virginia deltacare® provider listemployees.henrico.us/pdfs/benefits/dent/dent_deltacarelist.pdf ·...

ALLVAREV 06.2017 * Endodontist ** Oral Surgeon *** Pediatric Dentist **** Periodontist ***** Prosthodontist

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Virginia DeltaCare® Provider List

ALEXANDRIA

*Hamid Abedi

Provider # VA000401416511(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Vida Adjepon-Yamoah

Provider # VA000401416398(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 Sinan Aithraa

Provider # VA000401416296(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Mazin Alayssami

Provider # VA000401008416(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 Fawaad Chaudhry

Provider # VA000401416336(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Khanh Du

Provider # VA000401413715(1) 3610 Forest Dr Alexandria, VA 22302 7035784221 ****Rashmi Ganesh

Provider # VA000401415538(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Marcos Grande

Provider # VA000401411982(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 Sama Hamdoon

Provider # VA000401415776(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 **Rolin Henry

Provider # VA000401410508(1) 7900 Andrus Rd #2 Alexandria, VA 22306 7037804422

ALEXANDRIA (cont’d)____________ *Saif Kargoli

Provider # VA000401415175(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Said Khalefa

Provider # VA000401007592(2) 4600 B Pinecrest Office Pk Dr Alexandria, VA 22312 7039140020 Shayan Khan

Provider # VA000401416434(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 *Lawrence Kotler

Provider # VA000401004446(1) 3543 W Braddock Rd #E1 Alexandria, VA 22302 7039316600 Judy Kwon

Provider # VA000401410902(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Abdullah Mahgoub

Provider # VA000401416648(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Mahdi Mojarrad

Provider # VA000401416679(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Aseel Mukbel

Provider # VA000401416000(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Mike Nguyen

Provider # VA000401413735(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 **Phuong Nguyen

Provider # VA000401412250(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924

ALEXANDRIA (cont’d)____________ Jung Park

Provider # VA000401411935(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 **Ali Pashapour

Provider # VA000401411854(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 **Ryan Patel

Provider # VA000401416441(1) 6464 A1 Lincolnia Rd Alexandria, VA 22312 7038766700 ****Pooyan Refahi

Provider # VA000401416038(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 ****Pooyan Refahi

Provider # VA000401416038(1) 6464 A1 Lincolnia Rd Alexandria, VA 22312 7038766700 Lisa Roseman

Provider # VA000401416326(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 Alain Selenou-Tema

Provider # VA000401412780(1) 5249 Duke Street 210 Alexandria, VA 22304 7038232413 Mahsa Shahidi

Provider # VA000401415821(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Ali Shahrestani

Provider # VA000401415528(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 Homan Solemaninejad

Provider # VA000401410638(1) 101 S Whiting St #100 Alexandria, VA 22304 7037517000


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ALEXANDRIA (cont’d)____________ Isaac Taddessee

Provider # VA000401416686(1) 7696 Richmond Hwy Ste D Alexandria, VA 22306 7032141924 ANNANDALE

Monica Chang-Watanabe

Provider # VA000401412427(1) 7857 Heritage Dr Suite 320 Annandale, VA 22003 7037214261 Tae Lee

Provider # VA000401008922(1) 7002-C Little River Tpk Annandale, VA 22003 7032567100 ARLINGTON *Tu-Quynh Erickson

Provider # VA000401410610(1) 1050 N Highland St Ste 300 Arlington, VA 22201 7035273888 Hee Jung Kim

Provider # VA000401416821(1) 1050 N Highland St Ste 300 Arlington, VA 22201 7035273888 *Eun Lee

Provider # VA000401413569(1) 1050 N Highland St Ste 300 Arlington, VA 22201 7035273888 Diem Nguyen

Provider # VA000401410421(1) 1050 N Highland St Ste 300 Arlington, VA 22201 7035273888 **Anh Pham

Provider # VA000401006304(1) 1050 N Highland St Ste 300 Arlington, VA 22201 7035273888 *Richard Pollock

Provider # VA000401007979(3) 3801 N Fairfax Dr #40 Arlington, VA 22203 7035276885

ASHBURN

Duy-Anh Vu

Provider # VA000401413312(1) 20915 Ashburn Rd, #245 Ashburn, VA 20147 7037269313 ASHLAND

Gretchen Drees

Provider # VA000401008890(1) 100 Arbor Oak Dr #101 Ashland, VA 23005 8047987388 BRISTOW

*Hamid Abedi

Provider # VA000401416511(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 ****Rashmi Ganesh

Provider # VA000401415538(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 *Saif Kargoli

Provider # VA000401415175(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 Sammi Kim

Provider # VA000401416762(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 Mahdi Mojarrad

Provider # VA000401416679(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 **Ryan Patel

Provider # VA000401416441(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 Zan Pervaiz

Provider # VA000401415842(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 ****Pooyan Refahi

Provider # VA000401416038(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920

BRISTOW (cont’d) Alex Sharifian

Provider # VA000401415880(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 Sahil Trehan

Provider # VA000401416610(1) 10283 Bristow Center Dr Bristow, VA 20136 7035652920 CHANTILLY

*Hamid Abedi

Provider # VA000401416511(1) 14337 Newbrook Dr Ste 200 Chantilly, VA 20151 7032142113 *Hamid Abedi

Provider # VA000401416511(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 Gursimran Bhangra

Provider # VA000401415905(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 ***Annapurna Bondalapati

Provider # VA000401415769(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 ****Rashmi Ganesh

Provider # VA000401415538(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 Lina Jameel

Provider # VA000401416074(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 *Saif Kargoli

Provider # VA000401415175(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 Sai Kham

Provider # VA000401413691(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214


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CHANTILLY (cont’d) **Barry Maharaj

Provider # VA000401410305(1) 3910 Centreville Rd #110 Chantilly, VA 20151 7036689494 Diem Nguyen

Provider # VA000401410421(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 Hang Nguyen

Provider # VA000401410500(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 Phuong Nguyen

Provider # VA000401412250(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 **Ryan Patel

Provider # VA000401416441(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 ****Pooyan Refahi

Provider # VA000401416038(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 Archana Rejintala

Provider # VA000401412664(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 Mahsa Shahidi

Provider # VA000401415821(1) 25421 Lizzio Center Dr Ste 190 Chantilly, VA 20152 7035439724 Cuong Tran

Provider # VA000401412208(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 Vinh Tran

Provider # VA000401413899(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 Duy-Anh Vu

Provider # VA000401413312(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214

CHANTILLY (cont’d) *Maimi Yamaguchi

Provider # VA000401415207(1) 3901 Centerview Dr #T Chantilly, VA 20151 7034670214 CHESAPEAKE

Amen Alemayehu

Provider # VA000401413304(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Benjamin Anderson

Provider # VA000401410504(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Darrell Boyce

Provider # VA000401007992(1) 1711 Parkview Drive Chesapeake, VA 23320 7574246580 Howard Cobb

Provider # VA000401007814(3) 2605 Moses Grandy Tr Ste B Chesapeake, VA 23323 7575580600 David Dano

Provider # VA000401413548(2) 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 7574881421 Kathy Delva

Provider # VA000401415001(1) 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 7577697155 Keith Goldstein

Provider # VA000401007904(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 **Scott Goodove

Provider # VA000401410548(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 7574122002 **John Green

Provider # VA000401414793(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 7574122002

CHESAPEAKE (cont’d) Kimbrough Hornsby

Provider # VA000401411379(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Rasha Hussein

Provider # VA000401416115(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 ****Albert Konikoff

Provider # VA000401004445(2) 1230 Progressive Dr Chesapeake, VA 23320 7574364026 *Pye Kyu

Provider # VA000401411565(2) 1230 Progressive Dr. Ste. 105 Chesapeake, VA 23320 7574364227 Angela Lanier

Provider # VA000401410700(2) 4107 Portsmouth Blvd #107 Chesapeake, VA 23321 7574881421 Michael Marcou

Provider # VA000401007701(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Vicki Mcmillan

Provider # VA000401008728(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 **Darrell Meeks

Provider # VA000401007337(2) 711 Greenbriar Pkwy #104 Chesapeake, VA 23320 7575481712 Kyung Min

Provider # VA000401416123(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 ***Preethi Nair

Provider # VA000401416990(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270


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CHESAPEAKE (cont’d) Linda Oh

Provider # VA000401416144(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Scott Sachs

Provider # VA000401412640(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Ivan Schiff

Provider # VA000401004149(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Nathan Shapiro

Provider # VA000401415270(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Ilona Sibirtsev

Provider # VA000401416811(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Darian Simmons

Provider # VA000401410476(1) 801 Volvo Pkwy #113 Chesapeake, VA 23320 7574367000 Lauren Singor

Provider # VA000401412199(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Thomas Smith

Provider # VA000401008820(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Britnie Tran

Provider # VA000401414441(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Sheila Vacendak

Provider # VA000401008843(1) 701 Quince Place Chesapeake, VA 23320 7576093510 Daniel Vacendak

Provider # VA000401413228(1) 701 Quince Place Chesapeake, VA 23320 7576093510

CHESAPEAKE (cont’d) **Caroline Webber

Provider # VA000401411368(2) 1230 Progressive Dr Chesapeake, VA 23320 7574364026 Lee Weinstein

Provider # VA000401007794(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Julian Willis

Provider # VA000401005083(1) 801 Greenbrier Parkway Chesapeake, VA 23320 7575473003 Paul Yeh

Provider # VA000401410551(3) 1230 Progressive Dr #103 Chesapeake, VA 23320 7574361270 Peter Zagursky

Provider # VA000401411371(6) 1100 Volvo Parkway #300 Chesapeake, VA 23320 7574122002 CHESTER

**Paul Brinser

Provider # VA000401410148(2) 11971 Ironbridge Road Chester, VA 23831 8047486350 ***Brian Burke

Provider # VA000401413575(2) 4301 W Hundred Rd Chester, VA 23831 8043181623 Steven Castro

Provider # VA000401008598(68) 2930 West Hundred Rd Chester, VA 23831 8047510146 Kristin Davidson

Provider # VA000401414458(68) 2930 West Hundred Rd Chester, VA 23831 8047510146 Travis Faber

Provider # VA000401416153(68) 2930 West Hundred Rd Chester, VA 23831 8047510146

CHESTER (cont’d) Manik Khisti

Provider # VA000401412158(1) 10322 Iron Bridge Rd Chester, VA 23831 8047175400 **Robert Oneill

Provider # VA000401004685(2) 11971 Ironbridge Road Chester, VA 23831 8047486350 **Robert Oneill

Provider # VA000401412441(2) 11971 Ironbridge Road Chester, VA 23831 8047486350 CHESTERFIELD

**Stephen Brown

Provider # VA000401007582(1) 10110 Iron Bridge Road Chesterfield, VA 23832 8047689000 Davis Gardner

Provider # VA000401412847(28) 7205 Hancock Village Dr Chesterfield, VA 23832 8043326310 *Scott Gerard

Provider # VA000401007068(2) 10320 Memory Ln Suite C Chesterfield, VA 23832 8047961136 Mitchell Grimmer

Provider # VA000401415649(28) 7205 Hancock Village Dr Chesterfield, VA 23832 8043326310 COLONIAL HEIGHTS

*Scott Gerard

Provider # VA000401007068(1) 2425 Boulevard #8 Colonial Heights, VA 23834 8045200000 *Ellen Oertel

Provider # VA000401007706(1) 2425 Boulevard #8 Colonial Heights, VA 23834 8045200000 FAIRFAX

*Hamid Abedi

Provider # VA000401416511(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376


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FAIRFAX (cont’d) Brian Chase

Provider # VA000401415927(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 *Moein Jabbar Darjani

Provider # VA000401413097(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 *Moein Jabbar Darjani

Provider # VA000401413097(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 ****Rashmi Ganesh

Provider # VA000401415538(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 ****Rashmi Ganesh

Provider # VA000401415538(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 *Saif Kargoli

Provider # VA000401415175(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 *Saif Kargoli

Provider # VA000401415175(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 Abdullah Mahgoub

Provider # VA000401416648(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 Mahdi Mojarrad

Provider # VA000401416679(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 **Phuong Nguyen

Provider # VA000401412250(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376

FAIRFAX (cont’d)

**Phuong Nguyen

Provider # VA000401412250(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 Yasamin Rasool

Provider # VA000401416128(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 Yasamin Rasool

Provider # VA000401416128(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 ****Pooyan Refahi

Provider # VA000401416038(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 ****Pooyan Refahi

Provider # VA000401416038(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 Mahsa Shahidi

Provider # VA000401415821(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 Ali Shahrestani

Provider # VA000401415528(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 Shamoona Sharif

Provider # VA000401416310(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 Alex Sharifian

Provider # VA000401415880(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 Jainy Vakharia

Provider # VA000401415256(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113

FAIRFAX (cont’d) **Mathew Woodward

Provider # VA000401415902(1) 11050 Lee Hwy Fairfax, VA 22030 7035206376 **Mathew Woodward

Provider # VA000401415902(1) 14337 Newbrook Dr Suite 200 Fairfax, VA 22030 7032142113 FALLS CHURCH

*Hamid Abedi

Provider # VA000401416511(1) 1212 W Broad St Falls Church, VA 22046 7035196697 Joshua Anderson

Provider # VA000401412572(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 Eliana Anderson

Provider # VA000401413574(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 Jhosdyn Barragan

Provider # VA000401415700(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 Joan Pino De Las Casas

Provider # VA000401414222(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 ****Rashmi Ganesh

Provider # VA000401415538(1) 1212 W Broad St Falls Church, VA 22046 7035196697 **Eugene Gregory

Provider # VA000401004539(1) 6231 Leesburg Pike #402 Falls Church, VA 22044 7035342744 Jae-Woo Jung

Provider # VA000401416137(1) 1212 W Broad St Falls Church, VA 22046 7035196697


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FALLS CHURCH (cont’d) *Saif Kargoli

Provider # VA000401415175(1) 1212 W Broad St Falls Church, VA 22046 7035196697 Judy Kwon

Provider # VA000401410902(1) 1212 W Broad St Falls Church, VA 22046 7035196697 **Ryan Patel

Provider # VA000401416441(1) 1212 W Broad St Falls Church, VA 22046 7035196697 *Richard Pollock

Provider # VA000401007979(1) 311 Park Ave #3 Falls Church, VA 22046 7035344884 ****Pooyan Refahi

Provider # VA000401416038(1) 1212 W Broad St Falls Church, VA 22046 7035196697 Carla Zamora -Rojas

Provider # VA000401412957(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 Homan Solemaninejad

Provider # VA000401410638(1) 6060 Arlington Blvd Falls Church, VA 22044 7032370060 John Sporidis

Provider # VA000401416440(1) 3701 S George Mason Dr Ste #C7N Falls Church, VA 22041 7039988826 Sahil Trehan

Provider # VA000401416610(1) 1212 W Broad St Falls Church, VA 22046 7035196697 FREDERICKSBURG

Ayman Adeeb

Provider # VA000401413285(1) 27 S Gateway Dr #121 Fredericksburg, VA 22406 5406934904

FREDERICKSBURG (cont’d) Anwar Ahmad

Provider # VA000401410145(1) 27 S Gateway Dr #121 Fredericksburg, VA 22406 5406934904 Angela Diaz

Provider # VA000401412527(1) 5830 Harrison Rd Fredericksburg, VA 22407 5407100400 Camilo Duarte

Provider # VA000401412057(1) 5830 Harrison Rd Fredericksburg, VA 22407 5407100400 Madhusudhan Kasipathy

Provider # VA000401414354(1) 27 S Gateway Dr #121 Fredericksburg, VA 22406 5406934904 Bomi Kim

Provider # VA000401416117(1) 27 S Gateway Dr #121 Fredericksburg, VA 22406 5406934904 Tasha Willoughby

Provider # VA000401411109(1) 2557 Cowan Blvd Fredericksburg, VA 22401 5405515550 GAINESVILLE *Hamid Abedi

Provider # VA000401416511(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 Yusur Al-Tekreeti

Provider # VA000401416598(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 Gursimran Bhangra

Provider # VA000401415905(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 *Moein Jabbar Darjani

Provider # VA000401413097(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279

GAINESVILLE (cont’d) ****Rashmi Ganesh

Provider # VA000401415538(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 Justin Hardison

Provider # VA000401413670(2) 7915 Lake Manassas Dr Unit 207 Gainesville, VA 20155 5712614867 ****Fadi Hasan

Provider # VA000401413459(2) 7915 Lake Manassas Dr Unit 207 Gainesville, VA 20155 5712614867 **Steve Huang

Provider # VA000401415752(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 Jae-Woo Jung

Provider # VA000401416137(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 *Saif Kargoli

Provider # VA000401415175(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 ****Jean-Claude Kharmouche

Provider # VA000401008809(2) 7915 Lake Manassas Dr Unit 207 Gainesville, VA 20155 5712614867 Mike Nguyen

Provider # VA000401413735(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 **Phuong Nguyen

Provider # VA000401412250(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 ****Pooyan Refahi

Provider # VA000401416038(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279


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GAINESVILLE (cont’d) Ali Shahrestani

Provider # VA000401415528(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 Alex Sharifian

Provider # VA000401415880(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 **Mathew Woodward

Provider # VA000401415902(1) 8140 Stonewall Shops Square Gainesville, VA 20155 5712958279 GLEN ALLEN

**Neil Agnihotri

Provider # VA000401412743(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Neil Agnihotri

Provider # VA000401412743(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Farheen Amina

Provider # VA000401415337(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 Bradley Anderson

Provider # VA000401007267(3) 11420 West Broad St Glen Allen, VA 23060 8043603500 *****Yong Coe

Provider # VA000401412988(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 Nasser Damirchi

Provider # VA000401008636(2) 5243 Hickory Park Dr Ste D Glen Allen, VA 23059 8042705005 **William Dymon

Provider # VA000401008625(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061

GLEN ALLEN (cont’d) **William Dymon

Provider # VA000401008625(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 **Monroe Harris

Provider # VA000401007107(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Mauricio Herrera

Provider # VA000401413331(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Mauricio Herrera

Provider # VA000401413331(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Munira Jiwani

Provider # VA000401413868(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 Crystal Joyce

Provider # VA000401415678(2) 3944 Springfield Rd Glen Allen, VA 23060 8042705214 Harry Tatoian Jr

Provider # VA000401414742(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 **Kanyon Keeney

Provider # VA000401006889(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Kanyon Keeney

Provider # VA000401006889(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Manik Khisti

Provider # VA000401412158(1) 3938 Springfield Rd Glen Allen, VA 23060 8047477400

GLEN ALLEN (cont’d) **Lawrence Metzger

Provider # VA000401007540(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Lawrence Metzger

Provider # VA000401007540(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Parastu Mirmonsef

Provider # VA000401412150(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 Leonard Nunnally

Provider # VA000401411817(88) 11531 Nuckols Rd Ste B Glen Allen, VA 23059 8047470908 Mimi Park

Provider # VA000401412922(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400 **Maynard Phelps

Provider # VA000401411495(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Maynard Phelps

Provider # VA000401411495(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Farshid Soltanian

Provider # VA000401008668(2) 3944 Springfield Rd Glen Allen, VA 23060 8042705214 Kim Van

Provider # VA000401416121(1) 3938 Springfield Rd Glen Allen, VA 23060 8047477400 Mahsa Varshovi

Provider # VA000401415568(2) 10101 Brook Rd #804-A Glen Allen, VA 23059 8042662400


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GLEN ALLEN (cont’d) **Damon Watson

Provider # VA000401412132(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Damon Watson

Provider # VA000401412132(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 **Bryan Wheeler

Provider # VA000401416021(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Bryan Wheeler

Provider # VA000401416021(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 **Ross Wlodawsky

Provider # VA000401410693(10) 11545-A Nuckols Rd Glen Allen, VA 23059 8046738061 **Ross Wlodawsky

Provider # VA000401410693(14) 4805 Lake Brook Dr Ste 150 Glen Allen, VA 23060 8042704870 Soo Yoon

Provider # VA000401416437(2) 3944 Springfield Rd Glen Allen, VA 23060 8042705214 HAMPTON

Jerry Burton

Provider # VA000401414373(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 Donovan Caves

Provider # VA000401414055(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 William Cheng

Provider # VA000401416280(1) 21 Towne Centre Way Hampton, VA 23666 7578389140

HAMPTON (cont’d)

John Chung

Provider # VA000401008234(6) 1959 E Pembroke Ave Hampton, VA 23663 7577236565 Richard Donzell

Provider # VA000401005565(1) 2021 A Cunningham Dr Ste 6 Hampton, VA 23666 7578267600 Joelle Hendrickson-Hairston

Provider # VA000401412630(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 Rajni Kapoor

Provider # VA000401414188(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 ****Michael Kokorelis

Provider # VA000401005924(1) 2113 Hartford Road Hampton, VA 23666 7578271572 Elias Llerandi

Provider # VA000401411857(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 Lorenzo Modeste

Provider # VA000401007928(1) 2238 W Todds St # C Hampton, VA 23666 7578256098 Arya Namboodiri

Provider # VA000401414098(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 Kyeong Park

Provider # VA000401411191(1) 21 Towne Centre Way Hampton, VA 23666 7578389140 **Bradley Trotter

Provider # VA000401008539(1) 3000 Coliseum Dr, Ste 204 Hampton, VA 23666 7578383975 James Watkins

Provider # VA000401004948(2) 2207 Executive Dr Ste C Hampton, VA 23666 7578275225

HAMPTON (cont’d)

Jasper Watts

Provider # VA000401005412(1) 907 Big Bethel Rd Hampton, VA 23666 7578385999 HARRISONBURG

Eisa Abu Munshar

Provider # VA000401416557(2) 20 University Blvd Ste B Harrisonburg, VA 22801 5402143732 HAYES

John Chung

Provider # VA000401008234(4) 4732 George Washington Mem Hwy Ste A Hayes, VA 23072 8046939055 HENRICO

**Neil Agnihotri

Provider # VA000401412743(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **William Dymon

Provider # VA000401008625(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 *Jesse Harris

Provider # VA000401411059(2) 3400 Hayden Park Lane Henrico, VA 23233 8045063636 **Monroe Harris

Provider # VA000401007107(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **Mauricio Herrera

Provider # VA000401413331(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **Kanyon Keeney

Provider # VA000401006889(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028


9

HENRICO (cont’d)

**Lawrence Metzger

Provider # VA000401007540(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **Maynard Phelps

Provider # VA000401411495(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 Harini Reddy

Provider # VA000401008889(89) 3000 Hungary Spring Rd Henrico, VA 23228 8045010816 *Richard Sedwick

Provider # VA000401413236(2) 3400 Hayden Park Lane Henrico, VA 23233 8045063636 **Damon Watson

Provider # VA000401412132(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **Bryan Wheeler

Provider # VA000401416021(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 **Ross Wlodawsky

Provider # VA000401410693(15) 130 Towne Center West Blvd Henrico, VA 23233 8042705028 Kevin Yee

Provider # VA000401416570(89) 3000 Hungary Spring Rd Henrico, VA 23228 8045010816 HERNDON

Vida Adjepon-Yamoah

Provider # VA000401416398(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Mazin Alayssami

Provider # VA000401008416(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115

HERNDON (cont’d)

*Hashim Alhassany

Provider # VA000401415327(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 ***Annapurna Bondalapati

Provider # VA000401415769(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 **Jason Burkes

Provider # VA000401416380(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 ****Karim Chaddad

Provider # VA000401411750(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 **Joseph Devylder

Provider # VA000438000161(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Marcos Grande

Provider # VA000401411982(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Sama Hamdoon

Provider # VA000401415776(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Shayan Khan

Provider # VA000401416434(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Judy Kwon

Provider # VA000401410902(1) 2537 John Milton Dr Herndon, VA 20171 7032598477

HERNDON (cont’d)

Jung Park

Provider # VA000401411935(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 **Ali Pashapour

Provider # VA000401411854(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 **Ashish Patel

Provider # VA000401411990(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 **Ryan Patel

Provider # VA000401416441(1) 2537 John Milton Dr Herndon, VA 20171 7032598477 Hima-Bindu Reddy

Provider # VA000401411155(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 ****Pooyan Refahi

Provider # VA000401416038(1) 2537 John Milton Dr Herndon, VA 20171 7032598477 Lisa Roseman

Provider # VA000401416326(5) 13873 Park Center Rd Ste 137 Herndon, VA 20171 7034780115 Alex Sharifian

Provider # VA000401415880(1) 2537 John Milton Dr Herndon, VA 20171 7032598477 Armen Zarookian

Provider # VA000401412393(1) 459 Herndon Parkway #4 Herndon, VA 20170 7038707377 HOPEWELL

**Paul Brinser

Provider # VA000401410148(4) 502 N 6Th Ave Hopewell, VA 23860 8045417837


10

HOPEWELL (cont’d)

**Robert Oneill

Provider # VA000401004685(4) 502 N 6Th Ave Hopewell, VA 23860 8045417837 **Robert Oneill

Provider # VA000401412441(4) 502 N 6Th Ave Hopewell, VA 23860 8045417837 LANDSDOWNE

**Barry Maharaj

Provider # VA000401410305(2) 19441 Golf Vista Plaza #130 Lansdowne, VA 20176 7037237858 **Anh Pham

Provider # VA000401006304(2) 19441 Golf Vista Plaza #130 Lansdowne, VA 20176 7037237858 LEESBURG

Justin Hardison

Provider # VA000401413670(3) 2 Cardinal Park Dr Se Suite 102B Leesburg, VA 20175 5712912596 ****Fadi Hasan

Provider # VA000401413459(3) 2 Cardinal Park Dr Se Suite 102B Leesburg, VA 20175 5712912596 ****Jean-Claude Kharmouche

Provider # VA000401008809(3) 2 Cardinal Park Dr Se Suite 102B Leesburg, VA 20175 5712912596 MANAKIN SABOT

Sarah Wilmer

Provider # VA000401412878(1) 27-A Briggs Rd Manakin Sabot, VA 23103 8047842386 MANASSAS

Joshua Anderson

Provider # VA000401412572(1) 9380 Forestwood Ln Suite E Manassas, VA 20110 7033684344

MANASSAS (cont’d) Eliana Anderson

Provider # VA000401413574(1) 9380 Forestwood Ln Suite E Manassas, VA 20110 7033684344 Jhosdyn Barragan

Provider # VA000401415700(1) 9380 Forestwood Ln Suite E Manassas, VA 20110 7033684344 John Sporidis

Provider # VA000401416440(1) 9380 Forestwood Ln Suite E Manassas, VA 20110 7033684344 MECHANICSVILLE **Neil Agnihotri

Provider # VA000401412743(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 **William Dymon

Provider # VA000401008625(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 *Timothy Finkler

Provider # VA000401410445(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 *Jesse Harris

Provider # VA000401411059(1) 9102 Rutland Green Way Ste A Mechanicsville, VA 23116 8045593636 **Mauricio Herrera

Provider # VA000401413331(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 Mohamed Ibrahim

Provider # VA000401415899(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 8042827011

MECHANICSVILLE (cont’d)

Crystal Joyce

Provider # VA000401415678(1) 9097 Atlee Station Rd Suite 120 Mechanicsville, VA 23116 8045593250 **Kanyon Keeney

Provider # VA000401006889(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 *Harold Martinez

Provider # VA000401410241(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 **Lawrence Metzger

Provider # VA000401007540(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 *Michael Morris

Provider # VA000401007677(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 *Madelyn Morris

Provider # VA000401411163(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 George Oley

Provider # VA000401005517(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 8042827011 George Oley IV

Provider # VA000401417052(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 8042827011 Reba Oley

Provider # VA000401414880(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 8042827011 **Maynard Phelps

Provider # VA000401411495(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416


11

MECHANICSVILLE (cont’d)

*Stephen Schroeder

Provider # VA000401413581(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 *Richard Sedwick

Provider # VA000401413236(1) 9102 Rutland Green Way Ste A Mechanicsville, VA 23116 8045593636 Farshid Soltanian

Provider # VA000401008668(1) 9097 Atlee Station Rd Suite 120 Mechanicsville, VA 23116 8045593250 Allison Tran

Provider # VA000401415622(1) 9097 Atlee Station Rd Suite 120 Mechanicsville, VA 23116 8045593250 **John Truitt

Provider # VA000401410807(1) 8249 Crown Colony Pkwy Ste 103 Mechanicsville, VA 23116 8047890230 *Ronald Vranas

Provider # VA000401410568(3) 7347 Bell Creek Rd Ste 300 Mechanicsville, VA 23111 8045010501 **Damon Watson

Provider # VA000401412132(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 **Bryan Wheeler

Provider # VA000401416021(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416 Lyla Rose Wilby

Provider # VA000401411425(2) 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 8042827011 **Ross Wlodawsky

Provider # VA000401410693(11) 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 8045595416

MECHANICSVILLE (cont’d) Soo Yoon

Provider # VA000401416437(1) 9097 Atlee Station Rd Suite 120 Mechanicsville, VA 23116 8045593250 MIDLOTHIAN

**Neil Agnihotri

Provider # VA000401412743(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Neil Agnihotri

Provider # VA000401412743(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 **William Dymon

Provider # VA000401008625(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **William Dymon

Provider # VA000401008625(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 *Timothy Finkler

Provider # VA000401410445(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 **Monroe Harris

Provider # VA000401007107(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Monroe Harris

Provider # VA000401007107(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 **Mauricio Herrera

Provider # VA000401413331(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Mauricio Herrera

Provider # VA000401413331(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200

MIDLOTHIAN (cont’d)

**Kanyon Keeney

Provider # VA000401006889(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Kanyon Keeney

Provider # VA000401006889(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 *Harold Martinez

Provider # VA000401410241(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 **Lawrence Metzger

Provider # VA000401007540(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Lawrence Metzger

Provider # VA000401007540(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 *Michael Morris

Provider # VA000401007677(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 *Madelyn Morris

Provider # VA000401411163(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 **Thomas Padgett

Provider # VA000401006720(3) 1680 Huguenot Rd Midlothian, VA 23113 8043797120 **Maynard Phelps

Provider # VA000401411495(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Maynard Phelps

Provider # VA000401411495(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 Melanie Resendes

Provider # VA000401412368(2) 5161 Craig Rath Blvd Midlothian, VA 23112 8047449051


12

MIDLOTHIAN (cont’d)

*Stephen Schroeder

Provider # VA000401413581(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 *Ronald Vranas

Provider # VA000401410568(2) 2312 Robious Station Circle Midlothian, VA 23113 8045010501 **Damon Watson

Provider # VA000401412132(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Damon Watson

Provider # VA000401412132(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 **Bryan Wheeler

Provider # VA000401416021(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Bryan Wheeler

Provider # VA000401416021(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 **Ross Wlodawsky

Provider # VA000401410693(6) 11319 Polo Place Midlothian, VA 23113 8047940794 **Ross Wlodawsky

Provider # VA000401410693(9) 6031 Harbour Park Dr Midlothian, VA 23112 8046083200 NEW KENT

Ana Maya Adkins

Provider # VA000401410364(1) 7780 Invicta Ln New Kent, VA 23124 8049668115 NEWPORT NEWS

Andria Chapman-Taliaferro

Provider # VA000401008833(1) 748-B Mcguire Pl Newport News, VA 23601 7573106904

NEWPORT NEWS (cont’d) John Chung

Provider # VA000401008234(2) 13626 Warwick Blvd Ste A Newport News, VA 23602 7578337217 John Chung

Provider # VA000401008234(2) 13626 Warwick Blvd Ste A Newport News, VA 23602 7578337217 *William Dodson

Provider # VA000401410127(4) 756 Mcguire Pl Newport News, VA 23601 7578066311 *Steven Forte

Provider # VA000401008643(1) 12528 Warwick Blvd #D Newport News, VA 23606 7575998393 James Holley

Provider # VA000401007431(3) 9916 Warwick Blvd Newport News, VA 23601 7575953503 Ronald Katz

Provider # VA000401411261(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 7575956224 Ronald Katz

Provider # VA000401411261(1) 12420 Warwick Blvd Ste 1A Newport News, VA 23606 7575956224 **Jeffrey Kenney

Provider # VA000401006963(1) 12420 Warwick Blvd #2A Newport News, VA 23606 7575951457 Melissa Nazareth

Provider # VA000401008646(1) 2704 Chestnut Ave Newport News, VA 23607 7572470890 Agustin Perez

Provider # VA000401007584(2) 710 Denbigh Blvd #5A Newport News, VA 23608 7578776003

NEWPORT NEWS (cont’d) *Alexander Royzenblat

Provider # VA000401414365(4) 756 Mcguire Pl Newport News, VA 23601 7578066311 NORFOLK

Amen Alemayehu

Provider # VA000401413304(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Amen Alemayehu

Provider # VA000401413304(6) 302 B E. Little Creek Rd Norfolk, VA 23505 7575885437 Benjamin Anderson

Provider # VA000401410504(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 **Trent Conelias

Provider # VA000401411285(3) 155 Kingsley Ln #230 Norfolk, VA 23505 7574891511 Irama Forbes

Provider # VA000401412668(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 7576224245 Rita Frazier

Provider # VA000401006012(1) 136 E Little Creek Rd Norfolk, VA 23505 7575876399 Keith Goldstein

Provider # VA000401007904(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Kevin Honore

Provider # VA000401008216(3) 2370 E Little Creek Rd Norfolk, VA 23518 7575888162 Kimbrough Hornsby

Provider # VA000401411379(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453


13

NORFOLK (cont’d) Robert Howell

Provider # VA000401006193(2) 9547 Shore Dr Norfolk, VA 23518 7574235892 Rasha Hussein

Provider # VA000401416115(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Ronald Katz

Provider # VA000401411261(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 7576224245 ****Bryan Konikoff

Provider # VA000401410766(3) 7400 Granby St Norfolk, VA 23505 7575871243 Bernadette Mabanglo-Samson

Provider # VA000401413839(1) 425 W 20Th St, Ste #3 Norfolk, VA 23517 7576224245 Michael Marcou

Provider # VA000401007701(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Vicki Mcmillan

Provider # VA000401008728(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Kyung Min

Provider # VA000401416123(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 **Sanford Morrison

Provider # VA000401006550(2) 204 Medical Tower Norfolk, VA 23507 7576254947 ***Preethi Nair

Provider # VA000401416990(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 ***Preethi Nair

Provider # VA000401416990(6) 302 B E. Little Creek Rd Norfolk, VA 23505 7575885437

NORFOLK (cont’d) Linda Oh

Provider # VA000401416144(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Scott Sachs

Provider # VA000401412640(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Scott Sachs

Provider # VA000401412640(6) 302 B E. Little Creek Rd Norfolk, VA 23505 7575885437 James Salerno

Provider # VA000401006630(1) 136 E Little Creek Rd Norfolk, VA 23505 7575876399 Ivan Schiff

Provider # VA000401004149(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 **Geoffrey Schreiber

Provider # VA000401414078(3) 155 Kingsley Ln #230 Norfolk, VA 23505 7574891511 Nathan Shapiro

Provider # VA000401415270(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Nathan Shapiro

Provider # VA000401415270(6) 302 B E. Little Creek Rd Norfolk, VA 23505 7575885437 Ilona Sibirtsev

Provider # VA000401416811(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Lauren Singor

Provider # VA000401412199(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Thomas Smith

Provider # VA000401008820(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453

NORFOLK (cont’d) Britnie Tran

Provider # VA000401414441(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Lee Weinstein

Provider # VA000401007794(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 Paul Yeh

Provider # VA000401410551(2) 300 East Little Creek Rd Norfolk, VA 23505 7575876453 NORTH CHESTERFIELD

Johne Epps

Provider # VA000401414327(1) 9460 Amberdale Dr Ste H North Chesterfield, VA 23236 8047457773 Crystal Joyce

Provider # VA000401415678(1) 2701 Turner Road North Chesterfield, VA 23224 8042766386 Farshid Soltanian

Provider # VA000401008668(1) 2701 Turner Road North Chesterfield, VA 23224 8042766386 PETERSBURG

**Paul Brinser

Provider # VA000401410148(5) 595 Old Wagner Rd Petersburg, VA 23805 8047326532 **Robert Oneill

Provider # VA000401004685(5) 595 Old Wagner Rd Petersburg, VA 23805 8047326532 **Robert Oneill

Provider # VA000401412441(5) 595 Old Wagner Rd Petersburg, VA 23805 8047326532 PORTSMOUTH

Roosevelt Green

Provider # VA000401006417(1) 600 Green Street Portsmouth, VA 23704 7573993752


14

PORTSMOUTH (cont’d)

James Holley

Provider # VA000401007431(1) 446 Effingham Street Ste 200 Portsmouth, VA 23704 7573932401 ***J Martin

Provider # VA000401007603(1) 446 Effingham St First Floor Portsmouth, VA 23704 7573979801 Kenneth Reynolds

Provider # VA000401006170(1) 1307 Airline Blvd Portsmouth, VA 23707 7573994662 Pretlow Stevenson

Provider # VA000401005195(1) 3412 Columbia Street Portsmouth, VA 23707 7573975611 Richard Sweeney

Provider # VA000401412770(1) 3219 Stamford Rd Portsmouth, VA 23703 7574841202 POWHATAN

Ernest Spaur

Provider # VA000401005786(1) 3852 Old Buckingham Rd Powhatan, VA 23139 8045983500 RESTON

**James Pell

Provider # VA000401006414(2) 1800 Town Center Dr #116 Reston, VA 20190 7034354414 *Richard Pollock

Provider # VA000401007979(5) 11710 Plaza America #150 Reston, VA 20190 7034812096 **Richard Wang

Provider # VA000401411829(2) 1800 Town Center Dr #116 Reston, VA 20190 7034354414

RICHMOND

**Neil Agnihotri

Provider # VA000401412743(5) 5224 Monument Ave Richmond, VA 23226 8043594474 Farheen Amina

Provider # VA000401415337(1) 30 Courthouse Rd Richmond, VA 23236 8043797855 Maranatha Atayde

Provider # VA000401414765(2) 6935 Hull Street Rd Richmond, VA 23224 8042764555 *Steven Barbieri

Provider # VA000401006995(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Steven Barbieri

Provider # VA000401006995(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Steven Barbieri

Provider # VA000401006995(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 ***Elizabeth Berry

Provider # VA000401411864(1) 2924 Brook Road Richmond, VA 23220 8042285828 *Sanjay Bhagchandani

Provider # VA000401410922(1) 5318 B Patterson Ave Richmond, VA 23226 8042850400 ***Elizabeth Bortell

Provider # VA000401410308(1) 2924 Brook Road Richmond, VA 23220 8042285828 ***Tegwyn Brickhouse

Provider # VA000401411639(1) 2924 Brook Road Richmond, VA 23220 8042285828 Jamie Brown

Provider # VA000401411244(1) 3900 Meadowdale Blvd Richmond, VA 23234 8042751622

RICHMOND (cont’d) ***Brian Burke

Provider # VA000401413575(3) 9704 Midlothian Turnpike Richmond, VA 23235 8045622667 ***Carol Caudill

Provider # VA000401413622(1) 2924 Brook Road Richmond, VA 23220 8042285828 William Coker

Provider # VA000401412155(1) 5500 Monument Ave #C Richmond, VA 23226 8043581933 Kevin Criscitiello

Provider # VA000401415867(1) 7834 Forest Hill Ave Unit 1 Richmond, VA 23225 8042722205 Paul Dacunha

Provider # VA000401411125(2) 8503 Patterson Ave Ste C Richmond, VA 23229 8047412424 ***William Dahlke Jr

Provider # VA000401414611(1) 2924 Brook Road Richmond, VA 23220 8042285828 Nino Carlo Deleon

Provider # VA000401415178(1) 5500 Monument Ave Ste G Richmond, VA 23226 8042824646 Angela Diaz

Provider # VA000401412527(2) 6935 Hull Street Rd Richmond, VA 23224 8042764555 Camilo Duarte

Provider # VA000401412057(2) 6935 Hull Street Rd Richmond, VA 23224 8042764555 **William Dymon

Provider # VA000401008625(5) 5224 Monument Ave Richmond, VA 23226 8043594474 *Timothy Finkler

Provider # VA000401410445(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501


15

RICHMOND (cont’d) *Timothy Finkler

Provider # VA000401410445(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Timothy Finkler

Provider # VA000401410445(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 **Monroe Harris

Provider # VA000401007107(5) 5224 Monument Ave Richmond, VA 23226 8043594474 **Mauricio Herrera

Provider # VA000401413331(5) 5224 Monument Ave Richmond, VA 23226 8043594474 Raidah Hudson

Provider # VA000401006926(1) 4374 S Laburnum Ave Richmond, VA 23231 8042223135 Paul Hudson

Provider # VA000401410881(1) 1801 Raintree Dr Ste A Richmond, VA 23238 8047408320 ***Malinda Husson

Provider # VA000401410708(1) 2924 Brook Road Richmond, VA 23220 8042285828 Mohamed Ibrahim

Provider # VA000401415899(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 John Jones

Provider # VA000401004652(2) 110 North Robinson St Ste 201 Richmond, VA 23220 8043533009 Audra Jones

Provider # VA000401410046(2) 110 North Robinson St Ste 201 Richmond, VA 23220 8043533009

RICHMOND (cont’d) ***Sindhu Jujjavarapu

Provider # VA000401415953(4) 9221 Forest Hill Ave Richmond, VA 23235 8043300508 **Kanyon Keeney

Provider # VA000401006889(5) 5224 Monument Ave Richmond, VA 23226 8043594474 *Thomas King

Provider # VA000401005085(1) 5700 Old Richmond Ave #19-D Richmond, VA 23226 8042852333 Stephen Kopelove

Provider # VA000401005074(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 *Trisha Krause

Provider # VA000401411549(1) 5318 B Patterson Ave Richmond, VA 23226 8042850400 *Harold Martinez

Provider # VA000401410241(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Harold Martinez

Provider # VA000401410241(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Harold Martinez

Provider # VA000401410241(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 **Lawrence Metzger

Provider # VA000401007540(5) 5224 Monument Ave Richmond, VA 23226 8043594474 *Michael Morris

Provider # VA000401007677(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Michael Morris

Provider # VA000401007677(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501

RICHMOND (cont’d) *Michael Morris

Provider # VA000401007677(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 *Madelyn Morris

Provider # VA000401411163(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Madelyn Morris

Provider # VA000401411163(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Madelyn Morris

Provider # VA000401411163(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 ***Lindsey North

Provider # VA000401414789(4) 9221 Forest Hill Ave Richmond, VA 23235 8043300508 George Oley

Provider # VA000401005517(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806 George Oley

Provider # VA000401005517(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 George Oley IV

Provider # VA000401417052(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 Reba Oley

Provider # VA000401414880(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 Kimberly Patterson

Provider # VA000401416827(1) 2924 Brook Road Richmond, VA 23220 8042285828 Kinjal Patel

Provider # VA000401414110(1) 30 Courthouse Rd Richmond, VA 23236 8043797855


16

RICHMOND (cont’d) **Maynard Phelps

Provider # VA000401411495(5) 5224 Monument Ave Richmond, VA 23226 8043594474 Gregory Poquis

Provider # VA000401008985(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 Anthony Puller

Provider # VA000401005783(1) 7834 Forest Hill Avenue Suite 6 Richmond, VA 23225 8042720563 Robert Quilez

Provider # VA000401411036(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806 Melanie Resendes

Provider # VA000401412368(1) 3900 Meadowdale Blvd Richmond, VA 23234 8042751622 Martine Rose

Provider # VA000401007741(1) 2010 Bremo Rd #121 Richmond, VA 23226 8042829191 Graham Rose

Provider # VA000401007742(1) 2010 Bremo Rd #121 Richmond, VA 23226 8042829191 ****Steven Saroff

Provider # VA000401004190(1) 2801 Mcrae Rd #C1 Richmond, VA 23235 8042729079 *Stephen Schroeder

Provider # VA000401413581(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Stephen Schroeder

Provider # VA000401413581(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Stephen Schroeder

Provider # VA000401413581(5) 5001 Grove Avenue Richmond, VA 23226 8045010501

RICHMOND (cont’d) Paul Shaia

Provider # VA000401005989(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 ****Abraham Shait

Provider # VA000401005526(1) 3210 Skipwith Road Richmond, VA 23294 8042707070 Jessica Smith

Provider # VA000401412969(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806 Kim Van

Provider # VA000401416121(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806 *Ronald Vranas

Provider # VA000401410568(1) 3107 Hungary Spring Rd Richmond, VA 23228 8045010501 *Ronald Vranas

Provider # VA000401410568(4) 12320 West Broad St Ste 209 Richmond, VA 23233 8045010501 *Ronald Vranas

Provider # VA000401410568(5) 5001 Grove Avenue Richmond, VA 23226 8045010501 **Damon Watson

Provider # VA000401412132(5) 5224 Monument Ave Richmond, VA 23226 8043594474 Jennifer Tran Wheeler

Provider # VA000401415674(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806 **Bryan Wheeler

Provider # VA000401416021(5) 5224 Monument Ave Richmond, VA 23226 8043594474 Kime Whitman

Provider # VA000401412975(1) 1907 W Huguenot Rd Richmond, VA 23235 8043796806

RICHMOND (cont’d) Lyla Rose Wilby

Provider # VA000401411425(1) 9030 Three Chopt Rd #A Richmond, VA 23229 8042827011 ***Tiffany Williams

Provider # VA000401414296(1) 2924 Brook Road Richmond, VA 23220 8042285828 **Ross Wlodawsky

Provider # VA000401410693(5) 5224 Monument Ave Richmond, VA 23226 8043594474 ***Patrice Wunsch

Provider # VA000401411957(1) 2924 Brook Road Richmond, VA 23220 8042285828 SOUTH CHESTERFIELD Ronald Terry

Provider # VA000401006268(1) 21312 Chesterfield Ave South Chesterfield, VA 23803 8045262424 SANDSTON

**Neil Agnihotri

Provider # VA000401412743(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **William Dymon

Provider # VA000401008625(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **Mauricio Herrera

Provider # VA000401413331(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **Kanyon Keeney

Provider # VA000401006889(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **Lawrence Metzger

Provider # VA000401007540(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992


17

SANDSTON (cont’d)

**Maynard Phelps

Provider # VA000401411495(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 ***Joy Phelps

Provider # VA000401411512(1) 5506 Whiteside Road Sandston, VA 23150 8043223669 **Damon Watson

Provider # VA000401412132(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **Bryan Wheeler

Provider # VA000401416021(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 **Ross Wlodawsky

Provider # VA000401410693(12) 5510 Whiteside Rd Sandston, VA 23150 8047370992 SPOTSYLVANIA

Vida Adjepon-Yamoah

Provider # VA000401416398(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Mazin Alayssami

Provider # VA000401008416(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Marcos Grande

Provider # VA000401411982(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Sama Hamdoon

Provider # VA000401415776(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Shayan Khan

Provider # VA000401416434(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570

SPOTSYLVANIA (cont’d) Felisha Kimble-Tanks

Provider # VA000401410844(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Jung Park

Provider # VA000401411935(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 Lisa Roseman

Provider # VA000401416326(6) 10454 Hilltop Plaza Way Spotsylvania, VA 22553 5408916570 SPRINGFIELD *Hamid Abedi

Provider # VA000401416511(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Sinan Aithraa

Provider # VA000401416296(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Gursimran Bhangra

Provider # VA000401415905(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Fawaad Chaudhry

Provider # VA000401416336(1) 8056 Rolling Road Springfield, VA 22153 5712955683 *Moein Jabbar Darjani

Provider # VA000401413097(1) 8056 Rolling Road Springfield, VA 22153 5712955683 ****Rashmi Ganesh

Provider # VA000401415538(1) 8056 Rolling Road Springfield, VA 22153 5712955683 **J Gutmann

Provider # VA000401004423(1) 6225 Brandon Ave #185 Springfield, VA 22150 7034514430

SPRINGFIELD (cont’d) **Steve Huang

Provider # VA000401415752(1) 8056 Rolling Road Springfield, VA 22153 5712955683 *Saif Kargoli

Provider # VA000401415175(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Pedro Lam

Provider # VA000401416141(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Abdullah Mahgoub

Provider # VA000401416648(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Mahdi Mojarrad

Provider # VA000401416679(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Mike Nguyen

Provider # VA000401413735(1) 8056 Rolling Road Springfield, VA 22153 5712955683 **Phuong Nguyen

Provider # VA000401412250(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Yasamin Rasool

Provider # VA000401416128(1) 8056 Rolling Road Springfield, VA 22153 5712955683 ****Pooyan Refahi

Provider # VA000401416038(1) 8056 Rolling Road Springfield, VA 22153 5712955683 James Schooley

Provider # VA000401416516(1) 8056 Rolling Road Springfield, VA 22153 5712955683 Ali Shahrestani

Provider # VA000401415528(1) 8056 Rolling Road Springfield, VA 22153 5712955683


18

SPRINGFIELD (cont’d) Alex Sharifian

Provider # VA000401415880(1) 8056 Rolling Road Springfield, VA 22153 5712955683 **Mathew Woodward

Provider # VA000401415902(1) 8056 Rolling Road Springfield, VA 22153 5712955683 STAFFORD Vida Adjepon-Yamoah

Provider # VA000401416398(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Mazin Alayssami

Provider # VA000401008416(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 *Hashim Alhassany

Provider # VA000401415327(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Aws Altameemi

Provider # VA000401416174(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 ***Annapurna Bondalapati

Provider # VA000401415769(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 **Jason Burkes

Provider # VA000401416380(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 ****Karim Chaddad

Provider # VA000401411750(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Marcos Grande

Provider # VA000401411982(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816

STAFFORD (cont’d) Sama Hamdoon

Provider # VA000401415776(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Shayan Khan

Provider # VA000401416434(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Jose Lugo

Provider # VA000401415834(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Jung Park

Provider # VA000401411935(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 **Ali Pashapour

Provider # VA000401411854(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 **Ashish Patel

Provider # VA000401411990(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 Lisa Roseman

Provider # VA000401416326(3) 392 Garrisonville Rd 205 Stafford, VA 22554 5406596816 STERLING

*Hamid Abedi

Provider # VA000401416511(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Vida Adjepon-Yamoah

Provider # VA000401416398(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Mazin Alayssami

Provider # VA000401008416(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102

STERLING (cont’d) Lina Al Jarrah

Provider # VA000401416805(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Ahmed Al-Salim

Provider # VA000401415571(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Aws Altameemi

Provider # VA000401416174(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Yusur Al-Tekreeti

Provider # VA000401416598(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Gursimran Bhangra

Provider # VA000401415905(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 ****Karim Chaddad

Provider # VA000401411750(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Brian Chase

Provider # VA000401415927(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 *Moein Jabbar Darjani

Provider # VA000401413097(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Michael Eghtessad

Provider # VA000401410302(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Carl Friddle

Provider # VA000401416372(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102


19

STERLING (cont’d) ****Rashmi Ganesh

Provider # VA000401415538(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Marcos Grande

Provider # VA000401411982(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Sama Hamdoon

Provider # VA000401415776(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 ****Justin Hardison

Provider # VA000401413670(1) 21165 Whitefield Pl Ste 107 Sterling, VA 20165 7034444377 ****Fadi Hasan

Provider # VA000401413459(1) 21165 Whitefield Pl Ste 107 Sterling, VA 20165 7034444377 **Steve Huang

Provider # VA000401415752(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Jae-Woo Jung

Provider # VA000401416137(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 *Saif Kargoli

Provider # VA000401415175(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Shayan Khan

Provider # VA000401416434(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 ****Jean-Claude Kharmouche

Provider # VA000401008809(1) 21165 Whitefield Pl Ste 107 Sterling, VA 20165 7034444377

STERLING (cont’d)

Mahdi Mojarrad

Provider # VA000401416679(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Tara Moshiri

Provider # VA000401410136(1) 46090 Lake Center Plaza #107 Sterling, VA 20165 7034343286 Sravanthi Nallavalli

Provider # VA000401411590(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 Mike Nguyen

Provider # VA000401413735(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 **Phuong Nguyen

Provider # VA000401412250(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Jung Park

Provider # VA000401411935(4) 6 Pidgeon Hill Dr #210 Sterling, VA 20165 7034447102 ****Pooyan Refahi

Provider # VA000401416038(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Ali Shahrestani

Provider # VA000401415528(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Alex Sharifian

Provider # VA000401415880(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 Sahil Trehan

Provider # VA000401416610(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560

STERLING (cont’d)

Jainy Vakharia

Provider # VA000401415256(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 **Mathew Woodward

Provider # VA000401415902(1) 21435 Epicerie Plaza Suite 190 Sterling, VA 20164 7034540560 **Mathew Woodward

Provider # VA000401415902(2) 21435 Epicerie Plaza Ste 190 Sterling, VA 20164 7034540560 SUFFOLK

Amen Alemayehu

Provider # VA000401413304(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Benjamin Anderson

Provider # VA000401410504(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 *Jeffrey Domark

Provider # VA000401413366(1) 1510 Breezeport Way Ste 400 Suffolk, VA 23435 7576384500 Keith Goldstein

Provider # VA000401007904(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Kimbrough Hornsby

Provider # VA000401411379(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Rasha Hussein

Provider # VA000401416115(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 ****Bryan Konikoff

Provider # VA000401410766(4) 1510 Breezeport Way #500 Suffolk, VA 23435 7574841818


20

SUFFOLK (cont’d) Michael Marcou

Provider # VA000401007701(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Vicki Mcmillan

Provider # VA000401008728(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Kyung Min

Provider # VA000401416123(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 ***Preethi Nair

Provider # VA000401416990(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Linda Oh

Provider # VA000401416144(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Scott Sachs

Provider # VA000401412640(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Ivan Schiff

Provider # VA000401004149(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Nathan Shapiro

Provider # VA000401415270(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Lauren Singor

Provider # VA000401412199(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Ilona Sibirtsev

Provider # VA000401416811(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Thomas Smith

Provider # VA000401008820(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263

SUFFOLK (cont’d) Britnie Tran

Provider # VA000401414441(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 *Michael Trudeau

Provider # VA000401411970(1) 1510 Breezeport Way Ste 400 Suffolk, VA 23435 7576384500 **Caroline Webber

Provider # VA000401411368(4) 1510 Breezeport Way #500 Suffolk, VA 23435 7574841818 Lee Weinstein

Provider # VA000401007794(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 Paul Yeh

Provider # VA000401410551(7) 210 Meadow View Blvd Suffolk, VA 23435 7576736263 VIENNA

Vida Adjepon-Yamoah

Provider # VA000401416398(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Mazin Alayssami

Provider # VA000401008416(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 ****Karim Chaddad

Provider # VA000401411750(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 *Mary Choby

Provider # VA000401005957(1) 8133 Leesburg Pk Ste 610 Vienna, VA 22182 7034488433 *Ali Eghtesadi

Provider # VA000401413851(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664

VIENNA (cont’d)

Carl Friddle

Provider # VA000401416372(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Marcos Grande

Provider # VA000401411982(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Sama Hamdoon

Provider # VA000401415776(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Shayan Khan

Provider # VA000401416434(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Jung Park

Provider # VA000401411935(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 **Ali Pashapour

Provider # VA000401411854(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 **Ashish Patel

Provider # VA000401411990(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 Lisa Roseman

Provider # VA000401416326(2) 2230 Gallows Rd Ste 320 Vienna, VA 22027 7035738664 *Arundhati Sauparn

Provider # VA000401415163(1) 1964 Gallows Rd Ste 220 Vienna, VA 22182 7036509990


21

VIRGINIA BEACH

Amen Alemayehu

Provider # VA000401413304(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Amen Alemayehu

Provider # VA000401413304(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Benjamin Anderson

Provider # VA000401410504(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Benjamin Anderson

Provider # VA000401410504(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Benjamin Anderson

Provider # VA000401410504(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Allan Bergano

Provider # VA000401006224(2) 4460 Corporation Lane Ste 190 Virginia Beach, VA 23462 7574972988 *Kelly Bussey

Provider # VA000401410052(1) 4542 Bonney Rd #A Virginia Beach, VA 23462 7574165333 **Trent Conelias

Provider # VA000401411285(1) 6033 Providence Rd Virginia Beach, VA 23464 7574242672 Kathy Delva

Provider # VA000401415001(2) 616 Virginia Beach Blvd Ste #102 Virginia Beach, VA 23451 7577697155 *Dean Elattrache

Provider # VA000401410744(2) 1369 Laskin Rd #3B Virginia Beach, VA 23451 7574270144

VIRGINIA BEACH (cont’d) Kevin Ellis

Provider # VA000401007176(1) 205 34Th Street Ste 112 Virginia Beach, VA 23451 7574285491 Sheila Field

Provider # VA000401410950(80) 4676 Princess Anne Road Ste 100 Virginia Beach, VA 23462 7574955010 Rita Frazier

Provider # VA000401006012(4) 4541 Main St Virginia Beach, VA 23462 7573094450 Myron Gladstone

Provider # VA000401004418(1) 5318 Providence Road Virginia Beach, VA 23464 7574243657 Stephen Goldstein

Provider # VA000401004091(1) 2521 North Landing Rd #100 Virginia Beach, VA 23456 7574309448 Keith Goldstein

Provider # VA000401007904(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Keith Goldstein

Provider # VA000401007904(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Keith Goldstein

Provider # VA000401007904(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 **Scott Goodove

Provider # VA000401410548(2) 1127 First Colonial Rd Virginia Beach, VA 23454 7574122002 **John Green

Provider # VA000401414793(2) 1127 First Colonial Rd Virginia Beach, VA 23454 7574122002

VIRGINIA BEACH (cont’d) Kimbrough Hornsby

Provider # VA000401411379(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Kimbrough Hornsby

Provider # VA000401411379(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Rasha Hussein

Provider # VA000401416115(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Rasha Hussein

Provider # VA000401416115(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Rasha Hussein

Provider # VA000401416115(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Patricia James

Provider # VA000401008832(2) 5511 Princess Anne Rd #201 Virginia Beach, VA 23462 7572273401 Sungmin Jeoun

Provider # VA000401414949(2) 616 Virginia Beach Blvd Ste #102 Virginia Beach, VA 23451 7577697155 ****Albert Konikoff

Provider # VA000401004445(1) 477 Viking Drive #190 Virginia Beach, VA 23452 7574868181 ****Bryan Konikoff

Provider # VA000401410766(1) 477 Viking Drive #190 Virginia Beach, VA 23452 7574868181 Albert Lin

Provider # VA000401414104(1) 2521 North Landing Rd #100 Virginia Beach, VA 23456 7574309448


22

VIRGINIA BEACH (cont’d) Alan Mahanes

Provider # VA000401006803(1) 2521 North Landing Rd #100 Virginia Beach, VA 23456 7574309448 Michael Marcou

Provider # VA000401007701(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Michael Marcou

Provider # VA000401007701(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Michael Marcou

Provider # VA000401007701(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 *Chester Mayo

Provider # VA000401006323(1) 477 Viking Dr Ste 215 Virginia Beach, VA 23452 7574865428 Vicki Mcmillan

Provider # VA000401008728(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Vicki Mcmillan

Provider # VA000401008728(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Vicki Mcmillan

Provider # VA000401008728(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 **Darrell Meeks

Provider # VA000401007337(1) 281 Independence Bl #225 Virginia Beach, VA 23462 7574995909 Kyung Min

Provider # VA000401416123(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453

VIRGINIA BEACH (cont’d) Kyung Min

Provider # VA000401416123(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Kyung Min

Provider # VA000401416123(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Osama Modjadidi

Provider # VA000401410783(2) 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 7574958775 **Sanford Morrison

Provider # VA000401006550(1) 904 Kempsville Road #102 Virginia Beach, VA 23464 7574678000 **David Mueller

Provider # VA000401007897(4) 1157 First Colonial Rd #101 Virginia Beach, VA 23454 7574968066 ***Preethi Nair

Provider # VA000401416990(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 ***Preethi Nair

Provider # VA000401416990(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 ***Preethi Nair

Provider # VA000401416990(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Linda Oh

Provider # VA000401416144(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Linda Oh

Provider # VA000401416144(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114

VIRGINIA BEACH (cont’d) Linda Oh

Provider # VA000401416144(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Kenneth Reynolds

Provider # VA000401006170(2) 401 Green Meadows Dr Ste B Virginia Beach, VA 23462 7574958775 Scott Sachs

Provider # VA000401412640(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Scott Sachs

Provider # VA000401412640(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 James Salerno

Provider # VA000401006630(1) 5318 Providence Road Virginia Beach, VA 23464 7574243657 Ivan Schiff

Provider # VA000401004149(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Ivan Schiff

Provider # VA000401004149(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 **Geoffrey Schreiber

Provider # VA000401414078(1) 6033 Providence Rd Virginia Beach, VA 23464 7574242672 ****Jeremy Shulman

Provider # VA000401002488(1) 1301 First Colonial Rd Virginia Beach, VA 23454 7574968070 Ilona Sibirtsev



23

VIRGINIA BEACH (cont’d) Ilona Sibirtsev

Provider # VA000401416811(4) 1157 First Colonial Rd #101 Virginia Beach, VA 23454 7574968066 Ilona Sibirtsev

Provider # VA000401416811(8) 2185 Upton Drive Virginia Beach, VA 23454 7574165977 Lauren Singor

Provider # VA000401412199(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Lauren Singor

Provider # VA000401412199(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Thomas Smith

Provider # VA000401008820(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Thomas Smith

Provider # VA000401008820(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Jacqueline Smith

Provider # VA000401411605(1) 1385 Fordham Dr Ste 106 Virginia Beach, VA 23464 7574240095 Murray Spain

Provider # VA000401007006(2) 3634 South Plaza Trail #101 Virginia Beach, VA 23452 7574989510 Murray Spain

Provider # VA000401007006(3) 1127 Independence Blvd Virginia Beach, VA 23455 7573638500 Britnie Tran


VIRGINIA BEACH (cont’d) Britnie Tran

Provider # VA000401414441(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 **Curtis Vendetti

Provider # VA000438000214(2) 1240 Perimeter Pkwy Ste 401 Virginia Beach, VA 23454 7574307690 Jennifer Waterman

Provider # VA000401411099(41) 525 N Great Neck Rd Virginia Beach, VA 23454 7573408155 **Caroline Webber

Provider # VA000401411368(1) 477 Viking Drive #190 Virginia Beach, VA 23452 7574868181 Lee Weinstein

Provider # VA000401007794(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Lee Weinstein

Provider # VA000401007794(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 Paul Yeh

Provider # VA000401410551(1) 904 Kempsville Rd Virginia Beach, VA 23464 7574676453 Paul Yeh

Provider # VA000401410551(4) 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 7574121114 **Peter Zagursky

Provider # VA000401411371(2) 1127 First Colonial Rd Virginia Beach, VA 23454 7574122002 WILLIAMSBURG

William Fullerton

Provider # VA000401008148(1) 5249 Old Towne Rd Williamsburg, VA 23188 7572593258

WILLIAMSBURG (cont’d) ***Rana Graham-Montaque

Provider # VA000401411505(1) 213 Bulifants Blvd #B Williamsburg, VA 23188 7579034525 *Terry Hake

Provider # VA000401008049(1) 1761 Jamestown Rd Ste 102 Williamsburg, VA 23185 7572294115 *Kalisha Jordan

Provider # VA000401411472(2) 302 Bulifants Blvd Ste 102 Williamsburg, VA 23188 7579032577 WINCHESTER

**James Pell

Provider # VA000401006414(1) 170 Garber Ln Winchester, VA 22602 5406670100 **Richard Wang

Provider # VA000401411829(1) 170 Garber Ln Winchester, VA 22602 5406670100 WOODBRIDGE

Hassanoor Abdirahman

Provider # VA000401412394(1) 13601 Office Place #202 Woodbridge, VA 22192 7039860434 Joshua Anderson

Provider # VA000401412572(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414 Eliana Anderson

Provider # VA000401413574(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414 Jhosdyn Barragan

Provider # VA000401415700(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414 Joan Pino De Las Casas

Provider # VA000401414222(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414


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WOODBRIDGE (cont’d) John Sporidis

Provider # VA000401416440(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414 Samuel Hagos

Provider # VA000401414144(1) 13601 Office Place #202 Woodbridge, VA 22192 7039860434 Andy Ma

Provider # VA000401410721(1) 4585 Daisy Reid Ave #101 Woodbridge, VA 22192 7036809296 **Phuong Nguyen

Provider # VA000401412250(1) 4585 Daisy Reid Ave #105 Woodbridge, VA 22192 7036706886 Mayur Patel

Provider # VA000401413519(1) 14416 Jefferson Davis Hwy #16 Woodbridge, VA 22191 7034921999 **James Pell

Provider # VA000401006414(3) 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 7038978983 *Richard Pollock

Provider # VA000401007979(6) 12701 Marblestone Dr #180 Woodbridge, VA 22192 5712982000 Carla Zamora -Rojas

Provider # VA000401412957(1) 14007 Minnieville Rd Woodbridge, VA 22193 7036705414 *Arundhati Sauparn

Provider # VA000401415163(2) 2200 Opitz Blvd Ste 215 Woodbridge, VA 22191 7036509990 **Richard Wang

Provider # VA000401411829(3) 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 7038978983

YORKTOWN

Dumbuos Asigri

Provider # VA000401415071(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Sheryle Hamlett

Provider # VA000401006188(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Rajni Kapoor

Provider # VA000401414188(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Julian Miller

Provider # VA000401411882(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Ellen Nordgren

Provider # VA000401415664(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Bonnie Pearson

Provider # VA000401008757(1) 119-C Village Ave Yorktown, VA 23693 7578980845 Ariel Wartofsky

Provider # VA000401411866(1) 119-C Village Ave Yorktown, VA 23693 7578980845


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DeltaCare Orthodontic Provider List ALEXANDRIA Shiva Kermanshi

Provider # VA000401410790 715 Pendleton St Alexandria, VA 22314 571-970-3783 Shiva Kermanshi

Provider # VA000401410790 101 S. Whiting St., Suite 100 Alexandria, VA 22304 703-751-7000 ARLINGTON Thuy-Linh Huynh Provider # VA000401412334 1050 N Highland St, #300 Arlington, VA 22201 703-5273888 CENTREVILLE Thoai-Lan Tran

Provider # VA000401412959 6019 Centreville Crest Lane Centreville, VA 20121 703-815-0202 CHANTILLY Dan Lee

Provider # VA000401411868 3901 Centerview Dr, #T Chantilly, VA 20151 703-467-0214 CHESAPEAKE John Ashby Provider # VA000401411276 1021 N Eden Way, Suite 128 Chesapeake, VA 23320 757-547-8700 Kristen Benes Provider # VA000401008953 1230 Progressive Dr, # 103 Chesapeake, VA 23320 757-436-1270 CHESTER Wakeshi Benson

Provider # VA000401411415 12230 Iron Bridge Rd, #8 Chester, VA 23831 804-404-3804

COLONIAL HEIGHTS_______________ Ralph Anderson

Provider # VA000401008749 556 Southpark Blvd Colonial Heights, VA 23834 804-526-2702 FALLS CHURCH

Shiva Kermanshi Provider # VA000401410790 6060 Arlington Blvd Falls Church, VA 22044 703-237-0060 FREDERICKSBURG Richard Byrd Provider # VA 000401007026 927 Maple Grove Dr # 111 Fredericksburg, VA 22407 540-786-0051 Syed Hussaini Provider # VA 000401412740 927 Maple Grove Dr # 111 Fredericksburg, VA 22407 540-786-0051 GAINESVILLE Hicham Mekouar Provider # VA000401411070 7462 Limestone Dr Gainesville, VA 20155 703-753-3346 GLEN ALLEN Elizabeth Mei Provider # VA000401008096 10170 Staples Mill Rd, Suite B Glen Allen, VA 23060 804-726-1870 Richard Villa Provider # VA000401008076 10120 West Broad St, Suite L Glen Allen, VA 23060 804-747-0137 HAMPTON Curtis Dailey Provider # VA000401410187 2118 Executive Dr Hampton, VA 23666 757-826-5075

HAMPTON (cont’d) George Dailey Provider # VA000401004072 2118 Executive Dr Hampton, VA 23666 757-826-5075 Jon Scott Provider # VA000401005160 1186 Big Bethel Rd Hampton, VA 23666 757-825-6280 Jon Scott Provider # VA000401005160 2108 Hartford Rd Hampton, VA 23666 757-825-6280 Alexander Waitkus Provider # VA000401004032 2101 Executive Dr, Suite 5E Hampton, VA 23666 757-826-8511 HERNDON Richard Byrd Provider # VA000401007026 13873 Park Center Rd, Suite 137 Herndon, VA 20171 703-478-0115 Syed Hussaini Provider # VA000401412740 13873 Park Center Rd Herndon, VA 20171 703-478-0115 MANASSAS Syed Hussaini Provider # VA000401412740 10081 Market Circle Manassas, VA20110 703-383-0090 MECHANICSVILLE Elizabeth Mei Provider # VA000401008096 9221 Chamberlayne Rd Mechanicsville, VA 23116 804-427-7420


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MIDLOTHIAN Richard Byrd Provider # VA000401007026 2929 Polo Pkwy Midlothian, VA 23113 804-330-0508 Kevin Kelleher Provider # VA000401411884 2412 Colony Crossing Pl Midlothian, VA 23112 804-739-6673 John W. King Provider # VA000401005334 5921 Harbour Lane, #300 Midlothian, VA 23112 804-739-3399 Erin Smith Provider #VA000401413326 2929 Polo Pkwy Midlothian, VA 23113 804-379-3718 NEWPORT NEWS John Matney

Provider # VA000401003265 12528 Warwick Blvd Newport News, VA 23606 757-596-8210 NORFOLK John Ashby Provider # VA000401411276 7400 Granby St Norfolk, VA 23505 757-583-4518 Kristen Benes Provider # VA000401008953 300 East Little Creek Rd Norfolk, VA 23505 757-587-6453 Kristen Benes Provider # VA000401008953 302 E Little Creek Rd Norfolk, VA 23505 757-416-7751 POQUOSON Curtis Dailey

Provider # VA000401410187 534-B Wythe Creek Rd Poquoson, VA 23662 757-826-5075 George Dailey

Provider # VA000401004072 534-B Wythe Creek Rd Poquoson, VA 23662 757-826-5075

PORTSMOUTH Yugal Behl

Provider # VA000401412905 446 Effingham St. Portsmouth, VA 23704 757-397-9801 RICHMOND Ralph Anderson Provider # VA000401008749 5500 Monument Ave, Suite K Richmond, VA 23226 804-285-9800 Ralph Anderson Provider # VA000401008749 1907 W. Huguenot Rd Richmond, VA 23235 804-379-6806 Ralph Anderson Provider # VA000401008749 9030 Three Chopt Rd, Suite A Richmond, VA 23229 804-282-7011 Marielena Arroyo-Pratt Provider # VA000401008725 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867 Wakeshi Benson Provider # VA000401411415 9030 Three Chopt Rd, Suite A Richmond, VA 23229 804-282-7011 Richard Byrd Provider # VA000401007026 6740 Forest Hill Ave, Suite 103 Richmond, VA 23225 804-330-0508 Matthew Cline Provider # VA000472443444 2212 John Rolfe Pkwy 23233 804-419-6788 Elizabeth Mei Provider # VA000401008096 5247 S Laburnum Ave Richmond, VA 23231 804-236-5867 Erin Smith Provider # VA000401413326 9221 Forest Hill Ave. Richmond, VA 23235 804-330-0508

SPOTSYLVANIA Michael Blackwood

Provider # VA000401007606 10454 Hilltop Plaza Way Spotsylvania, VA 22553 540-891-6570 STAFFORD

Richard Byrd Provider # VA000401007026 392 Garrisonville Rd, Suite 205 Stafford, VA 22554 540-659-6816 Markus Niepraschk

Provider # VA00040141163 392 Garrisonville Rd, Suite 205 Stafford, VA 22554 540-659-6816 SUFFOLK Kristen Benes Provider # VA000401008953 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263 Robert Galbreath Provider # VA000401008953 210 Meadow View Blvd Suffolk, VA 23435 757-673-6263 Randall Kulnis Provider # VA000401008378 1530 Breezeport Way Suffolk, VA 23435 757-686-3444 Thomas Taylor Provider # VA000401413529 1530 Breezeport Way, #500 Suffolk, VA 23435 757-686-3444 VIRGINIA BEACH John Ashby Provider # VA000401411276 4356-4 Bonney Rd., Ste. 101 Virginia Beach, VA 23452 757-340-7000 Kristen Benes Provider # VA000401008953 904 Kempsville Rd Virginia Beach, VA 23464 757-467-6453 Kristen Benes Provider # VA000401008953 1157 First Colonial Rd Virginia Beach, VA 23454 757-412-1114


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VIRGINIA BEACH (cont’d) Robert Galbreath Provider # VA000401008953 1157 First Colonial Rd Virginia Beach, VA 23454 757-412-1114 Robert Galbreath Provider # VA000401008953 904 Kempsville Rd, Suite 105 Virginia Beach, VA 23464 757-963-0059 Jon Scott Provider # VA000401005160 114 S Witchduck Rd Virginia Beach, VA 23462 757-627-9818 Alexander Waitkus Provider # VA000401004032 293 Independence Blvd Virginia Beach, VA 23462 757-340-9020 WOODBRIDGE Thoai-Lan Tran Provider # VA000401412959 14416 Jefferson Davis Hwy, #16 Woodbridge, VA 22191 703-492-1999


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These providers are CLOSED to new patients and transfers.

ANNANDALE

Tae Lee Provider # VA000401008922 (1) 7002-C Little River Tpke Annandale, VA 22003 703-256-7100

CHESAPEAKE

Wyatt Ruffin Provider # VA000401006433 (1) 3940 Airline Blvd, Ste. 114 Chesapeake, VA 23321 757-465-4884

GLEN ALLEN Bradley Anderson

Provider # VA000401007267(3) 11420 W. Broad St Glen Allen, VA 23060 804-360-3500 HERNDON

Winfred Hudgins Provider # VA000401007735 (2) 386 Elden St Herndon, VA 20170 703-904-8128

NORFOLK James Reske Provider # VA000401004799 (12) 1727 Cromwell Dr Norfolk, VA 23509 757-622-3776

PORTSMOUTH

Pretlow Stevenson Provider # VA000401005195 (1) 3412 Columbia St Portsmouth, VA 23707 757-397-5611

RICHMOND

Dean Garfield Provider # VA000401008965 (1) 5500 Monument Ave, Suite G Richmond, VA 23226 804-282-4646

VIRGINIA BEACH

James Reske Provider # VA000401004799 (13) 4530 Professional Cir Virginia Beach, VA 23455 757-499-0567

Randolph Savage Provider # VA000401004706 (13) 4530 Professional Cir Virginia Beach, VA 23455 757-499-0567

NOTE: This list is subject to change without notice. Prior to seeking treatment, please verify with your dentist that he/she is a DeltaCare® provider. Your dental benefits are available only at DeltaCare® dental offices. For additional information on the status of the above providers, as well as new providers, please call Delta Dental at 1-800-862-0838.

virginia deltacare® provider listemployees.henrico.us/pdfs/benefits/dent/dent_deltacarelist.pdf ·...

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