................................... Sloat, Inga 167 ..................................................................................... Smagalski, Gary 32 ..................................................................................... Smalls, Ronald 185 ..................................................................................... Smallwood, Anthony 79 ..................................................................................... Smart, Danielle 67 ..................................................................................... Smiley, Christopher 41 ..................................................................................... Smith, Eric 109,113,152,77 ..................................................................................... Smith, Hubert 6 ..................................................................................... Smith, Jacqueline 177 ..................................................................................... Smith, James 91 ..................................................................................... Smith, Jessica 140 ..................................................................................... Smith, John 19 ..................................................................................... Smith, Kathryn 99 ..................................................................................... Smith, Kenneth 148 ..................................................................................... Smith, Mark 128,47 .....................................................................................

Smith, Richard 21 ..................................................................................... Smith, Sandra 110 ..................................................................................... Smith, Stephanie 177 ..................................................................................... Smith, Theodore 177 ..................................................................................... Smith, Thomas 118,163,177,37 ..................................................................................... Smith, Timothy 128 ..................................................................................... Smith-Kayal, Alisa 118 ..................................................................................... Snow, Kevin 47 ..................................................................................... Snow, Wesley 140 ..................................................................................... Snyder, Casey 177 ..................................................................................... Snyder, James 6 ..................................................................................... Sobieh, Radwa 118 ..................................................................................... Soh, Han 28 ..................................................................................... Sok, Erica 74 ..................................................................................... Solemaninejad, Homan 14,6,60 ..................................................................................... Solier, George 6 ..................................................................................... Solis, Ricardo 32,79 ..................................................................................... Solomon, Albert 37 ..................................................................................... Soltani, Jim 26 ..................................................................................... Soltani, Shahrokh 14,161 ..................................................................................... Soltanian, Farshid 110,140,73 ..................................................................................... Song, Eunice 148 ..................................................................................... Song, Janet 54 ..................................................................................... Song, Michael 167,54 ..................................................................................... Soni, Shweta 79 ..................................................................................... Sood, Vandana 87 ..................................................................................... Sorenson, Robert 106,91 ..................................................................................... Sorin, Mark 102,111,122,64 ..................................................................................... Sotack, Mary 37 ..................................................................................... Soules, Lana 82 ..................................................................................... Sours, Charles 189 ..................................................................................... Sours, Elaine 95 ..................................................................................... Sowan, Jamil 148,42,47,97 ..................................................................................... Sowers, Steven 148 ..................................................................................... Soyfer, Vladimir 54 ..................................................................................... Spain, Murray 118,177 ..................................................................................... Spainhour, Stephen 140 ..................................................................................... Spalding, Harry 64 ..................................................................................... Spano, Brad 32 ..................................................................................... Sparks, Sarah 106,120,127 ..................................................................................... Spaur, Ernest 127 ..................................................................................... Spears, Brian 19 ..................................................................................... Spechler, Jerome 6 ..................................................................................... Speegle, John 185 ..................................................................................... Speicher, Mary 23,70 ..................................................................................... Spence, Jeffrey 121 ..................................................................................... Spence, Teddy 41 ..................................................................................... Spence, Terry 49 ..................................................................................... Spencer-Fuller, Joy 87 ..................................................................................... Spillers, Ronald 109,42,63,79 ..................................................................................... Spitzer, Jay 140 ..................................................................................... Spitzer, Timothy 189,23,28,6 ..................................................................................... Spory, Philip 84 ..................................................................................... Sprague, Patrick 89 ..................................................................................... Spraker, Michael 150 ..................................................................................... Springmann, Sebastiana 185 ..................................................................................... Sprinkle, Grant 151 ..................................................................................... Sriram, Kanaka 167 ..................................................................................... St George, Susan 67 ..................................................................................... St Louis, Stephen 54 ..................................................................................... Staas, Jennifer 140 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Schroeder, Stephen 121,140 ..................................................................................... Schrumpf, Gregory 176 ..................................................................................... Schultz, Allen 128 ..................................................................................... Schulz, Albert 63 ..................................................................................... Schumann, Nancy 185 ..................................................................................... Schuyler, Gary 94 ..................................................................................... Schwartz, James 158 ..................................................................................... Scott, Annette 6 ..................................................................................... Scott, Tamasha 113,118,125,176,77 ..................................................................................... Seaburg, Raymond 193 ..................................................................................... Seaver, James 22 ..................................................................................... Sedaghatpour, Hashem 23 ..................................................................................... Sedwick, Richard 159 ..................................................................................... Seigel, Harold 60 ..................................................................................... Seiler, Joseph 48 ..................................................................................... Seiler, Kathleen 48 ..................................................................................... Sekhon, Navneet 106 ..................................................................................... Selander, Ann 99 ..................................................................................... Selden, Robert 118 ..................................................................................... Selden, Stephen 101 ..................................................................................... Selenou-Tema, Alain 6 ..................................................................................... Self, Oscar 176 ..................................................................................... Sellers, John 54 ..................................................................................... Selph, Barney 24 ..................................................................................... Semtner, Monica 148 ..................................................................................... Semtner, Robert 148 ..................................................................................... Sensenbrenner, Diana 131,161 ..................................................................................... Sentz, Thomas 181 ..................................................................................... Sepahi, Saman 99 ..................................................................................... Sevilla, Maria 167 ..................................................................................... Shaafi, Mojgan 54 ..................................................................................... Shadrin, Blanka 97 ..................................................................................... Shaeffer, Elizabeth 14 ..................................................................................... Shafiei, Nikki 189,54,6,60,67,94 ..................................................................................... Shah, Advait 94 ..................................................................................... Shah, Bijal 87 ..................................................................................... Shah, Rohini 120,140,44,73 ..................................................................................... Shah, Rupal 140 ..................................................................................... Shah, Vishal 109 ..................................................................................... Shahram, Shohreh 167 ..................................................................................... Shaia, Paul 101,140 ..................................................................................... Shan, Ailin 140 ..................................................................................... Shannon, Andrew 167,99 ..................................................................................... Shannon, Travis 151 ..................................................................................... Shapiro, Harold 6 ..................................................................................... Sharafi, Alireza 161,6 ..................................................................................... Shareghi, Shadi 54 ..................................................................................... Sharif, Asif 118,125,176,77 ..................................................................................... Sharma, Mohit 45,70,94 ..................................................................................... Sharma, Sumit 131,17 ..................................................................................... Sharp, Martha 128 ..................................................................................... Sharpe, Isiah 125 ..................................................................................... Sharrock, Michael 37 ..................................................................................... Shaw, Christina 131,161 ..................................................................................... Shea, Thomas 91 ..................................................................................... Shearer, Elliot 91 ..................................................................................... Shearer, James 97 ..................................................................................... Shearer, Ryan 181 ..................................................................................... Sheikh, Shehzad 161 ..................................................................................... Shelburne, Stephen 122 ..................................................................................... Shelley, Spencer 121 .....................................................................................

233

Delta Dental Premier

Svirsky, John 140 ..................................................................................... Swanson, Cristina 95 ..................................................................................... Swanson, Joshua 158,67 ..................................................................................... Sweeney, Christabel 159 ..................................................................................... Sweeney, John 165,54 ..................................................................................... Sweeney, Pia 177 ..................................................................................... Sweeney, Richard 125 ..................................................................................... Sweiry, Eli 177 ..................................................................................... Swenson, Kevin 49 ..................................................................................... Swett, David 32 ..................................................................................... Swett, Rebecca 32 ..................................................................................... Swiger, Ralph 87 ..................................................................................... Swisher, Charles 32 ..................................................................................... Syed, Chand 193 ..................................................................................... Szubiak, Stanislaw 141,44,73 ..................................................................................... Tabor, Christian 73 ..................................................................................... Tabor, William 118,77 ..................................................................................... Tadros, Amear 126 ..................................................................................... Tafo-Tabue, Hendrick 106 ..................................................................................... Taheri, Bruce 161,189,6,95 ..................................................................................... Tahim, Geetika 82 ..................................................................................... Tahmasebi-Boldaji, Jila 46,60 ..................................................................................... Tailor, Priya 141,44,67 ..................................................................................... Tajalli, Flora 82 ..................................................................................... Taliaferro, Richard 159 ..................................................................................... Talton, John 141 ..................................................................................... Tam, Amy 37 ..................................................................................... Tamhankar, Nisha 14 ..................................................................................... Tanguilig-Thomas, Elizabeth 37 ..................................................................................... Tao-Yi, Sonia 114 ..................................................................................... Tarasidis, Vera 141 ..................................................................................... Tate, Carter 42 ..................................................................................... Tatem, Taurus 67 ..................................................................................... Tavakkoli, Kambiz 189,6 ..................................................................................... Tavakkoli, Kamran 189,6 ..................................................................................... Tavassoli, Amir 141 ..................................................................................... Taylor, Alan 163 ..................................................................................... Taylor, Donald 123 ..................................................................................... Taylor, Ellis 32 ..................................................................................... Taylor, Emery 42,45,63 ..................................................................................... Taylor, James 141 ..................................................................................... Taylor, Russell 123 ..................................................................................... Taylor, Ryan 156 ..................................................................................... Tebbenkamp, Justin 20,42 ..................................................................................... Techapanit, Chantarat 14,150,167,29 ..................................................................................... Temburni, Amarjeet 60 ..................................................................................... Templeton, David 71 ..................................................................................... Terango, Larry 95 ..................................................................................... Terry, Ronald 150 ..................................................................................... Terwilliger, Gayle 152 ..................................................................................... Testerman, Edward 159 ..................................................................................... Thammineni, Kishore 186 ..................................................................................... Thekkethottiyil, Georgea 73 ..................................................................................... Thews, Scott 106 ..................................................................................... Thlick, Su-En 190,89 ..................................................................................... Thomas, Bennett 37 ..................................................................................... Thomas, Ken 162 ..................................................................................... Thomas, Marvette 85 ..................................................................................... Thomas, Stephen 162 ..................................................................................... Thomas, Susan 141 ..................................................................................... Thomas, William 156,33 .....................................................................................

Thomason, Edward 141 ..................................................................................... Thomas-Webb, Sonya 37 ..................................................................................... Thompson, Andrew 167 ..................................................................................... Thompson, Damon 20 ..................................................................................... Thompson, Daniel 20 ..................................................................................... Thompson, Harper 151,73 ..................................................................................... Thompson, Harvey 64 ..................................................................................... Thompson, Jack 121,74 ..................................................................................... Thompson, K 153 ..................................................................................... Thompson, William 41 ..................................................................................... Thomson, Shibu 45 ..................................................................................... Thornton, William 64 ..................................................................................... Throckmorton, David 177 ..................................................................................... Throckmorton, Dennis 192 ..................................................................................... Throckmorton, Maria 177 ..................................................................................... Thurston, Christopher 1,71 ..................................................................................... Thweatt, Bradford 151 ..................................................................................... Tibbs, Vicki 128 ..................................................................................... Tiesworth, Daniel 141 ..................................................................................... Tisdelle, George 32 ..................................................................................... To, Bryant 29 ..................................................................................... Todd, Patrick 150 ..................................................................................... Todd, Stephen 141 ..................................................................................... Tolson, Ronald 6 ..................................................................................... Tomaselli, Philip 23 ..................................................................................... Tomchik, Jayme 177 ..................................................................................... Tomoda, Matthew 20 ..................................................................................... Toms, Michelle 158 ..................................................................................... Ton, Amy 131 ..................................................................................... Ton, April 23 ..................................................................................... Ton, Theresa 29 ..................................................................................... Toney, Tyler 1,71 ..................................................................................... Toone, Gregory 91 ..................................................................................... Torma, Audrey 23 ..................................................................................... Torrey, Edwin 67 ..................................................................................... Townes, Kimberly 7 ..................................................................................... Townsend, David 96 ..................................................................................... Toyer, Leonard 190 ..................................................................................... Trabosh, Jon 49 ..................................................................................... Trahos, Michael 109 ..................................................................................... Trahos, Norman 109,7 ..................................................................................... Tran, Allie 60 ..................................................................................... Tran, An 54 ..................................................................................... Tran, Annah 54 ..................................................................................... Tran, Bernard 161 ..................................................................................... Tran, Britnie 114,118,125,177,77 ..................................................................................... Tran, Hoang-Oanh 60 ..................................................................................... Tran, Julie 7 ..................................................................................... Tran, Keri 190,7 ..................................................................................... Tran, Linh 9 ..................................................................................... Tran, Minh-Duc 57,61 ..................................................................................... Tran, Myvan 7 ..................................................................................... Tran, Quang 156,54 ..................................................................................... Tran, Vinh 190,61 ..................................................................................... Trawick, Donald 106 ..................................................................................... Trent, Faith 106 ..................................................................................... Trieu, Hai 61 ..................................................................................... Trinh, Phuong 167,26,70 ..................................................................................... Trivedi, Kalpana 54 ..................................................................................... Trolenberg, William 114 ..................................................................................... Trow, Thomas 141 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Stack, Hollie 167 ..................................................................................... Stafford, David 34,47 ..................................................................................... Stafford, Matthew 140,44,83 ..................................................................................... Staley, Catherine 8 ..................................................................................... Stallings, Eddie 95 ..................................................................................... Stange, F 37 ..................................................................................... Stanovick, Paul 101 ..................................................................................... Stansfield, Michael 44 ..................................................................................... Staples, Kristina 110,29,89 ..................................................................................... Starnes, Nazie 67 ..................................................................................... States, Michael 32 ..................................................................................... Staver, Tatiana 161 ..................................................................................... Steadman, Robert 140 ..................................................................................... Steele, Ben 118,77 ..................................................................................... Steger, Carl 153 ..................................................................................... Steinbach, Boris 60 ..................................................................................... Stelmach, Michelle 77 ..................................................................................... Stensland, Steven 185 ..................................................................................... Stenvall, Meghan 185 ..................................................................................... Stephens, James 62 ..................................................................................... Stephens, Matthew 151 ..................................................................................... Stephens, Nathan 151 ..................................................................................... Stephenson, John 9 ..................................................................................... Sterling, Arden 140 ..................................................................................... Stermer, George 97 ..................................................................................... Stevenson, Pretlow 125 ..................................................................................... Stewart, Henry 140 ..................................................................................... Stewart, Jennifer 14,167,60,82 ..................................................................................... Stewart, Timothy 140 ..................................................................................... Stiebel, William 159 ..................................................................................... Stockburger, Daniel 114 ..................................................................................... Stoner, Kenneth 140 ..................................................................................... Storm, Matthew 67 ..................................................................................... Stout, Michael 182 ..................................................................................... Straus, Frank 140 ..................................................................................... Strauss, Zachary 101 ..................................................................................... Stringham, Matthew 54 ..................................................................................... Stringham, William 54 ..................................................................................... Stuart, Katherine 151 ..................................................................................... Stubblefield, Margaret 22 ..................................................................................... Stubbs, Julie 122 ..................................................................................... Stubbs, Paul 122 ..................................................................................... Stump, Lauren 150,32 ..................................................................................... Subramanian, Deepa 87,95 ..................................................................................... Suk, Minjeong 161,54 ..................................................................................... Suk, Sun 49,82 ..................................................................................... Sullivan, Kit 106,120,127,40 ..................................................................................... Sultan, Ayesha 95 ..................................................................................... Sultanzada, Yama 156,189 ..................................................................................... Summerlin, Jack 163 ..................................................................................... Sumner, Lydia 70 ..................................................................................... Sumner, Timothy 70 ..................................................................................... Sun, David 67 ..................................................................................... Sun, Richard 131 ..................................................................................... Sun, Wenhui 70 ..................................................................................... Sur, Marcus 118,163,177,37 ..................................................................................... Surat, Eric 148 ..................................................................................... Surendran, Swapna 189,49 ..................................................................................... Sutherland, William 92 ..................................................................................... Suyes, David 151 ..................................................................................... Svechota-Kingsbury, Bruce 131,17 .....................................................................................

234

Delta Dental Premier

Villarroel-Soto, Claudia 100,17 ..................................................................................... Villasis, Juan 193,37 ..................................................................................... Villavicencio, Olmedo 10 ..................................................................................... Villier, Donald 110 ..................................................................................... Vinson, Alexa 141,150,19 ..................................................................................... Vlasek, Natalie 181 ..................................................................................... Vo, Brittany 167 ..................................................................................... Vo, Duy 14 ..................................................................................... Vogt, Nathan 79 ..................................................................................... Volkova, Irina 101,110,122,141,18 ..................................................................................... 3,185,44,83 Vorchheimer, Roger 23 ..................................................................................... Vu, Cindy 161 ..................................................................................... Vu, Duy-Anh 14,29 ..................................................................................... Vu, John 7 ..................................................................................... Vu, Khai 167 ..................................................................................... Vu, Tuan 17 ..................................................................................... Wade, Frank 141 ..................................................................................... Wade, Timothy 183 ..................................................................................... Wagman, Jeffrey 7 ..................................................................................... Wakefield, Keri 89 ..................................................................................... Walerko, Philp 20 ..................................................................................... Wali, Sofiya 54,7 ..................................................................................... Walker, David 185 ..................................................................................... Wall, Jesse 47 ..................................................................................... Waller, Carter 64 ..................................................................................... Walls, William 37 ..................................................................................... Walrod, John 97 ..................................................................................... Walsh, Eugenia 89 ..................................................................................... Walther, William 181 ..................................................................................... Walton, Guy 84 ..................................................................................... Wang, Alice 7 ..................................................................................... Wang, Peng 14,54 ..................................................................................... Wang, Qin 44 ..................................................................................... Waqar, Rukhsana 61 ..................................................................................... Ward, Christine 40 ..................................................................................... Ward, Christopher 106,120,127 ..................................................................................... Ward, Gloria 121,141 ..................................................................................... Ward, Scott 148,46 ..................................................................................... Wartofsky, Ariel 193 ..................................................................................... Waterman, Jennifer 177 ..................................................................................... Watkins, James 77 ..................................................................................... Watson, Benjamin 114 ..................................................................................... Watson, Ethel 156 ..................................................................................... Watson, James 118 ..................................................................................... Watts, Jasper 77 ..................................................................................... Way, William 141 ..................................................................................... Way-Rodriguez, Jorge 158,190,67,95 ..................................................................................... Weaver, Yolonda 54 ..................................................................................... Webb, James 83 ..................................................................................... Webber, Terrence 107 ..................................................................................... Weinstein, Lee 118,163,177,37 ..................................................................................... Weisberg, Arnold 37 ..................................................................................... Weisberg, Barclay 37 ..................................................................................... Weisberg, Edward 118 ..................................................................................... Weiss, Barry 141 ..................................................................................... Welstead, Llewellyn 87 ..................................................................................... Wendell, Bryan 185,193 ..................................................................................... Werner, Alyssa 87 ..................................................................................... Wernick, Robert 177 ..................................................................................... West, Charles 8 .....................................................................................

Westover, Austin 186 ..................................................................................... Westover, Mitra 186 ..................................................................................... Wheeler, Kyle 63 ..................................................................................... Wheeler, Steven 110 ..................................................................................... White, Allen 177 ..................................................................................... White, Brandon 149,150 ..................................................................................... White, Calvin 193 ..................................................................................... White, Edwin 151 ..................................................................................... White, Jay 7 ..................................................................................... White, Julie 149 ..................................................................................... White, Karen 26 ..................................................................................... White, Linda 95 ..................................................................................... White, Robert 129 ..................................................................................... White, William 91 ..................................................................................... Whitman, Kime 120,141 ..................................................................................... Whitmer, Gregory 32 ..................................................................................... Whittington, Richard 167 ..................................................................................... Whynott, Christopher 150,32 ..................................................................................... Whyte, Michael 185 ..................................................................................... Wicker, Marybeth 107,120,127 ..................................................................................... Wiggins, Benjamin 125 ..................................................................................... Wilby, Lyla Rose 101,141 ..................................................................................... Wilkinson, Claude 141 ..................................................................................... Wilkinson, David 141 ..................................................................................... Willhide, John 67 ..................................................................................... Williams, Adam 149,46 ..................................................................................... Williams, Daniel 77 ..................................................................................... Williams, Jeffrey 107 ..................................................................................... Williams, Jon 7 ..................................................................................... Williams, Kristen 14 ..................................................................................... Williams, M Kurt 89 ..................................................................................... Williams, Suzanne 7 ..................................................................................... Williams, Tiffany 141 ..................................................................................... Williams, Vernon 158,67 ..................................................................................... Williamson, M 154 ..................................................................................... Willis, James 156,23,42,45,63,89 ..................................................................................... Willis, Julian 114,37 ..................................................................................... Willoughby, John 84 ..................................................................................... Willoughby, Tasha 67 ..................................................................................... Wilmer, Sarah 40,92 ..................................................................................... Wilson, James 97 ..................................................................................... Wilson, Joseph 125 ..................................................................................... Wilson, Lois 100,82 ..................................................................................... Wilson, Lori 122 ..................................................................................... Wilson, Natasha 118,125,141,177 ..................................................................................... Wilson, Robert 182 ..................................................................................... Wilson, Sarah 151,169 ..................................................................................... Wilson-Hartman, Melanie 23 ..................................................................................... Wiltbank, Bradley 100 ..................................................................................... Wingfield, William 84 ..................................................................................... Winkler, Mark 156 ..................................................................................... Winneberger, Walter 185 ..................................................................................... Wissink, Andrea 37 ..................................................................................... Witcher, Gordon 40 ..................................................................................... Witty, Thomas 114 ..................................................................................... Wolcott, Hollis 164 ..................................................................................... Wolf, Rudolf 20 ..................................................................................... Wolfe, John 32 ..................................................................................... Wolfe, Melissa 159,32 ..................................................................................... Wolpin, Scott 102,111,122,64 ..................................................................................... Wolters, Dwayne 79 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Truong, Kevin 69 ..................................................................................... Truong, Quynhmai 44 ..................................................................................... Truong, Thanh Huong 61 ..................................................................................... Truong, Tina 7 ..................................................................................... Truvan, Danny 29 ..................................................................................... Tsai, Chih-Ping 181,190,54,67,7,70, ..................................................................................... 82,89,95 Tsai, Jack 7 ..................................................................................... Tsang, David 131 ..................................................................................... Tsui, Nathan 7 ..................................................................................... Tudor, Cynthia 181 ..................................................................................... Tuggle, William 118 ..................................................................................... Tummarello, Mark 54 ..................................................................................... Tung, Pariana 156,61 ..................................................................................... Tupman, S 156,89 ..................................................................................... Turck, Michael 37 ..................................................................................... Turnage, Neil 101,106,127,141,19 ..................................................................................... ,73 Tyler, Michael 91 ..................................................................................... Ullrich, John 87 ..................................................................................... Unterbrink, Denise 42 ..................................................................................... Uppalapati, Sindhura 190 ..................................................................................... Upshur, Conway 141 ..................................................................................... Urban, David 61 ..................................................................................... Urquiaga, Claudio 29 ..................................................................................... Urteaga, Jair 14,95 ..................................................................................... Usman, Malik 82 ..................................................................................... Usnick, Janice 49 ..................................................................................... Utterback, Bruce 118,125,177,77 ..................................................................................... Vacca, Richard 106 ..................................................................................... Vaccaro, Thomas 54 ..................................................................................... Vacendak, Daniel 37 ..................................................................................... Vacendak, Sheila 37 ..................................................................................... Vahdani, Thomas 141 ..................................................................................... Vakay, Rena 26,80 ..................................................................................... Valdivieso, Gino 95 ..................................................................................... Valleru, Silvija 153,190 ..................................................................................... Valltos, Rachael 61 ..................................................................................... Vamaraju, Bindu 29,54,82 ..................................................................................... Van Scyoc, Chad 141 ..................................................................................... Van Slooten, Brian 14 ..................................................................................... Van, Nicole 100 ..................................................................................... Varanelli, Franklin 186 ..................................................................................... Vargas, Lida 54 ..................................................................................... Varkey, George 106,44,73 ..................................................................................... Varney, Sandra 87 ..................................................................................... Vasey, Eric 190 ..................................................................................... Vaughan, Gary 88 ..................................................................................... Vaughan, Keith 193 ..................................................................................... Vaughn, Paris 190 ..................................................................................... Vega, Oscar 32,92 ..................................................................................... Velander, Breanna 48 ..................................................................................... Vellanki, Swati 67 ..................................................................................... Vellucci, Jessica 106 ..................................................................................... Venne, Marko 114 ..................................................................................... Vera-Lopez, Karina 190,29 ..................................................................................... Vernon, J 44 ..................................................................................... Vess, Freemont 46 ..................................................................................... Vessali, Mojdeh 82 ..................................................................................... Vild, Diann 67 ..................................................................................... Villalba, Patricia 141,148 .....................................................................................

235

Delta Dental Premier

Young, Stephen 141 ..................................................................................... Younoszai, Abraham 100 ..................................................................................... Yousefi, Ashkan 190,67 ..................................................................................... Yu, Fan 54 ..................................................................................... Yu, Sang Hun 114,118,125,152,17 ..................................................................................... 7,77 Yung, Stefanie 177 ..................................................................................... Yung, Susan 181 ..................................................................................... Zacko, George 131 ..................................................................................... Zadeh, David 14,167 ..................................................................................... Zahir, Shabana 177 ..................................................................................... Zainul Abedeen, Anas 142,44,67 ..................................................................................... Zakhour, Hiba 167 ..................................................................................... Zak-Ramsay, Heather 163 ..................................................................................... Zale, Daniel 110 ..................................................................................... Zamani, Amir 14 ..................................................................................... Zamora -Rojas, Carla 7 ..................................................................................... Zand, Taraneh 49,82 ..................................................................................... Zapatero, Dag 177 ..................................................................................... Zapf, Michael 95 ..................................................................................... Zarei, Maryam 102,73 ..................................................................................... Zarookian, Armen 156,82 ..................................................................................... Zarrinfar, Allen 128 ..................................................................................... Zaun, Phillip 102 ..................................................................................... Zavislak, Robert 67 ..................................................................................... Zebarth, Stephen 186 ..................................................................................... Zeiaei-Nafchi, Saeid 153,190 ..................................................................................... Zeidler, Dennis 107 ..................................................................................... Zelazny, Lloyd 73 ..................................................................................... Zeno, Allan 119 ..................................................................................... Zentgraf, Ralph 107 ..................................................................................... Zhang, Jinghua 100 ..................................................................................... Zhu, Tingting 54 ..................................................................................... Zia, Asma 100 ..................................................................................... Zier, Tara 23,55,7 ..................................................................................... Zima, Andrew 102,84 ..................................................................................... Zimmer, Andrew 177 ..................................................................................... Zirnstein, Anh 109 ..................................................................................... Zopp, Bryan 181 ..................................................................................... Zubairi, Sadia 61,82 ..................................................................................... Zurmati, Farid 57 .....................................................................................

ORAL SURGEON Abbott, Michael 151 ..................................................................................... Abubaker, A 142 ..................................................................................... Agnihotri, Neil 102,107,142,151,73 ..................................................................................... Ali, Ziad 100 ..................................................................................... Allen, Harvey 67 ..................................................................................... Amin, Ahmad 153,190,7,95 ..................................................................................... Amos, Edward 186 ..................................................................................... Amrhein, Edward 32,45 ..................................................................................... Argintar, Barry 95 ..................................................................................... Armanious, Mark 14,162,61 ..................................................................................... Arzadon, Joseph 14,70,96 ..................................................................................... Asher, Kevin 14 ..................................................................................... Bailey, Ryan 67 ..................................................................................... Beale, Frank 177,37 ..................................................................................... Berry, Zachary 121,163,177,37 ..................................................................................... Bigelow, William 159 ..................................................................................... Blais, Kenneth 14,70,96 .....................................................................................

Bluhm, Andrew 18,87 ..................................................................................... Boyle, Richard 128,21 ..................................................................................... Brandt, Matthew 63,88 ..................................................................................... Brewer, Kevin 7 ..................................................................................... Brinser, Paul 122,40,83 ..................................................................................... Brown, Stephen 41,67 ..................................................................................... Bukzin, Jay 14,70 ..................................................................................... Burger, Brenton 161,26,70 ..................................................................................... Burgoyne, Corey 63,88 ..................................................................................... Byrnside, Valerie 121,163,178,37 ..................................................................................... Cabaniss, Charles 114 ..................................................................................... Campbell, Robert 73 ..................................................................................... Carvajal, William 62,91 ..................................................................................... Chalk, Evan 62,91 ..................................................................................... Chang, Brian 181,87 ..................................................................................... Colella, Peter 178 ..................................................................................... Coleman, Norman 156,167,7,98 ..................................................................................... Collins, R 182,32 ..................................................................................... Conelias, Trent 119,178 ..................................................................................... Conner, Gregory 32,45 ..................................................................................... Cook, Thomas 154 ..................................................................................... Corcoran, Theodore 14,61 ..................................................................................... Coviello, Vincent 14,186,61 ..................................................................................... Cyr, Jeffrey 107,142 ..................................................................................... Davenport, William 114,77,79 ..................................................................................... Dayse, Robert 190,67,95 ..................................................................................... Deeb, George 142 ..................................................................................... Delgado, Edward 167,7 ..................................................................................... Deluke, Dean 142 ..................................................................................... Devylder, Joseph 10,154,158,161,167 ..................................................................................... ,7,82 Dolan, Patrick 131,190,23,26,55 ..................................................................................... Doriot, Robert 55 ..................................................................................... Dorsch, Steve 18,87 ..................................................................................... Dymon, William 102,107,142,151,73 ..................................................................................... Eisenhardt, Peter 32,45 ..................................................................................... Ercole, Aaron 142 ..................................................................................... Eschenroeder, Thomas 107,142 ..................................................................................... Faircloth, W 32,45 ..................................................................................... Ferguson, Andrew 107,142 ..................................................................................... Fiorucci, Richard 7 ..................................................................................... Folck, Michael 178 ..................................................................................... Ford, Melvin 178 ..................................................................................... Foretich, Eric 98 ..................................................................................... Francioni, Sonia 10,100,190 ..................................................................................... Gliksman, Joseph 178,37,77 ..................................................................................... Gocke, Michael 100,190,23 ..................................................................................... Goodove, Scott 121,163,178,37 ..................................................................................... Gray, James 178 ..................................................................................... Gregory, Eugene 61 ..................................................................................... Guraya, Rajdeep 91 ..................................................................................... Guter, Klaus 178 ..................................................................................... Gutmann, J 156 ..................................................................................... Haas, H 67 ..................................................................................... Hamrah, Daria 100,14,67 ..................................................................................... Harris, Monroe 102,107,142,151,73 ..................................................................................... Hartmann, Paul 185 ..................................................................................... Henry, Rolin 158,7 ..................................................................................... Herrera, Maricio 114,14,142,44,70 ..................................................................................... Hill, Nicholas 32 ..................................................................................... Hoard, Martin 32 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Won, Jennifer 186 ..................................................................................... Wong, Dennis 102,107,141,73 ..................................................................................... Wong, Jonathan 177 ..................................................................................... Wong, Joshua 107,120 ..................................................................................... Woo, Gene 61 ..................................................................................... Woo, Jansen 14 ..................................................................................... Wood, Bryan 7 ..................................................................................... Wood, Patricia 26 ..................................................................................... Wood, William 80 ..................................................................................... Wooddell, John 10 ..................................................................................... Woodlock, Krista 177 ..................................................................................... Woodside, Jason 181 ..................................................................................... Woolfolk, Royce 141 ..................................................................................... Woolwine, Samuel 91 ..................................................................................... Workie, Daniel 141,149,42 ..................................................................................... Wortman, Michael 156,7 ..................................................................................... Wray, Henry 14 ..................................................................................... Wray, Ronald 97 ..................................................................................... Wright, Charles 37 ..................................................................................... Wright, D 149 ..................................................................................... Wright, Rita 190 ..................................................................................... Wright, Thomas 141 ..................................................................................... Wryter, Juliet 149,186,61 ..................................................................................... Wu, Linda 14 ..................................................................................... Xia, Joyce 161 ..................................................................................... Yalamanchili, Padmaja 54 ..................................................................................... Yandle, David 127 ..................................................................................... Yang, Hui 42 ..................................................................................... Yang, Ximin 100 ..................................................................................... Yann, Borarath 95 ..................................................................................... Yann, Borin 7 ..................................................................................... Yaqui, Luis 158,190,49,80 ..................................................................................... Yavrom, Monica 96 ..................................................................................... Yazdani, Forough 167 ..................................................................................... Yeager, Daniel 91 ..................................................................................... Yeager, Victoria 91 ..................................................................................... Yeargan, Jody 32 ..................................................................................... Yedigarian, Rouben 97 ..................................................................................... Yeh, Paul 118,163,177,37 ..................................................................................... Yeo, Mike 29 ..................................................................................... Yi, Amanda 54 ..................................................................................... Yi, Chang 100,54 ..................................................................................... Yi, John 14,26,87 ..................................................................................... Yi, Tyler 131,54 ..................................................................................... Ykeda, Cecilia 156 ..................................................................................... Yoda, Kyoko 149 ..................................................................................... Yoo, Young 190 ..................................................................................... Yoon, David 156 ..................................................................................... Yoon, Heather 42 ..................................................................................... Yoon, Jae 54 ..................................................................................... Yoon, Jaewon 26 ..................................................................................... Yoon, Jangyeul 54 ..................................................................................... Yoon, Seung 10 ..................................................................................... Yorgey, Kenneth 128 ..................................................................................... Young, Brenda 54 ..................................................................................... Young, Glenn 128 ..................................................................................... Young, Lynette 177 ..................................................................................... Young, M 141 ..................................................................................... Young, Marcus 114,77 ..................................................................................... Young, Mark 32 ..................................................................................... Young, Raymond 156,54 .....................................................................................

236

Delta Dental Premier

Patel, Ashish 158,168 ..................................................................................... Patel, Chirag 18 ..................................................................................... Patel, Dipa 15 ..................................................................................... Patel, Snehal 156,89 ..................................................................................... Patel, Suketu 131,18,87 ..................................................................................... Patterson, Adrian 131,23 ..................................................................................... Patterson, Travis 15,61 ..................................................................................... Paulette, Stephen 79 ..................................................................................... Pelkofski, Joseph 87 ..................................................................................... Pell, James 131,186,190 ..................................................................................... Perkins, Dennis 1,192,71,96 ..................................................................................... Pham, Anh 29,61,87 ..................................................................................... Phelps, Maynard 114,77,79 ..................................................................................... Pinch, John 62,91 ..................................................................................... Priest, James 152 ..................................................................................... Prillaman, Paul 38 ..................................................................................... Quigg, Richard 178 ..................................................................................... Rai, Shaun 178 ..................................................................................... Ramsey, Brent 79 ..................................................................................... Ramsey, Cyrus 131,190,23,26,55 ..................................................................................... Redmon, David 186 ..................................................................................... Renapurkar, Shravan 143 ..................................................................................... Robertson, Steven 131,190,23,26,55 ..................................................................................... Rothman, Jeffrey 7 ..................................................................................... Sarraf, Ammar 107,143 ..................................................................................... Scroggins, Samuel 151 ..................................................................................... Sellers, Vernon 125,164 ..................................................................................... Shami, Imad 55 ..................................................................................... Sherwood, Richard 48 ..................................................................................... Shin, Thomas 55,67 ..................................................................................... Shufford, Earl 44 ..................................................................................... Silloway, Kimberly 131,190,24,26,55 ..................................................................................... Smagalski, Gary 143,149,32 ..................................................................................... Smith, Peter 131,191,24,26,55 ..................................................................................... Solomon, James 32,45 ..................................................................................... Starley, Eric 186 ..................................................................................... Strauss, Robert 143 ..................................................................................... Strickland, Frank 87 ..................................................................................... Szakaly, Brian 152,38 ..................................................................................... Tankersley, Kenneth 114,77,79 ..................................................................................... Theberge, Daniel 131,191,24,26,55 ..................................................................................... Thompson, Brian 1,192,71,97 ..................................................................................... Tricker, Nathaniel 33,45 ..................................................................................... Trinh, Huy 55 ..................................................................................... Trotter, Bradley 122,40,83 ..................................................................................... Truitt, John 102 ..................................................................................... Vandervort, Gene 18,87 ..................................................................................... Vangilder, James 129,21 ..................................................................................... Vendetti, Curtis 178 ..................................................................................... Vigliante, Craig 87 ..................................................................................... Wallace, David 21 ..................................................................................... Wallace, James 107,143 ..................................................................................... Wang, Richard 131,186,191 ..................................................................................... Watson, Damon 102,107,143,152,73 ..................................................................................... Webber, Caroline 164,178,38 ..................................................................................... Wentz, Willard 48 ..................................................................................... West, L 185 ..................................................................................... Whitney, James 79 ..................................................................................... Wilhelm, Miles 33,45,68 ..................................................................................... Wlodawsky, Ross 102,107,143,152,73 ..................................................................................... Wojcik, Rose 161,26 .....................................................................................

Yaghmai, Pedram 131,24,27 ..................................................................................... Yeh, Frank 178,38 ..................................................................................... Zadeh, Hugh 10,191 ..................................................................................... Zagursky, Peter 121,164,178,38 ..................................................................................... Zoghby, Gregg 108,143 .....................................................................................

ORTHODONTIST Abbasi-Hafshejani, Azita 149,42,48 ..................................................................................... Abdel-Wahab, Mona 191 ..................................................................................... Abigail, Curtis 15 ..................................................................................... Ahn, Sooyeon 100,89 ..................................................................................... Albinder, Kenneth 178 ..................................................................................... Almy, Diana 68 ..................................................................................... Anderson, Holly 119,178,38 ..................................................................................... Anderson, Ralph 102,120,143,44 ..................................................................................... Anderson, Robert 164 ..................................................................................... Apt, Kolman 82 ..................................................................................... Arroyo-Pratt, Marielena 143 ..................................................................................... Ashby, John 119,178,38 ..................................................................................... Ashley, Chanda 159,182 ..................................................................................... Augustus, Sana 15 ..................................................................................... Babcock, Daniel 114 ..................................................................................... Barakat, Rana 48 ..................................................................................... Bassham, Deborah 1,22 ..................................................................................... Bates, Sheldon 143 ..................................................................................... Bath, Gregory 168,74 ..................................................................................... Baugher, Eric 91 ..................................................................................... Beecroft, Stephen 154,158 ..................................................................................... Behl, Yugal 114,125,178,38,77 ..................................................................................... Benes, Kristen 119,164,178,38 ..................................................................................... Benson, Wakeshi 143,40 ..................................................................................... Berman, Scott 61,82 ..................................................................................... Berry, Zane 152,185,193 ..................................................................................... Beyer, Jeffrey 108,44 ..................................................................................... Bibona, Kevin 108,143,73 ..................................................................................... Bivins, William 38 ..................................................................................... Black, Elena 149,91 ..................................................................................... Blackwood, Michael 154 ..................................................................................... Blanchette, Mark 91 ..................................................................................... Brassington, Bryan 108,143,73 ..................................................................................... Britto, A Denis 191,29 ..................................................................................... Brosnan, Paul 24,80 ..................................................................................... Brown, Camden 150 ..................................................................................... Buelow, Dwight 102,108,120,127,14 ..................................................................................... 3,19,40,73 Byrd, Richard 108,143,154,158,61 ..................................................................................... ,68,82 Casagrande, Zachary 18 ..................................................................................... Caspersen, Matthew 68 ..................................................................................... Cetlin, Dennis 24,82 ..................................................................................... Chang, Ju-Han 61 ..................................................................................... Cheron, Ann-Colter 27 ..................................................................................... Christenson, Brad 38 ..................................................................................... Claiborne, Jennifer 91 ..................................................................................... Cline, Matthew 143,33,74 ..................................................................................... Cloth, Mark 159,33 ..................................................................................... Dabney, C 108 ..................................................................................... Daczkowski, Thomas 18,95 ..................................................................................... Dailey, Curtis 123,77 ..................................................................................... Dailey, George 123,77 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Hollyfield, Neil 1,192,96 ..................................................................................... Howard, Clinton 128,21 ..................................................................................... Ibanez, Carlos 32,45 ..................................................................................... Iyer, Malini 186,61 ..................................................................................... Izadi, Keyoumars 67 ..................................................................................... Jacks, Thomas 15,70,96 ..................................................................................... Jackson, Julia 10,190,95 ..................................................................................... Jett, L 125,163 ..................................................................................... Keeney, Kanyon 102,107,142,151,73 ..................................................................................... Kenney, Jeffrey 114 ..................................................................................... Kevorkian, George 169 ..................................................................................... Kiely, Kevin 185 ..................................................................................... Kim, Sang 167 ..................................................................................... Klamut, Kenneth 182,192,79 ..................................................................................... Krochmal, James 119 ..................................................................................... Kuzmik, Michael 168,7 ..................................................................................... Labella, Carl 70 ..................................................................................... Labriola, J 10,190,95 ..................................................................................... Lacy, John 182 ..................................................................................... Larusso, Mark 125,163 ..................................................................................... Lee, N 114 ..................................................................................... Leist, John 114 ..................................................................................... Liang, David 15,70,96 ..................................................................................... Liu, Frederick 131,190,23,26,55 ..................................................................................... Longwe, Edward 29 ..................................................................................... Lyn, Trevann 153,190,55,67,95 ..................................................................................... Magid, Mitchell 91 ..................................................................................... Maharaj, Barry 29,87 ..................................................................................... Manry, Herbert 48 ..................................................................................... Margolis, Jason 149 ..................................................................................... Maugeri, Michael 178,37 ..................................................................................... Mcandrew, Brian 102,107,142,151,91 ..................................................................................... Mcclung, James 149 ..................................................................................... Mcdonald, Cabel 70 ..................................................................................... Mclaughlin, John 79 ..................................................................................... Meador, Larry 149 ..................................................................................... Meeks, Darrell 178,37 ..................................................................................... Metzger, Lawrence 102,107,142,151,73 ..................................................................................... Miller, Michael 107,142 ..................................................................................... Moose, David 70,87 ..................................................................................... Morgan, Anne 164 ..................................................................................... Morgan, David 131,158,186,190,67 ..................................................................................... ,7,95 Morgan, John 114,142,164,185,37 ..................................................................................... ,42,48,77 Morrison, Sanford 119,178 ..................................................................................... Mrazik, Jack 77 ..................................................................................... Mueller, David 178 ..................................................................................... Murphy, Walter 102 ..................................................................................... Naimi, Amir 131,23 ..................................................................................... Nelson, James 143 ..................................................................................... Nguyen, Phuong 15,190 ..................................................................................... Nokkeo, Jay 100 ..................................................................................... Olson, Charles 37 ..................................................................................... Oneill, Robert 122,40,83 ..................................................................................... Oswald, Sophie 190,29,67,95 ..................................................................................... Padgett, Thomas 107,143 ..................................................................................... Pandolfi, Philip 79 ..................................................................................... Park, Jonathan 131,190,23,26,55 ..................................................................................... Parulis, Albert 149 ..................................................................................... Pashapour, Ali 15 .....................................................................................

237

Delta Dental Premier

Kelleher, Kevin 108 ..................................................................................... Kermanshi, Shiva 15,191,61,7,85,95 ..................................................................................... Khouri, John 70 ..................................................................................... Kim, Christine 131,27,55,8 ..................................................................................... Kim, Eunyoung 15,168,191,27 ..................................................................................... King, John 108 ..................................................................................... Kiser, Marshall 129 ..................................................................................... Klar, Lawrence 164,179,38 ..................................................................................... Klar, Neal 164,179,38 ..................................................................................... Klima, Rodney 24 ..................................................................................... Kortam, Sahira 18 ..................................................................................... Kravitz, Neal 153,18 ..................................................................................... Kumra, Bob 191 ..................................................................................... Kwon, Hyue 168,27 ..................................................................................... Le, Phu 168 ..................................................................................... Lee, Dan 191,29,61,89 ..................................................................................... Lee, Edwin 61,82 ..................................................................................... Lee, Jim 131,156,49,55,68 ..................................................................................... Lee, Richard 108,27,87 ..................................................................................... Lee, Sora 55 ..................................................................................... Lee, William 100,131,153,18,8 ..................................................................................... Lindauer, Steven 143 ..................................................................................... Lindgren, Meghan 10 ..................................................................................... Litschel, Kate 191 ..................................................................................... Lu, Hung Quoc 8 ..................................................................................... Lupi, James 158 ..................................................................................... Marconyak, Louis 179 ..................................................................................... Marcus, Richard 102,108,120,127,14 ..................................................................................... 3,19,40,74 Marquez, Rhina 143,44,61,68 ..................................................................................... Matney, John 114 ..................................................................................... Mcdonough, James 55 ..................................................................................... Mcgrath, Kevin 121 ..................................................................................... Mei, Elizabeth 102,143,74 ..................................................................................... Meisha, Dalia 149 ..................................................................................... Mekouar, Hicham 70 ..................................................................................... Mendes, Kevin 29,96 ..................................................................................... Metzdorf, David 157,55 ..................................................................................... Miller, Juliana 182,27 ..................................................................................... Miller, Robert 182,27,45 ..................................................................................... Mittal, Nitika 191 ..................................................................................... Mollov, Nikolay 22 ..................................................................................... Monacell, John 152 ..................................................................................... Morgan, Kelly 191,87 ..................................................................................... Morgan, Richard 132 ..................................................................................... Morris, David 80 ..................................................................................... Morris, Glenwood 125 ..................................................................................... Mullen, Steven 18,87 ..................................................................................... Naghdi, Jina 82 ..................................................................................... Nelson, Kristin 18 ..................................................................................... Nguyen, Denise 168 ..................................................................................... Nguyen, Nikki 157,46,55 ..................................................................................... Niepraschk, Markus 158,33,87 ..................................................................................... Nyczepir, David 108,143,40 ..................................................................................... Oliver, Maya 157 ..................................................................................... Omar, Anisa 29 ..................................................................................... Parks, Meredith 152,164,185,193 ..................................................................................... Peluso, Anthony 119,179,38 ..................................................................................... Polack, Amanda 89 ..................................................................................... Prillaman, William 63 ..................................................................................... Pryor, Dennis 157,55,61,80 .....................................................................................

Purcell, Allison 102,108,120,127,14 ..................................................................................... 4,19,40,74 Pyle, Keith 91 ..................................................................................... Rebellato, Giuseppe 33 ..................................................................................... Reddy, Swathi 85,89 ..................................................................................... Regimbal, Pamela 102 ..................................................................................... Riggs, Gary 123,179,77 ..................................................................................... Riley, James 108,144,74 ..................................................................................... Rockhill, Amy 149 ..................................................................................... Rogers, Dale 102,108,120,127,14 ..................................................................................... 4,19,40,74 Ross, Edward 102 ..................................................................................... Ross, Vicki 114 ..................................................................................... Roy, Carl 179,38 ..................................................................................... Rubenstein, Loretta 114 ..................................................................................... Saba, Shadi 161 ..................................................................................... Sabol, George 121,179 ..................................................................................... Sachno, Erika 24,84 ..................................................................................... Saleh, Fadi 15,191 ..................................................................................... Sarment, Sylvie 24 ..................................................................................... Savage, Anthony 121,179 ..................................................................................... Scarborough, Larry 144 ..................................................................................... Scott, Jon 119,179,78 ..................................................................................... Shakashiro, Randa 71 ..................................................................................... Shimeless, Laelaye 149 ..................................................................................... Shivar, Walker 119,179,38 ..................................................................................... Sina, Nahid 157,27,55,68,96 ..................................................................................... Smernoff, Gerald 10 ..................................................................................... Smith, Erin 108,144 ..................................................................................... Smith, Shaun 114,119,125 ..................................................................................... Snyder, Edward 48,97 ..................................................................................... Spears, Melanie 108,127,144,40 ..................................................................................... Spurrier, Bryan 48 ..................................................................................... Staggers, Julie 186 ..................................................................................... Stang, Christine 132,61 ..................................................................................... Stern, Frederick 191 ..................................................................................... Stern, Richard 24,27 ..................................................................................... Sterne, Richard 63 ..................................................................................... Strange, Robert 87 ..................................................................................... Supan, Paul 87 ..................................................................................... Tamkin, Lewis 79 ..................................................................................... Tari, Kianoush 128 ..................................................................................... Taylor, Gary 125 ..................................................................................... Taylor, Thomas 164 ..................................................................................... Terrill, David 68 ..................................................................................... Thariani, Hani 15,82 ..................................................................................... Thomas, Charles 144 ..................................................................................... Tisseront, Stephan 132 ..................................................................................... Toms, Kevin 24 ..................................................................................... Tran, Anh 40,41,8 ..................................................................................... Tran, Jade 61 ..................................................................................... Tran, Thoai-Lan 100,126,191,27 ..................................................................................... Tratensek, Karen 168,75 ..................................................................................... Tufekci, Eser 144 ..................................................................................... Turner, Randolph 21,42 ..................................................................................... Ullrich, Courtney 18 ..................................................................................... Vahab, Philip 27,71,82 ..................................................................................... Vaughan, Dennis 129 ..................................................................................... Villa, Richard 74 ..................................................................................... Visser, Britt 121,179 ..................................................................................... Voorhees Husson, Marni 164,179,38 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Davidson, Jeremy 178 ..................................................................................... Davis, George 108,143,40 ..................................................................................... Dennis, Suzanne 33 ..................................................................................... Djeu, Garret 55 ..................................................................................... Dunegan, Michael 70,95 ..................................................................................... Dunlevy, Harry 108 ..................................................................................... Dusek, Thomas 38 ..................................................................................... Ekoh, Madueke 70 ..................................................................................... Elhady, Sherif 24 ..................................................................................... Ellis, Donald 10,24 ..................................................................................... Eppard, Holly 45 ..................................................................................... Errera, Joseph 102,18,182,45 ..................................................................................... Faber, Beth 164 ..................................................................................... Fan, Vivian 131,152,68 ..................................................................................... Feldman, Irwin 61 ..................................................................................... Feldman, Seth 61 ..................................................................................... Filippone, Louis 27,70 ..................................................................................... Fleming, Harold 191,55,61 ..................................................................................... Forrest, David 114 ..................................................................................... Frank, Harold 15,191 ..................................................................................... Frankenberry, Anishka 1,191,61 ..................................................................................... Fulton, Catherine 119,178,77 ..................................................................................... Galbreath, Robert 164,178,33 ..................................................................................... Garai, Allen 168,75 ..................................................................................... Gardner, William 143 ..................................................................................... Germane, Nicholas 102 ..................................................................................... Ghaffari, Ashkan 168 ..................................................................................... Ghatri, Ali 131,156,158,55,68, ..................................................................................... 95 Goozh, Steven 80 ..................................................................................... Griffin, Alfred 103,182,45 ..................................................................................... Grisius, Thomas 128 ..................................................................................... Guleria, Alpita 131 ..................................................................................... Hamer, David 33 ..................................................................................... Hamman, Frances 7 ..................................................................................... Hammond, Albin 88 ..................................................................................... Hatcher, William 38 ..................................................................................... Hearne, Steven 164 ..................................................................................... Hennigh, Roger 128,191 ..................................................................................... Hessamfar, Ramin 15,18,191 ..................................................................................... Holbert, Michael 143 ..................................................................................... Holmes, Patrick 178 ..................................................................................... Horbaly, William 33 ..................................................................................... Horsey, Gustav 80 ..................................................................................... Hrechka, Kenneth 156 ..................................................................................... Hudson, James 156 ..................................................................................... Hughes, David 156 ..................................................................................... Hukmani, Navin 153,191,68,87,95 ..................................................................................... Hussaini, Syed 191,68,82,95 ..................................................................................... Hutchins, Gregory 119 ..................................................................................... Hutchison, Alicia 191,95 ..................................................................................... Huynh, Thuylinh 15,153 ..................................................................................... Inouye, David 143,33 ..................................................................................... Iuorno, Frank 74 ..................................................................................... Iverson, Darin 15 ..................................................................................... Izadi, Mohammed 126 ..................................................................................... Ji, John 10,44 ..................................................................................... Jones, Antonia 114,179,185,38 ..................................................................................... Jones, David 149,150,97 ..................................................................................... Jones, John 161 ..................................................................................... Kaur, Pardeep 179 .....................................................................................

238

Delta Dental Premier

PEDIATRIC DENTIST/PEDODONTIST Adams, Randy 144 ..................................................................................... Agarwal, Gaurav 186,69 ..................................................................................... Amacher, Darcy 42 ..................................................................................... Amante, Alvin 128,191,71 ..................................................................................... Atkins, Carl 144 ..................................................................................... Austin, Angela 8 ..................................................................................... Averne, Robert 132 ..................................................................................... Banaji, Girish 61 ..................................................................................... Barham, Latoya 15 ..................................................................................... Barney, John 179,38 ..................................................................................... Baveja, Julie 168,29 ..................................................................................... Berry, Elizabeth 144 ..................................................................................... Bethel-Soppet, Shirley 29 ..................................................................................... Bhatti, Bushra 18 ..................................................................................... Biggs, Kristina 89 ..................................................................................... Birsch, Laurie 125 ..................................................................................... Blank, Derek 15 ..................................................................................... Bortell, Elizabeth 144 ..................................................................................... Braxton, Darchelle 114,125,179,185,38 ..................................................................................... ,49,71,78 Brickhouse, Tegwyn 144 ..................................................................................... Britto, Mala 191,29 ..................................................................................... Brown, Gabriel 149,97 ..................................................................................... Brown, Townsend 179 ..................................................................................... Brumbaugh, Brian 159 ..................................................................................... Bunin, Sara 24 ..................................................................................... Burke, Brian 144,42,44,48,68 ..................................................................................... Carney, Jacqueline 144 ..................................................................................... Carter, Sobia 144 ..................................................................................... Chu, Therese 153 ..................................................................................... Clark, Jessica 180 ..................................................................................... Clifford, Kevin 33,45 ..................................................................................... Cook, Kathryn 33 ..................................................................................... Coulter, Charles 55,82 ..................................................................................... Cox, Thomas 180 ..................................................................................... Crandall, Dawn 96 ..................................................................................... Cruz-Chu, Carlos 15 ..................................................................................... Dadkhah, Mina 161,8 ..................................................................................... Dang, Tuong-Anh 18,27 ..................................................................................... Davis, Jeffrey 100 ..................................................................................... Davis, John 149 .....................................................................................

Davis, Rhea 49,71 ..................................................................................... Dawson, Martha 144 ..................................................................................... Dean-Duru, Lynda 18 ..................................................................................... Delacruz, Carola 153,87 ..................................................................................... Dixon, Jennifer 193,33 ..................................................................................... Eberly, Randy 119,78 ..................................................................................... Eddleton, Raymonia 108 ..................................................................................... Edwards, Justin 108,144,40,68 ..................................................................................... Etessam, Neda 100 ..................................................................................... Fernandes, Joyce 132 ..................................................................................... Flowers, John 108,40 ..................................................................................... Fontes, Fernanda 157,56 ..................................................................................... Galliani-Alvarez, Mirtha 61 ..................................................................................... Ganjavi, Sarah 168 ..................................................................................... Garofalis, Haralambos 114,125,180,185,38 ..................................................................................... ,78 Gazori, Michael 85 ..................................................................................... Ghalehbaghi, Faranak 56,8 ..................................................................................... Ghatak, Monamie 191,27,29,56,61,68 ..................................................................................... Gibson, Melissa 186 ..................................................................................... Gichana, Roselyne 62 ..................................................................................... Gill, Kwesi 15,96 ..................................................................................... Gokli, Meera 108,44 ..................................................................................... Golden, Alan 128,191,24 ..................................................................................... Ha, Jenny 157,56 ..................................................................................... Hamlin, Daura 119 ..................................................................................... Han, John 157,56 ..................................................................................... Harman, Ashley 144 ..................................................................................... Hasty, Michael 180,38 ..................................................................................... Herbst, Heidi 161 ..................................................................................... Herce, David 180 ..................................................................................... Holmes, Jessica 191 ..................................................................................... Huie, Mark 114 ..................................................................................... Husson, Malinda 144 ..................................................................................... Imafidon, Timothy 108,144,40 ..................................................................................... Island, Maria 168,18 ..................................................................................... Jaju, Rishita 18 ..................................................................................... Jones, Herschel 128,191 ..................................................................................... Jordan, Marian 29 ..................................................................................... Kafle, Sumana 85 ..................................................................................... Kakar, Deepak 62,68,96 ..................................................................................... Kalantar, Neda 132 ..................................................................................... Keeton, David 109,144,44 ..................................................................................... Kendig, Robert 144 ..................................................................................... Khateeb, Mariam 128,192,24 ..................................................................................... Kim, Sunghee 62 ..................................................................................... Kramer, Gary 24 ..................................................................................... Kuhn, Amanda 109,40 ..................................................................................... Lan, Steve 88 ..................................................................................... Laughlin, Robert 121,144 ..................................................................................... Le, Hau 192,49,56,62,68,96 ..................................................................................... Leaf, Scott 24 ..................................................................................... Lentini, Erika 144 ..................................................................................... Levin, Mark 180,38 ..................................................................................... Lewis, Holly 102,145 ..................................................................................... Lin, Chi-Yi 15,24,29 ..................................................................................... Liu, Ben 161,8 ..................................................................................... Lombardozzi, Nicholas 109 ..................................................................................... Lopez, Joseph 8 ..................................................................................... Lubbe, Steven 109,44 ..................................................................................... Luna, Oscar 168 .....................................................................................

Madani, Saman 192,56 ..................................................................................... Maestrello, Christopher 145 ..................................................................................... Martin, J 125,180,38 ..................................................................................... Marzban, Courtney 161,18 ..................................................................................... Matsui, Toshiki 27 ..................................................................................... Mcilveen, Lezley 82 ..................................................................................... Meise, Holly 125,38 ..................................................................................... Merdad, Hisham 187,62,68 ..................................................................................... Merrell, David 145 ..................................................................................... Mofakhami, Niloofar 121 ..................................................................................... Monajemy, Nooshin 128,161 ..................................................................................... Monsalve, Carlos 82 ..................................................................................... Morgan, Pamela 119 ..................................................................................... Mosley, Monica 48 ..................................................................................... Mourino, Arthur 145 ..................................................................................... Muir-Young, Natalie 15 ..................................................................................... Nelson, Edward 15 ..................................................................................... Oduyelu, Bukola 180 ..................................................................................... Pal, Gopal 10,126 ..................................................................................... Patel, Ajit 18 ..................................................................................... Patel, Arpi 8 ..................................................................................... Patel, Shital 145 ..................................................................................... Peters, Barrett 182,33 ..................................................................................... Phaeton, Nathalie 62,8 ..................................................................................... Pham, Gina 192 ..................................................................................... Phelps, Joy 152,78 ..................................................................................... Piscitelli, William 145 ..................................................................................... Pope, H 68,74 ..................................................................................... Pugliese, Richard 185 ..................................................................................... Rai, Shwetha 49,71 ..................................................................................... Razdan, Shinjni 62 ..................................................................................... Reardon, Christine 15 ..................................................................................... Rodriguez, Cristelle 18,56 ..................................................................................... Rolon, Evelyn 1 ..................................................................................... Rosenblum, Scott 180,38 ..................................................................................... Saleh, Lara 21 ..................................................................................... Sankowski, Christine 38 ..................................................................................... Sawyer, Shannon 91 ..................................................................................... Sears, Robert 82 ..................................................................................... Shah, Ritu 49,71 ..................................................................................... Sharif, Sherry 56 ..................................................................................... Shetty, Navin 68,74 ..................................................................................... Shingler, Arshia 49,71 ..................................................................................... Sinada, Nuthyla 21 ..................................................................................... Sittason, Shepherd 91 ..................................................................................... Skordalakis, Emmanuel 161,168 ..................................................................................... Spruill, David 38 ..................................................................................... Staver, Tatiana 85 ..................................................................................... Stephenson, Kesha 8 ..................................................................................... Stump, Aaron 193,33 ..................................................................................... Sundin, Allan 180 ..................................................................................... Ta, Adam 8 ..................................................................................... Talaksi, Ruksana 27 ..................................................................................... Tapp-Reid, Donnamaria 78 ..................................................................................... Ternisky, Cris 100 ..................................................................................... Tingling, Flavia 15,89 ..................................................................................... Toyer, April 192 ..................................................................................... Tran, My 49,71,8 ..................................................................................... Tran, Tricia 10,27 ..................................................................................... Treff, David 24 ..................................................................................... Tsai, I-Tang 153 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Vroom, Katherine 10 ..................................................................................... Waitkus, Alexander 179,78 ..................................................................................... Weis, Barton 33 ..................................................................................... Wendell, Peter 185 ..................................................................................... Wexel, Walter 179,38,78 ..................................................................................... White, Terryl 161 ..................................................................................... Wiger, John 126 ..................................................................................... Wilkerson-Cox, Sherri 64 ..................................................................................... Wiltshire, Curtis 108,144,74 ..................................................................................... Wood, Leighton 22 ..................................................................................... Woodard, Monica 119,164,38 ..................................................................................... Woodard, Thomas 119,38 ..................................................................................... Woods, Hunter 192,71,97 ..................................................................................... Wyatt, Patrick 114 ..................................................................................... Yi, Peter 144,191,71,96 ..................................................................................... Zaki, Tarek 179 ..................................................................................... Zhu, Xinsheng 29,49 .....................................................................................

239

Delta Dental Premier

PERIODONTIST Aaron, Gavin 149 ..................................................................................... Abbott, David 19,33,8 ..................................................................................... Abril, Edison 126,132,168,18,29, ..................................................................................... 56,62,85 Acharya, Priya 149 ..................................................................................... Akmal, Omer 15,29 ..................................................................................... Al-Joburi, Wesam 157,161,168,62 ..................................................................................... Anderson, David 24,8 ..................................................................................... Anderson, Jennifer 114,193 ..................................................................................... Anderson, Ryan 91 ..................................................................................... Azghandi, Ramin 100 ..................................................................................... Barr, Bruce 180,39 ..................................................................................... Beri, Anuranda 161,168,18,192,27, ..................................................................................... 96 Bezik, Jaklin 56 ..................................................................................... Black, Barbara 79 ..................................................................................... Block, Carl 109 ..................................................................................... Brain, Jeffrey 15 ..................................................................................... Brill, Byron 159 ..................................................................................... Buyer, John 21 ..................................................................................... Carlish, Robert 48 ..................................................................................... Carlos, Francisco 62 ..................................................................................... Carpio, Lillian 100 ..................................................................................... Cavallari, Kenneth 180 ..................................................................................... Chaddad, Karim 157,158,161,168,18 ..................................................................................... ,82 Chen, Cliff 132,192,27,56 ..................................................................................... Chou, Melanie 157,56 ..................................................................................... Choudhary, Khalid 168,56,62 ..................................................................................... Christopher, Lourdes 62 ..................................................................................... Culberson, James 68 ..................................................................................... Dail, Ray 114 ..................................................................................... Daru, Antara 145,33 ..................................................................................... Diaz, Jennifer 24,56 ..................................................................................... Dickson, Jeffrey 187,79 ..................................................................................... Donahue, James 84 ..................................................................................... Doppalapudi, Vivek 46,82 ..................................................................................... Farr, Michael 168 ..................................................................................... Favagehi, Mehrdad 62 ..................................................................................... Fields, Charles 132 ..................................................................................... Fisher, Steven 192,56,78 .....................................................................................

Gaskins, Charles 145,164,44 ..................................................................................... Goldin, Richard 168,96 ..................................................................................... Golob Deeb, Janina 145 ..................................................................................... Gray, Andrew 180 ..................................................................................... Green, Barry 114 ..................................................................................... Griffin, Barry 145 ..................................................................................... Gunsolley, John 145 ..................................................................................... Han, Sok Woong 89 ..................................................................................... Hanson, Benjamin 187 ..................................................................................... Hardison, Justin 161,71 ..................................................................................... Hartman, Gary 180 ..................................................................................... Hirschler, David 119 ..................................................................................... Hirshman, Nina 182 ..................................................................................... Howanitz, Joan 168 ..................................................................................... Hur, Yong 85 ..................................................................................... Ijadi, Mehrdad 157,192,62,68,8 ..................................................................................... Ilchyshyn, Nicholas 132 ..................................................................................... Iravani, Farideh 168 ..................................................................................... Iwamoto, Claudio 85 ..................................................................................... Kang, Taeheon 56 ..................................................................................... Karapetian, Christine 157 ..................................................................................... Khang, Wahn 132 ..................................................................................... Kharmouche, Jean-Claude 161,71 ..................................................................................... Koertge, Thomas 145 ..................................................................................... Koh, Richard 15,18,56,62,88 ..................................................................................... Kohli, Malika 15 ..................................................................................... Kokorelis, Michael 78 ..................................................................................... Konikoff, Albert 180,39 ..................................................................................... Konikoff, Bryan 119,164,180,39 ..................................................................................... Kooshki, Bijan 18,180,82 ..................................................................................... Lakkis, Dima 15,192 ..................................................................................... Landy, Neil 180 ..................................................................................... Lanning, Sharon 145 ..................................................................................... Lee, Yeonju 100 ..................................................................................... Lentz, John 21 ..................................................................................... Li, Jingchao 168,8 ..................................................................................... Lin, Thomas 10,161,192,56,68,8 ..................................................................................... 9 Lin, Zhao 145 ..................................................................................... Marinak, Kenneth 180,39 ..................................................................................... Marvil, Lisa 128,157,161,89 ..................................................................................... Miranda, Ruben 15,62,8,96 ..................................................................................... Moretti, Joy 109,122,41 ..................................................................................... Motamedi, Saeid 158,192,68,96 ..................................................................................... Nelson, John 192 ..................................................................................... Niver, Eric 180,185,39 ..................................................................................... Oh, Dongha 56 ..................................................................................... Oh, Eunseok 15,168 ..................................................................................... Patron, Alfonso 15,150,161,168,83, ..................................................................................... 96 Pfohl, David 161,88 ..................................................................................... Phisuthikul, Norachai 10,15,62 ..................................................................................... Reddy, Bindu 192 ..................................................................................... Rogge, Rod 180 ..................................................................................... Ross, John 180,39 ..................................................................................... Salzberg, Trang 119,164,180,39 ..................................................................................... Sanz-Moliner, Javier 109,182,46 ..................................................................................... Saroff, Steven 145 ..................................................................................... Saunders, Steven 187,79 ..................................................................................... Saunders, Victor 187,79 ..................................................................................... Schroer, Michael 185 .....................................................................................

Seals, Ashley 16 ..................................................................................... Sethi, Shalini 158 ..................................................................................... Shah, Nidhi 122,161,33 ..................................................................................... Shait, Abraham 145 ..................................................................................... Shields, Walter 42 ..................................................................................... Shulman, Jeremy 180 ..................................................................................... Slagle, James 122,41 ..................................................................................... Smith, Karl 8 ..................................................................................... Smock, Sherman 110,33,91 ..................................................................................... Sperling-Habot, Keren 122,16,162,168,27, ..................................................................................... 41,56,75,96 Sweeney, Kevin 145 ..................................................................................... Tami, Richard 192 ..................................................................................... Traboulsi, Georges 192,56,8,96 ..................................................................................... Voth, Stephanie 102,109,120,127,14 ..................................................................................... 5,19,40,74 Wang, William 10,89 ..................................................................................... Witte, Ernest 119 ..................................................................................... Wolfe, Barry 149 ..................................................................................... Woodruff, Harvey 80 ..................................................................................... Zalewsky, Justin 159,8 ..................................................................................... Zamakhchari, Mai 157,56 .....................................................................................

PROSTHODONTIST Abou Nahlah, Esam 16 ..................................................................................... Aggarwal, Harshit 10,68 ..................................................................................... Alvarez, Juan 162,168,85 ..................................................................................... Ayass, Mohamad 16,27 ..................................................................................... Barnard, W 83 ..................................................................................... Barrero, Carlos 48 ..................................................................................... Betzhold, William 145 ..................................................................................... Brady, Timothy 180 ..................................................................................... Cade, Ronald 145 ..................................................................................... Choi, Charlson 56 ..................................................................................... Chrisopoulos, Fotini 62,8,83 ..................................................................................... Coe, Yong 145 ..................................................................................... Covaney, Michael 115 ..................................................................................... Davis, Keenan 119,181 ..................................................................................... Estafanous, Emad 192 ..................................................................................... Guo, Juanli 168 ..................................................................................... Hamalian, Techkouhie 16,56 ..................................................................................... Har, Gregory 96 ..................................................................................... Hong, Dong-Soo 168,27 ..................................................................................... Huang, Michiko 16 ..................................................................................... Huang, Peterson 159 ..................................................................................... Kazanoglu, Altug 145 ..................................................................................... Kim, David 56 ..................................................................................... Kim, Juhan 109 ..................................................................................... Koh, Philip 22,56 ..................................................................................... Lee, Eun Hye 132 ..................................................................................... Loza, Juan 88 ..................................................................................... Martinez, Luis 132,18 ..................................................................................... Oshea, Michael 62 ..................................................................................... Osseiran, H 169 ..................................................................................... Park, Si-Woon 169,83 ..................................................................................... Polack, Mariano 71 ..................................................................................... Sadr, Lida 18,181 ..................................................................................... Salari, Marjan 192,68,8 ..................................................................................... Synnott, Scott 132 ..................................................................................... Tehrani, Negar 100 .....................................................................................

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Unkel, John 145 ..................................................................................... Vatanka, Heidi 62,8 ..................................................................................... Vitsky, Paul 68 ..................................................................................... Wadhwa, Puneet 180 ..................................................................................... Webb, Michael 145,40 ..................................................................................... Weis, Morgan 125,180,39 ..................................................................................... Weiss, Hilary 56,82 ..................................................................................... Williams, Nahee 157 ..................................................................................... Williams, Tiffany 145 ..................................................................................... Wilson, Adrian 8 ..................................................................................... Woo, Valerie 18 ..................................................................................... Wood, Patricia 18,88 ..................................................................................... Wood, Roger 109 ..................................................................................... Wooddell, Carol 24 ..................................................................................... Woodside, Jennifer 182 ..................................................................................... Wunsch, Patrice 145 ..................................................................................... Zima, Andrew 62 .....................................................................................

240

Delta Dental Premier

Weld, Georgia .....................................................................................

159

SPECIALTY NOT SPECIFIED

Delta Dental member companies and, with limited exception, Participating Dentists are independent contractors. Delta Dental member companies and Participating Dentists do NOT have a relationship of employer and employee nor of principal and agent. No such relationship other than that of independent parties contracting with each other solely for the purpose of Participating Dentists' provision of dental care to Delta Dental members may be deemed to exist or be construed to exist between Delta Dental member companies and Participating Dentists. A Participating Dentist is solely responsible for the dental care provided to any patient, and Delta Dental member companies do not control the detail, manner or methods by which a Participating Dentist provides care. September 2015

PARTICIPATING PROVIDERS

Baker, Justin 132,192,24,27,56 ..................................................................................... Fabio, Michael 157 ..................................................................................... Hur, John 132,192,24,27,56 ..................................................................................... Iwamoto, Claudio 169 ..................................................................................... Karau, Mary Ann 8 ..................................................................................... Karau, Ralph 8 ..................................................................................... Kermanshi, Shiva 16 ..................................................................................... Kim, Joongseo 27 ..................................................................................... Le, Bao-Quyen 62 ..................................................................................... Thorpe, Jeffrey 132 ..................................................................................... Vu, Bao 62 ..................................................................................... Weiler, Michael 79 .....................................................................................

241

Delta Dental of Virginia 4818 Starkey Road Roanoke, VA 24018-8542 540-989-8000 or 800-237-6060

Note: This list is subject to change without notice. Prior to seeking treatment, please verify with your dentist that he/she is a Delta Dental Premier participating provider. For additional information on the status of the following providers, as well as new providers, please call Delta Dental of Virginia at 1-800-2376060. A complete list of participating dentists can also be found on our website; www.deltadentalva.com.