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Participating Dentist Directory

Delta Dental Premier

Virginia

Delta Dental Premier

TONEY, TYLER MARCHIBRODA, DIANA HUANG, TONG-YEN VIRGINIA BROWN DENTAL ASSOCS MARCHIBRODA DIANA THE VIRGINIA ENDODONTIC 915 W Main St 9605 Critzer Shop Rd GROUP KINGSTOWNE LLC ABINGDON Abingdon, VA 24210 Afton, VA 22920 6831 Sir Viceroy Dr # 210 (276) 628-9507 (540) 456-6571 Alexandria, VA 22315 GENERAL DENTIST (703) 922-9040 BROWN, BOB ORAL SURGEON ALBERTA BROWN DENTAL ASSOCS KESSLER, JOEL HOLLYFIELD, NEIL 915 W Main St GENERAL DENTIST LAWRENCE M KOTLER DDS SUKLE & HOLLYFIELD 3543 W Braddock Rd #E1 Abingdon, VA 24210 PARRIS-WILKINS, TONYA (276) 628-9507 403 East Main Street Alexandria, VA 22302 SOUTHSIDE COMMUNITY Abingdon, VA 24210 (703) 931-6600 (276) 628-2123 HEALTH SERVICES

BROWN, RON 8380 Boydton Plank Rd PARTICIPATING PROVIDERS BROWN DENTAL ASSOCS Alberta, VA 23821 KOTLER, LAWRENCE PERKINS, DENNIS 915 W Main St (434) 949-7211 LAWRENCE M KOTLER DDS Abingdon, VA 24210 SUKLE & HOLLYFIELD 3543 W Braddock Rd #E1 403 East Main Street Alexandria, VA 22302 (276) 628-9507 ALDIE Abingdon, VA 24210 (703) 931-6600 (276) 628-2123 COLLINS, TIMOTHY GENERAL DENTIST TIMOTHY E COLLINS DDS LEE, BRIAN THOMPSON, BRIAN KANUMILLI, SOWMYA 616 Campus Dr Ste 100 THE VIRGINIA ENDODONTIC ALDIE FAMILY & COSMETIC Abingdon, VA 24210 SUKLE & HOLLYFIELD GROUP KINGSTOWNE LLC DENTISTRY (276) 619-5020 403 East Main Street 6831 Sir Viceroy Dr # 210 Abingdon, VA 24210 24600 Millstream Dr #470 Alexandria, VA 22315 (276) 628-2123 Aldie, VA 20105 (703) 922-9040 DOTY, MICHAEL (703) 327-9220 MICHAEL DOTY DDS 699 Mcbroom St ORTHODONTIST LEE, H VIVIAN ORTHODONTIST FERNANDO J MEZA DMD PLLC Abingdon, VA 24210 BASSHAM, DEBORAH 4660 Kenmore Ave Ste 700 (276) 628-6251 DEBORAH A BASSHAM DDS MS FRANKENBERRY, ANISHKA Alexandria, VA 22304 414 E Main St STONE RIDGE ORTHODONTICS (703) 370-1327 HOOKER, JOHN Abingdon, VA 24210 24600 Millstream Dr #101 BROWN DENTAL ASSOCS (276) 525-1181 Aldie, VA 20105 915 W Main St (703) 722-8004 MEZA, FERNANDO Abingdon, VA 24210 FERNANDO J MEZA DMD PLLC PEDIATRIC (276) 628-9507 ALEXANDRIA 4660 Kenmore Ave Ste 700 DENTIST/PEDODONTIST Alexandria, VA 22304 (703) 370-1327 JOHNSTON, FRANCES ROLON, EVELYN ENDODONTIST FRANCES ANNE JOHNSTON DDS ABINGDON PEDIATRIC DJEU, S GRACE 160 Valley St Ne DENTISTRY NGO, TU-SON THE VIRGINIA ENDODONTIC Abingdon, VA 24210 465 W Main St THE VIRGINIA ENDODONTIC GROUP KINGSTOWNE LLC (276) 623-2211 Abingdon, VA 24212 GROUP KINGSTOWNE LLC (276) 739-7942 6831 Sir Viceroy Dr # 210 6831 Sir Viceroy Dr # 210 Alexandria, VA 22315 Alexandria, VA 22315 MOORE , FRENCH (703) 922-9040 (703) 922-9040 FRENCH H MOORE III DDS PC ACCOMAC 321 Court Street DONGELL, DIANA Abingdon, VA 24210 GENERAL DENTIST PALMIERI, DAVID DAVID PALMIERI DMD (276) 628-7862 DAVID PALMIERI DMD DALEY, COLLEEN 1650 King St Ste 300 1650 King St Ste 300 COLLEEN C DALEY DDS Alexandria, VA 22314 Alexandria, VA 22314 OWENS, GREGORY 24050 Lankford Hwy (703) 836-0006 (703) 836-0006 GREGORY D OWENS DDS Accomac, VA 23301 640 West Main St #A (757) 787-7770 HSU, YU KAI Abingdon, VA 24210 PATEL, LOKEN THE VIRGINIA ENDODONTIC (276) 676-2616 FERNANDO J MEZA DMD PLLC SAECKER, J GROUP KINGSTOWNE LLC 4660 Kenmore Ave Ste 700 J RAWLS SAECKER DDS 6831 Sir Viceroy Dr # 210 Alexandria, VA 22304 THURSTON, CHRISTOPHER 23185 Front St Alexandria, VA 22315 (703) 370-1327 BROWN DENTAL ASSOCS Accomac, VA 23301 (703) 922-9040 915 W Main St (757) 787-4425 Abingdon, VA 24210 PORTELL, FRANK DAVID PALMIERI DMD (276) 628-9507 AFTON 1650 King St Ste 300 Alexandria, VA 22314 GENERAL DENTIST (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

ALMZAYYEN, MOHAMMED BELL, ALONZO CHO, YOUNG VIRGINIA (CONT'D) REFLECTION DENTAL LITTLE ALONZO M BELL DDS FOREST FAMILY DENTISTRY RIVER 1454 Duke St #200 PLLC ALEXANDRIA 6546 Little River Turnpike Alexandria, VA 22314 3608 Forest Dr Alexandria, VA 22312 (703) 836-3384 Alexandria, VA 22302 RUSSO-REVAND, JESSICA (703) 256-3313 (703) 671-3511 FERNANDO J MEZA DMD PLLC BEYENE, YODIT 4660 Kenmore Ave Ste 700 ARANGO, ANA CHOHAN, EMA Alexandria, VA 22304 ALEXANDRIA ADVANCED (703) 370-1327 ANA M ARANGO DDS PC DENTISTRY ALEXANDRIA SMILE DENTISTRY 6303 Little River Trnpk #140 4660 Kenmore Ave #318 5234 Dawes Ave Alexandria, VA 22312 Alexandria, VA 22304 Alexandria, VA 22311 SCHOENLY, NATHAN (703) 256-7700 (703) 751-7300 (703) 671-0626 DAVID PALMIERI DMD

1650 King St Ste 300 PARTICIPATING PROVIDERS ARDILA GAITAN, CLAUDIA BHULLAR, RAJINDER CLARK, C Alexandria, VA 22314 (703) 836-0006 ALEXANDRIA NEIGHBORHOOD RAJINDER S BHULLAR DDS KING CENTRE DENTAL HEATLH SERVICES INC 101 S Whiting St #313 5695 King Centre Dr B100 4480 King St Alexandria, VA 22304 Alexandria, VA 22315 TOLBA, MOSTAFA Alexandria, VA 22303 (703) 823-2998 (703) 719-9824 EXQUISITE DENTAL CARE (703) 535-5568 300 N Washington St Ste 210 BROTHERTON, SAMTHA COSTA, MAURICIO Alexandria, VA 22314 ASGARI, NAVID (571) 970-4103 SAMTHA BROTHERTON DDS PC ANA M ARANGO DDS PC ALEXANDRIA DENTAL ART 5500 Holmes Run #C5 6303 Little River Trnpk #140 1001 N Fairfax St #100 Alexandria, VA 22304 Alexandria, VA 22312 GENERAL DENTIST Alexandria, VA 22314 (703) 212-2001 (703) 256-7700 ABOULHOSN-SANGID, (703) 566-8799 MAHER BROWN, CHARLES DELORENZO, MICHAEL DUKE DENTAL CARE PLC ASHOURIPOUR, DARIOUSH KINGSTOWNE DENTAL CARE PC MICHAEL DELORENZO DMD LLC 50 S Pickett St #229 LANDMARK SMILE DDS 7015-A Manchester Blvd 801 N Pitt St Ste 111 Alexandria, VA 22304 5249 Duke St #409 Alexandria, VA 22310 Alexandria, VA 22314 (703) 212-0000 Alexandria, VA 22304 (703) 719-0033 (703) 549-1288 (703) 370-6800 BROWN, CHARLES ACKERMAN, JEFFREY HAYFIELD DENTAL CARE DHILLON, NAVNEET ACKERMAN & ASSOC OF ATTIA, MOHAMED 7574 Telegraph Rd NEIBAUER DENTAL CARE PC ALEXANDRIA D MOHAMED ATTA DDS PLLC Alexandria, VA 22315 8626 Richmond Hwy 5055 Seminary Rd Ste 105 6420 Grovedale Dr #100A (703) 971-2220 Alexandria, VA 22309 Alexandria, VA 22311 Alexandria, VA 22310 (703) 554-3500 (703) 719-9305 (703) 931-0200 BUNN, STEVEN ERIC MESTAS DDS PC DICKSON, STEPHANIE ADAM-ELDIEN, ASHRAF AVAKIAN, GARY 5115-D Franconia Rd DICKSON DENTAL PC ADVANCED DENTAL CARE PLLC AVAKIAN GARY V Alexandria, VA 22310 5962 Richmond Hwy 1707 Osage St # 402 303 South Columbus St (703) 971-2788 Alexandria, VA 22303 Alexandria, VA 22302 Alexandria, VA 22314 (571) 481-4410 (703) 549-7492 (703) 578-1700 BURTON, FRANCESCA FRANCESCA M BURTON DDS PC DIONISIO, JANICE AHMED, SEEMA AWADZI, GERALD 1900 Elkin St Ste 290 MAS FAMILY & COSMETIC CENTER FOR DENTAL NEIBAUER DENTAL CARE PC Alexandria, VA 22308 DENTISTRY ANESTHESIOLOGY 8626 Richmond Hwy (703) 799-4300 6831 Sir Viceroy Dr #200 5282 & 5284 Dawes Ave Alexandria, VA 22309 Alexandria, VA 22315 (703) 554-3500 (703) 672-0664 Alexandria, VA 22311 CABALLERO, GIOVANNI (703) 379-6400 DANIEL F BABIEC DMD PC BABIEC, DANIEL 3690 Kl King St DO, HOANG ALAYSSAMI, MAZIN DANIEL F BABIEC DMD PC Alexandria, VA 22302 HOANG KIM DO DDS LLC BRIGHT NOW DENTAL GENERAL 3690 Kl King St (703) 820-0809 5266 Dawes Ave SPECIALTY COSMETIC Alexandria, VA 22302 Alexandria, VA 22311 (703) 820-0809 (703) 845-8741 5249 Duke Street 210 CALIGAN, GEOFFREY Alexandria, VA 22304 GEOFFREY CALIGAN DMD PLLC (703) 823-2413 BALINO, CELESTE 520 N Henry St DONAHUE, JAMES KING CENTRE DENTAL Alexandria, VA 22314 JAMES J DONAHUE JR DDS 5695 King Centre Dr B100 (703) 541-8259 1707 Osage Street #102 Alexandria, VA 22315 Alexandria, VA 22302 (703) 719-9824 (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

FREEDMAN, BRAD GOLUB, MARK HARRIS, CLIFTON VIRGINIA (CONT'D) BRAD M FREEDMAN DDS LTD MARK E GOLUB DDS PLC OLD TOWN SMILES 4604 D Pinecrest Off Pk 1451 Belle Haven Rd Ste 340 500 Montgomery St #250 ALEXANDRIA Alexandria, VA 22312 Alexandria, VA 22307 Alexandria, VA 22314 (703) 658-9600 (703) 765-3366 (703) 836-7000 DONG, MICHAEL THE CENTER FOR AESTHETIC GHANBARI, MOHSEN GOMEZ, PATRICIA HARTLEY, CAROLINE DENTISTRY 624 N Washington St MOHSEN GHANBARI DDS ALEXANDRIA SMILE DENTISTRY BRYAN D WOOD DDS PC Alexandria, VA 22314 50 South Pickett Street Suite 118 5234 Dawes Ave 2000 Huntington Ave Ste 107 (703) 299-9899 Alexandria, VA 22304 Alexandria, VA 22311 Alexandria, VA 22303 (703) 370-2000 (703) 671-0626 (703) 960-8670

DONOHUE, KRISTEN GHASEMZADEH-ZOLGHADR, GORE, SHEMIKA HILL, JESSICA JON W WILLIAMS JR DDS LTD PARTICIPATING PROVIDERS 5969 Telegraph Road MANDANA KING CENTRE DENTAL JESSICA L HILL DMD PC Alexandria, VA 22310 MANDANA ZOLGHADR DDS PC 5695 King Centre Dr B100 124 S West St #100 (703) 960-1160 6082 Franconia Rd #B Alexandria, VA 22315 Alexandria, VA 22314 Alexandria, VA 22310 (703) 719-9824 (703) 822-7842 DONOHUE, KRISTEN (703) 719-0064 P DIXON DDS GREEN, MICHAEL HOFFMAN, CORINNE 8808-F Pear Tree Village Ct GHORBANI, PEJMAN MICHAEL J GREEN DDS GRANT H SCHNEIDER II DDS Alexandria, VA 22309 BRAD M FREEDMAN DDS & 101 S Whiting St #313 PLLC (703) 780-2400 ASSOC Alexandria, VA 22304 2802 Sherwood Hall Ln 4604-D Pinecrest Office Park Dr (703) 823-2998 Alexandria, VA 22306 DOSEN, GORAN Alexandria, VA 22312 (703) 768-1223 GORAN DOSEN DDS PC (703) 658-9600 GRUNDY, RICHARD 5252 Dawes Ave KINGSTOWNE DENTAL CARE PC HUYNH, ANDREW Alexandria, VA 22311 GIBBERMAN, LAUREN 7015-A Manchester Blvd BRAD M FREEDMAN DDS LTD (703) 933-8500 PAUL GIBBERMAN DDS FAMILY Alexandria, VA 22310 4604 D Pinecrest Off Pk DENISTRY (703) 719-0033 Alexandria, VA 22312 DU, KHANH (703) 658-9600 6303 Little River Turnpike Ste 205 GRUNDY, RICHARD SMILEYDU DENTAL LLC Alexandria, VA 22312 HAYFIELD DENTAL CARE 3610 Forest Dr (703) 823-6616 7574 Telegraph Rd IM, JIM Alexandria, VA 22302 KINGSTOWNE DENTAL CARE PC (703) 578-4221 Alexandria, VA 22315 GIBBERMAN, PAUL (703) 971-2220 7015-A Manchester Blvd PAUL GIBBERMAN DDS FAMILY Alexandria, VA 22310 FALAIYE, VICTOR (703) 719-0033 DENISTRY GUTIERREZ, NORMA THE DENTIST OFFICE PC 6303 Little River Turnpike Ste 205 SAMTHA BROTHERTON DDS PC IM, JIM 8808-F Pear Tree Village Court Alexandria, VA 22312 5500 Holmes Run #C5 HAYFIELD DENTAL CARE Alexandria, VA 22309 (703) 823-6616 (703) 499-9006 Alexandria, VA 22304 7574 Telegraph Rd (703) 212-2001 Alexandria, VA 22315 GLASGOW, BOYD (703) 971-2220 FORSEE, JAMES HAYFIELD DENTAL CARE HAILEMARIAM, TESFAYE JAMES H FORSEE JR DDS 7574 Telegraph Rd TESFAYE A HAILEMARIAM DDS ISKANDER, ERENE 7608 Hayfield Road Alexandria, VA 22315 PC DANIEL F BABIEC DMD PC Alexandria, VA 22315 (703) 971-2220 (703) 971-2230 85 South Bragg St #300 3690 Kl King St Alexandria, VA 22312 Alexandria, VA 22302 GOLDHUSH, WANDA (703) 256-7711 (703) 820-0809 FRANK, GERALD EDDIE S LONGMAN DDS FRANK GERALD I 312 S Washington St #5A HAN, CHRISTINE JACKSON, KEVIN 5787 Winston Court Alexandria, VA 22314 THE CENTER FOR AESTHETIC KEVIN D JACKSON FAMILY Alexandria, VA 22311 (703) 549-1331 (703) 931-4400 DENTISTRY DENTISTRY 624 N Washington St 8101 Hinson Farm Rd #206 FRANK, GERALD GOLDSTEIN, JOEL Alexandria, VA 22314 Alexandria, VA 22306 SUPERKIDS PEDIATRIC JOEL C GOLDSTEIN DDS PC (703) 299-9899 (571) 385-4342 DENTISTRY 4605-B Pinecrest Office Park D 5787 Winston Court Alexandria, VA 22312 HANNA, PETER JAMALI, MOJGAN (703) 658-0550 Alexandria, VA 22311 PETER J HANNA JR DDS PC ALEXANDRIA SMILE DENTISTRY (703) 931-4400 516 Oronoco Street 5234 Dawes Ave Alexandria, VA 22314 Alexandria, VA 22311 (703) 549-1960 (703) 671-0626

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

KIM, ROBIN LEAVENWORTH, KIM LU, NHIEN VIRGINIA (CONT'D) ROBIN S KIM DDS LTD JON W WILLIAMS JR DDS LTD ALEXANDRIA DENTAL CARE PC 5130 Duke Street #4 5969 Telegraph Road 1451 Belle Haven Rd Ste 210 ALEXANDRIA Alexandria, VA 22304 Alexandria, VA 22310 Alexandria, VA 22307 (703) 370-6500 (703) 960-1160 (703) 955-3950 KAN, MARYANN MARYANN KAN DDS PC KOGAN, PAULINA LEE, BENJAMIN LUI, KIN 6389 Little River Tpke Alexandria, VA 22312 PAULINA G KOGAN DDS PLLC ROBIN S KIM DDS LTD SKYLINE DENTAL PC (703) 916-0955 250 S Whiting St Ste 116 5130 Duke Street #4 5138 Leesburg Pike Alexandria, VA 22304 Alexandria, VA 22304 Alexandria, VA 22302 (703) 370-3030 (703) 370-6500 (703) 379-0800 KANUMILLI, SOWMYA VIRGINIA DENTAL CLINIC PLC KUMRA, SHAWN LEE, KENNETH MADANI, SHAGHAYEGH 5138 Leesburg Pike PARTICIPATING PROVIDERS Alexandria, VA 22302 ELEGANT SMILES DENTAL CARE KINGSTOWNE DENTAL CARE PC ALEXANDRIA DENTAL ART (703) 379-0800 4810 Beauregard St #300 7015-A Manchester Blvd 1001 N Fairfax St #100 Alexandria, VA 22312 Alexandria, VA 22310 Alexandria, VA 22314 (703) 750-1099 (703) 719-0033 (703) 566-8799 KASPER, FRINET FRINET KASPER DDS PC KUMRA, SHAWN LEE, KENNETH MAI, CHRISTINE 1203 Prince St MIRA DENTAL CARE PLLC HAYFIELD DENTAL CARE Alexandria, VA 22314 4810 Beauregard St #300 7574 Telegraph Rd CHRISTINE L MAI DDS PC (703) 683-0800 Alexandria, VA 22312 Alexandria, VA 22315 6422 Grovedale Dr #101A (703) 750-1099 (703) 971-2220 Alexandria, VA 22310 (703) 971-9737 KEAT, JOSIE TOTALLY DENTAL KWON, KEEHONG LEGUM, MARTY MAI, TRUC 3223 Duke St #G PREMIUM FAMILY DENTAL PC DENTAL ASSOC OF NORTHERN Alexandria, VA 22314 6328 Richmond Hwy #F VA PLLC FAMILY DENTISTRY (703) 212-7070 Alexandria, VA 22306 1500 Belleview Blvd Second Floor 1466 N Beauregard St Ste B (703) 765-0165 Alexandria, VA 22307 Alexandria, VA 22311 (703) 768-4777 (703) 778-1221 KHALEFA, SAID KWON, KEEHONG SAID M KHALEFA DDS PC FIRST SMILE DENTAL PC MAI, TRUC 4600 B Pinecrest Office Pk Dr 8727A Cooper Rd LEINER, ZACHARY FAMILY DENTISTRY Alexandria, VA 22312 Alexandria, VA 22309 DENTAL ASSOC OF NORTHERN 181 Comay Terrace (703) 914-0020 (571) 312-6898 VA PLLC Alexandria, VA 22304 1500 Belleview Blvd Second Floor (703) 461-3000 Alexandria, VA 22307 KHAN, RIFHAT KWON, THOMAS MAI, TRUC (703) 768-4777 ADVANCED DENTAL CARE PLLC THOMAS S KWON DDS PC MAI DENTAL TEAM 1707 Osage St # 402 4701 Kenmore Ave #122 1911 Ballenger Ave Alexandria, VA 22302 Alexandria, VA 22304 LEON, CARLA Alexandria, VA 22314 (703) 578-1700 (703) 751-1112 TELEGRAPH DENTISTS (703) 299-1200 6925 Telegraph Rd Alexandria, VA 22310 KIM, AILEEN LAVIOLA, JAMIE MARAVI, FERNANDO (703) 313-6999 BLESSED SMILES LLC JAMIE LAVIOLA DMD ALEXANDRIA NEIGHBORHOOD 5249 Duke St #L10 831 S. Washington St HEATLH SERVICES INC Alexandria, VA 22304 Alexandria, VA 22314 LOKITIS, JULIA 4480 King St (703) 823-8812 (703) 549-3300 DENTAL ASSOC OF NORTHERN Alexandria, VA 22303 VA PLLC (703) 535-5568 1500 Belleview Blvd Second Floor KIM, EDWARD LE, HANG Alexandria, VA 22307 KINGSTOWNE DENTAL CARE PC MARTINEZ, MARIA ALEXANDRIA SMILE DENTISTRY (703) 768-4777 7015-A Manchester Blvd 5234 Dawes Ave MOHSEN GHANBARI DDS Alexandria, VA 22310 Alexandria, VA 22311 50 South Pickett Street Suite 118 (703) 719-0033 (703) 671-0626 LONGMAN, EDDIE Alexandria, VA 22304 EDDIE S LONGMAN DDS (703) 370-2000 KIM, EDWARD 312 S Washington St #5A LE, MAGARETTE HAYFIELD DENTAL CARE Alexandria, VA 22314 MCDONALD, ANNE 7574 Telegraph Rd REFLECTION DENTAL LITTLE (703) 549-1331 Alexandria, VA 22315 RIVER ANNE S MCDONALD DMD PC (703) 971-2220 6546 Little River Turnpike 50 South Pickett St Ste 101 Alexandria, VA 22312 LOPEZ, KATIE Alexandria, VA 22304 (703) 256-3313 KATIE LOPEZ DDS PLLC (703) 751-5222 7686 Richmond Hwy #201A Alexandria, VA 22306 (703) 672-2442

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

MOLLER, GARY NGUYEN, MONIQUE PARK, HYE VIRGINIA (CONT'D) HAYFIELD DENTAL CARE WOODLAWN FAMILY DENTIST GREEN DENTAL OF ALEXANDRIA 7574 Telegraph Rd 8492 Richmond Hwy 104 1725 Duke St Ste Gr03 ALEXANDRIA Alexandria, VA 22315 Alexandria, VA 22309 Alexandria, VA 22314 (703) 971-2220 (703) 780-3482 (703) 549-1725 MCQUISTON, SCOTT SCOTT A MCQUISTON DDS MUSMAR, QAIS NGUYEN, QUYNH PARK, JUNG 5350 Shawnee Rd #310 Alexandria, VA 22312 REFLECTION DENTAL LITTLE VIRGINIA DENTAL CENTER BRIGHT NOW DENTAL GENERAL (703) 354-0111 RIVER 6230-C North Kings Hwy SPECIALTY COSMETIC 6546 Little River Turnpike Alexandria, VA 22303 5249 Duke Street 210 Alexandria, VA 22312 (703) 768-9400 Alexandria, VA 22304 MCVAY, THOMAS (703) 256-3313 (703) 823-2413 THOMAS G MCVAY DDS LTD NGUYEN, STEVE 6000 Stevenson Ave #103 PARTICIPATING PROVIDERS MWENDO, JIMANI PARKER, Alexandria, VA 22304 IMPRESSION DENTAL PC (703) 751-3880 NEIBAUER DENTAL CARE PC 6167 Fuller Court SOUTH VALLEY DENTAL OFFICE 8626 Richmond Hwy Alexandria, VA 22310 7700-D Richmond Hwy Alexandria, VA 22309 (703) 822-0670 Alexandria, VA 22306 MERCADO, ROMINA (703) 554-3500 (703) 799-0655 DANIEL F BABIEC DMD PC NGUYEN, THUAN 3690 Kl King St NASIR, AISHA PATTERSON, DAYNE Alexandria, VA 22302 THUAN NGUYEN (703) 820-0809 AISHA NASIR DMD PLLC 5130 Duke St, Ste #8 JON W WILLIAMS JR DDS LTD 821 Slaters Lane Alexandria, VA 22304 5969 Telegraph Road MERCADO, ROMINA Alexandria, VA 22314 (703) 823-2848 Alexandria, VA 22310 ROMINA MERCADO DMD PLLC (571) 348-4590 (703) 960-1160 5249 Duke St #101 NGUYEN, TUONG-VAN Alexandria, VA 22304 NGUYEN, ASHLEY VIRGINIA DENTAL CENTER PHAM, DIANE (703) 751-4344 ASHLEY S NGUYEN DDS PLLC 6230-C North Kings Hwy PETER J HANNA JR DDS PC 901 N Washington St #202 Alexandria, VA 22303 516 Oronoco Street MESTAS, ERIC Alexandria, VA 22314 (703) 768-9400 Alexandria, VA 22314 ERIC MESTAS DDS PC (703) 706-9564 (703) 549-1960 5115-D Franconia Rd NGUYEN, VU Alexandria, VA 22310 NGUYEN, CALVIN PREMIUM FAMILY DENTAL PC PHAM, HIEP (703) 971-2788 ROBIN S KIM DDS LTD 6328 Richmond Hwy #F FOREST FAMILY DENTISTRY 5130 Duke Street #4 Alexandria, VA 22306 PLLC MILLER, GLEN Alexandria, VA 22304 (703) 765-0165 3608 Forest Dr MOUNT VERNON DENTAL (703) 370-6500 Alexandria, VA 22302 NGUYEN, VU SMILES (703) 671-3511 8101 Hinson Farm Rd #216 FIRST SMILE DENTAL PC NGUYEN, CATHERINE 8727A Cooper Rd Alexandria, VA 22306 SKYLINE COURT FAMILY PHAN, ANH (703) 360-6455 Alexandria, VA 22309 DENTAL CARE (571) 312-6898 EDDIE S LONGMAN DDS 5142 Leesburg Pike 312 S Washington St #5A MISTRY, KEVIN Alexandria, VA 22302 Alexandria, VA 22314 ORENSTEIN, RICHARD CENTER FOR DENTAL (703) 998-5559 (703) 549-1331 ANESTHESIOLOGY HAYFIELD DENTAL CARE 7574 Telegraph Rd 5282 & 5284 Dawes Ave NGUYEN, CHRISTOPHER PHAN, PHUONG Alexandria, VA 22311 Alexandria, VA 22315 KING CENTRE DENTAL (703) 971-2220 PHUONG PHAN DMD PC (703) 379-6400 5695 King Centre Dr B100 1225 Martha Custis Dr #C6 Alexandria, VA 22315 Alexandria, VA 22302 OVCHARENKO, VLADYSLAV MOGROVEJO, ERIKA (703) 719-9824 (703) 931-6344 FIRST SMILE DENTAL PC TELEGRAPH DENTISTS PHAN, PHUONG 8727A Cooper Rd 6925 Telegraph Rd NGUYEN, HIEU Alexandria, VA 22310 KINGSTOWNE FAMILY & Alexandria, VA 22309 FOREST FAMILY DENTISTRY (571) 312-6898 (703) 313-6999 COSMETIC DENTISTRY PC PLLC 5960 Kingstowne Towne Ctr #140 3608 Forest Dr PAHLAVANI, EDNA Alexandria, VA 22315 MOLLER, GARY Alexandria, VA 22302 (703) 719-9210 KINGSTOWNE DENTAL CARE PC (703) 671-3511 JON W WILLIAMS JR DDS LTD 7015-A Manchester Blvd 5969 Telegraph Road Alexandria, VA 22310 PRICE, STEPHEN Alexandria, VA 22310 NGUYEN, MIKE (703) 719-0033 (703) 960-1160 DENTAL ASSOC OF NORTHERN NEIBAUER DENTAL CARE PC VA PLLC 8626 Richmond Hwy 1500 Belleview Blvd Second Floor Alexandria, VA 22309 Alexandria, VA 22307 (703) 554-3500 (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

ROSENBLUM, STEPHEN SHAPIRO, HAROLD SOLIER, GEORGE VIRGINIA (CONT'D) DENTAL ASSOC OF NORTHERN ROMINA MERCADO DMD PLLC LACAVA & SOLIER DDS LTD VA PLLC 5249 Duke St #101 2616 Sherwood Hall #403 ALEXANDRIA 1500 Belleview Blvd Second Floor Alexandria, VA 22304 Alexandria, VA 22306 Alexandria, VA 22307 (703) 751-4344 (703) 360-4500 (703) 768-4777 PUGH, GEORGE SHAPIRO, HAROLD GEORGE S PUGH DDS LTD SHAPIRO HAROLD L SPECHLER, JEROME 8492 Richmond Highway Woodlawn SADEDDIN, HAZIM 5249 Duke Street #101 JEROME W SPECHLER DDS Garden Apts ALEXANDRIA SMILE DENTISTRY Alexandria, VA 22304 3610 Forest Drive Alexandria, VA 22309 5234 Dawes Ave (703) 751-4344 Alexandria, VA 22302 (703) 780-3300 Alexandria, VA 22311 (703) 578-4221 (703) 671-0626 SHARAFI, ALIREZA SPITZER, TIMOTHY RAHMAN, MURSHED SMILEVILLE DENTISTRY PARTICIPATING PROVIDERS RAHMAN DENTAL ASSOCIATES SAMADNEJAD, FARSHAD 6354 Walker Ln #103 KINGSTOWNE DENTAL CARE PC PC ACKERMAN & ASSOC OF Alexandria, VA 22310 7015-A Manchester Blvd 4527 Duke Street ALEXANDRIA D (703) 417-9722 Alexandria, VA 22310 Alexandria, VA 22304 5055 Seminary Rd Ste 105 (703) 719-0033 (703) 751-5052 Alexandria, VA 22311 SILK, ZAHER SPITZER, TIMOTHY (703) 931-0200 ALEXANDRIA SMILE DENTISTRY HAYFIELD DENTAL CARE RATNER, LES 5234 Dawes Ave 7574 Telegraph Rd DANIEL F BABIEC DMD PC SANGID, RONNY Alexandria, VA 22311 Alexandria, VA 22315 3690 Kl King St DUKE DENTAL CARE PLC (703) 671-0626 (703) 971-2220 Alexandria, VA 22302 50 S Pickett St #229 (703) 820-0809 Alexandria, VA 22304 SILVERMAN, RONALD TAHERI, BRUCE (703) 212-0000 RATNER, LES RONALD D SIVERMAN DDS ALEXANDRIA SMILE DENTISTRY HILLTOP DENTAL CARE 250 S Whiting St #116 5234 Dawes Ave SCHEHL, JOHN 6481 Old Beulah St Alexandria, VA 22304 Alexandria, VA 22311 Alexandria, VA 22315 JOHN A SCHEHL DDS PC (703) 370-3030 (703) 671-0626 (703) 971-1919 1451 Belle Haven Rd Ste #430 Alexandria, VA 22307 SKLAR, ANDREW TAVAKKOLI, KAMBIZ (703) 765-6400 REID, DONNA ANDREW M SKLAR DDS OLD TOWN DENTAL PARTNERS EXQUISITE DENTAL CARE 4901 Seminary Rd Ste 120 1500 King St #300 SCHNEIDER, GRANT 300 N Washington St Ste 210 Alexandria, VA 22311 Alexandria, VA 22314 Alexandria, VA 22314 GRANT H SCHNEIDER II DDS (703) 931-3141 (703) 683-6688 (571) 970-4103 PLLC 2802 Sherwood Hall Ln TAVAKKOLI, KAMBIZ SMITH, HUBERT Alexandria, VA 22306 KAMRAN TAVAKKOLI DMD & ROBERTS, THOMAS (703) 768-1223 HUBERT RAY SMITH KAMBIZ TAVAKKOLI DMD PC MOUNT VERNON DENTAL 3210 Drive 8403-I Richmond Hwy SMILES Alexandria, VA 22309 SCOTT, ANNETTE Alexandria, VA 22309 8101 Hinson Farm Rd #216 (703) 780-7900 (703) 360-1070 Alexandria, VA 22306 ANNETTE E SCOTT DDS 6182 Old Franconia Road (703) 360-6455 SNYDER, JAMES Alexandria, VA 22310 TAVAKKOLI, KAMRAN ROBERTS, THOMAS (703) 971-4333 CENTER FOR DENTAL OLD TOWN DENTAL PARTNERS THOMAS C ROBERTSON JR DMD ANESTHESIOLOGY 1500 King St #300 5282 & 5284 Dawes Ave PC SELENOU-TEMA, ALAIN Alexandria, VA 22314 Alexandria, VA 22311 (703) 683-6688 8101 Hinson Farm Rd #216 BRIGHT NOW DENTAL GENERAL Alexandria, VA 22306 (703) 379-6400 SPECIALTY COSMETIC TAVAKKOLI, KAMRAN (703) 360-6455 5249 Duke Street 210 SOLEMANINEJAD, HOMAN KAMRAN TAVAKKOLI DMD & Alexandria, VA 22304 KAMBIZ TAVAKKOLI DMD PC LANDMARK DENTAL CARE ROMANO, FRANK (703) 823-2413 8403-I Richmond Hwy 101 S Whiting St #100 KINGSTOWNE DENTAL CARE PC Alexandria, VA 22309 Alexandria, VA 22304 7015-A Manchester Blvd (703) 360-1070 SHAFIEI, NIKKI (703) 751-7000 Alexandria, VA 22310 ALEXANDRIA SMILE DENTISTRY (703) 719-0033 5234 Dawes Ave SOLEMANINEJAD, HOMAN TOLSON, RONALD ROMANO, FRANK Alexandria, VA 22311 ALEXANDRIA DENTAL CENTER RONALD E TOLSON DDS PLLC FRANK D ROMANO DDS PC (703) 671-0626 PLLC 5246 Dawes Ave 7015A Manchester Blvd 715 Pendleton St Alexandria, VA 22311 Alexandria, VA 22310 Alexandria, VA 22314 (703) 379-2290 (703) 719-0033 (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 6 Delta Dental Premier

TSAI, JACK WORTMAN, MICHAEL DEVYLDER, JOSEPH VIRGINIA (CONT'D) PAUL GIBBERMAN DDS FAMILY DENTAL ASSOC OF NORTHERN BRIGHT NOW DENTAL GENERAL DENISTRY VA PLLC SPECIALTY COSMETIC ALEXANDRIA 6303 Little River Turnpike Ste 205 1500 Belleview Blvd Second Floor 5249 Duke Street 210 Alexandria, VA 22312 Alexandria, VA 22307 Alexandria, VA 22304 TOWNES, KIMBERLY (703) 823-6616 (703) 768-4777 (703) 823-2413 FLOSS AND SMILE PC 1438 Duke St TSUI, NATHAN YANN, BORIN FIORUCCI, RICHARD Alexandria, VA 22314 (703) 212-0602 TSUI NATHAN C LANDSDOWNE FAMILY FIORUCCI RICHARD D 5249 Duke Street Ste 10 DENTISTRY 1451 Belle Haven Rd Alexandria, VA 22304 6428 Landsdowne Centre Alexandria, VA 22307 TRAHOS, NORMAN (703) 823-8812 Alexandria, VA 22315 (703) 768-1188 DEL RAY SMILES (703) 550-2940

4 Herbert St Ste A PARTICIPATING PROVIDERS VU, JOHN HENRY, ROLIN Alexandria, VA 22305 ZAMORA -ROJAS, CARLA (703) 836-2213 HYBLA VALLEY DENTAL CTR ROLIN S HENRY DDS PC 8120 Richmond Highway MAS FAMILY & COSMETIC 7900 Andrus Rd #2 Alexandria, VA 22309 DENTISTRY Alexandria, VA 22306 TRAN, JULIE (703) 799-7041 6831 Sir Viceroy Dr #200 (703) 780-4422 DEL RAY SMILES Alexandria, VA 22315 4 Herbert St Ste A WAGMAN, JEFFREY (703) 672-0664 KUZMIK, MICHAEL Alexandria, VA 22305 (703) 836-2213 IRVING H WAGMAN DDS PC DELGADO & KUZMIK 3541 W Braddock Rd #202 ZIER, TARA 3601 Eisenhower Ave #250 Alexandria, VA 22302 KINGSTOWNE DENTAL CARE PC Alexandria, VA 22304 TRAN, KERI (703) 379-6187 7015-A Manchester Blvd (703) 317-1717 LANDMARK DENTAL Alexandria, VA 22310 6204 Little River Trnpke WALI, SOFIYA (703) 719-0033 MORGAN, DAVID Alexandria, VA 22312 (703) 658-3000 SOFIYA WALI DDS PC ZIER, TARA DAVID M MORGAN DDS MD PLC 3604 Forest Dr HAYFIELD DENTAL CARE 124 South West St #103 Alexandria, VA 22302 Alexandria, VA 22314 TRAN, MYVAN 7574 Telegraph Rd (703) 379-9292 Alexandria, VA 22315 (703) 751-7841 KINGSTOWNE FAMILY & (703) 971-2220 COSMETIC DENTISTRY WANG, ALICE ROTHMAN, JEFFREY 5960 Kingstowne Town Center Ste 140 EXQUISITE DENTAL CARE ORAL SURGEON ALEXANDRIA ORAL SURGERY Alexandria, VA 22315 300 N Washington St Ste 210 PC (703) 719-9210 Alexandria, VA 22314 AMIN, AHMAD 4660 Kenmore Ave #204 (571) 970-4103 AHMAD FAROQ AMIN DDS PC Alexandria, VA 22304 TRAN, MYVAN 4600 D Pinecrest Office Pk Dr (703) 370-3012 TELEGRAPH DENTISTS WHITE, JAY Alexandria, VA 22312 6925 Telegraph Rd JAY K WHITE DDS LTD (703) 642-6425 ORTHODONTIST Alexandria, VA 22310 4660 Kenmore Ave #320 (703) 313-6999 Alexandria, VA 22304 BREWER, KEVIN HAMMAN, FRANCES (703) 751-7600 ALEXANDRIA ORAL SURGERY HAYFIELD DENTAL CARE TRUONG, TINA PC 7574 Telegraph Rd Alexandria, VA 22315 BEAUREGARD SHINY DENTAL WILLIAMS, JON 4660 Kenmore Ave #204 (703) 971-2220 4810 Beauregard St #200 JON W WILLIAMS JR DDS LTD Alexandria, VA 22304 Alexandria, VA 22312 5969 Telegraph Road (703) 370-3012 (703) 333-5105 Alexandria, VA 22310 KERMANSHI, SHIVA LANDMARK DENTAL CARE TRUONG, TINA (703) 960-1160 COLEMAN, NORMAN 101 S Whiting St #100 TINA TRUONG DDS ALEXANDRIA DENTAL ART Alexandria, VA 22304 6377 Little River Turnpike WILLIAMS, SUZANNE 1001 N Fairfax St #100 (703) 751-7000 Alexandria, VA 22312 WILLIAMS SUZANNE Alexandria, VA 22314 (703) 333-5105 6214-A Old Franconia Rd (703) 566-8799 KERMANSHI, SHIVA Alexandria, VA 22310 ALEXANDRIA DENTAL CENTER TSAI, CHIH-PING (703) 719-6158 DELGADO, EDWARD PLLC NEIBAUER DENTAL CARE PC DELGADO & KUZMIK 715 Pendleton St 8626 Richmond Hwy WOOD, BRYAN 3601 Eisenhower Ave #250 Alexandria, VA 22314 Alexandria, VA 22309 BRYAN D WOOD DDS PC Alexandria, VA 22304 (571) 970-3783 (703) 554-3500 2000 Huntington Ave Ste 107 (703) 317-1717 Alexandria, VA 22303 (703) 960-8670

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

LOPEZ, JOSEPH ANDERSON, DAVID SPECIALTY NOT SPECIFIED VIRGINIA (CONT'D) ALEXANDRIA PEDIATRIC DAVID C ANDERSON DENTISTRY PLC 5288 Dawes Ave KARAU, MARY ANN ALEXANDRIA 3223 Duke St Ste A Alexandria, VA 22311 RALPH E KARAU DDS LTD Alexandria, VA 22314 (703) 671-6060 1213 Belle Haven Rd KIM, CHRISTINE (571) 257-5744 Alexandria, VA 22307 ROBIN S KIM DDS LTD (703) 765-5505 IJADI, MEHRDAD 5130 Duke Street #4 PATEL, ARPI ALEXANDRIA DENTAL ART Alexandria, VA 22304 KARAU, RALPH (703) 370-6500 ALEXANDRIA CHILDRENS 1001 N Fairfax St #100 DENTISTRY PC Alexandria, VA 22314 RALPH E KARAU DDS LTD 6303 Little River Trnpk #345 (703) 566-8799 1213 Belle Haven Rd LEE, WILLIAM Alexandria, VA 22312 Alexandria, VA 22307 ALEXANDRIA BRACES (703) 765-5505 (703) 942-8404 LI, JINGCHAO 6400 Beulah Street #103 PARTICIPATING PROVIDERS Alexandria, VA 22310 EXQUISITE DENTAL CARE PHAETON, NATHALIE ALTAVISTA (703) 347-9876 300 N Washington St Ste 210 EXQUISITE DENTAL CARE Alexandria, VA 22314 300 N Washington St Ste 210 (571) 970-4103 GENERAL DENTIST LU, HUNG QUOC Alexandria, VA 22314 BHUSHAN, SARITA FIRST IMPRESSIONS (571) 970-4103 MIRANDA, RUBEN JULIAN W FIELDS DDS LTD ORTHODONTICS 2180 Lynch Mill Rd 6479 Old Beulah St ALEXANDRIA NEIGHBORHOOD STEPHENSON, KESHA Altavista, VA 24517 Alexandria, VA 22315 HEATLH SERVICES INC (434) 369-4702 (703) 822-0010 PARKER-GRAY PEDIATRIC 4480 King St DENTAL CARE PC Alexandria, VA 22303 224 N Fayette St (703) 535-5568 FIELDS, JULIAN TRAN, ANH Alexandria, VA 22314 JULIAN W FIELDS DDS LTD ALEXANDRIA ORTHODONTICS MIRANDA, RUBEN (703) 519-7275 2180 Lynch Mill Rd 2616 Sherwood Hall Ln Ste 302 LANDMARK DENTAL Altavista, VA 24517 Alexandria, VA 22306 6204 Little River Trnpke TA, ADAM (434) 369-4702 (703) 780-1418 Alexandria, VA 22312 KINGSTOWNE PEDIATRIC (703) 658-3000 DENTISTRY PLLC SCHANDORFF, MARK PEDIATRIC 7025 Cd Manchester Blvd SMITH, KARL JULIAN W FIELDS DDS LTD DENTIST/PEDODONTIST Alexandria, VA 22310 2180 Lynch Mill Rd (703) 922-4000 KARL A SMITH DDS LLC AUSTIN, ANGELA 2500 N Van Dorn St #128 Altavista, VA 24517 ALEXANDRIA CHILDRENS Alexandria, VA 22302 (434) 369-4702 DENTISTRY PC TRAN, MY (703) 894-4867 6303 Little River Trnpk #345 KINGSTOWNE PEDIATRIC WEST, CHARLES DENTISTRY PLLC Alexandria, VA 22312 TRABOULSI, GEORGES WEST CHARLES M 7025 Cd Manchester Blvd (703) 942-8404 ALEXANDRIA SMILE DENTISTRY 511 7Th St Alexandria, VA 22310 Altavista, VA 24517 (703) 922-4000 5234 Dawes Ave DADKHAH, MINA Alexandria, VA 22311 (434) 369-7784 SMILEVILLE DENTISTRY (703) 671-0626 6354 Walker Ln #103 VATANKA, HEIDI AMELIA PARKER-GRAY PEDIATRIC Alexandria, VA 22310 ZALEWSKY, JUSTIN (703) 417-9722 DENTAL CARE PC GENERAL DENTIST 224 N Fayette St JUSTIN ZALEWSKY DMD PLC Alexandria, VA 22314 4660 Kenmore Ave #300 MORRIS, CHRISTA GHALEHBAGHI, FARANAK (703) 519-7275 Alexandria, VA 22304 AMELIA FAMILY DENTISTRY PEDIATRIC & ADOLESCENT (703) 823-2422 10160 Superior Way DENTISTRY PC Amelia, VA 23002 4605-D Pinecrest Office Park Dr WILSON, ADRIAN PROSTHODONTIST (804) 561-4379 Alexandria, VA 22312 ELEGANT SMILES DENTAL CARE (703) 352-4121 4810 Beauregard St #300 CHRISOPOULOS, FOTINI STALEY, CATHERINE Alexandria, VA 22312 DEL RAY SMILES AMELIA FAMILY DENTISTRY (703) 750-1099 4 Herbert St Ste A LIU, BEN 10160 Superior Way Alexandria, VA 22305 SUPERKIDS PEDIATRIC Amelia, VA 23002 (703) 836-2213 DENTISTRY PERIODONTIST (804) 561-4379 5787 Winston Court ABBOTT, DAVID Alexandria, VA 22311 SALARI, MARJAN PETER J HANNA JR DDS PC AMELIA COURT HOUSE (703) 931-4400 516 Oronoco Street NEIBAUER DENTAL CARE PC Alexandria, VA 22314 8626 Richmond Hwy GENERAL DENTIST (703) 549-1960 Alexandria, VA 22309 (703) 554-3500

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

CHENG, JOHNSON KIM, MICHAEL LIM, MEESUN VIRGINIA (CONT'D) JOHNSON C CHENG E-LINE DENTAL MEESUM LIM DDS PC 6928A Little River Tpke 4600 John Marr Dr Ste 302 7004-J Little River Tnpk AMELIA COURT HOUSE Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 (703) 354-6289 (703) 658-4211 (703) 750-3097 MUELLER, JENNIFER TRAVIS L MUELLER DDS PC CLAROS, CLAUDIA KIMBLE-TANKS, FELISHA MEHTA, MURLI 16320 Goodes Bridge Rd Amelia Court House, VA 23002 CLAROS DENTAL CARE PC FELISHA KIMBLE DDS PC MARK EGBER DDS LTD (804) 561-1971 4231 Markham St #214 7023 Little River Tpke #104 7630 Little River Turnpike # 115 Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 (703) 272-3943 (703) 256-6755 (703) 256-2556 MUELLER, TRAVIS TRAVIS L MUELLER DDS PC DURR, JOHN LE, LAN NGUYEN, LINH 16320 Goodes Bridge Rd PARTICIPATING PROVIDERS Amelia Court House, VA 23002 J CHRISTOPHER DURR LAN P LE DDS PC TOTAL DENTAL CARE (804) 561-1971 4216 Evergreen Lane Ste 113 6922 A Little River Tpke 5017-B Backlick Rd Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 (703) 941-7020 (703) 256-1160 (703) 256-1183 AMHERST

GENERAL DENTIST EGBER, MARK LE, THIEN PARK, HENRY MARK EGBER DDS LTD SPRINGDALE DENTISTRY HENRY PARK DDS INC DEAN, JOHN 7630 Little River Turnpike # 115 5105-C Backlick Rd 7611 Little River Tpke #106W JOHN C DEAN DDS PC Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 135 S Main St (703) 256-2556 (703) 942-6612 (703) 750-0110 Amherst, VA 24521 (434) 946-7507 EHLE, CHARLES LE, YEN PHAM, THANH EHLE CHARLES E YEN V LE DDS & ASSOCIATES THANH T PHAM DDS PC ANNANDALE 4006 Lake Boulevard PLLC 6926-D Little River Tpk Annandale, VA 22003 4330 Evergreen Lane #F1 Annandale, VA 22003 GENERAL DENTIST (703) 280-4355 Annandale, VA 22003 (703) 354-0181 ALAYSSAMI, MAZIN (703) 941-2763 BRIGHT NOW DENTAL GENERAL FORBES, IRAMA SADEDDIN, HAZIM SPECIALTY COSMETIC I L FORBES DDS PLC LEE, HANNAH I L FORBES DDS PLC 7620 Ltl River Tnpk 204 7023 Little River Tpke #104 CROSS POINT DENTAL CARE PC 7023 Little River Tpke #104 Annandale, VA 22003 Annandale, VA 22003 7535 Little River Tpke #310-C Annandale, VA 22003 (703) 354-0686 (703) 256-6755 Annandale, VA 22003 (703) 256-6755 (703) 914-1113 SADEDDIN, HAZIM APANA, ALESIA GWALTNEY, MICHAEL MARK EGBER DDS LTD STEVEN R JOHNSON DDS PC SPRINGDALE DENTISTRY LEE, KIMBERLY 7630 Little River Turnpike # 115 4322 Ravensworth Road 5105-C Backlick Rd EVERGREEN DENTISTRY Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 7002-C Little River Tpk (703) 256-2556 (703) 256-5870 (703) 942-6612 Annandale, VA 22003 (703) 256-7100 SAVENKOVA, SVITLANA BERK, STEVEN HARRIS, PAUL CLAROS DENTAL CARE PC STEVEN H BERK DDS PLC MARK EGBER DDS LTD LEE, SANG 4231 Markham St #214 7010 Evergreen Court 7630 Little River Turnpike # 115 CROSS POINT DENTAL CARE PC Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 7535 Little River Tpke #310-C (703) 272-3943 (703) 750-9300 (703) 256-2556 Annandale, VA 22003 (703) 914-1113 STEPHENSON, JOHN BOK, JAE HO, TRUNG STEPHENSON ASSOCIATES INC JAE KWON BOK DDS PC TRUNG D HO DDS PC LEE, TAE 7501 Little River Turnpike #201 7535 Little River Tnpk Ste 100E 4330 Evergreen Ln #Fi EVERGREEN DENTISTRY Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 7002-C Little River Tpk (703) 256-4500 (703) 956-6222 (703) 941-5063 Annandale, VA 22003 (703) 256-7100 TRAN, LINH BURKE, CAROL JOHNSON, STEVEN LINH T TRAN DDS PC & ASSOC CAROL P BURKE DDS STEVEN R JOHNSON DDS PC LILLARD, JONATHAN 4200 Evergreen Ln Ste 325 4324 C Evergreen Ln 4322 Ravensworth Road I L FORBES DDS PLC Annandale, VA 22003 Annandale, VA 22003 Annandale, VA 22003 7023 Little River Tpke #104 (703) 916-8571 (703) 750-1302 (703) 256-5870 Annandale, VA 22003 (703) 256-6755

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

LABRIOLA, J TRAN, TRICIA CHERON, ROBERT VIRGINIA (CONT'D) DENTAL ASSOC OF NORTHERN SPRINGDALE KIDZ DENTISTRY NORTHERN VIRGINIA VA PLLC PLLC ENDODONTIC ASSOC PLLC ANNANDALE 7611 Little River Turnpike Ste 101E 5047 Backlick Rd. Ste A&B 3833 N Fairfax Dr #440 Annandale, VA 22003 Annandale, VA 22003 Arlington, VA 22203 VILLAVICENCIO, OLMEDO (703) 256-2307 (703) 462-8855 (703) 528-8382 OLMEDO I VILLAVICENCIO DDS PC ZADEH, HUGH FEIMSTER, TAWANA 7501 Little Riv Tpke 105 PERIODONTIST NORTHERN VA ORAL & ARLINGTON ENDODONTICS Annandale, VA 22003 LIN, THOMAS (703) 354-2878 MAXILLOFACIAL SURGERY PLLC ASSOC WILLIAM W WANG DDS PC 4350 N Fairfax Dr #160 7611 Little River Tpke #101E 4600 John Marr Dr Ste 303 Arlington, VA 22203 WOODDELL, JOHN Annandale, VA 22003 Annandale, VA 22003 (571) 312-3762 WOODDELL JOHN D (703) 256-2307 (703) 750-0284 PARTICIPATING PROVIDERS 3299 Woodburn Rd #440 ZADEH, HUGH HONG, CHARLIE Annandale, VA 22003 PHISUTHIKUL, NORACHAI DENTAL ASSOC OF NORTHERN CHARLIE H HONG DMD PC (703) 698-9698 CENTER FOR DENTOFACIAL VA PLLC 4141 North Henderson Rd #13 AESTHETICS 7611 Little River Turnpike Ste 101E Arlington, VA 22203 YOON, SEUNG 7630 Little River Tpk Ste #115 Annandale, VA 22003 (703) 527-4424 ANNANDALE DENTAL Annandale, VA 22003 (703) 256-2307 7006 Little River Turnpike #C (703) 256-2556 LEE, EUN Annandale, VA 22003 (301) 231-0080 ORTHODONTIST ARLINGTON CENTER FOR WANG, WILLIAM DENTISTRY ELLIS, DONALD WILLIAM W WANG DDS PC 1050 N Highland St Ste 300N ORAL SURGEON ELLIS ORTHODONTICS PC 4600 John Marr Dr Ste 303 Arlington, VA 22201 Annandale, VA 22003 DEVYLDER, JOSEPH 4600 John Marr Dr Ste 401 (703) 527-3888 Annandale, VA 22003 (703) 750-0284 BRIGHT NOW DENTAL GENERAL (703) 750-9393 SPECIALTY COSMETIC LEFF, GARY 7620 Ltl River Tnpk 204 PROSTHODONTIST DRS LEVIN LEFF & POLLOCK JI, JOHN 3801 N Fairfax Dr #40 Annandale, VA 22003 AGGARWAL, HARSHIT JI MANAGEMENT LLC Arlington, VA 22203 (703) 354-0686 CENTER FOR DENTOFACIAL 4322-E Evergreen Ln (703) 534-0255 AESTHETICS Annandale, VA 22003 FRANCIONI, SONIA 7630 Little River Tpk Ste #115 (703) 750-0800 NORTHERN VA ORAL & Annandale, VA 22003 NGUYEN, TU-QUYNH MAXILLOFACIAL SURGERY (703) 256-2556 DRS LEVIN LEFF & POLLOCK ASSOC LINDGREN, MEGHAN 3801 N Fairfax Dr #40 7611 Little River Tpke #101E ELLIS ORTHODONTICS PC APPOMATTOX Arlington, VA 22203 Annandale, VA 22003 4600 John Marr Dr Ste 401 (703) 534-0255 (703) 256-2307 Annandale, VA 22003 GENERAL DENTIST (703) 750-9393 FRANCIONI, SONIA POLLOCK, RICHARD HARVEY, PAUL DRS LEVIN LEFF & POLLOCK DENTAL ASSOC OF NORTHERN SMERNOFF, GERALD PAUL D HARVEY DDS 3801 N Fairfax Dr #40 VA PLLC 569-A Court St Arlington, VA 22203 7611 Little River Turnpike Ste 101E GERALD N SMERNOFF DDS PC 7501 Little River Tpk Appomattox, VA 24522 (703) 534-0255 Annandale, VA 22003 (434) 352-9525 (703) 256-2307 Annandale, VA 22003 (703) 941-4212 RUSSELL, GREGORY , RICHARD JACKSON, JULIA NORTHERN VIRGINIA VROOM, KATHERINE RICHARD B POE DDS PC ENDODONTIC ASSOC PLLC DENTAL ASSOC OF NORTHERN 165 Atwood St 3833 N Fairfax Dr #440 VA PLLC KATHERINE M VROOM DDS Appomattox, VA 24522 Arlington, VA 22203 7611 Little River Turnpike Ste 101E 7027 Evergreen Crt #8 A (434) 352-2301 (703) 528-8382 Annandale, VA 22003 Annandale, VA 22003 (703) 256-2307 (703) 658-0330 ARLINGTON SALLEN, BRUCE PEDIATRIC DRS LEVIN LEFF & POLLOCK LABRIOLA, J ENDODONTIST 3801 N Fairfax Dr #40 NORTHERN VA ORAL & DENTIST/PEDODONTIST Arlington, VA 22203 MAXILLOFACIAL SURGERY ASGHAR, IRFAN PAL, GOPAL (703) 534-0255 ASSOC DRS LEVIN LEFF & POLLOCK GOPAL S PAL DDS MS LTD 7611 Little River Tpke #101E 3801 N Fairfax Dr #40 7540 Little River Tpk Annandale, VA 22003 Arlington, VA 22203 Annandale, VA 22003 (703) 256-2307 (703) 534-0255 (703) 642-2828

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

BABU, SRIDEVI CHUZHIN, YELENA DUDLEY, SCOTT VIRGINIA (CONT'D) ARLINGTON COSMETIC DENTAL VIRGINIA DENTAL CARE AT VIRGINIA CENTER FOR GROUP BALLSTON PLLC COSMETIC & GENERAL ARLINGTON 1731 Clarendon Blvd 915 N Quincy Street DENTISTRY Arlington, VA 22201 Arlington, VA 22203 1025 N Fillmore St Ste A SHAMBAYATI, SARA (703) 812-8800 (703) 276-1010 Arlington, VA 22201 ARLINGTON COSMETIC DENTAL (703) 243-7744 GROUP BAHRAMI, BAHARAK COPELAND, ROBERT 1731 Clarendon Blvd DUDLEY, SCOTT Arlington, VA 22201 ERIC L ARBUCKLE DDS PC COPELAND ROBERT E ELITE DENTAL (703) 812-8800 4141 N Henderson Rd #18 4399 Old Dominion Dr 1025 N. Fillmore St. Ste. C Arlington, VA 22203 Arlington, VA 22207 Arlington, VA 22201 (703) 243-9365 (703) 243-8288 (703) 243-4500 SHOJAEI, MARIAH

ARLINGTON COSMETIC DENTAL PARTICIPATING PROVIDERS BELL, JOHN COTE, DAVID GROUP DUONG, HUNG 1731 Clarendon Blvd JOHN A BELL JR DDS DAVID P COTE DDS PC ARLINGTON CENTER FOR Arlington, VA 22201 4625 Old Dominion Drive 1111 Army Navy Dr #Ll02 DENTISTRY (703) 812-8800 Arlington, VA 22207 Arlington, VA 22202 1050 N Highland St Ste 300N (703) 527-1724 (703) 521-8080 Arlington, VA 22201 (703) 527-3888 GENERAL DENTIST BELT, WILLIAM COUTIN-GENTRY, J ABOULHOSN-SANGID, BELT WILLIAM A COUTIN & GENTRY DDS PC ECONOMIDES, MINO MAHER 4600 S Four Mile Run C4 1831 Wilson Blvd ECONOMIDES MINO COLUMBIA HEIGHTS DENTAL Arlington, VA 22204 Arlington, VA 22201 1301 N Highland Street 3219 Columbia Pike Ste. #201 (703) 671-4473 (703) 522-7733 Arlington, VA 22201 Arlington, VA 22204 (703) 522-8320 (703) 979-1100 BUTLER, CHARLES CUELLAR, GERSON CHARLES A BUTLER GERSON J CUELLAR DDS PC FARREY, LYNN ADAMS, MONA 2250 Clarendon Blvd Store F 611 S Carlin Springs Rd Ste 306 ART OF DENTISTRY VIRGINIA DENTAL CARE AT Arlington, VA 22201 Arlington, VA 22204 COURTHOUSE BALLSTON PLLC (703) 524-7200 (703) 578-0166 2250 Clarendon Blvd #F 915 N Quincy Street Arlington, VA 22201 Arlington, VA 22203 CAMPBELL, HUGH CUELLAR, RUBEN (703) 778-0854 (703) 276-1010 HUGH K CAMPBELL DDS PC FIDEL DENTAL GROUP 3401 Columbia Pike #101 5500 Columbia Pike #B FAVAGEHI, JASON ADILI, MEHDI Arlington, VA 22204 Arlington, VA 22204 CRYSTAL CITY DENTAL ARTS IDEAL DENTAL SOLUTIONS (703) 486-2273 (703) 575-9899 CENTER PC 1920 Clarendon Blvd 1615 E Crystal Sqaure Arcade Arlington, VA 22201 CASTRO-CHABRIER, DAHMAN, MOUHAMMAD Arlington, VA 22202 (703) 528-0800 JENNIFER VIRGINIA CENTER FOR (571) 267-1400 FIRST FAMILY DENTAL PC COSMETIC & GENERAL AHMADIAN, HOSSEIN 5015 Columbia Pike DENTISTRY FIDEL, ELIDIA ARLINGTON ADVANCED DENTAL Arlington, VA 22204 1025 N Fillmore St Ste A ARLINGTON PEDIATRIC CARE (703) 575-7776 Arlington, VA 22201 DENTISTRY 1010 N Glebe Rd #120 (703) 243-7744 5500 Columbia Pike #A Arlington, VA 22201 CHANG, MONICA Arlington, VA 22204 (703) 974-7501 ARLINGTON CENTER FOR DANIELS, SANDRA (703) 671-5437 DANIELS DENTAL GROUP DENTISTRY FIDEL, ELIDIA 3801 N Fairfax Dr #25 ANDERSON, ERIKA 1050 N Highland St Ste 300N FIDEL DENTAL GROUP Arlington, VA 22203 STEPHEN A MABRY DDS PLC Arlington, VA 22201 5500 Columbia Pike #B (703) 528-0444 2800 10Th St N (703) 527-3888 Arlington, VA 22204 Arlington, VA 22201 (703) 575-9899 (703) 527-3554 CHO, RAY DIKEMAN, THERON DR THERON DIKEMAN III PC ARLINGTON DENTISTRY BY FINNERTY, RAYMOND 4399 Old Dominion Dr ARBUCKLE, ERIC DESIGNS RAYMOND FINNERTY & LINDA Arlington, VA 22207 ERIC L ARBUCKLE DDS PC 1012 N Highland St #130B-S WU (703) 525-2350 4141 N Henderson Rd #18 Arlington, VA 22201 1600 Wilson Blvd Ste 620 Arlington, VA 22203 (703) 841-0300 Arlington, VA 22209 (703) 243-9365 (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

JOHNSON, STEVEN KUMRA, SHAWN VIRGINIA (CONT'D) GOLDSTEIN, ADAM JOHNSON STEVEN D SBK DDS PC VIRGINIA CENTER FOR 1635 N George Mason #160 3801 N Fairfax Drive Ste 4 2 ARLINGTON COSMETIC & GENERAL Arlington, VA 22205 Arlington, VA 22203 DENTISTRY (703) 522-3363 (703) 750-1099 FLANAGAN, MICHELLE 1025 N Fillmore St Ste A MICHELLE KEANEY FLANAGAN Arlington, VA 22201 KUMRA, SHAWN KARMACHARYA, KOMAL DMD PLLC (703) 243-7744 BALLSTON DENTAL CLINIC 1005 N Glebe Rd #480 CRYSTAL CITY DENTAL ARTS 900 N Randolph St Ste 103 CENTER PC Arlington, VA 22201 GORE, SHEMIKA Arlington, VA 22203 (703) 528-2369 1615 E Crystal Sqaure Arcade (703) 527-5270 ARLINGTON COSMETIC DENTAL Arlington, VA 22202 GROUP (571) 267-1400 FORBES, GRAHAM 1731 Clarendon Blvd KWON, JUDY

IDEAL DENTAL SOLUTIONS Arlington, VA 22201 CHONG W LEE & JOSPEH J OH PARTICIPATING PROVIDERS KAYMANESH, SHAGHAYEGH 1920 Clarendon Blvd (703) 812-8800 DDS LLC Arlington, VA 22201 CRYSTAL CITY DENTAL ARTS 4141 N Henderson Rd #16 CENTER PC (703) 528-0800 GREGORY, MARY Arlington, VA 22203 1615 E Crystal Sqaure Arcade (703) 841-0016 MARY GREGORY DDS Arlington, VA 22202 FUENTES, AGNES 4500 Old Dominion Dr (571) 267-1400 AGNES B FUENTES DDS Arlington, VA 22207 LAKAS, GREGORY 2445 Army Navy Dr Ste 100 (703) 527-6495 GREGORY LAKAS DDS & KERN, APRIL Arlington, VA 22206 ELIZABETH T SHAEFFER DDS VIRGINIA CENTER FOR (703) 521-7802 GRUNDY, RICHARD INC COSMETIC & GENERAL 1301 N Highland St VIRGINIA CENTER FOR DENTISTRY Arlington, VA 22201 GARRETT, TAMARA COSMETIC & GENERAL 1025 N Fillmore St Ste A (703) 522-8894 ARLINGTON DENTAL SOLUTIONS DENTISTRY Arlington, VA 22201 3801 Fairfax Drive Ste 50 1025 N Fillmore St Ste A (703) 243-7744 Arlington, VA 22203 Arlington, VA 22201 LAVECCHIA, GREG (703) 524-7031 (703) 243-7744 GREG L LAVECCHIA DMD PC KHALIL, JOSEPH 1515 Wilson Blvd #103 ARLINGTON DENTISTRY BY GENTRY, PHILIP GRUNTZ, RICHARD Arlington, VA 22209 DESIGNS (703) 528-3336 COUTIN & GENTRY DDS PC RICHARD D GRUNTZ DDS PC 1012 N Highland St #130B-S 1831 Wilson Blvd 1600 L Crystal Sq Arcade Arlington, VA 22201 LAVECCHIA, LOUIS Arlington, VA 22201 Arlington, VA 22202 (703) 841-0300 (703) 522-7733 (703) 412-1122 GREG L LAVECCHIA DMD PC 1515 Wilson Blvd #103 KIM, CHAD GIALANELLA, MATTHEW HANLEY, BRUCE Arlington, VA 22209 ARLINGTON COSMETIC DENTAL (703) 528-3336 VIRGINIA CENTER FOR BRUCE HANLEY DDS & ASSOC GROUP COSMETIC & GENERAL PLLC 1731 Clarendon Blvd LEBO, CARL DENTISTRY 2501 North Glebe Rd #200 Arlington, VA 22201 1025 N Fillmore St Ste A Arlington, VA 22207 (703) 812-8800 CARL G LEBO DDS PC Arlington, VA 22201 (703) 524-7100 3801 N Fairfax Drive #72 (703) 243-7744 Arlington, VA 22203 KLEIN, ELIZABETH (703) 525-0233 HARRIS, CLIFTON APEX DENTAL CARE GICHANA, ROSELYNE CHONG W LEE & JOSPEH J OH 3565 Lee Highway #S3B LEE, KIRSTEN ARLINGTON CENTER FOR DDS LLC Arlington, VA 22207 DENTISTRY 4141 N Henderson Rd #16 (571) 447-5577 CHONG W LEE & JOSPEH J OH 1050 N Highland St Ste 300N Arlington, VA 22203 DDS LLC Arlington, VA 22201 (703) 841-0016 4141 N Henderson Rd #16 KLEYMAN, BORIS (703) 527-3888 Arlington, VA 22203 BK DENTAL (703) 841-0016 HOANG, DUOLAINEY 901 N Stuart St #101 GLIKMAN, SANDRA PENTAGON DENTAL OFFICE Arlington, VA 22203 LESSNE, WILLIAM FIRST FAMILY DENTAL PC Pentagon Concourse Room 2E1073 (703) 822-5583 5015 Columbia Pike Arlington, VA 22202 LESSNE WILLIAM D Arlington, VA 22204 (703) 695-1100 2501 N Glebe Rd Ste 102 KRYGOWSKI, JOHN (703) 575-7776 Arlington, VA 22207 JOHN J KRYGOWSKI DDS PC (703) 526-9700 HUSKER, REBEKAH 2719 North Washington Blvd GOFF, WILLIAM DENTAL CARE AT CRYSTAL Arlington, VA 22201 LEUNG, JONATHAN DENTAL CARE AT CRYSTAL PARK (703) 243-1810 PARK 2231 Crystal Drive #150 LESSNE WILLIAM D 2231 Crystal Drive #150 Arlington, VA 22202 2501 N Glebe Rd Ste 102 Arlington, VA 22202 (703) 892-0883 Arlington, VA 22207 (703) 892-0883 (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

MORTAZIE, MICHAEL PAHLAVANI, EDNA RAOUFINIA, NIMA VIRGINIA (CONT'D) CHONG W LEE & JOSPEH J OH GREGORY LAKAS DDS & ARLINGTON DENTAL CENTER DDS LLC ELIZABETH T SHAEFFER DDS 3801 N Fairfax Dr Ste 70 ARLINGTON 4141 N Henderson Rd #16 INC Arlington, VA 22203 Arlington, VA 22203 1301 N Highland St (703) 465-9183 (703) 841-0016 Arlington, VA 22201 LEVINE, FERNANDA RAOUFINIA, NIMA (703) 522-8894 FIDEL DENTAL GROUP ARLINGTON DENTAL CENTER 5500 Columbia Pike #B MOVAGHARI, PARINAZ 6011 Wilson Blvd Arlington, VA 22204 DENTAL DEVOTION PLLC PALABRICA, ROSARIO Arlington, VA 22205 (703) 575-9899 1005 N. Glebe Rd. Ste. #460 RAYMOND FINNERTY & LINDA (703) 532-0123 Arlington, VA 22201 WU (703) 528-1222 1600 Wilson Blvd Ste 620 LY, DONG-PHUONG REIS, LAUREN Arlington, VA 22209

TRANSCENDENTAL DENTISTRY PARTICIPATING PROVIDERS (703) 524-0288 ARLINGTON COSMETIC & 200 N Glebe Rd #225 NASR, FLAVIO FAMILY DENTISTRY Arlington, VA 22203 FLAVIO W NASR DDS PC 1701 Clarendon Blvd #250-B (703) 248-1111 2103 Crystal Plaza Arcade PAPINSICK, ANTHONY Arlington, VA 22209 Arlington, VA 22202 ARLINGTON CENTER FOR (703) 636-7878 MA, ANDY (703) 415-0555 DENTISTRY 1050 N Highland St Ste 300N ARLINGTON CENTER FOR ROCA, ADAM Arlington, VA 22201 DENTISTRY NGUYEN, STEVE (703) 527-3888 AURELIO A ROCA 1050 N Highland St Ste 300N COLUMBIA PIKE DENTAL PC 3138 N 10Th St Ste 301 Arlington, VA 22201 5555 Columbia Pike Ste 102 Arlington, VA 22201 (703) 527-3888 Arlington, VA 22204 PARTRICK, JEREMIAH (703) 522-2600 (703) 820-8282 JEREMIAH N PATRICK JR DDS PC MABRY, STEPHEN ROCA, AURELIO 3801 N Fairfax Dr #65 STEPHEN A MABRY DDS PLC NGUYEN, VU Arlington, VA 22203 AURELIO A ROCA 2800 10Th St N FIRST FAMILY DENTAL PC (703) 522-6111 3138 N 10Th St Ste 301 Arlington, VA 22201 5015 Columbia Pike Arlington, VA 22201 (703) 527-3554 Arlington, VA 22204 (703) 522-2600 (703) 575-7776 PATEL, SHARLI CRYSTAL CITY DENTAL ARTS MARAVI, FERNANDO ROCA, LUPITA CENTER PC FM DENTAL GROUP NIKKHAH, JASON 1615 E Crystal Sqaure Arcade ARLINGTON SMILE CENTER LLC 2301 Columbia Pike Ste 126 ARLINGTON COSMETIC DENTAL Arlington, VA 22202 6950 Fairfax Dr Arlington, VA 22204 GROUP (571) 267-1400 Arlington, VA 22213 (703) 566-1121 1731 Clarendon Blvd (703) 237-7622 Arlington, VA 22201 (703) 812-8800 PERUMAL NAIDU NAGAIAH, MISTRY, KEVIN RUBIN, MICHAEL ROHINI LIGHTHOUSE DENTAL MICHAEL F RUBIN DMD COLUMBIA PIKE FAMILY ARLINGTON PC OH, JOSEPH 2121 Columbia Pike #100 DENTISTRY 2445 26Th Road So CHONG W LEE & JOSPEH J OH Arlington, VA 22204 2407 Columbia Pike #280 Arlington, VA 22206 DDS LLC (703) 521-8843 (703) 920-6600 4141 N Henderson Rd #16 Arlington, VA 22204 Arlington, VA 22203 (571) 312-4111 RUEDA, SANTIAGO (703) 841-0016 MOONEY, BRIGID ADVANCE DENTAL CARE CTR PHAN, TUYET-MAI DAVID P COTE DDS PC 2111 Jefferson Davis Hwy PHAN TUYET-MAI 1111 Army Navy Dr #Ll02 OZTURK, SERDAR Arlington, VA 22202 4001 North 9Th St Ste 218 Arlington, VA 22202 ARLINGTON FAMILY DENTAL (703) 415-0505 (703) 521-8080 CENTER Arlington, VA 22203 2522 Lee Highway (703) 522-0510 SABHARWAL, AMAN Arlington, VA 22201 MOORE, CLARISSA BALLSTON DENTAL CLINIC (703) 243-1166 RAOUFINIA, ARJANG CNS DENTAL 900 N Randolph St Ste 103 ARLINGTON DENTAL CENTER 3650 S Glebe Rd #195 OZTURK, SERDAR Arlington, VA 22203 3801 N Fairfax Dr Ste 70 Arlington, VA 22202 ARLINGTON COSMETIC OF (703) 527-5270 Arlington, VA 22203 (703) 304-3881 GENERAL DENTISTRY (703) 465-9183 2522 Lee Hwy SADEDDIN, HAZIM MORRIS, B Arlington, VA 22201 RAOUFINIA, ARJANG ARLINGTON SMILES PC B BLAIR MORRIS DDS PC (703) 243-1166 ARLINGTON DENTAL CENTER 5730 Washington Blvd 2501 N Glebe Rd Ste 302 6011 Wilson Blvd Arlington, VA 22205 Arlington, VA 22207 Arlington, VA 22205 (703) 241-0678 (703) 524-7466 (703) 532-0123

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

SOLEMANINEJAD, HOMAN WANG, PENG ARZADON, JOSEPH VIRGINIA (CONT'D) GREAT SMILE DENTAL ARLINGTON LIGHT DENTAL JOSEPH M ARZADON MD DDS 900 N Randolph St #103 2445 26Th Rd South PC ARLINGTON Arlington, VA 22203 Arlington, VA 22206 611 S Carlin Springs Road Suite (703) 243-3600 (703) 920-6600 308 SANGID, RONNY Arlington, VA 22204 COLUMBIA HEIGHTS DENTAL SOLTANI, SHAHROKH WILLIAMS, KRISTEN (703) 998-3971 3219 Columbia Pike Ste. #201 Arlington, VA 22204 BALLSTON METRO DENTAL KRISTEN BOWLING WILLIAMS ASHER, KEVIN (703) 979-1100 671 N Glebe Rd Ste 1260 DDS PC Arlington, VA 22203 801 N Quincy St #110 ARLINGTON CENTER FOR (703) 294-6144 Arlington, VA 22203 DENTISTRY SCHANTZ, CARA (703) 778-7610 1050 N Highland St Ste 300N VIRGINIA CENTER FOR STEWART, JENNIFER Arlington, VA 22201 COSMETIC & GENERAL PARTICIPATING PROVIDERS WOO, JANSEN (703) 527-3888 DENTISTRY VIRGINIA DENTAL CARE AT 1025 N Fillmore St Ste A BALLSTON PLLC JANSEN WOO DDS PC BLAIS, KENNETH Arlington, VA 22201 915 N Quincy Street 1701 Clarendon Blvd #200 (703) 243-7744 Arlington, VA 22203 Arlington, VA 22209 JOSEPH M ARZADON MD DDS (703) 276-1010 (703) 528-8118 PC SCHANTZ, CARA 611 S Carlin Springs Road Suite CNS DENTAL TAMHANKAR, NISHA WRAY, HENRY 308 3650 S Glebe Rd #195 KRISTEN BOWLING WILLIAMS HENRY C WRAY Arlington, VA 22204 Arlington, VA 22202 DDS PC 2250 Clarendon Blvd #F (703) 998-3971 (703) 304-3881 801 N Quincy St #110 Arlington, VA 22201 Arlington, VA 22203 (703) 243-6868 BUKZIN, JAY SCHOBEL, BRIAN (703) 778-7610 MEYER CLINIC PLLC VIRGINIA CENTER FOR WU, LINDA 1050 N Highland St #220 COSMETIC & GENERAL TECHAPANIT, CHANTARAT RAYMOND FINNERTY & LINDA Arlington, VA 22201 DENTISTRY CRYSTAL CITY DENTAL ARTS WU (703) 483-9591 1025 N Fillmore St Ste A CENTER PC 1600 Wilson Blvd Ste 620 BUKZIN, JAY Arlington, VA 22201 1615 E Crystal Sqaure Arcade Arlington, VA 22209 (703) 243-7744 BALLSTON METRO DENTAL Arlington, VA 22202 (703) 524-0288 671 N Glebe Rd Ste 1260 (571) 267-1400 Arlington, VA 22203 SHAEFFER, ELIZABETH YI, JOHN (703) 294-6144 GREGORY LAKAS DDS & URTEAGA, JAIR CRYSTAL CITY DENTAL ARTS ELIZABETH T SHAEFFER DDS DENTAL DEVOTION PLLC CENTER PC CORCORAN, THEODORE INC 1005 N. Glebe Rd. Ste. #460 1615 E Crystal Sqaure Arcade 1301 N Highland St WHISTON PATTERSON & Arlington, VA 22201 Arlington, VA 22202 CORCOCORAN Arlington, VA 22201 (703) 528-1222 (571) 267-1400 (703) 522-8894 2501 North Glebe Rd #203 Arlington, VA 22207 VAN SLOOTEN, BRIAN ZADEH, DAVID (703) 522-6440 SHIN, LEO VIRGINIA CENTER FOR DZ DENTAL CRYSTAL CITY DENTAL ARTS COSMETIC & GENERAL 611 S Carlin Springs Rd #408 COVIELLO, VINCENT CENTER PC DENTISTRY Arlington, VA 22204 1615 E Crystal Sqaure Arcade CNS DENTAL 1025 N Fillmore St Ste A (703) 671-7500 3650 S Glebe Rd #195 Arlington, VA 22202 Arlington, VA 22201 (571) 267-1400 Arlington, VA 22202 (703) 243-7744 ZAMANI, AMIR (703) 304-3881 ADVANCE DENTAL CARE CTR SIDOR, ANNA VO, DUY 2111 Jefferson Davis Hwy HAMRAH, DARIA DRS LEVIN LEFF & POLLOCK DUY Q VO DDS PC Arlington, VA 22202 BALLSTON METRO DENTAL 3801 N Fairfax Dr #40 947 S. George Mason Dr (703) 415-0505 Arlington, VA 22203 671 N Glebe Rd Ste 1260 Arlington, VA 22204 Arlington, VA 22203 (703) 534-0255 (703) 521-0900 ORAL SURGEON (703) 294-6144 SISEL, JEFFREY ARMANIOUS, MARK VU, DUY-ANH HERRERA, MARICIO JEFFREY A SISEL DDS PC WHISTON PATTERSON & TRANSCENDENTAL DENTISTRY MEYER CLINIC PLLC 2800 S Shirlington Rd #770 CORCOCORAN 200 N Glebe Rd #225 1050 N Highland St #220 Arlington, VA 22206 2501 North Glebe Rd #203 Arlington, VA 22203 Arlington, VA 22201 (703) 931-5333 Arlington, VA 22207 (703) 248-1111 (703) 483-9591 (703) 522-6440

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

FRANK, HAROLD BLANK, DEREK BRAIN, JEFFREY VIRGINIA (CONT'D) HAROLD FRANK DR CHRISTINE REARDON FIDEL DENTAL GROUP 200 N Glebe Rd #128 3565 Lee Highway #A 5500 Columbia Pike #B ARLINGTON Arlington, VA 22203 Arlington, VA 22207 Arlington, VA 22204 (703) 522-2225 (703) 579-0367 (703) 575-9899 JACKS, THOMAS JOSEPH M ARZADON MD DDS HESSAMFAR, RAMIN CRUZ-CHU, CARLOS KOH, RICHARD PC 611 S Carlin Springs Road Suite AMERICAN BRACES & SMILE ARLINGTON PEDIATRIC ARLINGTON COSMETIC OF 308 CENTER DENTISTRY GENERAL DENTISTRY Arlington, VA 22204 611 S Carlin Springs Rd #303 5500 Columbia Pike #A 2522 Lee Hwy (703) 998-3971 Arlington, VA 22204 Arlington, VA 22204 Arlington, VA 22201 (703) 594-4959 (703) 671-5437 (703) 243-1166

LIANG, DAVID PARTICIPATING PROVIDERS HUYNH, THUYLINH GILL, KWESI KOHLI, MALIKA JOSEPH M ARZADON MD DDS PC ARLINGTON CENTER FOR ARLINGTON CENTER FOR COLUMBIA PIKE FAMILY 611 S Carlin Springs Road Suite DENTISTRY DENTISTRY DENTISTRY 308 1050 N Highland St Ste 300N 1050 N Highland St Ste 300N 2407 Columbia Pike #280 Arlington, VA 22204 Arlington, VA 22201 Arlington, VA 22201 Arlington, VA 22204 (703) 998-3971 (703) 527-3888 (703) 527-3888 (571) 312-4111

NGUYEN, PHUONG IVERSON, DARIN LIN, CHI-YI LAKKIS, DIMA ARLINGTON CENTER FOR IVERSON ORTHODONTICS CRYSTAL CITY DENTAL ARTS RAYMOND FINNERTY & LINDA DENTISTRY 5401-B Lee Hwy CENTER PC WU 1050 N Highland St Ste 300N Arlington, VA 22207 1615 E Crystal Sqaure Arcade 1600 Wilson Blvd Ste 620 Arlington, VA 22201 (703) 536-7846 Arlington, VA 22202 Arlington, VA 22209 (703) 527-3888 (571) 267-1400 (703) 524-0288 KERMANSHI, SHIVA PASHAPOUR, ALI ELIDIA C FIDEL DDS PLC MUIR-YOUNG, NATALIE MIRANDA, RUBEN PASHAPOUR ORAL & FACIAL 5555 Columbia Pike #102 ARLINGTON PEDIATRIC FM DENTAL GROUP SURGERY Arlington, VA 22204 DENTISTRY 2301 Columbia Pike Ste 126 1016 North Highland St #131 (703) 575-9899 5500 Columbia Pike #A Arlington, VA 22204 Arlington, VA 22201 Arlington, VA 22204 (703) 566-1121 (703) 566-1990 KIM, EUNYOUNG (703) 671-5437 ARLINGTON LIGHT DENTAL OH, EUNSEOK PATEL, DIPA 2445 26Th Rd South NELSON, EDWARD ARLINGTON COSMETIC DENTAL ARLINGTON ORAL & Arlington, VA 22206 EDWARD J NELSON DMD PC GROUP MAXILLOFACIAL SURGERY (703) 920-6600 2501 N Glebe Rd Ste 100 1731 Clarendon Blvd 3801 N Fairfax Dr #20 Arlington, VA 22207 Arlington, VA 22201 Arlington, VA 22203 SALEH, FADI (703) 525-8200 (703) 812-8800 (703) 566-1908 FADI SALEH DDS LLC OH, EUNSEOK 1911 N Fort Myer Dr #101 REARDON, CHRISTINE ARLINGTON LIGHT DENTAL PATTERSON, TRAVIS Arlington, VA 22209 DR CHRISTINE REARDON 2445 26Th Rd South WHISTON PATTERSON & (703) 351-7645 3565 Lee Highway #A Arlington, VA 22206 CORCOCORAN Arlington, VA 22207 (703) 920-6600 2501 North Glebe Rd #203 THARIANI, HANI (703) 579-0367 Arlington, VA 22207 HANI THARIANI DDS MMSC PC PATRON, ALFONSO (703) 522-6440 2501 N Glebe Rd #300 TINGLING, FLAVIA ALFONSO PATRON DDS PLLC Arlington, VA 22207 ARLINGTON PEDIATRIC 1600 Wilson Blvd #960 (703) 527-5654 DENTISTRY ORTHODONTIST Arlington, VA 22209 5500 Columbia Pike #A (703) 465-5080 ABIGAIL, CURTIS PEDIATRIC Arlington, VA 22204 (703) 671-5437 PATRON, ALFONSO ARLINGTON ORTHODONTICS DENTIST/PEDODONTIST 3801 N Fairfax Dr #60 BALLSTON METRO DENTAL 671 N Glebe Rd Ste 1260 Arlington, VA 22203 BARHAM, LATOYA PERIODONTIST (703) 522-0522 ARLINGTON PEDIATRIC Arlington, VA 22203 DENTISTRY AKMAL, OMER (703) 294-6144 AUGUSTUS, SANA 5500 Columbia Pike #A VIRGINIA DENTAL CARE AT ARLINGTON ENDODONTICS Arlington, VA 22204 BALLSTON PLLC PHISUTHIKUL, NORACHAI PLLC (703) 671-5437 915 N Quincy Street DRS LEVIN LEFF & POLLOCK 4350 N Fairfax Dr #160 Arlington, VA 22203 3801 N Fairfax Dr #40 Arlington, VA 22203 (703) 276-1010 Arlington, VA 22203 (571) 312-3762 (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

MILLS-ROBERTSON, ABA ASHOURIPOUR, DARIOUSH GNANASUNDARAM, VIRGINIA (CONT'D) BLUE RIDGE HEALTH CENTER ASHBURN DENTAL ARTS SREEPREETHI 4038 Thomas Nelson Hwy 43330 Junction Plz Ste 122 GREENWAY SMILES LLC ARLINGTON Arrington, VA 22922 Ashburn, VA 20147 43490 Yukon Drive #114-116 (434) 263-4000 (703) 729-7900 Ashburn, VA 20148 SEALS, ASHLEY (571) 222-4243 ARLINGTON ENDODONTICS ASHBURN AZMOUDEH, ROXANNE PLLC 4350 N Fairfax Dr #160 ROXANNE AZMOUDEH DDS PC GOODE, AMBER ENDODONTIST Arlington, VA 22203 44355 Premier Plz Ste 100 IKARS V LANS DDS & ASSOC PC Ashburn, VA 20147 (571) 312-3762 CASTRO, ELBALILA 44110 Ashburn Shopping Plz Ste (703) 858-9146 ADVANCED ENDODONTICS OF 166 Ashburn, VA 20147 SPERLING-HABOT, KEREN VIRGINIA PLLC BACHOUR, MAYA (703) 729-1400 BALLSTON METRO DENTAL 21001 Sycolin Rd Suite #320 PARTICIPATING PROVIDERS 671 N Glebe Rd Ste 1260 Ashburn, VA 20147 LOUDOUN SMILE CENTER Arlington, VA 22203 (703) 858-4700 20405 Exhcange St #201 GRIMMER, LONNY (703) 294-6144 Ashburn, VA 20147 ASHBROOK CENTER FOR (703) 297-4407 LEE, BRIAN DENTISTRY 44345 Premier Plz Ste 230 PROSTHODONTIST DRS NOVICK HARTZ & HALL PC 44095 Pipeline Plz Ste 220 BAMBREY, DINA Ashburn, VA 20147 ABOU NAHLAH, ESAM Ashburn, VA 20147 DINA BAMBREY DMD PC (703) 723-1400 BALLSTON METRO DENTAL (703) 437-8811 44025 Pipeline Plz Ste 120 671 N Glebe Rd Ste 1260 Ashburn, VA 20147 HALL, ROBERT (703) 726-9119 Arlington, VA 22203 LEE, JOSEPH DRS NOVICK HARTZ & HALL PC (703) 294-6144 ASHBURN ENDODONTICS PC 44095 Pipeline Plz Ste 220 44110 Ashburn Shopping Plz Ste BHIDE, SATYAJEET Ashburn, VA 20147 AYASS, MOHAMAD 211 DRS NOVICK HARTZ & HALL PC (703) 437-8811 AYAS LLC Ashburn, VA 20147 44095 Pipeline Plz Ste 220 3801 N Fairfax Dr Ste 55 (703) 723-3700 Ashburn, VA 20147 HAN, MICHAEL Arlington, VA 22203 (703) 437-8811 MICHAEL S HAN DDS PC (703) 527-0637 LIEWEHR, FREDERICK 20905 Professional Plaza #210 IKARS V LANS DDS & ASSOC PC BOB, GREGORY Ashburn, VA 20147 HAMALIAN, TECHKOUHIE 44110 Ashburn Shopping Plz Ste FUSION DENTAL (703) 723-9909 SMILE DESIGNER 166 20955 Professional Plaza Ste 110 1911 N Fort Myer Dr #101 Ashburn, VA 20147 Ashburn, VA 20147 HAN, VICTOR Arlington, VA 22209 (703) 729-1400 (703) 723-0014 VICTOR HAN DDS LLC (703) 351-7645 43150 Broadlands Center #158 WINBERG, TIERNEY BURO, RONALD Ashburn, VA 20148 HUANG, MICHIKO FUSION DENTAL IKARS V LANS DDS & ASSOC PC (703) 726-1600 BALLSTON METRO DENTAL 20955 Professional Plaza Ste 110 44110 Ashburn Shopping Plz Ste 671 N Glebe Rd Ste 1260 Ashburn, VA 20147 166 HARTZ, GARY Arlington, VA 22203 (703) 723-0014 Ashburn, VA 20147 DRS NOVICK HARTZ & HALL PC (703) 294-6144 (703) 729-1400 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 GENERAL DENTIST SPECIALTY NOT SPECIFIED DUCHATELLER-CANGE, (703) 437-8811 ABEL, ANNA RUTH KERMANSHI, SHIVA LOUDON DENTAL ARTS DDS RUTH K DUCHATELLIER CANGE HOCHMAN, HILLARY ARLINGTON PEDIATRIC PLLC 22621 Amendola Terrace Ste 110 FUSION DENTAL DENTISTRY 44121 Harry Bird Highway #160 Ashburn, VA 20148 20955 Professional Plaza Ste 110 5500 Columbia Pike #A Ashburn, VA 20147 (703) 723-0400 Ashburn, VA 20147 Arlington, VA 22204 (703) 858-7777 (703) 723-0014 (703) 671-5437 EGHTESSAD, MICHAEL ALDERMAN, DOUGLAS GATEWAY DENTAL HOWARD, KARRIE ARRINGTON FUSION DENTAL 44330 Premier Plaza Ste 140 DRS NOVICK HARTZ & HALL PC 20955 Professional Plaza Ste 110 Ashburn, VA 20147 44095 Pipeline Plz Ste 220 GENERAL DENTIST Ashburn, VA 20147 (703) 726-0333 Ashburn, VA 20147 CRISTI, IVONA (703) 723-0014 (703) 437-8811 BLUE RIDGE HEALTH CENTER GHORBANI, PEJMAN 4038 Thomas Nelson Hwy ARMENTROUT, NADIA ROXANNE AZMOUDEH DDS PC JAFARI, MAHNAZ Arrington, VA 22922 LOUDOUN SMILE CENTER 44355 Premier Plz Ste 100 AA FAMILY DENTISTRY (434) 263-4000 20405 Exhcange St #201 Ashburn, VA 20147 22855 Brambleton Plaza #206 Ashburn, VA 20147 (703) 858-9146 Ashburn, VA 20148 (703) 297-4407 (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

NGUYEN, PHUONG-UYEN PEAKS, KELLY RIOS, JORGE VIRGINIA (CONT'D) NV SMILES PC FIRST IMPRESSION DENTAL JORGE R RIOS INC 44095 Pipeline Plaza #400 PLLC 44340 Premier Plaza #200 ASHBURN Ashburn, VA 20147 43810 Central Station Dr #100 Ashburn, VA 20147 (703) 723-7131 Ashburn, VA 20147 (703) 858-4222 KAUR, HEMANI (571) 465-2114 ESTHETIQUE DENTISTRY NIKKHAH, POURAN RIZVI, ZIA 44345 Premier Plaza Ste 220 AFFORDABLE DENTAL CARE PENA, ESTELA ZIA RIZVI DDS PC Ashburn, VA 20147 44365 Premier Plz Ste 230 RYAN PARK DENTISTRY 42882 Truro Parish Dr Ste 208 (703) 729-6222 Ashburn, VA 20147 43480 Yukon Dr Ste 204 Ashburn, VA 20148 (703) 726-4444 Ashburn, VA 20147 (703) 858-1904 KIM, MICHAEL (703) 729-8277 NIKPOURFARD, MATT RUSZ, JOESPH

GOOSE CREEK VILLAGE DENTAL PARTICIPATING PROVIDERS 21001 Sycolin Road Suite 240 BELMONT DENTISTRY PHAN, CHUONG FUSION DENTAL Ashburn, VA 20147 44121 Harry Byrd Hwy Ste 280 LOUDON DENTAL ARTS DDS 20955 Professional Plaza Ste 110 (703) 723-4224 Ashburn, VA 20147 PLLC Ashburn, VA 20147 (703) 723-1200 44121 Harry Bird Highway #160 (703) 723-0014 KIM, SUHAD Ashburn, VA 20147 (703) 858-7777 GOOSE CREEK VILLAGE DENTAL NOVICK, ARTHUR RUSZNAK, ZOLTAN 21001 Sycolin Road Suite 240 DRS NOVICK HARTZ & HALL PC ASHBURN DENTISTRY TODAY Ashburn, VA 20147 44095 Pipeline Plz Ste 220 PROPOGGIO, SUSAN 20925 Professional Plaza Ste 330 (703) 723-4224 Ashburn, VA 20147 IKARS V LANS DDS & ASSOC PC Ashburn, VA 20147 (703) 437-8811 44110 Ashburn Shopping Plz Ste (703) 726-8700 LANS, IKARS 166 Ashburn, VA 20147 IKARS V LANS DDS & ASSOC PC NOVICK, KENDRA SABHARWAL, AMAN (703) 729-1400 44110 Ashburn Shopping Plz Ste DRS NOVICK HARTZ & HALL PC FAMILY DENTISTRY & IMPLANT 166 44095 Pipeline Plz Ste 220 CENTER Ashburn, VA 20147 Ashburn, VA 20147 QURESHI, WASIM 44031 Ashburn Shopping Plaza Ste (703) 729-1400 (703) 437-8811 VIRGINIA SMILES DENTAL CARE #131 21001 Sycolin Rd #100 Ashburn, VA 20147 LE, DAVID NWANESHIUDU, CHIOMA Ashburn, VA 20147 (703) 858-3456 (571) 291-9666 ASHBROOK CENTER FOR BROADLANDS COMPLETE DENTISTRY DENTAL SHARMA, SUMIT 44345 Premier Plz Ste 230 43170 Southern Walk Plaza 116 RAHIM, HARESS DRS NOVICK HARTZ & HALL PC Ashburn, VA 20147 Ashburn, VA 20148 HARESS RAHIM DMD PLLC 44095 Pipeline Plz Ste 220 (703) 723-1400 (703) 687-4320 22855 Brambleton Plaza Ste 208 Ashburn, VA 20147 Ashburn, VA 20148 (703) 437-8811 LIM, PHANITH PAPAGEORGIOU, NICHOLAS (703) 327-5533 ASHBURN DIVINE DENTAL NICHOLAS PAPAGEORGIOU DDS SVECHOTA-KINGSBURY, 20915 Ashburn Rd #205 PC RANZURMAL, MINA BRUCE Ashburn, VA 20147 44330 Premier Plaza #200 JORGE R RIOS INC DRS NOVICK HARTZ & HALL PC (703) 858-0288 Ashburn, VA 20147 44340 Premier Plaza #200 44095 Pipeline Plz Ste 220 (703) 433-9516 Ashburn, VA 20147 Ashburn, VA 20147 LIN, LULU (703) 858-4222 (703) 437-8811 ASHBURN DIVINE DENTAL PARK, JOHN 20915 Ashburn Rd #205 BROADLANDS COMPLETE RAY, RONALD VILLARROEL-SOTO, Ashburn, VA 20147 DENTAL RONALD RAY DDS PC CLAUDIA (703) 858-0288 43170 Southern Walk Plaza 116 43930 Farmwell Hunt #136 FUSION DENTAL Ashburn, VA 20148 Ashburn, VA 20147 20955 Professional Plaza Ste 110 MOOSE, BOBBI (703) 687-4320 (703) 858-0045 Ashburn, VA 20147 FUSION DENTAL (703) 723-0014 20955 Professional Plaza Ste 110 PARK, KYUNG REEVES, CARTER Ashburn, VA 20147 WHITE TREE DENTAL FIRST IMPRESSION DENTAL VU, TUAN (703) 723-0014 44031 Pipeline Plaza # 215 PLLC FRIENDS & FAMILY DENTISTRY Ashburn, VA 20147 43810 Central Station Dr #100 PLLC NALLAVALLI, SRAVANTHI (703) 726-8804 Ashburn, VA 20147 44121 Harry Byrd Hwy #155 (571) 465-2114 GATEWAY DENTAL Ashburn, VA 20147 44330 Premier Plaza Ste 140 PATEL, AMIT (571) 918-0077 Ashburn, VA 20147 AMIT B PATEL DDS PC (703) 726-0333 20600 Gordon Park Sq Ste 110 ORAL SURGEON Ashburn, VA 20147 (703) 724-4470

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

HESSAMFAR, RAMIN DANG, TUONG-ANH ABRIL, EDISON VIRGINIA (CONT'D) BROADLANDS ORTHODONTICS LYNDA N DEAN-DURU DDS PC GREENWAY SMILES LLC 42882 Truro Parish Dr #210 44025 Pipeline Plaza Unit 1-225 43490 Yukon Drive #114-116 ASHBURN Ashburn, VA 20148 Ashburn, VA 20147 Ashburn, VA 20148 (703) 726-6561 (703) 723-8440 (571) 222-4243 BLUHM, ANDREW LOUDOUN ORAL & HESSAMFAR, RAMIN DEAN-DURU, LYNDA BERI, ANURANDA MAXILLOFACIAL SURGERY RAMIN HESSAMFAR DMD MS PC 44340 Premier Plz Ste 100 44355 Premier Plaza Ste 100 LYNDA N DEAN-DURU DDS PC FUSION DENTAL Ashburn, VA 20147 Ashburn, VA 20147 44025 Pipeline Plaza Unit 1-225 20955 Professional Plaza Ste 110 (703) 729-8700 (703) 726-6561 Ashburn, VA 20147 Ashburn, VA 20147 (703) 723-8440 (703) 723-0014

DORSCH, STEVE KORTAM, SAHIRA ISLAND, MARIA CHADDAD, KARIM LOUDOUN ORAL & ASHBURN ORTHODONTICS PARTICIPATING PROVIDERS MAXILLOFACIAL SURGERY 44345 Premier Plaza #140 NOVA PEDIATRIC DENTISTRY GATEWAY DENTAL 44340 Premier Plz Ste 100 Ashburn, VA 20147 21785 Filigree Ct Suite 208 44330 Premier Plaza Ste 140 Ashburn, VA 20147 (703) 729-7210 Ashburn, VA 20147 Ashburn, VA 20147 (703) 729-8700 (703) 729-7005 (703) 726-0333 KRAVITZ, NEAL PATEL, CHIRAG PEDIATRIC DENTISTRY OF ONE JAJU, RISHITA KOH, RICHARD ASHBURN ORAL SURGERY LOUDOUN LYNDA N DEAN-DURU DDS PC ASHBURN DIVINE DENTAL 20405 Exchange St #251 20405 Exchange St #260 44025 Pipeline Plaza Unit 1-225 20915 Ashburn Rd #205 Ashburn, VA 20147 Ashburn, VA 20147 Ashburn, VA 20147 Ashburn, VA 20147 (703) 342-4220 (703) 729-0350 (703) 723-8440 (703) 858-0288

PATEL, SUKETU LEE, WILLIAM MARZBAN, COURTNEY KOOSHKI, BIJAN FUSION DENTAL FUSION DENTAL NOVA PEDIATRIC DENTISTRY LIDA SADR DDS PC 20955 Professional Plaza Ste 110 20955 Professional Plaza Ste 110 21785 Filigree Ct Suite 208 44031 Ashburn Shpg Plz #131 Ashburn, VA 20147 Ashburn, VA 20147 Ashburn, VA 20147 Ashburn, VA 20147 (703) 723-0014 (703) 723-0014 (703) 729-7005 (703) 858-3456

VANDERVORT, GENE MULLEN, STEVEN PATEL, AJIT PROSTHODONTIST AJIT A PATEL LOUDOUN ORAL & IKARS V LANS DDS & ASSOC PC MARTINEZ, LUIS 44110 Ashburn Shopping Plz Ste 42882 Truro Parish Dr #201 MAXILLOFACIAL SURGERY DRS NOVICK HARTZ & HALL PC 166 Ashburn, VA 20148 44340 Premier Plz Ste 100 44095 Pipeline Plz Ste 220 Ashburn, VA 20147 (703) 726-4333 Ashburn, VA 20147 Ashburn, VA 20147 (703) 729-1400 (703) 729-8700 (703) 437-8811 RODRIGUEZ, CRISTELLE NELSON, KRISTIN NOVA CHILDRENS DENTISTRY ORTHODONTIST SADR, LIDA ZACHARY CASAGRANDE DDS OF ASHBURN LIDA SADR DDS PC CASAGRANDE, ZACHARY MS PC 44121 Harry Byrd Highway Ste 265 44031 Ashburn Shpg Plz #131 ZACHARY CASAGRANDE DDS 22855 Brambleton Plz Ste 200 Ashburn, VA 20147 Ashburn, VA 20147 MS PC Ashburn, VA 20148 (703) 858-1550 (703) 858-3456 22855 Brambleton Plz Ste 200 (703) 327-1718 Ashburn, VA 20148 WOO, VALERIE (703) 327-1718 ASHLAND ULLRICH, COURTNEY NOVA PEDIATRIC DENTISTRY 21785 Filigree Ct Suite 208 NOVA PEDIATRIC DENTISTRY ENDODONTIST DACZKOWSKI, THOMAS 21785 Filigree Ct Suite 208 Ashburn, VA 20147 DACZKOWSKI ORTHODONTICS Ashburn, VA 20147 (703) 729-7005 OLTRA ESPLUGUES, 20925 Professional Plaza #210 (703) 729-7005 ENRIQUE Ashburn, VA 20147 WOOD, PATRICIA VIRGINIA FAMILY DENTISTRY PC (703) 723-8838 PEDIATRIC LYNDA N DEAN-DURU DDS PC 10500 Atlee Station Rd 44025 Pipeline Plaza Unit 1-225 DENTIST/PEDODONTIST Ashland, VA 23005 ERRERA, JOSEPH Ashburn, VA 20147 (804) 550-3324 AJIT A PATEL BHATTI, BUSHRA (703) 723-8440 42882 Truro Parish Dr #201 PEDIATRIC DENTISTRY OF ONE GENERAL DENTIST Ashburn, VA 20148 LOUDOUN PERIODONTIST (703) 726-4333 20405 Exchange St #260 BHARAL, POONUM Ashburn, VA 20147 ABRIL, EDISON VIRGINIA FAMILY DENTISTRY PC (703) 729-0350 FUSION DENTAL 10500 Atlee Station Rd 20955 Professional Plaza Ste 110 Ashland, VA 23005 Ashburn, VA 20147 (804) 550-3324 (703) 723-0014

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

GUTHRIE, JAMES NORDEEN, KYLE PURCELL, ALLISON VIRGINIA (CONT'D) LOUIS J KORPICS JR DDS PC LOUIS J KORPICS JR DDS PC VIRGINIA FAMILY DENTISTRY PC 130 Thompson Street 130 Thompson Street 10500 Atlee Station Rd ASHLAND Ashland, VA 23005 Ashland, VA 23005 Ashland, VA 23005 (804) 798-2776 (804) 798-2776 (804) 550-3324 BIRD, ELIOT ELIOT W BIRD DDS HALEY, THOMAS PERKINSON, S ROGERS, DALE 10640 Charter Hill Ct Ste 101 Ashland, VA 23005 THOMAS MAXWELL HALEY DDS VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC (804) 550-1222 PLLC 10500 Atlee Station Rd 10500 Atlee Station Rd 214 England St Ashland, VA 23005 Ashland, VA 23005 Ashland, VA 23005 (804) 550-3324 (804) 550-3324 BOND, MARK (804) 798-8121 VIRGINIA FAMILY DENTISTRY PC RESSLER, CHRISTINE 10500 Atlee Station Rd PERIODONTIST PARTICIPATING PROVIDERS HARRINGTON, NOLA VIRGINIA FAMILY DENTISTRY PC Ashland, VA 23005 ABBOTT, DAVID (804) 550-3324 NOLA W HARRINGTON DMD PC 10500 Atlee Station Rd 105 Lee St Ashland, VA 23005 LOUIS J KORPICS JR DDS PC Ashland, VA 23005 (804) 550-3324 130 Thompson Street BUHLER, JOHN (804) 798-8447 Ashland, VA 23005 VIRGINIA FAMILY DENTISTRY PC (804) 798-2776 ROPER, ERIK 10500 Atlee Station Rd HEFELE, WILLIAM VIRGINIA FAMILY DENTISTRY PC Ashland, VA 23005 VOTH, STEPHANIE (804) 550-3324 WILLIAM J HEFELE DDS 10500 Atlee Station Rd 200 Virginia Street Ashland, VA 23005 VIRGINIA FAMILY DENTISTRY PC Ashland, VA 23005 (804) 550-3324 10500 Atlee Station Rd CASTRO-CHABRIER, (804) 798-8019 Ashland, VA 23005 JENNIFER (804) 550-3324 SMITH, JOHN LOUIS J KORPICS JR DDS PC IACHINI, DIANE SMITH JOHN C JR 130 Thompson Street VIRGINIA FAMILY DENTISTRY PC 116 N Railroad Ave #2 BASSETT Ashland, VA 23005 10500 Atlee Station Rd Ashland, VA 23005 (804) 798-2776 Ashland, VA 23005 (804) 798-5061 GENERAL DENTIST (804) 550-3324 RAMSEY, TONY CATOGGIO, MICHAEL SPEARS, BRIAN TONY A RAMSEY VIRGINIA FAMILY DENTISTRY PC KIM, KYU LOUIS J KORPICS JR DDS PC 15 Ridgewood Rd Po Box 1601 10500 Atlee Station Rd LOUIS J KORPICS JR DDS PC 130 Thompson Street Bassett, VA 24055 Ashland, VA 23005 130 Thompson Street Ashland, VA 23005 (276) 629-2715 (804) 550-3324 Ashland, VA 23005 (804) 798-2776 (804) 798-2776 BEALETON DIEFENDERFER, MARK TURNAGE, NEIL VIRGINIA FAMILY DENTISTRY PC KORPICS, LOUIS VIRGINIA FAMILY DENTISTRY PC GENERAL DENTIST 10500 Atlee Station Rd LOUIS J KORPICS JR DDS PC 10500 Atlee Station Rd Ashland, VA 23005 REYNOLDS, GAVIN 130 Thompson Street Ashland, VA 23005 (804) 550-3324 GAVIN E REYNOLDS DDS PC Ashland, VA 23005 (804) 550-3324 6360 Village Center Dr (804) 798-2776 DREES, GRETCHEN Bealeton, VA 22712 VINSON, ALEXA (540) 439-1088 ASHLAND DENTAL ARTS LARKIN, STEVEN LOUIS J KORPICS JR DDS PC 100 Arbor Oak Dr #101 VIRGINIA FAMILY DENTISTRY PC 130 Thompson Street Ashland, VA 23005 BEDFORD 10500 Atlee Station Rd Ashland, VA 23005 (804) 798-7388 Ashland, VA 23005 (804) 798-2776 GENERAL DENTIST (804) 550-3324 FLANAGAN, CHAD BAILEY, ANTHONY ORTHODONTIST VIRGINIA FAMILY DENTISTRY PC MURRY, BRITTNEY PEAKSVIEW DENTAL LLC 10500 Atlee Station Rd LOUIS J KORPICS JR DDS PC BUELOW, DWIGHT 167 West Main St Ashland, VA 23005 130 Thompson Street VIRGINIA FAMILY DENTISTRY PC Bedford, VA 24523 (804) 550-3324 Ashland, VA 23005 10500 Atlee Station Rd (540) 586-8106 (804) 798-2776 Ashland, VA 23005 GRUZYNSKA, HANNA (804) 550-3324 HURT, GARRETT LOUIS J KORPICS JR DDS PC NASH, COLLEEN GARRETT E HURT DDS PC 130 Thompson Street VIRGINIA FAMILY DENTISTRY PC MARCUS, RICHARD 423 E. Main St #2 Ashland, VA 23005 10500 Atlee Station Rd VIRGINIA FAMILY DENTISTRY PC Bedford, VA 24523 (804) 798-2776 Ashland, VA 23005 10500 Atlee Station Rd (540) 586-3215 (804) 550-3324 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 19 Delta Dental Premier

FORTNEY, CLARK ANTHONY, RICHARD JACOB, KEZIA VIRGINIA (CONT'D) CLARK D FORTNET DDS PLLC RICHARD L ANTHONY DDS COOK FAMILY DENTISTRY 117 E Main St 200 Professional Park Dr. #7 611 S Main St BEDFORD Berryville, VA 22611 Blacksburg, VA 24060 Blacksburg, VA 24060 (540) 955-4220 (540) 552-8870 (540) 951-8383 OWEN, JOHN PEAKSVIEW DENTAL LLC KAISER, GINA ATHERTON, KIMBERLYN MCCOY, LARRY 167 West Main St Bedford, VA 24523 KAISER & MALONY DDS PC NEW RIVER VALLEY DENTAL LARRY W MCCOY DDS PC (540) 586-8106 322 N Buckmarsh St Ste B 1400 S Main St Ste 1401 907 Hethwood Blvd Berryville, VA 22611 Blacksburg, VA 24060 Blacksburg, VA 24060 (540) 955-0270 (540) 951-2260 (540) 552-4805 POLK, DAVID PEAKSVIEW DENTAL LLC MALONY, NICOLE BASS, JAY ROBERTS, ANNA 167 West Main St PARTICIPATING PROVIDERS Bedford, VA 24523 KAISER & MALONY DDS PC JAY M BASS DDS PC COOK FAMILY DENTISTRY (540) 586-8106 322 N Buckmarsh St Ste B 200 Washington St Se 611 S Main St Berryville, VA 22611 Blacksburg, VA 24060 Blacksburg, VA 24060 (540) 955-0270 (540) 552-2551 (540) 951-8383 RICHARDSON, THOMAS THOMAS M RICHARDSON DDS BIG STONE GAP COOK, LOREN ROBERTSON, JOHN PC 163 W. Main St. COOK FAMILY DENTISTRY JAY M BASS DDS PC GENERAL DENTIST Bedford, VA 24523 611 S Main St 200 Washington St Se Blacksburg, VA 24060 Blacksburg, VA 24060 (540) 586-6000 ALLRED, KEVIN (540) 951-8383 (540) 552-2551 KEVIN M ALLRED DDS PC SHERMAN, FRANK 407 3Rd Ave East FRIEND, SARAH SCHNECKER, DENNIS FRANK L SHERMAN JR DDS PC Big Stone Gap, VA 24219 308 E Main St (276) 523-0931 COOK FAMILY DENTISTRY DANIEL E THOMPSON & DENNIS Bedford, VA 24523 611 S Main St C SCHNECKER PC Blacksburg, VA 24060 614 South Main St (540) 586-8080 DAVIS, HERBERT (540) 951-8383 Blacksburg, VA 24060 H NEAL DAVIS DDS PC (540) 953-2980 WALERKO, PHILP 518 Powell Ave East GLASGOW, MATTHEW PEAKSVIEW DENTAL LLC Big Stone Gap, VA 24219 TEBBENKAMP, JUSTIN 167 West Main St (276) 523-2691 MATTHEW W GLASGOW DDS PC Bedford, VA 24523 222 Progress St Ne JUSTIN N TEBBENKAMP DDS PC (540) 586-8106 BLACKSBURG Blacksburg, VA 24060 1305 North Main St (540) 552-3111 Blacksburg, VA 24060 (540) 961-3279 WOLF, RUDOLF ENDODONTIST HARRIS, CHARLES PEAKSVIEW DENTAL LLC ANKRUM, MATTHEW THOMPSON, DAMON 167 West Main St CHARLES E HARRIS DDS PC MATTHEW ANKRUM DDS MS PC 210 Professional Park Dr #11 REAL LIFE DENTAL CARE Bedford, VA 24523 3708 S Main St #H (540) 586-8106 Blacksburg, VA 24060 202 South Main St Ste 101 Blacksburg, VA 24060 (540) 951-3989 Blacksburg, VA 24060 (540) 552-1100 (540) 552-5433 BERRYVILLE HARRIS, LUKE LANIER, LEANDER GENERAL DENTIST WALLACE L HUFF DDS INC THOMPSON, DANIEL LANIER ENDODONTIC GROUP 3708 S Main St #C DANIEL E THOMPSON & DENNIS ALLEN, DANDRIDGE 2609 Sheffield Dr Blacksburg, VA 24060 C SCHNECKER PC DANDRIDGE B ALLEN Blacksburg, VA 24060 (540) 552-4781 614 South Main St 100 Chalmers Ct (540) 552-0101 Blacksburg, VA 24060 Berryville, VA 22611 HUFF, CHRISTOPHER (540) 953-2980 (540) 955-2220 MATRI, AHMED CHRISTOPHER B HUFF DDS LANIER ENDODONTIC GROUP 3708 S Main St #C TOMODA, MATTHEW BARADARAN, EBRAHIM 2609 Sheffield Dr Blacksburg, VA 24060 DANIEL E THOMPSON & DENNIS EBRAHIM H BARADARAN DMD Blacksburg, VA 24060 (540) 951-4833 C SCHNECKER PC PC (540) 552-0101 614 South Main St 100 W Main St HUFF, WALLACE Blacksburg, VA 24060 Berryville, VA 22611 GENERAL DENTIST WALLACE L HUFF DDS INC (540) 953-2980 (540) 955-1189 ANKRUM, MICHAEL 3708 S Main St #C Blacksburg, VA 24060 MICHAEL J ANKRUM DDS PC ORAL SURGEON (540) 552-4781 211 West Clay St Blacksburg, VA 24060 (540) 552-0050

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

BRADSHAW, JAMES CAMPBELL, CLARENCE DRAPER, THOMAS VIRGINIA (CONT'D) JAMES L BRADSHAW DDS CLARENCE CAMPBELL III DDS PARKSIDE FAMILY DENTISTRY 131 N Main St PC 100 Parkside Dr BLACKSBURG Blackstone, VA 23824 117 Courthouse Lane Bridgewater, VA 22812 (434) 292-4665 Bowling Green, VA 22427 (540) 828-3518 BOYLE, RICHARD (804) 633-6040 NRV ORAL & MAXILLOFACIAL IRBY, LEWIS MILLER, GLEN SURGERY LTD SASTRY, PREETI 100 Professional Park Dr #1 PHILLIP D PRATER DDS LLC PARKSIDE FAMILY DENTISTRY Blacksburg, VA 24060 929 South Main St CAROLINE FAMILY PRACTICE 100 Parkside Dr (540) 951-8777 Blackstone, VA 23824 102 West Broaddus Ave #200 Bridgewater, VA 22812 (434) 292-3695 Bowling Green, VA 22427 (540) 828-3518 (804) 632-1030 HOWARD, CLINTON IRBY, LEWIS NEEL, ANITA NRV ORAL & MAXILLOFACIAL WILLIAM IRBY JR DDS PC PARTICIPATING PROVIDERS BOYKINS SURGERY LTD 929 South Main St PARKSIDE FAMILY DENTISTRY 100 Professional Park Dr #1 Blackstone, VA 23824 100 Parkside Dr GENERAL DENTIST Blacksburg, VA 24060 (434) 292-3695 Bridgewater, VA 22812 (540) 828-3518 (540) 951-8777 BROWNE, WINSTON PRATER, PHILLIP WINSTON M BROWNE III DDS VANGILDER, JAMES PHILLIP D PRATER DDS LLC 18197 Virginia Ave SADOON, IHAB NRV ORAL & MAXILLOFACIAL 929 South Main St Boykins, VA 23827 PARKSIDE FAMILY DENTISTRY SURGERY LTD Blackstone, VA 23824 (757) 654-6226 100 Parkside Dr 100 Professional Park Dr #1 (434) 292-3695 Bridgewater, VA 22812 Blacksburg, VA 24060 BRAMBLETON (540) 828-3518 (540) 951-8777 REITZ, MARK MARK G REITZ DDS PLLC GENERAL DENTIST SMITH, RICHARD PARKSIDE FAMILY DENTISTRY WALLACE, DAVID 103 E Broad St BROWNING, STEPHANIE Blackstone, VA 23824 100 Parkside Dr DAVID A WALLACE LITTLE SMILES 3712 South Main St (434) 292-5318 Bridgewater, VA 22812 42395 Ryan Rd #104 (540) 828-3518 Blacksburg, VA 24060 Brambleton, VA 20148 (540) 552-7222 BLAND (703) 542-7000 BRISTOL GENERAL DENTIST ORTHODONTIST COSTA, SHANE GENERAL DENTIST TURNER, RANDOLPH LAMBERT, OLENA LITTLE SMILES 42395 Ryan Rd #104 ARNOLD, WILLIAM R L TURNER DDS LTD BLAND FAMILY DENTISTRY LTD Brambleton, VA 20148 JAMES M SEAVER DDS PC 800 S Main St 537 Main St (703) 542-7000 1740 Euclid Avenue Blacksburg, VA 24060 Bland, VA 24315 Bristol, VA 24201 (540) 552-2334 (276) 688-3667 (276) 466-2028 MAZHARI, SHELIA BLUE RIDGE LITTLE SMILES PERIODONTIST 42395 Ryan Rd #104 BETTIS, VICTORIA BUYER, JOHN GENERAL DENTIST Brambleton, VA 20148 VICTORIA C BETTIS DDS LLC NEW RIVER PERIODONTICS & (703) 542-7000 2426 Lee Hwy Ste. 110 MILLER, KEITH DENTAL IMPLANT CENTER Bristol, VA 24202 KEITH A MILLER 2612 Sheffield Dr (276) 669-1370 3613 Blue Ridge Blvd PEDIATRIC Blacksburg, VA 24060 Blue Ridge, VA 24064 DENTIST/PEDODONTIST (540) 951-4848 BUNN, ROBERT (540) 977-6060 SALEH, LARA JAMES M SEAVER DDS PC LITTLE SMILES 1740 Euclid Avenue LENTZ, JOHN BLUEFIELD NEW RIVER PERIODONTICS & 42395 Ryan Rd #104 Bristol, VA 24201 Brambleton, VA 20148 (276) 466-2028 DENTAL IMPLANT CENTER GENERAL DENTIST 2612 Sheffield Dr (703) 542-7000 Blacksburg, VA 24060 KOVACH, DAVID DINWIDDIE, AMELIA (540) 951-4848 DAVID A KOVACH DDS PC SINADA, NUTHYLA JAMES M SEAVER DDS PC 517 Tazewell Ave LITTLE SMILES 1740 Euclid Avenue BLACKSTONE Bluefield, VA 24605 42395 Ryan Rd #104 Bristol, VA 24201 (276) 322-4023 Brambleton, VA 20148 (276) 466-2028 GENERAL DENTIST (703) 542-7000 BOWLING GREEN JESSUP, RONALD BRIDGEWATER RONALD D JESSUP DMD PC GENERAL DENTIST 14245 Lee Highway GENERAL DENTIST 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

COLOSPATE, VIDYA DRYDEN, BRENT AKRAMI, FOROUGH VIRGINIA (CONT'D) GAINESVILLE FAMILY DENTAL BRENT D DRYDEN DDS PC COMFORT DENTAL ASSOCIATES CTR 2166 Magnolia Ave PC BRISTOL 12701 Braemar Village Plz Buena Vista, VA 24416 9263 Old Keene Mill Road Bristow, VA 20136 (540) 261-2284 Burke, VA 22015 KELLY, DAVID (703) 368-1272 (703) 455-3338 DAVID R KELLY DDS PC POULSEN, BRIAN 1941 Euclid Ave POKU-KWATENG, EVELYN BRENT D DRYDEN DDS PC ANDERSON, ERIKA Bristol, VA 24201 BRISTOW DENTAL CARE INC 2166 Magnolia Ave JAMES L GYURICZA DDS PC (276) 669-0112 10398 Bristow Center Dr Buena Vista, VA 24416 5212 B Lyngate Court Bristow, VA 20136 (540) 261-2284 Burke, VA 22015 MARTIN, SONYA (703) 361-0401 (703) 978-5660 BURGESS

SONYA K MARTIN DDS LLC PARTICIPATING PROVIDERS 2426 Lee Hwy Ste 110 STUBBLEFIELD, MARGARET BERTMAN, DAVID Bristol, VA 24202 GAINESVILLE FAMILY DENTAL GENERAL DENTIST BERTMAN DAVID CTR 9005 Fern Park Drive (276) 644-1155 FINA, LESLIE 12701 Braemar Village Plz Burke, VA 22015 FINA FAMILY DENTAL LLC Bristow, VA 20136 (703) 425-6100 MILLER, SCOTT 746 Jessie Dupont Mem Hwy (703) 368-1272 HORIZON FAMILY DENTISTRY Burgess, VA 22432 15325 Lee Hwy (804) 453-3101 BRIGLEB, RICHARD Bristol, VA 24202 ORTHODONTIST RICHARD C BRIGLEB DDS 9006-A Fern Park Dr (276) 466-9800 RADCLIFFE, STEPHEN MOLLOV, NIKOLAY Burke, VA 22015 STEPHEN S RADCLIFFE DDS MODERN ORTHODONTICS (703) 978-6000 PETTIT, JEFFREY 10298 Bristow Center Dr 216 Jesse Dupont Mem Hwy JAMES M SEAVER DDS PC Bristow, VA 20136 Burgess, VA 22432 DEHYAR, JOSEPH 1740 Euclid Avenue (703) 436-0006 (804) 453-4361 Bristol, VA 24201 DEHYAR & ASSOC DMD PC (276) 466-2028 BURKE 9534 Burke Rd PROSTHODONTIST Burke, VA 22015 (703) 764-0650 PITTMAN, TYLER KOH, PHILIP ENDODONTIST JAMES M SEAVER DDS PC GAINESVILLE FAMILY DENTAL ASGHAR, IRFAN 1740 Euclid Avenue CTR DONOHUE, KRISTEN DRS LEVIN LEFF & POLLOCK Bristol, VA 24201 12701 Braemar Village Plz KRISTEN DONOHUE DMD PC 8987 Hersand Drive (276) 466-2028 Bristow, VA 20136 6035 Burke Centre Parkway Ste Burke, VA 22015 (703) 368-1272 260 (703) 978-2525 SEAVER, JAMES Burke, VA 22015 (703) 978-1446 JAMES M SEAVER DDS PC BROOKNEAL 1740 Euclid Avenue LEFF, GARY Bristol, VA 24201 GENERAL DENTIST DRS LEVIN LEFF & POLLOCK ELHUSSEIN, FAISAL (276) 466-2028 8987 Hersand Drive ROLLING VALLEY DENTAL PLC DRAKE, WILLIAM Burke, VA 22015 6405 Shiplett Blvd WILLIAM L DRAKE JR DDS (703) 978-2525 Burke, VA 22015 ORTHODONTIST 258 Main St (954) 667-8136 Brookneal, VA 24528 BASSHAM, DEBORAH NGUYEN, TU-QUYNH (434) 376-2460 DEBORAH A BASSHAM DDS MS DRS LEVIN LEFF & POLLOCK FOX, ERIK Three 21St St 8987 Hersand Drive LAWRENCE T FOX DDS PC Bristol, VA 24201 FISHER, RICHARD Burke, VA 22015 5200 Lyngate Court (276) 466-4404 FISHER RICHARD L (703) 978-2525 Burke, VA 22015 215 A Main St (703) 978-5253 Brookneal, VA 24528 WOOD, LEIGHTON POLLOCK, RICHARD (434) 376-2238 TRI-CITIES ORTHODONTIC DRS LEVIN LEFF & POLLOCK FOX, LAWRENCE SPECIALISTS 8987 Hersand Drive LAWRENCE T FOX DDS PC BUENA VISTA 103 Linden Square Dr Burke, VA 22015 5200 Lyngate Court Bristol, VA 24202 (703) 978-2525 Burke, VA 22015 GENERAL DENTIST (276) 642-0043 (703) 978-5253 CAMPBELL, MARGARET SALLEN, BRUCE BRISTOW MARGARET A CAMPBELL DDS DRS LEVIN LEFF & POLLOCK GHORBANI, PEJMAN INC 8987 Hersand Drive DR PEJMAN GHORBANI DMD GENERAL DENTIST 2131 Magnolia Ave Burke, VA 22015 PLLC Buena Vista, VA 24416 (703) 978-2525 6050-D Burke Commons Rd (540) 261-7723 Burke, VA 22015 GENERAL DENTIST (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

KLIOZE, JEFFREY SEDAGHATPOUR, HASHEM WILSON-HARTMAN, VIRGINIA (CONT'D) EARL E & JEFFREY I KLIOZE DDS HASHEM SEDAGHATPOUR DMD MELANIE LTD PC JAMES L GYURICZA DDS PC BURKE 9425 Braddock Road 5631 Burke Center Pkwy Ste D 5212 B Lyngate Court Burke, VA 22015 Burke, VA 22015 Burke, VA 22015 GUPTA, RAJA (703) 323-8820 (703) 250-5790 (703) 978-5660 DENTAL FIRST ASSOC LLC 9570-A Burke Rd MARZBAN, PAMELA SIDOR, ANNA Burke, VA 22015 ZIER, TARA DRS LEVIN LEFF & POLLOCK (703) 323-9394 PAMELA MARZBAN DDS PC KINGS PARK DENTAL PARTNERS 8996 Burke Lake Rd #101 8987 Hersand Drive 8996 Burke Lake Rd #200 Burke, VA 22015 Burke, VA 22015 Burke, VA 22015 GYURICZA, JAMES (703) 323-8200 (703) 978-2525 (703) 764-7800 JAMES L GYURICZA DDS PC

5212 B Lyngate Court PARTICIPATING PROVIDERS MCMILLAN, ALEX SPEICHER, MARY Burke, VA 22015 ORAL SURGEON JAMES L GYURICZA DDS PC (703) 978-5660 ALEX MCMILLAN IV DDS PC 6035 Burke Centre Parkway Ste 5212 B Lyngate Court DOLAN, PATRICK #330 Burke, VA 22015 ZUSSMAN SMITH &DOLAN PC HOANG, ANTHONY Burke, VA 22015 (703) 978-5660 5252 Lyngate Court #101 BURKE SEDATION DENTISTRY (703) 503-9490 Burke, VA 22015 8996 Burke Lake Rd #200 SPITZER, TIMOTHY (703) 764-2077 Burke, VA 22015 NAGLE, JEREMY COMFORT DENTAL ASSOCIATES (703) 503-8996 JAMES L GYURICZA DDS PC PC GOCKE, MICHAEL 5212 B Lyngate Court 9263 Old Keene Mill Road PAMELA MARZBAN DDS PC JABBARI, FARNAZ Burke, VA 22015 Burke, VA 22015 8996 Burke Lake Rd #101 HASHEM SEDAGHATPOUR DMD (703) 978-5660 (703) 455-3338 Burke, VA 22015 PC (703) 323-8200 5631 Burke Center Pkwy Ste D NGUYEN, QUAN TOMASELLI, PHILIP Burke, VA 22015 PHILIP J TOMASELLI JR DDS PC LIU, FREDERICK (703) 250-5790 APRIL T TON & QUAN NGUYEN DDS PC 5631 Burke Centre Ste N ZUSSMAN SMITH &DOLAN PC 9255 Old Keene Mill Road Burke, VA 22015 5252 Lyngate Court #101 JONES, LEONARD Burke, VA 22015 (703) 425-4225 Burke, VA 22015 LEONARD A JONES JR DDS PC (703) 455-0409 (703) 764-2077 5631 Burke Centre Pkwy #M TON, APRIL Burke, VA 22015 OLENYN, PAUL APRIL T TON & QUAN NGUYEN NAIMI, AMIR (703) 250-3111 PAUL T OLENYN DDS LTD DDS PC STUART L GRAVES DDS MS PC 5207 A Lynngate Court 9255 Old Keene Mill Road 5206 Lyngate Ct KHAN, NABEEL Burke, VA 22015 Burke, VA 22015 Burke, VA 22015 NABEEL KHAN DDS PC (703) 978-8560 (703) 455-0409 (703) 425-5010 9554 Old Keene Mill Rd #C Burke, VA 22015 PALIZI, ALIREZA TORMA, AUDREY PARK, JONATHAN (703) 440-5075 ALIREZA PALIZI DDS PC EARL E & JEFFREY I KLIOZE DDS ZUSSMAN SMITH &DOLAN PC 5216-A Lyngate Ct LTD 5252 Lyngate Court #101 KHASRAGHI, FARANAK Burke, VA 22015 9425 Braddock Road Burke, VA 22015 COMFORT DENTAL ASSOCIATES (703) 978-7900 Burke, VA 22015 (703) 764-2077 PC (703) 323-8820 9263 Old Keene Mill Road RICE, RICHARD PATTERSON, ADRIAN Burke, VA 22015 VORCHHEIMER, ROGER STUART L GRAVES DDS MS PC (703) 455-3338 RICHARD O RICE DMD PC 5511 Westcliff Ct ROGER F VORCHEIMER DDS 5206 Lyngate Ct Burke, VA 22015 6405 Shiplett Boulevard Burke, VA 22015 KIM, YOUNG (703) 323-5500 Burke, VA 22015 (703) 425-5010 YOUNG H KIM DMD PC (703) 455-5466 9000 Fern Park Dr Unit A2 SANCHEZ DE LOZADA, MIA RAMSEY, CYRUS Burke, VA 22015 WILLIS, JAMES ZUSSMAN SMITH &DOLAN PC (703) 425-1846 DIEU MIA PHAM DDS PC 8989 Fern Park Dr BURKE DENTAL PLLC 5252 Lyngate Court #101 Burke, VA 22015 9006 Fern Park Dr #A Burke, VA 22015 KLIOZE, EARL (703) 323-1300 Burke, VA 22015 (703) 764-2077 EARL E & JEFFREY I KLIOZE DDS (703) 978-6000 LTD ROBERTSON, STEVEN 9425 Braddock Road ZUSSMAN SMITH &DOLAN PC Burke, VA 22015 5252 Lyngate Court #101 (703) 323-8820 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

SARMENT, SYLVIE TREFF, DAVID SHIRK, WINFIELD VIRGINIA (CONT'D) GOLDEN DENTAL ASSOC PEDIATRIC DENTISTRY OF RICHARD COTTRELL DDS 5200 Lyngate Ct BURKE VA Po Box 254 367 Northumberland BURKE Burke, VA 22015 5284 Lyngate Ct Hwy (703) 978-1903 Burke, VA 22015 Callao, VA 22435 SILLOWAY, KIMBERLY (703) 712-8077 (804) 529-7339 ZUSSMAN SMITH &DOLAN PC STERN, RICHARD 5252 Lyngate Court #101 WOODDELL, CAROL Burke, VA 22015 RICHARD K STERN DDS PC ORTHODONTIST CAROL WOODDELL DDS LLC (703) 764-2077 5213-B Lyngate Court Burke, VA 22015 9295 Old Keene Mill Rd SACHNO, ERIKA (703) 425-2494 Burke, VA 22015 RICHARD COTTRELL DDS SMITH, PETER (703) 440-9701 Po Box 254 367 Northumberland ZUSSMAN SMITH &DOLAN PC Hwy TOMS, KEVIN 5252 Lyngate Court #101 Callao, VA 22435 PARTICIPATING PROVIDERS RODNEY J KLIMA DDS PC Burke, VA 22015 PERIODONTIST (804) 529-7339 (703) 764-2077 5204 B Lyngate Court Burke, VA 22015 ANDERSON, DAVID (703) 425-5125 DAVID C ANDERSON CANA THEBERGE, DANIEL 9002 Crownwood Court ZUSSMAN SMITH &DOLAN PC Burke, VA 22015 GENERAL DENTIST 5252 Lyngate Court #101 PEDIATRIC (703) 978-6010 SCHNEIDER, JOSEPH Burke, VA 22015 DENTIST/PEDODONTIST CANA DENTAL CENTER (703) 764-2077 BUNIN, SARA DIAZ, JENNIFER 16257 Fancy Gap Hwy GARY R KRAMER DDS RBH PERIODONTICS & IMPLANT Cana, VA 24317 YAGHMAI, PEDRAM 5631 Burke Centre Parkway Ste F DENTISTRY (276) 755-4081 STUART L GRAVES DDS MS PC Burke, VA 22015 9570-A Burke Rd Burke, VA 22015 5206 Lyngate Ct (703) 978-0051 CAPE CHARLES Burke, VA 22015 (703) 273-7144 (703) 425-5010 GOLDEN, ALAN GENERAL DENTIST GOLDEN DENTAL ASSOC SPECIALTY NOT SPECIFIED SELPH, BARNEY ORTHODONTIST 5200 Lyngate Ct BAKER, JUSTIN SELPH BARNEY S Burke, VA 22015 BROSNAN, PAUL ZUSSMAN SMITH &DOLAN PC 726 Randolph Ave (703) 978-1903 PAUL J BROSNAN DMD PC 5252 Lyngate Court #101 Cape Charles, VA 23310 5631 Burke Centre Pkwy #G Burke, VA 22015 (757) 331-1589 Burke, VA 22015 KHATEEB, MARIAM (703) 764-2077 GOLDEN DENTAL ASSOC (703) 250-7343 SLEPSKY, PETER 5200 Lyngate Ct HUR, JOHN PETER SLEPSKY DDS PC Burke, VA 22015 CETLIN, DENNIS ZUSSMAN SMITH &DOLAN PC 24023 Fairview Rd (703) 978-1903 DENNIS R CETLIN DMD 5252 Lyngate Court #101 Cape Charles, VA 23310 9316-C Old Keene Mill Road Burke, VA 22015 (757) 331-6004 Burke, VA 22015 KRAMER, GARY (703) 764-2077 GARY R KRAMER DDS (703) 455-9683 CASTLEWOOD 5631 Burke Centre Parkway Ste F CALLAO Burke, VA 22015 ELHADY, SHERIF GENERAL DENTIST (703) 978-0051 SHERIF N ELHADY DDS MS PC GENERAL DENTIST COPAS, J 6505-B Sydenstricker Rd HERNANDEZ, ARIADNE JEFFREY MARK COPAS DDS Burke, VA 22015 LEAF, SCOTT RICHARD COTTRELL DDS 19308 Hwy 58 (703) 440-0100 SCOTT H LEAF DDS BURKE PLC 9316 Old Keene Mill Rd Ste C Po Box 254 367 Northumberland Castlewood, VA 24224 Burke, VA 22015 Hwy (276) 762-2323 ELLIS, DONALD (703) 455-9683 Callao, VA 22435 ELLIS ORTHODONTICS PC (804) 529-7339 CENTREVILLE 5631-B Burke Ctr Burke, VA 22015 LIN, CHI-YI MARTIN, GABRIEL ENDODONTIST (703) 250-2214 SCOTT H LEAF DDS BURKE PLC RICHARD COTTRELL DDS 9316 Old Keene Mill Rd Ste C ACOSTA, RAFAEL Po Box 254 367 Northumberland Burke, VA 22015 CONTEMPORARY DENTISTRY KLIMA, RODNEY Hwy (703) 455-9683 OF VIRGINIA RODNEY J KLIMA DDS PC Callao, VA 22435 5701 Centre Square Dr 5204 B Lyngate Court (804) 529-7339 Burke, VA 22015 Centreville, VA 20120 (703) 425-5125 (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

CHOI, BOKYU EDWARDS, DAMITA HO, HOANG VIRGINIA (CONT'D) BK DENTAL ARTS PC DAMITA EDWARDS DDS PLLC SKINNER OSSAKOW & ASSOC 13890 Braddock Rd #305 6211 Centreville Rd #600 DDS PC CENTREVILLE Centreville, VA 20121 Centreville, VA 20121 5651 Stone Rd (703) 815-2875 (703) 961-8808 Centreville, VA 20120 STRITTMATTER, EDWARD (703) 830-3092 EDWARD J STRITTMATTER JR CHONG, JAE FISCHER, CHARLES DDS PC HUTCHISON, BRUCE 5957 Centreville Crest Lane JAE M CHONG DMD PC CHARLES & KATHERINE Centreville, VA 20121 14215-F Centreville Sq FISCHER DDS PC HUTCHISON & GORMAN PLLC (703) 815-3636 Centreville, VA 20121 5895 Trinity Center Pkwy Ste 200 14245-P Centreville Sq (703) 825-1191 Centreville, VA 20120 Centreville, VA 20121 (703) 818-1500 (703) 830-9110 GENERAL DENTIST CHUANG, SHUE PARTICIPATING PROVIDERS ABEL, JASON SHUE JEN CHUANG & DAVID W FISCHER, KATHERINE JARRELL, WHITNEY CENTREVILLE DENTAL LUCHT PLC CHARLES & KATHERINE HUTCHISON & GORMAN PLLC WELLNESS CENTER PC 13880 Braddock Rd #311 FISCHER DDS PC 14245-P Centreville Sq 14245-F Centreville Square Centreville, VA 20121 5895 Trinity Center Pkwy Ste 200 Centreville, VA 20121 Centreville, VA 20121 (703) 803-9223 Centreville, VA 20120 (703) 830-9110 (703) 815-0775 (703) 818-1500 CHUN, JAMES JONES, NEAL AHMADZADA, ZIA GHANBARI & KOSHKI DDS PC FLORES, MARCO NEAL B JONES DDS DULLES DENTAL GROUP 5727 Centre Square Dr CONTEMPORARY DENTISTRY 14001 B Saint Germain Dr 5103 Westfields Blvd Centreville, VA 20120 OF VIRGINIA Centreville, VA 20121 Centreville, VA 20120 (703) 803-9200 5701 Centre Square Dr (703) 802-0630 (703) 802-8999 Centreville, VA 20120 COWELL, CHRISTINA (703) 968-7022 KAUR, PALWINDER AUNON, JOSE CENTREVILLE DENTAL NEIBAUER DENTAL CARE- JOSE I AUNON DDS PC WELLNESS CENTER PC GHANBARI, MOHSEN CENTREVILLE 6134 Redwood Sq Ctr Ste 202 14245-F Centreville Square GHANBARI & KOSHKI DDS PC 5742 Pickwick Rd #15 Centreville, VA 20121 Centreville, VA 20121 5727 Centre Square Dr Centreville, VA 20121 (703) 266-2483 (703) 815-0775 Centreville, VA 20120 (703) 688-2056 (703) 803-9200 BAWA, ANOOP CRUZ, MARIA KAZMI, SANA BAWA DENTISTRY JOSE I AUNON DDS PC GORMAN, MICHAEL NEIBAUER DENTAL CARE- 14631 Lee Hwy Ste 201 6134 Redwood Sq Ctr Ste 202 HUTCHISON & GORMAN PLLC CENTREVILLE Centreville, VA 20121 Centreville, VA 20121 14245-P Centreville Sq 5742 Pickwick Rd #15 (703) 266-0111 (703) 266-2483 Centreville, VA 20121 Centreville, VA 20121 (703) 830-9110 (703) 688-2056 BAWA, RAJDEEP DHILLON, NAVNEET BAWA DENTISTRY NEIBAUER DENTAL CARE- HAGAR, BASIONY KIM, JOONGSEO 14631 Lee Hwy Ste 201 CENTREVILLE CENTREVILLE DENTAL GROUP JOONGSEO KIM Centreville, VA 20121 5742 Pickwick Rd #15 13890 Braddock Rd #202 14631 Lee Highway # 116 (703) 266-0111 Centreville, VA 20121 Centreville, VA 20121 Centreville, VA 20121 (703) 688-2056 (703) 825-7339 (703) 988-9006 BAXI, FAIRY NEIBAUER DENTAL CARE- DONG, MICHAEL HAN, SUNG KIM, THOMAS CENTREVILLE SKINNER OSSAKOW & ASSOC BAWA DENTISTRY TIMOTHY KIM & THOMAS KIM 5742 Pickwick Rd #15 DDS PC 14631 Lee Hwy Ste 201 DDS PC Centreville, VA 20121 5651 Stone Rd Centreville, VA 20121 5900 Fort Dr Ste 209 (703) 688-2056 Centreville, VA 20120 (703) 266-0111 Centreville, VA 20121 (703) 830-3092 (703) 378-5777 CHA, WONJE HANGVAL, REZA C & R DENTAL CARE AT DURR, JOHN CONTEMPORARY DENTISTRY KIM, TIMOTHY CENTREVILLE SKINNER OSSAKOW & ASSOC OF VIRGINIA TIMOTHY KIM & THOMAS KIM 13860-F Braddock Rd DDS PC 5701 Centre Square Dr DDS PC Centreville, VA 20121 5651 Stone Rd Centreville, VA 20120 5900 Fort Dr Ste 209 (703) 825-7070 Centreville, VA 20120 (703) 968-7022 Centreville, VA 20121 (703) 830-3092 (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

MOONEY, BRIGID SKINNER, KEVIN DOLAN, PATRICK VIRGINIA (CONT'D) HUTCHISON & GORMAN PLLC SKINNER OSSAKOW & ASSOC FAIRFAX ORAL & 14245-P Centreville Sq DDS PC MAXILLOFACIAL SURGERY PC CENTREVILLE Centreville, VA 20121 5651 Stone Rd 6211 Centreville Rd Ste 800 (703) 830-9110 Centreville, VA 20120 Centreville, VA 20121 LE, LUONG-HUNG (703) 830-3092 (703) 266-0026 LUONG-HUNG N LE DDS PC MORALES, DIEGO 14637 Lee Hwy #104 SOLTANI, JIM LIU, FREDERICK Centreville, VA 20121 CONTEMPORARY DENTISTRY (703) 266-9099 OF VIRGINIA JIM J SOLTANI DDS & FAIRFAX ORAL & 5701 Centre Square Dr ASSOCIATES PC MAXILLOFACIAL SURGERY PC Centreville, VA 20120 6019 Centreville Crest Lane 6211 Centreville Rd Ste 800 LEE, BENJAMIN (703) 968-7022 Centreville, VA 20121 Centreville, VA 20121 BENJAMIN LEE DMD & ASSOC (703) 815-0202 (703) 266-0026

PC PARTICIPATING PROVIDERS ODONNELL, WILLIAM 13880 Braddock Rd #109 TRINH, PHUONG PARK, JONATHAN Centreville, VA 20121 WILLIAM A ODONNELL DDS (703) 830-9990 5675 Stone Rd Ste 205 GHANBARI & KOSHKI DDS PC FAIRFAX ORAL & Centreville, VA 20120 5727 Centre Square Dr MAXILLOFACIAL SURGERY PC (703) 818-1553 Centreville, VA 20120 6211 Centreville Rd Ste 800 LEE, KIMBERLY (703) 803-9200 Centreville, VA 20121 CENTRAL DENTISTRY OSSAKOW, WILLIAM (703) 266-0026 14631 Lee Hwy Ste 211 VAKAY, RENA Centreville, VA 20121 SKINNER OSSAKOW & ASSOC RAMSEY, CYRUS (703) 825-7840 DDS PC CENTREVILLE DENTAL 5651 Stone Rd WELLNESS CENTER PC FAIRFAX ORAL & Centreville, VA 20120 14245-F Centreville Square MAXILLOFACIAL SURGERY PC LEE, TAE (703) 830-3092 Centreville, VA 20121 6211 Centreville Rd Ste 800 CENTRAL DENTISTRY (703) 815-0775 Centreville, VA 20121 14631 Lee Hwy Ste 211 OVCHARENKO, VLADYSLAV (703) 266-0026 Centreville, VA 20121 WHITE, KAREN (703) 825-7840 BENJAMIN LEE DMD & ASSOC PC NEIBAUER DENTAL CARE- ROBERTSON, STEVEN 13880 Braddock Rd #109 CENTREVILLE FAIRFAX ORAL & LUCHT, DAVID Centreville, VA 20121 5742 Pickwick Rd #15 MAXILLOFACIAL SURGERY PC SHUE JEN CHUANG & DAVID W (703) 830-9990 Centreville, VA 20121 6211 Centreville Rd Ste 800 LUCHT PLC (703) 688-2056 Centreville, VA 20121 13880 Braddock Rd #311 PALLE, SUNITHA (703) 266-0026 Centreville, VA 20121 WOOD, PATRICIA (703) 803-9223 CENTREVILLE DENTAL GROUP 13890 Braddock Rd Ste 202 KIDZ DENTISTRY SILLOWAY, KIMBERLY Centreville, VA 20121 6101 Redwood Square Cir #300 FAIRFAX ORAL & MALGHAN, NANDINI (703) 825-7339 Centreville, VA 20121 MAXILLOFACIAL SURGERY PC CENTREVILLE DENTAL GROUP (703) 222-0111 6211 Centreville Rd Ste 800 13890 Braddock Rd Ste 202 RAMAI, SHELDON Centreville, VA 20121 Centreville, VA 20121 YI, JOHN (703) 266-0026 (703) 825-7339 NEIBAUER DENTAL CARE- CENTREVILLE BENJAMIN LEE DMD & ASSOC 5742 Pickwick Rd #15 PC SMITH, PETER MARTINEZ, MARIA Centreville, VA 20121 13880 Braddock Rd #109 FAIRFAX ORAL & GHANBARI & KOSHKI DDS PC (703) 688-2056 Centreville, VA 20121 MAXILLOFACIAL SURGERY PC 5727 Centre Square Dr (703) 830-9990 6211 Centreville Rd Ste 800 Centreville, VA 20120 SALEH, LARA Centreville, VA 20121 (703) 803-9200 CENTREVILLE DENTAL YOON, JAEWON (703) 266-0026 WELLNESS CENTER PC BRITE SMILE DENTAL GROUP MAYER, KELLY 14245-F Centreville Square 14631 Lee Hwy #116 THEBERGE, DANIEL CONTEMPORARY DENTISTRY Centreville, VA 20121 Centreville, VA 20121 FAIRFAX ORAL & OF VIRGINIA (703) 815-0775 (703) 447-5204 MAXILLOFACIAL SURGERY PC 5701 Centre Square Dr 6211 Centreville Rd Ste 800 Centreville, VA 20120 SHU, MAN Centreville, VA 20121 (703) 968-7022 ORAL SURGEON V CARE DENTAL (703) 266-0026 14631 Lee Highway #117 BURGER, BRENTON MERCADO, ROMINA Centreville, VA 20121 BRENTON W BURGER WOJCIK, ROSE CONTEMPORARY DENTISTRY (703) 815-0007 5713 Centre Sq BRENTON W BURGER OF VIRGINIA Centreville, VA 20120 5713 Centre Sq 5701 Centre Square Dr (703) 266-8770 Centreville, VA 20120 Centreville, VA 20120 (703) 266-8770 (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 26 Delta Dental Premier

MILLER, ROBERT TRAN, TRICIA KIM, JOONGSEO VIRGINIA (CONT'D) MILLER ORTHODONTICS PC KIDZ DENTISTRY PEARLBRITE DENTAL GROUP 6101 Redwood Square Ctr Ste 305 6101 Redwood Square Cir #300 PLLC CENTREVILLE Centreville, VA 20121 Centreville, VA 20121 14631 Lee Hwy #117 (703) 818-8860 (703) 222-0111 Centreville, VA 20121 YAGHMAI, PEDRAM (703) 281-7011 BAWA DENTISTRY SINA, NAHID 14631 Lee Hwy Ste 201 PERIODONTIST MY BRACES DOCTOR PC CHANTILLY Centreville, VA 20121 BERI, ANURANDA (703) 266-0111 13890 Braddock Rd Ste 202 Centreville, VA 20121 JIM J SOLTANI DDS & ENDODONTIST (703) 369-0099 ASSOCIATES PC ORTHODONTIST 6019 Centreville Crest Lane DJEU, S GRACE Centreville, VA 20121 THE VIRGINIA ENDODONTIC STERN, RICHARD CHERON, ANN-COLTER (703) 815-0202 GROUP PARTICIPATING PROVIDERS CHERON ORTHODONTICS RICHARD K STERN DDS PC 14149-B Robert Paris Ct 6101 Redwood Square Center #305 14245-P Centreville Sq Chantilly, VA 20151 CHEN, CLIFF Centreville, VA 20121 Centreville, VA 20121 (703) 378-3115 (703) 818-8860 (703) 830-9444 BENJAMIN LEE DMD & ASSOC PC 13880 Braddock Rd #109 HSU, YU KAI TRAN, THOAI-LAN FILIPPONE, LOUIS Centreville, VA 20121 THE VIRGINIA ENDODONTIC JIM J SOLTANI DDS & LOUIS C FILIPPONE DDS PC (703) 830-9990 GROUP 6138 Redwood Square Ctr Ste 103 ASSOCIATES PC 14149-B Robert Paris Ct Centreville, VA 20121 6019 Centreville Crest Lane Chantilly, VA 20151 SPERLING-HABOT, KEREN (703) 815-0127 Centreville, VA 20121 (703) 378-3115 (703) 815-0202 CONTEMPORARY DENTISTRY OF VIRGINIA KIM, CHRISTINE 5701 Centre Square Dr HUANG, TONG-YEN VAHAB, PHILIP BENJAMIN LEE DMD & ASSOC Centreville, VA 20120 THE VIRGINIA ENDODONTIC KIDZ DENTISTRY PC (703) 968-7022 GROUP 13880 Braddock Rd #109 6101 Redwood Square Cir #300 14149-B Robert Paris Ct Centreville, VA 20121 Centreville, VA 20121 Chantilly, VA 20151 (703) 830-9990 (703) 222-0111 PROSTHODONTIST (703) 378-3115 AYASS, MOHAMAD KIM, EUNYOUNG PEDIATRIC AYAS II DENTAL LLC LEE, BRIAN VIRGINIA ORTHODONTICS & DENTIST/PEDODONTIST 14631 Lee Hwy #301 THE VIRGINIA ENDODONTIC PERIODONTICS Centreville, VA 20121 GROUP 14631 Lee Hwy #211 DANG, TUONG-ANH (703) 830-2256 14149-B Robert Paris Ct Centreville, VA 20121 KIDZ DENTISTRY Chantilly, VA 20151 6101 Redwood Square Cir #300 (703) 539-9239 HONG, DONG-SOO (703) 378-3115 Centreville, VA 20121 (703) 222-0111 C & R DENTAL CARE AT KWON, HYUE CENTREVILLE LIEWEHR, FREDERICK HYUE K KWON DDS MDS 13860-F Braddock Rd CHANTILLY DENTAL CENTER 13880 Braddock Rd #101 GHATAK, MONAMIE Centreville, VA 20121 3901 Centerview Dr #T Centreville, VA 20121 KIDZ DENTISTRY (703) 825-7070 Chantilly, VA 20151 (703) 815-6455 6101 Redwood Square Cir #300 (703) 467-0214 Centreville, VA 20121 (703) 222-0111 SPECIALTY NOT SPECIFIED LEE, RICHARD NGO, TU-SON TOSHIKI MATSUI BAKER, JUSTIN THE VIRGINIA ENDODONTIC 13890 Braddock Rd Ste 106 MATSUI, TOSHIKI FAIRFAX ORAL & GROUP Centreville, VA 20121 TOSHIKI MATSUI MAXILLOFACIAL SURGERY PC 14149-B Robert Paris Ct (703) 830-3363 13890 Braddock Rd Ste 106 6211 Centreville Rd Ste 800 Chantilly, VA 20151 Centreville, VA 20121 Centreville, VA 20121 (703) 378-3115 LEE, RICHARD (703) 830-3363 (703) 266-0026 KIDS DENTAL CASTLE 13890 Braddock Rd #106 GENERAL DENTIST TALAKSI, RUKSANA HUR, JOHN Centreville, VA 20121 CENTREVILLE CHILDRENS FAIRFAX ORAL & AHMED, SHABREZ (703) 830-3363 DENTISTRY MAXILLOFACIAL SURGERY PC PINE TREE DENTAL CHANTILLY 14245-M Centreville Sq 6211 Centreville Rd Ste 800 PLLC MILLER, JULIANA Centreville, VA 20121 Centreville, VA 20121 4090 Lafayette Center Drive Suite F MILLER ORTHODONTICS PC (703) 266-9090 (703) 266-0026 Chantilly, VA 20151 6101 Redwood Square Ctr Ste 305 (703) 678-6666 Centreville, VA 20121 (703) 818-8860

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

ENRIQUEZ, VERONICA KRISHNAMOORTHY, NGUYEN, CHRISTINE VIRGINIA (CONT'D) VERONICA M ENRIQUEZ DDS SAVITHA CHRISTINE NGUYEN DDS INC TOOTH FAIRY FAMILY & 14012-B Sullyfield Cir CHANTILLY 14102 Sullyfield Cir #500 COSMETIC DENTISTRY Chantilly, VA 20151 Chantilly, VA 20151 24805 Pinebrook Rd Ste 200 (703) 378-1695 ALTEMEMI, NADINE (703) 378-4004 Chantilly, VA 20152 CHANTILLY DENTAL ARTS (703) 327-3334 NGUYEN, DIEM CENTER EVANS, JOEL 13655-A Lee Jackson Hwy CHANTILLY DENTAL CENTER Chantilly, VA 20151 EVANS JOEL B LEE, ESTHER 3901 Centerview Dr #T (703) 263-7222 4501 Daly Dr #310 PLEASANT VALLEY DENTAL LLC Chantilly, VA 20151 Chantilly, VA 20151 4080 Lafayette Center Dr #200 (703) 467-0214 (703) 378-1010 Chantilly, VA 20151 BABINGTON, DAVID (703) 961-0225 NGUYEN, QUYNH-CHI CHANTILLY DENTIST PC PARTICIPATING PROVIDERS FAVAGEHI, JASON 3910 Centreville Rd Ste 200 PARADISE SMILES OF Chantilly, VA 20151 CHANTILLY DENTAL ARTS LEON, CARLA CHANTILLY PLLC (703) 378-5600 CENTER VERONICA M ENRIQUEZ DDS 4090-A Airline Pkwy 13655-A Lee Jackson Hwy INC Chantilly, VA 20151 Chantilly, VA 20151 14102 Sullyfield Cir #500 (703) 955-7200 BABINGTON, WILLIAM (703) 263-7222 Chantilly, VA 20151 CHANTILLY DENTIST PC (703) 378-4004 NIKSERESHT, KAMRAN 3910 Centreville Rd Ste 200 GRIMES, MARK Chantilly, VA 20151 NIK FAMILY AND COSMETIC (703) 378-5600 GRIMES FAMILY DENTISTRY LILLARD, JONATHAN DENTISTRY 4437 Brookfield Corp Dr #107 OUR NOVA DENTIST 14415 Chantilly Crossing Lane Chantilly, VA 20151 14165 A Robert Paris Ct Chantilly, VA 20151 CHAEN KWOK, DON (703) 222-5400 Chantilly, VA 20151 (703) 961-0707 DON CHAEN KWOK DDS PC (703) 953-3343 14012B Sullyfield Circle GUIRGUIS, JOHN PATEL, SHARLI Chantilly, VA 20151 (703) 378-1695 NEIBAUER DENTAL CARE PC LY, DONG-PHUONG CHANTILLY DENTAL ARTS 25401 Eastern Mrktplace Plz #165 TRANSCENDENTAL DENTISTRY CENTER Chantilly, VA 20152 14012-B Sullyfield Cir 13655-A Lee Jackson Hwy DEAN, HENRY (703) 542-3171 Chantilly, VA 20151 Chantilly, VA 20151 DEAN FAMILY DENTISTRY (703) 378-1695 (703) 263-7222 24805 Pinebrook Rd #212 HAN, SUNG Chantilly, VA 20152 PHAN, TRUC (703) 327-9909 NIK FAMILY AND COSMETIC MA, ANDY DENTISTRY CHANTILLY DENTAL CENTER LAFAYETTE FAMILY DENTISTRY 14415 Chantilly Crossing Lane 3901 Centerview Dr #T PLLC DOMINGUEZ-GARCIA, Chantilly, VA 20151 Chantilly, VA 20151 4229 Lafayette Ctr Dr #1225 OSCAR (703) 961-0707 (703) 467-0214 Chantilly, VA 20151 VERONICA M ENRIQUEZ DDS (703) 378-1177 INC HASHAM, OMAR MODARESI, MINA 14102 Sullyfield Cir #500 NEIBAUER DENTAL CARE PC SANDHU, MANINDERJIT Chantilly, VA 20151 AVONLEA FAMILY & COSMETIC 25401 Eastern Mrktplace Plz #165 NEIBAUER DENTAL CARE PC (703) 378-4004 DENTISTRY Chantilly, VA 20152 24805 Pinebrook Rd Ste 112 25401 Eastern Mrktplace Plz #165 (703) 542-3171 Chantilly, VA 20152 Chantilly, VA 20152 DUONG, HUNG (703) 433-1122 (703) 542-3171 CHANTILLY DENTAL CENTER HONG, JONG 3901 Centerview Dr #T NEIBAUER DENTAL CARE PC MUHAMMAD, SULTAN SOH, HAN Chantilly, VA 20151 25401 Eastern Mrktplace Plz #165 CHANTILLY DENTAL (703) 467-0214 NEIBAUER DENTAL CARE PC Chantilly, VA 20152 25401 Eastern Mrktplace Plz #165 4300 Chantilly Shpg Ctr #1C (703) 542-3171 Chantilly, VA 20152 Chantilly, VA 20151 EJTEMAI, NASTARAN (703) 542-3171 (703) 961-1101 AHMED G AZIZ DDS JARWA, SAMER 14102 Sullyfield Cir #500 GRACE DENTAL OF VIRGINIA NAGLE, JEREMY SPITZER, TIMOTHY Chantilly, VA 20151 4530 Walney Rd #102 CHANTILLY FAMILY & COSMETIC (703) 378-4004 CHANTILLY DENTAL ARTS Chantilly, VA 20151 CENTER DENTISTRY (703) 870-7784 13655-A Lee Jackson Hwy 14100 Robert Paris Ct EMAD, NEAL Chantilly, VA 20151 Chantilly, VA 20151 NOVA DENTAL CARE KONERU, JYOTHI (703) 263-7222 (571) 287-7301 14018-F Sullyfield Circle OUR NOVA DENTIST Chantilly, VA 20151 14165 A Robert Paris Ct (703) 222-0202 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

LONGWE, EDWARD BAVEJA, JULIE BREEN, APRIL VIRGINIA (CONT'D) DULLES ORAL SURGICAL CHILDRENS DENTAL CARE PC CENTRAL VIRGINIA HEALTH CENTER INC 14102 Robert Paris Ct CENTER CHANTILLY 24805 Pinebrook Rd #100 Chantilly, VA 20151 9950 Courthouse Rd Chantilly, VA 20152 (703) 870-7370 Charles City, VA 23030 TECHAPANIT, CHANTARAT (170) 332-7095 (804) 829-6600 CHANTILLY DENTAL ARTS BETHEL-SOPPET, SHIRLEY CENTER MAHARAJ, BARRY BRYANT, MELBA 13655-A Lee Jackson Hwy SHIRLEY F BETHEL CENTRAL VIRGINIA HEALTH Chantilly, VA 20151 ANN PHAM & BARRY MAHARAJ 4229 Lafayette Ctr Dr Ste 1400 CENTER (703) 263-7222 DDS PC Chantilly, VA 20151 3910 Centreville Rd #110 (703) 378-2000 9950 Courthouse Rd Chantilly, VA 20151 Charles City, VA 23030 TO, BRYANT (703) 668-9494 BRITTO, MALA (804) 829-6600 CHANTILLY FAMILY & COSMETIC PARTICIPATING PROVIDERS DENTISTRY CHILDRENS DENTISTRY AT OSWALD, SOPHIE PARRIS-WILKINS, TONYA 14100 Robert Paris Ct PLEASANT VALLEY CENTRAL VIRGINIA HEALTH Chantilly, VA 20151 PARADISE SMILES OF 4080 Lafayette Center Dr Ste 160B CENTER (571) 287-7301 CHANTILLY PLLC Chantilly, VA 20151 4090-A Airline Pkwy (703) 230-1000 9950 Courthouse Rd Chantilly, VA 20151 Charles City, VA 23030 TON, THERESA (703) 955-7200 GHATAK, MONAMIE (804) 829-6600 THERESA TON 4080 Lafayette Center Dr Ste 140 CHILDRENS DENTISTRY AT PHAM, ANH CHARLOTTE COURT HOUSE Chantilly, VA 20151 PLEASANT VALLEY (703) 449-8572 ANN PHAM & BARRY MAHARAJ 4080 Lafayette Center Dr Ste 160B DDS PC Chantilly, VA 20151 GENERAL DENTIST 3910 Centreville Rd #110 (703) 230-1000 PARRIS-WILKINS, TONYA TRUVAN, DANNY Chantilly, VA 20151 TRUSMILES DENTAL PLC CENTRAL VIRGINIA HEALTH (703) 668-9494 JORDAN, MARIAN 4501 Daly Dr #105 SERVICES INC Chantilly, VA 20151 CHANTILLY DENTAL CENTER 165 Legrande Ave (703) 657-2966 ORTHODONTIST 3901 Centerview Dr #T Charlotte Court House, VA 23923 Chantilly, VA 20151 (434) 542-5560 BRITTO, A DENIS (703) 467-0214 URQUIAGA, CLAUDIO A DENIS BRITTO DDS PC CHANTILLY SMILES 4080 Lafayette Center Dr #160A STAPLES, KRISTINA LIN, CHI-YI 13948 Lee Jackson Mem Hwy Chantilly, VA 20151 CENTRAL VIRGINIA HEALTH CHANTILLY DENTAL ARTS Chantilly, VA 20151 (703) 230-6784 SERVICES INC (703) 378-5010 CENTER 165 Legrande Ave 13655-A Lee Jackson Hwy Charlotte Court House, VA 23923 LEE, DAN Chantilly, VA 20151 (434) 542-5560 VAMARAJU, BINDU CHANTILLY DENTAL CENTER (703) 263-7222 NEIBAUER DENTAL CARE PC 3901 Centerview Dr #T CHARLOTTESVILLE 25401 Eastern Mrktplace Plz #165 Chantilly, VA 20151 Chantilly, VA 20152 (703) 467-0214 PERIODONTIST ENDODONTIST (703) 542-3171 ABRIL, EDISON MENDES, KEVIN NIK FAMILY AND COSMETIC COON, DAVID VERA-LOPEZ, KARINA CHANTILLY DENTAL CENTER DENTISTRY DAVID J COON DDS PC CHANTILLY DENTAL CENTER 3901 Centerview Dr #T 14415 Chantilly Crossing Lane 277 Hydraulic Ridge Rd #205 3901 Centerview Dr #T Chantilly, VA 20151 Chantilly, VA 20151 Charlottesville, VA 22901 Chantilly, VA 20151 (703) 467-0214 (703) 961-0707 (434) 973-4301 (703) 467-0214 OMAR, ANISA AKMAL, OMER GROVER, ROBERT VU, DUY-ANH DR ANISA OMAR DDS PC CHANTILLY DENTAL CENTER UVA CHILDRENS HOSP UVA CHANTILLY DENTAL CENTER 25401 Eastern Mrktplace Plz #100 3901 Centerview Dr #T OUTPATIENT SURGERY CTR 3901 Centerview Dr #T Chantilly, VA 20152 Chantilly, VA 20151 1204 W Main St, 1St Fl. Chantilly, VA 20151 (703) 542-6336 (703) 467-0214 Charlottesville, VA 22908 (703) 467-0214 (434) 924-8251 ZHU, XINSHENG CHARLES CITY GROVER, ROBERT YEO, MIKE XINSHENG ZHU DDS PC UVA CHILDRENS HOSP UVA MIKE C YEO DDS 14149 A Roberts Paris Ct GENERAL DENTIST PEDIATRIC DENTISTRY 13916 Metrotech Dr Chantilly, VA 20151 1204 W Main St, 3Rd Fl. Chantilly, VA 20151 (703) 657-0555 Charlottesville, VA 22908 (703) 488-9922 (434) 924-8251 PEDIATRIC ORAL SURGEON 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

BICKERS, DUANE DAVIS, KRISTA GALBRAITH, TED VIRGINIA (CONT'D) DJ BICKERS DDS LEE FAMILY DENTISTRY UVA OPERATING ROOMS 320 Winding River Ln #201 2202 N Berkshire Rd #103 Lee Street & 11Th St S CHARLOTTESVILLE Charlottesville, VA 22911 Charlottesville, VA 22901 Charlottesville, VA 22908 (434) 984-6400 (434) 293-9916 (434) 924-1774 GROVER, ROBERT ROBERT GROVER DDS DAVIS, KRISTA BRANDT, KATHRYN GILRAIN, DAVID 240 Hydraulic Ridge Rd Unit 103 WAFF JOSEPH J III Charlottesville, VA 22901 SWISHER DENTAL PLLC 2202 N Berkshire Rd #103 GILRAIN & BROOKS DDS PC (434) 973-1221 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 1461 Greenbrier Place Charlottesville, VA 22901 (434) 293-9916 Charlottesville, VA 22901 (434) 973-1222 (434) 977-7080 HELLEBERG, JOHN DAVID J COON DDS PC FARMER, JAMES BROOKS, CYNTHIA GROVER, ROBERT 277 Hydraulic Ridge Rd #205 CLARKE & FARMER DDS LTD PARTICIPATING PROVIDERS Charlottesville, VA 22901 GILRAIN & BROOKS DDS PC 1227 Cedar Court Road UNIVERSITY OF VIRGINIA (434) 973-4301 1461 Greenbrier Place Charlottesville, VA 22903 PHYSICIANS GROUP Charlottesville, VA 22901 (434) 296-8043 1222 Jefferson Park Ave 2Nd Floor (434) 977-7080 Charlottesville, VA 22908 VAGNETTI, MARK (434) 924-1774 PIEDMONT ENDODONTICS LLC FLAHERTY, BROOKE BURSE TODD, JESSICA 320 Winding River Lane #302 HOLLYMEAD DENTAL ARTS PLC GROVER, ROBERT Charlottesville, VA 22911 RICE & RICE FAMILY DENTISTRY 1538 Insurance Ln UVA OPERATING ROOMS (434) 260-7025 325 Four Leaf Lane Ste. #10 Charlottesville, VA 22911 Lee Street & 11Th St S Charlottesville, VA 22903 (434) 973-4649 Charlottesville, VA 22908 (434) 823-2290 (434) 924-1774 GENERAL DENTIST FRAITES, STEPHEN AKEEL, ED CLARKE, STEPHEN DR STEPHEN J FRAITES GRUPP, WILLIAM ED A AKEEL DDS CLARKE & FARMER DDS LTD 914 Belvedere Way WILLIAM A GRUPP II DDS PC 2003 Woodbrook Ct 1227 Cedar Court Road Charlottesville, VA 22901 944 Glenwood Station Ln #203 Charlottesville, VA 22901 Charlottesville, VA 22903 (434) 293-4053 Charlottesville, VA 22901 (434) 975-6181 (434) 296-8043 (434) 973-7011 FRIEDLANDER, MARK ALCORN, ELIZABETH CRISTI, IVONA MARK S FRIEDLANDER DDS GUERRIER, JULIA ELIZABETH A ALCORN DDS JAMES E RICE DDS 300 Hickman Rd #101 KATHRYN COOK 90 Whitewood Rd Ste 6 325 Four Leaf Ln Ste 10 Charlottesville, VA 22911 895 Rio East Ct #B Charlottesville, VA 22901 Charlottesville, VA 22903 (434) 973-2520 Charlottesville, VA 22901 (434) 973-6386 (434) 823-2290 (434) 817-5437 GALBRAITH, TED BAGHERI, DESIREE CROWDER, CURTIS UVA CHILDRENS HOSP UVA HARDING, EMILY JC WOLFE DDS AND ASSOC DJ BICKERS DDS OUTPATIENT SURGERY CTR EMILY HARDING DMD INC 300 Hickman Rd Ste 201 320 Winding River Ln #201 1204 W Main St, 1St Fl. 2120 Ivy Rd Charlottesville, VA 22911 Charlottesville, VA 22911 Charlottesville, VA 22908 Charlottesville, VA 22903 (434) 923-0303 (434) 984-6400 (434) 924-8251 (434) 270-0304 GALBRAITH, TED HARDING, EMILY BARBERIO, FRANK CROWDER, NILOOFAR UVA CHILDRENS HOSP UVA KATHRYN COOK FRANK BARBERIO GILRAIN & BROOKS DDS PC PEDIATRIC DENTISTRY 895 Rio East Ct #B 300 Hickman Rd #102 1461 Greenbrier Place 1204 W Main St, 3Rd Fl. Charlottesville, VA 22901 Charlottesville, VA 22911 Charlottesville, VA 22901 Charlottesville, VA 22908 (434) 817-5437 (434) 296-3941 (434) 977-7080 (434) 924-8251 HOARD, BRIAN BEARLEY, DANIEL CRUZ-ORCUTT, NOEMI GALBRAITH, TED UVA CHILDRENS HOSP UVA BEARLEY DENTAL PC DAVID & REBECCA SWETT DDS UNIVERSITY OF VIRGINIA OUTPATIENT SURGERY CTR 901 Preston Ave #200 PC PHYSICIANS GROUP 1204 W Main St, 1St Fl. Charlottesville, VA 22903 900 Rio East Ct # B 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 (434) 296-8034 Charlottesville, VA 22901 Charlottesville, VA 22908 (434) 924-8251 (434) 979-3940 (434) 924-1774 BELLAVANCE, JULIEN GALBRAITH, TED HOARD, BRIAN JAY KNIGHT DDS PLC DALLEY, DAVID UVA KLUGE CHILDRENS REHAB UVA CHILDRENS HOSP UVA 2202 N Berkshire Rd Ste 203 BEARLEY DENTAL PC CTR PEDIATRIC DENTISTRY Charlottesville, VA 22901 901 Preston Ave #200 2270 Ivy Road 1204 W Main St, 3Rd Fl. (434) 293-9793 Charlottesville, VA 22903 Charlottesville, VA 22903 Charlottesville, VA 22908 (434) 296-8034 (434) 924-8246 (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

LEINBACH, THOMAS MARTOF, ANDREW PAIGE, BENEGAL VIRGINIA (CONT'D) UVA CHILDRENS HOSP UVA UNIVERSITY OF VIRGINIA BENEGAL S PAIGE DDS OUTPATIENT SURGERY CTR PHYSICIANS GROUP 408 East Market St #206 CHARLOTTESVILLE 1204 W Main St, 1St Fl. 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22902 Charlottesville, VA 22908 Charlottesville, VA 22908 (434) 977-1206 HOARD, BRIAN (434) 924-8251 (434) 924-1774 UNIVERSITY OF VIRGINIA PARKER, RICHARD PHYSICIANS GROUP LEINBACH, THOMAS MARTOF, ANDREW 1222 Jefferson Park Ave 2Nd Floor UVA CHILDRENS HOSP UVA UVA OPERATING ROOMS RICHARD A PARKER Charlottesville, VA 22908 PEDIATRIC DENTISTRY Lee Street & 11Th St S 300 Hickman Rd Ste 101 (434) 924-1774 1204 W Main St, 3Rd Fl. Charlottesville, VA 22908 Charlottesville, VA 22911 Charlottesville, VA 22908 (434) 924-1774 (434) 973-2520 HOARD, BRIAN (434) 924-8251 UVA OPERATING ROOMS PATEL, JATIN LEINBACH, THOMAS MAYBEE, DAVID PARTICIPATING PROVIDERS Lee Street & 11Th St S JAY KNIGHT DDS PLC UNIVERSITY OF VIRGINIA DR DAVID A MAYBEE DDS PLC Charlottesville, VA 22908 2202 N Berkshire Rd Ste 203 PHYSICIANS GROUP 540 Radford La (434) 924-1774 Charlottesville, VA 22901 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22903 (434) 823-1274 (434) 293-9793 HODGES, JEFFERY Charlottesville, VA 22908 (434) 924-1774 ALBEMARLE DENTAL ASSOC MICHAEL, SHADIA PHILLIPS, DOUGLAS 2250 Old Ivy Rd #3 LEINBACH, THOMAS KATHRYN COOK DOUGLAS R PHILLIPS DDS Charlottesville, VA 22905 UVA OPERATING ROOMS 895 Rio East Ct #B 2375 Commonwealth Dr Ste A (434) 293-8944 Lee Street & 11Th St S Charlottesville, VA 22901 Charlottesville, VA 22901 Charlottesville, VA 22908 (434) 817-5437 (434) 973-5873 HUND, LAWRENCE (434) 924-1774 AESTHETIC DENTISTRY OF MINUTELLA, NICHOLAS POTTER, WILLIAM CHARLOTTESVILLE PC LIPPARD, HAL CHARLOTTESVILLE BLUE RIDGE AESTHETIC DENTISTRY OF 900 Gardens Blvd Ste 600 HAL M LIPPARD DDS DENTAL PLC CHARLOTTESVILLE PC Charlottesville, VA 22901 505 Faulconer Drive 1 D 2320 Commonwealth Dr 900 Gardens Blvd Ste 600 (434) 984-3455 Charlottesville, VA 22903 Charlottesville, VA 22901 Charlottesville, VA 22901 (434) 293-9311 (434) 978-1510 (434) 984-3455 JONES, FRANK FRANK D JONES DDS LOVELL, ERIC NEEL, ANITA RASMUSSEN, KENNETH 90 Whitewood Rd #3 MARK S FRIEDLANDER DDS AESTHETIC DENTISTRY OF KENNETH G RASMUSSEN DMD Charlottesville, VA 22901 300 Hickman Rd #101 CHARLOTTESVILLE PC PC (434) 973-7695 Charlottesville, VA 22911 900 Gardens Blvd Ste 600 1752 Timber Wood Blvd (434) 973-2520 Charlottesville, VA 22901 Charlottesville, VA 22911 KNIERIM, R (434) 984-3455 (434) 974-6492 R SCOTT KNIERIM DDS LYON, BETTY 259 Hydraulic Rd Ste 203 LYON JOHN S DDS OTT, BRIAN RICE, JAMES Charlottesville, VA 22901 2700 Hydraulic Road FOREST LAKES DENTAL RICE & RICE FAMILY DENTISTRY (434) 973-1222 Charlottesville, VA 22901 1769 Worth Park 325 Four Leaf Lane Ste. #10 (434) 973-2968 KNIERIM, R Charlottesville, VA 22911 Charlottesville, VA 22903 SWISHER DENTAL PLLC (434) 964-0088 (434) 823-2290 LYON, JOHN 259 Hydraulic Ridge Rd #203 RICE, JAMES LYON JOHN S DDS Charlottesville, VA 22901 OTT, SARAH DRS RICE & RICE DDS 2700 Hydraulic Road (434) 973-1222 FOREST LAKES DENTAL 325 Four Leaf Ln #10 Charlottesville, VA 22901 1769 Worth Park Charlottesville, VA 22903 (434) 973-2968 KNIGHT, JOHN Charlottesville, VA 22911 (434) 823-2290 JAY KNIGHT DDS PLC (434) 964-0088 MARTOF, ANDREW 2202 N Berkshire Rd Ste 203 RICE, JENNIFER UVA CHILDRENS HOSP UVA Charlottesville, VA 22901 OWUOR, CHRISTINE RICE & RICE FAMILY DENTISTRY OUTPATIENT SURGERY CTR (434) 293-9793 HOLLYMEAD DENTAL ARTS PLC 325 Four Leaf Lane Ste. #10 1204 W Main St, 1St Fl. 1538 Insurance Ln Charlottesville, VA 22903 Charlottesville, VA 22908 LANIER, ANGELA Charlottesville, VA 22911 (434) 823-2290 (434) 924-8251 RICE & RICE FAMILY DENTISTRY (434) 973-4649 RICE, JENNIFER 325 Four Leaf Lane Ste. #10 MARTOF, ANDREW OWUOR, CHRISTINE DRS RICE & RICE DDS Charlottesville, VA 22903 UVA CHILDRENS HOSP UVA MARK S FRIEDLANDER DDS 325 Four Leaf Ln #10 (434) 823-2290 PEDIATRIC DENTISTRY 300 Hickman Rd #101 Charlottesville, VA 22903 1204 W Main St, 3Rd Fl. Charlottesville, VA 22911 (434) 823-2290 Charlottesville, VA 22908 (434) 973-2520 (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 31 Delta Dental Premier

STUMP, LAUREN WOLFE, JOHN HILL, NICHOLAS VIRGINIA (CONT'D) HOLLYMEAD DENTAL ARTS PLC JC WOLFE DDS AND ASSOC CHARLOTTESVILLE ORAL 1538 Insurance Ln 300 Hickman Rd Ste 201 SURGERY & DENTAL IMPLANT CHARLOTTESVILLE Charlottesville, VA 22911 Charlottesville, VA 22911 CENTER (434) 973-4649 (434) 923-0303 2202 North Berkshire #201 SAPON, MARK Charlottesville, VA 22901 SWISHER DENTAL PLLC SWETT, DAVID WOLFE, MELISSA (434) 295-0911 259 Hydraulic Ridge Rd #203 Charlottesville, VA 22901 DAVID & REBECCA SWETT DDS JC WOLFE DDS AND ASSOC HILL, NICHOLAS (434) 973-1222 PC 300 Hickman Rd Ste 201 CHARLOTTESVILLE ORAL 900 Rio East Ct # B Charlottesville, VA 22911 SURGERY & DENTAL IMPLANT Charlottesville, VA 22901 (434) 923-0303 SCHAAP, ALEX CTR PLLC (434) 979-3940 675 Peter Jefferson Pkwy Ste 270 BLUE RIDGE FAMILY DENTISTRY YEARGAN, JODY Charlottesville, VA 22911 PC PARTICIPATING PROVIDERS SWETT, REBECCA (434) 295-0911 335 Greenbrier Drive Ste 204 JODY L YEARGAN DDS PC Charlottesville, VA 22901 DAVID & REBECCA SWETT DDS 3048-A Berkmar Dr (434) 296-5250 PC Charlottesville, VA 22901 HOARD, MARTIN 900 Rio East Ct # B (434) 973-0363 HOLLYMEAD DENTAL ARTS PLC Charlottesville, VA 22901 SCHOEB, JOHN 1538 Insurance Ln (434) 979-3940 YOUNG, MARK Charlottesville, VA 22911 CHARLOTTESVILLE BLUE RIDGE (434) 973-4649 DENTAL MARK C YOUNG DDS SWISHER, CHARLES 2320 Commonwealth Dr 1100 West Main Street Charlottesville, VA 22901 SWISHER DENTAL PLLC Charlottesville, VA 22903 IBANEZ, CARLOS (434) 978-1510 259 Hydraulic Ridge Rd #203 (434) 979-1365 CHARLOTTESVILLE ORAL Charlottesville, VA 22901 SURGERY & DENTAL IMPLANT SCHOEB, JOHN (434) 973-1222 ORAL SURGEON CENTER CHARLOTTESVILLE BLUE RIDGE 2202 North Berkshire #201 DENTAL PLC TAYLOR, ELLIS AMRHEIN, EDWARD Charlottesville, VA 22901 2320 Commonwealth Dr TRICE TAYLOR CENTRAL VA ORAL & FACIAL (434) 295-0911 Charlottesville, VA 22901 408 E Market St #106 SURGEONS PLC IBANEZ, CARLOS (434) 978-1510 Charlottesville, VA 22902 244 Hydraulic Ridge Rd CHARLOTTESVILLE ORAL (434) 296-7459 Charlottesville, VA 22901 SMAGALSKI, GARY (434) 973-3348 SURGERY & DENTAL IMPLANT CTR PLLC UVA OPERATING ROOMS TISDELLE, GEORGE 675 Peter Jefferson Pkwy Ste 270 Lee Street & 11Th St S COLLINS, R COMPREHENSIVE DENTAL Charlottesville, VA 22911 Charlottesville, VA 22908 R JONAS COLLINS DMD PC 2214 Ivy Rd Suite 106 (434) 295-0911 (434) 924-1774 Charlottesville, VA 22903 880 Rio East Court #B (434) 295-6880 Charlottesville, VA 22901 SMAGALSKI, GARY SOLIS, RICARDO (434) 975-4200 UVA CHILDRENS HOSP UVA BLUE RIDGE FAMILY DENTISTRY VEGA, OSCAR OUTPATIENT SURGERY CTR PC CONNER, GREGORY HOLLYMEAD DENTAL ARTS PLC 1204 W Main St, 1St Fl. 335 Greenbrier Drive Ste 204 CENTRAL VA ORAL & FACIAL 1538 Insurance Ln Charlottesville, VA 22908 Charlottesville, VA 22901 SURGEONS PLC Charlottesville, VA 22911 (434) 924-8251 (434) 296-5250 (434) 973-4649 244 Hydraulic Ridge Rd Charlottesville, VA 22901 SMAGALSKI, GARY (434) 973-3348 UVA CHILDRENS HOSP UVA SPANO, BRAD WHITMER, GREGORY PEDIATRIC DENTISTRY BRAD SPANO DDS PC GREGORY L WHITMER DDS 1204 W Main St, 3Rd Fl. 1200 Five Springs Rd Ste 101 PLC EISENHARDT, PETER Charlottesville, VA 22908 Charlottesville, VA 22902 2202 N Berkshire Rd #102 CENTRAL VA ORAL & FACIAL (434) 924-8251 (434) 984-8828 Charlottesville, VA 22901 SURGEONS PLC (434) 295-9747 244 Hydraulic Ridge Rd SMAGALSKI, GARY Charlottesville, VA 22901 STATES, MICHAEL UNIVERSITY OF VIRGINIA (434) 973-3348 CLARKE & FARMER DDS LTD WHYNOTT, CHRISTOPHER PHYSICIANS GROUP 1227 Cedar Court Road DOWNTOWN DENTAL 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22903 1101 E Jefferson St Ste 7 FAIRCLOTH, W Charlottesville, VA 22908 (434) 296-8043 Charlottesville, VA 22902 CENTRAL VA ORAL & FACIAL (434) 924-1774 (434) 971-7400 SURGEONS PLC STUMP, LAUREN 244 Hydraulic Ridge Rd SOLOMON, JAMES WHYNOTT, CHRISTOPHER Charlottesville, VA 22901 DOWNTOWN DENTAL CENTRAL VA ORAL & FACIAL HOLLYMEAD DENTAL ARTS PLC (434) 973-3348 1101 E Jefferson St Ste 7 SURGEONS PLC 1538 Insurance Ln Charlottesville, VA 22902 244 Hydraulic Ridge Rd Charlottesville, VA 22911 (434) 971-7400 Charlottesville, VA 22901 (434) 973-4649 (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

HORBALY, WILLIAM CLIFFORD, KEVIN ABBOTT, DAVID VIRGINIA (CONT'D) UVA CHILDRENS HOSP UVA UNIVERSITY OF VIRGINIA UVA OPERATING ROOMS PEDIATRIC DENTISTRY PHYSICIANS GROUP Lee Street & 11Th St S CHARLOTTESVILLE 1204 W Main St, 3Rd Fl. 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 Charlottesville, VA 22908 Charlottesville, VA 22908 (434) 924-1774 TRICKER, NATHANIEL (434) 924-8251 (434) 924-1774 CENTRAL VA ORAL & FACIAL DARU, ANTARA SURGEONS PLC HORBALY, WILLIAM CLIFFORD, KEVIN 244 Hydraulic Ridge Rd UNIVERSITY OF VIRGINIA UVA OPERATING ROOMS CHARLOTTESVILLE Charlottesville, VA 22901 PHYSICIANS GROUP Lee Street & 11Th St S PERIODONTICS LLC (434) 973-3348 1222 Jefferson Park Ave 2Nd Floor Charlottesville, VA 22908 2202 N. Berkshire Rd. Ste. #204 Charlottesville, VA 22908 (434) 924-1774 Charlottesville, VA 22901 (434) 924-1774 (434) 529-8885 WILHELM, MILES

CENTRAL VA ORAL & FACIAL HORBALY, WILLIAM COOK, KATHRYN PARTICIPATING PROVIDERS SHAH, NIDHI SURGEONS PLC UVA OPERATING ROOMS KATHRYN COOK NIDHI SHAH BDS MDS 244 Hydraulic Ridge Rd Lee Street & 11Th St S 895 Rio East Ct #B 2202 N Berkshire Rd #204 Charlottesville, VA 22901 Charlottesville, VA 22908 Charlottesville, VA 22901 Charlottesville, VA 22901 (434) 973-3348 (434) 924-1774 (434) 817-5437 (434) 529-8885

ORTHODONTIST INOUYE, DAVID DIXON, JENNIFER SMOCK, SHERMAN DAVID K INOUYE DMD CHARLOTTESVILLE PEDIATRIC CLINE, MATTHEW DRS RICE & RICE DDS 233 Hydraulic Ridge Rd DENTISTRY 325 Four Leaf Ln #10 JAY KNIGHT DDS PLC Charlottesville, VA 22901 229 Connor Dr Charlottesville, VA 22903 2202 N Berkshire Rd Ste 203 (434) 975-7435 Charlottesville, VA 22911 Charlottesville, VA 22901 (434) 975-7336 (434) 823-2290 (434) 293-9793 NIEPRASCHK, MARKUS CHASE CITY SOUTH SIDE ORTHODONTICS PETERS, BARRETT CLOTH, MARK PIEDMONT PEDIATRIC PC GENERAL DENTIST MARK S CLOTH DDS PC 32 Mill Creek Dr #107 DENTISTRY 1445 East Rio Td Ste 1 Charlottesville, VA 22902 240 Hydraulic Ridge Rd #203 THOMAS, WILLIAM Charlottesville, VA 22901 (434) 977-9473 Charlottesville, VA 22901 WILLIAM LYNN THOMAS DDS (434) 964-2464 (434) 973-4344 PC REBELLATO, GIUSEPPE 237 E Fifth St DENNIS, SUZANNE GIUSEPPE REBELLATO DDS PC STUMP, AARON Chase City, VA 23924 SUZANNE M DENNIS DDS MS PC 1470 Pantops Mountain Place CHARLOTTESVILLE PEDIATRIC (434) 372-3636 895 Rio East Ct #A Charlottesville, VA 22911 DENTISTRY Charlottesville, VA 22901 (434) 984-1817 229 Connor Dr CHATHAM (434) 973-4446 Charlottesville, VA 22911 (434) 975-7336 WEIS, BARTON GENERAL DENTIST GALBREATH, ROBERT CHARLOTTESVILLE CAIRNS, DONALD UNIVERSITY OF VIRGINIA ORTHODONTICS PC PERIODONTIST DANVILLE DENTAL ASSOCIATES PHYSICIANS GROUP 1101 E Jefferson St Ste 5 PC 1222 Jefferson Park Ave 2Nd Floor ABBOTT, DAVID Charlottesville, VA 22902 19144 Us Hwy North 29 Charlottesville, VA 22908 UVA CHILDRENS HOSP UVA (434) 971-9601 Chatham, VA 24531 (434) 924-1774 OUTPATIENT SURGERY CTR 1204 W Main St, 1St Fl. (434) 432-8793 PEDIATRIC HAMER, DAVID Charlottesville, VA 22908 (434) 924-8251 CLIFTON, JEFFREY HAMER & HAMER DDS PC DENTIST/PEDODONTIST DANVILLE DENTAL ASSOCIATES 2202 N Berkshire #101 ABBOTT, DAVID CLIFFORD, KEVIN PC Charlottesville, VA 22901 UVA CHILDRENS HOSP UVA UVA CHILDRENS HOSP UVA 19144 Us Hwy North 29 (434) 296-0188 PEDIATRIC DENTISTRY OUTPATIENT SURGERY CTR Chatham, VA 24531 1204 W Main St, 3Rd Fl. 1204 W Main St, 1St Fl. (434) 432-8793 HORBALY, WILLIAM Charlottesville, VA 22908 Charlottesville, VA 22908 UVA CHILDRENS HOSP UVA (434) 924-8251 (434) 924-8251 EVANS, JAMES OUTPATIENT SURGERY CTR CLIFFORD, KEVIN ABBOTT, DAVID DANVILLE DENTAL ASSOCIATES 1204 W Main St, 1St Fl. UVA CHILDRENS HOSP UVA UNIVERSITY OF VIRGINIA PC Charlottesville, VA 22908 PEDIATRIC DENTISTRY PHYSICIANS GROUP 19144 Us Hwy North 29 (434) 924-8251 1204 W Main St, 3Rd Fl. 1222 Jefferson Park Ave 2Nd Floor Chatham, VA 24531 Charlottesville, VA 22908 Charlottesville, VA 22908 (434) 432-8793 (434) 924-8251 (434) 924-1774

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

ENDODONTIST ASAM, STEPHEN CARROLL, CECIL VIRGINIA (CONT'D) STEPHEN A ASAM DDS PC CECIL J CARROLL DDS PLLC AMODIO, TIFFANY 632 Cedar Rd #A 4310 Indian River Rd Ste 1 CHATHAM LOUIS C PERON DDS MS PC Chesapeake, VA 23322 Chesapeake, VA 23325 501 Independence Pkwy #101 (757) 436-3595 (757) 420-8790 KEATING, KEVIN Chesapeake, VA 23320 PAUL W MILLER DDS PLC (757) 467-2102 BAKER, JAMES CASINGAL, PEDRO 6 South Main St Po Box 430 BRIAN P MIDGETTE DDS PC PEDRO L CASINGAL JR DDS PC Chatham, VA 24531 BUSSEY, KELLY (434) 432-0610 3326 Taylor Road #100 810 S Battlefield Blvd BUSSEY ENDODONTICS PC Chesapeake, VA 23321 Chesapeake, VA 23322 2995 Churchland Blvd #B (757) 483-4700 (757) 482-7977 MEADE, AMANDA Chesapeake, VA 23321 PAUL W MILLER DDS PLC (757) 416-5333 BALINO, CELESTE CERNIWAY, LEON 6 South Main St Po Box 430 PARTICIPATING PROVIDERS DANIEL M ETHERIDGE DDS LTD LEON A CERNIWAY DMD PC Chatham, VA 24531 BUSSEY, WILLIAM (434) 432-0610 1059 Eden Way North Ste 100 680 Kingsborough Sq Ste A BUSSEY ENDODONTICS PC Chesapeake, VA 23320 Chesapeake, VA 23320 2995 Churchland Blvd #B (757) 547-2266 (757) 547-9339 MILLER, PAUL Chesapeake, VA 23321 PAUL W MILLER DDS PLC (757) 416-5333 BARBOUR, ROBERT CHAWLA, SEEMA 6 South Main St Po Box 430 ROBERT K BARBOUR DMD PC KONIKOFF DENTAL Chatham, VA 24531 KYU, PYE (434) 432-0610 2520 Gilmerton Rd 1533 Volvo Parkway S #100 PYE P KYU DDS MSD PLLC Chesapeake, VA 23323 Chesapeake, VA 23320 1230 Progressive Dr. Ste. 105 (757) 487-4121 (757) 410-9960 PAYNE, ALBERT Chesapeake, VA 23320 DANVILLE DENTAL ASSOCIATES (757) 436-4227 BECKER, ADAM COBB, HOWARD PC 19144 Us Hwy North 29 KONIKOFF DENTAL ASSOC HOWARD P COBB PERON, LOUIS 1419 Cedar Rd #100 2605 Moses Grandy Tr Ste B Chatham, VA 24531 LOUIS C PERON DDS MS PC (434) 432-8793 Chesapeake, VA 23322 Chesapeake, VA 23323 501 Independence Pkwy #101 (757) 410-5878 (757) 558-0600 Chesapeake, VA 23320 PAYNE, CHRISTOPHER (757) 467-2102 BELL, TAMMARA COOPER, KEVIN DANVILLE DENTAL ASSOCIATES PC GREAT BRIDGE PEDIATRIC KEVIN C COOPER DDS PC GENERAL DENTIST 19144 Us Hwy North 29 DENTISTRY & ORTHODONTICS 3105 Western Branch Blvd Suite 5 237 Hanbury Rd East Chesapeake, VA 23321 Chatham, VA 24531 ADAMS, PETER Chesapeake, VA 23322 (757) 483-5152 (434) 432-8793 PETER ADAMS DDS INC (757) 932-0097 502 Bud Drive Ste 102 STAFFORD, DAVID Chesapeake, VA 23322 CURLING, JOSHUA BOYCE, DARRELL DANVILLE DENTAL ASSOCIATES (757) 547-0222 EDINBURGH FAMILY DENTISTRY PC DARRELL L BOYCE DDS PC 200 Carmichael Way #600 1711 Parkview Drive Chesapeake, VA 23322 19144 Us Hwy North 29 ALEMAYEHU, AMEN Chesapeake, VA 23320 (757) 204-7210 Chatham, VA 24531 LEFCOE WEINSTEIN SACHS (757) 424-6580 (434) 432-8793 SCHIFF LTD 1230 Progressive Dr #103 CWIAK, KARI CHERITON Chesapeake, VA 23320 BOYLAN, RYAN GREAT BRIDGE PEDIATRIC (757) 436-1270 RYAN R BOYLAN DDS PC DENTISTRY & ORTHODONTICS GENERAL DENTIST 528 Albemarle Dr #200 237 Hanbury Rd East Chesapeake, VA 23322 Chesapeake, VA 23322 ANDERSON, BENJAMIN ROOT, NOEL (757) 547-5105 (757) 932-0097 LEFCOE WEINSTEIN SACHS BAYVIEW COMMUNITY HEALTH SCHIFF LTD CTR 1230 Progressive Dr #103 BOZMAN, JENNY DENBAR, MICHAEL 22214 South Bayside Rd Chesapeake, VA 23320 KONIKOFF DENTAL ASSOC MICHAEL S DENBAR DDS Cheriton, VA 23316 (757) 436-1270 1419 Cedar Rd #100 1245-L Cedar Rd (757) 789-7777 Chesapeake, VA 23322 Chesapeake, VA 23322 (757) 410-5878 (757) 382-9336 SHELLEY, STEPHANIE ARTIS, ASHA LEFCOE WEINSTEIN SACHS BAYVIEW COMMUNITY HEALTH SCHIFF LTD BRAR, PREMJEET DO, SEAN CTR 1230 Progressive Dr #103 GREAT BRIDGE PEDIATRIC GENTLECARE FAMILY 22214 South Bayside Rd Chesapeake, VA 23320 DENTISTRY & ORTHODONTICS DENSTISTRY PC Cheriton, VA 23316 (757) 436-1270 237 Hanbury Rd East 1341 S Military Hwy (757) 789-7777 Chesapeake, VA 23322 Chesapeake, VA 23320 (757) 932-0097 (757) 333-0093 CHESAPEAKE

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

ESTRADA, CRAIG GRINDLAY, KENNETH ISHOM, THOMAS VIRGINIA (CONT'D) ESTRADA & ESTRADA PC KENNETH E GRINDLAY DDS PC THOMAS J ISHOM DDS PC 1354 Kempsville Rd #101 228 Mount Pleasant Road 3217 Western Branch Blvd. #C CHESAPEAKE Chesapeake, VA 23320 Chesapeake, VA 23322 Chesapeake, VA 23321 (757) 548-1611 (757) 482-0026 (757) 484-3729 DUKES, J J MICHAEL DUKES DDS PC ETHERIDGE, DANIEL GUTIERREZ, JEREL JENKINS, HARRY 501 Cedar Rd Ste 1A Chesapeake, VA 23322 DANIEL M ETHERIDGE DDS LTD EDINBURGH FAMILY DENTISTRY HARRY E JENKINS DDS PC (757) 548-0000 1059 Eden Way North Ste 100 200 Carmichael Way #600 1220 Greenbrier Pkwy #120 Chesapeake, VA 23320 Chesapeake, VA 23322 Chesapeake, VA 23320 (757) 547-2266 (757) 204-7210 (757) 547-9616 DUNHAM, ELIZABETH KONIKOFF DENTAL ASSOC FIELD, MARCUS HALEY, MARY JENNINGS, KEVIN 684 A N Battlefield Blvd PARTICIPATING PROVIDERS Chesapeake, VA 23320 KONIKOFF DENTAL ASSOC ADVANCED SEDATION FAMILY DENTISTRY (757) 548-0957 1419 Cedar Rd #100 DENTISTRY 211 Providence Road #11 Chesapeake, VA 23322 200 N Battlefield Blvd # 4 Chesapeake, VA 23325 (757) 410-5878 Chesapeake, VA 23320 (757) 523-9002 EGELAND-LEWIS, MARTHA (757) 769-7155 CENTER FOR RESTORATIVE FORBES, ALAN JOHNSTON, FRANK COSMETIC & IMPLANT HARRELL, GIBSON DENTISTRY PC ALBERT P SOLOMON DDS FAMILY DENTISTRY PC 711 Greenbrier Parkway #101 805 N Battlefield Blvd. #125 DANIEL M ETHERIDGE DDS LTD 1222 Chesapeake Avenue Chesapeake, VA 23320 Chesapeake, VA 23320 1059 Eden Way North Ste 100 Chesapeake, VA 23324 (757) 436-7700 (757) 547-2171 Chesapeake, VA 23320 (757) 543-3517 (757) 547-2266 EGELAND-LEWIS, MARTHA FOSTER, BENJAMIN KANDARE, WESLEY CENTER FOR RESTORATIVE BEN W FOSTER JR DDS INC HAYDU, JAMES ADVANCED SEDATION COSMETIC & IMPLANT 3800 Poplar Hill Rd #F DR JAMES A HAYDU PC DENTISTRY DENTISTRY PC Chesapeake, VA 23321 2737 Campostella Rd 200 N Battlefield Blvd # 4 825 Battlefield Blvd S (757) 484-8564 Chesapeake, VA 23324 Chesapeake, VA 23320 Chesapeake, VA 23322 (757) 543-7973 (757) 769-7155 (757) 425-2332 FRIAS, BERNARDA EGELAND-LEWIS, MARTHA CROSSROADS FAMILY HOLWICK, ROBERT KAPOOR, ELLENI THE CENTER FOR DENTISTRY BENNETT A THOMAS DDS PC LEFCOE WEINSTEIN SACHS RESTORATIVE COSMETIC & 4107 Portsmouth Blvd #107 1300 Cedar Road SCHIFF LTD IMPLANT DENTISTYRY Chesapeake, VA 23321 Chesapeake, VA 23322 1230 Progressive Dr #103 825 Battlefield Blvd S (757) 488-1421 (757) 548-3238 Chesapeake, VA 23320 Chesapeake, VA 23322 (757) 436-1270 (757) 482-2876 GLORIA, JOSEPH HORNSBY, KIMBROUGH LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS KONIKOFF, DAVID ELGOHARY, ANTHONY SCHIFF LTD SCHIFF LTD KONIKOFF DENTAL ASSOC ANTHONY A ELGOHARY DMD 1230 Progressive Dr #103 1230 Progressive Dr #103 1419 Cedar Rd #100 LLC Chesapeake, VA 23320 Chesapeake, VA 23320 Chesapeake, VA 23322 3115 Western Branch Blvd Ste 103 (757) 436-1270 (757) 436-1270 (757) 410-5878 Chesapeake, VA 23321 (757) 484-4197 KONIKOFF, DAVID GOLDMAN, MARK HOWARD, ROBERT KONIKOFF DENTAL MARK A GOLDMAN DDS PC ROBERT J HOWARD DDS 1533 Volvo Parkway S #100 ENGLE, SCOTT 2995 Churchland Blvd Ste A 308 N Geo Wash Hwy Ste 2 Chesapeake, VA 23320 KONIKOFF DENTAL ASSOC Chesapeake, VA 23321 Chesapeake, VA 23323 (757) 410-9960 1419 Cedar Rd #100 (757) 638-0900 (757) 485-5245 Chesapeake, VA 23322 KONIKOFF, DAVID (757) 410-5878 GOLDSTEIN, KEITH HUGHES, JOSEPH KONIKOFF DENTAL ASSOC 684 A N Battlefield Blvd LEFCOE WEINSTEIN SACHS JOSEPH C HUGHES JR Chesapeake, VA 23320 ESTRADA, CHARITO SCHIFF LTD 109 Byron St (757) 548-0957 ESTRADA & ESTRADA PC 1230 Progressive Dr #103 Chesapeake, VA 23320 1354 Kempsville Rd #101 Chesapeake, VA 23320 (757) 436-4214 Chesapeake, VA 23320 (757) 436-1270 LANIER, ANGELA (757) 548-1611 IRELAND, MICHAEL CROSSROADS FAMILY DENTISTRY GRAHAM, DAVID GREAT BRIDGE PEDIATRIC 4107 Portsmouth Blvd #107 GRAHAM DAVID B DENTISTRY & ORTHODONTICS Chesapeake, VA 23321 524 Albemarle Drive #9 237 Hanbury Rd East (757) 488-1421 Chesapeake, VA 23322 Chesapeake, VA 23322 (757) 547-7070 (757) 932-0097

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

MARCOU, MICHAEL NEWMAN, MICHAEL PHILLIPS, SARAH VIRGINIA (CONT'D) LEFCOE WEINSTEIN SACHS KONIKOFF DENTAL ASSOC ADVANCED SEDATION SCHIFF LTD 684 A N Battlefield Blvd DENTISTRY CHESAPEAKE 1230 Progressive Dr #103 Chesapeake, VA 23320 200 N Battlefield Blvd # 4 Chesapeake, VA 23320 (757) 548-0957 Chesapeake, VA 23320 LETELLIER, PAUL (757) 436-1270 (757) 769-7155 PAUL LETELLIER NIVER, KRYSTIE 133 Kempsville Rd Ste 103 MCMILLAN, VICKI RAHMAN, NABEEL Chesapeake, VA 23320 GOOD NEIGHBOR DENTAL AT (757) 436-0026 LEFCOE WEINSTEIN SACHS EDINBURGH PLLC NABEEL RAHMAN DDS PC SCHIFF LTD 236 Carmichael Way Ste #312 109 Square Suite N 1230 Progressive Dr #103 Chesapeake, VA 23322 Chesapeake, VA 23320 LEWIS, DAVID Chesapeake, VA 23320 (757) 932-5200 (757) 547-2323 CENTER FOR RESTORATIVE (757) 436-1270

COSMETIC & IMPLANT PARTICIPATING PROVIDERS OLIVEIRA FILHO, JAYME REYNOLDS, JILLIAN DENTISTRY PC MIDGETTE, BRIAN 711 Greenbrier Parkway #101 ESTRADA & ESTRADA PC LEFCOE WEINSTEIN SACHS Chesapeake, VA 23320 BRIAN P MIDGETTE DDS PC 1354 Kempsville Rd #101 SCHIFF LTD (757) 436-7700 3326 Taylor Road #100 Chesapeake, VA 23320 1230 Progressive Dr #103 Chesapeake, VA 23321 (757) 548-1611 Chesapeake, VA 23320 LEWIS, DAVID (757) 483-4700 (757) 436-1270 OLIVEIRA FILHO, JAYME CENTER FOR RESTORATIVE COSMETIC & IMPLANT CENTER FOR RESTORATIVE MILLER, JULIAN COSMETIC & IMPLANT RHODES, JAMES DENTISTRY PC GREAT BRIDGE PEDIATRIC WIGGINS & RHODES 825 Battlefield Blvd S DENTISTRY PC DENTISTRY & ORTHODONTICS 711 Greenbrier Parkway #101 111 Mill Creek Parkway Chesapeake, VA 23322 237 Hanbury Rd East Chesapeake, VA 23328 (757) 425-2332 Chesapeake, VA 23320 Chesapeake, VA 23322 (757) 436-7700 (757) 487-8111 LEWIS, DAVID (757) 932-0097 THE CENTER FOR PARVIN, KAREN RICE, COLLIN RESTORATIVE COSMETIC & MILNER, JAN COASTAL SMILE DESIGN DANIEL M ETHERIDGE DDS LTD IMPLANT DENTISTYRY JAN E MILNER DDS 1464 Mt Pleasant Rd #26 1059 Eden Way North Ste 100 825 Battlefield Blvd S 1113 Eden Square Chesapeake, VA 23322 Chesapeake, VA 23320 Chesapeake, VA 23322 Chesapeake, VA 23320 (757) 233-9885 (757) 547-2266 (757) 482-2876 (757) 436-1200 LEWIS, DAVID PATE, DAVID ROBINSON, ELIZABETH THE CENTER FOR MODJADIDI, OSAMA CENTER FOR RESTORATIVE ADVANCED SEDATION RESTORATIVE COSMETIC & CHESAPEAKE FAMILY DENTAL COSMETIC & IMPLANT DENTISTRY IMPLANT DENTISTYRY PC DENTISTRY PC 200 N Battlefield Blvd # 4 905 N Battlefield Blvd #102 113 Gainsborough Sq #101 711 Greenbrier Parkway #101 Chesapeake, VA 23320 Chesapeake, VA 23320 Chesapeake, VA 23320 Chesapeake, VA 23320 (757) 769-7155 (757) 547-2770 (757) 548-5619 (757) 436-7700 SACHS, SCOTT PATE, DAVID MULDOON, CATHERINE LEFCOE WEINSTEIN SACHS LLODRA, CLARA CENTER FOR RESTORATIVE KONIKOFF DENTAL ASSOC SCHIFF LTD LEFCOE WEINSTEIN SACHS COSMETIC & IMPLANT 684 A N Battlefield Blvd 1230 Progressive Dr #103 SCHIFF LTD DENTISTRY PC Chesapeake, VA 23320 Chesapeake, VA 23320 1230 Progressive Dr #103 825 Battlefield Blvd S (757) 548-0957 (757) 436-1270 Chesapeake, VA 23320 Chesapeake, VA 23322 (757) 436-1270 (757) 425-2332 MURTHY, ROOPA SACHS, WARREN LYNCH, RONALD PEDIATRIC DENTAL CARE OF PATE, DAVID LEFCOE WEINSTEIN SACHS LYNCH RONALD D TIDEWATER THE CENTER FOR SCHIFF LTD 369 Johnstown Road 1032 Volvo Pkwy #3 RESTORATIVE COSMETIC & 1230 Progressive Dr #103 Chesapeake, VA 23322 Chesapeake, VA 23320 IMPLANT DENTISTYRY Chesapeake, VA 23320 (757) 546-0301 (757) 484-8262 905 N Battlefield Blvd #102 (757) 436-1270 Chesapeake, VA 23320 (757) 547-2770 MANIWANG, JO MARIE NACHMAN, ALAN SALYER, LAYMON KONIKOFF DENTAL ALBERT P SOLOMON DDS LAYMAN A SALYER DDS PC PAXTON, KELLY 1533 Volvo Parkway S #100 805 N Battlefield Blvd. #125 3933 Portsmouth Blvd Ste 200 Chesapeake, VA 23320 Chesapeake, VA 23320 BRIAN P MIDGETTE DDS PC Chesapeake, VA 23321 (757) 410-9960 (757) 547-2171 3326 Taylor Road #100 (757) 488-8853 Chesapeake, VA 23321 (757) 483-4700

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

STANGE, F VILLASIS, JUAN VIRGINIA (CONT'D) CENTER FOR RESTORATIVE ESTRADA & ESTRADA PC ORAL SURGEON COSMETIC & IMPLANT 1354 Kempsville Rd #101 BEALE, FRANK CHESAPEAKE DENTISTRY PC Chesapeake, VA 23320 COASTAL VIRGINIA ORAL & 711 Greenbrier Parkway #101 (757) 548-1611 MAXILLOFACIAL SURGERY PC SANDHU, NAVDEEP Chesapeake, VA 23320 ADVANCED SEDATION 350 Johnstown Road #A (757) 436-7700 WALLS, WILLIAM DENTISTRY Chesapeake, VA 23320 200 N Battlefield Blvd # 4 WILLIAM H WALLS DDS PC (757) 547-9725 SUR, MARCUS Chesapeake, VA 23320 656 Independence Pkwy #210 LEFCOE WEINSTEIN SACHS (757) 769-7155 Chesapeake, VA 23320 BERRY, ZACHARY SCHIFF LTD (757) 548-1919 SCOTT R GOODOVE DDS PLC 1230 Progressive Dr #103 SCHIFF, IVAN 1533 Volvo Parkway #250 Chesapeake, VA 23320 WEINSTEIN, LEE Chesapeake, VA 23320 PARTICIPATING PROVIDERS LEFCOE WEINSTEIN SACHS (757) 436-1270 SCHIFF LTD LEFCOE WEINSTEIN SACHS (757) 412-2002 1230 Progressive Dr #103 SCHIFF LTD TAM, AMY Chesapeake, VA 23320 1230 Progressive Dr #103 BYRNSIDE, VALERIE KONIKOFF DENTAL ASSOC Chesapeake, VA 23320 (757) 436-1270 SCOTT R GOODOVE DDS PLC 684 A N Battlefield Blvd (757) 436-1270 1533 Volvo Parkway #250 Chesapeake, VA 23320 SHARROCK, MICHAEL Chesapeake, VA 23320 (757) 548-0957 WEISBERG, ARNOLD FAMILY DENTISTRY (757) 412-2002 1457 Mount Pleasant Rd #103 EASTERN VIRGINIA FAMILY & TANGUILIG-THOMAS, Chesapeake, VA 23322 COSMETIC DENTISTRY GLIKSMAN, JOSEPH ELIZABETH 3221 Western Branch Blvd (757) 482-1212 GREAT BRIDGE PEDIATRIC Chesapeake, VA 23321 BENNETT A THOMAS DDS PC DENTISTRY & ORTHODONTICS 1300 Cedar Road (757) 483-6297 SIMMONS, DARIAN 237 Hanbury Rd East Chesapeake, VA 23322 WEISBERG, ARNOLD Chesapeake, VA 23322 DRS CLARK PRICE & SIMMONS (757) 548-3238 PC WEISBERG ARNOLD J (757) 932-0097 801 Volvo Pkwy #113 3221 Western Branch Blvd Chesapeake, VA 23320 THOMAS, BENNETT Chesapeake, VA 23321 GOODOVE, SCOTT (757) 436-7000 BENNETT A THOMAS DDS PC (757) 483-6297 SCOTT R GOODOVE DDS PLC 1300 Cedar Road 1533 Volvo Parkway #250 Chesapeake, VA 23322 SINGOR, LAUREN WEISBERG, BARCLAY Chesapeake, VA 23320 (757) 548-3238 LEFCOE WEINSTEIN SACHS EASTERN VIRGINIA FAMILY & (757) 412-2002 SCHIFF LTD COSMETIC DENTISTRY 1230 Progressive Dr #103 THOMAS-WEBB, SONYA 3221 Western Branch Blvd MAUGERI, MICHAEL Chesapeake, VA 23320 SONYA L THOMAS-WEBB DDS Chesapeake, VA 23321 COASTAL VIRGINIA ORAL & (757) 436-1270 PC (757) 483-6297 MAXILLOFACIAL SURGERY PC 910 Great Bridge Blvd Suite 106 350 Johnstown Road #A Chesapeake, VA 23320 SMITH, THOMAS WILLIS, JULIAN Chesapeake, VA 23320 (757) 549-0025 LEFCOE WEINSTEIN SACHS J DEWEY WILLIS III DDS PC (757) 547-9725 SCHIFF LTD 801 Greenbrier Parkway 1230 Progressive Dr #103 TURCK, MICHAEL Chesapeake, VA 23320 MEEKS, DARRELL Chesapeake, VA 23320 MICHAEL D TURCK DDS PC (757) 547-3003 FREDERIC R LEVITIN DDS (757) 436-1270 931 Providence Rd DARRELL A MEEKS DMD LTD Chesapeake, VA 23325 WISSINK, ANDREA 711 Greenbriar Pkwy #104 (757) 366-0330 SOLOMON, ALBERT KONIKOFF DENTAL Chesapeake, VA 23320 ALBERT P SOLOMON DDS 1533 Volvo Parkway S #100 (757) 548-1712 805 N Battlefield Blvd. #125 VACENDAK, DANIEL Chesapeake, VA 23320 Chesapeake, VA 23320 VACENDAK DENTISTRY (757) 410-9960 MORGAN, JOHN (757) 547-2171 701 Quince Place GREAT BRIDGE PEDIATRIC Chesapeake, VA 23320 WRIGHT, CHARLES DENTISTRY & ORTHODONTICS (757) 609-3510 SOTACK, MARY MOERSCHELL & WRIGHT INC 237 Hanbury Rd East MARY JEAN SOTACK DDS 548 S Battlefield Blvd Chesapeake, VA 23322 3105 Western Branch Blvd Ste 6 VACENDAK, SHEILA Chesapeake, VA 23322 (757) 932-0097 Chesapeake, VA 23321 VACENDAK DENTISTRY (757) 482-3304 (757) 484-7503 701 Quince Place OLSON, CHARLES Chesapeake, VA 23320 YEH, PAUL DRS FRITZ & OLSON PC (757) 609-3510 LEFCOE WEINSTEIN SACHS 4037 Taylor Rd #B SCHIFF LTD Chesapeake, VA 23321 1230 Progressive Dr #103 (757) 484-9441 Chesapeake, VA 23320 (757) 436-1270

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

BEHL, YUGAL KLAR, NEAL BRAXTON, DARCHELLE VIRGINIA (CONT'D) GREAT BRIDGE PEDIATRIC KLAR VOORHEES GREAT BRIDGE PEDIATRIC DENTISTRY & ORTHODONTICS ORTHODONTICS PC DENTISTRY & ORTHODONTICS CHESAPEAKE 237 Hanbury Rd East 1533 Volvo Parkway #200 237 Hanbury Rd East Chesapeake, VA 23322 Chesapeake, VA 23320 Chesapeake, VA 23322 PRILLAMAN, PAUL (757) 932-0097 (757) 549-1919 (757) 932-0097 PAUL E PRILLAMAN III DDS PLC 905 Battlefield Blvd N #101 BENES, KRISTEN PELUSO, ANTHONY GAROFALIS, HARALAMBOS Chesapeake, VA 23320 (757) 547-2820 LEFCOE WEINSTEIN SACHS WALKER W SHIVAR ANTHONY R GREAT BRIDGE PEDIATRIC SCHIFF LTD PELUSO HOLLY H ANDERSEN DENTISTRY & ORTHODONTICS 1230 Progressive Dr #103 DDS 237 Hanbury Rd East SZAKALY, BRIAN Chesapeake, VA 23320 711 Greenbrier Parkway Ste 102 Chesapeake, VA 23322 DRS FRITZ & OLSON PC (757) 436-1270 Chesapeake, VA 23320 (757) 932-0097 4037 Taylor Rd #B (757) 547-7002 PARTICIPATING PROVIDERS Chesapeake, VA 23321 BIVINS, WILLIAM HASTY, MICHAEL (757) 484-9441 W TODD BIVINS DDS MS PC ROY, CARL ROSENBLUM LEVIN BARNEY 220 Mt Pleasant Rd #200 CARL P ROY DDS MS PLC 905 N Battlefield Blvd #106 WEBBER, CAROLINE Chesapeake, VA 23322 684B Battlefield Blvd Chesapeake, VA 23320 KONIKOFF SALZBERG (757) 546-3888 Chesapeake, VA 23320 (757) 548-3030 PERIODONTICS LTD (757) 549-1115 1230 Progressive Dr CHRISTENSON, BRAD LEVIN, MARK Chesapeake, VA 23320 SHIVAR, WALKER (757) 436-4026 BRAD CHRISTENSON DDS PC ROSENBLUM LEVIN BARNEY 350 Johnstown Rd #B WALKER W SHIVAR ANTHONY R 905 N Battlefield Blvd #106 WEBBER, CAROLINE Chesapeake, VA 23322 PELUSO HOLLY H ANDERSEN Chesapeake, VA 23320 COASTAL VIRGINIA ORAL & (757) 482-7660 DDS (757) 548-3030 MAXILLOFACIAL SURGERY PC 711 Greenbrier Parkway Ste 102 350 Johnstown Road #A DUSEK, THOMAS Chesapeake, VA 23320 MARTIN, J Chesapeake, VA 23320 THOMAS O DUSEK DDS (757) 547-7002 GREAT BRIDGE PEDIATRIC (757) 547-9725 104 American Legion Rd DENTISTRY & ORTHODONTICS Chesapeake, VA 23321 VOORHEES HUSSON, MARNI 237 Hanbury Rd East YEH, FRANK (757) 484-9300 KLAR VOORHEES Chesapeake, VA 23322 COASTAL VIRGINIA ORAL & ORTHODONTICS PC (757) 932-0097 MAXILLOFACIAL SURGERY PC HATCHER, WILLIAM 1533 Volvo Parkway #200 350 Johnstown Road #A WILLIAM R HATCHER DDS MS PC Chesapeake, VA 23320 MEISE, HOLLY Chesapeake, VA 23320 3253 Taylor Rd #100 (757) 549-1919 PEDIATRIC DENTAL CARE OF (757) 547-9725 Chesapeake, VA 23321 TIDEWATER (757) 488-6080 WEXEL, WALTER 1032 Volvo Pkwy #3 ZAGURSKY, PETER WALTER K WEXEL Chesapeake, VA 23320 HATCHER, WILLIAM SCOTT R GOODOVE DDS PLC 548 Battlefield Blvd S. (757) 484-8262 1533 Volvo Parkway #250 WILLIAM R HATCHER DDS MS PC Chesapeake, VA 23322 940 Cedar Rd #104 Chesapeake, VA 23320 (757) 482-5105 ROSENBLUM, SCOTT (757) 412-2002 Chesapeake, VA 23322 (757) 606-1387 ROSENBLUM LEVIN BARNEY WOODARD, MONICA 905 N Battlefield Blvd #106 ORTHODONTIST THOMAS WOODARD DDS Chesapeake, VA 23320 JONES, ANTONIA 1403 Greenbrier Pkwy #420 (757) 548-3030 ANDERSON, HOLLY WILLIAM R HATCHER DDS MS PC Chesapeake, VA 23320 WALKER W SHIVAR ANTHONY R 3253 Taylor Rd #100 (757) 523-0114 SANKOWSKI, CHRISTINE PELUSO HOLLY H ANDERSEN Chesapeake, VA 23321 PEDIATRIC DENTAL CARE OF DDS (757) 488-6080 WOODARD, THOMAS TIDEWATER 711 Greenbrier Parkway Ste 102 JONES, ANTONIA THOMAS WOODARD DDS 1032 Volvo Pkwy #3 Chesapeake, VA 23320 WILLIAM R HATCHER DDS MS PC 1403 Greenbrier Pkwy #420 Chesapeake, VA 23320 (757) 547-7002 940 Cedar Rd #104 Chesapeake, VA 23320 (757) 484-8262 Chesapeake, VA 23322 (757) 523-0114 ASHBY, JOHN (757) 606-1387 SPRUILL, DAVID ASHBY ORTHODONTICS LTD DANIEL M ETHERIDGE DDS LTD 1021 N Eden Way Ste 128 PEDIATRIC KLAR, LAWRENCE 1059 Eden Way North Ste 100 Chesapeake, VA 23320 DENTIST/PEDODONTIST KLAR VOORHEES Chesapeake, VA 23320 (757) 547-8700 ORTHODONTICS PC BARNEY, JOHN (757) 547-2266 1533 Volvo Parkway #200 ROSENBLUM LEVIN BARNEY Chesapeake, VA 23320 905 N Battlefield Blvd #106 (757) 549-1919 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

ROSS, JOHN CASH, JEFFREY GALSTAN, SAMUEL VIRGINIA (CONT'D) JOHN J ROSS DDS VIRGINIA FAMILY DENTISTRY PC SAMUEL W GALSTAN DDS 501- Independence Parkway Lake 12712-A Jefferson Davis Hwy 12290 Ironbridge Road CHESAPEAKE Center One Chester, VA 23831 Chester, VA 23831 Chesapeake, VA 23320 (804) 751-0300 (804) 768-8165 WEIS, MORGAN (757) 436-3537 PEDIATRIC DENTAL CARE OF CASTRO, STEVEN GAMACHE, MARC TIDEWATER SALZBERG, TRANG 1032 Volvo Pkwy #3 STEVEN A CASTRO DDS PC VIRGINIA FAMILY DENTISTRY PC Chesapeake, VA 23320 KONIKOFF SALZBERG 2930 West Hundred Rd 12712-A Jefferson Davis Hwy (757) 484-8262 PERIODONTICS LTD Chester, VA 23831 Chester, VA 23831 1230 Progressive Dr (804) 751-0146 (804) 751-0300 Chesapeake, VA 23320 PERIODONTIST (757) 436-4026 CIOS, CHRIS GHAZARIAN, MISHA PARTICIPATING PROVIDERS BARR, BRUCE VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC BRUCE K BARR DDS PC CHESTER 12712-A Jefferson Davis Hwy 12712-A Jefferson Davis Hwy 350 Johnstown Rd Chester, VA 23831 Chester, VA 23831 Chesapeake, VA 23320 GENERAL DENTIST (804) 751-0300 (804) 751-0300 (757) 422-0005 AGAPIS, TONY TONY AGAPIS DDS PC CRONLY, JO HANLEY, MICHAEL KONIKOFF, ALBERT 2480 Osborne Road CHILDRENS DENTISTRY OF MICHAEL R HANLEY DDS LTD KONIKOFF SALZBERG Chester, VA 23831 VIRGINIA PC 13295 Rivers Bend Blvd PERIODONTICS LTD (804) 748-0101 12220 Iron Bridge Rd #B Chester, VA 23836 1230 Progressive Dr Chester, VA 23831 (804) 530-3539 (804) 639-6445 Chesapeake, VA 23320 ALDRED, MATTHEW (757) 436-4026 SHWETHA RODRIGUES DDS PC HEROD, BRIAN 12517 Jefferson Davis Hwy CROWDER, VICTORIA STEVEN A CASTRO DDS PC KONIKOFF, BRYAN Chester, VA 23831 MELANIE A DDS PLLC 2930 West Hundred Rd KONIKOFF SALZBERG (804) 748-2555 10322 Ironbridge Rd Chester, VA 23831 PERIODONTICS LTD Chester, VA 23831 (804) 751-0146 (804) 717-5400 1230 Progressive Dr APPLEBY, PETER Chesapeake, VA 23320 VIRGINIA FAMILY DENTISTRY PC HILLIER, JOSEPH (757) 436-4026 12712-A Jefferson Davis Hwy DAVIDSON, KRISTIN JOSEPH C HILLIER DDS PC Chester, VA 23831 STEVEN A CASTRO DDS PC 4701 Buckingham Court MARINAK, KENNETH (804) 751-0300 2930 West Hundred Rd Chester, VA 23831 BRUCE K BARR DDS PC Chester, VA 23831 (804) 748-5008 (804) 751-0146 350 Johnstown Rd BACH, MELANIE Chesapeake, VA 23320 MELANIE A BACH DDS PLLC JOHANSEN, STEPHEN (757) 422-0005 10322 Ironbridge Rd DELPH, BRADLEY VIRGINIA FAMILY DENTISTRY PC Chester, VA 23831 COMPLETE FAMILY DENTISTRY 12712-A Jefferson Davis Hwy NIVER, ERIC (804) 717-5400 11601 Iron Bridge Rd 204 Chester, VA 23831 EASTERN VIRGINIA FAMILY & Chester, VA 23831 (804) 751-0300 (804) 717-5100 COSMETIC DENTISTRY BEAM, DAVID 3221 Western Branch Blvd COMPLETE FAMILY DENTISTRY JORDAN, EDWARD Chesapeake, VA 23321 11601 Iron Bridge Rd 204 FELTON, WALTER VIRGINIA FAMILY DENTISTRY PC (757) 483-6297 Chester, VA 23831 MEADOWDALE FAMILY 12712-A Jefferson Davis Hwy NIVER, ERIC (804) 717-5100 DENTISTRY Chester, VA 23831 10611 Greenyard Way Ste A (804) 751-0300 BRIAN P MIDGETTE DDS PC Chester, VA 23831 3326 Taylor Road #100 BURKE, BRIAN (804) 717-2099 Chesapeake, VA 23321 JUST 4 KIDS PEDATRIC KILBOURNE, MICHAEL (757) 483-4700 DENTISTRY & SEDATION MICHAEL S KILBOURNE DDS 4301 W Hundred Rd FERRY, DAVID 11701 Chester Rd NIVER, ERIC Chester, VA 23831 DAVID R FERRY DDS PC Chester, VA 23831 CENTER FOR RESTORATIVE (804) 562-2667 13030 Rivers Bend Rd (804) 748-5105 COSMETIC & IMPLANT Chester, VA 23836 DENTISTRY PC (804) 530-3200 825 Battlefield Blvd S CALLERY, WILLIAM KUHN, TODD Chesapeake, VA 23322 JDM DENTAL PLC MURRY & KUHN DENTISTRY (757) 425-2332 4516 W Hundred Rd FORMICA, LOUIS 6600 Courtyard Rd Chester, VA 23831 VIRGINIA FAMILY DENTISTRY PC Chester, VA 23831 (804) 748-8677 12712-A Jefferson Davis Hwy (804) 796-9500 Chester, VA 23831 (804) 751-0300

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 39 Delta Dental Premier

PEERY, JAMES VIRGINIA (CONT'D) SHWETHA RODRIGUES DDS PC TROTTER, BRADLEY PEDIATRIC 12619 Jefferson Davis Hwy SOUTHSIDE ORAL & FACIAL DENTIST/PEDODONTIST CHESTER Chester, VA 23831 SURGERY EDWARDS, JUSTIN (804) 748-2555 11971 Ironbridge Road LOPEZ, ROCIO Chester, VA 23831 THE CENTER FOR PEDIATRIC VIRGINIA FAMILY DENTISTRY PC (804) 748-6350 DENTISTRY & SEDATION PRUGH, REED 12712-A Jefferson Davis Hwy 4301 W Hundred Rd Chester, VA 23831 PRUGH REED D Chester, VA 23831 ORTHODONTIST (804) 751-0300 11703 Chester Rd (804) 318-1623 Chester, VA 23831 BENSON, WAKESHI (804) 748-2225 MABANGLO-SAMSON, WB ORTHODONTICS FLOWERS, JOHN BERNADETTE 12230 Iron Bridge Rd #B CHILDRENS DENTISTRY OF ROBERTS, DAVID Chester, VA 23831 PARTICIPATING PROVIDERS COMPLETE FAMILY DENTISTRY VIRGINIA PC VIRGINIA FAMILY DENTISTRY PC (804) 404-3804 11601 Iron Bridge Rd 204 12220 Iron Bridge Rd #B 12712-A Jefferson Davis Hwy Chester, VA 23831 Chester, VA 23831 Chester, VA 23831 (804) 717-5100 BUELOW, DWIGHT (804) 639-6445 (804) 751-0300 VIRGINIA FAMILY DENTISTRY PC MAURER, JEFFREY 12712-A Jefferson Davis Hwy IMAFIDON, TIMOTHY RODRIGUES, SHWETHA Chester, VA 23831 JDM DENTAL PLC THE CENTER FOR PEDIATRIC SHWETHA RODRIGUES DDS PC (804) 751-0300 4516 W Hundred Rd DENTISTRY & SEDATION 12517 Jefferson Davis Hwy Chester, VA 23831 4301 W Hundred Rd Chester, VA 23831 (804) 748-8677 DAVIS, GEORGE Chester, VA 23831 (804) 748-2555 DRS DAVIS & NYCZEPIR LTD (804) 318-1623 MONTGOMERY, TYRUS 10436 Ironbridge Rd IMAFIDON, TIMOTHY SULLIVAN, KIT Chester, VA 23831 JUST 4 KIDS PEDATRIC JUST 4 KIDS PEDATRIC VIRGINIA FAMILY DENTISTRY PC (804) 748-3234 DENTISTRY & SEDATION DENTISTRY & SEDATION 12712-A Jefferson Davis Hwy 4301 W Hundred Rd 4301 W Hundred Rd Chester, VA 23831 Chester, VA 23831 MARCUS, RICHARD Chester, VA 23831 (804) 751-0300 (804) 562-2667 VIRGINIA FAMILY DENTISTRY PC (804) 562-2667 12712-A Jefferson Davis Hwy WARD, CHRISTINE MOSEY, JAMES Chester, VA 23831 KUHN, AMANDA SAMUEL W GALSTAN DDS (804) 751-0300 VIRGINIA FAMILY DENTISTRY PC CHILDRENS DENTISTRY OF 12290 Ironbridge Road 12712-A Jefferson Davis Hwy VIRGINIA PC Chester, VA 23831 Chester, VA 23831 NYCZEPIR, DAVID 12220 Iron Bridge Rd #B (804) 768-8165 (804) 751-0300 DRS DAVIS & NYCZEPIR LTD Chester, VA 23831 10436 Ironbridge Rd (804) 639-6445 WILMER, SARAH MULE, MERISSA Chester, VA 23831 MELANIE A BACH DDS PLLC (804) 748-3234 VIRGINIA FAMILY DENTISTRY PC WEBB, MICHAEL 10322 Ironbridge Rd 12712-A Jefferson Davis Hwy THE CENTER FOR PEDIATRIC Chester, VA 23831 Chester, VA 23831 PURCELL, ALLISON DENTISTRY & SEDATION (804) 717-5400 (804) 751-0300 VIRGINIA FAMILY DENTISTRY PC 4301 W Hundred Rd 12712-A Jefferson Davis Hwy Chester, VA 23831 WITCHER, GORDON MURRY, BRITTNEY Chester, VA 23831 (804) 318-1623 COMPLETE FAMILY DENTISTRY (804) 751-0300 MURRY & KUHN DENTISTRY 11601 Iron Bridge Rd 204 6600 Courtyard Rd Chester, VA 23831 PERIODONTIST Chester, VA 23831 ROGERS, DALE (804) 717-5100 (804) 796-9500 VIRGINIA FAMILY DENTISTRY PC VOTH, STEPHANIE 12712-A Jefferson Davis Hwy VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy MURRY, DONALD ORAL SURGEON Chester, VA 23831 (804) 751-0300 Chester, VA 23831 MURRY & KUHN DENTISTRY BRINSER, PAUL (804) 751-0300 6600 Courtyard Rd SOUTHSIDE ORAL & FACIAL Chester, VA 23831 SPEARS, MELANIE SURGERY CHESTERFIELD (804) 796-9500 11971 Ironbridge Road VIRGINIA FAMILY DENTISTRY PC 12712-A Jefferson Davis Hwy Chester, VA 23831 ENDODONTIST MURRY, KENNETH (804) 748-6350 Chester, VA 23831 (804) 751-0300 MURRY & KUHN DENTISTRY GERARD, SCOTT 6600 Courtyard Rd ONEILL, ROBERT SCOTT E GERARD DDS Chester, VA 23831 SOUTHSIDE ORAL & FACIAL TRAN, ANH 10320 Memory Lane Ste C (804) 796-9500 SURGERY MILESTONE ORTHODONTICS Chesterfield, VA 23832 11971 Ironbridge Road 11300 Ironbridge Rd Ste B (804) 796-1136 Chester, VA 23831 Chester, VA 23831 (804) 748-6350 (804) 796-9099

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

PFAB, MICHAEL GENERAL DENTIST SPENCE, TEDDY VIRGINIA (CONT'D) DR MICHAEL PFAB DDS PC ISLAND DENTAL 14912 Hull Street Rd AMBURGEY, STEVEN 3897 Main St CHESTERFIELD Chesterfield, VA 23832 STEVEN E AMBURGEY DDS Chincoteague, VA 23336 (804) 639-9622 PLLC (757) 336-5116 GERARD, SCOTT 112 East Main St Po Box 2297 SOUTHSIDE ENDODONTIST Chilhowie, VA 24319 SPENCE, TEDDY RAIKA, ANA 10320 Memory Ln (276) 646-0082 ISLAND DENTAL LLC Chesterfield, VA 23832 DR MICHAEL PFAB DDS PC 3897 Main St 14912 Hull Street Rd (804) 796-1136 THOMPSON, WILLIAM Chincoteague, VA 23336 Chesterfield, VA 23832 (757) 336-5116 (804) 639-9622 WILLIAM B THOMPSON DDS PC OERTEL, ELLEN 409 Chilhowie St SOUTHSIDE ENDODONTIST Chilhowie, VA 24319 CHRISTIANSBURG RHEA, WILLIAM 10320 Memory Ln (276) 646-3541 PARTICIPATING PROVIDERS Chesterfield, VA 23832 RHEA WILLIAM H GENERAL DENTIST (804) 796-1136 10108 Krause Rd #102 Chesterfield, VA 23832 CHINCOTEAGUE ABREU FUERTE, ORLANDO (804) 751-0609 KOOL SMILES VAN PC SIEGEL GERHARD, CLAIRE GENERAL DENTIST 135 Conston Ave SOUTHSIDE ENDODONTIST Christiansburg, VA 24073 SMILEY, CHRISTOPHER BROAS, WILLIAM 10320 Memory Ln (800) 920-9947 MORRISON DENTAL Chesterfield, VA 23832 SMILEY CHRISTOPHER B GROUP-CHINCOTEAGUE (804) 796-1136 9401 Courthouse Rd #306 Chesterfield, VA 23832 4009 Main St AGRAWAL, NITIN (804) 748-9211 Chincoteague, VA 23336 KOOL SMILES VAN PC GENERAL DENTIST (757) 336-1260 135 Conston Ave Christiansburg, VA 24073 BREEDEN, TIMOTHY ORAL SURGEON (800) 920-9947 TIMOTHY M BREEDEN DDS HAMLETT, SHERYLE BROWN, STEPHEN 10003 Courtview Lane ISLAND DENTAL LLC Chesterfield, VA 23832 CHESTERFIELD ORAL SURGERY 3897 Main St BASS, JAY (804) 748-6433 INC Chincoteague, VA 23336 NEW RIVER DENTAL GROUP 10110 Iron Bridge Road (757) 336-5116 209 Roanoke St Ste 6 Chesterfield, VA 23832 Christiansburg, VA 24073 BROTH, STUART (804) 768-9000 (540) 382-3291 DR MICHAEL PFAB DDS PC MCCRADY, CARL 14912 Hull Street Rd MORRISON DENTAL Chesterfield, VA 23832 ORTHODONTIST GROUP-CHINCOTEAGUE BHAVNAGRI, FAWZIA 4009 Main St NEW RIVER VALLEY DENTAL (804) 639-9622 TRAN, ANH Chincoteague, VA 23336 601 Roanoke St CHESTER ORTHODONTICS PC (757) 336-1260 Christiansburg, VA 24073 CONNER, THOMAS 6425 Chesterfield Meadows (540) 382-0163 THOMAS A CONNER DDS Chesterfield, VA 23832 9510 Ironbridge Rd #100 (804) 796-9099 MORRISON, ROBERT Chesterfield, VA 23832 MORRISON DENTAL CHANG, MICHAEL (804) 768-7600 GROUP-CHINCOTEAGUE NEW RIVER VALLEY DENTAL PERIODONTIST 4009 Main St 601 Roanoke St Chincoteague, VA 23336 Christiansburg, VA 24073 DODSON-GORDON, SHERRY MORETTI, JOY (757) 336-1260 (540) 382-0163 CHESTERFIELD DENTISTRY VIRGINIA PERIO LTD 10331 Memory Ln 10320 Memory Ln Ste 2 Chesterfield, VA 23832 Chesterfield, VA 23832 MURPHY, STEPHEN CHENNUPATI, NAVEEN (804) 748-6677 (804) 748-9553 MORRISON DENTAL KOOL SMILES VAN PC GROUP-CHINCOTEAGUE 135 Conston Ave 4009 Main St Christiansburg, VA 24073 GARDNER, DAVIS SLAGLE, JAMES Chincoteague, VA 23336 (800) 920-9947 DAVIS GARDNER DDS PC VIRGINIA PERIO LTD (757) 336-1260 7205 Hancock Village Dr 10320 Memory Ln Ste 2 Chesterfield, VA 23832 Chesterfield, VA 23832 CRISTI, IVONA (804) 277-4878 (804) 748-9553 SANCHEZ OCASIO, JESUS KOOL SMILES VAN PC MORRISON DENTAL 135 Conston Ave GROUP-CHINCOTEAGUE Christiansburg, VA 24073 MOORE, ERNEST SPERLING-HABOT, KEREN 4009 Main St (800) 920-9947 ERNEST E MOORE DDS PC VIRGINIA PERIO LTD Chincoteague, VA 23336 6425 Chesterfield Meadows Dr 10320 Memory Ln Ste 2 (757) 336-1260 Chesterfield, VA 23832 Chesterfield, VA 23832 GAMEZ, MYRNA (804) 796-9500 (804) 748-9553 KOOL SMILES VAN PC 135 Conston Ave CHILHOWIE 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

RASMUSSEN, JAY TURNER, RANDOLPH SLAUGHTER, KEVIN VIRGINIA (CONT'D) KOOL SMILES VAN PC R L TURNER DDS LTD SLAUGHTER & SLAUGHTER 135 Conston Ave 301 Radford St FAMILY DENTISTRY CHRISTIANSBURG Christiansburg, VA 24073 Christiansburg, VA 24073 1401 Main St (800) 920-9947 (540) 552-2334 Clifton Forge, VA 24422 HARMON, THOMAS (540) 862-4495 KOOL SMILES VAN PC RICE, JAMES 135 Conston Ave PEDIATRIC SLAUGHTER, TERRY Christiansburg, VA 24073 NEW RIVER VALLEY DENTAL DENTIST/PEDODONTIST (800) 920-9947 601 Roanoke St SLAUGHTER & SLAUGHTER Christiansburg, VA 24073 AMACHER, DARCY FAMILY DENTISTRY (540) 382-0163 S DARCY AMACHER DDS 1401 Main St JONES, DAVID 105 Akers Farm Rd Clifton Forge, VA 24422 RICE DENTISTRY OF SOWAN, JAMIL Christiansburg, VA 24073 (540) 862-4495 CHRISRIANSBURG PC (540) 394-3300 PARTICIPATING PROVIDERS 601 Roanoke St KOOL SMILES VAN PC CLINTWOOD Christiansburg, VA 24073 135 Conston Ave BURKE, BRIAN (540) 382-0201 Christiansburg, VA 24073 (800) 920-9947 KOOL SMILES VAN PC GENERAL DENTIST 135 Conston Ave JOSEPH, MARIE ROBINSON, WILLIAM TATE, CARTER Christiansburg, VA 24073 FEE CLINIC OF THE NEW RIVER (800) 920-9947 WILLIAM S ROBINSON DDS VALLEY INC NEW RIVER DENTAL GROUP 5367 Dickenson Hwy 215 Roanoke St 209 Roanoke St Ste 6 Clintwood, VA 24228 Christiansburg, VA 24073 Christiansburg, VA 24073 PERIODONTIST (276) 926-4777 (540) 382-3291 (540) 381-0820 SHIELDS, WALTER DR WALTER D SHIELDS DDS MS COEBURN LEWIS, MILLER TEBBENKAMP, JUSTIN 120 Ponderosa Dr Ste B NEW RIVER VALLEY DENTAL NEW RIVER DENTAL GROUP Christiansburg, VA 24073 GENERAL DENTIST 209 Roanoke St Ste 6 601 Roanoke St (540) 382-7960 RAYMOND, MARK Christiansburg, VA 24073 Christiansburg, VA 24073 (540) 382-3291 COEBURN DENTISTRY (540) 382-0163 CHURCHVILLE 131 Odle Hill Coeburn, VA 24230 LEWIS, MILLER WORKIE, DANIEL GENERAL DENTIST (276) 395-6632 RICE DENTISTRY OF KOOL SMILES VAN PC CHRISRIANSBURG PC 135 Conston Ave SPILLERS, RONALD 601 Roanoke St Christiansburg, VA 24073 JAMES W WILLIS III DDS PLC COLLINSVILLE Christiansburg, VA 24073 (800) 920-9947 21 Scenic Hwy Ste 103 (540) 382-0201 Churchville, VA 24421 GENERAL DENTIST (540) 337-6004 YANG, HUI LAVINDER, MICHAEL MOREL, ADALGISA FEE CLINIC OF THE NEW RIVER LAVINDER MICHAEL E KOOL SMILES VAN PC VALLEY INC TAYLOR, EMERY 4940 Kings Mtn Road 135 Conston Ave 215 Roanoke St JAMES W WILLIS III DDS PLC Collinsville, VA 24078 Christiansburg, VA 24073 Christiansburg, VA 24073 21 Scenic Hwy Ste 103 (276) 647-1494 (800) 920-9947 (540) 381-0820 Churchville, VA 24421 (540) 337-6004 RHODAY, JOHN NEWTON, RICHARD ORAL SURGEON JOHN W RHODAY DDS PC RICHARD M NEWTON WILLIS, JAMES 4721 King Mountain Rd 209 Roanoke Street #6 MORGAN, JOHN JAMES W WILLIS III DDS PLC Collinsville, VA 24078 Christiansburg, VA 24073 KOOL SMILES VAN PC 21 Scenic Hwy Ste 103 (276) 647-3802 (540) 382-3291 135 Conston Ave Churchville, VA 24421 Christiansburg, VA 24073 (540) 337-6004 UNTERBRINK, DENISE (800) 920-9947 ONEAL, LATANYA DENISE J UNTERBRINK DDS PC KOOL SMILES VAN PC CLIFTON 2200 Daniels Creek Rd 135 Conston Ave ORTHODONTIST Collinsville, VA 24078 Christiansburg, VA 24073 GENERAL DENTIST (276) 647-5310 (800) 920-9947 ABBASI-HAFSHEJANI, AZITA KOOL SMILES VAN PC YOON, HEATHER 135 Conston Ave CLIFTON DENTAL CARE PC COLONIAL HEIGHTS PANDHER, RAMONA Christiansburg, VA 24073 5730 Union Mill Rd KOOL SMILES VAN PC (800) 920-9947 Clifton, VA 20124 ENDODONTIST 135 Conston Ave (703) 818-0007 Christiansburg, VA 24073 GERARD, SCOTT (800) 920-9947 SOUTHSIDE ENDODONTICS PC CLIFTON FORGE 2425 Boulevard #8 Colonial Heights, VA 23834 GENERAL DENTIST (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

BLACKHAM, CRAIG KOHEIL, YOSRELDIN NGUYEN, VIET VIRGINIA (CONT'D) BELTRAMI & DIXON DR GEORGE VARKEY DMD PC SAM E ENGLISH II DDS LLC ENTERPRISES 723 South Park Blvd Suite F 798 Southpark Blvd #26 COLONIAL HEIGHTS 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 504-0012 (804) 520-1177 LIEWEHR, FREDERICK (804) 520-4088 HEAVENLY SMILES DENTISTRY KOMMINENI, SANATH NICHOLS, ASHLEY PLLC CHENNUPATI, NAVEEN KOOL SMILES KOOL SMILES 1100-A Boulevard KOOL SMILES 400-C Southpark Blvd 400-C Southpark Blvd Colonial Heights, VA 23834 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 892-1330 Colonial Heights, VA 23834 (804) 526-4889 (804) 526-4889 (804) 526-4889 KREUZER, LUIZA O'DONNELL, DAVID

OERTEL, ELLEN PARTICIPATING PROVIDERS SOUTHSIDE ENDODONTICS PC DIMITROFF, EMILY BELTRAMI & DIXON KOOL SMILES 2425 Boulevard #8 KOOL SMILES ENTERPRISES 400-C Southpark Blvd Colonial Heights, VA 23834 400-C Southpark Blvd 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 520-0000 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 526-4889 (804) 526-4889 (804) 520-4088 SIEGEL GERHARD, CLAIRE PANDHER, RAMONA SOUTHSIDE ENDODONTICS PC DIXON, BRYAN KUPPERI, VINUTHA KOOL SMILES 2425 Boulevard #8 BELTRAMI & DIXON KOOL SMILES 400-C Southpark Blvd Colonial Heights, VA 23834 ENTERPRISES 400-C Southpark Blvd Colonial Heights, VA 23834 (804) 520-0000 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 526-4889 Colonial Heights, VA 23834 (804) 526-4889 (804) 520-4088 GENERAL DENTIST PARRIS-WILKINS, TONYA MALAN, DAVID SOUTHSIDE FAMILY & AHMED, MOHAMED ENGLISH, SAM BELTRAMI & DIXON COSMETIC DENTISTRY PC DR GEORGE VARKEY DMD PC SAM E ENGLISH II DDS LLC ENTERPRISES 3505 Boulevard 723 South Park Blvd Suite F 798 Southpark Blvd #26 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 520-5009 (804) 504-0012 (804) 520-1177 (804) 520-4088 PATEL, VAISHALI ALKILANI, TAWFIQ FEARON, ANDREEN MATIAS, THIAGO KOOL SMILES SAM E ENGLISH II DDS LLC KOOL SMILES KOOL SMILES 400-C Southpark Blvd 798 Southpark Blvd #26 400-C Southpark Blvd 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 526-4889 (804) 520-1177 (804) 526-4889 (804) 526-4889 PEAT, ASHLEY ALLAYMOUNI, MHD AMER FRIEND, BASIL MEADE, RAYMOND BELTRAMI & DIXON DR GEORGE VARKEY DMD PC BASIL J FRIEND II DDS PC MEADE RAYMOND L ENTERPRISES 723 South Park Blvd Suite F 15806 Jeff Davis Highway 2018 Boulevard 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 504-0012 (804) 520-8994 (804) 520-1741 (804) 520-4088

BAILEY, DAVINA GLASER, JAMES MENDOZA, ISRAEL PHILLIPS, SARAH KOOL SMILES SAM E ENGLISH II DDS LLC DR GEORGE VARKEY DMD PC KOOL SMILES 400-C Southpark Blvd 798 Southpark Blvd #26 723 South Park Blvd Suite F 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 526-4889 (804) 520-1177 (804) 504-0012 (804) 526-4889

BATES, RICHARD JONES, GALE MONSMAN, JOHN POOLE, ADAM RICHARD W BATES DDS PC KOOL SMILES JOHN E MONSMAN DMD PLLC KOOL SMILES 3610 Boulevard 400-C Southpark Blvd 3401 Boulevard 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 526-0937 (804) 526-4889 (804) 526-0807 (804) 526-4889

BELTRAMI, MARCO KIM, CHAD NASIF, YASER RHODES, DANIEL BELTRAMI & DIXON KOOL SMILES SAM E ENGLISH II DDS LLC BELTRAMI & DIXON ENTERPRISES 400-C Southpark Blvd 798 Southpark Blvd #26 ENTERPRISES 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 Colonial Heights, VA 23834 456 Charles H Dimmock Pkwy #5 Colonial Heights, VA 23834 (804) 526-4889 (804) 520-1177 Colonial Heights, VA 23834 (804) 520-4088 (804) 520-4088

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

TAILOR, PRIYA BEYER, JEFFREY CREWE VIRGINIA (CONT'D) KOOL SMILES COMMONWEALTH 400-C Southpark Blvd ORTHODONTICS PLC COLONIAL HEIGHTS Colonial Heights, VA 23834 456 Charles Dimmock Pkwy #9 GENERAL DENTIST (804) 526-4889 Colonial Heights, VA 23834 BELTRAMI, MARCO ROADCAP, RICHARD (804) 520-7292 BELTRAMI ENTERPRISES INC RICHARD F ROADCAP DDS VARKEY, GEORGE 600 West Virginia Ave 3501 Boulevard JI, JOHN Crewe, VA 23930 Colonial Heights, VA 23834 DR GEORGE VARKEY DMD PC (434) 645-7558 (804) 520-4770 723 South Park Blvd Suite F JI MANAGEMENT LLC Colonial Heights, VA 23834 798 South Park Blvd #12 (804) 504-0012 Colonial Heights, VA 23834 BLACKHAM, CRAIG ROJAS, JUAN (804) 520-6050 BELTRAMI ENTERPRISES INC HEAVENLY SMILES DENTISTRY VERNON, J 600 West Virginia Ave PLLC JI, JOHN PARTICIPATING PROVIDERS Crewe, VA 23930 1100-A Boulevard J KELLER VERNON DDS LTD JI ORTHODONTICS LLC (434) 645-7558 Colonial Heights, VA 23834 241 Charles Dimmock Pkwy Ste 2 798 South Park Blvd #12 (804) 892-1330 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 520-0699 (804) 520-6050 DIXON, BRYAN SARAVANA, SAUMITRA BELTRAMI ENTERPRISES INC VOLKOVA, IRINA 600 West Virginia Ave DR GEORGE VARKEY DMD PC MARQUEZ, RHINA Crewe, VA 23930 723 South Park Blvd Suite F SAM E ENGLISH II DDS LLC KOOL SMILES (434) 645-7558 Colonial Heights, VA 23834 798 Southpark Blvd #26 400-C Southpark Blvd (804) 504-0012 Colonial Heights, VA 23834 Colonial Heights, VA 23834 (804) 520-1177 (804) 526-4889 KREUZER, LUIZA SCHLEICHER, THOMAS BELTRAMI ENTERPRISES INC WANG, QIN 600 West Virginia Ave THOMAS G SCHLEICHER DDS PEDIATRIC Crewe, VA 23930 PLC KOOL SMILES DENTIST/PEDODONTIST (434) 645-7558 3630 Boulevard 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 BURKE, BRIAN (804) 526-0231 (804) 526-4889 KOOL SMILES MALAN, DAVID 400-C Southpark Blvd BELTRAMI ENTERPRISES INC Colonial Heights, VA 23834 SHAH, ROHINI ZAINUL ABEDEEN, ANAS 600 West Virginia Ave (804) 526-4889 Crewe, VA 23930 KOOL SMILES KOOL SMILES (434) 645-7558 400-C Southpark Blvd 400-C Southpark Blvd Colonial Heights, VA 23834 Colonial Heights, VA 23834 GOKLI, MEERA (804) 526-4889 (804) 526-4889 PEDIATRIC DENTISTRY & RHODES, DANIEL ORTHO OF VA BELTRAMI ENTERPRISES INC 651 Southpark Blvd SIMON, ALEXANDER ORAL SURGEON 600 West Virginia Ave Colonial Heights, VA 23834 Crewe, VA 23930 DR GEORGE VARKEY DMD PC HERRERA, MARICIO (804) 526-9815 (434) 645-7558 723 South Park Blvd Suite F KOOL SMILES Colonial Heights, VA 23834 400-C Southpark Blvd KEETON, DAVID TRUONG, QUYNHMAI (804) 504-0012 Colonial Heights, VA 23834 PEDIATRIC DENTISTRY & QUYNHMAI T TRUONG (804) 526-4889 ORTHO OF VA STAFFORD, MATTHEW 101 Mason St 651 Southpark Blvd Crewe, VA 23930 BELTRAMI & DIXON SHUFFORD, EARL Colonial Heights, VA 23834 (434) 645-9602 ENTERPRISES SHUFFORD EARL L (804) 526-9815 456 Charles H Dimmock Pkwy #5 3524 Boulevard Colonial Heights, VA 23834 PERIODONTIST Colonial Heights, VA 23834 LUBBE, STEVEN (804) 520-4088 (804) 520-4092 PEDIATRIC DENTISTRY & GASKINS, CHARLES ORTHO OF VA GASKINS & ASSOCIATES DDS STANSFIELD, MICHAEL ORTHODONTIST 651 Southpark Blvd PLLC MICHAEL A STANSFIELD DDS & Colonial Heights, VA 23834 101 Mason St ASSOCIATES LTD ANDERSON, RALPH (804) 526-9815 Crewe, VA 23930 3660 Boulevard # F ANDERSON ORTHODONTICS (804) 794-9611 Colonial Heights, VA 23834 LTD (804) 526-2200 COVINGTON 556 Southpark Blvd CROZET Colonial Heights, VA 23834 GENERAL DENTIST SZUBIAK, STANISLAW (804) 526-2702 GENERAL DENTIST KOOL SMILES AHMED, SYED 400-C Southpark Blvd BRIGHT SMILE DENTAL CLINIC Colonial Heights, VA 23834 229 N Monroe Ave (804) 526-4889 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

PAGAN, ROBERT HIJAZ, IYAD VIRGINIA (CONT'D) R DAVID PAGAN DMD NEIBAUER DENTAL CARE PC EISENHARDT, PETER 18470 Crossroad Pkwy 15187 Montanus Dr CENTRAL VA ORAL & FACIAL CROZET Culpeper, VA 22701 Culpeper, VA 22701 SURGEONS PLC (540) 825-7250 (540) 727-0093 1400 Sunset Ln PODBESEK, BRIAN Culpeper, VA 22701 CROZET FAMILY DENTAL (540) 825-3069 PATIL, SUDHA JAIN, KHUSHBOO 5690 Three Notch'D Rd Ste 100 Ste 100 SUSHANT MAHAJAN DMD MS PC NEIBAUER DENTAL CARE PC 691 Laurel St Ste #200 15187 Montanus Dr FAIRCLOTH, W Crozet, VA 22932 CENTRAL VA ORAL & FACIAL (434) 823-4080 Culpeper, VA 22701 Culpeper, VA 22701 (540) 727-0122 (540) 727-0093 SURGEONS PLC 1400 Sunset Ln SCHOEB, JOHN Culpeper, VA 22701 KHEDR, YASSER JOHN C SCHOEB GENERAL DENTIST (540) 825-3069 PARTICIPATING PROVIDERS 5974 Jarmans Gap Rd Ste 200 CULPEPER DENTAL GROUP PLC AHMED, SHABREZ 415 S Main St #101 Crozet, VA 22932 NEIBAUER DENTAL CARE PC SOLOMON, JAMES (434) 823-2385 Culpeper, VA 22701 15187 Montanus Dr (540) 825-7676 CENTRAL VA ORAL & FACIAL Culpeper, VA 22701 SURGEONS PLC TAYLOR, EMERY (540) 727-0093 1400 Sunset Ln MILLS, CHRISTINA CROZET FAMILY DENTAL Culpeper, VA 22701 5690 Three Notch'D Rd Ste 100 Ste CHRISTINA P MILLS DDS LLC (540) 825-3069 ASHBY, COURTNEY 1701 Sunset Lane 100 OLAN D PARR JR DDS Crozet, VA 22932 Culpeper, VA 22701 1043 Oaklawn Dr Ste B (540) 825-1366 TRICKER, NATHANIEL (434) 823-4080 Culpeper, VA 22701 CENTRAL VA ORAL & FACIAL (540) 829-9922 SURGEONS PLC PARR, OLAN WILLIS, JAMES 1400 Sunset Ln CROZET FAMILY DENTAL OLAN D PARR JR DDS Culpeper, VA 22701 ASHMAWY, TAREK 1043 Oaklawn Dr Ste B 5690 Three Notch'D Rd Ste 100 Ste CULPEPER DENTAL GROUP PLC (540) 825-3069 100 Culpeper, VA 22701 415 S Main St #101 (540) 829-9922 Crozet, VA 22932 Culpeper, VA 22701 WILHELM, MILES (434) 823-4080 (540) 825-7676 CENTRAL VA ORAL & FACIAL POPAT, NITESH SURGEONS PLC NEIBAUER DENTAL CARE PC ORAL SURGEON 1400 Sunset Ln AYLOR, SCOTT 15187 Montanus Dr SCOTT A AYLOR DENTIST PLLC Culpeper, VA 22701 IBANEZ, CARLOS Culpeper, VA 22701 (540) 825-3069 CHARLOTTESVILLE ORAL 530 Sunset Lane (540) 727-0093 SURGERY & DENTAL IMPLANT Culpeper, VA 22701 (540) 825-9288 ORTHODONTIST 1005 Heathercroft Cir #200 SHARMA, MOHIT Crozet, VA 22932 NEIBAUER DENTAL CARE PC EPPARD, HOLLY BAXI, FAIRY (434) 295-0911 15187 Montanus Dr HOLLY EPPARD DDS MS PC NEIBAUER DENTAL CARE PC Culpeper, VA 22701 1100 Sunset Lane Ste 110 15187 Montanus Dr PEDIATRIC (540) 727-0093 Culpeper, VA 22701 Culpeper, VA 22701 DENTIST/PEDODONTIST (540) 525-6064 (540) 727-0093 THOMSON, SHIBU CLIFFORD, KEVIN FAMILY DENTAL CARE PC ERRERA, JOSEPH CROZET PEDIATRIC DENTISTRY BREEDEN, A 1400 Sunset Ln #4210 GRIFFIN & ERRERA 1005 Heathercroft Circle #300 BREEDEN A WAYNE JR Culpeper, VA 22701 ORTHODONTICS Crozet, VA 22932 1156 Old Rixeyville Road (540) 825-9132 505 Radio Ln (434) 205-4594 Culpeper, VA 22701 Culpeper, VA 22701 (540) 825-5599 (540) 825-8001 CULPEPER ORAL SURGEON BUTLER, SHANNON AMRHEIN, EDWARD GRIFFIN, ALFRED ENDODONTIST SHANNON M BUTLER DDS PC CENTRAL VA ORAL & FACIAL GRIFFIN & ERRERA MAHAJAN, SUSHANT 1051 Oaklawn Dr SURGEONS PLC ORTHODONTICS Culpeper, VA 22701 1400 Sunset Ln SUSHANT MAHAJAN DMD MS PC 505 Radio Ln (540) 825-0230 Culpeper, VA 22701 691 Laurel St Ste #200 Culpeper, VA 22701 (540) 825-3069 Culpeper, VA 22701 (540) 825-8001 (540) 727-0122 DICKERSON, SONDRA FAMILY DENTAL CARE PC CONNER, GREGORY MILLER, ROBERT 1400 Sunset Ln #4210 CENTRAL VA ORAL & FACIAL MILLER ORTHODONTICS PC Culpeper, VA 22701 SURGEONS PLC 1100 Sunset Ln # 1110 (540) 825-9132 1400 Sunset Ln Culpeper, VA 22701 Culpeper, VA 22701 (540) 825-6064 (540) 825-3069

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

SANZ-MOLINER, JAVIER WILLIAMS, ADAM CAIRNS, DONALD VIRGINIA (CONT'D) MAPLEDALE FAMILY DENTISTRY COOTS WARD CROSS FAMILY DANVILLE DENTAL ASSOCIATES PC DENTISTRY 770 Piney Forest Road #A CULPEPER 5812 Mapledale Plaza 175 Market Ridge Danville, VA 24540 Dale City, VA 22193 Daleville, VA 24083 (434) 799-8825 DALE CITY (703) 580-9900 (540) 992-1004 CHENNUPATI, NAVEEN GENERAL DENTIST DALEVILLE DANVILLE KOOL SMILES VAN PC 364 Lowes Dr #J CHAUDHARY, MOHIT GENERAL DENTIST ENDODONTIST Danville, VA 24540 MAPLEDALE FAMILY DENTISTRY (434) 688-0337 PC ADAMS, MICHAEL MESAROS, SAMUEL 5812 Mapledale Plaza MICHAEL P ADAMS SAMUEL V MESAROS PC CHILDRESS, DAVID Dale City, VA 22193 1314 Roanoke Rd 115 Cottonwood Ln PARTICIPATING PROVIDERS (703) 580-9900 Daleville, VA 24083 Danville, VA 24540 DAVID D CHILDRESS DDS PC (540) 992-1140 (434) 791-4700 1108 Main St Danville, VA 24541 CHIN, CHARISSA (434) 792-9036 MAPLEDALE FAMILY DENTISTRY COOTS, FREDERICK GENERAL DENTIST PC COOTS WARD CROSS FAMILY BRINKLEY, RACHEL 5812 Mapledale Plaza DENTISTRY CLIFTON, JEFFREY KEVIN P SNOW DDS PC Dale City, VA 22193 175 Market Ridge DANVILLE DENTAL ASSOCIATES 4035 Riverside Dr (703) 580-9900 Daleville, VA 24083 PC (540) 992-1004 Danville, VA 24541 1429 South Boston Road (434) 793-2045 Danville, VA 24540 FAIRFAX, CERINA (434) 799-5097 RAYMOND C HASTON JR DDS CROSS, GRIFFIN BRINKLEY, RACHEL 14393 Hereford Road COOTS WARD CROSS FAMILY RIVERVIEW DENTAL CARE PC CLIFTON, JEFFREY Dale City, VA 22193 DENTISTRY 4035 Riverside Dr DANVILLE DENTAL ASSOCIATES (703) 670-8400 175 Market Ridge Danville, VA 24541 PC Daleville, VA 24083 (434) 793-2045 5011 Riverside Dr (540) 992-1004 Danville, VA 24541 HASTON, RAYMOND BRINKLEY, RACHEL (434) 822-1332 RAYMOND C HASTON JR DDS GEOFFREY E JOHNSON DDS PC 14393 Hereford Road LAVINDER, LISA 4035 Riverside Dr CLIFTON, JEFFREY Dale City, VA 22193 COOTS WARD CROSS FAMILY Danville, VA 24541 DANVILLE DENTAL ASSOCIATES (703) 670-8400 DENTISTRY (434) 797-1853 770 Piney Forest Road #A 175 Market Ridge Danville, VA 24540 Daleville, VA 24083 TAHMASEBI-BOLDAJI, JILA BROWN, DEREK (434) 799-8825 (540) 992-1004 MAPLEDALE FAMILY DENTISTRY RIVERVIEW DENTAL CARE PC PC 4035 Riverside Dr CUTRIGHT, BARRY QUINN, STEPHEN 5812 Mapledale Plaza Danville, VA 24541 CUTRIGHT BARRY K Dale City, VA 22193 COOTS WARD CROSS FAMILY (434) 793-2045 300 Piney Forest Road (703) 580-9900 DENTISTRY Danville, VA 24540 175 Market Ridge BROWN, JARROD (434) 799-1100 Daleville, VA 24083 ORTHODONTIST JARROD H BROWN DDS PC (540) 992-1004 1108 Main St CUTRIGHT, MARTHA NGUYEN, NIKKI Danville, VA 24541 CUTRIGHT MARTHA C MAPLEDALE FAMILY DENTISTRY VESS, FREEMONT (434) 793-9674 300 Piney Forest Road PC FREMONT A VESS JR DDS Danville, VA 24540 5812 Mapledale Plaza 24 Tinker Mill Rd CAIRNS, DONALD (434) 799-1100 Dale City, VA 22193 Daleville, VA 24083 DANVILLE DENTAL ASSOCIATES (703) 580-9900 (540) 992-1020 PC EASON, DAVID 1429 South Boston Road PATHS COMMUNITY DENTAL PERIODONTIST WARD, SCOTT Danville, VA 24540 CLINIC COOTS WARD CROSS FAMILY DOPPALAPUDI, VIVEK (434) 799-5097 705 Main St DENTISTRY MAPLEDALE FAMILY DENTISTRY Danville, VA 24541 175 Market Ridge CAIRNS, DONALD PC (434) 797-8502 Daleville, VA 24083 DANVILLE DENTAL ASSOCIATES 5812 Mapledale Plaza (540) 992-1004 PC Dale City, VA 22193 5011 Riverside Dr EVANS, JAMES (703) 580-9900 Danville, VA 24541 DANVILLE DENTAL ASSOCIATES (434) 822-1332 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

HARMON, THOMAS MOREL, ADALGISA SATTERFIELD, ROSE VIRGINIA (CONT'D) KOOL SMILES VAN PC KOOL SMILES VAN PC ROSE SATTERFIELD DMD PLLC 364 Lowes Dr #J 364 Lowes Dr #J 4821 Riverside Dr Rt 58W DANVILLE Danville, VA 24540 Danville, VA 24540 Danville, VA 24541 (434) 688-0337 (434) 688-0337 (434) 822-0440 EVANS, JAMES DANVILLE DENTAL ASSOCIATES HARTIGAN, JAMES OWENS, JESSICA SILVERS, ARTHUR PC 5011 Riverside Dr PATHS COMMUNITY DENTAL JESSICA J OWENS DMD PC A T SILVERS DMD Danville, VA 24541 CLINIC 190 Watson St 140 Piney Forest Rd Suite 1 (434) 822-1332 705 Main St Danville, VA 24541 Danville, VA 24540 Danville, VA 24541 (434) 792-0700 (434) 793-4116 EVANS, JAMES (434) 797-8502 DANVILLE DENTAL ASSOCIATES PANDHER, RAMONA SMITH, MARK PARTICIPATING PROVIDERS 770 Piney Forest Road #A HAYES, LAWRENCE KOOL SMILES VAN PC MARK PHILIP SMITH DDS PC Danville, VA 24540 LAWRENCE A HAYES DDS PLLC 364 Lowes Dr #J 816 West Main St (434) 799-8825 288 Piney Forest Rd Danville, VA 24540 Danville, VA 24541 Danville, VA 24540 (434) 688-0337 (434) 792-2845 GAMEZ, MYRNA (434) 797-2357 KOOL SMILES VAN PC PATEL, VAIBHAVI SNOW, KEVIN 364 Lowes Dr #J HELTON, DONNA VSP DENTAL INC KEVIN P SNOW DDS PC Danville, VA 24540 DONNA F HELTON 767 Piney Forest Rd 4035 Riverside Dr (434) 688-0337 1422 West Main St Danville, VA 24540 Danville, VA 24541 Danville, VA 24543 (434) 797-4181 (434) 793-2045 GAUGHT, KEITH (434) 792-5416 SNOW, KEVIN ROSE SATTERFIELD DMD PLLC PAYNE, ALBERT 4821 Riverside Dr Rt 58W RIVERVIEW DENTAL CARE PC HOWARD, GREGORY DANVILLE DENTAL ASSOCIATES 4035 Riverside Dr Danville, VA 24541 GREGORY D HOWARD DDS PC (434) 822-0440 Danville, VA 24541 1121 W Main Street 1429 South Boston Road (434) 793-2045 Danville, VA 24541 Danville, VA 24540 GOSNEY, JAMES (434) 793-2633 (434) 799-5097 SOWAN, JAMIL GOSNEY JAMES E PAYNE, ALBERT 753 Main Street KOOL SMILES VAN PC JOHNSON, GEOFFREY DANVILLE DENTAL ASSOCIATES 364 Lowes Dr #J Danville, VA 24541 RIVERVIEW DENTAL CARE PC (434) 792-1130 PC Danville, VA 24540 4035 Riverside Dr 5011 Riverside Dr (434) 688-0337 Danville, VA 24541 Danville, VA 24541 GREKOS, APOSTOLOS (434) 793-2045 (434) 822-1332 STAFFORD, DAVID PAUL G GREKOS JOHNSON, GEOFFREY 2657 Franklin Turnpike PAYNE, ALBERT DANVILLE DENTAL ASSOCIATES Danville, VA 24540 GEOFFREY E JOHNSON DDS PC DANVILLE DENTAL ASSOCIATES PC (434) 793-6914 4035 Riverside Dr 770 Piney Forest Road #A 1429 South Boston Road Danville, VA 24541 Danville, VA 24540 Danville, VA 24540 (434) 797-1853 (434) 799-5097 GROGAN, FRANK (434) 799-8825 LAWRENCE A HAYES DDS PLLC STAFFORD, DAVID KULHARI, SNEHLATA 288 Piney Forest Rd PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES Danville, VA 24540 KOOL SMILES VAN PC DANVILLE DENTAL ASSOCIATES PC (434) 797-2357 364 Lowes Dr #J PC 5011 Riverside Dr Danville, VA 24540 1429 South Boston Road Danville, VA 24541 GROGAN, FRANK (434) 688-0337 Danville, VA 24540 (434) 822-1332 FRANK T GROGAN III DDS PC (434) 799-5097 STAFFORD, DAVID 288 Piney Forest Rd MALLERY, MALCOLM PAYNE, CHRISTOPHER DANVILLE DENTAL ASSOCIATES Danville, VA 24540 MALCOLM J MALLERY DDS DANVILLE DENTAL ASSOCIATES 770 Piney Forest Road #A (434) 797-3598 568 West Main Street PC Danville, VA 24540 Danville, VA 24541 5011 Riverside Dr (434) 799-8825 HAIRSTON, ZACHARY (434) 799-0120 Danville, VA 24541 ZACHARY P HAIRSTON DDS PC (434) 822-1332 WALL, JESSE 190 Watson St MIRZA, JAVERIA JESSE R WALL DDS PC Danville, VA 24541 KOOL SMILES VAN PC PAYNE, CHRISTOPHER 1045 Main St #6 (434) 792-0700 364 Lowes Dr #J DANVILLE DENTAL ASSOCIATES Danville, VA 24541 Danville, VA 24540 770 Piney Forest Road #A (434) 792-8622 (434) 688-0337 Danville, VA 24540 (434) 799-8825 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

MOSLEY, MONICA SEILER, JOSEPH DUMFRIES VIRGINIA (CONT'D) DANVILLE PEDIATRIC BUCKINGHAM FAMILY DENTISTRY DENTISTRY PC GENERAL DENTIST DANVILLE 4545 Riverside Dr Ste C 15875 N James Madison Hwy ALACHNOWICZ, J Danville, VA 24541 Dillwyn, VA 23936 J DAVID ALACHNOWICZ MANRY, HERBERT (434) 791-2142 (434) 983-2826 WENTZ & MANRY 3759 Fettler Park Dr 501 Rison Street #110 Dumfries, VA 22025 SEILER, KATHLEEN Danville, VA 24541 PERIODONTIST (703) 634-2529 (434) 792-5134 BUCKINGHAM FAMILY CARLISH, ROBERT DENTISTRY PC DHILLON, NAVNEET ROBERT S CARLISH DMD 15875 N James Madison Hwy NEIBAUER DENTAL CARE PC MORGAN, JOHN 140 Piney Forest Road Dillwyn, VA 23936 3950 Fettler Park Dr KOOL SMILES VAN PC Danville, VA 24540 (434) 983-2826

364 Lowes Dr #J (434) 793-1400 Dumfries, VA 22025 PARTICIPATING PROVIDERS Danville, VA 24540 (703) 221-3295 DINWIDDIE (434) 688-0337 PROSTHODONTIST GENERAL DENTIST FARAH, MAZIN SHERWOOD, RICHARD BARRERO, CARLOS MONTCLAIR FAMILY DENTISTRY RICHARD L SHERWOOD DDS PC CUTRIGHT BARRY K MILLS-ROBERTSON, ABA 3709 Fettler Park Dr 990 Main Street Ste 304 300 Piney Forest Road DINWIDDIE FAMILY DENTISTRY Dumfries, VA 22026 Danville, VA 24541 Danville, VA 24540 13855 Courthouse Rd (703) 441-2044 (434) 792-4046 (434) 799-1100 Dinwiddie, VA 23841 (804) 469-5916 HALE, JAMES WENTZ, WILLARD DELTAVILLE JAMES D HALE DDS WENTZ & MANRY DUBLIN 17569 Old Stage Coach Rd 501 Rison Street #110 GENERAL DENTIST Dumfries, VA 22026 GENERAL DENTIST Danville, VA 24541 LENNON, CHARLES (703) 221-3444 (434) 792-5134 C BEN LENNON DDS INC FRENCH, CHARLES 15613 General Puller Hwy FRENCH FAMILY DENTISTRY HASSAN, NADDER ORTHODONTIST Deltaville, VA 23043 PLLC DENTAL SERENITY (804) 776-9484 254 W Main St 17181 Wayside Dr ABBASI-HAFSHEJANI, AZITA Dublin, VA 24084 Dumfries, VA 22026 KOOL SMILES VAN PC DILLWYN (540) 674-4191 (703) 445-9600 364 Lowes Dr #J Danville, VA 24540 GENERAL DENTIST FRENCH, JANET KASSAN, GREGG (434) 688-0337 GREGG L KASSAN DDS PC BRYANT, JOSEPH FRENCH FAMILY DENTISTRY PLLC 5077 Waterway Dr BUCKINGHAM FAMILY SNYDER, EDWARD 254 W Main St Dumfries, VA 22025 DENTISTRY PC DR EDWARD P SNYDER PC Dublin, VA 24084 (703) 897-0463 15875 N James Madison Hwy 789 Piney Forest Rd (540) 674-4191 Dillwyn, VA 23936 Danville, VA 24540 KAUR, PALWINDER (434) 792-8900 (434) 983-2826 HARVEY, GREGORY NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr DETAR, MATTHEW HARVEY DENTISTRY NRV PC SPURRIER, BRYAN 4664 Lee Hwy Dumfries, VA 22025 WALTER E SAXON JR DDS PC BRYAN R SPURRIER DDS PA Dublin, VA 24084 (703) 221-3295 15320 N James Madison Hwy 808 Piney Forest Rd (540) 674-8891 Dillwyn, VA 23936 Danville, VA 24540 KAZMI, SANA (434) 792-0141 (434) 983-2600 VELANDER, BREANNA NEIBAUER DENTAL CARE PC 3950 Fettler Park Dr NEWCOMB, BRANDON HARVEY DENTISTRY NRV PC PEDIATRIC 4664 Lee Hwy Dumfries, VA 22025 WALTER E SAXON JR DDS PC DENTIST/PEDODONTIST Dublin, VA 24084 (703) 221-3295 15320 N James Madison Hwy (540) 674-8891 BURKE, BRIAN Dillwyn, VA 23936 KHEDR, YASSER KOOL SMILES VAN PC (434) 983-2600 DUMFRIES DENTAL ARTS 364 Lowes Dr #J DULLES 17775 Main St Ste. #103 Danville, VA 24540 SAXON, WALTER Dumfries, VA 22026 (434) 688-0337 ORTHODONTIST WALTER E SAXON JR DDS PC (703) 445-9022 15320 N James Madison Hwy BARAKAT, RANA Dillwyn, VA 23936 BARAKAT ORTHODONTICS PC KING, HOANG (434) 983-2600 45745 Nokes Blvd Ste 175 Dulles, VA 20166 KING HOANG N (703) 433-9330 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

LEE, JIM TRAN, MY VIRGINIA (CONT'D) POTOMAC PEDIATRIC ARSHIA SHINGLER DDS & RHEA USNICK, JANICE DENTISTRY DAVIS DDS PLC DR JON M TRABOSH DDS PC DUMFRIES 16708 Jefferson Davis Hwy Ste 16708 Jefferson Davis Hwy #115 160 W Spotswood Ave #115 Dumfries, VA 22026 Elkton, VA 22827 (540) 298-1581 MARVDASHTI, NIKTA Dumfries, VA 22026 (703) 221-4040 (703) 221-4040 HERNDON DENTAL ARTS EMPORIA 17775 Main St # 103 DUNN LORING Dumfries, VA 22026 ZHU, XINSHENG GENERAL DENTIST (703) 445-9022 XINSHENG ZHU DDS PC GENERAL DENTIST 17606 Main St Ste 200 CHANG, JONATHAN HARMAN, DOUGLAS Dumfries, VA 22026 MORRIS, TAMESHA JONATHAN CHANG DDS PC DOUGLAS W HARMON DDS PC (703) 445-1999 510 Belfield Dr DENTAL SERENITY 2301 Gallows Rd #215 PARTICIPATING PROVIDERS 17181 Wayside Dr Dunn Loring, VA 22027 Emporia, VA 23847 Dumfries, VA 22026 PEDIATRIC (703) 560-6500 (434) 634-4164 (703) 445-9600 DENTIST/PEDODONTIST DUNNLORING HAWLEY, JULIE BRAXTON, DARCHELLE NAEEM, NASEER DOUGLAS W HARMON DDS PC ARSHIA SHINGLER DDS & RHEA DUMFRIES DENTAL GENERAL DENTIST 510 Belfield Dr DAVIS DDS PLC ASSOCIATES Emporia, VA 23847 16708 Jefferson Davis Hwy #115 18043 Dumfries Shopping Plaza CHONG, JAE (434) 634-4164 Dumfries, VA 22026 Dumfries, VA 22026 SUK SUN O DDS (703) 221-4040 2136 B Gallows Road (703) 221-4535 PALMER, ROGER Dunnloring, VA 22027 ROGER A PALMER DDS DAVIS, RHEA (703) 698-5400 NAJAFE, HAYAT 307-D Dogwood Lane ARSHIA SHINGLER DDS & RHEA MONTCLAIR FAMILY DENTISTRY Emporia, VA 23847 DAVIS DDS PLC 3709 Fettler Park Dr SUK, SUN (434) 634-5157 16708 Jefferson Davis Hwy #115 Dumfries, VA 22026 SUK SUN O DDS Dumfries, VA 22026 2136 B Gallows Road (703) 441-2044 SWENSON, KEVIN (703) 221-4040 Dunnloring, VA 22027 KEVIN S SWENSON DDS PC (703) 698-5400 NALLURI, JATIN 552 N Main St LE, HAU NEIBAUER DENTAL CARE PC Emporia, VA 23847 POTOMAC PEDIATRIC EARLYSVILLE 3950 Fettler Park Dr (434) 634-0035 DENTISTRY Dumfries, VA 22025 16708 Jefferson Davis Hwy Ste GENERAL DENTIST (703) 221-3295 EWING #115 Dumfries, VA 22026 DELPH, BRADLEY SILK, ZAHER (703) 221-4040 EARLYSVILLE FAMILY GENERAL DENTIST DENTISTRY ZAHER SILK DDS PATTERSON, CHERYL 690 Bent Oaks Dr Ste 102 3729 Fettler Park Dr #B6 RAI, SHWETHA CHERYL D PATTERSON DMD Dumfries, VA 22025 Earlysville, VA 22936 ARSHIA SHINGLER DDS & RHEA 126 Blakemore Mill Rd (703) 441-9590 (434) 964-1116 DAVIS DDS PLC Ewing, VA 24248 16708 Jefferson Davis Hwy #115 (276) 861-4011 SURENDRAN, SWAPNA Dumfries, VA 22026 ELKTON NEIBAUER DENTAL CARE PC (703) 221-4040 EXMORE 3950 Fettler Park Dr GENERAL DENTIST Dumfries, VA 22025 SHAH, RITU DAVIS, RON GENERAL DENTIST (703) 221-3295 DAVID DENTAL CENTERS ARSHIA SHINGLER DDS & RHEA SLEPSKY, PETER DAVIS DDS PLC 205 West Spotwood Tr PETER SLEPSKY DDS PC YAQUI, LUIS 16708 Jefferson Davis Hwy #115 Elkton, VA 22827 4208 Seaside Rd NEIBAUER DENTAL CARE PC Dumfries, VA 22026 (540) 298-9419 Exmore, VA 23350 3950 Fettler Park Dr (703) 221-4040 (757) 414-5005 Dumfries, VA 22025 FLAHERTY, CRAIG (703) 221-3295 SHINGLER, ARSHIA DR JON M TRABOSH DDS PC SPENCE, TERRY ARSHIA SHINGLER DDS & RHEA 160 W Spotswood Ave SPENCE & SPENCE DDS ZAND, TARANEH DAVIS DDS PLC Elkton, VA 22827 3060 Main St HERNDON DENTAL ARTS 16708 Jefferson Davis Hwy #115 (540) 298-1581 Exmore, VA 23350 17775 Main St # 103 Dumfries, VA 22026 (757) 442-3313 Dumfries, VA 22026 (703) 221-4040 TRABOSH, JON (703) 445-9022 DR JON M TRABOSH DDS PC FAIRFAX 160 W Spotswood Ave ORTHODONTIST Elkton, VA 22827 ENDODONTIST (540) 298-1581

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

ABOULKHAIR, MOSTAFA BANAVAR, ROHINI CHA, MYONG VIRGINIA (CONT'D) AESTHETIC DENTISTRY OF HOWARD HOFFMAN DDS PC MYONG J CHA DDS PC FAIRFAX 9661 C Main Street 3915 Old Lee Hwy #22-D FAIRFAX 4103 Chain Bridge Road Ste. Ll100 Fairfax, VA 22031 Fairfax, VA 22030 Fairfax, VA 22030 (703) 425-3737 (703) 273-5033 ACOSTA, RAFAEL (703) 218-8142 CONTEMPORARY DENTISTRY BARAKAT, HISHAM CHIN, VIRGINIA OF VIRGINIA AKINBI, FOLAKE 10525 Braddock Road #9A MOSAIC SMILES PC JOHN S K HSU DDS & VIRGINIA J Fairfax, VA 22032 PHOENIX SMILES DENTAL 8303 Arlington Blvd Ste 104 CHIN DDS PC (703) 323-4626 CENTER Fairfax, VA 22031 10801 Main St Ste 500 & 600 9854 Main St (703) 207-0700 Fairfax, VA 22030 Fairfax, VA 22031 (703) 352-2500 FEIN, JOSHUA (703) 278-8866 BAREKZI, NASSIR VIRGINIA ENDODONTICS PARTICIPATING PROVIDERS CHOE, MARK 3025 Hamaker Ct Ste 320 SMILES AT FAIRFAX CORNER ALCANTARA, CHRISTIAN Fairfax, VA 22031 4210 Fairfax Corner West Ave Ste. FAIRFAX ADVANCED GENERAL (703) 539-0400 CONTEMPORARY DENTISTRY #220 DENTISTRY PC OF VIRGINIA Fairfax, VA 22030 9528 Arlington Boulevard Fairfax 10525 Braddock Road #9A (703) 222-3245 Circle Plaza GOLIAN, TIMOTHY Fairfax, VA 22032 Fairfax, VA 22031 TIMOTHY GOLIAN DDS PC (703) 323-4626 BASSIRI, MICHAEL (703) 279-3400 3925 Chain Bridge Rd Ste 304 Fairfax, VA 22030 BASSIRI MICHAEL K ALKISHTAINI, MAHA CHOI, CHARLSON (703) 273-8798 3891 Plaza Drive MAI KOUSSA DDS AND MAHA Fairfax, VA 22030 FAIRFAX DENTISTRY ALKISHTAINI DDS PLC (703) 385-9161 11351 Random Hills Rd Ste #102 HONG, CHARLIE 8500 Executive Park Ave # 208 Fairfax, VA 22030 CHARLIE H HONG DMD PC Fairfax, VA 22031 BERMAN, ROBERT (703) 691-2221 3554 Chainbridge Rd (703) 663-8276 Fairfax, VA 22030 DRS BERMAN & MILLER CHOI, JIN (703) 359-4447 9942 Main St AMIRSAYAFI, PAYAM Fairfax, VA 22031 SKINNER OSSAKOW & ASSOC LETS SMILE OF FAIRFAX PLLC (703) 273-6622 DDS PC KESSLER, JOEL 4210 Fairfax Corner West Ave 3903 Fair Ridge Dr #207 HOWARD HOFFMAN DDS PC Fairfax, VA 22030 BHASKAR, MONA Fairfax, VA 22033 9661 C Main Street (703) 424-7678 (703) 385-2772 Fairfax, VA 22031 MONA BHASKAR DDS PC (703) 425-3737 9844 A Main St CHOI, JIN ARBABI, SHEILA Fairfax, VA 22031 DRS BERMAN & MILLER SMILES AT FAIRFAX CORNER (703) 218-4144 PATEL, JAYESH 9942 Main St 4210 Fairfax Corner West Ave Ste. Fairfax, VA 22031 JAYESH PATEL #220 BOBBIO, JENNIFER (703) 273-6622 4210 Fairfax Corner W Ave Ste 230 Fairfax, VA 22030 MOSAIC SMILES PC Fairfax, VA 22030 (703) 222-3245 (703) 631-1136 8303 Arlington Blvd Ste 104 CHOI, MARK Fairfax, VA 22031 MARK K CHOI DDS PC ARIANI, MEHRAN (703) 207-0700 PATEL, PRATIK 8301 Arlington Blvd Ste 503 FAIRFAX DENTAL CENTER Fairfax, VA 22031 SUNRISE DENTAL 4000 Virginia St BUTT, TEHREEM (703) 207-7077 8622 A Lee Highway Fairfax, VA 22032 FAMILY DENTISTRY OF FAIRFAX Fairfax, VA 22031 (703) 273-1443 (703) 876-4600 PC CHONG, NATHAN 10391 Democracy Ln Ste A NATHAN S CHONG DDS LLC AYATI, MARJUN Fairfax, VA 22030 TOLBA, MOSTAFA 9428 Main St BRENDA J YOUNG DDS PC (703) 273-7999 Fairfax, VA 22031 NATURAL HORIZON WELLNESS 8316 Arlington Blvd #226 (703) 323-5296 CENTER Fairfax, VA 22031 CABALLERO, GIOVANNI 11230 Waples Mill Rd #125 (703) 560-6301 Fairfax, VA 22030 DENTAL SOLUTIONS OF CHUNG, CHI WHAN (703) 246-9355 FAIRFAX CHI WHAN CHUNG BABU, SRIDEVI 11211 Waples Mill Rd #300 3611 Chain Bridge Rd #B HOWARD HOFFMAN DDS PC Fairfax, VA 22030 Fairfax, VA 22030 GENERAL DENTIST 9661 C Main Street (703) 865-7622 (703) 273-8450 ABINADER, NANTADLA Fairfax, VA 22031 (703) 425-3737 NANTADLA Z ABINADER DDS CERTA, KIMBERLY 8301 Arlington Blvd Ste T-1 NEIBAUER DENTAL CARE PC Fairfax, VA 22031 9547-A Fairfax Blvd (703) 204-9200 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

DRUMMOND, TANYA FLORES, MARCO HANGVAL, REZA VIRGINIA (CONT'D) THOMAS M DRUMMOND DMD PC CONTEMPORARY DENTISTRY CONTEMPORARY DENTISTRY 2665 Prosperity Ave Ste 15 OF VIRGINIA OF VIRGINIA FAIRFAX Fairfax, VA 22031 10525 Braddock Road #9A 10525 Braddock Road #9A (703) 560-1660 Fairfax, VA 22032 Fairfax, VA 22032 COLLAZO, WALTER (703) 323-4626 (703) 323-4626 NATURAL HORIZON WELLNESS CENTER DRUMMOND, THOMAS 11230 Waples Mill Rd #125 THOMAS M DRUMMOND DMD PC GAITAN, RICARDO HARTLEY, CAROLINE Fairfax, VA 22030 2665 Prosperity Ave Ste 15 GAITAN & OSINOVSKY HOWARD HOFFMAN DDS PC (703) 246-9355 Fairfax, VA 22031 8301 Arlington Blvd #403 9661 C Main Street (703) 560-1660 Fairfax, VA 22031 Fairfax, VA 22031 (703) 206-0466 (703) 425-3737 DANG, QUYEN EA-LIM, BOPHARY OPTIMAL HEALTH CENTER PARTICIPATING PROVIDERS 8303 Arlington Blvd #107 BOPHARY K EA-LIM DDS LLC GALLIAN, MARY-STUART HASSAN, NADDER Fairfax, VA 22031 4001 Fair Ridge Dr. Suite 105 MARY-STUART GALLIAN, DMD, HOWARD HOFFMAN DDS PC (703) 573-1313 Fairfax, VA 22033 PC 9661 C Main Street (703) 352-0741 10090 Main Street Fairfax, VA 22031 Fairfax, VA 22031 (703) 425-3737 DEHYAR, JOSEPH (703) 273-4500 FAIR LAKES DENTAL EJTEMAI, NASTARAN 12989 Fairlakes Shopping Centre NASTARAN EJTEMAI DDS PC HEMEDAN, NADA Fairfax, VA 22033 9671 A Main St GATENS, ROBERT SUCCESS DENTAL GROUP PLC (703) 222-1230 Fairfax, VA 22031 ROBERT E GATENS DDS 9671-A Main St (703) 323-0700 11208 Waple Mill Rd Ste 100 Fairfax, VA 22031 Fairfax, VA 22030 (703) 978-0000 DEVGON, DENISE (703) 352-2073 RICHARD D PAPP DDS PC ELHADY, SHERIF 3903 Fair Ridge Dr #214 SHERIF N ELHADY DDS HINDMAN, EDWARD Fairfax, VA 22033 3903 Fairridge Dr #215 GIBERSON, KENNETH EDWARD R HINDMAN JR DDS PC (703) 263-9388 Fairfax, VA 22033 KENNETH R GIBERSON DDS LTD 8303 Arlington Blvd #104 (757) 539-8686 10875 Main Street #206 Fairfax, VA 22031 Fairfax, VA 22030 (703) 207-0700 DHILLON, NAVNEET (703) 273-2040 NEIBAUER DENTAL CARE PC ELLENBOGEN, GARY HINDMAN, EDWARD 9547-A Fairfax Blvd DENTAL ASSOC OF NORTHERN MOSAIC SMILES PC Fairfax, VA 22031 VA PLLC GREENSPAN, GARY 8303 Arlington Blvd Ste 104 (703) 359-2879 12011 Lee Jackson Hwy Ste105 DENTAL ASSOC OF NORTHERN Fairfax, VA 22031 Fairfax, VA 22033 VA PLLC (703) 207-0700 (703) 273-5354 12011 Lee Jackson Hwy Ste105 DICKSON, NANA Fairfax, VA 22033 HO, STEWART ALLEGRA DENTAL GROUP (703) 273-5354 3040 Williams Dr #201 ELLIS, BITA STEWART C HO DMD PC Fairfax, VA 22031 RAYMUND V FAVIS DDS PC 3929 Old Lee Hwy #91-D (571) 419-6897 3930 Pender Dr #170 GRIECO, JOSEPH Fairfax, VA 22030 Fairfax, VA 22030 JOSEPH P GRIECO JR DDS PC (703) 385-1617 (703) 267-6627 3541 Chain Bridge Rd #1 DO, KIM Fairfax, VA 22030 KIM QUY DO DDS LLC HOANG-NGUYEN, ERICKSEN, DANA (703) 385-9700 8303 Arlington Blvd #101 JACQUELYN DANA W ERICKSEN DDS Fairfax, VA 22031 GENTLE DENTISTRY 3554 Chainbridge Rd #401 HAERI, MARYAM (703) 876-2606 3913 Old Lee Hwy Ste 32D Fairfax, VA 22030 JAKLIN BEZIK & ASSOC PERIO & Fairfax, VA 22030 (703) 385-3226 IMP (703) 877-2200 DONOHUE, RICHARD 11150 Fairfax Blvd Ste 301 RICHARD F DONOHUE DDS PC FAIRFAX, CERINA Fairfax, VA 22030 10529 A Braddock Rd HOFFMAN, HOWARD CERINA W FAIRFAX DDS PC (703) 934-4474 Fairfax, VA 22032 HOWARD HOFFMAN DDS PC 9500-B Lee Hwy (703) 250-2970 9661 C Main Street Fairfax, VA 22031 HAM, SAMUEL Fairfax, VA 22031 (703) 273-1033 SAMUEL S HAM DDS PC (703) 425-3737 DONOHUE, STEPHEN 11351 Random Hills Rd #102 H CHARLES JELINEK JR DDS FAVIS, RAYMUND Fairfax, VA 22030 8505 Arlington Blvd #260 HONG, RICHARD RAYMUND V FAVIS DDS PC (703) 691-2221 Fairfax, VA 22031 SUNRISE DENTAL 3930 Pender Dr #170 (703) 560-8700 8622 A Lee Highway Fairfax, VA 22030 Fairfax, VA 22031 (703) 267-6627 (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

KAZMI, SANA LEAVENWORTH, KIM MAHAJAN, ALKA VIRGINIA (CONT'D) NEIBAUER DENTAL CARE PC NATURAL HORIZON WELLNESS PROGRESSIVE DENTAL CARE 9547-A Fairfax Blvd CENTER PLLC FAIRFAX Fairfax, VA 22031 11230 Waples Mill Rd #125 8301 Arlington Blvd Ste T2 (703) 359-2879 Fairfax, VA 22030 Fairfax, VA 22031 HOWELL, EVERETT (703) 246-9355 (703) 909-4626 HOWARD HOFFMAN DDS PC KI, LAURA 9661 C Main Street LEE, EUN HYE MANRIQUE, Fairfax, VA 22031 LAURA Y KI DDS PC (703) 425-3737 4001 Fair Ridge Dr Ste 205 RAYEK & ZIER DDS PLC ERIC R CAPPS DDS PC Fairfax, VA 22033 4210 Fairfax Corner West Ave Ste 11001 Lee Hwy Ste A (703) 273-2545 220 Fairfax, VA 22030 HSU, JOHN Fairfax, VA 22030 (703) 691-9740 JOHN S K HSU DDS & VIRGINIA J KIM, JENNIFER (703) 222-3245 CHIN DDS PC PARTICIPATING PROVIDERS MARCELLIN, ROGER 10801 Main St Ste 500 & 600 ADVANCED COSMETIC LEE, NATHAN Fairfax, VA 22030 DENTISTRY OF NOVA PC ROGER MARCELLIN DDS PC (703) 352-2500 3903 Fair Ridge Dr #212 NATHAN C LEE DDS PC 12011 Lee Jackson #503 Fairfax, VA 22033 3611 B Chain Bridge Rd Fairfax, VA 22033 (703) 865-6880 Fairfax, VA 22030 (703) 293-9100 JELINEK, HOWARD (703) 273-8450 H CHARLES JELINEK JR DDS KIM, JERRY MAYER, KELLY 8505 Arlington Blvd #260 LEE, PAUL Fairfax, VA 22031 SUNRISE DENTAL CONTEMPORARY DENTISTRY (703) 560-8700 8622 A Lee Highway PAUL M LEE DDS PC OF VIRGINIA Fairfax, VA 22031 3975 Fair Ridge Dr N 305 10525 Braddock Road #9A (703) 876-4600 Fairfax, VA 22033 Fairfax, VA 22032 JOO, CHUCK (703) 352-9600 (703) 323-4626 FAIR OAKS DENTAL CARE KIM, JUYOUNG 12011 Lee Jackson Mem Hwy Ste LEVINE, ROBERT MERCADO, ROMINA 104 JUYOUNG HA KIM Fairfax, VA 22033 3927 Old Lee Hwy Ste 102E LEVINE ROBERT A CONTEMPORARY DENTISTRY (703) 766-1575 Fairfax, VA 22030 3918 Prosperity Ave #203 OF VIRGINIA (703) 691-1004 Fairfax, VA 22031 10525 Braddock Road #9A (703) 280-1300 Fairfax, VA 22032 KAMALI, TOURAJ KIRKSEY, CHARLES (703) 323-4626 FAMILY DENTAL CARE LI, TIN 10611 Judicial Dr FAMILY DENTAL CARE METZDORF, DAVID Fairfax, VA 22030 10611 Judicial Dr TIN W LI DDS PLLC (703) 385-0303 Fairfax, VA 22030 10801 Main St Ste 500 DAVID W METZDORF JR DDS PC (703) 385-0303 Fairfax, VA 22030 4001 Fair Ridge Dr #100 (703) 815-2041 Fairfax, VA 22033 KANG, DON KOT, DARIUSZ (703) 352-5222 NATURADENT PC LIM, PHANITH 9508-A Lee Hwy DARIUSZ P KOT DDS PC MILLER, JEFFREY Fairfax, VA 22031 11211 Waples Mill Rd 300 CHANTILLY GREEN DENTAL (703) 652-4265 Fairfax, VA 22030 CARE DRS BERMAN & MILLER (703) 352-8015 13035 D Lee Jackson Mem Hwy 9942 Main St Fairfax, VA 22033 Fairfax, VA 22031 KARMACHARYA, KOMAL KOUSSA, MAI (703) 378-2466 (703) 273-6622 RK DENTAL CARE LLC 12011 Lee Jackson Memorial Hwy MAI KOUSSA DDS AND MAHA LUCK, LEAH MILLER, VERONICA #502 ALKISHTAINI DDS PLC Fairfax, VA 22033 8500 Executive Park Ave # 208 SKINNER OSSAKOW & ASSOC JAMIE PARK DDS (571) 295-7757 Fairfax, VA 22031 DDS PC 10680 Main St, Ste 150 (703) 663-8276 3903 Fair Ridge Dr #207 Fairfax, VA 22030 KARMACHARYA, KOMAL Fairfax, VA 22033 (703) 385-4569 LETS SMILE OF FAIRFAX PLLC LE, HANG (703) 385-2772 4210 Fairfax Corner West Ave MY FAIRFAX DENTAL MORALES, DIEGO Fairfax, VA 22030 3930 Pender Drive Ste 220 LUONG, SUSAN CONTEMPORARY DENTISTRY (703) 424-7678 Fairfax, VA 22030 TUAN NGUYEN DDS PC OF VIRGINIA (571) 969-3368 3077 Nutley St 10525 Braddock Road #9A KAUR, NAMRATA Fairfax, VA 22031 Fairfax, VA 22032 NOVA FAMILY DENTISTRY PC LE, TRUNG (703) 280-1100 (703) 323-4626 9401 Lee Hwy Ste 204 FAIR CITY DENTAL CARE Fairfax, VA 22031 9600 Main St #I (703) 267-6103 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

NWANESHIUDU, CHIOMA PHAN, DUY-MAN ROSENBLUM, STEPHEN VIRGINIA (CONT'D) NEIBAUER DENTAL CARE PC FAMILY & COSMETIC DENTISTRY DENTAL ASSOC OF NORTHERN 9547-A Fairfax Blvd 9526-A Lee Hwy VA PLLC FAIRFAX Fairfax, VA 22031 Fairfax, VA 22031 9401 Lee Hwy #200 (703) 359-2879 (703) 934-9444 Fairfax, VA 22031 MURRAY, MALCOLM (703) 273-8111 MALCOLM J MURRAY DDS PC OSSAKOW, WILLIAM PHAN, THOAIVAN 3941 Old Lee Hwy ROTTER, MICHAEL Fairfax, VA 22030 SKINNER OSSAKOW & ASSOC PHAN THOAVIAN (703) 934-5540 DDS PC 12011 Lee Jackson Mem Hwy Ste DENTAL ASSOC OF NORTHERN 3903 Fair Ridge Dr #207 102A VA PLLC Fairfax, VA 22033 Fairfax, VA 22033 12011 Lee Jackson Hwy Ste105 NAGLE, JEREMY (703) 385-2772 (703) 766-1575 Fairfax, VA 22033 DAVID P SIBLEY DDS (703) 273-5354

3700 Joseph Siewick Dr Ste 307 PARTICIPATING PROVIDERS PAK, JUNG PIERCE, LAURA Fairfax, VA 22033 RUEDA, SANTIAGO (703) 715-9227 JUNG S PAK PIERCE & RYAN DENTISTRY 11001 Lee Hwy #A PLLC VA DENTAL GROUP PLLC Fairfax, VA 22030 13035 A Lee Jackson Memorial 3911 Old Lee Hwy Ste 42-C NALLURI, JATIN (703) 691-9740 Hwy Fairfax, VA 22030 NEIBAUER DENTAL CARE PC Fairfax, VA 22033 (703) 385-3800 9547-A Fairfax Blvd PANDAK, HILARY (703) 968-6956 Fairfax, VA 22031 RYAN, DANIELLE (703) 359-2879 FAMILY DENTISTRY 11208 Waples Mill Rd 101 PLATA, RAUL PIERCE & RYAN DENTISTRY Fairfax, VA 22030 PLATA RAUL E PLLC NAM, JOHNNY (703) 691-1511 8704 Lee Highway #103 13035 A Lee Jackson Memorial JOHNNY K NAM DDS PC Fairfax, VA 22031 Hwy 9561 Braddock Rd PAPP, RICHARD (703) 573-4455 Fairfax, VA 22033 Fairfax, VA 22032 (703) 968-6956 (703) 323-6500 RICHARD D PAPP DDS PC 3903 Fair Ridge Dr #214 RAMISETTY, CHETANA Fairfax, VA 22033 DENTAL SOLUTIONS OF SAGHIR, RIFFAT NGO, HOWARD (703) 263-9388 FAIRFAX DRS BERMAN & MILLER SMILES 4 FAIRFAX PLC 11211 Waples Mill Rd #300 9942 Main St 11351 Random Hills Rd #290 PARK, CHARLES Fairfax, VA 22030 Fairfax, VA 22031 Fairfax, VA 22030 (703) 865-7622 (703) 273-6622 (703) 865-6677 NATURAL HORIZON WELLNESS CENTER 11230 Waples Mill Rd #125 RAYEK, RIAZ SAREEN, DEEPTI NGUYEN, CHRISTINE Fairfax, VA 22030 RAYEK & ZIER DDS PLC SAREEN DENTAL CHRISTINE NGUYEN DDS (703) 246-9355 4210 Fairfax Corner West Ave Ste 4473 Market Commons Dr 3611B Chain Bridge Rd 220 Fairfax, VA 22033 Fairfax, VA 22030 PARK, JAMIE Fairfax, VA 22030 (703) 865-4488 (703) 378-1695 JAMIE PARK DDS (703) 222-3245 10680 Main St, Ste 150 RAYEK, RIAZ SAYEED, AFREEN NGUYEN, HIEU Fairfax, VA 22030 SMILES AT FAIRFAX CORNER AFREEN SAYEED DDS PLLC OPTIMAL HEALTH CENTER (703) 385-4569 4210 Fairfax Corner West Ave Ste. 11213 A Lee Hwy 8303 Arlington Blvd #107 #220 Fairfax, VA 22030 Fairfax, VA 22031 PATEL, KINJAL Fairfax, VA 22030 (703) 591-4111 (703) 573-1313 JAKLIN BEZIK & ASSOC PERIO & (703) 222-3245 IMP SCHECHT, WAYNE NGUYEN, LAN 11150 Fairfax Blvd Ste 301 RAYO, SAMUEL DENTAL ASSOC OF NORTHERN LAN NGUYEN DDS Fairfax, VA 22030 SAMUEL F RAYO DDS VA PLLC 9671-D Main Street (703) 934-4474 8303 Arlington Blvd Ste 103 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22031 Fairfax, VA 22031 Fairfax, VA 22033 (703) 503-5211 PHAM, ANH (703) 560-7200 (703) 273-5354 CHANTILLY GREEN DENTAL SCHECHT, WAYNE NGUYEN, TUAN CARE ROSENBLUM, STEPHEN DENTAL ASSOC OF NORTHERN TUAN NGUYEN DDS PC 13035 D Lee Jackson Mem Hwy DENTAL ASSOC OF NORTHERN VA PLLC 3077 Nutley St Fairfax, VA 22033 VA PLLC 9401 Lee Hwy #200 Fairfax, VA 22031 (703) 378-2466 12011 Lee Jackson Hwy Ste105 Fairfax, VA 22031 (703) 280-1100 Fairfax, VA 22033 (703) 273-8111 (703) 273-5354

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

SONG, MICHAEL TRAN, QUANG YALAMANCHILI, PADMAJA VIRGINIA (CONT'D) MICAHEL S SONG DDS PC FAMILY AND COSMETIC DR PADMAJA YALAMANCHILI 3975 Fair Ridge Dr Ste 301 N DENTISTRY 10875 Main Street FAIRFAX Fairfax, VA 22033 8626 Lee Hwy Ste 203 Fairfax, VA 22030 (703) 385-5455 Fairfax, VA 22031 (703) 591-4010 SELLERS, JOHN (703) 698-5155 JOHN G SELLERS JR DDS SOYFER, VLADIMIR YI, AMANDA 3879 Plaza Drive TRIVEDI, KALPANA Fairfax, VA 22030 AADA INC LEE PLAZA DENTAL (703) 691-9041 3930 Pender Dr #150 FAIRFAX DENTAL ASSOC PC 11725 Lee Hwy #A23 Fairfax, VA 22030 11166 Fairfax Blvd Ste 400 Fairfax, VA 22030 (703) 359-9080 Fairfax, VA 22030 (703) 293-6300 SHAAFI, MOJGAN (703) 691-3015 MOJGAN SHAAFI DDS PC ST LOUIS, STEPHEN YI, CHANG 3541 Chainbridge Rd #3 PARTICIPATING PROVIDERS TSAI, CHIH-PING Fairfax, VA 22030 STEPHEN C ST LOUIS FAIRFAX CORNER DENTAL (703) 273-3663 4001 Legato Rd Ste 203 NEIBAUER DENTAL CARE PC 4210 Fairfax Corner W Ave #225 Fairfax, VA 22033 9547-A Fairfax Blvd Fairfax, VA 22030 (703) 385-7177 Fairfax, VA 22031 (703) 222-2992 SHAFIEI, NIKKI (703) 359-2879 LETS SMILE OF FAIRFAX PLLC STRINGHAM, MATTHEW YI, TYLER 4210 Fairfax Corner West Ave TUMMARELLO, MARK Fairfax, VA 22030 WILLIAM R STRINGHAM DDS PC SUNRISE DENTAL (703) 424-7678 3545 Chain Bridge Rd #5 FAMILY DENTISTRY 8622 A Lee Highway Fairfax, VA 22030 11208 Waples Mill Rd 101 Fairfax, VA 22031 (703) 273-5545 Fairfax, VA 22030 (703) 876-4600 SHAREGHI, SHADI (703) 691-1511 SUNNY SMILES PEDIATRIC & STRINGHAM, MATTHEW YOON, JAE FAMILY DENTISTRY WILLIAM R STRINGHAM DDS PC VACCARO, THOMAS 3930 Pender Dr #250 3545 Chain Bridge Rd #5 JAE S YOON DDS PC Fairfax, VA 22030 Fairfax, VA 22030 THOMAS G VACCARO DDS PC 8300 Arlington Blvd #E2 (703) 865-5779 (703) 273-5545 11130 Fairfax Blvd #201 Fairfax, VA 22031 Fairfax, VA 22030 (703) 207-9077 (703) 591-1007 SHEWMAKER, DALE STRINGHAM, WILLIAM YOON, JANGYEUL DALE P SHEWMAKER DDS PC WILLIAM R STRINGHAM DDS PC VAMARAJU, BINDU 10623 Braddock Rd 3545 Chain Bridge Rd #5 JANGYEUL YOON DDS PC Fairfax, VA 22032 Fairfax, VA 22030 NEIBAUER DENTAL CARE PC 10807 Main St Ste 200 (703) 385-6960 (703) 273-5545 9547-A Fairfax Blvd Fairfax, VA 22030 Fairfax, VA 22031 (703) 261-6999 (703) 359-2879 SIBLEY, DAVID SUK, MINJEONG YOUNG, BRENDA DAVID P SIBLEY DDS MINJEONG SUK DDS PC VARGAS, LIDA 3700 Joseph Siewick Dr Ste 307 4001 Fair Ridge Dr Ste 105 BRENDA J YOUNG DDS PC Fairfax, VA 22033 Fairfax, VA 22033 VA DENTAL GROUP PLLC 8316 Arlington Blvd #226 (703) 715-9227 (703) 352-2810 3911 Old Lee Hwy Ste 42-C Fairfax, VA 22031 Fairfax, VA 22030 (703) 560-6301 (703) 385-3800 SIMANEK, MILAN SWEENEY, JOHN YOUNG, RAYMOND FAMILY DENTAL CARE JOHN J SWEENEY DDS LTD WALI, SOFIYA 10611 Judicial Dr 13035A Lee Jackson Hwy HOWARD HOFFMAN DDS PC Fairfax, VA 22030 Fairfax, VA 22033 SOFIYA WALI DDS II PC 9661 C Main Street (703) 385-0303 (703) 968-6956 8622-D Lee Hwy Fairfax, VA 22031 Fairfax, VA 22031 (703) 425-3737 (703) 663-8645 SINGH, GEETIKA TRAN, AN YU, FAN NEIBAUER DENTAL CARE PC FAMILY AND COSMETIC WANG, PENG 9547-A Fairfax Blvd DENTISTRY PREMIER DENTAL ARTS PLLC Fairfax, VA 22031 8626 Lee Hwy Ste 203 HOWARD HOFFMAN DDS PC 4001 Fair Ridge Dr #105 (703) 359-2879 Fairfax, VA 22031 9661 C Main Street Fairfax, VA 22033 (703) 698-5155 Fairfax, VA 22031 (703) 865-6276 (703) 425-3737 SONG, JANET ZHU, TINGTING JANET K SONG DDS TRAN, ANNAH WEAVER, YOLONDA 3915 Old Lee Hwy #22D FAIR LAKES FAMILY & TINGTING ZHU DMD LLC Fairfax, VA 22030 COSMETIC DENTISTRY FAIRFAX DENTAL CENTER 3613 Chain Bridge Rd #A (703) 385-1866 12110 Monument Dr Ste A 4000 Virginia St Fairfax, VA 22030 Fairfax, VA 22033 Fairfax, VA 22032 (703) 893-6680 (703) 273-4505 (703) 273-1443

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

PARK, JONATHAN SMITH, PETER KIM, CHRISTINE VIRGINIA (CONT'D) DRS ZUSSMAN SMITH DOLAN DRS ZUSSMAN SMITH DOLAN RAYEK & ZIER DDS PLC LANE & SILLOWAY LANE & SILLOWAY 4210 Fairfax Corner West Ave Ste FAIRFAX 3600 Joseph Siewick Dr 10530 Rosehaven St #111 220 Fairfax, VA 22033 Fairfax, VA 22030 Fairfax, VA 22030 ZIER, TARA (703) 352-1493 (703) 352-1493 (703) 222-3245 RAYEK & ZIER DDS PLC 4210 Fairfax Corner West Ave Ste SMITH, PETER RAMSEY, CYRUS LEE, JIM 220 DRS ZUSSMAN SMITH DOLAN Fairfax, VA 22030 DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY LETS SMILE OF FAIRFAX PLLC (703) 222-3245 LANE & SILLOWAY 3600 Joseph Siewick Dr 4210 Fairfax Corner West Ave 10530 Rosehaven St #111 Fairfax, VA 22033 Fairfax, VA 22030 Fairfax, VA 22030 (703) 352-1493 (703) 424-7678 ORAL SURGEON (703) 352-1493 PARTICIPATING PROVIDERS DOLAN, PATRICK RAMSEY, CYRUS THEBERGE, DANIEL LEE, SORA DRS ZUSSMAN SMITH DOLAN DRS ZUSSMAN SMITH DOLAN DRS ZUSSMAN SMITH DOLAN SORA LEE ORTHODONTICS LLC LANE & SILLOWAY LANE & SILLOWAY LANE & SILLOWAY 11351 Random Hills Rd Ste #102 10530 Rosehaven St #111 3600 Joseph Siewick Dr 10530 Rosehaven St #111 Fairfax, VA 22030 Fairfax, VA 22030 Fairfax, VA 22033 Fairfax, VA 22030 (703) 691-2221 (703) 352-1493 (703) 352-1493 (703) 352-1493 MCDONOUGH, JAMES DOLAN, PATRICK THEBERGE, DANIEL JAMES M MCDONOUGH DDS MS DRS ZUSSMAN SMITH DOLAN ROBERTSON, STEVEN DRS ZUSSMAN SMITH DOLAN 9508-B Lee Highway LANE & SILLOWAY DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY Fairfax, VA 22031 3600 Joseph Siewick Dr LANE & SILLOWAY 3600 Joseph Siewick Dr (703) 273-4085 Fairfax, VA 22033 10530 Rosehaven St #111 Fairfax, VA 22033 (703) 352-1493 Fairfax, VA 22030 (703) 352-1493 (703) 352-1493 METZDORF, DAVID DAVID METZDORF DORIOT, ROBERT ROBERTSON, STEVEN TRINH, HUY ORTHODONTIST PC ROBERT E DORIOT II DDS DRS ZUSSMAN SMITH DOLAN NORTHERN VIRGINIA CENTER 4001 Fair Ridge Dr 4211 Fairfax Corner Ave #235 LANE & SILLOWAY FOR ORAL FACIAL & IMPLANT Fairfax, VA 22033 Fairfax, VA 22030 3600 Joseph Siewick Dr SURGERY (703) 352-5222 (703) 449-8888 Fairfax, VA 22033 4211 Fairfax Corner East Ave #235 (703) 352-1493 Fairfax, VA 22030 LIU, FREDERICK (703) 449-8888 NGUYEN, NIKKI HOWARD HOFFMAN DDS PC DRS ZUSSMAN SMITH DOLAN SHAMI, IMAD 9661 C Main Street LANE & SILLOWAY ROBERT E DORIOT II DDS ORTHODONTIST Fairfax, VA 22031 10530 Rosehaven St #111 4211 Fairfax Corner Ave #235 (703) 425-3737 Fairfax, VA 22030 Fairfax, VA 22030 DJEU, GARRET (703) 352-1493 (703) 449-8888 GARRET DJEU DMD PC 10875 Main St Ste 106 PRYOR, DENNIS LIU, FREDERICK Fairfax, VA 22030 DENTAL ASSOC OF NORTHERN SHIN, THOMAS DRS ZUSSMAN SMITH DOLAN (703) 691-8388 VA PLLC TEEHO SPECIALTY GROUP LLC LANE & SILLOWAY 12011 Lee Jackson Hwy Ste105 10721 Main St Ste #300 3600 Joseph Siewick Dr Fairfax, VA 22033 Fairfax, VA 22030 FLEMING, HAROLD Fairfax, VA 22033 (703) 273-5354 (703) 352-1493 (703) 591-7000 JOHN HAN DDS PC 10614 Warwick Ave Ste B Fairfax, VA 22030 SINA, NAHID SILLOWAY, KIMBERLY LYN, TREVANN (703) 383-3434 MY BRACES DOCTOR PC DRS ZUSSMAN SMITH DOLAN DRS BERMAN & MILLER 3925 Old Lee Hwy #51C LANE & SILLOWAY 9942 Main St Fairfax, VA 22030 10530 Rosehaven St #111 GHATRI, ALI Fairfax, VA 22031 (703) 877-0990 (703) 273-6622 Fairfax, VA 22030 LETS SMILE OF FAIRFAX PLLC (703) 352-1493 4210 Fairfax Corner West Ave Fairfax, VA 22030 PEDIATRIC PARK, JONATHAN SILLOWAY, KIMBERLY (703) 424-7678 DENTIST/PEDODONTIST DRS ZUSSMAN SMITH DOLAN DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY COULTER, CHARLES LANE & SILLOWAY KIM, CHRISTINE 10530 Rosehaven St #111 3600 Joseph Siewick Dr DENTISTRY FOR CHILDREN OF JOHN HAN DDS PC Fairfax, VA 22030 Fairfax, VA 22033 VA LLC 10614 Warwick Ave Ste B (703) 352-1493 (703) 352-1493 10611 Braddock Rd Fairfax, VA 22030 Fairfax, VA 22032 (703) 383-3434 (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

WEISS, HILARY DIAZ, JENNIFER TRABOULSI, GEORGES VIRGINIA (CONT'D) DENTISTRY FOR CHILDREN OF JENNIFER H DIAZ DMD MC & SMILES AT FAIRFAX CORNER VA LLC ASSOC PC 4210 Fairfax Corner West Ave Ste. FAIRFAX 10611 Braddock Rd 9514-C Lee Highway #220 Fairfax, VA 22032 Fairfax, VA 22031 Fairfax, VA 22030 FONTES, FERNANDA (703) 745-5128 (703) 273-7144 (703) 222-3245 JOHN HAN DDS PC 10614 Warwick Ave Ste B FISHER, STEVEN ZAMAKHCHARI, MAI Fairfax, VA 22030 PERIODONTIST HOWARD HOFFMAN DDS PC (703) 383-3434 CHANTILLY GREEN DENTAL ABRIL, EDISON CARE 9661 C Main Street RBH PERIODONTICS & IMPLANT 13035 D Lee Jackson Mem Hwy Fairfax, VA 22031 GHALEHBAGHI, FARANAK DENTISTRY Fairfax, VA 22033 (703) 425-3737 FARANAK GHALEHBAGHI DDS 8301 Arlington Blvd #207 (703) 378-2466

10875 Main St. #105 Fairfax, VA 22031 PARTICIPATING PROVIDERS Fairfax, VA 22030 (703) 273-7144 PROSTHODONTIST KANG, TAEHEON (703) 352-4121 ABRIL, EDISON DEEP ROOTS PERIODONTICS CHOI, CHARLSON SUNRISE DENTAL PLLC PREMIER SMILES GHATAK, MONAMIE 8622 A Lee Highway 11130 Fairfax Blvd Ste 100 8316 Arlington Blvd Ste #218 LETS SMILE OF FAIRFAX PLLC Fairfax, VA 22031 Fairfax, VA 22030 Fairfax, VA 22031 4210 Fairfax Corner West Ave (703) 876-4600 (703) 865-5911 (703) 884-2414 Fairfax, VA 22030 (703) 424-7678 KANG, TAEHEON HAMALIAN, TECHKOUHIE BEZIK, JAKLIN VA DENTAL GROUP PLLC SMILES AT FAIRFAX CORNER JAKLIN BEZIK & ASSOC PERIO & 3911 Old Lee Hwy Ste 42-C HA, JENNY 4210 Fairfax Corner West Ave Ste. IMP Fairfax, VA 22030 JOHN HAN DDS PC #220 11150 Fairfax Blvd Ste 301 (703) 385-3800 10614 Warwick Ave Ste B Fairfax, VA 22030 Fairfax, VA 22030 Fairfax, VA 22030 (703) 934-4474 (703) 222-3245 (703) 383-3434 KOH, RICHARD CHANTILLY GREEN DENTAL KIM, DAVID CHEN, CLIFF CARE HAN, JOHN TEEHO SPECIALTY GROUP LLC SUNRISE DENTAL 13035 D Lee Jackson Mem Hwy JOHN HAN DDS PC 10721 Main St Ste #300 8622 A Lee Highway Fairfax, VA 22033 10614 Warwick Ave Ste B Fairfax, VA 22030 Fairfax, VA 22031 (703) 378-2466 Fairfax, VA 22030 (703) 876-4600 (703) 591-7000 (703) 383-3434 KOH, RICHARD CHOU, MELANIE NOVA FAMILY DENTISTRY PC KOH, PHILIP 9401 Lee Hwy Ste 204 LE, HAU HOWARD HOFFMAN DDS PC FAIRFAX PROSTHODONTICS & Fairfax, VA 22031 LETS SMILE OF FAIRFAX PLLC 9661 C Main Street DENTAL ASSOCIATES (703) 267-6103 4210 Fairfax Corner West Ave Fairfax, VA 22031 10721 Main St #100 Fairfax, VA 22030 (703) 425-3737 Fairfax, VA 22030 (703) 424-7678 LIN, THOMAS (703) 433-0234 CHOUDHARY, KHALID DRS BERMAN & MILLER 9942 Main St MADANI, SAMAN DENTAL ASSOC OF NORTHERN SPECIALTY NOT SPECIFIED Fairfax, VA 22031 SUNNY SMILES PEDIATRIC & VA PLLC (703) 273-6622 BAKER, JUSTIN FAMILY DENTISTRY 12011 Lee Jackson Hwy Ste105 DRS ZUSSMAN SMITH DOLAN 3930 Pender Dr #250 Fairfax, VA 22033 LANE & SILLOWAY Fairfax, VA 22030 (703) 273-5354 OH, DONGHA 10530 Rosehaven St #111 (703) 865-5779 NATURADENT PC Fairfax, VA 22030 CHOUDHARY, KHALID 9508-A Lee Hwy (703) 352-1493 RODRIGUEZ, CRISTELLE DENTAL ASSOC OF NORTHERN Fairfax, VA 22031 VA PLLC LETS SMILE OF FAIRFAX PLLC (703) 652-4265 9401 Lee Hwy #200 4210 Fairfax Corner West Ave HUR, JOHN Fairfax, VA 22031 DRS ZUSSMAN SMITH DOLAN Fairfax, VA 22030 SPERLING-HABOT, KEREN (703) 273-8111 LANE & SILLOWAY (703) 424-7678 CONTEMPORARY DENTISTRY 10530 Rosehaven St #111 OF VIRGINIA Fairfax, VA 22030 SHARIF, SHERRY DIAZ, JENNIFER 10525 Braddock Road #9A RBH PERIODONTICS & IMPLANT (703) 352-1493 SHOHREH SHARIF DDS PC Fairfax, VA 22032 DENTISTRY 3700 Joseph Siewick Dr #104 (703) 323-4626 8301 Arlington Blvd #207 FAIRFAX STATION Fairfax, VA 22033 Fairfax, VA 22031 (703) 620-9122 (703) 273-7144 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

PALMIERI, DAVID AHMAD, AMEERA ARIAN, BAHRAM VIRGINIA (CONT'D) DAVID PALMIERI DMD KOOL SMILES SMILE DENTAL CLINIC 7115 Leesburg Pike #309 6537 Arlington Blvd 3817-A S. George Mason Dr FAIRFAX STATION Falls Church, VA 22043 Falls Church, VA 22042 Falls Church, VA 22041 (703) 534-0330 (703) 536-2661 (703) 575-9700 LANZARO, PETER PETER J LANZARO DDS POLLOCK, RICHARD AHMAD, FARAH BALDERSON, CHELSEA 8918 Village Shops Dr Fairfax Station, VA 22039 DRS LEVIN LEFF & POLLOCK SMILE CENTER CLINIC OPTIMUM DENTAL (703) 690-0102 311 Park Ave #3 5645 Columbia Pike 7389 Lee Highway Ste 101 Falls Church, VA 22046 Falls Church, VA 22041 Falls Church, VA 22042 (703) 534-4884 (703) 379-1900 (703) 468-4437 LIN, SANDY FAIRFAX STATION DENTAL PORTELL, FRANK AHMAD, IMANEY BERRADA, SANAE 5616 G Ox Rd PARTICIPATING PROVIDERS Fairfax Station, VA 22039 DAVID PALMIERI DMD KOOL SMILES SANAE BOUALLALI BERRADA (703) 978-4746 7115 Leesburg Pike #309 6537 Arlington Blvd DDS PC Falls Church, VA 22043 Falls Church, VA 22042 7641 Leesburg Pike (703) 534-0330 (703) 536-2661 Falls Church, VA 22043 NOVICK, ROY (703) 821-8111 NOVICK ROY D DDS SALLEN, BRUCE ALHRASHI, FADI 5616 G Ox Road BOMAR, STEPHANIE Fairfax Station, VA 22039 DRS LEVIN LEFF & POLLOCK DR FADI ALHRASHI DDS PLLC (703) 978-4746 311 Park Ave #3 5659 Columbia Pike #100 DENTAL CENTER OF Falls Church, VA 22046 Falls Church, VA 22041 MERRIFIELD (703) 534-4884 (703) 417-9840 2841 Hartland Rd #202 TRAN, MINH-DUC Falls Church, VA 22043 PETER J LANZARO DDS SCHOENLY, NATHAN AL-KARAGHOLI, MUSTAFA (703) 663-8859 8918 Village Shops Dr Fairfax Station, VA 22039 DAVID PALMIERI DMD MERRIFIELD SMILES BOYCE, ALBERT (703) 690-0102 7115 Leesburg Pike #309 8190 Strawberry Lane #10 Falls Church, VA 22043 Falls Church, VA 22042 BOYCE ALBERT M (703) 534-0330 (703) 204-0050 313 Park Avenue #101 ZURMATI, FARID Falls Church, VA 22046 ZURMATI DENTAL CARE PLLC TOLBA, MOSTAFA AMOUHASHEM, PARVIN (703) 534-3177 9015 Silver Brook Rd #102 Fairfax Station, VA 22039 GROVE DENTAL CLINIC SMILE DENTAL CLINIC BUI, TUYEN (703) 646-5100 3400 Payne St Ste 101 3817-A S. George Mason Dr Falls Church, VA 22041 Falls Church, VA 22041 TUYEN Q BUI DMD MPH (703) 578-0000 (703) 575-9700 7297-G Lee Hwy FALLS CHURCH Falls Church, VA 22042 (703) 538-5500 ENDODONTIST YELAMANCHI, CHETAN ANANTHASEKAR, WEST BROAD DENTAL RAJALAKSHMI ASGHAR, IRFAN 800 W Broad St Ste 304 WEST FALLS CHURCH DENTAL BUTT, TEHREEM DRS LEVIN LEFF & POLLOCK Falls Church, VA 22046 7395 Lee Highway #F BROADWAY DENTAL ASSOC 311 Park Ave #3 (703) 237-3516 Falls Church, VA 22042 815 W Broad St Falls Church, VA 22046 (703) 641-8717 Falls Church, VA 22046 (703) 534-4884 (703) 533-8668 GENERAL DENTIST ANDERSON, JOSHUA ADAM-ELDIEN, ASHRAF DONGELL, DIANA RENOVA SMILES BUTTS, DAVID GROVE DENTAL CLINIC DAVID PALMIERI DMD 3701 S. George Mason Dr. #C7N DENTAL ASSOC OF NORTHERN 3400 Payne St Ste 101 7115 Leesburg Pike #309 Falls Church, VA 22041 VA PLLC Falls Church, VA 22041 Falls Church, VA 22043 (703) 998-8826 5113 Leesburg Pike #811 (703) 534-0330 (703) 578-0000 Falls Church, VA 22041 (703) 671-1020 ADAM-ELDIEN, ASHRAF APONTE, ALEXANDRA LEFF, GARY CARING DENTAL PC GENTLE TOUCH DENTAL PC DRS LEVIN LEFF & POLLOCK 6316 Castle Place #201 400 S Maple Ave #103 CHAUDHARI, UMA 311 Park Ave #3 Falls Church, VA 22044 Falls Church, VA 22046 GROVE DENTAL CLINIC Falls Church, VA 22046 (703) 237-7777 (703) 752-4253 3400 Payne St Ste 101 (703) 534-4884 Falls Church, VA 22041 (703) 578-0000 AGRAWAL, NITIN ARBABI, SHEILA NGUYEN, TU-QUYNH KOOL SMILES DENTAL ASSOC OF NORTHERN DRS LEVIN LEFF & POLLOCK 6537 Arlington Blvd VA PLLC CHAUDHRY, MAQSOOD 311 Park Ave #3 Falls Church, VA 22042 5113 Leesburg Pike #811 GROVE DENTAL CLINIC Falls Church, VA 22046 (703) 536-2661 Falls Church, VA 22041 3400 Payne St Ste 101 (703) 534-4884 (703) 671-1020 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

DAO, QUYEN EL-HAGE, BASSEM HIDALGO, MADELINE VIRGINIA (CONT'D) HEALTHY SMILES DENTAL BASSEM AHMED EL-HAGE DDS GENTLE TOUCH DENTAL PC 3000 Annandale Rd. #106 PC 400 S Maple Ave #103 FALLS CHURCH Falls Church, VA 22042 313 Park Avenue Ste G12 Falls Church, VA 22046 (703) 204-1771 Falls Church, VA 22046 (703) 752-4253 CHAUDHRY, MAQSOOD (703) 237-2932 BROADWAY DENTAL ASSOC DE VITO, JANICE HO, HIEP 815 W Broad St FISHMAN, EDWARD Falls Church, VA 22046 OPTIMUM DENTAL SEVEN CORNERS DENTAL (703) 533-8668 7389 Lee Hwy #101 DENTAL ASSOC OF NORTHERN CENTER PC Falls Church, VA 22042 VA PLLC 6079 Arlington Blvd (703) 876-4700 5113 Leesburg Pike #811 Falls Church, VA 22044 CHAUDHRY, SULTAN Falls Church, VA 22041 (703) 534-3331 GROVE DENTAL CLINIC DESIO, JOSEPH (703) 671-1020 3400 Payne St Ste 101 PARTICIPATING PROVIDERS HO, SYLVIE Falls Church, VA 22041 DRS HERRMANN AND DESIO PC FUCHS, STEVEN (703) 578-0000 510 N Washington St #301 AMAZING SMILES Falls Church, VA 22046 DENTAL ASSOC OF NORTHERN 444 West Broad St #D CHAUDHRY, SULTAN (703) 237-3131 VA PLLC Falls Church, VA 22046 BROADWAY DENTAL ASSOC 5113 Leesburg Pike #811 (703) 462-8800 815 W Broad St DO, THI Falls Church, VA 22041 Falls Church, VA 22046 THI H DO DDS PC (703) 671-1020 HOANG, LONG (703) 533-8668 6051-A Arlington Blvd LONG K HOANG DDS Falls Church, VA 22044 GHAMARY, GHAFOOR 6069 Arlington Blvd CHENNUPATI, NAVEEN (703) 237-2299 SKYLINE TOWERS DENTAL Falls Church, VA 22044 KOOL SMILES GROUP (703) 534-6600 6537 Arlington Blvd DOUGHERTY, WILLIAM 5601 Seminary Rd #3 Falls Church, VA 22042 WILLIAM DOUGHERTY III PLC Falls Church, VA 22041 HOWANITZ, JOAN (703) 536-2661 200 Little Falls #506 (703) 671-9311 DENTAL ASSOC OF NORTHERN Falls Church, VA 22046 VA PLLC CHIMATA, AMEENA (703) 532-3300 GREENSPAN, GARY 5113 Leesburg Pike #811 SMILE CENTER CLINIC DENTAL ASSOC OF NORTHERN Falls Church, VA 22041 5645 Columbia Pike DUCKETT, LAN VA PLLC (703) 671-1020 Falls Church, VA 22041 LAN D DUCKETT DDS PC 5113 Leesburg Pike #811 (703) 379-1900 101 West Broad St #510 Falls Church, VA 22041 IMAO, JOSEMARI Falls Church, VA 22046 (703) 671-1020 ANGEL HEART & SOM CHIN, CHARISSA (703) 241-5775 DENTISTRY SKYLINE TOWERS DENTAL GRIMM, QUYNH-ANH 2942 Patrick Henry Dr GROUP EDELBI, DINA ANH GRIMM DDS PC Falls Church, VA 22044 5601 Seminary Rd #3 DR DINA EDELBI DMD 2946 Sleepy Hollow Rd Ste 1-B (703) 533-8808 Falls Church, VA 22041 5659 Columbia Pike Ste 100 Falls Church, VA 22044 (703) 671-9311 Falls Church, VA 22041 (703) 534-6226 JALALI, MAHNAZ (703) 417-9840 GROVE DENTAL CLINIC CHU, OLIVER GROSSO, MICHAEL 3400 Payne St Ste 101 DENTAL CENTER OF EJTEMAI, NASTARAN MICHAEL E GROSSO Falls Church, VA 22041 MERRIFIELD NASTARAN EJTEMAI DDS & 2946 Sleepy Hollow Rd #2G (703) 578-0000 2841 Hartland Rd #202 ASSOCIATES PC Falls Church, VA 22044 Falls Church, VA 22043 7115 Leesburg Pike Ste 310 (703) 532-0072 JONES, ELIZABETH (703) 663-8859 Falls Church, VA 22043 ELIZABETH M JONES DDS PC (703) 237-6767 HASEEB, NOREEN 2843 Hartland Rd, Ste 100 DANESH, RABI GROVE DENTAL CLINIC Falls Church, VA 22043 EJTEMAI, NASTARAN BAILEYS CROSSROADS DENTAL 3400 Payne St Ste 101 (703) 573-0200 SERVICES NASTARAN EJTEMAI Falls Church, VA 22041 7115 Leesburg Pike #310 5622 Columbia Pike #103 (703) 578-0000 JONES, MIATA Falls Church, VA 22041 Falls Church, VA 22043 (703) 237-6767 COMFORT FIRST FAMILY (703) 347-9854 HERRMANN, HENRY DENTAL DRS HERRMANN AND DESIO PC 450 N Washington St #D EL QASEM, ASMAA DANG, LOAN 510 N Washington St #301 Falls Church, VA 22046 DANG LOAN GROVE DENTAL CLINIC Falls Church, VA 22046 (703) 538-2806 6404 J Seven Corners Pl 3400 Payne St Ste 101 (703) 237-3131 Falls Church, VA 22044 Falls Church, VA 22041 (703) 536-8864 (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 58 Delta Dental Premier

KONG, SAORY LEGUM, MARTY NAWAZ, MIRWEISS VIRGINIA (CONT'D) SAORY KONG DDS PC DENTAL ASSOC OF NORTHERN ALLIE & SELINA TRAN PC 6408 H Seven Corners Pl VA PLLC 6134 A Arlington Blvd #26-B FALLS CHURCH Falls Church, VA 22044 5113 Leesburg Pike #811 Falls Church, VA 22044 (703) 538-4570 Falls Church, VA 22041 (703) 237-4521 KANGARLOO, RAMINEH (703) 671-1020 GENTLE TOUCH DENTISTRY KONG, TEPY NGUYEN, HUNG FOR ALL AGES LEINER, ZACHARY 6521 Arlington Blvd Ste 112 TEPY V KONG DDS PC HUNG M NGUYEN DDS PC DENTAL ASSOC OF NORTHERN Falls Church, VA 22042 6408 Seven Corners Pl #4 7244 Arlington Blvd VA PLLC (703) 933-1121 Falls Church, VA 22044 Falls Church, VA 22042 (703) 538-4630 5113 Leesburg Pike #811 (703) 206-9202 Falls Church, VA 22041 KAUR, TARAN KUMRA, SHAWN (703) 671-1020 NGUYEN, PHUONG-MAI OPTIMUM DENTAL PARTICIPATING PROVIDERS 7389 Lee Hwy #101 MIRA DENTAL CARE PLLC BAN T VU DMD PC LOBO, MIGNONETTE Falls Church, VA 22042 5671 Columbia Pike Ste 101 6081 Arlington Boulevard MIGNONETTE LOBO INC (703) 876-4700 Falls Church, VA 22041 Falls Church, VA 22044 (703) 845-9090 6319 Castle Pl Ste 1A (703) 538-2282 Falls Church, VA 22044 KHALAF, ATHRA LAZOUR, JAMES (703) 536-4900 NGUYEN, QUOC GROVE DENTAL CLINIC 3400 Payne St Ste 101 LAZOUR JAMES R NGUYEN & ASSOCIATES LONGAUER, EARL Falls Church, VA 22041 6319 Castle Place #1B DENTAL PC EJ LONGAUER DDS PC (703) 578-0000 Falls Church, VA 22044 2901 Telestar Ct #120 (703) 536-8800 6231 Leesburg Pk Ste 304 Falls Church, VA 22042 Falls Church, VA 22044 (703) 992-0708 KHAN, RIFHAT LE, HANG (703) 533-8200 GROVE DENTAL CLINIC NGUYEN, TRAN 3400 Payne St Ste 101 DENTAL CENTER OF LYAZIDI, AICHA Falls Church, VA 22041 MERRIFIELD NGUYEN TRAN-YEN-PHONG AMERICAN DENTAL CARE INC (703) 578-0000 2841 Hartland Rd #202 DMD PC Falls Church, VA 22043 105 North Virginia Ave #103/105 7297-D Lee Highway (703) 663-8859 Falls Church, VA 22046 Falls Church, VA 22042 KHATTAB, SAMER (703) 533-7286 (703) 536-9886 MERRIFIELD SMILES LE, TRUNG 8190 Strawberry Lane #10 MATIAS, THIAGO NGUYEN, VU Falls Church, VA 22042 ALLIE & SELINA TRAN PC KOOL SMILES (703) 204-0050 6134 A Arlington Blvd #26-B GENTLE TOUCH DENTAL PC Falls Church, VA 22044 6537 Arlington Blvd 400 S Maple Ave #103 (703) 237-4521 Falls Church, VA 22042 Falls Church, VA 22046 KHATTAK, FARIDA (703) 536-2661 (703) 752-4253 DYNAMIC DENTAL PC LE, YEN 159 Hillwood Ave MOGHARBEL, TAREK NIETO, JOHANA Falls Church, VA 22046 SLEEPY HOLLOW DENTAL PLLC MIRA DENTAL CARE PLLC (703) 531-0010 2946 Sleepy Hollow Rd #1B 7 WEST BROAD DENTAL Corners Med Art Bld 5671 Columbia Pike Ste 101 800 W Broad St Ste 304 KHATTAK, FARIDA Falls Church, VA 22044 Falls Church, VA 22041 Falls Church, VA 22046 GROVE DENTAL CLINIC (703) 534-6226 (703) 845-9090 (703) 237-3516 3400 Payne St Ste 101 Falls Church, VA 22041 LEBONITTE, ROBERT MOLLER, JAMES OCHANA, LAILA (703) 578-0000 DENTAL ASSOC OF NORTHERN SEIGEL & MOLLER GROVE DENTAL CLINIC KHATTAK, FARIDA VA PLLC 7641 Leesburg Pike 3400 Payne St Ste 101 BROADWAY DENTAL ASSOC 5113 Leesburg Pike #811 Falls Church, VA 22044 Falls Church, VA 22041 815 W Broad St Falls Church, VA 22041 (703) 821-8111 (703) 578-0000 Falls Church, VA 22046 (703) 671-1020 (703) 533-8668 NASSAR, FADWA O'DONNELL, DAVID LEE, VINCENT FALLS CHURCH KOOL SMILES KIANIMANESH, ANITA DR VINCENT LEE COMPREHENSIVE FAMILY 6537 Arlington Blvd ANITA KIANIMANSEH DMD INC 5881 Leesburg Pike #502 DENTISTRY Falls Church, VA 22042 5205 Leesburg Pike # 1406 Falls Church, VA 22041 6400 Arlington Blvd #944 (703) 536-2661 Falls Church, VA 22041 (703) 820-4646 Falls Church, VA 22042 (703) 998-4244 (703) 534-7900 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

PHAM, MINH SABA, LEILA SHROFF, AMISHA VIRGINIA (CONT'D) PHAM HUU MINH DDS PC FALLS CHURCH DENTAL CARE APT DENTAL ASSOC PC 6400 A Seven Corners Pl 7115 Leesburg Pike Ste 205 7115 Leesburg Pike Ste 216 FALLS CHURCH Falls Church, VA 22044 Falls Church, VA 22043 Falls Church, VA 22043 (703) 538-5010 (703) 534-3444 (703) 532-4400 OVCHARENKO, VLADYSLAV YOUR FAMILY DENTIST PHAM, THANG SALUMBIDES, JOSEPHINE SIDOR, ANNA 5666 Columbia Pike #A Falls Church, VA 22041 ALL SMILES DENTAL OF FALLS GENTLE TOUCH DENTAL PC DRS LEVIN LEFF & POLLOCK (703) 417-9622 CHURCH PLLC 400 S Maple Ave #103 311 Park Ave #3 6400-K Seven Corners Pl Falls Church, VA 22046 Falls Church, VA 22046 Falls Church, VA 22044 (703) 752-4253 (703) 534-4884 PAESANI, MICHAEL (703) 237-7820 FALLS CHURCH SMILE CENTER SAPPERSTEIN, EVAN SOLEMANINEJAD, HOMAN 200 Little Falls St Ste 101 PARTICIPATING PROVIDERS PHILLIPS, SARAH Falls Church, VA 22046 ARLINGTON DENTAL ARLINGTON DENTAL CARE PLLC (703) 237-7725 KOOL SMILES ASSOCIATES PLC 6060 Arlington Blvd 6537 Arlington Blvd 200 Little Falls St #201-B Falls Church, VA 22044 Falls Church, VA 22042 Falls Church, VA 22046 (703) 237-0060 PANDHER, RAMONA (703) 536-2661 (703) 534-1222 KOOL SMILES STEINBACH, BORIS 6537 Arlington Blvd POOLE, ADAM SARRAJ, ALI Falls Church, VA 22042 BORIS J STEINBACH DDS PC (703) 536-2661 KOOL SMILES ALI SARRAJ DMD & ASSOC PC 5881 Leesburg Pike #505 6537 Arlington Blvd 932 W Broad St Falls Church, VA 22041 Falls Church, VA 22042 Falls Church, VA 22046 (703) 820-6150 PATEL, NIMISHA (703) 536-2661 (703) 534-9200 NIMISHA V PATEL DDS PLC STEWART, JENNIFER 7115 Leesburg Pike Ste 320 PUNAJI, SOWMYA SAYEED, AFREEN Falls Church, VA 22043 DENTAL CENTER OF (703) 533-1733 OPTIMUM DENTAL GROVE DENTAL CLINIC MERRIFIELD 7389 Lee Hwy #101 3400 Payne St Ste 101 2841 Hartland Rd #202 Falls Church, VA 22042 Falls Church, VA 22041 Falls Church, VA 22043 PEEBLES, REBECCA (703) 876-4700 (703) 578-0000 (703) 663-8859 WEST FALLS CHURCH DENTAL 7395 Lee Highway #F SAYEED, AFREEN QIU, KENNETH TAHMASEBI-BOLDAJI, JILA Falls Church, VA 22042 KOOL SMILES (703) 641-8717 DENTAL CENTER OF 6537 Arlington Blvd SKYLINE TOWERS DENTAL MERRIFIELD Falls Church, VA 22042 GROUP 2841 Hartland Rd #202 (703) 536-2661 5601 Seminary Rd #3 PEYSER, BRIAN Falls Church, VA 22043 Falls Church, VA 22041 RICHARD A PEYSER DDS PC (703) 663-8859 (703) 671-9311 2251 Pimmit Dr. Ste. C-4 SCHECHT, WAYNE Falls Church, VA 22043 DENTAL ASSOC OF NORTHERN RIZKALLA, ADEL TEMBURNI, AMARJEET (703) 893-3333 VA PLLC ADEL RIZKALLA DDS 5113 Leesburg Pike #811 BANAJI PEDIATRIC DENTAL 3100 S Manchester St #T4 SPECIALISTS PEYSER, RICHARD Falls Church, VA 22041 Falls Church, VA 22044 (703) 671-1020 2843 Hartland Rd #200 RICHARD A PEYSER DDS PC (703) 671-2222 Falls Church, VA 22043 2251 Pimmit Dr. Ste. C-4 (703) 849-1300 Falls Church, VA 22043 SEIGEL, HAROLD ROSENBLUM, STEPHEN (703) 893-3333 SANAE BOUALLALI BERRADA TEMBURNI, AMARJEET DENTAL ASSOC OF NORTHERN DDS PC AMARJEET TEMBURNI VA PLLC PHAM, JENNIFER 7641 Leesburg Pike 2843 Hartland Rd Ste 250 5113 Leesburg Pike #811 Falls Church, VA 22043 Falls Church, VA 22043 TEPY V KONG DDS PC Falls Church, VA 22041 (703) 821-8111 (703) 676-3690 6408 Seven Corners Pl #4 (703) 671-1020 Falls Church, VA 22044 SEIGEL, HAROLD (703) 538-4630 TRAN, ALLIE ROTTER, MICHAEL SEIGEL & MOLLER 7641 Leesburg Pike ALLIE & SELINA TRAN PC DENTAL ASSOC OF NORTHERN PHAM, LONG Falls Church, VA 22044 6134 A Arlington Blvd #26-B VA PLLC Falls Church, VA 22044 ALL SMILES DENTAL OF FALLS (703) 821-8111 5113 Leesburg Pike #811 (703) 237-4521 CHURCH PLLC Falls Church, VA 22041 6400-K Seven Corners Pl (703) 671-1020 SHAFIEI, NIKKI Falls Church, VA 22044 DEEPAK S KAKAR DDS INC TRAN, HOANG-OANH (703) 237-7820 7115 Leesburg Pike #210-212 ALLIE & SELINA TRAN PC Falls Church, VA 22043 6134 A Arlington Blvd #26-B (703) 534-1611 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

WRYTER, JULIET ORTHODONTIST LEE, DAN VIRGINIA (CONT'D) KOOL SMILES GROVE DENTAL CLINIC 6537 Arlington Blvd BERMAN, SCOTT 3400 Payne St Ste 101 FALLS CHURCH Falls Church, VA 22042 BERMAN & LEE ORTHODONTICS Falls Church, VA 22041 (703) 536-2661 INC (703) 578-0000 TRAN, MINH-DUC 311 Park Ave. TEPY V KONG DDS PC Falls Church, VA 22046 ZUBAIRI, SADIA LEE, EDWIN 6408 Seven Corners Pl #4 (703) 241-9191 Falls Church, VA 22044 DENTAL CENTER OF BERMAN & LEE ORTHODONTICS (703) 538-4630 MERRIFIELD INC 2841 Hartland Rd #202 BYRD, RICHARD 311 Park Ave. Falls Church, VA 22043 DEEPAK S KAKAR DDS INC Falls Church, VA 22046 TRAN, VINH (703) 663-8859 7115 Leesburg Pike #210-212 (703) 241-9191 VINH XUAN TRAN DDS PC Falls Church, VA 22043

6329 Arlington Blvd Ste C (703) 534-1611 PARTICIPATING PROVIDERS MARQUEZ, RHINA Falls Church, VA 22044 ORAL SURGEON (703) 237-6703 THE POTOMAC CENTER OF ARMANIOUS, MARK CHANG, JU-HAN ORTHODONTICS WHISTON PATTERSON & ACE ORTHODONTICS 3705 S George Mason Dr #C7S TRIEU, HAI CORCOCORAN 2841 Hartland Rd Ste #302 Falls Church, VA 22041 TRUE SMILE 6400 Arlington Blvd Plaza 1 Lobby Falls Church, VA 22043 (703) 820-1011 7255 Arlington Blvd Level (703) 560-3745 Falls Church, VA 22042 Falls Church, VA 22042 PRYOR, DENNIS (703) 663-8759 (703) 534-6500 FELDMAN, IRWIN DENTAL ASSOC OF NORTHERN IRWIN S FELDMAN DDS LTD VA PLLC TRUONG, THANH HUONG CORCORAN, THEODORE 313 Park Ave Ste 1 5113 Leesburg Pike #811 RT 7 & PATRICK HENRY DENTAL WHISTON PATTERSON & Falls Church, VA 22046 Falls Church, VA 22041 CARE CORCOCORAN (703) 534-3730 (703) 671-1020 6201 Leesburg Pk #401 6400 Arlington Blvd Plaza 1 Lobby Falls Church, VA 22044 Level FELDMAN, SETH STANG, CHRISTINE (703) 533-3960 Falls Church, VA 22042 IRWIN S FELDMAN DDS LTD OASIS PEDIATRIC DENTAL CARE (703) 534-6500 313 Park Ave Ste 1 800 W Broad St #307 TUNG, PARIANA Falls Church, VA 22046 Falls Church, VA 22046 GROVE DENTAL CLINIC COVIELLO, VINCENT (703) 534-3730 (703) 854-1710 3400 Payne St Ste 101 COVIELLO ORAL SURGERY P C Falls Church, VA 22041 2843 Hartland Rd Ste 150 FLEMING, HAROLD TRAN, JADE (703) 578-0000 Falls Church, VA 22043 FLEMING HAROLD A GENTLE TOUCH DENTAL PC (703) 639-0027 2959 Sleepy Hollow Rd 400 S Maple Ave #103 URBAN, DAVID Falls Church, VA 22044 Falls Church, VA 22046 DAVID W URBAN DDS PC GREGORY, EUGENE (703) 534-8711 (703) 752-4253 313 Park Avenue #305 EUGENE W GREGORY DDS Falls Church, VA 22046 6231 Leesburg Pike #402 FRANKENBERRY, ANISHKA PEDIATRIC (703) 532-1712 Falls Church, VA 22044 SKYLINE TOWERS DENTAL DENTIST/PEDODONTIST (703) 534-2744 GROUP VALLTOS, RACHAEL 5601 Seminary Rd #3 BANAJI, GIRISH ARLINGTON DENTAL IYER, MALINI Falls Church, VA 22041 BANAJI PEDIATRIC DENTAL ASSOCIATES PLC COVIELLO ORAL SURGERY P C (703) 671-9311 SPECIALISTS 200 Little Falls St #201-B 2843 Hartland Rd Ste 150 2843 Hartland Rd #200 Falls Church, VA 22046 Falls Church, VA 22043 KERMANSHI, SHIVA Falls Church, VA 22043 (703) 534-1222 (703) 639-0027 ARLINGTON DENTAL CARE PLLC (703) 849-1300 6060 Arlington Blvd WAQAR, RUKHSANA PATTERSON, TRAVIS Falls Church, VA 22044 GALLIANI-ALVAREZ, MIRTHA GROVE DENTAL CLINIC WHISTON PATTERSON & (703) 237-0060 LITTLE SMILES OF NORTHERN 3400 Payne St Ste 101 CORCOCORAN VIRGINIA PLLC Falls Church, VA 22041 6400 Arlington Blvd Plaza 1 Lobby LEE, DAN 80E Jefferson St Ste 400B (703) 578-0000 Level MERRIFIELD ORTHODONTICS Falls Church, VA 22046 Falls Church, VA 22042 PLLC (703) 241-5437 WOO, GENE (703) 534-6500 2843 Hartland Rd #100 GENE Y WOO DDS PC Falls Church, VA 22043 GHATAK, MONAMIE 6400-E Seven Corners Pla PHAM, ANH (703) 573-0200 BANAJI PEDIATRIC DENTAL Falls Church, VA 22044 PHAM HUU MINH DDS PC SPECIALISTS (703) 237-0322 6400 A Seven Corners Pl 2843 Hartland Rd #200 Falls Church, VA 22044 Falls Church, VA 22043 (703) 538-5010 (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

ABRIL, EDISON PHISUTHIKUL, NORACHAI VIRGINIA (CONT'D) WEST BROAD DENTAL DRS LEVIN LEFF & POLLOCK MARSHALL, TIMOTHY 800 W Broad St Ste 304 311 Park Ave #3 TIMOTHY D MARSHALL DDS FALLS CHURCH Falls Church, VA 22046 Falls Church, VA 22046 PLLC (703) 237-3516 (703) 534-4884 420 East 3Rd St GICHANA, ROSELYNE Farmville, VA 23901 FALLS CHURCH PEDIATRIC (434) 395-1228 AL-JOBURI, WESAM DENTAL CENTER PROSTHODONTIST 6400 Arlington Blvd #80 GROVE DENTAL CLINIC 3400 Payne St Ste 101 CHRISOPOULOS, FOTINI PEROUTKA, JOHN Falls Church, VA 22042 DENTAL CENTER OF MICHAEL E KRONE DDS & (571) 296-1669 Falls Church, VA 22041 (703) 578-0000 MERRIFIELD ASSOC 2841 Hartland Rd #202 115 N Va Street KAKAR, DEEPAK Falls Church, VA 22043 Farmville, VA 23901 CARLOS, FRANCISCO DEEPAK S KAKAR DDS INC (703) 663-8859 (434) 391-1211 PARTICIPATING PROVIDERS 7115 Leesburg Pike #210-212 A GARRETT GOULDIN 103 West Broad St #601 Falls Church, VA 22043 OSHEA, MICHAEL STEPHENS, JAMES (703) 534-1611 Falls Church, VA 22046 (703) 534-1766 MICHAEL J OSHEA DDS JAMES R STEPHENS DDS 3701 S George Mason Dr #C7N 201 A Street KIM, SUNGHEE Falls Church, VA 22041 Farmville, VA 23901 CHOUDHARY, KHALID BANAJI PEDIATRIC DENTAL (703) 998-8826 (434) 392-4021 SPECIALISTS DENTAL ASSOC OF NORTHERN 2843 Hartland Rd #200 VA PLLC SPECIALTY NOT SPECIFIED ORAL SURGEON Falls Church, VA 22043 5113 Leesburg Pike #811 Falls Church, VA 22041 (703) 849-1300 LE, BAO-QUYEN CARVAJAL, WILLIAM (703) 671-1020 KOOL SMILES CENTRAL VA ORAL & FACIAL LE, HAU 6537 Arlington Blvd SURGERY CHRISTOPHER, LOURDES DEEPAK S KAKAR DDS INC Falls Church, VA 22042 1509 West Third St #203 7115 Leesburg Pike #210-212 L A CHRISTOPHER DDS MS & M (703) 536-2661 Farmville, VA 23901 Falls Church, VA 22043 FAVAGEHI DDS MS PLLC (434) 394-2329 313 Park Avenue Suite 103 (703) 534-1611 VU, BAO Falls Church, VA 22046 BAO T VU DDS MDS CHALK, EVAN (703) 237-3700 MERDAD, HISHAM 6081 Arlington Blvd CENTRAL VA ORAL & FACIAL KOOL SMILES Falls Church, VA 22044 SURGERY FAVAGEHI, MEHRDAD 6537 Arlington Blvd (703) 532-4949 1509 West Third St #203 Falls Church, VA 22042 L A CHRISTOPHER DDS MS & M Farmville, VA 23901 (703) 536-2661 FAVAGEHI DDS MS PLLC FARMVILLE (434) 394-2329 313 Park Avenue Suite 103 Falls Church, VA 22046 GENERAL DENTIST PINCH, JOHN PHAETON, NATHALIE (703) 237-3700 CENTRAL VA ORAL & FACIAL OASIS PEDIATRIC DENTAL CARE ADKINS, CHARLES SURGERY 800 W Broad St #307 CHARLES E ADKINS JR DDS IJADI, MEHRDAD 1509 West Third St #203 Falls Church, VA 22046 PLLC ANITA KIANIMANSEH DMD INC Farmville, VA 23901 (703) 854-1710 707 W Third St 5205 Leesburg Pike # 1406 (434) 394-2329 Falls Church, VA 22041 Farmville, VA 23901 RAZDAN, SHINJNI (703) 998-4244 (434) 391-3399 BANAJI PEDIATRIC DENTAL PEDIATRIC SPECIALISTS DENTIST/PEDODONTIST KOH, RICHARD BURRELL, MELVIN 2843 Hartland Rd #200 LAN D DUCKETT DDS PC MELVIN BURRELL DDS ZIMA, ANDREW Falls Church, VA 22043 101 South Bridge St (703) 849-1300 101 West Broad St #510 FARMVILLE PEDIATRIC Falls Church, VA 22046 Farmville, VA 23901 DENTISTRY (703) 241-5775 (434) 395-1041 201 A Street VATANKA, HEIDI Farmville, VA 23901 KOH, RICHARD BANAJI PEDIATRIC DENTAL JOHNSON, ANDREW (434) 808-1657 TRUE SMILE SPECIALISTS ANDREW P JOHNSON DDS PC 2843 Hartland Rd #200 7255 Arlington Blvd 1707 E Third St FISHERSVILLE Falls Church, VA 22042 Falls Church, VA 22043 Farmville, VA 23901 (703) 849-1300 (703) 663-8759 (434) 392-8185 ENDODONTIST HERRING, CAROLYN PERIODONTIST MIRANDA, RUBEN KRONE, MICHAEL GROVE DENTAL CLINIC CAROLYN C HERRING MICHAEL E KRONE DDS & 3400 Payne St Ste 101 9 Pinnacle Dr Ste #101 ASSOC Falls Church, VA 22041 Fishersville, VA 22939 115 N Va Street (703) 578-0000 (540) 886-0531 Farmville, VA 23901 (434) 391-1211

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

ROWE, SAMUEL BURGOYNE, COREY ROBERTS, CAROLE VIRGINIA (CONT'D) SAMUEL F ROWE DDS BLUE RIDGE ORAL SURGERY LIBBEY FAMILY DENTISTRY INC 9 Pinnacle Dr Ste #A01 INC 206 Enterprise Dr FISHERSVILLE Fishersville, VA 22939 54 S Medical Park Dr Forest, VA 24551 (540) 866-5371 Fishersville, VA 22939 (434) 316-9090 GENERAL DENTIST (540) 886-2956 COLLINS, ELIZABETH SALZBERG, ADAM SCHANDORFF, MARK AUGUSTA REGIONAL CLINIC AUGUSTA DENTAL FLOYD GARLAND G GENTRY DDS PC 342 Mule Academy Rd 41 S Medical Park Dr 1045 Thomas Jefferson Rd Ste 2A Fishersville, VA 22939 Fishersville, VA 22939 GENERAL DENTIST Forest, VA 24551 (540) 332-5619 (540) 885-4589 CONDUFF, JOSEPH (434) 316-6050 COLLINS, ELIZABETH CONDUFF JOSEPH H JR SCHULZ, ALBERT WHEELER, KYLE AUGUSTA REGIONAL DENTAL 103 W. Main Street PARTICIPATING PROVIDERS AUGUSTA REGIONAL CLINIC KYLE W WHEELER DDS PC CLINIC INC Floyd, VA 24091 342 Mule Academy Rd 1084 Thomas Jefferson Rd #5 342 Mule Academy Rd (540) 745-4171 Fishersville, VA 22939 Forest, VA 24551 Fishersville, VA 22939 (540) 332-5619 (434) 385-6398 (540) 332-5619 FRENCH, CHARLES SCHULZ, ALBERT NORA M FRENCH DMD LTD GOODWIN, WILLIAM AUGUSTA REGIONAL DENTAL 201 E Main St #12 ORTHODONTIST Floyd, VA 24091 BLUE RIDGE ORAL SURGERY CLINIC INC PRILLAMAN, WILLIAM 342 Mule Academy Rd (540) 745-4902 INC ORTHODONTIC ARTS Fishersville, VA 22939 54 S Medical Park Dr 306 Brook Park Pl (540) 332-5619 FOREST Fishersville, VA 22939 Forest, VA 24551 (540) 886-2956 (434) 385-4499 SPILLERS, RONALD GENERAL DENTIST HAMMOCK, MARK AUGUSTA REGIONAL CLINIC CLAIBORNE, SHANE STERNE, RICHARD 342 Mule Academy Rd MARK A HAMMOCK LTD SHANE R CLAIBORNE DDS PLLC ORTHODONTIC ARTS Fishersville, VA 22939 49 Tinkling Spring Rd 16862 Forest Rd 306 Brook Park Pl (540) 332-5619 Fishersville, VA 22939 Forest, VA 24551 Forest, VA 24551 (540) 942-9013 SPILLERS, RONALD (434) 944-9763 (434) 385-4499 AUGUSTA REGIONAL DENTAL LACY, JOHN CLINIC INC EVANS, DALE FRANCONIA AUGUSTA REGIONAL CLINIC 342 Mule Academy Rd DALE C EVANS DDS PC 342 Mule Academy Rd Fishersville, VA 22939 18042 Forest Rd GENERAL DENTIST Fishersville, VA 22939 (540) 332-5619 Forest, VA 24551 (540) 332-5619 (434) 385-6505 PISCIOTTA, DOMINICK DOMINICK J PISCIOTTA TAYLOR, EMERY LACY, JOHN 6408 Grovedale Dr #100 AUGUSTA REGIONAL DENTAL JAMES W WILLIS II DDS PLC GENTRY, GARLAND Franconia, VA 22315 CLINIC INC 41 South Medical Park Dr GARLAND G GENTRY DDS PC (703) 313-0404 342 Mule Academy Rd Fishersville, VA 22939 1045 Thomas Jefferson Rd Ste 2A Fishersville, VA 22939 (540) 885-4611 Forest, VA 24551 FRANKLIN (540) 332-5619 (434) 316-6050 WILLIS, JAMES GENERAL DENTIST LAMAY, ASHLEY JAMES W WILLIS II DDS PLC KING, CHRISTOPHER SAMUEL F ROWE DDS 41 South Medical Park Dr ADVANCED CLINICAL KNIGHT, ERNEST 9 Pinnacle Dr Ste #A01 Fishersville, VA 22939 DENTISTRY ERNEST L KNIGHT DDS Fishersville, VA 22939 (540) 885-4611 1835 Graves Mill Rd #2 931-C Armory Dr (540) 866-5371 Forest, VA 24551 Franklin, VA 23851 (757) 562-4320 ORAL SURGEON (434) 316-9220 O'BRIEN, KEITH BRANDT, MATTHEW KEITH S OBRIEN DMD PC LIBBEY, ANNE KOONTZ, GREGORY 9 Pinnacle Dr Ste 103 BLUE RIDGE ORAL SURGERY LIBBEY FAMILY DENTISTRY INC THORNTON KOONTZ & Fishersville, VA 22939 INC 206 Enterprise Dr SPALDING PLC (540) 885-1500 54 S Medical Park Dr Forest, VA 24551 1301 Armory Drive Fishersville, VA 22939 (434) 316-9090 Franklin, VA 23851 (540) 886-2956 (757) 562-2165 PODBESEK, BRIAN JAMES W WILLIS II DDS PLC LIBBEY, CHRISTOPHER 41 South Medical Park Dr LIBBEY FAMILY DENTISTRY INC Fishersville, VA 22939 206 Enterprise Dr (540) 885-4611 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

SAVAGE, DENNIS HEBERTSON, MARK VIRGINIA (CONT'D) FRANKTOWN COMMUNITY MARK HEBERTSON DDS PC ANDERSON, JOSHUA HEALTH CENTER 3504 Plank Rd Ste 301 SASAN AHMADIYAR DDS & FRANKLIN 9159 Franktown Rd Fredericksburg, VA 22407 ASSOC Franktown, VA 23354 (540) 785-8877 10608 Leavells Rd RUFFIN, WYATT (757) 442-4819 Fredericksburg, VA 22407 NANSEMOND SUFFOLK ORAL (540) 710-6000 CARE LIEWEHR, FREDERICK SHELLEY, STEPHANIE R DAVID PAGAN DMD PC 1200 Armory Dr #E ARAFA, MOHAMED Franklin, VA 23851 FRANKTOWN COMMUNITY 4224 Plank Rd ADVANCED DENTAL CARE OF (757) 562-4885 HEALTH CENTER Fredericksburg, VA 22407 9159 Franktown Rd (540) 785-7545 FREDERICKSBURG PC Franktown, VA 23354 10524 Spotsylvania Ave # 104 SPALDING, HARRY Fredericksburg, VA 22408 (757) 442-4819 PAGAN, ROBERT THORNTON KOONTZ & (540) 891-9911 PARTICIPATING PROVIDERS SPALDING PLC R DAVID PAGAN DMD PC SORIN, MARK 4224 Plank Rd 1301 Armory Drive ARVAN, NICKOLAS Franklin, VA 23851 FRANKTOWN COMMUNITY Fredericksburg, VA 22407 NICKOLAS C ARVAN DDS PLC (757) 562-2165 HEALTH CENTER (540) 785-7545 9159 Franktown Rd 11111 Leavells Rd Franktown, VA 23354 Fredericksburg, VA 22407 GENERAL DENTIST THOMPSON, HARVEY (757) 442-4819 (540) 898-1747 HARVEY K THOMPSON DDS AFSAHI, ARAM 500 N Main St FREDERICKSBURG PEDIATRIC & AWADZI, GERALD Franklin, VA 23851 WOLPIN, SCOTT COSMETIC DENTISTRY NEIBAUER DENTAL CARE PC (757) 562-5156 FRANKTOWN COMMUNITY HEALTH CENTER 4300 Plank Rd Ste 230 5630 Plank Rd 9159 Franktown Rd Fredericksburg, VA 22407 Fredericksburg, VA 22407 THORNTON, WILLIAM Franktown, VA 23354 (540) 785-5300 (540) 548-3602 THORNTON KOONTZ & (757) 442-4819 AFSAHI, ARAM SPALDING PLC BAILEY, DAVINA 1301 Armory Drive ARAM ADAM AFSAHI FREDERICKSBG KOOL SMILES VAN PC Franklin, VA 23851 4300 Plank Rd #230 3533 Plank Rd (757) 562-2165 Fredericksburg, VA 22407 GENERAL DENTIST (540) 785-5300 Fredericksburg, VA 22407 (540) 736-4949 FRANKTOWN COX, GREGORY DOCTORS GREGORY R COX & AGRAWAL, NITIN BAILEY, RYAN GENERAL DENTIST SHERRY L WILKERSON COX PC KOOL SMILES VAN PC RYAN BAILEY DDS PLLC 410 Chatham Square Office Park 3533 Plank Rd 10705 Courthouse Rd Ste 118 GRIGGS, EDWARD Fredericksbg, VA 22405 Fredericksburg, VA 22407 Fredericksburg, VA 22407 FRANKTOWN COMMUNITY (540) 373-5825 (540) 736-4949 HEALTH CENTER (540) 369-4949 9159 Franktown Rd AHMADIYAR, SASAN Franktown, VA 23354 ORTHODONTIST SASAN AHMADIYAR DDS & BALIAN, ALEXANDER (757) 442-4819 WILKERSON-COX, SHERRI ASSOC ALEXANDER H BALIAN DDS PC DOCTORS GREGORY R COX & 10608 Leavells Rd 7119 Salem Fields Blvd #102 KORDIS, ALEX SHERRY L WILKERSON COX PC Fredericksburg, VA 22407 Fredericksburg, VA 22407 FRANKTOWN COMMUNITY 410 Chatham Square Office Park (540) 710-6000 (540) 786-2000 HEALTH CENTER Fredericksbg, VA 22405 9159 Franktown Rd (540) 373-5825 AHMADIYAR, SASAN BAXI, FAIRY STAFFORD DENTAL ASSOC Franktown, VA 23354 NEIBAUER DENTAL CARE PC 20 Plantation Dr Ste 139 (757) 442-4819 FREDERICKSBRG 5630 Plank Rd Fredericksburg, VA 22406 Fredericksburg, VA 22407 (540) 368-2273 NIGHTENGALE, TIFFANY GENERAL DENTIST (540) 548-3602 FRANKTOWN COMMUNITY WALLER, CARTER HEALTH CENTER AL-KARAGHOLI, MUSTAFA , G BIGSMILE DENTAL MILTON STAR DDS 9159 Franktown Rd BURNS FAMILY DENTISTRY PC 1417 Parcell St FREDERICKSBURG PC Franktown, VA 23354 242 Butler Road #101 Fredericksbrg, VA 22401 201 Park Hill Dr (757) 442-4819 Fredericksburg, VA 22405 (540) 899-1777 Fredericksburg, VA 22401 (540) 373-6557 (540) 310-4986 ROOT, NOEL FREDERICKSBURG FRANKTOWN COMMUNITY BURNS, GROVER ALLEN, CAMILLE HEALTH CENTER BURNS FAMILY DENTISTRY PC ENDODONTIST ALLEN & TATEM DDS PC 9159 Franktown Rd 242 Butler Road #101 10705 Spotsylvania Ave #102 Franktown, VA 23354 Fredericksburg, VA 22405 Fredericksburg, VA 22408 (757) 442-4819 (540) 373-6557 (540) 891-5521

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

DIMITROFF, EMILY GOLLAPALLI, NAGALATHA HIDALGO, CATHIE VIRGINIA (CONT'D) KOOL SMILES VAN PC MILTON STAR DDS FREDERICKSBURG SMILE CTR 3533 Plank Rd FREDERICKSBURG PC 2330 Plank Rd FREDERICKSBURG Fredericksburg, VA 22407 201 Park Hill Dr Fredericksburg, VA 22401 (540) 736-4949 Fredericksburg, VA 22401 (540) 899-7791 CAMPBELL, JEFFREY (540) 310-4986 POPE & SHETTY PLLC DUARTE, CAMILO HIJAZ, IYAD 1420 Central Park Blvd #201 GOLLAPALLI, NAGALATHA Fredericksburg, VA 22401 D & D FAMILY DENTISTRY PC GENTLE TOUCH FAMILY & NEIBAUER DENTAL CARE PC (540) 786-0696 5830 Harrison Rd COSMETIC DENTISTRY 11 Smoke House Dr Ste 115 Fredericksburg, VA 22407 4147 Plank Road Fredericksburg, VA 22406 (540) 710-0400 (540) 899-7751 CHENG, GEORGE Fredericksburg, VA 22407 (540) 785-5316 BATTLEFIELD DENTAL OF DUONG, SON HOLLEY, JAMES FREDERICKSBURG PARTICIPATING PROVIDERS 5996 Plank Rd COMMUNITY HEALTH CENTER GUIRGUIS, JOHN HOLLEY DENTISTRY OF Fredericksburg, VA 22407 OF RAPPAHANNOCK REGION JOHN GUIRGUIS DMD PLLC FREDERICKBURG (540) 300-1562 2217 Princess Anne St #110 717 Westwood Office Park 974 Bragg Rd Fredericksburg, VA 22401 Fredericksburg, VA 22401 Fredericksburg, VA 22407 (540) 732-0560 (540) 785-5885 CHONG, JAE (540) 371-0920 RAYMOND C HASTON JR DDS PC ELSTNER, EARL HUDDLE, DAVID 560 Celebrate Va Pkwy #107 GUPTA, RAJA Fredericksburg, VA 22406 E THOMAS ELSTNER JR DMD MILTON STAR DDS DAVID F HUDDLE DDS (540) 286-1110 3511 Meekins Dr FREDERICKSBURG PC 1995 Jeff Davis Hwy #101 Fredericksburg, VA 22407 201 Park Hill Dr Fredericksburg, VA 22401 (540) 785-4491 (540) 899-5451 CHRISTOFAKIS, EMIL Fredericksburg, VA 22401 (540) 310-4986 MARSHALL DENTAL PLC FARAH, MAZIN IJADI, MEHRDAD 159 Lichfield Blvd #107 Fredericksburg, VA 22406 FARAH AND NAJAFE DENTAL GUTTERY, DARRELL SASAN AHMADIYAR DDS & (540) 373-2273 ASSOC PC QUALITY DENTAL PLLC ASSOC 1740 Carl D Silver Pky 5100 Southpoint Parkway 10608 Leavells Rd Fredericksburg, VA 22401 Fredericksburg, VA 22407 CHUNG, HEE-CHUL Fredericksburg, VA 22407 (540) 548-8878 (540) 710-1088 (540) 710-6000 DR CARLOS A HERESI & ASSOC PLLC FEARON, ANDREEN IMAO, JOSEMARI 112 Falcon Drive HASTON, RAYMOND Fredericksburg, VA 22408 KOOL SMILES VAN PC RAYMOND C HASTON JR DDS PC FREDERICKSBURG PEDIATRIC (540) 898-8805 3533 Plank Rd 560 Celebrate Va Pkwy #107 DENTISTRY Fredericksburg, VA 22407 Fredericksburg, VA 22406 927 Maple Grove Dr Ste 111 (540) 736-4949 (540) 286-1110 Fredericksburg, VA 22407 CRUZ, JAZRIEL (540) 786-0051 JAZRIEL CRIZ DDS INC FUSARO, JOSEPH 2405 Charles Street HEDAYATI, KOUROS JAIN, KHUSHBOO Fredericksburg, VA 22401 FREDERICKSBURG DENTAL SASAN AHMADIYAR DDS & (540) 371-7777 CARE ASSOC NEIBAUER DENTAL CARE PC 10620 Courthouse Rd 10608 Leavells Rd 11 Smoke House Dr Ste 115 Fredericksburg, VA 22407 Fredericksburg, VA 22406 CULDA, DANA Fredericksburg, VA 22407 (540) 898-8616 (540) 710-6000 (540) 899-7751 DC DENTAL CARE PLLC 402 Chatham Square Offc Park HEDAYATI, KOUROS GALATRO, DEREK JIRAL, PAUL Fredericksburg, VA 22405 STAFFORD DENTAL ASSOC DEREK J GALATRO DDS PC NEIBAUER DENTAL CARE PC (540) 373-4444 20 Plantation Dr Ste 139 131 Park Hill Dr Ste A 3128 Cowan Blvd Fredericksburg, VA 22406 Fredericksburg, VA 22401 Fredericksburg, VA 22401 (540) 368-2273 DHINGRA, PALLAVI (540) 373-0602 (540) 899-9511 JASON T LIPSCOMB DDS PC 200 Executive Center Pkwy Ste 104 HERESI, CARLOS JIRAL, PAUL GEJJI, DIPTI Fredericksburg, VA 22401 DR CARLOS A HERESI & ASSOC NEIBAUER DENTAL CARE PC NEIBAUER DENTAL CARE PC (540) 373-1641 PLLC 9859 Jefferson Davis Hwy 3128 Cowan Blvd 112 Falcon Drive Fredericksburg, VA 22407 Fredericksburg, VA 22401 Fredericksburg, VA 22408 (540) 891-0071 DIAZ, ANGELA (540) 899-9511 D & D FAMILY DENTISTRY PC (540) 898-8805 5830 Harrison Rd GEJJI, DIPTI JOHNSON, JAMIE HERESI, CARLOS Fredericksburg, VA 22407 NEIBAUER DENTAL CARE PC FREDERICKSBURG DENTAL CARLOS ALAN HERESI DDS PC (540) 710-0400 5630 Plank Rd CARE 2501 Fall Hill Ave #A Fredericksburg, VA 22407 10620 Courthouse Rd Fredericksburg, VA 22401 (540) 548-3602 Fredericksburg, VA 22407 (540) 371-6929 (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

KOMMINENI, SANATH MCAVOY, BRIAN VIRGINIA (CONT'D) KOOL SMILES VAN PC PROGRESSIVE DENTAL OF PARRIS-WILKINS, TONYA 3533 Plank Rd FREDERICKSBURG PC COMMUNITY HEALTH CENTER FREDERICKSBURG Fredericksburg, VA 22407 1239 Central Park Blvd OF RAPPAHANNOCK REGION (540) 736-4949 Fredericksburg, VA 22401 2217 Princess Anne St #110 (540) 785-3733 Fredericksburg, VA 22401 KARMACHARYA, KOMAL (540) 732-0560 CLEARCARE DENTAL PLLC KUO, BRIAN 3940 West Plank Rd Ste W NEIBAUER DENTAL CARE PC MEARS, GENE PATEL, BHAVINKUMAR Fredericksburg, VA 22407 5630 Plank Rd MEARS GENE C (540) 785-4494 Fredericksburg, VA 22407 2301 Fall Hill Avenue NEIBAUER DENTAL CARE PC (540) 548-3602 Fredericksburg, VA 22401 9859 Jefferson Davis Hwy (540) 373-7901 Fredericksburg, VA 22407 KARRI, SHILPA (540) 891-0071 KUPPERI, VINUTHA

NEIBAUER DENTAL CARE PC PARTICIPATING PROVIDERS 11 Smoke House Dr Ste 115 KOOL SMILES VAN PC MERCADO, ROMINA PEREZ, RICARDO Fredericksburg, VA 22406 3533 Plank Rd CARLOS ALAN HERESI DDS PC (540) 899-7751 Fredericksburg, VA 22407 2501 Fall Hill Ave #A SASAN AHMADIYAR DDS & (540) 736-4949 Fredericksburg, VA 22401 ASSOC KARRI, SHILPA (540) 371-6929 10608 Leavells Rd NEIBAUER DENTAL CARE PC Fredericksburg, VA 22407 LIPSCOMB, JASON 5630 Plank Rd MERCADO, ROMINA (540) 710-6000 Fredericksburg, VA 22407 JASON T LIPSCOMB DDS PC HOLLEY DENTISTRY OF 200 Executive Center Pkwy Ste 104 (540) 548-3602 FREDERICKBURG PERRY-WRIGHT, ARLENE Fredericksburg, VA 22401 974 Bragg Rd WRIGHT DENTAL CARE (540) 373-1641 Fredericksburg, VA 22407 KHATTAK, RANA 407 Chatham Square Office Park (540) 785-5885 RANA A KHATTAK DDS LIPSCOMB, JASON Fredericksburg, VA 22405 2601 Princess Anne St BATTLEFIELD DENTAL OF (540) 899-9446 Fredericksburg, VA 22401 FREDERICKSBURG MORCH, MICHAEL (540) 373-0711 5996 Plank Rd MICHAEL MORCH DDS PC PORTER, DINA Fredericksburg, VA 22407 6308 5 Mile Center Pk Bldg 2 Ste CENTRAL PARK DENTAL (540) 300-1562 209 KIM, CHAD 1340 Central Park Blvd Ste 200 Fredericksburg, VA 22407 KOOL SMILES VAN PC Fredericksburg, VA 22401 (540) 785-2558 3533 Plank Rd LIVESAY, RICHARD (540) 786-9559 Fredericksburg, VA 22407 FREDERICKSBURG DENTAL NAJAFE, HAYAT (540) 736-4949 CARE RAMAI, SHELDON 10620 Courthouse Rd FARAH AND NAJAFE DENTAL NEIBAUER DENTAL CARE PC Fredericksburg, VA 22407 ASSOC PC KIM, SEAN 5630 Plank Rd (540) 898-8616 1740 Carl D Silver Pky RIVER CLUB DENTAL CARE Fredericksburg, VA 22407 Fredericksburg, VA 22401 10861 Tidewater Trail (540) 548-3602 (540) 548-8878 Fredericksburg, VA 22408 LOPEZ, YARISSA (540) 371-7684 C & L DENTISTRY PLLC RICHARDS, CARTER 10740-C Courthouse Rd NEIBAUER, JUSTIN HOLLEY DENTISTRY OF Fredericksburg, VA 22408 FREEDOM FAMILY DENTISTRY KIM, SUN FREDERICKBURG (540) 898-8555 10039 Jefferson Davis Hwy RAYMOND C HASTON JR DDS PC 974 Bragg Rd Fredericksburg, VA 22407 560 Celebrate Va Pkwy #107 Fredericksburg, VA 22407 (540) 898-8998 Fredericksburg, VA 22406 LUI, KIN (540) 785-5885 (540) 286-1110 FRANK D ROMANO DDS PC ODEH, OSAMA 1133 Heatherstone Dr RIEMAN, FRANCIS Fredericksburg, VA 22407 KOOL SMILES VAN PC KING, ROBERT FRANCIS E RIEMAN DDS (540) 785-8525 3533 Plank Rd JASON T LIPSCOMB DDS PC 717 Westwood Office Park Fredericksburg, VA 22407 200 Executive Center Pkwy Ste 104 Fredericksburg, VA 22401 (540) 736-4949 Fredericksburg, VA 22401 MARSHALL, MARVIN (540) 371-0920 (540) 373-1641 MARSHALL DENTAL PLC ONDERDONK, ANDREA 159 Lichfield Blvd #107 ROMANO, FRANK Fredericksburg, VA 22406 POPE & SHETTY PLLC KLEIN, ELIZABETH FRANK D ROMANO DDS PC (540) 373-2273 1420 Central Park Blvd #201 NEIBAUER DENTAL CARE PC 1133 Heatherstone Dr Fredericksburg, VA 22401 5630 Plank Rd Fredericksburg, VA 22407 (540) 786-0696 Fredericksburg, VA 22407 MARTIN, GABRIEL (540) 785-8525 (540) 548-3602 RICHARD COTTRELL DDS 5100 Southpoint Pkwy PANDHER, RAMONA Fredericksburg, VA 22407 KOOL SMILES VAN PC (540) 710-1088 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

SUN, DAVID WAY-RODRIGUEZ, JORGE DAYSE, ROBERT VIRGINIA (CONT'D) NEIBAUER DENTAL CARE PC STAFFORD DENTAL ASSOC MILTON STAR DDS 3128 Cowan Blvd 20 Plantation Dr Ste 139 FREDERICKSBURG PC FREDERICKSBURG Fredericksburg, VA 22401 Fredericksburg, VA 22406 201 Park Hill Dr (540) 899-9511 (540) 368-2273 Fredericksburg, VA 22401 SAGHIR, RIFFAT (540) 310-4986 MILTON STAR DDS FREDERICKSBURG PC SWANSON, JOSHUA WILLHIDE, JOHN 201 Park Hill Dr QUALITY DENTAL PLLC JOHN W WILLHIDE DDS LTD HAAS, H Fredericksburg, VA 22401 5100 Southpoint Parkway 121 Park Hill Dr #A H CHRIS HAAS DDS (540) 310-4986 Fredericksburg, VA 22407 Fredericksburg, VA 22401 516 Westwood Office Park (540) 710-1088 (540) 373-1660 Fredericksburg, VA 22401 (540) 371-0031 SARAVANA, SAUMITRA TAILOR, PRIYA WILLIAMS, VERNON PEARL FAMILY DENTAL PARTICIPATING PROVIDERS 754 Warrenton Rd #103 KOOL SMILES VAN PC FAMILY FIRST DENTAL HAMRAH, DARIA Fredericksburg, VA 22406 3533 Plank Rd 4425 Plank Rd #B CLEARCARE DENTAL PLLC (540) 370-8504 Fredericksburg, VA 22407 Fredericksburg, VA 22407 3940 West Plank Rd Ste W (540) 736-4949 (301) 237-9469 Fredericksburg, VA 22407 (540) 785-4494 SHAFIEI, NIKKI FREDERICKSBURG PEDIATRIC TATEM, TAURUS WILLOUGHBY, TASHA DENTISTRY ALLEN & TATEM DDS PC TRANQUILITY DENTAL CENTER IZADI, KEYOUMARS 927 Maple Grove Dr Ste 111 10705 Spotsylvania Ave #102 2557 Cowan Blvd KEYOUMARS IZADI MD DDS Fredericksburg, VA 22407 Fredericksburg, VA 22408 Fredericksburg, VA 22401 PLLC (540) 786-0051 (540) 891-5521 (540) 551-5550 409 Chatham Square Pk Fredericksburg, VA 22405 (540) 371-4131 SINCLAIR, EMILY TORREY, EDWIN YOUSEFI, ASHKAN FREDERICKSBURG SMILE CTR EDWIN A TORREY DDS PC STAFFORD DENTAL ASSOC 2330 Plank Rd 1239 Central Park Blvd 20 Plantation Dr Ste 139 LYN, TREVANN Fredericksburg, VA 22401 Fredericksburg, VA 22401 Fredericksburg, VA 22406 MILTON STAR DDS (540) 899-7791 (540) 785-3733 (540) 368-2273 FREDERICKSBURG PC 201 Park Hill Dr TORREY, EDWIN ZAINUL ABEDEEN, ANAS Fredericksburg, VA 22401 SMART, DANIELLE PROGRESSIVE DENTAL OF (540) 310-4986 HOLLEY DENTISTRY OF FREDERICKSBURG PC KOOL SMILES VAN PC FREDERICKBURG 1239 Central Park Blvd 3533 Plank Rd 974 Bragg Rd Fredericksburg, VA 22401 Fredericksburg, VA 22407 MORGAN, DAVID Fredericksburg, VA 22407 (540) 785-3733 (540) 736-4949 SASAN AHMADIYAR DDS & (540) 785-5885 ASSOC 10608 Leavells Rd TSAI, CHIH-PING ZAVISLAK, ROBERT CENTRAL PARK DENTAL Fredericksburg, VA 22407 ST GEORGE, SUSAN NEIBAUER DENTAL CARE PC (540) 710-6000 FREDERICKSBURG SMILE CTR 5630 Plank Rd 1340 Central Park Blvd Ste 200 2330 Plank Rd Fredericksburg, VA 22407 Fredericksburg, VA 22401 MORGAN, DAVID Fredericksburg, VA 22401 (540) 548-3602 (540) 786-9559 STAFFORD DENTAL ASSOC (540) 899-7791 20 Plantation Dr Ste 139 VELLANKI, SWATI ORAL SURGEON Fredericksburg, VA 22406 STARNES, NAZIE (540) 368-2273 NEIBAUER DENTAL CARE PC ALLEN, HARVEY NEIBAUER DENTAL CARE PC 3128 Cowan Blvd HARVEY W ALLEN DDS LTD MORGAN, DAVID 11 Smoke House Dr Ste 115 Fredericksburg, VA 22401 1701 Fall Hill Ave Ste 100 CLEARCARE DENTAL PLLC Fredericksburg, VA 22406 (540) 899-9511 Fredericksburg, VA 22401 3940 West Plank Rd Ste W (540) 899-7751 (540) 373-2350 Fredericksburg, VA 22407 VILD, DIANN (540) 785-4494 STORM, MATTHEW VILD DIANN M BAILEY, RYAN C & L DENTISTRY PLLC 4805 Plank Rd RYAN M BAILEY DDS MD OSWALD, SOPHIE 10740-C Courthouse Rd Fredericksburg, VA 22407 1380 Central Park Blvd #109 MILTON STAR DDS Fredericksburg, VA 22408 (540) 786-2311 Fredericksburg, VA 22401 FREDERICKSBURG PC (540) 898-8555 (540) 710-8880 201 Park Hill Dr STORM, MATTHEW WAY-RODRIGUEZ, JORGE Fredericksburg, VA 22401 (540) 310-4986 MATTHEW T STORM DDS SASAN AHMADIYAR DDS & BROWN, STEPHEN ASSOC 10740-C Courthouse Road FREDERICKSBURG REGIONAL 10608 Leavells Rd Fredericksburg, VA 22408 ORAL SURGERY CENTER INC SHIN, THOMAS Fredericksburg, VA 22407 (540) 898-8555 210 Executive Center Pkwy FREDERICKSBURG SMILE CTR (540) 710-6000 Fredericksburg, VA 22401 2330 Plank Rd (540) 374-1010 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

HUSSAINI, SYED KAKAR, DEEPAK MOTAMEDI, SAEID VIRGINIA (CONT'D) FREDERICKSBURG PEDIATRIC FREDERICKSBURG PEDIATRIC SASAN AHMADIYAR DDS & DENTISTRY DENTISTRY ASSOC FREDERICKSBURG 927 Maple Grove Dr Ste 111 927 Maple Grove Dr Ste 111 10608 Leavells Rd Fredericksburg, VA 22407 Fredericksburg, VA 22407 Fredericksburg, VA 22407 WILHELM, MILES (540) 786-0051 (540) 786-0051 (540) 710-6000 SASAN AHMADIYAR DDS & MOTAMEDI, SAEID ASSOC LEE, JIM LE, HAU STAFFORD DENTAL ASSOC 10608 Leavells Rd CLEARCARE DENTAL PLLC FREDERICKSBURG PEDIATRIC 20 Plantation Dr Ste 139 Fredericksburg, VA 22407 3940 West Plank Rd Ste W DENTISTRY Fredericksburg, VA 22406 (540) 710-6000 Fredericksburg, VA 22407 927 Maple Grove Dr Ste 111 (540) 368-2273 (540) 785-4494 Fredericksburg, VA 22407 (540) 786-0051 MOTAMEDI, SAEID

ORTHODONTIST PARTICIPATING PROVIDERS MARQUEZ, RHINA MILTON STAR DDS FREDERICKSBURG PC ALMY, DIANA KOOL SMILES VAN PC MERDAD, HISHAM 201 Park Hill Dr FREDERICKSBURG 3533 Plank Rd KOOL SMILES VAN PC Fredericksburg, VA 22401 ORTHODONTICS Fredericksburg, VA 22407 3533 Plank Rd (540) 310-4986 10618 Spotsylvania Ave (540) 736-4949 Fredericksburg, VA 22407 Fredericksburg, VA 22408 (540) 736-4949 (540) 898-7211 SINA, NAHID PROSTHODONTIST MY BRACES DOCTOR PC POPE, H AGGARWAL, HARSHIT BYRD, RICHARD 4300 Plank Rd Ste 230 POPE & SHETTY PLLC MILTON STAR DDS FREDERICKSBURG PEDIATRIC Fredericksburg, VA 22407 1420 Central Park Blvd #201 FREDERICKSBURG PC DENTISTRY (703) 785-5300 Fredericksburg, VA 22401 201 Park Hill Dr 927 Maple Grove Dr Ste 111 (540) 786-0696 Fredericksburg, VA 22401 Fredericksburg, VA 22407 TERRILL, DAVID (540) 310-4986 (540) 786-0051 DAVID G TERRILL DDS MS SHETTY, NAVIN 11113 Leavells Rd POPE & SHETTY PLLC SALARI, MARJAN CASPERSEN, MATTHEW Fredericksburg, VA 22407 1420 Central Park Blvd #201 NEIBAUER DENTAL CARE PC MATTHEW H CASPERSEN DDS (540) 898-1400 Fredericksburg, VA 22401 5630 Plank Rd MS (540) 786-0696 Fredericksburg, VA 22407 408 Chatham Square Office Pk TERRILL, DAVID (540) 548-3602 Fredericksburg, VA 22405 DAVID G TERRILL DDS MS VITSKY, PAUL (540) 371-2611 1300 Thornton Street SALARI, MARJAN PAUL L VITSKY DDS Fredericksburg, VA 22408 NEIBAUER DENTAL CARE PC 1300 Thornton St (540) 371-3250 9859 Jefferson Davis Hwy FAN, VIVIAN Fredericksburg, VA 22401 Fredericksburg, VA 22407 CLEARCARE DENTAL PLLC (540) 371-3222 3940 West Plank Rd Ste W PEDIATRIC (540) 891-0071 Fredericksburg, VA 22407 DENTIST/PEDODONTIST (540) 785-4494 PERIODONTIST FRONT ROYAL BURKE, BRIAN CULBERSON, JAMES KOOL SMILES VAN PC JAMES M CULBERSON DMD MS GENERAL DENTIST GHATRI, ALI 3533 Plank Rd 12104 Sheraton Hills Dr SASAN AHMADIYAR DDS & Fredericksburg, VA 22407 ABDOUN, EZZAT Fredericksburg, VA 22407 ASSOC (540) 736-4949 HABIBA DENTAL PC (540) 548-2605 10608 Leavells Rd 1516 North Shenandoah Ave Ste B Fredericksburg, VA 22407 EDWARDS, JUSTIN Front Royal, VA 22630 (540) 710-6000 IJADI, MEHRDAD PEDIATRIC DENTISTRY OF (540) 636-2003 STAFFORD DENTAL ASSOC GHATRI, ALI FREDERICKSBURG 20 Plantation Dr Ste 139 CLEARCARE DENTAL PLLC 1300 Thornton St. Ste. 101 ADEEB, AYMAN Fredericksburg, VA 22406 3940 West Plank Rd Ste W Fredericksburg, VA 22401 WARREN DENTAL CENTER (540) 368-2273 Fredericksburg, VA 22407 (540) 371-3222 842 N Shenandoah Ave #1 (540) 785-4494 Front Royal, VA 22630 GHATAK, MONAMIE LIN, THOMAS (540) 631-1515 MILTON STAR DDS HUKMANI, NAVIN CLEARCARE DENTAL PLLC FREDERICKSBURG PC MILTON STAR DDS 3940 West Plank Rd Ste W BROADHEAD, DAISY 201 Park Hill Dr FREDERICKSBURG PC Fredericksburg, VA 22407 FRONT ROYAL DENTAL CARE Fredericksburg, VA 22401 201 Park Hill Dr (540) 785-4494 80 W 4Th St (540) 310-4986 Fredericksburg, VA 22401 Front Royal, VA 22630 (540) 310-4986 (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

GREER, PHYLLIS GAINESVILLE VIRGINIA (CONT'D) CAMPBELL, DONALD GATEWAY DENTAL GAINESVILLE DENTAL ASSOC 7462 Limestone Dr FRONT ROYAL ENDODONTIST PLLC Gainesville, VA 20155 7521 Virginia Oaks Dr #230 PICHARDO, MICHAEL (703) 753-3346 BROADHEAD, FREDERICK Gainesville, VA 20155 MICHAEL R PICHARDO DDS FRONT ROYAL DENTAL CARE (703) 754-7151 PLLC GUIRGUIS, JOHN 80 W 4Th St 7915 Lake Manassas Dr #203 Front Royal, VA 22630 NEIBAUER DENTAL CARE PC Gainesville, VA 20155 CARINO, BRIAN (540) 635-4567 14642 Lee Hwy (703) 753-4901 CARINO FAMILY DENTISTRY AT Gainesville, VA 20155 LAKE MANASSAS (703) 754-7110 BYERS, PAUL 7915 Lake Manassas Dr Ste 201 APPLE VALLEY DENTAL GROUP GENERAL DENTIST Gainesville, VA 20155 HASHAM, OMAR PLC ADI, NAJIB (703) 754-6622 PARTICIPATING PROVIDERS 869 John Marshall Hwy Ste A NEIBAUER DENTAL CARE PC ATLAS WALK DENTAL 14642 Lee Hwy Front Royal, VA 22630 7502 Iron Bar Ln CARINO, SARAH (540) 635-2493 Gainesville, VA 20155 Gainesville, VA 20155 CARINO FAMILY DENTISTRY AT (703) 754-7110 (703) 646-1211 LAKE MANASSAS HEARNE, WILLIAM 7915 Lake Manassas Dr Ste 201 HONG, JONG ALL SMILES DENTISTRY APONTE, CARLOS Gainesville, VA 20155 841 N Shenandoah Ave (703) 754-6622 NEIBAUER DENTAL CARE PC GAINESVILLE DENTAL ASSOC 14642 Lee Hwy Front Royal, VA 22630 PLLC (540) 635-4497 Gainesville, VA 20155 7521 Virginia Oaks Dr #230 CHEHADE, TONY (703) 754-7110 Gainesville, VA 20155 GAINESVILLE DENTAL ASSOC HEGGADE, SOUMYATA (703) 754-7151 PLLC HOUSER, JOHN PEARLY WHITESFAMILY 7521 Virginia Oaks Dr #230 DENTISTRY Gainesville, VA 20155 CHRIS HOUSER DMD PC ARMENTROUT, NADIA 7100 Heritage Village Plz Ste 101 842 N Shenandoah Ave #1 NEIBAUER DENTAL CARE PC (703) 754-7151 Front Royal, VA 22630 Gainesville, VA 20155 14642 Lee Hwy (703) 754-5800 (540) 631-1515 Gainesville, VA 20155 DAVENPORT, FALINE (703) 754-7110 GAINESVILLE DENTAL ASSOC HEGGADE, SOUMYATA JONES-ROGERS, LINDA WARREN DENTAL CENTER PLLC 7521 Virginia Oaks Dr #230 ROGERS & JONES-ROGERS PLC 842 N Shenandoah Ave #1 AYERS, LAWRENCE 7450 Heritage Village Plz Unit 102 Front Royal, VA 22630 LAWRENCE F AYERS III DDS Gainesville, VA 20155 (703) 754-7151 Gainesville, VA 20155 (540) 631-1515 7120 Heritage Village Plz Ste 101 (571) 248-6585 Gainesville, VA 20155 (703) 754-8809 DUBE, NEELAM , ARTHI KAZMI, SANA ALL SMILES DENTISTRY NEIBAUER DENTAL CARE PC 14642 Lee Hwy NEIBAUER DENTAL CARE PC 841 N Shenandoah Ave BASSIRI, MICHAEL 14642 Lee Hwy Front Royal, VA 22630 MICHAEL K BASSIRI Gainesville, VA 20155 (703) 754-7110 Gainesville, VA 20155 (540) 635-4497 7915 Lake Manassas Dr Ste 104 (703) 754-7110 Gainesville, VA 20155 (703) 753-0202 EZZELDIN, AHMED SARTELLE, HARRY KEAN, EDWARD APPLE VALLEY DENTAL GROUP AHMED EZZELDIN 7522 Old Linton Hall Rd GREENHILL FAMILY DENTAL PLC BATISTAS, THEO CARE 869 John Marshall Hwy Ste A GAINESVILLE DENTAL ASSOC Gainesville, VA 20155 (703) 753-8600 14535 John Marshall Hwy 209 Front Royal, VA 22630 PLLC Gainesville, VA 20155 (540) 635-2493 7521 Virginia Oaks Dr #230 (703) 753-2252 Gainesville, VA 20155 GOSWAMI, RAMA (703) 754-7151 GAINESVILLE FAMILY TRUONG, KEVIN KHURANA, NATASHA RIVERTON DENTAL CARE PLLC DENTISTRY PLC 14535 John Marshall Hwy Ste 101 NATASHA KHURANA DDS 50 Riverton Commons Dr Ste #C-60 BOUDREAU, JAMES 7915 Lake Manassas Drive Suite Front Royal, VA 22630 NEIBAUER DENTAL CARE PC Gainesville, VA 20155 (571) 261-2330 301 (540) 613-1008 14642 Lee Hwy Gainesville, VA 20155 Gainesville, VA 20155 (571) 248-1501 PEDIATRIC (703) 754-7110 GOSWAMI, RASHMI GAINESVILLE FAMILY DENTIST/PEDODONTIST LIU, LINA DENTISTRY PLC BUNIN, KEVIN GATEWAY DENTAL AGARWAL, GAURAV 14535 John Marshall Hwy Ste 101 GAINESVILLE DENTAL ASSOC 7462 Limestone Dr VALLEY PEDIATRIC DENTISTRY Gainesville, VA 20155 PLLC Gainesville, VA 20155 920 N Shenandoah Ave #2 (571) 261-2330 7521 Virginia Oaks Dr #230 (703) 753-3346 Front Royal, VA 22630 Gainesville, VA 20155 (540) 551-5600 (703) 754-7151

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

PHAM, JENNIFER SUN, WENHUI LABELLA, CARL VIRGINIA (CONT'D) GREENHILL FAMILY DENTAL GREENHILL FAMILY DENTAL PRINCE WILLIAM ORAL CARE CARE MAXILLOFACIAL & IMPLANT GAINESVILLE 14535 John Marshall Hwy 209 14535 John Marshall Hwy 209 SURGERY Gainesville, VA 20155 Gainesville, VA 20155 7500 Iron Bar Ln Ste 203 MANRIQUE, HUGO (703) 753-2252 (703) 753-2252 Gainesville, VA 20155 GATEWAY DENTAL (571) 248-0368 7462 Limestone Dr PLEICKHARDT, STEVE TRINH, PHUONG Gainesville, VA 20155 LIANG, DAVID (703) 753-3346 AMERICAN DENTAL PHUONG H TRINH DMD PLLC ASSOCIATES PLLC 7220 Heritage Village Plx Ste 101 JOSEPH M ARZADON MD DDS 7500 Iron Bar Ln Ste 201 Gainesville, VA 20155 PC MESSIH, HAIDY Gainesville, VA 20155 (703) 754-5993 7230 Heritage Village Plz Ste 101 NEIBAUER DENTAL CARE PC (703) 753-6695 Gainesville, VA 20155

14642 Lee Hwy PARTICIPATING PROVIDERS TSAI, CHIH-PING (703) 753-5268 Gainesville, VA 20155 QUIGGINS, MELISSA (703) 754-7110 NEIBAUER DENTAL CARE PC GAINESVILLE DENTAL ASSOC 14642 Lee Hwy MCDONALD, CABEL PLLC Gainesville, VA 20155 GATEWAY DENTAL MOORE, CLARISSA 7521 Virginia Oaks Dr #230 (703) 754-7110 7462 Limestone Dr ALVORADA DENTISTRY Gainesville, VA 20155 Gainesville, VA 20155 13922 Estate Manor Drive (703) 754-7151 (703) 753-3346 Gainesville, VA 20155 ORAL SURGEON (703) 754-7788 RACZYNSKA, ANETA ARZADON, JOSEPH MOOSE, DAVID NEIBAUER DENTAL CARE PC JOSEPH M ARZADON MD DDS PRINCE WILLIAM ORAL NGUYEN, LOC 14642 Lee Hwy PC MAXILLOFACIAL & IMPLANT LOC V NGUYEN DMD PC Gainesville, VA 20155 7230 Heritage Village Plz Ste 101 SURGERY 6844 Piedmont Center Plaza (703) 754-7110 Gainesville, VA 20155 7500 Iron Bar Ln Ste 203 Gainesville, VA 20155 (703) 753-5268 Gainesville, VA 20155 (703) 754-1999 ROGERS, LLOYD (571) 248-0368 ROGERS & JONES-ROGERS PLC BLAIS, KENNETH NGUYEN, LONG 7450 Heritage Village Plz Unit 102 JOSEPH M ARZADON MD DDS ORTHODONTIST LAKE MANASSAS DENTAL Gainesville, VA 20155 PC CENTER LLC (571) 248-6585 7230 Heritage Village Plz Ste 101 DUNEGAN, MICHAEL 7915 Lake Manassas Dr Ste 115 Gainesville, VA 20155 MICHAEL G DUNEGAN DDS MS Gainesville, VA 20155 (703) 753-5268 7001 Heritage Village Plaza #130 SHARMA, MOHIT (571) 261-9470 Gainesville, VA 20155 NEIBAUER DENTAL CARE PC (703) 753-4996 14642 Lee Hwy BUKZIN, JAY NWANESHIUDU, CHIOMA Gainesville, VA 20155 JAY M BUKZIN DDS PC NEIBAUER DENTAL CARE PC (703) 754-7110 7915 Lake Manassas Dr Ste 304 EKOH, MADUEKE 14642 Lee Hwy Gainesville, VA 20155 TEEM ORTHODONTICS PLLC Gainesville, VA 20155 (703) 753-7933 14634 Lee Hwy SPEICHER, MARY (703) 754-7110 Gainesville, VA 20155 LAKE MANASSAS DENTAL (703) 753-4777 CENTER LLC BURGER, BRENTON OLANO, MAGALI 7915 Lake Manassas Dr Ste 115 PRINCE WILLIAM ORAL DRS POLACK AND OLANO PC Gainesville, VA 20155 MAXILLOFACIAL & IMPLANT FILIPPONE, LOUIS 7431 New Linton Hall Rd (571) 261-9470 SURGERY LOUIS C FILIPPONE DDS PC Gainesville, VA 20155 7500 Iron Bar Ln Ste 203 7521 Virginia Oaks Dr #120 (703) 753-8753 Gainesville, VA 20155 Gainesville, VA 20155 SUMNER, LYDIA (571) 248-0368 (703) 754-4880 TIMOTHY K SUMNER OLSEN, KIMBERLEY 7548 Gardner Park Dr GREENHILL FAMILY DENTAL Gainesville, VA 20155 HERRERA, MARICIO KHOURI, JOHN CARE (571) 248-4415 JAY M BUKZIN DDS PC JOHN KHOURI PLLC 14535 John Marshall Hwy 209 7915 Lake Manassas Dr Ste 304 14535 John Marshall Hwy #111 Gainesville, VA 20155 Gainesville, VA 20155 Gainesville, VA 20155 SUMNER, TIMOTHY (703) 753-2252 (703) 753-7933 (571) 248-4262 TIMOTHY K SUMNER 7548 Gardner Park Dr PARK, CHARLES Gainesville, VA 20155 JACKS, THOMAS MEKOUAR, HICHAM GATEWAY DENTAL (571) 248-4415 JOSEPH M ARZADON MD DDS GATEWAY DENTAL 7462 Limestone Dr PC 7462 Limestone Dr Gainesville, VA 20155 7230 Heritage Village Plz Ste 101 Gainesville, VA 20155 (703) 753-3346 Gainesville, VA 20155 (703) 753-3346 (703) 753-5268

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

RAI, SHWETHA CLEMONS, MARK MONTGOMERY, JEFFREY VIRGINIA (CONT'D) GAINESVILLE PEDIATRIC MARK D CLEMONS DMD PC JEFFREY D MONTGOMERY DDS DENTISTRY 301 W Grayson St PC GAINESVILLE 7534 Limestone Dr Galax, VA 24333 267 Kane St Ste 101 Gainesville, VA 20155 (276) 236-6321 Gate City, VA 24251 SHAKASHIRO, RANDA (703) 754-1580 (276) 386-6162 ATLAS WALK DENTAL HANNA, GARY 7502 Iron Bar Ln SHAH, RITU TEMPLETON, DAVID Gainesville, VA 20155 GARY C HANNA DMD (703) 646-1211 GAINESVILLE PEDIATRIC 1129 South Main St DAVID E TEMPLETON DDS PC DENTISTRY Galax, VA 24333 633 E Jackson St #C14 7534 Limestone Dr (276) 236-6109 Gate City, VA 24251 VAHAB, PHILIP Gainesville, VA 20155 (276) 386-2808 NATASHA KHURANA DDS (703) 754-1580 JONES, ETHAN 7915 Lake Manassas Drive Suite PARTICIPATING PROVIDERS GLADE SPRING 301 RONALD D JONES DDS PC SHINGLER, ARSHIA Gainesville, VA 20155 1001 East Stuart Drive GENERAL DENTIST (571) 248-1501 GAINESVILLE PEDIATRIC Galax, VA 24333 DENTISTRY (276) 236-0562 THURSTON, CHRISTOPHER 13555 Wellington Ctr Circle GLADE DENTAL CLINIC YI, PETER Gainesville, VA 20155 LARROWE, EUGENIA 634 S. Monte Vista Dr. GAINESVILLE OTHODONTICS (703) 754-7580 PLLC DAVID C RITCHIE DDS Glade Spring, VA 24340 7530 Limestone Dr SHINGLER, ARSHIA 1022 East Stuart Drive (276) 429-5111 Gainesville, VA 20155 GAINESVILLE PEDIATRIC Galax, VA 24333 (276) 236-4925 (571) 261-9117 DENTISTRY TONEY, TYLER 7534 Limestone Dr GLADE DENTAL CLINIC Gainesville, VA 20155 RITCHIE, DAVID PEDIATRIC 634 S. Monte Vista Dr. (703) 754-1580 DAVID C RITCHIE DDS DENTIST/PEDODONTIST Glade Spring, VA 24340 1022 East Stuart Drive (276) 429-5111 AMANTE, ALVIN TRAN, MY Galax, VA 24333 SMILEZ PEDIATRIC DENTAL GAINESVILLE PEDIATRIC (276) 236-4925 GLEN ALLEN GROUP DENTISTRY 7521 Virginia Oaks Drive Ste 210 7534 Limestone Dr ORAL SURGEON ENDODONTIST Gainesville, VA 20155 Gainesville, VA 20155 (703) 754-7151 (703) 754-1580 PERKINS, DENNIS OLTRA ESPLUGUES, SUKLE HOLLYFIELD ABBOTT & ENRIQUE PERKINS BRAXTON, DARCHELLE VIRGINIA FAMILY DENTISTRY PC PERIODONTIST 209 Painter St GAINESVILLE PEDIATRIC 10212 Staples Mill Rd Galax, VA 24333 DENTISTRY HARDISON, JUSTIN Glen Allen, VA 23060 (276) 783-8131 7534 Limestone Dr JEAN-CLAUDE KHARMOUCHE (804) 672-4900 Gainesville, VA 20155 DMD PC (703) 754-1580 7915 Lake Manassas Dr Unit 207 THOMPSON, BRIAN GENERAL DENTIST Gainesville, VA 20155 SUKLE HOLLYFIELD ABBOTT & (571) 261-4867 PERKINS ABUHAJLEH, OMAR DAVIS, RHEA 209 Painter St HAPPY SMILES VCC LLC GAINESVILLE PEDIATRIC Galax, VA 24333 10101 Brook Rd #804-A DENTISTRY KHARMOUCHE, (276) 783-8131 Glen Allen, VA 23059 13555 Wellington Ctr Circle JEAN-CLAUDE (804) 266-2400 Gainesville, VA 20155 JEAN-CLAUDE KHARMOUCHE (703) 754-7580 DMD PC ORTHODONTIST 7915 Lake Manassas Dr Unit 207 AHMED, MOHAMED DAVIS, RHEA Gainesville, VA 20155 WOODS, HUNTER GEORGE VARKEY DMD PC GAINESVILLE PEDIATRIC (571) 261-4867 HUNTER K WOODS DDS MS PC 9840-B W Broad St DENTISTRY 209 Painter St Glen Allen, VA 23060 7534 Limestone Dr Galax, VA 24333 (804) 270-9989 Gainesville, VA 20155 PROSTHODONTIST (276) 236-2978 AHMED, MOHAMED (703) 754-1580 POLACK, MARIANO GATE CITY MOHAMED H AHMED DRS POLACK AND OLANO PC 9840-B W. Broad St. RAI, SHWETHA 7431 New Linton Hall Rd Glen Allen, VA 23060 GAINESVILLE PEDIATRIC GENERAL DENTIST Gainesville, VA 20155 (804) 270-9989 DENTISTRY (703) 753-8753 CHAFFIN, WRAY 13555 Wellington Ctr Circle WRAY W CHAFFIN II DMD PC Gainesville, VA 20155 GALAX 116 Ravine St Ste 102 (703) 754-7580 Gate City, VA 24251 GENERAL DENTIST (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

BUHLER, JOHN DIEFENDERFER, MARK JOSHI, MITSU VIRGINIA (CONT'D) VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC GEORGE VARKEY DMD PC 10212 Staples Mill Rd 10212 Staples Mill Rd 9840-B W Broad St GLEN ALLEN Glen Allen, VA 23060 Glen Allen, VA 23060 Glen Allen, VA 23060 (804) 672-4900 (804) 672-4900 (804) 270-9989 ANDERSON, BRADLEY BRADLEY R ANDERSON DDS CAMPBELL, JEFFREY ELGARAWANY, IBRAHIM KHISTI, MANIK 11420 West Broad St Glen Allen, VA 23060 POPE & SHETTY PLLC HAPPY SMILES VCC LLC MANIK R KHISTI LLC (804) 360-3500 11551 Nuckols Road Suite A 10101 Brook Rd #804-A 3938 Springfield Rd Glen Allen, VA 23059 Glen Allen, VA 23059 Glen Allen, VA 23060 (804) 273-6818 (804) 266-2400 (840) 747-7400 ANDRE, JOHN JOHN J ANDRE DDS PC CATOGGIO, MICHAEL EPPS, JOHNE KOHEIL, YOSRELDIN 10863 West Broad Street PARTICIPATING PROVIDERS Glen Allen, VA 23060 VIRGINIA FAMILY DENTISTRY PC HAPPY SMILES VCC LLC GEORGE VARKEY DMD PC (804) 346-8330 10212 Staples Mill Rd 10101 Brook Rd #804-A 9840-B W Broad St Glen Allen, VA 23060 Glen Allen, VA 23059 Glen Allen, VA 23060 (804) 672-4900 (804) 266-2400 (804) 270-9989 BABIK, MAJD CROSS RIDGE FAMILY & CHARY, MALLIKA EXUM, ANTONE KOWAL, MARK COSMETIC DENTISTRY 10170 Staples Mill Rd Ste A SURYA P DHAKAR DDS PC ATONE C EXUM DDS & FAMILY DENTISTRY OF SHORT Glen Allen, VA 23060 4440 Springfield Rd Ste 101 ASSOCIATES PUMP (804) 755-8050 Glen Allen, VA 23060 10124 W Broad St #Q 11549-A Nuckols Road (804) 217-9820 Glen Allen, VA 23060 Glen Allen, VA 23059 (804) 212-2501 (804) 527-2982 BAJAJ, SMRITI COOKE, THOMAS MARYAM ZAREI DDS PC FLANAGAN, CHAD LARKIN, STEVEN 5201-B Hickory Park Dr COOKE RICHARDSON OVERST Glen Allen, VA 23059 11551 Nuckols Rd Ste B VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC (804) 747-4200 Glen Allen, VA 23059 10212 Staples Mill Rd 10212 Staples Mill Rd (804) 270-7737 Glen Allen, VA 23060 Glen Allen, VA 23060 (804) 672-4900 (804) 672-4900 BHARAL, POONUM CRISP, LISA VIRGINIA FAMILY DENTISTRY PC FORTNER, GLENN MACILWAINE, RICHARD 10212 Staples Mill Rd TWIN HICKORY DENTAL Glen Allen, VA 23060 5368 Twin Hickory Rd GLENN W FORTNER DDS FAMILY DENTISTRY OF SHORT (804) 672-4900 Glen Allen, VA 23059 3950 Springfield Rd PUMP (804) 747-0020 Glen Allen, VA 23060 11549-A Nuckols Road (804) 346-4600 Glen Allen, VA 23059 BLASSIC, KIM DAMERON, KAREN (804) 527-2982 WEST END DENTAL GIBBERMAN, AVI 5225 Hickory Park Dr Ste D KAREN COLE DAMERON DDS PC MADURANTAKAM, Glen Allen, VA 23059 4424 Springfield Rd Ste 100 DR AVI B GIBBERMAN DDS PLLC (804) 270-5225 Glen Allen, VA 23060 9830 Brook Rd PARTHASARATHY (804) 270-5353 Glen Allen, VA 23059 SURYA P DHAKAR DDS PC (804) 264-7008 4440 Springfield Rd Ste 101 BOND, MARK DAMIRCHI, NASSER Glen Allen, VA 23060 VIRGINIA FAMILY DENTISTRY PC HAZELGROVE, KIRK (804) 217-9820 10212 Staples Mill Rd NASSER DAMIRCHI DDS Glen Allen, VA 23060 5243 Hickory Park Dr Ste D KIRK R HAZELGROVE DDS PC (804) 672-4900 Glen Allen, VA 23059 10317 W. Broad St MENDOZA, ISRAEL (804) 270-5005 Glen Allen, VA 23060 GEORGE VARKEY DMD PC (804) 747-4001 9840-B W Broad St BROKAW, MATTHEW DHAKAR, ADITYA Glen Allen, VA 23060 MATTHEW R BROKAW DDS IACHINI, DIANE (804) 270-9989 4924 Dominion Blvd #B SURYA P DHAKAR DDS PC Glen Allen, VA 23060 4440 Springfield Rd Ste 101 VIRGINIA FAMILY DENTISTRY PC (804) 270-6200 Glen Allen, VA 23060 10212 Staples Mill Rd MORRISON, JULIUS (804) 217-9820 Glen Allen, VA 23060 HAPPY SMILES VCC LLC (804) 672-4900 10101 Brook Rd #804-A BROTH, STUART DHAKAR, SURYA Glen Allen, VA 23059 SURYA P DHAKAR DDS PC JIWANI, MUNIRA (804) 266-2400 4440 Springfield Rd Ste 101 SURYA P DHAKAR DDS PC Glen Allen, VA 23060 4440 Springfield Rd Ste 101 HAPPY SMILES VCC LLC (804) 217-9820 Glen Allen, VA 23060 10101 Brook Rd #804-A NASH, COLLEEN (804) 217-9820 Glen Allen, VA 23059 VIRGINIA FAMILY DENTISTRY PC (804) 266-2400 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

RICHARDSON-OVERSTREET, THEKKETHOTTIYIL, VIRGINIA (CONT'D) DYMON, WILLIAM SUSAN GEORGEA NIAMTU ALEXANDER KEENEY COOKE RICHARDSON OVERST FARSHID SOLTANIAN DDS PC HARRIS METZGER DYMON PC GLEN ALLEN 11551 Nuckols Rd Ste B 3944 Springfield Rd 11545-A Nuckols Rd Glen Allen, VA 23059 Glen Allen, VA 23060 Glen Allen, VA 23059 (804) 270-7737 (804) 270-5214 NORRIS, CLINTON (804) 673-8061 CLINTON J NORRIS DDS PC 4445 Cox Road ROPER, ERIK THOMPSON, HARPER HARRIS, MONROE Glen Allen, VA 23060 VIRGINIA FAMILY DENTISTRY PC COOKE RICHARDSON OVERST NIAMTU ALEXANDER KEENEY (804) 747-0044 10212 Staples Mill Rd 11551 Nuckols Rd Ste B HARRIS METZGER DYMON PC Glen Allen, VA 23060 Glen Allen, VA 23059 11545-A Nuckols Rd (804) 672-4900 (804) 270-7737 NUNNALLY, LEONARD Glen Allen, VA 23059

LEONARD IRVIN NUNNALLY III (804) 673-8061 PARTICIPATING PROVIDERS DDS PC SARAVANA, SAUMITRA TURNAGE, NEIL 11531 Nuckols Rd Ste B HAPPY SMILES VCC LLC VIRGINIA FAMILY DENTISTRY PC KEENEY, KANYON Glen Allen, VA 23059 10101 Brook Rd #804-A 10212 Staples Mill Rd NIAMTU ALEXANDER KEENEY (804) 747-0908 Glen Allen, VA 23059 Glen Allen, VA 23060 HARRIS METZGER DYMON PC (804) 266-2400 (804) 672-4900 11545-A Nuckols Rd ONDERDONK, ANDREA SARAVANA, SAUMITRA Glen Allen, VA 23059 POPE & SHETTY PLLC GEORGE VARKEY DMD PC VARKEY, GEORGE (804) 673-8061 11551 Nuckols Road Suite A 9840-B W Broad St GEORGE VARKEY DMD PC Glen Allen, VA 23059 9840-B W Broad St Glen Allen, VA 23060 METZGER, LAWRENCE (804) 273-6818 Glen Allen, VA 23060 (804) 270-9989 NIAMTU ALEXANDER KEENEY (804) 270-9989 HARRIS METZGER DYMON PC OVERSTREET, DOUGLAS SAYYAR, SHAHREYAR VARKEY, GEORGE 11545-A Nuckols Rd COOKE RICHARDSON OVERST SEAN SHAHREYAR SAYYAR DDS MOHAMED H AHMED Glen Allen, VA 23059 11551 Nuckols Rd Ste B PC 9840-B W. Broad St. (804) 673-8061 Glen Allen, VA 23059 5231 Hickory Park Dr Ste E Glen Allen, VA 23060 (804) 270-7737 Glen Allen, VA 23059 (804) 270-9989 WATSON, DAMON (804) 290-8001 NIAMTU ALEXANDER KEENEY PATEL, KUNJAL WONG, DENNIS HARRIS METZGER DYMON PC TWIN HICKORY DENTAL SHAH, ROHINI VIRGINIA FAMILY DENTISTRY PC 11545-A Nuckols Rd 5368 Twin Hickory Rd HAPPY SMILES VCC LLC 10212 Staples Mill Rd Glen Allen, VA 23059 Glen Allen, VA 23059 10101 Brook Rd #804-A Glen Allen, VA 23060 (804) 673-8061 (804) 588-8088 Glen Allen, VA 23059 (804) 672-4900 (804) 266-2400 WLODAWSKY, ROSS PERKINSON, S ZAREI, MARYAM NIAMTU ALEXANDER KEENEY VIRGINIA FAMILY DENTISTRY PC SIMON, ALEXANDER MARYAM ZAREI DDS PC HARRIS METZGER DYMON PC 10212 Staples Mill Rd GEORGE VARKEY DMD PC 5201-B Hickory Park Dr 11545-A Nuckols Rd Glen Allen, VA 23060 9840-B W Broad St Glen Allen, VA 23059 Glen Allen, VA 23059 (804) 672-4900 Glen Allen, VA 23060 (804) 747-4200 (804) 673-8061 (804) 270-9989 RANDOLPH, RENITA ZELAZNY, LLOYD ORTHODONTIST POPE & SHETTY PLLC SOLTANIAN, FARSHID ZELAZNY FAMILY DENTISTRY 11551 Nuckols Road Suite A FARSHID SOLTANIAN DDS PC 10128 Brook Rd BIBONA, KEVIN Glen Allen, VA 23059 3944 Springfield Rd Glen Allen, VA 23059 RILEY & WILTSHIRE INC (804) 273-6818 Glen Allen, VA 23060 (804) 627-0215 4204 A Park Place Court (804) 270-5214 Glen Allen, VA 23060 REID, JOHN (804) 747-9105 ORAL SURGEON JOHNNY REID DMD LLC SZUBIAK, STANISLAW 9817 West Broad St GEORGE VARKEY DMD PC AGNIHOTRI, NEIL BRASSINGTON, BRYAN Glen Allen, VA 23060 9840-B W Broad St NIAMTU ALEXANDER KEENEY RILEY & WILTSHIRE INC (804) 270-6830 Glen Allen, VA 23060 HARRIS METZGER DYMON PC 4204 A Park Place Court (804) 270-9989 11545-A Nuckols Rd Glen Allen, VA 23060 RESSLER, CHRISTINE Glen Allen, VA 23059 (804) 747-9105 (804) 673-8061 VIRGINIA FAMILY DENTISTRY PC TABOR, CHRISTIAN 10212 Staples Mill Rd CHRISTIAN S TABOR DMD PC BUELOW, DWIGHT Glen Allen, VA 23060 12000 Wyndham Lake Dr #A CAMPBELL, ROBERT VIRGINIA FAMILY DENTISTRY PC (804) 672-4900 Glen Allen, VA 23059 POPE SHETTY & CAMPBELL 10212 Staples Mill Rd (804) 364-7122 11551 Nuckols Rd #A Glen Allen, VA 23060 Glen Allen, VA 23059 (804) 672-4900 (804) 273-6818

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

POPE, H HENDRICKSEN, ALF SHOWALTER, PERRY VIRGINIA (CONT'D) POPE & SHETTY PLLC A R HENDRICKSEN DDS INC DR PERRY L SHOWALTER DDS 11551 Nuckols Road Suite A 8642 Forest Rd Hwy 221 5324 George Wash Mem Hwy GLEN ALLEN Glen Allen, VA 23059 Goode, VA 24556 Grafton, VA 23692 (804) 273-6818 (540) 587-5707 (757) 898-0822 CLINE, MATTHEW HAPPY SMILES VCC LLC SHETTY, NAVIN GORDONSVILLE GREAT FALLS 10101 Brook Rd #804-A Glen Allen, VA 23059 POPE & SHETTY PLLC GENERAL DENTIST GENERAL DENTIST (804) 266-2400 11551 Nuckols Road Suite A Glen Allen, VA 23059 BELLAVANCE, JULIEN BROWNING, STEPHANIE (804) 273-6818 IUORNO, FRANK SPRING CREEK FAMILY SHANE R COSTA DDS PC WEST END ORTHODONTICS DENTISTRY 10135 Colvin Run Rd

12000 Wyndham Lake Dr #C PERIODONTIST 34 Jefferson Court Great Falls, VA 22066 PARTICIPATING PROVIDERS Gordonsville, VA 22942 (703) 757-0833 Glen Allen, VA 23059 VOTH, STEPHANIE (540) 832-3232 (804) 364-8366 VIRGINIA FAMILY DENTISTRY PC 10212 Staples Mill Rd COSTA, SHANE MARCUS, RICHARD Glen Allen, VA 23060 KNIGHT, JOHN SHANE R COSTA DDS PC VIRGINIA FAMILY DENTISTRY PC (804) 672-4900 SPRING CREEK FAMILY 10135 Colvin Run Rd 10212 Staples Mill Rd DENTISTRY Great Falls, VA 22066 Glen Allen, VA 23060 GLOUCESTER 34 Jefferson Court (703) 757-0833 (804) 672-4900 Gordonsville, VA 22942 (540) 832-3232 GENERAL DENTIST GRECO, DONNA MEI, ELIZABETH GREAT FALLS FAMILY & HARRIS, CHARLES DOMINION ORTHODONTICS PC PATEL, JATIN COSMETIC DENTISTRY PLC C R HARRIS JR DDS LTD 10170 Staples Mill Rd Ste B SPRING CREEK FAMILY 774 B Walker Rd 6423 Canon Way Glen Allen, VA 23060 DENTISTRY Great Falls, VA 22066 Gloucester, VA 23061 (804) 726-1870 34 Jefferson Court (703) 759-4707 (804) 642-4893 Gordonsville, VA 22942 GRECO, DONNA (540) 832-3232 PURCELL, ALLISON LAGONEGRO, ANN ACKERMAN & ASSOC OF GREAT VIRGINIA FAMILY DENTISTRY PC FALLS LTD ANN L LAGONEGRO DMD PC 10212 Staples Mill Rd SAPON, MARK 774 B Walker Rd 6093 George Washington Mem Hwy Glen Allen, VA 23060 SPRING CREEK FAMILY Great Falls, VA 22066 Gloucester, VA 23061 (804) 672-4900 DENTISTRY (703) 759-4707 (804) 693-9600 34 Jefferson Court Gordonsville, VA 22942 RILEY, JAMES MAZHARI, SHELIA LEIGH, TIMOTHY (540) 832-3232 RILEY & WILTSHIRE INC SHANE R COSTA DDS PC TIMOTHY A LEIGH DDS PC 4204 A Park Place Court 10135 Colvin Run Rd 6661 Main St Glen Allen, VA 23060 THOMPSON, JACK Great Falls, VA 22066 Gloucester, VA 23061 (804) 747-9105 JACK F THOMPSON III DDS LLC (703) 757-0833 (804) 693-2575 402 N Main St Gordonsville, VA 22942 ROGERS, DALE PHAM, LONG POUCHOT, DANIEL (540) 832-3141 VIRGINIA FAMILY DENTISTRY PC ALL SMILES DENTAL DANIEL E POUCHOT DDS PLLC 10212 Staples Mill Rd 1025 B Seneca Rd 5659 Parkway Sr Ste 140 Glen Allen, VA 23060 ORTHODONTIST Great Falls, VA 22066 Gloucester, VA 23061 (804) 672-4900 (571) 306-7676 (804) 210-1246 CLINE, MATTHEW SPRING CREEK FAMILY VILLA, RICHARD GOOCHLAND DENTISTRY SOK, ERICA RICHARD H VILLA DMD PC 34 Jefferson Court ALL SMILES DENTAL 10120 West Broad St #L GENERAL DENTIST Gordonsville, VA 22942 1025 B Seneca Rd Glen Allen, VA 23060 (540) 832-3232 Great Falls, VA 22066 (804) 747-0137 HUDGINS, WILLIAM (571) 306-7676 DR W MICHAEL HUDGINS PC GRAFTON 2979 River Rd W WILTSHIRE, CURTIS ORTHODONTIST RILEY & WILTSHIRE INC Goochland, VA 23063 GENERAL DENTIST 4204 A Park Place Court (804) 556-2530 BATH, GREGORY Glen Allen, VA 23060 ALEXANDER, ROBERT GREGORY D BATH DDS PC (804) 747-9105 GOODE ROBERT M ALEXANDER DDS 737 Walker Rd 105 Terrebonne Rd Great Falls, VA 22066 GENERAL DENTIST Grafton, VA 23692 (703) 759-9453 PEDIATRIC (757) 898-4625 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 74 Delta Dental Premier

ALEXANDER, DAVID BRAR, KANWARJIT CWIAK, KARI VIRGINIA (CONT'D) ALEXANDER DAVID J KOOL SMILES COLISEUM PEDIATRIC 2019 Cunningham Dr #314 2165 Cunningham Dr DENTISTRY GREAT FALLS Hampton, VA 23666 Hampton, VA 23666 2113 Hartford Rd #C (757) 838-2201 (757) 827-5665 Hampton, VA 23666 GARAI, ALLEN (757) 838-0800 ALLEN S GARAI DDS AMOAH, EMMANUEL BRAR, PREMJEET 9912 D Georgetown Pike DAFO, DANIEL Great Falls, VA 22066 RESOLUTION DENTAL COLISEUM PEDIATRIC (703) 281-4668 1194 Big Bethel Road DENTISTRY KOOL SMILES Hampton, VA 23666 2113 Hartford Rd #C 2165 Cunningham Dr (757) 325-9015 Hampton, VA 23666 Hampton, VA 23666 TRATENSEK, KAREN (757) 838-0800 (757) 827-5665 ALLEN S GARAI DDS AMOAH, EMMANUEL

9912 D Georgetown Pike KOOL SMILES BRAR, PREMJEET PARTICIPATING PROVIDERS DONZELL, RICHARD Great Falls, VA 22066 2165 Cunningham Dr KOOL SMILES (703) 281-4668 Hampton, VA 23666 2165 Cunningham Dr RICHARD J DONZELL JR DDS (757) 827-5665 Hampton, VA 23666 2021 A Cunningham Dr Ste 6 (757) 827-5665 Hampton, VA 23666 PERIODONTIST (757) 826-7600 BARRETT, MARC SPERLING-HABOT, KEREN DR JOSEPH R KLOCHAK DMD BROWN, BRUCE ACKERMAN & ASSOC OF GREAT 2240-C Coliseum Drive DANIEL S WILLIAMS DDS PC DREELIN, ROBERT FALLS LTD Hampton, VA 23666 70 West Blvd ROBERT A DREELIN DDS PC 774 B Walker Rd (757) 826-1121 Hampton, VA 23669 3834 Kecoughtan Rd Great Falls, VA 22066 (757) 722-2929 Hampton, VA 23669 (703) 759-4707 (757) 727-7726 BECKER, STEVEN BROWN, BRUCE STEVEN J BECKER DMD PC GRETNA DENTAL CARE OF HAMPTON FAMILANT, LAWRENCE 1-B Riverdale Dr 70 West Mercury Blvd #102 LAWRENCE J FAMILANT Hampton, VA 23666 Hampton, VA 23669 GENERAL DENTIST 18 West Mellen St (757) 838-7879 (757) 722-2929 Hampton, VA 23663 BOND, MICHAEL (757) 722-5316 MICHAEL L BOND DDS BELL, EDWIN BULLOCK, STEVE 603 S. Main St STEVEN L PERLMAN DDS LTD COLISEUM PEDIATRIC FEILD, ROBERT Gretna, VA 24557 2613 West Mercury Blvd DENTISTRY FEILD DENTISTRY (434) 656-3573 Hampton, VA 23666 2113 Hartford Rd #C 171 Foxhill Rd (757) 826-7372 Hampton, VA 23666 Hampton, VA 23669 HAMPTON (757) 838-0800 (757) 851-4400 BELL, TAMMARA ENDODONTIST COLISEUM PEDIATRIC CAVES, DONOVAN FEILD, THOMAS DENTISTRY JASPER N WATTS DDS PC NESBITT, PAULA FEILD DENTISTRY 2113 Hartford Rd #C 907 Big Bethel Rd KOOL SMILES 171 Foxhill Rd Hampton, VA 23666 Hampton, VA 23666 2165 Cunningham Dr Hampton, VA 23669 (757) 838-0800 (757) 838-5999 Hampton, VA 23666 (757) 851-4400 (757) 827-5665 BIGELOW, GILBERT CHUNG, JOHN FOLECK, ADAM STEVEN L PERLMAN DDS LTD JOHN CHUNG DDS PC GENERAL DENTIST THE FOLECK CENTER 2613 West Mercury Blvd 1959 E Pembroke Ave 2400 Cunningham Dr ABUALSOUD, ARWA Hampton, VA 23666 Hampton, VA 23663 Hampton, VA 23666 FAMILY DENTAL OF VIRGINIA (757) 826-7372 (757) 723-6565 (757) 838-8411 LLC 2040 Coliseum Dr #A27 BOOTH, JEFFREY CLARK, JOANN FRANCIS, HUNTER Hampton, VA 23666 JEFFREY P BOOTH DDS JOANN CLARK FAMILY HUNTER C FRANCIS DDS (757) 262-0020 2212 Executive Drive #A DENTISTRY PC 2038 Nickerson Blvd Hampton, VA 23666 2214 Executive Drive Suite A Hampton, VA 23663 ADESHARA, KARISHMA (757) 827-0001 Hampton, VA 23666 (757) 851-3530 KOOL SMILES (757) 838-9486 2165 Cunningham Dr BOYD, KENNETH FRANCIS, SCOTT Hampton, VA 23666 THE FOLECK CENTER CORNETTE, WILLIAM SCOTT H FRANCIS DDS (757) 827-5665 2400 Cunningham Dr HAMPTON FAMILY DENTAL 2038 Nickerson Blvd Hampton, VA 23666 1817 Todds Ln Hampton, VA 23663 (757) 838-8411 Hampton, VA 23666 (757) 851-3530 (757) 827-7770

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

IRELAND, MICHAEL KLOCHAK, JOSEPH MEYERS, CHRISTIAN VIRGINIA (CONT'D) COLISEUM PEDIATRIC DR JOSEPH R KLOCHAK DMD DENTAL CARE OF HAMPTON DENTISTRY 2240-C Coliseum Drive 70 West Mercury Blvd #102 HAMPTON 2113 Hartford Rd #C Hampton, VA 23666 Hampton, VA 23669 Hampton, VA 23666 (757) 826-1121 (757) 722-2929 GALLOP, CECEIL (757) 838-0800 CECEIL C GALLOP LEJEUNE, BARRY MILLER, DAVID 3709 Kecoughtan Road JAYASWAL, NEERAV Hampton, VA 23669 BARRY LEJEUNE DDS DAVID L MILLER DDS (757) 722-8507 GOOD NEIGHBOR DENTAL AT 1130 Big Bethel Rd 1 Charlton Drive WILLOW OAKS Hampton, VA 23666 Hampton, VA 23666 208 Foxhill Rd (757) 827-9114 (757) 838-0008 GRAHAM-MONTAQUE, RANA Hampton, VA 23669 KOOL SMILES (757) 850-2100 LIMON, FRANCISCO MILLER, JULIAN 2165 Cunningham Dr PARTICIPATING PROVIDERS Hampton, VA 23666 THE FOLECK CENTER COLISEUM PEDIATRIC JIWANI, MUNIRA (757) 827-5665 2400 Cunningham Dr DENTISTRY FAMILY DENTAL OF VIRGINIA Hampton, VA 23666 2113 Hartford Rd #C LLC (757) 838-8411 Hampton, VA 23666 GUNDECHA, SHANUP 2040 Coliseum Dr #A27 (757) 838-0800 FAMILY DENTAL OF VIRGINIA Hampton, VA 23666 LLERANDI, ELIAS LLC (757) 262-0020 MODESTE, LORENZO 2040 Coliseum Dr #A27 JASPER N WATTS DDS PC Hampton, VA 23666 907 Big Bethel Rd MODESTE LORENZO J JONES, ANTONIA (757) 262-0020 Hampton, VA 23666 2238 W Todds St # C COLISEUM PEDIATRIC (757) 838-5999 Hampton, VA 23666 DENTISTRY (757) 825-6098 HARMON, THOMAS 2113 Hartford Rd #C MATAR, USAMA KOOL SMILES Hampton, VA 23666 FAMILY DENTAL OF VIRGINIA NAVUBOTHU, PADMALATHA 2165 Cunningham Dr (757) 838-0800 Hampton, VA 23666 LLC FAMILY DENTAL OF VIRGINIA (757) 827-5665 2040 Coliseum Dr #A27 LLC JUNG, YUJIN Hampton, VA 23666 2040 Coliseum Dr #A27 JOHN CHUNG DDS PC (757) 262-0020 Hampton, VA 23666 HARRISON, JAMES 1959 E Pembroke Ave (757) 262-0020 HARRISON & SMITH DDS PC Hampton, VA 23663 MATIAS, THIAGO 2240 Coliseum Dr (757) 723-6565 NICHOLS, ASHLEY Hampton, VA 23666 KOOL SMILES (757) 827-0250 2165 Cunningham Dr RESOLUTION DENTAL KAUR, AJINDER Hampton, VA 23666 1194 Big Bethel Road KOOL SMILES (757) 827-5665 Hampton, VA 23666 HENDRICKSON-HAIRSTON, 2165 Cunningham Dr (757) 325-9015 JOELLE Hampton, VA 23666 MCCORMICK, MICHAEL JASPER N WATTS DDS PC (757) 827-5665 MICHAEL P MCCORMICK JR DDS O'DONNELL, DAVID 907 Big Bethel Rd PC KOOL SMILES Hampton, VA 23666 KAYMANESH, SHAGHAYEGH 901 Enterprise Pkwy Ste 500 2165 Cunningham Dr (757) 838-5999 KOOL SMILES Hampton, VA 23666 Hampton, VA 23666 2165 Cunningham Dr (757) 896-4900 (757) 827-5665 HOFFMAN, LISA Hampton, VA 23666 LISA D HOFFMAN DDS (757) 827-5665 MCDONALD, PAMELA PANDHER, RAMONA 47 West Queens Wy MICHAEL P MCCORMICK JR DDS KOOL SMILES Hampton, VA 23669 KIM, CHAD PC 2165 Cunningham Dr (757) 722-8815 KOOL SMILES 901 Enterprise Pkwy Ste 500 Hampton, VA 23666 2165 Cunningham Dr Hampton, VA 23666 (757) 827-5665 HOFFMAN, RICHARD Hampton, VA 23666 (757) 896-4900 RICHARD S HOFFMAN DDS (757) 827-5665 PARK, KYEONG 47 West Queens Way MCNEILL, SU PARK DENTAL Hampton, VA 23669 KIRPAL, ABHISHEK HARRISON & SMITH DDS PC 21 Towne Centre Way (757) 722-8815 KOOL SMILES 2240 Coliseum Dr Hampton, VA 23666 2165 Cunningham Dr Hampton, VA 23666 (757) 838-9140 HUTCHINGS, MICHAEL Hampton, VA 23666 (757) 827-0250 HAMPTON FAMILY DENTAL (757) 827-5665 PATEL, KINJAL 1817 Todds Ln MEYERS, CHRISTIAN FAMILY DENTAL OF VIRGINIA Hampton, VA 23666 DANIEL S WILLIAMS DDS PC LLC (757) 827-7770 70 West Mercury Blvd 2040 Coliseum Dr #A27 Hampton, VA 23669 Hampton, VA 23666 (757) 722-2929 (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

SANKEPALLY, DIVYA UTTERBACK, BRUCE MRAZIK, JACK VIRGINIA (CONT'D) KOOL SMILES KOOL SMILES JACK A MRAZIK 2165 Cunningham Dr 2165 Cunningham Dr 3000 Coliseum Dr #204 Sentara HAMPTON Hampton, VA 23666 Hampton, VA 23666 Care Plex (757) 827-5665 (757) 827-5665 Hampton, VA 23666 PERLMAN, STEVEN (757) 838-3975 STEVEN L PERLMAN DDS LTD SCOTT, TAMASHA WATKINS, JAMES 2613 West Mercury Blvd PHELPS, MAYNARD Hampton, VA 23666 KOOL SMILES JAMES D WATKINS DDS (757) 826-7372 2165 Cunningham Dr 2207 Executive Dr Ste C TDT OMS Hampton, VA 23666 Hampton, VA 23666 901 Enterprise Pkwy #100 (757) 827-5665 (757) 827-5225 Hampton, VA 23666 PHILLIPS, SARAH (757) 825-8355 COLISEUM PEDIATRIC SHARIF, ASIF WATTS, JASPER DENTISTRY PARTICIPATING PROVIDERS TANKERSLEY, KENNETH 2113 Hartford Rd #C KOOL SMILES JASPER N WATTS DDS PC Hampton, VA 23666 2165 Cunningham Dr 907 Big Bethel Rd TDT OMS (757) 838-0800 Hampton, VA 23666 Hampton, VA 23666 901 Enterprise Pkwy #100 (757) 827-5665 (757) 838-5999 Hampton, VA 23666 PHILLIPS, SARAH (757) 825-8355 KOOL SMILES SIRAGUSA , JOSEPH WILLIAMS, DANIEL 2165 Cunningham Dr JOSEPH SIRAGUSA DDS PC DANIEL S WILLIAMS DDS PC ORTHODONTIST Hampton, VA 23666 2114 Hartford Rd #B 70 West Mercury Blvd (757) 827-5665 Hampton, VA 23666 Hampton, VA 23669 BEHL, YUGAL (757) 826-3636 (757) 722-2929 COLISEUM PEDIATRIC POOLE, ADAM DENTISTRY WILLIAMS, DANIEL 2113 Hartford Rd #C RESOLUTION DENTAL SKRBA, SLADJANA DENTAL CARE OF HAMPTON Hampton, VA 23666 1194 Big Bethel Road KOOL SMILES Hampton, VA 23666 70 West Mercury Blvd #102 (757) 838-0800 2165 Cunningham Dr Hampton, VA 23669 (757) 325-9015 Hampton, VA 23666 (757) 722-2929 DAILEY, CURTIS POOLE, ADAM (757) 827-5665 CURTIS W DAILEY DDS PLLC KOOL SMILES YOUNG, MARCUS 2118 Executive Dr 2165 Cunningham Dr SMITH, ERIC JASPER N WATTS DDS PC Hampton, VA 23666 Hampton, VA 23666 HARRISON & SMITH DDS PC 907 Big Bethel Rd (757) 826-5075 (757) 827-5665 2240 Coliseum Dr Hampton, VA 23666 Hampton, VA 23666 (757) 838-5999 DAILEY, GEORGE RASMUSSEN, JAY (757) 827-0250 CURTIS W DAILEY DDS PLLC KOOL SMILES YU, SANG HUN 2118 Executive Dr 2165 Cunningham Dr STEELE, BEN KOOL SMILES Hampton, VA 23666 Hampton, VA 23666 KOOL SMILES 2165 Cunningham Dr (757) 826-5075 (757) 827-5665 2165 Cunningham Dr Hampton, VA 23666 Hampton, VA 23666 (757) 827-5665 FULTON, CATHERINE RASTOGI, LOVEENA (757) 827-5665 CATHERINE ODEN FULTON DDS KOOL SMILES ORAL SURGEON PLC 2165 Cunningham Dr STELMACH, MICHELLE 1029 W Mercury Blvd Hampton, VA 23666 FAMILY DENTAL OF VIRGINIA DAVENPORT, WILLIAM Hampton, VA 23666 (757) 827-5665 LLC TDT OMS (757) 838-2006 2040 Coliseum Dr #A27 901 Enterprise Pkwy #100 REIMER, MICHAEL Hampton, VA 23666 Hampton, VA 23666 RIGGS, GARY KOOL SMILES (757) 262-0020 (757) 825-8355 GARY A RIGGS JR DMD 2165 Cunningham Dr 1610 B Aberdeen Rd Hampton, VA 23666 TABOR, WILLIAM GLIKSMAN, JOSEPH Hampton, VA 23666 (757) 827-5665 HAMPTON DENTAL ASSOC COLISEUM PEDIATRIC (757) 838-3830 1420 North King Street DENTISTRY ROBINSON, DONALD Hampton, VA 23669 2113 Hartford Rd #C SCOTT, JON DONALD C ROBINSON DDS (757) 851-6187 Hampton, VA 23666 JON L SCOTT DDS PC 3709 Kecoughtan Rd (757) 838-0800 1186 Big Bethel Rd Hampton, VA 23669 TRAN, BRITNIE Hampton, VA 23666 (757) 722-8507 KOOL SMILES MORGAN, JOHN (757) 825-6280 2165 Cunningham Dr COLISEUM PEDIATRIC Hampton, VA 23666 DENTISTRY (757) 827-5665 2113 Hartford Rd #C Hampton, VA 23666 (757) 838-0800

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 77 Delta Dental Premier

FISHER, STEVEN ANDERSON, JOAN HERNANDEZ, LAURA VIRGINIA (CONT'D) STEVEN C FISHER ROCKTOWN FAMILY DENTLAL SOLIS DENTAL PC 2212 Executive Dr CARE 1587 Port Republic Rd Ste 2 HAMPTON Hampton, VA 23666 1971 F Evelyn Byrd Harrisonburg, VA 22801 (757) 827-0001 Harrisonburg, VA 22801 (540) 437-8422 SCOTT, JON (540) 705-0102 JON L SCOTT DDS PC KOKORELIS, MICHAEL HUFFMAN, JENNIFER 2108 Hartford Rd BATCHELOR, CAITLIN Hampton, VA 23666 DR MICHAEL J KOKORELIS INC DR JENS GENTLE DENTISTRY (757) 825-6280 2113 Hartford Road CAITLIN BATCHELOR DDS PC 1589 Port Republic Rd Ste 2 Hampton, VA 23666 1920 Medical Ave #J Harrisonburg, VA 22801 (757) 827-1572 Harrisonburg, VA 22801 (540) 432-1600 WAITKUS, ALEXANDER (540) 432-9992 ALEXANDER M WAITKUS DDS HARDY HUTSON, H MS PC PARTICIPATING PROVIDERS BIERY, KATHRYN 2101 Executive Dr, 5 E H MCNEILL HUTSON GENERAL DENTIST Hampton, VA 23666 MOUNTAIN VIEW DENTAL TEAM 129 University Blvd #C PLLC Harrisonburg, VA 22801 (757) 826-8511 HARDEE, SHEILA 4100 Quarles Court (540) 434-1125 HARVEY DENTISTRY SML PC Harrisonburg, VA 22801 WEXEL, WALTER 12925 Booker T Washington Hwy (540) 432-0609 JOSHUA, GINA WALTER K WEXEL DDS Ste 202 901 Enterprise Pkwy Ste 500 Hardy, VA 24101 SMALLWOOD & BURSE TODD, JESSICA Hampton, VA 23666 (540) 721-2448 MCKOWN-SMALLWOOD DDS PC (757) 896-4900 KEN COPELAND FAMILY 4102 Quarles Ct DENTISTRY Harrisonburg, VA 22801 HARVEY, GREGORY 590 Neff Ave Ste 100 (540) 433-2288 HARVEY DENTISTRY SML PC PEDIATRIC Harrisonburg, VA 22801 12925 Booker T Washington Hwy DENTIST/PEDODONTIST (540) 437-4090 Ste 202 LAGRUA, DANIEL BRAXTON, DARCHELLE Hardy, VA 24101 CALVANO & LAGRUA PLC COLISEUM PEDIATRIC (540) 721-2448 CALVANO, DENNIS 3340 Emmaus Rd DENTISTRY CALVANO & LAGRUA PLC Harrisonburg, VA 22801 3340 Emmaus Rd (540) 433-2613 2113 Hartford Rd #C MORRIS, WILLIAM Harrisonburg, VA 22801 Hampton, VA 23666 HARVEY DENTISTRY SML PC (540) 433-2613 (757) 838-0800 12925 Booker T Washington Hwy MCKOWN-SMALLWOOD, Ste 202 KELLY EBERLY, RANDY Hardy, VA 24101 CHALKER, JENNIFER SMALLWOOD & RANDY J EBERLY DMD (540) 721-2448 JENNIFER W CHALKER DDS PLC MCKOWN-SMALLWOOD DDS PC 2111 Hartford Rd 4104 Quarles Court 4102 Quarles Ct Hampton, VA 23666 HARRISONBURG Harrisonburg, VA 22801 Harrisonburg, VA 22801 (757) 827-3399 (540) 434-4343 (540) 433-2288 ENDODONTIST GAROFALIS, HARALAMBOS COPELAND, KENNETH NEESE, DANNY KENEE, DAVID COLISEUM PEDIATRIC KEN COPELAND FAMILY DANNY B NEESE DDS VALLEY ENDODONTICS DENTISTRY DENTISTRY 4102 Quarles Court 1880 Country Club Rd 2113 Hartford Rd #C 590 Neff Ave Ste 100 Harrisonburg, VA 22801 Harrisonburg, VA 22802 Hampton, VA 23666 Harrisonburg, VA 22801 (540) 433-2288 (540) 433-3636 (757) 838-0800 (540) 437-4090 NEESE, DANNY MCKEARNEY, ROBERT SMALLWOOD & PHELPS, JOY EYE, KENNETH VALLEY ENDODONTICS MCKOWN-SMALLWOOD DDS PC MICHAEL P MCCORMICK JR DDS EXCEPTIONAL SMILES FAMILY 1880 Country Club Rd 4102 Quarles Ct PC DENTISTRY Harrisonburg, VA 22802 Harrisonburg, VA 22801 901 Enterprise Pkwy Ste 500 563 University Blvd Ste 140 (540) 433-3636 (540) 433-2288 Hampton, VA 23666 Harrisonburg, VA 22801 (757) 896-4900 (540) 434-5500 GENERAL DENTIST ROBERTS, CAMERON CALVANO & LAGRUA PLC FOWLER, J TAPP-REID, DONNAMARIA AMIRSAYAFI, PAYAM 3340 Emmaus Rd J TODD FOWLER DDS PC DONNAMARIA TAPP-REID DDS MOUNTAIN VIEW DENTAL TEAM Harrisonburg, VA 22801 2870 B South Main St 2202 Executive Drive Ste. E PLLC (540) 433-2613 Harrisonburg, VA 22801 Hampton, VA 23666 4100 Quarles Court (540) 434-2423 (757) 838-8855 Harrisonburg, VA 22801 (540) 432-0609 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

PANDOLFI, PHILIP SAUNDERS, VICTOR LOMBARD, JOSEPH VIRGINIA (CONT'D) PHILIP J PANDOLFI DMD PLLC SHENANDOAH VALLEY IMPLANT JOSEPH A LOMBARD JR 2105 Evelyn Byrd Ave INSTITUTE LLC 2630 George Wash Hwy HARRISONBURG Harrisonburg, VA 22801 119-A University Blvd Hayes, VA 23072 (540) 433-1751 Harrisonburg, VA 22801 (804) 642-2120 SCHAAP, ALEX (540) 434-8575 MOUNTAIN VIEW DENTAL TEAM LOMBARD, JOSEPH PLLC PAULETTE, STEPHEN J LOMBARD DDS & N VOGT DDS 4100 Quarles Court MOUNTAIN VIEW DENTAL TEAM SPECIALTY NOT SPECIFIED 2630 George Washington Hwy PLLC Harrisonburg, VA 22801 WEILER, MICHAEL Hayes, VA 23072 (540) 432-0609 4100 Quarles Court (804) 642-2120 Harrisonburg, VA 22801 MICHAEL A WEILER DMD PC (540) 432-0609 119 Universtiy Blvd #D SMALLWOOD, ANTHONY Harrisonburg, VA 22801 , JEFF

SMALLWOOD & (540) 433-3790 HAYES FAMILY DENTISTRY PARTICIPATING PROVIDERS MCKOWN-SMALLWOOD DDS PC RAMSEY, BRENT 3073 George Washington Hwy WHITNEY & RAMSEY ORAL & 4102 Quarles Ct HAYES Hayes, VA 23072 Harrisonburg, VA 22801 FACIAL SURGERY PC (804) 642-2212 (540) 433-2288 2071 Pro Pointe Ln Harrisonburg, VA 22801 GENERAL DENTIST RENDER, PHILIP (540) 437-1230 SOLIS, RICARDO BONESTEEL, JOHN PHILIP J RENDER SOLIS DENTAL PC R & C DENTAL INC 7198 Chapman Drive 1587 Port Republic Rd Ste 2 WHITNEY, JAMES 4121 George Wash Mem Hwy Hayes, VA 23072 Harrisonburg, VA 22801 WHITNEY & RAMSEY ORAL & Hayes, VA 23072 (804) 684-9971 (540) 437-8422 FACIAL SURGERY PC (804) 684-9905 2071 Pro Pointe Ln VOGT, NATHAN Harrisonburg, VA 22801 CHUNG, JOHN SONI, SHWETA (540) 437-1230 J LOMBARD DDS & N VOGT DDS MOUNTAIN VIEW DENTAL TEAM JOHN CHUNG DDS PC 2630 George Washington Hwy PLLC 4732 George Washington Mem Hwy Hayes, VA 23072 4100 Quarles Court ORTHODONTIST Ste A (804) 642-2120 Harrisonburg, VA 22801 Hayes, VA 23072 TAMKIN, LEWIS VOGT, NATHAN (540) 432-0609 (804) 693-9055 TAMKIN LEWIS D NATHAN M VOGT Dukes Plaza Shop Center 2225 DREELIN, ROBERT 2630 George Washington Mem Hwy SPILLERS, RONALD South Main Street HAYES FAMILY DENTISTRY Hayes, VA 23072 HARRISONBURG COMMUNITY Harrisonburg, VA 22801 3073 George Washington Hwy (804) 642-2120 HEALTH CENTER (540) 434-9732 1380 Little Sorrell Dr Ste 100 Hayes, VA 23072 Harrisonburg, VA 22801 (804) 642-2212 ORAL SURGEON PERIODONTIST (540) 236-3688 DAVENPORT, WILLIAM FOSTER, PETER BLACK, BARBARA TDT OMS WOLTERS, DWAYNE MOUNTAIN VIEW DENTAL TEAM PETER M FOSTER DDS PLLC 2656 George Washington Mem Hwy WOLTERS DWAYNE PLLC 2630 George Washington Mem Hwy #105 2262 Blue Stone Hills Dr 4100 Quarles Court Hayes, VA 23072 Hayes, VA 23072 Harrisonburg, VA 22801 Harrisonburg, VA 22801 (804) 642-2120 (804) 684-9325 (540) 433-3080 (540) 432-0609 GEORGE, ROBERT PHELPS, MAYNARD HAYES FAMILY DENTISTRY ORAL SURGEON DICKSON, JEFFREY TDT OMS SHENANDOAH VALLEY IMPLANT 3073 George Washington Hwy 2656 George Washington Mem Hwy KLAMUT, KENNETH INSTITUTE LLC Hayes, VA 23072 #105 KENNETH M KLAMUT DDS 119-A University Blvd (804) 642-2212 Hayes, VA 23072 129 University Blvd. Harrisonburg, VA 22801 (804) 684-9325 Harrisonburg, VA 22801 (540) 434-8575 GORDON, DIANN (540) 432-1300 HAYES FAMILY DENTISTRY TANKERSLEY, KENNETH SAUNDERS, STEVEN 3073 George Washington Hwy TDT OMS MCLAUGHLIN, JOHN SHENANDOAH VALLEY IMPLANT Hayes, VA 23072 2656 George Washington Mem Hwy MOUNTAIN VIEW DENTAL TEAM INSTITUTE LLC (804) 642-2212 #105 PLLC 119-A University Blvd Hayes, VA 23072 4100 Quarles Court Harrisonburg, VA 22801 JUNG, YUJIN (804) 684-9325 Harrisonburg, VA 22801 (540) 434-8575 JOHN CHUNG DDS PC (540) 432-0609 4732 George Washington Mem Hwy ORTHODONTIST Ste A Hayes, VA 23072 (804) 693-9055

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

MORTVEDT, DAVID GENERAL DENTIST ENDODONTIST VIRGINIA (CONT'D) HAYMARKET FAMILY & COSMETIC DENTISTRY PC BAICY, SARAH FEIMSTER, TAWANA HAYES 15100 Washington St Ste 202 SARAH A BAICY DMD PC MICHAEL G CATTAFESTA DDS Haymarket, VA 20169 7113 Three Chopt Rd #200 PC MORRIS, DAVID (703) 754-0727 Henrico, VA 23226 2579 John Milton Dr #350 DAVID A MORRIS DDS PC (804) 288-8200 Herndon, VA 20171 2674 B George Wash Mem Hwy (703) 620-4050 REANGBER, SINA Hayes, VA 23072 BALL, SHARI (804) 642-2112 LIFETIME SMILES PLLC 5391 Merchants View Sq MICHAEL O MCMUNN DDS & LEE, H VIVIAN Haymarket, VA 20169 ASSOC PC VIVIAN LEE DDS PERIODONTIST (571) 248-0700 8804 Patterson Ave #100 505 Huntmar Park D #150 Henrico, VA 23229 Herndon, VA 20170

WOODRUFF, HARVEY (804) 740-7212 (703) 736-0900 PARTICIPATING PROVIDERS HARVEY WOODRUFF III VAKAY, RENA 2654 Route 17 MOVAK PC DBA HAYMARKET EASTERLING, ROBERT SHAMBAYATI, SARA Hayes, VA 23072 DENTAL COMPLETE CARE (804) 642-3558 6735 Leaberry Way HENRICO COUNTY HEALTH MOJDEH VESALLI DDS Haymarket, VA 20169 DEPT 505 Huntmar Park Dr #150 8600 Dixon Powers Dr Herndon, VA 20170 HAYMARKET (703) 753-7077 Henrico, VA 23273 (703) 736-0900 (804) 501-4658 GENERAL DENTIST YAQUI, LUIS SMILES ON HAYMARKET GENERAL DENTIST GRIFFITHS, JOLANTA 4420 Costello Way FREEMAN, MARK AHMAD, IMANEY STANLEY F KAYES DDS PC Haymarket, VA 20169 MARK FREEMAN FAMILY THE TOOTH DOC FAMILY 6735 Hunting Path Rd (703) 753-8129 DENTISTRY Haymarket, VA 20169 3290 Church Road DENTISTRY (703) 754-2300 Henrico, VA 23233 2465 Centerville Rd Ste J-15 ORTHODONTIST (804) 270-3080 Herndon, VA 20171 (703) 793-0291 KARNS, JASON BROSNAN, PAUL LIFETIME SMILES PLLC ADVANCED ORTHODONTICS KHALAF, ATHRA 5391 Merchants View Sq 5321 Merchants View Sq PEARL SMILE PLLC ALAYSSAMI, MAZIN Haymarket, VA 20169 Haymarket, VA 20169 8600 Quioccasin Rd Ste 205 BRIGHT NOW DENTAL GENERAL (571) 248-0700 (571) 248-0300 Henrico, VA 23229 SPECIALTY COSMETIC (804) 740-0646 13873 Park Center Rd Ste 137 Herndon, VA 20171 KAYES, STANLEY GOOZH, STEVEN (703) 478-0115 STANLEY F KAYES DDS PC STEVEN W GOOZH DDS PC MCMUNN, MICHAEL 6735 Hunting Path Rd 4420 Costello Way MICHAEL O MCMUNN DDS & Haymarket, VA 20169 Haymarket, VA 20169 ASSOC PC AL-KARAGHOLI, MUSTAFA (703) 754-2300 (571) 248-8371 8804 Patterson Ave #100 AL-KARAGHOLI DENTISTRY OF Henrico, VA 23229 HERNDON 1094 Elden St LOWE, TONTRA PRYOR, DENNIS (804) 740-7212 Herndon, VA 20170 AWESOME SMILES DENTAL ADVANCED ORTHODONTICS (703) 787-2273 CENTER 5321 Merchants View Sq ROSE, JENNIFER 6468 Trading Square Haymarket, VA 20169 JENNIFER T ROSE DDS PC Haymarket, VA 20169 (571) 248-0300 7110-C Patterson Ave ASSAR, SHAWDI (571) 261-2600 Henrico, VA 23229 DULLES DENTAL CENTER PC 1035 Sterling Rd Ste 204 HAYSI (804) 285-8290 Herndon, VA 20170 MILLER, GLEN (703) 471-8080 MILLER DDS OF HAYMARKET PC GENERAL DENTIST WOOD, WILLIAM 6735 Leaberry Way WILLIAM C WOOD JR DDS BAKER, SHERRY Haymarket, VA 20169 4908 Monument Ave #201 AYOUBI, IMAN STONE MTN HEALTH SERVIC (703) 753-7077 Henrico, VA 23230 ALLURE DENTAL LLC 162 Med Ctr Blvd (804) 358-9743 171 Elden St #2C3 Haysi, VA 24256 Herndon, VA 20170 MOON, JEFF (276) 865-5121 (703) 956-6168 MOVAK PC DBA HAYMARKET ORTHODONTIST DENTAL COMPLETE CARE LYNN, LARRY 6735 Leaberry Way HORSEY, GUSTAV BLACK, ANTHONY Haymarket, VA 20169 LARRY W LYNN HORSEY ORTHODONTICS LLC SUNRISE VALLEY DENTAL (703) 753-7077 Main St 4106 E Parham Rd Ste A ASSOCIATES PLLC Haysi, VA 24256 Henrico, VA 23228 12950 Highland Crossing Dr #F (276) 865-5917 (804) 672-3030 Herndon, VA 20171 (703) 787-9670 HENRICO 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

ESTWANI, ISAM HO, TRUNG MEER, B ROBERT VIRGINIA (CONT'D) NEW HORIZONS DENTAL TRUNG D HO DDS PC ELDEN FAMILY DENTAL CENTER 462 Herndon Pkwy Ste 106 131 Elden St Ste 100 HERNDON 1020 Elden St. Ste. #106 Herndon, VA 20170 Herndon, VA 20170 Herndon, VA 20170 (703) 941-5063 (703) 657-0000 BOMAR, STEPHANIE (703) 955-4221 DENTAL CENTER OF HERNDON HOPKINS, JAMES MUHAMMAD, SULTAN 1110 Elden St Ste E108 FREEDMAN, JOYCE Herndon, VA 20170 SKINNER OSSAKOW & ASSOC NEIBAUER DENTAL CARE PC (703) 318-7200 DRS MCILVEEN & FREEDMAN PC DDS PC 12973 Highland Crossing Dr #E 131 Elden Street #130 3065-A Centreville Rd Herndon, VA 20171 Herndon, VA 20170 Herndon, VA 20171 (703) 435-9178 CATTAFESTA, MICHAEL (703) 689-3900 (703) 437-0333 MICHAEL G CATTAFESTA DDS MURTHY, PRAMILA PC PARTICIPATING PROVIDERS GANJI, NAZILA HUDGINS, WINFRED 2579 John Milton Dr #350 DULLES DENTAL CENTER PC Herndon, VA 20171 COSMETIC & FAMILY DENTISTRY WINFRED P HUDGINS DDS PC 1035 Sterling Rd Ste 204 (703) 620-4050 13515 Dulles Technology Dr Ste A 150 Elden St Ste 255 Herndon, VA 20170 Herndon, VA 20171 Herndon, VA 20170 (703) 471-8080 (703) 793-3030 (703) 435-9163 CHOHAN, EMA NAEEM, NASEER NEW HORIZONS DENTAL GARRETT, WANDA JASSAL, RAMAN CENTER HERNDON WALKING SMILES 1020 Elden St. Ste. #106 WANDA F GARRETT DDS LTD HERNDON FAMILY DENTAL 201 Elden St #102 Herndon, VA 20170 1031 Sterling Road #103 112 Elden St #N Herndon, VA 20170 (703) 955-4221 Herndon, VA 20170 Herndon, VA 20170 (703) 437-6366 (703) 435-5051 (703) 787-9000

CHU, OLIVER NGUYEN, CALVIN GRANDE, MARCOS JEFFERIES, MARK DENTAL CENTER OF HERNDON FRANKLIN DENTAL 1110 Elden St Ste E108 MARCOS GRANDE DDS PLLC DR MARK S JEFFERIES DMD PLC 13320-I Franklin Farm Rd Herndon, VA 20170 108 Elden Street #10 500 Grove St #303 Herndon, VA 20171 (703) 318-7200 Herndon, VA 20170 Herndon, VA 20170 (703) 870-7675 (703) 471-7164 (703) 793-1771

CUELLAR, GERSON NIKPOURFARD, MATT GRIMMER, BRYAN KATZ, ABRAHAM COSMETIC FAMILY DENTAL DULLES DENTAL CENTER PC 131 Elden St Ste 101 BRYAN L GRIMMER DDS ABRAHAM A KATZ DDS 1035 Sterling Rd Ste 204 Herndon, VA 20170 131 Elden St #101 102 Elden St Ste 15 Herndon, VA 20170 (703) 481-1118 Herndon, VA 20170 Herndon, VA 20170 (703) 471-8080 (703) 478-0315 (703) 478-9574

CUJAR, ANA MARIA ORNOFF, MARK GUIRGUIS, JOHN KAUR, SANDEEP AMC DENTAL SPA BRIGHT NOW DENTAL GENERAL 104 Elden St Ste 10 NEIBAUER DENTAL CARE PC SUNRISE VALLEY DENTAL SPECIALTY COSMETIC Herndon, VA 20170 12973 Highland Crossing Dr #E 12950 Highland Crossing Dr. Ste. F 13873 Park Center Rd Ste 137 (703) 889-5420 Herndon, VA 20171 Herndon, VA 20171 Herndon, VA 20171 (703) 435-9178 (703) 787-9670 (703) 478-0115

DILOLLI, SONIA HAKIM, FARHAD KWON, HYUKSOO OSSAKOW, WILLIAM VIRGINIA DENTISTRY BY DESIGN 102 Elden St #15 M F HAKIMELAHI DDS INC HYUKSOO KWON DDS P C SKINNER OSSAKOW & ASSOC Herndon, VA 20170 625 Elden St #201 346 Elden St DDS PC (703) 478-9574 Herndon, VA 20170 Herndon, VA 20170 3065-A Centreville Rd (703) 955-4222 (703) 956-6995 Herndon, VA 20171 (703) 437-0333 DORJEE, JIGMEY HASHAM, OMAR LAM, TONY HERNDON FAMILY DENTAL PARK, JOHN 112 Elden St #N NEIBAUER DENTAL CARE PC DULLES DENTAL CENTER PC Herndon, VA 20170 12973 Highland Crossing Dr #E 1035 Sterling Rd Ste 204 NEIBAUER DENTAL CARE PC (703) 787-9000 Herndon, VA 20171 Herndon, VA 20170 12973 Highland Crossing Dr #E (703) 435-9178 (703) 471-8080 Herndon, VA 20171 (703) 435-9178 DUBE, NEELAM HEDAYATI, KOUROS LE, HANG HERNDON FAMILY DENTAL PARK, SUN 112 Elden St #N ELHAM SAFARI DDS PC DENTAL CENTER OF HERNDON Herndon, VA 20170 555 Grove St Ste 108 1110 Elden St Ste E108 SUN PARK DDS PC (703) 787-9000 Herndon, VA 20170 Herndon, VA 20170 102 Elden St #17 (703) 787-7778 (703) 318-7200 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

TAHIM, GEETIKA DEVYLDER, JOSEPH VAHAB, PHILIP VIRGINIA (CONT'D) SMILES BY DESIGN PLLC BRIGHT NOW DENTAL GENERAL DRS MCILVEEN & FREEDMAN PC 12950 Highland Crossing Dr Ste G SPECIALTY COSMETIC 131 Elden Street #130 HERNDON Herndon, VA 20171 13873 Park Center Rd Ste 137 Herndon, VA 20170 (703) 437-1800 Herndon, VA 20171 (703) 689-3900 QIU, KENNETH (703) 478-0115 DENTAL CENTER OF HERNDON TAJALLI, FLORA 1110 Elden St Ste E108 PEDIATRIC Herndon, VA 20170 ACCLAIM DENTAL GROUP ORTHODONTIST DENTIST/PEDODONTIST (703) 318-7200 209 Elden Street # 210 Herndon, VA 20170 APT, KOLMAN COULTER, CHARLES (703) 709-0102 KOLMAN P APT PC DENTISTRY FOR CHILDREN OF REDDY, HIMA-BINDU 106 Elden Street #19 VA LLC BRIGHT NOW DENTAL GENERAL Herndon, VA 20170 TSAI, CHIH-PING 13015 Worldgate Dr SPECIALTY COSMETIC (703) 437-8700 Herndon, VA 20170 PARTICIPATING PROVIDERS NEIBAUER DENTAL CARE PC 13873 Park Center Rd Ste 137 (703) 745-5128 12973 Highland Crossing Dr #E Herndon, VA 20171 BERMAN, SCOTT (703) 478-0115 Herndon, VA 20171 (703) 435-9178 BERMAN & LEE ORTHODONTICS MCILVEEN, LEZLEY INC DRS MCILVEEN & FREEDMAN PC SAFARI, ELHAM 13350 Franklin Farm Rd. Ste. #3`0 USMAN, MALIK 131 Elden Street #130 ELHAM SAFARI DDS PC Herndon, VA 20171 Herndon, VA 20170 HERNDON WALKING SMILES 555 Grove St Ste 108 (703) 241-9191 (703) 689-3900 Herndon, VA 20170 201 Elden St #102 (703) 787-7778 Herndon, VA 20170 (703) 437-6366 BYRD, RICHARD MONSALVE, CARLOS BRIGHT NOW DENTAL GENERAL CARLOS H MONSALVE DDS PC SANATI, ARDALAN SPECIALTY COSMETIC VAMARAJU, BINDU 13350 Franklin Farm Rd Ste 310 ACCLAIM DENTAL GROUP 13873 Park Center Rd Ste 137 Herndon, VA 20171 NEIBAUER DENTAL CARE PC 209 Elden Street # 210 Herndon, VA 20171 (703) 481-1115 12973 Highland Crossing Dr #E Herndon, VA 20170 (703) 478-0115 (703) 709-0102 Herndon, VA 20171 (703) 435-9178 SEARS, ROBERT CETLIN, DENNIS ROBERT S SEARS DDS SINGH, SIMRANJIT DENNIS R CETLIN DMD VESSALI, MOJDEH 150 Elden St Ste 200 NEIBAUER DENTAL CARE PC 112 Elden St Ste O Herndon, VA 20170 MOJDEH VESALLI DDS 12973 Highland Crossing Dr #E Herndon, VA 20170 (703) 707-2070 505 Huntmar Park Dr #150 Herndon, VA 20171 (703) 689-4858 (703) 435-9178 Herndon, VA 20170 (703) 736-0900 WEISS, HILARY HUSSAINI, SYED DENTISTRY FOR CHILDREN OF SKINNER, KEVIN BRIGHT NOW DENTAL GENERAL WILSON, LOIS VA LLC SKINNER OSSAKOW & ASSOC SPECIALTY COSMETIC 13015 Worldgate Dr DENTAL CENTER OF HERNDON DDS PC 13873 Park Center Rd Ste 137 Herndon, VA 20170 1110 Elden St Ste E108 3065-A Centreville Rd Herndon, VA 20171 (703) 745-5128 Herndon, VA 20170 Herndon, VA 20171 (703) 478-0115 (703) 437-0333 (703) 318-7200 PERIODONTIST LEE, EDWIN ZAND, TARANEH SOULES, LANA BERMAN & LEE ORTHODONTICS CHADDAD, KARIM HERNDON DENTAL ARTS LANA SOULES DDS INC INC BRIGHT NOW DENTAL GENERAL 12973 Highland Crossing Dr Ste B 112 Elden St #S 13350 Franklin Farm Rd. Ste. #3`0 SPECIALTY COSMETIC Herndon, VA 20171 Herndon, VA 20170 Herndon, VA 20171 13873 Park Center Rd Ste 137 (703) 953-3307 (703) 787-3585 (703) 241-9191 Herndon, VA 20171 (703) 478-0115 STEWART, JENNIFER ZAROOKIAN, ARMEN NAGHDI, JINA ARMEN ZAROOKIAN DMD DENTAL CENTER OF HERNDON NAGHDI JINA DOPPALAPUDI, VIVEK FAMILY & COSMETIC DENTISTRY 1110 Elden St Ste E108 131 Elden Street Ste 120 VIVEK A DOPPALAPUDI DDS MS 459 Herndon Parkway #4 Herndon, VA 20170 Herndon, VA 20170 PC Herndon, VA 20170 (703) 318-7200 (703) 471-8333 102 Elden St #19 (703) 870-7377 Herndon, VA 20170 SUK, SUN THARIANI, HANI (703) 464-0900 ZUBAIRI, SADIA COSMETIC & FAMILY DENTISTRY PREMIER ORTHODONTICS DENTAL CENTER OF HERNDON 13515 Dulles Technology Dr Ste A 624 Monroe St KOOSHKI, BIJAN 1110 Elden St Ste E108 Herndon, VA 20171 Herndon, VA 20170 DULLES DENTAL CENTER PC Herndon, VA 20170 (703) 793-3030 (703) 527-5654 1035 Sterling Rd Ste 204 (703) 318-7200 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

HARVEY, DAVID DOMBROSKI, JESSICA VOLKOVA, IRINA VIRGINIA (CONT'D) DAVID M HARVEY DDS INC ELLIS FAMILY DENTISTRY SAM E ENGLISH II DDS LTD 130 Court St 3416 Woodlawn St 5303 Plaza Dr #103 HERNDON Hillsville, VA 24343 Hopewell, VA 23860 Hopewell, VA 23860 (276) 728-9611 (804) 458-6733 (804) 458-5047 PATRON, ALFONSO MOJDEH VESALLI DDS MARTIN, SONYA ELLIS, DAVID WEBB, JAMES 505 Huntmar Park Dr #150 Herndon, VA 20170 WEST STUART DENTAL ARTS ELLIS FAMILY DENTISTRY JAMES P WEBB DDS (703) 736-0900 CENTER PC 3416 Woodlawn St 104 Main Street Plaza 1192 W Stuart Dr Hopewell, VA 23860 Hopewell, VA 23860 Hillsville, VA 24343 (804) 458-6733 (804) 541-1896 PROSTHODONTIST (276) 728-2164 ELLIS, JONATHAN CHRISOPOULOS, FOTINI ORAL SURGEON PARTICIPATING PROVIDERS DENTAL CENTER OF HERNDON NESTER, BRAD ELLIS FAMILY DENTISTRY BRINSER, PAUL 1110 Elden St Ste E108 WEST STUART DENTAL ARTS 3416 Woodlawn St Herndon, VA 20170 CENTER PC Hopewell, VA 23860 SOUTHSIDE ORAL & FACIAL (703) 318-7200 1192 W Stuart Dr (804) 458-6733 SURGERY Hillsville, VA 24343 502 N 6Th Ave Hopewell, VA 23860 (276) 728-2164 ENGLISH, SAM PARK, SI-WOON (804) 541-7837 BRIGHT NOW DENTAL GENERAL SAM E ENGLISH II DDS LTD SPECIALTY COSMETIC HONAKER 5303 Plaza Dr #103 ONEILL, ROBERT 13873 Park Center Rd Ste 137 Hopewell, VA 23860 Herndon, VA 20171 GENERAL DENTIST (804) 458-5047 SOUTHSIDE ORAL & FACIAL (703) 478-0115 SURGERY BALL, MARK 502 N 6Th Ave HENRY, WILLIAM STEVE BALL DDS PC Hopewell, VA 23860 HIGHLAND SPRINGS WILLIAM C HENRY DDS PC 5298 Redbud Hwy (804) 541-7837 Honaker, VA 24260 114 E City Point Rd GENERAL DENTIST (276) 873-4003 Hopewell, VA 23860 (804) 458-6020 TROTTER, BRADLEY BAUM, PHILIP SOUTHSIDE ORAL & FACIAL PHILIP J BAUM DDS HOPEWELL SURGERY MALAN, DAVID 1001 West Nine Mile Road 502 N 6Th Ave COMMONWEALTH DENTISTRY Highland Springs, VA 23075 GENERAL DENTIST Hopewell, VA 23860 210 N 4Th Ave (804) 737-7373 (804) 541-7837 AVRAM, ADRIAN Hopewell, VA 23860 SAM E ENGLISH II DDS LTD (804) 458-3009 CARTER, ROY 5303 Plaza Dr #103 HOT SPRINGS ROY T CARTER II Hopewell, VA 23860 NASIF, YASER 1001 West Nine Mile Rd (804) 458-5047 GENERAL DENTIST Highland Springs, VA 23075 SAM E ENGLISH II DDS LTD DIAMOND, MARTIN (804) 737-7482 5303 Plaza Dr #103 BLAIR, DEAN Hopewell, VA 23860 ALLEGHANY HIGHLANDS SAM E ENGLISH II DDS LTD (804) 458-5047 DENTAL CARE PC HOWARD, PAULETTE 5303 Plaza Dr #103 6084 Sam Snead Hwy PAULETTE C HOWARD DDS Hopewell, VA 23860 NGUYEN, VIET Hot Springs, VA 24445 607 East Nine Mile Rd (804) 458-5047 (540) 839-3500 Highland Springs, VA 23075 SAM E ENGLISH II DDS LTD (804) 326-9310 5303 Plaza Dr #103 COGHILL, THOMAS Hopewell, VA 23860 HARMON, THOMAS THOMAS M COGHILL DDS (804) 458-5047 ALLEGHANY HIGHLANDS KNAYSI, FRED 2001 West Broadway DENTAL CARE PC FRED A KNAYSI Hopewell, VA 23860 RHODES, DANIEL 6084 Sam Snead Hwy 1001 W Nine Mile Road (804) 541-8333 Hot Springs, VA 24445 COMMONWEALTH DENTISTRY Highland Springs, VA 23075 (540) 839-3500 (804) 737-1182 210 N 4Th Ave DELPH, BRADLEY Hopewell, VA 23860 SAM E ENGLISH II DDS LTD (804) 458-3009 HUDGINS HILLSVILLE 5303 Plaza Dr #103 Hopewell, VA 23860 PROSTHODONTIST STAFFORD, MATTHEW GENERAL DENTIST (804) 458-5047 COMMONWEALTH DENTISTRY BARNARD, W GOAD, MARLON 210 N 4Th Ave W CALVIN BARNARD DDS DIXON, BRYAN MARLON A GOAD DDS PC Hopewell, VA 23860 44 Cricket Hill Rd COMMONWEALTH DENTISTRY 1202 N Main St (804) 458-3009 Hudgins, VA 23076 210 N 4Th Ave Hillsville, VA 24343 (804) 505-1020 (276) 728-5899 Hopewell, VA 23860 (804) 458-3009 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

GEE, CARROLL PANZETTA, JAMES DONAHUE, JAMES VIRGINIA (CONT'D) CARROLL M GEE JR JAMES J PANZETTA JAMES WM DONAHUE & 121 Flatrock Rd 244 South Dr RAMONA PANDHER DDS HURT Kenbridge, VA 23944 Kilmarnock, VA 22482 5212 Kings Wood Lane (434) 676-3067 (804) 435-9890 King George, VA 22485 GENERAL DENTIST (540) 663-2221 WALTON, GUY KREUZER, LUIZA KING GEORGE DONAHUE, JAMES GUY W WALTON JR DDS BELTRAMI ENTERPRISES INC JAMES DONAHUE DDS & 221 Main St Staunton Plaza Po Box C 202 E 5Th Ave GENERAL DENTIST SAMUEL CHO DDS Kenbridge, VA 23944 Hurt, VA 24563 CHENG, GEORGE 5212 Kings Wood Ln (434) 324-8241 (434) 676-8023 RICHARD COTTRELL DDS PC King George, VA 22485 11060 Smile Way (540) 663-2221 INDEPENDENCE MALAN, DAVID King George, VA 22485 PARTICIPATING PROVIDERS BELTRAMI ENTERPRISES INC (540) 775-7671 LA CROSSE GENERAL DENTIST Po Box C 202 E 5Th Ave Kenbridge, VA 23944 HERNANDEZ, ARIADNE GENERAL DENTIST MINICLIER, GORDON (434) 676-8023 GORDON JOSEPH MINICLIER RICHARD COTTRELL DDS PC HAMILTON, PAUL DDS PC 11060 Smile Way LACROSSE FAMILY DENTISTRY RHODES, DANIEL 150 West Main St King George, VA 22485 103 College St BELTRAMI ENTERPRISES INC Independence, VA 24348 (540) 775-7671 La Crosse, VA 23950 Po Box C 202 E 5Th Ave (276) 773-3521 (434) 757-7300 Kenbridge, VA 23944 MARTIN, GABRIEL (434) 676-8023 IVOR RICHARD COTTRELL DDS PC LAKE RIDGE 11060 Smile Way GENERAL DENTIST ZIMA, ANDREW King George, VA 22485 ENDODONTIST BELTRAMI ENTERPRISES INC (540) 775-7671 WILLOUGHBY, JOHN Po Box C 202 E 5Th Ave WYNKOOP, TODD IVOR DENTAL CENTER Kenbridge, VA 23944 TODD E WYNKOOP DDS PC MOORE, WENDY 8579 Ivor Rd (434) 676-8023 12510-C Lake Ridge Dr WENDY M MOORE DDS PC Ivor, VA 23866 Lake Ridge, VA 22192 9449 Grover Dr (757) 859-9070 (703) 494-8624 KEYSVILLE King George, VA 22485 (540) 775-5774 KELLER GENERAL DENTIST GENERAL DENTIST GENERAL DENTIST CAMPBELL, MICHAEL PANDHER, RAMONA DOST, ROBERT MICHAEL A CAMPBELL DDS LTD JAMES WM DONAHUE & ROBERT C DOST DDS WINGFIELD, WILLIAM 126 J Street RAMONA PANDHER DDS 1990 Old Bridge Rd #301 WILLIAM R WINGFIELD DDS Keysville, VA 23947 5212 Kings Wood Lane Lake Ridge, VA 22192 18093 N R North Street (434) 736-8748 King George, VA 22485 (703) 491-4040 Keller, VA 23401 (540) 663-2221 (757) 787-7718 RUTHERFORD, BILLY LYAZIDI, AICHA BILLY M RUTHERFORD DDS SHIRK, WINFIELD OCCOQUAN FAMILY & KENBRIDGE 126 J Street RICHARD COTTRELL DDS PC COSMETIC DENTISTRY Keysville, VA 23947 11060 Smile Way 1392 Old Bridge Rd GENERAL DENTIST (434) 736-8748 King George, VA 22485 Lake Ridge, VA 22192 BELTRAMI, MARCO (540) 775-7671 (703) 490-9094 BELTRAMI ENTERPRISES INC KILMARNOCK Po Box C 202 E 5Th Ave SPORY, PHILIP MERCADO, ROMINA Kenbridge, VA 23944 GENERAL DENTIST KING GEORGE DENTAL OCCOQUAN FAMILY & (434) 676-8023 15521 Real Estate Ave Ste 200 LAZAR, DALE COSMETIC DENTISTRY King George, VA 22485 DENTAL CARE PC 1392 Old Bridge Rd (540) 663-3139 BLACKHAM, CRAIG 283 North Main St Po Box 730 Lake Ridge, VA 22192 BELTRAMI ENTERPRISES INC Kilmarnock, VA 22482 (703) 490-9094 Po Box C 202 E 5Th Ave (804) 435-3008 ORTHODONTIST Kenbridge, VA 23944 MOSTOFI, MINA SACHNO, ERIKA (434) 676-8023 LAKE RIDGE DENTAL CLINIC NICKERSON, MICHAEL RICHARD COTTRELL DDS PC 12724 Directors Loop MICHAEL D NICKERSON DDS 11060 Smile Way DIXON, BRYAN Lake Ridge, VA 22192 240 S. Main St King George, VA 22485 (703) 494-9171 BELTRAMI ENTERPRISES INC Kilmarnock, VA 22482 (540) 775-7671 Po Box C 202 E 5Th Ave (804) 435-6916 Kenbridge, VA 23944 (434) 676-8023 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

ELOSTA, WAEL NIKPOURFARD, REZA HUBBARD, THOMAS VIRGINIA (CONT'D) WAEL M ELOSTA PLLC REZA NIKPOURFARD DDS PC THOMAS M HUBBARD DDS 19415 Deerfield Ave Ste 309 19415 Deerfield Ave #309 200 Court St LAKE RIDGE Lansdowne, VA 20176 Lansdowne, VA 20176 Lawrenceville, VA 23868 (703) 729-1818 (703) 729-1818 (434) 848-2323 THOMAS, MARVETTE THE DENTAL SPA OF MARV EMAM, ATIYEH RAFAAT, AMIRREZA LEBANON THOMAS DDS PLLC 12351 & 12516 Dillingham Sq ATIYEH EMAM DDS LLC AMIRREZA RAFAAT DDS PC GENERAL DENTIST Lake Ridge, VA 22192 44135 Woodridge Pkwy #280 19450 Deerfield Ave #465 Lansdowne, VA 20176 Lansdowne, VA 20176 (703) 580-8288 CLARK, RISA (703) 858-9200 (703) 724-4220 BALL & FERGUSON DDS PC ORTHODONTIST 138 Highland Dr FRAMES, STEVEN PEDIATRIC Lebanon, VA 24266 PARTICIPATING PROVIDERS KERMANSHI, SHIVA TRACEY T NGUYEN DDS PC DENTIST/PEDODONTIST (276) 889-5141 LAKE RIDGE DENTAL CLINIC 19465 Deerfield Ave Ste 406 Lansdowne, VA 20176 GAZORI, MICHAEL 12724 Directors Loop FERGUSON, JULIE Lake Ridge, VA 22192 (703) 723-7810 LITTLE PEARLS DENTISTRY FOR BALL & FERGUSON DDS PC (703) 494-9171 CHILDREN PC 138 Highland Dr GWALTNEY, MICHAEL 19465 Deerfield Ave Ste 302 Lansdowne, VA 20176 Lebanon, VA 24266 REDDY, SWATHI MICHAEL P GWALTNEY DDS (703) 726-3030 (276) 889-5141 OCCOQUAN FAMILY & 44055 Riverside Parkway #212 Lansdowne, VA 20176 COSMETIC DENTISTRY FERGUSON, JUSTIN 1392 Old Bridge Rd (703) 729-7447 KAFLE, SUMANA BALL & FERGUSON DDS PC Lake Ridge, VA 22192 LITTLE PEARLS DENTISTRY FOR 138 Highland Dr (703) 490-9094 HOWARD, KARRIE CHILDREN PC 19465 Deerfield Ave Ste 302 Lebanon, VA 24266 TRACEY T NGUYEN DDS PC Lansdowne, VA 20176 (276) 889-5141 19465 Deerfield Ave Ste 406 PERIODONTIST (703) 726-3030 Lansdowne, VA 20176 LEESBURG ABRIL, EDISON (703) 723-7810 OCCOQUAN FAMILY & STAVER, TATIANA ENDODONTIST COSMETIC DENTISTRY KAMBOH, KARAN LITTLE PEARLS DENTISTRY FOR 1392 Old Bridge Rd CHILDREN PC LANSDOWNE DENTAL ASSOC CANBY, FREDERICK Lake Ridge, VA 22192 19465 Deerfield Ave Ste 302 PC FREDERICK L CANBY DDS MS (703) 490-9094 Lansdowne, VA 20176 19415 Deerfield Ave #207 PC (703) 726-3030 Lansdowne, VA 20176 2 Cardinal Park Dr #106-A HUR, YONG (571) 223-2434 Leesburg, VA 20175 LAKE RIDGE DENTAL CLINIC PERIODONTIST (703) 779-7900 12724 Directors Loop KAMBOH, KARAN IWAMOTO, CLAUDIO Lake Ridge, VA 22192 LANSDOWNE DENTAL MILLS, CORDELIA ASSOCIATES LANSDOWNE PERIODONTICS & (703) 494-9171 LANSDOWNE DENTAL ARTS 19415 Deerfield Ave #207 IMPANT DENTISTRY 19440 Golf Vista Pl #250 Lansdowne, VA 20176 19490 Sandridge Way #270 Leesburg, VA 20176 PROSTHODONTIST (571) 223-2434 Lansdowne, VA 20176 (703) 858-5990 ALVAREZ, JUAN (703) 858-3838 OCCOQUAN FAMILY & KANDARE, WESLEY GENERAL DENTIST COSMETIC DENTISTRY TRACEY T NGUYEN DDS PC LAWRENCEVILLE 1392 Old Bridge Rd 19465 Deerfield Ave Ste 406 ABTAHI, NARJES Lake Ridge, VA 22192 Lansdowne, VA 20176 GENERAL DENTIST FAMILY & COSMETIC DENTISTRY (703) 490-9094 (703) 723-7810 EVANS, MARK OF LANSDOWNE MARK T EVANS DDS 19420 Golf Vista Plz Ste 210 LANSDOWNE KASSEM, SAMEH 1676 Lawrenceville Plank Rd Leesburg, VA 20176 SAMEH M KASSEM DDS PC Lawrenceville, VA 23868 (703) 724-0015 GENERAL DENTIST 44055 Riverside Pky #212 (434) 848-3411 Lansdowne, VA 20176 ELLINGTON, PAUL ADAMS, DANNY (703) 729-7447 PAUL D ELLINGTON DDS PLC HORNE, SUZANNE DANNY L ADAMS 44115 Woodridge Pkwy Ste 280 Ste HORNE SUZANNE J 202 S King Street 280 KHATTAB, SAMER 200 Court Street Leesburg, VA 20175 Lansdowne, VA 20176 PAUL D ELLINGTON DDS PLC Lawrenceville, VA 23868 (703) 777-1162 (703) 858-2380 44115 Woodridge Pkwy Ste 280 Ste (434) 848-2323 280 Lansdowne, VA 20176 (703) 858-2380

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

MAYO, GREGORY VIRGINIA (CONT'D) CHUNG, JUN HASHAM, OMAR MAYO FAMILY DENTISTRY JUN HYUK CHUNG DMD PC NEIBAUER DENTAL CARE PC 22 Davis Ave Sw LEESBURG 19440 Golf Vista Plaza Ste 25 1610 Village Market Blvd Se #130 Leesburg, VA 20175 Leesburg, VA 20176 Leesburg, VA 20175 (703) 777-3510 ALI, TALIB (703) 858-5990 (571) 209-9197 AVATAR DENTAL CARE PLLC MAYO, RYAN 545G E Market St COCHRAN, BRIAN HONG, JONG MAYO FAMILY DENTISTRY Leesburg, VA 20176 COCHRAN FAMILY DENTAL PC NEIBAUER DENTAL CARE PC (703) 669-8600 22 Davis Ave Sw 1503 Dodona Terrace Ste. 210 1610 Village Market Blvd Se #130 Leesburg, VA 20175 Leesburg, VA 20175 Leesburg, VA 20175 (703) 777-3510 AMAN, MOHAMMAD (703) 771-9034 (571) 209-9197 LEESBURG PREMIER DENTAL MAYO, STEPHEN PLLC COLLAZO, WALTER KIM, SUHAD PARTICIPATING PROVIDERS 161 Fort Evans Rd Ne #300 MAYO FAMILY DENTISTRY HERBERT DENTAL GROUP A LOUDOUN COMMUNITY HEALTH 22 Davis Ave Sw Leesburg, VA 20176 PARTNERHSHIP CTR (571) 332-7170 Leesburg, VA 20175 2 Cardinal Park Dr Se #201A 163 Fort Evans Ne (703) 777-3510 Leesburg, VA 20175 Leesburg, VA 20176 ARRIA, ADAM (703) 777-8777 (571) 434-0022 MERONEY, DAVID GENTLE FAMILY DENTISTRY OF LEESBURG DAVID S MERONEY DDS COWELL, CHRISTINA KOKEL, DEIDRA 21 Loudoun Street 19 Catoctin Cir Ne DRS VARNEY & LEIPZIG PLC DEIDRA BIRD KOKEL DDS PC Leesburg, VA 20176 Leesburg, VA 20175 540 Ft Evans Rd Ste 100 17-C Fort Evans Rd Ne (703) 777-4443 (703) 737-0070 Leesburg, VA 20176 Leesburg, VA 20176 (703) 779-7779 (703) 777-5025 ASHTON, GARY MIKHAIL, RAYMOND CARDINAL PARK FAMILY ADVANCED DENTAL CARE DANESHVAR, AREZOU LEE, LEONARDO 1602 Village Market Blvd #130 DENTAL CARE LOUDOUN COMMUNITY HEALTH A WINK AND A SMILE PLLC 2 Cardinal Park Dr Ste 204A Leesburg, VA 20175 CTR 19369 Promenade Dr Ste K102 (571) 455-0466 Leesburg, VA 20175 163 Fort Evans Ne Leesburg, VA 20176 (703) 779-2296 Leesburg, VA 20176 (571) 333-1250 MISTRY, KEVIN (571) 434-0022 BACHOUR, MAYA SAXENA DENTAL INC LEIPZIG, ROBERT 552 Fort Evans Dr Ste 100 ADVANCED DENTAL CARE DOE, MICHAEL DRS VARNEY & LEIPZIG PLC 1602 Village Market Blvd #130 Leesburg, VA 20176 ADDAX DENTAL 540 Ft Evans Rd Ste 100 (703) 771-9494 Leesburg, VA 20175 546 East Market St Leesburg, VA 20176 (571) 455-0466 Leesburg, VA 20176 (703) 779-7779 MOON, SUE (703) 777-5939 BIRKITT, CARY CORNERSTONE DENTAL LOZA, JOSE 2 Cardinal Park Dr #206-A CARY T BIRKITT DDS LTD FULLER, ROBERT LEESBURG DENTAL 18 Loudoun St Se Leesburg, VA 20175 DRS FULLER & 602 South King St Ste 302 (703) 771-3389 Leesburg, VA 20175 SPENCER-FULLER PC Leesburg, VA 20175 (703) 777-4440 706 South King Street #5 (703) 777-2442 NAGY, WHITNEY Leesburg, VA 20175 LOUDOUN COMMUNITY HEALTH BLACK, ANTHONY (703) 771-8500 LOZA, LUIS LOUDOUN FAMILY & COSMETIC CTR LEESBURG DENTAL 163 Fort Evans Ne DENTISTRY GARCIA, MAURICIO 602 South King St Ste 302 44125 Woodridge Pkwy #160 Leesburg, VA 20176 LEESBURG FAMILY DENTISTRY Leesburg, VA 20175 (571) 434-0022 Leesburg, VA 20176 21 Fort Evans Rd Ne #E (703) 777-2442 (703) 858-9067 Leesburg, VA 20176 NELSON, GARY (703) 777-7307 MANRIQUE, HUGO BROWN, AMANDA GARY S NELSON DMD CARDINAL PARK FAMILY 21-E Fort Evans Rd Ne HERBERT DENTAL GROUP A GROY, DAVID DENTAL CARE PARTNERHSHIP Leesburg, VA 20176 DAVID S GROY 2 Cardinal Park Dr Ste 204A (703) 777-7307 2 Cardinal Park Dr Se #201A 18 Wirt St Sw Leesburg, VA 20175 Leesburg, VA 20175 Leesburg, VA 20175 (703) 779-2296 NWANESHIUDU, CHIOMA (703) 777-8777 (703) 777-5600 MANRIQUE, HUGO NEIBAUER DENTAL CARE PC BURO, RONALD LEESBURG DENTAL 1610 Village Market Blvd Se #130 GWALTNEY, MICHAEL 602 South King St Ste 302 Leesburg, VA 20175 FAMILY FIRST DENTAL CENTER KENNETH ROTHSCHILD DDS 230 Fort Evans Rd Ne Leesburg, VA 20175 (571) 209-9197 823 S King St Ste E (703) 777-2442 Leesburg, VA 20176 Leesburg, VA 20175 (703) 777-1515 (703) 777-3150

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

SPENCER-FULLER, JOY CHANG, BRIAN VIGLIANTE, CRAIG VIRGINIA (CONT'D) DRS FULLER & VILLAGE ORAL & IMPLANT POTOMAC SURGICAL ARTS PC SPENCER-FULLER PC SURGERY 19440 Golf Vista Plz Ste 130 LEESBURG 706 South King Street #5 1503 Dodona Terrace Se #105 Leesburg, VA 20176 Leesburg, VA 20175 Leesburg, VA 20175 (703) 723-5366 RANJBAR, SHAHLA (703) 771-8500 (855) 373-7688 SHAHLA RANJBAR 1507 Dodona Terrace Se #110 ORTHODONTIST SUBRAMANIAN, DEEPA DORSCH, STEVE Leesburg, VA 20175 HUKMANI, NAVIN (703) 669-8688 NEIBAUER DENTAL CARE PC LOUDOUN ORAL & 1610 Village Market Blvd Se #130 MAXILLOFACIAL SURGERY LANSDOWNE ORTHODONTICS Leesburg, VA 20175 821 S King St Ste F 19415 Deerfield Ave Ste #306 RASHID, SUMERA (571) 209-9197 Leesburg, VA 20175 Leesburg, VA 20176 LOUDOUN COMMUNITY HEALTH (703) 771-1771 (703) 858-3600

CTR PARTICIPATING PROVIDERS SWIGER, RALPH 163 Fort Evans Ne RALPH B SWIGER II DDS MAHARAJ, BARRY LEE, RICHARD Leesburg, VA 20176 LOUDOUN ORTHODONTICS (571) 434-0022 211 Gibson St Nw Ste 110 LANSDOWNE ORAL SURGERY Leesburg, VA 20176 19441 Golf Vista Plaza #130 19465 Deerfield Ave Ste 304 (703) 777-6100 Leesburg, VA 20176 Leesburg, VA 20176 ROSINSKI, ASHLEY (703) 723-7858 (703) 858-0303 DRS FULLER & ULLRICH, JOHN SPENCER-FULLER PC MOOSE, DAVID MORGAN, KELLY 706 South King Street #5 LOUDOUN FAMILY & COSMETIC DENTISTRY INSTITUTE OF FACIAL & ORAL KELLY E MORGAN DMD MS PC Leesburg, VA 20175 19420 Golf Vista Plaza Ste 120 (703) 771-8500 44125 Woodridge Pkwy #160 SURGERY PLLC Leesburg, VA 20176 44115 Woodbridge Pkwy #200 Leesburg, VA 20176 (703) 858-9067 Leesburg, VA 20176 (703) 723-5900 ROTHSCHILD, KENNETH (703) 729-0077 KENNETH ROTHSCHILD DDS VARNEY, SANDRA MULLEN, STEVEN 823 S King St Ste E DRS VARNEY & LEIPZIG PLC PATEL, SUKETU S RUSSELL MULLEN DDS PC Leesburg, VA 20175 1509 Dodona Terrace #201 (703) 777-3150 540 Ft Evans Rd Ste 100 INSTITUTE OF FACIAL & ORAL Leesburg, VA 20176 SURGERY PLLC Leesburg, VA 20175 (703) 779-7779 44115 Woodbridge Pkwy #200 (703) 771-9887 SALAS, CHRISTOPHER Leesburg, VA 20176 DRS VARNEY & LEIPZIG PLC WELSTEAD, LLEWELLYN (703) 729-0077 NIEPRASCHK, MARKUS 540 Ft Evans Rd Ste 100 LEGACY ORTHODONTICS PLC Leesburg, VA 20176 DRS FULLER & PELKOFSKI, JOSEPH 540 Fort Evans Rd Ne #102 (703) 779-7779 SPENCER-FULLER PC 706 South King Street #5 JOSEPH J PELKOFSKI DMD Leesburg, VA 20176 Leesburg, VA 20175 16 Royal St Se (703) 777-8277 SANDHU, MANINDERJIT (703) 771-8500 Leesburg, VA 20175 NEIBAUER DENTAL CARE PC (703) 777-5200 STRANGE, ROBERT 1610 Village Market Blvd Se #130 WERNER, ALYSSA ROBERT S STRANGE DMD MDS Leesburg, VA 20175 PHAM, ANH PLC (571) 209-9197 NEIBAUER DENTAL CARE PC 1610 Village Market Blvd Se #130 LANSDOWNE ORAL SURGERY 17E Fort Evans Rd Leesburg, VA 20175 19441 Golf Vista Plaza #130 Leesburg, VA 20176 SHAH, BIJAL (571) 209-9197 Leesburg, VA 20176 (703) 777-9200 DRS VARNEY & LEIPZIG PLC (703) 723-7858 540 Ft Evans Rd Ste 100 YI, JOHN SUPAN, PAUL Leesburg, VA 20176 STRICKLAND, FRANK PAUL F SUPAN (703) 779-7779 CORNERSTONE DENTAL 2 Cardinal Park Dr #206-A VILLAGE ORAL & IMPLANT 823 S King St Ste A Leesburg, VA 20175 SURGERY Leesburg, VA 20175 SIDHU, RUPINDER (703) 771-3389 1503 Dodona Terrace Se #105 (703) 771-1220 SAXENA DENTAL INC Leesburg, VA 20175 552 Fort Evans Dr Ste 100 (855) 373-7688 PEDIATRIC Leesburg, VA 20176 ORAL SURGEON (703) 771-9494 DENTIST/PEDODONTIST BLUHM, ANDREW VANDERVORT, GENE DELACRUZ, CAROLA LOUDOUN ORAL & LOUDOUN ORAL & SOOD, VANDANA MAXILLOFACIAL SURGERY MAXILLOFACIAL SURGERY TREASURED SMILES PEDIATRIC VANDANA SOOD DMD LLC 821 S King St Ste F 821 S King St Ste F DENTISTRY 19420 Golf Vista Plz Ste 360 Leesburg, VA 20175 Leesburg, VA 20175 1509 Dodona Terrace Ste 105 A Leesburg, VA 20176 (703) 771-1771 (703) 771-1771 Leesburg, VA 20175 (703) 723-9332 (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

PAREDES, OMAR NGUYEN, TU-QUYNH KALRA, RAJIV VIRGINIA (CONT'D) SHENANDOAH DENTAL STUDIO LORTON STATION DENTAL CARE REFLECTION DENTAL LORTON 30 Crossing Lane #110 8998 Lorton Station Blvd Ste E 9439 Lorton Market St LEESBURG Lexington, VA 24450 Lorton, VA 22079 Lorton, VA 22079 (540) 464-9953 (703) 339-3898 (703) 372-2728 LAN, STEVE LOUDOUN PEDIATRIC SHERMAN, HEIDI SALLEN, BRUCE LIN, SANDY DENTISTRY 540 Fort Evans Rd Ne Ste 110 HEIDI A SHERMAN DDS WALSH DENTAL CARE LORTON TOWN DENTAL PLLC Leesburg, VA 20176 106 Mclaughlin St 9010 Lorton Station Blvd Ste 150 9010 Lorton Station Blvd Ste 135 (703) 771-0007 Lexington, VA 24450 Lorton, VA 22079 Lorton, VA 22079 (540) 464-3700 (703) 339-5690 (703) 372-5665

WOOD, PATRICIA VAUGHAN, GARY YELAMANCHI, CHETAN MESSIH, HAIDY LOUDOUN PEDIATRIC PARTICIPATING PROVIDERS DENTISTRY GARY M VAUGHAN DDS GENTLE DENTAL CARE REFLECTION DENTAL LORTON 540 Fort Evans Rd Ne Ste 110 55 Comfort Way Ste 3 8170-D Silverbrook Rd 9439 Lorton Market St Leesburg, VA 20176 Lexington, VA 24450 Lorton, VA 22079 Lorton, VA 22079 (703) 771-0007 (540) 463-6579 (703) 495-9992 (703) 372-2728

MOFFITT, ROBERT PERIODONTIST ORAL SURGEON GENERAL DENTIST COMPREHENSIVE DENTAL CARE KOH, RICHARD BRANDT, MATTHEW BASA, EMOKE OF LORTON STATION SHAHLA RANJBAR BLUE RIDGE ORAL SURGERY LORTON TOWN DENTAL PLLC 9010 Lorton Station Blvd #230 1507 Dodona Terrace Se #110 INC 9010 Lorton Station Blvd Ste 135 Lorton, VA 22079 Leesburg, VA 20175 112 B Houston St Lorton, VA 22079 (703) 337-4272 (703) 669-8688 Lexington, VA 24450 (703) 372-5665 (540) 886-2956 NGUYEN, DAO PFOHL, DAVID BRENDMOEN, SARA LORTON STATION DENTAL CARE BURGOYNE, COREY DAVID C PFOHL DMD ROSENMAN-BRENDMOEN PLLC 8998 Lorton Station Blvd Ste E 821 S King St BLUE RIDGE ORAL SURGERY 8988 Lortin Station Blvd Ste 101 Lorton, VA 22079 Leesburg, VA 20175 INC Lorton, VA 22079 (703) 339-3898 (703) 430-0938 112 B Houston St (703) 541-3110 Lexington, VA 24450 BRENDMOEN, SARA OHRI, PUJA (540) 886-2956 PROSTHODONTIST SPRINGFIELD LORTON DENTAL GENTLE DENTAL CARE GROUP 8170-D Silverbrook Rd LOZA, JUAN ORTHODONTIST 8988 Lorton Station Blvd #101 Lorton, VA 22079 LEESBURG DENTAL (703) 495-9992 HAMMOND, ALBIN Lorton, VA 22079 602 South King St Ste 302 (703) 541-3110 DR A B HAMMOND PC Leesburg, VA 20175 PARK, CHARLES (703) 777-2442 208 E Washington St Lexington, VA 24450 DO, CHI REFLECTION DENTAL LORTON (540) 463-7744 LORTON VALLEY DENTAL PLLC 9439 Lorton Market St LEXINGTON 8971 Ox Rd #230B Lorton, VA 22079 LOCUST GROVE Lorton, VA 22079 (703) 372-2728 GENERAL DENTIST (703) 493-8190 CASSILLY, ERIN GENERAL DENTIST REEVES, EDWARD ROCKBRIDGE AREA HEALTH HIJAZ, IYAD AESTHETIC DENTISTRY OF SHERWIN, TED CTR REFLECTION DENTAL LORTON LORTON PLC 25 Northridge Lane TED SHERWIN DDS PC 9439 Lorton Market St 7764 Armistead Rd #100 Lexington, VA 24450 4444 Germanna Hwy Ste 301 Lorton, VA 22079 Lorton, VA 22079 (540) 464-8700 Locust Grove, VA 22508 (703) 372-2728 (703) 339-5090 (540) 972-4000

GOODWIN, WILLIAM HO, HOANG REEVES, RYAN LORTON BLUE RIDGE ORAL SURGERY GENTLE DENTAL CARE AESTHETIC DENTISTRY OF INC 8170-D Silverbrook Rd LORTON PLC ENDODONTIST 112 B Houston St Lorton, VA 22079 7764 Armistead Rd #100 Lexington, VA 24450 MILLS, CORDELIA (703) 495-9992 Lorton, VA 22079 (540) 886-2956 GENTLE DENTAL CARE (703) 339-5090 8170-D Silverbrook Rd JASANI, KRINA HULL, ROBERT Lorton, VA 22079 REFLECTION DENTAL LORTON ROBERT C HULL DDS PC (703) 495-9992 9439 Lorton Market St 650 N Lee Hwy Ste 1 Lorton, VA 22079 Lexington, VA 24450 (703) 372-2728 (540) 463-3826

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

LEE, DAN WANG, WILLIAM LOVETTSVILLE VIRGINIA (CONT'D) GENTLE DENTAL CARE LORTON TOWN DENTAL PLLC 8170-D Silverbrook Rd 9010 Lorton Station Blvd Ste 135 LORTON Lorton, VA 22079 Lorton, VA 22079 GENERAL DENTIST (703) 495-9992 (703) 372-5665 ROSENMAN, LAWRENCE JOHNSTON, CARROLL LOVETTSVILLE DENTAL ARTS SPRINGFIELD LORTON DENTAL LOUISA 2 N Light St GROUP POLACK, AMANDA Lovettsville, VA 20180 8988 Lorton Station Blvd #101 WALSH DENTAL CARE (540) 822-4224 Lorton, VA 22079 9010 Lorton Station Blvd Ste 150 GENERAL DENTIST Lorton, VA 22079 (703) 541-3110 ANDRE, JOHN (703) 339-5690 LURAY JOHN J ANDRE DDS PC THLICK, SU-EN 208 Elm St #B REDDY, SWATHI GENERAL DENTIST LORTON TOWN DENTAL PLLC Louisa, VA 23093 PARTICIPATING PROVIDERS 9010 Lorton Station Blvd Ste 135 ALL SMILES ORTHODONTICS (540) 967-0777 ASHMAWY, TAREK 9010 Lorton Station Blvd #260 Lorton, VA 22079 TAREK ASHMAWY Lorton, VA 22079 (703) 372-5665 DUNHAM, ELIZABETH 156 E Main St (703) 337-4414 LOUISA COMPREHENSIVE Luray, VA 22835 TSAI, CHIH-PING DENTAL PLLC (540) 743-4810 REFLECTION DENTAL LORTON PEDIATRIC 411 E Main St 9439 Lorton Market St DENTIST/PEDODONTIST Louisa, VA 23093 HEARD, HARRY Lorton, VA 22079 (540) 967-5800 BIGGS, KRISTINA HARRY H HEARD III DDS PC (703) 372-2728 33 N Bank St DESTINATION SMILE Luray, VA 22835 9010 Lorton Station Blvd #120 MIRMONSEF, PARASTU (540) 743-3434 TUPMAN, S Lorton, VA 22079 HEALTH & WELLNESS CTR OF SPRINGFIELD LORTON DENTAL (703) 339-3993 LOUISA GROUP 115 Jefferson Hwy Suite 9 RUFFNER, SCOTT 8988 Lorton Station Blvd #101 Louisa, VA 23093 TINGLING, FLAVIA SCOTT A RUFFNER DDS PC Lorton, VA 22079 (540) 967-9401 114 Allison Drive DESTINATION SMILE (703) 541-3110 Luray, VA 22835 9010 Lorton Station Blvd #120 (540) 743-1510 Lorton, VA 22079 PARRIS-WILKINS, TONYA WALSH, EUGENIA (703) 339-3993 HEALTH & WELLNESS CTR OF WALSH DENTAL CARE LOUISA SPRAGUE, PATRICK 9010 Lorton Station Blvd Ste 150 115 Jefferson Hwy Suite 9 SPRAGUE PATRICK E PERIODONTIST Lorton, VA 22079 Louisa, VA 23093 4 Canaan Street (703) 339-5690 HAN, SOK WOONG (540) 967-9401 Luray, VA 22835 GENTLE DENTAL CARE (540) 743-5132 WILLIS, JAMES 8170-D Silverbrook Rd PEARLMAN, DARRYL SPRINGFIELD LORTON DENTAL Lorton, VA 22079 DARRYL PEARLMAN LYNCHBURG GROUP (703) 495-9992 35 Industrial Dr 8988 Lorton Station Blvd #101 Louisa, VA 23093 ENDODONTIST Lorton, VA 22079 LIN, THOMAS (540) 967-5554 (703) 541-3110 BLACK, SAMUEL LORTON TOWN DENTAL PLLC GENTLE ENDODONTICS OF STAPLES, KRISTINA 9010 Lorton Station Blvd Ste 135 LYNCHBURG HEALTH & WELLNESS CTR OF ORAL SURGEON Lorton, VA 22079 3700 Old Forest Road LOUISA (703) 372-5665 Lynchburg, VA 24501 PATEL, SNEHAL 115 Jefferson Hwy Suite 9 (434) 333-0382 SNEHAL PATEL DDS MD MARVIL, LISA Louisa, VA 23093 9010 Lorton Station Blvd Ste 140 (540) 967-9401 BLACK, SAMUEL ROSENMAN-BRENDMOEN PLLC Lorton, VA 22079 8988 Lortin Station Blvd Ste 101 JAMES L STANLEY DDS PC (703) 436-4633 Lorton, VA 22079 WAKEFIELD, KERI 3712 Old Forest Rd #100 (703) 541-3110 HEALTH & WELLNESS CTR OF Lynchburg, VA 24501 ORTHODONTIST LOUISA (434) 385-0273 MARVIL, LISA 115 Jefferson Hwy Suite 9 AHN, SOOYEON SPRINGFIELD LORTON DENTAL Louisa, VA 23093 REYNOLDS, DUSTIN GENTLE DENTAL CARE GROUP (540) 967-9401 FOREST HILL ENDODONTICS 8170-D Silverbrook Rd 8988 Lorton Station Blvd #101 2904 Old Forest Rd Lorton, VA 22079 Lorton, VA 22079 WILLIAMS, M KURT Lynchburg, VA 24501 (703) 495-9992 (703) 541-3110 LOUISA COMPREHENSIVE (434) 439-4942 DENTAL PLLC 411 E Main St Louisa, VA 23093 (540) 967-5800

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

GRABEEL, DANIEL MILLER, CULVER VIRGINIA (CONT'D) BUNN, ROBERT GRABEEL DANIEL E CULVER W MILLER DMD D MICHAEL PARKER DDS 1949 Thomson Drive 22525 Timberlake Dr LYNCHBURG 3615 Old Forest Rd Lynchburg, VA 24501 Lynchburg, VA 24502 Lynchburg, VA 24501 (434) 846-5951 (434) 239-6485 STANLEY, JAMES (434) 385-7718 JAMES L STANLEY DDS PC BUNN, ROBERT HATCH, STEVEN O'DONNELL, DAVID 3712 Old Forest Rd #100 Lynchburg, VA 24501 PARKER DENTAL PC BRADY & CRIST DENTISTS INC DAVID W ODONNELL DDS PC (434) 385-0273 3615 Old Forest Rd 8116 Timberlake Road 3700 Old Forest Rd Lynchburg, VA 24501 Lynchburg, VA 24502 Lynchburg, VA 24501 (434) 385-7718 (434) 239-2651 (434) 385-9454 WALKER, MICHAEL JAMES L STANLEY DDS PC BURTON, JAMES HOWARD, JOHN OLDHAM, BOBBI 3712 Old Forest Rd #100 PARTICIPATING PROVIDERS Lynchburg, VA 24501 CENTRAL VIRGINIA FAMILY CENTRAL VIRGINIA FAMILY D MICHAEL PARKER DDS (434) 385-0273 DENTISTRY DENTISTRY 3615 Old Forest Rd 20936 Timberlake Rd 20936 Timberlake Rd Lynchburg, VA 24501 Lynchburg, VA 24502 Lynchburg, VA 24502 (434) 385-7718 WALKER, THOMAS (434) 237-0004 (434) 237-0004 HILL CITY ENDODONTICS OLDHAM, BOBBI 101 Richeson Dr PARKER DENTAL PC CHALK, JENNA KENNY, KAREN Lynchburg, VA 24501 3615 Old Forest Rd (434) 385-1117 FOREST DENTAL PARTNERS LYNCHBURG DENTAL CENTER Lynchburg, VA 24501 PLLC PC (434) 385-7718 1604 Graves Mill Rd 3719 Old Forest Rd WOZNIAK, DAVID Lynchburg, VA 24502 Lynchburg, VA 24501 OLDHAM, RICHARD JAMES L STANLEY DDS PC (434) 385-7307 (434) 384-7611 3712 Old Forest Rd #100 PARKER DENTAL PC Lynchburg, VA 24501 3615 Old Forest Rd CRAWFORD, CARRINGTON KIMBLE, GLENN (434) 385-0273 Lynchburg, VA 24501 LYNCHBURG DENTAL CENTER GLENN A KIMBLE DDS PLLC (434) 385-7718 PC 2323 Memorial Ave #22 GENERAL DENTIST 3719 Old Forest Rd Lynchburg, VA 24501 OVERBY, TIMOTHY ANDERSON-KIMBLE, JANIE Lynchburg, VA 24501 (434) 847-5847 (434) 384-7611 DR TIMOTHY OVERBY DMD INC GLENN A KIMBLE DDS PLLC 20841 Timberlake Rd 2323 Memorial Ave #22 CRAWFORD, CARRINGTON LENTZ, BRAD Lynchburg, VA 24502 Lynchburg, VA 24501 BRADY & CRIST DENTISTS INC LYNCHBURG DENTAL CENTER (434) 239-8907 (434) 847-5847 8116 Timberlake Road PC 3719 Old Forest Rd Lynchburg, VA 24502 PARKER, MICHAEL AUSTIN, KEITH (434) 239-2651 Lynchburg, VA 24501 (434) 384-7611 D MICHAEL PARKER DDS DR KEITH AUSTIN & DR JONAS 3615 Old Forest Rd SPIEGEL CRIST, JASON Lynchburg, VA 24501 3718 Old Forest Road BRADY & CRIST DENTISTS INC LYSENKO, JENNIFER (434) 385-7718 Lynchburg, VA 24501 8116 Timberlake Road FOREST DENTAL PARTNERS PARKER, MICHAEL (434) 385-6000 Lynchburg, VA 24502 PLLC (434) 239-2651 1604 Graves Mill Rd PARKER DENTAL PC 3615 Old Forest Rd BARRICK, JOHN Lynchburg, VA 24502 (434) 385-7307 Lynchburg, VA 24501 JOHN A BARRICK DDS LTD DAVIS, MICHAEL (434) 385-7718 1934 Thomson Dr CENTRAL VIRGINIA FAMILY Lynchburg, VA 24501 DENTISTRY MCAVOY, BRIAN PEERY, JAMES (434) 846-1614 20936 Timberlake Rd FOREST DENTAL PARTNERS Lynchburg, VA 24502 PLLC JAMES M PEERY JR DDS PC 2229 Murrell Rd BINDER, JOSHUA (434) 237-0004 1604 Graves Mill Rd Lynchburg, VA 24502 Lynchburg, VA 24501 FOREST DENTAL PARTNERS (434) 385-7307 (434) 847-5331 PLLC DRAPER, THOMAS 1604 Graves Mill Rd LYNCHBURG FAMILY DENTISTRY PETTICOLAS, AUGUSTUS Lynchburg, VA 24502 PC MIDKIFF, KEVIN (434) 385-7307 22437 Timberlake Rd KEVIN S MIDKIFF DDS PETTICOLAS AUGUSTUS Lynchburg, VA 24502 20331 B Timberlake Road 1342 Park Avenue Lynchburg, VA 24501 BOUCHER, SHELLI (434) 832-7008 Lynchburg, VA 24502 (434) 239-8133 (434) 528-3375 RILEY DENTAL ASSOC OF CENTRAL VIRGINIA INC 3709 Old Forest Rd Lynchburg, VA 24501 (434) 385-7707

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

SHEARER, ELLIOT CHALK, EVAN CLAIBORNE, JENNIFER VIRGINIA (CONT'D) ELLIOTT SHEARER DDS CENTRAL VIRGINIA ORAL & CENTRAL VIRGINIA 1900 Tate Springs Rd #4 FACIAL SURGERY ORTHODONTICS PC LYNCHBURG Lynchburg, VA 24501 101 Archway Ct 7802 Timberlake Rd (434) 528-3131 Lynchburg, VA 24502 Lynchburg, VA 24502 PHILLIPS, W (434) 832-8040 (434) 385-4746 W LEE PHILLIPS DDS PC SORENSON, ROBERT 4700 Fort Ave GURAYA, RAJDEEP PYLE, KEITH Lynchburg, VA 24502 ROBERT N SORENSON DDS PC (434) 239-7411 2309 Atherholt Road DR RAJ GURAYA DDS LTD CHILDRENS DENTISTRY & Lynchburg, VA 24501 1922 Thomson Dr ORTHODONTICS OF (434) 846-8025 Lynchburg, VA 24501 LYNCHBURG PIKULA, AGATA (434) 845-1121 105 Paulette Cir CHILDREN'S DENTISTRY OF TOONE, GREGORY Lynchburg, VA 24502 LYNCHBURG PARTICIPATING PROVIDERS MAGID, MITCHELL (434) 237-0125 105 Paulette Cir GREGORY J TOONE DDS PC Lynchburg, VA 24502 105 Candlewood Ct MOUNTAINVIEW ORAL (434) 237-0125 Lynchburg, VA 24502 SURGERY & IMPLANT CTR PEDIATRIC (434) 239-8222 1612 Graves Mill Rd DENTIST/PEDODONTIST Lynchburg, VA 24502 READ, ALLEN SAWYER, SHANNON TYLER, MICHAEL (434) 316-7111 READ ALLEN T CHILDRENS DENTAL HEALTH OF MICHAEL W TYLER DDS 2811 Linkhorne Drive LYNCHBURG 22437 Timberlake Rd MCANDREW, BRIAN Lynchburg, VA 24503 7802 Timberlake Road Lynchburg, VA 24502 CENTRAL VIRGINIA ORAL & (434) 384-3100 Lynchburg, VA 24502 (434) 832-7008 FACIAL SURGERY (434) 239-6948 101 Archway Ct RILEY, JEFFREY WHITE, WILLIAM Lynchburg, VA 24502 RILEY DENTAL ASSOC OF SITTASON, SHEPHERD W M WHITE JR (434) 832-8040 CENTRAL VIRGINIA INC CHILDREN'S DENTISTRY OF 1938 Thomson Dr 3709 Old Forest Rd LYNCHBURG Lynchburg, VA 24501 PINCH, JOHN Lynchburg, VA 24501 105 Paulette Cir (434) 847-5743 CENTRAL VIRGINIA ORAL & (434) 385-7707 Lynchburg, VA 24502 FACIAL SURGERY (434) 237-0125 101 Archway Ct RILEY, MICHAEL WOOLWINE, SAMUEL BRADY & CRIST DENTISTS INC Lynchburg, VA 24502 RILEY DENTAL ASSOC OF (434) 832-8040 PERIODONTIST CENTRAL VIRGINIA INC 8116 Timberlake Road 3709 Old Forest Rd Lynchburg, VA 24502 ANDERSON, RYAN Lynchburg, VA 24501 (434) 239-2651 ORTHODONTIST PERIODONTAL HEALTH ASSOC (434) 385-7707 BAUGHER, ERIC PC YEAGER, DANIEL 525 Leesville Rd CENTRAL VIRGINIA FOREST DENTAL PARTNERS Lynchburg, VA 24502 ROBERTS, CAROLE ORTHODONTICS PLLC (434) 455-2444 BRADY & CRIST DENTISTS INC 7802 Timberlake Rd 1604 Graves Mill Rd 8116 Timberlake Road Lynchburg, VA 24502 Lynchburg, VA 24502 Lynchburg, VA 24502 (434) 385-4746 SMOCK, SHERMAN (434) 239-2651 (434) 385-7307 PERIODONTAL HEALTH ASSOC BLACK, ELENA PC YEAGER, VICTORIA 525 Leesville Rd SAUNDERS, ROY ELENA BLACK DDS PHD PC FOREST DENTAL PARTNERS Lynchburg, VA 24502 SAUNDERS ROY L JR 3700 Old Forest Road PLLC (434) 455-2444 3200 Waterlick Road Lynchburg, VA 24501 1604 Graves Mill Rd Lynchburg, VA 24502 (434) 515-0370 (434) 239-8028 Lynchburg, VA 24502 MADISON (434) 385-7307 BLANCHETTE, MARK GENERAL DENTIST SAWYER, SUMMER DR MARK E BLANCHETTE DDS CHILDRENS DENTAL HEALTH OF ORAL SURGEON MS INC DEVIESE, DAVID LYNCHBURG CARVAJAL, WILLIAM 1925 Thomson Dr DAVID M DEVIESE DDS PC 7802 Timberlake Road CENTRAL VIRGINIA ORAL & Lynchburg, VA 24501 306 S. Main St Lynchburg, VA 24502 FACIAL SURGERY (434) 846-4014 Madison, VA 22727 (434) 239-6948 101 Archway Ct (540) 948-4488 Lynchburg, VA 24502 CLAIBORNE, JENNIFER SHEA, THOMAS (434) 832-8040 CENTRAL VIRGINIA SMITH, JAMES BRADY & CRIST DENTISTS INC ORTHODONTICS JAMES C SMITH III DDS 8116 Timberlake Road 7802 Timberlake Rd 1226 N Main St Lynchburg, VA 24502 Lynchburg, VA 24502 Madison, VA 22727 (434) 239-2651 (434) 385-4746 (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

ACOSTA, RAFAEL AL-KARAGHOLI, MUSTAFA BEHNAMI, FARIMA VIRGINIA (CONT'D) CONTEMPORARY DENTISTRY MILTON STAR DDS MANASSAS CONTEMPORARY DENTISTRY OF VIRGINIA PC OF VIRGINIA MADISON 8100 Ashton Ave #212 7800 Sudley Rd Suite 7810 8100 Ashton Ave #212 Manassas, VA 20109 Manassas, VA 20109 Manassas, VA 20109 VEGA, OSCAR (703) 369-5442 (703) 367-0599 (703) 369-5442 MADISON FAMILY DENTISTRY PLLC DETAR, MATTHEW ANDERSON, JOSHUA BELL, HUNTER 306 S. Main St. Madison, VA 22727 DRS DOLLARD AND PICCININO AHMADIYAR & MOTAMEDI II HUNTER C BELL DDS (540) 948-4488 PC PLLC 8725 Digges Road 10682-C Crestwood Dr 7806 Sudley Rd #210 Manassas, VA 20110 Manassas, VA 20109 Manassas, VA 20109 (703) 368-5595 MADISON HEIGHTS (703) 368-8120 (703) 331-1313 PARTICIPATING PROVIDERS GENERAL DENTIST BENSON, GERALD EHRETH, JOHN ANJUM, SHAZIA NEIBAUER DENTAL CARE PC FLEENOR, WILLIAM JOHN S EHRETH DDS KEVIN MENDES DDS & ASSOC 10051 Market Circle JOHNSON HEALTH CENTER 8707 Digges Road PLLC Manassas, VA 20110 239 Trojan Ln Manassas, VA 20110 8404 Dorsey Cir (571) 921-9103 Madison Heights, VA 24572 (703) 257-0481 Manassas, VA 20110 (434) 947-5967 (703) 368-4725 BISCOMBE, TERRENCE PICCININO, MICHAEL KEVIN MENDES DDS & ASSOC GOLDEN, R DRS DOLLARD AND PICCININO ARMELLINI, DEBORA PLLC R KELLY GOLDEN DDS PC PC TOP DENTAL PRACTICE PC 8404 Dorsey Cir 692 Dillard Rd 10682-C Crestwood Dr 10529 Crestwood Dr #103 Manassas, VA 20110 Madison Heights, VA 24572 Manassas, VA 20109 Manassas, VA 20109 (703) 368-4725 (434) 846-1981 (703) 368-8120 (703) 393-9393 BISCOMBE, TERRENCE KEVIN MENDES DDS & ASSOC SUTHERLAND, WILLIAM THORPE, JEFFREY AWADZI, GERALD PLLC WILLIAM M SUTHERLAND DDS DRS DOLLARD AND PICCININO NEIBAUER DENTAL CARE PC 8609 Sudley Rd Ste 102 4312 S Amherst Highway PC 10051 Market Circle Manassas, VA 20110 Madison Heights, VA 24572 10682-C Crestwood Dr Manassas, VA 20110 (703) 330-5755 (434) 847-0171 Manassas, VA 20109 (571) 921-9103 (703) 368-8120 AWADZI, GERALD BISSON, RUBY MANAKIN SABOT REFLECTION DENTAL - RUBY ANN E BISSON DMD PC GENERAL DENTIST MANASSAS 10670-B Crestwood Dr GENERAL DENTIST ABDELWAHAB, TAMER 9675 Liberia Ave #101 Manassas, VA 20109 Manassas, VA 20110 (703) 361-0555 GLICK, STEPHEN GALLERIA DENTAL ARTS (703) 369-2323 STEPHEN E GLICK DDS PC 8711 Digges Rd 1600 Hockett Rd Manassas, VA 20110 BUI, KENNETH Manakin Sabot, VA 23103 (703) 368-9777 BAWA, ANOOP Q SMILES DENTAL (804) 784-4150 BAWA DENTISTRY 7815 Sudley Rd AFSAHI, ARAM 8567-A Sudley Rd Manassas, VA 20109 Manassas, VA 20110 (571) 208-1325 MURCHIE, PETER ARAM AFSAHI DDS PC (703) 369-4545 PETER R MURCHIE DDS FAMILY 10630-A Crestwood Dr DENTISTRY Manassas, VA 20109 BUI-NGUYEN, THAO 115 Broad Street Rd #C (703) 369-0099 BAWA, RAJDEEP THAO BUI-NGUYEN DDS PC Manakin Sabot, VA 23103 BAWA DENTISTRY 8557 Sudley Road (804) 784-4624 AHMADIYAR, SASAN 8567-A Sudley Rd Manassas, VA 20110 Manassas, VA 20110 (703) 361-3261 AHMADIYAR & MOTAMEDI II (703) 369-4545 WILMER, SARAH PLLC SARAH C WILMER PLLC 7806 Sudley Rd #210 CHANG, JHIA-MING 27-A Briggs Rd Manassas, VA 20109 BEHESHTI, SOREN I SMILE DENTAL CARE Manakin Sabot, VA 23103 (703) 331-1313 KOUROSH MEHRABIAN DDS & 10695 Sudley Manor Dr #102 (804) 784-2386 ASSOC PC Manassas, VA 20109 AHMED, GAAFAR 10751 Ambassador Dr Ste 101 (703) 369-2200 MANASSAS Manassas, VA 20109 AYESHA SULTAN DDS PC (301) 608-9800 6312 Hoadly Rd CHOHAN, EMA ENDODONTIST Manassas, VA 20112 MANASSAS DENTAL (703) 730-7770 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

GRANATO, JEROME IJADI, MEHRDAD KIM, GLORIA VIRGINIA (CONT'D) STONEWALL DENTAL AHMADIYAR & MOTAMEDI II FREIDANK & FREIDANK DDS ASSOCIATES PLLC LTD MANASSAS 8719 Stonewall Road 7806 Sudley Rd #210 9613 Champion Court Manassas, VA 20110 Manassas, VA 20109 Manassas, VA 20110 (703) 368-4713 CLAUSTRO, JOANNA (703) 368-1000 (703) 331-1313 CONTEMPORARY DENTISTRY OF VIRGINIA GREER, PHYLLIS JAMALI, MOJGAN KIM, JAMIE 8100 Ashton Ave #212 AHMADIYAR & MOTAMEDI II MANASSAS DENTAL KOUROSH MEHRABIAN DDS & Manassas, VA 20109 PLLC ASSOCIATES PC ASSOC PC (703) 369-5442 7806 Sudley Rd #210 10630-B Crestwood Dr 10751 Ambassador Dr Ste 101 Manassas, VA 20109 Manassas, VA 20109 Manassas, VA 20109 (703) 331-1313 (703) 330-5578 (301) 608-9800

DEBENEDETTO, DAVID PARTICIPATING PROVIDERS DAVID A DEBENEDETTO DDS 9380 Forestwood Lane #E GWALTNEY, MICHAEL JONES, LINDA KIM, SUN Manassas, VA 20110 MANASSAS FAMILY DENTISTRY LINDA F JONES DDS PC BORARATH YANN DDS PC (703) 368-4344 9625 Surveyor Ct Ste 101 8659 Sudley Rd 9161 Liberia Ave Ste 101 Manassas, VA 20110 Manassas, VA 20110 Manassas, VA 20110 (703) 330-2466 DELE, KENNEDY (703) 365-0700 (703) 330-1700 KOUROSH MEHRABIAN DDS & ASSOC PC HAGAR, BASIONY KALER, JATINDER LE, HANG 10751 Ambassador Dr Ste 101 MANASSAS DENTAL KAY DENTAL CARE MANASSAS DENTAL Manassas, VA 20109 ASSOCIATES PC 8393 Centreville Rd ASSOCIATES PC (301) 608-9800 10630-B Crestwood Dr Manassas, VA 20111 10630-B Crestwood Dr Manassas, VA 20109 (703) 686-4343 Manassas, VA 20109 (703) 330-5578 DUBE, NEELAM (703) 330-5578 DENTAL PROFESSIONALS OF VA KAUR, KAMALJIT PC HANGVAL, REZA KAY DENTAL CARE LEE, KEVIN 11670 Sudley Manor Dr CONTEMPORARY DENTISTRY 8393 Centreville Rd NEIBAUER DENTAL CARE PC Manassas, VA 20109 OF VIRGINIA Manassas, VA 20111 10051 Market Circle (571) 359-6424 8100 Ashton Ave #212 (703) 686-4343 Manassas, VA 20110 Manassas, VA 20109 (571) 921-9103 (703) 369-5442 FLORES, MARCO KAY, VICTORIA LEE, KEVIN CONTEMPORARY DENTISTRY DRS TERANGO & KAY PC REFLECTION DENTAL - OF VIRGINIA HASHAM, OMAR 10753 B Ambassador Drive MANASSAS 8100 Ashton Ave #212 NEIBAUER DENTAL CARE PC Manassas, VA 20109 9675 Liberia Ave #101 Manassas, VA 20109 10051 Market Circle (703) 369-7173 Manassas, VA 20110 (703) 369-5442 Manassas, VA 20110 (703) 369-2323 (571) 921-9103 KAZMI, SANA FREIDANK, CHRISTIAN NEIBAUER DENTAL CARE PC MALGHAN, NANDINI FREIDANK & FREIDANK DDS HASSAN, NADDER 10051 Market Circle ARK DENTAL LTD NADDER M HASSAN Manassas, VA 20110 8725 Digges Rd 9613 Champion Court 9954 Liberia Ave (571) 921-9103 Manassas, VA 20110 Manassas, VA 20110 Manassas, VA 20110 KAZMI, SANA (703) 368-5595 (703) 368-4713 (703) 335-1020 DENTAL PROFESSIONALS OF VA MALGHAN, NANDINI PC HUNTER C BELL DDS GERALD, MARK HEDAYATI, KOUROS 11670 Sudley Manor Dr 8725 Digges Road DR MARK P GERALD DDS PLC AHMADIYAR & MOTAMEDI II Manassas, VA 20109 Manassas, VA 20110 8559 Sudley Rd PLLC (571) 359-6424 (703) 368-5595 Manassas, VA 20110 7806 Sudley Rd #210 (703) 368-0580 Manassas, VA 20109 KHOSRAVI, MITRA (703) 331-1313 MAYER, KELLY MILTON STAR DDS MANASSAS CONTEMPORARY DENTISTRY GOMEZ, PATRICIA PC OF VIRGINIA MANASSAS DENTAL HODGE, JEREMY 7800 Sudley Rd Suite 7810 8100 Ashton Ave #212 ASSOCIATES PC KIDS & FAMILY DENTAL PC Manassas, VA 20109 Manassas, VA 20109 10630-B Crestwood Dr 9012 Mathis Ave (703) 367-0599 (703) 369-5442 Manassas, VA 20109 Manassas, VA 20110 (703) 330-5578 (571) 921-1111

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

NGUYEN, LONG RACZYNSKA, ANETA SADEDDIN, HAZIM VIRGINIA (CONT'D) SUDLEY FAMILY DENTISTRY NEIBAUER DENTAL CARE PC MANASSAS DENTAL 8739 Plantation Lane 10051 Market Circle ASSOCIATES PC MANASSAS Manassas, VA 20110 Manassas, VA 20110 10630-B Crestwood Dr (703) 368-0704 (571) 921-9103 Manassas, VA 20109 MEHRABIAN, KOUROSH (703) 330-5578 KOUROSH MEHRABIAN DDS & ASSOC PC PALLE, SUNITHA RAFIQ, RABIA SALAS, CHRISTOPHER 10751 Ambassador Dr Ste 101 ARK DENTAL I SMILE DENTAL CARE Manassas, VA 20109 8725 Digges Rd 10695 Sudley Manor Dr #102 NEIBAUER DENTAL CARE PC (301) 608-9800 Manassas, VA 20110 Manassas, VA 20109 10051 Market Circle (703) 368-5595 (703) 369-2200 Manassas, VA 20110 (571) 921-9103 MOLOKWU, RUTH PALLE, SUNITHA RAJA, TAIMOUR REFLECTION DENTAL - HUNTER C BELL DDS PARTICIPATING PROVIDERS SANDHU, MANINDERJIT MANASSAS 8725 Digges Road I SMILE DENTAL CARE 9675 Liberia Ave #101 Manassas, VA 20110 10695 Sudley Manor Dr #102 I SMILE DENTAL CARE Manassas, VA 20110 (703) 368-5595 Manassas, VA 20109 10695 Sudley Manor Dr #102 (703) 369-2323 (703) 369-2200 Manassas, VA 20109 (703) 369-2200 PARK, KENNETH MONTALVAN, CESAR KENNETH H PARK DMD PC RAMAI, SHELDON SAYEED, AFREEN MP DENTAL ASSOCIATES DDS 10573 Crestwood Dr DENTAL PROFESSIONALS OF VA PC Manassas, VA 20109 PC KIDS & FAMILY DENTAL PC 7806 Centreville Rd (703) 368-8166 11670 Sudley Manor Dr 9012 Mathis Ave Manassas, VA 20111 Manassas, VA 20109 Manassas, VA 20110 (571) 359-6424 (571) 921-1111 (703) 368-1166 PARKER, JEFFREY KEVIN MENDES DDS & ASSOC MORALES, DIEGO PLLC RAMISETTY, CHETANA SCHEIDER, PHILLIP CONTEMPORARY DENTISTRY 8404 Dorsey Cir MILTON STAR DDS MANASSAS PHILLIP C SCHEIDER DDS OF VIRGINIA Manassas, VA 20110 PC 8577-B Sudley Rd 8100 Ashton Ave #212 (703) 368-4725 7800 Sudley Rd Suite 7810 Manassas, VA 20110 Manassas, VA 20109 Manassas, VA 20109 (703) 368-5885 (703) 367-0599 (703) 369-5442 PARTOVI, MARJAN MP DENTAL ASSOCIATES DDS SCHUYLER, GARY MWENDO, JIMANI PC RAO, SHEILA GARY A SCHUYLER DDS PC NEIBAUER DENTAL CARE PC 7806 Centreville Rd MANASSAS FAMILY DENTISTRY 8705 Digges Rd 10051 Market Circle Manassas, VA 20111 9625 Surveyor Ct Ste 101 Manassas, VA 20110 Manassas, VA 20110 (703) 368-1166 Manassas, VA 20110 (703) 368-9966 (571) 921-9103 (703) 365-0700 PATEL, VIKASKUMAR SHAFIEI, NIKKI NAEEM, NASEER DENTAL PROFESSIONALS OF VA REJINTALA, ARCHANA MANASSAS DENTAL DUMFRIES DENTAL ASSOC PC KEVIN MENDES DDS & ASSOC ASSOCIATES PC 12701 Galveston Ct 11670 Sudley Manor Dr PLLC 10630-B Crestwood Dr Manassas, VA 20112 Manassas, VA 20109 8404 Dorsey Cir Manassas, VA 20109 (703) 670-0202 (571) 359-6424 Manassas, VA 20110 (703) 330-5578 (703) 368-4725 SHAFIEI, NIKKI NALLURI, JATIN PEEBLES, REBECCA SONU KAKAR DDS INC NEIBAUER DENTAL CARE PC DENTAL PROFESSIONALS OF VA ROBINSON, MARGO 9001 Digges Rd Ste 202 10051 Market Circle PC KIDS & FAMILY DENTAL PC Manassas, VA 20110 Manassas, VA 20110 11670 Sudley Manor Dr 9012 Mathis Ave (703) 368-1169 (571) 921-9103 Manassas, VA 20109 Manassas, VA 20110 (571) 921-1111 (571) 359-6424 SHAH, ADVAIT NELSON, CHARLES I SMILE DENTAL CARE THE NELSON DENTAL PRACTICE PEREZ, RICARDO ROSINSKI, KENNETH 10695 Sudley Manor Dr #102 9216 Centreville Rd AHMADIYAR & MOTAMEDI II KENNETH A ROSINSKI DDS PC Manassas, VA 20109 Manassas, VA 20110 PLLC 10620 A Crestwood Drive (703) 369-2200 (703) 361-2141 7806 Sudley Rd #210 Manassas, VA 20109 (703) 361-2911 Manassas, VA 20109 SHARMA, MOHIT NGUYEN, LOC (703) 331-1313 NEIBAUER DENTAL CARE PC LOC NGUYEN DMD PC 10051 Market Circle 9806 Liberia Ave Manassas, VA 20110 Manassas, VA 20110 (571) 921-9103 (703) 366-3300

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

TERANGO, LARRY YANN, BORARATH MORGAN, DAVID VIRGINIA (CONT'D) DRS TERANGO & KAY PC BORARATH YANN DDS PC AHMADIYAR & MOTAMEDI II 10753 B Ambassador Drive 9161 Liberia Ave Ste 101 PLLC MANASSAS Manassas, VA 20109 Manassas, VA 20110 7806 Sudley Rd #210 (703) 369-7173 (703) 330-2466 Manassas, VA 20109 SILK, ZAHER (703) 331-1313 MANASSAS DENTAL YANN, BORARATH TSAI, CHIH-PING ASSOCIATES PC INNOVATION DENTAL OSWALD, SOPHIE 10630-B Crestwood Dr NEIBAUER DENTAL CARE PC 9940 Sowder Village Sq Manassas, VA 20109 10051 Market Circle Manassas, VA 20109 MILTON STAR DDS MANASSAS (703) 330-5578 Manassas, VA 20110 (703) 330-3933 PC (571) 921-9103 7800 Sudley Rd Suite 7810 Manassas, VA 20109 TSAI, CHIH-PING ZAPF, MICHAEL SOURS, ELAINE (703) 367-0599

ELAINE K SOURS DDS PC DENTAL PROFESSIONALS OF VA MICHAEL E ZAPF DDS PARTICIPATING PROVIDERS 8719 Plantation Lane PC 8711 Digges Road Manassas, VA 20110 11670 Sudley Manor Dr Manassas, VA 20110 ORTHODONTIST (703) 369-5544 Manassas, VA 20109 (703) 368-9777 DACZKOWSKI, THOMAS (571) 359-6424 DACZKOWSKI ORTHODONTICS STALLINGS, EDDIE ORAL SURGEON 9001 Digges Rd #202 EDDIE R STALLINGS JR DDS URTEAGA, JAIR Manassas, VA 20110 AMIN, AHMAD 8428 Dorsey Circle #102 BORARATH YANN DDS PC (703) 361-4278 Manassas, VA 20110 10068 Dumfries Rd MILTON STAR DDS MANASSAS PC (703) 335-5886 Manassas, VA 20110 DUNEGAN, MICHAEL (703) 330-0430 7800 Sudley Rd Suite 7810 Manassas, VA 20109 DUNEGAN MICHAEL G SUBRAMANIAN, DEEPA URTEAGA, JAIR (703) 367-0599 8715 Stonewall Road DENTAL PROFESSIONALS OF VA BORARATH YANN DDS PC Manassas, VA 20110 PC (703) 361-5698 9161 Liberia Ave Ste 101 ARGINTAR, BARRY 11670 Sudley Manor Dr Manassas, VA 20110 BARRY C ARGINTAR DDS PC Manassas, VA 20109 (703) 330-2466 GHATRI, ALI (571) 359-6424 9001 Digges Road #102 URTEAGA, JAIR Manassas, VA 20110 AHMADIYAR & MOTAMEDI II PLLC INNOVATION DENTAL (703) 361-2200 SULTAN, AYESHA 7806 Sudley Rd #210 9940 Sowder Village Sq AYESHA SULTAN DDS PC Manassas, VA 20109 Manassas, VA 20109 DAYSE, ROBERT 6312 Hoadly Rd (703) 331-1313 (703) 330-3933 Manassas, VA 20112 MILTON STAR DDS MANASSAS PC (703) 730-7770 HUKMANI, NAVIN VALDIVIESO, GINO 7800 Sudley Rd Suite 7810 MILTON STAR DDS MANASSAS MP DENTAL ASSOCIATES DDS Manassas, VA 20109 SWANSON, CRISTINA PC PC (703) 367-0599 BORARATH YANN DDS PC 7800 Sudley Rd Suite 7810 7806 Centreville Rd 10068 Dumfries Rd Manassas, VA 20109 Manassas, VA 20111 JACKSON, JULIA Manassas, VA 20110 (703) 367-0599 (703) 368-1166 (703) 330-0430 NO VA ORAL & MAXILLOFACIAL SURGERY ASSOC HUSSAINI, SYED SWANSON, CRISTINA WAY-RODRIGUEZ, JORGE 10600 Crestwood Dr S KALIM HUSSAINI DDS PLLC BORARATH YANN DDS PC AHMADIYAR & MOTAMEDI II Manassas, VA 20109 10081 Market Cir 9161 Liberia Ave Ste 101 PLLC (703) 368-7874 Manassas, VA 20110 Manassas, VA 20110 7806 Sudley Rd #210 (703) 383-0090 (703) 330-2466 Manassas, VA 20109 LABRIOLA, J SWANSON, CRISTINA (703) 331-1313 NO VA ORAL & MAXILLOFACIAL HUTCHISON, ALICIA INNOVATION DENTAL SURGERY ASSOC POTOMAC ORTHODONTICS 9940 Sowder Village Sq WHITE, LINDA 10600 Crestwood Dr 10625 Crestwood Dr Manassas, VA 20109 LINDA J WHITE DDS PC Manassas, VA 20109 Manassas, VA 20109 (703) 330-3933 7518-A Diplomat Dr (703) 368-7874 (703) 361-4455 Manassas, VA 20109 TAHERI, BRUCE (703) 257-1900 LYN, TREVANN KERMANSHI, SHIVA MANASSAS DENTAL MILTON STAR DDS MANASSAS MANASSAS DENTAL ASSOCIATES PC YANN, BORARATH PC ASSOCIATES PC 10630-B Crestwood Dr BORARATH YANN DDS PC 7800 Sudley Rd Suite 7810 10630-B Crestwood Dr Manassas, VA 20109 10068 Dumfries Rd Manassas, VA 20109 Manassas, VA 20109 (703) 330-5578 Manassas, VA 20110 (703) 367-0599 (703) 330-5578 (703) 330-0430

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

LE, HAU HAR, GREGORY LIANG, DAVID VIRGINIA (CONT'D) SONU KAKAR DDS INC D GREGORY HAR DDS PC JOSEPH M ARZADON MD DDS 9001 Digges Rd Ste 202 10670 A Crestwood Dr PC MANASSAS Manassas, VA 20110 Manassas, VA 20109 9110 Railroad Dr Ste 100 (703) 368-1169 (703) 392-8528 Manassas Park, VA 20111 MENDES, KEVIN (703) 330-3223 KEVIN MENDES DDS & ASSOC MANASSAS PARK PLLC PERIODONTIST MANQUIN 8404 Dorsey Cir BERI, ANURANDA GENERAL DENTIST Manassas, VA 20110 MILTON STAR DDS MANASSAS GENERAL DENTIST (703) 368-4725 PC AJANDEH, SEAN TOWNSEND, DAVID MENDES, KEVIN 7800 Sudley Rd Suite 7810 AJANDEH DDS PC 9115 Andrew Dr DAVID E TOWNSEND DDS PC KEVIN MENDES DDS & ASSOC Manassas, VA 20109

Manassas Park, VA 20111 41 Dabneys Mill Rd PARTICIPATING PROVIDERS PLLC (703) 367-0599 (703) 530-9000 Manquin, VA 23106 8609 Sudley Rd Ste 102 (804) 769-3005 Manassas, VA 20110 GOLDIN, RICHARD (703) 330-5755 RICHARD GOLDIN DDS LTD BATISTAS, THEO 10684-C Crestwood Dr RAILROAD DENTAL ASSOC MARION SINA, NAHID Manassas, VA 20109 9110 Railroad Dr Ste 201 Manassas Park, VA 20111 GENERAL DENTIST MY BRACES DOCTOR PC (703) 361-6866 (703) 365-0230 10630-A Crestwood Dr DEMAREE, NEIL Manassas, VA 20109 MIRANDA, RUBEN NEIL D DEMAREE DDS PC (703) 369-0099 MANASSAS FAMILY DENTISTRY DIAZ, MARITZA 322 E Main St 9625 Surveyor Ct Ste 101 RAILROAD DENTAL ASSOC Marion, VA 24354 SINA, NAHID Manassas, VA 20110 9110 Railroad Dr Ste 201 (276) 783-8611 NAHID SINA DMD MS (703) 365-0700 Manassas Park, VA 20111 10630-A Crestwood Dr (703) 365-0230 Manassas, VA 20109 GATES, JAMES (703) 369-0099 MOTAMEDI, SAEID GATES DENTISTRY MILTON STAR DDS MANASSAS KIM, EDWARD 1128 N Main St #A PC RAILROAD DENTAL ASSOC Marion, VA 24354 YI, PETER 7800 Sudley Rd Suite 7810 9110 Railroad Dr Ste 201 (276) 783-6818 KIDS & FAMILY DENTAL PC Manassas, VA 20109 Manassas Park, VA 20111 9012 Mathis Ave (703) 367-0599 (703) 365-0230 Manassas, VA 20110 GATES, JUSTIN (571) 921-1111 MOTAMEDI, SAEID GATES DENTISTRY YAVROM, MONICA AHMADIYAR & MOTAMEDI II 1128 N Main St #A RAILROAD DENTAL ASSOC PLLC Marion, VA 24354 PEDIATRIC 9110 Railroad Dr Ste 201 7806 Sudley Rd #210 (276) 783-6818 DENTIST/PEDODONTIST Manassas Park, VA 20111 Manassas, VA 20109 (703) 365-0230 CRANDALL, DAWN (703) 331-1313 PERKINS, NANCY STONEWALL DENTAL NANCY B PERKINS DDS PC ASSOCIATES PATRON, ALFONSO ORAL SURGEON 649 Park Blvd Marion, VA 24354 8719 Stonewall Road MANASSAS DENTAL ARZADON, JOSEPH Manassas, VA 20110 (276) 783-2845 ASSOCIATES PC JOSEPH M ARZADON MD DDS (703) 368-1000 10630-B Crestwood Dr PC Manassas, VA 20109 9110 Railroad Dr Ste 100 RICHARDSON, EMMETT GILL, KWESI (703) 330-5578 Manassas Park, VA 20111 EMMETT V RICHARDSON III DDS MILTON STAR DDS MANASSAS (703) 330-3223 635 Park Boulevard PC SPERLING-HABOT, KEREN Marion, VA 24354 (276) 783-4442 7800 Sudley Rd Suite 7810 CONTEMPORARY DENTISTRY BLAIS, KENNETH Manassas, VA 20109 OF VIRGINIA JOSEPH M ARZADON MD DDS (703) 367-0599 8100 Ashton Ave #212 PC ORAL SURGEON Manassas, VA 20109 9110 Railroad Dr Ste 100 HOLLYFIELD, NEIL KAKAR, DEEPAK (703) 369-5442 Manassas Park, VA 20111 SUKLE & HOLLYFIELD SONU KAKAR DDS INC (703) 330-3223 645 Park Blvd 9001 Digges Rd Ste 202 TRABOULSI, GEORGES Marion, VA 24354 Manassas, VA 20110 MANASSAS DENTAL JACKS, THOMAS (703) 368-1169 (276) 783-8131 ASSOCIATES PC JOSEPH M ARZADON MD DDS 10630-B Crestwood Dr PC PERKINS, DENNIS Manassas, VA 20109 9110 Railroad Dr Ste 100 SUKLE & HOLLYFIELD (703) 330-5578 Manassas Park, VA 20111 645 Park Blvd (703) 330-3223 Marion, VA 24354 PROSTHODONTIST (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

JORDAN, JAMES SOWAN, JAMIL HELSEL, DAVID VIRGINIA (CONT'D) JA JORDAN DDS LTD PEDIATRIC DENTAL CARE OF DAVID F HELSEL DDS 1103 Brookdale St # E VIRGINIA PC Main St Bldg 410 Ste A MARION Martinsville, VA 24112 1152 East Church St Mathews, VA 23109 (276) 632-2634 Martinsville, VA 24112 (804) 725-7500 (276) 403-5500 THOMPSON, BRIAN SUKLE & HOLLYFIELD MALLINAK, EMILY MC KENNY 645 Park Blvd MALLINAK FAMILY DENTISTRY STERMER, GEORGE Marion, VA 24354 LLC DENTURE EXPRESS OF GENERAL DENTIST 604 E Church St MARTINSVILLE LLC (276) 783-8131 WRAY, RONALD Martinsville, VA 24112 5 Dudley St WRAY RONALD L (276) 632-2189 Martinsville, VA 24112 10806 Rives Ave ORTHODONTIST (276) 632-1565

Mc Kenny, VA 23872 PARTICIPATING PROVIDERS WOODS, HUNTER MALLINAK, LAURA STERMER, GEORGE (804) 478-4455 HUNTER K WOODS DDS MS PC MALLINAK FAMILY DENTISTRY G A STERMER JR DDS LTD 639 Park Blvd LLC 5 Dudley St MC LEAN Marion, VA 24354 604 E Church St Martinsville, VA 24112 (276) 783-7800 Martinsville, VA 24112 (276) 638-3265 GENERAL DENTIST (276) 632-2189 MARSHALL FARAHI, FRED WALROD, JOHN FRED F FARAHI DDS PC MALLINAK, RAYMOND JOHN H WALROD DDS PLC GENERAL DENTIST 1401 Chainbridge Rd Ste 301 MALLINAK FAMILY DENTISTRY 15 Cleveland Ave #4 Mc Lean, VA 22101 LLC Martinsville, VA 24112 HAGAR, BASIONY (703) 821-1633 MARSHALL DENTAL CARE 604 E Church St (276) 632-1265 4199H Winchester Rd Martinsville, VA 24112 (276) 632-2189 FRANKS, ALLEN Marshall, VA 20115 WILSON, JAMES ALLEN G FRANKS DDS PC (540) 364-8040 JAMES L WILSON DDS PC 6801 Whittier Ave #202 MIDKIFF, KENNETH 15 Cleveland Ave Ste 5 Mc Lean, VA 22101 MARTINSVILLE KENNETH B MIDKIFF DDS LTD Martinsville, VA 24114 (703) 356-2336 19 Cleveland Ave (276) 632-4600 GENERAL DENTIST Martinsville, VA 24112 (276) 632-5655 KELLY, ISABEL ORTHODONTIST AYERS, CHARLES ISABEL LESTER KELLY DDS MARTINSVILLE FAMILY DENTAL MIRZA, JAVERIA JONES, DAVID PLLC 25 Cleveland Ave Ste. A G A STERMER JR DDS LTD DR DAVID C JONES 1449-D Dolley Madison Blvd Martinsville, VA 24112 5 Dudley St 25 Cleveland Ave #E Mc Lean, VA 22101 (276) 632-6219 Martinsville, VA 24112 Martinsville, VA 24112 (703) 748-3384 (276) 638-3265 (276) 638-8888 CLARK, RISA LEVINE, PAUL MARTINSVILLE SMILES PLLC MOORE, J PEYTON SNYDER, EDWARD PAUL E LEVINE DDS 407 Starling Ave J PEYTON MOORE DDS DR EDWARD P SNYDER PC 6707 Old Dominion Dr#230 Martinsville, VA 24112 101 Cleveland Ave Ste E-5 101 Cleveland Avenue Suite #6 Mc Lean, VA 22101 (276) 632-9266 Martinsville, VA 24112 Martinsville, VA 24112 (703) 356-3960 (276) 632-3963 (276) 632-4144 CRABTREE, MARK LINDEMANN, SCOTT MARTINSVILLE SMILES PLLC MUEHLECK, JAMES PEDIATRIC SCOTT P LINDEMANN DDS 407 Starling Ave MARTINSVILLE FAMILY DENTAL 6845 Elm Street #610 Martinsville, VA 24112 DENTIST/PEDODONTIST 25 Cleveland Ave Ste. A Mc Lean, VA 22101 (276) 632-9266 Martinsville, VA 24112 BROWN, GABRIEL (703) 356-5512 (276) 632-6219 PEDIATRIC DENTAL CARE OF GENDRON, GREGORY VIRGINIA PC SHADRIN, BLANKA 1152 East Church St G T GENDRON DDS PC SHEARER, JAMES BLANKA E SHADRIN 7 Cleveland Ave. Martinsville, VA 24112 MARTINSVILLE FAMILY DENTAL 2052 Rockingham Street Martinsville, VA 24112 (276) 403-5500 25 Cleveland Ave Ste. A Mc Lean, VA 22101 (276) 638-7626 Martinsville, VA 24112 (703) 538-2343 (276) 632-6219 MATHEWS JENKINS, CHARLES YEDIGARIAN, ROUBEN MARTINSVILLE SMILES PLLC GENERAL DENTIST YEDIGARIAN ROUBEN A 407 Starling Ave 8371 B Greensboro Drive Martinsville, VA 24112 Mc Lean, VA 22102 (276) 632-9266 (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

BACHOUR, MAYA COKER, WILLIAM GILMAN, DAVID VIRGINIA (CONT'D) MEHDI ADILI DDS BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC 8353-A Greensboro Drive 2010 Corporate Ridge Ste 700 2010 Corporate Ridge Ste 700 MC LEAN Mclean, VA 22102 Mclean, VA 22102 Mclean, VA 22102 (703) 442-0442 (888) 833-8441 (888) 833-8441 ORAL SURGEON COLEMAN, NORMAN BATCHELOR, CAITLIN COVANEY, SHARON GOCKE, FIZZAH FORETICH ERIC A BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC VIRGINIA ORAL FACIAL & 1515 Chainbridge Rd #206 2010 Corporate Ridge Ste 700 2010 Corporate Ridge Ste 700 IMPLANT SURGERY Mc Lean, VA 22102 Mclean, VA 22102 Mclean, VA 22102 7601 Lewisville Rd Ste 203 (703) 893-8800 (888) 833-8441 (888) 833-8441 Mclean, VA 22102 (703) 388-2805 BEATTY, HANNAH DAMERON, KAREN

FORETICH, ERIC PARTICIPATING PROVIDERS FORETICH ERIC A MEHDI ADILI DDS BIG SMILES VIRGINIA PC HAYDU, JAMES 1515 Chainbridge Rd #206 8353-A Greensboro Drive 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC Mc Lean, VA 22102 Mclean, VA 22102 Mclean, VA 22102 2010 Corporate Ridge Ste 700 (703) 893-8800 (703) 442-0442 (888) 833-8441 Mclean, VA 22102 (888) 833-8441 MCLEAN BEHNAMI, FARIMA DEWINKLER, JOHN BIG SMILES VIRGINIA PC VAN G LE DDS PC HU, ZHAOLIANG ENDODONTIST 2010 Corporate Ridge Ste 700 1313 Dolley Madison Blvd #209 MCLEAN DENTAL CENTER Mclean, VA 22102 Mclean, VA 22101 1340 Old Chain Bridge Rd #401 CHUN, EDWARD (888) 833-8441 (703) 356-7890 Mclean, VA 22101 MCLEAN ENDODONTICS LLC (703) 663-8136 1313 Dolley Madison Blvd Ste 307 Mclean, VA 22101 BLAKE, SUSAN DHOLOO, PAREEN (703) 847-0989 BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC JESNECK, MAE 2010 Corporate Ridge Ste 700 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC Mclean, VA 22102 Mclean, VA 22102 2010 Corporate Ridge Ste 700 NESBITT, PAULA (888) 833-8441 (888) 833-8441 Mclean, VA 22102 BIG SMILES VIRGINIA PC (888) 833-8441 2010 Corporate Ridge Ste 700 Mclean, VA 22102 BOLDUC, MATTHEW DICKEY-FARR, CLAIRE (888) 833-8441 BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC JONES, DAVID 2010 Corporate Ridge Ste 700 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC Mclean, VA 22102 Mclean, VA 22102 2010 Corporate Ridge Ste 700 TOLBA, MOSTAFA (888) 833-8441 (888) 833-8441 Mclean, VA 22102 NOVEL SMILES (888) 833-8441 8180 Greensboro Dr #100 Mclean, VA 22102 BROWN-DOONQUAH, ELGAZZAR, MOHAMED (703) 942-8882 THERESA MOHAMED ELGAZZAR DDS PC KIM, EUNGHWAN BIG SMILES VIRGINIA PC 6845 Elm St #615 MCLEAN SMART DENTAL 2010 Corporate Ridge Ste 700 Mclean, VA 22101 6829 Elm St #210 GENERAL DENTIST Mclean, VA 22102 (703) 734-1233 Mclean, VA 22101 ADILI, MEHDI (888) 833-8441 (703) 639-0807 IDEAL DENTAL SOLUTIONS ENOCH, MARGARET 8280 Greenboro Dr Ste 105 CAUDILL, CAROL IDEAL DENTAL SOLUTIONS KIM, WILSON Mclean, VA 22102 BIG SMILES VIRGINIA PC 8280 Greenboro Dr Ste 105 SMILE GALLERIA (703) 442-0442 2010 Corporate Ridge Ste 700 Mclean, VA 22102 8251 Greensboro Dr #120 Mclean, VA 22102 (703) 442-0442 Mclean, VA 22102 ALRIQ, HOSAM (888) 833-8441 (703) 992-7272 BIG SMILES VIRGINIA PC FISCHER, KATHERINE 2010 Corporate Ridge Ste 700 CHAND, UPPASNA BIG SMILES VIRGINIA PC KNUPPEL, DOROTHY Mclean, VA 22102 DR UPPASNA 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC (888) 833-8441 1477 Chain Bridge Rd Ste 101 Mclean, VA 22102 2010 Corporate Ridge Ste 700 Mclean, VA 22101 (888) 833-8441 Mclean, VA 22102 ANDERSON, TYSON (703) 448-9100 (888) 833-8441 BIG SMILES VIRGINIA PC FORBES, GRAHAM 2010 Corporate Ridge Ste 700 CLAROS, CLAUDIA IDEAL DENTAL SOLUTIONS KREUZER, LUIZA Mclean, VA 22102 BIG SMILES VIRGINIA PC 8280 Greenboro Dr Ste 105 BIG SMILES VIRGINIA PC (888) 833-8441 2010 Corporate Ridge Ste 700 Mclean, VA 22102 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (703) 442-0442 Mclean, VA 22102 (888) 833-8441 (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

MIKHAIL, RAYMOND PONRAJ, ERNEST SAXTON, JACOB VIRGINIA (CONT'D) MEHDI ADILI DDS BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC 8353-A Greensboro Drive 2010 Corporate Ridge Ste 700 2010 Corporate Ridge Ste 700 MCLEAN Mclean, VA 22102 Mclean, VA 22102 Mclean, VA 22102 (703) 442-0442 (888) 833-8441 (888) 833-8441 KRIEGER, ELLEN ELLEN V KRIEGER MOGHARBEL, TAREK RANDOLPH, RENITA SBEIH, IZZAT 6707 Old Dominion Dr #230 Ste 230 Mclean, VA 22101 MIRA DENTAL CARE OF TYSONS BIG SMILES VIRGINIA PC NOVEL SMILES (703) 673-6363 CORNER 2010 Corporate Ridge Ste 700 8180 Greensboro Dr #100 8201 Greensboro Dr #710 Mclean, VA 22102 Mclean, VA 22102 Mclean, VA 22102 (888) 833-8441 (703) 942-8882 KUMRA, SHAWN (571) 633-9455 MIRA DENTAL CARE OF TYSONS RAY, SHEETAL SCHEHL, JOHN CORNER PARTICIPATING PROVIDERS MOHIUDDIN, SUMAYRA 8201 Greensboro Dr #710 BIG SMILES VIRGINIA PC JOHN A SCHEHL, DDS PC Mclean, VA 22102 BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 1515 Chain Bridge Rd (571) 633-9455 2010 Corporate Ridge Ste 700 Mclean, VA 22102 Mclean, VA 22101 Mclean, VA 22102 (888) 833-8441 (703) 532-2022 (888) 833-8441 LANIER, ANGELA SCHEHL, JOHN REARDEN, CATHY BIG SMILES VIRGINIA PC DENTAL CARE OF MCLEAN NGUYEN, KRISTINA 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC 6711 Whittier Ave Ste. #201 Mclean, VA 22102 KRISTINA T NGUYEN DDS PC 2010 Corporate Ridge Ste 700 Mclean, VA 22101 (888) 833-8441 8201 Greensboro Dr #220 Mclean, VA 22102 (703) 356-2020 Mclean, VA 22102 (888) 833-8441 (703) 288-3446 LARSON, DAVID SCHLANG, ELLIOT ROELOFS, RENAE BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC NIKKHAH, JASON 2010 Corporate Ridge Ste 700 BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441 2010 Corporate Ridge Ste 700 Mclean, VA 22102 (888) 833-8441 Mclean, VA 22102 (888) 833-8441 (888) 833-8441 LEE, SEHMI SELANDER, ANN RONIS, JAMES BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC ONEAL, LATANYA 2010 Corporate Ridge Ste 700 JAMES M RONIS DDS 2010 Corporate Ridge Ste 700 Mclean, VA 22102 BIG SMILES VIRGINIA PC 6845 Elm Street Ste 607 Mclean, VA 22102 (888) 833-8441 2010 Corporate Ridge Ste 700 Mclean, VA 22101 (888) 833-8441 Mclean, VA 22102 (703) 442-9199 (888) 833-8441 LEE, SI-HYEON SEPAHI, SAMAN ROSENBERG, ROBERT BIG SMILES VIRGINIA PC IDEAL DENTAL SOLUTIONS OSSAKOW, WILLIAM 2010 Corporate Ridge Ste 700 RK ROSENBERG DDS 8280 Greenboro Dr Ste 105 Mclean, VA 22102 SKINNER OSSAKOW & ASSOC 1311-A Dolley Madison Blvd Mclean, VA 22102 (888) 833-8441 8200 Greensboro Dr #1002 Mclean, VA 22101 (703) 442-0442 Mclean, VA 22102 (703) 893-1776 (703) 734-0515 MARTIN, LATISHA SHANNON, ANDREW RUZZO, JOSEPH BIG SMILES VIRGINIA PC TERNISKY PARK, SUNMIN 2010 Corporate Ridge Ste 700 DENTAL GROUP OF TYSONS 6711 Whittier Ave Mclean, VA 22102 MCLEAN FAMILY & COSMETIC 7901 Jones Branch Dr #220 Mclean, VA 22101 (888) 833-8441 DENTISTRY Mclean, VA 22102 (703) 356-1875 1515 Chain Bridge Rd #304 (703) 448-3312 Mclean, VA 22101 MAYO, STEPHEN SKINNER, KEVIN (703) 821-0080 SABA, RAMEZ BIG SMILES VIRGINIA PC SKINNER OSSAKOW & ASSOC 2010 Corporate Ridge Ste 700 RAMEZ SABA DDS 8200 Greensboro Dr #1002 PATEL, MONICA Mclean, VA 22102 6707 Old Dominion Dr #245 Mclean, VA 22102 (888) 833-8441 BIG SMILES VIRGINIA PC Mclean, VA 22101 (703) 734-0515 2010 Corporate Ridge Ste 700 (703) 827-2611 Mclean, VA 22102 MELTON, ANGELA SMITH, KATHRYN (888) 833-8441 SALARTASH, SHAHRZAD BIG SMILES VIRGINIA PC BIG SMILES VIRGINIA PC 2010 Corporate Ridge Ste 700 SKINNER OSSAKOW & ASSOC 2010 Corporate Ridge Ste 700 POKU-KWATENG, EVELYN Mclean, VA 22102 8200 Greensboro Dr #1002 Mclean, VA 22102 (888) 833-8441 SMILE VIRGINIA PLLC Mclean, VA 22102 (888) 833-8441 2010 Corporate Rdge Ste 700 (703) 734-0515 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

ZIA, ASMA DAVIS, JEFFREY GENERAL DENTIST VIRGINIA (CONT'D) SMILES AND DENTAL CARE PLLC JEFFREY P DAVID DDS PC 7901 Jones Branch Dr #220 7601 Lewinsville Rd Ste 208 ADLEMAN, RONALD MCLEAN Mclean, VA 22102 Mclean, VA 22102 GEORGE A OLEY III PLC (703) 559-5118 (703) 848-8444 7016 Lee Park Road Suite 200 VAN, NICOLE Mechanicsville, VA 23111 NICOLE VAN DDS (804) 282-7011 ETESSAM, NEDA 8300 Greensboro Dr ORAL SURGEON NEDA ETESSAM DDS Mclean, VA 22102 ALI, ZIAD BAJAJ, SMRITI (703) 556-0091 1401 Chain Bridge Rd Ste 301 INTEGRATIVE ORAL & FACIAL Mclean, VA 22101 ATLEE STATION FAMILY SURGERY LLC (703) 821-1633 DENTISTRY VILLARROEL-SOTO, 6845 Elm St #305 9097 Atlee Station Rd #120 CLAUDIA Mclean, VA 22101 Mechanicsville, VA 23116 TERNISKY, CRIS BIG SMILES VIRGINIA PC (703) 388-2889 (804) 559-3250 PARTICIPATING PROVIDERS TERNISKY 2010 Corporate Ridge Ste 700 6711 Whittier Ave Mclean, VA 22102 FRANCIONI, SONIA Mclean, VA 22101 BLAIR, DEAN (888) 833-8441 NOVEL SMILES (703) 356-1875 SAM E ENGLISH II DDS LTD 8180 Greensboro Dr #100 8220 Windmill Watch Dr WILSON, LOIS Mclean, VA 22102 Mechanicsville, VA 23116 PERIODONTIST LOIS WILSON DDS PC (703) 942-8882 (804) 746-1085 6845 Elm St Ste 615 AZGHANDI, RAMIN Mclean, VA 22101 GOCKE, MICHAEL IDEAL DENTAL SOLUTIONS BOLTON, FRANK (703) 734-1233 VIRGINIA ORAL FACIAL & 8280 Greenboro Dr Ste 105 FRANK A BOLTON III DDS WILSON, LOIS IMPLANT SURGERY Mclean, VA 22102 9245 Shady Grove Rd Ste A 7601 Lewisville Rd Ste 203 (703) 442-0442 Mechanicsville, VA 23116 SKINNER OSSAKOW & ASSOC Mclean, VA 22102 (804) 730-1178 8200 Greensboro Dr #1002 (703) 388-2805 Mclean, VA 22102 CARPIO, LILLIAN (703) 734-0515 LILLIAN C CARPIO DDS PC BOND, MARK HAMRAH, DARIA 1355 Beverly Rd #210 VIRGINIA FAMILY DENTISTRY PC WILTBANK, BRADLEY NOVA SURGICARE PC Mclean, VA 22101 6353 Mechanicsville Tpke 8201 Greensboro Dr Ste 601 (703) 288-3570 Mechanicsville, VA 23111 BRADLEY D WILTBANK DMD PC Mclean, VA 22102 (804) 730-3400 1313 Dolley Madison #209 (703) 288-4495 Mclean, VA 22101 LEE, YEONJU (703) 356-7890 MCLEAN SMART DENTAL BOYLE, JOHN NOKKEO, JAY 6829 Elm St #210 J P BOYLE AND KIMBERLY B YANG, XIMIN INTEGRATIVE ORAL & FACIAL Mclean, VA 22101 BOYLE DDS PC SURGERY LLC (703) 639-0807 6366 Mechanicsville Tpke Ste 205 MCLEAN DENTAL CENTER 6845 Elm St #305 Mechanicsville, VA 23111 1340 Old Chain Bridge Rd #401 Mclean, VA 22101 (804) 569-0530 Mclean, VA 22101 PROSTHODONTIST (703) 388-2889 (703) 663-8136 TEHRANI, NEGAR BOYLE, KIMBERLY AURA CENTER FOR AESTHETIC YI, CHANG ORTHODONTIST J P BOYLE AND KIMBERLY B DENTISTRY BOYLE DDS PC AURA CENTER FOR AESTHETIC AHN, SOOYEON 6870 Elm St Ste 300 6366 Mechanicsville Tpke Ste 205 DENTISTRY HAN & AHN DMD PC Mclean, VA 22101 Mechanicsville, VA 23111 6870 Elm St Ste 300 6845 Elm St (703) 748-1900 (804) 569-0530 Mclean, VA 22101 Mclean, VA 22101 (703) 748-1900 (703) 356-7001 MECHANICSVILLE BUHLER, JOHN YOUNOSZAI, ABRAHAM VIRGINIA FAMILY DENTISTRY PC LEE, WILLIAM ENDODONTIST 6353 Mechanicsville Tpke BIG SMILES VIRGINIA PC SMILE GALLERIA HARRIS, JESSE Mechanicsville, VA 23111 2010 Corporate Ridge Ste 700 8251 Greensboro Dr #120 EAST COAST ENDODONTICS (804) 730-3400 Mclean, VA 22102 Mclean, VA 22102 9102 Rutland Green Way Ste A (888) 833-8441 (703) 992-7272 Mechanicsville, VA 23116 CASH, JEFFREY ZHANG, JINGHUA (804) 559-3636 VIRGINIA FAMILY DENTISTRY PC TRAN, THOAI-LAN 6353 Mechanicsville Tpke BIG SMILES VIRGINIA PC NOVEL SMILES WISNIEWSKI, JOHN Mechanicsville, VA 23111 2010 Corporate Ridge Ste 700 8180 Greensboro Dr #100 GEORGE A OLEY III PLC (804) 730-3400 Mclean, VA 22102 Mclean, VA 22102 7016 Lee Park Road Suite 200 (888) 833-8441 (703) 942-8882 Mechanicsville, VA 23111 (804) 282-7011 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 100 Delta Dental Premier

HARDEN, RUSSELL MAJOR, DAVID RAPHAEL, JEFF VIRGINIA (CONT'D) DR RUSSELL HARDEN DDS PC DAVID W MAJOR DDS SAM E ENGLISH II DDS LTD 9245 Shady Grove Rd Ste A 8167 Ladiestown Rd 8220 Windmill Watch Dr MECHANICSVILLE Mechanicsville, VA 23116 Mechanicsville, VA 23111 Mechanicsville, VA 23116 (804) 730-1073 (804) 730-9712 (804) 746-1085 CATOGGIO, MICHAEL VIRGINIA FAMILY DENTISTRY PC IACHINI, DIANE MEADE, AMANDA RESSLER, CHRISTINE 6353 Mechanicsville Tpke Mechanicsville, VA 23111 VIRGINIA FAMILY DENTISTRY PC SAM E ENGLISH II DDS LTD VIRGINIA FAMILY DENTISTRY PC (804) 730-3400 6353 Mechanicsville Tpke 8220 Windmill Watch Dr 6353 Mechanicsville Tpke Mechanicsville, VA 23111 Mechanicsville, VA 23116 Mechanicsville, VA 23111 (804) 730-3400 (804) 746-1085 (804) 730-3400 CULPEPPER, SCOTT SAM E ENGLISH II DDS LTD JIWANI, MUNIRA NASH, COLLEEN ROPER, ERIK 8220 Windmill Watch Dr PARTICIPATING PROVIDERS Mechanicsville, VA 23116 SAM E ENGLISH II DDS LTD VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC (804) 746-1085 8220 Windmill Watch Dr 6353 Mechanicsville Tpke 6353 Mechanicsville Tpke Mechanicsville, VA 23116 Mechanicsville, VA 23111 Mechanicsville, VA 23111 (804) 746-1085 (804) 730-3400 (804) 730-3400 DIEFENDERFER, MARK VIRGINIA FAMILY DENTISTRY PC JORDAN, MORRIS NASIF, YASER SELDEN, STEPHEN 6353 Mechanicsville Tpke Mechanicsville, VA 23111 MORRIS L JORDAN JR DDS PC SAM E ENGLISH II DDS LTD STEPHEN F SELDEN DDS LTD (804) 730-3400 7239 Mechanicsville Pike 8220 Windmill Watch Dr 7239 Mechanicsville Pike Mechanicsville, VA 23111 Mechanicsville, VA 23116 Mechanicsville, VA 23111 (804) 730-9414 (804) 746-1085 (804) 746-7545 DUNHAM, BRYSON JOSEPH W ELROD JR DDS LTD KENNEALY, SARAH NGUYEN, VIET SHAIA, PAUL 7516 Right Flank Rd Mechanicsville, VA 23116 GEORGE A OLEY III PLC SAM E ENGLISH II DDS LTD GEORGE A OLEY III PLC (804) 746-1300 7016 Lee Park Road Suite 200 8220 Windmill Watch Dr 7016 Lee Park Road Suite 200 Mechanicsville, VA 23111 Mechanicsville, VA 23116 Mechanicsville, VA 23111 (804) 282-7011 (804) 746-1085 (804) 282-7011 ELROD , JOSEPH JOSEPH W ELROD JR DDS LTD KHARA, AMANJOT OLEY, GEORGE STANOVICK, PAUL 7516 Right Flank Rd Mechanicsville, VA 23116 DR AMANJOT KHARA DDS PC GEORGE A OLEY III PLC PAUL R STANOVICK DDS PC (804) 746-1300 6372 Mechanicsville Tpke #106 7016 Lee Park Road Suite 200 4005 Fox Hunter Ln Mechanicsville, VA 23111 Mechanicsville, VA 23111 Mechanicsville, VA 23111 (804) 559-5808 (804) 282-7011 (804) 781-1919 ENGLISH, SAM SAM E ENGLISH II DDS LTD KOH, MYUNGSUK PATEL, ANISHA STRAUSS, ZACHARY 8220 Windmill Watch Dr Mechanicsville, VA 23116 LEE FAMILY DENTISTRY GEORGE A OLEY III PLC FAMILY & COSMETIC DENTISTRY (804) 746-1085 7347 Bell Creek Rd #400 7016 Lee Park Road Suite 200 7266 Edgeworth Rd Mechanicsville, VA 23111 Mechanicsville, VA 23111 Mechanicsville, VA 23111 (804) 559-1016 (804) 282-7011 (804) 746-5327 FLANAGAN, CHAD VIRGINIA FAMILY DENTISTRY PC KOPELOVE, STEPHEN PERKINSON, S TURNAGE, NEIL 6353 Mechanicsville Tpke Mechanicsville, VA 23111 GEORGE A OLEY III PLC VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC (804) 730-3400 7016 Lee Park Road Suite 200 6353 Mechanicsville Tpke 6353 Mechanicsville Tpke Mechanicsville, VA 23111 Mechanicsville, VA 23111 Mechanicsville, VA 23111 (804) 282-7011 (804) 730-3400 (804) 730-3400 FUTRELL, ROBERT ROBERT G FUTRELL JR DDS LLC LARKIN, STEVEN POQUIS, GREGORY VOLKOVA, IRINA 8417 Northrun Medical Dr Mechanicsville, VA 23111 VIRGINIA FAMILY DENTISTRY PC GEORGE A OLEY III PLC SAM E ENGLISH II DDS LTD (804) 730-1773 6353 Mechanicsville Tpke 7016 Lee Park Road Suite 200 8220 Windmill Watch Dr Mechanicsville, VA 23111 Mechanicsville, VA 23111 Mechanicsville, VA 23116 (804) 730-3400 (804) 282-7011 (804) 746-1085 GREENWOOD, OLIVER OLIVER C GREENWOOD JR DDS LEE, KYU POSENAU, JERRY WILBY, LYLA ROSE PLLC 8092 Elm Dr LEE FAMILY DENTISTRY JERRY L POSENAU DDS PC GEORGE A OLEY III PLC Mechanicsville, VA 23111 7347 Bell Creek Rd #400 7575 Cold Harbor Road 7016 Lee Park Road Suite 200 (804) 746-0127 Mechanicsville, VA 23111 Mechanicsville, VA 23111 Mechanicsville, VA 23111 (804) 559-1016 (804) 730-1424 (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 101 Delta Dental Premier

MCANDREW, BRIAN MARCUS, RICHARD KORDIS, ALEX VIRGINIA (CONT'D) NIAMTU ALEXANDER KEENEY VIRGINIA FAMILY DENTISTRY PC PUNGOTEAGUE DENTAL UNIT HARRIS METZGER DYMON PC 6353 Mechanicsville Tpke 28480 Bobtown Rd MECHANICSVILLE 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23111 Melfa, VA 23410 Mechanicsville, VA 23116 (804) 730-3400 (757) 789-7777 WONG, DENNIS (804) 673-8061 VIRGINIA FAMILY DENTISTRY PC MEI, ELIZABETH NIGHTENGALE, TIFFANY 6353 Mechanicsville Tpke METZGER, LAWRENCE Mechanicsville, VA 23111 DOMINION ORTHODONTICS PUNGOTEAGUE DENTAL UNIT (804) 730-3400 NIAMTU ALEXANDER KEENEY 9221 Chamberlayne Rd 28480 Bobtown Rd HARRIS METZGER DYMON PC Mechanicsville, VA 23116 Melfa, VA 23410 7481 Right Flank Rd Ste 120 (804) 427-7420 (757) 789-7777 ZAREI, MARYAM Mechanicsville, VA 23116 ATLEE STATION FAMILY (804) 673-8061 PURCELL, ALLISON ROOT, NOEL DENTISTRY PARTICIPATING PROVIDERS 9097 Atlee Station Rd #120 VIRGINIA FAMILY DENTISTRY PC PUNGOTEAGUE DENTAL UNIT MURPHY, WALTER Mechanicsville, VA 23116 6353 Mechanicsville Tpke 28480 Bobtown Rd (804) 559-3250 WALTER K MURPHY DDS PC Mechanicsville, VA 23111 Melfa, VA 23410 7009 Lee Park Rd (804) 730-3400 (757) 789-7777 Mechanicsville, VA 23111 ZAUN, PHILLIP (804) 746-1864 REGIMBAL, PAMELA SAVAGE, DENNIS PHILLIP C ZAUN DDS 9245-A Shady Grove Rd PAMELA F REGIMBAL DDS PLLC PUNGOTEAGUE DENTAL UNIT TRUITT, JOHN Mechanicsville, VA 23116 8266 Jupiter Dr 28480 Bobtown Rd (804) 730-6775 JOHN E TRUITT DDS PC Mechanicsville, VA 23116 Melfa, VA 23410 8249 Crown Colony Pkwy #103 (804) 746-7720 (757) 789-7777 Mechanicsville, VA 23116 ZIMA, ANDREW (804) 789-0230 ROGERS, DALE SHELLEY, STEPHANIE HANOVER PEDIATRIC DENTISTRY VIRGINIA FAMILY DENTISTRY PC PUNGOTEAGUE DENTAL UNIT WATSON, DAMON 8203 Center Path Ln Ste A 6353 Mechanicsville Tpke 28480 Bobtown Rd Mechanicsville, VA 23116 NIAMTU ALEXANDER KEENEY Mechanicsville, VA 23111 Melfa, VA 23410 (804) 746-7382 HARRIS METZGER DYMON PC (804) 730-3400 (757) 789-7777 7481 Right Flank Rd Ste 120 Mechanicsville, VA 23116 ROSS, EDWARD SORIN, MARK ORAL SURGEON (804) 673-8061 ROSS EDWARD F JR PUNGOTEAGUE DENTAL UNIT AGNIHOTRI, NEIL 7281 Hanover Green Dr 28480 Bobtown Rd NIAMTU ALEXANDER KEENEY WLODAWSKY, ROSS Mechanicsville, VA 23111 Melfa, VA 23410 HARRIS METZGER DYMON PC NIAMTU ALEXANDER KEENEY (804) 730-9444 (757) 789-7777 7481 Right Flank Rd Ste 120 HARRIS METZGER DYMON PC Mechanicsville, VA 23116 7481 Right Flank Rd Ste 120 PEDIATRIC WOLPIN, SCOTT Mechanicsville, VA 23116 (804) 673-8061 DENTIST/PEDODONTIST PUNGOTEAGUE DENTAL UNIT (804) 673-8061 28480 Bobtown Rd DYMON, WILLIAM LEWIS, HOLLY Melfa, VA 23410 NIAMTU ALEXANDER KEENEY ORTHODONTIST HANOVER PEDIATRIC (757) 789-7777 HARRIS METZGER DYMON PC DENTISTRY ANDERSON, RALPH 7481 Right Flank Rd Ste 120 8203 Center Path Ln Ste A MIDDLEBURG Mechanicsville, VA 23116 GEORGE A OLEY III PLC Mechanicsville, VA 23116 7016 Lee Park Road Suite 200 (804) 673-8061 (804) 746-7382 GENERAL DENTIST Mechanicsville, VA 23111 (804) 282-7011 HELVEY, GREGG HARRIS, MONROE PERIODONTIST HELVEY GREGG A NIAMTU ALEXANDER KEENEY BUELOW, DWIGHT VOTH, STEPHANIE 14 W Marshall Street HARRIS METZGER DYMON PC VIRGINIA FAMILY DENTISTRY PC Middleburg, VA 20117 7481 Right Flank Rd Ste 120 VIRGINIA FAMILY DENTISTRY PC 6353 Mechanicsville Tpke (540) 687-5855 Mechanicsville, VA 23116 6353 Mechanicsville Tpke Mechanicsville, VA 23111 (804) 673-8061 Mechanicsville, VA 23111 (804) 730-3400 (804) 730-3400 ORTHODONTIST KEENEY, KANYON ERRERA, JOSEPH GERMANE, NICHOLAS MELFA NIAMTU ALEXANDER KEENEY ALFRED C GRIFFIN JR DDS LTD GERMANE NICHOLAS HARRIS METZGER DYMON PC 107 West Federal St 7478 Lee Davis Rd GENERAL DENTIST 7481 Right Flank Rd Ste 120 Middleburg, VA 20118 Mechanicsville, VA 23111 Mechanicsville, VA 23116 GRIGGS, EDWARD (540) 347-1888 (804) 730-2622 (804) 673-8061 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

GENERAL DENTIST BARRETT, CHARLES BUHLER, JOHN VIRGINIA (CONT'D) M SCOTT GORE DDS PC VIRGINIA FAMILY DENTISTRY PC ABBOTT, JERYL 14431 Sommerville Ct Ste A 1612 Huguenot Rd MIDDLEBURG JERYL A ABBOTT DDS PC Midlothian, VA 23113 Midlothian, VA 23113 151 Legordan Dr (804) 794-4588 (804) 794-9789 GRIFFIN, ALFRED Midlothian, VA 23114 ALFRED C GRIFFIN JR DDS LTD (804) 379-9177 BHARAL, POONUM CAHN, JAMES 107 West Federal St VIRGINIA FAMILY DENTISTRY PC JERYL A ABBOTT DDS PC Middleburg, VA 20118 ANDERSON, TYSON (540) 347-1888 14001 Charter Park Dr 151 Legordan Dr ANDERSON FAMILY DENTISTRY Midlothian, VA 23114 Midlothian, VA 23114 PLLC (804) 379-1011 (804) 379-9177 MIDLOTHIAN 13841 Hull St Rd #5 Midlothian, VA 23112 BHARAL, POONUM CASH, JEFFREY ENDODONTIST (804) 744-1280 VIRGINIA FAMILY DENTISTRY PC PARTICIPATING PROVIDERS 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC BURNS, DONNA 1612 Huguenot Rd ANGUS, FRANK Midlothian, VA 23113 DONNA A BURNS DDS PC (804) 794-9789 Midlothian, VA 23113 1507 W Huguenot Rd Ste 203 ANGUS DENTISTRY (804) 794-9789 Midlothian, VA 23113 2400 Pagehurst Drive BHARAL, POONUM Midlothian, VA 23113 (804) 794-4644 VIRGINIA FAMILY DENTISTRY PC CATOGGIO, MICHAEL (804) 794-6893 6510 Harbour View Ct VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23112 GRAY, RICHARD 1612 Huguenot Rd (804) 739-6500 APEX ENDODONTICS OF ANGUS, LEE Midlothian, VA 23113 VIRGINIA PC ANGUS DENTISTRY (804) 794-9789 1149 Jefferson Green Circle 1500 Huguenot Rd #107 BIGGERS, HOOD Midlothian, VA 23113 Midlothian, VA 23113 HOOD E BIGGERS DDS PC CIOS, CHRIS (804) 378-9152 (804) 379-9399 13542 Waterford Pl VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23112 14001 Charter Park Dr (804) 744-4000 HOLBERT, PAIGE ANGUS, REBECCA Midlothian, VA 23114 VIRGINIA FAMILY DENTISTRY PC ANGUS DENTISTRY (804) 379-1011 14001 Charter Park Dr 2400 Pagehurst Drive BITTLER, SCOTT Midlothian, VA 23114 Midlothian, VA 23113 SCOTT E BITTLER DDS PC CIOS, CHRIS (804) 379-1011 (804) 794-6893 5161 Craig Rath Blvd VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23112 1612 Huguenot Rd HOLBERT, PAIGE ANGUS, WILLIAM (804) 744-9051 Midlothian, VA 23113 VIRGINIA FAMILY DENTISTRY PC (804) 794-9789 ANGUS DENTISTRY 14253 Midlothian Tpke 2400 Pagehurst Drive Midlothian, VA 23113 BLACKBURN, JEFF Midlothian, VA 23113 CLEVELAND, RUSSELL (804) 379-1011 JEFF BLACKBURN DDS PC (804) 794-6893 2301 Robious Station Cir RUSSELL A CLEVELAND DDS HOLBERT, PAIGE Midlothian, VA 23113 1670 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC APPLEBY, PETER (804) 378-7888 Midlothian, VA 23113 (804) 794-4564 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 14001 Charter Park Dr BOND, MARK (804) 794-9789 Midlothian, VA 23114 VIRGINIA FAMILY DENTISTRY PC COX, STUART (804) 379-1011 1612 Huguenot Rd P STUART COX DDS INC OLTRA ESPLUGUES, 2330 Colony Crossings Pl APPLEBY, PETER Midlothian, VA 23113 ENRIQUE (804) 794-9789 Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC (804) 222-8140 1612 Huguenot Rd 14001 Charter Park Dr Midlothian, VA 23113 BOOTH, CATHERINE Midlothian, VA 23114 CRICHTON, CATHERINE (804) 794-9789 ROBERT N PENTERSON DDS (804) 379-1011 5954 Harbour Park Dr VIRGINIA FAMILY DENTISTRY PC APPLEBY, PETER Midlothian, VA 23112 14001 Charter Park Dr OVERTON, BRUCE VIRGINIA FAMILY DENTISTRY PC (804) 739-1600 Midlothian, VA 23114 BRUCE W OVERTON DDS PC 6510 Harbour View Ct (804) 379-1011 Midlothian, VA 23112 6037 Harbour Park Dr BOOTH, STEPHEN CRICHTON, CATHERINE (804) 739-6500 Midlothian, VA 23112 ROBERT N PENTERSON DDS VIRGINIA FAMILY DENTISTRY PC (804) 744-3636 5954 Harbour Park Dr 1612 Huguenot Rd BARRETT, CHARLES Midlothian, VA 23112 Midlothian, VA 23113 PACKER, GARDINER CHARLES H BARRETT DDS (804) 739-1600 (804) 794-9789 BRUCE W OVERTON DDS PC 1230 Alverser Dr Ste 104 6037 Harbour Park Dr Midlothian, VA 23113 Midlothian, VA 23112 (804) 794-2144 (804) 744-3636

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 103 Delta Dental Premier

DENONCOURT, JAMIE ESTILL, ANDREW GHAZARIAN, MISHA VIRGINIA (CONT'D) VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct 6510 Harbour View Ct 1612 Huguenot Rd MIDLOTHIAN Midlothian, VA 23112 Midlothian, VA 23112 Midlothian, VA 23113 (804) 739-6500 (804) 739-6500 (804) 794-9789 CRICHTON, CATHERINE VIRGINIA FAMILY DENTISTRY PC GHAZARIAN, MISHA DEVERA, GENEVIEVE FLANAGAN, CHAD 6510 Harbour View Ct VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23112 GB DEVERA DDS PC VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct (804) 739-6500 2373 Colony Crossing Pl 1612 Huguenot Rd Midlothian, VA 23112 Midlothian, VA 23112 Midlothian, VA 23113 (804) 739-6500 (804) 739-3131 (804) 794-9789 CRICHTON, JAMES VIRGINIA FAMILY DENTISTRY PC GORE, M DIEFENDERFER, MARK FORMICA, LOUIS 14001 Charter Park Dr M SCOTT GORE DDS PC PARTICIPATING PROVIDERS Midlothian, VA 23114 VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC 14431 Sommerville Ct Ste A (804) 379-1011 1612 Huguenot Rd 14001 Charter Park Dr Midlothian, VA 23113 Midlothian, VA 23113 Midlothian, VA 23114 (804) 794-4588 CRICHTON, JAMES (804) 794-9789 (804) 379-1011 VIRGINIA FAMILY DENTISTRY PC FORMICA, LOUIS GUTHRIE, JAMES 1612 Huguenot Rd DUNHAM, ELIZABETH VIRGINIA FAMILY DENTISTRY PC JAMES GUTHRIE JR Midlothian, VA 23113 JEFF BLACKBURN DDS PC (804) 794-9789 1612 Huguenot Rd 6025 Harbour Park Dr 2301 Robious Station Cir Midlothian, VA 23113 Midlothian, VA 23112 CRICHTON, JAMES Midlothian, VA 23113 (804) 794-9789 (804) 739-7391 VIRGINIA FAMILY DENTISTRY PC (804) 378-7888 6510 Harbour View Ct FULLER, JANIS HARRIS, SHARON Midlothian, VA 23112 DURHAM, DAVID JANIS L FULLER DDS PC SHARON FREELAND HARRIS (804) 739-6500 MIDLOTHIAN FAMILY DENTISTRY 1230 Alverser Dr #100 DMD PC 14420 Sommerville Court Midlothian, VA 23113 4906 Millridge Pkwy E CROCKER, MARK Midlothian, VA 23113 (804) 594-2570 Midlothian, VA 23112 MIDLOTHIAN FAMILY DENTISTRY (804) 897-7900 (804) 744-4335 14420 Sommerville Court GALLEGOS, JOSE Midlothian, VA 23113 EDMONDSON, DAVID JOSE E GALLEGOS DDS PC HAWKINS, ALEXANDER (804) 897-7900 JANINE RANDAZZO DENTISTRY 6508 Woodlake Village Cir ALEXANDER N HAWKINS DDS 2300 Robious Station Circle Midlothian, VA 23112 1310 Alverser Plz CRONLY, JO Midlothian, VA 23113 (804) 739-9190 Midlothian, VA 23113 CHILDRENS DENTISTRY OF (804) 897-2900 (804) 897-9800 VIRGINIA PC GAMACHE, MARC 2400 Colony Crossing Pl ELIAS, THOMAS VIRGINIA FAMILY DENTISTRY PC HELFRICH, KATHERINE Midlothian, VA 23112 THOMAS G ELIAS DMD PC 14001 Charter Park Dr VIRGINIA FAMILY DENTISTRY PC (804) 639-6445 6043 Harbour Park Dr Midlothian, VA 23114 14001 Charter Park Dr Midlothian, VA 23112 (804) 379-1011 Midlothian, VA 23114 CROWDER, VICTORIA (804) 739-8287 (804) 379-1011 GAMACHE, MARC M SCOTT GORE DDS PC HELFRICH, KATHERINE 14431 Sommerville Ct Ste A ESTES, MATTHEW VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 SWIFT CREEK DENTAL CENTER Midlothian, VA 23113 1612 Huguenot Rd (804) 794-4588 6025 Harbour Park Dr (804) 794-9789 Midlothian, VA 23113 Midlothian, VA 23112 (804) 794-9789 DAVIS, JULIA (804) 739-7391 GARDEN, LAURA DAVIS DENTAL GROUP HELFRICH, KATHERINE 14253 Midlothian Turnpike ESTILL, ANDREW JEFF BLACKBURN DDS PC VIRGINIA FAMILY DENTISTRY PC 2301 Robious Station Cir Midlothian, VA 23113 VIRGINIA FAMILY DENTISTRY PC 6510 Harbour View Ct Midlothian, VA 23113 (804) 320-2009 14001 Charter Park Dr Midlothian, VA 23112 (804) 378-7888 Midlothian, VA 23114 (804) 739-6500 DENONCOURT, JAMIE (804) 379-1011 GHAZARIAN, MISHA HEROD, BRIAN VIRGINIA FAMILY DENTISTRY PC ESTILL, ANDREW VIRGINIA FAMILY DENTISTRY PC WILLIAMS & NEIGHBORS 14001 Charter Park Dr VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr 1009 Crowder Drive Midlothian, VA 23114 1612 Huguenot Rd Midlothian, VA 23114 Midlothian, VA 23113 (804) 379-1011 Midlothian, VA 23113 (804) 379-1011 (804) 794-8745 DENONCOURT, JAMIE (804) 794-9789 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

JORDAN, EDWARD LEVENSON, LANNY MOSEY, JAMES VIRGINIA (CONT'D) VIRGINIA FAMILY DENTISTRY PC LANNY R LEVENSON VIRGINIA FAMILY DENTISTRY PC 1612 Huguenot Rd 1507 West Huguenot Rd Ste 100 6510 Harbour View Ct MIDLOTHIAN Midlothian, VA 23113 Midlothian, VA 23113 Midlothian, VA 23112 (804) 794-9789 (804) 379-9800 (804) 739-6500 HOOVER, AMANDA M SCOTT GORE DDS PC KILLAR, CURT LOPEZ, ROCIO MOSHER, RUSSELL 14431 Sommerville Ct Ste A Midlothian, VA 23113 CURT J KILLAR DDS PC VIRGINIA FAMILY DENTISTRY PC MOSHER RUSSELL N (804) 794-4588 6540 Woodlake Village Cir 14001 Charter Park Dr 1320 Alverser Plaza Midlothian, VA 23112 Midlothian, VA 23114 Midlothian, VA 23113 (804) 739-4194 (804) 379-1011 (804) 379-6971 HOOVER, JARED M SCOTT GORE DDS PC LOPEZ, ROCIO KOELMEL, JEFFREY MULE, MERISSA 14431 Sommerville Ct Ste A VIRGINIA FAMILY DENTISTRY PC PARTICIPATING PROVIDERS Midlothian, VA 23113 SWIFT CREEK DENTAL 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC (804) 794-4588 5921 Harbour Lane #100 Midlothian, VA 23113 14001 Charter Park Dr Midlothian, VA 23112 (804) 794-9789 Midlothian, VA 23114 (804) 739-1414 (804) 379-1011 HYDER, ZAIN VIRGINIA FAMILY DENTISTRY PC KOELMEL, JEFFREY MAMRICK, RONALD MULE, MERISSA 14001 Charter Park Dr SWIFT CREEK DENTAL CENTER RONALD C MAMRICK DDS PC VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23114 6025 Harbour Park Dr 1807 Huguenot Rd Ste 124 1612 Huguenot Rd (804) 379-1011 Midlothian, VA 23112 Midlothian, VA 23113 Midlothian, VA 23113 (804) 739-7391 (804) 423-1600 (804) 794-9789 HYDER, ZAIN VIRGINIA FAMILY DENTISTRY PC MULE, MERISSA KRONE, MICHAEL MARSHALL, TIMOTHY 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 HARBOUR DENTAL MIDLOTHIAN FAMILY DENTISTRY 6510 Harbour View Ct (804) 794-9789 13628 Hull Street Rd #14 14420 Sommerville Court Midlothian, VA 23112 Midlothian, VA 23112 Midlothian, VA 23113 (804) 739-6500 HYDER, ZAIN (804) 739-6818 (804) 897-7900 VIRGINIA FAMILY DENTISTRY PC MURRY, BRITTNEY 6510 Harbour View Ct KUHN, TODD MASON, ERIKA DR DONALD R MURRY JR DDS Midlothian, VA 23112 DR DONALD R MURRY JR DDS ERIKA C MASON DDS (804) 739-6500 PC PC 11061 Hull Street Road 14269 Midlothian Turnpike 14269 Midlothian Turnpike Midlothian, VA 23112 Midlothian, VA 23113 IACHINI, DIANE Midlothian, VA 23113 (804) 745-0666 (804) 379-7677 VIRGINIA FAMILY DENTISTRY PC (804) 379-7677 1612 Huguenot Rd MAYERS, AUTUMN MURRY, DONALD Midlothian, VA 23113 LARKIN, STEVEN ALLGOOD FAMILY DENTISTRY (804) 794-9789 DR DONALD R MURRY JR DDS VIRGINIA FAMILY DENTISTRY PC PLLC PC 1612 Huguenot Rd 5921 Harbour Lane, Ste #100 14269 Midlothian Turnpike JOHANSEN, STEPHEN Midlothian, VA 23113 Midlothian, VA 23112 Midlothian, VA 23113 VIRGINIA FAMILY DENTISTRY PC (804) 794-9789 (804) 739-0000 (804) 379-7677 14001 Charter Park Dr Midlothian, VA 23114 LEARY, BRUCE MONACELL, WILLIAM MURRY, KENNETH (804) 379-1011 BRUCE A LEARY DDS PC MIDLOTHIAN FAMILY DENTISTRY DR DONALD R MURRY JR DDS JOHANSEN, STEPHEN 1165 Jefferson Green Cir 14420 Sommerville Court PC VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 Midlothian, VA 23113 14269 Midlothian Turnpike 1612 Huguenot Rd (804) 379-7864 (804) 897-7900 Midlothian, VA 23113 Midlothian, VA 23113 (804) 379-7677 (804) 794-9789 LEE, SEHMI MOSEY, JAMES APPLE TREE DENTISTRY PLLC VIRGINIA FAMILY DENTISTRY PC NASH, COLLEEN JONES, PATRICE 13925 Coalfield Commons Plc #102 14001 Charter Park Dr VIRGINIA FAMILY DENTISTRY PC ALEXANDER N HAWKINS DDS Midlothian, VA 23114 Midlothian, VA 23114 1612 Huguenot Rd 1310 Alverser Plz (804) 897-3345 (804) 379-1011 Midlothian, VA 23113 Midlothian, VA 23113 LEE, SEHMI MOSEY, JAMES (804) 794-9789 (804) 897-9800 JERYL A ABBOTT DDS PC VIRGINIA FAMILY DENTISTRY PC 151 Legordan Dr 1612 Huguenot Rd NEIGHBORS, ROBERT JORDAN, EDWARD Midlothian, VA 23114 Midlothian, VA 23113 WILLIAMS & NEIGHBORS VIRGINIA FAMILY DENTISTRY PC (804) 379-9177 (804) 794-9789 1009 Crowder Drive 14001 Charter Park Dr Midlothian, VA 23113 Midlothian, VA 23114 (804) 794-8745 (804) 379-1011

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

PERKINSON, WILLIAM SEKHON, NAVNEET THEWS, SCOTT VIRGINIA (CONT'D) VIRGINIA FAMILY DENTISTRY PC MIDLOTHIAN FAMILY DENTISTRY BELLGRADE DENTAL CENTER 6510 Harbour View Ct 14420 Sommerville Court 2611 Promenade Pkwy MIDLOTHIAN Midlothian, VA 23112 Midlothian, VA 23113 Midlothian, VA 23113 (804) 739-6500 (804) 897-7900 (804) 794-6900 OLIVERO, THOMAS THOMAS A J OLIVERO DDS PLC PEROUTKA, JOHN SIMON, ALEXANDER TRAWICK, DONALD 112 Walton Park Ln Midlothian, VA 23114 HARBOUR DENTAL VIRGINIA CENTER FOR DONALD G TRAWICK DDS PC (804) 794-2802 13628 Hull Street Rd #14 ADVANCED DENTISTRY 13841 Hull St Rd #1 Midlothian, VA 23112 BRANDERMILL LLC Midlothian, VA 23112 (804) 739-6818 2330 Colony Crossing Place (804) 739-5791 ORISTIAN, ALEXIS Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC PRICE, ASHLYN (804) 639-8338 TRENT, FAITH 14001 Charter Park Dr PARTICIPATING PROVIDERS Midlothian, VA 23114 ALLGOOD FAMILY DENTISTRY FAITH TRENT DDS PC SIMON, DEEPA (804) 379-1011 PLLC 13700 Genito Rd 5921 Harbour Lane, Ste #100 VIRGINIA CENTER FOR Midlothian, VA 23112 ORISTIAN, ALEXIS Midlothian, VA 23112 ADVANCED DENTISTRY (804) 744-1877 VIRGINIA FAMILY DENTISTRY PC (804) 739-0000 BRANDERMILL LLC 1612 Huguenot Rd 2330 Colony Crossing Place TURNAGE, NEIL Midlothian, VA 23113 RANDAZZO, JANINE Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC (804) 794-9789 JANINE RANDAZZO DENTISTRY (804) 639-8338 1612 Huguenot Rd ORISTIAN, ALEXIS 2300 Robious Station Circle Midlothian, VA 23113 VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 SORENSON, ROBERT (804) 794-9789 6510 Harbour View Ct (804) 897-2900 MIDLOTHIAN FAMILY DENTISTRY Midlothian, VA 23112 14420 Sommerville Court VACCA, RICHARD (804) 739-6500 RESSLER, CHRISTINE Midlothian, VA 23113 RICHARD S VACCA DDS LTD VIRGINIA FAMILY DENTISTRY PC (804) 897-7900 5921 Harbour Ln Ste 400 PATEL, NRUPUR 1612 Huguenot Rd Midlothian, VA 23112 RAILEY HILL DENTAL Midlothian, VA 23113 SPARKS, SARAH (804) 739-9191 125 Brown'S Way Rd (804) 794-9789 VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23114 14001 Charter Park Dr VARKEY, GEORGE (804) 378-0082 RICKMAN, JAMES Midlothian, VA 23114 VIRGINIA CENTER FOR JAMES T RICKMAN IV DDS PC (804) 379-1011 ADVANCED DENTISTRY PAYNE, STEPHEN 4904 Millridge Pkwy SPARKS, SARAH BRANDERMILL LLC STEPHEN K PAYNE DDS Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC 2330 Colony Crossing Place 300 Browns Hill Court (804) 744-9622 1612 Huguenot Rd Midlothian, VA 23112 Midlothian, VA 23114 Midlothian, VA 23113 (804) 639-8338 (804) 379-0875 ROBERTS, DAVID (804) 794-9789 VIRGINIA FAMILY DENTISTRY PC VELLUCCI, JESSICA SPARKS, SARAH 1612 Huguenot Rd MIDLOTHIAN FAMILY DENTISTRY PENTERSON, ROBERT VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113 14420 Sommerville Court ROBERT N PENTERSON DDS 6510 Harbour View Ct (804) 794-9789 Midlothian, VA 23113 5954 Harbour Park Dr Midlothian, VA 23112 (804) 897-7900 Midlothian, VA 23112 ROBERTS, DAVID (804) 739-6500 (804) 739-1600 VIRGINIA FAMILY DENTISTRY PC WARD, CHRISTOPHER 6510 Harbour View Ct SULLIVAN, KIT VIRGINIA FAMILY DENTISTRY PC PERKINSON, S Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC 14001 Charter Park Dr VIRGINIA FAMILY DENTISTRY PC (804) 739-6500 14001 Charter Park Dr Midlothian, VA 23114 1612 Huguenot Rd Midlothian, VA 23114 (804) 379-1011 Midlothian, VA 23113 ROPER, ERIK (804) 379-1011 (804) 794-9789 VIRGINIA FAMILY DENTISTRY PC WARD, CHRISTOPHER SULLIVAN, KIT 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC PERKINSON, WILLIAM Midlothian, VA 23113 1612 Huguenot Rd 1612 Huguenot Rd VIRGINIA FAMILY DENTISTRY PC (804) 794-9789 Midlothian, VA 23113 Midlothian, VA 23113 14001 Charter Park Dr (804) 794-9789 (804) 794-9789 Midlothian, VA 23114 SCHLENSKER, SCOTT WARD, CHRISTOPHER (804) 379-1011 JOSE E GALLEGOS DDS PC TAFO-TABUE, HENDRICK VIRGINIA FAMILY DENTISTRY PC 6508 Woodlake Village Cir PERKINSON, WILLIAM HENDRICK B TAFO-TABUE DDS 6510 Harbour View Ct Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC PC Midlothian, VA 23112 (804) 739-9190 1612 Huguenot Rd 11627 Midlothian Turnpike (804) 739-6500 Midlothian, VA 23113 Midlothian, VA 23113 (804) 794-9789 (804) 897-8550

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

ZENTGRAF, RALPH HARRIS, MONROE PADGETT, THOMAS VIRGINIA (CONT'D) RALPH ZENTGRAF DDS PC NIAMTU ALEXANDER KEENEY RICHMOND ORAL & COSMETIC 13860 Raised Antler Circle #B HARRIS METZGER DYMON PC SURGEONS MIDLOTHIAN Midlothian, VA 23112 11319 Polo Place 1680 Huguenot Rd (804) 739-6163 Midlothian, VA 23113 Midlothian, VA 23113 WEBBER, TERRENCE (804) 794-0794 (804) 379-7120 TERENCE WEBBER DDS PC 5921 Harbour Ln Ste 500 ORAL SURGEON HARRIS, MONROE PADGETT, THOMAS Midlothian, VA 23112 AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY RICHMOND ORAL & COSMETIC HARRIS METZGER DYMON PC SURGEONS (804) 639-7500 NIAMTU ALEXANDER KEENEY 6031 Harbour Park Dr 5921 Harbour Lane #200 HARRIS METZGER DYMON PC Midlothian, VA 23112 Midlothian, VA 23112 WICKER, MARYBETH 11319 Polo Place (804) 608-3200 (804) 739-5490 VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23113

14001 Charter Park Dr (804) 794-0794 PARTICIPATING PROVIDERS Midlothian, VA 23114 KEENEY, KANYON SARRAF, AMMAR (804) 379-1011 AGNIHOTRI, NEIL NIAMTU ALEXANDER KEENEY COMMONWEALTH ORAL & NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC FACIAL SURGERY WICKER, MARYBETH HARRIS METZGER DYMON PC 11319 Polo Place 1807 W Huguenot Rd 122 VIRGINIA FAMILY DENTISTRY PC 6031 Harbour Park Dr Midlothian, VA 23113 Midlothian, VA 23113 1612 Huguenot Rd Midlothian, VA 23112 (804) 794-0794 (804) 354-1671 Midlothian, VA 23113 (804) 608-3200 (804) 794-9789 KEENEY, KANYON WALLACE, JAMES CYR, JEFFREY NIAMTU ALEXANDER KEENEY WICKER, MARYBETH HARRIS METZGER DYMON PC RICHMOND ORAL & COSMETIC COMMONWEALTH ORAL & VIRGINIA FAMILY DENTISTRY PC 6031 Harbour Park Dr SURGEONS FACIAL SURGERY 6510 Harbour View Ct Midlothian, VA 23112 1680 Huguenot Rd 1807 W Huguenot Rd 122 Midlothian, VA 23112 (804) 608-3200 Midlothian, VA 23113 (804) 739-6500 Midlothian, VA 23113 (804) 379-7120 (804) 354-1671 MCANDREW, BRIAN WALLACE, JAMES WILLIAMS, JEFFREY CYR, JEFFREY NIAMTU ALEXANDER KEENEY RICHMOND ORAL & COSMETIC WILLIAMS & NEIGHBORS COMMONWEALTH ORAL & HARRIS METZGER DYMON PC SURGEONS 1009 Crowder Drive FACIAL SURGERY 11319 Polo Place 5921 Harbour Lane #200 Midlothian, VA 23113 5942 Harbour Park Dr Midlothian, VA 23113 Midlothian, VA 23112 (804) 794-8745 Midlothian, VA 23112 (804) 794-0794 (804) 739-5490 (804) 354-1600 MCANDREW, BRIAN WONG, DENNIS NIAMTU ALEXANDER KEENEY WATSON, DAMON VIRGINIA FAMILY DENTISTRY PC DYMON, WILLIAM HARRIS METZGER DYMON PC NIAMTU ALEXANDER KEENEY 1612 Huguenot Rd NIAMTU ALEXANDER KEENEY 6031 Harbour Park Dr HARRIS METZGER DYMON PC Midlothian, VA 23113 HARRIS METZGER DYMON PC Midlothian, VA 23112 11319 Polo Place (804) 794-9789 11319 Polo Place (804) 608-3200 Midlothian, VA 23113 Midlothian, VA 23113 (804) 794-0794 WONG, JOSHUA (804) 794-0794 METZGER, LAWRENCE WATSON, DAMON VIRGINIA FAMILY DENTISTRY PC DYMON, WILLIAM NIAMTU ALEXANDER KEENEY NIAMTU ALEXANDER KEENEY 14001 Charter Park Dr NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC HARRIS METZGER DYMON PC Midlothian, VA 23114 HARRIS METZGER DYMON PC 11319 Polo Place 6031 Harbour Park Dr (804) 379-1011 6031 Harbour Park Dr Midlothian, VA 23113 Midlothian, VA 23112 WONG, JOSHUA Midlothian, VA 23112 (804) 794-0794 (804) 608-3200 VIRGINIA FAMILY DENTISTRY PC (804) 608-3200 METZGER, LAWRENCE 1612 Huguenot Rd NIAMTU ALEXANDER KEENEY WLODAWSKY, ROSS Midlothian, VA 23113 ESCHENROEDER, THOMAS HARRIS METZGER DYMON PC NIAMTU ALEXANDER KEENEY (804) 794-9789 COMMONWEALTH ORAL & 6031 Harbour Park Dr HARRIS METZGER DYMON PC FACIAL SURGERY WONG, JOSHUA Midlothian, VA 23112 11319 Polo Place 1807 W Huguenot Rd 122 VIRGINIA FAMILY DENTISTRY PC (804) 608-3200 Midlothian, VA 23113 Midlothian, VA 23113 6510 Harbour View Ct (804) 794-0794 (804) 354-1671 Midlothian, VA 23112 MILLER, MICHAEL WLODAWSKY, ROSS (804) 739-6500 FERGUSON, ANDREW COMMONWEALTH ORAL & NIAMTU ALEXANDER KEENEY FACIAL SURGERY HARRIS METZGER DYMON PC COMMONWEALTH ORAL & ZEIDLER, DENNIS 1807 W Huguenot Rd 122 6031 Harbour Park Dr FACIAL SURGERY DENNIS N ZEIDLER DMD PLLC Midlothian, VA 23113 Midlothian, VA 23112 5942 Harbour Park Dr 13321-C Midlothian Tnpk (804) 354-1671 (804) 608-3200 Midlothian, VA 23112 Midlothian, VA 23113 (804) 354-1600 (804) 794-5304

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 VIRGINIA (CONT'D) DR RICHARD LEE BYRD PC VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC 14420 Sommerville Court 14001 Charter Park Dr 6510 Harbour View Ct MIDLOTHIAN Midlothian, VA 23113 Midlothian, VA 23114 Midlothian, VA 23112 (804) 897-7900 (804) 379-1011 (804) 739-6500 ZOGHBY, GREGG COMMONWEALTH ORAL & BYRD, RICHARD MARCUS, RICHARD SMITH, ERIN FACIAL SURGERY MIDLOTHIAN FAMILY DENTISTRY VIRGINIA FAMILY DENTISTRY PC 1807 W Huguenot Rd 122 14420 Sommerville Court 1612 Huguenot Rd DR RICHARD LEE BYRD PC Midlothian, VA 23113 Midlothian, VA 23113 Midlothian, VA 23113 2929 Polo Pkwy (804) 354-1671 (804) 897-7900 (804) 794-9789 Midlothian, VA 23113 (804) 379-3718 ZOGHBY, GREGG BYRD, RICHARD MARCUS, RICHARD COMMONWEALTH ORAL & DR RICHARD LEE BYRD PC VIRGINIA FAMILY DENTISTRY PC SPEARS, MELANIE 2929 Polo Pkwy 6510 Harbour View Ct PARTICIPATING PROVIDERS FACIAL SURGERY DR RICHARD LEE BYRD PC Midlothian, VA 23113 Midlothian, VA 23112 5942 Harbour Park Dr 2929 Polo Pkwy (804) 379-3718 (804) 739-6500 Midlothian, VA 23112 Midlothian, VA 23113 (804) 354-1600 (804) 379-3718 DABNEY, C NYCZEPIR, DAVID ORTHODONTIST DR C WILLIAM DABNEY PC DRS DAVIS & NYCZEPIR LTD WILTSHIRE, CURTIS 304 Browns Hill Court 1009 Crowder Dr RILEY WILTSHIRE & BEYER, JEFFREY Midlothian, VA 23114 Midlothian, VA 23113 BRASSINGTON INC COMMONWEALTH (804) 794-8943 (804) 794-4213 13901 Coalfield Commons Place ORTHODONTICS Bldg 5 Ste 101 6657 Lake Harbour Drive DABNEY, C PURCELL, ALLISON Midlothian, VA 23114 Midlothian, VA 23112 C WILLIAM DABNEY PC VIRGINIA FAMILY DENTISTRY PC (804) 794-9557 (804) 739-6600 4904 Millridge Parkway Market Square At Brandermill 14001 Charter Park Dr Midlothian, VA 23112 Midlothian, VA 23114 BIBONA, KEVIN PEDIATRIC (804) 744-1468 (804) 379-1011 RILEY WILTSHIRE & DENTIST/PEDODONTIST PURCELL, ALLISON BRASSINGTON INC EDDLETON, RAYMONIA 13901 Coalfield Commons Place DAVIS, GEORGE VIRGINIA FAMILY DENTISTRY PC ROGER E WOOD NICHOLAS C Bldg 5 Ste 101 DRS DAVIS & NYCZEPIR LTD 1612 Huguenot Rd LOMBORDOZZI DDS PC Midlothian, VA 23114 1009 Crowder Dr Midlothian, VA 23113 11601 Robious Rd Ste 130 (804) 794-9557 Midlothian, VA 23113 (804) 794-9789 (804) 794-4213 Midlothian, VA 23113 PURCELL, ALLISON (804) 794-3498 BRASSINGTON, BRYAN VIRGINIA FAMILY DENTISTRY PC DUNLEVY, HARRY RILEY WILTSHIRE & 6510 Harbour View Ct EDWARDS, JUSTIN BRASSINGTON INC JACK DUNLEVY DMD MS Midlothian, VA 23112 CHILDRENS DENTISTRY OF 13901 Coalfield Commons Place 11601 Robious Rd. #130 (804) 739-6500 VIRGINIA PC Bldg 5 Ste 101 Midlothian, VA 23113 2400 Colony Crossing Pl Midlothian, VA 23114 (804) 794-3498 RILEY, JAMES Midlothian, VA 23112 (804) 794-9557 RILEY WILTSHIRE & (804) 639-6445 KELLEHER, KEVIN BRASSINGTON INC BUELOW, DWIGHT KELLEHER ORTHODONTICS LLC 13901 Coalfield Commons Place FLOWERS, JOHN VIRGINIA FAMILY DENTISTRY PC 2412 Colony Crossing Pl Bldg 5 Ste 101 CHILDRENS DENTISTRY OF 14001 Charter Park Dr Midlothian, VA 23112 Midlothian, VA 23114 VIRGINIA PC Midlothian, VA 23114 (804) 739-6673 (804) 794-9557 2400 Colony Crossing Pl (804) 379-1011 Midlothian, VA 23112 KING, JOHN BUELOW, DWIGHT ROGERS, DALE (804) 639-6445 JOHN W KING DDS VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC 5921 Harbour Lane #300 1612 Huguenot Rd 14001 Charter Park Dr GOKLI, MEERA Midlothian, VA 23112 Midlothian, VA 23114 Midlothian, VA 23113 PEDIATRIC DENTISTRY & (804) 739-3399 (804) 379-1011 (804) 794-9789 ORTHO OF VA ROGERS, DALE 13841 Hull Street Rd BUELOW, DWIGHT LEE, RICHARD VIRGINIA FAMILY DENTISTRY PC Midlothian, VA 23112 VIRGINIA FAMILY DENTISTRY PC LEE RICHARD H 1612 Huguenot Rd (804) 739-0963 6510 Harbour View Ct 14267 Midlothian Tpk Midlothian, VA 23113 Midlothian, VA 23112 Midlothian, VA 23113 (804) 794-9789 (804) 739-6500 (804) 379-2205 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

SMITH, ERIC VIRGINIA (CONT'D) SANZ-MOLINER, JAVIER ERIC J SMITH DDS PC SPILLERS, RONALD JANINE RANDAZZO DENTISTRY 4860 Rucker Rd #3 HIGHLAND MEDICAL CENTER MIDLOTHIAN 2300 Robious Station Circle Moneta, VA 24121 INC Midlothian, VA 23113 (540) 297-7737 120 Jackson River Rd KEETON, DAVID (804) 897-2900 Monterey, VA 24465 PEDIATRIC DENTISTRY & SMITH, ERIC (540) 468-6440 ORTHO OF VA VOTH, STEPHANIE VISHAL SHAH DMD PLLC 4860 Rucker Rd #3 13841 Hull Street Rd VIRGINIA FAMILY DENTISTRY PC MONTPELIER Moneta, VA 24121 Midlothian, VA 23112 14001 Charter Park Dr (540) 297-7737 (804) 739-0963 Midlothian, VA 23114 GENERAL DENTIST (804) 379-1011 ALDRED, MATTHEW KUHN, AMANDA MONTCLAIR VOTH, STEPHANIE ALDRED FAMILY DENTISTRY CHILDRENS DENTISTRY OF PARTICIPATING PROVIDERS 17084 Mountain Road VIRGINIA PC VIRGINIA FAMILY DENTISTRY PC GENERAL DENTIST Montpelier, VA 23192 2400 Colony Crossing Pl 1612 Huguenot Rd CONRAD, PAUL (804) 883-6070 Midlothian, VA 23112 Midlothian, VA 23113 ANH ZIRNSTEIN DDS PC (804) 639-6445 (804) 794-9789 16150 Country Club Dr. DELPH, BRADLEY VOTH, STEPHANIE Montclair, VA 22025 SAM E ENGLISH II DDS LLC LOMBARDOZZI, NICHOLAS VIRGINIA FAMILY DENTISTRY PC (703) 670-4838 16625 Mountain Rd ROGER E WOOD NICHOLAS C 6510 Harbour View Ct Montpelier, VA 23192 LOMBORDOZZI DDS PC Midlothian, VA 23112 CONRAD, PAUL (804) 883-0164 11601 Robious Rd Ste 130 (804) 739-6500 PAUL W CONRAD DDS PC & J Midlothian, VA 23113 DAVID ALACHNOWICZ DDS 16150 Country Club Drive ENGLISH, SAM (804) 794-3498 PROSTHODONTIST Montclair, VA 22025 SAM E ENGLISH II DDS LLC (703) 670-4838 LUBBE, STEVEN KIM, JUHAN 16625 Mountain Rd Montpelier, VA 23192 PEDIATRIC DENTISTRY & JUHAN JOHN KIM DDS (804) 883-0164 ORTHO OF VA 2927 Polo Parkway ZIRNSTEIN, ANH 13841 Hull Street Rd Midlothian, VA 23113 ANH ZIRNSTEIN DDS PC Midlothian, VA 23112 (804) 378-9100 16150 Country Club Dr. JIWANI, MUNIRA (804) 739-0963 Montclair, VA 22025 SAM E ENGLISH II DDS LLC MILFORD (703) 670-4838 16625 Mountain Rd Montpelier, VA 23192 WOOD, ROGER ZIRNSTEIN, ANH GENERAL DENTIST (804) 883-0164 ROGER E WOOD NICHOLAS C PAUL W CONRAD DDS PC & J LOMBORDOZZI DDS PC BARRETT, ELIZABETH DAVID ALACHNOWICZ DDS 11601 Robious Rd Ste 130 CENTRAL VA HEALTH SERVICES 16150 Country Club Drive KEATING, KEVIN Midlothian, VA 23113 17202 Richmond Turnpike Montclair, VA 22025 SAM E ENGLISH II DDS LLC (804) 794-3498 Milford, VA 22514 (703) 670-4838 16625 Mountain Rd (804) 633-5465 Montpelier, VA 23192 (804) 883-0164 PERIODONTIST MONTEREY TRAHOS, MICHAEL BLOCK, CARL MICHAEL N TRAHOS DDS LTD GENERAL DENTIST NASIF, YASER VIRGINIA FAMILY DENTISTRY PC 18204 Sparta Rd SAM E ENGLISH II DDS LLC 14001 Charter Park Dr ARMENTROUT, WILLIAM Milford, VA 22514 16625 Mountain Rd Midlothian, VA 23114 HIGHLAND MEDICAL CENTER (804) 633-2171 Montpelier, VA 23192 (804) 379-1011 INC (804) 883-0164 120 Jackson River Rd BLOCK, CARL TRAHOS, NORMAN Monterey, VA 24465 VIRGINIA FAMILY DENTISTRY PC MICHAEL N TRAHOS DDS LTD (540) 468-6440 NGUYEN, VIET 1612 Huguenot Rd 18204 Sparta Rd SAM E ENGLISH II DDS LLC Midlothian, VA 23113 16625 Mountain Rd Milford, VA 22514 CASEY, BARBARA (804) 794-9789 (804) 633-2171 Montpelier, VA 23192 HIGHLAND MEDICAL CENTER (804) 883-0164 BLOCK, CARL INC CARL M BLOCK MONETA 120 Jackson River Rd RAPHAEL, JEFF 2312 Robious Station Circle Monterey, VA 24465 SAM E ENGLISH II DDS LLC Midlothian, VA 23113 GENERAL DENTIST (540) 468-6440 16625 Mountain Rd (804) 378-2068 SHAH, VISHAL Montpelier, VA 23192 VISHAL SHAH DMD PLLC MALLOW, JOHN (804) 883-0164 MORETTI, JOY 4860 Rucker Rd #3 HIGHLAND MEDICAL CENTER WILLIAMS & NEIGHBORS Moneta, VA 24121 INC 1009 Crowder Drive (540) 297-7737 120 Jackson River Rd Midlothian, VA 23113 Monterey, VA 24465 (804) 794-8745 (540) 468-6440

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

SOLTANIAN, FARSHID RICE, JENNIFER BARADARAN, EBRAHIM VIRGINIA (CONT'D) FAR SOLTANIAN DDS PC DR RICE & ASSOCIATE EBRAHIM H BARADARAN DMD 2701 Turner Road 2905 Rockfish Valley Hwy PC MONTPELIER N Chesterfld, VA 23224 Nellysford, VA 22958 297 Market St #2 (804) 276-8576 (434) 361-2442 New Castle, VA 24127 ROWE, JAMES (540) 864-5125 JAMES S ROWE DDS RICE, JENNIFER NARROWS 16698 Mountain Road DRS RICE & RICE DDS CORNICK, JAMES Montpelier, VA 23192 2905 Rockfish Valley Hwy GENERAL DENTIST (804) 883-6347 Nellysford, VA 22958 MONROE CO HEALTH CTR BOARD OF TRUSTEES WHEELER, STEVEN (434) 361-2442 230 Market Street S LEE WHEELER DDS PC VOLKOVA, IRINA New Castle, VA 24127 112 Center St SAM E ENGLISH II DDS LLC PERIODONTIST (540) 864-5556

16625 Mountain Rd Narrows, VA 24124 PARTICIPATING PROVIDERS Montpelier, VA 23192 (540) 726-3904 SMOCK, SHERMAN KYLE, LAWRENCE (804) 883-0164 DR RICE & ASSOCIATE NELLYSFORD 2905 Rockfish Valley Hwy MONROE CO HEALTH CTR Nellysford, VA 22958 BOARD OF TRUSTEES MONTROSS GENERAL DENTIST (434) 361-2442 230 Market Street New Castle, VA 24127 GENERAL DENTIST BURSE TODD, JESSICA SMOCK, SHERMAN (540) 864-5556 DRS RICE & RICE DDS JOHNSON, G DR RICE & ASSOCIATE 2905 Rockfish Valley Hwy CENTRAL VIRGINIA HEALTH 2905 Rockfish Valley Hwy Nellysford, VA 22958 VILLIER, DONALD CENTER Nellysford, VA 22958 (434) 361-2442 MONROE CO HEALTH CTR 18849 Kings Hwy (434) 361-2442 BOARD OF TRUSTEES Montross, VA 22520 230 Market Street NEW CANTON (804) 493-9999 CRISTI, IVONA New Castle, VA 24127 DR JAMES E RICE (540) 864-5556 GENERAL DENTIST PALMER, CHARLES 2905 Rockfish Vly Hwy CHARLES B PALMER DDS Nellysford, VA 22958 FRITZ, MARTIN NEW CHURCH 15587 Kings Hwy (434) 361-2442 CENTRAL VIRGINIA HEALTH Montross, VA 22520 SERVICES INC GENERAL DENTIST (804) 493-8993 FOSTER, BONNIE 25892 N James Madison Hwy GRIGGS, EDWARD DRS RICE & RICE DDS New Canton, VA 23123 ATLANTIC DENTAL 2905 Rockfish Valley Hwy (434) 581-3271 STAPLES, KRISTINA 5219 Lankford Highway Nellysford, VA 22958 CENTRAL VIRGINIA HEALTH New Church, VA 23415 (434) 361-2442 CENTER PARRIS-WILKINS, TONYA (757) 824-5676 18849 Kings Hwy CENTRAL VIRGINIA HEALTH Montross, VA 22520 LANIER, ANGELA SERVICES INC KORDIS, ALEX (804) 493-9999 DR RICE & ASSOCIATE 25892 N James Madison Hwy ATLANTIC DENTAL 2905 Rockfish Valley Hwy New Canton, VA 23123 5219 Lankford Highway MOUNT JACKSON Nellysford, VA 22958 (434) 581-3271 New Church, VA 23415 (434) 361-2442 (757) 824-5676 GENERAL DENTIST RUSSO, EDWARD OTTERSBERG, CHRISTINE CENTRAL VIRGINIA HEALTH ZALE, DANIEL NIGHTENGALE, TIFFANY DRS RICE & RICE DDS SERVICES INC DANIEL ZALE ATLANTIC DENTAL 2905 Rockfish Valley Hwy 25892 N James Madison Hwy 5338 Main St 5219 Lankford Highway Nellysford, VA 22958 New Canton, VA 23123 Mount Jackson, VA 22842 New Church, VA 23415 (434) 361-2442 (434) 581-3271 (540) 477-2901 (757) 824-5676

RICE, JAMES NEW CASTLE N CHESTERFLD ROOT, NOEL DR RICE & ASSOCIATE ATLANTIC DENTAL 2905 Rockfish Valley Hwy GENERAL DENTIST GENERAL DENTIST 5219 Lankford Highway Nellysford, VA 22958 ARMENTROUT, WILLIAM New Church, VA 23415 SMITH, SANDRA (434) 361-2442 MONROE CO HEALTH CTR (757) 824-5676 DR SANDRA J SMITH DDS INC BOARD OF TRUSTEES 3805 Jefferson Davis Hwy RICE, JAMES 230 Market Street N Chesterfld, VA 23234 DRS RICE & RICE DDS SAVAGE, DENNIS New Castle, VA 24127 (804) 743-9235 2905 Rockfish Valley Hwy ATLANTIC DENTAL (540) 864-5556 Nellysford, VA 22958 5219 Lankford Highway (434) 361-2442 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

FORTE, STEVEN ADESHARA, KARISHMA BRABSON, ANITA VIRGINIA (CONT'D) DR STEVEN G FORTE DDS KOOL SMILES HOLLEY & HOLLEY FAMILY ENDODONTICS 14346 Warwick Blvd Ste 418 DENTISTRY PC NEW CHURCH 12528 Warwick Blvd #D Newport News, VA 23602 9916 Warwick Blvd Newport News, VA 23606 (757) 886-2096 Newport News, VA 23601 SHELLEY, STEPHANIE (757) 599-8393 (757) 595-3503 ATLANTIC DENTAL AGRAWAL, NITIN 5219 Lankford Highway GAMBREL, MADELYN BRAR, PREMJEET New Church, VA 23415 KOOL SMILES (757) 824-5676 COMMONWEALTH 14346 Warwick Blvd Ste 418 KOOL SMILES ENDODONTICS PC Newport News, VA 23602 14346 Warwick Blvd Ste 418 12528 Warwick Blvd Ste D (757) 886-2096 Newport News, VA 23602 SORIN, MARK Newport News, VA 23606 (757) 886-2096 ATLANTIC DENTAL (757) 599-8393 ALLEN, SHANAIL 5219 Lankford Highway BRAR, PREMJEET PARTICIPATING PROVIDERS New Church, VA 23415 RONALD W KATZ PENINSULA PEDIATRIC HOCKETT, JEFFREY (757) 824-5676 12420 Warwick Blvd Ste 1A DENTISTRY PC WILLIAM S DODSON JR DMD Newport News, VA 23606 220 Nat Turner Blvd 756 Mcguire Pl (757) 595-6224 WOLPIN, SCOTT Newport News, VA 23606 Newport News, VA 23601 (757) 240-5711 ATLANTIC DENTAL (757) 806-6311 AMOAH, EMMANUEL 5219 Lankford Highway New Church, VA 23415 KOOL SMILES BROAS, WILLIAM HORSPOOL, BRYAN (757) 824-5676 14346 Warwick Blvd Ste 418 GOOD NEIGHBOR DENTAL AT DANIEL G STOCKBURGER DDS Newport News, VA 23602 OYSTER POINT PC (757) 886-2096 NEW KENT 401 Oyster Point Rd Ste C 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23602 Newport News, VA 23606 GENERAL DENTIST ANDERSON, PAUL (757) 249-8921 (757) 873-2577 PAUL N ANDERSON DDS MAYA ADKINS, ANA 13195 Warwick Blvd Ste 1A BROWN, BRUCE MAIDSTONE DENTAL MARTINEZ, HAROLD Newport News, VA 23602 DENTAL CARE AT OYSTER 7780 Invicta Ln COMMONWEALTH (757) 874-4007 POINT New Kent, VA 23124 ENDODONTICS PC 635 Pilot House Dr (804) 966-8115 12528 Warwick Blvd Ste D ARANGO, ANA Newport News, VA 23606 Newport News, VA 23606 KOOL SMILES (757) 873-2777 NEWPORT NEWS (757) 599-8393 14346 Warwick Blvd Ste 418 Newport News, VA 23602 CASH, ELIZABETH ENDODONTIST NESBITT, PAULA (757) 886-2096 OYSTER POINT DENTISTRY BARBIERI, STEVEN KOOL SMILES 11848 Rock Landing Dr #301 14346 Warwick Blvd Ste 418 COMMONWEALTH ARTZER, MARK Newport News, VA 23606 Newport News, VA 23602 ENDODONTICS PC MARK B ARTZER DDS (757) 596-6211 (757) 886-2096 12528 Warwick Blvd Ste D 748-A Mcguire Pl Newport News, VA 23606 Newport News, VA 23601 CATHEY, HENRY (757) 599-8393 ROYZENBLAT, ALEXANDER (757) 595-8405 HENRY A CATHEY JR DDS WILLIAM S DODSON JR DMD 710 Denbigh Blvd Bldg 1 #C CHAMBERLIAN, THADDEUS 756 Mcguire Pl BARNWELL, VELMA Newport News, VA 23608 Newport News, VA 23601 DANIEL G STOCKBURGER DDS VELMA W BARNWELL DDS PC (757) 874-5511 (757) 806-6311 PC 606 Denbigh Blvd #103 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23608 CHAPMAN-TALIAFERRO, TRIMMER, WILLIAM Newport News, VA 23606 (757) 875-5556 ANDRIA WILLIAM T TRIMMER DDS (757) 873-2577 ANDRIA CHAPMAN-TALIAFERRO 729 Thimble Shoals Blvd Suite 2E BECKER, SIDNEY DDS PC Newport News, VA 23606 DODSON, WILLIAM BECKER SIDNEY 748-B Mcguire Pl (757) 873-2098 WILLIAM S DODSON JR DMD 12821 Jefferson Ave Newport News, VA 23601 756 Mcguire Pl Newport News, VA 23608 (757) 310-6904 Newport News, VA 23601 VRANAS, RONALD (757) 874-7155 (757) 806-6311 COMMONWEALTH CHENNUPATI, NAVEEN ENDODONTICS PC BELL, TAMMARA KOOL SMILES 12528 Warwick Blvd Ste D FINKLER, TIMOTHY PENINSULA PEDIATRIC 14346 Warwick Blvd Ste 418 Newport News, VA 23606 COMMONWEALTH DENTISTRY PC Newport News, VA 23602 (757) 599-8393 ENDODONTICS PC 220 Nat Turner Blvd (757) 886-2096 12528 Warwick Blvd Ste D Newport News, VA 23606 Newport News, VA 23606 GENERAL DENTIST (757) 240-5711 (757) 599-8393

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

EPSTEIN, ROSS GUPTA, GARIMA JACOBS, GEORGE VIRGINIA (CONT'D) THE CARING DENTIST KOOL SMILES LINK JACOBS & LINK DDS PC 1405 Kiln Creek Parkway #J 14346 Warwick Blvd Ste 418 11007 Warwick Blvd #3 NEWPORT NEWS Newport News, VA 23602 Newport News, VA 23602 Newport News, VA 23601 (757) 875-0763 (757) 886-2096 (757) 596-7000 CHUNG, JOHN DR JONG CHUNG FORD, JERMEL HARMON, THOMAS JOBE, JOHN 13626 Warwick Blvd Ste A Newport News, VA 23602 PENINSULA INSTITUTE FOR KOOL SMILES JOBE & JOBE INC PC (757) 833-7217 COMM HLTH 14346 Warwick Blvd Ste 418 91 29Th Street 1033 28Th St Newport News, VA 23602 Newport News, VA 23607 Newport News, VA 23607 (757) 886-2096 (757) 244-5881 CONNOLLY, SUSAN (757) 928-3810 JAMES F DOLLAR DDS PLLC HARTLEY, JACOB JOHNSON-SPRUIELL, 12725 Patrick Henry Dr PARTICIPATING PROVIDERS FORETICH, JEROME Newport News, VA 23602 MORRISON DENTAL GROUP GLORIA (757) 874-6712 J F FORETICH JR DDS NEWPORT NEWS LORETTA P GRAHAM DDS PC 716 Denbigh Blvd #B-4 710 Denbigh Blvd Bldg 1 Ste C 15410 Warwick Boulevard Newport News, VA 23608 Newport News, VA 23608 Newport News, VA 23608 COOKE, DONALD (757) 877-0775 (757) 220-0330 (757) 886-9169 DONALD D COOKE DDS 606 Denbigh Blvd Ste 300 FREEMAN, GERALD HASENFELT, BROOKE Newport News, VA 23608 JONES, GALE (757) 874-8612 GERALD Q FREEMAN JR DDS WILLIAM T GRIFFIN DDS PC KOOL SMILES LLC 709 Mobjack Place 14346 Warwick Blvd Ste 418 12482 Warwick Blvd #G Newport News, VA 23606 Newport News, VA 23602 COVANEY, SHARON Newport News, VA 23606 (757) 873-3001 (757) 886-2096 COVANEY & COVANEY DDS PC (757) 599-3182 760 Pilot House Dr #E HERRING, KENT Newport News, VA 23606 JUNG, YUJIN GIBBONS, WALTER (757) 596-6850 HERRING KENT DR JONG CHUNG WALTER S GIBBONS DDS 12700 Mcmanus Blvd #102B 13626 Warwick Blvd Ste A 113 Main St Newport News, VA 23602 Newport News, VA 23602 CREAL, ALBERT Newport News, VA 23601 (757) 877-7667 (757) 833-7217 ALBERT F CREAL DDS (757) 595-0983 12695 Mcmanus Blvd #3 A HINSON, LANNY Newport News, VA 23602 KATZ, RONALD GOODWIN, CLIFFORD (757) 898-6060 DANIEL G STOCKBURGER DDS RONALD W KATZ CLIFFORD T GOODWIN DDS PC 12420 Warwick Blvd Ste 1A 12610 Patrick Henry Dr #G 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 CWIAK, KARI Newport News, VA 23602 Newport News, VA 23606 (757) 595-6224 PENINSULA PEDIATRIC (757) 930-3744 (757) 873-2577 DENTISTRY PC 220 Nat Turner Blvd KAYMANESH, SHAGHAYEGH GRAHAM, LORETTA HOBBS, JESSE Newport News, VA 23606 KOOL SMILES (757) 240-5711 LORETTA P GRAHAM DDS PC DENTAL CARE AT OYSTER 14346 Warwick Blvd Ste 418 15410 Warwick Boulevard POINT Newport News, VA 23602 Newport News, VA 23608 635 Pilot House Dr (757) 886-2096 DENISON, JOHN (757) 886-9169 Newport News, VA 23606 JOHN J DENISON DDS PC (757) 873-2777 895 City Center Blvd #106 KIM, CHAD GREEN, WILLIAM Newport News, VA 23606 KOOL SMILES HOLLEY, JAMES (757) 873-9000 W T GREEN INC 14346 Warwick Blvd Ste 418 13128 Warwick Blvd HOLLEY & HOLLEY FAMILY Newport News, VA 23602 Newport News, VA 23602 DENTISTRY PC (757) 886-2096 DOLLAR, JAMES (757) 249-1731 9916 Warwick Blvd JAMES F DOLLAR DDS PLLC Newport News, VA 23601 12725 Patrick Henry Dr KIRPAL, ABHISHEK GREENWELL, KIMBERLY (757) 595-3503 Newport News, VA 23602 KOOL SMILES (757) 874-6712 WILLIAM T GRIFFIN DDS PC 14346 Warwick Blvd Ste 418 709 Mobjack Place IRELAND, MICHAEL Newport News, VA 23602 Newport News, VA 23606 PENINSULA PEDIATRIC (757) 886-2096 ELLIS, ROBERT (757) 873-3001 DENTISTRY PC JAMES F DOLLAR DDS PLLC 220 Nat Turner Blvd KUPPERI, VINUTHA 12725 Patrick Henry Dr Newport News, VA 23606 GRIFFIN, WILLIAM KOOL SMILES Newport News, VA 23602 (757) 240-5711 (757) 874-6712 WILLIAM T GRIFFIN DDS PC 14346 Warwick Blvd Ste 418 709 Mobjack Place Newport News, VA 23602 Newport News, VA 23606 (757) 886-2096 (757) 873-3001

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

MATIAS, THIAGO PANDHER, RAMONA REIMER, MICHAEL VIRGINIA (CONT'D) KOOL SMILES KOOL SMILES KOOL SMILES 14346 Warwick Blvd Ste 418 14346 Warwick Blvd Ste 418 14346 Warwick Blvd Ste 418 NEWPORT NEWS Newport News, VA 23602 Newport News, VA 23602 Newport News, VA 23602 (757) 886-2096 (757) 886-2096 (757) 886-2096 LAWS, THOMAS LAWS THOMAS F MCGILL, ALLEN PAULEY, RICHARD RESTREPO, MELISSA 525 Oyster Point Rd Ste C Newport News, VA 23602 ALLEN R MCGILL DDS PC RICHARD L PAULEY DDS RONALD W KATZ (757) 249-3803 11747 Jefferson Ave #5C 14752 Warwick Boulevard 12420 Warwick Blvd Ste 1A Newport News, VA 23606 Newport News, VA 23608 Newport News, VA 23606 (757) 595-9979 (757) 874-4501 (757) 595-6224 LEE, SI-HYEON KOOL SMILES MENGES, MARTIN PEREZ, AGUSTIN RICHARDS, CARTER 14346 Warwick Blvd Ste 418 PARTICIPATING PROVIDERS Newport News, VA 23602 MARTIN J MENGES AGUSTIN S PEREZ DDS HOLLEY & HOLLEY FAMILY (757) 886-2096 12528 Warwick Blvd 710 Denbigh Blvd #5A DENTISTRY PC Newport News, VA 23606 Newport News, VA 23608 9916 Warwick Blvd (757) 591-8515 (757) 877-6003 Newport News, VA 23601 LINK, MICHAEL (757) 595-3503 LINK JACOBS & LINK DDS PC MEYERS, CHRISTIAN PEREZ, TIMOTHY 11007 Warwick Blvd #3 ROBINSON, DONALD Newport News, VA 23601 DENTAL CARE AT OYSTER TIMOTHY P PEREZ (757) 596-7000 POINT 1311 Radius Way SMILES AHEAD DENTAL PLLC 635 Pilot House Dr Newport News, VA 23602 478 Denbigh Blvd Newport News, VA 23606 (757) 877-6003 Newport News, VA 23608 LOVING, PRESTON (757) 873-2777 (757) 872-9907 LOVING PRESTON B PHAM, HEATHER 732 Thimble Shoals #206 MILLER, JULIAN SAGMAN, MICHAEL Newport News, VA 23606 RONALD W KATZ (757) 873-2299 PENINSULA PEDIATRIC 12420 Warwick Blvd Ste 1A SAGMAN MICHAEL E DENTISTRY PC Newport News, VA 23606 732 Thimble Shoals Blvd #903 220 Nat Turner Blvd (757) 595-6224 Newport News, VA 23606 LYNCH, RONALD Newport News, VA 23606 (757) 873-3600 KOOL SMILES (757) 240-5711 PHILLIPS, SARAH 14346 Warwick Blvd Ste 418 SANCHEZ OCASIO, JESUS Newport News, VA 23602 KOOL SMILES NAZARETH, MELISSA (757) 886-2096 14346 Warwick Blvd Ste 418 MORRISON DENTAL GROUP ESSENTIAL DENTAL SERVICES Newport News, VA 23602 NEWPORT NEWS 2704 Chestnut Ave (757) 886-2096 710 Denbigh Blvd Bldg 1 Ste C LYNN, ANNE Newport News, VA 23607 Newport News, VA 23608 PHILLIPS, SARAH A CATHERINE LYNN (757) 247-0890 (757) 220-0330 12829 Jefferson Ave #107 PENINSULA PEDIATRIC Newport News, VA 23608 DENTISTRY PC NICHOLS, ASHLEY SCOTT, TAMASHA (757) 875-1132 220 Nat Turner Blvd KOOL SMILES Newport News, VA 23606 KOOL SMILES 14346 Warwick Blvd Ste 418 (757) 240-5711 14346 Warwick Blvd Ste 418 MAESO, ANDRES Newport News, VA 23602 Newport News, VA 23602 MAESO ANDRES S (757) 886-2096 (757) 886-2096 606 Denbigh Blvd #107 POOLE, ADAM Newport News, VA 23608 KOOL SMILES SCOTT, TAMASHA ODEH, OSAMA (757) 877-4304 14346 Warwick Blvd Ste 418 DENTAL CARE AT OYSTER KOOL SMILES Newport News, VA 23602 POINT 14346 Warwick Blvd Ste 418 MARTIN, SHANNON (757) 886-2096 635 Pilot House Dr Newport News, VA 23602 Newport News, VA 23606 SHANNON M MARTIN DDS (757) 886-2096 (757) 873-2777 12650-A Warwick Blvd PRICE, MCKINLEY Newport News, VA 23606 DENTAL CARE AT OYSTER O'DONNELL, DAVID (757) 930-9100 POINT SLATTERY, MATTHEW KOOL SMILES 635 Pilot House Dr MATTHEW SLATTERY PLLC 14346 Warwick Blvd Ste 418 MASTROS, KRISTIN Newport News, VA 23606 802 Old Oyster Point Rd Newport News, VA 23602 (757) 873-2777 Newport News, VA 23602 DR THOMAS E WITTY JR PC (757) 886-2096 (757) 595-2511 41 Old Oyster Point Rd Ste H Newport News, VA 23602 RASTOGI, LOVEENA OWEN, JOHN (757) 249-5128 KOOL SMILES SMITH, ERIC TIDEWATER FAMILY DENTISTRY 14346 Warwick Blvd Ste 418 OYSTER POINT DENTISTRY 559 Denbigh Blvd Newport News, VA 23602 11848 Rock Landing Dr #301 Newport News, VA 23608 (757) 886-2096 Newport News, VA 23606 (757) 877-6787 (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

PHELPS, MAYNARD VIRGINIA (CONT'D) YU, SANG HUN TDT OMS WYATT, PATRICK KOOL SMILES 716 Denbigh Blvd #C1 PATRICK R WYATT DDS NEWPORT NEWS 14346 Warwick Blvd Ste 418 Newport News, VA 23608 12528 Warwick Blvd Ste F Newport News, VA 23602 (757) 874-6501 Newport News, VA 23606 STOCKBURGER, DANIEL (757) 886-2096 (757) 595-7990 DANIEL G STOCKBURGER DDS TANKERSLEY, KENNETH PC ORAL SURGEON PEDIATRIC 606 Thimble Shoals Blvd Ste C1 TDT OMS DENTIST/PEDODONTIST Newport News, VA 23606 CABANISS, CHARLES 716 Denbigh Blvd #C1 Newport News, VA 23608 (757) 873-2577 COLONY SQUARE BRAXTON, DARCHELLE (757) 874-6501 MAXILLOFACIAL SURGEONS PC PENINSULA PEDIATRIC TAO-YI, SONIA 710 Denbigh Blvd Ste 7D DENTISTRY PC

WILLIAM T GRIFFIN DDS PC Newport News, VA 23608 ORTHODONTIST 220 Nat Turner Blvd PARTICIPATING PROVIDERS (757) 877-9325 Newport News, VA 23606 709 Mobjack Place BABCOCK, DANIEL (757) 240-5711 Newport News, VA 23606 BABCOCK DANIEL M (757) 873-3001 DAVENPORT, WILLIAM 640 Denbigh Blvd #1 TDT OMS Newport News, VA 23608 GAROFALIS, HARALAMBOS TRAN, BRITNIE 716 Denbigh Blvd #C1 (757) 874-4420 OYSTER POINT ORAL & FACIAL KOOL SMILES Newport News, VA 23608 SURGERY (757) 874-6501 11842 Rock Landing #105 14346 Warwick Blvd Ste 418 BEHL, YUGAL Newport News, VA 23606 Newport News, VA 23602 PENINSULA PEDIATRIC (757) 838-0800 (757) 886-2096 HERRERA, MARICIO DENTISTRY PC KOOL SMILES 220 Nat Turner Blvd GAROFALIS, HARALAMBOS 14346 Warwick Blvd Ste 418 TROLENBERG, WILLIAM Newport News, VA 23606 PENINSULA PEDIATRIC Newport News, VA 23602 WILLIAM F TROLENBERG IV DDS (757) 240-5711 DENTISTRY PC (757) 886-2096 PC 220 Nat Turner Blvd 11318 Jefferson Ave FORREST, DAVID Newport News, VA 23606 Newport News, VA 23601 KENNEY, JEFFREY DAVID L FORREST DDS PLLC (757) 240-5711 (757) 595-2191 JEFFREY N KENNEY DDS PLLC 729 Thimble Shoals Blvd Ste 7A 12420 Warwick Blvd #2A Newport News, VA 23606 HUIE, MARK Newport News, VA 23606 VENNE, MARKO (757) 873-8800 AVENT & HUIE DDS PLC (757) 595-1457 MARKO VENNE DDS 12725 Mcmanus Blvd Bldg 1 #A 186 Arthur Way JONES, ANTONIA Newport News, VA 23602 Newport News, VA 23602 LEE, N PENINSULA PEDIATRIC (757) 874-0660 (757) 874-8919 NUMA RAY LEE DDS PLLC DENTISTRY PC 11842 Rock Landing Dr #105 220 Nat Turner Blvd PERIODONTIST WATSON, BENJAMIN Newport News, VA 23606 Newport News, VA 23606 BENJAMIN T WATSON III DDS (757) 596-1200 (757) 240-5711 ANDERSON, JENNIFER PLC DANIEL G STOCKBURGER DDS 729 Thimble Shoals Blvd #7E LEIST, JOHN MATNEY, JOHN PC 606 Thimble Shoals Blvd Ste C1 Newport News, VA 23606 COLONY SQUARE MATNEY JOHN L Newport News, VA 23606 (757) 873-3322 MAXILLOFACIAL SURGEONS PC 12528 Warwick Boulevard (757) 873-2577 710 Denbigh Blvd Ste 7D Newport News, VA 23606 WILLIS, JULIAN Newport News, VA 23608 (757) 596-8210 ANDERSON, JENNIFER (757) 877-9325 J DEWEY WILLIS III DDS & LOVING PRESTON B ASSOC ROSS, VICKI 732 Thimble Shoals #206 11713 Jefferson Ave Ste 100 MORGAN, JOHN PENINSULA ORTHODONTICS PC Newport News, VA 23606 Newport News, VA 23606 KOOL SMILES 401 Oyster Pt Rd #D (757) 873-2299 (757) 873-3407 14346 Warwick Blvd Ste 418 Newport News, VA 23602 Newport News, VA 23602 (757) 249-4203 DAIL, RAY (757) 886-2096 WITTY, THOMAS RAY A DAIL DDS DR THOMAS E WITTY JR PC MORGAN, JOHN RUBENSTEIN, LORETTA 716 Denbigh Blvd #A-4 41 Old Oyster Point Rd Ste H PENINSULA PEDIATRIC LKRUBENSTEIN PLLC Newport News, VA 23608 Newport News, VA 23602 DENTISTRY PC 12725 Mcmanus Blvd Ste 1B (757) 872-7777 (757) 249-5128 220 Nat Turner Blvd Newport News, VA 23602 Newport News, VA 23606 (757) 874-0990 GREEN, BARRY YOUNG, MARCUS (757) 240-5711 BARRY L GREEN DMD MS LTD DENTAL CARE AT OYSTER SMITH, SHAUN 716 Denbigh Blvd #C-2 POINT KOOL SMILES Newport News, VA 23608 635 Pilot House Dr 14346 Warwick Blvd Ste 418 (757) 874-5455 Newport News, VA 23606 Newport News, VA 23602 (757) 873-2777 (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 114 Delta Dental Premier

AHMAD, AMEERA BONNIE, MARSHALL VIRGINIA (CONT'D) KOOL SMILES BONNIE & HOROWITZ LLC CAUTHEN, RUTH 5900 E Virginia Beach Blvd Ste 70 7400 Granby St GHENT FAMILY DENTISTRY LLC NEWPORT NEWS Norfolk, VA 23502 Norfolk, VA 23505 2200 Colonial Ave Ste 12 (757) 466-3622 (757) 587-7400 Norfolk, VA 23517 PROSTHODONTIST (757) 626-0633 BONNIE, MARSHALL COVANEY, MICHAEL ALEMAYEHU, AMEN MARSHALL BONNIE CHENNUPATI, NAVEEN COVANEY & COVANEY DDS PC LEFCOE WEINSTEIN SACHS 7400 Granby Street KOOL SMILES 760 Pilot House Dr #E SCHIFF LTD Norfolk, VA 23505 5900 E Virginia Beach Blvd Ste 70 Newport News, VA 23606 300 East Little Creek Rd (757) 587-7400 Norfolk, VA 23502 (757) 596-6850 Norfolk, VA 23505 (757) 587-6453 (757) 466-3622 BOYD, KENNETH NORFOLK ALEMAYEHU, AMEN PARTICIPATING PROVIDERS EINHORN & FOLECK LTD CLAYTON, CHARLES LEFCOE WEINSTEIN SACHS 201 College Place #111 CLAYTON CHARLES G ENDODONTIST SCHIFF LTD Norfolk, VA 23510 327 West 21St Street 302 E Little Creek Rd (757) 623-0283 NESBITT, PAULA Norfolk, VA 23517 Norfolk, VA 23505 KOOL SMILES BOYD, KENNETH (757) 624-1834 (757) 416-7751 2338 E Little Creek Rd EINHORN & FOLECK LTD Norfolk, VA 23518 241 Corporate Blvd Ste 220 COLSON-SCOTT, MELLANDA (757) 588-5665 ANDERSON, BENJAMIN Norfolk, VA 23502 MELLANDA COLSON SCOTT LEFCOE WEINSTEIN SACHS (757) 965-7696 1021 Sunset Dr NESBITT, PAULA SCHIFF LTD Norfolk, VA 23503 KOOL SMILES 300 East Little Creek Rd BRACKEN, MONLEUDY (757) 587-1485 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23505 Norfolk, VA 23502 (757) 587-6453 KOOL SMILES (757) 466-3622 2338 E Little Creek Rd COTE, CARMEN Norfolk, VA 23518 AZALEA FAMILY DENTISTRY ARTIS, ASHA (757) 588-5665 7913 Azalea Garden Rd GENERAL DENTIST LEFCOE WEINSTEIN SACHS Norfolk, VA 23518 SCHIFF LTD BRACKEN, MONLEUDY ADAM-ELDIEN, ASHRAF (757) 587-4433 300 East Little Creek Rd KOOL SMILES KOOL SMILES Norfolk, VA 23505 5900 E Virginia Beach Blvd Ste 70 2338 E Little Creek Rd (757) 587-6453 Norfolk, VA 23502 COX, DANIEL Norfolk, VA 23518 (757) 466-3622 WILLIAM E TUGGLE DDS PC (757) 588-5665 5715 Sellger Dr ATTIA, MOHAMED Norfolk, VA 23502 ADAM-ELDIEN, ASHRAF EINHORN & FOLECK LTD BRAR, PREMJEET (757) 466-1700 KOOL SMILES 201 College Place #111 KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23510 2338 E Little Creek Rd Norfolk, VA 23502 (757) 623-0283 Norfolk, VA 23518 DETWEILER, MELANIE (757) 466-3622 (757) 588-5665 NORFOLK DENTAL CARE ATTIA, MOHAMED 5621 Tidewater Dr BRAR, PREMJEET ADESHARA, KARISHMA EINHORN & FOLECK LTD Norfolk, VA 23509 241 Corporate Blvd Ste 220 KOOL SMILES KOOL SMILES (757) 622-3776 Norfolk, VA 23502 5900 E Virginia Beach Blvd Ste 70 2338 E Little Creek Rd (757) 965-7696 Norfolk, VA 23502 Norfolk, VA 23518 DILAURA, THOMAS (757) 466-3622 (757) 588-5665 DILAURA THOMAS J AVILES, FRANCISCO 9323 Granby Street ADESHARA, KARISHMA UNITED DENTISTRY PC BREININGER, BYRON Norfolk, VA 23503 KOOL SMILES 7909 Bison Avenue KOOL SMILES (757) 588-6257 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23518 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 (757) 301-6789 Norfolk, VA 23502 DIMITROFF, EMILY (757) 466-3622 (757) 466-3622 RITA FRAZIER DDS PC BAKER, JOHN 136 E Little Creek Rd AGRAWAL, NITIN J PATRICK BAKER DDS PLC BURTON, JERRY Norfolk, VA 23505 KOOL SMILES 1170 Lexan Ave #187 BURTON FAMILY DENTISTRY (757) 587-6399 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23508 110 Kingsley Lane Norfolk, VA 23502 (757) 440-1360 Norfolk, VA 23505 DONALDSON, GAVIN-RAE (757) 466-3622 (757) 489-1600 KOOL SMILES BHATTI, PARVEEN 5900 E Virginia Beach Blvd Ste 70 AHMAD, AMEERA WILLIAM E TUGGLE DDS PC CANDLER, ROBERT Norfolk, VA 23502 KOOL SMILES 5715 Sellger Dr ROBERT A CANDLER DDS (757) 466-3622 2338 E Little Creek Rd Norfolk, VA 23502 116 Janaf Office Bldg Norfolk, VA 23518 (757) 466-1700 Norfolk, VA 23502 (757) 588-5665 (757) 461-8173

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

GUPTA, GARIMA KANDARE, WESLEY VIRGINIA (CONT'D) KOOL SMILES TIDEWATER DENTAL CENTER KENT, JOHN 5900 E Virginia Beach Blvd Ste 70 PLLC PARTNERS IN DENTAL HEALTH II NORFOLK Norfolk, VA 23502 425 W 20Th St Ste 3 LLC (757) 466-3622 Norfolk, VA 23517 738 E Bayview Blvd #3 EL BADAWY, TAREK (757) 622-4245 Norfolk, VA 23503 KOOL SMILES (757) 588-1563 HAMLETT, SHERYLE 5900 E Virginia Beach Blvd Ste 70 KAPOOR, ELLENI KENT, JOHN Norfolk, VA 23502 SHERYLE L HAMLETT DDS (757) 466-3622 1600 E Little Creek Rd Ste 330 LEFCOE WEINSTEIN SACHS PARTNERS IN DENTAL HEALTH Norfolk, VA 23518 SCHIFF LTD III LLC (757) 587-1588 300 East Little Creek Rd 7923 Halprin Dr FLEMING, LISA Norfolk, VA 23505 Norfolk, VA 23518 KOOL SMILES HARMON, THOMAS (757) 587-6453 (757) 587-0874 5900 E Virginia Beach Blvd Ste 70 PARTICIPATING PROVIDERS Norfolk, VA 23502 KOOL SMILES KAPOOR, ELLENI KENT, MATHEW (757) 466-3622 2338 E Little Creek Rd LEFCOE WEINSTEIN SACHS Norfolk, VA 23518 SCHIFF LTD PARTNERS IN DENTAL HEALTH (757) 588-5665 III LLC FLOYD, JAZMIN 302 E Little Creek Rd Norfolk, VA 23505 7923 Halprin Dr NORFOLK DENTAL CARE HARMON, THOMAS (757) 416-7751 Norfolk, VA 23518 5621 Tidewater Dr KOOL SMILES (757) 587-0874 Norfolk, VA 23509 5900 E Virginia Beach Blvd Ste 70 (757) 622-3776 Norfolk, VA 23502 KAPOOR, RAJNI (757) 466-3622 KOOL SMILES KESSER, HOWARD KESSER HOWARD L FOLECK, ADAM 2338 E Little Creek Rd Norfolk, VA 23518 900 W Little Creek Road EINHORN & FOLECK LTD HONORE, KEVIN (757) 588-5665 Norfolk, VA 23505 201 College Place #111 KEVIN F HONORE DDS PC (757) 423-1021 Norfolk, VA 23510 2370 E Little Creek Rd KAPOOR, RAJNI (757) 623-0283 Norfolk, VA 23518 KOOL SMILES KIRPAL, ABHISHEK (757) 588-8162 5900 E Virginia Beach Blvd Ste 70 FOLECK, ADAM KOOL SMILES Norfolk, VA 23502 EINHORN & FOLECK LTD 2338 E Little Creek Rd HORNSBY, KIMBROUGH (757) 466-3622 241 Corporate Blvd Ste 220 Norfolk, VA 23518 Norfolk, VA 23502 LEFCOE WEINSTEIN SACHS (757) 588-5665 (757) 965-7696 SCHIFF LTD KATZ, RONALD 300 East Little Creek Rd TIDEWATER DENTAL CENTER KIRPAL, ABHISHEK Norfolk, VA 23505 KOOL SMILES FORBES, IRAMA PLLC (757) 587-6453 425 W 20Th St Ste 3 5900 E Virginia Beach Blvd Ste 70 TIDEWATER DENTAL CENTER Norfolk, VA 23517 Norfolk, VA 23502 PLLC HOROWITZ, ANDREW (757) 622-4245 (757) 466-3622 425 W 20Th St Ste 3 Norfolk, VA 23517 BONNIE & HOROWITZ LLC KONIKOFF, STEPHEN (757) 622-4245 7400 Granby St KAUR, AJINDER Norfolk, VA 23505 KOOL SMILES KONIKOFF FAMILY DENTISTRY (757) 587-7400 220 W Brambleton Ave #110 FRAZIER, RITA 2338 E Little Creek Rd Norfolk, VA 23518 Norfolk, VA 23505 RITA FRAZIER DDS PC HOROWITZ, ANDREW (757) 588-5665 (757) 583-1536 136 E Little Creek Rd ANDREW I HOROWITZ Norfolk, VA 23505 7400 Granby Street KAUR, AJINDER KONIKOFF, STEPHEN (757) 587-6399 Norfolk, VA 23505 KOOL SMILES KONIKOFF FAMILY DENTIST (757) 587-7400 5900 E Virginia Beach Blvd Ste 70 7400 Granby Street GLORIA, JOSEPH Norfolk, VA 23502 Norfolk, VA 23505 (757) 583-1535 LEFCOE WEINSTEIN SACHS HOWELL, ROBERT (757) 466-3622 SCHIFF LTD ROBERT W HOWELL DDS 300 East Little Creek Rd 9547 Shore Dr KENT, DEAN LAPETINA, JOHN Norfolk, VA 23505 Norfolk, VA 23518 PARTNERS IN DENTAL HEALTH II JOHN B LAPETINA JR DDS PC (757) 587-6453 (757) 423-5892 LLC 9601 Granby St 738 E Bayview Blvd #3 Norfolk, VA 23503 GOLDSTEIN, KEITH HUGHES, DOUGLAS Norfolk, VA 23503 (757) 588-0276 LEFCOE WEINSTEIN SACHS DOUGLAS JOHN HUGHES DDS (757) 588-1563 SCHIFF LTD 1542 E Bayview Boulevard LEE, JAMES KENT, DEAN 300 East Little Creek Rd Norfolk, VA 23503 KONIKOFF FAMILY DENTIST PARTNERS IN DENTAL HEALTH Norfolk, VA 23505 (757) 583-1212 7400 Granby Street III LLC (757) 587-6453 Norfolk, VA 23505 7923 Halprin Dr (757) 583-1535 Norfolk, VA 23518 (757) 587-0874

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

MARCOU, MICHAEL OBERRY, VERNON PHILLIPS, SARAH VIRGINIA (CONT'D) LEFCOE WEINSTEIN SACHS VERNON E OBERRY JR DDS PC KOOL SMILES SCHIFF LTD 708 Medical Tower 2338 E Little Creek Rd NORFOLK 300 East Little Creek Rd Norfolk, VA 23507 Norfolk, VA 23518 Norfolk, VA 23505 (757) 627-1882 (757) 588-5665 LEFTA-HOSKINS, FOTINA (757) 587-6453 KONIKOFF FAMILY DENTISTRY PHILLIPS, SARAH ODEH, OSAMA 220 W Brambleton Ave #110 KOOL SMILES MARSHALL, DAVID Norfolk, VA 23505 KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 DAVID T MARSHALL DDS PC (757) 583-1536 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23502 110 Kingsley Lane #203 203 Depaul Norfolk, VA 23502 (757) 466-3622 LEFTA-HOSKINS, FOTINA Medical Bld (757) 466-3622 KONIKOFF FAMILY DENTIST Norfolk, VA 23505 POOLE, ADAM 7400 Granby Street (757) 489-4221 O'DONNELL, DAVID KOOL SMILES PARTICIPATING PROVIDERS Norfolk, VA 23505 KOOL SMILES (757) 583-1535 2338 E Little Creek Rd MARSHALL, ROBYN 2338 E Little Creek Rd Norfolk, VA 23518 VERNON E OBERRY JR DDS PC Norfolk, VA 23518 (757) 588-5665 LIMON, FRANCISCO 708 Medical Tower (757) 588-5665 EINHORN & FOLECK LTD Norfolk, VA 23507 POOLE, ADAM O'DONNELL, DAVID 201 College Place #111 (757) 627-1882 KOOL SMILES Norfolk, VA 23510 KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 5900 E Virginia Beach Blvd Ste 70 (757) 623-0283 MATIAS, THIAGO Norfolk, VA 23502 Norfolk, VA 23502 (757) 466-3622 LIMON, FRANCISCO KOOL SMILES (757) 466-3622 KOOL SMILES 2338 E Little Creek Rd RAMSEY, HARRY 2338 E Little Creek Rd Norfolk, VA 23518 (757) 588-5665 OKEEFE, EDWARD HARRY E RAMSEY JR DDS PC Norfolk, VA 23518 EDWARD OKEEFE (757) 588-5665 110 Kingsley Ln #504 MATIAS, THIAGO 1232 W Little Creek Rd Norfolk, VA 23505 LIMON, FRANCISCO KOOL SMILES Norfolk, VA 23505 (757) 489-1811 EINHORN & FOLECK LTD 5900 E Virginia Beach Blvd Ste 70 (757) 440-7955 241 Corporate Blvd Ste 220 Norfolk, VA 23502 (757) 466-3622 RASMUSSEN, JAY Norfolk, VA 23502 PANDHER, RAMONA KOOL SMILES (757) 965-7696 KOOL SMILES 2338 E Little Creek Rd MCMILLAN, VICKI 2338 E Little Creek Rd LIMON, FRANCISCO Norfolk, VA 23518 LEFCOE WEINSTEIN SACHS Norfolk, VA 23518 KOOL SMILES (757) 588-5665 SCHIFF LTD (757) 588-5665 5900 E Virginia Beach Blvd Ste 70 300 East Little Creek Rd Norfolk, VA 23502 Norfolk, VA 23505 PANDHER, RAMONA REIMER, MICHAEL (757) 466-3622 (757) 587-6453 KOOL SMILES KOOL SMILES 5900 E Virginia Beach Blvd Ste 70 2338 E Little Creek Rd LLODRA, CLARA Norfolk, VA 23502 Norfolk, VA 23518 MOOREFIELD, KALLIE (757) 466-3622 (757) 588-5665 LEFCOE WEINSTEIN SACHS KOOL SMILES SCHIFF LTD 5900 E Virginia Beach Blvd Ste 70 REIMER, MICHAEL 300 East Little Creek Rd Norfolk, VA 23502 PARET, KATHERINE KOOL SMILES Norfolk, VA 23505 (757) 466-3622 KONIKOFF FAMILY DENTISTRY 5900 E Virginia Beach Blvd Ste 70 (757) 587-6453 220 W Brambleton Ave #110 Norfolk, VA 23502 Norfolk, VA 23505 (757) 466-3622 MOSES, STEPHEN (757) 583-1536 LONGMAN, BRUCE KONIKOFF FAMILY DENTISTRY BRUCE LONGMAN DDS LLC 220 W Brambleton Ave #110 PARET, KATHERINE REYNOLDS, JILLIAN 601 Childrens Ln Norfolk, VA 23505 KONIKOFF FAMILY DENTIST LEFCOE WEINSTEIN SACHS Norfolk, VA 23507 (757) 583-1536 7400 Granby Street SCHIFF LTD (757) 495-4700 Norfolk, VA 23505 300 East Little Creek Rd MOSES, STEPHEN (757) 583-1535 Norfolk, VA 23505 LYNCH, RONALD KONIKOFF FAMILY DENTIST (757) 587-6453 KOOL SMILES 7400 Granby Street PENTECOST, GRACE REYNOLDS, JILLIAN 2338 E Little Creek Rd Norfolk, VA 23505 (757) 583-1535 WILLIAM E TUGGLE DDS PC LEFCOE WEINSTEIN SACHS Norfolk, VA 23518 5715 Sellger Dr (757) 588-5665 SCHIFF LTD Norfolk, VA 23502 302 E Little Creek Rd NOTTINGHAM, JAMES (757) 466-1700 JAMES H NOTTINGHAM DMD Norfolk, VA 23505 142 W York St Ste 705 (757) 416-7751 Norfolk, VA 23510 (757) 623-9545

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

SCOTT, TAMASHA SMITH-KAYAL, ALISA UTTERBACK, BRUCE VIRGINIA (CONT'D) KOOL SMILES KONIKOFF FAMILY DENTISTRY KOOL SMILES 2338 E Little Creek Rd 220 W Brambleton Ave #110 2338 E Little Creek Rd NORFOLK Norfolk, VA 23518 Norfolk, VA 23505 Norfolk, VA 23518 (757) 588-5665 (757) 583-1536 (757) 588-5665 REYNOLDS, KENNETH TIDEWATER DENTAL CENTER SCOTT, TAMASHA SMITH-KAYAL, ALISA UTTERBACK, BRUCE PLLC KOOL SMILES KONIKOFF FAMILY DENTIST KOOL SMILES 425 W 20Th St Ste 3 5900 E Virginia Beach Blvd Ste 70 7400 Granby Street 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23517 Norfolk, VA 23502 Norfolk, VA 23505 Norfolk, VA 23502 (757) 622-4245 (757) 466-3622 (757) 583-1535 (757) 466-3622

ROBINSON, ELIZABETH SELDEN, ROBERT SOBIEH, RADWA WATSON, JAMES

TIDEWATER DENTAL CENTER ROBERT M SELDEN JR DDS PC TIDEWATER DENTAL CENTER WATSON JAMES L JR PARTICIPATING PROVIDERS PLLC 885 Kempsville Rd #302 PLLC 703 E Va Beach Blvd 425 W 20Th St Ste 3 Norfolk, VA 23502 425 W 20Th St Ste 3 Norfolk, VA 23504 Norfolk, VA 23517 (757) 461-1988 Norfolk, VA 23517 (757) 622-3391 (757) 622-4245 (757) 622-4245 SHARIF, ASIF WEINSTEIN, LEE SACHS, SCOTT KOOL SMILES SPAIN, MURRAY LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS 2338 E Little Creek Rd MURRAY SPAIN JR DMD PC SCHIFF LTD SCHIFF LTD Norfolk, VA 23518 1216 Granby St #2 300 East Little Creek Rd 300 East Little Creek Rd (757) 588-5665 Norfolk, VA 23510 Norfolk, VA 23505 Norfolk, VA 23505 (757) 625-1817 (757) 587-6453 SHARIF, ASIF (757) 587-6453 KOOL SMILES SPAIN, MURRAY SACHS, SCOTT 5900 E Virginia Beach Blvd Ste 70 KOOL SMILES WEISBERG, EDWARD LEFCOE WEINSTEIN SACHS Norfolk, VA 23502 5900 E Virginia Beach Blvd Ste 70 EDWARD J WEISBERG DDS SCHIFF LTD (757) 466-3622 Norfolk, VA 23502 801 W Little Creek Rd #B 302 E Little Creek Rd (757) 466-3622 Norfolk, VA 23505 (757) 440-0044 Norfolk, VA 23505 SHETA, AMR (757) 416-7751 EAST BEACH DENTAL AMR STEELE, BEN SHETA DDS HEALTHY SMILES EAST OCEAN WILSON, NATASHA SACHS, WARREN 4520 Pretty Lake Ave #20 VIEW KOOL SMILES LEFCOE WEINSTEIN SACHS Norfolk, VA 23518 9581 Shore Dr 2338 E Little Creek Rd SCHIFF LTD (757) 362-0600 Norfolk, VA 23518 Norfolk, VA 23518 300 East Little Creek Rd (757) 393-6363 (757) 588-5665 Norfolk, VA 23505 SINGOR, LAUREN WILSON, NATASHA (757) 587-6453 LEFCOE WEINSTEIN SACHS SUR, MARCUS KOOL SMILES SCHIFF LTD LEFCOE WEINSTEIN SACHS 5900 E Virginia Beach Blvd Ste 70 SALEM, MUHANAD 300 East Little Creek Rd SCHIFF LTD Norfolk, VA 23502 KOOL SMILES Norfolk, VA 23505 300 East Little Creek Rd (757) 466-3622 2338 E Little Creek Rd (757) 587-6453 Norfolk, VA 23505 Norfolk, VA 23518 (757) 587-6453 YEH, PAUL (757) 588-5665 SKRBA, SLADJANA LEFCOE WEINSTEIN SACHS SALEM, MUHANAD KOOL SMILES TABOR, WILLIAM SCHIFF LTD KOOL SMILES 2338 E Little Creek Rd WM DONALD TABOR JR DDS 300 East Little Creek Rd 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23518 PLC Norfolk, VA 23505 Norfolk, VA 23502 (757) 588-5665 108 W 20Th St (757) 587-6453 Norfolk, VA 23517 (757) 466-3622 SKRBA, SLADJANA (757) 622-7544 KOOL SMILES YU, SANG HUN SALERNO, JAMES 5900 E Virginia Beach Blvd Ste 70 KOOL SMILES TRAN, BRITNIE RITA FRAZIER DDS PC Norfolk, VA 23502 2338 E Little Creek Rd 136 E Little Creek Rd (757) 466-3622 KOOL SMILES Norfolk, VA 23518 Norfolk, VA 23505 2338 E Little Creek Rd (757) 588-5665 Norfolk, VA 23518 (757) 587-6399 SMITH, THOMAS YU, SANG HUN (757) 588-5665 LEFCOE WEINSTEIN SACHS KOOL SMILES SCHIFF, IVAN SCHIFF LTD 5900 E Virginia Beach Blvd Ste 70 TUGGLE, WILLIAM LEFCOE WEINSTEIN SACHS 300 East Little Creek Rd Norfolk, VA 23502 SCHIFF LTD Norfolk, VA 23505 WILLIAM E TUGGLE DDS PC (757) 466-3622 300 East Little Creek Rd (757) 587-6453 5715 Sellger Dr Norfolk, VA 23505 Norfolk, VA 23502 (757) 587-6453 (757) 466-1700

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

FULTON, CATHERINE EBERLY, RANDY NORTH CHESTERFIELD VIRGINIA (CONT'D) CATHERINE ODEN FULTON DDS RANDY J EBERLY DMD PLC 801 W Little Creek Rd GENERAL DENTIST NORFOLK 110 Kingsley Ln 403 Depaul Norfolk, VA 23505 APPLEBY, PETER Medical Bldg (757) 827-3399 VIRGINIA FAMILY DENTISTRY PC ZENO, ALLAN Norfolk, VA 23505 ALLAN S ZENO DDS 6441 Ironbridge Rd (757) 489-1331 HAMLIN, DAURA 1232 W Little Creek Rd #500 North Chesterfield, VA 23234 Norfolk, VA 23505 DRS HAMLIN & MORGAN PLC (804) 743-8166 HUTCHINS, GREGORY (757) 583-4579 1806 Hampton Blvd #A GREGORY M HUTCHINS DDS Norfolk, VA 23517 CASH, JEFFREY 1806 Hampton Blvd (757) 627-7550 VIRGINIA FAMILY DENTISTRY PC ORAL SURGEON Norfolk, VA 23517 6441 Ironbridge Rd (757) 627-7555 MORGAN, PAMELA CONELIAS, TRENT North Chesterfield, VA 23234 PARTICIPATING PROVIDERS TRENT P CONELIAS DDS PC DRS HAMLIN & MORGAN PLC (804) 743-8166 110 Kingsley Ln Ste 303 PELUSO, ANTHONY 1806 Hampton Blvd #A DRS SHIVAR PELUSO & Norfolk, VA 23517 Norfolk, VA 23505 CIOS, CHRIS (757) 489-1511 ANDERSEN PC (757) 627-7550 VIRGINIA FAMILY DENTISTRY PC 302 East Little Creek Rd #300 6441 Ironbridge Rd Norfolk, VA 23505 KROCHMAL, JAMES PERIODONTIST North Chesterfield, VA 23234 (757) 424-5308 JAMES E KROCHMAL DDS PC (804) 743-8166 HIRSCHLER, DAVID 400 W Brambleton Ave #310 SCOTT, JON PERIODONTOLOGY ASSOC Norfolk, VA 23510 CRICHTON, CATHERINE (757) 440-7777 SCOTT ORTHODONTICS 5900 E Va Beach Blvd 213 Janaf VIRGINIA FAMILY DENTISTRY PC 4520 Pretty Lake Rd Office 6441 Ironbridge Rd Norfolk, VA 23518 Norfolk, VA 23502 MORRISON, SANFORD North Chesterfield, VA 23234 (757) 825-6280 (757) 461-3660 MORRISON & MORRISON (804) 743-8166 204 Medical Tower SHIVAR, WALKER KONIKOFF, BRYAN Norfolk, VA 23507 CRICHTON, JAMES (757) 625-4947 DRS SHIVAR PELUSO & KONIKOFF SALZBERG VIRGINIA FAMILY DENTISTRY PC ANDERSEN PC PERIODONTICS LTD 6441 Ironbridge Rd 302 East Little Creek Rd #300 7400 Granby St ORTHODONTIST North Chesterfield, VA 23234 Norfolk, VA 23505 Norfolk, VA 23505 (804) 743-8166 ANDERSON, HOLLY (757) 424-5308 (757) 587-1243 DRS SHIVAR PELUSO & CUMBEY, J ANDERSEN PC SMITH, SHAUN SALZBERG, TRANG J LLOYD CUMBEY DDS LTD 302 East Little Creek Rd #300 KOOL SMILES KONIKOFF SALZBERG 2701 Turner Road Norfolk, VA 23505 2338 E Little Creek Rd PERIODONTICS LTD North Chesterfield, VA 23224 (757) 424-5308 Norfolk, VA 23518 7400 Granby St (804) 276-8576 (757) 588-5665 Norfolk, VA 23505 (757) 587-1243 ASHBY, JOHN SMITH, SHAUN ASHBY ORTHODONTICS LTD EPPS, JOHNE KOOL SMILES 7400 Granby Street WITTE, ERNEST JOHNE JASPER EPPS DDS PLC 5900 E Virginia Beach Blvd Ste 70 Norfolk, VA 23505 PERIODONTOLOGY ASSOC 9460 Amberdale Dr Ste H Norfolk, VA 23502 (757) 583-4518 5900 E Va Beach Blvd 213 Janaf North Chesterfield, VA 23236 (757) 466-3622 Office (804) 304-9670 BENES, KRISTEN Norfolk, VA 23502 WOODARD, MONICA (757) 461-3660 LEFCOE WEINSTEIN SACHS ESTILL, ANDREW THOMAS WOODARD DDS SCHIFF LTD VIRGINIA FAMILY DENTISTRY PC 415-8 Military Hwy 300 East Little Creek Rd PROSTHODONTIST 6441 Ironbridge Rd Norfolk, VA 23502 Norfolk, VA 23505 North Chesterfield, VA 23234 (757) 455-5040 DAVIS, KEENAN (757) 587-6453 (804) 743-8166 PARTNERS IN DENTAL HEALTH II BENES, KRISTEN WOODARD, THOMAS LLC FORMICA, LOUIS LEFCOE WEINSTEIN SACHS THOMAS WOODARD DDS 738 E Bayview Blvd #3 VIRGINIA FAMILY DENTISTRY PC SCHIFF LTD 415-8 Military Hwy Norfolk, VA 23503 6441 Ironbridge Rd 302 E Little Creek Rd Norfolk, VA 23502 (757) 588-1563 North Chesterfield, VA 23234 Norfolk, VA 23505 (757) 455-5040 DAVIS, KEENAN (804) 743-8166 (757) 416-7751 PARTNERS IN DENTAL HEALTH PEDIATRIC III LLC GAMACHE, MARC DENTIST/PEDODONTIST 7923 Halprin Dr VIRGINIA FAMILY DENTISTRY PC Norfolk, VA 23518 6441 Ironbridge Rd (757) 587-0874 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

NASIF, YASER WHITMAN, KIME CLISSO, MONICA VIRGINIA (CONT'D) MODERN DENTISTRY PC OLEY - QUILEZ DDS PLC CLISSO DENTISTRY PC 7410 Hull Street Rd #101 1907 W Huguenot Rd 807 Park Ave NORTH CHESTERFIELD North Chesterfield, VA 23235 North Chesterfield, VA 23235 Norton, VA 24273 (804) 477-8687 (804) 379-6806 (276) 679-6030 HELFRICH, KATHERINE VIRGINIA FAMILY DENTISTRY PC OLEY, GEORGE WICKER, MARYBETH HORNE, WILLIAM 6441 Ironbridge Rd OLEY - QUILEZ DDS PLC VIRGINIA FAMILY DENTISTRY PC WILLIAM C HORNE JR DDS PC North Chesterfield, VA 23234 1907 W Huguenot Rd 6441 Ironbridge Rd 204 Chestnut St (804) 743-8166 North Chesterfield, VA 23235 North Chesterfield, VA 23234 Norton, VA 24273 (804) 379-6806 (804) 743-8166 (276) 679-0040 HYDER, ZAIN ORISTIAN, ALEXIS WONG, JOSHUA MAYERCHAK, MICHELLE

VIRGINIA FAMILY DENTISTRY PC PARTICIPATING PROVIDERS 6441 Ironbridge Rd VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC DESIGNING SMILES North Chesterfield, VA 23234 6441 Ironbridge Rd 6441 Ironbridge Rd 728 Commonwealth Dr (804) 743-8166 North Chesterfield, VA 23234 North Chesterfield, VA 23234 Norton, VA 24273 (804) 743-8166 (804) 743-8166 (276) 679-7171 JOHANSEN, STEPHEN VIRGINIA FAMILY DENTISTRY PC PERKINSON, WILLIAM ORTHODONTIST MONTGOMERY, JEFFREY 6441 Ironbridge Rd VIRGINIA FAMILY DENTISTRY PC JEFFREY D MONTGOMERY DDS North Chesterfield, VA 23234 6441 Ironbridge Rd ANDERSON, RALPH PC (804) 743-8166 North Chesterfield, VA 23234 OLEY - QUILEZ DDS PLC 616 Market St (804) 743-8166 1907 W Huguenot Rd Norton, VA 24273 North Chesterfield, VA 23235 (276) 679-5141 JORDAN, EDWARD (804) 379-6806 VIRGINIA FAMILY DENTISTRY PC QUILEZ, ROBERT 6441 Ironbridge Rd OLEY - QUILEZ DDS PLC NAUSS, STEVEN North Chesterfield, VA 23234 1907 W Huguenot Rd BUELOW, DWIGHT STEVEN E NAUSS DDS (804) 743-8166 North Chesterfield, VA 23235 VIRGINIA FAMILY DENTISTRY PC 102 15Th St Nw Ste 302 (804) 379-6806 6441 Ironbridge Rd Norton, VA 24273 North Chesterfield, VA 23234 (276) 679-8400 LOPEZ, ROCIO (804) 743-8166 VIRGINIA FAMILY DENTISTRY PC ROBERTS, DAVID 6441 Ironbridge Rd VIRGINIA FAMILY DENTISTRY PC OAK HILL North Chesterfield, VA 23234 6441 Ironbridge Rd MARCUS, RICHARD (804) 743-8166 North Chesterfield, VA 23234 VIRGINIA FAMILY DENTISTRY PC GENERAL DENTIST (804) 743-8166 6441 Ironbridge Rd North Chesterfield, VA 23234 BAKHTYARI, FARSHAD MALONE, DOUGLAS (804) 743-8166 PREMIER DENTAL CARE PC MALONE DOUGLAS R SHAH, ROHINI 2579 John Milton Dr Ste 250 9413 Hull Street Rd #B1 MODERN DENTISTRY PC Oak Hill, VA 20171 PURCELL, ALLISON North Chesterfield, VA 23236 7410 Hull Street Rd #101 (703) 860-8860 (804) 745-4550 North Chesterfield, VA 23235 VIRGINIA FAMILY DENTISTRY PC (804) 477-8687 6441 Ironbridge Rd North Chesterfield, VA 23234 OAKTON MOON, JEFF (804) 743-8166 MODERN DENTISTRY PC SPARKS, SARAH GENERAL DENTIST 7410 Hull Street Rd #101 VIRGINIA FAMILY DENTISTRY PC North Chesterfield, VA 23235 6441 Ironbridge Rd ROGERS, DALE ADAMS, LAUREN (804) 477-8687 North Chesterfield, VA 23234 VIRGINIA FAMILY DENTISTRY PC DR LAUREN ADAMS (804) 743-8166 6441 Ironbridge Rd 2915 Hunter Mill Rd Ste 5 North Chesterfield, VA 23234 Oakton, VA 22124 MOSEY, JAMES (804) 743-8166 (703) 281-4456 VIRGINIA FAMILY DENTISTRY PC SULLIVAN, KIT 6441 Ironbridge Rd VIRGINIA FAMILY DENTISTRY PC North Chesterfield, VA 23234 6441 Ironbridge Rd PERIODONTIST AHRABI, ABBAS North Chesterfield, VA 23234 OAKTON DENTAL CENTER PLLC (804) 743-8166 VOTH, STEPHANIE (804) 743-8166 2969 Chain Bridge Rd VIRGINIA FAMILY DENTISTRY PC Oakton, VA 22124 MULE, MERISSA 6441 Ironbridge Rd (703) 938-3405 VIRGINIA FAMILY DENTISTRY PC WARD, CHRISTOPHER North Chesterfield, VA 23234 6441 Ironbridge Rd VIRGINIA FAMILY DENTISTRY PC (804) 743-8166 North Chesterfield, VA 23234 6441 Ironbridge Rd CASEY, TODD TODD M CASEY DDS PC (804) 743-8166 North Chesterfield, VA 23234 NORTON (804) 743-8166 2915 Hunter Mill Rd #20 Oakton, VA 22124 GENERAL DENTIST (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

SHELLEY, SPENCER ASHBY, COURTNEY MERA, JOSE VIRGINIA (CONT'D) SPENCER G SHELLEY VICKY HALE DDS PLLC JOSE A MERA DDS PC & ASSOC 25485 Lankford Hwy 111 Spicer Mill Rd #A 68 Heritage Dr #5 OAKTON Onley, VA 23418 Orange, VA 22960 Palmyra, VA 22963 (757) 787-7000 (540) 672-3661 (434) 589-5327 GIORDANO, PASQUALE OAKTON DENTISTRY BY DESIGN CHUNG, HEE-CHUL SCHOLL, LEO 2915 Hunter Mill Rd Ste 10 ORAL SURGEON PIEDMONT REGIONAL DENTAL JOSE A MERA DDS PC & ASSOC Oakton, VA 22124 BERRY, ZACHARY (703) 938-4300 CLINIC INC 68 Heritage Dr #5 GOODOVE ORAL SURGERY 13296 James Madison Hwy Palmyra, VA 22963 GIORDANO, PASQUALE EASTERN SHORE Orange, VA 22960 (434) 589-5327 OAKTON DENTISTRY BY DESIGN 25529 East Main St (540) 661-0008 Onley, VA 23418 2936 Chain Bridge Rd Ste 200 SCHROEDER, STEPHEN (757) 412-2002 PARTICIPATING PROVIDERS Oakton, VA 22124 DUNBAR, PATRICIA JOSE A MERA DDS PC & ASSOC (703) 938-4300 PIEDMONT REGIONAL DENTAL 68 Heritage Dr #5 BYRNSIDE, VALERIE CLINIC INC Palmyra, VA 22963 KHALIL, JOSEPH GOODOVE ORAL SURGERY 13296 James Madison Hwy (434) 589-5327 OAKTON DENTISTRY BY DESIGN EASTERN SHORE Orange, VA 22960 25529 East Main St 2915 Hunter Mill Rd Ste 10 (540) 661-0008 SPENCE, JEFFREY Onley, VA 23418 Oakton, VA 22124 JEFFREY A SPENCE DDS PC (757) 412-2002 (703) 938-4300 HALE, VICKY 40 Joshua Ln VICKY HALE DDS PLLC Palmyra, VA 22963 SAMRA, CHRISTINA GOODOVE, SCOTT 111 Spicer Mill Rd #A (434) 589-6999 AESTHETIC DENTISTRY OF GOODOVE ORAL SURGERY Orange, VA 22960 EASTERN SHORE OAKTON (540) 672-3661 THOMPSON, JACK 25529 East Main St 2936 Chain Bridge Rd #200 DR JACK F THOMPSON III Onley, VA 23418 Oakton, VA 22124 HARDING, EMILY 13653 James Madison Hwy (757) 412-2002 (703) 255-1150 PIEDMONT REGIONAL DENTAL Palmyra, VA 22963 CLINIC INC (434) 589-3871 ORTHODONTIST ZAGURSKY, PETER 13296 James Madison Hwy GOODOVE ORAL SURGERY Orange, VA 22960 WARD, GLORIA MCGRATH, KEVIN EASTERN SHORE (540) 661-0008 JOSE A MERA DDS PC & ASSOC OAKTON FAMILY 25529 East Main St 68 Heritage Dr #5 ORTHODONTICS Onley, VA 23418 JEFFREY, EMMA Palmyra, VA 22963 2968-B Chain Bridge Rd (757) 412-2002 PIEDMONT REGIONAL DENTAL (434) 589-5327 Oakton, VA 22124 CLINIC INC (703) 938-1900 ORTHODONTIST 13296 James Madison Hwy PARKSLEY Orange, VA 22960 SABOL, GEORGE PEDIATRIC (540) 661-0008 DRS SAVAGE SABOL & VISSER GENERAL DENTIST DENTIST/PEDODONTIST LTD FEI, TIAN SHERWIN, TED MOFAKHAMI, NILOOFAR 25529 E Main St TIAN FEI DDS TED SHERWIN DDS PC NILOOFAR MOFAKHAMI DDS Onley, VA 23418 24277 Cooke St. 111-D Spicers Mill Rd PLLC (757) 787-7878 Parksley, VA 23421 Orange, VA 22960 2944 Hunter Mill Rd Ste 202 (757) 665-7729 (540) 672-2605 Oakton, VA 22124 SAVAGE, ANTHONY (703) 255-3424 DRS SAVAGE SABOL & VISSER GRIGGS, EDWARD PEDIATRIC LTD METOMPKIN DENTAL UNIT ONANCOCK 25529 E Main St DENTIST/PEDODONTIST 24501 Parksley Rd Onley, VA 23418 Parksley, VA 23421 GENERAL DENTIST (757) 787-7878 LAUGHLIN, ROBERT PIEDMONT REGIONAL DENTAL (757) 665-1159 FOSQUE, FLETCHER CLINIC INC VISSER, BRITT FOSQUE FLETCHER D 13296 James Madison Hwy KORDIS, ALEX 5 Fairgrounds Rd DRS SAVAGE SABOL & VISSER Orange, VA 22960 METOMPKIN DENTAL UNIT Onancock, VA 23417 LTD (540) 661-0008 24501 Parksley Rd (757) 787-2565 25529 E Main St Parksley, VA 23421 Onley, VA 23418 (757) 665-1159 (757) 787-7878 PALMYRA ONLEY GENERAL DENTIST NIGHTENGALE, TIFFANY ORANGE GENERAL DENTIST METOMPKIN DENTAL UNIT 24501 Parksley Rd GENERAL DENTIST 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

PENNINGTON GAP VOLKOVA, IRINA VIRGINIA (CONT'D) JIWANI, MUNIRA GRIFFIN CHARLES F GENERAL DENTIST DENTAL FIRST 3277 S Crater Rd PARKSLEY 104 Morton Ave Petersburg, VA 23805 ROBERSON, JAMES Petersburg, VA 23805 (804) 733-8446 JAMES M ROBERSON DDS (804) 732-0056 ROOT, NOEL 128 S Kentucky St METOMPKIN DENTAL UNIT Pennington Gap, VA 24277 WILSON, LORI JOHNSON, JAMES 24501 Parksley Rd (276) 546-3121 WILSON DENTAL GROUP Parksley, VA 23421 JAMES K JOHNSON DDS 2010 Wakefield Ave 6204 Duncan Road Petersburg, VA 23805 (757) 665-1159 SHELBURNE, STEPHEN Petersburg, VA 23803 (804) 733-6740 LEE FAMILY DENTAL PLC (804) 861-6464 SAVAGE, DENNIS 41830 E Morgan Ave

METOMPKIN DENTAL UNIT Pennington Gap, VA 24277 ORAL SURGEON PARTICIPATING PROVIDERS KHALAF, ATHRA 24501 Parksley Rd (276) 546-2042 Parksley, VA 23421 DENTAL FIRST BRINSER, PAUL (757) 665-1159 104 Morton Ave SOUTHSIDE ORAL & FACIAL PETERSBURG Petersburg, VA 23805 SURGERY LTD (804) 732-0056 595 Old Wagner Rd SHELLEY, STEPHANIE GENERAL DENTIST Petersburg, VA 23805 METOMPKIN DENTAL UNIT LAKE, GEORGE (804) 732-6532 24501 Parksley Rd BARBOUR, NICOLE Parksley, VA 23421 THE PETERSBURG SMILE GEORGE J LAKE DDS (757) 665-1159 CENTER PC 1940 S Sycamore St ONEILL, ROBERT 34-E Medical Park Blvd Petersburg, VA 23805 SOUTHSIDE ORAL & FACIAL Petersburg, VA 23805 (804) 733-4641 SURGERY LTD SORIN, MARK (804) 732-8800 595 Old Wagner Rd METOMPKIN DENTAL UNIT MORRISON, JULIUS Petersburg, VA 23805 24501 Parksley Rd (804) 732-6532 Parksley, VA 23421 BHAGAT, MILAN DENTAL FIRST (757) 665-1159 SOUTHSIDE DENTAL 104 Morton Ave ASSOCIATES Petersburg, VA 23805 TROTTER, BRADLEY 3277 South Crater Rd #B (804) 732-0056 SOUTHSIDE ORAL & FACIAL WOLPIN, SCOTT Petersburg, VA 23805 SURGERY LTD METOMPKIN DENTAL UNIT (804) 732-5776 MUNN, WILLIAM 595 Old Wagner Rd 24501 Parksley Rd SOUTHSIDE DENTAL ASSOC Petersburg, VA 23805 Parksley, VA 23421 (804) 732-6532 (757) 665-1159 BROWN, SHEILANDICE 3277 South Crater Rd CENTRAL VIRGINIA HEALTH Petersburg, VA 23805 SERVICES INC (804) 732-5776 PERIODONTIST PEARISBURG 321 Poplar Dr MORETTI, JOY Petersburg, VA 23805 PARRIS-WILKINS, TONYA GENERAL DENTIST VIRGINIA PERIO LTD (804) 733-5591 CENTRAL VIRGINIA HEALTH 9 Holly Hill Dr ANKRUM, MICHAEL SERVICES INC Petersburg, VA 23805 MICHAEL J ANKRUM DDS PC DOWDY, HUGH 321 Poplar Dr (804) 733-9490 722 Wenonah Ave DOWDY HUGH C JR Petersburg, VA 23805 Pearisburg, VA 24134 700 S Sycamore Street (804) 733-5591 (540) 921-1215 Petersburg, VA 23803 SHAH, NIDHI VIRGINIA PERIO LTD (804) 861-2571 PEARSON, BONNIE 9 Holly Hill Dr KOK, ALISTAIR PEARSON BONNIE J Petersburg, VA 23805 A LEON KOK DDS PC EPPS, JOHNE 10545 S. Crater Rd (804) 733-9490 722 Wenonah Ave DENTAL FIRST Petersburg, VA 23805 Pearisburg, VA 24134 104 Morton Ave (804) 732-8557 (540) 921-1215 Petersburg, VA 23805 SLAGLE, JAMES VIRGINIA PERIO LTD (804) 732-0056 RICHARDSON, EUGENE 9 Holly Hill Dr STUBBS, JULIE RICHARDSON EUGENE Petersburg, VA 23805 STUBBS DDS INC FLOYD, JAZMIN 23 Shore St. (804) 733-9490 300 Tazewell St DENTAL FIRST Petersburg, VA 23803 Pearisburg, VA 24134 104 Morton Ave (804) 861-5331 (540) 921-3323 Petersburg, VA 23805 SPERLING-HABOT, KEREN RICHARDSON, EUGENE (804) 732-0056 VIRGINIA PERIO LTD EUGENE A RICHARDSON III DDS STUBBS, PAUL 9 Holly Hill Dr 23 Shore Street Petersburg, VA 23805 STUBBS DDS INC GRIFFIN, CHARLES Petersburg, VA 23803 (804) 733-9490 300 Tazewell St GRIFFIN CHARLES F (804) 861-5331 Pearisburg, VA 24134 3277 S Crater Rd (540) 921-3323 Petersburg, VA 23805 POQUOSON (804) 733-8446

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

DAILEY, GEORGE BELL, TAMMARA CARROLL, STEVEN VIRGINIA (CONT'D) CURTIS W DAILEY DDS PLLC FRIENDLY FACES PEDIATRIC DRS ALTHOUSE CARROLL & 534-B Wythe Creek Rd DENTISTRY AND ALPERIN POQUOSON Poquoson, VA 23662 ORTHODONTICS 3410 County St (757) 826-5075 446 Effingham Street Portsmouth, VA 23707 GENERAL DENTIST Portsmouth, VA 23704 (757) 393-2568 GOLDSTONE, JOHN RIGGS, GARY (757) 325-9959 HUNT SMILE DESIGN GARY A RIGGS JR DMD CWIAK, KARI 358 Wyth Creek Rd 360 E Wythe Creek Rd BIGELOW, GILBERT FRIENDLY FACES PEDIATRIC Poquoson, VA 23662 Poquoson, VA 23662 STEVEN L LANG DDS LTD DENTISTRY AND (757) 868-6651 (757) 868-0021 6224 Portsmouth Blvd Ste 100 ORTHODONTICS Portsmouth, VA 23701 446 Effingham Street PORTSMOUTH (757) 488-8884 Portsmouth, VA 23704

HARPER, WILLIAM PARTICIPATING PROVIDERS (757) 325-9959 WILLIAM G HARPER DDS PC BIGELOW, GILBERT 235 Wythe Creek Rd ENDODONTIST STEVEN L LANG DDS LTD DUNKIN, CHRISTINA Poquoson, VA 23662 NESBITT, PAULA 6224 Portsmouth Blvd Ste 200 (757) 868-8152 STEVEN L LANG DDS LTD KOOL SMILES Portsmouth, VA 23701 6224 Portsmouth Blvd Ste 100 4072 Victory Blvd (757) 397-5165 Portsmouth, VA 23701 HUNT, DAWN Portsmouth, VA 23701 (757) 488-8884 HUNT SMILE DESIGN (757) 465-3834 BIRSCH, FREDERICK 358 Wyth Creek Rd FREDERICK T BIRSCH DDS DUNKIN, CHRISTINA Poquoson, VA 23662 GENERAL DENTIST 3413 South Street STEVEN L LANG DDS LTD (757) 868-6651 Portsmouth, VA 23707 6224 Portsmouth Blvd Ste 200 ADAM-ELDIEN, ASHRAF (757) 393-9929 Portsmouth, VA 23701 HUNT, JOHN KOOL SMILES (757) 397-5165 4072 Victory Blvd HUNT SMILE DESIGN BOYD, KENNETH DUNKIN, CHRISTINA 358 Wyth Creek Rd Portsmouth, VA 23701 MICHAEL EDENFIELD DDS PC CHILDRENS DENTAL WORLD Poquoson, VA 23662 (757) 465-3834 6263 Portsmouth Blvd 6224 Portsmouth Blvd Ste 300 (757) 868-6651 Portsmouth, VA 23701 Portsmouth, VA 23701 ADESHARA, KARISHMA (757) 488-1285 (757) 337-0451 HUNT, WILLIAM KOOL SMILES 4072 Victory Blvd HUNT SMILE DESIGN BRABSON, ANITA EDENFIELD, MICHAEL 358 Wyth Creek Rd Portsmouth, VA 23701 ANITA BRABSON MICHAEL EDENFIELD DDS PC Poquoson, VA 23662 (757) 465-3834 3620 County St 6263 Portsmouth Blvd (757) 868-6651 Portsmouth, VA 23707 Portsmouth, VA 23701 AHMAD, AMEERA (757) 397-8877 (757) 488-1285 MOORE, ALFRED KOOL SMILES 4072 Victory Blvd WILLIAM G HARPER DDS PC BRACKEN, MONLEUDY EL BADAWY, TAREK 235 Wythe Creek Rd Portsmouth, VA 23701 KOOL SMILES KOOL SMILES Poquoson, VA 23662 (757) 465-3834 4072 Victory Blvd 4072 Victory Blvd (757) 868-8152 Portsmouth, VA 23701 Portsmouth, VA 23701 ALPERIN, LORI (757) 465-3834 (757) 465-3834 TAYLOR, DONALD DRS ALTHOUSE CARROLL & ALPERIN FAMILY DENTISTRY BRAR, PREMJEET GOLDSTEIN, STEPHEN 534-A Wythe Creek Rd 3410 County St KOOL SMILES STEPHEN M GOLDSTEIN DDS Poquoson, VA 23662 Portsmouth, VA 23707 4072 Victory Blvd LTD (757) 868-9334 (757) 393-2568 Portsmouth, VA 23701 6263 Portsmouth Blvd (757) 465-3834 Portsmouth, VA 23701 TAYLOR, RUSSELL ALTHOUSE, ELLIOTT BRAR, PREMJEET (757) 488-1285 FAMILY DENTISTRY DRS ALTHOUSE CARROLL & FRIENDLY FACES PEDIATRIC 534-A Wythe Creek Rd ALPERIN DENTISTRY AND GREEN, ROOSEVELT Poquoson, VA 23662 3410 County St ORTHODONTICS DR ROOSEVELT T GREEN JR (757) 868-9334 Portsmouth, VA 23707 (757) 393-2568 446 Effingham Street DDS Portsmouth, VA 23704 600 Green Street ORTHODONTIST (757) 325-9959 Portsmouth, VA 23704 BALUYUT, AMY (757) 399-3752 DAILEY, CURTIS MICHAEL EDENFIELD DDS PC CAHOON, ROGER CURTIS W DAILEY DDS PLLC 6263 Portsmouth Blvd HARMON, THOMAS 534-B Wythe Creek Rd Portsmouth, VA 23701 ROGER H CAHOON DDS PC Poquoson, VA 23662 (757) 488-1285 3300 High Street #5 KOOL SMILES (757) 826-5075 Portsmouth, VA 23707 4072 Victory Blvd (757) 393-1241 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

LANG, LESLIE LYNCH, RONALD MOSS, STANLEY VIRGINIA (CONT'D) STEVEN L LANG DDS LTD KOOL SMILES STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 100 4072 Victory Blvd 6224 Portsmouth Blvd Ste 200 PORTSMOUTH Portsmouth, VA 23701 Portsmouth, VA 23701 Portsmouth, VA 23701 (757) 488-8884 (757) 465-3834 (757) 397-5165 HOLLEY, JAMES LANG, LESLIE HOLLEY & HOLLEY FAMILY STEVEN L LANG DDS LTD MATIAS, THIAGO MURTHY, ROOPA DENTISTRY PC 6224 Portsmouth Blvd Ste 200 KOOL SMILES PEDIATRIC DENTAL CARE OF 446 Effingham Street Portsmouth, VA 23701 4072 Victory Blvd TIDEWATER PC Portsmouth, VA 23704 (757) 397-5165 Portsmouth, VA 23701 5915 W High St (757) 393-2401 (757) 465-3834 Portsmouth, VA 23703 (757) 484-8262 LANG, STEVEN MCCLUNG, ALICIA IRELAND, MICHAEL STEVEN L LANG DDS LTD PARTICIPATING PROVIDERS FRIENDLY FACES PEDIATRIC 6224 Portsmouth Blvd Ste 100 STEVEN L LANG DDS LTD NICHOLS, ASHLEY DENTISTRY AND Portsmouth, VA 23701 6224 Portsmouth Blvd Ste 100 KOOL SMILES ORTHODONTICS (757) 488-8884 Portsmouth, VA 23701 4072 Victory Blvd 446 Effingham Street (757) 488-8884 Portsmouth, VA 23701 Portsmouth, VA 23704 LANG, STEVEN (757) 465-3834 MCCLUNG, ALICIA (757) 325-9959 STEVEN L LANG DDS LTD STEVEN L LANG DDS LTD 6224 Portsmouth Blvd Ste 200 O'DONNELL, DAVID Portsmouth, VA 23701 6224 Portsmouth Blvd Ste 200 JENKINS, HARRY KOOL SMILES (757) 397-5165 Portsmouth, VA 23701 JENKINS DENTAL GROUP (757) 397-5165 4072 Victory Blvd 3349 Portsmouth Blvd LANG, STEVEN Portsmouth, VA 23701 Portsmouth, VA 23701 (757) 465-3834 CHILDRENS DENTAL WORLD MILLER, JULIAN (757) 393-4361 6224 Portsmouth Blvd Ste 300 FRIENDLY FACES PEDIATRIC Portsmouth, VA 23701 DENTISTRY AND PANDHER, RAMONA (757) 337-0451 KAPOOR, RAJNI ORTHODONTICS KOOL SMILES KOOL SMILES 446 Effingham Street 4072 Victory Blvd 4072 Victory Blvd LANGSTON, ROBIN Portsmouth, VA 23704 Portsmouth, VA 23701 Portsmouth, VA 23701 HAMPTON ROADS COMMUNITY (757) 325-9959 (757) 465-3834 (757) 465-3834 HEALTH CENTER 664 Lincoln St MOJARES, ELIZABETH PHILLIPS, SARAH Portsmouth, VA 23704 KAUR, AJINDER STEVEN L LANG DDS LTD KOOL SMILES (757) 399-4588 KOOL SMILES 6224 Portsmouth Blvd Ste 100 4072 Victory Blvd 4072 Victory Blvd Portsmouth, VA 23701 Portsmouth, VA 23701 Portsmouth, VA 23701 LESINSKI, FRANCIS (757) 488-8884 (757) 465-3834 (757) 465-3834 DBA PORTSMOUTH FAMILY MOJARES, ELIZABETH DENTAL POOLE, ADAM STEVEN L LANG DDS LTD KAYMANESH, SHAGHAYEGH 4409 George Washington Hwy KOOL SMILES 6224 Portsmouth Blvd Ste 200 KOOL SMILES Portsmouth, VA 23702 4072 Victory Blvd Portsmouth, VA 23701 4072 Victory Blvd (757) 485-2225 Portsmouth, VA 23701 (757) 397-5165 Portsmouth, VA 23701 (757) 465-3834 (757) 465-3834 LIMON, FRANCISCO MOJARES, ELIZABETH KOOL SMILES HAMPTON ROADS COMMUNITY RASMUSSEN, JAY KIM, CHAD 4072 Victory Blvd HEALTH CENTER KOOL SMILES KOOL SMILES Portsmouth, VA 23701 664 Lincoln St 4072 Victory Blvd 4072 Victory Blvd (757) 465-3834 Portsmouth, VA 23704 Portsmouth, VA 23701 Portsmouth, VA 23701 (757) 399-4588 (757) 465-3834 (757) 465-3834 LOVELL, ERIC LOVELL FAMILY DENTISTRY PC MOOREFIELD, KALLIE REIMER, MICHAEL KIRPAL, ABHISHEK 5717 Churchland Blvd KOOL SMILES KOOL SMILES KOOL SMILES Portsmouth, VA 23703 4072 Victory Blvd 4072 Victory Blvd 4072 Victory Blvd (757) 484-1675 Portsmouth, VA 23701 Portsmouth, VA 23701 Portsmouth, VA 23701 (757) 465-3834 (757) 465-3834 (757) 465-3834 LOVELL, MARY LOVELL FAMILY DENTISTRY PC MOSS, STANLEY REYNOLDS, KENNETH KUPPERI, VINUTHA 5717 Churchland Blvd STEVEN L LANG DDS LTD K BRADLEY REYNOLDS DDS KOOL SMILES Portsmouth, VA 23703 6224 Portsmouth Blvd Ste 100 PLLC 4072 Victory Blvd (757) 484-1675 Portsmouth, VA 23701 1307 Airline Blvd Portsmouth, VA 23701 (757) 488-8884 Portsmouth, VA 23707 (757) 465-3834 (757) 399-4662

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

SWEENEY, RICHARD SELLERS, VERNON MARTIN, J VIRGINIA (CONT'D) DOMINION DENTISTRY PLLC DODSON TAYLOR & JETT INC FRIENDLY FACES PEDIATRIC 3219 Stamford Rd 3116 Tyre Neck Road DENTISTRY PC PORTSMOUTH Portsmouth, VA 23703 Portsmouth, VA 23703 446 Effingham St First Floor (757) 484-1202 (757) 483-2110 Portsmouth, VA 23704 RHODES, JAMES (757) 397-9801 WIGGINS & RHODES TRAN, BRITNIE 1305 Rodman Avenue ORTHODONTIST MARTIN, J KOOL SMILES Portsmouth, VA 23707 BEHL, YUGAL FRIENDLY FACES PEDIATRIC 4072 Victory Blvd DENTISTRY AND (757) 397-3296 FRIENDLY FACES PEDIATRIC Portsmouth, VA 23701 ORTHODONTICS DENTISTRY PC (757) 465-3834 446 Effingham Street RICHARDS, CARTER 446 Effingham St First Floor Portsmouth, VA 23704 HOLLEY & HOLLEY FAMILY Portsmouth, VA 23704 UTTERBACK, BRUCE (757) 325-9959 DENTISTRY PC (757) 397-9801 PARTICIPATING PROVIDERS 446 Effingham Street KOOL SMILES 4072 Victory Blvd MEISE, HOLLY Portsmouth, VA 23704 MORRIS, GLENWOOD Portsmouth, VA 23701 PEDIATRIC DENTAL CARE OF (757) 393-2401 DOCTORS MORRIS & MORRIS (757) 465-3834 TIDEWATER PC LTD 5915 W High St SALEM, MUHANAD 5857 Trucker St WIGGINS, BENJAMIN Portsmouth, VA 23703 KOOL SMILES Portsmouth, VA 23703 WIGGINS & RHODES (757) 484-8262 4072 Victory Blvd (757) 397-7038 Portsmouth, VA 23701 1305 Rodman Avenue Portsmouth, VA 23707 WEIS, MORGAN (757) 465-3834 SMITH, SHAUN (757) 397-3296 PEDIATRIC DENTAL CARE OF KOOL SMILES TIDEWATER PC SANKOWSKI, CHRISTINE 4072 Victory Blvd WILSON, JOSEPH 5915 W High St PEDIATRIC DENTAL CARE OF Portsmouth, VA 23701 STEVEN L LANG DDS LTD Portsmouth, VA 23703 TIDEWATER PC (757) 465-3834 (757) 484-8262 5915 W High St 6224 Portsmouth Blvd Ste 200 Portsmouth, VA 23701 Portsmouth, VA 23703 TAYLOR, GARY (757) 397-5165 POTOMAC FALLS (757) 484-8262 DOCTORS MORRIS & MORRIS WILSON, JOSEPH LTD ENDODONTIST SCOTT, TAMASHA CHILDRENS DENTAL WORLD 5857 Trucker St KOOL SMILES 6224 Portsmouth Blvd Ste 300 Portsmouth, VA 23703 SHAMBAYATI, SARA 4072 Victory Blvd Portsmouth, VA 23701 (757) 397-7038 MARIAH A SHOJAEI DMD PC Portsmouth, VA 23701 (757) 337-0451 46161 West Lake Dr Ste 120 (757) 465-3834 PEDIATRIC Potomac Falls, VA 20165 (703) 406-3180 WILSON, NATASHA DENTIST/PEDODONTIST SHARIF, ASIF KOOL SMILES KOOL SMILES 4072 Victory Blvd BIRSCH, LAURIE SHOJAEI, MARIAH 4072 Victory Blvd Portsmouth, VA 23701 LAURIE A BIRSCH DDS PC MARIAH A SHOJAEI DMD PC Portsmouth, VA 23701 (757) 465-3834 3413 South St 46161 West Lake Dr Ste 120 (757) 465-3834 Portsmouth, VA 23707 Potomac Falls, VA 20165 YU, SANG HUN (757) 398-1234 (703) 406-3180 SHARPE, ISIAH KOOL SMILES ISIAH R SHARPE III 4072 Victory Blvd BRAXTON, DARCHELLE GENERAL DENTIST 344 Effingham St Portsmouth, VA 23701 FRIENDLY FACES PEDIATRIC Portsmouth, VA 23704 (757) 465-3834 DENTISTRY AND ABDELRAZEK, JAILAN (757) 398-0404 ORTHODONTICS POTOMAC FALLS FAMILY 446 Effingham Street DENTISTRY LLC ORAL SURGEON 46165 West Lake Dr #110 SKRBA, SLADJANA Portsmouth, VA 23704 (757) 325-9959 Potomac Falls, VA 20165 KOOL SMILES JETT, L (703) 444-6150 4072 Victory Blvd DODSON TAYLOR & JETT INC Portsmouth, VA 23701 3116 Tyre Neck Road GAROFALIS, HARALAMBOS (757) 465-3834 Portsmouth, VA 23703 FRIENDLY FACES PEDIATRIC ABEL, ANNA (757) 483-2110 DENTISTRY AND ABEL PHAN AND ASSOCIATES DDS PLLC STEVENSON, PRETLOW ORTHODONTICS 446 Effingham Street 46161 Westlake Dr Ste100 DR PRETLOW L STEVENSON JR LARUSSO, MARK Portsmouth, VA 23704 Potomac Falls, VA 20165 3412 Columbia Street DODSON TAYLOR & JETT INC (757) 325-9959 (703) 433-9999 Portsmouth, VA 23707 3116 Tyre Neck Road (757) 397-5611 Portsmouth, VA 23703 (757) 483-2110

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

TADROS, AMEAR BROTH, STUART HYER, MARGARET VIRGINIA (CONT'D) AMEAR M TADROS DMD PC POWHATAN GENTLE DENTISTRY MICHAEL D PFAB DDS AND 46090 Lake Center Plz Ste 202 PLC ASSOCIATES POTOMAC FALLS Potomac Falls, VA 20165 2105 Academy Rd #J 2105 Academy Rd #J (703) 430-2020 Powhatan, VA 23139 Powhatan, VA 23139 ANSARI, UZMA (804) 598-8951 (804) 598-8951 LOWES ISLAND DENTISTRY 20789 Great Falls Plaza #104 ORTHODONTIST CRICHTON, CATHERINE KUHN, TODD Potomac Falls, VA 20165 IZADI, MOHAMMED DONALD R MURRY JR DDS PC (703) 444-4441 VIRGINIA FAMILY DENTISTRY PC MOHAMMED IZADI DDS PLLC 2625 Anderson Hwy. 3250 Anderson Hwy 46175 Westlake Dr #420 Powhatan, VA 23139 Powhatan, VA 23139 BARAKAT, HISHAM Potomac Falls, VA 20165 (804) 598-3000 (804) 598-2600 LOWES ISLAND DENTISTRY (703) 430-8214

20789 Great Falls Plaza #104 PARTICIPATING PROVIDERS CRICHTON, JAMES LARKIN, STEVEN Potomac Falls, VA 20165 TRAN, THOAI-LAN VIRGINIA FAMILY DENTISTRY PC (703) 444-4441 VIRGINIA FAMILY DENTISTRY PC PAL DENTAL GROUP 2625 Anderson Hwy. 2625 Anderson Hwy. 46161 Westlake Dr #310 Powhatan, VA 23139 Powhatan, VA 23139 ELLINGTON, PAUL Potomac Falls, VA 20165 (804) 598-3000 (804) 598-3000 ELLINGTON & HUBERT DDS PC (703) 444-4188 46175 Westlake Dr Ste 130 DENONCOURT, JAMIE MATKOWSKY, PETER Potomac Falls, VA 20165 WIGER, JOHN PETER MATKOWSKY DDS INC (703) 444-5108 VIRGINIA FAMILY DENTISTRY PC JOHN C WIGER DDS MS PC 2625 Anderson Hwy. 1664 Anderson Hwy 46165 Westlake Dr #300 Powhatan, VA 23139 Powhatan, VA 23139 JACKOMIS, WILLIAM Potomac Falls, VA 20165 (804) 598-3000 (804) 897-3339 WILLIAM R JACKOMIS DDS PC (703) 444-9373 46161 West Lake Dr #110 DEVERA, GENEVIEVE MOSEY, JAMES Potomac Falls, VA 20165 PEDIATRIC VIRGINIA FAMILY DENTISTRY PC (703) 444-9244 POWHATAN GENTLE DENTISTRY DENTIST/PEDODONTIST PLC 2625 Anderson Hwy. 2105 Academy Rd #J Powhatan, VA 23139 PAL, GOPAL KHATTAB, SAMER Powhatan, VA 23139 (804) 598-3000 ELLINGTON & HUBERT DDS PC PAL DENTAL GROUP (804) 598-8951 46175 Westlake Dr Ste 130 46161 Westlake Dr #310 MURRY, BRITTNEY Potomac Falls, VA 20165 Potomac Falls, VA 20165 ESTILL, ANDREW DONALD R MURRY JR DDS PC (703) 444-5108 (703) 444-4188 VIRGINIA FAMILY DENTISTRY PC 3250 Anderson Hwy 2625 Anderson Hwy. Powhatan, VA 23139 NGUYEN, PHUONG-UYEN PERIODONTIST Powhatan, VA 23139 (804) 598-2600 PAL DENTAL GROUP (804) 598-3000 46161 Westlake Dr #310 ABRIL, EDISON MURRY, DONALD Potomac Falls, VA 20165 PAL DENTAL GROUP GAMACHE, MARC DONALD R MURRY JR DDS PC (703) 444-4188 46161 Westlake Dr #310 Potomac Falls, VA 20165 VIRGINIA FAMILY DENTISTRY PC 3250 Anderson Hwy (703) 444-4188 2625 Anderson Hwy. Powhatan, VA 23139 PAL, SANDHYA Powhatan, VA 23139 (804) 598-2600 PAL DENTAL GROUP POUND (804) 598-3000 46161 Westlake Dr #310 MURRY, KENNETH Potomac Falls, VA 20165 GENERAL DENTIST GHAZARIAN, MISHA DONALD R MURRY JR DDS PC (703) 444-4188 VIRGINIA FAMILY DENTISTRY PC 3250 Anderson Hwy ROBERSON, JAMES 2625 Anderson Hwy. Powhatan, VA 23139 JAMES M ROBERSON DDS PHAN, CHUONG Powhatan, VA 23139 (804) 598-2600 8438 Main Street ABEL PHAN AND ASSOCIATES (804) 598-3000 DDS PLLC Pound, VA 24279 PARK, MIMI 46161 Westlake Dr Ste100 (276) 796-4523 HYDER, KHUDSIA POWHATAN GENTLE DENTISTRY Potomac Falls, VA 20165 PLC (703) 433-9999 POWHATAN POWHATAN GENTLE DENTISTRY PLC 2105 Academy Rd #J 2105 Academy Rd #J Powhatan, VA 23139 GENERAL DENTIST RAOUFINIA, NIMA Powhatan, VA 23139 (804) 598-8951 LOWES ISLAND DENTISTRY BOND, MARK (804) 598-8951 20789 Great Falls Plaza #104 VIRGINIA FAMILY DENTISTRY PC PERKINSON, WILLIAM Potomac Falls, VA 20165 2625 Anderson Hwy. VIRGINIA FAMILY DENTISTRY PC (703) 444-4441 Powhatan, VA 23139 2625 Anderson Hwy. (804) 598-3000 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

BUELOW, DWIGHT FORMICA, LOUIS VIRGINIA (CONT'D) VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC SPEARS, MELANIE 2625 Anderson Hwy. 4710 Puddledock Rd VIRGINIA FAMILY DENTISTRY PC POWHATAN Powhatan, VA 23139 Prince George, VA 23875 4710 Puddledock Rd (804) 598-3000 (804) 526-4822 Prince George, VA 23875 PFAB, MICHAEL (804) 526-4822 MICHAEL D PFAB DDS AND MARCUS, RICHARD GAMACHE, MARC ASSOCIATES PERIODONTIST 2105 Academy Rd #J VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC Powhatan, VA 23139 2625 Anderson Hwy. 4710 Puddledock Rd VOTH, STEPHANIE Powhatan, VA 23139 Prince George, VA 23875 (804) 598-8951 VIRGINIA FAMILY DENTISTRY PC (804) 598-3000 (804) 526-4822 4710 Puddledock Rd RESSLER, CHRISTINE Prince George, VA 23875 PURCELL, ALLISON JOHANSEN, STEPHEN VIRGINIA FAMILY DENTISTRY PC (804) 526-4822 PARTICIPATING PROVIDERS 2625 Anderson Hwy. VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC Powhatan, VA 23139 2625 Anderson Hwy. 4710 Puddledock Rd PROVIDENCE FORGE (804) 598-3000 Powhatan, VA 23139 Prince George, VA 23875 (804) 598-3000 (804) 526-4822 GENERAL DENTIST ROBERTS, DAVID ROGERS, DALE JORDAN, EDWARD ROSEMOND, RANDALL VIRGINIA FAMILY DENTISTRY PC RANDALL S ROSEMOND DDS 2625 Anderson Hwy. VIRGINIA FAMILY DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. 4710 Puddledock Rd 3521 N Courthouse Rd Powhatan, VA 23139 Providence Forge, VA 23140 (804) 598-3000 Powhatan, VA 23139 Prince George, VA 23875 (804) 598-3000 (804) 526-4822 (804) 966-7202

ROPER, ERIK PURCELLVILLE LOPEZ, ROCIO VIRGINIA FAMILY DENTISTRY PC PERIODONTIST VIRGINIA FAMILY DENTISTRY PC 2625 Anderson Hwy. VOTH, STEPHANIE GENERAL DENTIST Powhatan, VA 23139 4710 Puddledock Rd VIRGINIA FAMILY DENTISTRY PC Prince George, VA 23875 ARMENTROUT, NADIA (804) 598-3000 2625 Anderson Hwy. (804) 526-4822 DENTAL SMILES AT Powhatan, VA 23139 PURCELLVILLE SPARKS, SARAH (804) 598-3000 PARRIS-WILKINS, TONYA 100 Purcellville Gateway #D VIRGINIA FAMILY DENTISTRY PC Purcellville, VA 20132 2625 Anderson Hwy. CENTRAL VIRGINIA HEALTH PRINCE GEORGE (540) 338-3330 Powhatan, VA 23139 CENTER 4260 Crossing Blvd #2 (804) 598-3000 GENERAL DENTIST Prince George, VA 23875 BROWN, AMANDA BOWMAN, SHANNON (804) 452-5800 HERBERT DENTAL GROUP SPAUR, ERNEST PRINCE GEORGE COSMETIC & 921 E. Main St. Ste. C E TRACY SPAUR DDS FAMILY DENTISTRY PC ROBERTS, DAVID Purcellville, VA 20132 3852 Old Buckingham Rd 5727 Allin Rd (540) 338-4814 Powhatan, VA 23139 VIRGINIA FAMILY DENTISTRY PC Prince George, VA 23875 (804) 598-3500 4710 Puddledock Rd (804) 862-4416 Prince George, VA 23875 COLLAZO, WALTER (804) 526-4822 HERBERT DENTAL GROUP TURNAGE, NEIL BRYANT, MELBA 921 E. Main St. Ste. C VIRGINIA FAMILY DENTISTRY PC CENTRAL VIRGINIA HEALTH SULLIVAN, KIT Purcellville, VA 20132 2625 Anderson Hwy. CENTER (540) 338-4814 Powhatan, VA 23139 VIRGINIA FAMILY DENTISTRY PC 4260 Crossing Blvd #2 (804) 598-3000 4710 Puddledock Rd Prince George, VA 23875 Prince George, VA 23875 DANESHVAR, AREZOU (804) 452-5800 (804) 526-4822 MAIN STREET FAMILY WARD, CHRISTOPHER DENTISTRY PC VIRGINIA FAMILY DENTISTRY PC CIOS, CHRIS YANDLE, DAVID 850 E Main St Ste D 2625 Anderson Hwy. VIRGINIA FAMILY DENTISTRY PC Purcellville, VA 20132 Powhatan, VA 23139 PRINCE GEORGE COSMETIC & 4710 Puddledock Rd (540) 751-2221 (804) 598-3000 FAMILY DENTISTRY PC Prince George, VA 23875 5727 Allin Rd (804) 526-4822 Prince George, VA 23875 DIRENZO, GREGORY WICKER, MARYBETH (804) 862-4416 GREGORY S DIRENZO DMD PC VIRGINIA FAMILY DENTISTRY PC DENONCOURT, JAMIE 540 E Main St 2625 Anderson Hwy. VIRGINIA FAMILY DENTISTRY PC Purcellville, VA 20132 Powhatan, VA 23139 ORTHODONTIST 4710 Puddledock Rd (540) 338-6262 (804) 598-3000 Prince George, VA 23875 PURCELL, ALLISON (804) 526-4822 VIRGINIA FAMILY DENTISTRY PC ORTHODONTIST 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

ZARRINFAR, ALLEN PEDIATRIC BURNINGHAM, TYLER VIRGINIA (CONT'D) MAIN STREET FAMILY DENTIST/PEDODONTIST DENTISTS INC DENTISTRY PC 1151 East Main St #A PURCELLVILLE 850 E Main St Ste D AMANTE, ALVIN Radford, VA 24141 Purcellville, VA 20132 ALAN H GOLDEN DDS & ASSOC (540) 639-1674 GELDART, GREGORY (540) 751-2221 238 Potomac Ave GREGORY W GELDART DMD Quantico, VA 22134 EVANS, GLENN PLC (703) 640-1000 17340 Pickwick Dr #100 ORTHODONTIST DENTISTS INC 1151 East Main St #A Purcellville, VA 20132 GRISIUS, THOMAS GOLDEN, ALAN (540) 338-3186 Radford, VA 24141 GRISIUS ORTHODONTICS ALAN H GOLDEN DDS & ASSOC (540) 639-1674 610 East Main St 238 Potomac Ave KATZ, ABRAHAM Purcellville, VA 20132 Quantico, VA 22134 HOSKINS, ROBERT DENTISTRY BY DESIGN (540) 338-8125 (703) 640-1000 PARTICIPATING PROVIDERS 921 E Main St #C R GRAHAM HOSKINS DMD 6051 Belspring Rd Purcellville, VA 20132 TARI, KIANOUSH JONES, HERSCHEL (540) 338-4814 Radford, VA 24141 KIANOUSH TARI ALAN H GOLDEN DDS & ASSOC (540) 639-6688 1021 E Main St #A 238 Potomac Ave LINCOLN, KELLY Purcellville, VA 20132 Quantico, VA 22134 MCCUIN, STEPHEN GREGORY S DIRENZO DMD PC (540) 338-0004 (703) 640-1000 540 E Main St STEPHEN D MCCUIN DDS PC Purcellville, VA 20132 116 Third Avenue PEDIATRIC KHATEEB, MARIAM (540) 338-6262 Radford, VA 24141 DENTIST/PEDODONTIST ALAN H GOLDEN DDS & ASSOC (540) 639-2921 238 Potomac Ave NORBO, JUSTIN MONAJEMY, NOOSHIN Quantico, VA 22134 MOWER, MATTHEW NORBO DENTAL PLLC PURCELLVILLE PEDIATRIC (703) 640-1000 441 E Main St DENTISTRY P C DENTISTS INC 1151 East Main St #A Purcellville, VA 20132 17333 Pickwick Driver Ste A-B QUINTON (540) 338-7325 Purcellville, VA 20132 Radford, VA 24141 (540) 639-1674 (571) 213-9452 GENERAL DENTIST NORBO, KIRK SCHULTZ, ALLEN SCHARNHORST, SCOTT NORBO DENTAL PLLC PERIODONTIST ALLEN D SCHULTZ DDS LTD 441 E Main St DENTISTS INC 2690 Dispatch Road Po Box 130 Purcellville, VA 20132 MARVIL, LISA 1151 East Main St #A Quinton, VA 23141 (540) 338-7325 MARVIL PERIODONTICS Radford, VA 24141 17341 Pickwick Dr Ste B (804) 932-4940 (540) 639-1674 Purcellville, VA 20132 SALAS, CHRISTOPHER (540) 338-4588 TIBBS, VICKI YOUNG, GLENN DENTAL SMILES AT VICKI L TIBBS DDS PC PURCELLVILLE DENTISTS INC QUANTICO 2632 Pocahontas Trail 100 Purcellville Gateway #D 1151 East Main St #A Quinton, VA 23141 Purcellville, VA 20132 Radford, VA 24141 GENERAL DENTIST (804) 932-4537 (540) 338-3330 (540) 639-1674 DUMLAO, RUSTICO YORGEY, KENNETH SHARP, MARTHA ALAN H GOLDEN DDS & ASSOC ORAL SURGEON KENNETH A YORGEY DMD PC GREGORY W GELDART DMD 238 Potomac Ave 3215 Rock Creek Villa Dr Ste F BOYLE, RICHARD PLC Quantico, VA 22134 Quinton, VA 23141 NRV ORAL & MAXILLOFACIAL 17340 Pickwick Dr #100 (703) 640-1000 (804) 932-5396 SURGERY LTD Purcellville, VA 20132 6061 Belspring Rd (540) 338-3186 GARCIA, MAURICIO RADFORD Radford, VA 24141 ALAN H GOLDEN DDS & ASSOC (540) 951-8777 238 Potomac Ave SMITH, MARK ENDODONTIST Quantico, VA 22134 AESTHETIC RESTORATIVE HOWARD, CLINTON (703) 640-1000 BLACK, SAMUEL DENTISTRY OF PURCELLVILLE NRV ORAL & MAXILLOFACIAL 201 N Maple Ave Ste 202 STEPHEN D MCCUIN DDS PC SURGERY LTD Purcellville, VA 20132 ORTHODONTIST 116 Third Avenue 6061 Belspring Rd (540) 338-9400 Radford, VA 24141 Radford, VA 24141 HENNIGH, ROGER (540) 639-2921 (540) 951-8777 SMITH, TIMOTHY ALAN H GOLDEN DDS & ASSOC 238 Potomac Ave TIMOTHY A SMITH DDS PC GENERAL DENTIST Quantico, VA 22134 609-T East Main St (703) 640-1000 Purcellville, VA 20132 (540) 338-0110

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

BRAMWELL, JOHN BAREKZI, NASSIR VIRGINIA (CONT'D) BESNER & FABIO NGUYEN, TU-QUYNH SMILES AT RESTON TOWN 11359 A Sunset Hills Rd DRS LEVIN LEFF & POLLOCK CENTER RADFORD Reston, VA 20190 11710 Plaza America #150 1861 Explorer St (703) 437-6666 Reston, VA 20190 Reston, VA 20190 VANGILDER, JAMES (703) 481-2096 (703) 437-0007 NRV ORAL & MAXILLOFACIAL BRAMWELL, JOHN SURGERY LTD LANCTOT & JOHNSON DENTAL PATEL, PRATIK 6061 Belspring Rd ASSOCIATES PC BELMONTE, STEPHEN SUNRISE DENTAL Radford, VA 24141 11359 Sunset Hills Rd #A FUSION DENTAL 11868 Sunrise Valley Dr Suite 100 (540) 951-8777 Reston, VA 20190 11503 Sunrise Valley Dr Reston, VA 20191 (703) 437-6666 Reston, VA 20191 (703) 860-6700 (703) 860-3200 ORTHODONTIST

DETAR, MATTHEW PARTICIPATING PROVIDERS PICCININO, MICHAEL KISER, MARSHALL FUSION DENTAL BHIDE, SATYAJEET FUSION DENTAL KISER ORTHODONTICS 11503 Sunrise Valley Dr DRS NOVICK HARTZ & HALL PC 11503 Sunrise Valley Dr 1151 E Main St #C Reston, VA 20191 11325 Sunset Hills Road Reston, VA 20191 Radford, VA 24141 (703) 860-3200 Reston, VA 20190 (540) 639-0111 (703) 860-3200 (703) 437-8811 DOLLARD, WAYNE POLLOCK, RICHARD VAUGHAN, DENNIS FUSION DENTAL CHANG, JHIA-MING DRS LEVIN LEFF & POLLOCK DENNIS L VAUGHAN DDS 11503 Sunrise Valley Dr RAJA RAFIQ AND ASSOCIATES 11710 Plaza America #150 600 Second St Reston, VA 20191 11700 Plaza America Dr #140 Reston, VA 20190 Radford, VA 24141 (703) 860-3200 Reston, VA 20190 (540) 639-3002 (703) 481-2096 (571) 222-4900 FABIO, MICHAEL PORTELL, FRANK REMINGTON LANCTOT & JOHNSON DENTAL CHEUNG, JENNY BESNER & FABIO ASSOCIATES PC RESTON DENTAL CARE 11359 A Sunset Hills Rd GENERAL DENTIST 11359 Sunset Hills Rd #A 11345 Sunset Hill Rd Reston, VA 20190 Reston, VA 20190 ASHBY, COURTNEY Reston, VA 20190 (703) 437-6666 (703) 689-0110 REMINGTON FAMILY DENTISTRY (703) 437-6666 206 East Main St SALLEN, BRUCE Remington, VA 22734 FEIN, JOSHUA CLARK, BRIAN DRS LEVIN LEFF & POLLOCK (540) 439-8335 BESNER & FABIO WATT & CLARK LLC 11710 Plaza America #150 11359 A Sunset Hills Rd 1950 Roland Clarke #420 Reston, VA 20190 Reston, VA 20191 WHITE, ROBERT Reston, VA 20190 (703) 481-2096 (703) 391-2600 ROBERT J WHITE (703) 437-6666 206 E. Main Street GENERAL DENTIST Remington, VA 22734 JOHNSON, DANG, QUYEN (540) 439-8335 LANCTOT & JOHNSON DENTAL ALDERMAN, DOUGLAS OPTIMAL HEALTH CENTER 1801 Robert Fulton Dr # 250 ASSOCIATES PC FUSION DENTAL Reston, VA 20191 RESTON 11359 Sunset Hills Rd #A 11503 Sunrise Valley Dr (703) 391-2222 Reston, VA 20190 Reston, VA 20191 ENDODONTIST (703) 437-6666 (703) 860-3200 DARVISHIAN, ARAMESH ASGHAR, IRFAN LANCTOT, SLOAN ARAMESH DARVISHIAN DDS DRS LEVIN LEFF & POLLOCK ANOUSHFAR, LANCTOT & JOHNSON DENTAL PLLC 11710 Plaza America #150 SCHEHERAZAD ASSOCIATES PC 12040 South Lake Dr Ste 200 Reston, VA 20190 SHERRY ANOUSHFAR DDS PC 11359 Sunset Hills Rd #A Reston, VA 20191 (703) 481-2096 1984 Isaac Newton Sq West Ste (703) 955-4440 Reston, VA 20190 201 (703) 437-6666 Reston, VA 20190 BESNER, EDWARD (703) 318-8133 DARY, PATRICIA BESNER & FABIO LEE, BRIAN RESTON DENTAL CARE 11359 A Sunset Hills Rd DRS NOVICK HARTZ & HALL PC 11345 Sunset Hill Rd Reston, VA 20190 BAJWA, PREET 11325 Sunset Hills Road Reston, VA 20190 (703) 437-6666 AB DENTAL (703) 689-0110 Reston, VA 20190 11790-H Baron Cameron Ave BESNER, EDWARD (703) 437-8811 Reston, VA 20190 LANCTOT & JOHNSON DENTAL (703) 787-3593 DELANEY, WHITNEY ASSOCIATES PC LEFF, GARY WATT & CLARK LLC 11359 Sunset Hills Rd #A DRS LEVIN LEFF & POLLOCK 1950 Roland Clarke #420 Reston, VA 20190 11710 Plaza America #150 Reston, VA 20191 (703) 437-6666 Reston, VA 20190 (703) 391-2600 (703) 481-2096

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 129 Delta Dental Premier

HOCHMAN, HILLARY KIM, JERRY MUSS, NICHOLAS VIRGINIA (CONT'D) FUSION DENTAL SUNRISE DENTAL NICHOLAS A MUSS DDS PC 11503 Sunrise Valley Dr 11868 Sunrise Valley Dr Suite 100 11339 Sunset Hills Road RESTON Reston, VA 20191 Reston, VA 20191 Reston, VA 20190 (703) 860-3200 (703) 860-6700 (703) 689-2697 DIBENEDETTO, NICHOLAS MESSINA CANAL MOAWAD DDS KIM, JERRY HONG, JASON MYLES, WAYNE PC AMY TON DDS PLLC 1886 Metro Center Dr #600 RESTON DENTAL CENTER 11868 Sunrise Valley Dr. Suite #100 WAYNE S MYLES DDS PC Reston, VA 20190 12359 Sunrise Valley Dr #250 Reston, VA 20191 11730 Plaza America Dr #110 (703) 318-8200 Reston, VA 20191 (703) 860-6700 Reston, VA 20190 (703) 860-8613 (703) 925-0800

DILLON, KATHLEEN KIM, SONNY HONG, RICHARD NANDURI, MAHATHI FUSION DENTAL RESTON FAMILY DENTAL CARE PARTICIPATING PROVIDERS 11503 Sunrise Valley Dr SUNRISE DENTAL 11876 Sunrise Valley Dr #101 SMILEZONE FAMILY & Reston, VA 20191 11868 Sunrise Valley Dr Suite 100 Reston, VA 20191 COSMETIC DENTISTRY (703) 860-3200 Reston, VA 20191 (703) 390-9191 11705 Bowman Green Dr (703) 860-6700 Reston, VA 20190 (703) 662-1625 DOYLE, MYRA KWON, JUDY HOWARD, KARRIE FUSION DENTAL FUSION DENTAL NESHAT, MONICA 11503 Sunrise Valley Dr DRS NOVICK HARTZ & HALL PC 11503 Sunrise Valley Dr Reston, VA 20191 11325 Sunset Hills Road Reston, VA 20191 RESTON FAMILY & COSMETIC (703) 860-3200 Reston, VA 20190 (703) 860-3200 DENTISTRY PC (703) 437-8811 1984 Isaac Newton Sq W Ste100 Reston, VA 20190 DUNNE, FRANK MADISON, JOSEPH JANG, JOY (703) 437-5555 FRANK J DUNNE DDS PC JOSEPH D MADISON DMD LTD 11872 Sunrise Valley Dr #100 RESTON FAMILY & COSMETIC 11800 Sunrise Valley Dr Suite 1137 NGUYEN, HIEU Reston, VA 20191 DENTISTRY PC Reston, VA 20191 (703) 390-1100 1984 Isaac Newton Sq W Ste100 (703) 391-8836 OPTIMAL HEALTH CENTER Reston, VA 20190 1801 Robert Fulton Dr # 250 (703) 437-5555 Reston, VA 20191 MALYAVANTHAM, FARHANGI, SAHEL (703) 391-2222 RESTON TOWN CENTER DATTATHRI JONES, RICHARD DENTAL DATTATHRI MALYAVANTHAM WATT & CLARK LLC NGUYEN, VIET 1760 Reston Parkway #415 1939 Roland Clarke Pl, Ste 120 1950 Roland Clarke #420 WATT & CLARK LLC Reston, VA 20190 Reston, VA 20191 Reston, VA 20191 1950 Roland Clarke #420 (703) 956-9444 (571) 313-0607 (703) 391-2600 Reston, VA 20191 (703) 391-2600 FORSBERGH, ERIC MARCUS, CARLENE KANUMILLI, SOWMYA FUSION DENTAL MARCUS DENTAL CARE ARAMESH DARVISHIAN DDS NOVICK, ARTHUR 11503 Sunrise Valley Dr 1800 Michael Faraday Dr PLLC DRS NOVICK HARTZ & HALL PC Reston, VA 20191 Reston, VA 20190 12040 South Lake Dr Ste 200 11325 Sunset Hills Road (703) 860-3200 (703) 435-3030 Reston, VA 20191 Reston, VA 20190 (703) 955-4440 (703) 437-8811 HALL, ROBERT MIAMEE, ALI DRS NOVICK HARTZ & HALL PC RESTON TOWN CENTER KAZEMIFAR, HODA NOVICK, KENDRA 11325 Sunset Hills Road DENTAL RESTON SERENITY HODA DRS NOVICK HARTZ & HALL PC Reston, VA 20190 1760 Reston Parkway #415 KAZEMIFAR DMD PC 11325 Sunset Hills Road (703) 437-8811 Reston, VA 20190 11717 Bowman Green Dr Reston, VA 20190 (703) 956-9444 Reston, VA 20190 (703) 437-8811 HAN, JOHN (571) 313-8415 EXPRESSIONS DENTAL CARE MIAMEE, NAZY PAL, SANDHYA 11515 Sunrise Valley Dr DENTAL ONE - RESTON KHATTAB, SAMER PAL FAMILY DENTISTRY PC Reston, VA 20191 11490 Commerce Park Dr #110 RESTON TOWN CENTER 11365 Sunset Hills Rd (703) 757-6453 Reston, VA 20191 DENTAL Reston, VA 20190 (703) 498-2507 1760 Reston Parkway #415 (703) 437-8337 HARTZ, GARY Reston, VA 20190 DRS NOVICK HARTZ & HALL PC MOVAGHARI, PARINAZ (703) 956-9444 PHAM, HANAH 11325 Sunset Hills Road PAL FAMILY DENTISTRY PC RESTON SUNRISE DENTISTRY Reston, VA 20190 11365 Sunset Hills Rd PC (703) 437-8811 Reston, VA 20190 12359 Sunrise Valley Dr #330 (703) 437-8337 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

SUN, RICHARD VIRGINIA (CONT'D) NOVA DENTAL NAIMI, AMIR WANG, RICHARD 11872 Sunrise Valley Dr #101 STUART L GRAVES DDS MS PC ORAL SURGERY ASSOC OF RESTON Reston, VA 20191 11331 Sunset Hills Rd Sunset Hills NORTHERN VA (571) 313-1535 Professional Park 1800 Town Center Dr #116 RAFIQ, RABIA Reston, VA 20190 Reston, VA 20190 RAJA RAFIQ AND ASSOCIATES (703) 736-1640 (703) 435-4414 SVECHOTA-KINGSBURY, 11700 Plaza America Dr #140 BRUCE Reston, VA 20190 PARK, JONATHAN YAGHMAI, PEDRAM DRS NOVICK HARTZ & HALL PC (571) 222-4900 ZUSSMAN SMITH &DOLAN PC STUART L GRAVES DDS MS PC 11325 Sunset Hills Road 1800 Towne Cntr Dr #416 11331 Sunset Hills Rd Sunset Hills Reston, VA 20190 RAJA, TAIMOUR Reston, VA 20190 Professional Park (703) 437-8811 RAJA RAFIQ AND ASSOCIATES (703) 435-7100 Reston, VA 20190

11700 Plaza America Dr #140 (703) 736-1640 PARTICIPATING PROVIDERS TON, AMY Reston, VA 20190 PATEL, SUKETU AMY TON DDS PLLC (571) 222-4900 FUSION DENTAL 11868 Sunrise Valley Dr. Suite #100 ORTHODONTIST 11503 Sunrise Valley Dr Reston, VA 20191 RUSZ, JOESPH Reston, VA 20191 FAN, VIVIAN (703) 860-6700 FUSION DENTAL (703) 860-3200 RESTON ORTHODONTIC 11503 Sunrise Valley Dr ASSOCIATES PLLC TSANG, DAVID 1984 Isaac Newton Sq West Ste Reston, VA 20191 PATTERSON, ADRIAN WATT & CLARK LLC 200 (703) 860-3200 STUART L GRAVES DDS MS PC 1950 Roland Clarke #420 Reston, VA 20190 11331 Sunset Hills Rd Sunset Hills Reston, VA 20191 (703) 435-1500 RYE, LESLIE Professional Park (703) 391-2600 MESSINA CANAL MOAWAD DDS Reston, VA 20190 PC (703) 736-1640 GHATRI, ALI 1886 Metro Center Dr #600 YI, TYLER RESTON ORTHODONTIC SUNRISE DENTAL ASSOCIATES PLLC Reston, VA 20190 PELL, JAMES 11868 Sunrise Valley Dr Suite 100 1984 Isaac Newton Sq West Ste (703) 318-8200 ORAL SURGERY ASSOC OF Reston, VA 20191 200 NORTHERN VA (703) 860-6700 Reston, VA 20190 SANDHU, MANINDERJIT 1800 Town Center Dr #116 (703) 435-1500 RAJA RAFIQ AND ASSOCIATES YI, TYLER Reston, VA 20190 11700 Plaza America Dr #140 AMY TON DDS PLLC (703) 435-4414 Reston, VA 20190 11868 Sunrise Valley Dr. Suite #100 GULERIA, ALPITA ALLI MAKKER GULERIA DMD (571) 222-4900 Reston, VA 20191 RAMSEY, CYRUS 12359 Sunrise Valley Dr #210 (703) 860-6700 ZUSSMAN SMITH &DOLAN PC Reston, VA 20191 SENSENBRENNER, DIANA 1800 Towne Cntr Dr #416 (703) 391-8800 DATTATHRI MALYAVANTHAM ZACKO, GEORGE Reston, VA 20190 1939 Roland Clarke Pl, Ste 120 ZACKO & SHATTUCK LTD (703) 435-7100 Reston, VA 20191 1712 Clubhouse Road Suite 106 KIM, CHRISTINE SUNRISE DENTAL (571) 313-0607 Reston, VA 20190 ROBERTSON, STEVEN 11868 Sunrise Valley Dr Suite 100 (703) 471-6600 ZUSSMAN SMITH &DOLAN PC Reston, VA 20191 SHARMA, SUMIT 1800 Towne Cntr Dr #416 (703) 860-6700 DRS NOVICK HARTZ & HALL PC ORAL SURGEON Reston, VA 20190 11325 Sunset Hills Road (703) 435-7100 KIM, CHRISTINE Reston, VA 20190 DOLAN, PATRICK RESTON ORTHODONTICS ZUSSMAN SMITH &DOLAN PC (703) 437-8811 SILLOWAY, KIMBERLY 1984 Isaac Newton Sq #W 1800 Towne Cntr Dr #416 ZUSSMAN SMITH &DOLAN PC Reston, VA 20190 Reston, VA 20190 SHAW, CHRISTINA 1800 Towne Cntr Dr #416 (703) 939-8000 (703) 435-7100 DATTATHRI MALYAVANTHAM Reston, VA 20190 1939 Roland Clarke Pl, Ste 120 (703) 435-7100 LEE, JIM Reston, VA 20191 LIU, FREDERICK RESTON ORTHODONTIC ZUSSMAN SMITH &DOLAN PC (571) 313-0607 SMITH, PETER ASSOCIATES PLLC 1800 Towne Cntr Dr #416 ZUSSMAN SMITH &DOLAN PC 1984 Isaac Newton Sq West Ste Reston, VA 20190 SIDOR, ANNA 1800 Towne Cntr Dr #416 200 (703) 435-7100 DRS LEVIN LEFF & POLLOCK Reston, VA 20190 Reston, VA 20190 11710 Plaza America #150 (703) 435-7100 (703) 435-1500 Reston, VA 20190 MORGAN, DAVID ORAL SURGERY ASSOC OF (703) 481-2096 THEBERGE, DANIEL LEE, WILLIAM NORTHERN VA ZUSSMAN SMITH &DOLAN PC FUSION DENTAL 1800 Town Center Dr #116 1800 Towne Cntr Dr #416 11503 Sunrise Valley Dr Reston, VA 20190 Reston, VA 20190 Reston, VA 20191 (703) 435-4414 (703) 435-7100 (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

CHEN, CLIFF THORPE, JEFFREY VIRGINIA (CONT'D) AMY TON DDS PLLC FUSION DENTAL KING, THOMAS 11868 Sunrise Valley Dr. Suite #100 11503 Sunrise Valley Dr THOMAS E KING JR RESTON Reston, VA 20191 Reston, VA 20191 5700 Old Richmond Ave #19-D (703) 860-6700 (703) 860-3200 Richmond, VA 23226 (804) 285-2333 MORGAN, RICHARD RICHARD J MORGAN DDS PC FIELDS, CHARLES RICHLANDS KRAUSE, TRISHA 11250 Roger Bacon Dr #13 CHARLES R FIELDS DMD PC Reston, VA 20190 1886 Metro Center Dr #610 GENERAL DENTIST TRISHA A KRAUSE DMD MS PLLC Reston, VA 20190 5318 B Patterson Ave (703) 437-7775 BAYS, THOMAS (703) 689-4442 Richmond, VA 23226 MARCUS B BUSKILL DDS PC (804) 285-0400 STANG, CHRISTINE 200 Alleghany St ILCHYSHYN, NICHOLAS CHRISTINE STANG PC Richlands, VA 24641 PARTICIPATING PROVIDERS MARTINEZ, HAROLD 11353 Sunset Hills Rd FUSION DENTAL (276) 963-3705 Reston, VA 20190 11503 Sunrise Valley Dr COMMONWEALTH Reston, VA 20191 ENDODONTICS PC (703) 435-8282 BUSKILL, MARCUS (703) 860-3200 3107 Hungary Spring Rd MARCUS B BUSKILL DDS PC Richmond, VA 23228 TISSERONT, STEPHAN 200 Alleghany St (804) 501-0501 STEPHAN TISSERONT DDS PC KHANG, WAHN Richlands, VA 24641 11720 Plaza America Dr #110 PERIO IMPLANT CENTER WAHN (276) 963-3705 MYERS, GARRY Reston, VA 20190 KHANG DMD PC 11866 Sunrise Valley Dr. #101 VCU DENTAL FACULTY (703) 773-1200 MUSICK, LORI Reston, VA 20191 PRACTICE ASSOC LORI B MUSICK DDS PC (703) 648-0500 520/521 N 11Th/12Th St PEDIATRIC 107 Tazewell Ave Richmond, VA 23298 DENTIST/PEDODONTIST Richlands, VA 24641 (804) 828-3368 PROSTHODONTIST (276) 964-7418 AVERNE, ROBERT FUSION DENTAL LEE, EUN HYE PACKER, GARDINER ROBERTS, ERIK 11503 Sunrise Valley Dr SMILES AT RESTON TOWN CHILDRENS HOSPITAL LORI B MUSICK DDS PC Reston, VA 20191 CENTER 2924 Brook Road 107 Tazewell Ave (703) 860-3200 1861 Explorer St Richmond, VA 23220 Reston, VA 20190 Richlands, VA 24641 (804) 321-7474 (703) 437-0007 (276) 964-7418 FERNANDES, JOYCE REPLOGLE, KARAN FUSION DENTAL RICHMOND 11503 Sunrise Valley Dr MARTINEZ, LUIS VCU DENTAL FACULTY Reston, VA 20191 DRS NOVICK HARTZ & HALL PC PRACTICE ASSOC ENDODONTIST (703) 860-3200 11325 Sunset Hills Road 520/521 N 11Th/12Th St Reston, VA 20190 BARBIERI, STEVEN Richmond, VA 23298 (703) 437-8811 (804) 828-3368 KALANTAR, NEDA COMMONWEALTH NEDA KALANTAR DDS PLLC ENDODONTICS PC 1984 Isaac Newton Sq Ste 200 SYNNOTT, SCOTT 3107 Hungary Spring Rd VRANAS, RONALD Reston, VA 20190 FUSION DENTAL Richmond, VA 23228 COMMONWEALTH (703) 435-1500 11503 Sunrise Valley Dr (804) 501-0501 ENDODONTICS PC Reston, VA 20191 3107 Hungary Spring Rd (703) 860-3200 Richmond, VA 23228 PERIODONTIST BHAGCHANDANI, SANJAY TRISHA A KRAUSE DMD MS PLLC (804) 501-0501 ABRIL, EDISON SPECIALTY NOT SPECIFIED 5318 B Patterson Ave FUSION DENTAL Richmond, VA 23226 WISNIEWSKI, JOHN 11503 Sunrise Valley Dr BAKER, JUSTIN (804) 285-0400 GEORGE A OLEY III PLC Reston, VA 20191 ZUSSMAN SMITH &DOLAN PC 9030 Three Chopt Rd #A 1800 Towne Cntr Dr #416 (703) 860-3200 FINKLER, TIMOTHY Richmond, VA 23229 Reston, VA 20190 COMMONWEALTH (804) 282-7011 ABRIL, EDISON (703) 435-7100 SUNRISE DENTAL ENDODONTICS PC 11868 Sunrise Valley Dr Suite 100 3107 Hungary Spring Rd WOZNIAK, DAVID HUR, JOHN Reston, VA 20191 Richmond, VA 23228 WOZNIAK DAVID S ZUSSMAN SMITH &DOLAN PC (703) 860-6700 (804) 501-0501 301 Twin Ridge Ln 1800 Towne Cntr Dr #416 Richmond, VA 23235 Reston, VA 20190 GAMBREL, MADELYN (804) 272-0041 CHEN, CLIFF (703) 435-7100 SUNRISE DENTAL COMMONWEALTH 11868 Sunrise Valley Dr Suite 100 ENDODONTICS PC GENERAL DENTIST Reston, VA 20191 3107 Hungary Spring Rd (703) 860-6700 Richmond, VA 23228 (804) 501-0501

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

AGRAWAL, NITIN ARMENTROUT, WILLIAM BELT, DOUGLAS VIRGINIA (CONT'D) KOOL SMILES DAILY BELT DOUGLAS S 3824 Mechanicsville Pike Unit 12 517 West Grace Street 5700 Old Richmond Ave A6 RICHMOND Richmond, VA 23223 Richmond, VA 23220 Richmond, VA 23226 (804) 321-5665 (804) 783-2505 (804) 288-1290 ABDUL-NABI, ANWAR NEIBAUER DENTAL CARE PC AGRAWAL, NITIN AVRAM, ADRIAN BELTRAMI, MARCO 11736 W. Broad St. #112 KOOL SMILES Richmond, VA 23233 4722 N Southside Plaza Ste 24 ADRIAN C AVRAM DDS PLLC COMMONWEALTH DENTISTRY (804) 360-8890 Richmond, VA 23224 1006 Pump Rd #101 6750 Forest Hill Ave (804) 319-5665 Richmond, VA 23238 Richmond, VA 23225 (804) 740-0834 (804) 272-7040 ABRAMOV, YURIY GREAT EXPRESSIONS DENTAL AHMAD, AMEERA BAILEY, DAVINA BENCH, STEPHEN CENTERS KOOL SMILES PARTICIPATING PROVIDERS 4859 Finlay Street 3824 Mechanicsville Pike Unit 12 KOOL SMILES ROANOKE SMILES YOUTH Richmond, VA 23231 Richmond, VA 23223 3824 Mechanicsville Pike Unit 12 DENTISTRY LLC (804) 222-6069 (804) 321-5665 Richmond, VA 23223 5322 Chamberlayne Ave (804) 321-5665 Richmond, VA 23227 (719) 562-4461 ABUALSOUD, ARWA AHMED, SADAF BAILEY, DAVINA FAMILY DENTAL OF VIRGININA KOOL SMILES KOOL SMILES BERNSTEIN, ALLEN 3904 Hull St #A 3824 Mechanicsville Pike Unit 12 4722 N Southside Plaza Ste 24 Richmond, VA 23224 Richmond, VA 23223 Richmond, VA 23224 ALLEN D BERNSTEIN DMD (804) 233-0007 (804) 321-5665 (804) 319-5665 2821 Parham Road #102 Richmond, VA 23294 ABUALSOUD, ARWA AHMED, SADAF (804) 270-4397 BALL, TYLER HERO DENTAL OF RICHMOND KOOL SMILES RONALD JESSUP DDS PC PC 4722 N Southside Plaza Ste 24 BIGELOW, ROBERT Richmond, VA 23224 1130 Wilkinson Rd 5322 Chamberlayne Road ROBERT W BIGELOW DDS PLLC Richmond, VA 23227 (804) 319-5665 Richmond, VA 23227 (804) 261-4020 5700 Old Richmond Ave Ste A-4 (804) 266-5040 Richmond, VA 23226 AHMED, SYED (804) 741-7440 ABUHAJLEH, OMAR ROANOKE SMILES YOUTH BARBATO, ISABEL DENTAL PROFESSIONALS OF VA HAPPY SMILES LLC DENTISTRY LLC BILLINGSLEY, CHERYL 5322 Chamberlayne Ave PC 30 Courthouse Rd CHERYL BRADFORD Richmond, VA 23227 11540 Midlothian Turnpike Richmond, VA 23236 BILLINGSLEY DDS PC (804) 379-7855 (719) 562-4461 Richmond, VA 23235 (804) 594-6916 10446 Ridgefield Parkway Richmond, VA 23233 ADAMS, COURTNEY ALKILANI, TAWFIQ BARBATO, ISABEL (804) 740-4485 WILLIAM R ADAMS DDS PC SAM E ENGLISH II DDS LLC NEIBAUER DENTAL CARE PC 4315 Grove Ave 3500 Grove Ave Ste 104 11736 W. Broad St. #112 BISCHOFF, ROBERT Richmond, VA 23221 Richmond, VA 23233 Richmond, VA 23221 ROBERT A BISCHOFF DDS (804) 358-0001 (804) 360-8890 (804) 288-4089 9603-B Gayton Rd Richmond, VA 23233 ADAMS, WILLIAM ALLEN, BRANDON BAUM, JAMES (804) 741-2000 WILLIAM R ADAMS DDS PC ADAMS & ALLEN DDS PC DRS BAUM & MORRE DDS INC 4315 Grove Ave 300 West Broad Street 25 S Nansemond St BLACKHAM, CRAIG Richmond, VA 23220 Richmond, VA 23221 Richmond, VA 23221 CRAIG BLACKHAM PLLC (804) 780-2888 (804) 359-5041 (804) 288-4089 7063 Messer Rd Richmond, VA 23231 ADLEMAN, RONALD AL-SAMIR, ZAID BEABOUT, KRISTEN (804) 222-3310 GEORGE A OLEY III PLC DAVID C CIRCEO DDS PC RONALD JESSUP DDS PC 9030 Three Chopt Rd #A 6113 Lakeside Ave 1130 Wilkinson Rd BOLAND, WILLIAM Richmond, VA 23228 Richmond, VA 23227 Richmond, VA 23229 BOLAND WILLIAM T III (804) 262-9824 (804) 261-4020 (804) 282-7011 5700 Old Richmond Av D15 Richmond, VA 23226 ADLER, MOLLY ANTINOPOULOS, PETER BECK, DAVID (804) 288-4103 BRENT A RUSNAK DDS PC VCU DENTAL FACULTY WILLIAM R ADAMS DDS PC 7820 Shrader Rd PRACTICE ASSOC 4315 Grove Ave BOND, MARK 520/521 N 11Th/12Th St Richmond, VA 23221 Richmond, VA 23294 VIRGINIA FAMILY DENTISTRY PC Richmond, VA 23298 (804) 288-4089 (804) 262-1060 12390 Three Chopt Rd (804) 828-3368 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

BUSSEY, JILL CHOI, SUNGWON CRISTI, IVONA VIRGINIA (CONT'D) JILL BUSSEY DMD PC KOOL SMILES ROANOKE SMILES YOUTH 3514 Grove Ave 4722 N Southside Plaza Ste 24 DENTISTRY LLC RICHMOND Richmond, VA 23221 Richmond, VA 23224 5322 Chamberlayne Ave (804) 644-5225 (804) 319-5665 Richmond, VA 23227 BOONE, MELANIE (719) 562-4461 MELANIE L BOONE DDS PC CARRILLO, JUAN CHUNG, HEE-CHUL 5734 Brook Rd CROWLEY, BENJAMIN Richmond, VA 23227 JUAN CARILLO DMD PLLC GREAT EXPRESSIONS DENTAL (804) 264-0224 2008 John Rolfe Pkwy Ste B1 CENTERS BENJAMIN CROWLEY DDS PC Richmond, VA 23238 4859 Finlay Street 6808 Stoneman Rd (804) 754-2020 Richmond, VA 23231 Richmond, VA 23228 BRADLEY, BRENDA (804) 222-6069 (804) 266-4989 B SHAY BRADLEY DDS PC CATOGGIO, MICHAEL 7032 Forest Hill Ave PARTICIPATING PROVIDERS CIRCEO, DAVID CULPEPPER, SCOTT Richmond, VA 23225 VIRGINIA FAMILY DENTISTRY PC (804) 272-2840 12390 Three Chopt Rd DAVID C CIRCEO DDS PC DENTAL PROFESSIONALS OF VA Richmond, VA 23233 6113 Lakeside Ave PC (804) 364-7010 Richmond, VA 23228 11540 Midlothian Turnpike BRAR, KANWARJIT (804) 262-9824 Richmond, VA 23235 KOOL SMILES CAUDILL, CAROL (804) 594-6916 4722 N Southside Plaza Ste 24 COE, JULIE Richmond, VA 23224 GLEN ALLEN DENTISTRY PLLC CULPEPPER, SCOTT (804) 319-5665 2314 E Parham Rd VCU DENTAL FACULTY NEIBAUER DENTAL CARE PC Richmond, VA 23225 PRACTICE ASSOC 11736 W. Broad St. #112 (804) 261-1970 520/521 N 11Th/12Th St BROTH, STUART Richmond, VA 23233 Richmond, VA 23298 (804) 360-8890 SMILES FOR ALL CERTOSIMO, ALFRED (804) 828-3368 505 Leigh St #204 Richmond, VA 23220 VIRGINIA COMMONWEALTH DACUNHA, PAUL COHEN, JEROME (804) 269-3951 UNIVERSITY PAUL Y DACUNHA DMD PC 520 North 12Th Street JEROME A COHEN DDS 8503 Patterson Ave Ste C BROTH, STUART Richmond, VA 23298 5700 Old Richmond Ave Ste G27 Richmond, VA 23229 SMILE 32 (804) 828-9190 Richmond, VA 23226 (804) 262-9563 9732 Midlothian Tpke (804) 285-7525 CERTOSIMO, ALFRED Richmond, VA 23235 DAHLKE, WILLIAM (804) 320-3683 VIRGINIA COMMONWEALTH UNIVERSITY COKER, WILLIAM VCU DENTAL FACULTY 521 North 11Th Street W L COKER III DDS PLLC PRACTICE ASSOC BROWN, STEPHEN Richmond, VA 23298 5500 Monument Ave #C 520/521 N 11Th/12Th St DRS BROWN & REYNOLDS (804) 786-0781 Richmond, VA 23226 Richmond, VA 23298 PRTNS (804) 358-1933 (804) 828-3368 10410 Ridgefield Pkwy #200 CHARY, MALLIKA Richmond, VA 23233 COOK, BRUCE DAVIA, ALLEN (804) 754-4161 DHAKAR FAMILY DENTISTRY 1633 Williamsburg Rd BRUCE C COOK DDS PC ALLEN J DAVIA DDS PC BROWN, STEPHEN Richmond, VA 23231 3300 Grove Ave 501 Libbie Ave BROWN REYNOLDS & SNOW (804) 447-4801 Richmond, VA 23221 Richmond, VA 23226 DENTISTRY (804) 359-2136 (804) 282-4429 6901 Patterson Ave CHENG, GEORGE Richmond, VA 23226 JASON T LIPSCOMB DDS PC COX, JOSEPH DELPH, BRADLEY (804) 288-5324 1205 E Main St JOSEPH C COX JR SAM E ENGLISH II DDS LLC Richmond, VA 23219 3850 Gaskins Road #230 3500 Grove Ave Ste 104 BRUNI, FRANK (804) 648-6684 Richmond, VA 23233 Richmond, VA 23221 FRANK D BRUNI DDS (804) 346-8882 (804) 358-0001 9220 Forest Hill Ave #A6 CHENNUPATI, NAVEEN Richmond, VA 23235 KOOL SMILES COX, ROBERT DESAI, BHAVIK (804) 272-4711 3824 Mechanicsville Pike Unit 12 J SCOTT DUFF III DDS & ROBERT VCU DENTAL FACULTY Richmond, VA 23223 Y COX DDS LTD PRACTICE ASSOC BUHLER, JOHN (804) 321-5665 4909 Grove Ave 520/521 N 11Th/12Th St VIRGINIA FAMILY DENTISTRY PC Richmond, VA 23226 Richmond, VA 23298 CHENNUPATI, NAVEEN 12390 Three Chopt Rd (804) 355-3100 (804) 828-3368 Richmond, VA 23233 KOOL SMILES (804) 364-7010 4722 N Southside Plaza Ste 24 COX, STUART Richmond, VA 23224 DETAR, MATTHEW STUART COX (804) 319-5665 JASON T LIPSCOMB DDS PC 4788 Finlay Street #2 1205 E Main St Richmond, VA 23231 Richmond, VA 23219 (804) 222-8140 (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

DUARTE, CAMILO FEARON, ANDREEN VIRGINIA (CONT'D) D & D FAMILY DENTISTRY PC KOOL SMILES FRATKIN, H 6935 Hull Street Rd 3824 Mechanicsville Pike Unit 12 H ANDREW FRATKIN DDS PC RICHMOND Richmond, VA 23224 Richmond, VA 23223 2301 North Parham Rd Ste 2 (804) 276-4555 (804) 321-5665 Richmond, VA 23229 (804) 346-4066 DHAKAR, ADITYA FEARON, ANDREEN DHAKAR FAMILY DENTISTRY DUFF, J KOOL SMILES FUMAGALI, CECILE 1633 Williamsburg Rd J SCOTT DUFF III DDS & ROBERT 4722 N Southside Plaza Ste 24 CHAD M VAN SCYOC DDS PC Richmond, VA 23231 Y COX DDS LTD Richmond, VA 23224 2821 Parham Rd Ste 202 (804) 447-4801 4909 Grove Ave (804) 319-5665 Richmond, VA 23226 Richmond, VA 23294 (804) 355-3100 (804) 270-7425 DHAKAR, SURYA FINLEY-PARKER, KATHRYN

DHAKAR FAMILY DENTISTRY PARTICIPATING PROVIDERS KATHRYN S FINLEY-PARKER GARDNER, EDWARD 1633 Williamsburg Rd EASTERLING, ROBERT DDS INC EDWARD D GARDNER JR DDS Richmond, VA 23231 GLENWOOD MEDICAL CENTER 4807 Hermitage Rd #101 PLC (804) 447-4801 2709 Byron St Richmond, VA 23227 8133 Forest Hill Ave #201 Richmond, VA 23223 (804) 266-8547 (804) 525-1851 Richmond, VA 23235 DHINGRA, PALLAVI (804) 272-2010 JASON T LIPSCOMB DDS PC EASTERLING, ROBERT FLAMER, ANDREA 1205 E Main St EAST END COMMUNITY HEALTH VERNON J HARRIS MEDICAL GARFIELD, DEAN Richmond, VA 23219 CTR CENTER GARFIELD FAMILY DENTISTRY (804) 648-6684 719 North 25Th St 2025 E Main St #105 5500 Monument Ave #G Richmond, VA 23223 Richmond, VA 23223 Richmond, VA 23226 (804) 780-0840 (804) 780-0840 DIAZ, ANGELA (804) 282-4646 D & D FAMILY DENTISTRY PC FLAMER, ANDREA 6935 Hull Street Rd ELCHEKHA, HOUSSAM GLENWOOD MEDICAL CENTER GILES, JERNICE Richmond, VA 23224 ROANOKE SMILES YOUTH 2709 Byron St DAILY PLANET (804) 276-4555 DENTISTRY LLC Richmond, VA 23223 517 West Grace Street 5322 Chamberlayne Ave (804) 525-1851 Richmond, VA 23220 Richmond, VA 23227 DIEFENDERFER, MARK (804) 783-2505 VIRGINIA FAMILY DENTISTRY PC (719) 562-4461 FLAMER, ANDREA 12390 Three Chopt Rd EAST END COMMUNITY HEALTH GOTTLIEB, RIKI Richmond, VA 23233 ELGARAWANY, IBRAHIM CTR 719 North 25Th St VCU DENTAL FACULTY (804) 364-7010 HAPPY SMILES LLC Richmond, VA 23223 PRACTICE ASSOC 30 Courthouse Rd (804) 780-0840 520/521 N 11Th/12Th St Richmond, VA 23236 DIMITROFF, EMILY Richmond, VA 23298 (804) 379-7855 KOOL SMILES (804) 828-3368 3824 Mechanicsville Pike Unit 12 FLANAGAN, CHAD Richmond, VA 23223 ENGLISH, SAM VIRGINIA FAMILY DENTISTRY PC 12390 Three Chopt Rd GRAHAM, JEFFREY (804) 321-5665 SAM E ENGLISH II DDS LLC Richmond, VA 23233 DRS BAUM & MORRE DDS INC 3500 Grove Ave Ste 104 DIMITROFF, EMILY (804) 364-7010 25 S Nansemond St Richmond, VA 23221 KOOL SMILES Richmond, VA 23221 (804) 358-0001 4722 N Southside Plaza Ste 24 (804) 359-5041 FLEENOR, WILLIAM Richmond, VA 23224 VERNON J HARRIS MEDICAL (804) 319-5665 EPPERLY, ASHLEY CENTER GRAHAM-MONTAQUE, RANA WILLIAM R ADAMS DDS PC 2025 E Main St #105 KOOL SMILES 4315 Grove Ave DO, ANH Richmond, VA 23223 4722 N Southside Plaza Ste 24 Richmond, VA 23221 FAMILY & COSMETIC DENTISTRY (804) 780-0840 Richmond, VA 23224 (804) 288-4089 7828 Shrader Rd (804) 319-5665 Richmond, VA 23294 FLEENOR, WILLIAM EPPS, JOHNE GLENWOOD MEDICAL CENTER (804) 358-3842 GRANTHAM, TABBITHA HAPPY SMILES LLC 2709 Byron St GRANTHAM FAMILY DENTISTRY 30 Courthouse Rd Richmond, VA 23223 DOWDY, SARAH 1122 N 25Th St Ste E Richmond, VA 23236 (804) 525-1851 SARAH M DOWDY DDS PC Richmond, VA 23223 (804) 379-7855 5700 Old Richmond Ave #E22 (804) 649-0240 Richmond, VA 23226 FOY, RANDALL EVENS, STEVEN ANDREW S NORMAN DDS KURT (804) 285-8609 GRAY, DOMINICQUE EVENS STEVEN E M OBECK DDS AND RANDALL C ROANOKE SMILES YOUTH 5311 Patterson Avenue FOY DDS DENTISTRY LLC Richmond, VA 23226 7229 Forest Ave #105 5322 Chamberlayne Ave (804) 282-6665 Richmond, VA 23226 Richmond, VA 23227 (804) 288-0102 (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

HUDSON, PAUL JEWETT, CHARLES JONES, JOHN VIRGINIA (CONT'D) HUDSON & HUDSON PC CHARLES P JEWETT DDS PC JOHN W JONES DDS PLC 1801 Raintree Dr Ste A 9021 Forest Hill Ave #D1 1805 Monument Ave Ste 501 RICHMOND Richmond, VA 23238 Richmond, VA 23235 Richmond, VA 23220 (804) 740-8059 (804) 272-2955 (804) 353-3009 GUNDECHA, SHANUP FAMILY DENTAL OF VIRGININA HUDSON, RAIDAH JIWANI, MUNIRA JONES, PERRY 3904 Hull St #A HUDSON RAIDAH HAPPY SMILES LLC JONES PERRY E Richmond, VA 23224 4374 S Laburnum Ave 30 Courthouse Rd 2803 Mcrae Road #B2 (804) 233-0007 Richmond, VA 23231 Richmond, VA 23236 Richmond, VA 23235 (804) 222-3135 (804) 379-7855 (804) 320-2496 GUTHRIE, MARCI JIWANI, MUNIRA HYDER, KHUDSIA JOSHI, MITSU JAMES RIVER FAMILY SAM E ENGLISH II DDS LLC PARTICIPATING PROVIDERS DENTISTRY PC KHUDSIA HYDER DDS 3500 Grove Ave Ste 104 VISTA DENTAL PLLC 2805 Mcrae Rd 9015 Forest Hill Ave Richmond, VA 23221 9195 Staples Mill Rd Richmond, VA 23235 Richmond, VA 23235 (804) 358-0001 Richmond, VA 23228 (804) 323-4200 (180) 420-1068 (804) 672-7070 JOHNSON, CHARLES JOSHI, MITSU HACKETT, CHARLES IACHINI, DIANE CHARLES K JOHNSON DDS SMILE 32 CHARLES J HACKETT JR DDS VIRGINIA FAMILY DENTISTRY PC 1405 Westover Hills Blvd #1 9732 Midlothian Tpke PC 12390 Three Chopt Rd Richmond, VA 23225 Richmond, VA 23235 1807 Libbie Ave #100 Richmond, VA 23233 (804) 232-1533 (804) 320-3683 Richmond, VA 23226 (804) 364-7010 (804) 288-9111 JOHNSON, G KEATING, KEVIN IMBERY, TERENCE DAVID C CIRCEO DDS PC SAM E ENGLISH II DDS LLC HAMILTON, MICHAEL VCU DENTAL FACULTY 6113 Lakeside Ave 3500 Grove Ave Ste 104 MICHAEL D HAMILTON DDS PRACTICE ASSOC Richmond, VA 23228 Richmond, VA 23221 6714 Patterson Avenue 520/521 N 11Th/12Th St (804) 262-9824 (804) 358-0001 Richmond, VA 23226 Richmond, VA 23298 (804) 282-4476 (804) 828-3368 JOHNSON-CURL, KEMLER, DAVID JACQUELINE DAVID A KEMLER DDS HART, FARYL JAIN, KHUSHBOO JACQUELINE JOHNSON-CURL 5954 Brook Rd DENTAL PROFESSIONALS OF VA FARYL K HART DDS DDS PC Richmond, VA 23227 PC 2103 E Parham Rd #102 5007 Brook Rd (804) 266-7976 11540 Midlothian Turnpike Richmond, VA 23228 Richmond, VA 23227 (804) 266-2074 Richmond, VA 23235 (804) 264-4068 KENNEALY, SARAH (804) 594-6916 GEORGE A OLEY III PLC HAUEIS, ROMAN JAIN, KHUSHBOO JONES, AUDRA 9030 Three Chopt Rd #A WILLIAM T LUCAS DDS & NEIBAUER DENTAL CARE PC JOHN W JONES DDS PLC Richmond, VA 23229 ROMAN T HAUEIS DMD PC 11736 W. Broad St. #112 1805 Monument Ave Ste 501 (804) 282-7011 3811 Westerre Pkwy #C Richmond, VA 23233 Richmond, VA 23220 Richmond, VA 23233 (804) 360-8890 (804) 353-3009 KENNETT, FRED (804) 747-0116 FRED F KENNETT DDS PHD JARVANDI, FERESHTEH JONES, GALE 11453 Robious Road HEROLD, WILLIAM FERESHTEH JARVANDI DDS PC KOOL SMILES Richmond, VA 23235 WILLIAM K HEROLD DDS PC 4712 Jefferson Davis Hwy 3824 Mechanicsville Pike Unit 12 (804) 330-4324 9023 Forest Hill Ave #1-E Richmond, VA 23234 Richmond, VA 23223 Richmond, VA 23235 (804) 271-9828 (804) 321-5665 KESSLER, FRED (804) 327-9922 JARVANDI, FERESHTEH JONES, GALE FRED N KESSLER DDS FERESHTEH JARVANDI DDS PC 2006 Bremo Rd. #200 HERRING, CAREY KOOL SMILES 9305 Quioccasin Rd Richmond, VA 23226 C NELSON HERRING DDS 4722 N Southside Plaza Ste 24 Richmond, VA 23229 (804) 282-9517 5700 Old Richmond Ave Ste A2 Richmond, VA 23224 (804) 750-1080 Richmond, VA 23226 (804) 319-5665 KIM, CHAD (804) 282-5031 JONES, GALE JESSUP, RONALD KOOL SMILES GALE F JONES DDS PC RONALD JESSUP DDS PC 3824 Mechanicsville Pike Unit 12 HUBAND, MICHAEL 5251 S Laburnum Ave 1130 Wilkinson Rd Richmond, VA 23223 VCU DENTAL FACULTY Richmond, VA 23231 Richmond, VA 23227 (804) 321-5665 PRACTICE ASSOC (804) 222-4003 (804) 261-4020 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 136 Delta Dental Premier

KOHEIL, YOSRELDIN LARSON, DAVID VIRGINIA (CONT'D) DYNAMIC DENTAL HEALTH DYNAMIC DENTAL HEALTH LIVINGSTON, LYNN ASSOC OF VA PC ASSOC OF VA PC GREAT EXPRESSIONS DENTAL RICHMOND 9327 Midlothian Trpke #1A 9327 Midlothian Trpke #1A CENTERS Richmond, VA 23235 Richmond, VA 23235 4859 Finlay Street KIM, CHAD (804) 323-3944 (804) 323-3944 Richmond, VA 23231 KOOL SMILES (804) 222-6069 4722 N Southside Plaza Ste 24 KOMMINENI, SANATH LEE, ELIZABETH Richmond, VA 23224 LUCAS, WILLIAM (804) 319-5665 KOOL SMILES ELIZABETH A LEE DDS PC 3824 Mechanicsville Pike Unit 12 5700 Old Richmond Rd Ste D17 WILLIAM T LUCAS DDS & Richmond, VA 23223 Richmond, VA 23226 ROMAN T HAUEIS DMD PC KING, ROBERT (804) 321-5665 (804) 288-4526 3811 Westerre Pkwy #C JASON T LIPSCOMB DDS PC Richmond, VA 23233

1205 E Main St KOMMINENI, SANATH (804) 747-0116 PARTICIPATING PROVIDERS LEE, SI-HYEON Richmond, VA 23219 KOOL SMILES KOOL SMILES (804) 648-6684 4722 N Southside Plaza Ste 24 LUKANUSKI, STACY Richmond, VA 23224 4722 N Southside Plaza Ste 24 STACY Z LUKANUSKI DDS PLC (804) 319-5665 Richmond, VA 23224 KITTRELL, JOHN (804) 319-5665 2105 E Parham Rd Ste 107 JOHN S KITTRELL DDS KOMMINENI, SANATH Richmond, VA 23228 2600 Grove Ave (804) 264-9460 HERO DENTAL OF RICHMOND LENOIR, ROBERT Richmond, VA 23220 PC DRS BROWN & REYNOLDS (804) 359-6471 5322 Chamberlayne Road PRTNS MADURANTAKAM, Richmond, VA 23227 10410 Ridgefield Pkwy #200 PARTHASARATHY (804) 266-5040 KITTS, CONNIE Richmond, VA 23233 DHAKAR FAMILY DENTISTRY KATHRYN S FINLEY-PARKER (804) 754-4161 1633 Williamsburg Rd DDS INC KONTOPANOS, GREGORY Richmond, VA 23231 4807 Hermitage Rd #101 GREGORY K KONTOPANOS DDS LENOIR, ROBERT (804) 447-4801 Richmond, VA 23227 & ASSOC BROWN REYNOLDS & SNOW (804) 266-8547 DENTISTRY 3525 Iron Bridge Road MAIER, WHITNEY 6901 Patterson Ave Richmond, VA 23234 ROANOKE SMILES YOUTH Richmond, VA 23226 KNAYSI, FRED (804) 275-7477 DENTISTRY LLC (804) 288-5324 FRED A KNAYSI 5322 Chamberlayne Ave 8921 Three Chopt Rd #304 KOPELOVE, STEPHEN Richmond, VA 23227 Richmond, VA 23229 GEORGE A OLEY III PLC LEVIN, JEFFREY (719) 562-4461 (804) 282-6005 9030 Three Chopt Rd #A COMMONWEALTH PROSTHODONTICS Richmond, VA 23229 MALAN, DAVID 8917 Fargo Rd Ste B KOGANTI, RANI (804) 282-7011 COMMONWEALTH DENTISTRY Richmond, VA 23229 VERNON J HARRIS MEDICAL 6750 Forest Hill Ave (804) 346-3366 CENTER KRAFT, RACHEL Richmond, VA 23225 2025 E Main St #105 STERLING ARDEN M (804) 272-7040 Richmond, VA 23223 2500 Monument Ave LILLY, J (804) 780-0840 J DAVID LILLY JR DDS Richmond, VA 23220 MARINELLI, STEVEN 7834 Forest Hill Ave (804) 359-3449 VCU DENTAL FACULTY KOGANTI, RANI Richmond, VA 23225 PRACTICE ASSOC GLENWOOD MEDICAL CENTER (804) 320-0773 2709 Byron St KUPPERI, VINUTHA 520/521 N 11Th/12Th St Richmond, VA 23223 KOOL SMILES Richmond, VA 23298 LIPSCOMB, JASON (804) 525-1851 3824 Mechanicsville Pike Unit 12 (804) 828-3368 Richmond, VA 23223 JASON T LIPSCOMB DDS PC KOGANTI, RANI 1205 E Main St (804) 321-5665 MATIAS, THIAGO KOOL SMILES Richmond, VA 23219 KOOL SMILES 4722 N Southside Plaza Ste 24 KUPPERI, VINUTHA (804) 648-6684 3824 Mechanicsville Pike Unit 12 Richmond, VA 23224 KOOL SMILES Richmond, VA 23223 (804) 319-5665 4722 N Southside Plaza Ste 24 LITTLE, KEITH Richmond, VA 23224 (804) 321-5665 KOGANTI, RANI DENTAL PROFESSIONALS OF VA (804) 319-5665 MATIAS, THIAGO EAST END COMMUNITY HEALTH PC KOOL SMILES CTR 11540 Midlothian Turnpike LARKIN, STEVEN 4722 N Southside Plaza Ste 24 719 North 25Th St Richmond, VA 23235 Richmond, VA 23224 Richmond, VA 23223 VIRGINIA FAMILY DENTISTRY PC (804) 594-6916 (804) 319-5665 (804) 780-0840 12390 Three Chopt Rd Richmond, VA 23233 LITTLE, KEITH (804) 364-7010 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

MOHANTY, SUJIT MORRISON, JULIUS MUSTIAN, JOHN VIRGINIA (CONT'D) SK MOHANTY DDS PC EAST END COMMUNITY HEALTH MUSTIAN EDWARD L III 1782 Parham Rd CTR 5700 Old Richmond Ave #8 RICHMOND Richmond, VA 23229 719 North 25Th St Richmond, VA 23226 (804) 527-1009 Richmond, VA 23223 (804) 285-9548 MCCOMB, JACK (804) 780-0840 MCCOMB & STEWART MOHIUDDIN, SUMAYRA MYERS, PRISCILLA DENTISTRY PC MOSS, PATRICIA 2902 Hungary Spring Rd HARINI B REDDY DMD LLC ROSSETTI & MYERS Richmond, VA 23228 3000 Hungary Spring Rd PATRICIA A MOSS DDS 2613 North Parham Road (804) 672-1400 Richmond, VA 23228 6714 Patterson Ave #201 Richmond, VA 23294 (804) 501-0816 Richmond, VA 23226 (804) 747-0090 MCCOMB, JACK (804) 282-3197 MCCOMB & STEWART MONTANO, RONALD NASH, COLLEEN PARTICIPATING PROVIDERS DENTISTRY PC HERO DENTAL OF RICHMOND MUELLER, TRAVIS VIRGINIA FAMILY DENTISTRY PC 530 East Main St #500 PC TRAVIS L MUELLER DDS PC 12390 Three Chopt Rd Richmond, VA 23219 5322 Chamberlayne Road 3424 Lauderdale Drive Richmond, VA 23233 (804) 643-6665 Richmond, VA 23227 Richmond, VA 23233 (804) 364-7010 (804) 266-5040 (804) 360-1800 MENDOZA, ISRAEL MUELLER, TRAVIS NASIF, YASER ISRAEL MENDOZA & ASSOC LLC MONTGOMERY, TYRUS SAM E ENGLISH II DDS LLC 2303 N Parham Rd Ste 5 WILLIAM R ADAMS DDS PC JUST 4 KIDS PEDATRIC 4315 Grove Ave 3500 Grove Ave Ste 104 Richmond, VA 23229 DENTISTRY & SEDATION Richmond, VA 23221 (804) 501-8483 Richmond, VA 23221 10409 Midlothian Turnpike (804) 288-4089 (804) 358-0001 Richmond, VA 23235 MERA, JOSE (804) 562-2667 MULLIGAN, DANIEL NAVUBOTHU, PADMALATHA JOSE A MERA DDS PC FAMILY DENTAL OF VIRGININA 11507 Allecingie Pkwy DANIEL J MULLIGAN DDS MORGAN, GARY 9217 Midlothian Tpke 3904 Hull St #A Richmond, VA 23235 JOSEPH H MORGAN DDS LTD Richmond, VA 23224 (804) 379-9375 Richmond, VA 23235 2301 Hilliard Road Lakeside (804) 320-1153 (804) 233-0007 Medical Center Ste11 MEREDITH-SMITH, JODIE Richmond, VA 23228 MULLINS, EDMUND NGUYEN, KIM EDWARD D GARDNER JR DDS (804) 266-8769 KIM PHUONG NGUYEN DDS LLC PLC BENJAMIN CROWLEY DDS PC 6808 Stoneman Rd 1801 Raintree Dr #B 8133 Forest Hill Ave #201 MORGAN, JOSEPH Richmond, VA 23238 Richmond, VA 23235 Richmond, VA 23228 JOSEPH H MORGAN DDS LTD (804) 266-4989 (804) 740-8360 (804) 272-2010 2301 Hilliard Road Lakeside MULLINS, EDMUND Medical Center Ste11 NGUYEN, VIET EDMUND E MULLINS JR DDS MILLAN, ALIRIO Richmond, VA 23228 SAM E ENGLISH II DDS LLC 6808 Stoneman Rd SMILES FOR ALL (804) 266-8769 3500 Grove Ave Ste 104 Richmond, VA 23228 505 Leigh St #204 Richmond, VA 23221 (804) 266-4989 Richmond, VA 23220 MORRISON, JULIUS (804) 358-0001 (804) 269-3951 GLENWOOD MEDICAL CENTER MUNCY, BEATRICE MILLAN, ALIRIO 2709 Byron St NICHOLS, ASHLEY JAMES L MUNCY DDS SMILE 32 Richmond, VA 23223 KOOL SMILES 2817 N Parham Road 9732 Midlothian Tpke (804) 525-1851 4722 N Southside Plaza Ste 24 Richmond, VA 23294 Richmond, VA 23235 Richmond, VA 23224 MORRISON, JULIUS (804) 290-0490 (804) 320-3683 HAPPY SMILES LLC (804) 319-5665 30 Courthouse Rd MUNCY, JAMES MILLER, ELIZABETH Richmond, VA 23236 NORMAN, ANDREW JAMES L MUNCY DDS ATKINS MAESTRELLO & ASSOC (804) 379-7855 ANDREW S NORMAN DDS KURT 2817 N Parham Road PEDIATRIC DENTISTRY M OBECK DDS AND RANDALL C MORRISON, JULIUS Richmond, VA 23294 2560 Gaskins Rd FOY DDS JULIUS V MORRISON DDS PC (804) 290-0490 Richmond, VA 23233 7229 Forest Ave #105 3501 Courthouse Rd (804) 741-2226 Richmond, VA 23226 Richmond, VA 23236 MUSTIAN, EDWARD (804) 288-0102 (804) 745-9183 MIRMONSEF, PARASTU MUSTIAN EDWARD L III GREAT EXPRESSIONS DENTAL MORRISON, JULIUS 5700 Old Richmond Ave #8 NORRGARD, JEFFEREY Richmond, VA 23226 CENTERS JULIUS V MORRISON DDS PC JEFFEREY W NORRGARD DDS (804) 285-9548 4859 Finlay Street 530 E Main St Ste 400 PC Richmond, VA 23231 Richmond, VA 23219 3300 Grove Ave (804) 222-6069 (804) 648-1305 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

PANDHER, RAMONA PHILLIPS, SARAH RESENDES, MELANIE VIRGINIA (CONT'D) KOOL SMILES KOOL SMILES MELANIE RESENDES DDS PLLC 3824 Mechanicsville Pike Unit 12 3824 Mechanicsville Pike Unit 12 3900 Meadowdale Blvd RICHMOND Richmond, VA 23223 Richmond, VA 23223 Richmond, VA 23234 (804) 321-5665 (804) 321-5665 (804) 275-1622 NYSTROM, CHERYL JOSE A MERA DDS PC PANDHER, RAMONA PHILLIPS, SARAH RESSLER, CHRISTINE 11507 Allecingie Pkwy KOOL SMILES KOOL SMILES Richmond, VA 23235 4722 N Southside Plaza Ste 24 4722 N Southside Plaza Ste 24 VIRGINIA FAMILY DENTISTRY PC (804) 379-9375 Richmond, VA 23224 Richmond, VA 23224 12390 Three Chopt Rd (804) 319-5665 (804) 319-5665 Richmond, VA 23233 (804) 364-7010 OBECK, KURT ANDREW S NORMAN DDS KURT PANZARELLA, CARL POPAT, NITESH REYNOLDS, ELIZABETH M OBECK DDS AND RANDALL C JASON T LIPSCOMB DDS PC DENTAL PROFESSIONALS OF VA PARTICIPATING PROVIDERS FOY DDS 1205 E Main St PC DRS BROWN & REYNOLDS 7229 Forest Ave #105 Richmond, VA 23219 11540 Midlothian Turnpike PRTNS Richmond, VA 23226 (804) 648-6684 Richmond, VA 23235 10410 Ridgefield Pkwy #200 (804) 288-0102 (804) 594-6916 Richmond, VA 23233 (804) 754-4161 PATEL, ANISHA POPAT, NITESH OCTAVE, WILLIAM GEORGE A OLEY III PLC NEIBAUER DENTAL CARE PC REYNOLDS, ELIZABETH VCU DENTAL FACULTY 9030 Three Chopt Rd #A 11736 W. Broad St. #112 BROWN REYNOLDS & SNOW PRACTICE ASSOC Richmond, VA 23229 Richmond, VA 23233 DENTISTRY 520/521 N 11Th/12Th St (804) 282-7011 (804) 360-8890 6901 Patterson Ave Richmond, VA 23298 Richmond, VA 23226 (804) 828-3368 (804) 288-5324 PATEL, VAISHALI POPLI, VISHAL KOOL SMILES ROANOKE SMILES YOUTH O'DONNELL, DAVID 3824 Mechanicsville Pike Unit 12 DENTISTRY LLC REYNOLDS, JOHN KOOL SMILES Richmond, VA 23223 5322 Chamberlayne Ave REYNOLDS FAMILY DENTISTRY 3824 Mechanicsville Pike Unit 12 (804) 321-5665 Richmond, VA 23227 PLC Richmond, VA 23223 5700 Old Richmond Ave Ste A3 PATEL, VAISHALI (719) 562-4461 (804) 321-5665 Richmond, VA 23226 KOOL SMILES (804) 282-8712 O'DONNELL, DAVID 4722 N Southside Plaza Ste 24 POQUIS, GREGORY KOOL SMILES Richmond, VA 23224 GEORGE A OLEY III PLC ROBINSON, ELI 4722 N Southside Plaza Ste 24 (804) 319-5665 9030 Three Chopt Rd #A Richmond, VA 23224 Richmond, VA 23229 ELI W ROBINSON DDS PLC 2303 N Parham Rd Ste 5 (804) 319-5665 PEAT, ASHLEY (804) 282-7011 Richmond, VA 23229 COMMONWEALTH DENTISTRY (804) 346-9049 OGUNDIPE, OLUWATOYIN 6750 Forest Hill Ave PULLER, ANTHONY KOOL SMILES Richmond, VA 23225 PULLER ANTHONY J ROELOFS, RENAE 4722 N Southside Plaza Ste 24 (804) 272-7040 7834 Forest Hill Avenue Suite 6 Richmond, VA 23224 Richmond, VA 23225 DYNAMIC DENTAL HEALTH ASSOC OF VA PC (804) 319-5665 PEMBERTON, DAVID (804) 272-0563 9327 Midlothian Trpke #1A DAVID B PEMBERTON DDS PC Richmond, VA 23235 RASUL, AFIA OLEY, GEORGE 101 Cowardin Ave Ste 303 (804) 323-3944 GEORGE A OLEY III PLC Richmond, VA 23224 HARINI B REDDY DMD LLC 9030 Three Chopt Rd #A (804) 233-6811 3000 Hungary Spring Rd ROPER, ERIK Richmond, VA 23229 Richmond, VA 23228 PEMBERTON, DAVID (804) 282-7011 (804) 501-0816 VIRGINIA FAMILY DENTISTRY PC DAVID B PEMBERTON DDS PC 12390 Three Chopt Rd 3501 Courthouse Rd Richmond, VA 23233 REDDY, HARINI OSMAN, FEISAL Richmond, VA 23236 (804) 364-7010 OSMAN FEISAL (804) 233-6811 HARINI B REDDY DMD LLC 3033 Lauderdale Dr 3000 Hungary Spring Rd ROSE, GRAHAM Richmond, VA 23233 Richmond, VA 23228 PERKINSON, S (804) 364-1696 (804) 501-0816 COMPREHENSIVE FAMILY VIRGINIA FAMILY DENTISTRY PC DENTISTRY 12390 Three Chopt Rd 2010 Bremo Rd #121 REDWINE, WILLIAM PAIGE, JASON Richmond, VA 23233 Richmond, VA 23226 JASON R PAIGE DDS PC (804) 364-7010 WILLIAM JAMES REDWINE DDS (804) 282-9191 2928 North Ave 6808 Stoneman Rd Richmond, VA 23222 Richmond, VA 23228 (804) 321-4065 (804) 266-8704

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

SCHROEDER, STEPHEN SIMON, DEEPA STAFFORD, MATTHEW VIRGINIA (CONT'D) JASON T LIPSCOMB DDS PC CHILDRENS HOSPITAL COMMONWEALTH DENTISTRY 1205 E Main St 2924 Brook Road 6750 Forest Hill Ave RICHMOND Richmond, VA 23219 Richmond, VA 23220 Richmond, VA 23225 (804) 648-6684 (804) 321-7474 (804) 272-7040 ROSE, MARTINE COMPREHENSIVE FAMILY SHAH, ROHINI SINCLAIR, EMILY STEADMAN, ROBERT DENTISTRY 2010 Bremo Rd #121 VERNON J HARRIS MEDICAL JASON T LIPSCOMB DDS PC ROBERT B STEADMAN DDS PC Richmond, VA 23226 CENTER 1205 E Main St 9220 Forest Hill Ave A5 (804) 282-9191 2025 E Main St #105 Richmond, VA 23219 Richmond, VA 23235 Richmond, VA 23223 (804) 648-6684 (804) 272-3200 (804) 780-0840 ROSSETTI, MICHAEL SMITH, JESSICA STERLING, ARDEN ROSSETTI & MYERS SHAH, ROHINI PARTICIPATING PROVIDERS 2613 North Parham Road GLENWOOD MEDICAL CENTER SMILES FOR ALL STERLING ARDEN M Richmond, VA 23294 2709 Byron St 505 Leigh St #204 2500 Monument Ave (804) 747-0090 Richmond, VA 23223 Richmond, VA 23220 Richmond, VA 23220 (804) 525-1851 (804) 269-3951 (804) 359-3449 RUSNAK, BRENT SHAH, ROHINI SMITH, JESSICA STEWART, HENRY BRENT A RUSNAK DDS PC HAPPY SMILES LLC SMILE 32 HENRY I STEWART IV DDS 7820 Shrader Rd 30 Courthouse Rd 9732 Midlothian Tpke 12091 Gayton Road Richmond, VA 23294 Richmond, VA 23236 Richmond, VA 23235 Richmond, VA 23238 (804) 262-1060 (804) 379-7855 (804) 320-3683 (804) 740-9127 SHAH, ROHINI SARAVANA, SAUMITRA SNOW, WESLEY EAST END COMMUNITY HEALTH STEWART, TIMOTHY HAPPY SMILES LLC DRS BROWN & REYNOLDS CTR 30 Courthouse Rd PRTNS MCCOMB & STEWART 719 North 25Th St Richmond, VA 23236 10410 Ridgefield Pkwy #200 DENTISTRY PC Richmond, VA 23223 (804) 379-7855 Richmond, VA 23233 2902 Hungary Spring Rd (804) 780-0840 (804) 754-4161 Richmond, VA 23228 (804) 672-1400 SARRETT, DAVID SHAH, RUPAL SNOW, WESLEY VCU DENTAL FACULTY STEWART, TIMOTHY GLEN ALLEN DENTISTRY PLLC BROWN REYNOLDS & SNOW PRACTICE ASSOC MCCOMB & STEWART 2314 E Parham Rd DENTISTRY 520/521 N 11Th/12Th St DENTISTRY PC Richmond, VA 23225 6901 Patterson Ave Richmond, VA 23298 530 East Main St #500 (804) 261-1970 Richmond, VA 23226 (804) 828-3368 (804) 288-5324 Richmond, VA 23219 (804) 643-6665 SHAIA, PAUL SAUNDERS, PAUL GEORGE A OLEY III PLC SOLTANIAN, FARSHID PAUL L SAUNDERS DDS STONER, KENNETH 9030 Three Chopt Rd #A MEADOWDALE DENTAL CENTER 3422 Pump Rd KENNETH E STONER DDS Richmond, VA 23229 4121 Meadowdale Blvd Richmond, VA 23233 4106-A Meadowdale Blvd (804) 282-7011 Richmond, VA 23234 (804) 364-0909 (804) 303-9654 Richmond, VA 23234 (804) 743-3490 SHAN, AILIN SAVAGE, HARRY AILIN SHAN DMD PLLC SPAINHOUR, STEPHEN STONER, KENNETH HARRY E SAVAGE JR DDS 5412 Glenside Dr Unit C Bldg 3 STEPHEN E SPAINHOUR DDS KENNETH STONER DDS 1400 N 26Th St Richmond, VA 23228 8917 Fargo Rd #A 4922 B West Broad Street Richmond, VA 23223 (804) 380-0165 Richmond, VA 23229 Richmond, VA 23230 (804) 643-7889 (804) 747-7001 (804) 282-4279 SILL, LAURENCE SCHMITT, STEVEN REYNOLDS FAMILY DENTISTRY SPITZER, JAY STRAUS, FRANK STEVEN B SCHMITT PLC JAY B SPITZER DDS ADVANCED DENTAL CARE OF 6911 Patterson Avenue 5700 Old Richmond Ave Ste A3 3312 Parham Road RICHMOND Richmond, VA 23226 Richmond, VA 23226 Richmond, VA 23294 2020 John Rolfe Pkwy (804) 282-3613 (804) 282-8712 (804) 747-0105 Richmond, VA 23238 (804) 741-4177 SILL, LAURENCE SCHOLL, LEO STAAS, JENNIFER L SCOTT SILL DDS PC JOSE A MERA DDS PC WILLIAM R ADAMS DDS PC SVIRSKY, JOHN 5700 Old Richmond Avenue Suite A 11507 Allecingie Pkwy 4315 Grove Ave VCU DENTAL FACULTY 3 Richmond, VA 23235 Richmond, VA 23221 PRACTICE ASSOC Richmond, VA 23226 (804) 379-9375 (804) 288-4089 520/521 N 11Th/12Th St (804) 282-8712 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

THOMASON, EDWARD VINSON, ALEXA WILKINSON, DAVID VIRGINIA (CONT'D) EDWARD J THOMASON DDS BRENT A RUSNAK DDS PC DR CM WILKINSON & ASSOC PC Libbie Medical Center 5700 Old 7820 Shrader Rd 9015 Forest Hill Ave RICHMOND Richmond Ave Ste C-11 Richmond, VA 23294 Richmond, VA 23235 Richmond, VA 23226 (804) 262-1060 (804) 272-6800 SZUBIAK, STANISLAW (804) 282-7096 KOOL SMILES VOLKOVA, IRINA WILLIAMS, TIFFANY 3824 Mechanicsville Pike Unit 12 TIESWORTH, DANIEL Richmond, VA 23223 GLEN ALLEN DENTISTRY PLLC VCU DENTAL FACULTY (804) 321-5665 FRED F KENNETT DDS PHD 2314 E Parham Rd PRACTICE ASSOC 11453 Robious Road Richmond, VA 23225 520/521 N 11Th/12Th St SZUBIAK, STANISLAW Richmond, VA 23235 (804) 261-1970 Richmond, VA 23298 KOOL SMILES (804) 330-4324 (804) 828-3368 VOLKOVA, IRINA 4722 N Southside Plaza Ste 24

SAM E ENGLISH II DDS LLC PARTICIPATING PROVIDERS Richmond, VA 23224 TODD, STEPHEN WILSON, NATASHA (804) 319-5665 3500 Grove Ave Ste 104 STEPHEN J TODD DDS PC Richmond, VA 23221 HERO DENTAL OF RICHMOND 513 Forest Ave Ste A (804) 358-0001 PC TAILOR, PRIYA Richmond, VA 23229 5322 Chamberlayne Road KOOL SMILES (804) 288-1267 Richmond, VA 23227 WADE, FRANK 3824 Mechanicsville Pike Unit 12 (804) 266-5040 F ANDERSON WADE DDS Richmond, VA 23223 TROW, THOMAS (804) 321-5665 204 Hamilton St THOMAS H TROW Richmond, VA 23221 WONG, DENNIS TAILOR, PRIYA 7834 Forest Hill Ave (804) 358-8204 VIRGINIA FAMILY DENTISTRY PC KOOL SMILES Richmond, VA 23225 12390 Three Chopt Rd (804) 272-2205 Richmond, VA 23233 4722 N Southside Plaza Ste 24 WARD, GLORIA (804) 364-7010 Richmond, VA 23224 JOSE A MERA DDS PC (804) 319-5665 TURNAGE, NEIL 11507 Allecingie Pkwy VIRGINIA FAMILY DENTISTRY PC Richmond, VA 23235 WOOLFOLK, ROYCE TALTON, JOHN 12390 Three Chopt Rd (804) 379-9375 ROYCE W WOOLFOLK JR DDS TALTON & RENKENBERGER PLC Richmond, VA 23233 4908 Monument Ave Ste 101 (804) 364-7010 Richmond, VA 23230 10444 Patterson Ave WAY, WILLIAM (804) 358-0002 Richmond, VA 23233 WESTHAMPTON DENTISTRY (804) 740-3402 UPSHUR, CONWAY 118 Libbie Ave VCU DENTAL FACULTY Richmond, VA 23226 WORKIE, DANIEL TARASIDIS, VERA PRACTICE ASSOC (804) 288-0948 KOOL SMILES JOSE A MERA DDS PC 520/521 N 11Th/12Th St 4722 N Southside Plaza Ste 24 Richmond, VA 23298 Richmond, VA 23224 11507 Allecingie Pkwy WEISS, BARRY (804) 828-3368 (804) 319-5665 Richmond, VA 23235 BARRY WEISS DDS (804) 379-9375 9606 Patterson Avenue WORKIE, DANIEL VAHDANI, THOMAS Richmond, VA 23229 ROANOKE SMILES YOUTH TAVASSOLI, AMIR VCU DENTAL FACULTY (804) 740-9118 DENTISTRY LLC SMILES FOR ALL PRACTICE ASSOC 5322 Chamberlayne Ave 520/521 N 11Th/12Th St 505 Leigh St #204 WHITMAN, KIME Richmond, VA 23227 Richmond, VA 23220 Richmond, VA 23298 (719) 562-4461 (804) 828-3368 GLEN ALLEN DENTISTRY PLLC (804) 269-3951 2314 E Parham Rd TAVASSOLI, AMIR Richmond, VA 23225 WRIGHT, THOMAS VAN SCYOC, CHAD SMILE 32 (804) 261-1970 THOMAS J WRIGHT JR DDS LTD CHAD M VAN SCYOC DDS PC 9732 Midlothian Tpke 6740 Forest Hill Ave Ste 201 2821 Parham Rd Ste 202 Richmond, VA 23235 WILBY, LYLA ROSE Richmond, VA 23225 Richmond, VA 23294 (804) 320-3683 (804) 320-8894 (804) 270-7425 GEORGE A OLEY III PLC 9030 Three Chopt Rd #A TAYLOR, JAMES Richmond, VA 23229 YOUNG, M VILLALBA, PATRICIA JAMES E TAYLOR JR DDS (804) 282-7011 BRENT A RUSNAK DDS PC ROANOKE SMILES YOUTH 5700 Old Ricmond Ave B-9 7820 Shrader Rd DENTISTRY LLC Richmond, VA 23226 WILKINSON, CLAUDE Richmond, VA 23294 5322 Chamberlayne Ave (804) 282-9418 (804) 262-1060 Richmond, VA 23227 DR CM WILKINSON & ASSOC PC (719) 562-4461 9015 Forest Hill Ave THOMAS, SUSAN Richmond, VA 23235 YOUNG, STEPHEN RICHMOND SMILE CENTER (804) 272-6800 STEPHEN S YOUNG DDS PC 11201 Huguenot Rd 1107 Westbriar Drive Richmond, VA 23235 Richmond, VA 23238 (804) 320-6800 (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

DEEB, GEORGE MCANDREW, BRIAN VIRGINIA (CONT'D) VCU DENTAL FACULTY FERGUSON, ANDREW NIAMTU ALEXANDER KEENEY PRACTICE ASSOC COMMONWEALTH ORAL & HARRIS METZGER DYMON PC RICHMOND 520/521 N 11Th/12Th St FACIAL SURGERY 5224 Monument Ave Richmond, VA 23298 3811 Westerre Pkwy Ste A Richmond, VA 23226 ZAINUL ABEDEEN, ANAS (804) 828-3368 Richmond, VA 23233 (804) 359-4474 KOOL SMILES (804) 354-1600 3824 Mechanicsville Pike Unit 12 MCANDREW, BRIAN DELUKE, DEAN FERGUSON, ANDREW Richmond, VA 23223 NIAMTU ALEXANDER KEENEY (804) 321-5665 VCU DENTAL CARE COMMONWEALTH ORAL & HARRIS METZGER DYMON PC 401 N. 11Th St. FACIAL SURGERY 7702 Parham Road Suite 103 A ZAINUL ABEDEEN, ANAS Richmond, VA 23219 5801 Bremo Rd Richmond, VA 23294 KOOL SMILES (804) 628-6637 Richmond, VA 23226 (804) 270-5028 4722 N Southside Plaza Ste 24 (804) 354-1602

DELUKE, DEAN PARTICIPATING PROVIDERS Richmond, VA 23224 FERGUSON, ANDREW METZGER, LAWRENCE (804) 319-5665 VCU DENTAL FACULTY PRACTICE ASSOC COMMONWEALTH ORAL & NIAMTU ALEXANDER KEENEY 520/521 N 11Th/12Th St FACIAL SURGERY HARRIS METZGER DYMON PC ORAL SURGEON Richmond, VA 23298 8503 Patterson Ave 5224 Monument Ave ABUBAKER, A (804) 828-3368 Richmond, VA 23229 Richmond, VA 23226 (804) 354-1601 (804) 359-4474 VCU DENTAL CARE 401 N. 11Th St. DYMON, WILLIAM METZGER, LAWRENCE Richmond, VA 23219 NIAMTU ALEXANDER KEENEY HARRIS, MONROE NIAMTU ALEXANDER KEENEY (804) 628-6637 HARRIS METZGER DYMON PC NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC 5224 Monument Ave HARRIS METZGER DYMON PC ABUBAKER, A 7702 Parham Road Suite 103 A Richmond, VA 23226 5224 Monument Ave Richmond, VA 23294 VCU DENTAL FACULTY (804) 359-4474 Richmond, VA 23226 (804) 270-5028 PRACTICE ASSOC (804) 359-4474 520/521 N 11Th/12Th St DYMON, WILLIAM Richmond, VA 23298 NIAMTU ALEXANDER KEENEY HARRIS, MONROE MILLER, MICHAEL (804) 828-3368 HARRIS METZGER DYMON PC NIAMTU ALEXANDER KEENEY COMMONWEALTH ORAL & 7702 Parham Road Suite 103 A HARRIS METZGER DYMON PC FACIAL SURGERY AGNIHOTRI, NEIL Richmond, VA 23294 7702 Parham Road Suite 103 A 3811 Westerre Pkwy Ste A (804) 270-5028 Richmond, VA 23294 Richmond, VA 23233 NIAMTU ALEXANDER KEENEY (804) 270-5028 (804) 354-1600 HARRIS METZGER DYMON PC 5224 Monument Ave ERCOLE, AARON MILLER, MICHAEL Richmond, VA 23226 SMILES FOR ALL HERRERA, MARICIO COMMONWEALTH ORAL & (804) 359-4474 505 Leigh St #204 KOOL SMILES FACIAL SURGERY Richmond, VA 23220 3824 Mechanicsville Pike Unit 12 AGNIHOTRI, NEIL 5801 Bremo Rd (804) 269-3951 Richmond, VA 23223 Richmond, VA 23226 NIAMTU ALEXANDER KEENEY (804) 321-5665 (804) 354-1602 HARRIS METZGER DYMON PC ERCOLE, AARON 7702 Parham Road Suite 103 A SMILE 32 HERRERA, MARICIO MILLER, MICHAEL Richmond, VA 23294 9732 Midlothian Tpke KOOL SMILES COMMONWEALTH ORAL & (804) 270-5028 Richmond, VA 23235 4722 N Southside Plaza Ste 24 FACIAL SURGERY (804) 320-3683 Richmond, VA 23224 8503 Patterson Ave CYR, JEFFREY (804) 319-5665 Richmond, VA 23229 COMMONWEALTH ORAL & ESCHENROEDER, THOMAS (804) 354-1601 FACIAL SURGERY COMMONWEALTH ORAL & KEENEY, KANYON 3811 Westerre Pkwy Ste A FACIAL SURGERY NIAMTU ALEXANDER KEENEY MORGAN, JOHN Richmond, VA 23233 3811 Westerre Pkwy Ste A HARRIS METZGER DYMON PC KOOL SMILES (804) 354-1600 Richmond, VA 23233 5224 Monument Ave 3824 Mechanicsville Pike Unit 12 (804) 354-1600 Richmond, VA 23226 CYR, JEFFREY Richmond, VA 23223 (804) 359-4474 (804) 321-5665 COMMONWEALTH ORAL & ESCHENROEDER, THOMAS FACIAL SURGERY COMMONWEALTH ORAL & KEENEY, KANYON 5801 Bremo Rd FACIAL SURGERY NIAMTU ALEXANDER KEENEY NELSON, JAMES Richmond, VA 23226 5801 Bremo Rd HARRIS METZGER DYMON PC COMMONWEALTH ORAL & (804) 354-1602 Richmond, VA 23226 7702 Parham Road Suite 103 A FACIAL SURGERY (804) 354-1602 Richmond, VA 23294 3811 Westerre Pkwy Ste A CYR, JEFFREY (804) 270-5028 Richmond, VA 23233 ESCHENROEDER, THOMAS COMMONWEALTH ORAL & (804) 354-1600 FACIAL SURGERY COMMONWEALTH ORAL & 8503 Patterson Ave FACIAL SURGERY Richmond, VA 23229 8503 Patterson Ave (804) 354-1601 Richmond, VA 23229 (804) 354-1601

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

STRAUSS, ROBERT ANDERSON, RALPH DAVIS, GEORGE VIRGINIA (CONT'D) VCU DENTAL FACULTY GEORGE A OLEY III PLC DRS DAVIS & NYCZEPIR LTD PRACTICE ASSOC 9030 Three Chopt Rd #A 9015 Forest Hill Ave RICHMOND 520/521 N 11Th/12Th St Richmond, VA 23229 Richmond, VA 23235 Richmond, VA 23298 (804) 282-7011 (804) 272-7528 NELSON, JAMES (804) 828-3368 COMMONWEALTH ORAL & ARROYO-PRATT, GARDNER, WILLIAM FACIAL SURGERY WALLACE, JAMES 5801 Bremo Rd MARIELENA WILLIAM GRAHAM GARDNER Richmond, VA 23226 DRS WALLACE & PADGETT PC DOMINION ORTHODONTICS PC DDS PC (804) 354-1602 7100 Jahnke Rd 5247 S Laburnum Ave 1206 Willow Lawn Dr Richmond, VA 23225 Richmond, VA 23231 Richmond, VA 23226 NELSON, JAMES (804) 379-7120 (804) 236-5867 (804) 282-6436 COMMONWEALTH ORAL & FACIAL SURGERY PARTICIPATING PROVIDERS WATSON, DAMON BATES, SHELDON HOLBERT, MICHAEL 8503 Patterson Ave NIAMTU ALEXANDER KEENEY BATES ORTHODONTICS HOLBERT FAMILY Richmond, VA 23229 HARRIS METZGER DYMON PC 3800 Stillman Parkway Ste 101 ORTHODONTICS (804) 354-1601 5224 Monument Ave Richmond, VA 23233 10200 Three Chopt Rd #B Richmond, VA 23226 (804) 934-9292 Richmond, VA 23233 PADGETT, THOMAS (804) 359-4474 (804) 270-7824 DRS WALLACE & PADGETT PC BATES, SHELDON WATSON, DAMON BATES ORTHODONTICS 7100 Jahnke Rd INOUYE, DAVID NIAMTU ALEXANDER KEENEY 4025 Mechaincsville Turnpike Richmond, VA 23225 KENNETH STONER DDS HARRIS METZGER DYMON PC Richmond, VA 23223 (804) 379-7120 4922 B West Broad Street 7702 Parham Road Suite 103 A (804) 321-4958 Richmond, VA 23294 Richmond, VA 23230 RENAPURKAR, SHRAVAN (804) 270-5028 (804) 282-4279 VCU DENTAL CARE BENSON, WAKESHI GEORGE A OLEY III PLC 401 N. 11Th St. LINDAUER, STEVEN WLODAWSKY, ROSS 9030 Three Chopt Rd #A Richmond, VA 23219 VCU DENTAL FACULTY NIAMTU ALEXANDER KEENEY Richmond, VA 23229 (804) 628-6637 PRACTICE ASSOC HARRIS METZGER DYMON PC (804) 282-7011 RENAPURKAR, SHRAVAN 5224 Monument Ave 520/521 N 11Th/12Th St VCU DENTAL FACULTY Richmond, VA 23226 Richmond, VA 23298 BIBONA, KEVIN PRACTICE ASSOC (804) 359-4474 (804) 828-3368 RILEY & WILTSHIRE INC 520/521 N 11Th/12Th St WLODAWSKY, ROSS 8503 Patterson Avenue Richmond, VA 23298 MARCUS, RICHARD NIAMTU ALEXANDER KEENEY Richmond, VA 23229 (804) 828-3368 VIRGINIA FAMILY DENTISTRY PC HARRIS METZGER DYMON PC (804) 740-7281 12390 Three Chopt Rd 7702 Parham Road Suite 103 A SARRAF, AMMAR Richmond, VA 23233 Richmond, VA 23294 BRASSINGTON, BRYAN COMMONWEALTH ORAL & (804) 364-7010 (804) 270-5028 RILEY & WILTSHIRE INC FACIAL SURGERY 8503 Patterson Avenue 8503 Patterson Ave MARQUEZ, RHINA ZOGHBY, GREGG Richmond, VA 23229 Richmond, VA 23229 KOOL SMILES COMMONWEALTH ORAL & (804) 740-7281 (804) 354-1601 3824 Mechanicsville Pike Unit 12 FACIAL SURGERY Richmond, VA 23223 5801 Bremo Rd BUELOW, DWIGHT SMAGALSKI, GARY (804) 321-5665 Richmond, VA 23226 VIRGINIA FAMILY DENTISTRY PC ROANOKE SMILES YOUTH (804) 354-1602 12390 Three Chopt Rd MARQUEZ, RHINA DENTISTRY LLC Richmond, VA 23233 KOOL SMILES 5322 Chamberlayne Ave ZOGHBY, GREGG (804) 364-7010 4722 N Southside Plaza Ste 24 COMMONWEALTH ORAL & Richmond, VA 23227 Richmond, VA 23224 FACIAL SURGERY (719) 562-4461 (804) 319-5665 8503 Patterson Ave BYRD, RICHARD SMAGALSKI, GARY Richmond, VA 23229 RICHARD L BYRD DDS PC & HERO DENTAL OF RICHMOND (804) 354-1601 ASSOC MEI, ELIZABETH PC 9221 Forest Hill Ave DOMINION ORTHODONTICS PC 5322 Chamberlayne Road Richmond, VA 23235 5247 S Laburnum Ave ORTHODONTIST Richmond, VA 23227 (804) 330-0508 Richmond, VA 23231 (804) 266-5040 ANDERSON, RALPH (804) 236-5867 ANDERSON ORTHODONTICS CLINE, MATTHEW STRAUSS, ROBERT LTD HAPPY SMILES LLC NYCZEPIR, DAVID VCU DENTAL CARE 5500 Monument Ave #K 30 Courthouse Rd DRS DAVIS & NYCZEPIR LTD 401 N. 11Th St. Richmond, VA 23226 Richmond, VA 23236 9015 Forest Hill Ave Richmond, VA 23219 (804) 285-9800 (804) 379-7855 Richmond, VA 23235 (804) 628-6637 (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

YI, PETER BURKE, BRIAN HUSSON, MALINDA VIRGINIA (CONT'D) ROANOKE SMILES YOUTH KOOL SMILES VCU DENTAL FACULTY DENTISTRY LLC 3824 Mechanicsville Pike Unit 12 PRACTICE ASSOC RICHMOND 5322 Chamberlayne Ave Richmond, VA 23223 520/521 N 11Th/12Th St Richmond, VA 23227 (804) 321-5665 Richmond, VA 23298 PURCELL, ALLISON (719) 562-4461 (804) 828-3368 VIRGINIA FAMILY DENTISTRY PC BURKE, BRIAN 12390 Three Chopt Rd KOOL SMILES IMAFIDON, TIMOTHY Richmond, VA 23233 PEDIATRIC 4722 N Southside Plaza Ste 24 (804) 364-7010 DENTIST/PEDODONTIST Richmond, VA 23224 THE CENTER FOR PEDIATRIC (804) 319-5665 DENTISTY & SEDATION ADAMS, RANDY 10409 Midlothian Tpke RILEY, JAMES ADAMS & ALLEN DDS PC Richmond, VA 23235 CARNEY, JACQUELINE RILEY & WILTSHIRE INC 300 West Broad Street (804) 562-2667 8503 Patterson Avenue Richmond, VA 23220 KOOL SMILES PARTICIPATING PROVIDERS Richmond, VA 23229 (804) 780-2888 3824 Mechanicsville Pike Unit 12 IMAFIDON, TIMOTHY (804) 740-7281 Richmond, VA 23223 JUST 4 KIDS PEDATRIC (804) 321-5665 DENTISTRY & SEDATION ATKINS, CARL 10409 Midlothian Turnpike ROGERS, DALE ATKINS MAESTRELLO & ASSOC CARNEY, JACQUELINE Richmond, VA 23235 VIRGINIA FAMILY DENTISTRY PC PEDIATRIC DENTISTRY KOOL SMILES (804) 562-2667 12390 Three Chopt Rd 2560 Gaskins Rd 4722 N Southside Plaza Ste 24 Richmond, VA 23233 Richmond, VA 23233 Richmond, VA 23224 IMAFIDON, TIMOTHY (804) 364-7010 (804) 741-2226 (804) 319-5665 RICHARD L BYRD DDS PC & ASSOC SCARBOROUGH, LARRY BERRY, ELIZABETH CARTER, SOBIA 9221 Forest Hill Ave CASAGRANDE COSTA RUSNAK CHILDRENS HOSPITAL MARTH A DAWSON DDS PLC Richmond, VA 23235 & SCARBOROUGH BLLC 2924 Brook Road 4025 Mechanicsville Tpke (804) 330-0508 7820 Shrader Rd Richmond, VA 23220 Richmond, VA 23223 Richmond, VA 23294 (804) 321-7474 (804) 321-6800 KEETON, DAVID (804) 672-8607 CHILDRENS HOSPITAL OF BERRY, ELIZABETH VIRGINIA VCU DENTAL FACULTY DAWSON, MARTHA SMITH, ERIN 2924 Brook Rd PRACTICE ASSOC MARTH A DAWSON DDS PLC RICHARD L BYRD DDS PC & Richmond, VA 23220 520/521 N 11Th/12Th St 4025 Mechanicsville Tpke ASSOC (804) 739-0963 Richmond, VA 23298 Richmond, VA 23223 9221 Forest Hill Ave (804) 828-3368 (804) 321-6800 Richmond, VA 23235 KENDIG, ROBERT (804) 330-0508 ROBERT O KENDIG DDS LTD BORTELL, ELIZABETH EDWARDS, JUSTIN 8010 Ridge Road #1 CHILDRENS HOSPITAL THE CENTER FOR PEDIATRIC SPEARS, MELANIE Richmond, VA 23229 2924 Brook Road DENTISTY & SEDATION RICHARD L BYRD DDS PC & (804) 282-2323 Richmond, VA 23220 10409 Midlothian Tpke ASSOC (804) 321-7474 Richmond, VA 23235 9221 Forest Hill Ave (804) 562-2667 LAUGHLIN, ROBERT Richmond, VA 23235 CHILDRENS HOSPITAL BRICKHOUSE, TEGWYN (804) 330-0508 2924 Brook Road CHILDRENS HOSPITAL HARMAN, ASHLEY Richmond, VA 23220 2924 Brook Road WEST END PEDIATRIC THOMAS, CHARLES (804) 321-7474 Richmond, VA 23220 DENTISTRY CHARLES P THOMAS JR DDS PC (804) 321-7474 12205 Gayton Rd #A LAUGHLIN, ROBERT 2201 Pump Rd Richmond, VA 23238 VCU DENTAL FACULTY Richmond, VA 23233 BRICKHOUSE, TEGWYN (804) 741-1400 PRACTICE ASSOC (804) 740-2642 VCU DENTAL FACULTY 520/521 N 11Th/12Th St PRACTICE ASSOC HUSSON, MALINDA Richmond, VA 23298 520/521 N 11Th/12Th St TUFEKCI, ESER ATKINS MAESTRELLO & ASSOC (804) 828-3368 Richmond, VA 23298 VCU DENTAL FACULTY PEDIATRIC DENTISTRY PRACTICE ASSOC (804) 828-3368 2560 Gaskins Rd LENTINI, ERIKA 520/521 N 11Th/12Th St Richmond, VA 23233 MARTH A DAWSON DDS PLC Richmond, VA 23298 BURKE, BRIAN (804) 741-2226 4025 Mechanicsville Tpke (804) 828-3368 JUST 4 KIDS PEDATRIC Richmond, VA 23223 DENTISTRY & SEDATION HUSSON, MALINDA CHILDRENS HOSPITAL (804) 321-6800 WILTSHIRE, CURTIS 10409 Midlothian Turnpike 2924 Brook Road RILEY & WILTSHIRE INC Richmond, VA 23235 Richmond, VA 23220 8503 Patterson Avenue (804) 562-2667 (804) 321-7474 Richmond, VA 23229 (804) 740-7281

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

UNKEL, JOHN GUNSOLLEY, JOHN CADE, RONALD VIRGINIA (CONT'D) DBA BON SECOURS PEDIATRIC VCU DENTAL FACULTY RONALD E CADE DMD MS INC DENTAL ASSOCIATES PRACTICE ASSOC 9200 Forest Hill Ave #5C RICHMOND 6900 Forest Ave #110 520/521 N 11Th/12Th St Richmond, VA 23235 Richmond, VA 23230 Richmond, VA 23298 (804) 233-2881 LEWIS, HOLLY (804) 893-8915 (804) 828-3368 CHILDRENS HOSPITAL COE, YONG 2924 Brook Road WEBB, MICHAEL KOERTGE, THOMAS Richmond, VA 23220 HARINI B REDDY DMD LLC (804) 321-7474 THE CENTER FOR PEDIATRIC VCU DENTAL FACULTY 3000 Hungary Spring Rd DENTISTY & SEDATION PRACTICE ASSOC Richmond, VA 23228 10409 Midlothian Tpke 520/521 N 11Th/12Th St (804) 501-0816 MAESTRELLO, Richmond, VA 23235 Richmond, VA 23298 COE, YONG CHRISTOPHER (804) 562-2667 (804) 828-3368 ATKINS MAESTRELLO & ASSOC VCU DENTAL FACULTY PARTICIPATING PROVIDERS PRACTICE ASSOC PEDIATRIC DENTISTRY WILLIAMS, TIFFANY LANNING, SHARON 2560 Gaskins Rd 520/521 N 11Th/12Th St CHILDRENS HOSPITAL VCU DENTAL FACULTY Richmond, VA 23233 Richmond, VA 23298 2924 Brook Road PRACTICE ASSOC (804) 741-2226 (804) 828-3368 Richmond, VA 23220 520/521 N 11Th/12Th St (804) 321-7474 Richmond, VA 23298 KAZANOGLU, ALTUG MERRELL, DAVID (804) 828-3368 VCU DENTAL FACULTY JEFFREY P BLAIR DDS PC WUNSCH, PATRICE 12205 Gayton Rd PRACTICE ASSOC CHILDRENS HOSPITAL LIN, ZHAO Richmond, VA 23238 520/521 N 11Th/12Th St 2924 Brook Road VCU DENTAL FACULTY (804) 741-1400 Richmond, VA 23298 Richmond, VA 23220 PRACTICE ASSOC (804) 828-3368 MERRELL, DAVID (804) 321-7474 520/521 N 11Th/12Th St Richmond, VA 23298 WEST END PEDIATRIC WUNSCH, PATRICE ROANOKE DENTISTRY (804) 828-3368 VCU DENTAL FACULTY 12205 Gayton Rd #A PRACTICE ASSOC ENDODONTIST Richmond, VA 23238 520/521 N 11Th/12Th St SAROFF, STEVEN (804) 741-1400 BAGBY, ROBIN Richmond, VA 23298 STEPHEN A SAROFF DDS PC CARILION MEDICAL CENTER (804) 828-3368 2801 Mcrae Rd #C1 MOURINO, ARTHUR Richmond, VA 23235 1906 Belleview Ave ATKINS MAESTRELLO & ASSOC (804) 272-9079 Roanoke, VA 24014 PERIODONTIST PEDIATRIC DENTISTRY (540) 981-7000 2560 Gaskins Rd DARU, ANTARA SHAIT, ABRAHAM BAGBY, ROBIN Richmond, VA 23233 STEPHEN A SAROFF DDS PC SHAIT ABRAHAM CARILION MEDICAL CENTER (804) 741-2226 2801 Mcrae Rd #C1 3210 Skipwith Road 2017 Jefferson St Richmond, VA 23235 Richmond, VA 23294 Roanoke, VA 24014 PATEL, SHITAL (804) 272-9079 (804) 270-7070 (540) 981-8166 DBA BON SECOURS PEDIATRIC BAGBY, ROBIN DENTAL ASSOCIATES SWEENEY, KEVIN GASKINS, CHARLES BLUE RIDGE ENDODONTICS 6900 Forest Ave #110 KEVIN C SWEENEY DDS PERIO & GASKINS & ASSOCIATES DDS 4102 Electric Road Sw Richmond, VA 23230 IMPLANTOLOGY LTD PLLC Roanoke, VA 24018 (804) 893-8915 8530 Mayland Drive 703 N Courthouse Rd #201 (540) 772-9515 Richmond, VA 23236 Richmond, VA 23294 PISCITELLI, WILLIAM (804) 794-9611 (804) 270-3131 HUNT, MICHAEL DBA BON SECOURS PEDIATRIC MICHAEL G HUNT DDS PC DENTAL ASSOCIATES VOTH, STEPHANIE GOLOB DEEB, JANINA 4910 Valley View Blvd 6900 Forest Ave #110 VIRGINIA FAMILY DENTISTRY PC VCU DENTAL FACULTY Roanoke, VA 24012 Richmond, VA 23230 12390 Three Chopt Rd PRACTICE ASSOC (540) 563-5858 (804) 893-8915 520/521 N 11Th/12Th St Richmond, VA 23233 Richmond, VA 23298 (804) 364-7010 LAWSON, SEAN UNKEL, JOHN (804) 828-3368 LAWSON ENDODONTICS INC BON SECOURS ST MARYS PROSTHODONTIST 4370 Starkey Rd #3 HOSPITAL OF RICHMOND INC GRIFFIN, BARRY Roanoke, VA 24018 5875 Bremo Rd Ste 104 BETZHOLD, WILLIAM BARRY I GRIFFIN DDS (540) 989-9070 Richmond, VA 23226 5500 Monument Ave Suite N VCU DENTAL FACULTY (804) 893-8715 Richmond, VA 23226 PRACTICE ASSOC (804) 288-7211 520/521 N 11Th/12Th St MAYERCHAK, MICHAEL Richmond, VA 23298 CARILION MEDICAL CENTER (804) 828-3368 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

ANAMA, STEVEN BRAJDIC, DAVID CONKLIN, CHARLES VIRGINIA (CONT'D) STEVEN N ANAMA DDS PC CARILION DENTAL CARE CARILION MEDICAL CENTER 4119 Brandon Ave Sw PEDIATRICS 2017 Jefferson St ROANOKE Roanoke, VA 24018 101 Elm Ave Se Roanoke, VA 24014 (540) 776-6555 Roanoke, VA 24013 (540) 981-8166 MAYERCHAK, MICHAEL (540) 224-4380 CARILION MEDICAL CENTER BAILEY, DAVINA COOTS, FREDERICK 2017 Jefferson St BRAJDIC, DAVID Roanoke, VA 24014 KOOL SMILES CARILION MEDICAL CENTER COOTS WARD DENTISTRY (540) 981-8166 5002 Airport Rd, Nw Unit #130 1906 Belleview Ave 1930 Electric Rd Roanoke, VA 24012 Roanoke, VA 24014 Roanoke, VA 24018 MAYERCHAK, MICHAEL (770) 916-5037 (540) 981-7000 (540) 989-1170 BLUE RIDGE ENDODONTICS BRAJDIC, DAVID 4102 Electric Road Sw BANKS, ROBERT CRISTI, IVONA CARILION MEDICAL CENTER PARTICIPATING PROVIDERS Roanoke, VA 24018 SEMTNER & SEMTNER DDS INC ROANOKE SMILES YOUTH 2017 Jefferson St (540) 772-9515 2840-C Hershberger Rd DENTISTRY LLC Roanoke, VA 24014 Roanoke, VA 24017 5002 Airport Rd #130 (540) 981-8166 MORRIS, MICHAEL (540) 366-8325 Roanoke, VA 24012 BLUE RIDGE ENDODONTICS (540) 362-5437 BANKS, ROBERT 4102 Electric Road Sw BURCHETT, PAUL SEMTNER & SEMTNER Roanoke, VA 24018 HOWARD HARRISON & PAUL CROSS, GRIFFIN 4370 Starkey Rd #1B BURCHETT DDS PC (540) 772-9515 COOTS WARD DENTISTRY Roanoke, VA 24018 2945 Peters Creek Rd Sw 1930 Electric Rd (540) 989-0112 Roanoke, VA 24019 GENERAL DENTIST Roanoke, VA 24018 (540) 562-4001 BANKS, ROBERT (540) 989-1170 AHMED, SYED HUNTING HILLS DENTISTRY PC ROANOKE SMILES YOUTH CAPRIO, DIANNE 4572 Franklin Rd Sw DAMIANO, JOSEPH DENTISTRY LLC Roanoke, VA 24014 SEMTNER & SEMTNER DDS INC JOSEPH R DAMIANO DDS 5002 Airport Rd #130 (540) 769-5020 2840-C Hershberger Rd 7752 Williamson Rd Roanoke, VA 24012 Roanoke, VA 24017 Roanoke, VA 24019 (540) 362-5437 (540) 366-8325 BENCH, STEPHEN (540) 362-9519 PEGGY LOVECCHIO DDS PC CAPRIO, DIANNE ALLARA, JACK 2766 Electric Rd #A2 SEMTNER & SEMTNER DEMICHELE, JOSHUA JACK M ALLARA II DDS PC Roanoke, VA 24018 4370 Starkey Rd #1B JOSHUA L DEMICHELE DDS 5710 Airport Rd Nw (540) 904-2300 Roanoke, VA 24018 PLLC Roanoke, VA 24012 (540) 989-0112 4051 Postal Dr (540) 362-3047 BENCH, STEPHEN ROANOKE SMILES YOUTH Roanoke, VA 24018 DENTISTRY LLC CARTER, JOHN (540) 774-0061 ALLAYMOUNI, MHD AMER 5002 Airport Rd #130 JOHN C CARTER DDS SIMPLY STRAIGHT PC Roanoke, VA 24012 4907 Brambleton Ave DICKEY, FLOYD 1502 Williamson Rd Ste. A-1000 (540) 362-5437 Roanoke, VA 24018 DRS LYNCH DICKEY & Roanoke, VA 24012 (540) 774-3143 SINGLETON DENTISTS INC (540) 206-2203 BHAVNAGRI, FAWZIA 1510 Franklin Rd Sw RICE DENTISTRY OF ROANOKE CHANG, MICHAEL Roanoke, VA 24016 ALLEN, MARY DISA PC RICE DENTISTRY OF ROANOKE (540) 343-5521 JOSHUA L DEMICHELE DDS 4207 Colonial Ave PC PLLC Roanoke, VA 24018 4207 Colonial Ave DICKEY-FARR, CLAIRE 4051 Postal Dr (540) 989-4549 Roanoke, VA 24018 DRS LYNCH DICKEY & Roanoke, VA 24018 (540) 989-4549 SINGLETON DENTISTS INC (540) 774-0061 BIELAWSKI, ROBERT 1510 Franklin Rd Sw ROBERT M BIELAWSKI CLARK, JEFFREY Roanoke, VA 24016 ALMZAYYEN, MOHAMMED 6232 Peters Creek Rd ROBINSON & CLARK DDS LTD (540) 343-5521 SEMTNER & SEMTNER DDS INC Roanoke, VA 24019 3310 Franklin Rd 2840-C Hershberger Rd (540) 362-3846 Roanoke, VA 24014 ELCHEKHA, HOUSSAM Roanoke, VA 24017 (540) 342-7221 ROANOKE SMILES YOUTH (540) 366-8325 BRADLEY, JEANNENE DENTISTRY LLC ALMZAYYEN, MOHAMMED STAR CITY FAMILY DENTISTRY CONKLIN, CHARLES 5002 Airport Rd #130 SEMTNER & SEMTNER INC CARILION DENTAL CARE Roanoke, VA 24012 4370 Starkey Rd #1B 5505 Williamson Rd PEDIATRICS (540) 362-5437 Roanoke, VA 24018 Roanoke, VA 24012 101 Elm Ave Se (540) 989-0112 (540) 366-0335 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 146 Delta Dental Premier

HAUN, WILLIAM JONES, MICHAEL LOVECCHIO, PEGGY VIRGINIA (CONT'D) W ROBERT HAUN CARILION MEDICAL CENTER PEGGY LOVECCHIO DDS PC 4346 Starkey Rd #4 2017 Jefferson St 2766 Electric Rd #A2 ROANOKE Roanoke, VA 24018 Roanoke, VA 24014 Roanoke, VA 24018 (540) 774-7767 (540) 981-8166 (540) 904-2300 ESCHENBACH, SEAN J IAN LOWDON JR DDS PC HENRITZE, ANDREW KAISER, ROBERT LUBECK, JONATHAN 6027 Peters Creek Rd Roanoke, VA 24019 ANDREW W HENRITZE DDS PC NORTH ROANOKE DENTAL GARY A ROACH DDS LTD (540) 366-5373 3611 Brambleton Ave ASSOCIATES PC 5004 Brambleton Ave Roanoke, VA 24018 6108 Peters Creek Rd Roanoke, VA 24018 ESCHENBACH, SEAN (540) 989-6600 Roanoke, VA 24019 (540) 774-1019 SEAN LEON ESCHENBACH LLC (504) 366-8662 6027 Peters Creek Rd HUFFMAN, RICHARD LYNCH, SEAN PARTICIPATING PROVIDERS Roanoke, VA 24019 HUFFMAN AND KREGER FAMILY KINNEY, ROBERT DRS LYNCH DICKEY & (540) 366-5373 DENTISTRY KINNEY & HUFFMAN DDS PC SINGLETON DENTISTS INC 4346 Starkey Road #3 4346 Starkey Road #3 1510 Franklin Rd Sw FITZGERALD, DAVID Roanoke, VA 24018 Roanoke, VA 24018 Roanoke, VA 24016 FITZGERALD DAVID K (540) 989-3321 (540) 989-3321 (540) 343-5521 6220 Peters Creek Rd Nw HUFFMAN, RICHARD Roanoke, VA 24019 KLEIN, RICHARD MAIER, WHITNEY (540) 366-3999 KINNEY & HUFFMAN DDS PC 4346 Starkey Road #3 CARILION DENTAL CARE ROANOKE SMILES YOUTH Roanoke, VA 24018 PEDIATRICS DENTISTRY LLC GALLAHER, THOMAS (540) 989-3321 101 Elm Ave Se 5002 Airport Rd #130 GREGORY S HUGHES DMD PC Roanoke, VA 24013 Roanoke, VA 24012 2840 Hershberger Rd Nw #C (540) 224-4380 (540) 362-5437 HUTCHISON, KAREN Roanoke, VA 24017 KLEIN, RICHARD (540) 366-8325 HUNTING HILLS DENTISTRY PC 4572 Franklin Rd Sw CARILION MEDICAL CENTER MAY, R ALAN Roanoke, VA 24014 2017 Jefferson St R ALAN MAY DDS PLLC GAMEZ, MYRNA (540) 769-5020 Roanoke, VA 24014 7051 Williamson Rd KOOL SMILES (540) 981-8166 Roanoke, VA 24019 5002 Airport Rd, Nw Unit #130 (540) 366-1001 JOHNSON, AMANDA Roanoke, VA 24012 KREGER, LEE (770) 916-5037 ROLLER WILLIAM O 3615 Brambleton Ave HUFFMAN AND KREGER FAMILY MAYERCHAK, MICHELLE Roanoke, VA 24018 DENTISTRY RICE DENTISTRY OF ROANOKE GRAY, DOMINICQUE (540) 772-9373 4346 Starkey Road #3 PC ROANOKE SMILES YOUTH Roanoke, VA 24018 4207 Colonial Ave DENTISTRY LLC Roanoke, VA 24018 JONES, DAVID (540) 989-3321 5002 Airport Rd #130 (540) 989-4549 Roanoke, VA 24012 RICE DENTISTRY OF ROANOKE LADIMER, ERIC (540) 362-5437 PC 4207 Colonial Ave SEMTNER & SEMTNER DDS INC MOORE, ERNEST Roanoke, VA 24018 2840-C Hershberger Rd CARILION DENTAL CARE HARRIS, JOHN (540) 989-4549 Roanoke, VA 24017 PEDIATRICS NEW HORIZONS DENTAL CARE (540) 366-8325 101 Elm Ave Se 3716 Melrose Ave Nw Roanoke, VA 24013 JONES, LEE Roanoke, VA 24017 LADIMER, ERIC (540) 224-4380 (540) 362-0360 CARILION DENTAL CARE SEMTNER & SEMTNER PEDIATRICS 4370 Starkey Rd #1B MOORE, ERNEST 101 Elm Ave Se CARILION MEDICAL CENTER HARRISON, HOWARD Roanoke, VA 24018 Roanoke, VA 24013 (540) 989-0112 2017 Jefferson St HOWARD HARRISON & PAUL (540) 224-4380 Roanoke, VA 24014 BURCHETT DDS PC (540) 981-8166 2945 Peters Creek Rd Sw JONES, LEE LAVINDER, LISA Roanoke, VA 24019 CARILION MEDICAL CENTER COOTS WARD DENTISTRY MOORE, WILLIAM (540) 562-4001 2017 Jefferson St 1930 Electric Rd Roanoke, VA 24014 Roanoke, VA 24018 WILLIAM U MOORE DDS PLLC (540) 981-8166 (540) 989-1170 6232 Peters Creek Rd HARVEY, GREGORY Roanoke, VA 24019 HARVEY DENTISTRY NRKE PC (540) 362-3846 5049-C Valley View Blvd JONES, MICHAEL LEVINE, ANDREW Roanoke, VA 24012 CARILION DENTAL CARE HUNTING HILLS DENTISTRY PC NEWMAN, ANNE (540) 904-0300 PEDIATRICS 4572 Franklin Rd Sw 101 Elm Ave Se Roanoke, VA 24014 HARVEY DENTISTRY NRKE PC Roanoke, VA 24013 (540) 769-5020 5049-C Valley View Blvd (540) 224-4380 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

POPLI, VISHAL ROSS, ROBERT SKINNER, GREGORY VIRGINIA (CONT'D) KOOL SMILES R DOUGLAS ROSS DDS PC GREGORY P SKINNER DDS PC 5002 Airport Rd, Nw Unit #130 1602 Grandin Rd 3548 Orange Ave Ne ROANOKE Roanoke, VA 24012 Roanoke, VA 24015 Roanoke, VA 24012 (770) 916-5037 (540) 344-9361 (540) 344-6688 NEWSOME, ELISE SEMTNER & SEMTNER DDS INC POWELL, NATALIE RUSSELL, H SMITH, KENNETH 2840-C Hershberger Rd CARILION DENTAL CARE H PATRICK RUSSELL DMD KENNETH N SMITH DDS Roanoke, VA 24017 PEDIATRICS 4736 Starkey Rd Ste B 4110 Plantation Road (540) 366-8325 101 Elm Ave Se Roanoke, VA 24018 Roanoke, VA 24012 Roanoke, VA 24013 (540) 772-7135 (540) 563-1734 NEWSOME, ELISE (540) 224-4380 SEMTNER & SEMTNER RYAN, CRAIG SONG, EUNICE 4370 Starkey Rd #1B POWELL, NATALIE PARTICIPATING PROVIDERS Roanoke, VA 24018 CARILION MEDICAL CENTER HOWARD HARRISON & PAUL ROANOKE SMILES YOUTH (540) 989-0112 1906 Belleview Ave BURCHETT DDS PC DENTISTRY LLC Roanoke, VA 24014 2945 Peters Creek Rd Sw 5002 Airport Rd #130 (540) 981-7000 Roanoke, VA 24019 Roanoke, VA 24012 NEWTON, RICHARD (540) 562-4001 (540) 362-5437 NEW HORIZONS DENTAL CARE POWELL, NATALIE 3716 Melrose Ave Nw CARILION MEDICAL CENTER SEMTNER, MONICA SOWAN, JAMIL Roanoke, VA 24017 2017 Jefferson St SEMTNER & SEMTNER DDS INC PEDIATRIC DENTAL CARE OF VA (540) 362-0360 Roanoke, VA 24014 2840-C Hershberger Rd 4903 Starkey Rd #300 (540) 981-8166 Roanoke, VA 24017 Roanoke, VA 24018 NORBO, RANDY (540) 366-8325 (540) 904-2700 RANDY J NORBO DDS PC QUINN, STEPHEN 1414 Franklin Rd COOTS WARD DENTISTRY SEMTNER, MONICA SOWAN, JAMIL Roanoke, VA 24016 1930 Electric Rd SEMTNER & SEMTNER KOOL SMILES (540) 344-4798 Roanoke, VA 24018 4370 Starkey Rd #1B 5002 Airport Rd, Nw Unit #130 (540) 989-1170 Roanoke, VA 24018 Roanoke, VA 24012 OKUNUGA, OLALEKAN (540) 989-0112 (770) 916-5037 KOOL SMILES RAMSEY, ALEXANDER 5002 Airport Rd, Nw Unit #130 RAMSEY ALEXANDER W SEMTNER, ROBERT SOWERS, STEVEN Roanoke, VA 24012 3501 Franklin Rd SEMTNER & SEMTNER DDS INC STEVEN E SOWERS (770) 916-5037 Roanoke, VA 24014 2840-C Hershberger Rd 2660 Electric Rd Ste A (540) 342-6800 Roanoke, VA 24017 Roanoke, VA 24018 PARK, YOUNG (540) 366-8325 (540) 774-8288 YOUNG C PARK DDS PC REYNOLDS, JAMES SEMTNER, ROBERT 623 Abney Rd JAMES D REYNOLDS DDS LTD SEMTNER & SEMTNER SURAT, ERIC Roanoke, VA 24012 5000 Brambleton Ave 4370 Starkey Rd #1B ERIC M SURAT DDS (540) 563-9398 Roanoke, VA 24018 Roanoke, VA 24018 2502 Broadway Avenue (540) 769-6370 (540) 989-0112 Roanoke, VA 24014 PARKS, CHARLES (540) 344-6003 GARY A ROACH DDS LTD RICE, JAMES SHEPPARD, COREY 5004 Brambleton Ave RICE DENTISTRY OF ROANOKE CARILION DENTAL CARE VILLALBA, PATRICIA Roanoke, VA 24018 PC PEDIATRICS ROANOKE SMILES YOUTH (540) 774-1019 4207 Colonial Ave 101 Elm Ave Se DENTISTRY LLC Roanoke, VA 24018 Roanoke, VA 24013 5002 Airport Rd #130 PHAM, JACOB (540) 989-4549 (540) 224-4380 Roanoke, VA 24012 (540) 362-5437 5 STARS DENTAL SHEPPARD, COREY 6212 Peters Creek Rd Nw ROBINSON, LYNN CARILION MEDICAL CENTER Roanoke, VA 24019 WARD, SCOTT ROBINSON & CLARK DDS LTD 2017 Jefferson St (540) 563-0519 COOTS WARD DENTISTRY 3310 Franklin Rd Roanoke, VA 24014 1930 Electric Rd Roanoke, VA 24014 (540) 981-8166 POPLI, VISHAL (540) 342-7221 Roanoke, VA 24018 (540) 989-1170 ROANOKE SMILES YOUTH SINGLETON, JOHN DENTISTRY LLC ROLLER, WILLIAM DRS LYNCH DICKEY & 5002 Airport Rd #130 WHITE, BRANDON ROLLER WILLIAM O SINGLETON DENTISTS INC Roanoke, VA 24012 CARILION DENTAL CARE 3615 Brambleton Ave 1510 Franklin Rd Sw (540) 362-5437 PEDIATRICS Roanoke, VA 24018 Roanoke, VA 24016 101 Elm Ave Se (540) 772-9373 (540) 343-5521 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

MARGOLIS, JASON MEISHA, DALIA AARON, GAVIN VIRGINIA (CONT'D) CARILION MEDICAL CENTER SIMPLY STRAIGHT PC ADVANCED PERIO CONCEPTS 2017 Jefferson St 1502 Williamson Rd Ste. A-1000 INC ROANOKE Roanoke, VA 24014 Roanoke, VA 24012 3005 Peters Creek Rd (540) 981-8166 (540) 206-2203 Roanoke, VA 24019 WHITE, BRANDON (540) 562-3166 CARILION MEDICAL CENTER MARGOLIS, JASON MEISHA, DALIA 1906 Belleview Ave ROANOKE ORAL SURGERY INC STRAIGHT SMILES OF ROANOKE ACHARYA, PRIYA Roanoke, VA 24014 6035 Peters Creek Rd PLLC (540) 981-7000 Roanoke, VA 24019 1502 Williamson Rd #A 1000 CARILION MEDICAL CENTER (540) 362-5900 Roanoke, VA 24012 1906 Belleview Ave WHITE, BRANDON (540) 206-2203 Roanoke, VA 24014 CARILION MEDICAL CENTER (540) 981-7000 MCCLUNG, JAMES 2017 Jefferson St

ROCKHILL, AMY ACHARYA, PRIYA PARTICIPATING PROVIDERS Roanoke, VA 24014 ROANOKE ORAL SURGERY INC (540) 981-8166 6035 Peters Creek Rd CARILION DENTAL CARE COOTS WARD DENTISTRY Roanoke, VA 24019 PEDIATRICS 1930 Electric Rd (540) 362-5900 101 Elm Ave Se Roanoke, VA 24018 WHITE, JULIE Roanoke, VA 24013 (540) 989-1170 HUNTING HILLS DENTISTRY PC MEADOR, LARRY (540) 224-4380 4572 Franklin Rd Sw ACHARYA, PRIYA Roanoke, VA 24014 VALLEY ORAL SURGERY PC ROCKHILL, AMY CARILION MEDICAL CENTER (540) 769-5020 4437 Starkey Rd Sw Ste B CARILION MEDICAL CENTER 2017 Jefferson St Roanoke, VA 24018 1906 Belleview Ave Roanoke, VA 24014 (540) 774-5900 WILLIAMS, ADAM Roanoke, VA 24014 (540) 981-8166 (540) 981-7000 COOTS WARD DENTISTRY PARULIS, ALBERT 1930 Electric Rd ROCKHILL, AMY WOLFE, BARRY CARILION MEDICAL CENTER Roanoke, VA 24018 CARILION MEDICAL CENTER CARILION DENTAL CARE 2017 Jefferson St (540) 989-1170 2017 Jefferson St PEDIATRICS Roanoke, VA 24014 Roanoke, VA 24014 101 Elm Ave Se (540) 981-8166 WORKIE, DANIEL (540) 981-8166 Roanoke, VA 24013 (540) 224-4380 ROANOKE SMILES YOUTH PARULIS, ALBERT DENTISTRY LLC ROANOKE ORAL SURGERY INC SHIMELESS, LAELAYE WOLFE, BARRY 5002 Airport Rd #130 6035 Peters Creek Rd STRAIGHT SMILES OF ROANOKE WOLFE & PENN LTD Roanoke, VA 24012 Roanoke, VA 24019 PLLC 4405 Starkey Road #A (540) 362-5437 (540) 362-5900 1502 Williamson Rd #A 1000 Roanoke, VA 24018 Roanoke, VA 24012 (540) 772-2913 WRIGHT, D SMAGALSKI, GARY (540) 206-2203 WRIGHT DENTAL ASSOC ROANOKE SMILES YOUTH ROCKY MOUNT 4736 Starkey Rd DENTISTRY LLC PEDIATRIC 5002 Airport Rd #130 Roanoke, VA 24018 DENTIST/PEDODONTIST GENERAL DENTIST (540) 989-4698 Roanoke, VA 24012 (540) 362-5437 BROWN, GABRIEL ALEXANDER, BRIAN BRIAN S ALEXANDER DDS WRYTER, JULIET PEDIATRIC DENTAL CARE OF VA 1656 N Main St ROANOKE SMILES YOUTH 4903 Starkey Rd #300 ORTHODONTIST Rocky Mount, VA 24151 DENTISTRY LLC Roanoke, VA 24018 (540) 483-3368 5002 Airport Rd #130 ABBASI-HAFSHEJANI, AZITA (540) 904-2700 Roanoke, VA 24012 KOOL SMILES (540) 362-5437 5002 Airport Rd, Nw Unit #130 DAVIS, JOHN BURT, CHARLES Roanoke, VA 24012 CARILION DENTAL CARE DR CHARLES R BURT DDS (770) 916-5037 1175 Franklin St YODA, KYOKO PEDIATRICS Rocky Mount, VA 24151 CARILION DENTAL CARE 101 Elm Ave Se (540) 483-7577 PEDIATRICS BLACK, ELENA Roanoke, VA 24013 101 Elm Ave Se STRAIGHT SMILES OF ROANOKE (540) 224-4380 PLLC CLEMENS, CHARLES Roanoke, VA 24013 DAVIS, JOHN (540) 224-4380 1502 Williamson Rd #A 1000 FRANKLIN DENTAL ASSOC PLC Roanoke, VA 24012 DAVIS JOHN J 490 South Main St #201 YODA, KYOKO (540) 206-2203 6112 Peters Creek Road Rocky Mount, VA 24151 CARILION MEDICAL CENTER Roanoke, VA 24019 (540) 483-5241 (540) 563-1660 1906 Belleview Ave JONES, DAVID Roanoke, VA 24014 DAVID L JONES DDS PC (540) 981-7000 6220 Peters Creek Rd PERIODONTIST Roanoke, VA 24019 ORAL SURGEON (540) 563-1640

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

LIN, CHI-YI GENERAL DENTIST VIRGINIA (CONT'D) JASON F FAVAGEHI DDS PC OWUOR, CHRISTINE 1000 Wilson Blvd Ste M745 GREEN COMPREHENSIVE HAGAR, BASIONY ROCKY MOUNT Rosslyn, VA 22209 FAMILY DENTISTRY LADYSMITH DENTAL CENTER (703) 527-6453 140 Stoneridge Dr #200 18010 Jefferson Davis Hwy CORNICK, JAMES Ruckersville, VA 22968 Ruther Glen, VA 22546 CROOKED ROAD FAMILY (434) 985-1052 (804) 589-1493 DENTISTRY MOGHARBEL, TAREK MIRA DENTAL CARE 40 Tanyard Rd SAULS, LATASHA KORPICS, LOUIS Rocky Mount, VA 24151 1901 N Moore St #501 GREEN COMPREHENSIVE ASHLAND FAMILY DENTISTRY (540) 483-5544 Rosslyn, VA 22209 (703) 807-0808 FAMILY DENTISTRY 17488 Center Dr Ste #3A 140 Stoneridge Dr #200 Ruther Glen, VA 22546 RADFORD, MILLARD Ruckersville, VA 22968 (804) 448-1102 NAGLE, JEREMY MILLARD RADFORD DDS (434) 985-1052 PARTICIPATING PROVIDERS JASON F FAVAGEHI DDS PC 740 Old Franklin Tpke #3 VINSON, ALEXA Rocky Mount, VA 24151 1000 Wilson Blvd Ste M745 STUMP, LAUREN ASHLAND FAMILY DENTISTRY (540) 489-8191 Rosslyn, VA 22209 (703) 527-6453 GREEN COMPREHENSIVE 17488 Center Dr Ste #3A FAMILY DENTISTRY Ruther Glen, VA 22546 RICHARDSON, SARIAH 140 Stoneridge Dr #200 (804) 448-1102 PATEL, SHARLI FRANKLIN DENTAL ASSOC PLC Ruckersville, VA 22968 JASON F FAVAGEHI DDS PC 490 South Main St #201 (434) 985-1052 S CHESTERFLD Rocky Mount, VA 24151 1000 Wilson Blvd Ste M745 (540) 483-5241 Rosslyn, VA 22209 (703) 527-6453 WHYNOTT, CHRISTOPHER GENERAL DENTIST GREEN COMPREHENSIVE TERRY, RONALD ROBERTS, KRISTIN FAMILY DENTISTRY TECHAPANIT, CHANTARAT RONALD M TERRY DMD FRANKLIN DENTAL ASSOC PLC 140 Stoneridge Dr #200 21312 Chesterfield Ave 490 South Main St #201 JASON F FAVAGEHI DDS PC Ruckersville, VA 22968 S Chesterfld, VA 23803 Rocky Mount, VA 24151 1000 Wilson Blvd Ste M745 (434) 985-1052 (540) 483-5241 Rosslyn, VA 22209 (804) 526-2424 (703) 527-6453 ORTHODONTIST SALEM WHITE, BRANDON BRIAN S ALEXANDER DDS PERIODONTIST BROWN, CAMDEN CAMDEN BROWN DMD MS PC ENDODONTIST 1656 N Main St PATRON, ALFONSO Rocky Mount, VA 24151 8291 Seminole Trail JASON F FAVAGEHI DDS PC MERIAN, ROBERT (540) 483-3368 Ruckersville, VA 22968 SOUTHWEST VIRGINIA 1000 Wilson Blvd Ste M745 (434) 990-5722 Rosslyn, VA 22209 ENDODONTICS ORTHODONTIST (703) 527-6453 1940 Braeburn Drive RURAL RETREAT Salem, VA 24153 JONES, DAVID (540) 989-6648 ROUND HILL DAVID L JONES DDS PC GENERAL DENTIST 490 S Main St #202 SPRAKER, MICHAEL GENERAL DENTIST Rocky Mount, VA 24151 GENERAL DENTIST MICHAEL W SPRAKER DDS PC (540) 483-7946 GRADY, SEAN CLOUDT, REBECCA 104 E Railroad Ave DENTAL ASSOCIATES PLLC SEAN GRADY DDS Rural Retreat, VA 24368 403 Boulevard ROSSLYN 2 West Loudoun St (276) 686-4211 Round Hill, VA 20141 Salem, VA 24153 GENERAL DENTIST (540) 338-0046 (540) 389-0225 RUSTBURG ALTEMEMI, NADINE JASON F FAVAGEHI DDS PC KEAN, EDWARD GENERAL DENTIST CRAWFORD, GARY 1000 Wilson Blvd Ste M745 SEAN GRADY DDS GARY CRAWFORD DDS RILEY, DAVID Rosslyn, VA 22209 2 West Loudoun St 1930 Braeburn Dr PATRICK M TODD DDS (703) 527-6453 Round Hill, VA 20141 Salem, VA 24153 (540) 338-0046 1052 Village Hwy (540) 774-1955 Rustburg, VA 24588 FAVAGEHI, JASON RUCKERSVILLE (434) 332-5919 JASON F FAVAGEHI DDS PC GALLAHER, THOMAS 1000 Wilson Blvd Ste M745 GREGORY T HARVEY DMD PC TODD, PATRICK Rosslyn, VA 22209 GENERAL DENTIST 1618 W Main St PATRICK M TODD DDS Salem, VA 24153 (703) 527-6453 FLAHERTY, BROOKE 1052 Village Hwy (540) 389-0720 GREEN COMPREHENSIVE Rustburg, VA 24588 FAMILY DENTISTRY (434) 332-5919 140 Stoneridge Dr #200 Ruckersville, VA 22968 RUTHER GLEN (434) 985-1052

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

STEPHENS, NATHAN DAVILA, RICARDO THOMPSON, HARPER VIRGINIA (CONT'D) DENTAL ASSOCIATES PLLC DAVILA RICARDO W COOKE RICHARDSON OVERST 403 Boulevard 2845 General Puller Hwy 39 W Williamsburg Road SALEM Salem, VA 24153 Saluda, VA 23149 Sandston, VA 23150 (540) 389-0225 (804) 758-3806 (804) 737-7402 HALL, MICHAEL DENTAL ASSOCIATES PLLC WILSON, SARAH MARSHALL, CHRISTOPHER THWEATT, BRADFORD 403 Boulevard Salem, VA 24153 GREGORY T HARVEY DMD PC CHRISTOPHER W MARSHALL PC E ALEXANDER WHITE & (540) 389-0225 1618 W Main St 655 Gloucester Rd BRADFORD R THWEATT DDS PC Salem, VA 24153 Saluda, VA 23149 5500 Whiteside Rd (540) 389-0720 (804) 758-2143 Sandston, VA 23150 HARVEY, GREGORY (804) 737-4444 GREGORY T HARVEY DMD PC SANDSTON 1618 W Main St ORAL SURGEON PARTICIPATING PROVIDERS WHITE, EDWIN Salem, VA 24153 ABBOTT, MICHAEL GENERAL DENTIST (540) 389-0720 E ALEXANDER WHITE & DRS GOLD & ABBOTT LTD BRADFORD R THWEATT DDS PC COOKE, THOMAS 1940 Braeburn Drive 5500 Whiteside Rd COOKE RICHARDSON OVERST HOYE, JAMES Salem, VA 24153 Sandston, VA 23150 39 W Williamsburg Road DENTAL ASSOCIATES PLLC (540) 989-5257 (804) 737-4444 403 Boulevard Sandston, VA 23150 Salem, VA 24153 (804) 737-7402 SCROGGINS, SAMUEL ORAL SURGEON (540) 389-0225 SOUTHWEST VIRGINIA ORAL & MAXILLOFACIAL SURGERY PLLC LAMBRECHTS, MARCEL AGNIHOTRI, NEIL MILLS, MICHELE 1940 Braeburn Dr #A MARCEL LAMBRECHTS JR DDS NIAMTU ALEXANDER KEENEY MILLS & SHANNON DMD PC Salem, VA 24153 PLLC HARRIS METZGER DYMON PC 3533 Keagy Rd (540) 989-5257 43 W Williamsburg Rd 5510 Whiteside Rd Salem, VA 24153 Sandston, VA 23150 Sandston, VA 23150 SCROGGINS, SAMUEL (540) 989-5700 (804) 737-2403 (804) 737-0992 DRS GOLD & ABBOTT LTD 1940 Braeburn Drive MUNN, WILLIAM OBRIEN, KEVIN Salem, VA 24153 DYMON, WILLIAM WILLIAM B MUNN DDS INC GRANT SPRINKLE III (540) 989-5257 NIAMTU ALEXANDER KEENEY 511 Boulevard 30 West Williamsburg Rd HARRIS METZGER DYMON PC Salem, VA 24153 Sandston, VA 23150 5510 Whiteside Rd SALTVILLE (540) 389-0330 (804) 328-2200 Sandston, VA 23150 (804) 737-0992 GENERAL DENTIST ROBERTS, BRICE OVERSTREET, DOUGLAS GREGORY T HARVEY DMD PC BULLOCK, JERI COOKE RICHARDSON OVERST HARRIS, MONROE 1618 W Main St SOUTHWEST VIRGINIA 39 W Williamsburg Road NIAMTU ALEXANDER KEENEY Salem, VA 24153 COMMUNITY HEALTH SYSTEMS Sandston, VA 23150 HARRIS METZGER DYMON PC (540) 389-0720 INC (804) 737-7402 5510 Whiteside Rd 319 Fifth Ave Sandston, VA 23150 Saltville, VA 24370 SHANNON, TRAVIS PEROUTKA, JOHN (804) 737-0992 (276) 496-4492 MILLS & SHANNON DMD PC MARCEL LAMBRECHTS JR DDS 3533 Keagy Rd PLLC KEENEY, KANYON Salem, VA 24153 MEADE, AMANDA 43 W Williamsburg Rd NIAMTU ALEXANDER KEENEY (540) 989-5700 SOUTHWEST VIRGINIA Sandston, VA 23150 HARRIS METZGER DYMON PC COMMUNITY HEALTH SYSTEMS (804) 737-2403 5510 Whiteside Rd INC SPRINKLE, GRANT Sandston, VA 23150 319 Fifth Ave GRANT SPRINKLE III RICHARDSON-OVERSTREET, (804) 737-0992 Saltville, VA 24370 511 Boulevard SUSAN (276) 496-4492 Salem, VA 24153 COOKE RICHARDSON OVERST MCANDREW, BRIAN (540) 389-0330 39 W Williamsburg Road NIAMTU ALEXANDER KEENEY STUART, KATHERINE Sandston, VA 23150 HARRIS METZGER DYMON PC SOUTHWEST VIRGINIA STEPHENS, MATTHEW (804) 737-7402 5510 Whiteside Rd COMMUNITY HEALTH SYSTEMS DENTAL ASSOCIATES PLLC Sandston, VA 23150 INC 403 Boulevard SUYES, DAVID (804) 737-0992 319 Fifth Ave Salem, VA 24153 SUYES DAVID R JR Saltville, VA 24370 (540) 389-0225 4 East Williamsburg Road METZGER, LAWRENCE (276) 496-4492 Sandston, VA 23150 NIAMTU ALEXANDER KEENEY (804) 737-2226 HARRIS METZGER DYMON PC SALUDA 5510 Whiteside Rd Sandston, VA 23150 GENERAL DENTIST (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

GENERAL DENTIST SZAKALY, BRIAN OLIVER, TRISSTAR VIRGINIA (CONT'D) SMITHFIELD ORAL & HALIFAX REGINAL DENTAL COOK, P MAXILLOFACIAL SURGERY CLINIC SANDSTON SMITHFIELD FAMILY DENTISTRY 200 Gumwood Dr 101 Aubrey'S Loop Rd 309 Main St Smithfield, VA 23430 South Boston, VA 24592 Smithfield, VA 23430 (757) 356-9020 (434) 517-8367 WATSON, DAMON (757) 357-4121 NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC ORTHODONTIST OWEN, WILLIAM 5510 Whiteside Rd DELK, CAMPBELL WILLIAM OWEN JR DDS & BERRY, ZANE Sandston, VA 23150 SMITHFIELD FAMILY DENTISTRY DEBRA CLATCOM DDS PLLC PARKS ORTHODONTICS (804) 737-0992 309 Main St 431 Main St Smithfield, VA 23430 18496 Canteberry Ln South Boston, VA 24592 (757) 357-4121 Smithfield, VA 23431 (434) 572-3205

WLODAWSKY, ROSS (757) 357-7321 PARTICIPATING PROVIDERS NIAMTU ALEXANDER KEENEY HARRIS METZGER DYMON PC HARRISON, JAMES YU, SANG HUN PARKS, MEREDITH 5510 Whiteside Rd SMITHFIELD DENTAL KWANG W KIM DDS PLLC PARKS ORTHODONTICS Sandston, VA 23150 12746 Courthouse Hwy 410 Mineral St 18496 Canteberry Ln (804) 737-0992 Smithfield, VA 23430 South Boston, VA 24592 (757) 357-6779 Smithfield, VA 23431 (434) 572-4928 (757) 357-7321 ORTHODONTIST HARRISON, JAMES SMITHFIELD DENTAL PC ORAL SURGEON SOUTH BOSTON FAN, VIVIAN 12746 Courthouse Hwy EAST END OTHODONTICS INC Smithfield, VA 23430 PRIEST, JAMES GENERAL DENTIST 45 W Williamsburg Rd (757) 357-6779 JAMES H PRIEST DDS LTD Sandston, VA 23150 BROWN, BRIDGET 420 Hamilton Blvd (804) 737-8777 South Boston, VA 24592 HOWARD, JENNIFER HALIFAX REGINAL DENTAL (434) 572-8975 ISLE OF WIGHT FAMILY & CLINIC MONACELL, JOHN COSMETIC DENTISTRY PC 101 Aubrey'S Loop Rd SOUTH HILL JOHN F MONACELL DDS PC 200 Gumwood Dr South Boston, VA 24592 1343 E Williamsburg Road Smithfield, VA 23430 (434) 517-8367 Sandston, VA 23150 (757) 356-1212 GENERAL DENTIST (804) 737-6757 CARR, WILLIAM BAILEY, STEPHEN MCNEILL, SU CARR WILLIAM F STEPHEN W BAILEY DMD PC PEDIATRIC SMITHFIELD DENTAL 331 Main St 119 South Mecklenburg Av DENTIST/PEDODONTIST 12746 Courthouse Hwy South Boston, VA 24592 South Hill, VA 23970 Smithfield, VA 23430 (434) 575-8164 (434) 447-6481 PHELPS, JOY (757) 357-6779 COMMONWEALTH PEDIATRIC CLAYCOMB, DEBRA MORRIS, KENDALL DENTAL SPECIALISTS PLLC MCNEILL, SU WILLIAM OWEN JR DDS & KENNETH WWAYNE MORRIS 5506 Whiteside Road SMITHFIELD DENTAL PC DEBRA CLATCOM DDS PLLC DDS LTD Sandston, VA 23150 12746 Courthouse Hwy 431 Main St 604 N Thomas St (804) 322-3669 Smithfield, VA 23430 South Boston, VA 24592 (757) 357-6779 South Hill, VA 23970 (434) 572-3205 (434) 447-4464 SCOTTSVILLE SMITH, ERIC COMPTON, ANNE MORRIS, KENNETH GENERAL DENTIST SMITHFIELD DENTAL PC HALIFAX REGINAL DENTAL 12746 Courthouse Hwy KENNETH WWAYNE MORRIS BAIER, RICHARD CLINIC Smithfield, VA 23430 DDS LTD RICHARD H BAIER DDS 101 Aubrey'S Loop Rd (757) 357-6779 604 N Thomas St 1936 West River Rd South Boston, VA 24592 South Hill, VA 23970 Scottsville, VA 24590 (434) 517-8367 (434) 447-4464 (434) 286-3326 TERWILLIGER, GAYLE GAYLE TERWILLIGER DDS APDC KIM, KWANG OKUNUGA, OLALEKAN 1617 South Church St SHAWSVILLE KWANG W KIM DDS PLLC Smithfield, VA 23430 OLALEKAN OKUNUGA DDS PC 410 Mineral St (757) 357-7500 1165 E Atlantic St GENERAL DENTIST South Boston, VA 24592 South Hill, VA 23970 (434) 572-4928 (434) 447-2492 ARMOUR, WILLIAM ORAL SURGEON WILLIAM ARMOUR 6910 Roanoke Rd KREMPL, ROBERT Shawsville, VA 24162 ROBERT J KREMPL (540) 268-2254 507 N Main St South Boston, VA 24592 SMITHFIELD (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 152 Delta Dental Premier

LYN, TREVANN TSAI, I-TANG VIRGINIA (CONT'D) OGUNBEKUN, ADENIKE SOUTH RIDING DENTAL ASSOC PEDIATRIC DENTISTRY OF SOUTH RIDING DENTAL ASSOC PC SOUTH RIDING SOUTH HILL PC 25055 Riding Plaza Dr Ste 270 25055 Riding Plaza #240 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 South Riding, VA 20152 THOMPSON, K South Riding, VA 20152 (703) 348-8142 (703) 542-3545 K WILSON THOMPSON JR DDS (703) 348-8142 INC ORTHODONTIST SPOTSYLVANIA 107 N Brook Ave OH, JOSEPH South Hill, VA 23970 AESTHETIC DENTISTRY OF HUKMANI, NAVIN (434) 447-3309 GENERAL DENTIST SOUTH RIDING SOUTH RIDING DENTAL ASSOC 25055 Riding Plz #250 PC ALAYSSAMI, MAZIN SOUTH RIDING South Riding, VA 20152 25055 Riding Plaza Dr Ste 270 BRIGHT NOW DENTAL GENERAL

(703) 327-7705 South Riding, VA 20152 SPECIALTY COSMETIC PARTICIPATING PROVIDERS GENERAL DENTIST (703) 348-8142 10454 Hilltop Plaza Way Spotsylvania, VA 22553 RAMISETTY, CHETANA ABROL, MALINI HUKMANI, NAVIN (540) 891-6570 CARL M STEGER DDS & ASSOC SOUTH RIDING DENTAL ASSOC NAVIN HUKMANI DDS LLC PLLC PC 43130 Amberwood Plaza Suite DAY, JEFFREY 43063 Peacock Market Plaza #125 25055 Riding Plaza Dr Ste 270 #225 JEFFREY D DAY DDS PC South Riding, VA 20152 South Riding, VA 20152 South Riding, VA 20152 10466 Georgetown Dr (703) 327-0327 (703) 348-8142 (703) 996-3520 Spotsylvania, VA 22553 (540) 898-8181 CHARAIPOTRA, NEIL RODRIGUEZ, CRISTELLE HUYNH, THUYLINH SOUTH RIDING FAMILY NOVA CHILDRENS DENTISTRY SOUTH RIDING DENTAL ASSOC GHANIM, LAYTH DENTISTRY OF ASHBURN PC BRIGHT NOW DENTAL GENERAL 43063 Peacock Market Plz Ste 125 43130 Amberwood Plaza #230 25055 Riding Plaza Dr Ste 270 SPECIALTY COSMETIC South Riding, VA 20152 South Riding, VA 20152 South Riding, VA 20152 10454 Hilltop Plaza Way (703) 327-0327 (703) 858-1550 (703) 348-8142 Spotsylvania, VA 22553 (540) 891-6570 KWON, JUDY STEGER, CARL KRAVITZ, NEAL AESTHETIC DENTISTRY OF CARL M STEGER DDS & ASSOC KRAVITZ ORTHODONTICS KHALAF, ATHRA SOUTH RIDING PLLC 25055 Riding Plz Ste 110 BRIGHT NOW DENTAL GENERAL 25055 Riding Plz #250 43063 Peacock Market Plaza #125 South Riding, VA 20152 SPECIALTY COSMETIC South Riding, VA 20152 South Riding, VA 20152 (703) 722-2900 (703) 327-7705 (703) 327-0327 10454 Hilltop Plaza Way Spotsylvania, VA 22553 LEE, WILLIAM (540) 891-6570 LEE, KIRSTEN VALLERU, SILVIJA NOVA CHILDRENS DENTISTRY AESTHETIC DENTISTRY OF SOUTH RIDING DENTAL ASSOC OF ASHBURN KIMBLE-TANKS, FELISHA SOUTH RIDING PC 43130 Amberwood Plaza #230 BRIGHT NOW DENTAL GENERAL 25055 Riding Plz #250 25055 Riding Plaza Dr Ste 270 South Riding, VA 20152 SPECIALTY COSMETIC South Riding, VA 20152 South Riding, VA 20152 (703) 858-1550 (703) 327-7705 (703) 348-8142 10454 Hilltop Plaza Way Spotsylvania, VA 22553 PEDIATRIC (540) 891-6570 LIN, LULU ZEIAEI-NAFCHI, SAEID DENTIST/PEDODONTIST PEDIATRIC DENTISTRY OF SOUTH RIDING DENTAL ASSOC SOUTH RIDING PC CHU, THERESE LUI, KIN 25055 Riding Plaza #240 25055 Riding Plaza Dr Ste 270 PEDIATRIC DENTISTRY OF BRIGHT NOW DENTAL GENERAL South Riding, VA 20152 South Riding, VA 20152 SOUTH RIDING SPECIALTY COSMETIC (703) 542-3545 (703) 348-8142 25055 Riding Plaza #240 10454 Hilltop Plaza Way South Riding, VA 20152 Spotsylvania, VA 22553 (540) 891-6570 MURPHY, ANNA ORAL SURGEON (703) 542-3545 CARL M STEGER DDS & ASSOC AMIN, AHMAD PLLC DELACRUZ, CAROLA MALGHAN, NANDINI SOUTH RIDING DENTAL ASSOC 43063 Peacock Market Plaza #125 PEDIATRIC DENTISTRY OF BRIGHT NOW DENTAL GENERAL PC South Riding, VA 20152 SOUTH RIDING SPECIALTY COSMETIC 25055 Riding Plaza Dr Ste 270 (703) 327-0327 25055 Riding Plaza #240 10454 Hilltop Plaza Way South Riding, VA 20152 South Riding, VA 20152 Spotsylvania, VA 22553 (703) 348-8142 (540) 891-6570 NGUYEN, LINH (703) 542-3545 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

BESNER, EDWARD ABOUSY, SAWSAN VIRGINIA (CONT'D) BESNER FABIO BRAMWELL GENERAL DENTISTRY & BRENDMOEN, SARA DENTAL ASSOC ORTHODONTICS ROSENMAN-BRENDMOEN & SPOTSYLVANIA 6120 Brandon Ave Ste 314 7210 Old Keene Mill Rd ASSOC PLLC Springfield, VA 22150 Springfield, VA 22150 5419-C Backlick Rd PARK, JUNG (703) 569-0000 (703) 644-7300 Springfield, VA 22151 BRIGHT NOW DENTAL GENERAL (703) 256-8554 SPECIALTY COSMETIC BESNER, EDWARD AGUILAR GARCIA, WILSON 10454 Hilltop Plaza Way LANCTOT & JOHNSON DENTAL CHARAIPOTRA, NEIL ASSOCIATES PC SONRISAS AND SMILES DENTAL Spotsylvania, VA 22553 NORTHERN VIRGINIA DENTAL 6120 Brandon Ave #314 CARE PLLC (540) 891-6570 ASSOCIATES Springfield, VA 22150 7015 Old Keene Mill Rd Ste 101 6116 Rolling Road #316 (703) 569-0000 Springfield, VA 22150 SCELFO, PETER (703) 879-6939 Springfield, VA 22152

SCELFO PETER J DDS (703) 451-8332 PARTICIPATING PROVIDERS 10466 Georgetown Drive BRAMWELL, JOHN ALAYSSAMI, MAZIN Spotsylvania, VA 22553 BESNER FABIO BRAMWELL CHAUDHRY, MAQSOOD DENTAL ASSOC DRS ALAYSSAMI & HAMID PC (540) 898-8181 BROOKFIELD DENTAL ASSOC 6120 Brandon Ave Ste 314 6230 E Rolling Rd LLC Springfield, VA 22150 Springfield, VA 22152 WILLIAMSON, M 7108 Brookfield Plz (703) 569-0000 (703) 451-6100 WILLIAMSON M MADISON Springfield, VA 22150 9137 Courthouse Rd #100 BRAMWELL, JOHN (703) 913-1377 ALKISHTAINI, MAHA Spotsylvania, VA 22553 LANCTOT & JOHNSON DENTAL HOWARD HOFFMAN DDS (540) 582-6247 ASSOCIATES PC SPRINGFIELD LTD CHAUDHRY, SULTAN 6120 Brandon Ave #314 6340 Brandon Ave BROOKFIELD DENTAL ASSOC Springfield, VA 22150 ORAL SURGEON Springfield, VA 22150 LLC (703) 569-0000 (703) 644-0080 7108 Brookfield Plz COOK, THOMAS Springfield, VA 22150 AHMADIYAR & MOTAMEDI PLLC FEIN, JOSHUA ALKISHTAINI, MAHA (703) 913-1377 10406 Courthouse Rd BESNER FABIO BRAMWELL GENERAL DENTISTRY & Spotsylvania, VA 22553 DENTAL ASSOC ORTHODONTICS CHUN, JAMES (540) 898-7645 7210 Old Keene Mill Rd 6120 Brandon Ave Ste 314 JAMES J CHUN DMD PC Springfield, VA 22150 Springfield, VA 22150 6800 Backlick Rd Ste 101 (703) 644-7300 DEVYLDER, JOSEPH (703) 569-0000 Springfield, VA 22150 BRIGHT NOW DENTAL GENERAL (703) 569-2822 SPECIALTY COSMETIC JOHNSON, HORACE ARGENTIERI, ROBERT 10454 Hilltop Plaza Way LANCTOT & JOHNSON DENTAL ROBERT D ARGENTIERI DDS COCOLIS, PETER Spotsylvania, VA 22553 6201 Old Keene Mill Ct ASSOCIATES PC PETER K COCOLIS DMD PLC (540) 891-6570 Springfield, VA 22152 6120 Brandon Ave #314 5803 Rolling Rd #211 (703) 569-6644 Springfield, VA 22150 Springfield, VA 22152 ORTHODONTIST (703) 569-0000 (703) 912-3800 ASGARI, NAVID BEECROFT, STEPHEN FAMILY DENTISTRY BEECROFT ORTHODONTICS LTD LANCTOT, SLOAN COLOSPATE, VIDYA 6525-C Frontier Dr 10472 Georgetown Dr LANCTOT & JOHNSON DENTAL HOWARD HOFFMAN DDS Springfield, VA 22150 Spotsylvania, VA 22553 ASSOCIATES PC SPRINGFIELD LTD (703) 313-7000 (540) 898-2200 6120 Brandon Ave #314 6340 Brandon Ave Springfield, VA 22150 Springfield, VA 22150 (703) 569-0000 BARLOW, MILJENKA (703) 644-0080 BLACKWOOD, MICHAEL APPLE FAMILY DENTISTRY BRIGHT NOW DENTAL GENERAL 6220 Rolling Road SPECIALTY COSMETIC PORTELL, FRANK COULTER, JUDITH Springfield, VA 22152 10454 Hilltop Plaza Way BESNER FABIO BRAMWELL NORTHERN VIRGINIA DENTAL (703) 569-6770 Spotsylvania, VA 22553 DENTAL ASSOC ASSOCIATES (540) 891-6570 6120 Brandon Ave Ste 314 6116 Rolling Road #316 Springfield, VA 22150 BOGACKI, KATHERINE Springfield, VA 22152 (703) 569-0000 BOGACKI & BOGACKI DDS PC (703) 451-8332 BYRD, RICHARD 8344 Traford Ln BRIGHT NOW DENTAL GENERAL Springfield, VA 22152 SPECIALTY COSMETIC GENERAL DENTIST DASILVA, EMILY (703) 451-2867 PETER K COCOLIS DMD PLC 10454 Hilltop Plaza Way ABINADER, NANTADLA Spotsylvania, VA 22553 5803 Rolling Rd #211 FAMILY DENTISTRY (540) 891-6570 BOGACKI, RUSSELL Springfield, VA 22152 6525-C Frontier Dr BOGACKI & BOGACKI DDS PC (703) 912-3800 Springfield, VA 22150 8344 Traford Ln SPRINGFIELD (703) 313-7000 Springfield, VA 22152 (703) 451-2867 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 154 Delta Dental Premier

HADITHI, DEENA HUSKER, REBEKAH LEE, WS VIRGINIA (CONT'D) GENERAL DENTISTRY & SPRINGFIELD ESTHETIC DR W S MAGGIE LEE DDS PC ORTHODONTICS DENTAL CENTER 6120 Brandon Ave Ste 103 SPRINGFIELD 7210 Old Keene Mill Rd 5312 Carolina Pl Springfield, VA 22150 Springfield, VA 22150 Springfield, VA 22151 (703) 569-8991 DU, KHANH (703) 644-7300 (703) 354-8811 ADVANTAGE DENTAL CARE LINDSEY, DAVID 7022-A Commerce St HAMID, GHADA KALRA, RAJIV Springfield, VA 22150 LINDSEY DAVID A DDS (703) 644-9786 DRS ALAYSSAMI & HAMID PC DENTAL CARE OF SPRINGFIELD 8344 Traford Ln 6230 E Rolling Rd 6671-B Backlick Rd Springfield, VA 22152 Springfield, VA 22152 Springfield, VA 22150 (703) 569-0081 EL-GHOBASHI, AHMED (703) 451-6100 (703) 992-7050 AHMED N ELGHOBASHI LU, NHIEN 6120 Brandon Ave Ste 214 PARTICIPATING PROVIDERS HARTLEY, CAROLINE KANLI, EROL Springfield, VA 22150 BURKE FAMILY & COSMETIC (703) 451-1656 HOWARD HOFFMAN DDS NORTHERN VIRGINIA DENTAL DENTISTRY SPRINGFIELD LTD ASSOCIATES 6116 Rolling Rd #108 6340 Brandon Ave 6116 Rolling Road #316 Springfield, VA 22152 EVANS, CANDACE Springfield, VA 22150 Springfield, VA 22152 (703) 764-1112 EVANS CANDACE E (703) 644-0080 (703) 451-8332 6203 Old Keene Mill Ct MADANI, SHAGHAYEGH Springfield, VA 22152 HO, HOANG KARRI, SHILPA (703) 569-2137 FAMILY DENTISTRY ROSENMAN-BRENDMOEN & DENTAL CARE OF SPRINGFIELD 6525-C Frontier Dr ASSOC PLLC 6671-B Backlick Rd Springfield, VA 22150 GAITAN, RICARDO 5419-C Backlick Rd Springfield, VA 22150 (703) 313-7000 DRS ALAYSSAMI & HAMID PC Springfield, VA 22151 (703) 992-7050 6230 E Rolling Rd (703) 256-8554 MAIURANO, AUDREY Springfield, VA 22152 KHALEFA, SAID (703) 451-6100 AUDREY M MAIURANO HOANG, BINH SAID M KHALEFA DDS PC 7841 Rolling Rd #C BINH K HOANG DDS PLC 6115 Backlick Road Springfield, VA 22153 GEJJI, DIPTI 7004 Backlick Ct Springfield, VA 22150 (703) 455-5555 DENTAL CARE OF SPRINGFIELD Springfield, VA 22151 (703) 451-4211 6671-B Backlick Rd (703) 256-2605 MALEKUTI, SINA Springfield, VA 22150 KIM, ANDREW (703) 992-7050 SINA MALEKUTI DDS PC HOFFMAN, HOWARD 4 GREAT SMILES 6120 Brandon Ave #303 HOWARD HOFFMAN DDS 8328-B Traford Ln Springfield, VA 22150 GLIKMAN, SANDRA SPRINGFIELD LTD Springfield, VA 22152 (703) 451-3211 ADVANTAGE DENTAL CARE 6340 Brandon Ave (703) 569-2046 7022-A Commerce St Springfield, VA 22150 MARKOFF, BRUCE Springfield, VA 22150 (703) 644-0080 KOUSSA, MAI (703) 644-9786 BRUCE MARKOFF DDS LTD GENERAL DENTISTRY & 6124 Brandon Avenue HOM, DAVID ORTHODONTICS Springfield, VA 22150 GOTTLIEB, BRIAN DAVID HOM DDS 7210 Old Keene Mill Rd (703) 451-4500 HOWARD HOFFMAN DDS 9001 Braddock Rd #350 Springfield, VA 22150 SPRINGFIELD LTD Springfield, VA 22151 (703) 644-7300 MAZHARI, SHELIA 6340 Brandon Ave (703) 425-6700 Springfield, VA 22150 HOWARD HOFFMAN DDS LAZEAR, MICHAEL (703) 644-0080 SPRINGFIELD LTD HOOSHANGI, MITRA LAZEAR FAMILY DENTISTRY 6340 Brandon Ave SINA MALEKUTI DDS PC 8134 Old Keene Mill Rd Ste 203 Springfield, VA 22150 GRIMMER, BRYAN 6120 Brandon Ave #303 Springfield, VA 22152 (703) 644-0080 TRAN QUANG C Springfield, VA 22150 (703) 569-2080 MAZHARI, SHELIA 5413D Backlick Road (703) 451-3211 Springfield, VA 22151 DENTAL CARE OF SPRINGFIELD LAZEAR, W (703) 256-4243 6671-B Backlick Rd HOWELL, EVERETT LAZEAR FAMILY DENTISTRY Springfield, VA 22150 HOWARD HOFFMAN DDS 8134 Old Keene Mill Rd Ste 203 (703) 992-7050 GRUBERG, JOSEPH SPRINGFIELD LTD Springfield, VA 22152 JOSEPH M GRUBERG DMD 6340 Brandon Ave (703) 569-2080 MOGROVEJO, ERIKA 7485 Huntsman Boulevard Springfield, VA 22150 Springfield, VA 22153 ADVANTAGE DENTAL CARE (703) 644-0080 LEE, KIE (703) 569-4422 7022-A Commerce St KIE D LEE DDS Springfield, VA 22150 6200 Old Keene Mill Ct (703) 644-9786 Springfield, VA 22152 (703) 569-8000

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

ROSENMAN, LAWRENCE TUNG, PARIANA ZAROOKIAN, ARMEN VIRGINIA (CONT'D) ROSENMAN-BRENDMOEN & BROOKFIELD DENTAL ASSOC HOWARD HOFFMAN DDS ASSOC PLLC LLC SPRINGFIELD LTD SPRINGFIELD 5419-C Backlick Rd 7108 Brookfield Plz 6340 Brandon Ave Springfield, VA 22151 Springfield, VA 22150 Springfield, VA 22150 NASTEA, CRISTINA (703) 256-8554 (703) 913-1377 (703) 644-0080 CRISTINA E NASTEA DDS PC 8134 Old Keene Mill Rd Ste 202 RYAN, DANIELLE TUPMAN, S Springfield, VA 22152 ORAL SURGEON ROSENMAN-BRENDMOEN & (703) 569-9494 ROSENMAN-BRENDMOEN & ASSOC PLLC ASSOC PLLC COLEMAN, NORMAN 5419-C Backlick Rd 5419-C Backlick Rd FAMILY DENTISTRY NGUYEN, VU Springfield, VA 22151 Springfield, VA 22151 6525-C Frontier Dr ADVANTAGE DENTAL CARE (703) 256-8554 (703) 256-8554 Springfield, VA 22150

7022-A Commerce St (703) 313-7000 PARTICIPATING PROVIDERS Springfield, VA 22150 SABA, MARYAM WATSON, ETHEL (703) 644-9786 SPRINGFIELD HEALTHY SMILE E LEA WATSON DMD MAPC GUTMANN, J PC 6828 Commerce St #104 J STEVEN GUTMANN ORNOFF, MARK 8338 Traford Ln Springfield, VA 22150 6225 Brandon Ave #185 DRS ALAYSSAMI & HAMID PC Springfield, VA 22152 (703) 752-2500 Springfield, VA 22150 6230 E Rolling Rd (703) 866-7000 (703) 451-4430 Springfield, VA 22152 WILLIS, JAMES (703) 451-6100 SAID, MASOOD ROSENMAN-BRENDMOEN & PATEL, SNEHAL ADVANCE DENTAL ASSOC PLLC SPRINGFIELD ORAL SURGERY PARK, KENNETH 7011 Backlick Court 5419-C Backlick Rd 6120 Brandon Ave Ste 301 KENNETH H PARK DMD & Springfield, VA 22151 Springfield, VA 22151 Springfield, VA 22150 ASSOCIATES PC (703) 333-6077 (703) 256-8554 (703) 436-4633 6116 Rolling Rd Ste 214 Springfield, VA 22152 SCHNEIDER, ALLEN WINKLER, MARK ORTHODONTIST (703) 664-6800 A L SCHNEIDER DDS INC NORTHERN VIRGINIA DENTAL GHATRI, ALI 6120 Brandon Ave #204 ASSOCIATES SPRINGFIELD ORTHODONTIC PIERCE, LAURA Springfield, VA 22150 6116 Rolling Road #316 ASSOCIATES PLLC ROSENMAN-BRENDMOEN & (703) 451-2331 Springfield, VA 22152 6564 Loisdale Ct Ste 325 ASSOC PLLC (703) 451-8332 5419-C Backlick Rd Springfield, VA 22150 SULTANZADA, YAMA Springfield, VA 22151 (703) 719-5828 WORTMAN, MICHAEL (703) 256-8554 ADVANCE DENTAL 7011 Backlick Court DENTAL ASSOC OF NORTHERN HRECHKA, KENNETH Springfield, VA 22151 VA PLLC ROLLING ROAD ORTHODONTICS PRICE, STEPHEN (703) 333-6077 5417-D Backlick Rd 7841 Rolling Road #F DENTAL ASSOC OF NORTHERN Springfield, VA 22151 VA PLLC Springfield, VA 22153 TAYLOR, RYAN (703) 750-9404 5417-D Backlick Rd (703) 455-1339 Springfield, VA 22151 JOSEPH M GRUBERG DMD 7485 Huntsman Boulevard YKEDA, CECILIA (703) 750-9404 HUDSON, JAMES Springfield, VA 22153 CECILIA YKEDA DDS BILODEAU HUDSON (703) 569-4422 8342 Traford Ln ORTHODONTICS RAMAI, SHELDON Springfield, VA 22152 DENTAL CARE OF SPRINGFIELD 6116 Rolling Rd #201 THOMAS, WILLIAM (703) 644-5955 6671-B Backlick Rd Springfield, VA 22152 Springfield, VA 22150 WILLIAM H THOMAS DDS PC (703) 451-4666 YOON, DAVID (703) 992-7050 6209 Old Keene Mill Ct Springfield, VA 22152 DAVID S YOON DMD PLLC HUGHES, DAVID (703) 569-7977 6120 Brandon Ave #204 DAVID R HUGHES DDS LLC ROSENBLUM, STEPHEN Springfield, VA 22150 DENTAL ASSOC OF NORTHERN 8314 Traford Ln TRAN, QUANG (703) 451-2331 VA PLLC Springfield, VA 22152 5417-D Backlick Rd TRAN QUANG C (703) 451-0502 YOUNG, RAYMOND Springfield, VA 22151 5413D Backlick Road Springfield, VA 22151 HOWARD HOFFMAN DDS (703) 750-9404 LEE, JIM (703) 256-4243 SPRINGFIELD LTD SPRINGFIELD ORTHODONTIC ROSENBLUM, STEPHEN 6340 Brandon Ave ASSOCIATES PLLC DENTAL ASSOCOF NORTHERN Springfield, VA 22150 6564 Loisdale Ct Ste 325 VA PLLC (703) 644-0080 Springfield, VA 22150 6417 Loisdale Rd #205 (703) 719-5828 Springfield, VA 22150 (703) 971-3100

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

WILLIAMS, NAHEE DUNBAR, PATRICIA STAFFORD VIRGINIA (CONT'D) NAHEE WILLIAMS MCDONALD STAFFORD SMILE DESIGN PC DDS PC 12 Pga Dr Ste 201 SPRINGFIELD 7841 Rolling Road #F ENDODONTIST Stafford, VA 22554 Springfield, VA 22153 TOLBA, MOSTAFA (540) 720-2627 METZDORF, DAVID (703) 455-1339 MOSTAFA S TOLBA DAVID METZDORF 556 Garrisonville Rd Ste 200 DZIEJMA, ROBERT ORTHODONTIST PC Stafford, VA 22554 6320 Augusta Drive PERIODONTIST GARRISONVILLE DENTAL LLC (540) 602-7889 481 Garrisonville Rd #105 Springfield, VA 22150 AL-JOBURI, WESAM (703) 644-4141 Stafford, VA 22554 GENERAL DENTISTRY & (540) 659-4900 ORTHODONTICS GENERAL DENTIST NGUYEN, NIKKI 7210 Old Keene Mill Rd AHMADIYAR, SASAN ELGAZZAR, MOHAMED HOWARD HOFFMAN DDS Springfield, VA 22150 PARTICIPATING PROVIDERS SASAN AHMADIYAR DDS & BRIGHT NOW DENTAL GENERAL SPRINGFIELD LTD (703) 644-7300 ASSOC 6340 Brandon Ave SPECIALTY COSMETIC 385 Garrisonville Rd #108 392 Garrisonville Rd 205 Springfield, VA 22150 CHADDAD, KARIM Stafford, VA 22554 (703) 644-0080 Stafford, VA 22554 DRS ALAYSSAMI & HAMID PC (540) 657-7645 (540) 659-6816 6230 E Rolling Rd OLIVER, MAYA Springfield, VA 22152 ALAYSSAMI, MAZIN GUTIERREZ, NORMA GENERAL DENTISTRY & (703) 451-6100 BRIGHT NOW DENTAL GENERAL ORTHODONTICS AQUIA DENTAL CARE SPECIALTY COSMETIC 2712 Jefferson Davis Hwy #201 7210 Old Keene Mill Rd CHOU, MELANIE 392 Garrisonville Rd 205 Springfield, VA 22150 Stafford, VA 22554 HOWARD HOFFMAN DDS Stafford, VA 22554 (540) 720-8630 (703) 644-7300 SPRINGFIELD LTD (540) 659-6816 6340 Brandon Ave GUTTERY, DARRELL PRYOR, DENNIS Springfield, VA 22150 AMIRSAYAFI, PAYAM QUALITY DENTAL PLLC DENNIS P PRYOR DMD (703) 644-0080 RED APPLE PEDIATRIC DENTAL 125 Hospital Center Blvd Ste 105 7493 Huntsman Blvd TEAM Springfield, VA 22153 Stafford, VA 22554 IJADI, MEHRDAD 1003 Garrisonville Rd (540) 242-5251 (703) 455-1505 FAMILY DENTISTRY Stafford, VA 22556 6525-C Frontier Dr (540) 318-5577 HAN, SUNG SINA, NAHID Springfield, VA 22150 GARRISONVILLE DENTAL LLC MY BRACES DOCTOR PC (703) 313-7000 ANDERSON, JOSHUA 481 Garrisonville Rd #105 6525-C Frontier Dr SASAN AHMADIYAR DDS & Springfield, VA 22150 Stafford, VA 22554 KARAPETIAN, CHRISTINE ASSOC (540) 659-4900 (703) 313-7000 CHRISTINE KARAPETIAN DDS PC 385 Garrisonville Rd #108 6116 Rolling Rd #312 Stafford, VA 22554 HEDAYATI, KOUROS PEDIATRIC Springfield, VA 22152 (540) 657-7645 SASAN AHMADIYAR DDS & DENTIST/PEDODONTIST (703) 569-4040 ASSOC ATTREED, ELIZABETH FONTES, FERNANDA 385 Garrisonville Rd #108 MARVIL, LISA ELIZABETH M ATTREED DDS PC PEDIATRIC DENTAL CARE Stafford, VA 22554 ROSENMAN-BRENDMOEN & 2832 Jeff Davis Hwy Aquia Ctr 6120 Brandon Ave #114 (540) 657-7645 ASSOC PLLC Stafford, VA 22554 Springfield, VA 22150 5419-C Backlick Rd (540) 659-5161 (703) 992-7100 HICKS, KAREN Springfield, VA 22151 STAFFORD FAMILY DENTAL (703) 256-8554 CAHOON, JOSHUA HA, JENNY CARE CAHOON FAMILY DENTAL PEDIATRIC DENTAL CARE 35 Walpole St Ste 201 ZAMAKHCHARI, MAI 282 Choptank Rd #101 6120 Brandon Ave #114 Stafford, VA 22554 HOWARD HOFFMAN DDS Stafford, VA 22556 Springfield, VA 22150 (540) 720-7332 SPRINGFIELD LTD (540) 628-0684 (703) 992-7100 6340 Brandon Ave HUGHES, TIMOTHY Springfield, VA 22150 CHAND, UPPASNA HAN, JOHN STAFFORD SMILE DESIGN PC (703) 644-0080 STAFFORD FAMILY DENTAL PEDIATRIC DENTAL CARE 12 Pga Dr Ste 201 CARE 6120 Brandon Ave #114 Stafford, VA 22554 35 Walpole St Ste 201 Springfield, VA 22150 SPECIALTY NOT SPECIFIED (540) 720-2627 Stafford, VA 22554 (703) 992-7100 FABIO, MICHAEL (540) 720-7332 LANCTOT & JOHNSON DENTAL ASSOCIATES PC 6120 Brandon Ave #314 Springfield, VA 22150 (703) 569-0000

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 157 Delta Dental Premier

PALLE, SUNITHA SCHWARTZ, JAMES PATEL, ASHISH VIRGINIA (CONT'D) BRIGHT NOW DENTAL GENERAL GARRISONVILLE DENTAL LLC BRIGHT NOW DENTAL GENERAL SPECIALTY COSMETIC 481 Garrisonville Rd #105 SPECIALTY COSMETIC STAFFORD 392 Garrisonville Rd 205 Stafford, VA 22554 392 Garrisonville Rd 205 Stafford, VA 22554 (540) 659-4900 Stafford, VA 22554 IJADI, MEHRDAD (540) 659-6816 (540) 659-6816 SASAN AHMADIYAR DDS & ASSOC SWANSON, JOSHUA 385 Garrisonville Rd #108 PATEL, JAY QUALITY DENTAL PLLC ORTHODONTIST BRIGHT NOW DENTAL GENERAL 125 Hospital Center Blvd Ste 105 Stafford, VA 22554 BEECROFT, STEPHEN (540) 657-7645 SPECIALTY COSMETIC Stafford, VA 22554 392 Garrisonville Rd 205 (540) 242-5251 BEECROFT ORTHODONTICS LTD Stafford, VA 22554 239 Garrisonville Rd JOHNSON, TERRY Stafford, VA 22554 (540) 659-6816 TOMS, MICHELLE MILLENNIUM DENTAL PC (540) 659-6300 PARTICIPATING PROVIDERS 11 Hope Rd #201 MOSTAFA S TOLBA PATEL, RAJ 556 Garrisonville Rd Ste 200 Stafford, VA 22554 BYRD, RICHARD (540) 288-8560 RAJ PATEL DDS INC Stafford, VA 22554 2757 Jefferson Davis Hwy #119 (540) 602-7889 BRIGHT NOW DENTAL GENERAL Stafford, VA 22554 SPECIALTY COSMETIC KIM, DAVID 392 Garrisonville Rd 205 (540) 659-2000 WAY-RODRIGUEZ, JORGE DAVID KIM DDS PC Stafford, VA 22554 SASAN AHMADIYAR DDS & 364 Garrisonville Rd #107 (540) 659-6816 Stafford, VA 22554 PATIL, VINAYAK ASSOC (540) 657-6500 NEIBAUER DENTAL CARE PC 385 Garrisonville Rd #108 20 Berkshire Dr Stafford, VA 22554 GHATRI, ALI Stafford, VA 22554 (540) 657-7645 SASAN AHMADIYAR DDS & LUCK, LEAH (540) 720-7720 ASSOC STAFFORD SMILE DESIGN PC 385 Garrisonville Rd #108 WILLIAMS, VERNON 12 Pga Dr Ste 201 Stafford, VA 22554 PEREZ, RICARDO GARRISONVILLE DENTAL LLC Stafford, VA 22554 (540) 657-7645 (540) 720-2627 SASAN AHMADIYAR DDS & 481 Garrisonville Rd #105 ASSOC Stafford, VA 22554 385 Garrisonville Rd #108 (540) 659-4900 LUPI, JAMES LUI, KIN Stafford, VA 22554 JAMES E LUPI DDS PC BRIGHT NOW DENTAL GENERAL 477 Garrisonville Rd #101 (540) 657-7645 YAQUI, LUIS SPECIALTY COSMETIC Stafford, VA 22554 NEIBAUER DENTAL CARE PC 392 Garrisonville Rd 205 (540) 720-4178 Stafford, VA 22554 RAI, SHIVAPRASANNA 20 Berkshire Dr (540) 659-6816 S RAI DDS PC Stafford, VA 22554 239 Garrisonville Rd Ste 102 (540) 720-7720 NIEPRASCHK, MARKUS Stafford, VA 22554 BRIGHT NOW DENTAL GENERAL LYAZIDI, AICHA (540) 657-0867 SPECIALTY COSMETIC AQUIA DENTAL CARE INC ORAL SURGEON 392 Garrisonville Rd 205 2712 Jefferson Davis Hwy DEVYLDER, JOSEPH Stafford, VA 22554 Stafford, VA 22554 RAINEY, VACORA BRIGHT NOW DENTAL GENERAL (540) 659-6816 (540) 720-8630 VACORA L RAINEY DDS PLC 1229 Garrisonville Rd Ste 101 SPECIALTY COSMETIC Stafford, VA 22556 392 Garrisonville Rd 205 PERIODONTIST MISTO, JIM (540) 318-8708 Stafford, VA 22554 GARRISONVILLE DENTAL LLC (540) 659-6816 CHADDAD, KARIM 481 Garrisonville Rd #105 BRIGHT NOW DENTAL GENERAL REATEGUI, PATRICIA SPECIALTY COSMETIC Stafford, VA 22554 HENRY, ROLIN (540) 659-4900 STAFFORD SMILES COSMETIC 392 Garrisonville Rd 205 ROLIN S HENRY DDS PC CENTER Stafford, VA 22554 315 N Garrisonville Rd Ste 105-B 623 Garrisonville Rd (540) 659-6816 MOORE, ANDREW Stafford, VA 22555 Stafford, VA 22554 ANDREW L MOORE JR DDS PC (540) 659-6650 (703) 780-4422 2063 Jefferson Davis Hwy MOTAMEDI, SAEID SASAN AHMADIYAR DDS & Stafford, VA 22554 MORGAN, DAVID (540) 659-7515 SACHDEV, AMAN ASSOC SASAN AHMADIYAR DDS & STAFFORD SMILE DESIGN PC 385 Garrisonville Rd #108 ASSOC 12 Pga Dr Ste 201 Stafford, VA 22554 MWENDO, JIMANI 385 Garrisonville Rd #108 Stafford, VA 22554 (540) 657-7645 NEIBAUER DENTAL CARE PC (540) 720-2627 Stafford, VA 22554 20 Berkshire Dr (540) 657-7645 Stafford, VA 22554 SETHI, SHALINI (540) 720-7720 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

KARREL, JUSTIN BRUMBAUGH, BRIAN MILLS, CORDELIA VIRGINIA (CONT'D) JUSTIN P KARREL DR BRIAN BRUMBAUGH PARIKH PC 504 N Coalter St 15 Gosnell Crossing 20 Pidgeon Hill Dr #204 STAFFORD Staunton, VA 24401 Staunton, VA 24401 Sterling, VA 20165 (540) 885-1631 (540) 213-2244 (703) 444-5678 ZALEWSKY, JUSTIN GARRISONVILLE DENTAL LLC MALONE, CHRISTOPHER STEPHENS CITY PATEL, PRATIK 481 Garrisonville Rd #105 STAUNTON DENTAL CARE RASHIN T BIDGOLI DMD PC Stafford, VA 22554 1600 Coalter St #304 GENERAL DENTIST 21145 Whitfield Pl #101 Staunton, VA 24401 Sterling, VA 20165 (540) 659-4900 GROMLING, THOMAS (540) 885-2000 (703) 444-4229 THOMAS A GROMLING DDS PROSTHODONTIST 100 Highlander Rd ROLLER, MATTHEW TOLBA, MOSTAFA Stephens City, VA 22655 PARTICIPATING PROVIDERS HUANG, PETERSON MATTHEW C ROLLER (540) 869-4377 RASHIN T BIDGOLI DMD PC STAFFORD SMILES COSMETIC 251 Frontier Dr 21145 Whitfield Pl #101 CENTER Staunton, VA 24401 Sterling, VA 20165 LIM, YOUNG 623 Garrisonville Rd (540) 886-3777 (703) 444-4229 Stafford, VA 22555 STEPHENS CITY FAMILY (540) 659-6650 DENTISTRY PC TOLBA, MOSTAFA SEDWICK, RICHARD 175 Warrior Dr ARTISTE DENTISTRY LLC STAUNTON DENTAL CARE Stephens City, VA 22655 46090 Lake Center Plaza #107 WELD, GEORGIA 1600 Coalter St #304 (540) 869-2600 Sterling, VA 20165 NEIBAUER DENTAL CARE PC Staunton, VA 24401 (703) 434-3286 20 Berkshire Dr (540) 885-2000 Stafford, VA 22554 STIEBEL, WILLIAM (540) 720-7720 STIEBEL WILLIAM L GENERAL DENTIST TESTERMAN, EDWARD 1021 Aylor Road E ROSS TESTERMAN JR DDS PC Stephens City, VA 22655 AGHAEE, ALI STAUNTON 504 N Coalter Street (540) 869-2737 AGHAEE & NOURI DDS PC Staunton, VA 24401 46175 Westlake Dr Ste 220 GENERAL DENTIST (540) 885-1631 Sterling, VA 20165 SWEENEY, CHRISTABEL (703) 404-9111 ADAMS, KATHLEEN THOMAS A GROMLING DDS KATIE ADAMS DDS PC WOLFE, MELISSA 100 Highlander Rd 502 N Coalter St MELISSA L WOLFE DDS Stephens City, VA 22655 ALATHARI, HUMAM Staunton, VA 24401 18 Haggerty Lane #104 (540) 869-4377 ZINA ALATHARI DMD PC (540) 887-3304 Staunton, VA 24401 21155 Whitfield Pl Ste 106 (540) 885-5050 Sterling, VA 20165 TALIAFERRO, RICHARD (703) 444-5553 BANG, JEFFREY STEPHENS CITY FAMILY JEFFREY E BANG DMD PC ORAL SURGEON DENTISTRY PC 420 Commerce Rd 175 Warrior Dr ALATHARI, ZINA BIGELOW, WILLIAM Staunton, VA 24401 Stephens City, VA 22655 ZINA ALATHARI DMD PC WILLIAM C BIGELOW DDS PC (540) 885-8667 (540) 869-2600 21155 Whitfield Pl Ste 106 110-C Mactanly Pl Sterling, VA 20165 Staunton, VA 24401 BOYLES, JOHN (703) 444-5553 (540) 213-8750 PERIODONTIST JOHN E BOYLES DDS 369 N. Coalter St BRILL, BYRON ALAYSSAMI, MAZIN Staunton, VA 24401 ORTHODONTIST BYRON A BRILL BRIGHT NOW DENTAL GENERAL (540) 886-3261 203 Salem Church Rd ASHLEY, CHANDA SPECIALTY COSMETIC Stephens City, VA 22655 6 Pidgeon Hill Dr #210 ASHLEY ORTHODONTICS (540) 869-4200 Sterling, VA 20165 COOKE, JAMES 211 Edgewood Rd (703) 444-7102 JAMES R COOKE JR DDS Staunton, VA 24401 25 North Central Avenue (540) 885-6815 STERLING Staunton, VA 24401 AVIN, HAMID (540) 886-6363 ENDODONTIST CLOTH, MARK HAMID AHMADI AVIN DDS PC 47100 Community Plaza #165 MARK S CLOTH DDS PC BIDGOLI, RASHIN Sterling, VA 20164 HANNA, WILLIAM 500 N Coalter St RASHIN T BIDGOLI DMD PC (703) 444-5222 HANNA WILLIAM B Staunton, VA 24401 21145 Whitfield Pl #101 110 Mactanly Pl #A (540) 886-8331 Sterling, VA 20165 Staunton, VA 24401 (703) 444-4229 AVIN, MARYAM (540) 886-7012 HAMID AHMADI AVIN DDS PC PEDIATRIC 47100 Community Plaza #165 DENTIST/PEDODONTIST 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

GAITAN, RICARDO KIM, JOHN NOURI, BRUCE VIRGINIA (CONT'D) RICARDO GAITAN DDS PC MODERN DENTAL OF STERLING AGHAEE & NOURI DDS PC 21525 Ridgetop Cir Ste 220 46165 Westlake Dr #320 46175 Westlake Dr Ste 220 STERLING Sterling, VA 20166 Sterling, VA 20165 Sterling, VA 20165 (703) 450-5302 (703) 430-9300 (703) 404-9111 BURSICH, THOMAS STERLING DENTAL CENTER GHANIM, LAYTH LEE, GLORIA PARIKH, ANUJA 21155 Whitfield Place #104 Sterling, VA 20165 BRIGHT NOW DENTAL GENERAL GLORIA LEE DDS PC PARIKH PC (703) 433-0234 SPECIALTY COSMETIC 21800 Towncenter Plz Ste 266-B 20 Pidgeon Hill Dr #204 6 Pidgeon Hill Dr #210 Sterling, VA 20164 Sterling, VA 20165 Sterling, VA 20165 (703) 433-2436 (703) 444-5678 CHAUDHRY, MAQSOOD (703) 444-7102 ADAMS SMILE CENTER MALYAVANTHAM, PARK, JUNG 46161 West Lake Dr #220 PARTICIPATING PROVIDERS HAEBERER, ALFRED Sterling, VA 20165 DATTATHRI BRIGHT NOW DENTAL GENERAL (703) 430-1212 ALFRED F HAEBERER III DMD DATTATHRI MALYAVANTHAM SPECIALTY COSMETIC 21145 Whitfield Pl Ste 102 21475 Ridgetop Cir #230 6 Pidgeon Hill Dr #210 Sterling, VA 20165 Sterling, VA 20166 Sterling, VA 20165 CHAUDHRY, SULTAN (703) 433-2155 (703) 444-9900 (703) 444-7102 ADAMS SMILE CENTER 46161 West Lake Dr #220 HEDAYATI, KOUROS PARTOVI, MOJGAN Sterling, VA 20165 MITNICK, HOWARD (703) 430-1212 ARTISTE DENTISTRY LLC MITNICK & HERBST PC KKMP LLC 46090 Lake Center Plaza #107 21475 Ridgetop Cir Ste 200 46396 Benedict Dr #230 Sterling, VA 20165 Sterling, VA 20166 Sterling, VA 20164 CHOHAN, EMA (703) 434-3286 (703) 444-3710 (703) 421-8988 FAMILY & COSMETIC DENTISTRY 46400 Benedict Dr #109 HOOSHMAND, MARIE PATEL, SACHI Sterling, VA 20164 MODARESI, MINA (703) 444-3412 MARIE HOOSHMAND DDS PC REGAL DENTAL CARE MOSAIC DENTAL 21165 Whitfield Pl Ste 101 45985-160 Regal Plz 46169 Westlake Dr Ste 330 Sterling, VA 20165 Sterling, VA 20165 Sterling, VA 20165 CLAUSTRO, JOANNA (703) 444-1656 (703) 433-1122 (703) 444-5111 JOANNA CLAUSTRO DMD PLLC 21495 Ridgetop Circle Ste. #100 HUBBARD, RACHEL RANZURMAL, MINA Sterling, VA 20166 MOSHIRI, TARA (703) 406-8600 MITNICK & HERBST PC ARTISTE DENTISTRY LLC JR RIOS DDS PLC 21475 Ridgetop Cir Ste 200 46090 Lake Center Plaza #107 21495 Ridgetop Circle #200 Sterling, VA 20166 Sterling, VA 20165 Sterling, VA 20166 DINH, ASHLEY (703) 444-3710 (703) 434-3286 (703) 450-8803 ASHLEY DINH DDS PC 107 E Holly Ave #5 HUGHES, EDWARD REDDY, HIMA-BINDU Sterling, VA 20164 NALLAVALLI, SRAVANTHI (703) 430-6655 FAMILY COSMETIC IMPLANT BRIGHT NOW DENTAL GENERAL BRIGHT NOW DENTAL GENERAL DENT SPECIALTY COSMETIC SPECIALTY COSMETIC 46440 Benedict Dr #201 6 Pidgeon Hill Dr #210 6 Pidgeon Hill Dr #210 DUONG, TRUC Sterling, VA 20164 Sterling, VA 20165 Sterling, VA 20165 TRUC DUONG DDS PC (703) 444-1152 (703) 444-7102 (703) 444-7102 21145 Whitfield Pl #103 Sterling, VA 20165 JAFARI, MAHNAZ RIOS, JORGE (703) 404-1115 NAWAZ, MIRWEISS FAMILY COSMETIC & IMPLANT MIRWEISS NAWAZ DDS PLLC JR RIOS DDS PLC DENTISTRY 46179 Westlake Dr Ste 230 21495 Ridgetop Circle #200 EGHTESSAD, MICHAEL 21495 Ridgetop Circle Suite 303 Sterling, VA 20165 Sterling, VA 20166 BRIGHT NOW DENTAL GENERAL Sterling, VA 20166 (703) 430-3838 (703) 450-8803 SPECIALTY COSMETIC (703) 433-1400 6 Pidgeon Hill Dr #210 RUBINO, RICHARD Sterling, VA 20165 NGUYEN, LOC KAVIANPOUR, ZAHRA (703) 444-7102 LOC NGUYEN DDS RICHARD P RUBINO DDS FAMILY & COSMETIC DENTISTRY 21155 Whitfield Pl Ste 101 46400 Benedict Dr #101 46400 Benedict Dr #109 Sterling, VA 20165 Sterling, VA 20164 FINAMORE, PAUL Sterling, VA 20164 (703) 430-9317 (703) 450-1408 PAUL R FINAMORE DDS (703) 444-3412 46161 Westlake Dr #230 RUPARELIA, SHREYESH Sterling, VA 20165 NGUYEN, THI KIANPOUR, KOUROSH (703) 421-2600 THI A NGUYEN DMD PC RUPARELIA DDS PC KKMP LLC 21165 Whitfield Pl #104 46302 Mcclellan Way 46396 Benedict Dr #230 Sterling, VA 20165 Sterling, VA 20165 Sterling, VA 20164 (703) 421-4642 (703) 444-5095 (703) 421-8988

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

TAHERI, BRUCE BERI, ANURANDA VIRGINIA (CONT'D) FAVAGEHI & KOSHKI DDS PC WHITE, TERRYL REZA NIKPOURFARD DDS 21495 Ridgetop Cir 100 TERRYL A WHITE DDS MS 21495 Ridgetop Cir #100 STERLING Sterling, VA 20166 20 Pidgeon Hill Dr. #207 Sterling, VA 20166 (703) 406-8600 Sterling, VA 20165 (703) 406-8600 SATTAR, JOHN (703) 444-5337 JOHN H SATTAR DDS PC TRAN, BERNARD CHADDAD, KARIM 20 Pidgeon Hill Dr #105 PEDIATRIC Sterling, VA 20165 GLORIA LEE DDS PC BRIGHT NOW DENTAL GENERAL DENTIST/PEDODONTIST (703) 450-9723 21800 Towncenter Plz Ste 266-B SPECIALTY COSMETIC Sterling, VA 20164 6 Pidgeon Hill Dr #210 DADKHAH, MINA (703) 433-2436 Sterling, VA 20165 MINA DADKHAH DDS PLLC SENSENBRENNER, DIANA (703) 444-7102 DATTATHRI MALYAVANTHAM 46165 Westlake Dr Ste 200 VU, CINDY 21475 Ridgetop Cir #230 Sterling, VA 20165 PARTICIPATING PROVIDERS HARDISON, JUSTIN Sterling, VA 20166 STERLING DENTAL CLINIC (703) 665-3810 (703) 444-9900 22330 S. Sterling Blvd Ste A104 JEAN-CLAUDE KHARMOUCHE Sterling, VA 20164 DMD PC HERBST, HEIDI (703) 433-1151 21165 Whitefield Pl Ste 107 MITNICK & HERBST PC SHARAFI, ALIREZA Sterling, VA 20165 VU, CINDY 21475 Ridgetop Cir Ste 200 MINA DADKHAH DDS PLLC (703) 444-4377 46165 Westlake Dr Ste 200 CINDY VU DDS PC Sterling, VA 20166 Sterling, VA 20165 22350 S. Sterling Blvd. #A110 (703) 444-3710 KHARMOUCHE, (703) 665-3810 Sterling, VA 20164 JEAN-CLAUDE (703) 433-1154 LIU, BEN JEAN-CLAUDE KHARMOUCHE SHAW, CHRISTINA SUPERKIDS PEDIATRIC DMD PC DATTATHRI MALYAVANTHAM XIA, JOYCE DENTISTRY 21165 Whitefield Pl Ste 107 21475 Ridgetop Cir #230 LAKE CENTER DENTAL CARE PC 46175 Westlake Dr Ste 430 Sterling, VA 20165 Sterling, VA 20166 46090 Lake Center Plz #105 Sterling, VA 20165 (703) 444-4377 (703) 444-9900 Sterling, VA 20165 (703) 774-0014 (703) 444-9888 LIN, THOMAS SHEIKH, SHEHZAD MARZBAN, COURTNEY REGAL DENTAL CARE SHEHZAD SHEIKH DMD MS PC ORAL SURGEON MITNICK & HERBST PC 45985-160 Regal Plz 46400 Benedict Dr Ste 205 21475 Ridgetop Cir Ste 200 Sterling, VA 20165 Sterling, VA 20164 BURGER, BRENTON Sterling, VA 20166 (703) 433-1122 (703) 430-6432 BRENTON W BURGER (703) 444-3710 20 Pidgeon Hill Dr #205 Sterling, VA 20165 MARVIL, LISA SHIN, HYE MONAJEMY, NOOSHIN (703) 444-2206 LOUDOUN PERIODONTICS STERLING DENTAL CENTER MITNICK & HERBST PC 14 Pidgeon Hill Dr Ste 360 21155 Whitfield Pl Ste 104 21475 Ridgetop Cir Ste 200 Sterling, VA 20165 Sterling, VA 20165 DEVYLDER, JOSEPH Sterling, VA 20166 (540) 338-4588 (703) 433-0234 BRIGHT NOW DENTAL GENERAL (703) 444-3710 SPECIALTY COSMETIC 6 Pidgeon Hill Dr #210 PATRON, ALFONSO SOLTANI, SHAHROKH SKORDALAKIS, EMMANUEL Sterling, VA 20165 REZA NIKPOURFARD DDS REZA NIKPOURFARD DDS EMMANUEL SKORDALAKIS DDS (703) 444-7102 21495 Ridgetop Cir #100 21495 Ridgetop Cir #100 MA PC Sterling, VA 20166 Sterling, VA 20166 46950 Jennings Farm Dr Ste 160 (703) 406-8600 (703) 406-8600 WOJCIK, ROSE Sterling, VA 20164 BRENTON W BURGER (703) 421-3000 20 Pidgeon Hill Dr #205 PFOHL, DAVID STAVER, TATIANA Sterling, VA 20165 LOUDOUN PERIODONTICS PLLC MITNICK & HERBST PC PERIODONTIST (703) 444-2206 14 Pidgeon Hill Dr #360 21475 Ridgetop Cir Ste 200 AL-JOBURI, WESAM Sterling, VA 20165 Sterling, VA 20166 (703) 430-0938 (703) 444-3710 ORTHODONTIST ARTISTE DENTISTRY LLC 46090 Lake Center Plaza #107 JONES, JOHN Sterling, VA 20165 SHAH, NIDHI SUK, MINJEONG JOHN H JONES III LTD (703) 434-3286 ADAMS SMILE CENTER MARIE HOOSHMAND DDS PC 20 Pidgeon Hill Dr Ste 206 46161 West Lake Dr #220 21165 Whitfield Pl Ste 101 AL-JOBURI, WESAM Sterling, VA 20165 Sterling, VA 20165 Sterling, VA 20165 FAMILY & COSMETIC DENTISTRY (703) 421-0893 (703) 430-1212 (703) 444-1656 46400 Benedict Dr #109 Sterling, VA 20164 SABA, SHADI (703) 444-3412 SABA ORTHODONTICS 21155 Whitfield Place #107 Sterling, VA 20165 (703) 404-7222

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

JONES, MICHAEL ARTIS, ASHA GLORIA, JOSEPH VIRGINIA (CONT'D) MICHAEL L JONES DDS LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS 797 Woodland Dr SCHIFF LTD SCHIFF LTD STERLING Stuart, VA 24171 210 Meadow View Blvd 210 Meadow View Blvd (276) 694-7311 Suffolk, VA 23435 Suffolk, VA 23435 SPERLING-HABOT, KEREN (757) 673-6263 (757) 673-6263 REZA NIKPOURFARD DDS KORNETT, NOEL 21495 Ridgetop Cir #100 BACHAS, TED GOLDSTEIN, KEITH Sterling, VA 20166 KORNETT NOEL P (703) 406-8600 113 W Blue Ridge St TED L BACHAS DDS LEFCOE WEINSTEIN SACHS Stuart, VA 24171 6550 Hampton Roads Pkwy #105 SCHIFF LTD (276) 694-3371 Suffolk, VA 23435 210 Meadow View Blvd PROSTHODONTIST (757) 483-6155 Suffolk, VA 23435 STUARTS DRAFT (757) 673-6263

ALVAREZ, JUAN PARTICIPATING PROVIDERS ALVAREZ DENTAL SMILE BOYD, JANA 14 Pidgeon Hill Dr Ste 170 GENERAL DENTIST RL HOWELL DDS & ASSOCIATES GWALTNEY, STEVE PC STEVE A GWALTNEY DDS PC Sterling, VA 20165 BELL, ANITA (703) 433-0080 102 Western Ave 2486 Pruden Blvd ANITA L BELL Suffolk, VA 23434 Suffolk, VA 23434 2835 Stuarts Draft Hwy (757) 539-7695 (757) 539-3021 STONE RIDGE Stuarts Draft, VA 24477 (540) 337-1324 BOYD, JANA GENERAL DENTIST HARBOUR VIEW DENTAL HARDY, KENNETH KENNETH E HARDY DDS HUTCHENS, JAMES CENTER CAO-ROTHWELL, HONG 1622 Holland Road JAMES F HUTCHENS DDS 5837 Harbour View Blvd HONG CAO-ROTHWELL DMD PC Suffolk, VA 23434 2780 Stuart Draft Hwy Suite 102 Suffolk, VA 23435 42010 Village Center Plz #120 (757) 539-2998 Stone Ridge, VA 20105 Stuarts Draft, VA 24477 (757) 686-3636 (703) 327-0441 (540) 337-2400 BRACKEN, MONLEUDY HENDRICKS, ARTHUR KONIKOFF DENTAL ASSOC BRADSHAW J DWIGHT ORAL SURGEON SUFFOLK 5849 Harbourview Blvd Ste 100 5501-D Bennett'S Pasture Rd ARMANIOUS, MARK ENDODONTIST Suffolk, VA 23435 Suffolk, VA 23435 (757) 484-1444 MARK M ARMANIOUS (757) 606-1450 24600 Millstream Dr #490 DOMARK, JEFFREY TRUDEAU ENDODONTICS PC Stone Ridge, VA 20105 BRADSHAW, J HORNSBY, KIMBROUGH 1510 Breezeport Way Ste 400 (703) 327-5655 BRADSHAW J DWIGHT LEFCOE WEINSTEIN SACHS Suffolk, VA 23435 5501-D Bennett'S Pasture Rd SCHIFF LTD (757) 638-4500 STRASBURG Suffolk, VA 23435 210 Meadow View Blvd (757) 484-1444 Suffolk, VA 23435 GENERAL DENTIST TRUDEAU, MICHAEL (757) 673-6263 TRUDEAU ENDODONTICS PC CAVES, DONOVAN THOMAS, KEN 1510 Breezeport Way Ste 400 HOWARD, JENNIFER THOMAS FAMILY DENTISTRY OF PENINSULA INSTITUTE FOR Suffolk, VA 23435 BRADSHAW J DWIGHT STRASBURG PLC COMM HLTH (757) 638-4500 5501-D Bennett'S Pasture Rd 33820 Old Valley Pike #1 157 North Main St Suffolk, VA 23435 Strasburg, VA 22657 Suffolk, VA 23434 GENERAL DENTIST (757) 484-1444 (540) 465-3980 (757) 925-1866 ALEMAYEHU, AMEN HOWELL, R LEROY THOMAS, STEPHEN LEFCOE WEINSTEIN SACHS EL BADAWY, TAREK RL HOWELL DDS & ASSOCIATES THOMAS FAMILY DENTISTRY OF SCHIFF LTD SUFFOLK COMPLETE DENTAL PC STRASBURG PLC 210 Meadow View Blvd CARE 102 Western Ave 33820 Old Valley Pike #1 Suffolk, VA 23435 6255 College Dr Ste E Suffolk, VA 23434 Strasburg, VA 22657 (757) 673-6263 Suffolk, VA 23435 (757) 539-7695 (540) 465-3980 (757) 663-5716 ANDERSON, BENJAMIN HOWELL, R LEROY STUART LEFCOE WEINSTEIN SACHS FIELD, SHEILA HARBOUR VIEW DENTAL SCHIFF LTD BRADSHAW J DWIGHT CENTER GENERAL DENTIST 210 Meadow View Blvd 5501-D Bennett'S Pasture Rd 5837 Harbour View Blvd Suffolk, VA 23435 Suffolk, VA 23435 Suffolk, VA 23435 HUTCHENS, GREG (757) 673-6263 (757) 484-1444 (757) 686-3636 GREGORY T HUTCHENS DDS 112 E Blue Ridge St Stuart, VA 24171 (276) 694-3177

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

MYERS, AUBREY SAGUN, MARVIN WEINSTEIN, LEE VIRGINIA (CONT'D) RL HOWELL DDS & ASSOCIATES RL HOWELL DDS & ASSOCIATES LEFCOE WEINSTEIN SACHS PC PC SCHIFF LTD SUFFOLK 102 Western Ave 102 Western Ave 210 Meadow View Blvd Suffolk, VA 23434 Suffolk, VA 23434 Suffolk, VA 23435 HOWELL, RALPH (757) 539-7695 (757) 539-7695 (757) 673-6263 RL HOWELL DDS & ASSOCIATES PC SAGUN, MARVIN RAINEY, VERNON YEH, PAUL 102 Western Ave HARBOUR VIEW DENTAL VERNON L RAINEY DDS Suffolk, VA 23434 CENTER LEFCOE WEINSTEIN SACHS 426 West Washington Street (757) 539-7695 5837 Harbour View Blvd SCHIFF LTD Suffolk, VA 23434 Suffolk, VA 23435 210 Meadow View Blvd HOWELL, RALPH (757) 934-0476 (757) 686-3636 Suffolk, VA 23435 HARBOUR VIEW DENTAL (757) 673-6263 CENTER PARTICIPATING PROVIDERS RAMSAY, JAMIE SANTOS, ESTELITO 5837 Harbour View Blvd NANSEMOND SUFFOLK KONIKOFF DENTAL ASSOC ZAK-RAMSAY, HEATHER Suffolk, VA 23435 DENTISTRY HEATHER ZAK-RAMSEY DMD PC (757) 686-3636 5849 Harbourview Blvd Ste 100 150 Burnetts Way Ste 300B Suffolk, VA 23435 1429 Holland Road Suffolk, VA 23434 (757) 606-1450 Suffolk, VA 23434 KAPOOR, ELLENI (757) 934-8500 (757) 539-8002 LEFCOE WEINSTEIN SACHS SCHIFF, IVAN SCHIFF LTD RAWLS, CHARLES LEFCOE WEINSTEIN SACHS ORAL SURGEON 210 Meadow View Blvd RAWLS CHARLES H JR Suffolk, VA 23435 SCHIFF LTD BERRY, ZACHARY 2900 Godwin Blvd 210 Meadow View Blvd (757) 673-6263 GOODOVE ORAL SURGERY & Suffolk, VA 23434 Suffolk, VA 23435 DENTAL IMPLANTS SUFFOLK (757) 539-1588 (757) 673-6263 KONIKOFF, DAVID 5849 Harbour View Blvd Ste 101 KONIKOFF DENTAL ASSOC Suffolk, VA 23435 RESCHENTHALER, CORINNE SINGOR, LAUREN 5849 Harbourview Blvd Ste 100 (757) 412-2002 RL HOWELL DDS & ASSOCIATES LEFCOE WEINSTEIN SACHS Suffolk, VA 23435 PC (757) 606-1450 SCHIFF LTD BYRNSIDE, VALERIE 102 Western Ave 210 Meadow View Blvd GOODOVE ORAL SURGERY & Suffolk, VA 23434 Suffolk, VA 23435 DENTAL IMPLANTS SUFFOLK LIN, ALBERT (757) 539-7695 (757) 673-6263 KONIKOFF DENTAL ASSOC 5849 Harbour View Blvd Ste 101 RESCHENTHALER, CORINNE 5849 Harbourview Blvd Ste 100 Suffolk, VA 23435 HARBOUR VIEW DENTAL SMITH, THOMAS Suffolk, VA 23435 (757) 412-2002 CENTER (757) 606-1450 LEFCOE WEINSTEIN SACHS 5837 Harbour View Blvd SCHIFF LTD GOODOVE, SCOTT Suffolk, VA 23435 210 Meadow View Blvd GOODOVE ORAL SURGERY & LLODRA, CLARA (757) 686-3636 Suffolk, VA 23435 DENTAL IMPLANTS SUFFOLK LEFCOE WEINSTEIN SACHS (757) 673-6263 SCHIFF LTD 5849 Harbour View Blvd Ste 101 REYNOLDS, JILLIAN 210 Meadow View Blvd Suffolk, VA 23435 LEFCOE WEINSTEIN SACHS SUMMERLIN, JACK Suffolk, VA 23435 (757) 412-2002 SCHIFF LTD (757) 673-6263 KONIKOFF DENTAL ASSOC 210 Meadow View Blvd 5849 Harbourview Blvd Ste 100 JETT, L Suffolk, VA 23435 Suffolk, VA 23435 DRS DODSON TAYLOR & JETT MARCOU, MICHAEL (757) 673-6263 (757) 606-1450 LEFCOE WEINSTEIN SACHS INC SCHIFF LTD 2441 Pruden Blvd SACHS, SCOTT SUR, MARCUS 210 Meadow View Blvd Suffolk, VA 23434 LEFCOE WEINSTEIN SACHS Suffolk, VA 23435 LEFCOE WEINSTEIN SACHS (757) 934-0767 SCHIFF LTD (757) 673-6263 SCHIFF LTD 210 Meadow View Blvd 210 Meadow View Blvd LARUSSO, MARK Suffolk, VA 23435 Suffolk, VA 23435 DRS DODSON TAYLOR & JETT MCMILLAN, VICKI (757) 673-6263 (757) 673-6263 LEFCOE WEINSTEIN SACHS INC SCHIFF LTD 2441 Pruden Blvd SACHS, WARREN TAYLOR, ALAN 210 Meadow View Blvd Suffolk, VA 23434 LEFCOE WEINSTEIN SACHS Suffolk, VA 23435 ALAN TAYLOR DDS (757) 934-0767 SCHIFF LTD (757) 673-6263 1622 Holland Rd 210 Meadow View Blvd Suffolk, VA 23434 Suffolk, VA 23435 (757) 539-2998 (757) 673-6263

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

BENES, KRISTEN KONIKOFF, BRYAN CATRON, GLENN VIRGINIA (CONT'D) LEFCOE WEINSTEIN SACHS KONIKOFF SALZBERG GLENN L CATRON DMD PC SCHIFF LTD PERIODONTICS LTD 994 Ben Bolt Ave SUFFOLK 210 Meadow View Blvd 1510 Breezeport Way #500 Tazewell, VA 24651 Suffolk, VA 23435 Suffolk, VA 23435 (276) 988-5554 MORGAN, ANNE (757) 673-6263 (757) 484-1818 HARBOUR VIEW ORAL & FACIAL SURGERY PLLC CLINE, MISTY 1520 Breezeport Way Ste 600 Ste GALBREATH, ROBERT SALZBERG, TRANG STEVEN D LUTZ DDS PC 600 LEFCOE WEINSTEIN SACHS KONIKOFF SALZBERG 215 S Central Ave Suffolk, VA 23435 SCHIFF LTD PERIODONTICS LTD Tazewell, VA 24651 (757) 686-2703 210 Meadow View Blvd 1510 Breezeport Way #500 (276) 988-4549 Suffolk, VA 23435 Suffolk, VA 23435 MORGAN, ANNE (757) 673-6263 (757) 484-1818 FRANCISCO, PETER HARBOUR VIEW ORAL & FACIAL PARTICIPATING PROVIDERS STEVEN D LUTZ DDS PC SURGERY PLLC HEARNE, STEVEN TAPPAHANNOCK 215 S Central Ave 5837 Harbour View Blvd STEVEN P HEARNE DDS PC Tazewell, VA 24651 Suffolk, VA 23435 1034 Hillpoint Blvd North GENERAL DENTIST (276) 988-4549 (757) 686-2703 Suffolk, VA 23434 COLINA, JOEY (757) 925-0407 HOUSEHOLDER, RONALD MORGAN, JOHN COLINA DENTAL CENTER 1646 Tappahannock Blvd. RONALD W HOUSEHOLDER DDS HARBOUR VIEW ORAL & FACIAL KLAR, LAWRENCE Tappahannock, VA 22560 125 Ben Bolt Ave SURGERY PLLC KLAR VOORHEES (804) 443-5984 Tazewell, VA 24651 1520 Breezeport Way Ste 600 Ste ORTHODONTICS PC (276) 988-7522 600 5849 Harbour View Blvd Suffolk, VA 23435 LEMING, DEAN Suffolk, VA 23435 (757) 686-2703 DEAN D LEMING DDS PC LUTZ, MEGAN (757) 606-1671 625 Charlotte St STEVEN D LUTZ DDS PC MORGAN, JOHN Tappahannock, VA 22560 215 S Central Ave HARBOUR VIEW ORAL & FACIAL KLAR, NEAL (804) 443-3820 Tazewell, VA 24651 SURGERY PLLC KLAR VOORHEES (276) 988-4549 5837 Harbour View Blvd ORTHODONTICS PC WOLCOTT, HOLLIS Suffolk, VA 23435 5849 Harbour View Blvd HOLLIS W WOLCUTT DDS PC LUTZ, STEVEN (757) 686-2703 Suffolk, VA 23435 523 Daingerfield Rd STEVEN D LUTZ DDS PC (757) 606-1671 Tappahannock, VA 22560 215 S Central Ave SELLERS, VERNON (804) 443-6642 Tazewell, VA 24651 DRS DODSON TAYLOR & JETT PARKS, MEREDITH (276) 988-4549 INC KULNIS ORTHODONTICS PC ORTHODONTIST 2441 Pruden Blvd 1530 Breezeport Wy Ste 500 THE PLAINS Suffolk, VA 23434 Suffolk, VA 23435 FABER, BETH (757) 934-0767 (757) 686-3444 BETH L FABER DDS MS PC GENERAL DENTIST 1790 Ball St KINNEY, KIRK WEBBER, CAROLINE TAYLOR, THOMAS Tappahannock, VA 22560 KIRK H KINNEY DDS PC KONIKOFF SALZBERG TAYLOR ORTHODONTICS (804) 443-6419 6479 Main St Po Box A PERIODONTICS LTD 1530 Breezeport Way #500 The Plains, VA 20198 1510 Breezeport Way #500 Suffolk, VA 23435 PERIODONTIST (540) 253-7403 Suffolk, VA 23435 (757) 686-3444 (757) 484-1818 GASKINS, CHARLES TIMBERVILLE VOORHEES HUSSON, MARNI GASKINS & ASSOCIATES DDS ZAGURSKY, PETER PLLC KLAR VOORHEES GENERAL DENTIST GOODOVE ORAL SURGERY & ORTHODONTICS PC 1413 Tappahannock Blvd Ste 5 DENTAL IMPLANTS SUFFOLK 5849 Harbour View Blvd Tappahannock, VA 22560 ROBBINS, ALAN 5849 Harbour View Blvd Ste 101 Suffolk, VA 23435 (804) 794-9611 ALAN D ROBBINS DDS Suffolk, VA 23435 (757) 606-1671 204 W Riverside Dr (757) 412-2002 TAZEWELL Timberville, VA 22853 WOODARD, MONICA (540) 896-5351 GENERAL DENTIST ORTHODONTIST WOODARD ORTHODONTICS 5833 Harbour View Blvd #A TROUTVILLE ANDERSON, ROBERT ABRAHAMS, RODNEY Suffolk, VA 23435 RODNEY R ABRAHAMS DDS ROBERT ANDERSON DDS LTD (757) 686-3955 990 Ben Bolt Ave GENERAL DENTIST 2490 A Pruden Boulevard Tazewell, VA 24651 Suffolk, VA 23434 (276) 979-1121 (757) 934-3000 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 164 Delta Dental Premier

VIENNA TOLBA, MOSTAFA BADIPOUR, MANA VIRGINIA (CONT'D) PRITI NAIK DDS PLC WESTWOOD DENTAL ENDODONTIST 8230 Boone Blvd Ste 320 8618 Westwood Center Dr #109 TROUTVILLE Vienna, VA 22182 Vienna, VA 22182 ALEXANDER, SASHA (703) 288-1800 (703) 848-1999 MILLER, SCOTT TYSONS CORNER SCOTT K MILLER DDS PC ENDODONTICS TOLBA, MOSTAFA BANZON, MARIE 5511 Lee Hiway 8150 Leesburg Pike #502 TYSONS DENTAL ASSOCIATES Troutville, VA 24175 Vienna, VA 22182 8230 Boone Blvd Ste 410 TYSONS DENTAL ASSOCIATES (540) 992-1404 (703) 288-3299 Vienna, VA 22182 8230 Boone Blvd Ste 410 (703) 848-8906 Vienna, VA 22182 (703) 848-8906 TYSONS CORNER CHOBY, MARY TOLBA, MOSTAFA MARY ANN CHOBY DMD MS TYSONS CORNER DENTISTS BARAKAT, DANY GENERAL DENTIST 8133 Leesburg Pk Ste 610 8296-A Old Courthouse Rd PARTICIPATING PROVIDERS DANY A BARAKAT Vienna, VA 22182 Vienna, VA 22182 FARHOUMAND, FARSHAD 2672 - G Avenir Place (703) 448-8433 (703) 848-8889 FARSHAD FARHOUMAND Vienna, VA 22180 1500 Cornerside Blvd #500 (703) 573-2777 CITRON, ALBERT Tysons Corner, VA 22182 GENERAL DENTIST (703) 625-6229 ALBERT A CITRON DMD 307 Maple Ave W Ste H ABOUSY, SAWSAN BARAKAT, HISHAM Vienna, VA 22180 IRIS DENTAL CARE VIENNA SMILES VERONA (703) 938-5920 305 Maple Ave West #E 2553 Chain Bridge Rd Vienna, VA 22180 Vienna, VA 22181 GENERAL DENTIST (703) 938-0212 DELLORK, RICHARD (703) 865-8455 CALVANO, DENNIS RICHARD J DELLORK DDS CALVANO & LAGRUA PLC 124 Park St Se Ste 205 AKMAL, OMER BOLDUC, MATTHEW 1557 Commerce Rd #204 Vienna, VA 22180 VIRGINIA DENTAL CARE AT MATTHEW S BOLDUC DDS PC Verona, VA 24482 (703) 281-5522 VIENNA PLLC 301 Maple Ave W. Ste. #300 (540) 248-2500 301 Maple Ave W #300 Vienna, VA 22180 (717) 032-4245 JOHNSON, GARY Vienna, VA 22180 JONES, TREACY GARY J JOHNSON DDS (703) 242-4555 TREACY D JONES PLC 8227 Old Courthouse Rd Ste 201 BRADLEY, STEPHEN 56 Quick'S Mill Rd Vienna, VA 22182 ALAYSSAMI, MAZIN BRADLEY & SEVILLA Verona, VA 24482 (703) 883-3990 BRIGHT NOW DENTAL GENERAL 307 Maple Avenue W #G (540) 248-0424 SPECIALTY COSMETIC Vienna, VA 22180 (703) 242-8416 NGUYEN, TU-QUYNH 2230 Gallows Rd Ste 320 LAGRUA, DANIEL ALBERT A CITRON DMD Vienna, VA 22027 CALVANO & LAGRUA PLC 307 Maple Ave W Ste H (703) 573-8664 CHA, WONJE 1557 Commerce Rd #204 Vienna, VA 22180 W CHA DDS & K RYEE DDS PC Verona, VA 24482 (703) 938-5920 ALBARQ, EYAD 1964 Gallows Rd #230 (540) 248-2500 EYAD ALBARQ DDS PC Vienna, VA 22182 (703) 448-6909 SALLEN, BRUCE 8603 Westwood Center Drive Suite ROBERTS, CAMERON ALBERT A CITRON DMD 310 CALVANO & LAGRUA PLC 307 Maple Ave W Ste H Vienna, VA 22182 CLAYBROOK, ROBERT 1557 Commerce Rd #204 Vienna, VA 22180 (571) 282-3939 CLAYBROOK ROBERT A Verona, VA 24482 (703) 938-5920 2573 Chain Bridge Rd (540) 248-2500 ALTEMEMI, NADINE Vienna, VA 22181 (703) 281-0855 SHAMBAYATI, SARA JASON FARR FAVAGEHI & MOEIZ VICTORIA METROPOLITAN ENDODONTICS KOSHKI DDS OC 8294 Old Courthouse Rd Ste C 8304 C Old Courthouse Rd COVEL, JEROME GENERAL DENTIST Vienna, VA 22182 Vienna, VA 22182 JEROME A COVEL DDS PC (703) 356-1200 120 Beulah Rd Ne GOODMAN, ASHLEE (703) 992-7202 Vienna, VA 22180 SDHS FAMILY DENTISTRY (703) 938-2000 1685 K-V Rd SUH, BRIAN ARIANI, MEHRAN Victoria, VA 23974 TYSONS CORNER TYSONS DENTAL ASSOCIATES (434) 696-4180 ENDODONTICS 8230 Boone Blvd Ste 410 DIVALENTIN, ROBERT 8150 Leesburg Pike #502 Vienna, VA 22182 ROBERT E DIVALENTIN DDS LTD (703) 848-8906 502 Maple Ave. West SWEENEY, JOHN Vienna, VA 22182 (703) 288-3299 Vienna, VA 22180 SDHS FAMILY DENTISTRY (703) 281-0800 1685 K-V Rd Victoria, VA 23974 (434) 696-4180

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

FLENNIKEN, NEIL KIM, JOON MICHAEL, ADELE VIRGINIA (CONT'D) MONARCH DENTISTRY JOON KIM DMD PLLC TYSONS DENTAL ASSOCIATES 8300 Boone Ave #140 8133 Leesburg Pike #150 8230 Boone Blvd Ste 410 VIENNA Vienna, VA 22182 Vienna, VA 22182 Vienna, VA 22182 (703) 714-7374 (703) 992-7888 (703) 848-8906 DONOHUE, STEPHEN MICHAEL D P SILVEUS DDS PC HALL, JOHN KIM, JOONGSEO MILLER, VERONICA 8150 Leesburg Pike Ste 503 Vienna, VA 22182 JOHN W HALL DDS LTD PEARLBRITE DENTAL INC PARK PLACE (703) 532-2020 133 Maple Ave E #204 301 Maple Ave W #610 115 Park St #201 Vienna, VA 22180 Vienna, VA 22180 Vienna, VA 22180 (703) 255-0040 (703) 281-7011 (703) 268-5550 DWIVEDI, ANIL ANIL DWIVEDI DMD HALL, JOHN LAURENT, BARRY MOSTOFI, MINA 2071 Chain Bridge Rd #410 DIANE PHAM DDS PARTICIPATING PROVIDERS Vienna, VA 22182 133 Maple Ave East Ste #204 LAURENT BARRY D TYSON DENTAL CLINIC (703) 734-1080 Vienna, VA 22180 8292 B Old Courthouse Rd 1964 Gallows Rd #220 (703) 255-0040 Vienna, VA 22182 Vienna, VA 22182 (703) 893-1603 (703) 848-8448 EDELBI, DINA DINA EDELBI DMD PLLC HENON, JAMES LE, HANG NAGLE, JEREMY 8310-A Old Courthouse Rd JEROME A COVEL DDS PC Vienna, VA 22182 120 Beulah Rd Ne TYSONS CORNER DENTISTS JASON FARR FAVAGEHI & MOEIZ (703) 356-0250 Vienna, VA 22180 8296-A Old Courthouse Rd KOSHKI DDS OC (703) 938-2000 Vienna, VA 22182 8304 C Old Courthouse Rd (703) 848-8889 Vienna, VA 22182 ELKHATEEB, MOHAMMAD (703) 356-1200 BRIGHT NOW DENTAL GENERAL HONG, JASON LE, QUAN SPECIALTY COSMETIC TYSONS DENTAL DESIGN CTR NAIK, PRITI 2230 Gallows Rd Ste 320 8150 Leesburg Pk #830 LE & LE DDS PLLC Vienna, VA 22027 Vienna, VA 22182 2070 Chain Bridge Rd Ste 530 PRITI NAIK DDS PLC (703) 573-8664 (703) 388-2883 Vienna, VA 22182 8230 Boone Blvd Ste 320 (703) 448-3527 Vienna, VA 22182 (703) 288-1800 ELLENBOGEN, GARY HONG, RICHARD LE, TRANG DENTAL ASSOC OF NORTHERN BOONE DENTAL OSINOVSKY, ALEXANDER VA PLLC 8230 Boone Blvd Ste 208 TRANG T LE DDS LTD 8100 Boone Blvd Ste. #100 Vienna, VA 22182 133 Maple Ave E Ste 200 TYSONS DENTAL ASSOCIATES Vienna, VA 22182 (703) 506-0800 Vienna, VA 22180 8230 Boone Blvd Ste 410 (703) 734-1095 (703) 938-6476 Vienna, VA 22182 (703) 848-8906 HOOSHANGI, MITRA EMAD, NEAL MITRA HOOSHANGI DDS LEBONITTE, ROBERT PACE, WARREN NOVA DENTAL CARE 2112 Gallows Rd #D DENTAL ASSOC OF NORTHERN 307 F Maple Avenue West Suite Vienna, VA 22182 VA PLLC W JOSEPH PACE JR DDS PC 100 (703) 893-7900 8100 Boone Blvd Ste. #100 110 Pleasant St Ste B Vienna, VA 22180 Vienna, VA 22182 Vienna, VA 22180 (703) 734-1095 (703) 938-6800 (703) 631-0028 IZADI, MOHSEN SHERRY ANOUSHFAR DDS FARHOUMAND, FARAH 133 E Maple Ave #206 LEINER, ZACHARY PARK, ADAM FARHOUMAND FARAH Vienna, VA 22180 DENTAL ASSOC OF NORTHERN VIENNA COSMETIC & FAMILY 8150 Leesburg Pike #920 (703) 319-9880 VA PLLC DENTISTRY Vienna, VA 22182 8100 Boone Blvd Ste. #100 2563 Chainbridge Rd Vienna, VA 22182 Vienna, VA 22181 (703) 636-2442 KAO, WEI-LEA (703) 734-1095 (703) 281-0902 WEI-LEA KAO DDS FARHOUMAND, FOAD 407 Church St Ne Ste B LIN, CHI-YI PATEL, SHARLI FARHOUMAND FOAD H Vienna, VA 22180 8150 Leesburg Pike #920 (703) 255-9038 JASON FARR FAVAGEHI & MOEIZ JASON FARR FAVAGEHI & MOEIZ Vienna, VA 22182 KOSHKI DDS OC KOSHKI DDS OC 8304 C Old Courthouse Rd 8304 C Old Courthouse Rd (703) 636-2442 KIM, JONG RYUL Vienna, VA 22182 Vienna, VA 22182 JOON KIM DMD PLLC (703) 356-1200 (703) 356-1200 FAVAGEHI, JASON 8133 Leesburg Pike # 150 JASON FARR FAVAGEHI & MOEIZ Vienna, VA 22182 LU, NHIEN PHAM, DIANE KOSHKI DDS OC (703) 992-7888 8304 C Old Courthouse Rd VIENNA DENTAL CARE PC JOHN W HALL DDS LTD Vienna, VA 22182 303 Maple Ave W Ste H 133 Maple Ave E #204 (703) 356-1200 Vienna, VA 22180 Vienna, VA 22180 (703) 466-0613 (703) 255-0040

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

SABET, SHAHRAM SONG, MICHAEL YAZDANI, FOROUGH VIRGINIA (CONT'D) VIENNA DENTAL CARE MICHAEL S SONG VIENNA FAMILY DENTISTS PC 360 Maple Ave W Ste C 115 Park St #300-A 212 Park St Se VIENNA Vienna, VA 22180 Vienna, VA 22180 Vienna, VA 22180 (703) 281-1311 (703) 385-5455 (703) 938-0774 PHAM, DIANE DIANE PHAM DDS SANATI, ARDALAN SRIRAM, KANAKA ZADEH, DAVID 133 Maple Ave East Ste #204 Vienna, VA 22180 A SANATI DDS & S SHAHRAM KANAKA SRIRAM DDS PC DZ DENTAL (703) 255-0040 DDS PC 410 Maple Ave W Ste 2 308 Dominion Rd Ne 8605 Westwood Center Dr #210 Vienna, VA 22180 Vienna, VA 22180 Vienna, VA 22182 (703) 255-2326 (703) 671-7500 PHAM, HIEP (703) 442-0770 PLEASANT DENTAL CARE STACK, HOLLIE ZAKHOUR, HIBA 112 Pleasant St Nw #B PARTICIPATING PROVIDERS SCHECHT, WAYNE Vienna, VA 22180 JEROME A COVEL DDS PC HIBA ZAKHOUR DDS PLLC (703) 272-7688 DENTAL ASSOC OF NORTHERN 120 Beulah Rd Ne 8310 Old Courthouse Rd #A VA PLLC Vienna, VA 22180 Vienna, VA 22182 8100 Boone Blvd Ste. #100 (703) 938-2000 (703) 356-0250 PHAN, THOAIVAN Vienna, VA 22182 TYSONS CORNER DENTISTS (703) 734-1095 STEWART, JENNIFER 8296-A Old Courthouse Rd ORAL SURGEON Vienna, VA 22182 VIRGINIA DENTAL CARE AT SEVILLA, MARIA COLEMAN, NORMAN (703) 848-8889 VIENNA PLLC BRADLEY & SEVILLA 301 Maple Ave W #300 FARHOUMAND FARSHAD 307 Maple Avenue W #G Vienna, VA 22180 8150 Leesburg Pike #920 PLETA, EVA Vienna, VA 22180 (703) 242-4555 Vienna, VA 22182 EVA M PLETA DDS (703) 242-8416 (703) 625-6229 8308-C Old Courthouse Rd TECHAPANIT, CHANTARAT Vienna, VA 22182 COLEMAN, NORMAN SHAHRAM, SHOHREH (703) 893-1100 JASON FARR FAVAGEHI & MOEIZ NORMAN K COLEMAN DDS PC A SANATI DDS & S SHAHRAM KOSHKI DDS OC 8150 Leesburg Pike #920 DDS PC 8304 C Old Courthouse Rd Vienna, VA 22182 POPLI, KRIS 8605 Westwood Center Dr #210 Vienna, VA 22182 (703) 820-1306 KRIS POPLI DDS PC Vienna, VA 22182 (703) 356-1200 8206 Leesburg Pike #308 (703) 442-0770 Vienna, VA 22182 DELGADO, EDWARD THOMPSON, ANDREW (703) 448-8600 DELGADO & KUZMIK SHANNON, ANDREW ANDREW THOMPSON DDS PC 8230 Leesburg Pike #720 A J SHANNON DMD PLC 243 Church St Nw Ste 300-C Vienna, VA 22182 RISMANI-FLENNIKEN, SUZAN 301 Maple Ave Ste 200 Vienna, VA 22180 (703) 506-1414 MONARCH DENTISTRY Vienna, VA 22180 (703) 255-0552 8300 Boone Ave #140 (703) 319-8370 Vienna, VA 22182 DEVYLDER, JOSEPH TRINH, PHUONG (703) 714-7374 BRIGHT NOW DENTAL GENERAL SHIN, LEO UNITED DENTAL GROUP SPECIALTY COSMETIC JASON FARR FAVAGEHI & MOEIZ TYSONS 2230 Gallows Rd Ste 320 ROGOWSKI, DAVID KOSHKI DDS OC 8133 Leesburg Pike #150 Vienna, VA 22027 ROGOWSKI & MALONEY 8304 C Old Courthouse Rd Vienna, VA 22182 (703) 573-8664 PARTNERSHIP Vienna, VA 22182 (703) 992-7888 307 M Maple Ave West (703) 356-1200 DEVYLDER, JOSEPH Vienna, VA 22180 JOSEPH J DEVYLDER VO, BRITTANY (703) 281-1090 407 F Church St Ne SILVEUS, MICHAEL BRITTANY L VO DDS Vienna, VA 22180 MICHAEL D P SILVEUS DDS PC 1300 Beulah Road (703) 938-5664 ROSENBLUM, STEPHEN 8150 Leesburg Pike Ste 503 Vienna, VA 22182 DENTAL ASSOC OF NORTHERN Vienna, VA 22182 (703) 757-1000 VA PLLC (703) 532-2020 KIM, SANG 8100 Boone Blvd Ste. #100 CHRISTOPHER E BONACCI DDS VU, KHAI Vienna, VA 22182 MD PC SLOAT, INGA (703) 734-1095 KHAI VU DDS PC 361 Maple Ave West #200 INGA SLOAT DMD PLLC 301 Maple Ave W #140 Vienna, VA 22180 303 Maple Ave W #A Vienna, VA 22180 (703) 255-9400 RYEE, JAMES Vienna, VA 22180 (703) 938-0559 W CHA DDS & K RYEE DDS PC (571) 236-1557 KIM, SANG 1964 Gallows Rd #230 WHITTINGTON, RICHARD SANG YOON KIM DMD MD PC Vienna, VA 22182 361 Maple Ave West #200 WHITTINGTON RICHARD (703) 448-6909 Vienna, VA 22180 212 Park St Se (703) 934-5993 Vienna, VA 22180 (703) 938-8333

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

NGUYEN, DENISE AL-JOBURI, WESAM LI, JINGCHAO VIRGINIA (CONT'D) UNITED DENTAL GROUP IRIS DENTAL CARE UNITED DENTAL GROUP TYSONS 305 Maple Ave West #E TYSONS VIENNA 8133 Leesburg Pike #150 Vienna, VA 22180 8133 Leesburg Pike #150 Vienna, VA 22182 (703) 865-8455 Vienna, VA 22182 KUZMIK, MICHAEL (703) 992-7888 (703) 992-7888 DELGADO & KUZMIK BERI, ANURANDA 8230 Leesburg Pike #720 NGUYEN, DENISE OH, EUNSEOK Vienna, VA 22182 DENISE T NGUYEN DDS PC ANURADHA BERI DDS LLC (703) 506-1414 8298 C Old Courthouse Rd 8230 Boone Blvd #320 VIRGINIA ORTHODONTICS & Vienna, VA 22182 Vienna, VA 22182 PERIODONTICS (703) 847-6544 (703) 288-1800 301 Maple Ave West #440 PATEL, ASHISH Vienna, VA 22180 BERI, ANURANDA BRIGHT NOW DENTAL GENERAL (703) 539-9166

SPECIALTY COSMETIC TRATENSEK, KAREN TYSONS CORNER DENTISTS PARTICIPATING PROVIDERS 2230 Gallows Rd Ste 320 ALLEN S GARAI 8296-A Old Courthouse Rd PATRON, ALFONSO Vienna, VA 22027 427 Maple Ave W Vienna, VA 22182 (703) 573-8664 Vienna, VA 22180 (703) 848-8889 JASON FARR FAVAGEHI & MOEIZ (703) 281-4868 KOSHKI DDS OC 8304 C Old Courthouse Rd CHADDAD, KARIM ORTHODONTIST Vienna, VA 22182 PEDIATRIC BRIGHT NOW DENTAL GENERAL (703) 356-1200 BATH, GREGORY DENTIST/PEDODONTIST SPECIALTY COSMETIC GREGORY D BATH DDS PC 2230 Gallows Rd Ste 320 2535 Chain Bridge Rd BAVEJA, JULIE Vienna, VA 22027 SPERLING-HABOT, KEREN Vienna, VA 22181 PEDIATRIC DENTITRY OF (703) 573-8664 KEREN SPERLING-HABOT DMD (703) 938-4614 TYSONS CORNER LLC MS PC 303 Maple Ave West #H 8296-A Old Courthouse Rd CHOUDHARY, KHALID Vienna, VA 22182 Vienna, VA 22180 GARAI, ALLEN DENTAL ASSOC OF NORTHERN (703) 349-9038 (571) 234-1344 ALLEN S GARAI VA PLLC 427 Maple Ave W 8100 Boone Blvd Ste. #100 SPERLING-HABOT, KEREN Vienna, VA 22180 GANJAVI, SARAH Vienna, VA 22182 TYSONS DENTAL ASSOCIATES (703) 281-4868 VIENNA PEDIATRIC DENTISTRY (703) 734-1095 8230 Boone Blvd Ste 410 PC Vienna, VA 22182 GHAFFARI, ASHKAN 301 Maple Ave West Ste 400 FARR, MICHAEL (703) 848-8906 Vienna, VA 22180 GHAFFARI ORTHODONTICS LTD MICHAEL V FARR DDSPC (703) 938-6600 100 Church St Ne 301 Maple Ave Ste 440 PROSTHODONTIST Vienna, VA 22180 Vienna, VA 22180 (703) 281-0466 ISLAND, MARIA (703) 938-3770 ALVAREZ, JUAN MARIA GEMA ISLAND TYSONS CORNER DENTISTS 8296-A Old Courthouse Rd KIM, EUNYOUNG 1500 Cornerside Blvd Ste 310 GOLDIN, RICHARD Vienna, VA 22182 Vienna, VA 22182 VIRGINIA ORTHODONTICS & RICHARD GOLDIN DDS LTD (703) 790-1320 (703) 848-8889 PERIODONTICS 8298-C Old Courthouse Rd 301 Maple Ave West #440 Vienna, VA 22182 Vienna, VA 22180 LUNA, OSCAR (703) 821-8880 GUO, JUANLI (703) 539-9166 BRIGHT SMILES PEDIATRIC IMPLANT & DENTAL ART PLLC 8321 Old Courthouse Rd #120 DENTIST PLLC HOWANITZ, JOAN 410 Pine St Se Vienna, VA 22182 KWON, HYUE DENTAL ASSOC OF NORTHERN Vienna, VA 22180 (703) 992-0674 HYUE K KWON DDS MDS VA PLLC (703) 938-1415 8227 Old Courthouse Rd #201 8100 Boone Blvd Ste. #100 Vienna, VA 22182 Vienna, VA 22182 HONG, DONG-SOO (703) 883-3873 SKORDALAKIS, EMMANUEL (703) 734-1095 JOON KIM DMD PLLC EMMANUEL SKORDALAKIS DDS 8133 Leesburg Pike #150 Vienna, VA 22182 LE, PHU MA PC IRAVANI, FARIDEH 301 W Maple Ave Ste 200 (703) 992-7888 TYSONS ORTHODONTIC CARE TYSON DENTAL CLINIC Vienna, VA 22180 8227 Old Courthouse Rd #210 1964 Gallows Rd #220 HONG, DONG-SOO (703) 319-8370 Vienna, VA 22182 Vienna, VA 22182 UNITED DENTAL GROUP (703) 288-4862 (703) 848-8448 TYSONS PERIODONTIST 8133 Leesburg Pike #150 NGUYEN, DENISE Vienna, VA 22182 ABRIL, EDISON LI, JINGCHAO JOON KIM DMD PLLC (703) 992-7888 TYSONS CORNER DENTISTS JOON KIM DMD PLLC 8133 Leesburg Pike #150 8296-A Old Courthouse Rd 8133 Leesburg Pike #150 Vienna, VA 22182 Vienna, VA 22182 Vienna, VA 22182 (703) 992-7888 (703) 848-8889 (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

KANETZKE, STEVEN BERNIER-RODRIGUEZ, MAYO, CHESTER VIRGINIA (CONT'D) DR STEVENS KANETZKE DDS JOSEPH MAYO ENDODONTICS LLC W ANTHONY MEARES DDS PC 477 Viking Dr Ste 215 VIENNA 224 W Virginia Ave Po Box 555 621 Lynnhaven Pkwy #170 Virginia Beach, VA 23452 Vinton, VA 24179 Virginia Beach, VA 23452 (757) 486-5428 OSSEIRAN, H (540) 342-8756 (757) 200-6222 TYSONS CORNER ADVANCED MEARES, WILLIAM DENTAL CTR LAW, ZACHARY 8150 Leesburg Pike Ste 900 BUSSEY, KELLY W ANTHONY MEARES DDS PC Vienna, VA 22182 ZACHARY LAW DDS PLLC BUSSEY ENDODONTICS PC 621 Lynnhaven Pkwy #170 (703) 288-4700 1337 Hardy Rd 4542 Bonney Rd #A Virginia Beach, VA 23452 Vinton, VA 24179 Virginia Beach, VA 23462 (757) 200-6222 (540) 342-4945 (757) 416-5333 PARK, SI-WOON NESBITT, PAULA TYSONS CORNER COSMETIC & PARTICIPATING PROVIDERS NEAL, ELIZABETH IMPLANT DENTISTRY BUSSEY, WILLIAM KOOL SMILES 8320 Old Courthouse Rd Ste 402 BLUE RIDGE DENTAL GROUP BUSSEY ENDODONTICS PC 4239 Holland Rd Ste 762-A Vienna, VA 22182 1335 Hardy Rd 4542 Bonney Rd #A Virginia Beach, VA 23452 (703) 356-3970 Vinton, VA 24179 Virginia Beach, VA 23462 (757) 467-5665 (540) 342-7865 (757) 416-5333 OGDEN, CHRISTINE SPECIALTY NOT SPECIFIED ROBERTS, BRICE CHAU, JAMES LASKIN ENDODONTIC IWAMOTO, CLAUDIO BLUE RIDGE DENTAL GROUP JAMES Y CHAU DDS PC SPECIALISTS TYSONS CORNER DENTISTS 1335 Hardy Rd 1724 Sir William Osler Dr 1369 Laskin Rd #3B 8296-A Old Courthouse Rd Vinton, VA 24179 Virginia Beach, VA 23454 Virginia Beach, VA 23454 Vienna, VA 22182 (540) 342-7865 (757) 481-1894 (757) 427-0144 (703) 848-8889 CHAU, JAMES OGDEN, CHRISTINE SKAFF, VICTOR OGDEN ENDODONTICS HILLTOP OGDEN ENDODONTICS HILLTOP VINTON ZACHARY LAW DDS PLLC 1724 Sir William Osler Dr 1724 Sir William Osler Dr 1337 Hardy Rd Virginia Beach, VA 23454 Virginia Beach, VA 23454 GENERAL DENTIST Vinton, VA 24179 (757) 481-1894 (757) 481-1894 (540) 342-4945 BENCH, STEPHEN CHAU, JAMES OGDEN, CHRISTINE BLUE RIDGE DENTAL GROUP WILSON, SARAH OGDEN ENDODONTICS PLLC OGDEN ENDODONTICS PLLC 1335 Hardy Rd 351 Edwin Drive #103 BLUE RIDGE DENTAL GROUP 351 Edwin Drive #103 Vinton, VA 24179 Virginia Beach, VA 23462 1335 Hardy Rd Virginia Beach, VA 23462 (540) 342-7865 (757) 499-9839 Vinton, VA 24179 (757) 499-9839 (540) 342-7865 BLACK, DAVID DEMAYO, THOMAS GENERAL DENTIST BLUE RIDGE DENTAL GROUP THOMAS J DEMAYO DDS PC 1335 Hardy Rd ORAL SURGEON ABRAHAM, RUTH 762 Independence Blvd #400 Vinton, VA 24179 VA BEACH MERCY DENTAL KEVORKIAN, GEORGE Virginia Beach, VA 23455 (540) 342-7865 CLINIC INC GEORGE KEVORKIAN JR DDS (757) 557-0600 5724 Princess Anne Rd PC DAVIS, GERALD Virginia Beach, VA 23462 895 E. Washington Avenue ELATTRACHE, DEAN GERALD WAYNE DAVIS DDS (757) 490-1110 Vinton, VA 24179 LASKIN ENDODONTIC 356 E Virginia Ave (540) 344-7252 SPECIALISTS Vinton, VA 24179 ADAMS, PETER 1369 Laskin Rd #3B (540) 344-7222 PETER J ADAMS VIRGINIA BEACH Virginia Beach, VA 23454 4312 Holland Rd Ste 108 (757) 427-0144 HARDEE, SHEILA ENDODONTIST Virginia Beach, VA 23452 BLUE RIDGE DENTAL GROUP (757) 498-6420 AMODIO, TIFFANY ENGEL, GREGORY 1335 Hardy Rd GREGORY T ENGEL DMD MS Vinton, VA 24179 TIDEWATER ENDODONTICS ADESHARA, KARISHMA PLLC (540) 342-7865 2180 Mccomas Way Ste 104 KOOL SMILES 1432 Great Neck Rd Ste 102 Virginia Beach, VA 23456 4239 Holland Rd Ste 762-A Virginia Beach, VA 23454 (757) 301-7650 Virginia Beach, VA 23452 HARVEY, GREGORY (757) 486-7857 BLUE RIDGE DENTAL GROUP (757) 467-5665 BAILEY, JEFFREY 1335 Hardy Rd MARTIN, JUSTIN Vinton, VA 24179 JEFFREY C BAILEY DDS MS PC AHMAD, AMEERA OCEANFRONT ENDODONTICS (540) 342-7865 1432 N Great Neck Rd #102 KOOL SMILES 1200 First Colonial Rd Ste 201 Virginia Beach, VA 23454 4239 Holland Rd Ste 762-A Virginia Beach, VA 23454 (757) 486-7857 Virginia Beach, VA 23452 (757) 333-3399 (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

BARTON, DANIEL BHATT, RASHMI BRAR, PREMJEET VIRGINIA (CONT'D) ATLANTIC DENTAL CARE PLC RASHMI BHATT DDS PC BEHL ORTHODONTICS 1000 First Colonial Rd #104 5660 Indian River Rd 4291 Holland Rd #112 VIRGINIA BEACH Virginia Beach, VA 23454 Virginia Beach, VA 23464 Virginia Beach, VA 23452 (757) 496-0993 (757) 523-0898 (757) 495-7866 ALEMAYEHU, AMEN LEFCOE WEINSTEIN SACHS BAY, WOLFGANG BHATTI, PARVEEN BREDOLOGOS, STELIANOS SCHIFF LTD 1157 First Colonial Rd Ste 101 WOLFGANG J BAY DMD HOWARD A MENELSOHN DDS BREDOLOGOS FAMILY Virginia Beach, VA 23454 1625 Salem Rd. #101 PC DENTISTRY (757) 412-1114 Virginia Beach, VA 23456 2133 Upton Dr #120 1917 Laskin Road #106 (757) 495-6005 Virginia Beach, VA 23454 Virginia Beach, VA 23454 ALEMAYEHU, AMEN (757) 563-9111 (757) 425-1828 LEFCOE WEINSTEIN SACHS , JEFFREY BHATTI, PARVEEN PARTICIPATING PROVIDERS SCHIFF LTD J R BEK DDS PC BREININGER, BYRON 904 Kempsville Rd Ste 103 HOWARD A MENELSOHN DDS 1767 Princess Anne Rd PC B DAVID BREININGER DDS PC Virginia Beach, VA 23464 Virginia Beach, VA 23456 1453 Kempsville Rd Ste 104 (757) 467-6453 6095 Indian River Rd (757) 426-6151 Virginia Beach, VA 23464 Virginia Beach, VA 23464 (757) 424-1976 (757) 467-9622 ANDERSON, BENJAMIN BELL, TAMMARA LEFCOE WEINSTEIN SACHS BEHL ORTHODONTICS BITTNER, RANDALL BROAS, WILLIAM SCHIFF LTD 4291 Holland Rd #112 GOOD NEIGHBOR DENTAL AT 1157 First Colonial Rd Ste 101 SEABOARD DENTAL SERVICES Virginia Beach, VA 23452 PLLC RED MILL Virginia Beach, VA 23454 (757) 495-7866 2133 Upton Drive Ste 120 (757) 412-1114 1112 Laskin Rd #B Virginia Beach, VA 23451 Virginia Beach, VA 23454 ANDERSON, BENJAMIN BENSON, KIMBERLY (757) 425-1335 (757) 563-9111 LEFCOE WEINSTEIN SACHS SANDBRIDGE FAMILY DENTAL SCHIFF LTD CARE BLANCHARD, DEBORAH BRYANT, NATHANIEL 904 Kempsville Rd Ste 103 2105 Princess Anne Rd Ste #108 BLANCHARD DENTISTRY PLLC DENTISTRY FIRST Virginia Beach, VA 23464 Virginia Beach, VA 23456 32Nd St & Holly Rd Pinewood Sq 5564 Indian River Rd (757) 467-6453 (757) 644-4857 #506 Virginia Beach, VA 23464 Virginia Beach, VA 23451 (757) 366-5084 ANDERSON, J BERGANO, ALLAN (757) 321-1300 J WESLEY ANDERSON JR DDS ALLAN L BERGANO DDS PC BUIST, CHARLES 1658 Pleasure House Rd Ste 105 256 N Witchduck Rd Unit D BLYTHE, PHILIP DENTISTRY FIRST Virginia Beach, VA 23455 Virginia Beach, VA 23462 DR PHILIP A BLYTHE DDS 5564 Indian River Rd (757) 464-1964 (757) 497-2988 3872 Holland Rd Virginia Beach, VA 23464 Virginia Beach, VA 23452 (757) 366-5084 ARNAUDIN, RICHARD BERGER, ARNOLD (757) 463-0740 ATLANTIC DENTAL CARE PLC THE DOCTORS BERGER DMD BUKOVAC, JAMES 1000 First Colonial Rd #104 PLC BOYD, JANA JAMES J BUKOVAC DDS PC Virginia Beach, VA 23454 2404 Virginia Beach Blvd #106 YOUNG FAMILY & COSMETIC 1832 Kempsville Rd #104 (757) 496-0993 Virginia Beach, VA 23454 DENTISTRY Virginia Beach, VA 23464 (757) 498-7878 2005 Lynnhaven Pkwy (757) 479-1610 ARTIS, ASHA Virginia Beach, VA 23456 BUKOVAC, JAMES LEFCOE WEINSTEIN SACHS BERGER, FALLON (757) 554-0962 JAMES P RITTER DDS SCHIFF LTD THE DOCTORS BERGER DMD 3933 Bonney Road 1157 First Colonial Rd Ste 101 PLC BRABSON, ANITA Virginia Beach, VA 23452 Virginia Beach, VA 23454 2404 Virginia Beach Blvd #106 DR DERRICK M BROADAWAY (757) 631-9700 (757) 412-1114 Virginia Beach, VA 23454 DDS (757) 498-7878 ARTIS, ASHA 3809 Princess Anne Rd #111 BURTON, JERRY LEFCOE WEINSTEIN SACHS Virginia Beach, VA 23456 GENTLE DENTAL CENTER SCHIFF LTD BERGER, LOUIS (757) 471-6672 3497 Holland Rd #113 904 Kempsville Rd Ste 103 THE DOCTORS BERGER DMD Virginia Beach, VA 23452 Virginia Beach, VA 23464 PLC BRAR, PREMJEET (757) 431-1300 (757) 467-6453 2404 Virginia Beach Blvd #106 KOOL SMILES BURTON, JERRY Virginia Beach, VA 23454 4239 Holland Rd Ste 762-A (757) 498-7878 CHRISTOPHER A HOOPER DDS BALL, JULIE Virginia Beach, VA 23452 (757) 467-5665 ASSOC LTD JULIE H BALL DMD PC 840 First Colonial Rd Ste S-103 1515 Lynnhaven Pkwy Virginia Beach, VA 23451 Virginia Beach, VA 23453 (757) 496-7300 (757) 427-1600

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 170 Delta Dental Premier

COALTER, EARNEST DOBSON, ROBERTA FINNERTY, KEVIN VIRGINIA (CONT'D) EARNEST D COALTER JR DDS KONIKOFF DENTAL ASSOC KEVIN FINNERTY DDS PC 933 First Colonial Rd #104 2829 Shore Dr 1450 Kempsville Rd VIRGINIA BEACH Virginia Beach, VA 23454 Virginia Beach, VA 23451 Virginia Beach, VA 23464 (757) 491-8075 (757) 333-6866 (757) 424-6644 CAMPBELL DOWNS, REBECCA CONRAD, CALEB DOLENUCK, RICHARD FLOOD, SCOTT DOWNS DENTAL CARE PLLC KONIKOFF DENTAL ASSOC RICHARD P DOLENUCK DDS PC THEODORE R SMITH JR DDS 1825 Colonial Medical Court 2100 Lynnhaven Pky #100 4169 Virginia Beach Blvd 4221 Virginia Beach Blvd Virginia Beach, VA 23454 Virginia Beach, VA 23456 Virginia Beach, VA 23452 Virginia Beach, VA 23452 (757) 428-8404 (757) 416-1400 (757) 463-3834 (757) 486-3919

CAMPBELL, JASON COX, DANIEL DOOLEY, MARY FOLCK, MICHAEL SEASIDE DENTISTRY PARTICIPATING PROVIDERS MIGUEL FERNANDEZ DDS LTD MARY T DOOLEY DDS MICHAEL P FOLCK DDS 3300 Princess Anne Rd #715 5121 Greenwich Rd #102 114 S Witchduck Rd #201 328 Louisa Ave #120 Virginia Beach, VA 23456 Virginia Beach, VA 23462 Virginia Beach, VA 23462 Virginia Beach, VA 23454 (757) 689-4363 (757) 497-4825 (757) 486-4880 (757) 428-7440

CAMPBELL, MASON-LEIGH COX, WILLIAM DUNHAM, THOMAS FOLCK, VINITA KONIKOFF DENTAL ASSOC SHIFLET COX & MORGAN PLC THOMAS DUNHAM CENTRE FOR SMILE BY DESIGN 2100 Lynnhaven Pky #100 3145 Virginia Beach Blvd #104 DENTAL EXCELLENCE 281 Independence Blvd #210 Virginia Beach, VA 23456 Virginia Beach, VA 23452 2008 General Booth Blvd #A Virginia Beach, VA 23462 (757) 416-1400 (757) 340-7602 Virginia Beach, VA 23454 (757) 499-9639 (757) 427-7130 CARAVAS, JERRY CRUSER, MELVIN FOSTER, DAVID JERRY G CARAVAS JR DDS PC MELVIN E CRUSER III DDS PC EGELAND-LEWIS, MARTHA FOSTER DENTISTRY PLLC 307 Lynnhaven Pkwy #101 1209 Independence Blvd #110 CENTER FOR RESTORATIVE 609 Lynnhaven Pkwy Virginia Beach, VA 23452 Virginia Beach, VA 23455 COSMETIC & IMPLANT Virginia Beach, VA 23452 (757) 471-6020 (757) 490-3111 DENTISTRY PC (757) 340-8852 303 35Th St #103 CHEGINI, HOUMAN CWIAK, KARI Virginia Beach, VA 23451 FOSTER, RICHARD YOUNG FAMILY & COSMETIC BEHL ORTHODONTICS (757) 482-2876 RICHARD D FOSTER DMD LTD DENTISTRY 4291 Holland Rd #112 417 S Witchduck Rd 2005 Lynnhaven Pkwy Virginia Beach, VA 23452 ELLIS, KEVIN Virginia Beach, VA 23462 Virginia Beach, VA 23456 (757) 495-7866 KEVIN J ELLIS DMD (757) 490-0595 (757) 554-0962 205 34Th St #112 DAVIS, DEBRA Virginia Beach, VA 23451 FRAZIER, RITA CHENNUPATI, NAVEEN DEBRA A DAVIS DDS PC (757) 428-5491 RITA FRAZIER DDS PC KOOL SMILES 1020 Independence Blvd #113 4541 Main St 4239 Holland Rd Ste 762-A Virginia Beach, VA 23455 ESPARZA, SARAH Virginia Beach, VA 23462 Virginia Beach, VA 23452 (757) 464-0723 PATRICIA A LOTT DDS PC (757) 309-4450 (757) 467-5665 762 Independence Blvd #794 DETWEILER, MELANIE Virginia Beach, VA 23455 FUHRMANN, RONALD CHERIN, JACK INDEPENDENCE DENTAL CARE (757) 499-4707 RONALD C FUHRMANN DDS PC JACK I CHERIN DMD 4530 Professional Circle 232 Business Park Dr #220 1444 Kempsville Rd Ste 101 Virginia Beach, VA 23455 FASANO, MARYBETH Virginia Beach, VA 23462 Virginia Beach, VA 23464 (757) 499-0567 MARYBETH FASANO DMD PC (757) 499-8465 (757) 497-8611 984 First Colonial Rd #200 DIMITROFF, EMILY Virginia Beach, VA 23454 FUNDA, ANN-MARIE CLARKSON, CARRIE HOWARD A MENELSOHN DDS (757) 412-2235 FUNDA ANN-MARIE GARY NEWELL DDS PC 1752 Sir William Osler 5333 Indian River Rd 2133 Upton Dr #120 FERNANDEZ, MIGUEL Virginia Beach, VA 23454 Virginia Beach, VA 23464 Virginia Beach, VA 23454 MIGUEL FERNANDEZ DDS LTD (757) 496-3862 (757) 420-1507 (757) 563-9111 5121 Greenwich Rd #102 CLARKSON, CARRIE Virginia Beach, VA 23462 DIMITROFF, EMILY FURMAN, RANDALL GARY NEWELL DDS INC (757) 497-4825 RITA FRAZIER DDS PC FURMAN RANDALL I 987 Providence Sq. Sh. Ctr. 4541 Main St 879 Lynnhaven Pkwy Ste 109 Virginia Beach, VA 23464 Virginia Beach, VA 23462 FIELD, SHEILA Virginia Beach, VA 23452 (757) 420-1507 (757) 309-4450 RICHARD D FOSTER DMD LTD (757) 468-4684 417 S Witchduck Rd Virginia Beach, VA 23462 (757) 490-0595

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

GOLDSTEIN, KEITH HAMILTON, PAUL HOEK, MEREDITH VIRGINIA (CONT'D) LEFCOE WEINSTEIN SACHS GARY NEWELL DDS INC HOEK ESTHETIC FAMILY SCHIFF LTD 987 Providence Sq. Sh. Ctr. DENTISTRY INC VIRGINIA BEACH 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 1169 Nimmo Parkway # 242 Virginia Beach, VA 23464 (757) 420-1507 Virginia Beach, VA 23456 , BRANDON (757) 467-6453 (757) 689-3355 DENTISTRY FIRST HAMILTON, PAUL 5564 Indian River Rd ROBERT IERVOLINO DDS GOLDSTEIN, STEPHEN HOGAN, ADAM Virginia Beach, VA 23464 987 Providence Square (757) 366-5084 MAHANES DENTISTRY Virginia Beach, VA 23464 ADAM M HOGAN 2521 N Landing Rd Ste 100 (757) 495-2100 2021 Pleasure House Rd Virginia Beach, VA 23456 Virginia Beach, VA 23455 GIGLIOTTI, FRANK (757) 430-9448 (757) 464-3514 ATLANTIC DENTAL CARE PLC HARMON, THOMAS

1000 First Colonial Rd #104 KOOL SMILES HOGAN, ADAM PARTICIPATING PROVIDERS GOWDA, SHANTALA Virginia Beach, VA 23454 4239 Holland Rd Ste 762-A DENTISTRY FIRST (757) 496-0993 SHANTALA GOWDA DMD Virginia Beach, VA 23452 5564 Indian River Rd 397 Little Neck Rd Bldg 3400 #101 (757) 467-5665 Virginia Beach, VA 23464 Virginia Beach, VA 23452 (757) 366-5084 GIGLIOTTI, MICHAEL (757) 498-5142 ATLANTIC DENTAL CARE PLC HARRIS, RICHARD 1000 First Colonial Rd #104 RICHARD B HARRIS DDS LTD HOLLEY, JAMES GROY, DAVID Virginia Beach, VA 23454 1809 Colonial Medical Ct Ste 2 HOLLEY FAMILY DENTISTRY OF (757) 496-0993 GENTLE DENTAL CENTER Virginia Beach, VA 23454 VA BEACH 3497 Holland Rd #113 (757) 481-3737 940 General Booth Blvd Virginia Beach, VA 23452 GIOFFRE, MOLLIE Virginia Beach, VA 23451 (757) 431-1300 (757) 425-1155 MICHAEL P FOLCK DDS HARRISON, BERARD 328 Louisa Ave #120 GROY, DAVID BERARD HARRISON DDS Virginia Beach, VA 23454 CHRISTOPHER A HOOPER DDS 4600 Westgrove Court HOLMES, ASHLEY (757) 428-7440 ASSOC LTD Virginia Beach, VA 23455 ROBERT D WERNICK DDS PC 840 First Colonial Rd Ste S-103 (757) 460-1222 2004 Sandbridge Rd #100 GLADSTONE, Virginia Beach, VA 23451 Virginia Beach, VA 23456 (757) 496-7300 (757) 427-2212 GLADSTONE & SALERNO HEFFELFINGER, MICHAEL 5318 Providence Road DENNIS F HOWARD DDS PC Virginia Beach, VA 23464 GUNN, ALLEN 501 21St Street HOOPER, CHRISTOPHER (757) 424-3657 ALLEN G GUNN DDS PLLC Virginia Beach, VA 23451 JOHN BLASZCZAK DENTAL 2865 Lynnhaven Dr (757) 428-6656 CARE PC GLICK, ARTHUR Virginia Beach, VA 23451 3400 Holland Rd (757) 481-3000 Virginia Beach, VA 23452 ARTHUR L GLICK HENDRICKS, ARTHUR (757) 427-1301 533 Newtown Road #117 GUNN, ALLEN HENDRICKS FAMILY DENTISTRY Virginia Beach, VA 23462 DENTISTRY FIRST PC HOOPER, CHRISTOPHER (757) 499-3163 5564 Indian River Rd 737 Little Neck Rd GENTLE DENTAL CENTER Virginia Beach, VA 23464 Virginia Beach, VA 23452 3497 Holland Rd #113 GLORIA, JOSEPH (757) 366-5084 (757) 486-4469 Virginia Beach, VA 23452 LEFCOE WEINSTEIN SACHS (757) 431-1300 SCHIFF LTD HENDRICKS, HARLAN GUTHRIE, ALFRED HOOPER, CHRISTOPHER 1157 First Colonial Rd Ste 101 HENDRICKS FAMILY DENTISTRY ALFRED R GUTHRIE JR DDS CHRISTOPHER A HOOPER DDS Virginia Beach, VA 23454 PC 3500 Virginia Beach Blvd #400 ASSOC LTD (757) 412-1114 737 Little Neck Rd Virginia Beach, VA 23452 840 First Colonial Rd Ste S-103 Virginia Beach, VA 23452 (757) 340-1465 Virginia Beach, VA 23451 GLORIA, JOSEPH (757) 486-4469 LEFCOE WEINSTEIN SACHS (757) 496-7300 SCHIFF LTD HALEY, MARY HERMAN, BARRY 904 Kempsville Rd Ste 103 MAHANES DENTISTRY HORNSBY, KIMBROUGH GREGORY A SCHRUMPF DDS Virginia Beach, VA 23464 2521 N Landing Rd Ste 100 LEFCOE WEINSTEIN SACHS 1300 Kempsville Rd #1 (757) 467-6453 Virginia Beach, VA 23456 SCHIFF LTD Virginia Beach, VA 23464 (757) 430-9448 1157 First Colonial Rd Ste 101 (757) 467-8181 GOLDSTEIN, KEITH HALEY, MARY Virginia Beach, VA 23454 LEFCOE WEINSTEIN SACHS (757) 412-1114 ADVANCED SEDATION HERMELIN, MARK SCHIFF LTD DENTISTRY MARK J HERMELIN DDS PC HORNSBY, KIMBROUGH 1157 First Colonial Rd Ste 101 616 Virginia Beach Blvd 337 Edwin Dr Ste 101 LEFCOE WEINSTEIN SACHS Virginia Beach, VA 23454 Virginia Beach, VA 23451 Virginia Beach, VA 23462 SCHIFF LTD (757) 412-1114 (757) 769-7155 (757) 497-4746 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

JAVEED, ASRA KAPOOR, ELLENI KENT, JOHN VIRGINIA (CONT'D) SMILECARE FAMILY DENTISTRY LEFCOE WEINSTEIN SACHS PARTNERS IN DENTAL HEALTH 4312 Holland Rd #108 SCHIFF LTD V LLC VIRGINIA BEACH Virginia Beach, VA 23452 1157 First Colonial Rd Ste 101 3809 Princess Anne Rd. Ste. #111 (757) 498-6420 Virginia Beach, VA 23454 Virginia Beach, VA 23456 HORWITZ, ABBEY (757) 412-1114 (757) 471-6672 ABBEY HORWITZ DDS JENKINS, ARTHUR KAPOOR, ELLENI 2142 Great Neck Square ARTHUR REX JENKINS DDS PC LEFCOE WEINSTEIN SACHS KENT, MATHEW Virginia Beach, VA 23454 836 First Colonial Road SCHIFF LTD PARTNERS IN DENTAL HEALTH (757) 481-3699 Virginia Beach, VA 23451 904 Kempsville Rd Ste 103 IV (757) 428-8747 Virginia Beach, VA 23464 2245 W Great Neck Rd #1 HOSEK, ERIC (757) 467-6453 Virginia Beach, VA 23451 JONES, DANIEL (757) 481-7392

ERIC A HOSEK DDS PC PARTICIPATING PROVIDERS 1357 N Great Neck Rd #101 DAVID L JONES DDS & ASSOC KAPOOR, RAJNI KENT, MATHEW Virginia Beach, VA 23454 PC KOOL SMILES PARTNERS IN DENTAL HEALTH (757) 481-5900 2236 General Booth Blvd #100 4239 Holland Rd Ste 762-A 317 Edwin Dr Virginia Beach, VA 23456 Virginia Beach, VA 23452 Virginia Beach, VA 23462 HOSEK, LINDSEY (757) 427-9300 (757) 467-5665 (757) 499-2100 ERIC A HOSEK DDS PC KENT, MATHEW 1357 N Great Neck Rd #101 JONES, DAVID KARP, ALLEN PARTNERS IN DENTAL HEALTH Virginia Beach, VA 23454 DAVID L JONES DDS & ASSOC ALLEN KARP FAMILY DENTISTRY V LLC (757) 481-5900 PC 4676 Princess Anne Rd Ste 100 3809 Princess Anne Rd. Ste. #111 2236 General Booth Blvd #100 Virginia Beach, VA 23462 Virginia Beach, VA 23456 Virginia Beach, VA 23456 HOWARD, DENNIS (757) 495-5010 (757) 471-6672 (757) 427-9300 DENNIS F HOWARD DDS PC 501 21St Street KAUR, AJINDER KENT, THOMAS Virginia Beach, VA 23451 KAHAN, MICHAEL KOOL SMILES JAMES P RITTER DDS (757) 428-6656 ATLANTIC DENTAL CARE PLC 4239 Holland Rd Ste 762-A 1832 Kempsville Rd #104 2129 General Booth Blvd #117 Virginia Beach, VA 23452 Virginia Beach, VA 23452 Virginia Beach, VA 23454 IERVOLINO, ROBERT (757) 467-5665 (757) 631-9700 (757) 563-8000 ROBERT IERVOLINO DDS KENT, THOMAS 987 Providence Square KENT, DEAN JAMES P RITTER DDS Virginia Beach, VA 23464 KAISER, DAVID PARTNERS IN DENTAL HEALTH 3933 Bonney Road (757) 495-2100 THOMAS A MCKEE DDS PC IV Virginia Beach, VA 23452 5261 Challedon Dr 2245 W Great Neck Rd #1 (757) 631-9700 INGRAM, DANIEL Virginia Beach, VA 23462 Virginia Beach, VA 23451 (757) 499-2444 DANIEL W INGRAM DDS (757) 481-7392 1212 Lake James Dr #A KIM, CHAD KENT, DEAN Virginia Beach, VA 23464 KANDARE, WESLEY KOOL SMILES PARTNERS IN DENTAL HEALTH (757) 420-4214 MILONAS FAMILY DENTISTRY 4239 Holland Rd Ste 762-A 317 Edwin Dr 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23452 Virginia Beach, VA 23462 INGRAM, DANIEL Virginia Beach, VA 23451 (757) 467-5665 (757) 499-2100 COASTAL FAMILY & COSMETIC (757) 481-3000 DENTISTRY KENT, DEAN KING, CHRISTOPHER 3176 Holland Rd #101 KANDARE, WESLEY PARTNERS IN DENTAL HEALTH CHRISTOPHER TODD KING DDS Virginia Beach, VA 23453 GENTLE DENTAL CENTER V LLC 4605 Haygood Rd (757) 301-7000 3497 Holland Rd #113 3809 Princess Anne Rd. Ste. #111 Virginia Beach, VA 23455 Virginia Beach, VA 23452 Virginia Beach, VA 23456 (757) 464-6228 (757) 431-1300 IRELAND, MICHAEL (757) 471-6672 BEHL ORTHODONTICS KANDARE, WESLEY KIRPAL, ABHISHEK 4291 Holland Rd #112 ADVANCED SEDATION KENT, JOHN KOOL SMILES Virginia Beach, VA 23452 DENTISTRY PARTNERS IN DENTAL HEALTH 4239 Holland Rd Ste 762-A (757) 495-7866 616 Virginia Beach Blvd IV Virginia Beach, VA 23452 Virginia Beach, VA 23451 2245 W Great Neck Rd #1 (757) 467-5665 JAMES, PATRICIA (757) 769-7155 Virginia Beach, VA 23451 ARTFUL SMILES KANDARE, WESLEY (757) 481-7392 KONDOFF, RONALD 506 S Independence Blvd Ste 100 ADVANCED SEDATION LYALL KONDOFF KANTER & Virginia Beach, VA 23452 KENT, JOHN DENTISTRY KANTER (757) 227-3401 PARTNERS IN DENTAL HEALTH 616 Virginia Beach Blvd Ste 102 317 Edwin Dr 5291 Greenwich Rd Virginia Beach, VA 23451 Virginia Beach, VA 23462 Virginia Beach, VA 23462 (757) 769-7155 (757) 499-2100 (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

LEFTON, RONALD LLODRA, CLARA VIRGINIA (CONT'D) RONALD I LEFTON DDS PC LEFCOE WEINSTEIN SACHS MADDUX, NICHOLAS 4732 Princess Anne Rd SCHIFF LTD MADDUX ORTHODONTICS VIRGINIA BEACH Virginia Beach, VA 23462 1157 First Colonial Rd Ste 101 351 Edwin Dr. Ste 104 (757) 467-6000 Virginia Beach, VA 23454 Virginia Beach, VA 23462 KONIKOFF, DAVID (757) 412-1114 (757) 499-3530 KONIKOFF DENTAL ASSOC LEIBOWITZ, LAWRENCE LLODRA, CLARA 2100 Lynnhaven Pky #100 MAHANES, ALAN LAWRENCE LEIBOWITZ DDS PC LEFCOE WEINSTEIN SACHS Virginia Beach, VA 23456 MAHANES DENTISTRY 1932 Kempsville Rd Ste 101 SCHIFF LTD (757) 416-1400 2521 N Landing Rd Ste 100 Virginia Beach, VA 23464 904 Kempsville Rd Ste 103 Virginia Beach, VA 23456 KONIKOFF, DAVID (757) 424-3555 Virginia Beach, VA 23464 (757) 430-9448 KONIKOFF DENTAL ASSOC (757) 467-6453 2301-A General Booth Blvd LEIDY, JEFFREY Virginia Beach, VA 23456 MAHESH, LEKSHMI PARTICIPATING PROVIDERS DR JEFFREY R LEIDY PC LONGMAN, BRUCE (757) 427-5100 LEKSHMI MAHESH DDS PC 1301 First Colonial Rd JOHN L KORDULAK DDS LTD 405 S Parliament Dr Ste 101 KONIKOFF, DAVID Virginia Beach, VA 23454 855 Kempsville Rd Virginia Beach, VA 23462 KONIKOFF DENTAL ASSOC (757) 463-1500 Virginia Beach, VA 23464 (757) 499-7300 2829 Shore Dr (757) 495-4700 Virginia Beach, VA 23451 LEWIS, DAVID MALLORY, DALE (757) 333-6866 THE CENTER FOR LOTT, PATRICIA DALE L MALLORY RESTORATIVE COSMETIC & PATRICIA A LOTT DDS PC 4867 Baxter Road #101-A KORDULAK, JOHN IMPLANT DENTISTRY 762 Independence Blvd #794 Virginia Beach, VA 23462 JOHN L KORDULAK DDS LTD 303 35Th St #103 Virginia Beach, VA 23455 (757) 499-8139 855 Kempsville Rd Virginia Beach, VA 23451 (757) 499-4707 Virginia Beach, VA 23464 (757) 425-2332 MARCOU, MICHAEL (757) 495-4700 LEWIS, DAVID LUMA, EVELYN LEFCOE WEINSTEIN SACHS CENTER FOR RESTORATIVE EVELYN LUMA DDS PLLC SCHIFF LTD KORMAN, ROBERT COSMETIC & IMPLANT 1244 Perimeter Parkway #444 1157 First Colonial Rd Ste 101 ROBERT P KORMAN DDS PC DENTISTRY PC Virginia Beach, VA 23454 Virginia Beach, VA 23454 1115 First Colonial Rd 303 35Th St #103 (757) 430-2600 (757) 412-1114 Virginia Beach, VA 23454 Virginia Beach, VA 23451 (757) 412-4060 (757) 482-2876 LYALL, MARSHALL MARCOU, MICHAEL LYALL KONDOFF KANTER & LEFCOE WEINSTEIN SACHS KUENZLI, PETER LEWIS, MARY KANTER SCHIFF LTD FOSTER DENTISTRY PLLC MARY H LEWIS DDS 5291 Greenwich Rd 904 Kempsville Rd Ste 103 609 Lynnhaven Pkwy 328 N Great Neck Rd #105 Virginia Beach, VA 23462 Virginia Beach, VA 23464 Virginia Beach, VA 23452 Virginia Beach, VA 23454 (757) 493-8100 (757) 467-6453 (757) 340-8852 (757) 631-9200 LYNCH, RONALD MARSHALL, ROBYN LANIGAN, JACQUELINE LIMON, FRANCISCO KOOL SMILES VERNON E OBERRY JR DDS PC KONIKOFF DENTAL ASSOC KOOL SMILES 4239 Holland Rd Ste 762-A 1062 Laskin Rd 2829 Shore Dr 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 Virginia Beach, VA 23451 Virginia Beach, VA 23451 Virginia Beach, VA 23452 (757) 467-5665 (757) 428-2121 (757) 333-6866 (757) 467-5665 MABANGLO-SAMSON, MARTIN, ANTHONY LANIGAN, PETER LITTLE, KEITH BERNADETTE GENTLE DENTAL CENTER 3497 Holland Rd #113 KONIKOFF DENTAL ASSOC INDEPENDENCE DENTAL CARE RICHARD D FOSTER DMD LTD Virginia Beach, VA 23452 2301-A General Booth Blvd 4530 Professional Circle 417 S Witchduck Rd (757) 431-1300 Virginia Beach, VA 23456 Virginia Beach, VA 23455 Virginia Beach, VA 23462 (757) 427-5100 (757) 499-0567 (757) 490-0595 MATAR, USAMA LEE, SOLOMON LLEWELLYN, CHARLES MACLIN, IVETTA KOOL SMILES 4239 Holland Rd Ste 762-A CARING-HAND SMILE CENTER DR CHARLES LLEWELLYN III KONIKOFF DENTAL ASSOC Virginia Beach, VA 23452 LLC DDS 2301-A General Booth Blvd (757) 467-5665 1577 General Booth Blvd #107 1729 Wildwood Dr Ste. #104 Virginia Beach, VA 23456 Virginia Beach, VA 23454 Virginia Beach, VA 23454 (757) 427-5100 (757) 428-8282 (757) 428-2571 MATIAS, THIAGO MADDUX, KRISTEN KOOL SMILES 4239 Holland Rd Ste 762-A MICHAEL P FOLCK DDS Virginia Beach, VA 23452 328 Louisa Ave #120 (757) 467-5665 Virginia Beach, VA 23454 (757) 428-7440

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

MILLER, JULIAN NEWELL, GARY PATE, DAVID VIRGINIA (CONT'D) BEHL ORTHODONTICS GARY NEWELL DDS CENTER FOR RESTORATIVE 4291 Holland Rd #112 5333 Indian River Rd COSMETIC & IMPLANT VIRGINIA BEACH Virginia Beach, VA 23452 Virginia Beach, VA 23464 DENTISTRY PC (757) 495-7866 (757) 420-1507 303 35Th St #103 MAVROMATIS, JACK Virginia Beach, VA 23451 JACK MAVROMATIS DDS LTD NEWELL, GARY MILONAS, JIM (757) 482-2876 2248 Sunstates Court #103 GARY NEWELL DDS INC Virginia Beach, VA 23451 MILONAS FAMILY DENTISTRY 987 Providence Sq. Sh. Ctr. PEARL, DINA (757) 496-9123 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23464 Virginia Beach, VA 23451 (757) 420-1507 KONIKOFF DENTAL ASSOC (757) 481-3000 2100 Lynnhaven Pky #100 MCCARTY, BENJAMIN Virginia Beach, VA 23456 KONIKOFF DENTAL ASSOC NORTON, CAROLYN MIRANDA, JOSHUA (757) 416-1400 2301-A General Booth Blvd KONIKOFF DENTAL ASSOC PARTICIPATING PROVIDERS Virginia Beach, VA 23456 KONIKOFF DENTAL ASSOC 2829 Shore Dr PELAEZ, JORGE (757) 427-5100 2100 Lynnhaven Pky #100 Virginia Beach, VA 23451 Virginia Beach, VA 23456 (757) 333-6866 DENTISTRY OF VIRGINIA BEACH (757) 416-1400 1805 Colonial Medical Court MCKEE, TOM Virginia Beach, VA 23454 THOMAS A MCKEE DDS PC OBERRY, VERNON MODJADIDI, OSAMA (757) 961-4300 5261 Challedon Dr VERNON E OBERRY JR DDS PC Virginia Beach, VA 23462 MILONAS FAMILY DENTISTRY 1062 Laskin Rd PELLERIN, ROBERT (757) 499-2444 2865 Lynnhaven Dr Ste C4 Virginia Beach, VA 23451 Virginia Beach, VA 23451 (757) 428-2121 ROBERT D PELLERIN DDS PC (757) 481-3000 351 Edwin Dr Ste 101 MCMILLAN, VICKI Virginia Beach, VA 23462 MODJADIDI, OSAMA OCHAVE, FREDERICK LEFCOE WEINSTEIN SACHS (757) 490-2017 SCHIFF LTD HARMONY DENTAL GROUP PLLC FREDERICK P OCHAVE DMD 1157 First Colonial Rd Ste 101 401 Green Meadows Dr Ste B 289 Independence Blvd #229 PEREZ, TIMOTHY Virginia Beach, VA 23454 Virginia Beach, VA 23462 Virginia Beach, VA 23462 (757) 412-1114 (757) 495-8775 (757) 497-1618 THOMAS J OHARA DDS PC 242 Mustang Tr Ste 9 MCMILLAN, VICKI Virginia Beach, VA 23452 MOOREFIELD, KALLIE O'DONNELL, DAVID LEFCOE WEINSTEIN SACHS (757) 340-1153 SCHIFF LTD LANDSTOWN DENTAL CARE KOOL SMILES 904 Kempsville Rd Ste 103 1909 Landstown Centre Way Suite 4239 Holland Rd Ste 762-A #100 Virginia Beach, VA 23452 PHAUP, ALEXIS Virginia Beach, VA 23464 ROBERT D WERNICK DDS PC (757) 467-6453 Virginia Beach, VA 23456 (757) 467-5665 (757) 689-6680 2004 Sandbridge Rd #100 Virginia Beach, VA 23456 OHARA, THOMAS MEADER, LON MOOREFIELD, KALLIE (757) 427-2212 MEADER FAMILY DENTISTRY KOOL SMILES THOMAS J OHARA DDS PC 242 Mustang Tr Ste 9 5505 Indian River Rd #200 4239 Holland Rd Ste 762-A PHILLIPS, SARAH Virginia Beach, VA 23452 Virginia Beach, VA 23452 Virginia Beach, VA 23464 KOOL SMILES (757) 467-5665 (757) 340-1153 (757) 424-1300 4239 Holland Rd Ste 762-A MOOREFIELD, KALLIE Virginia Beach, VA 23452 OLIVER, TRACY MENDELSOHN, HOWARD INDEPENDENCE DENTAL CARE (757) 467-5665 TRACY OLIVER DDS HOWARD A MENELSOHN DDS 4530 Professional Circle 2484 N Landing Rd PHILLIPS, SARAH PC Virginia Beach, VA 23455 Virginia Beach, VA 23456 ADVANCED SEDATION 2133 Upton Dr #120 (757) 499-0567 Virginia Beach, VA 23454 (757) 471-5480 DENTISTRY (757) 563-9111 616 Virginia Beach Blvd MORGAN, CAROL PANDHER, RAMONA Virginia Beach, VA 23451 CAROL F MORGAN DDS VB PLLC MENDELSOHN, HOWARD KOOL SMILES (757) 769-7155 984 First Colonial Rd Ste 101 HOWARD A MENELSOHN DDS 4239 Holland Rd Ste 762-A Virginia Beach, VA 23454 PHILLIPS, SARAH PC Virginia Beach, VA 23452 (757) 412-1400 ADVANCED SEDATION 6095 Indian River Rd (757) 467-5665 Virginia Beach, VA 23464 DENTISTRY 616 Virginia Beach Blvd Ste 102 (757) 424-1976 MORGAN, MICHAEL PATE, DAVID Virginia Beach, VA 23451 SHIFLET COX & MORGAN PLC THE CENTER FOR (757) 769-7155 3145 Virginia Beach Blvd #104 MENDRINOS, MARIA RESTORATIVE COSMETIC & Virginia Beach, VA 23452 BREDOLOGOS FAMILY IMPLANT DENTISTRY (757) 340-7602 POOLE, ADAM DENTISTRY 303 35Th St #103 1917 Laskin Road #106 KOOL SMILES Virginia Beach, VA 23451 4239 Holland Rd Ste 762-A Virginia Beach, VA 23454 (757) 425-2332 (757) 425-1828 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

REYNOLDS, KENNETH SACHS, WARREN VIRGINIA (CONT'D) HARMONY DENTAL GROUP PLLC LEFCOE WEINSTEIN SACHS SCHONBRUN, DAVID 401 Green Meadows Dr Ste B SCHIFF LTD ATLANTIC DENTAL CARE PLC VIRGINIA BEACH Virginia Beach, VA 23462 904 Kempsville Rd Ste 103 4529 E Honeygrove Rd #301 (757) 495-8775 Virginia Beach, VA 23464 Virginia Beach, VA 23455 POOLE, CHARLES (757) 467-6453 (757) 460-1234 POOLE CHARLES K RICHARDS, CARTER 5393 Wesleyan Drive #107 SALEM, MUHANAD SCHRUMPF, GREGORY Virginia Beach, VA 23455 HOLLEY FAMILY DENTISTRY OF KOOL SMILES GREGORY A SCHRUMPF DDS (757) 499-5163 VA BEACH 940 General Booth Blvd 4239 Holland Rd Ste 762-A 1300 Kempsville Rd #1 Virginia Beach, VA 23451 Virginia Beach, VA 23452 Virginia Beach, VA 23464 POPE, ROBERT (757) 425-1155 (757) 467-5665 (757) 467-8181 ROBERT A POPE DDS PLC

1609 Pleasure House Rd PARTICIPATING PROVIDERS RICHMOND, LESLIE SALERNO, JAMES SCOTT, TAMASHA Virginia Beach, VA 23455 GLADSTONE & SALERNO KOOL SMILES (757) 464-3321 LESLIE I RICHMOND DDS PC 4417 A Shore Drive 5318 Providence Road 4239 Holland Rd Ste 762-A Virginia Beach, VA 23455 Virginia Beach, VA 23464 Virginia Beach, VA 23452 REICHLEY, JOHN (757) 460-1939 (757) 424-3657 (757) 467-5665 KONIKOFF DENTAL ASSOC 2100 Lynnhaven Pky #100 RITTER, JAMES SANDHU, NAVDEEP SELF, OSCAR Virginia Beach, VA 23456 ADVANCED SEDATION O W SELF JR DDS (757) 416-1400 JAMES P RITTER DDS 1832 Kempsville Rd #104 DENTISTRY 3145 Va Beach Blvd #100 Virginia Beach, VA 23452 616 Virginia Beach Blvd Ste 102 Virginia Beach, VA 23452 REIMER, MICHAEL (757) 631-9700 Virginia Beach, VA 23451 (757) 340-5009 GENTLE DENTAL CENTER (757) 769-7155 RITTER, JAMES 3497 Holland Rd #113 SHARIF, ASIF JAMES P RITTER DDS Virginia Beach, VA 23452 KOOL SMILES 3933 Bonney Road SANTOS, STEPHANIE (757) 431-1300 4239 Holland Rd Ste 762-A Virginia Beach, VA 23452 SMILE BY DESIGN Virginia Beach, VA 23452 REIMER, MICHAEL (757) 631-9700 281 Independence Blvd #210 KOOL SMILES Virginia Beach, VA 23462 (757) 467-5665 4239 Holland Rd Ste 762-A (757) 499-9639 ROBINSON, ELIZABETH Virginia Beach, VA 23452 SHIFLET, HARVEY ADVANCED SEDATION (757) 467-5665 SHIFLET COX & MORGAN PLC DENTISTRY SAVAGE, CARY 3145 Virginia Beach Blvd #104 REIMER, MICHAEL 616 Virginia Beach Blvd Ste 102 CARY L SAVAGE JR DDS Virginia Beach, VA 23452 CHRISTOPHER A HOOPER DDS Virginia Beach, VA 23451 4400 Corporation Lane 101 (757) 340-7602 ASSOC LTD (757) 769-7155 Virginia Beach, VA 23462 840 First Colonial Rd Ste S-103 (757) 499-3522 SIMS, MICHAEL Virginia Beach, VA 23451 SACHS, SCOTT MICHAEL J SIMS DMD PC (757) 496-7300 LEFCOE WEINSTEIN SACHS SAVAGE, RANDOLPH 2109 Mccomas Way SCHIFF LTD INDEPENDENCE DENTAL CARE Virginia Beach, VA 23456 RESNICK, ELIZABETH 1157 First Colonial Rd Ste 101 4530 Professional Circle (757) 427-0695 ELIZABETH J RESNICK DDS PC Virginia Beach, VA 23454 Virginia Beach, VA 23455 1092 Laskin Road #110 (757) 412-1114 (757) 499-0567 Virginia Beach, VA 23451 SINCLAIR, JOHN SACHS, SCOTT (757) 428-5543 SAXTON, JACOB COASTAL COSMETIC LEFCOE WEINSTEIN SACHS AESTHETIC FAMILY DENTISTRY DENTISTRY SCHIFF LTD 1369 Laskin Road # 3A REYNOLDS, JILLIAN 1805 Laskin Rd #100 904 Kempsville Rd Ste 103 Virginia Beach, VA 23451 LEFCOE WEINSTEIN SACHS Virginia Beach, VA 23454 Virginia Beach, VA 23464 (757) 321-1870 (757) 222-3731 SCHIFF LTD (757) 467-6453 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 SCHIFF, IVAN SINGOR, LAUREN SACHS, WARREN (757) 412-1114 LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS SCHIFF LTD SCHIFF LTD REYNOLDS, JILLIAN SCHIFF LTD 1157 First Colonial Rd Ste 101 1157 First Colonial Rd Ste 101 LEFCOE WEINSTEIN SACHS 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 Virginia Beach, VA 23454 SCHIFF LTD Virginia Beach, VA 23454 (757) 412-1114 (757) 412-1114 904 Kempsville Rd Ste 103 (757) 412-1114 Virginia Beach, VA 23464 SCHIFF, IVAN SINGOR, LAUREN (757) 467-6453 LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS SCHIFF LTD SCHIFF LTD 904 Kempsville Rd Ste 103 904 Kempsville Rd Ste 103 Virginia Beach, VA 23464 Virginia Beach, VA 23464 (757) 467-6453 (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

SUR, MARCUS WATERMAN, JENNIFER YOUNG, LYNETTE VIRGINIA (CONT'D) LEFCOE WEINSTEIN SACHS WATERMAN FAMILY DENTISTRY YOUNG FAMILY & COSMETIC SCHIFF LTD 525 N Great Neck Rd DENTISTRY VIRGINIA BEACH 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 2005 Lynnhaven Pkwy Virginia Beach, VA 23454 (757) 340-8155 Virginia Beach, VA 23456 SKRBA, SLADJANA (757) 412-1114 (757) 554-0962 KOOL SMILES WEINSTEIN, LEE 4239 Holland Rd Ste 762-A SUR, MARCUS YU, SANG HUN Virginia Beach, VA 23452 LEFCOE WEINSTEIN SACHS LEFCOE WEINSTEIN SACHS (757) 467-5665 SCHIFF LTD SCHIFF LTD KOOL SMILES 904 Kempsville Rd Ste 103 1157 First Colonial Rd Ste 101 4239 Holland Rd Ste 762-A Virginia Beach, VA 23454 Virginia Beach, VA 23452 SMITH, JACQUELINE Virginia Beach, VA 23464 (757) 467-6453 (757) 412-1114 (757) 467-5665 JACQUELINE B SMITH DDS PC

1385 Fordham Dr Ste 106 WEINSTEIN, LEE PARTICIPATING PROVIDERS YUNG, STEFANIE Virginia Beach, VA 23464 SWEENEY, PIA LEFCOE WEINSTEIN SACHS (757) 424-0095 ASSOCIATED DENTAL CARE SCHIFF LTD JONATHAN D WONG DDS LTD 814 N Newtown Rd 904 Kempsville Rd Ste 103 1186 Lynnhaven Pkwy Virginia Beach, VA 23452 SMITH, STEPHANIE Virginia Beach, VA 23462 Virginia Beach, VA 23464 (757) 490-0419 (757) 467-6453 (757) 468-4867 THEODORE R SMITH JR DDS 4221 Virginia Beach Blvd ZAHIR, SHABANA Virginia Beach, VA 23452 SWEIRY, ELI WERNICK, ROBERT (757) 486-3919 ELI SWEIRY DDS FAMILY AND ROBERT D WERNICK DDS PC SHABANA ZAHIR DMD PC COSMETIC DENTISTRY 2004 Sandbridge Rd #100 367 Independence Blvd Virginia Beach, VA 23462 SMITH, THEODORE 4667 Haygood Rd Ste 501 Virginia Beach, VA 23456 Virginia Beach, VA 23455 (757) 427-2212 (757) 962-7000 THEODORE R SMITH JR DDS (757) 464-0011 4221 Virginia Beach Blvd ZAPATERO, DAG Virginia Beach, VA 23452 WHITE, ALLEN (757) 486-3919 THROCKMORTON, DAVID DENNIS F HOWARD DDS PC DAG ZAPATERO DDS OCEAN ATLANTIC DENTAL 501 21St Street 3020 Shore Drive Ste A Virginia Beach, VA 23451 SMITH, THOMAS 3720 Holland Rd #102 Virginia Beach, VA 23451 Virginia Beach, VA 23452 (757) 428-6656 (757) 481-3893 LEFCOE WEINSTEIN SACHS (757) 498-1663 SCHIFF LTD ZIMMER, ANDREW 1157 First Colonial Rd Ste 101 WILSON, NATASHA Virginia Beach, VA 23454 THROCKMORTON, MARIA KOOL SMILES ANDREW J ZIMMER DDS (757) 412-1114 KONIKOFF DENTAL ASSOC 4239 Holland Rd Ste 762-A 1604 Hilltop West #216 2829 Shore Dr Virginia Beach, VA 23452 Virginia Beach, VA 23451 SMITH, THOMAS Virginia Beach, VA 23451 (757) 467-5665 (757) 491-5070 LEFCOE WEINSTEIN SACHS (757) 333-6866 SCHIFF LTD WONG, JONATHAN ORAL SURGEON 904 Kempsville Rd Ste 103 TOMCHIK, JAYME Virginia Beach, VA 23464 JONATHAN D WONG DDS LTD BEALE, FRANK JAYME TOMCHIK DMD PC 1186 Lynnhaven Pkwy (757) 467-6453 COASTAL VIRGINIA ORAL & 4624 Pembroke Blvd Ste 103 Virginia Beach, VA 23452 MAXILLOFACIAL SURGERY PC Virginia Beach, VA 23455 (757) 468-4867 2117 Mccomas Way Ste A SNYDER, CASEY (757) 460-2250 TRACY OLIVER DDS Virginia Beach, VA 23456 WOODLOCK, KRISTA 2484 N Landing Rd (757) 426-6155 TRAN, BRITNIE SOUTH BEACH DENTISTRY Virginia Beach, VA 23456 BEALE, FRANK (757) 471-5480 KOOL SMILES 2401 Seaboard Rd #106 4239 Holland Rd Ste 762-A Virginia Beach, VA 23456 COASTAL VIRGINIA ORAL & Virginia Beach, VA 23452 (757) 427-9449 MAXILLOFACIAL SURGERY PC SPAIN, MURRAY (757) 467-5665 3720 Holland Rd Ste 100 MURRAY SPAIN JR DMD PC Virginia Beach, VA 23452 YEH, PAUL 1127 Independence Blvd (757) 340-0446 UTTERBACK, BRUCE Virginia Beach, VA 23455 LEFCOE WEINSTEIN SACHS (757) 363-8500 KOOL SMILES SCHIFF LTD 4239 Holland Rd Ste 762-A 1157 First Colonial Rd Ste 101 BERRY, ZACHARY SPAIN, MURRAY Virginia Beach, VA 23452 Virginia Beach, VA 23454 SCOTT R GOODOVE DDS PLC MURRAY SPAIN JR DMD PC (757) 467-5665 (757) 412-1114 1127 First Colonial Rd 3634 South Plaza Trail #101 Virginia Beach, VA 23454 UTTERBACK, BRUCE YEH, PAUL Virginia Beach, VA 23452 (757) 412-2002 (757) 498-9510 ASSOCIATED DENTAL CARE LEFCOE WEINSTEIN SACHS 814 N Newtown Rd SCHIFF LTD Virginia Beach, VA 23462 904 Kempsville Rd Ste 103 (757) 490-0419 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 177 Delta Dental Premier

GRAY, JAMES VENDETTI, CURTIS ASHBY, JOHN VIRGINIA (CONT'D) ORAL SURGERY OF TIDEWATER VIRGINIA SURGICAL ARTS LLC ASHBY ORTHODONTICS LTD 2875 Sabre St #260 1240 Perimeter Pkwy Ste 401 4356 4 Bonney Road #101 VIRGINIA BEACH Virginia Beach, VA 23452 Virginia Beach, VA 23454 Virginia Beach, VA 23452 (757) 499-6886 (757) 430-7690 (757) 340-7000 BYRNSIDE, VALERIE SCOTT R GOODOVE DDS PLC GUTER, KLAUS WEBBER, CAROLINE BEHL, YUGAL 1127 First Colonial Rd Virginia Beach, VA 23454 RAWLS KELLY & FORD LTD COASTAL VIRGINIA ORAL & BEHL ORTHODONTICS (757) 412-2002 2100 Lynnhaven Pkwy Ste 102 MAXILLOFACIAL SURGERY PC 4291 Holland Rd #112 Virginia Beach, VA 23456 2117 Mccomas Way Ste A Virginia Beach, VA 23452 (757) 499-6886 Virginia Beach, VA 23456 (757) 495-7866 COLELLA, PETER (757) 426-6155 KONIKOFF DENTAL ASSOC GUTER, KLAUS BENES, KRISTEN 2829 Shore Dr ORAL SURGERY OF TIDEWATER WEBBER, CAROLINE PARTICIPATING PROVIDERS Virginia Beach, VA 23451 2875 Sabre St #260 COASTAL VIRGINIA ORAL & LEFCOE WEINSTEIN SACHS (757) 333-6866 Virginia Beach, VA 23452 MAXILLOFACIAL SURGERY PC SCHIFF LTD (757) 499-6886 3720 Holland Rd Ste 100 1157 First Colonial Rd Ste 101 Virginia Beach, VA 23454 CONELIAS, TRENT Virginia Beach, VA 23452 (757) 340-0446 (757) 412-1114 TRENT P CONELIAS DDS PC MAUGERI, MICHAEL 6033 Providence Rd COASTAL VIRGINIA ORAL & WEBBER, CAROLINE BENES, KRISTEN Virginia Beach, VA 23464 MAXILLOFACIAL SURGERY PC KONIKOFF SALZBERG LEFCOE WEINSTEIN SACHS (757) 424-2672 2117 Mccomas Way Ste A PERIODONTICS LTD SCHIFF LTD Virginia Beach, VA 23456 477 Viking Drive #190 904 Kempsville Rd Ste 103 FOLCK, MICHAEL (757) 426-6155 Virginia Beach, VA 23452 Virginia Beach, VA 23464 (757) 467-6453 MID ATLANTIC IMPLANT & ORAL MAUGERI, MICHAEL (757) 486-8611 SURGERY CTR PC COASTAL VIRGINIA ORAL & 272 Bendix Rd Ste 280 MAXILLOFACIAL SURGERY PC YEH, FRANK DAVIDSON, JEREMY Virginia Beach, VA 23452 3720 Holland Rd Ste 100 COASTAL VIRGINIA ORAL & DAVIDSON ORTHODONTICS (757) 340-9146 Virginia Beach, VA 23452 MAXILLOFACIAL SURGERY PC 401 Great Neck Rd #122 (757) 340-0446 2117 Mccomas Way Ste A Virginia Beach, VA 23454 FORD, MELVIN Virginia Beach, VA 23456 (757) 962-2499 RAWLS KELLY & FORD LTD MEEKS, DARRELL (757) 426-6155 2100 Lynnhaven Pkwy Ste 102 FULTON, CATHERINE FREDERIC R LEVITIN DDS YEH, FRANK Virginia Beach, VA 23456 CATHERINE ODEN FULTON DDS DARRELL A MEEKS DMD LTD COASTAL VIRGINIA ORAL & (757) 499-6886 PLC 281 Independence Bl #225 MAXILLOFACIAL SURGERY PC 5660 Indian River Rd #125 Virginia Beach, VA 23462 3720 Holland Rd Ste 100 FORD, MELVIN Virginia Beach, VA 23464 (757) 499-5909 Virginia Beach, VA 23452 ORAL SURGERY OF TIDEWATER (757) 489-1331 2875 Sabre St #260 (757) 340-0446 Virginia Beach, VA 23452 MORRISON, SANFORD GALBREATH, ROBERT (757) 499-6886 MORRISON & MORRISON ZAGURSKY, PETER LEFCOE WEINSTEIN SACHS 904 Kempsville Road #102 SCOTT R GOODOVE DDS PLC SCHIFF LTD Virginia Beach, VA 23464 1127 First Colonial Rd GLIKSMAN, JOSEPH 1157 First Colonial Rd Ste 101 (757) 467-8000 Virginia Beach, VA 23454 BEHL ORTHODONTICS Virginia Beach, VA 23454 (757) 412-2002 4291 Holland Rd #112 (757) 412-1114 Virginia Beach, VA 23452 MUELLER, DAVID GALBREATH, ROBERT (757) 495-7866 DAVID P MUELLER DDS ORTHODONTIST 1157 First Colonial Rd #101 LEFCOE WEINSTEIN SACHS GOODOVE, SCOTT Virginia Beach, VA 23454 ALBINDER, KENNETH SCHIFF LTD (757) 496-8066 KENNETH ALBINDER DDS MS 904 Kempsville Rd Ste 105 SCOTT R GOODOVE DDS PLC LTD Virginia Beach, VA 23464 1127 First Colonial Rd 4291 Holland Road #112 (757) 963-0059 Virginia Beach, VA 23454 QUIGG, RICHARD Virginia Beach, VA 23452 (757) 412-2002 RICHARD K QUIGG DDS PC 984 First Colonial Rd Ste 300 (757) 495-7866 HOLMES, PATRICK GRAY, JAMES Virginia Beach, VA 23454 KLAR VOORHEES (757) 496-6690 ANDERSON, HOLLY ORTHODONTICS PC RAWLS KELLY & FORD LTD DRS SHIVAR PELUSO & 5241 Providence Rd 2100 Lynnhaven Pkwy Ste 102 ANDERSEN PC Virginia Beach, VA 23464 Virginia Beach, VA 23456 RAI, SHAUN 3145 Virginia Beach Blvd #101 (757) 495-3110 (757) 499-6886 SHAUN B RAI DMD PLLC 933 First Colonial Rd Ste 205 Virginia Beach, VA 23452 Virginia Beach, VA 23454 (757) 424-5308 (757) 425-5781

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

PELUSO, ANTHONY SAVAGE, ANTHONY VOORHEES HUSSON, MARNI VIRGINIA (CONT'D) DRS SHIVAR PELUSO & DRS SAVAGE SABOL & VISSER KLAR VOORHEES ANDERSEN PC LTD ORTHODONTICS PC VIRGINIA BEACH 3145 Virginia Beach Blvd #101 2129 General Booth Blvd #120 5241 Providence Rd Virginia Beach, VA 23452 Virginia Beach, VA 23454 Virginia Beach, VA 23464 JONES, ANTONIA (757) 424-5308 (757) 427-1350 (757) 495-3110 BEHL ORTHODONTICS 4291 Holland Rd #112 SAVAGE, ANTHONY VOORHEES HUSSON, MARNI RIGGS, GARY Virginia Beach, VA 23452 DRS SAVAGE SABOL & VISSER KLAR VOORHEES (757) 495-7866 GARY A RIGGS JR DMD LTD ORTHODONTICS PC 853 Kempsville Rd 829 First Colonial Road 996 First Colonel Rd Virginia Beach, VA 23464 Virginia Beach, VA 23451 KAUR, PARDEEP Virginia Beach, VA 23454 (757) 467-4608 (757) 428-1110 (757) 496-6030 BUKOLA A ODUYELU DDS PC

2264 London Bridge Rd PARTICIPATING PROVIDERS ROY, CARL Virginia Beach, VA 23456 SCOTT, JON WAITKUS, ALEXANDER (757) 563-2670 CARL P ROY DDS MS PLC JON L SCOTT DDS PC TOWN CENTER ORTHODONTICS 4388 Holland Rd #200 114 S Witchduck Rd 293 Independence Blvd Ste 108 Virginia Beach, VA 23452 Virginia Beach, VA 23462 KLAR, LAWRENCE Virginia Beach, VA 23462 (757) 471-2900 (757) 627-9818 (757) 340-9020 KLAR VOORHEES ORTHODONTICS PC SABOL, GEORGE 2401 Seaboard Rd #107 SHIVAR, WALKER WEXEL, WALTER Virginia Beach, VA 23456 DRS SAVAGE SABOL & VISSER DRS SHIVAR PELUSO & WALTER K WEXEL (757) 427-9200 LTD ANDERSEN PC 2140 Great Neck Square 1300 Kempsville Rd 3145 Virginia Beach Blvd #101 Virginia Beach, VA 23454 KLAR, LAWRENCE Virginia Beach, VA 23464 Virginia Beach, VA 23452 (757) 481-2378 KLAR VOORHEES (757) 495-3643 (757) 424-5308 ORTHODONTICS PC SABOL, GEORGE ZAKI, TAREK 5241 Providence Rd VISSER, BRITT Virginia Beach, VA 23464 DRS SAVAGE SABOL & VISSER TAREK O ZAKI DDS DRS SAVAGE SABOL & VISSER (757) 495-3110 LTD 2029 Lynnhaven Pkwy Ste 700 1609 Pleasure House Rd LTD Virginia Beach, VA 23456 KLAR, LAWRENCE Virginia Beach, VA 23455 1300 Kempsville Rd (757) 416-1100 KLAR VOORHEES (757) 460-8879 Virginia Beach, VA 23464 ORTHODONTICS PC (757) 495-3643 SABOL, GEORGE PEDIATRIC 996 First Colonel Rd VISSER, BRITT DENTIST/PEDODONTIST Virginia Beach, VA 23454 DRS SAVAGE SABOL & VISSER LTD DRS SAVAGE SABOL & VISSER (757) 496-6030 BARNEY, JOHN 2129 General Booth Blvd #120 LTD ROSENBLUM LEVIN BARNEY Virginia Beach, VA 23454 1609 Pleasure House Rd HASTY KLAR, NEAL (757) 427-1350 Virginia Beach, VA 23455 KLAR VOORHEES (757) 460-8879 1055 Kempsville Road ORTHODONTICS PC SABOL, GEORGE Virginia Beach, VA 23464 2401 Seaboard Rd #107 DRS SAVAGE SABOL & VISSER VISSER, BRITT (757) 474-1200 Virginia Beach, VA 23456 LTD DRS SAVAGE SABOL & VISSER BARNEY, JOHN (757) 427-9200 829 First Colonial Road LTD ROSENBLUM LEVIN BARNEY Virginia Beach, VA 23451 2129 General Booth Blvd #120 1368 North Great Neck Rd KLAR, NEAL (757) 428-1110 Virginia Beach, VA 23454 KLAR VOORHEES (757) 427-1350 Virginia Beach, VA 23454 ORTHODONTICS PC (757) 496-8300 SAVAGE, ANTHONY 5241 Providence Rd VISSER, BRITT BARNEY, JOHN Virginia Beach, VA 23464 DRS SAVAGE SABOL & VISSER DRS SAVAGE SABOL & VISSER ROSENBLUM LEVIN BARNEY (757) 495-3110 LTD LTD 1300 Kempsville Rd 829 First Colonial Road 4169 Virginia Beach Blvd KLAR, NEAL Virginia Beach, VA 23464 Virginia Beach, VA 23451 Virginia Beach, VA 23452 KLAR VOORHEES (757) 495-3643 (757) 428-1110 (757) 486-2525 ORTHODONTICS PC SAVAGE, ANTHONY 996 First Colonel Rd BRAXTON, DARCHELLE DRS SAVAGE SABOL & VISSER VOORHEES HUSSON, MARNI Virginia Beach, VA 23454 BEHL ORTHODONTICS LTD KLAR VOORHEES (757) 496-6030 4291 Holland Rd #112 1609 Pleasure House Rd ORTHODONTICS PC Virginia Beach, VA 23452 Virginia Beach, VA 23455 2401 Seaboard Rd #107 (757) 495-7866 MARCONYAK, LOUIS (757) 460-8879 Virginia Beach, VA 23456 MARCONYAK LOUIS J (757) 427-9200 351 Edwin Drive #104 BROWN, TOWNSEND Virginia Beach, VA 23464 TOWNSEND BROWN JR DDS (757) 499-3530 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 VIRGINIA (CONT'D) ROSENBLUM LEVIN BARNEY BRUCE K BARR DDS PC CENTER FOR RESTORATIVE 4169 Virginia Beach Blvd 853 Kempsville Rd COSMETIC & IMPLANT VIRGINIA BEACH Virginia Beach, VA 23452 Virginia Beach, VA 23464 DENTISTRY PC (757) 486-2525 (757) 467-0404 303 35Th St #103 CLARK, JESSICA Virginia Beach, VA 23451 (757) 482-2876 TOWNSEND BROWN JR DDS MARTIN, J CAVALLARI, KENNETH 1300 Kempsville Rd #5 BEHL ORTHODONTICS KENNETH J CAVALLARI DDS NIVER, ERIC Virginia Beach, VA 23464 4291 Holland Rd #112 984 First Colonial Rd #300 HOWARD A MENELSOHN DDS (757) 467-7797 Virginia Beach, VA 23452 Virginia Beach, VA 23454 PC (757) 495-7866 (757) 412-0235 6095 Indian River Rd COX, THOMAS Virginia Beach, VA 23464 ODUYELU, BUKOLA GRAY, ANDREW (757) 424-1976

COX PEDIATRIC DENTISTRY PC PARTICIPATING PROVIDERS 3145 Virginia Beach Blvd Ste 200 BUKOLA A ODUYELU DDS PC GRAYS PERIODONTAL CENTER Virginia Beach, VA 23452 2264 London Bridge Rd 1244 Perimeter Prkwy #442 ROGGE, ROD (757) 340-2400 Virginia Beach, VA 23456 Virginia Beach, VA 23454 ROD ROGGE DDS PC (757) 563-2670 (757) 716-3539 762 Independence Blvd Ste 500 GAROFALIS, HARALAMBOS Virginia Beach, VA 23455 BEHL ORTHODONTICS ROSENBLUM, SCOTT HARTMAN, GARY (757) 333-7444 4291 Holland Rd #112 ROSENBLUM LEVIN BARNEY GARY A HARTMAN DDS MS Virginia Beach, VA 23452 HASTY 240 Mustang Tr #1 ROSS, JOHN (757) 495-7866 1055 Kempsville Road Virginia Beach, VA 23452 JOHN J ROSS DDS Virginia Beach, VA 23464 (757) 498-5480 621 Lynnhaven Pkwy Ste 255 HASTY, MICHAEL (757) 474-1200 Virginia Beach, VA 23452 ROSENBLUM LEVIN BARNEY ROSENBLUM, SCOTT KONIKOFF, ALBERT (757) 340-2356 HASTY ROSENBLUM LEVIN BARNEY KONIKOFF SALZBERG 1055 Kempsville Road 1368 North Great Neck Rd PERIODONTICS LTD SALZBERG, TRANG Virginia Beach, VA 23464 Virginia Beach, VA 23454 477 Viking Drive #190 KONIKOFF SALZBERG (757) 474-1200 (757) 496-8300 Virginia Beach, VA 23452 PERIODONTICS LTD (757) 486-8611 477 Viking Drive #190 HASTY, MICHAEL ROSENBLUM, SCOTT Virginia Beach, VA 23452 ROSENBLUM LEVIN BARNEY ROSENBLUM LEVIN BARNEY KONIKOFF, BRYAN (757) 486-8611 1368 North Great Neck Rd 4169 Virginia Beach Blvd KONIKOFF SALZBERG Virginia Beach, VA 23454 Virginia Beach, VA 23452 PERIODONTICS LTD (757) 496-8300 (757) 486-2525 SHULMAN, JEREMY 477 Viking Drive #190 JEREMY SHULMAN HASTY, MICHAEL Virginia Beach, VA 23452 1301 First Colonial Rd SUNDIN, ALLAN ROSENBLUM LEVIN BARNEY (757) 486-8611 Virginia Beach, VA 23454 4169 Virginia Beach Blvd ALLAN SUNDIN DDS MS PC (757) 496-8070 Virginia Beach, VA 23452 1385 Laskin Road KOOSHKI, BIJAN Virginia Beach, VA 23451 (757) 486-2525 HOWARD A MENELSOHN DDS (757) 425-1547 PROSTHODONTIST PC HERCE, DAVID 6095 Indian River Rd BRADY, TIMOTHY KONIKOFF DENTAL ASSOCIATES WADHWA, PUNEET Virginia Beach, VA 23464 TOWN CENTER FAMILY INC KONIKOFF DENTAL ASSOCIATES (757) 424-1976 DENTISTRY 2100 Lynnhaven Parkway Ste #200 INC 4701 Columbus St Ste 105 Virginia Beach, VA 23456 2100 Lynnhaven Parkway Ste #200 LANDY, NEIL Virginia Beach, VA 23462 Virginia Beach, VA 23456 (757) 961-4000 NEIL A LANDY DMD (757) 473-5706 (757) 961-4000 281 Independence Bl #231 LEVIN, MARK Virginia Beach, VA 23462 DAVIS, KEENAN ROSENBLUM LEVIN BARNEY WEIS, MORGAN (757) 490-3830 PARTNERS IN DENTAL HEALTH HASTY PEDIATRIC DENTAL CARE OF IV 1055 Kempsville Road TIDEWATER PC MARINAK, KENNETH 2245 W Great Neck Rd #1 2125 Mccomas Way Ste #105 Virginia Beach, VA 23464 BRUCE K BARR DDS PC Virginia Beach, VA 23451 Virginia Beach, VA 23456 (757) 474-1200 1369 Laskin Road (757) 481-7392 (757) 484-8262 LEVIN, MARK Virginia Beach, VA 23451 DAVIS, KEENAN ROSENBLUM LEVIN BARNEY (757) 422-0005 PARTNERS IN DENTAL HEALTH PERIODONTIST 1368 North Great Neck Rd MARINAK, KENNETH 317 Edwin Dr Virginia Beach, VA 23454 BARR, BRUCE BRUCE K BARR DDS PC Virginia Beach, VA 23462 (757) 496-8300 BRUCE K BARR DDS PC 853 Kempsville Rd (757) 499-2100 1369 Laskin Road Virginia Beach, VA 23464 Virginia Beach, VA 23451 (757) 467-0404 (757) 422-0005

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

DESIO, JOSEPH KAZMI, SANA SHEARER, RYAN VIRGINIA (CONT'D) HERRMANN & DESIO LLC NEIBAUER DENTAL CARE PC RYAN M SHEARER DDS LTD 24B John Marshall St 251 West Lee Hwy #197 381 Stuyvesant Street Suite #3 VIRGINIA BEACH Warrenton, VA 20186 Warrenton, VA 20186 Warrenton, VA 20186 (540) 347-5000 (540) 347-9364 (540) 347-2233 DAVIS, KEENAN PARTNERS IN DENTAL HEALTH FLIKEID, ROBERT KHURANA, NATASHA TSAI, CHIH-PING V LLC 3809 Princess Anne Rd. Ste. #111 ROBERT C FLIKEID DDS PL HOSPITAL DENTISTRY FOR KIDS NEIBAUER DENTAL CARE PC Virginia Beach, VA 23456 220 Culpeper Street Suite 201 500 Hospital Dr 251 West Lee Hwy #197 (757) 471-6672 Warrenton, VA 20186 Warrenton, VA 20186 Warrenton, VA 20186 (540) 347-3396 (571) 308-2997 (540) 347-9364

SADR, LIDA FOSTER, BONNIE KIM, CHAD TUDOR, CYNTHIA HOWARD A MENELSOHN DDS PARTICIPATING PROVIDERS PC WARRENTON DENTAL CENTER NEIBAUER DENTAL CARE PC THOMAS C SENTZ DDS 6095 Indian River Rd PLLC 251 West Lee Hwy #197 33 Main Street Virginia Beach, VA 23464 410 Rosedale Court #170 Warrenton, VA 20186 Warrenton, VA 20186 (757) 424-1976 Warrenton, VA 20186 (540) 347-9364 (540) 347-4154 (540) 351-0170 WARRENTON KOERNER, MICHAEL VLASEK, NATALIE GRIFFIN, SUSAN ROBERT C FLIKEID DDS PL ROBERT C FLIKEID DDS PL ENDODONTIST THOMAS C SENTZ DDS 220 Culpeper Street Suite 201 220 Culpeper Street Suite 201 33 Main Street Warrenton, VA 20186 Warrenton, VA 20186 EHRETH, JOHN Warrenton, VA 20186 (540) 347-3396 (540) 347-3396 JOHN S EHRETH DDS (540) 347-4154 10 Rock Pointe Ln MESSIH, HAIDY WALTHER, WILLIAM Warrenton, VA 20186 GRIFFIN, SUSAN NEIBAUER DENTAL CARE PC RYAN M SHEARER DDS LTD (540) 351-0009 JASON S WOODSIDE DDS & THOMAS C SENTZ DDS PC 251 West Lee Hwy #197 381 Stuyvesant Street Suite #3 361 Walker Dr Ste 204 Warrenton, VA 20186 Warrenton, VA 20186 GENERAL DENTIST Warrenton, VA 20186 (540) 347-9364 (540) 347-2233 ALLISON, WILLIAM (540) 341-4111 ROBERT C FLIKEID DDS PL MURRAY, VINCENT WOODSIDE, JASON 220 Culpeper Street Suite 201 HARRE, JOHN VINCENT J MURRAY DDS PC JASON S WOODSIDE DDS & Warrenton, VA 20186 JOHN W HARRE DDS PC 5 Rock Pointe Ln #100 THOMAS C SENTZ DDS PC (540) 347-3396 10 Rock Point Ln Warrenton, VA 20186 361 Walker Dr Ste 204 Warrenton, VA 20186 (540) 349-0056 Warrenton, VA 20186 (540) 341-4111 AWADZI, GERALD (540) 349-1220 NEIBAUER DENTAL CARE PC RACZYNSKA, ANETA 251 West Lee Hwy #197 HARRIS, JEFFREY NEIBAUER DENTAL CARE PC YUNG, SUSAN Warrenton, VA 20186 JEFFREY A HARRIS DDS PC 251 West Lee Hwy #197 JAMES W JELINEK DDS & SUSAN (540) 347-9364 420 Hospital Dr Warrenton, VA 20186 A YUNG DDS PC Warrenton, VA 20186 (540) 347-9364 60 Rock Pointe Ln (540) 347-2777 Warrenton, VA 20186 BAXI, FAIRY (540) 349-0033 NEIBAUER DENTAL CARE PC REKOW, MARLIN 251 West Lee Hwy #197 HERRMANN, HENRY MARLIN F REKOW DDS PC Warrenton, VA 20186 HERRMANN & DESIO LLC 127 E Shirley Avenue ZOPP, BRYAN (540) 347-9364 24B John Marshall St Warrenton, VA 20186 ROBERT C FLIKEID DDS PL Warrenton, VA 20186 (540) 878-5903 220 Culpeper Street Suite 201 (540) 347-5000 Warrenton, VA 20186 CHILDRESS, JAMIE G (540) 347-3396 VINCENT J MURRAY DDS PC SENTZ, THOMAS 5 Rock Pointe Ln #100 HOFFMAN, GERALD THOMAS C SENTZ DDS Warrenton, VA 20186 GERALD A HOFFMAN 33 Main Street ORAL SURGEON Warrenton, VA 20186 (540) 349-0056 6402 Lee Highway CHANG, BRIAN Warrenton, VA 20187 (540) 347-4154 WARRENTON DENTAL CENTER (540) 347-5650 CROWDER, CURTIS SENTZ, THOMAS PLLC JASON S WOODSIDE DDS & JASON S WOODSIDE DDS & 410 Rosedale Court #170 THOMAS C SENTZ DDS PC JELINEK, JAMES THOMAS C SENTZ DDS PC Warrenton, VA 20186 361 Walker Dr Ste 204 JAMES W JELINEK DDS & SUSAN 361 Walker Dr Ste 204 (540) 351-0170 Warrenton, VA 20186 A YUNG DDS PC Warrenton, VA 20186 (540) 341-4111 60 Rock Pointe Ln (540) 341-4111 ORTHODONTIST Warrenton, VA 20186 (540) 349-0033

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

LEE, SOLOMON WILSON, ROBERT VIRGINIA (CONT'D) WARSAW FAMILY DENTISTRY CUNNINGHAM, MICHAEL ROBERT CLYDE WILSON DDS PC Po Box 367 5671 Richmond Rd MICHAEL T CUNNINGHAM DDS 437 S Magnolia Ave WARRENTON Warsaw, VA 22572 PC Waynesboro, VA 22980 (804) 333-4054 365 S Linden Ave (540) 943-7077 ERRERA, JOSEPH Waynesboro, VA 22980 ALFRED C GRIFFIN JR DDS LTD (540) 943-4215 PUGH, ROY 179 Broadview Avenue ORAL SURGEON ROY E PUGH DDS LTD Warrenton, VA 20186 DAVIS, RUSTY COLLINS, R (540) 347-1888 5671 Richmond Rd Warsaw, VA 22572 MAGNOLIA DENTAL R JONAS COLLINS DMD PC (804) 333-4054 CORPORATION PC 920 Shenandoah Village Dr #122 GRIFFIN, ALFRED 400 S Magnolia Ave Waynesboro, VA 22980 ALFRED C GRIFFIN JR DDS LTD Waynesboro, VA 22980 (540) 949-5333 WASHINGTON 179 Broadview Avenue (540) 943-2723 PARTICIPATING PROVIDERS Warrenton, VA 20186 GENERAL DENTIST KLAMUT, KENNETH (540) 347-1888 KIVLIGHAN, MICHAEL KENNETH M KLAMUT DDS ASHMAWY, TAREK MICHAEL F KIVLIGHAN DDS PC 361 South Linden Ave MILLER, JULIANA RAPPAHANNOCK DENTAL CARE 1305 13Th St Unit D-2 Waynesboro, VA 22980 MILLER ORTHODONTICS PC 12699 Lee Hwy Waynesboro, VA 22980 (540) 943-8476 361 Walker Dr Ste 201 Washington, VA 22747 (540) 943-1222 (540) 987-9872 Warrenton, VA 20186 LACY, JOHN (540) 349-1331 MANSFIELD, RICHARD JOHN H LACY JR KANUMILLI, SOWMYA RICHARD S MANSFIELD DDS PC 361 S Linden Ave MILLER, ROBERT RAPPAHANNOCK DENTAL CARE 107 Stonewall Dr Waynesboro, VA 22980 MILLER ORTHODONTICS PC 12699 Lee Hwy Waynesboro, VA 22980 (540) 943-8476 361 Walker Dr Ste 201 Washington, VA 22747 (540) 943-2859 Warrenton, VA 20186 (540) 987-9872 ORTHODONTIST (540) 349-1331 MILLER, RICHARDS WAYNESBORO MAGNOLIA DENTAL ASHLEY, CHANDA PEDIATRIC CORPORATION PC DWYER & ASHLEY GENERAL DENTIST DENTIST/PEDODONTIST 400 S Magnolia Ave ORTHODONTICS 2542 Jefferson Highway BERBES, WILLIAM Waynesboro, VA 22980 WOODSIDE, JENNIFER Waynesboro, VA 22980 BERBES WILLIAM C (540) 943-2723 WOODSIDE PEDIATRIC (540) 943-1865 1305 13Th Street DENTISTRY Waynesboro, VA 22980 ROLLER, J DANIEL 331 Walker Dr #2 (540) 949-8550 ROLLER FAMILY DENTISTRY PC PEDIATRIC Warrenton, VA 20186 1420 13Th St DENTIST/PEDODONTIST (540) 341-0014 Waynesboro, VA 22980 BOWMAN, KENNETH PETERS, BARRETT BOWMAN FAMILY DENTISTRY (540) 943-1114 PERIODONTIST PIEDMONT PEDIATRIC PLLC DENTISTRY HIRSHMAN, NINA 2542 Jefferson Highway Ste 104 ROLLER, JOHN 2520 West Main Street PIEDMONT PERIODONTICS Waynesboro, VA 22980 ROLLER FAMILY DENTISTRY PC Waynesboro, VA 22980 331 Walker Dr #1 (540) 943-8545 1420 13Th St (434) 973-4344 Warrenton, VA 20186 Waynesboro, VA 22980 (540) 943-1114 (540) 347-0957 CHALDARES, DIANE WEST POINT CHALDARES DIANE P SANZ-MOLINER, JAVIER 101 Pelham Dr. SHIN, REBECCA GENERAL DENTIST WARRENTON DENTAL CENTER Waynesboro, VA 22980 BOWMAN FAMILY DENTISTRY DELPH, BRADLEY PLLC (540) 943-9703 PLLC SAM E ENGLISH II DDS LTD 410 Rosedale Court #170 2542 Jefferson Highway Ste 104 628 Main St Warrenton, VA 20186 CROWDER, CURTIS Waynesboro, VA 22980 West Point, VA 23181 (540) 351-0170 CROWDER COMPREHENSIVE (540) 943-8545 (804) 843-3233 DENTISTRY WARSAW 41 Stoneridge Dr STOUT, MICHAEL Waynesboro, VA 22980 MICHAEL E STOUT DDS PC ENGLISH, SAM GENERAL DENTIST (540) 943-5211 30 Stoneridge Dr #102 SAM E ENGLISH II DDS LTD Waynesboro, VA 22980 628 Main St CHANDLER, IRINA West Point, VA 23181 CROWDER, E (540) 949-8053 CHANDLER FAMILY DENTISTRY (804) 843-3233 CROWDER COMPREHENSIVE 253 Main St DENTISTRY Warsaw, VA 22572 41 Stoneridge Dr (804) 333-0226 Waynesboro, VA 22980 (540) 943-5211

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

HORSPOOL, BRYAN BURDEN, JAMES ENGLISH, SAM VIRGINIA (CONT'D) NEW TOWN DENTAL ARTS JAMES A BURDEN DDS SAM E ENGLISH II DDS LLC 4939 Courthouse St 277 Mclaws Cir 4680 - 16A Monticello Ave WEST POINT Williamsburg, VA 23188 Williamsburg, VA 23185 Williamsburg, VA 23188 (757) 259-0741 (757) 229-1224 (757) 258-1042 JIWANI, MUNIRA SAM E ENGLISH II DDS LTD JORDAN, KALISHA CAPRIO, DIANNE FASHING, GISELA 628 Main St West Point, VA 23181 JORDAN ENDODONTICS NEW TOWN DENTAL ARTS GISELA FASHING DDS (804) 843-3233 105 Bulifants Blvd #B 4939 Courthouse St 325 Mclaws Cir Ste 1 Williamsburg, VA 23188 Williamsburg, VA 23188 Williamsburg, VA 23185 (757) 903-2577 (757) 259-0741 (757) 229-8991 NASIF, YASER SAM E ENGLISH II DDS LTD THOMPSON, MATTHEW CHERRY, DONALD FASHING, MARIA 628 Main St PARTICIPATING PROVIDERS West Point, VA 23181 JORDAN ENDODONTICS DR D W CHERRY DDS FAGD PC GISELA FASHING DDS (804) 843-3233 105 Bulifants Blvd #B 2225 South Henry St #1 325 Mclaws Cir Ste 1 Williamsburg, VA 23188 Williamsburg, VA 23185 Williamsburg, VA 23185 (757) 903-2577 (757) 253-2500 (757) 229-8991 NEALE, MARK DR MARK M NEALE DDS CONTRACT, MONICA FISCELLA, HELEN 428 9Th St GENERAL DENTIST MONICA J CONTRACT DMD PC HELEN C FISCELLA DDS PC West Point, VA 23181 BELL, TAMMARA (804) 843-3602 1130 Old Colony La #100 1161 Professional Dr WILLIAMSBURG PEDIATRIC Williamsburg, VA 23185 Williamsburg, VA 23185 DENTISTRY PLLC (757) 220-6727 (757) 253-0400 NGUYEN, VIET 5388 Discovery Park Blvd #240 SAM E ENGLISH II DDS LTD Williamsburg, VA 23188 CONTRACT, MONICA FOSTER, PETER 628 Main St (757) 259-9703 CAROL F MORGAN DDS PC West Point, VA 23181 1130 Old Colony Lane Suite 100 ROBERT F MORRISON DMD PC 1131 Professional Drive (804) 843-3233 BENCH, STEPHEN Williamsburg, VA 23185 (757) 220-6727 Williamsburg, VA 23185 JAMES A BURDEN DDS (757) 220-0330 RAPHAEL, JEFF 277 Mclaws Cir SAM E ENGLISH II DDS LTD Williamsburg, VA 23185 CURRY, LISA FOSTER, PETER 628 Main St (757) 229-1224 CURRY DENTAL CENTER PLC ROBERT F MORRISON DMD PC West Point, VA 23181 312-H Lightfoot Rd 7151 Richmond Rd #305 (804) 843-3233 BLANEY, THEODORE Williamsburg, VA 23188 Williamsburg, VA 23188 (757) 220-3450 (757) 258-7778 BLANEY LACHINE BOXX PC VOLKOVA, IRINA 1118-A Professional Dr SAM E ENGLISH II DDS LTD Williamsburg, VA 23185 CWIAK, KARI FREY, GILBERT 628 Main St (757) 229-5570 WILLIAMSBURG PEDIATRIC HELEN C FISCELLA DDS PC West Point, VA 23181 DENTISTRY PLLC 1161 Professional Dr (804) 843-3233 BOXX, ERIC 5388 Discovery Park Blvd #240 Williamsburg, VA 23185 Williamsburg, VA 23188 (757) 253-0400 BLANEY LACHINE BOXX PC (757) 259-9703 WEYERS CAVE 1118-A Professional Dr Williamsburg, VA 23185 FULLER, ROSS GENERAL DENTIST (757) 229-5570 DOERING, STEVEN WILLIAMSBURG DENTAL GROUP ROBERT F MORRISON DMD PC PLC WADE, TIMOTHY BROAS, WILLIAM 1131 Professional Drive 106 Bacon Ave TIMOTHY R WADE DDS Williamsburg, VA 23185 Williamsburg, VA 23185 ROBERT F MORRISON DMD PC 1151 Keezle Town Rd (757) 220-0330 (757) 229-3099 Weyers Cave, VA 24486 1131 Professional Drive (540) 234-8686 Williamsburg, VA 23185 DOERING, STEVEN FULLER, ROSS (757) 220-0330 ROBERT F MORRISON DMD PC WILLIAMSBURG DENTAL GROUP WILLIAMSBURG BROAS, WILLIAM 7151 Richmond Rd #305 PLC Williamsburg, VA 23188 1319 Jamestown Rd ROBERT F MORRISON DMD PC (757) 258-7778 Williamsburg, VA 23185 ENDODONTIST 7151 Richmond Rd #305 (757) 229-7210 HAKE, TERRY Williamsburg, VA 23188 (757) 258-7778 DUNNILL, BRETT TERRY H HAKE DDS PC WILLIAMSBURG FAMILY FULLERTON, WILLIAM 1761 Jamestown Rd Ste 102 DENTISTRY WILLIAMSBRG AREA MED ASST Williamsburg, VA 23185 BULLOCK, STEVE 213 Bulifants Blvd #E CORP (757) 229-4115 WILLIAMSBURG PEDIATRIC Williamsburg, VA 23188 5249 Old Towne Rd DENTISTRY PLLC (757) 345-5500 Williamsburg, VA 23188 5388 Discovery Park Blvd #240 (757) 259-3258 Williamsburg, VA 23188 (757) 259-9703

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

HUBBARD, RACHEL MCCRADY, CARL NESTER, ASHLEY VIRGINIA (CONT'D) WILLIAMSBURG FAMILY ROBERT F MORRISON DMD PC WILLIAMSBURG DENTAL GROUP DENTISTRY 7151 Richmond Rd #305 PLC WILLIAMSBURG 213 Bulifants Blvd #E Williamsburg, VA 23188 106 Bacon Ave Williamsburg, VA 23188 (757) 258-7778 Williamsburg, VA 23185 GILFILLAN, ANDREW (757) 345-5500 (757) 229-3099 ANDREW G GILFILLAN DDS MILLER, JULIAN 491 Mclaws Circle #1 NESTER, ASHLEY IRELAND, MICHAEL Williamsburg, VA 23185 WILLIAMSBURG PEDIATRIC WILLIAMSBURG DENTAL GROUP (757) 253-0598 WILLIAMSBURG PEDIATRIC DENTISTRY PLLC PLC DENTISTRY PLLC 5388 Discovery Park Blvd #240 1319 Jamestown Rd 5388 Discovery Park Blvd #240 Williamsburg, VA 23188 GOLDSTEIN, IRA Williamsburg, VA 23185 Williamsburg, VA 23188 (757) 259-9703 (757) 229-7210 ROBERT F MORRISON DMD PC (757) 259-9703

1131 Professional Drive PARTICIPATING PROVIDERS MORGAN, CAROL Williamsburg, VA 23185 NGUYEN, VIET JOHNSON, JUSTIN (757) 220-0330 MONICA J CONTRACT DMD PC SAM E ENGLISH II DDS LLC NEW TOWN DENTAL ARTS 1130 Old Colony La #100 4680 - 16A Monticello Ave GOLDSTEIN, IRA 4939 Courthouse St Williamsburg, VA 23185 Williamsburg, VA 23188 ROBERT F MORRISON DMD PC Williamsburg, VA 23188 (757) 220-6727 (757) 258-1042 7151 Richmond Rd #305 (757) 259-0741 Williamsburg, VA 23188 MORRISON, ROBERT OGLESBY, JEFFREY (757) 258-7778 KADOLPH, ADAM ROBERT F MORRISON DMD PC OGLESBY JEFFREY S ADAM J KADOLPH DMD PC 1131 Professional Drive 1313 Jamestown Rd #205 GRAHAM-MONTAQUE, RANA 7151 Richmond Rd Ste 303 Williamsburg, VA 23185 Williamsburg, VA 23185 PEDIATRIC DENTAL Williamsburg, VA 23188 (757) 220-0330 (757) 229-3052 SPECIALISTS PLLC (757) 565-3737 MORRISON, ROBERT 213 Bulifants Blvd #B ROBERT F MORRISON DMD PC OWENS, EDWARD Williamsburg, VA 23188 KUPCHA, JOHN (866) 977-8747 7151 Richmond Rd #305 EDWARD A OWENS INC TIMOTHY K JOHNSTON DDS & Williamsburg, VA 23188 211 Bulifants Blvd Ste A ASSOCIATES (757) 258-7778 Williamsburg, VA 23188 HALL, STACEY 7450 Richmond Rd (757) 229-6414 WILLIAMSBURG CENTER FOR Williamsburg, VA 23188 MORRISON, ROBERT DENTAL HEALTH (757) 564-0804 CRANIAL FACIAL IMAGING PATEL, ANISHA 5231 Monticello Ave CENTER INC ROBERT F MORRISON DMD PC Williamsburg, VA 23188 LACHINE, RICHARD 7151 Richmond Rd #306 Williamsburg, VA 23188 7151 Richmond Rd #305 (757) 565-6303 BLANEY LACHINE BOXX PC (757) 476-6714 Williamsburg, VA 23188 1118-A Professional Dr (757) 258-7778 HARTLEY, JACOB Williamsburg, VA 23185 ROBERT F MORRISON DMD PC (757) 229-5570 MURPHY, STEPHEN PETERSEN, KATHERINE 1131 Professional Drive ROBERT F MORRISON DMD PC WILLIAMSBURG CENTER FOR Williamsburg, VA 23185 MAHARTY, DAVID 1131 Professional Drive Williamsburg, VA 23185 DENTAL HEALTH (757) 220-0330 ROBERT F MORRISON DMD PC (757) 220-0330 5231 Monticello Ave HARTLEY, JACOB 1131 Professional Drive Williamsburg, VA 23188 ROBERT F MORRISON DMD PC Williamsburg, VA 23185 MURPHY, STEPHEN (757) 565-6303 7151 Richmond Rd #305 (757) 220-0330 ROBERT F MORRISON DMD PC Williamsburg, VA 23188 MAHARTY, DAVID 7151 Richmond Rd #305 PHILLIPS, SARAH Williamsburg, VA 23188 (757) 258-7778 ROBERT F MORRISON DMD PC WILLIAMSBURG PEDIATRIC (757) 258-7778 7151 Richmond Rd #305 DENTISTRY PLLC , BURNELL Williamsburg, VA 23188 5388 Discovery Park Blvd #240 LIFETIME FAMILY DENTAL (757) 258-7778 NASIF, YASER Williamsburg, VA 23188 7349 Richmond Rd SAM E ENGLISH II DDS LLC (757) 259-9703 Williamsburg, VA 23188 MCCOY, RICHARD 4680 - 16A Monticello Ave Williamsburg, VA 23188 (757) 564-8942 GISELA FASHING DDS PIASCIK, CHRISTINE (757) 258-1042 325 Mclaws Cir Ste 1 CHRISTINE L PIASCIK DDS HENLEY, C Williamsburg, VA 23185 1769 B Jamestown Road TIMOTHY K JOHNSTON DDS & (757) 229-8991 NEALE, MARK Williamsburg, VA 23185 ASSOCIATES DR MARK M NEALE DDS (757) 229-8920 7450 Richmond Rd MCCRADY, CARL 5000 New Point Rd #2101 Williamsburg, VA 23188 Williamsburg, VA 23188 ROBERT F MORRISON DMD PC RAPHAEL, JEFF (757) 229-8050 (757) 564-0804 1131 Professional Drive SAM E ENGLISH II DDS LLC Williamsburg, VA 23185 4680 - 16A Monticello Ave (757) 220-0330 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

STENSLAND, STEVEN MORGAN, JOHN PUGLIESE, RICHARD VIRGINIA (CONT'D) STENSLAND DENTAL STUDIO WILLIAMSBURG PEDIATRIC WILLIAMSBURG PEDIATRIC 5372 Discovery Park Blvd #104 DENTISTRY PLLC DENTISTRY PLLC WILLIAMSBURG Williamsburg, VA 23188 5388 Discovery Park Blvd #240 5388 Discovery Park Blvd #240 (757) 645-4055 Williamsburg, VA 23188 Williamsburg, VA 23188 RUBIN, RICK (757) 259-9703 (757) 259-9703 WILLIAMSBURG FAMILY STENVALL, MEGHAN DENTISTRY TIMOTHY K JOHNSTON DDS & WEST, L PERIODONTIST 213 Bulifants Blvd #E ASSOCIATES WILLIAMSBURG ORAL & Williamsburg, VA 23188 7450 Richmond Rd MAXILLOFACIAL SURGERY PC NIVER, ERIC (757) 345-5500 Williamsburg, VA 23188 195 Strawberry Plains Rd NEW TOWN DENTAL ARTS (757) 564-0804 Williamsburg, VA 23188 4939 Courthouse St (757) 229-6692 Williamsburg, VA 23188

SANCHEZ OCASIO, JESUS (757) 259-0741 PARTICIPATING PROVIDERS ROBERT F MORRISON DMD PC VOLKOVA, IRINA 1131 Professional Drive SAM E ENGLISH II DDS LLC ORTHODONTIST Williamsburg, VA 23185 4680 - 16A Monticello Ave SCHROER, MICHAEL (757) 220-0330 Williamsburg, VA 23188 BERRY, ZANE MICHAEL SCHROER DDS (757) 258-1042 PARKS ORTHODONTICS PC 461 Mclaws Cir Ste 1 SANCHEZ OCASIO, JESUS 1116-A Professional Dr Williamsburg, VA 23185 ROBERT F MORRISON DMD PC Williamsburg, VA 23185 (757) 221-0249 WALKER, DAVID 7151 Richmond Rd #305 (757) 229-4181 WALKER DAVID G Williamsburg, VA 23188 WINCHESTER (757) 258-7778 813 Richmond Rd Williamsburg, VA 23185 JONES, ANTONIA (757) 229-6278 WILLIAMSBURG PEDIATRIC GENERAL DENTIST SARMIERE, LAWRENCE DENTISTRY PLLC ADEEB, AYMAN HELEN C FISCELLA DDS PC 5388 Discovery Park Blvd #240 WENDELL, BRYAN VALLEY DENTAL GROUP 1161 Professional Dr Williamsburg, VA 23188 BLANEY LACHINE BOXX PC 500 W Jubal Early Dr #200 Williamsburg, VA 23185 (757) 259-9703 Winchester, VA 22601 (757) 253-0400 1118-A Professional Dr Williamsburg, VA 23185 (540) 535-2006 (757) 229-5570 PARKS, MEREDITH SCHUMANN, NANCY PARKS ORTHODONTICS PC AGRAWAL, NITIN NANCY Y SCHUMANN DDS PC 1116-A Professional Dr WHYTE, MICHAEL KOOL SMILES VAN PC 5330 Discovery Park Blvd Williamsburg, VA 23185 MICHAEL J WHYTE DDS PC 2065 S Pleasant Valley Rd Williamsburg, VA 23188 (757) 229-4181 Winchester, VA 22601 (757) 564-0900 134 Professional Circle Williamsburg, VA 23185 (540) 931-0300 (757) 903-2529 WENDELL, PETER SHUCK, MICHAEL WILLIAMSBURG ORTHODONTICS AMOS, ROBERT MICHAEL C SHUCK DDS PC 4097-A Ironbound Rd WINNEBERGER, WALTER DAVIS FAMILY DENTAL 1480-2A Quarterpath Rd Williamsburg, VA 23188 WALTER GEORGE 2270 Valor Dr Ste 105 Williamsburg, VA 23185 (757) 253-1200 Winchester, VA 22601 (757) 345-2295 WINNEBERGER 104 Bypass Road #202 (540) 545-7878 Williamsburg, VA 23185 PEDIATRIC SMALLS, RONALD (757) 229-6960 DENTIST/PEDODONTIST BOTROS, RONALD J SMALLS DDS VALLEY DENTAL GROUP 1309 Jamestown Rd Ste 103 BRAXTON, DARCHELLE 500 W Jubal Early Dr #200 Williamsburg, VA 23185 ORAL SURGEON WILLIAMSBURG PEDIATRIC Winchester, VA 22601 (757) 229-0620 HARTMANN, PAUL DENTISTRY PLLC 5388 Discovery Park Blvd #240 (540) 535-2006 PAUL K HARTMANN DDS PLLC Williamsburg, VA 23188 SPEEGLE, JOHN 1323 Jamestown Rd #203 (757) 259-9703 CHOI, SUNGWON LIFETIME FAMILY DENTAL Williamsburg, VA 23185 KOOL SMILES VAN PC 7349 Richmond Rd (757) 253-2393 2065 S Pleasant Valley Rd Williamsburg, VA 23188 GAROFALIS, HARALAMBOS Winchester, VA 22601 (757) 564-8942 KIELY, KEVIN WILLIAMSBURG PEDIATRIC DENTISTRY PLLC (540) 931-0300 COASTAL ORAL MAXILLOFACIAL 5388 Discovery Park Blvd #240 SPRINGMANN, SEBASTIANA SURG & IMPLANTS Williamsburg, VA 23188 CLAROS, CLAUDIA NEW TOWN DENTAL ARTS 5408 Discovery Park Blvd #101 (757) 259-9703 KOOL SMILES VAN PC 4939 Courthouse St Williamsburg, VA 23188 2065 S Pleasant Valley Rd Williamsburg, VA 23188 (757) 208-0138 Winchester, VA 22601 (757) 259-0741 PUGLIESE, RICHARD RICHARD A PUGLIESE DDS (540) 931-0300 5388 Discovery Park Blvd Ste 240 Williamsburg, VA 23188 (757) 259-9703

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

LEE, SI-HYEON VARANELLI, FRANKLIN MORGAN, DAVID VIRGINIA (CONT'D) KOOL SMILES VAN PC FRANK J VARANELLI DDS PC SHENANDOAH ORAL & 2065 S Pleasant Valley Rd 522 Amherst St MAXILLOFACIAL SURGERY INC WINCHESTER Winchester, VA 22601 Winchester, VA 22601 170 Garber Ln Ste 2 (540) 931-0300 (540) 667-9180 Winchester, VA 22602 DAVIS, JEFFREY (540) 667-0100 DAVIS FAMILY DENTAL LEE, SI-HYEON WESTOVER, AUSTIN 2270 Valor Dr Ste 105 SHINE DENTAL PELL, JAMES Winchester, VA 22601 381 Gateway Drive #9 JOHN H DDS PC SHENANDOAH ORAL & (540) 545-7878 Winchester, VA 22603 1002 Amherst St Bldg B (540) 773-3206 Winchester, VA 22601 MAXILLOFACIAL SURGERY INC (540) 667-7600 170 Garber Ln Ste 2 GARNES, RICHARD Winchester, VA 22602 RICHARD O GARNES DDS PLC LESKIV, VASYL WESTOVER, MITRA (540) 667-0100 1813 Plaza Dr GIOVANNI P IUCULANO DDS PC PARTICIPATING PROVIDERS Winchester, VA 22601 212 Linden Dr Ste 150 JOHN H NEUMANN DDS PC REDMON, DAVID (540) 667-3267 Winchester, VA 22601 1002 Amherst St Bldg B (540) 662-4866 Winchester, VA 22601 DR ERIC REDMON DDS (540) 667-7600 36 W Whitlock Ave GROMLING, THOMAS Winchester, VA 22601 DENTAL CLINIC OF NORTHERN MILLER, TAMMIE WON, JENNIFER (540) 665-4432 SHENANDOAH VALLEY T K NEAL MILLER DDS PC 301 North Cameron St #200 2325 Valor Drive ROBERT D KING DDS STARLEY, ERIC Winchester, VA 22601 Winchester, VA 22601 1220 Amherst St WINCHESTER ORAL SURGERY (540) 536-1684 (540) 450-8888 Winchester, VA 22601 (540) 662-4328 CENTER PC 172 Linden Dr #111 HAYNIE, TALON NEUMANN, JOHN WRYTER, JULIET Winchester, VA 22601 TALON HAYNIE DDS PLLC JOHN H NEUMANN DDS PC (540) 536-3100 1813 Plaza Dr 1002 Amherst St Bldg B KOOL SMILES VAN PC Winchester, VA 22601 Winchester, VA 22601 2065 S Pleasant Valley Rd WANG, RICHARD (801) 361-8021 (540) 667-7600 Winchester, VA 22601 (540) 931-0300 SHENANDOAH ORAL & MAXILLOFACIAL SURGERY INC HEGGADE, SOUMYATA NICHOLS, ASHLEY ZEBARTH, STEPHEN 170 Garber Ln Ste 2 VALLEY DENTAL GROUP KOOL SMILES VAN PC Winchester, VA 22602 STEPHEN M ZEBARTH DDS PC 500 W Jubal Early Dr #200 2065 S Pleasant Valley Rd (540) 667-0100 Winchester, VA 22601 Winchester, VA 22601 110 West Cork St (540) 535-2006 (540) 931-0300 Winchester, VA 22601 (540) 722-4182 ORTHODONTIST IUCULANO, GIOVANNI NWANESHIUDU, CHIOMA STAGGERS, JULIE GIOVANNI P IUCULANO DDS PC KOOL SMILES VAN PC ORAL SURGEON JULIE A STAGGERS DDS MS 212 Linden Dr Ste 150 2065 S Pleasant Valley Rd AMOS, EDWARD 3052 Valley Ave Ste 100 Winchester, VA 22601 Winchester, VA 22601 Winchester, VA 22601 EDWARD L AMOS DDS (540) 931-0300 (540) 722-6700 (540) 662-4866 1002A Amherst St Winchester, VA 22601 KING, ROBERT RICHARDSON, KELLY (540) 667-8287 PEDIATRIC ROBERT D KING DDS GIOVANNI P IUCULANO DDS PC DENTIST/PEDODONTIST 1220 Amherst St 212 Linden Dr Ste 150 COVIELLO, VINCENT Winchester, VA 22601 AGARWAL, GAURAV Winchester, VA 22601 WINCHESTER ORAL SURGERY (540) 662-4866 VALLEY PEDIATRIC DENTISTRY (540) 662-4328 CENTER PC 1705 Amherst St Ste 201 172 Linden Dr #111 Winchester, VA 22601 KNOTTS, CINDY SAIF, MINA Winchester, VA 22601 (540) 667-5437 WINCHESTER FAMILY VALLEY DENTAL GROUP (540) 536-3100 DENTISTRY 500 W Jubal Early Dr #200 AGARWAL, GAURAV 3034 Valley Ave #104 Winchester, VA 22601 IYER, MALINI VALLEY PEDIATRIC DENTISTRY (540) 535-2006 Winchester, VA 22601 WINCHESTER ORAL SURGERY 650 Cedar Creek Grade Ste 205 (540) 665-0077 CENTER PC Winchester, VA 22601 THAMMINENI, KISHORE 172 Linden Dr #111 (540) 667-5437 LE, BAO-QUYEN WINCHESTER FAMILY DENTAL Winchester, VA 22601 KOOL SMILES VAN PC CARE (540) 536-3100 GIBSON, MELISSA 2065 S Pleasant Valley Rd 1330 Amherst St Ste B SHENANDOAH SMILES Winchester, VA 22601 Winchester, VA 22601 PEDATRIC DENTISTRY (540) 931-0300 (540) 773-3282 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

GENERAL DENTIST SALLEN, BRUCE ANDERSON, JOSHUA VIRGINIA (CONT'D) DRS LEVIN LEFF POLLOCK & LAKERIDGE DENTAL KILGORE, ROBERT ASSOCIATES LTD ASSOCIATES WINCHESTER ROBERT D KILGORE DMD PC 12701 Marblestone Dr #180 12506 A-B Lake Ridge Dr 106 Water St Woodbridge, VA 22192 Woodbridge, VA 22192 MERDAD, HISHAM Wise, VA 24293 (571) 298-2000 (571) 572-3445 KOOL SMILES VAN PC (276) 328-5291 2065 S Pleasant Valley Rd GENERAL DENTIST ASHTAKALA, CHARANPREET Winchester, VA 22601 WOODBRIDGE (540) 931-0300 KIDZ DENTAL PC ABDIRAHMAN, HASSANOOR 13648 Jefferson Davs Hwy ENDODONTIST WOODBRIDGE FAMILY DENTAL Woodbridge, VA 22191 PERIODONTIST 13601 Office Place #202 ASGHAR, IRFAN (571) 441-1380 Woodbridge, VA 22192 DRS LEVIN LEFF POLLOCK & DICKSON, JEFFREY (703) 986-0434 PARTICIPATING PROVIDERS SHENANDOAH VALLEY IMPLANT ASSOCIATES LTD BARZGAR, ARTIN INSTITUTE LLC 12701 Marblestone Dr #180 CHERRYWOOD DENTAL ASSOC AGULLANA, SHEILA 1705 Amherst St #202 Woodbridge, VA 22192 13895 Hedgewood Dr #237 Winchester, VA 22601 (571) 298-2000 SHEILA A AGULLANA Woodbridge, VA 22193 (540) 662-6400 13625 Office Place #102 (703) 565-5078 Woodbridge, VA 22192 KESSLER, JOEL (703) 670-7071 HANSON, BENJAMIN SU-EN C THLICK DMD INC BENSON, GERALD BENJAMIN S HANSON DDS MS 12701 Marblestone Dr Ste 260 AGULLANA, SHEILA NEIBAUER DENTAL CARE PC PC Woodbridge, VA 22192 KIUMARS KARBASI DDS P C 14901 Potomac Town Pl #175 1805 Plaza Dr (703) 670-2114 13625 Office Place Ste 102 Woodbridge, VA 22191 Winchester, VA 22601 Woodbridge, VA 22192 (703) 580-5515 (540) 535-0401 LEFF, GARY (703) 670-7071 DRS LEVIN LEFF POLLOCK & BOUDREAU, JAMES SAUNDERS, STEVEN ASSOCIATES LTD AHMADIAN, HOSSEIN NEIBAUER DENTAL CARE PC SHENANDOAH VALLEY IMPLANT 12701 Marblestone Dr #180 FAMILY & COSMETIC DENTISTRY 13334 Minnieville Rd INSTITUTE LLC Woodbridge, VA 22192 3114 Golansky Blvd #102 Woodbridge, VA 22192 1705 Amherst St #202 (571) 298-2000 Woodbridge, VA 22192 (703) 910-3285 Winchester, VA 22601 (703) 583-2800 BOUDREAU, JAMES (540) 662-6400 MILLS, CORDELIA NEIBAUER DENTAL CARE PC HANNA HANANIA DDS PC AHMADIYAR, SASAN 14901 Potomac Town Pl #175 SAUNDERS, VICTOR 4319 Dale Blvd LAKERIDGE DENTAL Woodbridge, VA 22191 SHENANDOAH VALLEY IMPLANT Woodbridge, VA 22193 ASSOCIATES (703) 580-5515 INSTITUTE LLC (703) 897-8554 12506 A-B Lake Ridge Dr 1705 Amherst St #202 Woodbridge, VA 22192 BOURONCLE, SEBASTIAN Winchester, VA 22601 (571) 572-3445 NGUYEN, TU-QUYNH NEW SMILES DENTAL (540) 662-6400 DRS LEVIN LEFF POLLOCK & 1900 Opitz Blvd #C ASSOCIATES LTD AKRAMI, FOROUGH Woodbridge, VA 22191 WINDSOR 12701 Marblestone Dr #180 COUNTY CENTER DENTAL (703) 494-0820 Woodbridge, VA 22192 GROUP GENERAL DENTIST (571) 298-2000 4008 Genesee Pl #205 BRANDT, JASON Woodbridge, VA 22192 DEMSKO, HAROLD JASON D BRANDT DDS PATEL, PRATIK (703) 670-4888 DR HAROLD DEMSKO 13663 Office Pl #103 70 E Windsor Blvd Ste D SU-EN C THLICK DMD INC Woodbridge, VA 22192 Windsor, VA 23487 12701 Marblestone Dr Ste 260 ALATHARI, HUMAM (703) 878-2100 (757) 242-6781 Woodbridge, VA 22192 POTOMAC DENTAL CARE PC (703) 670-2114 1912 Optiz Blvd BRAUNFELD, JOEL Woodbridge, VA 22191 DUNHAM, BENJAMIN PATEL, PRATIK JOEL R BRAUNFELD DDS PC (703) 490-4667 DR HAROLD DEMSKO HANNA HANANIA DDS PC 2239-L Tackett'S Mill Dr 70 E Windsor Blvd Ste D 4319 Dale Blvd Woodbridge, VA 22192 Windsor, VA 23487 Woodbridge, VA 22193 ALATHARI, ZINA (703) 491-2200 (757) 242-6781 (703) 897-8554 POTOMAC DENTAL CARE PC 1912 Optiz Blvd BUKZIN, MITCHELL Woodbridge, VA 22191 GARDNER, DAVIS POLLOCK, RICHARD BUKZIN MITCHELL J (703) 490-4667 DR HAROLD DEMSKO DRS LEVIN LEFF POLLOCK & 4391 Ridgewood Center Dr 70 E Windsor Blvd Ste D ASSOCIATES LTD Woodbridge, VA 22192 Windsor, VA 23487 12701 Marblestone Dr #180 (703) 590-4666 (757) 242-6781 Woodbridge, VA 22192 (571) 298-2000 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

DHILLON, NAVNEET GERALD, MATTHEW JAVIER, RYAN VIRGINIA (CONT'D) NEIBAUER DENTAL CARE PC MATTHEW P GERLAD DDS SMILE DENTAL CARE PC 14901 Potomac Town Pl #175 1918 Opitz Blvd 13885 Hedgewood #101 WOODBRIDGE Woodbridge, VA 22191 Woodbridge, VA 22191 Woodbridge, VA 22193 (703) 580-5515 (703) 494-2144 (703) 763-3371 BUKZIN, MITCHELL KARINA VERA-LOPEZ DDS PLLC DOAN, THAO GOMEZ, PATRICIA KARBASI, KIUMARS 4391 Ridgewood Center Dr, Ste C Woodbridge, VA 22192 DENTAL CENTER AT LAKE FAMILY & COSMETIC DENTISTRY KIUMARS KARBASI DDS P C (703) 590-4666 RIDGE 3114 Golansky Blvd #102 13625 Office Place Ste 102 12764 Darby Brooke Court Woodbridge, VA 22192 Woodbridge, VA 22192 Woodbridge, VA 22192 (703) 583-2800 (703) 670-7071 CERTA, KIMBERLY (703) 499-8888 KIMBELY CERT DDS PLC GUTIERREZ, NORMA KHASRAGHI, FARANAK 12739 Directors Loop PARTICIPATING PROVIDERS DOMBROSKI, JESSICA Woodbridge, VA 22192 NORMA GUTIERREZ DDS COUNTY CENTER DENTAL (703) 494-4490 ERIC C VASEY DDS 13625 Office Pl #102 GROUP 13478 Minnieville Rd #202 Woodbridge, VA 22192 4008 Genesee Pl #205 Woodbridge, VA 22192 (703) 670-7071 Woodbridge, VA 22192 CHOHAN, EMA (703) 670-5376 (703) 670-4888 FAMILY & COSMETIC DENTISTRY HANANIA, HANNA 3114 Golansky Blvd #102 DULABH, MITA KIM, ANDREW Woodbridge, VA 22192 HANNA HANANIA DDS PC (703) 583-2800 SAMEER KWATRA DDS PC 4319 Dale Blvd ANDREW Y KIM DDS PC 2970 Prince William Pkwy Woodbridge, VA 22193 12618 Lake Ridge Dr Woodbridge, VA 22192 (703) 897-8554 Woodbridge, VA 22192 CHOI, MI-YON (703) 583-7720 (703) 494-2150 GREATER PRINCE WILLIAM HEDAYATI, KOUROS COMM HEALTH CTR DUMLAO, RUSTICO KIM, PETER 4379 Ridgewood Center Dr #102 LAKERIDGE DENTAL Woodbridge, VA 22192 ALAN H GOLDEN DDS & ASSOC ASSOCIATES PETER H D KIM DDS PC (703) 680-7950 14397 Hereford Rd 12506 A-B Lake Ridge Dr 14136 Minnieville Rd Woodbridge, VA 22193 Woodbridge, VA 22192 Woodbridge, VA 22193 (703) 670-9169 (571) 572-3445 (703) 583-4466 COLEMAN, MARILYN MARILYN E COLEMAN DDS DUMLAO, RUSTICO HODGE, JEREMY KIM, SANDRA 2200 Opitz Blvd Ste 220 ALAN H GOLDEN DDS & ASSOC Woodbridge, VA 22191 3320 Noble Pond Way #109 KIDZ DENTAL PC GREATER PRINCE WILLIAM (703) 492-0080 Woodbridge, VA 22193 13648 Jefferson Davs Hwy COMM HEALTH CTR (703) 670-9169 Woodbridge, VA 22191 4379 Ridgewood Center Dr #102 (571) 441-1380 Woodbridge, VA 22192 COLINA, KEVIN (703) 680-7950 SAMEER KWATRA DDS PC DUNN, NOELLE HOWELL, JOHN 2970 Prince William Pkwy SU-EN C THLICK DMD INC KING, MICHAEL Woodbridge, VA 22192 12701 Marblestone Dr Ste 260 JOHN N HOWELL II DDS LTD (703) 583-7720 Woodbridge, VA 22192 14007 Minnieville Rd TEAM DENTAL (703) 670-2114 Woodbridge, VA 22193 16689 River Ridge Blvd (703) 670-5414 Woodbridge, VA 22191 CREAMER, WESLEY (703) 221-9759 WESLEY S CREAMER DMD PLC ESTELL, JENNILYN IMAO, JOSEMARI 4315 Ridgewood Center Dr MARILYN E COLEMAN DDS KWATRA, SAMEER Woodbridge, VA 22192 2200 Opitz Blvd Ste 220 ANGEL HANDS DENTISTRY PLLC (703) 670-4994 Woodbridge, VA 22191 13824 Smoketown Rd SAMEER KWATRA DDS PC (703) 492-0080 Woodbridge, VA 22192 2970 Prince William Pkwy (571) 285-2980 Woodbridge, VA 22192 CUELLAR-CORDOVA, (703) 583-7720 ELIANA GARCIA, MAURICIO JAMALI, MOJGAN GREATER PRINCE WILLIAM ALAN H GOLDEN DDS & ASSOC FAMILY & COSMETIC DENTISTRY LE, HANG COMM HEALTH CTR 14397 Hereford Rd 3114 Golansky Blvd #102 FAMILY & COSMETIC DENTISTRY 4379 Ridgewood Center Dr #102 Woodbridge, VA 22193 Woodbridge, VA 22192 3114 Golansky Blvd #102 Woodbridge, VA 22192 (703) 670-9169 (703) 583-2800 Woodbridge, VA 22192 (703) 680-7950 GARCIA, MAURICIO (703) 583-2800 ALAN H GOLDEN DDS & ASSOC JAVA, ROBERT DHILLON, NAVNEET 3320 Noble Pond Way #109 ROBERT G JAVA LIN, SANDY NEIBAUER DENTAL CARE PC Woodbridge, VA 22193 3401 Commission Ct #202 SU-EN C THLICK DMD INC 13334 Minnieville Rd (703) 670-9169 Woodbridge, VA 22192 12701 Marblestone Dr Ste 260 Woodbridge, VA 22192 (703) 494-7799 Woodbridge, VA 22192 (703) 910-3285 (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

MULLER, LAWRENCE PHAN, THOAIVAN SIDOR, ANNA VIRGINIA (CONT'D) LAWRENCE R MULLER DDS PC ANGEL HANDS DENTISTRY PLLC DRS LEVIN LEFF POLLOCK & 3302 Old Bridge Road #F 13824 Smoketown Rd ASSOCIATES LTD WOODBRIDGE Woodbridge, VA 22192 Woodbridge, VA 22192 12701 Marblestone Dr #180 (703) 497-9709 (571) 285-2980 Woodbridge, VA 22192 LOBO, CHERYL (571) 298-2000 WOODBRIDGE FAMILY & MWENDO, JIMANI PRASANNA, MYSORE COSMETIC DENTISTRY PLLC SILK, ZAHER 4421 Dale Blvd NEIBAUER DENTAL CARE PC SMILE FOR LIFE DENTISTRY Woodbridge, VA 22193 13334 Minnieville Rd 1455 Old Bridge Rd Ste 205 FAMILY & COSMETIC DENTISTRY (703) 680-2070 Woodbridge, VA 22192 Woodbridge, VA 22192 3114 Golansky Blvd #102 (703) 910-3285 (703) 494-2226 Woodbridge, VA 22192 (703) 583-2800 LOBO, NATALIE NALLURI, JATIN PUNAJI, SOWMYA WOODBRIDGE FAMILY & PARTICIPATING PROVIDERS SOURS, CHARLES COSMETIC DENTISTRY PLLC NEIBAUER DENTAL CARE PC LEGACY DENTAL CARE 4421 Dale Blvd 13334 Minnieville Rd 12739 Directors Loop CHARLES L SOURS JR DDS Woodbridge, VA 22193 Woodbridge, VA 22192 Woodbridge, VA 22192 12606 A Lake Ridge Dr (703) 680-2070 (703) 910-3285 (703) 494-4490 Woodbridge, VA 22192 (703) 491-2131

LOBO, ROBERT NGUYEN, CINDY RAY, SHEETAL SPITZER, TIMOTHY NEW SMILES DENTAL SMILE DENTAL CARE PC GREATER PRINCE WILLIAM 1900 Opitz Blvd #C 13885 Hedgewood #101 COMM HEALTH CTR COUNTY CENTER DENTAL Woodbridge, VA 22191 Woodbridge, VA 22193 4379 Ridgewood Center Dr #102 GROUP (703) 494-0820 (703) 763-3371 Woodbridge, VA 22192 4008 Genesee Pl #205 (703) 680-7950 Woodbridge, VA 22192 (703) 670-4888 LOTFI, PATRICK NGUYEN, KEVIN ROBINSON, MARGO WOODBRIDGE COMFORT KEVIN NGUYEN DDS PLLC SULTANZADA, YAMA DENTAL CARE 14130 Noble Wood Plz Ste 207-208 KIDZ DENTAL PC 14605 Potomac Branch Dr #120 Woodbridge, VA 22193 13648 Jefferson Davs Hwy VIRGINIA DENTAL CARE Woodbridge, VA 22191 (703) 878-9000 Woodbridge, VA 22191 2070 Old Bridge Rd Ste 201 (703) 580-8181 (571) 441-1380 Woodbridge, VA 22192 NGUYEN, MIKE (703) 499-9902 MA, ANDY NEIBAUER DENTAL CARE PC SADEDDIN, HAZIM SURENDRAN, SWAPNA WOODBRIDGE DENTAL CENTER 14901 Potomac Town Pl #175 FAMILY & COSMETIC DENTISTRY 4585 Daisy Reid Ave #101 Woodbridge, VA 22191 3114 Golansky Blvd #102 NEIBAUER DENTAL CARE PC Woodbridge, VA 22192 (703) 580-5515 Woodbridge, VA 22192 14901 Potomac Town Pl #175 (703) 680-9296 (703) 583-2800 Woodbridge, VA 22191 NILES, RAYMOND (703) 580-5515 MAI, CHRISTINE NILES RAYMOND R SAID, MASOOD TAHERI, BRUCE CHRISTINE L MAI 1960 Daniel Stuart Sq VIRGINIA DENTAL CARE 13885 Hedgewood Dr Ste 209 Woodbridge, VA 22191 2070 Old Bridge Rd Ste 201 FAMILY & COSMETIC DENTISTRY Woodbridge, VA 22193 (703) 494-4101 Woodbridge, VA 22192 3114 Golansky Blvd #102 (571) 285-5023 (703) 499-9902 Woodbridge, VA 22192 PAKPOUR, DESABEH (703) 583-2800 MEHRABIAN, KOUROSH CHERRYWOOD DENTAL ASSOC SALUMBIDES, JOSEPHINE TAVAKKOLI, KAMBIZ KOUROSH MEHRABIAN DDS & 13895 Hedgewood Dr #237 POTOMAC MILLS FAMILY PLC ASSOC PC Woodbridge, VA 22193 14338 Gideon Dr KAMRAN TAVAKKOLI DMD & 14904 Jefferson Davis Hwy #304 (703) 565-5078 Woodbridge, VA 22192 KAMBIZ TAVAKKOLI DMD PC Woodbridge, VA 22192 (703) 348-8070 12500 Lake Ridge Dr (703) 490-4949 PATEL, MAYUR Woodbridge, VA 22192 YOGI DENTAL PLLC SAYEED, AFREEN (703) 494-3176 MORCH, MICHAEL 14416 Jefferson Davis Hwy #16 KIDZ DENTAL PC TAVAKKOLI, KAMRAN MICHAEL MORCH DDS PC Woodbridge, VA 22191 13648 Jefferson Davs Hwy 3138 Golansky Blvd. #101 (703) 492-1999 Woodbridge, VA 22191 KAMRAN TAVAKKOLI DMD & Woodbridge, VA 22192 (571) 441-1380 KAMBIZ TAVAKKOLI DMD PC (703) 878-7969 PEREZ, RICARDO 12500 Lake Ridge Dr LAKERIDGE DENTAL SHAFIEI, NIKKI Woodbridge, VA 22192 (703) 494-3176 MORIARTY-VASQUEZ, MARY ASSOCIATES FAMILY & COSMETIC DENTISTRY ROBERT G JAVA 12506 A-B Lake Ridge Dr 3114 Golansky Blvd #102 3401 Commission Ct #202 Woodbridge, VA 22192 Woodbridge, VA 22192 Woodbridge, VA 22192 (571) 572-3445 (703) 583-2800 (703) 494-7799

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

VERA-LOPEZ, KARINA DOLAN, PATRICK MORGAN, DAVID VIRGINIA (CONT'D) KARINA VERA-LOPEZ DDS PLLC DRS ZUSSMAN SMITH DOLAN LAKERIDGE DENTAL 4391 Ridgewood Center Dr, Ste C LANE & SILLOWAY ASSOCIATES WOODBRIDGE Woodbridge, VA 22192 3421 Commission Ct #202 12506 A-B Lake Ridge Dr (703) 590-4666 Woodbridge, VA 22192 Woodbridge, VA 22192 THLICK, SU-EN (703) 672-4200 (571) 572-3445 SU-EN C THLICK DMD INC WAY-RODRIGUEZ, JORGE 12701 Marblestone Dr Ste 260 MORGAN, DAVID FRANCIONI, SONIA Woodbridge, VA 22192 LAKERIDGE DENTAL ORAL SURGERY ASSOC OF (703) 670-2114 ASSOCIATES DENTAL ASSOC OF NORTHERN NORTHERN VA 12506 A-B Lake Ridge Dr VA PLLC 3158 Golansky Blvd Ste 102 Woodbridge, VA 22192 2020-A Opitz Blvd TOYER, LEONARD Woodbridge, VA 22192 (571) 572-3445 Woodbridge, VA 22191 (703) 897-8983 LIFETIME DENTAL CARE PLLC (703) 494-9173

14573 Potomac Mills Rd PARTICIPATING PROVIDERS WRIGHT, RITA Woodbridge, VA 22192 FRANCIONI, SONIA NGUYEN, PHUONG (703) 499-9779 RITA D WRIGHT DMD JD LABRIOLA DDS & DJ CANTOR WOODBRIDGE ORAL & 3985 Prince William Pkwy #103 DMD PLC MAXILLOFACIAL SURGERY CTR Woodbridge, VA 22192 TRAN, KERI 2020-A Opitz Blvd 4585 Daisy Reid Ave #105 (703) 878-7883 Woodbridge, VA 22191 Woodbridge, VA 22192 POTOMAC MILLS FAMILY PLC (703) 494-9173 (703) 670-6886 14338 Gideon Dr YAQUI, LUIS Woodbridge, VA 22192 (703) 348-8070 NEIBAUER DENTAL CARE PC GOCKE, MICHAEL OSWALD, SOPHIE 13334 Minnieville Rd KENNETH P BYRNE DDS PC WOODBRIDGE DENTAL ASSOC Woodbridge, VA 22192 TRAN, VINH 3158 Golansky Blvd Ste 102 PC (703) 910-3285 Woodbridge, VA 22192 14520 Smoketown Rd SMILE DENTAL CARE PC (703) 897-8983 Woodbridge, VA 22192 13885 Hedgewood #101 YOO, YOUNG (703) 491-4489 Woodbridge, VA 22193 (703) 763-3371 YOUNG A YOO DDS PC JACKSON, JULIA 4192 Merchants Plz DENTAL ASSOC OF NORTHERN PARK, JONATHAN Woodbridge, VA 22192 TSAI, CHIH-PING VA PLLC DRS ZUSSMAN SMITH DOLAN (703) 897-0555 2020-A Opitz Blvd LANE & SILLOWAY NEIBAUER DENTAL CARE PC Woodbridge, VA 22191 3421 Commission Ct #202 14901 Potomac Town Pl #175 YOUSEFI, ASHKAN (703) 494-9173 Woodbridge, VA 22192 Woodbridge, VA 22191 (703) 672-4200 (703) 580-5515 LAKERIDGE DENTAL ASSOCIATES LABRIOLA, J 12506 A-B Lake Ridge Dr PELL, JAMES UPPALAPATI, SINDHURA DENTAL ASSOC OF NORTHERN Woodbridge, VA 22192 VA PLLC ORAL SURGERY ASSOC OF ALINE DENTAL ASSOCIATES PC (571) 572-3445 2020-A Opitz Blvd NORTHERN VA 14904 Jefferson Davis Hwy #304 Woodbridge, VA 22191 3158 Golansky Blvd Ste 102 Woodbridge, VA 22191 ZEIAEI-NAFCHI, SAEID (703) 494-9173 Woodbridge, VA 22192 (703) 910-4805 WOODBRIDGE DENTAL ASSOC (703) 897-8983 LABRIOLA, J PC VALLERU, SILVIJA JD LABRIOLA DDS & DJ CANTOR 14520 Smoketown Rd RAMSEY, CYRUS WOODBRIDGE DENTAL ASSOC DMD PLC Woodbridge, VA 22192 DRS ZUSSMAN SMITH DOLAN PC 2020-A Opitz Blvd (703) 491-4489 LANE & SILLOWAY 14520 Smoketown Rd Woodbridge, VA 22191 3421 Commission Ct #202 Woodbridge, VA 22192 (703) 494-9173 Woodbridge, VA 22192 (703) 491-4489 ORAL SURGEON (703) 672-4200 AMIN, AHMAD LIU, FREDERICK VASEY, ERIC WOODBRIDGE DENTAL ASSOC DRS ZUSSMAN SMITH DOLAN ROBERTSON, STEVEN ERIC C VASEY DDS PC LANE & SILLOWAY DRS ZUSSMAN SMITH DOLAN 13478 Minnieville Rd #202 14520 Smoketown Rd 3421 Commission Ct #202 LANE & SILLOWAY Woodbridge, VA 22192 Woodbridge, VA 22192 Woodbridge, VA 22192 3421 Commission Ct #202 (703) 670-5376 (703) 491-4489 (703) 672-4200 Woodbridge, VA 22192 (703) 672-4200 VAUGHN, PARIS DAYSE, ROBERT LYN, TREVANN PURE DENTAL WOODBRIDGE DENTAL ASSOC WOODBRIDGE DENTAL ASSOC SILLOWAY, KIMBERLY 12581 Milstead Way Ste 204 PC PC DRS ZUSSMAN SMITH DOLAN Woodbridge, VA 22192 14520 Smoketown Rd 14520 Smoketown Rd LANE & SILLOWAY (571) 285-2577 Woodbridge, VA 22192 Woodbridge, VA 22192 3421 Commission Ct #202 (703) 491-4489 (703) 491-4489 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

FRANK, HAROLD KUMRA, BOB AMANTE, ALVIN VIRGINIA (CONT'D) HAROLD FRANK YOGI DENTAL PLLC ALAN H GOLDEN DDS & ASSOC 4335 Ridgewood Ctr Dr 14416 Jefferson Davis Hwy #16 14397 Hereford Rd WOODBRIDGE Woodbridge, VA 22193 Woodbridge, VA 22191 Woodbridge, VA 22193 (703) 590-6966 (703) 492-1999 (703) 670-9169 SMITH, PETER DRS ZUSSMAN SMITH DOLAN AMANTE, ALVIN FRANKENBERRY, ANISHKA LEE, DAN LANE & SILLOWAY ALAN H GOLDEN DDS & ASSOC 3421 Commission Ct #202 FAMILY & COSMETIC DENTISTRY SAMEER KWATRA DDS PC 3320 Noble Pond Way #109 Woodbridge, VA 22192 3114 Golansky Blvd #102 2970 Prince William Pkwy Woodbridge, VA 22193 (703) 672-4200 Woodbridge, VA 22192 Woodbridge, VA 22192 (703) 670-9169 (703) 583-2800 (703) 583-7720

THEBERGE, DANIEL BRITTO, MALA HENNIGH, ROGER LITSCHEL, KATE DRS ZUSSMAN SMITH DOLAN BRITTOS CHOLDRENS PARTICIPATING PROVIDERS LANE & SILLOWAY ALAN H GOLDEN DDS & ASSOC BRITESTARS PEDIATRIC DENTISTRY 3421 Commission Ct #202 14397 Hereford Rd DENTISTRY PLLC 12581 Milstead Way #305 Woodbridge, VA 22192 Woodbridge, VA 22193 12602 Lake Ridge Dr Woodbridge, VA 22192 (703) 672-4200 (703) 670-9169 Woodbridge, VA 22192 (703) 670-1991 (703) 490-5050 HENNIGH, ROGER WANG, RICHARD ALAN H GOLDEN DDS & ASSOC GHATAK, MONAMIE MITTAL, NITIKA ORAL SURGERY ASSOC OF 3320 Noble Pond Way #109 BRITTOS CHOLDRENS NORTHERN VA Woodbridge, VA 22193 WOODBRIDGE FAMILY & DENTISTRY 3158 Golansky Blvd Ste 102 (703) 670-9169 COSMETIC DENTISTRY PLLC 12581 Milstead Way #305 Woodbridge, VA 22192 4421 Dale Blvd Woodbridge, VA 22192 Woodbridge, VA 22193 (703) 897-8983 HESSAMFAR, RAMIN (703) 670-1991 (703) 680-2070 AMERICAN BRACES AND SMILE ZADEH, HUGH CENTER GOLDEN, ALAN MORGAN, KELLY DENTAL ASSOC OF NORTHERN 14130 Noblewood Plz Ste 107 ALAN H GOLDEN DDS & ASSOC VA PLLC Woodbridge, VA 22192 WOODBRIDGE FAMILY & 14397 Hereford Rd 2020-A Opitz Blvd (703) 897-6453 COSMETIC DENTISTRY PLLC Woodbridge, VA 22193 Woodbridge, VA 22191 4421 Dale Blvd (703) 670-9169 Woodbridge, VA 22193 (703) 494-9173 HUKMANI, NAVIN (703) 680-2070 GOLDEN, ALAN ZADEH, HUGH WOODBRIDGE DENTAL ASSOC ALAN H GOLDEN DDS & ASSOC PC JD LABRIOLA DDS & DJ CANTOR SALEH, FADI 3320 Noble Pond Way #109 14520 Smoketown Rd Woodbridge, VA 22193 DMD PLC LAKE RIDGE ORTHODONTICS 2020-A Opitz Blvd Woodbridge, VA 22192 (703) 670-9169 (703) 491-4489 12662A Lake Ridge Drive Woodbridge, VA 22191 Woodbridge, VA 22192 (703) 494-9173 (703) 491-5166 HOLMES, JESSICA HUSSAINI, SYED BRITESTARS PEDIATRIC SAMEER KWATRA DDS PC ORTHODONTIST STERN, FREDERICK DENTISTRY PLLC 2970 Prince William Pkwy 12602 Lake Ridge Dr F G STERN DDS INC ABDEL-WAHAB, MONA Woodbridge, VA 22192 Woodbridge, VA 22192 2200 Opitz Blvd #370 BRITESTARS PEDIATRIC (703) 583-7720 (703) 490-5050 Woodbridge, VA 22191 DENTISTRY PLLC (703) 494-9118 12602 Lake Ridge Dr HUTCHISON, ALICIA JONES, HERSCHEL Woodbridge, VA 22192 POTOMAC ORTHODONTICS ALAN H GOLDEN DDS & ASSOC (703) 490-5050 TRAN, THOAI-LAN PLLC 14397 Hereford Rd YOGI DENTAL PLLC 2200 Opitz Blvd Ste 370 Woodbridge, VA 22193 14416 Jefferson Davis Hwy #16 BRITTO, A DENIS Woodbridge, VA 22191 (703) 670-9169 Woodbridge, VA 22191 BRITTO ORTHODONTICS (703) 494-9118 (703) 492-1999 12581 Milstead Way #304 JONES, HERSCHEL Woodbridge, VA 22192 KERMANSHI, SHIVA ALAN H GOLDEN DDS & ASSOC 3320 Noble Pond Way #109 (703) 583-6784 FAMILY & COSMETIC DENTISTRY YI, PETER Woodbridge, VA 22193 3114 Golansky Blvd #102 KIDZ DENTAL PC (703) 670-9169 FLEMING, HAROLD Woodbridge, VA 22192 13648 Jefferson Davs Hwy Woodbridge, VA 22191 WOODBRIDGE FAMILY & (703) 583-2800 (571) 441-1380 COSMETIC DENTISTRY PLLC KHATEEB, MARIAM 4421 Dale Blvd KIM, EUNYOUNG ALAN H GOLDEN DDS & ASSOC 14397 Hereford Rd Woodbridge, VA 22193 LIGHT DENTAL INC PEDIATRIC Woodbridge, VA 22193 (703) 680-2070 14416 Jefferson Davis Hwy DENTIST/PEDODONTIST (703) 670-9169 Woodbridge, VA 22191 (703) 492-1999

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

FISHER, STEVEN TRABOULSI, GEORGES CAMPBELL, OMER VIRGINIA (CONT'D) STEVEN C FISHER DDS MS FAMILY & COSMETIC DENTISTRY DRS CAMPBELL 13625 Office Pl Ste 102 3114 Golansky Blvd #102 THROCKMORTON & WOODBRIDGE Woodbridge, VA 22192 Woodbridge, VA 22192 COPENHAVEN PC (703) 670-7071 (703) 583-2800 210 Loretto Dr KHATEEB, MARIAM Wytheville, VA 24382 FISHER, STEVEN ALAN H GOLDEN DDS & ASSOC (276) 228-3361 3320 Noble Pond Way #109 KIUMARS KARBASI DDS P C PROSTHODONTIST Woodbridge, VA 22193 13625 Office Place Ste 102 ESTAFANOUS, EMAD Woodbridge, VA 22192 COPENHAVER, RICHARD (703) 670-9169 STEFANO DENTAL CENTER (703) 670-7071 DRS CAMPBELL 13885 Hedgewood Dr #225 THROCKMORTON & LE, HAU Woodbridge, VA 22193 COPENHAVEN PC IJADI, MEHRDAD BRITESTARS PEDIATRIC (202) 644-8844 210 Loretto Dr DENTISTRY PLLC LAKERIDGE DENTAL Wytheville, VA 24382 PARTICIPATING PROVIDERS 12602 Lake Ridge Dr ASSOCIATES SALARI, MARJAN (276) 228-3361 12506 A-B Lake Ridge Dr Woodbridge, VA 22192 NEIBAUER DENTAL CARE PC Woodbridge, VA 22192 (703) 490-5050 14901 Potomac Town Pl #175 (571) 572-3445 THROCKMORTON, DENNIS Woodbridge, VA 22191 DRS CAMPBELL MADANI, SAMAN (703) 580-5515 THROCKMORTON & LAKKIS, DIMA COUNTY CENTER DENTAL COPENHAVEN PC GROUP HANNA HANANIA DDS PC SPECIALTY NOT SPECIFIED 210 Loretto Dr 4008 Genesee Pl #205 4319 Dale Blvd Wytheville, VA 24382 Woodbridge, VA 22192 Woodbridge, VA 22193 BAKER, JUSTIN (276) 228-3361 (703) 670-4888 (703) 897-8554 DRS ZUSSMAN SMITH DOLAN LANE & SILLOWAY ORAL SURGEON PHAM, GINA LIN, THOMAS 3421 Commission Ct #202 BRITESTARS PEDIATRIC SU-EN C THLICK DMD INC Woodbridge, VA 22192 HOLLYFIELD, NEIL DENTISTRY PLLC 12701 Marblestone Dr Ste 260 (703) 672-4200 SUKLE HOLLYFIELD ABBOTT & 12602 Lake Ridge Dr Woodbridge, VA 22192 PERKINS Woodbridge, VA 22192 (703) 670-2114 HUR, JOHN 470 W. Spring Street (703) 490-5050 DRS ZUSSMAN SMITH DOLAN Wytheville, VA 24382 MOTAMEDI, SAEID LANE & SILLOWAY (276) 783-8131 TOYER, APRIL LAKERIDGE DENTAL 3421 Commission Ct #202 LIFETIME DENTAL CARE PLLC ASSOCIATES Woodbridge, VA 22192 PERKINS, DENNIS 14573 Potomac Mills Rd 12506 A-B Lake Ridge Dr (703) 672-4200 SUKLE HOLLYFIELD ABBOTT & Woodbridge, VA 22192 Woodbridge, VA 22192 PERKINS (703) 499-9779 (571) 572-3445 WOODSTOCK 470 W. Spring Street Wytheville, VA 24382 MOTAMEDI, SAEID GENERAL DENTIST (276) 783-8131 PERIODONTIST MILTON STAR DDS WOODBRIDGE PC EYE, KENNETH BERI, ANURANDA 14520 Smoketown Rd KENNETH R EYE DDS PC THOMPSON, BRIAN WOODBRIDGE DENTAL ASSOC Woodbridge, VA 22192 408 S Main St SUKLE HOLLYFIELD ABBOTT & PC (703) 491-4489 Woodstock, VA 22664 PERKINS 14520 Smoketown Rd (540) 459-4341 470 W. Spring Street Woodbridge, VA 22192 Wytheville, VA 24382 NELSON, JOHN (703) 491-4489 (276) 783-8131 JOHN MICHAEL NELSON DDS MS HERNANDEZ, LAURA 3166 Golansky Blvd #101 CHEN, CLIFF HERNANDEZ-DAUER DMD OF Woodbridge, VA 22192 WOODSTOCK PC ORTHODONTIST NEW SMILES DENTAL (703) 730-2931 130 E Reservoir Rd 1900 Opitz Blvd #C WOODS, HUNTER Woodstock, VA 22664 Woodbridge, VA 22191 HUNTER K WOODS DDS MS PC (540) 459-2173 (703) 494-0820 REDDY, BINDU 470 West Spring St SAMEER KWATRA DDS PC Wytheville, VA 24382 CHEN, CLIFF 2970 Prince William Pkwy ORAL SURGEON (276) 236-2978 WOODBRIDGE FAMILY & Woodbridge, VA 22192 COSMETIC DENTISTRY PLLC (703) 583-7720 KLAMUT, KENNETH YORKTOWN 4421 Dale Blvd KENNETH M KLAMUT DDS Woodbridge, VA 22193 TAMI, RICHARD 124 Valley Vista Dr (703) 680-2070 Woodstock, VA 22664 GENERAL DENTIST TAMI RICHARD G (540) 810-7710 2200 Opitz Blvd Ste 205 ALLEN, SHANAIL Woodbridge, VA 22191 VICTORY DENTAL PLLC (703) 491-2974 WYTHEVILLE 119-C Village Ave Yorktown, VA 23693 GENERAL DENTIST (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

GEORGE, ROBERT NEILL, KENNEDY WARTOFSKY, ARIEL VIRGINIA (CONT'D) YORKSHIRE FAMILY DENTISTRY K E NEILL JR DDS LTD VICTORY DENTAL PLLC PC 219 Cook Road 119-C Village Ave YORKTOWN 3212 Hampton Hwy #A Yorktown, VA 23690 Yorktown, VA 23693 Yorktown, VA 23693 (757) 898-6832 (757) 898-0848 BLANEY, THEODORE (757) 867-9341 BOXX AND BLANEY DMD PC NOVAK, IRINA WENDELL, BRYAN 113 Hampton Hwy GOLRICH, SCOTT YORKTOWN DENTAL PLLC BOXX AND BLANEY DMD PC Yorktown, VA 23693 GRAFTON SMILE CARE 4326 Geo. Washington Mem. Hwy. 113 Hampton Hwy (757) 867-8765 4030-A Geo Washington Mem Hwy Yorktown, VA 23692 Yorktown, VA 23693 Yorktown, VA 23692 (757) 898-6788 (757) 867-8765 BOOKER, WAYNE (757) 898-4646 PETERSEN, KATHERINE WHITE, CALVIN

DRS MORGAN & BOOKER LLC PARTICIPATING PROVIDERS 6632 D Geo Wash Mem Hwy HARRISON, JAMES VICTORY DENTAL PLLC CALVIN R WHITE JR DDS Yorktown, VA 23692 YORKSHIRE FAMILY DENTISTRY 119-C Village Ave 4101 George Wash Memorial Hwy (757) 898-5468 PC Yorktown, VA 23693 Yorktown, VA 23692 3212 Hampton Hwy #A (757) 898-0848 (757) 898-7200 BOWLER, MICHAEL Yorktown, VA 23693 (757) 867-9341 MICHAEL W BOWLER DDS QUIROS, LUIS ORTHODONTIST 4310 Geo Washington Hwy MICHAEL W BOWLER DDS Yorktown, VA 23692 LACHINE, RICHARD 4310 Geo Washington Hwy BERRY, ZANE (757) 898-1919 BOXX AND BLANEY DMD PC Yorktown, VA 23692 PARKS ORTHODONTICS 113 Hampton Hwy (757) 898-1919 211 Village Ave #A Yorktown, VA 23693 BOXX, ERIC Yorktown, VA 23693 (757) 867-8765 (757) 874-6655 BOXX AND BLANEY DMD PC REIMER, MICHAEL 113 Hampton Hwy DR ANTHONY L MARTIN & Yorktown, VA 23693 LANGKAU, WALTER ASSOC PC PARKS, MEREDITH (757) 867-8765 VICTORY DENTAL PLLC 301 Village Ave #E PARKS ORTHODONTICS 119-C Village Ave Yorktown, VA 23693 211 Village Ave #A Yorktown, VA 23693 CASH, ALLAN Yorktown, VA 23693 (757) 886-0300 (757) 898-0848 (757) 874-6655 YORKSHIRE FAMILY DENTISTRY PC SEABURG, RAYMOND 3212 Hampton Hwy #A LEVY, GUY VICTORY DENTAL PLLC PERIODONTIST GUY G LEVY DDS PC 119-C Village Ave Yorktown, VA 23693 ANDERSON, JENNIFER (757) 867-9341 3120 Kiln Creek Pkwy Ste L Yorktown, VA 23693 GUY G LEVY DDS PC Yorktown, VA 23693 (757) 898-0848 3120 Kiln Creek Pkwy Ste L (757) 877-9281 COLEMAN, JAMES Yorktown, VA 23693 DR J MICHAEL COLEMAN DDS SYED, CHAND (757) 877-9281 5033 B George Washington Mem MARTIN, ANTHONY TABB FAMILY DENTAL Hwy DR ANTHONY L MARTIN & 106 Yorktown Rd ZION CROSSROADS Yorktown, VA 23692 ASSOC PC Yorktown, VA 23693 (757) 874-4700 301 Village Ave #E (757) 867-9000 PEDIATRIC Yorktown, VA 23693 DENTIST/PEDODONTIST ELDRIDGE, KEITH (757) 886-0300 VAUGHAN, KEITH GUY G LEVY DDS PC MICHAEL W BOWLER DDS DIXON, JENNIFER 3120 Kiln Creek Pkwy Ste L MCDANIEL, RODNEY 4310 Geo Washington Hwy CHARLOTTESVILLE PEDIATRIC Yorktown, VA 23693 YORKTOWN DENTAL PLLC Yorktown, VA 23692 DENTISTRY (757) 877-9281 4326 Geo. Washington Mem. Hwy. (757) 898-1919 70 Jefferson Ct Ste 101 Yorktown, VA 23692 Zion Crossroads, VA 22942 VAUGHAN, KEITH (757) 898-6788 (540) 832-6657 EZEKIEL, JEFFREY KEITH E VAUGHAN DDS JEFFREY L EZEKIAL DDS PC 6521 George Washington Mem Hwy STUMP, AARON 3301 Hampton Hwy #M MILLER, JULIAN Yorktown, VA 23692 CHARLOTTESVILLE PEDIATRIC Yorktown, VA 23693 VICTORY DENTAL PLLC (757) 898-3366 (757) 867-5003 119-C Village Ave DENTISTRY Yorktown, VA 23693 70 Jefferson Ct Ste 101 VILLASIS, JUAN Zion Crossroads, VA 22942 GEARY, BRYAN (757) 898-0848 VICTORY DENTAL PLLC (540) 832-6657 GEARY FAMILY & COSMETIC 119-C Village Ave DENTISTRY MORGAN, FABIENNE Yorktown, VA 23693 105 Terrebonne Rd DRS MORGAN & BOOKER LLC (757) 898-0848 Yorktown, VA 23692 6632 D Geo Wash Mem Hwy (757) 898-4661 Yorktown, VA 23692 (757) 898-5468

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 ...... Agrawal, Nitin 111,115,133,185,4 ...... Alriq, Hosam 98 1,57,64 ...... Al-Samir, Zaid 133 ...... Aguilar Garcia, Wilson 154 Altememi, Nadine 150,165,28 Aaron,...... Gavin 149 ...... Agullana, Sheila 187 Althouse, Elliott 123 ...... Abbasi-Hafshejani, Azita 149,42,48 ...... Ahmad, Ameera 115,123,133,169,5 Abbott, David 19,33,8 ...... Alvarez, Juan 162,168,85 ...... 7 ...... Amacher, Darcy 42 ...... Abbott, Jeryl 103 Ahmad, Farah 57 ...... Aman, Mohammad 86 ...... Abbott, Michael 151 ...... Ahmad, Imaney 57,80 ...... Amante, Alvin 128,191,71 ...... Abdelrazek, Jailan 125 Ahmadian, Hossein 11,187 ...... Amburgey, Steven 41 ...... Abdel-Wahab, Mona 191 ...... Ahmadiyar, Sasan 157,187,64,92 ...... Amin, Ahmad 153,190,7,95 ...... Abdelwahab, Tamer 92 Ahmadzada, Zia 25 ...... Amirsayafi, Payam 157,50,78 ...... Abdirahman, Hassanoor 187 ...... Ahmed, Gaafar 92 ...... Amoah, Emmanuel 111,75 ...... Abdoun, Ezzat 68 Ahmed, Mohamed 43,71

...... PARTICIPATING PROVIDERS ...... Amodio, Tiffany 169,34 ...... Abdul-Nabi, Anwar 133 Ahmed, Sadaf 133 ...... Amos, Edward 186 ...... Abel, Anna 125,16 ...... Ahmed, Seema 2 ...... Amos, Robert 185 ...... Abel, Jason 25 Ahmed, Shabrez 27,45 ...... Amouhashem, Parvin 57 ...... Abigail, Curtis 15 ...... Ahmed, Syed 133,146,44 ...... Amrhein, Edward 32,45 ...... Abinader, Nantadla 154,50 Ahn, Sooyeon 100,89 ...... Anama, Steven 146 ...... Abou Nahlah, Esam 16 ...... Ahrabi, Abbas 120 ...... Ananthasekar, Rajalakshmi 57 ...... Aboulhosn-Sangid, Maher 11,2 Ajandeh, Sean 96 ...... Anderson, Benjamin 115,162,170,34 ...... Aboulkhair, Mostafa 50 ...... Akeel, Ed 30 ...... Anderson, Bradley 72 ...... Abousy, Sawsan 154,165 Akinbi, Folake 50 ...... Anderson, David 24,8 ...... Abraham, Ruth 169 ...... Akmal, Omer 15,165,29 ...... Anderson, Erika 11,22 ...... Abrahams, Rodney 164 Akrami, Forough 187,22 ...... Anderson, Holly 119,178,38 ...... Abramov, Yuriy 133 ...... Alachnowicz, J 48 ...... Anderson, J 170 ...... Abreu Fuerte, Orlando 41 Alathari, Humam 159,187 ...... Anderson, Jennifer 114,193 ...... Abril, Edison 126,132,168,18,29, ...... Alathari, Zina 159,187 56,62,85 ...... Anderson, Joan 78 Alayssami, Mazin 153,154,157,159,1 Abrol, Malini 153 ...... Anderson, Joshua 157,187,57,64,92 ...... 65,2,80,9 ...... Abtahi, Narjes 85 ...... Anderson, Paul 111 ...... Albarq, Eyad 165 ...... Abualsoud, Arwa 133,75 ...... Anderson, Ralph 102,120,143,44 ...... Albinder, Kenneth 178 ...... Abubaker, A 142 ...... Anderson, Robert 164 ...... Alcantara, Christian 50 ...... Abuhajleh, Omar 133,71 ...... Anderson, Ryan 91 ...... Alcorn, Elizabeth 30 ...... Acharya, Priya 149 ...... Anderson, Tyson 103,98 ...... Alderman, Douglas 129,16 ...... Ackerman, Jeffrey 2 ...... Anderson-Kimble, Janie 90 ...... Aldred, Matthew 109,39 ...... Acosta, Rafael 24,50,92 ...... Andre, John 72,89 ...... Alemayehu, Amen 115,162,170,34 ...... Adam-Eldien, Ashraf 115,123,2,57 ...... Angus, Frank 103 ...... Alexander, Brian 149 ...... Adams, Courtney 133 ...... Angus, Lee 103 ...... Alexander, David 75 ...... Adams, Danny 85 ...... Angus, Rebecca 103 ...... Alexander, Robert 74 ...... Adams, Kathleen 159 ...... Angus, William 103 ...... Alexander, Sasha 165 ...... Adams, Lauren 120 ...... Anjum, Shazia 92 ...... Alhrashi, Fadi 57 ...... Adams, Michael 46 ...... Ankrum, Matthew 20 ...... Ali, Talib 86 ...... Adams, Mona 11 ...... Ankrum, Michael 122,20 ...... Ali, Ziad 100 ...... Adams, Peter 169,34 ...... Anoushfar, Scheherazad 129 ...... Al-Joburi, Wesam 157,161,168,62 ...... Adams, Randy 144 ...... Ansari, Uzma 126 ...... Al-Karagholi, Mustafa 57,64,80,92 ...... Adams, William 133 ...... Anthony, Richard 20 ...... Alkilani, Tawfiq 133,43 ...... Adeeb, Ayman 185,68 ...... Antinopoulos, Peter 133 ...... Alkishtaini, Maha 154,50 ...... Adeshara, Karishma 111,115,123,169,7 ...... Apana, Alesia 9 ...... Allara, Jack 146 5 ...... Aponte, Alexandra 57 ...... Allaymouni, Mhd Amer 146,43 ...... Adi, Najib 69 ...... Aponte, Carlos 69 ...... Allen, Brandon 133 ...... Adili, Mehdi 11,98 ...... Appleby, Peter 103,119,39 ...... Allen, Camille 64 ...... Adkins, Charles 62 ...... Apt, Kolman 82 ...... Allen, Dandridge 20 ...... Adleman, Ronald 100,133 ...... Arafa, Mohamed 64 ...... Allen, Harvey 67 ...... Adler, Molly 133 ...... Arango, Ana 111,2 ...... Allen, Mary Disa 146 ...... Afsahi, Aram 64,92 ...... Arbabi, Sheila 50,57 ...... Allen, Shanail 111,192 ...... Agapis, Tony 39 ...... Arbuckle, Eric 11 ...... Allison, William 181 ...... Agarwal, Gaurav 186,69 ...... Ardila Gaitan, Claudia 2 ...... Allred, Kevin 20 ...... Aggarwal, Harshit 10,68 ...... Argentieri, Robert 154 ...... Almy, Diana 68 ...... Aghaee, Ali 159 ...... Argintar, Barry 95 ...... Almzayyen, Mohammed 146,2 ...... Agnihotri, Neil 102,107,142,151,7 Arian, Bahram 57 Alperin, Lori 123 ...... 3 ......

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 194 Delta Dental Premier

Ariani,...... Mehran 165,50 ...... Bachour, Maya 16,86,98 ...... Bassiri, Michael 50,69 ...... Armanious, Mark 14,162,61 ...... Badipour, Mana 165 ...... Batchelor, Caitlin 78,98 ...... Armellini, Debora 92 ...... Bagby, Robin 145 ...... Bates, Richard 43 ...... Armentrout, Nadia 127,16,69 ...... Bagheri, Desiree 30 ...... Bates, Sheldon 143 ...... Armentrout, William 109,110,133 ...... Bahrami, Baharak 11 ...... Bath, Gregory 168,74 ...... Armour, William 152 ...... Baicy, Sarah 80 ...... Batistas, Theo 69,96 ...... Arnaudin, Richard 170 ...... Baier, Richard 152 ...... Baugher, Eric 91 ...... Arnold, William 21 ...... Bailey, Anthony 19 ...... Baum, James 133 ...... Arria, Adam 86 ...... Bailey, Davina 133,146,43,64 ...... Baum, Philip 83 ...... Arroyo-Pratt, Marielena 143 ...... Bailey, Jeffrey 169 ...... Baveja, Julie 168,29 ...... Artis, Asha 115,162,170,34 ...... Bailey, Ryan 64,67 ...... Bawa, Anoop 25,92 ...... Artzer, Mark 111 ...... Bailey, Stephen 152 ...... Bawa, Rajdeep 25,92

...... Arvan, Nickolas 64 ...... Bajaj, Smriti 100,72 ...... Baxi, Fairy 181,25,45,64 PARTICIPATING PROVIDERS ...... Arzadon, Joseph 14,70,96 ...... Bajwa, Preet 129 ...... Bay, Wolfgang 170 ...... Asam, Stephen 34 ...... Baker, James 34 ...... Bays, Thomas 132 ...... Asgari, Navid 154,2 ...... Baker, John 115 ...... Beabout, Kristen 133 ...... Asghar, Irfan 10,129,187,22,57 ...... Baker, Justin 132,192,24,27,56 ...... Beale, Frank 177,37 ...... Ashby, Courtney 121,129,45 ...... Baker, Sherry 80 ...... Beam, David 39 ...... Ashby, John 119,178,38 ...... Bakhtyari, Farshad 120 ...... Bearley, Daniel 30 ...... Asher, Kevin 14 ...... Balderson, Chelsea 57 ...... Beatty, Hannah 98 ...... Ashley, Chanda 159,182 ...... Balian, Alexander 64 ...... Beck, David 133 ...... Ashmawy, Tarek 182,45,89 ...... Balino, Celeste 2,34 ...... Becker, Adam 34 ...... Ashouripour, Darioush 16,2 ...... Ball, Julie 170 ...... Becker, Sidney 111 ...... Ashtakala, Charanpreet 187 ...... Ball, Mark 83 ...... Becker, Steven 75 ...... Ashton, Gary 86 ...... Ball, Shari 80 ...... Beecroft, Stephen 154,158 ...... Assar, Shawdi 80 ...... Ball, Tyler 133 ...... Beheshti, Soren 92 ...... Atherton, Kimberlyn 20 ...... Baluyut, Amy 123 ...... Behl, Yugal 114,125,178,38,77 ...... Atkins, Carl 144 ...... Bambrey, Dina 16 ...... Behnami, Farima 92,98 ...... Attia, Mohamed 115,2 ...... Banaji, Girish 61 ...... Bek, Jeffrey 170 ...... Attreed, Elizabeth 157 ...... Banavar, Rohini 50 ...... Bell, Alonzo 2 ...... Augustus, Sana 15 ...... Bang, Jeffrey 159 ...... Bell, Anita 162 ...... Aunon, Jose 25 ...... Banks, Robert 146 ...... Bell, Edwin 75 ...... Austin, Angela 8 ...... Banzon, Marie 165 ...... Bell, Hunter 92 ...... Austin, Keith 90 ...... Baradaran, Ebrahim 110,20 ...... Bell, John 11 ...... Avakian, Gary 2 ...... Barakat, Dany 165 ...... Bell, Tammara 111,123,170,183,3 ...... Averne, Robert 132 ...... Barakat, Hisham 126,165,50 4,75 Bellavance, Julien 30,74 ...... Aviles, Francisco 115 ...... Barakat, Rana 48 ...... Belmonte, Stephen 129 ...... Avin, Hamid 159 ...... Barbato, Isabel 133 ...... Belt, Douglas 133 ...... Avin, Maryam 159 ...... Barberio, Frank 30 ...... Belt, William 11 ...... Avram, Adrian 133,83 ...... Barbieri, Steven 111,132 ...... Beltrami, Marco 133,43,44,84 ...... Awadzi, Gerald 181,2,64,92 ...... Barbour, Nicole 122 ...... Bench, Stephen 133,146,169,183 ...... Ayass, Mohamad 16,27 ...... Barbour, Robert 34 ...... Benes, Kristen 119,164,178,38 ...... Ayati, Marjun 50 ...... Barekzi, Nassir 129,50 ...... Benson, Gerald 187,92 ...... Ayers, Charles 97 ...... Barham, Latoya 15 ...... Benson, Kimberly 170 ...... Ayers, Lawrence 69 ...... Barlow, Miljenka 154 ...... Benson, Wakeshi 143,40 ...... Aylor, Scott 45 ...... Barnard, W 83 ...... Berbes, William 182 ...... Ayoubi, Iman 80 ...... Barney, John 179,38 ...... Bergano, Allan 170 ...... Azghandi, Ramin 100 ...... Barnwell, Velma 111 ...... Berger, Arnold 170 ...... Azmoudeh, Roxanne 16 ...... Barr, Bruce 180,39 ...... Berger, Fallon 170 B ...... Barrero, Carlos 48 ...... Berger, Louis 170 ...... Barrett, Charles 103 ...... Barrett, Elizabeth 109 ...... Beri, Anuranda 161,168,18,192,27, ...... Babcock, Daniel 114 ...... Barrett, Marc 75 96 ...... Babiec, Daniel 2 ...... Berk, Steven 9 ...... Barrick, John 90 ...... Babik, Majd 72 Berman, Robert 50 Barton, Daniel 170 ...... Babington, David 28 ...... Berman, Scott 61,82 ...... Barzgar, Artin 187 ...... Babington, William 28 Bernier-Rodriguez, Joseph 169 Basa, Emoke 88 ...... Babu, Sridevi 11,50 ...... Bernstein, Allen 133 ...... Bass, Jay 20,41 ...... Bach, Melanie 39 Berrada, Sanae 57 Bassham, Deborah 1,22 ...... Bachas, Ted 162 ...... 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 195 Delta Dental Premier

Berry,...... Zachary 121,163,177,37 ...... Block, Carl 109 ...... Braxton, Darchelle 114,125,179,185,3 ...... Berry, Zane 152,185,193 ...... Bluhm, Andrew 18,87 8,49,71,78 Bredologos, Stelianos 170 ...... Bertman, David 22 ...... Blythe, Philip 170 ...... Breeden, A 45 ...... Besner, Edward 129,154 ...... Bob, Gregory 16 ...... Breeden, Timothy 41 ...... Bethel-Soppet, Shirley 29 ...... Bobbio, Jennifer 50 ...... Breen, April 29 ...... Bettis, Victoria 21 ...... Bogacki, Katherine 154 ...... Breininger, Byron 115,170 ...... Betzhold, William 145 ...... Bogacki, Russell 154 ...... Brendmoen, Sara 154,88 ...... Beyene, Yodit 2 ...... Bok, Jae 9 ...... Brewer, Kevin 7 ...... Beyer, Jeffrey 108,44 ...... Boland, William 133 ...... Brickhouse, Tegwyn 144 ...... Bezik, Jaklin 56 ...... Bolduc, Matthew 165,98 ...... Brigleb, Richard 22 ...... Bhagat, Milan 122 ...... Bolton, Frank 100 ...... Brill, Byron 159 ...... Bhagchandani, Sanjay 132 ...... Bomar, Stephanie 57,81 ......

Brinkley, Rachel 46 PARTICIPATING PROVIDERS ...... Bharal, Poonum 103,18,72 ...... Bond, Mark 100,103,126,133,1 ...... Brinser, Paul 122,40,83 ...... Bhaskar, Mona 50 9,72 ...... Bond, Michael 75 Britto, A Denis 191,29 ...... Bhatt, Rashmi 170 ...... Bonesteel, John 79 Britto, Mala 191,29 ...... Bhatti, Bushra 18 ...... Bonnie, Marshall 115 Broadhead, Daisy 68 ...... Bhatti, Parveen 115,170 ...... Booker, Wayne 193 Broadhead, Frederick 69 ...... Bhavnagri, Fawzia 146,41 ...... Boone, Melanie 134 Broas, William 111,170,183,41 ...... Bhide, Satyajeet 129,16 ...... Booth, Catherine 103 Brokaw, Matthew 72 ...... Bhullar, Rajinder 2 ...... Booth, Jeffrey 75 Brooks, Cynthia 30 ...... Bhushan, Sarita 8 ...... Booth, Stephen 103 Brosnan, Paul 24,80 ...... Bibona, Kevin 108,143,73 ...... Bortell, Elizabeth 144 Broth, Stuart 126,134,41,72 ...... Bickers, Duane 30 ...... Botros, Mena 185 Brotherton, Samtha 2 ...... Bidgoli, Rashin 159 ...... Boucher, Shelli 90 Brown, Amanda 127,86 ...... Bielawski, Robert 146 ...... Boudreau, James 187,69 Brown, Bob 1 ...... Biery, Kathryn 78 ...... Bouroncle, Sebastian 187 Brown, Bridget 152 ...... Bigelow, Gilbert 123,75 ...... Bowler, Michael 193 Brown, Bruce 111,75 ...... Bigelow, Robert 133 ...... Bowman, Kenneth 182 Brown, Camden 150 ...... Bigelow, William 159 ...... Bowman, Shannon 127 Brown, Charles 2 ...... Biggers, Hood 103 ...... Boxx, Eric 183,193 Brown, Derek 46 ...... Biggs, Kristina 89 ...... Boyce, Albert 57 Brown, Gabriel 149,97 ...... Billingsley, Cheryl 133 ...... Boyce, Darrell 34 Brown, Jarrod 46 ...... Binder, Joshua 90 ...... Boyd, Jana 162,170 Brown, Ron 1 ...... Bird, Eliot 19 ...... Boyd, Kenneth 115,123,75 Brown, Sheilandice 122 ...... Birkitt, Cary 86 ...... Boylan, Ryan 34 Brown, Stephen 134,41,67 ...... Birsch, Frederick 123 ...... Boyle, John 100 Brown, Townsend 179 ...... Birsch, Laurie 125 ...... Boyle, Kimberly 100 Brown-Doonquah, Theresa 98 ...... Bischoff, Robert 133 ...... Boyle, Richard 128,21 Browne, Winston 21 ...... Biscombe, Terrence 92 ...... Boyles, John 159 Browning, Stephanie 21,74 ...... Bisson, Ruby 92 ...... Bozman, Jenny 34 Brumbaugh, Brian 159 ...... Bittler, Scott 103 ...... Brabson, Anita 111,123,170 Bruni, Frank 134 ...... Bittner, Randall 170 ...... Bracken, Monleudy 115,123,162 Bryant, Joseph 48 ...... Bivins, William 38 ...... Bradley, Brenda 134 Bryant, Melba 127,29 ...... Black, Anthony 80,86 ...... Bradley, Jeannene 146 Bryant, Nathaniel 170 ...... Black, Barbara 79 ...... Bradley, Stephen 165 Buelow, Dwight 102,108,120,127,1 ...... Black, David 169 ...... Bradshaw, J 162 43,19,40,73 ...... Black, Elena 149,91 ...... Bradshaw, James 21 ...... Buhler, John 100,103,134,19,72 ...... Black, Samuel 128,89 ...... Brady, Timothy 180 ...... Bui, Kenneth 92 ...... Blackburn, Jeff 103 ...... Brain, Jeffrey 15 ...... Bui, Tuyen 57 ...... Blackham, Craig 133,43,44,84 ...... Brajdic, David 146 ...... Bui-Nguyen, Thao 92 ...... Blackwood, Michael 154 ...... Bramwell, John 129,154 ...... Buist, Charles 170 ...... Blair, Dean 100,83 ...... Brandt, Jason 187 ...... Bukovac, James 170 ...... Blais, Kenneth 14,70,96 ...... Brandt, Kathryn 30 ...... Bukzin, Jay 14,70 ...... Blake, Susan 98 ...... Brandt, Matthew 63,88 ...... Bukzin, Mitchell 188 ...... Blanchard, Deborah 170 ...... Brar, Kanwarjit 134,75 ...... Bullock, Jeri 151 ...... Blanchette, Mark 91 ...... Brar, Premjeet 111,115,123,170,3 ...... Bullock, Steve 183,75 ...... Blaney, Theodore 183,193 ...... 4,75 ...... Bunin, Kevin 69 ...... Blank, Derek 15 ...... Brassington, Bryan 108,143,73 ...... Bunin, Sara 24 ...... Blassic, Kim 72 ...... Braunfeld, Joel 187 ...... 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 196 Delta Dental Premier

Bunn,...... Steven 2 ...... Caravas, Jerry 171 ...... Charaipotra, Neil 153,154 ...... Burchett, Paul 146 ...... Carino, Brian 69 ...... Chary, Mallika 134,72 ...... Burden, James 183 ...... Carino, Sarah 69 ...... Chau, James 169 ...... Burger, Brenton 161,26,70 ...... Carlish, Robert 48 ...... Chaudhari, Uma 57 ...... Burgoyne, Corey 63,88 ...... Carlos, Francisco 62 ...... Chaudhary, Mohit 46 ...... Burke, Brian 144,39,42,44,48,68 ...... Carney, Jacqueline 144 ...... Chaudhry, Maqsood 154,160,58 ...... Burke, Carol 9 ...... Carpio, Lillian 100 ...... Chaudhry, Sultan 154,160,58 ...... Burningham, Tyler 128 ...... Carr, William 152 ...... Chawla, Seema 34 ...... Burns, Donna 103 ...... Carrillo, Juan 134 ...... Chegini, Houman 171 ...... Burns, G 64 ...... Carroll, Cecil 34 ...... Chehade, Tony 69 ...... Burns, Grover 64 ...... Carroll, Steven 123 ...... Chen, Cliff 132,192,27,56 ...... Buro, Ronald 16,86 ...... Carter, John 146 ...... Cheng, George 134,65,84

...... Burrell, Melvin 62 ...... Carter, Roy 83 ...... Cheng, Johnson 9 PARTICIPATING PROVIDERS ...... Burse Todd, Jessica 110,30,78 ...... Carter, Sobia 144 ...... Chennupati, Naveen 111,115,134,171,4 ...... Bursich, Thomas 160 ...... Carvajal, William 62,91 1,43,46,58 Cherin, Jack 171 ...... Burt, Charles 149 ...... Casagrande, Zachary 18 ...... Cheron, Ann-Colter 27 ...... Burton, Francesca 2 ...... Casey, Barbara 109 ...... Cheron, Robert 10 ...... Burton, James 90 ...... Casey, Todd 120 ...... Cherry, Donald 183 ...... Burton, Jerry 115,170 ...... Cash, Allan 193 ...... Cheung, Jenny 129 ...... Buskill, Marcus 132 ...... Cash, Elizabeth 111 ...... Childress, David 46 ...... Bussey, Jill 134 ...... Cash, Jeffrey 100,103,119,39 ...... Childress, Jamie G 181 ...... Bussey, Kelly 169,34 ...... Casingal, Pedro 34 ...... Chimata, Ameena 58 ...... Bussey, William 169,34 ...... Caspersen, Matthew 68 ...... Chin, Charissa 46,58 ...... Butler, Charles 11 ...... Cassilly, Erin 88 ...... Chin, Virginia 50 ...... Butler, Shannon 45 ...... Castro, Elbalila 16 ...... Cho, Ray 11 ...... Butt, Tehreem 50,57 ...... Castro, Steven 39 ...... Cho, Young 2 ...... Butts, David 57 ...... Castro-Chabrier, Jennifer 11,19 ...... Choby, Mary 165 ...... Buyer, John 21 ...... Cathey, Henry 111 ...... Choe, Mark 50 ...... Byers, Paul 69 ...... Catoggio, Michael 101,103,134,19,72 ...... Chohan, Ema 160,188,2,81,92 ...... Byrd, Richard 108,143,154,158,6 ...... Catron, Glenn 164 ...... Choi, Bokyu 25 1,68,82 ...... Cattafesta, Michael 81 ...... Byrnside, Valerie 121,163,178,37 Choi, Charlson 50,56 ...... Caudill, Carol 134,98 ...... Choi, Jin 50 C ...... Cauthen, Ruth 115 ...... Choi, Mark 50 ...... Cavallari, Kenneth 180 ...... Choi, Mi-Yon 188 ...... Caballero, Giovanni 2,50 ...... Caves, Donovan 162,75 ...... Choi, Sungwon 134,185 ...... Cabaniss, Charles 114 ...... Cerniway, Leon 34 ...... Chong, Jae 25,49,65 ...... Cade, Ronald 145 ...... Certa, Kimberly 188,50 ...... Chong, Nathan 50 ...... Cahn, James 103 ...... Certosimo, Alfred 134 ...... Chou, Melanie 157,56 ...... Cahoon, Joshua 157 ...... Cetlin, Dennis 24,82 ...... Choudhary, Khalid 168,56,62 ...... Cahoon, Roger 123 ...... Cha, Myong 50 ...... Chrisopoulos, Fotini 62,8,83 ...... Cairns, Donald 33,46 ...... Cha, Wonje 165,25 ...... Christenson, Brad 38 ...... Caligan, Geoffrey 2 ...... Chaddad, Karim 157,158,161,168,1 ...... 8,82 Christofakis, Emil 65 ...... Callery, William 39 ...... Chaen Kwok, Don 28 Christopher, Lourdes 62 ...... Calvano, Dennis 165,78 ...... Chaffin, Wray 71 Chu, Oliver 58,81 ...... Campbell Downs, Rebecca 171 ...... Chaldares, Diane 182 Chu, Therese 153 ...... Campbell, Clarence 21 ...... Chalk, Evan 62,91 Chuang, Shue 25 ...... Campbell, Donald 69 ...... Chalk, Jenna 90 Chun, Edward 98 ...... Campbell, Hugh 11 ...... Chalker, Jennifer 78 Chun, James 154,25 ...... Campbell, Jason 171 ...... Chamberlian, Thaddeus 111 Chung, Chi Whan 50 ...... Campbell, Jeffrey 65,72 ...... Chand, Uppasna 157,98 Chung, Hee-Chul 121,134,65 ...... Campbell, Margaret 22 ...... Chandler, Irina 182 Chung, John 112,75,79 ...... Campbell, Mason-Leigh 171 ...... Chang, Brian 181,87 Chung, Jun 86 ...... Campbell, Michael 84 ...... Chang, Jhia-Ming 129,92 Chuzhin, Yelena 11 ...... Campbell, Omer 192 ...... Chang, Jonathan 49 Cios, Chris 103,119,127,39 ...... Campbell, Robert 73 ...... Chang, Ju-Han 61 Circeo, David 134 ...... Canby, Frederick 85 ...... Chang, Michael 146,41 Citron, Albert 165 ...... Candler, Robert 115 ...... Chang, Monica 11 Claiborne, Jennifer 91 ...... Cao-Rothwell, Hong 162 ...... Chapman-Taliaferro, Andria 111 Claiborne, Shane 63 ...... Caprio, Dianne 146,183 ......

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 197 Delta Dental Premier

Clark,...... Brian 129 ...... Cooke, Donald 112 ...... Cuellar-Cordova, Eliana 188 ...... Clark, C 2 ...... Cooke, James 159 ...... Cujar, Ana Maria 81 ...... Clark, Jeffrey 146 ...... Cooke, Thomas 151,72 ...... Culberson, James 68 ...... Clark, Jessica 180 ...... Coon, David 29 ...... Culda, Dana 65 ...... Clark, Joann 75 ...... Cooper, Kevin 34 ...... Culpepper, Scott 101,134 ...... Clark, Risa 85,97 ...... Coots, Frederick 146,46 ...... Cumbey, J 119 ...... Clarke, Stephen 30 ...... Copas, J 24 ...... Cunningham, Michael 182 ...... Clarkson, Carrie 171 ...... Copeland, Kenneth 78 ...... Curling, Joshua 34 ...... Claros, Claudia 185,9,98 ...... Copeland, Robert 11 ...... Curry, Lisa 183 ...... Claustro, Joanna 160,93 ...... Copenhaver, Richard 192 ...... Cutright, Barry 46 ...... Claybrook, Robert 165 ...... Corcoran, Theodore 14,61 ...... Cutright, Martha 46 ...... Claycomb, Debra 152 ...... Cornette, William 75 ...... Cwiak, Kari 112,123,171,183,3

...... Clayton, Charles 115 ...... Cornick, James 110,150 4,75 PARTICIPATING PROVIDERS Cyr, Jeffrey 107,142 ...... Clemens, Charles 149 ...... Costa, Mauricio 2 ...... Clemons, Mark 71 ...... Costa, Shane 21,74 D ...... Cleveland, Russell 103 ...... Cote, Carmen 115 ...... Clifford, Kevin 33,45 ...... Cote, David 11 ...... Dabney, C 108 ...... Clifton, Jeffrey 33,46 ...... Coulter, Charles 55,82 ...... Dacunha, Paul 134 ...... Cline, Matthew 143,33,74 ...... Coulter, Judith 154 ...... Daczkowski, Thomas 18,95 ...... Cline, Misty 164 ...... Coutin-Gentry, J 11 ...... Dadkhah, Mina 161,8 ...... Clisso, Monica 120 ...... Covaney, Michael 115 ...... Dafo, Daniel 75 ...... Cloth, Mark 159,33 ...... Covaney, Sharon 112,98 ...... Dahlke, William 134 ...... Cloudt, Rebecca 150 ...... Covel, Jerome 165 ...... Dahman, Mouhammad 11 ...... Coalter, Earnest 171 ...... Coviello, Vincent 14,186,61 ...... Dail, Ray 114 ...... Cobb, Howard 34 ...... Cowell, Christina 25,86 ...... Dailey, Curtis 123,77 ...... Cochran, Brian 86 ...... Cox, Daniel 115,171 ...... Dailey, George 123,77 ...... Cocolis, Peter 154 ...... Cox, Gregory 64 ...... Daley, Colleen 1 ...... Coe, Julie 134 ...... Cox, Joseph 134 ...... Dalley, David 30 ...... Coe, Yong 145 ...... Cox, Robert 134 ...... Dameron, Karen 72,98 ...... Coghill, Thomas 83 ...... Cox, Stuart 103,134 ...... Damiano, Joseph 146 ...... Cohen, Jerome 134 ...... Cox, Thomas 180 ...... Damirchi, Nasser 72 ...... Coker, William 134,98 ...... Cox, William 171 ...... Danesh, Rabi 58 ...... Colella, Peter 178 ...... Crabtree, Mark 97 ...... Daneshvar, Arezou 127,86 ...... Coleman, James 193 ...... Crandall, Dawn 96 ...... Dang, Loan 58 ...... Coleman, Marilyn 188 ...... Crawford, Carrington 90 ...... Dang, Quyen 129,51 ...... Coleman, Norman 156,167,7,98 ...... Crawford, Gary 150 ...... Dang, Tuong-Anh 18,27 ...... Colina, Joey 164 ...... Creal, Albert 112 ...... Daniels, Sandra 11 ...... Colina, Kevin 188 ...... Creamer, Wesley 188 ...... Dao, Quyen 58 ...... Collazo, Walter 127,51,86 ...... Crichton, Catherine 104,119,126 ...... Daru, Antara 145,33 ...... Collins, Elizabeth 63 ...... Crichton, James 104,119,126 ...... Darvishian, Aramesh 129 ...... Collins, R 182,32 ...... Crisp, Lisa 72 ...... Dary, Patricia 129 ...... Collins, Timothy 1 ...... Crist, Jason 90 ...... Dasilva, Emily 154 ...... Colospate, Vidya 154,22 ...... Cristi, Ivona 110,134,146,16,30, ...... Davenport, Faline 69 41 ...... Colson-Scott, Mellanda 115 ...... Davenport, William 114,77,79 Crocker, Mark 104 ...... Compton, Anne 152 ...... Davia, Allen 134 Cronly, Jo 104,39 ...... Conduff, Joseph 63 ...... Davidson, Jeremy 178 Cross, Griffin 146,46 ...... Conelias, Trent 119,178 ...... Davidson, Kristin 39 Crowder, Curtis 181,182,30 ...... Conklin, Charles 146 ...... Davila, Ricardo 151 Crowder, E 182 ...... Conner, Gregory 32,45 ...... Davis, Debra 171 Crowder, Niloofar 30 ...... Conner, Thomas 41 ...... Davis, George 108,143,40 Crowder, Victoria 104,39 ...... Connolly, Susan 112 ...... Davis, Gerald 169 Crowley, Benjamin 134 ...... Conrad, Caleb 171 ...... Davis, Herbert 20 Cruser, Melvin 171 ...... Conrad, Paul 109 ...... Davis, Jeffrey 100,186 Cruz, Jazriel 65 ...... Contract, Monica 183 ...... Davis, John 149 Cruz, Maria 25 ...... Cook, Bruce 134 ...... Davis, Julia 104 Cruz-Chu, Carlos 15 ...... Cook, Kathryn 33 ...... Davis, Keenan 119,181 Cruz-Orcutt, Noemi 30 ...... Cook, Loren 20 ...... Davis, Krista 30 Cuellar, Gerson 11,81 ...... Cook, P 152 ...... Davis, Michael 90 Cuellar, Ruben 11 ...... Cook, Thomas 154 ...... 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 198 Delta Dental Premier

Davis,...... Ron 49 ...... Dilolli, Sonia 81 ...... Dube, Neelam 69,81,93 ...... Davis, Rusty 182 ...... Dimitroff, Emily 115,135,171,43,65 ...... Duchateller-Cange, Ruth 16 ...... Dawson, Martha 144 ...... Dinh, Ashley 160 ...... Duckett, Lan 58 ...... Day, Jeffrey 153 ...... Dinwiddie, Amelia 21 ...... Dudley, Scott 11 ...... Dayse, Robert 190,67,95 ...... Dionisio, Janice 2 ...... Duff, J 135 ...... De Vito, Janice 58 ...... Direnzo, Gregory 127 ...... Dukes, J 35 ...... Dean, Henry 28 ...... Divalentin, Robert 165 ...... Dulabh, Mita 188 ...... Dean, John 9 ...... Dixon, Bryan 43,44,83,84 ...... Dumlao, Rustico 128,188 ...... Dean-Duru, Lynda 18 ...... Dixon, Jennifer 193,33 ...... Dunbar, Patricia 121,157 ...... Debenedetto, David 93 ...... Djeu, Garret 55 ...... Dunegan, Michael 70,95 ...... Deeb, George 142 ...... Djeu, S Grace 1,27 ...... Dunham, Benjamin 187 ...... Dehyar, Joseph 22,51 ...... Do, Anh 135 ...... Dunham, Bryson 101

...... Delacruz, Carola 153,87 ...... Do, Chi 88 ...... Dunham, Elizabeth 104,35,89 PARTICIPATING PROVIDERS ...... Delaney, Whitney 129 ...... Do, Hoang 2 ...... Dunham, Thomas 171 ...... Dele, Kennedy 93 ...... Do, Kim 51 ...... Dunkin, Christina 123 ...... Delgado, Edward 167,7 ...... Do, Sean 34 ...... Dunlevy, Harry 108 ...... Delk, Campbell 152 ...... Do, Thi 58 ...... Dunn, Noelle 188 ...... Dellork, Richard 165 ...... Doan, Thao 188 ...... Dunne, Frank 130 ...... Delorenzo, Michael 2 ...... Dobson, Roberta 171 ...... Dunnill, Brett 183 ...... Delph, Bradley 109,134,182,39,49, ...... Dodson, William 111 ...... Duong, Hung 11,28 83 ...... Dodson-Gordon, Sherry 41 ...... Duong, Son 65 Deluke, Dean 142 ...... Doe, Michael 86 ...... Duong, Truc 160 Demaree, Neil 96 ...... Doering, Steven 183 ...... Durham, David 104 Demayo, Thomas 169 ...... Dolan, Patrick 131,190,23,26,55 ...... Durr, John 25,9 Demichele, Joshua 146 ...... Dolenuck, Richard 171 ...... Dusek, Thomas 38 Demsko, Harold 187 ...... Dollar, James 112 ...... Dwivedi, Anil 166 Denbar, Michael 34 ...... Dollard, Wayne 129 ...... Dymon, William 102,107,142,151,7 Denison, John 112 ...... Domark, Jeffrey 162 3 Dennis, Suzanne 33 Dziejma, Robert 157 ...... Dombroski, Jessica 188,83 ...... Denoncourt, Jamie 104,126,127 ...... Dominguez-Garcia, Oscar 28 E Desai, Bhavik 134 ...... Donahue, James 2,84 Desio, Joseph 181,58 ...... Donaldson, Gavin-Rae 115 ...... Ea-Lim, Bophary 51 Detar, Matthew 129,134,48,92 ...... Dong, Michael 25,3 ...... Eason, David 46 Detweiler, Melanie 115,171 ...... Dongell, Diana 1,57 ...... Easterling, Robert 135,80 Devera, Genevieve 104,126 ...... Donohue, Kristen 22,3 ...... Eberly, Randy 119,78 Devgon, Denise 51 ...... Donohue, Richard 51 ...... Economides, Mino 11 Deviese, David 91 ...... Donohue, Stephen 166,51 ...... Eddleton, Raymonia 108 Devylder, Joseph 10,154,158,161,16 ...... Donzell, Richard 75 ...... Edelbi, Dina 166,58 7,7,82 ...... Dooley, Mary 171 ...... Edenfield, Michael 123 ...... Dewinkler, John 98 ...... Doppalapudi, Vivek 46,82 ...... Edmondson, David 104 ...... Dhakar, Aditya 135,72 ...... Doriot, Robert 55 ...... Edwards, Damita 25 ...... Dhakar, Surya 135,72 ...... Dorjee, Jigmey 81 ...... Edwards, Justin 108,144,40,68 ...... Dhillon, Navneet 188,2,25,48,51 ...... Dorsch, Steve 18,87 ...... Egber, Mark 9 ...... Dhingra, Pallavi 135,65 ...... Dosen, Goran 3 ...... Egeland-Lewis, Martha 171,35 ...... Dholoo, Pareen 98 ...... Dost, Robert 84 ...... Eghtessad, Michael 16,160 ...... Diamond, Martin 83 ...... Doty, Michael 1 ...... Ehle, Charles 9 ...... Diaz, Angela 135,65 ...... Dougherty, William 58 ...... Ehreth, John 181,92 ...... Diaz, Jennifer 24,56 ...... Dowdy, Hugh 122 ...... Eisenhardt, Peter 32,45 ...... Diaz, Maritza 96 ...... Dowdy, Sarah 135 ...... Ejtemai, Nastaran 28,51,58 ...... Dibenedetto, Nicholas 130 ...... Doyle, Myra 130 ...... Ekoh, Madueke 70 ...... Dickerson, Sondra 45 ...... Drake, William 22 ...... El Badawy, Tarek 116,123,162 ...... Dickey, Floyd 146 ...... Draper, Thomas 21,90 ...... El Qasem, Asmaa 58 ...... Dickey-Farr, Claire 146,98 ...... Dreelin, Robert 75,79 ...... Elattrache, Dean 169 ...... Dickson, Jeffrey 187,79 ...... Drees, Gretchen 19 ...... Elchekha, Houssam 135,146 ...... Dickson, Nana 51 ...... Drummond, Tanya 51 ...... Eldridge, Keith 193 ...... Dickson, Stephanie 2 ...... Drummond, Thomas 51 ...... Elgarawany, Ibrahim 135,72 ...... Diefenderfer, Mark 101,104,135,19,72 ...... Dryden, Brent 22 ...... Elgazzar, Mohamed 157,98 ...... Dikeman, Theron 11 ...... Du, Khanh 155,3 ...... El-Ghobashi, Ahmed 155 ...... Dilaura, Thomas 115 ...... Duarte, Camilo 135,65 ...... Elgohary, Anthony 35 ...... Dillon, Kathleen 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 199 Delta Dental Premier

Elhady,...... Sherif 24,51 ...... Fairfax, Cerina 46,51 ...... Fleenor, William 135,92 ...... El-Hage, Bassem 58 ...... Falaiye, Victor 3 ...... Fleming, Harold 191,55,61 ...... Elhussein, Faisal 22 ...... Familant, Lawrence 75 ...... Fleming, Lisa 116 ...... Elias, Thomas 104 ...... Fan, Vivian 131,152,68 ...... Flenniken, Neil 166 ...... Elkhateeb, Mohammad 166 ...... Farah, Mazin 48,65 ...... Flikeid, Robert 181 ...... Ellenbogen, Gary 166,51 ...... Farahi, Fred 97 ...... Flood, Scott 171 ...... Ellington, Paul 126,85 ...... Farhangi, Sahel 130 ...... Flores, Marco 25,51,93 ...... Ellis, Bita 51 ...... Farhoumand, Farah 166 ...... Flowers, John 108,40 ...... Ellis, David 83 ...... Farhoumand, Farshad 165 ...... Floyd, Jazmin 116,122 ...... Ellis, Donald 10,24 ...... Farhoumand, Foad 166 ...... Folck, Michael 171,178 ...... Ellis, Jonathan 83 ...... Farmer, James 30 ...... Folck, Vinita 171 ...... Ellis, Kevin 171 ...... Farr, Michael 168 ...... Foleck, Adam 116,75

...... Ellis, Robert 112 ...... Farrey, Lynn 11 ...... Fontes, Fernanda 157,56 PARTICIPATING PROVIDERS ...... Elosta, Wael 85 ...... Fasano, Marybeth 171 ...... Forbes, Alan 35 ...... Elrod , Joseph 101 ...... Fashing, Gisela 183 ...... Forbes, Graham 12,98 ...... Elstner, Earl 65 ...... Fashing, Maria 183 ...... Forbes, Irama 116,9 ...... Emad, Neal 166,28 ...... Favagehi, Jason 11,150,166,28 ...... Ford, Jermel 112 ...... Emam, Atiyeh 85 ...... Favagehi, Mehrdad 62 ...... Ford, Melvin 178 ...... Engel, Gregory 169 ...... Favis, Raymund 51 ...... Foretich, Eric 98 ...... Engle, Scott 35 ...... Fearon, Andreen 135,43,65 ...... Foretich, Jerome 112 ...... English, Sam 101,109,135,182,1 ...... Fei, Tian 121 ...... Formica, Louis 104,119,127,39 83,43,83 ...... Feild, Robert 75 ...... Forrest, David 114 Enoch, Margaret 98 ...... Feild, Thomas 75 ...... Forsbergh, Eric 130 Enriquez, Veronica 28 ...... Feimster, Tawana 10,80 ...... Forsee, James 3 Eppard, Holly 45 ...... Fein, Joshua 129,154,50 ...... Forte, Steven 111 Epperly, Ashley 135 ...... Feldman, Irwin 61 ...... Fortner, Glenn 72 Epps, Johne 119,122,135,72 ...... Feldman, Seth 61 ...... Fortney, Clark 20 Epstein, Ross 112 ...... Felton, Walter 39 ...... Fosque, Fletcher 121 Ercole, Aaron 142 ...... Ferguson, Andrew 107,142 ...... Foster, Benjamin 35 Ericksen, Dana 51 ...... Ferguson, Julie 85 ...... Foster, Bonnie 110,181 Errera, Joseph 102,18,182,45 ...... Ferguson, Justin 85 ...... Foster, David 171 Eschenbach, Sean 147 ...... Fernandes, Joyce 132 ...... Foster, Peter 183,79 Eschenroeder, Thomas 107,142 ...... Fernandez, Miguel 171 ...... Foster, Richard 171 Esparza, Sarah 171 ...... Ferry, David 39 ...... Fowler, J 78 Estafanous, Emad 192 ...... Fidel, Elidia 11 ...... Fox, Erik 22 Estell, Jennilyn 188 ...... Field, Marcus 35 ...... Fox, Lawrence 22 Estes, Matthew 104 ...... Field, Sheila 162,171 ...... Foy, Randall 135 Estill, Andrew 104,119,126 ...... Fields, Charles 132 ...... Fraites, Stephen 30 Estrada, Charito 35 ...... Fields, Julian 8 ...... Frames, Steven 85 Estrada, Craig 35 ...... Filippone, Louis 27,70 ...... Francioni, Sonia 10,100,190 Estwani, Isam 81 ...... Fina, Leslie 22 ...... Francis, Hunter 75 Etessam, Neda 100 ...... Finamore, Paul 160 ...... Francis, Scott 75 Etheridge, Daniel 35 ...... Finkler, Timothy 111,132 ...... Francisco, Peter 164 Evans, Candace 155 ...... Finley-Parker, Kathryn 135 ...... Frank, Gerald 3 Evans, Dale 63 ...... Finnerty, Kevin 171 ...... Frank, Harold 15,191 Evans, Glenn 128 ...... Finnerty, Raymond 11 ...... Frankenberry, Anishka 1,191,61 Evans, James 33,47 ...... Fiorucci, Richard 7 ...... Franks, Allen 97 Evans, Joel 28 ...... Fiscella, Helen 183 ...... Fratkin, H 135 Evans, Mark 85 ...... Fischer, Charles 25 ...... Frazier, Rita 116,171 Evens, Steven 135 ...... Fischer, Katherine 25,98 ...... Freedman, Brad 3 Exum, Antone 72 ...... Fisher, Richard 22 ...... Freedman, Joyce 81 Eye, Kenneth 192,78 ...... Fisher, Steven 192,56,78 ...... Freeman, Gerald 112 Ezekiel, Jeffrey 193 ...... Fishman, Edward 58 ...... Freeman, Mark 80 Ezzeldin, Ahmed 69 ...... Fitzgerald, David 147 ...... Freidank, Christian 93 F ...... Flaherty, Brooke 150,30 ...... French, Charles 48,63 ...... Flaherty, Craig 49 ...... French, Janet 48 ...... Faber, Beth 164 ...... Flamer, Andrea 135 ...... Frey, Gilbert 183 ...... Fabio, Michael 129,157 ...... Flanagan, Chad 101,104,135,19,72 ...... Frias, Bernarda 35 ...... Faircloth, W 32,45 ...... Flanagan, Michelle 12 ...... 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 200 Delta Dental Premier

Friend,...... Basil 43 ...... Gentry, Philip 12 ...... Goldstone, John 123 ...... Friend, Sarah 20 ...... George, Robert 193,79 ...... Golian, Timothy 50 ...... Fritz, Martin 110 ...... Gerald, Mark 93 ...... Gollapalli, Nagalatha 65 ...... Fuchs, Steven 58 ...... Gerald, Matthew 188 ...... Golob Deeb, Janina 145 ...... Fuentes, Agnes 12 ...... Gerard, Scott 41,42 ...... Golrich, Scott 193 ...... Fuhrmann, Ronald 171 ...... Germane, Nicholas 102 ...... Golub, Mark 3 ...... Fuller, Janis 104 ...... Ghaffari, Ashkan 168 ...... Gomez, Patricia 188,3,93 ...... Fuller, Robert 86 ...... Ghalehbaghi, Faranak 56,8 ...... Goode, Amber 16 ...... Fuller, Ross 183 ...... Ghamary, Ghafoor 58 ...... Goodman, Ashlee 165 ...... Fullerton, William 183 ...... Ghanbari, Mohsen 25,3 ...... Goodove, Scott 121,163,178,37 ...... Fulton, Catherine 119,178,77 ...... Ghanim, Layth 153,160 ...... Goodwin, Clifford 112 ...... Fumagali, Cecile 135 ...... Ghasemzadeh-Zolghadr, Mandana 3 ...... Goodwin, William 63,88

...... Funda, Ann-Marie 171 ...... Ghatak, Monamie 191,27,29,56,61,68 ...... Goozh, Steven 80 PARTICIPATING PROVIDERS ...... Furman, Randall 171 ...... Ghatri, Ali 131,156,158,55,68, ...... Gordon, Diann 79 ...... Fusaro, Joseph 65 95 ...... Gore, M 104 Ghazarian, Misha 104,126,39 ...... Futrell, Robert 101 ...... Gore, Shemika 12,3 Ghorbani, Pejman 16,22,3 G ...... Gorman, Michael 25 Gialanella, Matthew 12 ...... Gosney, James 47 ...... Gibberman, Avi 72 Goswami, Rama 69 ...... Gaitan, Ricardo 155,160,51 ...... Gibberman, Lauren 3 Goswami, Rashmi 69 ...... Galatro, Derek 65 ...... Gibberman, Paul 3 Gottlieb, Brian 155 ...... Galbraith, Ted 30 ...... Gibbons, Walter 112 Gottlieb, Riki 135 ...... Galbreath, Robert 164,178,33 ...... Giberson, Kenneth 51 Gowda, Shantala 172 ...... Gallaher, Thomas 147,150 ...... Gibson, Melissa 186 Grabeel, Daniel 90 ...... Gallegos, Jose 104 ...... Gichana, Roselyne 12,62 Grady, Sean 150 ...... Gallian, Mary-Stuart 51 ...... Gigliotti, Frank 172 Graham, David 35 ...... Galliani-Alvarez, Mirtha 61 ...... Gigliotti, Michael 172 Graham, Jeffrey 135 ...... Gallop, Ceceil 76 ...... Giles, Jernice 135 Graham, Loretta 112 ...... Galstan, Samuel 39 ...... Gilfillan, Andrew 184 Graham-Montaque, Rana 135,184,76 ...... Gamache, Marc 104,119,126,127,3 ...... Gill, Kwesi 15,96 9 ...... Granato, Jerome 93 Gilman, David 98 ...... Gambrel, Madelyn 111,132 ...... Grande, Marcos 81 Gilrain, David 30 ...... Gamez, Myrna 147,41,47 ...... Grantham, Tabbitha 135 Gioffre, Mollie 172 ...... Ganjavi, Sarah 168 ...... Gray, Andrew 180 Giordano, Pasquale 121 ...... Ganji, Nazila 81 ...... Gray, Dominicque 135,147 Gladstone, Myron 172 ...... Garai, Allen 168,75 ...... Gray, James 178 Glaser, James 43 ...... Garcia, Mauricio 128,188,86 ...... Gray, Richard 103 Glasgow, Boyd 3 ...... Garden, Laura 104 ...... Greco, Donna 74 Glasgow, Matthew 20 ...... Gardner, Davis 187,41 ...... Green, Barry 114 Glick, Arthur 172 ...... Gardner, Edward 135 ...... Green, Michael 3 Glick, Stephen 92 ...... Gardner, William 143 ...... Green, Roosevelt 123 Glikman, Sandra 12,155 ...... Garfield, Dean 135 ...... Green, William 112 Gliksman, Joseph 178,37,77 ...... Garnes, Richard 186 ...... Greenspan, Gary 51,58 Gloria, Joseph 116,162,172,35 ...... Garofalis, Haralambos 114,125,180,185,3 ...... Greenwell, Kimberly 112 Gnanasundaram, Sreepreethi 16 8,78 ...... Greenwood, Oliver 101 Goad, Marlon 83 ...... Garrett, Tamara 12 ...... Greer, Phyllis 69,93 Gocke, Fizzah 98 ...... Garrett, Wanda 81 ...... Gregory, Eugene 61 Gocke, Michael 100,190,23 ...... Gaskins, Charles 145,164,44 ...... Gregory, Mary 12 Goff, William 12 ...... Gatens, Robert 51 ...... Grekos, Apostolos 47 Gokli, Meera 108,44 ...... Gates, James 96 ...... Grieco, Joseph 51 Golden, Alan 128,191,24 ...... Gates, Justin 96 ...... Griffin, Alfred 103,182,45 Golden, R 92 ...... Gaught, Keith 47 ...... Griffin, Barry 145 Goldhush, Wanda 3 ...... Gazori, Michael 85 ...... Griffin, Charles 122 Goldin, Richard 168,96 ...... Geary, Bryan 193 ...... Griffin, Susan 181 Goldman, Mark 35 ...... Geddes, Brandon 172 ...... Griffin, William 112 Goldstein, Adam 12 ...... Gee, Carroll 84 ...... Griffiths, Jolanta 80 Goldstein, Ira 184 ...... Gejji, Dipti 155,65 ...... Griggs, Edward 102,110,121,64 Goldstein, Joel 3 ...... Geldart, Gregory 128 ...... Grimes, Mark 28 Goldstein, Keith 116,162,172,35 ...... Gendron, Gregory 97 ...... Grimm, Quynh-Anh 58 Goldstein, Stephen 123,172 ...... Gentry, Garland 63 ...... 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 201 Delta Dental Premier

Grimmer,...... Lonny 16 ...... Hamilton, Michael 136 ...... Haseeb, Noreen 58 ...... Grindlay, Kenneth 35 ...... Hamilton, Paul 172,84 ...... Hasenfelt, Brooke 112 ...... Grisius, Thomas 128 ...... Hamlett, Sheryle 116,41 ...... Hasham, Omar 28,69,81,86,93 ...... Grogan, Frank 47 ...... Hamlin, Daura 119 ...... Hassan, Nadder 48,51,93 ...... Gromling, Thomas 159,186 ...... Hamman, Frances 7 ...... Haston, Raymond 46,65 ...... Grosso, Michael 58 ...... Hammock, Mark 63 ...... Hasty, Michael 180,38 ...... Grover, Robert 30 ...... Hammond, Albin 88 ...... Hatch, Steven 90 ...... Groy, David 172,86 ...... Hamrah, Daria 100,14,67 ...... Hatcher, William 38 ...... Gruberg, Joseph 155 ...... Han, Christine 3 ...... Haueis, Roman 136 ...... Grundy, Richard 12,3 ...... Han, John 130,157,56 ...... Haun, William 147 ...... Gruntz, Richard 12 ...... Han, Michael 16 ...... Hawkins, Alexander 104 ...... Grupp, William 30 ...... Han, Sok Woong 89 ...... Hawley, Julie 49

...... Gruzynska, Hanna 19 ...... Han, Sung 157,25,28 ...... Hawthorne, Burnell 184 PARTICIPATING PROVIDERS ...... Guerrier, Julia 30 ...... Han, Victor 16 ...... Haydu, James 35,98 ...... Guirguis, John 28,65,69,81 ...... Hanania, Hanna 188 ...... Hayes, Lawrence 47 ...... Guleria, Alpita 131 ...... Hangval, Reza 25,51,93 ...... Haynie, Talon 186 ...... Gundecha, Shanup 136,76 ...... Hanley, Bruce 12 ...... Hazelgrove, Kirk 72 ...... Gunn, Allen 172 ...... Hanley, Michael 39 ...... Heard, Harry 89 ...... Gunsolley, John 145 ...... Hanna, Gary 71 ...... Hearne, Steven 164 ...... Guo, Juanli 168 ...... Hanna, Peter 3 ...... Hearne, William 69 ...... Gupta, Garima 112,116 ...... Hanna, William 159 ...... Hebertson, Mark 64 ...... Gupta, Raja 23,65 ...... Hanson, Benjamin 187 ...... Hedayati, Kouros 157,160,188,65,81, ...... Guraya, Rajdeep 91 ...... Har, Gregory 96 93 Hefele, William 19 ...... Guter, Klaus 178 ...... Hardee, Sheila 169,78 ...... Heffelfinger, Michael 172 ...... Guthrie, Alfred 172 ...... Harden, Russell 101 ...... Heggade, Soumyata 186,69 ...... Guthrie, James 104,19 ...... Harding, Emily 121,30 ...... Helfrich, Katherine 104,120 ...... Guthrie, Marci 136 ...... Hardison, Justin 161,71 ...... Helleberg, John 30 ...... Gutierrez, Jerel 35 ...... Hardy, Kenneth 162 ...... Helsel, David 97 ...... Gutierrez, Norma 157,188,3 ...... Harman, Ashley 144 ...... Helton, Donna 47 ...... Gutmann, J 156 ...... Harman, Douglas 49 ...... Helvey, Gregg 102 ...... Guttery, Darrell 157,65 ...... Harmon, Thomas 112,116,123,172,4 ...... Hemedan, Nada 51 ...... Gwaltney, Michael 85,86,9,93 2,47,76,83 ...... Harper, William 123 Hendricks, Arthur 162,172 ...... Gwaltney, Steve 162 ...... Harre, John 181 Hendricks, Harlan 172 ...... Gyuricza, James 23 ...... H ...... Harrell, Gibson 35 ...... Hendricksen, Alf 74 ...... Harrington, Nola 19 ...... Hendrickson-Hairston, Joelle 76 ...... Harris, Charles 20,74 ...... Henley, C 184 ...... Ha, Jenny 157,56 ...... Harris, Clifton 12,3 ...... Hennigh, Roger 128,191 ...... Haas, H 67 ...... Harris, Jeffrey 181 ...... Henon, James 166 ...... Hackett, Charles 136 ...... Harris, Jesse 100 ...... Henritze, Andrew 147 ...... Hadithi, Deena 155 ...... Harris, John 147 ...... Henry, Rolin 158,7 ...... Haeberer, Alfred 160 ...... Harris, Luke 20 ...... Henry, William 83 ...... Haeri, Maryam 51 ...... Harris, Monroe 102,107,142,151,7 ...... Herbst, Heidi 161 ...... Hagar, Basiony 150,25,93,97 3 ...... Herce, David 180 ...... Hailemariam, Tesfaye 3 Harris, Paul 9 ...... Heresi, Carlos 65 ...... Hairston, Zachary 47 Harris, Richard 172 ...... Herman, Barry 172 ...... Hake, Terry 183 Harris, Sharon 104 ...... Hermelin, Mark 172 ...... Hakim, Farhad 81 Harrison, Berard 172 ...... Hernandez, Ariadne 24,84 ...... Hale, James 48 Harrison, Howard 147 ...... Hernandez, Laura 192,78 ...... Hale, Vicky 121 Harrison, James 152,193,76 ...... Herod, Brian 104,39 ...... Haley, Mary 172,35 Hart, Faryl 136 ...... Herold, William 136 ...... Haley, Thomas 19 Hartigan, James 47 ...... Herrera, Maricio 114,14,142,44,70 ...... Hall, John 166 Hartley, Caroline 155,3,51 ...... Herring, Carey 136 ...... Hall, Michael 151 Hartley, Jacob 112,184 ...... Herring, Carolyn 62 ...... Hall, Robert 130,16 Hartman, Gary 180 ...... Herring, Kent 112 ...... Hall, Stacey 184 Hartmann, Paul 185 ...... Herrmann, Henry 181,58 ...... Ham, Samuel 51 Hartz, Gary 130,16 ...... Hessamfar, Ramin 15,18,191 ...... Hamalian, Techkouhie 16,56 Harvey, David 83 ...... Hicks, Karen 157 ...... Hamer, David 33 Harvey, Gregory 147,151,169,48,78 ...... Hidalgo, Cathie 65 ...... Hamid, Ghada 155 ...... Harvey, Paul 10

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 202 Delta Dental Premier

Hidalgo,...... Madeline 58 ...... Horowitz, Andrew 116 ...... Hurt, Garrett 19 ...... Hijaz, Iyad 45,65,88 ...... Horsey, Gustav 80 ...... Husker, Rebekah 12,155 ...... Hill, Jessica 3 ...... Horspool, Bryan 111,183 ...... Hussaini, Syed 191,68,82,95 ...... Hill, Nicholas 32 ...... Horwitz, Abbey 173 ...... Husson, Malinda 144 ...... Hillier, Joseph 39 ...... Hosek, Eric 173 ...... Hutchens, Greg 162 ...... Hindman, Edward 51 ...... Hosek, Lindsey 173 ...... Hutchens, James 162 ...... Hinson, Lanny 112 ...... Hoskins, Robert 128 ...... Hutchings, Michael 76 ...... Hirschler, David 119 ...... Householder, Ronald 164 ...... Hutchins, Gregory 119 ...... Hirshman, Nina 182 ...... Houser, John 69 ...... Hutchison, Alicia 191,95 ...... Ho, Hiep 58 ...... Howanitz, Joan 168,58 ...... Hutchison, Bruce 25 ...... Ho, Hoang 155,25,88 ...... Howard, Clinton 128,21 ...... Hutchison, Karen 147 ...... Ho, Stewart 51 ...... Howard, Dennis 173 ...... Hutson, H 78

...... Ho, Sylvie 58 ...... Howard, Gregory 47 ...... Huynh, Andrew 3 PARTICIPATING PROVIDERS ...... Ho, Trung 81,9 ...... Howard, Jennifer 152,162 ...... Huynh, Thuylinh 15,153 ...... Hoang, Anthony 23 ...... Howard, John 90 ...... Hyder, Khudsia 126,136 ...... Hoang, Binh 155 ...... Howard, Karrie 130,16,85 ...... Hyder, Zain 105,120 ...... Hoang, Duolainey 12 ...... Howard, Paulette 83 ...... Hyer, Margaret 126 ...... Hoang, Long 58 ...... Howard, Robert 35 I ...... Hoang-Nguyen, Jacquelyn 51 ...... Howell, Everett 155,52 Hoard, Brian 31 Howell, John 188 ...... Iachini, Diane 101,105,136,19,72 Hoard, Martin 32 Howell, R Leroy 162 ...... Ibanez, Carlos 32,45 Hobbs, Jesse 112 Howell, Ralph 163 ...... Iervolino, Robert 173 Hochman, Hillary 130,16 Howell, Robert 116 ...... Ijadi, Mehrdad 157,158,192,62,65, ...... Hockett, Jeffrey 111 ...... Hoye, James 151 68,8,93 ...... Hodge, Jeremy 188,93 ...... Hrechka, Kenneth 156 ...... Ilchyshyn, Nicholas 132 ...... Hodges, Jeffery 31 ...... Hsu, John 52 ...... Im, Jim 3 ...... Hoek, Meredith 172 ...... Hsu, Yu Kai 1,27 ...... Imafidon, Timothy 108,144,40 ...... Hoffman, Corinne 3 ...... Hu, Zhaoliang 98 ...... Imao, Josemari 188,58,65 ...... Hoffman, Gerald 181 ...... Huang, Michiko 16 ...... Imbery, Terence 136 ...... Hoffman, Howard 155,51 ...... Huang, Peterson 159 ...... Ingram, Daniel 173 ...... Hoffman, Lisa 76 ...... Huang, Tong-Yen 1,27 ...... Inouye, David 143,33 ...... Hoffman, Richard 76 ...... Huband, Michael 136 ...... Iravani, Farideh 168 ...... Hogan, Adam 172 ...... Hubbard, Rachel 160,184 ...... Irby, Lewis 21 ...... Holbert, Michael 143 ...... Hubbard, Thomas 85 ...... Ireland, Michael 112,124,173,184,3 ...... Holbert, Paige 103 ...... Huddle, David 65 5,76 ...... Holley, James 112,124,172,65 ...... Hudgins, William 74 ...... Ishom, Thomas 35 ...... Hollyfield, Neil 1,192,96 ...... Hudgins, Winfred 81 ...... Iskander, Erene 3 ...... Holmes, Ashley 172 ...... Hudson, James 156 ...... Island, Maria 168,18 ...... Holmes, Jessica 191 ...... Hudson, Paul 136 ...... Iuculano, Giovanni 186 ...... Holmes, Patrick 178 ...... Hudson, Raidah 136 ...... Iuorno, Frank 74 ...... Holwick, Robert 35 ...... Huff, Christopher 20 ...... Iverson, Darin 15 ...... Hom, David 155 ...... Huff, Wallace 20 ...... Iwamoto, Claudio 169,85 ...... Hong, Charlie 10,50 ...... Huffman, Jennifer 78 ...... Iyer, Malini 186,61 ...... Hong, Dong-Soo 168,27 ...... Huffman, Richard 147 ...... Izadi, Keyoumars 67 ...... Hong, Jason 130,166 ...... Hughes, David 156 ...... Izadi, Mohammed 126 ...... Hong, Jong 28,69,86 ...... Hughes, Douglas 116 ...... Izadi, Mohsen 166 ...... Hong, Richard 130,166,51 ...... Hughes, Edward 160 J ...... Honore, Kevin 116 ...... Hughes, Joseph 35 ...... Hooker, John 1 ...... Hughes, Timothy 157 ...... Jabbari, Farnaz 23 ...... Hooper, Christopher 172 ...... Huie, Mark 114 ...... Jackomis, William 126 ...... Hooshangi, Mitra 155,166 ...... Hukmani, Navin 153,191,68,87,95 ...... Jacks, Thomas 15,70,96 ...... Hooshmand, Marie 160 ...... Hull, Robert 88 ...... Jackson, Julia 10,190,95 ...... Hoover, Amanda 105 ...... Hund, Lawrence 31 ...... Jackson, Kevin 3 ...... Hoover, Jared 105 ...... Hunt, Dawn 123 ...... Jacob, Kezia 20 ...... Hopkins, James 81 ...... Hunt, John 123 ...... Jacobs, George 112 ...... Horbaly, William 33 ...... Hunt, Michael 145 ...... Jafari, Mahnaz 16,160 ...... Horne, Suzanne 85 ...... Hunt, William 123 ...... Jain, Khushboo 136,45,65 ...... Horne, William 120 ...... Hur, John 132,192,24,27,56 ...... Jaju, Rishita 18 ...... Hornsby, Kimbrough 116,162,172,35 ...... Hur, Yong 85 ...... 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

Jamali,...... Mojgan 188,3,93 ...... Jones, Linda 93 ...... Kaur, Hemani 17 ...... James, Patricia 173 ...... Jones, Miata 58 ...... Kaur, Kamaljit 93 ...... Jang, Joy 130 ...... Jones, Michael 147,162 ...... Kaur, Namrata 52 ...... Jarrell, Whitney 25 ...... Jones, Neal 25 ...... Kaur, Palwinder 25,48 ...... Jarvandi, Fereshteh 136 ...... Jones, Patrice 105 ...... Kaur, Pardeep 179 ...... Jarwa, Samer 28 ...... Jones, Perry 136 ...... Kaur, Sandeep 81 ...... Jasani, Krina 88 ...... Jones, Richard 130 ...... Kaur, Taran 59 ...... Jassal, Raman 81 ...... Jones, Treacy 165 ...... Kavianpour, Zahra 160 ...... Java, Robert 188 ...... Jones-Rogers, Linda 69 ...... Kay, Victoria 93 ...... Javeed, Asra 173 ...... Joo, Chuck 52 ...... Kayes, Stanley 80 ...... Javier, Ryan 188 ...... Jordan, Edward 105,120,127,39 ...... Kaymanesh, Shaghayegh 112,12,124,76 ...... Jayaswal, Neerav 76 ...... Jordan, James 97 ...... Kazanoglu, Altug 145

...... Jefferies, Mark 81 ...... Jordan, Kalisha 183 ...... Kazemifar, Hoda 130 PARTICIPATING PROVIDERS ...... Jeffrey, Emma 121 ...... Jordan, Marian 29 ...... Kazmi, Sana 181,25,48,52,69,93 ...... Jelinek, Howard 52 ...... Jordan, Morris 101 ...... Kean, Edward 150,69 ...... Jelinek, James 181 ...... Joseph, Marie 42 ...... Keat, Josie 4 ...... Jenkins, Arthur 173 ...... Joshi, Mitsu 136,72 ...... Keating, Kevin 109,136,34 ...... Jenkins, Charles 97 ...... Joshua, Gina 78 ...... Keeney, Kanyon 102,107,142,151,7 ...... Jenkins, Harry 124,35 ...... Jung, Yujin 112,76,79 3 Keeton, David 109,144,44 ...... Jennings, Kevin 35 K ...... Kelleher, Kevin 108 ...... Jesneck, Mae 98 ...... Jessup, Ronald 136,21 ...... Kelly, David 22 ...... Kadolph, Adam 184 Jett, L 125,163 ...... Kelly, Isabel 97 ...... Kafle, Sumana 85 Jewett, Charles 136 ...... Kemler, David 136 ...... Kahan, Michael 173 Ji, John 10,44 ...... Kendig, Robert 144 ...... Kaiser, David 173 Jiral, Paul 65 ...... Kenee, David 78 ...... Kaiser, Gina 20 Jiwani, Munira 101,109,122,136,1 ...... Kennealy, Sarah 101,136 ...... Kaiser, Robert 147 83,72,76 ...... Kennett, Fred 136 ...... Kakar, Deepak 62,68,96 ...... Jobe, John 112 ...... Kenney, Jeffrey 114 ...... Kalantar, Neda 132 ...... Johansen, Stephen 105,120,127,39 ...... Kenny, Karen 90 ...... Kaler, Jatinder 93 ...... Johnson, Amanda 147 ...... Kent, Dean 116,173 ...... Kalra, Rajiv 155,88 ...... Johnson, Andrew 62 ...... Kent, John 116,173 ...... Kamali, Touraj 52 ...... Johnson, Charles 136 ...... Kent, Mathew 116,173 ...... Kamboh, Karan 85 ...... Johnson, G 110,136 ...... Kent, Thomas 173 ...... Kan, Maryann 4 ...... Johnson, Gary 165 ...... Kermanshi, Shiva 15,16,191,61,7,85, ...... Kandare, Wesley 116,173,35,85 ...... Johnson, Geoffrey 47 95 ...... Kanetzke, Steven 169 Kern, April 12 ...... Johnson, Horace 129,154 ...... Kang, Don 52 Kesser, Howard 116 ...... Johnson, James 122 ...... Kang, Taeheon 56 Kessler, Fred 136 ...... Johnson, Jamie 65 ...... Kangarloo, Ramineh 59 Kessler, Joel 1,187,50 ...... Johnson, Justin 184 ...... Kanli, Erol 155 Kevorkian, George 169 ...... Johnson, Steven 12,9 ...... Kanumilli, Sowmya 1,130,182,4 Khalaf, Athra 122,153,59,80 ...... Johnson, Terry 158 ...... Kao, Wei-Lea 166 Khalefa, Said 155,4 ...... Johnson-Curl, Jacqueline 136 ...... Kapoor, Elleni 116,163,173,35 Khalil, Joseph 12,121 ...... Johnson-Spruiell, Gloria 112 ...... Kapoor, Rajni 116,124,173 Khan, Nabeel 23 ...... Johnston, Carroll 89 ...... Karapetian, Christine 157 Khan, Rifhat 4,59 ...... Johnston, Frances 1 ...... Karau, Mary Ann 8 Khang, Wahn 132 ...... Johnston, Frank 35 ...... Karau, Ralph 8 Khara, Amanjot 101 ...... Jones, Antonia 114,179,185,38,76 ...... Karbasi, Kiumars 188 Kharmouche, Jean-Claude 161,71 ...... Jones, Audra 136 ...... Karmacharya, Komal 12,52,66 Khasraghi, Faranak 188,23 ...... Jones, Daniel 173 ...... Karns, Jason 80 Khateeb, Mariam 128,192,24 ...... Jones, David 147,149,150,173,4 ...... Karp, Allen 173 2,97,98 ...... Khattab, Samer 126,130,59,85 ...... Karrel, Justin 159 ...... Jones, Elizabeth 58 ...... Khattak, Farida 59 ...... Karri, Shilpa 155,66 ...... Jones, Ethan 71 ...... Khattak, Rana 66 ...... Kasper, Frinet 4 ...... Jones, Frank 31 ...... Khedr, Yasser 45,48 ...... Kassan, Gregg 48 ...... Jones, Gale 112,136,43 ...... Khisti, Manik 72 ...... Kassem, Sameh 85 ...... Jones, Herschel 128,191 ...... Khosravi, Mitra 93 ...... Katz, Abraham 128,81 ...... Jones, John 136,161 ...... Khouri, John 70 ...... Katz, Ronald 112,116 ...... Jones, Lee 147 ...... Khurana, Natasha 181,69 ...... Kaur, Ajinder 116,124,173,76 ...... Jones, Leonard 23 ...... 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 204 Delta Dental Premier

Kianimanesh,...... Anita 59 ...... Klar, Neal 164,179,38 ...... Krishnamoorthy, Savitha 28 ...... Kianpour, Kourosh 160 ...... Klein, Elizabeth 12,66 ...... Krochmal, James 119 ...... Kiely, Kevin 185 ...... Klein, Richard 147 ...... Krone, Michael 105,62 ...... Kilbourne, Michael 39 ...... Kleyman, Boris 12 ...... Krygowski, John 12 ...... Kilgore, Robert 187 ...... Klima, Rodney 24 ...... Kuenzli, Peter 174 ...... Killar, Curt 105 ...... Klioze, Earl 23 ...... Kuhn, Amanda 109,40 ...... Kim, Aileen 4 ...... Klioze, Jeffrey 23 ...... Kuhn, Todd 105,126,39 ...... Kim, Andrew 155,188 ...... Klochak, Joseph 76 ...... Kulhari, Snehlata 47 ...... Kim, Chad 112,12,124,137,17 ...... Knaysi, Fred 137,83 ...... Kumra, Bob 191 3,181,43,66,76 ...... Knierim, R 31 ...... Kumra, Shawn 12,4,59,99 Kim, Christine 131,27,55,8 ...... Knight, Ernest 63 ...... Kuo, Brian 66 Kim, David 158,56 ...... Knight, John 31,74 ...... Kupcha, John 184

Kim, Edward 4,96 PARTICIPATING PROVIDERS ...... Knotts, Cindy 186 ...... Kupperi, Vinutha 112,124,137,43,66 Kim, Eunghwan 98 ...... Knuppel, Dorothy 98 ...... Kuzmik, Michael 168,7 Kim, Eunyoung 15,168,191,27 ...... Koelmel, Jeffrey 105 ...... Kwatra, Sameer 188 Kim, Gloria 93 ...... Koerner, Michael 181 ...... Kwon, Hyue 168,27 Kim, Jamie 93 ...... Koertge, Thomas 145 ...... Kwon, Hyuksoo 81 Kim, Jennifer 52 ...... Kogan, Paulina 4 ...... Kwon, Judy 12,130,153 Kim, Jerry 130,52 ...... Koganti, Rani 137 ...... Kwon, Keehong 4 Kim, John 160 ...... Koh, Myungsuk 101 ...... Kwon, Thomas 4 Kim, Jong Ryul 166 ...... Koh, Philip 22,56 ...... Kyle, Lawrence 110 Kim, Joon 166 ...... Koh, Richard 15,18,56,62,88 ...... Kyu, Pye 34 Kim, Joongseo 166,25,27 ...... Koheil, Yosreldin 137,43,72 L Kim, Juhan 109 ...... Kohli, Malika 15 ...... Kim, Juyoung 52 Kok, Alistair 122 ...... Labella, Carl 70 ...... Kim, Kwang 152 Kokel, Deidra 86 ...... Labriola, J 10,190,95 ...... Kim, Kyu 19 Kokorelis, Michael 78 ...... Lachine, Richard 184,193 ...... Kim, Michael 17,9 Kommineni, Sanath 137,43,66 ...... Lacy, John 182,63 ...... Kim, Peter 188 Kondoff, Ronald 173 ...... Ladimer, Eric 147 ...... Kim, Robin 4 Koneru, Jyothi 28 ...... Lagonegro, Ann 74 ...... Kim, Sandra 188 Kong, Saory 59 ...... Lagrua, Daniel 165,78 ...... Kim, Sang 167 Kong, Tepy 59 ...... Lakas, Gregory 12 ...... Kim, Sean 66 Konikoff, Albert 180,39 ...... Lake, George 122 ...... Kim, Sonny 130 Konikoff, Bryan 119,164,180,39 ...... Lakkis, Dima 15,192 ...... Kim, Suhad 17,86 Konikoff, David 163,174,35 ...... Lam, Tony 81 ...... Kim, Sun 66,93 Konikoff, Stephen 116 ...... Lamay, Ashley 63 ...... Kim, Sunghee 62 Kontopanos, Gregory 137 ...... Lambert, Olena 21 ...... Kim, Thomas 25 Koontz, Gregory 63 ...... Lambrechts, Marcel 151 ...... Kim, Timothy 25 Kooshki, Bijan 18,180,82 ...... Lan, Steve 88 ...... Kim, Wilson 98 Kopelove, Stephen 101,137 ...... Lanctot, Sloan 129,154 ...... Kim, Young 23 Kordis, Alex 102,110,121,64 ...... Landy, Neil 180 ...... Kimble, Glenn 90 Kordulak, John 174 ...... Lang, Leslie 124 ...... Kimble-Tanks, Felisha 153,9 Korman, Robert 174 ...... Lang, Steven 124 ...... King, Christopher 173,63 Kornett, Noel 162 ...... Langkau, Walter 193 ...... King, Hoang 48 Korpics, Louis 150,19 ...... Langston, Robin 124 ...... King, John 108 Kortam, Sahira 18 ...... Lanier, Angela 110,31,35,99 ...... King, Michael 188 Kot, Dariusz 52 ...... Lanier, Leander 20 ...... King, Robert 137,186,66 Kotler, Lawrence 1 ...... Lanigan, Jacqueline 174 ...... King, Thomas 132 Koussa, Mai 155,52 ...... Lanigan, Peter 174 ...... Kinney, Kirk 164 Kovach, David 21 ...... Lanning, Sharon 145 ...... Kinney, Robert 147 Kowal, Mark 72 ...... Lans, Ikars 17 ...... Kirksey, Charles 52 Kraft, Rachel 137 ...... Lanzaro, Peter 57 ...... Kirpal, Abhishek 112,116,124,173,7 Kramer, Gary 24 ...... Lapetina, John 116 6 Krause, Trisha 132 ...... Larkin, Steven 101,105,126,137,1 ...... Kiser, Marshall 129 ...... Kravitz, Neal 153,18 9,72 ...... Kittrell, John 137 ...... Kreger, Lee 147 ...... Larrowe, Eugenia 71 ...... Kitts, Connie 137 ...... Krempl, Robert 152 ...... Larson, David 137,99 ...... Kivlighan, Michael 182 ...... Kreuzer, Luiza 43,44,84,98 ...... Larusso, Mark 125,163 ...... Klamut, Kenneth 182,192,79 ...... Krieger, Ellen 99 ...... Laughlin, Robert 121,144 ...... Klar, Lawrence 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 205 Delta Dental Premier

Laurent,...... Barry 166 ...... Lee, Si-Hyeon 113,137,186,99 ...... Lin, Sandy 188,57,88 ...... Lavecchia, Greg 12 ...... Lee, Solomon 174,182 ...... Lin, Thomas 10,161,192,56,68,8 ...... Lavecchia, Louis 12 ...... Lee, Sora 55 9 Lin, Zhao 145 ...... Lavinder, Lisa 147,46 ...... Lee, Tae 26,9 ...... Lincoln, Kelly 128 ...... Lavinder, Michael 42 ...... Lee, Vincent 59 ...... Lindauer, Steven 143 ...... Laviola, Jamie 4 ...... Lee, William 100,131,153,18,8 ...... Lindemann, Scott 97 ...... Law, Zachary 169 ...... Lee, Ws 155 ...... Lindgren, Meghan 10 ...... Laws, Thomas 113 ...... Lee, Yeonju 100 ...... Lindsey, David 155 ...... Lawson, Sean 145 ...... Leff, Gary 10,129,187,22,57 ...... Link, Michael 113 ...... Lazar, Dale 84 ...... Lefta-Hoskins, Fotina 117 ...... Lippard, Hal 31 ...... Lazear, Michael 155 ...... Lefton, Ronald 174 ...... Lipscomb, Jason 137,66 ...... Lazear, W 155 ...... Legum, Marty 4,59 ......

Litschel, Kate 191 PARTICIPATING PROVIDERS ...... Lazour, James 59 ...... Leibowitz, Lawrence 174 ...... Little, Keith 137,174 ...... Le, Bao-Quyen 186,62 ...... Leidy, Jeffrey 174 ...... Liu, Ben 161,8 ...... Le, David 17 ...... Leigh, Timothy 74 ...... Liu, Frederick 131,190,23,26,55 ...... Le, Hang 166,188,4,52,59,81 ...... Leinbach, Thomas 31 ...... Liu, Lina 69 ,93 ...... Leiner, Zachary 166,4,59 ...... Le, Hau 192,49,56,62,68,96 Livesay, Richard 66 ...... Leipzig, Robert 86 ...... Le, Lan 9 Livingston, Lynn 137 ...... Leist, John 114 ...... Le, Luong-Hung 26 Llerandi, Elias 76 ...... Lejeune, Barry 76 ...... Le, Magarette 4 Llewellyn, Charles 174 ...... Leming, Dean 164 ...... Le, Phu 168 Llodra, Clara 117,163,174,36 ...... Lennon, Charles 48 ...... Le, Quan 166 Lobo, Cheryl 189 ...... Lenoir, Robert 137 ...... Le, Thien 9 Lobo, Mignonette 59 ...... Lentini, Erika 144 ...... Le, Trang 166 Lobo, Natalie 189 ...... Lentz, Brad 90 ...... Le, Trung 52,59 Lobo, Robert 189 ...... Lentz, John 21 ...... Le, Yen 59,9 Lokitis, Julia 4 ...... Leon, Carla 28,4 ...... Leaf, Scott 24 Lombard, Joseph 79 ...... Lesinski, Francis 124 ...... Leary, Bruce 105 Lombardozzi, Nicholas 109 ...... Leskiv, Vasyl 186 ...... Leavenworth, Kim 4,52 Longauer, Earl 59 ...... Lessne, William 12 ...... Lebo, Carl 12 Longman, Bruce 117,174 ...... Letellier, Paul 36 ...... Lebonitte, Robert 166,59 Longman, Eddie 4 ...... Leung, Jonathan 12 ...... Lee, Benjamin 26,4 Longwe, Edward 29 ...... Levenson, Lanny 105 ...... Lee, Brian 1,129,16,27 Lopez, Joseph 8 ...... Levin, Jeffrey 137 ...... Lee, Dan 191,29,61,89 Lopez, Katie 4 ...... Levin, Mark 180,38 ...... Lee, Edwin 61,82 Lopez, Rocio 105,120,127,40 ...... Levine, Andrew 147 ...... Lee, Elizabeth 137 Lopez, Yarissa 66 ...... Levine, Fernanda 13 ...... Lee, Esther 28 Lotfi, Patrick 189 ...... Levine, Paul 97 ...... Lee, Eun 10 Lott, Patricia 174 ...... Levine, Robert 52 ...... Lee, Eun Hye 132,52 Lovecchio, Peggy 147 ...... Levy, Guy 193 ...... Lee, Gloria 160 Lovell, Eric 124,31 ...... Lewis, David 174,36 ...... Lee, H Vivian 1,80 Lovell, Mary 124 ...... Lewis, Holly 102,145 ...... Lee, Hannah 9 Loving, Preston 113 ...... Lewis, Mary 174 ...... Lee, James 116 Lowe, Tontra 80 ...... Lewis, Miller 42 ...... Lee, Jim 131,156,49,55,68 Loza, Jose 86 ...... Li, Jingchao 168,8 ...... Lee, Joseph 16 Loza, Juan 88 ...... Li, Tin 52 ...... Lee, Kenneth 4 Loza, Luis 86 ...... Liang, David 15,70,96 ...... Lee, Kevin 93 Lu, Hung Quoc 8 ...... Libbey, Anne 63 ...... Lee, Kie 155 Lu, Nhien 155,166,4 ...... Libbey, Christopher 63 ...... Lee, Kimberly 26,9 Lubbe, Steven 109,44 ...... Liewehr, Frederick 16,27,43,64 ...... Lee, Kirsten 12,153 Lubeck, Jonathan 147 ...... Lillard, Jonathan 28,9 ...... Lee, Kyu 101 Lucas, William 137 ...... Lilly, J 137 ...... Lee, Leonardo 86 Lucht, David 26 ...... Lim, Meesun 9 ...... Lee, N 114 Luck, Leah 158,52 ...... Lim, Phanith 17,52 ...... Lee, Nathan 52 Lui, Kin 153,158,4,66 ...... Lim, Young 159 ...... Lee, Paul 52 Lukanuski, Stacy 137 ...... Limon, Francisco 117,124,174,76 ...... Lee, Richard 108,27,87 Luma, Evelyn 174 ...... Lin, Albert 163 ...... Lee, Sang 9 Luna, Oscar 168 ...... Lin, Chi-Yi 15,150,166,24,29 ...... Lee, Sehmi 105,99 Luong, Susan 52 ...... Lin, Lulu 153,17 ......

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 206 Delta Dental Premier

Lupi,...... James 158 ...... Mansfield, Richard 182 ...... Mcandrew, Brian 102,107,142,151,9 ...... Lutz, Megan 164 ...... Maravi, Fernando 13,4 1 Mcavoy, Brian 66,90 ...... Lutz, Steven 164 ...... Marcellin, Roger 52 ...... Mccarty, Benjamin 175 ...... Ly, Dong-Phuong 13,28 ...... Marchibroda, Diana 1 ...... Mcclung, Alicia 124 ...... Lyall, Marshall 174 ...... Marconyak, Louis 179 ...... Mcclung, James 149 ...... Lyazidi, Aicha 158,59,84 ...... Marcou, Michael 117,163,174,36 ...... Mccomb, Jack 138 ...... Lyn, Trevann 153,190,55,67,95 ...... Marcus, Carlene 130 ...... Mccormick, Michael 76 ...... Lynch, Ronald 113,117,124,174,3 ...... Marcus, Richard 102,108,120,127,1 ...... 6 43,19,40,74 ...... Mccoy, Larry 20 ...... Lynch, Sean 147 ...... Margolis, Jason 149 ...... Mccoy, Richard 184 ...... Lynn, Anne 113 ...... Marinak, Kenneth 180,39 ...... Mccrady, Carl 184,41 ...... Lynn, Larry 80 ...... Marinelli, Steven 137 ...... Mccuin, Stephen 128

...... Lyon, Betty 31 ...... Markoff, Bruce 155 ...... Mcdaniel, Rodney 193 PARTICIPATING PROVIDERS ...... Lyon, John 31 ...... Marquez, Rhina 143,44,61,68 ...... Mcdonald, Anne 4 ...... Lysenko, Jennifer 90 ...... Marshall, Christopher 151 ...... Mcdonald, Cabel 70 M ...... Marshall, David 117 ...... Mcdonald, Pamela 76 ...... Marshall, Marvin 66 ...... Mcdonough, James 55 Marshall, Robyn 117,174 Mcgill, Allen 113 ...... Ma, Andy 13,189,28 ...... Marshall, Timothy 105,62 Mcgrath, Kevin 121 ...... Mabanglo-Samson, Bernadette 174,40 ...... Marti, Arthi 69 Mcilveen, Lezley 82 ...... Mabry, Stephen 13 ...... Martin, Anthony 174,193 Mckearney, Robert 78 ...... Macilwaine, Richard 72 ...... Martin, Gabriel 24,66,84 Mckee, Tom 175 ...... Maclin, Ivetta 174 ...... Martin, J 125,180,38 Mckown-Smallwood, Kelly 78 ...... Madani, Saman 192,56 ...... Martin, Justin 169 Mclaughlin, John 79 ...... Madani, Shaghayegh 155,4 ...... Martin, Latisha 99 Mcmillan, Alex 23 ...... Maddux, Kristen 174 ...... Martin, Shannon 113 Mcmillan, Vicki 117,163,175,36 ...... Maddux, Nicholas 174 ...... Martin, Sonya 22,83 Mcmunn, Michael 80 ...... Madison, Joseph 130 ...... Martinez, Harold 111,132 Mcneill, Su 152,76 ...... Madurantakam, Parthasarathy 137,72 ...... Martinez, Luis 132,18 Mcquiston, Scott 5 ...... Maeso, Andres 113 ...... Martinez, Maria 26,4 Mcvay, Thomas 5 ...... Maestrello, Christopher 145 ...... Martof, Andrew 31 Meade, Amanda 101,151,34 ...... Magid, Mitchell 91 ...... Marvdashti, Nikta 49 Meade, Raymond 43 ...... Mahajan, Alka 52 ...... Marvil, Lisa 128,157,161,89 Meader, Lon 175 ...... Mahajan, Sushant 45 ...... Marzban, Courtney 161,18 Meador, Larry 149 ...... Mahanes, Alan 174 ...... Marzban, Pamela 23 Meares, William 169 ...... Maharaj, Barry 29,87 ...... Mason, Erika 105 Mears, Gene 66 ...... Maharty, David 184 ...... Mastros, Kristin 113 Meeks, Darrell 178,37 ...... Mahesh, Lekshmi 174 ...... Matar, Usama 174,76 Meer, B Robert 81 ...... Mai, Christine 189,4 ...... Matias, Thiago 113,117,124,137,1 Mehrabian, Kourosh 189,94 ...... Mai, Truc 4 ...... 74,43,59,76 Mehta, Murli 9 ...... Maier, Whitney 137,147 ...... Matkowsky, Peter 126 Mei, Elizabeth 102,143,74 ...... Maiurano, Audrey 155 ...... Matney, John 114 Meise, Holly 125,38 ...... Major, David 101 ...... Matri, Ahmed 20 Meisha, Dalia 149 ...... Malan, David 137,43,44,83,84 ...... Matsui, Toshiki 27 Mekouar, Hicham 70 ...... Malekuti, Sina 155 ...... Maugeri, Michael 178,37 Melton, Angela 99 ...... Malghan, Nandini 153,26,93 ...... Maurer, Jeffrey 40 Mendelsohn, Howard 175 ...... Mallery, Malcolm 47 ...... Mavromatis, Jack 175 Mendes, Kevin 29,96 ...... Mallinak, Emily 97 ...... May, R Alan 147 Mendoza, Israel 138,43,72 ...... Mallinak, Laura 97 ...... Maya Adkins, Ana 111 Mendrinos, Maria 175 ...... Mallinak, Raymond 97 ...... Maybee, David 31 Menges, Martin 113 ...... Mallory, Dale 174 ...... Mayer, Kelly 26,52,93 Mera, Jose 121,138 ...... Mallow, John 109 ...... Mayerchak, Michael 146 Mercado, Romina 26,5,52,66,84 ...... Malone, Christopher 159 ...... Mayerchak, Michelle 120,147 Merdad, Hisham 187,62,68 ...... Malone, Douglas 120 ...... Mayers, Autumn 105 Meredith-Smith, Jodie 138 ...... Malony, Nicole 20 ...... Mayo, Chester 169 Merian, Robert 150 ...... Malyavantham, Dattathri 130,160 ...... Mayo, Gregory 86 Meroney, David 86 ...... Mamrick, Ronald 105 ...... Mayo, Ryan 86 Merrell, David 145 ...... Maniwang, Jo Marie 36 ...... Mayo, Stephen 86,99 Mesaros, Samuel 46 ...... Manrique, Hugo 52,70,86 ...... Mazhari, Shelia 155,21,74 Messih, Haidy 181,70,88 ...... Manry, Herbert 48 ......

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 207 Delta Dental Premier

Mestas,...... Eric 5 ...... Molokwu, Ruth 94 ...... Mosley, Monica 48 ...... Metzdorf, David 157,52,55 ...... Monacell, John 152 ...... Moss, Patricia 138 ...... Metzger, Lawrence 102,107,142,151,7 ...... Monacell, William 105 ...... Moss, Stanley 124 3 ...... Monajemy, Nooshin 128,161 ...... Mostofi, Mina 166,84 Meyers, Christian 113,76 ...... Monsalve, Carlos 82 ...... Motamedi, Saeid 158,192,68,96 Meza, Fernando 1 ...... Monsman, John 43 ...... Mourino, Arthur 145 Miamee, Ali 130 ...... Montalvan, Cesar 94 ...... Movaghari, Parinaz 13,130 Miamee, Nazy 130 ...... Montano, Ronald 138 ...... Mower, Matthew 128 Michael, Adele 166 ...... Montgomery, Jeffrey 120,71 ...... Mrazik, Jack 77 Michael, Shadia 31 ...... Montgomery, Tyrus 138,40 ...... Muehleck, James 97 Midgette, Brian 36 ...... Moon, Jeff 120,80 ...... Mueller, David 178 Midkiff, Kenneth 97 ...... Moon, Sue 86 ...... Mueller, Jennifer 9

Midkiff, Kevin 90 PARTICIPATING PROVIDERS ...... Mooney, Brigid 13,26 ...... Mueller, Travis 138,9 Mikhail, Raymond 86,99 ...... Moore , French 1 ...... Muhammad, Sultan 28,81 Millan, Alirio 138 ...... Moore, Alfred 123 ...... Muir-Young, Natalie 15 Miller, Culver 90 ...... Moore, Andrew 158 ...... Muldoon, Catherine 36 Miller, David 76 ...... Moore, Clarissa 13,70 ...... Mule, Merissa 105,120,40 Miller, Elizabeth 138 ...... Moore, Ernest 147,41 ...... Mullen, Steven 18,87 Miller, Glen 21,5,80 ...... Moore, J Peyton 97 ...... Muller, Lawrence 189 Miller, Jeffrey 52 ...... Moore, Wendy 84 ...... Mulligan, Daniel 138 Miller, Julian 113,124,175,184,1 ...... Moore, William 147 ...... Mullins, Edmund 138 93,36,76 ...... Moorefield, Kallie 117,124,175 ...... Muncy, Beatrice 138 ...... Miller, Juliana 182,27 ...... Moose, Bobbi 17 ...... Muncy, James 138 ...... Miller, Keith 21 ...... Moose, David 70,87 ...... Munn, William 122,151 ...... Miller, Michael 107,142 ...... Morales, Diego 26,52,94 ...... Murchie, Peter 92 ...... Miller, Paul 34 ...... Morch, Michael 189,66 ...... Murphy, Anna 153 ...... Miller, Richards 182 ...... Morel, Adalgisa 42,47 ...... Murphy, Stephen 184,41 ...... Miller, Robert 182,27,45 ...... Moretti, Joy 109,122,41 ...... Murphy, Walter 102 ...... Miller, Scott 165,22 ...... Morgan, Anne 164 ...... Murray, Malcolm 53 ...... Miller, Tammie 186 ...... Morgan, Carol 175,184 ...... Murray, Vincent 181 ...... Miller, Veronica 166,52 ...... Morgan, David 131,158,186,190,6 ...... Murry, Brittney 105,126,19,40 ...... Mills, Christina 45 7,7,95 ...... Murry, Donald 105,126,40 ...... Mills, Cordelia 159,187,85,88 Morgan, Fabienne 193 ...... Murry, Kenneth 105,126,40 ...... Mills, Michele 151 Morgan, Gary 138 ...... Murthy, Pramila 81 ...... Mills-Robertson, Aba 16,48 Morgan, John 114,142,164,185,3 ...... Murthy, Roopa 124,36 ...... Milner, Jan 36 7,42,48,77 ...... Musick, Lori 132 ...... Milonas, Jim 175 ...... Morgan, Joseph 138 ...... Musmar, Qais 5 ...... Miniclier, Gordon 84 ...... Morgan, Kelly 191,87 ...... Muss, Nicholas 130 ...... Minutella, Nicholas 31 ...... Morgan, Michael 175 ...... Mustian, Edward 138 ...... Miranda, Joshua 175 ...... Morgan, Pamela 119 ...... Mustian, John 138 ...... Miranda, Ruben 15,62,8,96 ...... Morgan, Richard 132 ...... Mwendo, Jimani 158,189,5,94 ...... Mirmonsef, Parastu 138,89 ...... Moriarty-Vasquez, Mary 189 ...... Myers, Aubrey 163 ...... Mirza, Javeria 47,97 ...... Morris, B 13 ...... Myers, Garry 132 ...... Misto, Jim 158 ...... Morris, Christa 8 ...... Myers, Priscilla 138 ...... Mistry, Kevin 13,5,86 ...... Morris, David 80 ...... Myles, Wayne 130 Mitnick, Howard 160 Morris, Glenwood 125 ...... N ...... Mittal, Nitika 191 ...... Morris, Kendall 152 ...... Modaresi, Mina 160,28 ...... Morris, Kenneth 152 ...... Nachman, Alan 36 ...... Modeste, Lorenzo 76 ...... Morris, Michael 146 ...... Naeem, Naseer 49,81,94 ...... Modjadidi, Osama 175,36 ...... Morris, Tamesha 49 ...... Naghdi, Jina 82 ...... Mofakhami, Niloofar 121 ...... Morris, William 78 ...... Nagle, Jeremy 150,166,23,28,53 ...... Moffitt, Robert 88 ...... Morrison, Julius 122,138,72 ...... Nagy, Whitney 86 ...... Mogharbel, Tarek 150,59,99 ...... Morrison, Robert 184,41 ...... Naik, Priti 166 ...... Mogrovejo, Erika 155,5 ...... Morrison, Sanford 119,178 ...... Naimi, Amir 131,23 ...... Mohanty, Sujit 138 ...... Mortazie, Michael 13 ...... Najafe, Hayat 49,66 ...... Mohiuddin, Sumayra 138,99 ...... Mortvedt, David 80 ...... Nallavalli, Sravanthi 160,17 ...... Mojares, Elizabeth 124 ...... Moses, Stephen 117 ...... Nalluri, Jatin 189,49,53,94 ...... Moller, Gary 5 ...... Mosey, James 105,120,126,40 ...... Nam, Johnny 53 ...... Moller, James 59 ...... Mosher, Russell 105 ...... Nanduri, Mahathi 130 ...... Mollov, Nikolay 22 ...... Moshiri, Tara 160

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

Nash,...... Colleen 101,105,138,19,72 ...... Nguyen, Phuong-Mai 59 ...... Octave, William 139 ...... Nasif, Yaser 101,109,120,138,1 ...... Nguyen, Phuong-Uyen 126,17 ...... Odeh, Osama 113,117,66 83,184,43,83 ...... Nguyen, Quan 23 ...... Odonnell, William 26 Nasir, Aisha 5 ...... Nguyen, Quoc 59 ...... Oduyelu, Bukola 180 Nasr, Flavio 13 ...... Nguyen, Quynh 5 ...... Oertel, Ellen 41,43 Nassar, Fadwa 59 ...... Nguyen, Quynh-Chi 28 ...... Ogden, Christine 169 Nastea, Cristina 156 ...... Nguyen, Steve 13,5 ...... Oglesby, Jeffrey 184 Nauss, Steven 120 ...... Nguyen, Thi 160 ...... Ogunbekun, Adenike 153 Navubothu, Padmalatha 138,76 ...... Nguyen, Thuan 5 ...... Ogundipe, Oluwatoyin 139 Nawaz, Mirweiss 160,59 ...... Nguyen, Tran 59 ...... Oh, Dongha 56 Nazareth, Melissa 113 ...... Nguyen, Tuan 53 ...... Oh, Eunseok 15,168 Neal, Elizabeth 169 ...... Nguyen, Tuong-Van 5 ...... Oh, Joseph 13,153

Neale, Mark 183,184 PARTICIPATING PROVIDERS ...... Nguyen, Tu-Quynh 10,129,165,187,22, ...... Ohara, Thomas 175 Neel, Anita 21,31 ...... 57,88 ...... Ohri, Puja 88 Neese, Danny 78 Nguyen, Viet 101,109,130,138,1 ...... Okeefe, Edward 117 Neibauer, Justin 66 83,184,43,83 ...... Okunuga, Olalekan 148,152 Neighbors, Robert 105 ...... Nguyen, Vu 13,156,5,59 ...... Olano, Magali 70 Neill, Kennedy 193 ...... Nichols, Ashley 113,124,138,186,4 ...... Oldham, Bobbi 90 Nelson, Charles 94 3,76 ...... Oldham, Richard 90 ...... Nickerson, Michael 84 ...... Nelson, Edward 15 Olenyn, Paul 23 Niepraschk, Markus 158,33,87 ...... Nelson, Gary 86 ...... Oley, George 101,120,139 ...... Nieto, Johana 59 ...... Nelson, James 143 Oliveira Filho, Jayme 36 Nightengale, Tiffany 102,110,121,64 ...... Nelson, John 192 ...... Oliver, Maya 157 ...... Nikkhah, Jason 13,99 ...... Nelson, Kristin 18 Oliver, Tracy 175 Nikkhah, Pouran 17 ...... Nesbitt, Paula 111,115,123,169,7 ...... Oliver, Trisstar 152 5,98 ...... Nikpourfard, Matt 17,81 ...... Olivero, Thomas 106 Neshat, Monica 130 ...... Nikpourfard, Reza 85 ...... Olsen, Kimberley 70 Nikseresht, Kamran 28 ...... Nester, Ashley 184 ...... Olson, Charles 37 Nester, Brad 83 ...... Niles, Raymond 189 ...... Oltra Esplugues, Enrique 103,18,71 Niver, Eric 180,185,39 ...... Neumann, John 186 ...... Omar, Anisa 29 Newcomb, Brandon 48 ...... Niver, Krystie 36 ...... Onderdonk, Andrea 66,73 Nokkeo, Jay 100 ...... Newell, Gary 175 ...... Oneal, Latanya 42,59,99 Newman, Anne 147 ...... Norbo, Justin 128 ...... Oneill, Robert 122,40,83 Norbo, Kirk 128 ...... Newman, Michael 36 ...... Orenstein, Richard 5 Newsome, Elise 148 ...... Norbo, Randy 148 ...... Oristian, Alexis 106,120 Nordeen, Kyle 19 ...... Newton, Richard 148,42 ...... Ornoff, Mark 156,81 Ngo, Howard 53 ...... Norman, Andrew 138 ...... Oshea, Michael 62 Norrgard, Jefferey 138 ...... Ngo, Tu-Son 1,27 ...... Osinovsky, Alexander 166 Nguyen, Ashley 5 ...... Norris, Clinton 73 ...... Osman, Feisal 139 Norton, Carolyn 175 ...... Nguyen, Calvin 5,81 ...... Ossakow, William 26,53,81,99 Nguyen, Catherine 5 ...... Nottingham, James 117 ...... Osseiran, H 169 Nouri, Bruce 160 ...... Nguyen, Christine 28,53 ...... Oswald, Sophie 190,29,67,95 Nguyen, Christopher 5 ...... Novak, Irina 193 ...... Ott, Brian 31 Novick, Arthur 130,17 ...... Nguyen, Cindy 189 ...... Ott, Sarah 31 Nguyen, Dao 88 ...... Novick, Kendra 130,17 ...... Ottersberg, Christine 110 Novick, Roy 57 ...... Nguyen, Denise 168 ...... Ovcharenko, Vladyslav 26,5,60 Nguyen, Diem 28 ...... Nunnally, Leonard 73 ...... Overby, Timothy 90 Nwaneshiudu, Chioma 17,186,53,70,86 ...... Nguyen, Hieu 130,5,53 ...... Overstreet, Douglas 151,73 Nguyen, Hung 59 ...... Nyczepir, David 108,143,40 ...... Overton, Bruce 103 Nystrom, Cheryl 139 ...... Nguyen, Kevin 189 ...... Owen, John 113,20 ...... Nguyen, Kim 138 O ...... Owen, William 152 ...... Nguyen, Kristina 99 ...... Owens, Edward 184 ...... Nguyen, Lan 53 ...... O`Brien, Keith 63 ...... Owens, Gregory 1 ...... Nguyen, Linh 153,9 ...... O`Donnell, David 113,117,124,139,1 ...... Owens, Jessica 47 ...... Nguyen, Loc 160,70,94 75,43,59,76,90 ...... Owuor, Christine 150,31 ...... Nguyen, Long 70,94 ...... Obeck, Kurt 139 ...... Ozturk, Serdar 13 Nguyen, Mike 189,5 ...... Oberry, Vernon 117,175 ...... P ...... Nguyen, Monique 5 ...... Obrien, Kevin 151 ...... Nguyen, Nikki 157,46,55 ...... Ochana, Laila 59 ...... Pace, Warren 166 ...... Nguyen, Phuong 15,190 ...... Ochave, Frederick 175

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 209 Delta Dental Premier

Packer,...... Gardiner 103,132 ...... Pashapour, Ali 15 ...... Penterson, Robert 106 ...... Padgett, Thomas 107,143 ...... Pate, David 175,36 ...... Perez, Agustin 113 ...... Paesani, Michael 60 ...... Patel, Ajit 18 ...... Perez, Ricardo 158,189,66,94 ...... Pagan, Robert 45,64 ...... Patel, Amit 17 ...... Perez, Timothy 113,175 ...... Pahlavani, Edna 13,5 ...... Patel, Anisha 101,139,184 ...... Perkins, Dennis 1,192,71,96 ...... Paige, Benegal 31 ...... Patel, Arpi 8 ...... Perkins, Nancy 96 ...... Paige, Jason 139 ...... Patel, Ashish 158,168 ...... Perkinson, S 101,106,139,19,73 ...... Pak, Jung 53 ...... Patel, Bhavinkumar 66 ...... Perkinson, William 106,120,126 ...... Pakpour, Desabeh 189 ...... Patel, Chirag 18 ...... Perlman, Steven 77 ...... Pal, Gopal 10,126 ...... Patel, Dipa 15 ...... Peron, Louis 34 ...... Pal, Sandhya 126,130 ...... Patel, Jatin 31,74 ...... Peroutka, John 106,151,62 ...... Palabrica, Rosario 13 ...... Patel, Jay 158 ...... Perry-Wright, Arlene 66

...... Palizi, Alireza 23 ...... Patel, Jayesh 50 ...... Perumal Naidu Nagaiah, Rohini 13 PARTICIPATING PROVIDERS ...... Palle, Sunitha 158,26,94 ...... Patel, Kinjal 53,76 ...... Peters, Barrett 182,33 ...... Palmer, Charles 110 ...... Patel, Kunjal 73 ...... Petersen, Katherine 184,193 ...... Palmer, Roger 49 ...... Patel, Loken 1 ...... Petticolas, Augustus 90 ...... Palmieri, David 1,57 ...... Patel, Mayur 189 ...... Pettit, Jeffrey 22 ...... Pandak, Hilary 53 ...... Patel, Monica 99 ...... Peyser, Brian 60 ...... Pandher, Ramona 113,117,124,139,1 ...... Patel, Nimisha 60 ...... Peyser, Richard 60 75,42,43,47,60,66, ...... Patel, Nrupur 106 ...... Pfab, Michael 127,41 76,84 ...... Patel, Pratik 129,159,187,50 ...... Pfohl, David 161,88 Pandolfi, Philip 79 ...... Patel, Raj 158 ...... Phaeton, Nathalie 62,8 Panzarella, Carl 139 ...... Patel, Sachi 160 ...... Pham, Anh 29,53,61,87 Panzetta, James 84 ...... Patel, Sharli 13,150,166,28 ...... Pham, Diane 167,5 Papageorgiou, Nicholas 17 ...... Patel, Shital 145 ...... Pham, Gina 192 Papinsick, Anthony 13 ...... Patel, Snehal 156,89 ...... Pham, Hanah 130 Papp, Richard 53 ...... Patel, Suketu 131,18,87 ...... Pham, Heather 113 Paredes, Omar 88 ...... Patel, Vaibhavi 47 ...... Pham, Hiep 167,5 Paret, Katherine 117 ...... Patel, Vaishali 139,43 ...... Pham, Jacob 148 Parikh, Anuja 160 ...... Patel, Vikaskumar 94 ...... Pham, Jennifer 60,70 Park, Adam 166 ...... Patil, Sudha 45 ...... Pham, Long 60,74 Park, Charles 53,70,88 ...... Patil, Vinayak 158 ...... Pham, Minh 60 Park, Henry 9 ...... Patron, Alfonso 15,150,161,168,83, ...... Pham, Thang 60 Park, Hye 5 ...... 96 ...... Pham, Thanh 9 Park, Jamie 53 Patterson, Adrian 131,23 ...... Phan, Anh 5 Park, John 17,81 Patterson, Cheryl 49 ...... Phan, Chuong 126,17 Park, Jonathan 131,190,23,26,55 Patterson, Dayne 5 ...... Phan, Duy-Man 53 Park, Jung 154,160,5 Patterson, Travis 15,61 ...... Phan, Phuong 5 Park, Kenneth 156,94 Paulette, Stephen 79 ...... Phan, Thoaivan 167,189,53 Park, Kyeong 76 Pauley, Richard 113 ...... Phan, Truc 28 Park, Kyung 17 Paxton, Kelly 36 ...... Phan, Tuyet-Mai 13 Park, Mimi 126 Payne, Albert 34,47 ...... Phaup, Alexis 175 Park, Si-Woon 169,83 Payne, Christopher 34,47 ...... Phelps, Joy 152,78 Park, Sun 81 Payne, Stephen 106 ...... Phelps, Maynard 114,77,79 Park, Sunmin 99 Peaks, Kelly 17 ...... Phillips, Douglas 31 Park, Young 148 Pearl, Dina 175 ...... Phillips, Sarah 113,117,124,139,1 ...... Parker, Jeffrey 94 ...... Pearlman, Darryl 89 75,184,36,43,60,77 ...... Parker, Michael 90 ...... Pearson, Bonnie 122 ...... Phillips, W 91 ...... Parker, Milton 5 ...... Peat, Ashley 139,43 ...... Phisuthikul, Norachai 10,15,62 ...... Parker, Richard 31 ...... Peebles, Rebecca 60,94 ...... Piascik, Christine 184 ...... Parks, Charles 148 ...... Peery, James 40,90 ...... Piccinino, Michael 129,92 ...... Parks, Meredith 152,164,185,193 ...... Pelaez, Jorge 175 ...... Pichardo, Michael 69 ...... Parr, Olan 45 ...... Pelkofski, Joseph 87 ...... Pierce, Laura 156,53 ...... Parris-Wilkins, Tonya 1,110,122,127,29,4 ...... Pell, James 131,186,190 ...... Pikula, Agata 91 3,66,89 ...... Pellerin, Robert 175 ...... Pinch, John 62,91 Partovi, Marjan 94 ...... Peluso, Anthony 119,179,38 ...... Pisciotta, Dominick 63 Partovi, Mojgan 160 ...... Pemberton, David 139 ...... Piscitelli, William 145 Partrick, Jeremiah 13 ...... Pena, Estela 17 ...... Pittman, Tyler 22 Parulis, Albert 149 ...... Pentecost, Grace 117 ...... Plata, Raul 53 ...... Parvin, Karen 36

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 210 Delta Dental Premier

Pleickhardt,...... Steve 70 ...... Rafaat, Amirreza 85 ...... Reid, Donna 6 ...... Pleta, Eva 167 ...... Rafiq, Rabia 131,94 ...... Reid, John 73 ...... Podbesek, Brian 45,63 ...... Rahim, Haress 17 ...... Reimer, Michael 113,117,124,176,1 ...... Poe, Richard 10 ...... Rahman, Murshed 6 93,77 Reis, Lauren 13 ...... Poku-Kwateng, Evelyn 22,99 ...... Rahman, Nabeel 36 ...... Reitz, Mark 21 ...... Polack, Amanda 89 ...... Rai, Shaun 178 ...... Rejintala, Archana 94 ...... Polack, Mariano 71 ...... Rai, Shivaprasanna 158 ...... Rekow, Marlin 181 ...... Polk, David 20 ...... Rai, Shwetha 49,71 ...... Renapurkar, Shravan 143 ...... Pollock, Richard 10,129,187,22,57 ...... Raika, Ana 41 ...... Render, Philip 79 ...... Ponraj, Ernest 99 ...... Rainey, Vacora 158 ...... Replogle, Karan 132 ...... Poole, Adam 113,117,124,175,4 ...... Rainey, Vernon 163 ...... Reschenthaler, Corinne 163 3,60,77 ...... Raja, Taimour 131,94 ......

Poole, Charles 176 Resendes, Melanie 139 PARTICIPATING PROVIDERS ...... Ramai, Sheldon 156,26,66,94 ...... Popat, Nitesh 139,45 Resnick, Elizabeth 176 ...... Ramisetty, Chetana 153,53,94 ...... Pope, H 68,74 Ressler, Christine 101,106,127,139,1 ...... Ramsay, Jamie 163 ...... Pope, Robert 176 9,73 ...... Ramsey, Alexander 148 Popli, Kris 167 ...... Restrepo, Melissa 113 ...... Ramsey, Brent 79 Popli, Vishal 139,148 ...... Reynolds, Dustin 89 ...... Ramsey, Cyrus 131,190,23,26,55 Poquis, Gregory 101,139 ...... Reynolds, Elizabeth 139 ...... Ramsey, Harry 117 Portell, Frank 1,129,154,57 ...... Reynolds, Gavin 19 ...... Ramsey, Tony 19 Porter, Dina 66 ...... Reynolds, James 148 ...... Randazzo, Janine 106 Posenau, Jerry 101 ...... Reynolds, Jillian 117,163,176,36 ...... Randolph, Renita 73,99 Potter, William 31 ...... Reynolds, John 139 ...... Ranjbar, Shahla 87 Pouchot, Daniel 74 ...... Reynolds, Kenneth 118,124,176 ...... Ranzurmal, Mina 160,17 Poulsen, Brian 22 ...... Rhea, William 41 ...... Rao, Sheila 94 Powell, Natalie 148 ...... Rhoday, John 42 ...... Raoufinia, Arjang 13 Prasanna, Mysore 189 ...... Rhodes, Daniel 43,44,83,84 ...... Raoufinia, Nima 126,13 Prater, Phillip 21 ...... Rhodes, James 125,36 ...... Raphael, Jeff 101,109,183,184,7 Rice, Collin 36 ...... Price, Ashlyn 106 9 ...... Rice, James 110,148,31,42 ...... Price, Mckinley 113 ...... Rashid, Sumera 87 ...... Rice, Jennifer 110,31 ...... Price, Stephen 156,5 ...... Rasmussen, Jay 117,124,42,77 ...... Rice, Richard 23 ...... Priest, James 152 ...... Rasmussen, Kenneth 31 ...... Richards, Carter 113,125,176,66 ...... Prillaman, Paul 38 ...... Rastogi, Loveena 113,77 ...... Richardson, Emmett 96 ...... Prillaman, William 63 ...... Rasul, Afia 139 ...... Richardson, Eugene 122 ...... Propoggio, Susan 17 ...... Ratner, Les 6 ...... Richardson, Kelly 186 ...... Prugh, Reed 40 ...... Rawls, Charles 163 ...... Richardson, Sariah 150 ...... Pryor, Dennis 157,55,61,80 ...... Ray, Ronald 17 ...... Richardson, Thomas 20 ...... Pugh, George 6 ...... Ray, Sheetal 189,99 ...... Richardson-Overstreet, Susan 151,73 ...... Pugh, Roy 182 ...... Rayek, Riaz 53 ...... Richmond, Leslie 176 ...... Pugliese, Richard 185 ...... Raymond, Mark 42 ...... Rickman, James 106 ...... Puller, Anthony 139 ...... Rayo, Samuel 53 ...... Rieman, Francis 66 ...... Punaji, Sowmya 189,60 ...... Razdan, Shinjni 62 ...... Riggs, Gary 123,179,77 ...... Purcell, Allison 102,108,120,127,1 ...... Read, Allen 91 ...... Riley, David 150 44,19,40,74 ...... Reangber, Sina 80 ...... Pyle, Keith 91 Riley, James 108,144,74 ...... Rearden, Cathy 99 ...... Riley, Jeffrey 91 Q ...... Reardon, Christine 15 ...... Riley, Michael 91 ...... Reategui, Patricia 158 ...... Rios, Jorge 160,17 ...... Qiu, Kenneth 60,82 ...... Rebellato, Giuseppe 33 ...... Rismani-Flenniken, Suzan 167 ...... Quigg, Richard 178 ...... Reddy, Bindu 192 ...... Ritchie, David 71 ...... Quiggins, Melissa 70 ...... Reddy, Harini 139 ...... Ritter, James 176 ...... Quilez, Robert 120 ...... Reddy, Hima-Bindu 160,82 ...... Rizkalla, Adel 60 ...... Quinn, Stephen 148,46 ...... Reddy, Swathi 85,89 ...... Rizvi, Zia 17 ...... Quiros, Luis 193 ...... Redmon, David 186 ...... Roadcap, Richard 44 ...... Qureshi, Wasim 17 ...... Redwine, William 139 ...... Robbins, Alan 164 R ...... Reeves, Carter 17 ...... Roberson, James 122,126 ...... Reeves, Edward 88 ...... Roberts, Anna 20 Raczynska, Aneta 181,70,94 ...... Reeves, Ryan 88 ...... Roberts, Brice 151,169 Radcliffe, Stephen 22 ...... Regimbal, Pamela 102 ...... Roberts, Cameron 165,78 ...... Reichley, John 176 ...... Radford, Millard 150 ...... 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 211 Delta Dental Premier

Roberts,...... David 106,120,127,40 ...... Rubino, Richard 160 ...... Sandhu, Maninderjit 131,28,87,94 ...... Roberts, Erik 132 ...... Rueda, Santiago 13,53 ...... Sandhu, Navdeep 176,37 ...... Roberts, Kristin 150 ...... Ruffin, Wyatt 64 ...... Sangid, Ronny 14,6 ...... Roberts, Thomas 6 ...... Ruffner, Scott 89 ...... Sankepally, Divya 77 ...... Robertson, John 20 ...... Ruparelia, Shreyesh 160 ...... Sankowski, Christine 125,38 ...... Robertson, Steven 131,190,23,26,55 ...... Rusnak, Brent 140 ...... Santos, Estelito 163 ...... Robinson, Donald 113,77 ...... Russell, Gregory 10 ...... Santos, Stephanie 176 ...... Robinson, Eli 139 ...... Russell, H 148 ...... Sanz-Moliner, Javier 109,182,46 ...... Robinson, Elizabeth 118,176,36 ...... Russo, Edward 110 ...... Sapon, Mark 32,74 ...... Robinson, Lynn 148 ...... Russo-Revand, Jessica 2 ...... Sapperstein, Evan 60 ...... Robinson, Margo 189,94 ...... Rusz, Joesph 131,17 ...... Saravana, Saumitra 140,44,67,73 ...... Robinson, William 42 ...... Rusznak, Zoltan 17 ...... Sareen, Deepti 53

...... Roca, Adam 13 ...... Rutherford, Billy 84 ...... Sarment, Sylvie 24 PARTICIPATING PROVIDERS ...... Roca, Aurelio 13 ...... Ruzzo, Joseph 99 ...... Sarmiere, Lawrence 185 ...... Roca, Lupita 13 ...... Ryan, Craig 148 ...... Saroff, Steven 145 ...... Rockhill, Amy 149 ...... Ryan, Danielle 156,53 ...... Sarraf, Ammar 107,143 ...... Rodrigues, Shwetha 40 ...... Rye, Leslie 131 ...... Sarraj, Ali 60 ...... Rodriguez, Cristelle 153,18,56 ...... Ryee, James 167 ...... Sarrett, David 140 ...... Roelofs, Renae 139,99 S ...... Sartelle, Harry 69 ...... Rogers, Dale 102,108,120,127,1 ...... Sastry, Preeti 21 44,19,40,74 Sattar, John 161 ...... Saba, Leila 60 ...... Rogers, Lloyd 70 Satterfield, Rose 47 ...... Saba, Maryam 156 ...... Rogge, Rod 180 Sauls, Latasha 150 ...... Saba, Ramez 99 ...... Rogowski, David 167 Saunders, Paul 140 ...... Saba, Shadi 161 ...... Rojas, Juan 44 Saunders, Roy 91 ...... Sabet, Shahram 167 ...... Roller, J Daniel 182 Saunders, Steven 187,79 ...... Sabharwal, Aman 13,17 ...... Roller, John 182 Saunders, Victor 187,79 ...... Sabol, George 121,179 ...... Roller, Matthew 159 Savage, Anthony 121,179 ...... Sachdev, Aman 158 ...... Roller, William 148 Savage, Cary 176 ...... Sachno, Erika 24,84 ...... Rolon, Evelyn 1 Savage, Dennis 102,110,122,64 ...... Sachs, Scott 118,163,176,36 ...... Romano, Frank 6,66 Savage, Harry 140 ...... Sachs, Warren 118,163,176,36 ...... Ronis, James 99 Savage, Randolph 176 ...... Sadeddin, Hazim 13,189,6,9,94 ...... Root, Noel 102,110,122,34,64 Savenkova, Svitlana 9 ...... Sadoon, Ihab 21 ...... Roper, Erik 101,106,127,139,1 Sawyer, Shannon 91 ...... Sadr, Lida 18,181 ...... 9,73 Sawyer, Summer 91 ...... Saecker, J 1 ...... Rose, Graham 139 ...... Saxon, Walter 48 Rose, Jennifer 80 ...... Safari, Elham 82 ...... Saxton, Jacob 176,99 ...... Saghir, Riffat 53,67 ...... Rose, Martine 140 ...... Sayeed, Afreen 189,53,60,94 Rosemond, Randall 127 ...... Sagman, Michael 113 ...... Sayyar, Shahreyar 73 ...... Sagun, Marvin 163 ...... Rosenberg, Robert 99 ...... Sbeih, Izzat 99 Rosenblum, Scott 180,38 ...... Said, Masood 156,189 ...... Scarborough, Larry 144 ...... Saif, Mina 186 ...... Rosenblum, Stephen 156,167,53,6,60 ...... Scelfo, Peter 154 Rosenman, Lawrence 156,89 ...... Salari, Marjan 192,68,8 ...... Schaap, Alex 32,79 ...... Salartash, Shahrzad 99 ...... Rosinski, Ashley 87 ...... Schandorff, Mark 63,8 Rosinski, Kenneth 94 ...... Salas, Christopher 128,87,94 ...... Schantz, Cara 14 ...... Saleh, Fadi 15,191 ...... Ross, Edward 102 ...... Scharnhorst, Scott 128 Ross, John 180,39 ...... Saleh, Lara 21,26 ...... Schecht, Wayne 167,53,60 ...... Salem, Muhanad 118,125,176 ...... Ross, Robert 148 ...... Schehl, John 6,99 Ross, Vicki 114 ...... Salerno, James 118,176 ...... Scheider, Phillip 94 ...... Sallen, Bruce 10,129,165,187,22, ...... Rossetti, Michael 140 57,88 ...... Schiff, Ivan 118,163,176,37 ...... Rothman, Jeffrey 7 ...... Salumbides, Josephine 189,60 ...... Schlang, Elliot 99 ...... Rothschild, Kenneth 87 ...... Salyer, Laymon 36 ...... Schleicher, Thomas 44 ...... Rotter, Michael 53,60 ...... Salzberg, Adam 63 ...... Schlensker, Scott 106 ...... Rowe, James 110 ...... Salzberg, Trang 119,164,180,39 ...... Schmitt, Steven 140 ...... Rowe, Samuel 63 ...... Samadnejad, Farshad 6 ...... Schnecker, Dennis 20 ...... Roy, Carl 179,38 ...... Samra, Christina 121 ...... Schneider, Allen 156 ...... Royzenblat, Alexander 111 ...... Sanati, Ardalan 167,82 ...... Schneider, Grant 6 ...... Rubenstein, Loretta 114 ...... Sanchez De Lozada, Mia 23 ...... Schneider, Joseph 24 ...... Rubin, Michael 13 ...... Sanchez Ocasio, Jesus 113,185,41 ...... Schobel, Brian 14 ...... Rubin, Rick 185

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 212 Delta Dental Premier

Schoeb,...... John 32,45 ...... Shan, Ailin 140 ...... Simon, Alexander 106,44,73 ...... Schoenly, Nathan 2,57 ...... Shannon, Andrew 167,99 ...... Simon, Deepa 106,140 ...... Scholl, Leo 121,140 ...... Shannon, Travis 151 ...... Sims, Michael 176 ...... Schonbrun, David 176 ...... Shapiro, Harold 6 ...... Sina, Nahid 157,27,55,68,96 ...... Schroeder, Stephen 121,140 ...... Sharafi, Alireza 161,6 ...... Sinada, Nuthyla 21 ...... Schroer, Michael 185 ...... Shareghi, Shadi 54 ...... Sinclair, Emily 140,67 ...... Schrumpf, Gregory 176 ...... Sharif, Asif 118,125,176,77 ...... Sinclair, John 176 ...... Schultz, Allen 128 ...... Sharif, Sherry 56 ...... Singh, Geetika 54 ...... Schulz, Albert 63 ...... Sharma, Mohit 45,70,94 ...... Singh, Simranjit 82 ...... Schumann, Nancy 185 ...... Sharma, Sumit 131,17 ...... Singleton, John 148 ...... Schuyler, Gary 94 ...... Sharp, Martha 128 ...... Singor, Lauren 118,163,176,37 ...... Schwartz, James 158 ...... Sharpe, Isiah 125 ...... Siragusa , Joseph 77

...... Scott, Annette 6 ...... Sharrock, Michael 37 ...... Sisel, Jeffrey 14 PARTICIPATING PROVIDERS ...... Scott, Jon 119,179,78 ...... Shaw, Christina 131,161 ...... Sittason, Shepherd 91 ...... Scott, Tamasha 113,118,125,176,7 ...... Shea, Thomas 91 ...... Skaff, Victor 169 7 ...... Shearer, Elliot 91 ...... Skinner, Gregory 148 Scroggins, Samuel 151 ...... Shearer, James 97 ...... Skinner, Kevin 26,82,99 Seaburg, Raymond 193 ...... Shearer, Ryan 181 ...... Sklar, Andrew 6 Seals, Ashley 16 ...... Sheikh, Shehzad 161 ...... Skordalakis, Emmanuel 161,168 Sears, Robert 82 ...... Shelburne, Stephen 122 ...... Skrba, Sladjana 118,125,177,77 Seaver, James 22 ...... Shelley, Spencer 121 ...... Slagle, James 122,41 Sedaghatpour, Hashem 23 ...... Shelley, Stephanie 102,111,122,34,64 ...... Slattery, Matthew 113 Sedwick, Richard 159 ...... Sheppard, Corey 148 ...... Slaughter, Kevin 42 Seigel, Harold 60 ...... Sherman, Frank 20 ...... Slaughter, Terry 42 Seiler, Joseph 48 ...... Sherman, Heidi 88 ...... Slepsky, Peter 24,49 Seiler, Kathleen 48 ...... Sherwin, Ted 121,88 ...... Sloat, Inga 167 Sekhon, Navneet 106 ...... Sherwood, Richard 48 ...... Smagalski, Gary 32 Selander, Ann 99 ...... Sheta, Amr 118 ...... Smalls, Ronald 185 Selden, Robert 118 ...... Shetty, Navin 68,74 ...... Smallwood, Anthony 79 Selden, Stephen 101 ...... Shewmaker, Dale 54 ...... Smart, Danielle 67 Selenou-Tema, Alain 6 ...... Shields, Walter 42 ...... Smernoff, Gerald 10 Self, Oscar 176 ...... Shiflet, Harvey 176 ...... Smiley, Christopher 41 Sellers, John 54 ...... Shimeless, Laelaye 149 ...... Smith, Eric 109,113,152,77 Sellers, Vernon 125,164 ...... Shin, Hye 161 ...... Smith, Erin 108,144 Selph, Barney 24 ...... Shin, Leo 14,167 ...... Smith, Hubert 6 Semtner, Monica 148 ...... Shin, Rebecca 182 ...... Smith, Jacqueline 177 Semtner, Robert 148 ...... Shin, Thomas 55,67 ...... Smith, James 91 Sensenbrenner, Diana 131,161 ...... Shingler, Arshia 49,71 ...... Smith, Jessica 140 Sentz, Thomas 181 ...... Shirk, Winfield 24,84 ...... Smith, John 19 Sepahi, Saman 99 ...... Shivar, Walker 119,179,38 ...... Smith, Karl 8 Sethi, Shalini 158 ...... Shojaei, Mariah 11,125 ...... Smith, Kathryn 99 Sevilla, Maria 167 ...... Showalter, Perry 74 ...... Smith, Kenneth 148 Shaafi, Mojgan 54 ...... Shroff, Amisha 60 ...... Smith, Mark 128,47 Shadrin, Blanka 97 ...... Shu, Man 26 ...... Smith, Peter 131,191,24,26,55 Shaeffer, Elizabeth 14 ...... Shuck, Michael 185 ...... Smith, Richard 21 Shafiei, Nikki 189,54,6,60,67,94 ...... Shufford, Earl 44 ...... Smith, Sandra 110 Shah, Advait 94 ...... Shulman, Jeremy 180 ...... Smith, Shaun 114,119,125 Shah, Bijal 87 ...... Sibley, David 54 ...... Smith, Stephanie 177 Shah, Nidhi 122,161,33 ...... Sidhu, Rupinder 87 ...... Smith, Theodore 177 Shah, Ritu 49,71 ...... Sidor, Anna 131,14,189,23,60 ...... Smith, Thomas 118,163,177,37 Shah, Rohini 120,140,44,73 ...... Siegel Gerhard, Claire 41,43 ...... Smith, Timothy 128 Shah, Rupal 140 ...... Silk, Zaher 189,49,6,95 ...... Smith-Kayal, Alisa 118 Shah, Vishal 109 ...... Sill, Laurence 140 ...... Smock, Sherman 110,33,91 Shahram, Shohreh 167 ...... Silloway, Kimberly 131,190,24,26,55 ...... Snow, Kevin 47 Shaia, Paul 101,140 ...... Silverman, Ronald 6 ...... Snow, Wesley 140 Shait, Abraham 145 ...... Silvers, Arthur 47 ...... Snyder, Casey 177 Shakashiro, Randa 71 ...... Silveus, Michael 167 ...... Snyder, Edward 48,97 Shambayati, Sara 11,125,165,80 ...... Simanek, Milan 54 ...... Snyder, James 6 Shami, Imad 55 ...... Simmons, Darian 37 ...... 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 213 Delta Dental Premier

Soh,...... Han 28 ...... Staley, Catherine 8 ...... Summerlin, Jack 163 ...... Sok, Erica 74 ...... Stallings, Eddie 95 ...... Sumner, Lydia 70 ...... Solemaninejad, Homan 14,6,60 ...... Stang, Christine 132,61 ...... Sumner, Timothy 70 ...... Solier, George 6 ...... Stange, F 37 ...... Sun, David 67 ...... Solis, Ricardo 32,79 ...... Stanley, James 90 ...... Sun, Richard 131 ...... Solomon, Albert 37 ...... Stanovick, Paul 101 ...... Sun, Wenhui 70 ...... Solomon, James 32,45 ...... Stansfield, Michael 44 ...... Sundin, Allan 180 ...... Soltani, Jim 26 ...... Staples, Kristina 110,29,89 ...... Supan, Paul 87 ...... Soltani, Shahrokh 14,161 ...... Starley, Eric 186 ...... Sur, Marcus 118,163,177,37 ...... Soltanian, Farshid 110,140,73 ...... Starnes, Nazie 67 ...... Surat, Eric 148 ...... Song, Eunice 148 ...... States, Michael 32 ...... Surendran, Swapna 189,49 ...... Song, Janet 54 ...... Staver, Tatiana 161,85 ...... Sutherland, William 92

...... Song, Michael 167,54 ...... Steadman, Robert 140 ...... Suyes, David 151 PARTICIPATING PROVIDERS ...... Soni, Shweta 79 ...... Steele, Ben 118,77 ...... Svechota-Kingsbury, Bruce 131,17 ...... Sood, Vandana 87 ...... Steger, Carl 153 ...... Svirsky, John 140 ...... Sorenson, Robert 106,91 ...... Steinbach, Boris 60 ...... Swanson, Cristina 95 ...... Sorin, Mark 102,111,122,64 ...... Stelmach, Michelle 77 ...... Swanson, Joshua 158,67 ...... Sotack, Mary 37 ...... Stensland, Steven 185 ...... Sweeney, Christabel 159 ...... Soules, Lana 82 ...... Stenvall, Meghan 185 ...... Sweeney, John 165,54 ...... Sours, Charles 189 ...... Stephens, James 62 ...... Sweeney, Kevin 145 ...... Sours, Elaine 95 ...... Stephens, Matthew 151 ...... Sweeney, Pia 177 ...... Sowan, Jamil 148,42,47,97 ...... Stephens, Nathan 151 ...... Sweeney, Richard 125 ...... Sowers, Steven 148 ...... Stephenson, John 9 ...... Sweiry, Eli 177 ...... Soyfer, Vladimir 54 ...... Stephenson, Kesha 8 ...... Swenson, Kevin 49 ...... Spain, Murray 118,177 ...... Sterling, Arden 140 ...... Swett, David 32 ...... Spainhour, Stephen 140 ...... Stermer, George 97 ...... Swett, Rebecca 32 ...... Spalding, Harry 64 ...... Stern, Frederick 191 ...... Swiger, Ralph 87 ...... Spano, Brad 32 ...... Stern, Richard 24,27 ...... Swisher, Charles 32 ...... Sparks, Sarah 106,120,127 ...... Sterne, Richard 63 ...... Syed, Chand 193 ...... Spaur, Ernest 127 ...... Stevenson, Pretlow 125 ...... Synnott, Scott 132 ...... Spears, Brian 19 ...... Stewart, Henry 140 ...... Szakaly, Brian 152,38 ...... Spears, Melanie 108,127,144,40 ...... Stewart, Jennifer 14,167,60,82 ...... Szubiak, Stanislaw 141,44,73 ...... Spechler, Jerome 6 ...... Stewart, Timothy 140 T ...... Speegle, John 185 ...... Stiebel, William 159 Speicher, Mary 23,70 Stockburger, Daniel 114 ...... Ta, Adam 8 Spence, Jeffrey 121 Stoner, Kenneth 140 ...... Tabor, Christian 73 Spence, Teddy 41 Storm, Matthew 67 ...... Tabor, William 118,77 Spence, Terry 49 Stout, Michael 182 ...... Tadros, Amear 126 Spencer-Fuller, Joy 87 Strange, Robert 87 ...... Tafo-Tabue, Hendrick 106 Sperling-Habot, Keren 122,16,162,168,27, Straus, Frank 140 ...... Taheri, Bruce 161,189,6,95 41,56,75,96 Strauss, Robert 143 ...... Tahim, Geetika 82 ...... Spillers, Ronald 109,42,63,79 Strauss, Zachary 101 ...... Tahmasebi-Boldaji, Jila 46,60 ...... Spitzer, Jay 140 Strickland, Frank 87 ...... Tailor, Priya 141,44,67 ...... Spitzer, Timothy 189,23,28,6 Stringham, Matthew 54 ...... Tajalli, Flora 82 ...... Spory, Philip 84 Stringham, William 54 ...... Talaksi, Ruksana 27 ...... Sprague, Patrick 89 Strittmatter, Edward 25 ...... Taliaferro, Richard 159 ...... Spraker, Michael 150 Stuart, Katherine 151 ...... Talton, John 141 ...... Springmann, Sebastiana 185 Stubblefield, Margaret 22 ...... Tam, Amy 37 ...... Sprinkle, Grant 151 Stubbs, Julie 122 ...... Tamhankar, Nisha 14 ...... Spruill, David 38 Stubbs, Paul 122 ...... Tami, Richard 192 ...... Spurrier, Bryan 48 Stump, Aaron 193,33 ...... Tamkin, Lewis 79 ...... Sriram, Kanaka 167 Stump, Lauren 150,32 ...... Tanguilig-Thomas, Elizabeth 37 ...... St George, Susan 67 Subramanian, Deepa 87,95 ...... Tankersley, Kenneth 114,77,79 ...... St Louis, Stephen 54 Suh, Brian 165 ...... Tao-Yi, Sonia 114 ...... Staas, Jennifer 140 Suk, Minjeong 161,54 ...... Tapp-Reid, Donnamaria 78 ...... Stack, Hollie 167 Suk, Sun 49,82 ...... Tarasidis, Vera 141 ...... Stafford, David 34,47 Sullivan, Kit 106,120,127,40 ...... Tari, Kianoush 128 ...... Stafford, Matthew 140,44,83 Sultan, Ayesha 95 ...... Tate, Carter 42 ...... Staggers, Julie 186 Sultanzada, Yama 156,189 ...... 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

Tavakkoli,...... Kambiz 189,6 ...... Tisdelle, George 32 ...... Trudeau, Michael 162 ...... Tavakkoli, Kamran 189,6 ...... Tisseront, Stephan 132 ...... Truitt, John 102 ...... Tavassoli, Amir 141 ...... To, Bryant 29 ...... Truong, Kevin 69 ...... Taylor, Alan 163 ...... Todd, Patrick 150 ...... Truong, Quynhmai 44 ...... Taylor, Donald 123 ...... Todd, Stephen 141 ...... Truong, Thanh Huong 61 ...... Taylor, Ellis 32 ...... Tolba, Mostafa 157,159,165,2,50,5 ...... Truong, Tina 7 ...... Taylor, Emery 42,45,63 7,98 ...... Truvan, Danny 29 Tolson, Ronald 6 ...... Taylor, Gary 125 ...... Tsai, Chih-Ping 181,190,54,67,7,70 Tomaselli, Philip 23 ...... Taylor, James 141 ...... ,82,89,95 Tomchik, Jayme 177 Tsai, I-Tang 153 ...... Taylor, Russell 123 ...... Tomoda, Matthew 20 Tsai, Jack 7 ...... Taylor, Ryan 156 ...... Toms, Kevin 24 Tsang, David 131 ...... Taylor, Thomas 164 ......

Toms, Michelle 158 Tsui, Nathan 7 PARTICIPATING PROVIDERS ...... Tebbenkamp, Justin 20,42 ...... Ton, Amy 131 Tudor, Cynthia 181 ...... Techapanit, Chantarat 14,150,167,29 ...... Ton, April 23 Tufekci, Eser 144 ...... Tehrani, Negar 100 ...... Ton, Theresa 29 Tuggle, William 118 ...... Temburni, Amarjeet 60 ...... Toney, Tyler 1,71 Tummarello, Mark 54 ...... Templeton, David 71 ...... Toone, Gregory 91 Tung, Pariana 156,61 ...... Terango, Larry 95 ...... Torma, Audrey 23 Tupman, S 156,89 ...... Ternisky, Cris 100 ...... Torrey, Edwin 67 Turck, Michael 37 ...... Terrill, David 68 ...... Townes, Kimberly 7 Turnage, Neil 101,106,127,141,1 ...... Terry, Ronald 150 ...... Townsend, David 96 9,73 ...... Terwilliger, Gayle 152 ...... Toyer, April 192 ...... Turner, Randolph 21,42 ...... Testerman, Edward 159 ...... Toyer, Leonard 190 ...... Tyler, Michael 91 ...... Thammineni, Kishore 186 ...... Trabosh, Jon 49 ...... Thariani, Hani 15,82 ...... U Traboulsi, Georges 192,56,8,96 ...... Theberge, Daniel 131,191,24,26,55 ...... Trahos, Michael 109 ...... Thekkethottiyil, Georgea 73 ...... Ullrich, Courtney 18 Trahos, Norman 109,7 ...... Thews, Scott 106 ...... Ullrich, John 87 Tran, Allie 60 ...... Thlick, Su-En 190,89 ...... Unkel, John 145 Tran, An 54 ...... Thomas, Bennett 37 ...... Unterbrink, Denise 42 Tran, Anh 40,41,8 ...... Thomas, Charles 144 ...... Uppalapati, Sindhura 190 Tran, Annah 54 ...... Thomas, Ken 162 ...... Upshur, Conway 141 Tran, Bernard 161 ...... Thomas, Marvette 85 ...... Urban, David 61 Tran, Britnie 114,118,125,177,7 ...... Thomas, Stephen 162 ...... Urquiaga, Claudio 29 7 ...... Thomas, Susan 141 ...... Urteaga, Jair 14,95 ...... Tran, Hoang-Oanh 60 ...... Thomas, William 156,33 ...... Usman, Malik 82 ...... Tran, Jade 61 ...... Thomason, Edward 141 ...... Usnick, Janice 49 ...... Tran, Julie 7 ...... Thomas-Webb, Sonya 37 ...... Utterback, Bruce 118,125,177,77 ...... Tran, Keri 190,7 ...... Thompson, Andrew 167 V ...... Tran, Linh 9 ...... Thompson, Brian 1,192,71,97 ...... Tran, Minh-Duc 57,61 ...... Thompson, Damon 20 ...... Vacca, Richard 106 ...... Tran, My 49,71,8 ...... Thompson, Daniel 20 ...... Vaccaro, Thomas 54 ...... Tran, Myvan 7 ...... Thompson, Harper 151,73 ...... Vacendak, Daniel 37 ...... Tran, Quang 156,54 ...... Thompson, Harvey 64 ...... Vacendak, Sheila 37 ...... Tran, Thoai-Lan 100,126,191,27 ...... Thompson, Jack 121,74 ...... Vagnetti, Mark 30 ...... Tran, Tricia 10,27 ...... Thompson, K 153 ...... Vahab, Philip 27,71,82 ...... Tran, Vinh 190,61 ...... Thompson, Matthew 183 ...... Vahdani, Thomas 141 ...... Tratensek, Karen 168,75 ...... Thompson, William 41 ...... Vakay, Rena 26,80 ...... Trawick, Donald 106 ...... Thomson, Shibu 45 ...... Valdivieso, Gino 95 ...... Treff, David 24 ...... Thornton, William 64 ...... Valleru, Silvija 153,190 ...... Trent, Faith 106 ...... Thorpe, Jeffrey 132,92 ...... Valltos, Rachael 61 ...... Tricker, Nathaniel 33,45 ...... Throckmorton, David 177 ...... Vamaraju, Bindu 29,54,82 ...... Trieu, Hai 61 ...... Throckmorton, Dennis 192 ...... Van Scyoc, Chad 141 ...... Trimmer, William 111 ...... Throckmorton, Maria 177 ...... Van Slooten, Brian 14 ...... Trinh, Huy 55 ...... Thurston, Christopher 1,71 ...... Van, Nicole 100 ...... Trinh, Phuong 167,26,70 ...... Thweatt, Bradford 151 ...... Vandervort, Gene 18,87 ...... Trivedi, Kalpana 54 ...... Tibbs, Vicki 128 ...... Vangilder, James 129,21 ...... Trolenberg, William 114 ...... Tiesworth, Daniel 141 ...... Varanelli, Franklin 186 ...... Trotter, Bradley 122,40,83 ...... Tingling, Flavia 15,89 ...... Vargas, Lida 54 ...... 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 215 Delta Dental Premier

Varkey,...... George 106,44,73 ...... Walker, Thomas 90 ...... White, Allen 177 ...... Varney, Sandra 87 ...... Wall, Jesse 47 ...... White, Brandon 149,150 ...... Vasey, Eric 190 ...... Wallace, David 21 ...... White, Calvin 193 ...... Vatanka, Heidi 62,8 ...... Wallace, James 107,143 ...... White, Edwin 151 ...... Vaughan, Dennis 129 ...... Waller, Carter 64 ...... White, Jay 7 ...... Vaughan, Gary 88 ...... Walls, William 37 ...... White, Julie 149 ...... Vaughan, Keith 193 ...... Walrod, John 97 ...... White, Karen 26 ...... Vaughn, Paris 190 ...... Walsh, Eugenia 89 ...... White, Linda 95 ...... Vega, Oscar 32,92 ...... Walther, William 181 ...... White, Robert 129 ...... Velander, Breanna 48 ...... Walton, Guy 84 ...... White, Terryl 161 ...... Vellanki, Swati 67 ...... Wang, Alice 7 ...... White, William 91 ...... Vellucci, Jessica 106 ...... Wang, Peng 14,54 ...... Whitman, Kime 120,141

...... Vendetti, Curtis 178 ...... Wang, Qin 44 ...... Whitmer, Gregory 32 PARTICIPATING PROVIDERS ...... Venne, Marko 114 ...... Wang, Richard 131,186,191 ...... Whitney, James 79 ...... Vera-Lopez, Karina 190,29 ...... Wang, William 10,89 ...... Whittington, Richard 167 ...... Vernon, J 44 ...... Waqar, Rukhsana 61 ...... Whynott, Christopher 150,32 ...... Vess, Freemont 46 ...... Ward, Christine 40 ...... Whyte, Michael 185 ...... Vessali, Mojdeh 82 ...... Ward, Christopher 106,120,127 ...... Wicker, Marybeth 107,120,127 ...... Vigliante, Craig 87 ...... Ward, Gloria 121,141 ...... Wiger, John 126 ...... Vild, Diann 67 ...... Ward, Scott 148,46 ...... Wiggins, Benjamin 125 ...... Villa, Richard 74 ...... Wartofsky, Ariel 193 ...... Wilby, Lyla Rose 101,141 ...... Villalba, Patricia 141,148 ...... Waterman, Jennifer 177 ...... Wilhelm, Miles 33,45,68 ...... Villarroel-Soto, Claudia 100,17 ...... Watkins, James 77 ...... Wilkerson-Cox, Sherri 64 ...... Villasis, Juan 193,37 ...... Watson, Benjamin 114 ...... Wilkinson, Claude 141 ...... Villavicencio, Olmedo 10 ...... Watson, Damon 102,107,143,152,7 ...... Wilkinson, David 141 ...... Villier, Donald 110 3 ...... Willhide, John 67 Watson, Ethel 156 ...... Vinson, Alexa 141,150,19 ...... Williams, Adam 149,46 Watson, James 118 ...... Visser, Britt 121,179 ...... Williams, Daniel 77 Watts, Jasper 77 ...... Vitsky, Paul 68 ...... Williams, Jeffrey 107 Way, William 141 ...... Vlasek, Natalie 181 ...... Williams, Jon 7 Way-Rodriguez, Jorge 158,190,67,95 ...... Vo, Brittany 167 ...... Williams, Kristen 14 Weaver, Yolonda 54 ...... Vo, Duy 14 ...... Williams, M Kurt 89 Webb, James 83 ...... Vogt, Nathan 79 ...... Williams, Nahee 157 Webb, Michael 145,40 ...... Volkova, Irina 101,110,122,141,1 ...... Williams, Suzanne 7 Webber, Caroline 164,178,38 83,185,44,83 ...... Williams, Tiffany 141,145 Voorhees Husson, Marni 164,179,38 Webber, Terrence 107 ...... Williams, Vernon 158,67 Vorchheimer, Roger 23 Weiler, Michael 79 ...... Williamson, M 154 Voth, Stephanie 102,109,120,127,1 Weinstein, Lee 118,163,177,37 ...... Willis, James 156,23,42,45,63,89 45,19,40,74 Weis, Barton 33 ...... Willis, Julian 114,37 ...... Vranas, Ronald 111,132 Weis, Morgan 125,180,39 ...... Willoughby, John 84 ...... Vroom, Katherine 10 Weisberg, Arnold 37 ...... Willoughby, Tasha 67 ...... Vu, Bao 62 Weisberg, Barclay 37 ...... Wilmer, Sarah 40,92 ...... Vu, Cindy 161 Weisberg, Edward 118 ...... Wilson, Adrian 8 ...... Vu, Duy-Anh 14,29 Weiss, Barry 141 ...... Wilson, James 97 ...... Vu, John 7 Weiss, Hilary 56,82 ...... Wilson, Joseph 125 ...... Vu, Khai 167 Weld, Georgia 159 ...... Wilson, Lois 100,82 ...... Vu, Tuan 17 Welstead, Llewellyn 87 ...... Wilson, Lori 122 Wendell, Bryan 185,193 W ...... Wilson, Natasha 118,125,141,177 Wendell, Peter 185 ...... Wilson, Robert 182 Wentz, Willard 48 ...... Wade, Frank 141 ...... Wilson, Sarah 151,169 Werner, Alyssa 87 ...... Wade, Timothy 183 ...... Wilson-Hartman, Melanie 23 Wernick, Robert 177 ...... Wadhwa, Puneet 180 ...... Wiltbank, Bradley 100 West, Charles 8 ...... Wagman, Jeffrey 7 ...... Wiltshire, Curtis 108,144,74 West, L 185 ...... Waitkus, Alexander 179,78 ...... Winberg, Tierney 16 Westover, Austin 186 ...... Wakefield, Keri 89 ...... Wingfield, William 84 Westover, Mitra 186 ...... Walerko, Philp 20 ...... Winkler, Mark 156 Wexel, Walter 179,38,78 ...... Wali, Sofiya 54,7 ...... Winneberger, Walter 185 Wheeler, Kyle 63 ...... Walker, David 185 ...... Wisniewski, John 100,132 Wheeler, Steven 110 ...... Walker, Michael 90 ...... 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 216 Delta Dental Premier

Witcher,...... Gordon 40 ...... Yang, Ximin 100 ...... Zamora -Rojas, Carla 7 ...... Witte, Ernest 119 ...... Yann, Borarath 95 ...... Zand, Taraneh 49,82 ...... Witty, Thomas 114 ...... Yann, Borin 7 ...... Zapatero, Dag 177 ...... Wlodawsky, Ross 102,107,143,152,7 ...... Yaqui, Luis 158,190,49,80 ...... Zapf, Michael 95 3 ...... Yavrom, Monica 96 ...... Zarei, Maryam 102,73 Wojcik, Rose 161,26 ...... Yazdani, Forough 167 ...... Zarookian, Armen 156,82 Wolcott, Hollis 164 ...... Yeager, Daniel 91 ...... Zarrinfar, Allen 128 Wolf, Rudolf 20 ...... Yeager, Victoria 91 ...... Zaun, Phillip 102 Wolfe, Barry 149 ...... Yeargan, Jody 32 ...... Zavislak, Robert 67 Wolfe, John 32 ...... Yedigarian, Rouben 97 ...... Zebarth, Stephen 186 Wolfe, Melissa 159,32 ...... Yeh, Frank 178,38 ...... Zeiaei-Nafchi, Saeid 153,190 Wolpin, Scott 102,111,122,64 ...... Yeh, Paul 118,163,177,37 ...... Zeidler, Dennis 107

Wolters, Dwayne 79 PARTICIPATING PROVIDERS ...... Yelamanchi, Chetan 57,88 ...... Zelazny, Lloyd 73 Won, Jennifer 186 ...... Yeo, Mike 29 ...... Zeno, Allan 119 Wong, Dennis 102,107,141,73 ...... Yi, Amanda 54 ...... Zentgraf, Ralph 107 Wong, Jonathan 177 ...... Yi, Chang 100,54 ...... Zhang, Jinghua 100 Wong, Joshua 107,120 ...... Yi, John 14,26,87 ...... Zhu, Tingting 54 Woo, Gene 61 ...... Yi, Peter 144,191,71,96 ...... Zhu, Xinsheng 29,49 Woo, Jansen 14 ...... Yi, Tyler 131,54 ...... Zia, Asma 100 Woo, Valerie 18 ...... Ykeda, Cecilia 156 ...... Zier, Tara 23,55,7 Wood, Bryan 7 ...... Yoda, Kyoko 149 ...... Zima, Andrew 102,62,84 Wood, Leighton 22 ...... Yoo, Young 190 ...... Zimmer, Andrew 177 Wood, Patricia 18,26,88 ...... Yoon, David 156 ...... Zirnstein, Anh 109 Wood, Roger 109 ...... Yoon, Heather 42 ...... Zoghby, Gregg 108,143 Wood, William 80 ...... Yoon, Jae 54 ...... Zopp, Bryan 181 Woodard, Monica 119,164,38 ...... Yoon, Jaewon 26 ...... Zubairi, Sadia 61,82 Woodard, Thomas 119,38 ...... Yoon, Jangyeul 54 ...... Zurmati, Farid 57 Wooddell, Carol 24 ...... Yoon, Seung 10 Wooddell, John 10 ...... Yorgey, Kenneth 128 Woodlock, Krista 177 ...... Young, Brenda 54 Woodruff, Harvey 80 ...... Young, Glenn 128 Woods, Hunter 192,71,97 ...... Young, Lynette 177 Woodside, Jason 181 ...... Young, M 141 Woodside, Jennifer 182 ...... Young, Marcus 114,77 Woolfolk, Royce 141 ...... Young, Mark 32 Woolwine, Samuel 91 ...... Young, Raymond 156,54 Workie, Daniel 141,149,42 ...... Young, Stephen 141 Wortman, Michael 156,7 ...... Younoszai, Abraham 100 Wozniak, David 132,90 ...... Yousefi, Ashkan 190,67 Wray, Henry 14 ...... Yu, Fan 54 Wray, Ronald 97 ...... Yu, Sang Hun 114,118,125,152,1 ...... Wright, Charles 37 77,77 ...... Wright, D 149 ...... Yung, Stefanie 177 ...... Wright, Rita 190 ...... Yung, Susan 181 ...... Wright, Thomas 141 Z ...... Wryter, Juliet 149,186,61 Wu, Linda 14 ...... Zacko, George 131 Wunsch, Patrice 145 ...... Zadeh, David 14,167 Wyatt, Patrick 114 ...... Zadeh, Hugh 10,191 Wynkoop, Todd 84 ...... Zagursky, Peter 121,164,178,38 X ...... Zahir, Shabana 177 ...... Zainul Abedeen, Anas 142,44,67 ...... Xia, Joyce 161 ...... Zakhour, Hiba 167 Y ...... Zaki, Tarek 179 ...... Zak-Ramsay, Heather 163 Zale, Daniel 110 ...... Yaghmai, Pedram 131,24,27 ...... Zalewsky, Justin 159,8 ...... Yalamanchili, Padmaja 54 ...... Zamakhchari, Mai 157,56 ...... Yandle, David 127 ...... Zamani, Amir 14 ...... Yang, Hui 42 ......

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 ...... Hunt, Michael 145 ...... Schoenly, Nathan 2,57 ...... Johnson, Gary 165 ...... Shambayati, Sara 11,125,165,80 ...... Johnson, Horace 129,154 ...... Shojaei, Mariah 11,125 ...... Acosta, Rafael 24,50,92 ...... Jordan, Kalisha 183 ...... Siegel Gerhard, Claire 41,43 ...... Alexander, Sasha 165 ...... Kenee, David 78 ...... Stanley, James 90 ...... Amodio, Tiffany 169,34 ...... Kessler, Joel 1,187,50 ...... Strittmatter, Edward 25 ...... Ankrum, Matthew 20 ...... King, Thomas 132 ...... Suh, Brian 165 ...... Asghar, Irfan 10,129,187,22,57 ...... Kotler, Lawrence 1 ...... Thompson, Matthew 183 ...... Bagby, Robin 145 ...... Krause, Trisha 132 ...... Thorpe, Jeffrey 92 ...... Bailey, Jeffrey 169 ...... Kyu, Pye 34 ...... Tolba, Mostafa 157,159,165,2,50,5 ...... Barbieri, Steven 111,132 7,98 Bernier-Rodriguez, Joseph 169 ...... Lanctot, Sloan 129,154 ...... Trimmer, William 111 Besner, Edward 129,154 ...... Lanier, Leander 20 ...... Trudeau, Michael 162 ...... Lawson, Sean 145 ...... PARTICIPATING PROVIDERS ...... Bhagchandani, Sanjay 132 ...... Lee, Brian 1,129,16,27 ...... Vagnetti, Mark 30 ...... Bidgoli, Rashin 159 ...... Lee, Eun 10 ...... Vranas, Ronald 111,132 ...... Black, Samuel 128,89 ...... Lee, H Vivian 1,80 ...... Walker, Michael 90 ...... Bramwell, John 129,154 ...... Lee, Joseph 16 ...... Walker, Thomas 90 ...... Burns, Donna 103 ...... Leff, Gary 10,129,187,22,57 ...... Winberg, Tierney 16 ...... Bussey, Kelly 169,34 ...... Liewehr, Frederick 16,27,43,64 ...... Wisniewski, John 100,132 ...... Bussey, William 169,34 ...... Mahajan, Sushant 45 ...... Wozniak, David 132,90 ...... Canby, Frederick 85 ...... Martin, Justin 169 ...... Wynkoop, Todd 84 ...... Castro, Elbalila 16 ...... Martinez, Harold 111,132 ...... Yelamanchi, Chetan 57,88 ...... Chamberlian, Thaddeus 111 ...... Matri, Ahmed 20 ...... Chau, James 169 ...... Mayerchak, Michael 146 GENERAL DENTIST ...... Cheron, Robert 10 ...... Mayo, Chester 169 ...... Choby, Mary 165 ...... Mckearney, Robert 78 Abbott, Jeryl 103 ...... Chun, Edward 98 ...... Meares, William 169 Abdelrazek, Jailan 125 ...... Citron, Albert 165 ...... Merian, Robert 150 Abdelwahab, Tamer 92 ...... Coon, David 29 ...... Mesaros, Samuel 46 Abdirahman, Hassanoor 187 ...... Dellork, Richard 165 ...... Meza, Fernando 1 Abdoun, Ezzat 68 ...... Demayo, Thomas 169 ...... Mills, Cordelia 159,187,85,88 Abdul-Nabi, Anwar 133 ...... Detar, Matthew 129,92 ...... Morris, Michael 146 Abel, Anna 125,16 ...... Djeu, S Grace 1,27 ...... Myers, Garry 132 Abel, Jason 25 ...... Dodson, William 111 ...... Nesbitt, Paula 111,115,123,169,75 Abinader, Nantadla 154,50 ...... Dollard, Wayne 129 ...... ,98 Domark, Jeffrey 162 ...... Aboulhosn-Sangid, Maher 11,2 ...... Ngo, Tu-Son 1,27 Dongell, Diana 1,57 ...... Aboulkhair, Mostafa 50 ...... Nguyen, Tu-Quynh 10,129,165,187,22, Ehreth, John 181,92 ...... Abousy, Sawsan 154,165 ...... 57,88 Elattrache, Dean 169 ...... Abraham, Ruth 169 ...... Oertel, Ellen 41,43 ...... Abrahams, Rodney 164 ...... Engel, Gregory 169 ...... Ogden, Christine 169 Fabio, Michael 129 ...... Abramov, Yuriy 133 ...... Oltra Esplugues, Enrique 103,18,71 ...... Abreu Fuerte, Orlando 41 ...... Feimster, Tawana 10,80 ...... Overton, Bruce 103 Fein, Joshua 129,154,50 ...... Abrol, Malini 153 ...... Packer, Gardiner 103,132 ...... Abtahi, Narjes 85 ...... Finkler, Timothy 111,132 ...... Pagan, Robert 45,64 Forte, Steven 111 ...... Abualsoud, Arwa 133,75 ...... Palmieri, David 1,57 ...... Abuhajleh, Omar 133,71 ...... Gambrel, Madelyn 111,132 ...... Patel, Jayesh 50 Gerard, Scott 41,42 ...... Ackerman, Jeffrey 2 ...... Patel, Loken 1 ...... Adam-Eldien, Ashraf 115,123,2,57 ...... Golian, Timothy 50 ...... Patel, Pratik 129,159,187,50 Gray, Richard 103 ...... Adams, Courtney 133 ...... Patil, Sudha 45 ...... Adams, Danny 85 ...... Grover, Robert 30 ...... Peron, Louis 34 Hake, Terry 183 ...... Adams, Kathleen 159 ...... Piccinino, Michael 129,92 ...... Adams, Lauren 120 ...... Harris, Jesse 100 ...... Pichardo, Michael 69 Hebertson, Mark 64 ...... Adams, Michael 46 ...... Pollock, Richard 10,129,187,22,57 ...... Adams, Mona 11 ...... Helleberg, John 30 ...... Portell, Frank 1,129,154,57 Herring, Carolyn 62 ...... Adams, Peter 169,34 ...... Replogle, Karan 132 ...... Adams, William 133 ...... Hockett, Jeffrey 111 ...... Reynolds, Dustin 89 Holbert, Paige 103 ...... Adeeb, Ayman 185,68 ...... Royzenblat, Alexander 111 ...... Adeshara, Karishma 111,115,123,169,75 ...... Hong, Charlie 10,50 ...... Russell, Gregory 10 Horspool, Bryan 111,183 ...... Adi, Najib 69 ...... Russo-Revand, Jessica 2 ...... Adili, Mehdi 11,98 ...... Hsu, Yu Kai 1,27 ...... Sallen, Bruce 10,129,165,187,22, ...... Adkins, Charles 62 ...... Huang, Tong-Yen 1,27 57,88 ...... 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 218 Delta Dental Premier

...... Adler, Molly 133 ...... Amburgey, Steven 41 ...... Austin, Keith 90 ...... Afsahi, Aram 64,92 ...... Amirsayafi, Payam 157,50,78 ...... Avakian, Gary 2 ...... Agapis, Tony 39 ...... Amoah, Emmanuel 111,75 ...... Aviles, Francisco 115 ...... Aghaee, Ali 159 ...... Amos, Robert 185 ...... Avin, Hamid 159 ...... Agrawal, Nitin 111,115,133,185,41 ...... Amouhashem, Parvin 57 ...... Avin, Maryam 159 ,57,64 ...... Anama, Steven 146 ...... Avram, Adrian 133,83 ...... Aguilar Garcia, Wilson 154 ...... Ananthasekar, Rajalakshmi 57 ...... Awadzi, Gerald 181,2,64,92 ...... Agullana, Sheila 187 ...... Anderson, Benjamin 115,162,170,34 ...... Ayati, Marjun 50 ...... Ahmad, Ameera 115,123,133,169,57 ...... Anderson, Bradley 72 ...... Ayers, Charles 97 ...... Ahmad, Farah 57 ...... Anderson, Erika 11,22 ...... Ayers, Lawrence 69 ...... Ahmad, Imaney 57,80 ...... Anderson, J 170 ...... Aylor, Scott 45 ...... Ahmadian, Hossein 11,187 ...... Anderson, Joan 78 ...... Ayoubi, Iman 80 ...... Ahmadiyar, Sasan 157,187,64,92 Anderson, Joshua 157,187,57,64,92 Azmoudeh, Roxanne 16 ...... PARTICIPATING PROVIDERS ...... Ahmadzada, Zia 25 ...... Anderson, Paul 111 ...... Babiec, Daniel 2 ...... Ahmed, Gaafar 92 ...... Anderson, Tyson 103,98 ...... Babik, Majd 72 ...... Ahmed, Mohamed 43,71 ...... Anderson-Kimble, Janie 90 ...... Babington, David 28 ...... Ahmed, Sadaf 133 ...... Andre, John 72,89 ...... Babington, William 28 ...... Ahmed, Seema 2 ...... Angus, Frank 103 ...... Babu, Sridevi 11,50 ...... Ahmed, Shabrez 27,45 ...... Angus, Lee 103 ...... Bach, Melanie 39 ...... Ahmed, Syed 133,146,44 ...... Angus, Rebecca 103 ...... Bachas, Ted 162 ...... Ahrabi, Abbas 120 ...... Angus, William 103 ...... Bachour, Maya 16,86,98 ...... Ajandeh, Sean 96 ...... Anjum, Shazia 92 ...... Badipour, Mana 165 ...... Akeel, Ed 30 ...... Ankrum, Michael 122,20 ...... Bagheri, Desiree 30 ...... Akinbi, Folake 50 ...... Anoushfar, Scheherazad 129 ...... Bahrami, Baharak 11 ...... Akmal, Omer 165 ...... Ansari, Uzma 126 ...... Baicy, Sarah 80 ...... Akrami, Forough 187,22 ...... Anthony, Richard 20 ...... Baier, Richard 152 ...... Alachnowicz, J 48 ...... Antinopoulos, Peter 133 ...... Bailey, Anthony 19 ...... Alathari, Humam 159,187 ...... Apana, Alesia 9 ...... Bailey, Davina 133,146,43,64 ...... Alathari, Zina 159,187 ...... Aponte, Alexandra 57 ...... Bailey, Ryan 64 ...... Alayssami, Mazin 153,154,157,159,16 ...... Aponte, Carlos 69 ...... Bailey, Stephen 152 5,2,80,9 ...... Appleby, Peter 103,119,39 ...... Bajaj, Smriti 100,72 Albarq, Eyad 165 ...... Arafa, Mohamed 64 ...... Bajwa, Preet 129 Alcantara, Christian 50 ...... Arango, Ana 111,2 ...... Baker, James 34 Alcorn, Elizabeth 30 ...... Arbabi, Sheila 50,57 ...... Baker, John 115 Alderman, Douglas 129,16 ...... Arbuckle, Eric 11 ...... Baker, Sherry 80 Aldred, Matthew 109,39 ...... Ardila Gaitan, Claudia 2 ...... Bakhtyari, Farshad 120 Alemayehu, Amen 115,162,170,34 ...... Argentieri, Robert 154 ...... Balderson, Chelsea 57 Alexander, Brian 149 ...... Arian, Bahram 57 ...... Balian, Alexander 64 Alexander, David 75 ...... Ariani, Mehran 165,50 ...... Balino, Celeste 2,34 Alexander, Robert 74 ...... Armellini, Debora 92 ...... Ball, Julie 170 Alhrashi, Fadi 57 ...... Armentrout, Nadia 127,16,69 ...... Ball, Mark 83 Ali, Talib 86 ...... Armentrout, William 109,110,133 ...... Ball, Shari 80 Al-Karagholi, Mustafa 57,64,80,92 ...... Armour, William 152 ...... Ball, Tyler 133 Alkilani, Tawfiq 133,43 ...... Arnaudin, Richard 170 ...... Baluyut, Amy 123 Alkishtaini, Maha 154,50 ...... Arnold, William 21 ...... Bambrey, Dina 16 Allara, Jack 146 ...... Arria, Adam 86 ...... Banavar, Rohini 50 Allaymouni, Mhd Amer 146,43 ...... Artis, Asha 115,162,170,34 ...... Bang, Jeffrey 159 Allen, Brandon 133 ...... Artzer, Mark 111 ...... Banks, Robert 146 Allen, Camille 64 ...... Arvan, Nickolas 64 ...... Banzon, Marie 165 Allen, Dandridge 20 ...... Asam, Stephen 34 ...... Baradaran, Ebrahim 110,20 Allen, Mary Disa 146 ...... Asgari, Navid 154,2 ...... Barakat, Dany 165 Allen, Shanail 111,192 ...... Ashby, Courtney 121,129,45 ...... Barakat, Hisham 126,165,50 Allison, William 181 ...... Ashmawy, Tarek 182,45,89 ...... Barbato, Isabel 133 Allred, Kevin 20 ...... Ashouripour, Darioush 16,2 ...... Barberio, Frank 30 Almzayyen, Mohammed 146,2 ...... Ashtakala, Charanpreet 187 ...... Barbour, Nicole 122 Alperin, Lori 123 ...... Ashton, Gary 86 ...... Barbour, Robert 34 Alriq, Hosam 98 ...... Assar, Shawdi 80 ...... Barekzi, Nassir 129,50 Al-Samir, Zaid 133 ...... Atherton, Kimberlyn 20 ...... Barlow, Miljenka 154 Altememi, Nadine 150,165,28 ...... Attia, Mohamed 115,2 ...... Barnwell, Velma 111 Althouse, Elliott 123 ...... Attreed, Elizabeth 157 ...... Barrett, Charles 103 Aman, Mohammad 86 ...... Aunon, Jose 25 ...... 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 219 Delta Dental Premier

...... Barrett, Marc 75 ...... Bhide, Satyajeet 129,16 ...... Boyle, John 100 ...... Barrick, John 90 ...... Bhullar, Rajinder 2 ...... Boyle, Kimberly 100 ...... Barton, Daniel 170 ...... Bhushan, Sarita 8 ...... Boyles, John 159 ...... Barzgar, Artin 187 ...... Bickers, Duane 30 ...... Bozman, Jenny 34 ...... Basa, Emoke 88 ...... Bielawski, Robert 146 ...... Brabson, Anita 111,123,170 ...... Bass, Jay 20,41 ...... Biery, Kathryn 78 ...... Bracken, Monleudy 115,123,162 ...... Bassiri, Michael 50,69 ...... Bigelow, Gilbert 123,75 ...... Bradley, Brenda 134 ...... Batchelor, Caitlin 78,98 ...... Bigelow, Robert 133 ...... Bradley, Jeannene 146 ...... Bates, Richard 43 ...... Biggers, Hood 103 ...... Bradley, Stephen 165 ...... Batistas, Theo 69,96 ...... Billingsley, Cheryl 133 ...... Bradshaw, J 162 ...... Baum, James 133 ...... Binder, Joshua 90 ...... Bradshaw, James 21 ...... Baum, Philip 83 ...... Bird, Eliot 19 ...... Brajdic, David 146 Bawa, Anoop 25,92 Birkitt, Cary 86 Brandt, Jason 187 ...... PARTICIPATING PROVIDERS ...... Bawa, Rajdeep 25,92 ...... Birsch, Frederick 123 ...... Brandt, Kathryn 30 ...... Baxi, Fairy 181,25,45,64 ...... Bischoff, Robert 133 ...... Brar, Kanwarjit 134,75 ...... Bay, Wolfgang 170 ...... Biscombe, Terrence 92 ...... Brar, Premjeet 111,115,123,170,34 ...... Bays, Thomas 132 ...... Bisson, Ruby 92 ,75 ...... Beabout, Kristen 133 ...... Bittler, Scott 103 ...... Braunfeld, Joel 187 ...... Beam, David 39 ...... Bittner, Randall 170 ...... Bredologos, Stelianos 170 ...... Bearley, Daniel 30 ...... Black, Anthony 80,86 ...... Breeden, A 45 ...... Beatty, Hannah 98 ...... Black, David 169 ...... Breeden, Timothy 41 ...... Beck, David 133 ...... Blackburn, Jeff 103 ...... Breen, April 29 ...... Becker, Adam 34 ...... Blackham, Craig 133,43,44,84 ...... Breininger, Byron 115,170 ...... Becker, Sidney 111 ...... Blair, Dean 100,83 ...... Brendmoen, Sara 154,88 ...... Becker, Steven 75 ...... Blake, Susan 98 ...... Brigleb, Richard 22 ...... Beheshti, Soren 92 ...... Blanchard, Deborah 170 ...... Brinkley, Rachel 46 ...... Behnami, Farima 92,98 ...... Blaney, Theodore 183,193 ...... Broadhead, Daisy 68 ...... Bek, Jeffrey 170 ...... Blassic, Kim 72 ...... Broadhead, Frederick 69 ...... Bell, Alonzo 2 ...... Blythe, Philip 170 ...... Broas, William 111,170,183,41 ...... Bell, Anita 162 ...... Bob, Gregory 16 ...... Brokaw, Matthew 72 ...... Bell, Edwin 75 ...... Bobbio, Jennifer 50 ...... Brooks, Cynthia 30 ...... Bell, Hunter 92 ...... Bogacki, Katherine 154 ...... Broth, Stuart 126,134,41,72 ...... Bell, John 11 ...... Bogacki, Russell 154 ...... Brotherton, Samtha 2 ...... Bell, Tammara 111,123,170,183,34 ...... Bok, Jae 9 ...... Brown, Amanda 127,86 ,75 ...... Boland, William 133 ...... Brown, Bob 1 ...... Bellavance, Julien 30,74 ...... Bolduc, Matthew 165,98 ...... Brown, Bridget 152 ...... Belmonte, Stephen 129 ...... Bolton, Frank 100 ...... Brown, Bruce 111,75 ...... Belt, Douglas 133 ...... Bomar, Stephanie 57,81 ...... Brown, Charles 2 ...... Belt, William 11 ...... Bond, Mark 100,103,126,133,19 ...... Brown, Derek 46 ...... Beltrami, Marco 133,43,44,84 ,72 ...... Brown, Jarrod 46 ...... Bench, Stephen 133,146,169,183 ...... Bond, Michael 75 ...... Brown, Ron 1 ...... Benson, Gerald 187,92 ...... Bonesteel, John 79 ...... Brown, Sheilandice 122 ...... Benson, Kimberly 170 ...... Bonnie, Marshall 115 ...... Brown, Stephen 134 ...... Berbes, William 182 ...... Booker, Wayne 193 ...... Brown-Doonquah, Theresa 98 ...... Bergano, Allan 170 ...... Boone, Melanie 134 ...... Browne, Winston 21 ...... Berger, Arnold 170 ...... Booth, Catherine 103 ...... Browning, Stephanie 21,74 ...... Berger, Fallon 170 ...... Booth, Jeffrey 75 ...... Bruni, Frank 134 ...... Berger, Louis 170 ...... Booth, Stephen 103 ...... Bryant, Joseph 48 ...... Berk, Steven 9 ...... Botros, Mena 185 ...... Bryant, Melba 127,29 ...... Berman, Robert 50 ...... Boucher, Shelli 90 ...... Bryant, Nathaniel 170 ...... Bernstein, Allen 133 ...... Boudreau, James 187,69 ...... Buhler, John 100,103,134,19,72 ...... Berrada, Sanae 57 ...... Bouroncle, Sebastian 187 ...... Bui, Kenneth 92 ...... Bertman, David 22 ...... Bowler, Michael 193 ...... Bui, Tuyen 57 ...... Bettis, Victoria 21 ...... Bowman, Kenneth 182 ...... Bui-Nguyen, Thao 92 ...... Beyene, Yodit 2 ...... Bowman, Shannon 127 ...... Buist, Charles 170 ...... Bhagat, Milan 122 ...... Boxx, Eric 183,193 ...... Bukovac, James 170 ...... Bharal, Poonum 103,18,72 ...... Boyce, Albert 57 ...... Bukzin, Mitchell 188 ...... Bhaskar, Mona 50 ...... Boyce, Darrell 34 ...... Bullock, Jeri 151 ...... Bhatt, Rashmi 170 ...... Boyd, Jana 162,170 ...... Bullock, Steve 183,75 ...... Bhatti, Parveen 115,170 ...... Boyd, Kenneth 115,123,75 ...... Bunin, Kevin 69 ...... Bhavnagri, Fawzia 146,41 ...... Boylan, Ryan 34 ...... 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 220 Delta Dental Premier

...... Bunn, Steven 2 ...... Castro-Chabrier, Jennifer 11,19 ...... Chun, James 154,25 ...... Burchett, Paul 146 ...... Cathey, Henry 111 ...... Chung, Chi Whan 50 ...... Burden, James 183 ...... Catoggio, Michael 101,103,134,19,72 ...... Chung, Hee-Chul 121,134,65 ...... Burke, Brian 39 ...... Catron, Glenn 164 ...... Chung, John 112,75,79 ...... Burke, Carol 9 ...... Cattafesta, Michael 81 ...... Chung, Jun 86 ...... Burningham, Tyler 128 ...... Caudill, Carol 134,98 ...... Chuzhin, Yelena 11 ...... Burns, G 64 ...... Cauthen, Ruth 115 ...... Cios, Chris 103,119,127,39 ...... Burns, Grover 64 ...... Caves, Donovan 162,75 ...... Circeo, David 134 ...... Buro, Ronald 16,86 ...... Cerniway, Leon 34 ...... Claiborne, Shane 63 ...... Burrell, Melvin 62 ...... Certa, Kimberly 188,50 ...... Clark, Brian 129 ...... Burse Todd, Jessica 110,30,78 ...... Certosimo, Alfred 134 ...... Clark, C 2 ...... Bursich, Thomas 160 ...... Cha, Myong 50 ...... Clark, Jeffrey 146 Burt, Charles 149 Cha, Wonje 165,25 Clark, Joann 75 ...... PARTICIPATING PROVIDERS ...... Burton, Francesca 2 ...... Chaen Kwok, Don 28 ...... Clark, Risa 85,97 ...... Burton, James 90 ...... Chaffin, Wray 71 ...... Clarke, Stephen 30 ...... Burton, Jerry 115,170 ...... Chaldares, Diane 182 ...... Clarkson, Carrie 171 ...... Buskill, Marcus 132 ...... Chalk, Jenna 90 ...... Claros, Claudia 185,9,98 ...... Bussey, Jill 134 ...... Chalker, Jennifer 78 ...... Claustro, Joanna 160,93 ...... Butler, Charles 11 ...... Chand, Uppasna 157,98 ...... Claybrook, Robert 165 ...... Butler, Shannon 45 ...... Chandler, Irina 182 ...... Claycomb, Debra 152 ...... Butt, Tehreem 50,57 ...... Chang, Jhia-Ming 129,92 ...... Clayton, Charles 115 ...... Butts, David 57 ...... Chang, Jonathan 49 ...... Clemens, Charles 149 ...... Byers, Paul 69 ...... Chang, Michael 146,41 ...... Clemons, Mark 71 ...... Caballero, Giovanni 2,50 ...... Chang, Monica 11 ...... Cleveland, Russell 103 ...... Cahn, James 103 ...... Chapman-Taliaferro, Andria 111 ...... Clifton, Jeffrey 33,46 ...... Cahoon, Joshua 157 ...... Charaipotra, Neil 153,154 ...... Cline, Misty 164 ...... Cahoon, Roger 123 ...... Chary, Mallika 134,72 ...... Clisso, Monica 120 ...... Cairns, Donald 33,46 ...... Chaudhari, Uma 57 ...... Cloudt, Rebecca 150 ...... Caligan, Geoffrey 2 ...... Chaudhary, Mohit 46 ...... Coalter, Earnest 171 ...... Callery, William 39 ...... Chaudhry, Maqsood 154,160,58 ...... Cobb, Howard 34 ...... Calvano, Dennis 165,78 ...... Chaudhry, Sultan 154,160,58 ...... Cochran, Brian 86 ...... Campbell Downs, Rebecca 171 ...... Chawla, Seema 34 ...... Cocolis, Peter 154 ...... Campbell, Clarence 21 ...... Chegini, Houman 171 ...... Coe, Julie 134 ...... Campbell, Donald 69 ...... Chehade, Tony 69 ...... Coghill, Thomas 83 ...... Campbell, Hugh 11 ...... Cheng, George 134,65,84 ...... Cohen, Jerome 134 ...... Campbell, Jason 171 ...... Cheng, Johnson 9 ...... Coker, William 134,98 ...... Campbell, Jeffrey 65,72 ...... Chennupati, Naveen 111,115,134,171,41 ...... Coleman, James 193 ...... Campbell, Margaret 22 ,43,46,58 ...... Coleman, Marilyn 188 ...... Campbell, Mason-Leigh 171 ...... Cherin, Jack 171 ...... Colina, Joey 164 ...... Campbell, Michael 84 ...... Cherry, Donald 183 ...... Colina, Kevin 188 ...... Campbell, Omer 192 ...... Cheung, Jenny 129 ...... Collazo, Walter 127,51,86 ...... Candler, Robert 115 ...... Childress, David 46 ...... Collins, Elizabeth 63 ...... Cao-Rothwell, Hong 162 ...... Childress, Jamie G 181 ...... Collins, Timothy 1 ...... Caprio, Dianne 146,183 ...... Chimata, Ameena 58 ...... Colospate, Vidya 154,22 ...... Caravas, Jerry 171 ...... Chin, Charissa 46,58 ...... Colson-Scott, Mellanda 115 ...... Carino, Brian 69 ...... Chin, Virginia 50 ...... Compton, Anne 152 ...... Carino, Sarah 69 ...... Cho, Ray 11 ...... Conduff, Joseph 63 ...... Carr, William 152 ...... Cho, Young 2 ...... Conklin, Charles 146 ...... Carrillo, Juan 134 ...... Choe, Mark 50 ...... Conner, Thomas 41 ...... Carroll, Cecil 34 ...... Chohan, Ema 160,188,2,81,92 ...... Connolly, Susan 112 ...... Carroll, Steven 123 ...... Choi, Bokyu 25 ...... Conrad, Caleb 171 ...... Carter, John 146 ...... Choi, Charlson 50 ...... Conrad, Paul 109 ...... Carter, Roy 83 ...... Choi, Jin 50 ...... Contract, Monica 183 ...... Casey, Barbara 109 ...... Choi, Mark 50 ...... Cook, Bruce 134 ...... Casey, Todd 120 ...... Choi, Mi-Yon 188 ...... Cook, Loren 20 ...... Cash, Allan 193 ...... Choi, Sungwon 134,185 ...... Cook, P 152 ...... Cash, Elizabeth 111 ...... Chong, Jae 25,49,65 ...... Cooke, Donald 112 ...... Cash, Jeffrey 100,103,119,39 ...... Chong, Nathan 50 ...... Cooke, James 159 ...... Casingal, Pedro 34 ...... Christofakis, Emil 65 ...... Cooke, Thomas 151,72 ...... Cassilly, Erin 88 ...... Chu, Oliver 58,81 ...... Cooper, Kevin 34 ...... Castro, Steven 39 ...... Chuang, Shue 25 ...... 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 221 Delta Dental Premier

...... Copas, J 24 ...... Dahman, Mouhammad 11 ...... Diaz, Maritza 96 ...... Copeland, Kenneth 78 ...... Daley, Colleen 1 ...... Dibenedetto, Nicholas 130 ...... Copeland, Robert 11 ...... Dalley, David 30 ...... Dickerson, Sondra 45 ...... Copenhaver, Richard 192 ...... Dameron, Karen 72,98 ...... Dickey, Floyd 146 ...... Cornette, William 75 ...... Damiano, Joseph 146 ...... Dickey-Farr, Claire 146,98 ...... Cornick, James 110,150 ...... Damirchi, Nasser 72 ...... Dickson, Nana 51 ...... Costa, Mauricio 2 ...... Danesh, Rabi 58 ...... Dickson, Stephanie 2 ...... Costa, Shane 21,74 ...... Daneshvar, Arezou 127,86 ...... Diefenderfer, Mark 101,104,135,19,72 ...... Cote, Carmen 115 ...... Dang, Loan 58 ...... Dikeman, Theron 11 ...... Cote, David 11 ...... Dang, Quyen 129,51 ...... Dilaura, Thomas 115 ...... Coulter, Judith 154 ...... Daniels, Sandra 11 ...... Dillon, Kathleen 130 ...... Coutin-Gentry, J 11 ...... Dao, Quyen 58 ...... Dilolli, Sonia 81 Covaney, Sharon 112,98 Darvishian, Aramesh 129 Dimitroff, Emily 115,135,171,43,65 ...... PARTICIPATING PROVIDERS ...... Covel, Jerome 165 ...... Dary, Patricia 129 ...... Dinh, Ashley 160 ...... Cowell, Christina 25,86 ...... Dasilva, Emily 154 ...... Dinwiddie, Amelia 21 ...... Cox, Daniel 115,171 ...... Davenport, Faline 69 ...... Dionisio, Janice 2 ...... Cox, Gregory 64 ...... Davia, Allen 134 ...... Direnzo, Gregory 127 ...... Cox, Joseph 134 ...... Davidson, Kristin 39 ...... Divalentin, Robert 165 ...... Cox, Robert 134 ...... Davila, Ricardo 151 ...... Dixon, Bryan 43,44,83,84 ...... Cox, Stuart 103,134 ...... Davis, Debra 171 ...... Do, Anh 135 ...... Cox, William 171 ...... Davis, Gerald 169 ...... Do, Chi 88 ...... Crabtree, Mark 97 ...... Davis, Herbert 20 ...... Do, Hoang 2 ...... Crawford, Carrington 90 ...... Davis, Jeffrey 186 ...... Do, Kim 51 ...... Crawford, Gary 150 ...... Davis, Julia 104 ...... Do, Sean 34 ...... Creal, Albert 112 ...... Davis, Krista 30 ...... Do, Thi 58 ...... Creamer, Wesley 188 ...... Davis, Michael 90 ...... Doan, Thao 188 ...... Crichton, Catherine 104,119,126 ...... Davis, Ron 49 ...... Dobson, Roberta 171 ...... Crichton, James 104,119,126 ...... Davis, Rusty 182 ...... Dodson-Gordon, Sherry 41 ...... Crisp, Lisa 72 ...... Day, Jeffrey 153 ...... Doe, Michael 86 ...... Crist, Jason 90 ...... De Vito, Janice 58 ...... Doering, Steven 183 ...... Cristi, Ivona 110,134,146,16,30, ...... Dean, Henry 28 ...... Dolenuck, Richard 171 41 ...... Dean, John 9 ...... Dollar, James 112 ...... Crocker, Mark 104 ...... Debenedetto, David 93 ...... Dombroski, Jessica 188,83 ...... Cronly, Jo 104,39 ...... Dehyar, Joseph 22,51 ...... Dominguez-Garcia, Oscar 28 ...... Cross, Griffin 146,46 ...... Delaney, Whitney 129 ...... Donahue, James 2 ...... Crowder, Curtis 181,182,30 ...... Dele, Kennedy 93 ...... Donaldson, Gavin-Rae 115 ...... Crowder, E 182 ...... Delk, Campbell 152 ...... Dong, Michael 25,3 ...... Crowder, Niloofar 30 ...... Delorenzo, Michael 2 ...... Donohue, Kristen 22,3 ...... Crowder, Victoria 104,39 ...... Delph, Bradley 109,134,182,39,49, ...... Donohue, Richard 51 ...... Crowley, Benjamin 134 83 ...... Donohue, Stephen 166,51 ...... Cruser, Melvin 171 ...... Demaree, Neil 96 ...... Donzell, Richard 75 ...... Cruz, Jazriel 65 ...... Demichele, Joshua 146 ...... Dooley, Mary 171 ...... Cruz, Maria 25 ...... Demsko, Harold 187 ...... Dorjee, Jigmey 81 ...... Cruz-Orcutt, Noemi 30 ...... Denbar, Michael 34 ...... Dosen, Goran 3 ...... Cuellar, Gerson 11,81 ...... Denison, John 112 ...... Dost, Robert 84 ...... Cuellar, Ruben 11 ...... Denoncourt, Jamie 104,126,127 ...... Doty, Michael 1 ...... Cuellar-Cordova, Eliana 188 ...... Desai, Bhavik 134 ...... Dougherty, William 58 ...... Cujar, Ana Maria 81 ...... Desio, Joseph 181,58 ...... Dowdy, Hugh 122 ...... Culda, Dana 65 ...... Detar, Matthew 134,48 ...... Dowdy, Sarah 135 ...... Culpepper, Scott 101,134 ...... Detweiler, Melanie 115,171 ...... Doyle, Myra 130 ...... Cumbey, J 119 ...... Devera, Genevieve 104,126 ...... Drake, William 22 ...... Cunningham, Michael 182 ...... Devgon, Denise 51 ...... Draper, Thomas 21,90 ...... Curling, Joshua 34 ...... Deviese, David 91 ...... Dreelin, Robert 75,79 ...... Curry, Lisa 183 ...... Dewinkler, John 98 ...... Drees, Gretchen 19 ...... Cutright, Barry 46 ...... Dhakar, Aditya 135,72 ...... Drummond, Tanya 51 ...... Cutright, Martha 46 ...... Dhakar, Surya 135,72 ...... Drummond, Thomas 51 ...... Cwiak, Kari 112,123,171,183,34 ...... Dhillon, Navneet 188,2,25,48,51 ...... Dryden, Brent 22 ,75 ...... Dhingra, Pallavi 135,65 ...... Du, Khanh 155,3 Dacunha, Paul 134 ...... Dholoo, Pareen 98 ...... Duarte, Camilo 135,65 Dafo, Daniel 75 ...... Diamond, Martin 83 ...... Dube, Neelam 69,81,93 Dahlke, William 134 ...... Diaz, Angela 135,65 ...... 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 222 Delta Dental Premier

...... Duckett, Lan 58 ...... English, Sam 101,109,135,182,18 ...... Finnerty, Raymond 11 ...... Dudley, Scott 11 3,43,83 ...... Fiscella, Helen 183 ...... Duff, J 135 ...... Enoch, Margaret 98 ...... Fischer, Charles 25 ...... Dukes, J 35 ...... Enriquez, Veronica 28 ...... Fischer, Katherine 25,98 ...... Dulabh, Mita 188 ...... Epperly, Ashley 135 ...... Fisher, Richard 22 ...... Dumlao, Rustico 128,188 ...... Epps, Johne 119,122,135,72 ...... Fishman, Edward 58 ...... Dunbar, Patricia 121,157 ...... Epstein, Ross 112 ...... Fitzgerald, David 147 ...... Dunham, Benjamin 187 ...... Ericksen, Dana 51 ...... Flaherty, Brooke 150,30 ...... Dunham, Bryson 101 ...... Eschenbach, Sean 147 ...... Flaherty, Craig 49 ...... Dunham, Elizabeth 104,35,89 ...... Esparza, Sarah 171 ...... Flamer, Andrea 135 ...... Dunham, Thomas 171 ...... Estell, Jennilyn 188 ...... Flanagan, Chad 101,104,135,19,72 ...... Dunkin, Christina 123 ...... Estes, Matthew 104 ...... Flanagan, Michelle 12 Dunn, Noelle 188 ...... Estill, Andrew 104,119,126 Fleenor, William 135,92 ...... PARTICIPATING PROVIDERS ...... Dunne, Frank 130 ...... Estrada, Charito 35 ...... Fleming, Lisa 116 ...... Dunnill, Brett 183 ...... Estrada, Craig 35 ...... Flenniken, Neil 166 ...... Duong, Hung 11,28 ...... Estwani, Isam 81 ...... Flikeid, Robert 181 ...... Duong, Son 65 ...... Etheridge, Daniel 35 ...... Flood, Scott 171 ...... Duong, Truc 160 ...... Evans, Candace 155 ...... Flores, Marco 25,51,93 ...... Durham, David 104 ...... Evans, Dale 63 ...... Floyd, Jazmin 116,122 ...... Durr, John 25,9 ...... Evans, Glenn 128 ...... Folck, Michael 171 ...... Dwivedi, Anil 166 ...... Evans, James 33,47 ...... Folck, Vinita 171 ...... Dziejma, Robert 157 ...... Evans, Joel 28 ...... Foleck, Adam 116,75 ...... Ea-Lim, Bophary 51 ...... Evans, Mark 85 ...... Forbes, Alan 35 ...... Eason, David 46 ...... Evens, Steven 135 ...... Forbes, Graham 12,98 ...... Easterling, Robert 135,80 ...... Exum, Antone 72 ...... Forbes, Irama 116,9 ...... Economides, Mino 11 ...... Eye, Kenneth 192,78 ...... Ford, Jermel 112 ...... Edelbi, Dina 166,58 ...... Ezekiel, Jeffrey 193 ...... Foretich, Jerome 112 ...... Edenfield, Michael 123 ...... Ezzeldin, Ahmed 69 ...... Formica, Louis 104,119,127,39 ...... Edmondson, David 104 ...... Fairfax, Cerina 46,51 ...... Forsbergh, Eric 130 ...... Edwards, Damita 25 ...... Falaiye, Victor 3 ...... Forsee, James 3 ...... Egber, Mark 9 ...... Familant, Lawrence 75 ...... Fortner, Glenn 72 ...... Egeland-Lewis, Martha 171,35 ...... Farah, Mazin 48,65 ...... Fortney, Clark 20 ...... Eghtessad, Michael 16,160 ...... Farahi, Fred 97 ...... Fosque, Fletcher 121 ...... Ehle, Charles 9 ...... Farhangi, Sahel 130 ...... Foster, Benjamin 35 ...... Ejtemai, Nastaran 28,51,58 ...... Farhoumand, Farah 166 ...... Foster, Bonnie 110,181 ...... El Badawy, Tarek 116,123,162 ...... Farhoumand, Farshad 165 ...... Foster, David 171 ...... El Qasem, Asmaa 58 ...... Farhoumand, Foad 166 ...... Foster, Peter 183,79 ...... Elchekha, Houssam 135,146 ...... Farmer, James 30 ...... Foster, Richard 171 ...... Eldridge, Keith 193 ...... Farrey, Lynn 11 ...... Fowler, J 78 ...... Elgarawany, Ibrahim 135,72 ...... Fasano, Marybeth 171 ...... Fox, Erik 22 ...... Elgazzar, Mohamed 157,98 ...... Fashing, Gisela 183 ...... Fox, Lawrence 22 ...... El-Ghobashi, Ahmed 155 ...... Fashing, Maria 183 ...... Foy, Randall 135 ...... Elgohary, Anthony 35 ...... Favagehi, Jason 11,150,166,28 ...... Fraites, Stephen 30 ...... Elhady, Sherif 51 ...... Favis, Raymund 51 ...... Frames, Steven 85 ...... El-Hage, Bassem 58 ...... Fearon, Andreen 135,43,65 ...... Francis, Hunter 75 ...... Elhussein, Faisal 22 ...... Fei, Tian 121 ...... Francis, Scott 75 ...... Elias, Thomas 104 ...... Feild, Robert 75 ...... Francisco, Peter 164 ...... Elkhateeb, Mohammad 166 ...... Feild, Thomas 75 ...... Frank, Gerald 3 ...... Ellenbogen, Gary 166,51 ...... Felton, Walter 39 ...... Franks, Allen 97 ...... Ellington, Paul 126,85 ...... Ferguson, Julie 85 ...... Fratkin, H 135 ...... Ellis, Bita 51 ...... Ferguson, Justin 85 ...... Frazier, Rita 116,171 ...... Ellis, David 83 ...... Fernandez, Miguel 171 ...... Freedman, Brad 3 ...... Ellis, Jonathan 83 ...... Ferry, David 39 ...... Freedman, Joyce 81 ...... Ellis, Kevin 171 ...... Fidel, Elidia 11 ...... Freeman, Gerald 112 ...... Ellis, Robert 112 ...... Field, Marcus 35 ...... Freeman, Mark 80 ...... Elosta, Wael 85 ...... Field, Sheila 162,171 ...... Freidank, Christian 93 ...... Elrod , Joseph 101 ...... Fields, Julian 8 ...... French, Charles 48,63 ...... Elstner, Earl 65 ...... Fina, Leslie 22 ...... French, Janet 48 ...... Emad, Neal 166,28 ...... Finamore, Paul 160 ...... Frey, Gilbert 183 ...... Emam, Atiyeh 85 ...... Finley-Parker, Kathryn 135 ...... Frias, Bernarda 35 ...... Engle, Scott 35 ...... Finnerty, Kevin 171 ...... 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 223 Delta Dental Premier

...... Friend, Basil 43 ...... Gichana, Roselyne 12 ...... Green, William 112 ...... Friend, Sarah 20 ...... Gigliotti, Frank 172 ...... Greenspan, Gary 51,58 ...... Fritz, Martin 110 ...... Gigliotti, Michael 172 ...... Greenwell, Kimberly 112 ...... Fuchs, Steven 58 ...... Giles, Jernice 135 ...... Greenwood, Oliver 101 ...... Fuentes, Agnes 12 ...... Gilfillan, Andrew 184 ...... Greer, Phyllis 69,93 ...... Fuhrmann, Ronald 171 ...... Gilman, David 98 ...... Gregory, Mary 12 ...... Fuller, Janis 104 ...... Gilrain, David 30 ...... Grekos, Apostolos 47 ...... Fuller, Robert 86 ...... Gioffre, Mollie 172 ...... Grieco, Joseph 51 ...... Fuller, Ross 183 ...... Giordano, Pasquale 121 ...... Griffin, Charles 122 ...... Fullerton, William 183 ...... Gladstone, Myron 172 ...... Griffin, Susan 181 ...... Fumagali, Cecile 135 ...... Glaser, James 43 ...... Griffin, William 112 ...... Funda, Ann-Marie 171 ...... Glasgow, Boyd 3 ...... Griffiths, Jolanta 80 Furman, Randall 171 Glasgow, Matthew 20 Griggs, Edward 102,110,121,64 ...... PARTICIPATING PROVIDERS ...... Fusaro, Joseph 65 ...... Glick, Arthur 172 ...... Grimes, Mark 28 ...... Futrell, Robert 101 ...... Glick, Stephen 92 ...... Grimm, Quynh-Anh 58 ...... Gaitan, Ricardo 155,160,51 ...... Glikman, Sandra 12,155 ...... Grimmer, Bryan 155,81 ...... Galatro, Derek 65 ...... Gloria, Joseph 116,162,172,35 ...... Grimmer, Lonny 16 ...... Galbraith, Ted 30 ...... Gnanasundaram, Sreepreethi 16 ...... Grindlay, Kenneth 35 ...... Gallaher, Thomas 147,150 ...... Goad, Marlon 83 ...... Grogan, Frank 47 ...... Gallegos, Jose 104 ...... Gocke, Fizzah 98 ...... Gromling, Thomas 159,186 ...... Gallian, Mary-Stuart 51 ...... Goff, William 12 ...... Grosso, Michael 58 ...... Gallop, Ceceil 76 ...... Golden, R 92 ...... Grover, Robert 30 ...... Galstan, Samuel 39 ...... Goldhush, Wanda 3 ...... Groy, David 172,86 ...... Gamache, Marc 104,119,126,127,39 ...... Goldman, Mark 35 ...... Gruberg, Joseph 155 ...... Gamez, Myrna 147,41,47 ...... Goldstein, Adam 12 ...... Grundy, Richard 12,3 ...... Ganji, Nazila 81 ...... Goldstein, Ira 184 ...... Gruntz, Richard 12 ...... Garcia, Mauricio 128,188,86 ...... Goldstein, Joel 3 ...... Grupp, William 30 ...... Garden, Laura 104 ...... Goldstein, Keith 116,162,172,35 ...... Gruzynska, Hanna 19 ...... Gardner, Davis 187,41 ...... Goldstein, Stephen 123,172 ...... Guerrier, Julia 30 ...... Gardner, Edward 135 ...... Goldstone, John 123 ...... Guirguis, John 28,65,69,81 ...... Garfield, Dean 135 ...... Gollapalli, Nagalatha 65 ...... Gundecha, Shanup 136,76 ...... Garnes, Richard 186 ...... Golrich, Scott 193 ...... Gunn, Allen 172 ...... Garrett, Tamara 12 ...... Golub, Mark 3 ...... Gupta, Garima 112,116 ...... Garrett, Wanda 81 ...... Gomez, Patricia 188,3,93 ...... Gupta, Raja 23,65 ...... Gatens, Robert 51 ...... Goode, Amber 16 ...... Guthrie, Alfred 172 ...... Gates, James 96 ...... Goodman, Ashlee 165 ...... Guthrie, James 104,19 ...... Gates, Justin 96 ...... Goodwin, Clifford 112 ...... Guthrie, Marci 136 ...... Gaught, Keith 47 ...... Goodwin, William 63,88 ...... Gutierrez, Jerel 35 ...... Geary, Bryan 193 ...... Gordon, Diann 79 ...... Gutierrez, Norma 157,188,3 ...... Geddes, Brandon 172 ...... Gore, M 104 ...... Guttery, Darrell 157,65 ...... Gee, Carroll 84 ...... Gore, Shemika 12,3 ...... Gwaltney, Michael 85,86,9,93 ...... Gejji, Dipti 155,65 ...... Gorman, Michael 25 ...... Gwaltney, Steve 162 ...... Geldart, Gregory 128 ...... Gosney, James 47 ...... Gyuricza, James 23 ...... Gendron, Gregory 97 ...... Goswami, Rama 69 ...... Hackett, Charles 136 ...... Gentry, Garland 63 ...... Goswami, Rashmi 69 ...... Hadithi, Deena 155 ...... Gentry, Philip 12 ...... Gottlieb, Brian 155 ...... Haeberer, Alfred 160 ...... George, Robert 193,79 ...... Gottlieb, Riki 135 ...... Haeri, Maryam 51 ...... Gerald, Mark 93 ...... Gowda, Shantala 172 ...... Hagar, Basiony 150,25,93,97 ...... Gerald, Matthew 188 ...... Grabeel, Daniel 90 ...... Hailemariam, Tesfaye 3 ...... Ghamary, Ghafoor 58 ...... Grady, Sean 150 ...... Hairston, Zachary 47 ...... Ghanbari, Mohsen 25,3 ...... Graham, David 35 ...... Hakim, Farhad 81 ...... Ghanim, Layth 153,160 ...... Graham, Jeffrey 135 ...... Hale, James 48 ...... Ghasemzadeh-Zolghadr, Mandana 3 ...... Graham, Loretta 112 ...... Hale, Vicky 121 ...... Ghazarian, Misha 104,126,39 ...... Graham-Montaque, Rana 135,184,76 ...... Haley, Mary 172,35 ...... Ghorbani, Pejman 16,22,3 ...... Granato, Jerome 93 ...... Haley, Thomas 19 ...... Gialanella, Matthew 12 ...... Grande, Marcos 81 ...... Hall, John 166 ...... Gibberman, Avi 72 ...... Grantham, Tabbitha 135 ...... Hall, Michael 151 ...... Gibberman, Lauren 3 ...... Gray, Dominicque 135,147 ...... Hall, Robert 130,16 ...... Gibberman, Paul 3 ...... Greco, Donna 74 ...... Hall, Stacey 184 ...... Gibbons, Walter 112 ...... Green, Michael 3 ...... Ham, Samuel 51 ...... Giberson, Kenneth 51 ...... Green, Roosevelt 123 ...... 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 224 Delta Dental Premier

...... Hamilton, Michael 136 ...... Heard, Harry 89 ...... Holmes, Ashley 172 ...... Hamilton, Paul 172,84 ...... Hearne, William 69 ...... Holwick, Robert 35 ...... Hamlett, Sheryle 116,41 ...... Hedayati, Kouros 157,160,188,65,81, ...... Hom, David 155 ...... Hammock, Mark 63 93 ...... Hong, Jason 130,166 ...... Han, Christine 3 ...... Hefele, William 19 ...... Hong, Jong 28,69,86 ...... Han, John 130 ...... Heffelfinger, Michael 172 ...... Hong, Richard 130,166,51 ...... Han, Michael 16 ...... Heggade, Soumyata 186,69 ...... Honore, Kevin 116 ...... Han, Sung 157,25,28 ...... Helfrich, Katherine 104,120 ...... Hooker, John 1 ...... Han, Victor 16 ...... Helsel, David 97 ...... Hooper, Christopher 172 ...... Hanania, Hanna 188 ...... Helton, Donna 47 ...... Hooshangi, Mitra 155,166 ...... Hangval, Reza 25,51,93 ...... Helvey, Gregg 102 ...... Hooshmand, Marie 160 ...... Hanley, Bruce 12 ...... Hemedan, Nada 51 ...... Hoover, Amanda 105 Hanley, Michael 39 ...... Hendricks, Arthur 162,172 Hoover, Jared 105 ...... PARTICIPATING PROVIDERS ...... Hanna, Gary 71 ...... Hendricks, Harlan 172 ...... Hopkins, James 81 ...... Hanna, Peter 3 ...... Hendricksen, Alf 74 ...... Horne, Suzanne 85 ...... Hanna, William 159 ...... Hendrickson-Hairston, Joelle 76 ...... Horne, William 120 ...... Hardee, Sheila 169,78 ...... Henley, C 184 ...... Hornsby, Kimbrough 116,162,172,35 ...... Harden, Russell 101 ...... Henon, James 166 ...... Horowitz, Andrew 116 ...... Harding, Emily 121,30 ...... Henritze, Andrew 147 ...... Horwitz, Abbey 173 ...... Hardy, Kenneth 162 ...... Henry, William 83 ...... Hosek, Eric 173 ...... Harman, Douglas 49 ...... Heresi, Carlos 65 ...... Hosek, Lindsey 173 ...... Harmon, Thomas 112,116,123,172,42 ...... Herman, Barry 172 ...... Hoskins, Robert 128 ,47,76,83 ...... Hermelin, Mark 172 ...... Householder, Ronald 164 ...... Harper, William 123 ...... Hernandez, Ariadne 24,84 ...... Houser, John 69 ...... Harre, John 181 ...... Hernandez, Laura 192,78 ...... Howanitz, Joan 58 ...... Harrell, Gibson 35 ...... Herod, Brian 104,39 ...... Howard, Dennis 173 ...... Harrington, Nola 19 ...... Herold, William 136 ...... Howard, Gregory 47 ...... Harris, Charles 20,74 ...... Herring, Carey 136 ...... Howard, Jennifer 152,162 ...... Harris, Clifton 12,3 ...... Herring, Kent 112 ...... Howard, John 90 ...... Harris, Jeffrey 181 ...... Herrmann, Henry 181,58 ...... Howard, Karrie 130,16,85 ...... Harris, John 147 ...... Hicks, Karen 157 ...... Howard, Paulette 83 ...... Harris, Luke 20 ...... Hidalgo, Cathie 65 ...... Howard, Robert 35 ...... Harris, Paul 9 ...... Hidalgo, Madeline 58 ...... Howell, Everett 155,52 ...... Harris, Richard 172 ...... Hijaz, Iyad 45,65,88 ...... Howell, John 188 ...... Harris, Sharon 104 ...... Hill, Jessica 3 ...... Howell, R Leroy 162 ...... Harrison, Berard 172 ...... Hillier, Joseph 39 ...... Howell, Ralph 163 ...... Harrison, Howard 147 ...... Hindman, Edward 51 ...... Howell, Robert 116 ...... Harrison, James 152,193,76 ...... Hinson, Lanny 112 ...... Hoye, James 151 ...... Hart, Faryl 136 ...... Ho, Hiep 58 ...... Hsu, John 52 ...... Hartigan, James 47 ...... Ho, Hoang 155,25,88 ...... Hu, Zhaoliang 98 ...... Hartley, Caroline 155,3,51 ...... Ho, Stewart 51 ...... Huband, Michael 136 ...... Hartley, Jacob 112,184 ...... Ho, Sylvie 58 ...... Hubbard, Rachel 160,184 ...... Hartz, Gary 130,16 ...... Ho, Trung 81,9 ...... Hubbard, Thomas 85 ...... Harvey, David 83 ...... Hoang, Anthony 23 ...... Huddle, David 65 ...... Harvey, Gregory 147,151,169,48,78 ...... Hoang, Binh 155 ...... Hudgins, William 74 ...... Harvey, Paul 10 ...... Hoang, Duolainey 12 ...... Hudgins, Winfred 81 ...... Haseeb, Noreen 58 ...... Hoang, Long 58 ...... Hudson, Paul 136 ...... Hasenfelt, Brooke 112 ...... Hoang-Nguyen, Jacquelyn 51 ...... Hudson, Raidah 136 ...... Hasham, Omar 28,69,81,86,93 ...... Hoard, Brian 31 ...... Huff, Christopher 20 ...... Hassan, Nadder 48,51,93 ...... Hobbs, Jesse 112 ...... Huff, Wallace 20 ...... Haston, Raymond 46,65 ...... Hochman, Hillary 130,16 ...... Huffman, Jennifer 78 ...... Hatch, Steven 90 ...... Hodge, Jeremy 188,93 ...... Huffman, Richard 147 ...... Haueis, Roman 136 ...... Hodges, Jeffery 31 ...... Hughes, Douglas 116 ...... Haun, William 147 ...... Hoek, Meredith 172 ...... Hughes, Edward 160 ...... Hawkins, Alexander 104 ...... Hoffman, Corinne 3 ...... Hughes, Joseph 35 ...... Hawley, Julie 49 ...... Hoffman, Gerald 181 ...... Hughes, Timothy 157 ...... Hawthorne, Burnell 184 ...... Hoffman, Howard 155,51 ...... Hull, Robert 88 ...... Haydu, James 35,98 ...... Hoffman, Lisa 76 ...... Hund, Lawrence 31 ...... Hayes, Lawrence 47 ...... Hoffman, Richard 76 ...... Hunt, Dawn 123 ...... Haynie, Talon 186 ...... Hogan, Adam 172 ...... Hunt, John 123 ...... Hazelgrove, Kirk 72 ...... Holley, James 112,124,172,65 ...... 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 225 Delta Dental Premier

...... Hurt, Garrett 19 ...... Johansen, Stephen 105,120,127,39 ...... Kapoor, Elleni 116,163,173,35 ...... Husker, Rebekah 12,155 ...... Johnson, Amanda 147 ...... Kapoor, Rajni 116,124,173 ...... Hutchens, Greg 162 ...... Johnson, Andrew 62 ...... Karbasi, Kiumars 188 ...... Hutchens, James 162 ...... Johnson, Charles 136 ...... Karmacharya, Komal 12,52,66 ...... Hutchings, Michael 76 ...... Johnson, G 110,136 ...... Karns, Jason 80 ...... Hutchison, Bruce 25 ...... Johnson, Geoffrey 47 ...... Karp, Allen 173 ...... Hutchison, Karen 147 ...... Johnson, James 122 ...... Karrel, Justin 159 ...... Hutson, H 78 ...... Johnson, Jamie 65 ...... Karri, Shilpa 155,66 ...... Huynh, Andrew 3 ...... Johnson, Justin 184 ...... Kasper, Frinet 4 ...... Hyder, Khudsia 126,136 ...... Johnson, Steven 12,9 ...... Kassan, Gregg 48 ...... Hyder, Zain 105,120 ...... Johnson, Terry 158 ...... Kassem, Sameh 85 ...... Hyer, Margaret 126 ...... Johnson-Curl, Jacqueline 136 ...... Katz, Abraham 128,81 Iachini, Diane 101,105,136,19,72 Johnson-Spruiell, Gloria 112 Katz, Ronald 112,116 ...... PARTICIPATING PROVIDERS ...... Iervolino, Robert 173 ...... Johnston, Carroll 89 ...... Kaur, Ajinder 116,124,173,76 ...... Ijadi, Mehrdad 158,65,93 ...... Johnston, Frances 1 ...... Kaur, Hemani 17 ...... Im, Jim 3 ...... Johnston, Frank 35 ...... Kaur, Kamaljit 93 ...... Imao, Josemari 188,58,65 ...... Jones, Antonia 76 ...... Kaur, Namrata 52 ...... Imbery, Terence 136 ...... Jones, Audra 136 ...... Kaur, Palwinder 25,48 ...... Ingram, Daniel 173 ...... Jones, Daniel 173 ...... Kaur, Sandeep 81 ...... Irby, Lewis 21 ...... Jones, David 147,173,42,98 ...... Kaur, Taran 59 ...... Ireland, Michael 112,124,173,184,35 ...... Jones, Elizabeth 58 ...... Kavianpour, Zahra 160 ,76 ...... Jones, Ethan 71 ...... Kay, Victoria 93 ...... Ishom, Thomas 35 ...... Jones, Frank 31 ...... Kayes, Stanley 80 ...... Iskander, Erene 3 ...... Jones, Gale 112,136,43 ...... Kaymanesh, Shaghayegh 112,12,124,76 ...... Iuculano, Giovanni 186 ...... Jones, John 136 ...... Kazemifar, Hoda 130 ...... Izadi, Mohsen 166 ...... Jones, Lee 147 ...... Kazmi, Sana 181,25,48,52,69,93 ...... Jabbari, Farnaz 23 ...... Jones, Leonard 23 ...... Kean, Edward 150,69 ...... Jackomis, William 126 ...... Jones, Linda 93 ...... Keat, Josie 4 ...... Jackson, Kevin 3 ...... Jones, Miata 58 ...... Keating, Kevin 109,136,34 ...... Jacob, Kezia 20 ...... Jones, Michael 147,162 ...... Kelly, David 22 ...... Jacobs, George 112 ...... Jones, Neal 25 ...... Kelly, Isabel 97 ...... Jafari, Mahnaz 16,160 ...... Jones, Patrice 105 ...... Kemler, David 136 ...... Jain, Khushboo 136,45,65 ...... Jones, Perry 136 ...... Kennealy, Sarah 101,136 ...... Jalali, Mahnaz 58 ...... Jones, Richard 130 ...... Kennett, Fred 136 ...... Jamali, Mojgan 188,3,93 ...... Jones, Treacy 165 ...... Kenny, Karen 90 ...... James, Patricia 173 ...... Jones-Rogers, Linda 69 ...... Kent, Dean 116,173 ...... Jang, Joy 130 ...... Joo, Chuck 52 ...... Kent, John 116,173 ...... Jarrell, Whitney 25 ...... Jordan, Edward 105,120,127,39 ...... Kent, Mathew 116,173 ...... Jarvandi, Fereshteh 136 ...... Jordan, James 97 ...... Kent, Thomas 173 ...... Jarwa, Samer 28 ...... Jordan, Morris 101 ...... Kern, April 12 ...... Jasani, Krina 88 ...... Joseph, Marie 42 ...... Kesser, Howard 116 ...... Jassal, Raman 81 ...... Joshi, Mitsu 136,72 ...... Kessler, Fred 136 ...... Java, Robert 188 ...... Joshua, Gina 78 ...... Khalaf, Athra 122,153,59,80 ...... Javeed, Asra 173 ...... Jung, Yujin 112,76,79 ...... Khalefa, Said 155,4 ...... Javier, Ryan 188 ...... Kadolph, Adam 184 ...... Khalil, Joseph 12,121 ...... Jayaswal, Neerav 76 ...... Kahan, Michael 173 ...... Khan, Nabeel 23 ...... Jefferies, Mark 81 ...... Kaiser, David 173 ...... Khan, Rifhat 4,59 ...... Jeffrey, Emma 121 ...... Kaiser, Gina 20 ...... Khara, Amanjot 101 ...... Jelinek, Howard 52 ...... Kaiser, Robert 147 ...... Khasraghi, Faranak 188,23 ...... Jelinek, James 181 ...... Kaler, Jatinder 93 ...... Khattab, Samer 126,130,59,85 ...... Jenkins, Arthur 173 ...... Kalra, Rajiv 155,88 ...... Khattak, Farida 59 ...... Jenkins, Charles 97 ...... Kamali, Touraj 52 ...... Khattak, Rana 66 ...... Jenkins, Harry 124,35 ...... Kamboh, Karan 85 ...... Khedr, Yasser 45,48 ...... Jennings, Kevin 35 ...... Kan, Maryann 4 ...... Khisti, Manik 72 ...... Jesneck, Mae 98 ...... Kandare, Wesley 116,173,35,85 ...... Khosravi, Mitra 93 ...... Jessup, Ronald 136,21 ...... Kanetzke, Steven 169 ...... Khurana, Natasha 181,69 ...... Jewett, Charles 136 ...... Kang, Don 52 ...... Ki, Laura 52 ...... Jiral, Paul 65 ...... Kangarloo, Ramineh 59 ...... Kianimanesh, Anita 59 ...... Jiwani, Munira 101,109,122,136,18 ...... Kanli, Erol 155 ...... Kianpour, Kourosh 160 3,72,76 ...... Kanumilli, Sowmya 1,130,182,4 ...... Kilbourne, Michael 39 Jobe, John 112 ...... Kao, Wei-Lea 166 ...... 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 226 Delta Dental Premier

...... Killar, Curt 105 ...... Koheil, Yosreldin 137,43,72 ...... Lans, Ikars 17 ...... Kim, Aileen 4 ...... Kok, Alistair 122 ...... Lanzaro, Peter 57 ...... Kim, Andrew 155,188 ...... Kokel, Deidra 86 ...... Lapetina, John 116 ...... Kim, Chad 112,12,124,137,173 ...... Kommineni, Sanath 137,43,66 ...... Larkin, Steven 101,105,126,137,19 ,181,43,66,76 ...... Kondoff, Ronald 173 ,72 ...... Kim, David 158 ...... Koneru, Jyothi 28 ...... Larrowe, Eugenia 71 ...... Kim, Edward 4,96 ...... Kong, Saory 59 ...... Larson, David 137,99 ...... Kim, Eunghwan 98 ...... Kong, Tepy 59 ...... Laurent, Barry 166 ...... Kim, Gloria 93 ...... Konikoff, David 163,174,35 ...... Lavecchia, Greg 12 ...... Kim, Jamie 93 ...... Konikoff, Stephen 116 ...... Lavecchia, Louis 12 ...... Kim, Jennifer 52 ...... Kontopanos, Gregory 137 ...... Lavinder, Lisa 147,46 ...... Kim, Jerry 130,52 ...... Koontz, Gregory 63 ...... Lavinder, Michael 42 ...... Kim, John 160 Kopelove, Stephen 101,137 ...... Laviola, Jamie 4 ...... PARTICIPATING PROVIDERS ...... Kim, Jong Ryul 166 ...... Kordis, Alex 102,110,121,64 ...... Law, Zachary 169 ...... Kim, Joon 166 ...... Kordulak, John 174 ...... Laws, Thomas 113 ...... Kim, Joongseo 166,25 ...... Korman, Robert 174 ...... Lazar, Dale 84 ...... Kim, Juyoung 52 ...... Kornett, Noel 162 ...... Lazear, Michael 155 ...... Kim, Kwang 152 ...... Korpics, Louis 150,19 ...... Lazear, W 155 ...... Kim, Kyu 19 ...... Kot, Dariusz 52 ...... Lazour, James 59 ...... Kim, Michael 17,9 ...... Koussa, Mai 155,52 ...... Le, Bao-Quyen 186 ...... Kim, Peter 188 ...... Kovach, David 21 ...... Le, David 17 ...... Kim, Robin 4 ...... Kowal, Mark 72 ...... Le, Hang 166,188,4,52,59,81, 93 ...... Kim, Sandra 188 ...... Kraft, Rachel 137 Le, Lan 9 ...... Kim, Sean 66 ...... Kreger, Lee 147 ...... Le, Luong-Hung 26 ...... Kim, Sonny 130 ...... Krempl, Robert 152 ...... Le, Magarette 4 ...... Kim, Suhad 17,86 ...... Kreuzer, Luiza 43,44,84,98 ...... Le, Quan 166 ...... Kim, Sun 66,93 ...... Krieger, Ellen 99 ...... Le, Thien 9 ...... Kim, Thomas 25 ...... Krishnamoorthy, Savitha 28 ...... Le, Trang 166 ...... Kim, Timothy 25 ...... Krone, Michael 105,62 ...... Le, Trung 52,59 ...... Kim, Wilson 98 ...... Krygowski, John 12 ...... Le, Yen 59,9 ...... Kim, Young 23 ...... Kuenzli, Peter 174 ...... Leary, Bruce 105 ...... Kimble, Glenn 90 ...... Kuhn, Todd 105,126,39 ...... Leavenworth, Kim 4,52 ...... Kimble-Tanks, Felisha 153,9 ...... Kulhari, Snehlata 47 ...... Lebo, Carl 12 ...... King, Christopher 173,63 ...... Kumra, Shawn 12,4,59,99 ...... Lebonitte, Robert 166,59 ...... King, Hoang 48 ...... Kuo, Brian 66 ...... Lee, Benjamin 26,4 ...... King, Michael 188 ...... Kupcha, John 184 ...... Lee, Elizabeth 137 ...... King, Robert 137,186,66 ...... Kupperi, Vinutha 112,124,137,43,66 ...... Lee, Esther 28 ...... Kinney, Kirk 164 ...... Kwatra, Sameer 188 ...... Lee, Eun Hye 52 ...... Kinney, Robert 147 ...... Kwon, Hyuksoo 81 ...... Lee, Gloria 160 ...... Kirksey, Charles 52 ...... Kwon, Judy 12,130,153 ...... Lee, Hannah 9 ...... Kirpal, Abhishek 112,116,124,173,76 ...... Kwon, Keehong 4 ...... Lee, James 116 ...... Kittrell, John 137 ...... Kwon, Thomas 4 ...... Lee, Kenneth 4 ...... Kitts, Connie 137 ...... Kyle, Lawrence 110 ...... Lee, Kevin 93 ...... Kivlighan, Michael 182 ...... Lachine, Richard 184,193 ...... Lee, Kie 155 ...... Klein, Elizabeth 12,66 ...... Lacy, John 63 ...... Lee, Kimberly 26,9 ...... Klein, Richard 147 ...... Ladimer, Eric 147 ...... Lee, Kirsten 12,153 ...... Kleyman, Boris 12 ...... Lagonegro, Ann 74 ...... Lee, Kyu 101 ...... Klioze, Earl 23 ...... Lagrua, Daniel 165,78 ...... Lee, Leonardo 86 ...... Klioze, Jeffrey 23 ...... Lakas, Gregory 12 ...... Lee, Nathan 52 ...... Klochak, Joseph 76 ...... Lake, George 122 ...... Lee, Paul 52 ...... Knaysi, Fred 137,83 ...... Lam, Tony 81 ...... Lee, Sang 9 ...... Knierim, R 31 ...... Lamay, Ashley 63 ...... Lee, Sehmi 105,99 ...... Knight, Ernest 63 ...... Lambert, Olena 21 ...... Lee, Si-Hyeon 113,137,186,99 ...... Knight, John 31,74 ...... Lambrechts, Marcel 151 ...... Lee, Solomon 174,182 ...... Knotts, Cindy 186 ...... Lang, Leslie 124 ...... Lee, Tae 26,9 ...... Knuppel, Dorothy 98 ...... Lang, Steven 124 ...... Lee, Vincent 59 ...... Koelmel, Jeffrey 105 ...... Langkau, Walter 193 ...... Lee, Ws 155 ...... Koerner, Michael 181 ...... Langston, Robin 124 ...... Lefta-Hoskins, Fotina 117 ...... Kogan, Paulina 4 ...... Lanier, Angela 110,31,35,99 ...... Lefton, Ronald 174 ...... Koganti, Rani 137 ...... Lanigan, Jacqueline 174 ...... Legum, Marty 4,59 ...... Koh, Myungsuk 101 ...... Lanigan, Peter 174 ......

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 227 Delta Dental Premier

...... Leibowitz, Lawrence 174 ...... Longman, Eddie 4 ...... Mallory, Dale 174 ...... Leidy, Jeffrey 174 ...... Lopez, Katie 4 ...... Mallow, John 109 ...... Leigh, Timothy 74 ...... Lopez, Rocio 105,120,127,40 ...... Malone, Christopher 159 ...... Leinbach, Thomas 31 ...... Lopez, Yarissa 66 ...... Malone, Douglas 120 ...... Leiner, Zachary 166,4,59 ...... Lotfi, Patrick 189 ...... Malony, Nicole 20 ...... Leipzig, Robert 86 ...... Lott, Patricia 174 ...... Malyavantham, Dattathri 130,160 ...... Lejeune, Barry 76 ...... Lovecchio, Peggy 147 ...... Mamrick, Ronald 105 ...... Leming, Dean 164 ...... Lovell, Eric 124,31 ...... Maniwang, Jo Marie 36 ...... Lennon, Charles 48 ...... Lovell, Mary 124 ...... Manrique, Hugo 52,70,86 ...... Lenoir, Robert 137 ...... Loving, Preston 113 ...... Mansfield, Richard 182 ...... Lentz, Brad 90 ...... Lowe, Tontra 80 ...... Maravi, Fernando 13,4 ...... Leon, Carla 28,4 ...... Loza, Jose 86 ...... Marcellin, Roger 52 Lesinski, Francis 124 Loza, Luis 86 Marchibroda, Diana 1 ...... PARTICIPATING PROVIDERS ...... Leskiv, Vasyl 186 ...... Lu, Nhien 155,166,4 ...... Marcou, Michael 117,163,174,36 ...... Lessne, William 12 ...... Lubeck, Jonathan 147 ...... Marcus, Carlene 130 ...... Letellier, Paul 36 ...... Lucas, William 137 ...... Marinelli, Steven 137 ...... Leung, Jonathan 12 ...... Lucht, David 26 ...... Markoff, Bruce 155 ...... Levenson, Lanny 105 ...... Luck, Leah 158,52 ...... Marshall, Christopher 151 ...... Levin, Jeffrey 137 ...... Lui, Kin 153,158,4,66 ...... Marshall, David 117 ...... Levine, Andrew 147 ...... Lukanuski, Stacy 137 ...... Marshall, Marvin 66 ...... Levine, Fernanda 13 ...... Luma, Evelyn 174 ...... Marshall, Robyn 117,174 ...... Levine, Paul 97 ...... Luong, Susan 52 ...... Marshall, Timothy 105,62 ...... Levine, Robert 52 ...... Lutz, Megan 164 ...... Marti, Arthi 69 ...... Levy, Guy 193 ...... Lutz, Steven 164 ...... Martin, Anthony 174,193 ...... Lewis, David 174,36 ...... Ly, Dong-Phuong 13,28 ...... Martin, Gabriel 24,66,84 ...... Lewis, Mary 174 ...... Lyall, Marshall 174 ...... Martin, Latisha 99 ...... Lewis, Miller 42 ...... Lyazidi, Aicha 158,59,84 ...... Martin, Shannon 113 ...... Li, Tin 52 ...... Lynch, Ronald 113,117,124,174,36 ...... Martin, Sonya 22,83 ...... Libbey, Anne 63 ...... Lynch, Sean 147 ...... Martinez, Maria 26,4 ...... Libbey, Christopher 63 ...... Lynn, Anne 113 ...... Martof, Andrew 31 ...... Lillard, Jonathan 28,9 ...... Lynn, Larry 80 ...... Marvdashti, Nikta 49 ...... Lilly, J 137 ...... Lyon, Betty 31 ...... Marzban, Pamela 23 ...... Lim, Meesun 9 ...... Lyon, John 31 ...... Mason, Erika 105 ...... Lim, Phanith 17,52 ...... Lysenko, Jennifer 90 ...... Mastros, Kristin 113 ...... Lim, Young 159 ...... Ma, Andy 13,189,28 ...... Matar, Usama 174,76 ...... Limon, Francisco 117,124,174,76 ...... Mabanglo-Samson, Bernadette 174,40 ...... Matias, Thiago 113,117,124,137,17 ...... Lin, Albert 163 ...... Mabry, Stephen 13 4,43,59,76 ...... Lin, Chi-Yi 150,166 ...... Macilwaine, Richard 72 ...... Matkowsky, Peter 126 ...... Lin, Lulu 153,17 ...... Maclin, Ivetta 174 ...... Maurer, Jeffrey 40 ...... Lin, Sandy 188,57,88 ...... Madani, Shaghayegh 155,4 ...... Mavromatis, Jack 175 ...... Lincoln, Kelly 128 ...... Maddux, Kristen 174 ...... May, R Alan 147 ...... Lindemann, Scott 97 ...... Maddux, Nicholas 174 ...... Maya Adkins, Ana 111 ...... Lindsey, David 155 ...... Madison, Joseph 130 ...... Maybee, David 31 ...... Link, Michael 113 ...... Madurantakam, Parthasarathy 137,72 ...... Mayer, Kelly 26,52,93 ...... Lippard, Hal 31 ...... Maeso, Andres 113 ...... Mayerchak, Michelle 120,147 ...... Lipscomb, Jason 137,66 ...... Mahajan, Alka 52 ...... Mayers, Autumn 105 ...... Little, Keith 137,174 ...... Mahanes, Alan 174 ...... Mayo, Gregory 86 ...... Liu, Lina 69 ...... Maharty, David 184 ...... Mayo, Ryan 86 ...... Livesay, Richard 66 ...... Mahesh, Lekshmi 174 ...... Mayo, Stephen 86,99 ...... Livingston, Lynn 137 ...... Mai, Christine 189,4 ...... Mazhari, Shelia 155,21,74 ...... Llerandi, Elias 76 ...... Mai, Truc 4 ...... Mcavoy, Brian 66,90 ...... Llewellyn, Charles 174 ...... Maier, Whitney 137,147 ...... Mccarty, Benjamin 175 ...... Llodra, Clara 117,163,174,36 ...... Maiurano, Audrey 155 ...... Mcclung, Alicia 124 ...... Lobo, Cheryl 189 ...... Major, David 101 ...... Mccomb, Jack 138 ...... Lobo, Mignonette 59 ...... Malan, David 137,43,44,83,84 ...... Mccormick, Michael 76 ...... Lobo, Natalie 189 ...... Malekuti, Sina 155 ...... Mccoy, Larry 20 ...... Lobo, Robert 189 ...... Malghan, Nandini 153,26,93 ...... Mccoy, Richard 184 ...... Lokitis, Julia 4 ...... Mallery, Malcolm 47 ...... Mccrady, Carl 184,41 ...... Lombard, Joseph 79 ...... Mallinak, Emily 97 ...... Mccuin, Stephen 128 ...... Longauer, Earl 59 ...... Mallinak, Laura 97 ...... Mcdaniel, Rodney 193 ...... Longman, Bruce 117,174 ...... Mallinak, Raymond 97 ...... 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 228 Delta Dental Premier

...... Mcdonald, Pamela 76 ...... Mirza, Javeria 47,97 ...... Movaghari, Parinaz 13,130 ...... Mcgill, Allen 113 ...... Misto, Jim 158 ...... Mower, Matthew 128 ...... Mckee, Tom 175 ...... Mistry, Kevin 13,5,86 ...... Muehleck, James 97 ...... Mckown-Smallwood, Kelly 78 ...... Mitnick, Howard 160 ...... Mueller, Jennifer 9 ...... Mcmillan, Alex 23 ...... Modaresi, Mina 160,28 ...... Mueller, Travis 138,9 ...... Mcmillan, Vicki 117,163,175,36 ...... Modeste, Lorenzo 76 ...... Muhammad, Sultan 28,81 ...... Mcmunn, Michael 80 ...... Modjadidi, Osama 175,36 ...... Muldoon, Catherine 36 ...... Mcneill, Su 152,76 ...... Moffitt, Robert 88 ...... Mule, Merissa 105,120,40 ...... Mcquiston, Scott 5 ...... Mogharbel, Tarek 150,59,99 ...... Muller, Lawrence 189 ...... Mcvay, Thomas 5 ...... Mogrovejo, Erika 155,5 ...... Mulligan, Daniel 138 ...... Meade, Amanda 101,151,34 ...... Mohanty, Sujit 138 ...... Mullins, Edmund 138 ...... Meade, Raymond 43 ...... Mohiuddin, Sumayra 138,99 ...... Muncy, Beatrice 138 Meader, Lon 175 Mojares, Elizabeth 124 Muncy, James 138 ...... PARTICIPATING PROVIDERS ...... Mears, Gene 66 ...... Moller, Gary 5 ...... Munn, William 122,151 ...... Meer, B Robert 81 ...... Moller, James 59 ...... Murchie, Peter 92 ...... Mehrabian, Kourosh 189,94 ...... Molokwu, Ruth 94 ...... Murphy, Anna 153 ...... Mehta, Murli 9 ...... Monacell, William 105 ...... Murphy, Stephen 184,41 ...... Melton, Angela 99 ...... Monsman, John 43 ...... Murray, Malcolm 53 ...... Mendelsohn, Howard 175 ...... Montalvan, Cesar 94 ...... Murray, Vincent 181 ...... Mendoza, Israel 138,43,72 ...... Montano, Ronald 138 ...... Murry, Brittney 105,126,19,40 ...... Mendrinos, Maria 175 ...... Montgomery, Jeffrey 120,71 ...... Murry, Donald 105,126,40 ...... Menges, Martin 113 ...... Montgomery, Tyrus 138,40 ...... Murry, Kenneth 105,126,40 ...... Mera, Jose 121,138 ...... Moon, Jeff 120,80 ...... Murthy, Pramila 81 ...... Mercado, Romina 26,5,52,66,84 ...... Moon, Sue 86 ...... Murthy, Roopa 124,36 ...... Meredith-Smith, Jodie 138 ...... Mooney, Brigid 13,26 ...... Musick, Lori 132 ...... Meroney, David 86 ...... Moore , French 1 ...... Musmar, Qais 5 ...... Messih, Haidy 181,70,88 ...... Moore, Alfred 123 ...... Muss, Nicholas 130 ...... Mestas, Eric 5 ...... Moore, Andrew 158 ...... Mustian, Edward 138 ...... Metzdorf, David 52 ...... Moore, Clarissa 13,70 ...... Mustian, John 138 ...... Meyers, Christian 113,76 ...... Moore, Ernest 147,41 ...... Mwendo, Jimani 158,189,5,94 ...... Miamee, Ali 130 ...... Moore, J Peyton 97 ...... Myers, Aubrey 163 ...... Miamee, Nazy 130 ...... Moore, Wendy 84 ...... Myers, Priscilla 138 ...... Michael, Adele 166 ...... Moore, William 147 ...... Myles, Wayne 130 ...... Michael, Shadia 31 ...... Moorefield, Kallie 117,124,175 ...... Nachman, Alan 36 ...... Midgette, Brian 36 ...... Moose, Bobbi 17 ...... Naeem, Naseer 49,81,94 ...... Midkiff, Kenneth 97 ...... Morales, Diego 26,52,94 ...... Nagle, Jeremy 150,166,23,28,53 ...... Midkiff, Kevin 90 ...... Morch, Michael 189,66 ...... Nagy, Whitney 86 ...... Mikhail, Raymond 86,99 ...... Morel, Adalgisa 42,47 ...... Naik, Priti 166 ...... Millan, Alirio 138 ...... Morgan, Carol 175,184 ...... Najafe, Hayat 49,66 ...... Miller, Culver 90 ...... Morgan, Fabienne 193 ...... Nallavalli, Sravanthi 160,17 ...... Miller, David 76 ...... Morgan, Gary 138 ...... Nalluri, Jatin 189,49,53,94 ...... Miller, Elizabeth 138 ...... Morgan, Joseph 138 ...... Nam, Johnny 53 ...... Miller, Glen 21,5,80 ...... Morgan, Michael 175 ...... Nanduri, Mahathi 130 ...... Miller, Jeffrey 52 ...... Moriarty-Vasquez, Mary 189 ...... Nash, Colleen 101,105,138,19,72 ...... Miller, Julian 113,124,175,184,19 ...... Morris, B 13 ...... Nasif, Yaser 101,109,120,138,18 3,36,76 ...... Morris, Christa 8 3,184,43,83 ...... Miller, Keith 21 ...... Morris, Kendall 152 ...... Nasir, Aisha 5 ...... Miller, Paul 34 ...... Morris, Kenneth 152 ...... Nasr, Flavio 13 ...... Miller, Richards 182 ...... Morris, Tamesha 49 ...... Nassar, Fadwa 59 ...... Miller, Scott 165,22 ...... Morris, William 78 ...... Nastea, Cristina 156 ...... Miller, Tammie 186 ...... Morrison, Julius 122,138,72 ...... Nauss, Steven 120 ...... Miller, Veronica 166,52 ...... Morrison, Robert 184,41 ...... Navubothu, Padmalatha 138,76 ...... Mills, Christina 45 ...... Mortazie, Michael 13 ...... Nawaz, Mirweiss 160,59 ...... Mills, Michele 151 ...... Mortvedt, David 80 ...... Nazareth, Melissa 113 ...... Mills-Robertson, Aba 16,48 ...... Moses, Stephen 117 ...... Neal, Elizabeth 169 ...... Milner, Jan 36 ...... Mosey, James 105,120,126,40 ...... Neale, Mark 183,184 ...... Milonas, Jim 175 ...... Mosher, Russell 105 ...... Neel, Anita 21,31 ...... Miniclier, Gordon 84 ...... Moshiri, Tara 160 ...... Neese, Danny 78 ...... Minutella, Nicholas 31 ...... Moss, Patricia 138 ...... Neibauer, Justin 66 ...... Miranda, Joshua 175 ...... Moss, Stanley 124 ...... Neighbors, Robert 105 ...... Mirmonsef, Parastu 138,89 ...... Mostofi, Mina 166,84 ...... 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 229 Delta Dental Premier

...... Nelson, Charles 94 ...... Norbo, Randy 148 ...... Owens, Gregory 1 ...... Nelson, Gary 86 ...... Nordeen, Kyle 19 ...... Owens, Jessica 47 ...... Neshat, Monica 130 ...... Norman, Andrew 138 ...... Owuor, Christine 150,31 ...... Nester, Ashley 184 ...... Norrgard, Jefferey 138 ...... Ozturk, Serdar 13 ...... Nester, Brad 83 ...... Norris, Clinton 73 ...... Pace, Warren 166 ...... Neumann, John 186 ...... Norton, Carolyn 175 ...... Paesani, Michael 60 ...... Newcomb, Brandon 48 ...... Nottingham, James 117 ...... Pahlavani, Edna 13,5 ...... Newell, Gary 175 ...... Nouri, Bruce 160 ...... Paige, Benegal 31 ...... Newman, Anne 147 ...... Novak, Irina 193 ...... Paige, Jason 139 ...... Newman, Michael 36 ...... Novick, Arthur 130,17 ...... Pak, Jung 53 ...... Newsome, Elise 148 ...... Novick, Kendra 130,17 ...... Pakpour, Desabeh 189 ...... Newton, Richard 148,42 ...... Novick, Roy 57 ...... Pal, Sandhya 126,130 Ngo, Howard 53 Nunnally, Leonard 73 Palabrica, Rosario 13 ...... PARTICIPATING PROVIDERS ...... Nguyen, Ashley 5 ...... Nwaneshiudu, Chioma 17,186,53,70,86 ...... Palizi, Alireza 23 ...... Nguyen, Calvin 5,81 ...... Nystrom, Cheryl 139 ...... Palle, Sunitha 158,26,94 ...... Nguyen, Catherine 5 ...... O`Brien, Keith 63 ...... Palmer, Charles 110 ...... Nguyen, Christine 28,53 ...... O`Donnell, David 113,117,124,139,17 ...... Palmer, Roger 49 ...... Nguyen, Christopher 5 5,43,59,76,90 ...... Pandak, Hilary 53 ...... Nguyen, Cindy 189 ...... Obeck, Kurt 139 ...... Pandher, Ramona 113,117,124,139,17 ...... Nguyen, Dao 88 ...... Oberry, Vernon 117,175 5,42,43,47,60,66,76 ...... Nguyen, Diem 28 ...... Obrien, Kevin 151 ,84 Panzarella, Carl 139 ...... Nguyen, Hieu 130,5,53 ...... Ochana, Laila 59 ...... Panzetta, James 84 ...... Nguyen, Hung 59 ...... Ochave, Frederick 175 ...... Papageorgiou, Nicholas 17 ...... Nguyen, Kevin 189 ...... Octave, William 139 ...... Papinsick, Anthony 13 ...... Nguyen, Kim 138 ...... Odeh, Osama 113,117,66 ...... Papp, Richard 53 ...... Nguyen, Kristina 99 ...... Odonnell, William 26 ...... Paredes, Omar 88 ...... Nguyen, Lan 53 ...... Oglesby, Jeffrey 184 ...... Paret, Katherine 117 ...... Nguyen, Linh 153,9 ...... Ogunbekun, Adenike 153 ...... Parikh, Anuja 160 ...... Nguyen, Loc 160,70,94 ...... Ogundipe, Oluwatoyin 139 ...... Park, Adam 166 ...... Nguyen, Long 70,94 ...... Oh, Joseph 13,153 ...... Park, Charles 53,70,88 ...... Nguyen, Mike 189,5 ...... Ohara, Thomas 175 ...... Park, Henry 9 ...... Nguyen, Monique 5 ...... Ohri, Puja 88 ...... Park, Hye 5 ...... Nguyen, Phuong-Mai 59 ...... Okeefe, Edward 117 ...... Park, Jamie 53 ...... Nguyen, Phuong-Uyen 126,17 ...... Okunuga, Olalekan 148,152 ...... Park, John 17,81 ...... Nguyen, Quan 23 ...... Olano, Magali 70 ...... Park, Jung 154,160,5 ...... Nguyen, Quoc 59 ...... Oldham, Bobbi 90 ...... Park, Kenneth 156,94 ...... Nguyen, Quynh 5 ...... Oldham, Richard 90 ...... Park, Kyeong 76 ...... Nguyen, Quynh-Chi 28 ...... Olenyn, Paul 23 ...... Park, Kyung 17 ...... Nguyen, Steve 13,5 ...... Oley, George 101,120,139 ...... Park, Mimi 126 ...... Nguyen, Thi 160 ...... Oliveira Filho, Jayme 36 ...... Park, Sun 81 ...... Nguyen, Thuan 5 ...... Oliver, Tracy 175 ...... Park, Sunmin 99 ...... Nguyen, Tran 59 ...... Oliver, Trisstar 152 ...... Park, Young 148 ...... Nguyen, Tuan 53 ...... Olivero, Thomas 106 ...... Parker, Jeffrey 94 ...... Nguyen, Tuong-Van 5 ...... Olsen, Kimberley 70 ...... Parker, Michael 90 ...... Nguyen, Viet 101,109,130,138,18 ...... Onderdonk, Andrea 66,73 ...... 3,184,43,83 ...... Oneal, Latanya 42,59,99 ...... Parker, Milton 5 ...... Nguyen, Vu 13,156,5,59 ...... Orenstein, Richard 5 ...... Parker, Richard 31 ...... Nichols, Ashley 113,124,138,186,43 ...... Oristian, Alexis 106,120 ...... Parks, Charles 148 ,76 ...... Ornoff, Mark 156,81 ...... Parr, Olan 45 ...... Nickerson, Michael 84 ...... Osinovsky, Alexander 166 ...... Parris-Wilkins, Tonya 1,110,122,127,29,4 ...... Nieto, Johana 59 ...... Osman, Feisal 139 3,66,89 Partovi, Marjan 94 ...... Nightengale, Tiffany 102,110,121,64 ...... Ossakow, William 26,53,81,99 ...... Partovi, Mojgan 160 ...... Nikkhah, Jason 13,99 ...... Ott, Brian 31 ...... Partrick, Jeremiah 13 ...... Nikkhah, Pouran 17 ...... Ott, Sarah 31 ...... Parvin, Karen 36 ...... Nikpourfard, Matt 17,81 ...... Ottersberg, Christine 110 ...... Pate, David 175,36 ...... Nikpourfard, Reza 85 ...... Ovcharenko, Vladyslav 26,5,60 ...... Patel, Amit 17 ...... Nikseresht, Kamran 28 ...... Overby, Timothy 90 ...... Patel, Anisha 101,139,184 ...... Niles, Raymond 189 ...... Overstreet, Douglas 151,73 ...... Patel, Bhavinkumar 66 ...... Niver, Krystie 36 ...... Owen, John 113,20 ...... Patel, Jatin 31,74 ...... Norbo, Justin 128 ...... Owen, William 152 ...... Patel, Jay 158 ...... Norbo, Kirk 128 ...... Owens, Edward 184 ......

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 230 Delta Dental Premier

...... Patel, Kinjal 53,76 ...... Phan, Chuong 126,17 ...... Rahman, Murshed 6 ...... Patel, Kunjal 73 ...... Phan, Duy-Man 53 ...... Rahman, Nabeel 36 ...... Patel, Mayur 189 ...... Phan, Phuong 5 ...... Rai, Shivaprasanna 158 ...... Patel, Monica 99 ...... Phan, Thoaivan 167,189,53 ...... Raika, Ana 41 ...... Patel, Nimisha 60 ...... Phan, Truc 28 ...... Rainey, Vacora 158 ...... Patel, Nrupur 106 ...... Phan, Tuyet-Mai 13 ...... Rainey, Vernon 163 ...... Patel, Raj 158 ...... Phaup, Alexis 175 ...... Raja, Taimour 131,94 ...... Patel, Sachi 160 ...... Phillips, Douglas 31 ...... Ramai, Sheldon 156,26,66,94 ...... Patel, Sharli 13,150,166,28 ...... Phillips, Sarah 113,117,124,139,17 ...... Ramisetty, Chetana 153,53,94 ...... Patel, Vaibhavi 47 5,184,36,43,60,77 ...... Ramsay, Jamie 163 ...... Patel, Vaishali 139,43 ...... Phillips, W 91 ...... Ramsey, Alexander 148 ...... Patel, Vikaskumar 94 ...... Piascik, Christine 184 ...... Ramsey, Harry 117 Patil, Vinayak 158 ...... Pierce, Laura 156,53 Ramsey, Tony 19 ...... PARTICIPATING PROVIDERS ...... Patterson, Cheryl 49 ...... Pikula, Agata 91 ...... Randazzo, Janine 106 ...... Patterson, Dayne 5 ...... Pisciotta, Dominick 63 ...... Randolph, Renita 73,99 ...... Pauley, Richard 113 ...... Pittman, Tyler 22 ...... Ranjbar, Shahla 87 ...... Paxton, Kelly 36 ...... Plata, Raul 53 ...... Ranzurmal, Mina 160,17 ...... Payne, Albert 34,47 ...... Pleickhardt, Steve 70 ...... Rao, Sheila 94 ...... Payne, Christopher 34,47 ...... Pleta, Eva 167 ...... Raoufinia, Arjang 13 ...... Payne, Stephen 106 ...... Podbesek, Brian 45,63 ...... Raoufinia, Nima 126,13 ...... Peaks, Kelly 17 ...... Poe, Richard 10 ...... Raphael, Jeff 101,109,183,184,79 ...... Pearl, Dina 175 ...... Poku-Kwateng, Evelyn 22,99 ...... Rashid, Sumera 87 ...... Pearlman, Darryl 89 ...... Polk, David 20 ...... Rasmussen, Jay 117,124,42,77 ...... Pearson, Bonnie 122 ...... Ponraj, Ernest 99 ...... Rasmussen, Kenneth 31 ...... Peat, Ashley 139,43 ...... Poole, Adam 113,117,124,175,43 ...... Rastogi, Loveena 113,77 ,60,77 ...... Peebles, Rebecca 60,94 ...... Rasul, Afia 139 Poole, Charles 176 ...... Peery, James 40,90 ...... Ratner, Les 6 Popat, Nitesh 139,45 ...... Pelaez, Jorge 175 ...... Rawls, Charles 163 Pope, Robert 176 ...... Pellerin, Robert 175 ...... Ray, Ronald 17 Popli, Kris 167 ...... Pemberton, David 139 ...... Ray, Sheetal 189,99 Popli, Vishal 139,148 ...... Pena, Estela 17 ...... Rayek, Riaz 53 Poquis, Gregory 101,139 ...... Pentecost, Grace 117 ...... Raymond, Mark 42 Porter, Dina 66 ...... Penterson, Robert 106 ...... Rayo, Samuel 53 Posenau, Jerry 101 ...... Perez, Agustin 113 ...... Read, Allen 91 Potter, William 31 ...... Perez, Ricardo 158,189,66,94 ...... Reangber, Sina 80 Pouchot, Daniel 74 ...... Perez, Timothy 113,175 ...... Rearden, Cathy 99 Poulsen, Brian 22 ...... Perkins, Nancy 96 ...... Reategui, Patricia 158 Powell, Natalie 148 ...... Perkinson, S 101,106,139,19,73 ...... Reddy, Harini 139 Prasanna, Mysore 189 ...... Perkinson, William 106,120,126 ...... Reddy, Hima-Bindu 160,82 Prater, Phillip 21 ...... Perlman, Steven 77 ...... Redwine, William 139 Price, Ashlyn 106 ...... Peroutka, John 106,151,62 ...... Reeves, Carter 17 Price, Mckinley 113 ...... Perry-Wright, Arlene 66 ...... Reeves, Edward 88 Price, Stephen 156,5 ...... Perumal Naidu Nagaiah, Rohini 13 ...... Reeves, Ryan 88 Propoggio, Susan 17 ...... Petersen, Katherine 184,193 ...... Reichley, John 176 Prugh, Reed 40 ...... Petticolas, Augustus 90 ...... Reid, Donna 6 Pugh, George 6 ...... Pettit, Jeffrey 22 ...... Reid, John 73 Pugh, Roy 182 ...... Peyser, Brian 60 ...... Reimer, Michael 113,117,124,176,19 Puller, Anthony 139 ...... Peyser, Richard 60 ...... 3,77 Punaji, Sowmya 189,60 ...... Pfab, Michael 127,41 ...... Reis, Lauren 13 Qiu, Kenneth 60,82 ...... Pham, Anh 53 ...... Reitz, Mark 21 Quiggins, Melissa 70 ...... Pham, Diane 167,5 ...... Rejintala, Archana 94 Quilez, Robert 120 ...... Pham, Hanah 130 ...... Rekow, Marlin 181 Quinn, Stephen 148,46 ...... Pham, Heather 113 ...... Render, Philip 79 Quiros, Luis 193 ...... Pham, Hiep 167,5 ...... Reschenthaler, Corinne 163 Qureshi, Wasim 17 ...... Pham, Jacob 148 ...... Resendes, Melanie 139 Raczynska, Aneta 181,70,94 ...... Pham, Jennifer 60,70 ...... Resnick, Elizabeth 176 Radcliffe, Stephen 22 ...... Pham, Long 60,74 ...... Ressler, Christine 101,106,127,139,19 Radford, Millard 150 ,73 ...... Pham, Minh 60 ...... Rafaat, Amirreza 85 Restrepo, Melissa 113 ...... Pham, Thang 60 ...... Rafiq, Rabia 131,94 Reynolds, Elizabeth 139 ...... Pham, Thanh 9 ...... Rahim, Haress 17 Reynolds, Gavin 19 ...... Phan, Anh 5 ......

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 231 Delta Dental Premier

...... Reynolds, James 148 ...... Roller, William 148 ...... Salumbides, Josephine 189,60 ...... Reynolds, Jillian 117,163,176,36 ...... Romano, Frank 6,66 ...... Salyer, Laymon 36 ...... Reynolds, John 139 ...... Ronis, James 99 ...... Salzberg, Adam 63 ...... Reynolds, Kenneth 118,124,176 ...... Root, Noel 102,110,122,34,64 ...... Samadnejad, Farshad 6 ...... Rhea, William 41 ...... Roper, Erik 101,106,127,139,19 ...... Samra, Christina 121 ...... Rhoday, John 42 ,73 ...... Sanati, Ardalan 167,82 ...... Rhodes, Daniel 43,44,83,84 ...... Rose, Graham 139 ...... Sanchez De Lozada, Mia 23 ...... Rhodes, James 125,36 ...... Rose, Jennifer 80 ...... Sanchez Ocasio, Jesus 113,185,41 ...... Rice, Collin 36 ...... Rose, Martine 140 ...... Sandhu, Maninderjit 131,28,87,94 ...... Rice, James 110,148,31,42 ...... Rosemond, Randall 127 ...... Sandhu, Navdeep 176,37 ...... Rice, Jennifer 110,31 ...... Rosenberg, Robert 99 ...... Sangid, Ronny 14,6 ...... Rice, Richard 23 ...... Rosenblum, Stephen 156,167,53,6,60 ...... Sankepally, Divya 77 Richards, Carter 113,125,176,66 ...... Rosenman, Lawrence 156,89 Sankowski, Christine 125 ...... PARTICIPATING PROVIDERS ...... Richardson, Emmett 96 ...... Rosinski, Ashley 87 ...... Santos, Estelito 163 ...... Richardson, Eugene 122 ...... Rosinski, Kenneth 94 ...... Santos, Stephanie 176 ...... Richardson, Kelly 186 ...... Ross, Robert 148 ...... Sapon, Mark 32,74 ...... Richardson, Sariah 150 ...... Rossetti, Michael 140 ...... Sapperstein, Evan 60 ...... Richardson, Thomas 20 ...... Rothschild, Kenneth 87 ...... Saravana, Saumitra 140,44,67,73 ...... Richardson-Overstreet, Susan 151,73 ...... Rotter, Michael 53,60 ...... Sareen, Deepti 53 ...... Richmond, Leslie 176 ...... Rowe, James 110 ...... Sarmiere, Lawrence 185 ...... Rickman, James 106 ...... Rowe, Samuel 63 ...... Sarraj, Ali 60 ...... Rieman, Francis 66 ...... Rubin, Michael 13 ...... Sarrett, David 140 ...... Riley, David 150 ...... Rubin, Rick 185 ...... Sartelle, Harry 69 ...... Riley, Jeffrey 91 ...... Rubino, Richard 160 ...... Sastry, Preeti 21 ...... Riley, Michael 91 ...... Rueda, Santiago 13,53 ...... Sattar, John 161 ...... Rios, Jorge 160,17 ...... Ruffin, Wyatt 64 ...... Satterfield, Rose 47 ...... Rismani-Flenniken, Suzan 167 ...... Ruffner, Scott 89 ...... Sauls, Latasha 150 ...... Ritchie, David 71 ...... Ruparelia, Shreyesh 160 ...... Saunders, Paul 140 ...... Ritter, James 176 ...... Rusnak, Brent 140 ...... Saunders, Roy 91 ...... Rizkalla, Adel 60 ...... Russell, H 148 ...... Savage, Cary 176 ...... Rizvi, Zia 17 ...... Russo, Edward 110 ...... Savage, Dennis 102,110,122,64 ...... Roadcap, Richard 44 ...... Rusz, Joesph 131,17 ...... Savage, Harry 140 ...... Robbins, Alan 164 ...... Rusznak, Zoltan 17 ...... Savage, Randolph 176 ...... Roberson, James 122,126 ...... Rutherford, Billy 84 ...... Savenkova, Svitlana 9 ...... Roberts, Anna 20 ...... Ruzzo, Joseph 99 ...... Sawyer, Summer 91 ...... Roberts, Brice 151,169 ...... Ryan, Craig 148 ...... Saxon, Walter 48 ...... Roberts, Cameron 165,78 ...... Ryan, Danielle 156,53 ...... Saxton, Jacob 176,99 ...... Roberts, Carole 63,91 ...... Rye, Leslie 131 ...... Sayeed, Afreen 189,53,60,94 ...... Roberts, David 106,120,127,40 ...... Ryee, James 167 ...... Sayyar, Shahreyar 73 ...... Roberts, Erik 132 ...... Saba, Leila 60 ...... Sbeih, Izzat 99 ...... Roberts, Kristin 150 ...... Saba, Maryam 156 ...... Scelfo, Peter 154 ...... Roberts, Thomas 6 ...... Saba, Ramez 99 ...... Schaap, Alex 32,79 ...... Robertson, John 20 ...... Sabet, Shahram 167 ...... Schandorff, Mark 63,8 ...... Robinson, Donald 113,77 ...... Sabharwal, Aman 13,17 ...... Schantz, Cara 14 ...... Robinson, Eli 139 ...... Sachdev, Aman 158 ...... Scharnhorst, Scott 128 ...... Robinson, Elizabeth 118,176,36 ...... Sachs, Scott 118,163,176,36 ...... Schecht, Wayne 167,53,60 ...... Robinson, Lynn 148 ...... Sachs, Warren 118,163,176,36 ...... Schehl, John 6,99 ...... Robinson, Margo 189,94 ...... Sadeddin, Hazim 13,189,6,9,94 ...... Scheider, Phillip 94 ...... Robinson, William 42 ...... Sadoon, Ihab 21 ...... Schiff, Ivan 118,163,176,37 ...... Roca, Adam 13 ...... Saecker, J 1 ...... Schlang, Elliot 99 ...... Roca, Aurelio 13 ...... Safari, Elham 82 ...... Schleicher, Thomas 44 ...... Roca, Lupita 13 ...... Saghir, Riffat 53,67 ...... Schlensker, Scott 106 ...... Rodrigues, Shwetha 40 ...... Sagman, Michael 113 ...... Schmitt, Steven 140 ...... Rodriguez, Cristelle 153 ...... Sagun, Marvin 163 ...... Schnecker, Dennis 20 ...... Roelofs, Renae 139,99 ...... Said, Masood 156,189 ...... Schneider, Allen 156 ...... Rogers, Lloyd 70 ...... Saif, Mina 186 ...... Schneider, Grant 6 ...... Rogowski, David 167 ...... Salartash, Shahrzad 99 ...... Schneider, Joseph 24 ...... Rojas, Juan 44 ...... Salas, Christopher 128,87,94 ...... Schobel, Brian 14 ...... Roller, J Daniel 182 ...... Saleh, Lara 26 ...... Schoeb, John 32,45 ...... Roller, John 182 ...... Salem, Muhanad 118,125,176 ...... Scholl, Leo 121,140 ...... Roller, Matthew 159 ...... Salerno, James 118,176 ...... 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 232 Delta Dental Premier

...... Schroeder, Stephen 121,140 ...... Shelley, Stephanie 102,111,122,34,64 ...... Smith, Richard 21 ...... Schrumpf, Gregory 176 ...... Sheppard, Corey 148 ...... Smith, Sandra 110 ...... Schultz, Allen 128 ...... Sherman, Frank 20 ...... Smith, Stephanie 177 ...... Schulz, Albert 63 ...... Sherman, Heidi 88 ...... Smith, Theodore 177 ...... Schumann, Nancy 185 ...... Sherwin, Ted 121,88 ...... Smith, Thomas 118,163,177,37 ...... Schuyler, Gary 94 ...... Sheta, Amr 118 ...... Smith, Timothy 128 ...... Schwartz, James 158 ...... Shewmaker, Dale 54 ...... Smith-Kayal, Alisa 118 ...... Scott, Annette 6 ...... Shiflet, Harvey 176 ...... Snow, Kevin 47 ...... Scott, Tamasha 113,118,125,176,77 ...... Shin, Hye 161 ...... Snow, Wesley 140 ...... Seaburg, Raymond 193 ...... Shin, Leo 14,167 ...... Snyder, Casey 177 ...... Seaver, James 22 ...... Shin, Rebecca 182 ...... Snyder, James 6 ...... Sedaghatpour, Hashem 23 ...... Shirk, Winfield 24,84 ...... Sobieh, Radwa 118 Sedwick, Richard 159 Showalter, Perry 74 Soh, Han 28 ...... PARTICIPATING PROVIDERS ...... Seigel, Harold 60 ...... Shroff, Amisha 60 ...... Sok, Erica 74 ...... Seiler, Joseph 48 ...... Shu, Man 26 ...... Solemaninejad, Homan 14,6,60 ...... Seiler, Kathleen 48 ...... Shuck, Michael 185 ...... Solier, George 6 ...... Sekhon, Navneet 106 ...... Sibley, David 54 ...... Solis, Ricardo 32,79 ...... Selander, Ann 99 ...... Sidhu, Rupinder 87 ...... Solomon, Albert 37 ...... Selden, Robert 118 ...... Sidor, Anna 131,14,189,23,60 ...... Soltani, Jim 26 ...... Selden, Stephen 101 ...... Silk, Zaher 189,49,6,95 ...... Soltani, Shahrokh 14,161 ...... Selenou-Tema, Alain 6 ...... Sill, Laurence 140 ...... Soltanian, Farshid 110,140,73 ...... Self, Oscar 176 ...... Silverman, Ronald 6 ...... Song, Eunice 148 ...... Sellers, John 54 ...... Silvers, Arthur 47 ...... Song, Janet 54 ...... Selph, Barney 24 ...... Silveus, Michael 167 ...... Song, Michael 167,54 ...... Semtner, Monica 148 ...... Simanek, Milan 54 ...... Soni, Shweta 79 ...... Semtner, Robert 148 ...... Simmons, Darian 37 ...... Sood, Vandana 87 ...... Sensenbrenner, Diana 131,161 ...... Simon, Alexander 106,44,73 ...... Sorenson, Robert 106,91 ...... Sentz, Thomas 181 ...... Simon, Deepa 106,140 ...... Sorin, Mark 102,111,122,64 ...... Sepahi, Saman 99 ...... Sims, Michael 176 ...... Sotack, Mary 37 ...... Sevilla, Maria 167 ...... Sinclair, Emily 140,67 ...... Soules, Lana 82 ...... Shaafi, Mojgan 54 ...... Sinclair, John 176 ...... Sours, Charles 189 ...... Shadrin, Blanka 97 ...... Singh, Geetika 54 ...... Sours, Elaine 95 ...... Shaeffer, Elizabeth 14 ...... Singh, Simranjit 82 ...... Sowan, Jamil 148,42,47,97 ...... Shafiei, Nikki 189,54,6,60,67,94 ...... Singleton, John 148 ...... Sowers, Steven 148 ...... Shah, Advait 94 ...... Singor, Lauren 118,163,176,37 ...... Soyfer, Vladimir 54 ...... Shah, Bijal 87 ...... Siragusa , Joseph 77 ...... Spain, Murray 118,177 ...... Shah, Rohini 120,140,44,73 ...... Sisel, Jeffrey 14 ...... Spainhour, Stephen 140 ...... Shah, Rupal 140 ...... Skaff, Victor 169 ...... Spalding, Harry 64 ...... Shah, Vishal 109 ...... Skinner, Gregory 148 ...... Spano, Brad 32 ...... Shahram, Shohreh 167 ...... Skinner, Kevin 26,82,99 ...... Sparks, Sarah 106,120,127 ...... Shaia, Paul 101,140 ...... Sklar, Andrew 6 ...... Spaur, Ernest 127 ...... Shan, Ailin 140 ...... Skrba, Sladjana 118,125,177,77 ...... Spears, Brian 19 ...... Shannon, Andrew 167,99 ...... Slattery, Matthew 113 ...... Spechler, Jerome 6 ...... Shannon, Travis 151 ...... Slaughter, Kevin 42 ...... Speegle, John 185 ...... Shapiro, Harold 6 ...... Slaughter, Terry 42 ...... Speicher, Mary 23,70 ...... Sharafi, Alireza 161,6 ...... Slepsky, Peter 24,49 ...... Spence, Jeffrey 121 ...... Shareghi, Shadi 54 ...... Sloat, Inga 167 ...... Spence, Teddy 41 ...... Sharif, Asif 118,125,176,77 ...... Smagalski, Gary 32 ...... Spence, Terry 49 ...... Sharma, Mohit 45,70,94 ...... Smalls, Ronald 185 ...... Spencer-Fuller, Joy 87 ...... Sharma, Sumit 131,17 ...... Smallwood, Anthony 79 ...... Spillers, Ronald 109,42,63,79 ...... Sharp, Martha 128 ...... Smart, Danielle 67 ...... Spitzer, Jay 140 ...... Sharpe, Isiah 125 ...... Smiley, Christopher 41 ...... Spitzer, Timothy 189,23,28,6 ...... Sharrock, Michael 37 ...... Smith, Eric 109,113,152,77 ...... Spory, Philip 84 ...... Shaw, Christina 131,161 ...... Smith, Hubert 6 ...... Sprague, Patrick 89 ...... Shea, Thomas 91 ...... Smith, Jacqueline 177 ...... Spraker, Michael 150 ...... Shearer, Elliot 91 ...... Smith, James 91 ...... Springmann, Sebastiana 185 ...... Shearer, James 97 ...... Smith, Jessica 140 ...... Sprinkle, Grant 151 ...... Shearer, Ryan 181 ...... Smith, John 19 ...... Sriram, Kanaka 167 ...... Sheikh, Shehzad 161 ...... Smith, Kathryn 99 ...... St George, Susan 67 ...... Shelburne, Stephen 122 ...... Smith, Kenneth 148 ...... St Louis, Stephen 54 ...... Shelley, Spencer 121 ...... Smith, Mark 128,47 ...... 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 233 Delta Dental Premier

...... Stack, Hollie 167 ...... Svirsky, John 140 ...... Thomason, Edward 141 ...... Stafford, David 34,47 ...... Swanson, Cristina 95 ...... Thomas-Webb, Sonya 37 ...... Stafford, Matthew 140,44,83 ...... Swanson, Joshua 158,67 ...... Thompson, Andrew 167 ...... Staley, Catherine 8 ...... Sweeney, Christabel 159 ...... Thompson, Damon 20 ...... Stallings, Eddie 95 ...... Sweeney, John 165,54 ...... Thompson, Daniel 20 ...... Stange, F 37 ...... Sweeney, Pia 177 ...... Thompson, Harper 151,73 ...... Stanovick, Paul 101 ...... Sweeney, Richard 125 ...... Thompson, Harvey 64 ...... Stansfield, Michael 44 ...... Sweiry, Eli 177 ...... Thompson, Jack 121,74 ...... Staples, Kristina 110,29,89 ...... Swenson, Kevin 49 ...... Thompson, K 153 ...... Starnes, Nazie 67 ...... Swett, David 32 ...... Thompson, William 41 ...... States, Michael 32 ...... Swett, Rebecca 32 ...... Thomson, Shibu 45 ...... Staver, Tatiana 161 ...... Swiger, Ralph 87 ...... Thornton, William 64 Steadman, Robert 140 Swisher, Charles 32 Throckmorton, David 177 ...... PARTICIPATING PROVIDERS ...... Steele, Ben 118,77 ...... Syed, Chand 193 ...... Throckmorton, Dennis 192 ...... Steger, Carl 153 ...... Szubiak, Stanislaw 141,44,73 ...... Throckmorton, Maria 177 ...... Steinbach, Boris 60 ...... Tabor, Christian 73 ...... Thurston, Christopher 1,71 ...... Stelmach, Michelle 77 ...... Tabor, William 118,77 ...... Thweatt, Bradford 151 ...... Stensland, Steven 185 ...... Tadros, Amear 126 ...... Tibbs, Vicki 128 ...... Stenvall, Meghan 185 ...... Tafo-Tabue, Hendrick 106 ...... Tiesworth, Daniel 141 ...... Stephens, James 62 ...... Taheri, Bruce 161,189,6,95 ...... Tisdelle, George 32 ...... Stephens, Matthew 151 ...... Tahim, Geetika 82 ...... To, Bryant 29 ...... Stephens, Nathan 151 ...... Tahmasebi-Boldaji, Jila 46,60 ...... Todd, Patrick 150 ...... Stephenson, John 9 ...... Tailor, Priya 141,44,67 ...... Todd, Stephen 141 ...... Sterling, Arden 140 ...... Tajalli, Flora 82 ...... Tolson, Ronald 6 ...... Stermer, George 97 ...... Taliaferro, Richard 159 ...... Tomaselli, Philip 23 ...... Stevenson, Pretlow 125 ...... Talton, John 141 ...... Tomchik, Jayme 177 ...... Stewart, Henry 140 ...... Tam, Amy 37 ...... Tomoda, Matthew 20 ...... Stewart, Jennifer 14,167,60,82 ...... Tamhankar, Nisha 14 ...... Toms, Michelle 158 ...... Stewart, Timothy 140 ...... Tanguilig-Thomas, Elizabeth 37 ...... Ton, Amy 131 ...... Stiebel, William 159 ...... Tao-Yi, Sonia 114 ...... Ton, April 23 ...... Stockburger, Daniel 114 ...... Tarasidis, Vera 141 ...... Ton, Theresa 29 ...... Stoner, Kenneth 140 ...... Tate, Carter 42 ...... Toney, Tyler 1,71 ...... Storm, Matthew 67 ...... Tatem, Taurus 67 ...... Toone, Gregory 91 ...... Stout, Michael 182 ...... Tavakkoli, Kambiz 189,6 ...... Torma, Audrey 23 ...... Straus, Frank 140 ...... Tavakkoli, Kamran 189,6 ...... Torrey, Edwin 67 ...... Strauss, Zachary 101 ...... Tavassoli, Amir 141 ...... Townes, Kimberly 7 ...... Stringham, Matthew 54 ...... Taylor, Alan 163 ...... Townsend, David 96 ...... Stringham, William 54 ...... Taylor, Donald 123 ...... Toyer, Leonard 190 ...... Stuart, Katherine 151 ...... Taylor, Ellis 32 ...... Trabosh, Jon 49 ...... Stubblefield, Margaret 22 ...... Taylor, Emery 42,45,63 ...... Trahos, Michael 109 ...... Stubbs, Julie 122 ...... Taylor, James 141 ...... Trahos, Norman 109,7 ...... Stubbs, Paul 122 ...... Taylor, Russell 123 ...... Tran, Allie 60 ...... Stump, Lauren 150,32 ...... Taylor, Ryan 156 ...... Tran, An 54 ...... Subramanian, Deepa 87,95 ...... Tebbenkamp, Justin 20,42 ...... Tran, Annah 54 ...... Suk, Minjeong 161,54 ...... Techapanit, Chantarat 14,150,167,29 ...... Tran, Bernard 161 ...... Suk, Sun 49,82 ...... Temburni, Amarjeet 60 ...... Tran, Britnie 114,118,125,177,77 ...... Sullivan, Kit 106,120,127,40 ...... Templeton, David 71 ...... Tran, Hoang-Oanh 60 ...... Sultan, Ayesha 95 ...... Terango, Larry 95 ...... Tran, Julie 7 ...... Sultanzada, Yama 156,189 ...... Terry, Ronald 150 ...... Tran, Keri 190,7 ...... Summerlin, Jack 163 ...... Terwilliger, Gayle 152 ...... Tran, Linh 9 ...... Sumner, Lydia 70 ...... Testerman, Edward 159 ...... Tran, Minh-Duc 57,61 ...... Sumner, Timothy 70 ...... Thammineni, Kishore 186 ...... Tran, Myvan 7 ...... Sun, David 67 ...... Thekkethottiyil, Georgea 73 ...... Tran, Quang 156,54 ...... Sun, Richard 131 ...... Thews, Scott 106 ...... Tran, Vinh 190,61 ...... Sun, Wenhui 70 ...... Thlick, Su-En 190,89 ...... Trawick, Donald 106 ...... Sur, Marcus 118,163,177,37 ...... Thomas, Bennett 37 ...... Trent, Faith 106 ...... Surat, Eric 148 ...... Thomas, Ken 162 ...... Trieu, Hai 61 ...... Surendran, Swapna 189,49 ...... Thomas, Marvette 85 ...... Trinh, Phuong 167,26,70 ...... Sutherland, William 92 ...... Thomas, Stephen 162 ...... Trivedi, Kalpana 54 ...... Suyes, David 151 ...... Thomas, Susan 141 ...... Trolenberg, William 114 ...... Svechota-Kingsbury, Bruce 131,17 ...... Thomas, William 156,33 ...... 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 234 Delta Dental Premier

...... Truong, Kevin 69 ...... Villarroel-Soto, Claudia 100,17 ...... Westover, Austin 186 ...... Truong, Quynhmai 44 ...... Villasis, Juan 193,37 ...... Westover, Mitra 186 ...... Truong, Thanh Huong 61 ...... Villavicencio, Olmedo 10 ...... Wheeler, Kyle 63 ...... Truong, Tina 7 ...... Villier, Donald 110 ...... Wheeler, Steven 110 ...... Truvan, Danny 29 ...... Vinson, Alexa 141,150,19 ...... White, Allen 177 ...... Tsai, Chih-Ping 181,190,54,67,7,70, ...... Vlasek, Natalie 181 ...... White, Brandon 149,150 82,89,95 ...... Vo, Brittany 167 ...... White, Calvin 193 ...... Tsai, Jack 7 ...... Vo, Duy 14 ...... White, Edwin 151 ...... Tsang, David 131 ...... Vogt, Nathan 79 ...... White, Jay 7 ...... Tsui, Nathan 7 ...... Volkova, Irina 101,110,122,141,18 ...... White, Julie 149 ...... Tudor, Cynthia 181 3,185,44,83 ...... White, Karen 26 ...... Tuggle, William 118 ...... Vorchheimer, Roger 23 ...... White, Linda 95 ...... Tummarello, Mark 54 ...... Vu, Cindy 161 White, Robert 129 ...... PARTICIPATING PROVIDERS ...... Tung, Pariana 156,61 ...... Vu, Duy-Anh 14,29 ...... White, William 91 ...... Tupman, S 156,89 ...... Vu, John 7 ...... Whitman, Kime 120,141 ...... Turck, Michael 37 ...... Vu, Khai 167 ...... Whitmer, Gregory 32 ...... Turnage, Neil 101,106,127,141,19 ...... Vu, Tuan 17 ...... Whittington, Richard 167 ,73 ...... Wade, Frank 141 ...... Whynott, Christopher 150,32 Tyler, Michael 91 ...... Wade, Timothy 183 ...... Whyte, Michael 185 Ullrich, John 87 ...... Wagman, Jeffrey 7 ...... Wicker, Marybeth 107,120,127 Unterbrink, Denise 42 ...... Wakefield, Keri 89 ...... Wiggins, Benjamin 125 Uppalapati, Sindhura 190 ...... Walerko, Philp 20 ...... Wilby, Lyla Rose 101,141 Upshur, Conway 141 ...... Wali, Sofiya 54,7 ...... Wilkinson, Claude 141 Urban, David 61 ...... Walker, David 185 ...... Wilkinson, David 141 Urquiaga, Claudio 29 ...... Wall, Jesse 47 ...... Willhide, John 67 Urteaga, Jair 14,95 ...... Waller, Carter 64 ...... Williams, Adam 149,46 Usman, Malik 82 ...... Walls, William 37 ...... Williams, Daniel 77 Usnick, Janice 49 ...... Walrod, John 97 ...... Williams, Jeffrey 107 Utterback, Bruce 118,125,177,77 ...... Walsh, Eugenia 89 ...... Williams, Jon 7 Vacca, Richard 106 ...... Walther, William 181 ...... Williams, Kristen 14 Vaccaro, Thomas 54 ...... Walton, Guy 84 ...... Williams, M Kurt 89 Vacendak, Daniel 37 ...... Wang, Alice 7 ...... Williams, Suzanne 7 Vacendak, Sheila 37 ...... Wang, Peng 14,54 ...... Williams, Tiffany 141 Vahdani, Thomas 141 ...... Wang, Qin 44 ...... Williams, Vernon 158,67 Vakay, Rena 26,80 ...... Waqar, Rukhsana 61 ...... Williamson, M 154 Valdivieso, Gino 95 ...... Ward, Christine 40 ...... Willis, James 156,23,42,45,63,89 Valleru, Silvija 153,190 ...... Ward, Christopher 106,120,127 ...... Willis, Julian 114,37 Valltos, Rachael 61 ...... Ward, Gloria 121,141 ...... Willoughby, John 84 Vamaraju, Bindu 29,54,82 ...... Ward, Scott 148,46 ...... Willoughby, Tasha 67 Van Scyoc, Chad 141 ...... Wartofsky, Ariel 193 ...... Wilmer, Sarah 40,92 Van Slooten, Brian 14 ...... Waterman, Jennifer 177 ...... Wilson, James 97 Van, Nicole 100 ...... Watkins, James 77 ...... Wilson, Joseph 125 Varanelli, Franklin 186 ...... Watson, Benjamin 114 ...... Wilson, Lois 100,82 Vargas, Lida 54 ...... Watson, Ethel 156 ...... Wilson, Lori 122 Varkey, George 106,44,73 ...... Watson, James 118 ...... Wilson, Natasha 118,125,141,177 Varney, Sandra 87 ...... Watts, Jasper 77 ...... Wilson, Robert 182 Vasey, Eric 190 ...... Way, William 141 ...... Wilson, Sarah 151,169 Vaughan, Gary 88 ...... Way-Rodriguez, Jorge 158,190,67,95 ...... Wilson-Hartman, Melanie 23 Vaughan, Keith 193 ...... Weaver, Yolonda 54 ...... Wiltbank, Bradley 100 Vaughn, Paris 190 ...... Webb, James 83 ...... Wingfield, William 84 Vega, Oscar 32,92 ...... Webber, Terrence 107 ...... Winkler, Mark 156 Velander, Breanna 48 ...... Weinstein, Lee 118,163,177,37 ...... Winneberger, Walter 185 Vellanki, Swati 67 ...... Weisberg, Arnold 37 ...... Wissink, Andrea 37 Vellucci, Jessica 106 ...... Weisberg, Barclay 37 ...... Witcher, Gordon 40 Venne, Marko 114 ...... Weisberg, Edward 118 ...... Witty, Thomas 114 Vera-Lopez, Karina 190,29 ...... Weiss, Barry 141 ...... Wolcott, Hollis 164 Vernon, J 44 ...... Welstead, Llewellyn 87 ...... Wolf, Rudolf 20 Vess, Freemont 46 ...... Wendell, Bryan 185,193 ...... Wolfe, John 32 Vessali, Mojdeh 82 ...... Werner, Alyssa 87 ...... Wolfe, Melissa 159,32 Vild, Diann 67 ...... Wernick, Robert 177 ...... Wolpin, Scott 102,111,122,64 Villalba, Patricia 141,148 ...... West, Charles 8 ...... 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 235 Delta Dental Premier

...... Won, Jennifer 186 ...... Young, Stephen 141 ...... Bluhm, Andrew 18,87 ...... Wong, Dennis 102,107,141,73 ...... Younoszai, Abraham 100 ...... Boyle, Richard 128,21 ...... Wong, Jonathan 177 ...... Yousefi, Ashkan 190,67 ...... Brandt, Matthew 63,88 ...... Wong, Joshua 107,120 ...... Yu, Fan 54 ...... Brewer, Kevin 7 ...... Woo, Gene 61 ...... Yu, Sang Hun 114,118,125,152,17 ...... Brinser, Paul 122,40,83 ...... Woo, Jansen 14 7,77 ...... Brown, Stephen 41,67 ...... Wood, Bryan 7 ...... Yung, Stefanie 177 ...... Bukzin, Jay 14,70 ...... Wood, Patricia 26 ...... Yung, Susan 181 ...... Burger, Brenton 161,26,70 ...... Wood, William 80 ...... Zacko, George 131 ...... Burgoyne, Corey 63,88 ...... Wooddell, John 10 ...... Zadeh, David 14,167 ...... Byrnside, Valerie 121,163,178,37 ...... Woodlock, Krista 177 ...... Zahir, Shabana 177 ...... Cabaniss, Charles 114 ...... Woodside, Jason 181 ...... Zainul Abedeen, Anas 142,44,67 ...... Campbell, Robert 73 Woolfolk, Royce 141 ...... Zakhour, Hiba 167 Carvajal, William 62,91 ...... PARTICIPATING PROVIDERS ...... Woolwine, Samuel 91 ...... Zak-Ramsay, Heather 163 ...... Chalk, Evan 62,91 ...... Workie, Daniel 141,149,42 ...... Zale, Daniel 110 ...... Chang, Brian 181,87 ...... Wortman, Michael 156,7 ...... Zamani, Amir 14 ...... Colella, Peter 178 ...... Wray, Henry 14 ...... Zamora -Rojas, Carla 7 ...... Coleman, Norman 156,167,7,98 ...... Wray, Ronald 97 ...... Zand, Taraneh 49,82 ...... Collins, R 182,32 ...... Wright, Charles 37 ...... Zapatero, Dag 177 ...... Conelias, Trent 119,178 ...... Wright, D 149 ...... Zapf, Michael 95 ...... Conner, Gregory 32,45 ...... Wright, Rita 190 ...... Zarei, Maryam 102,73 ...... Cook, Thomas 154 ...... Wright, Thomas 141 ...... Zarookian, Armen 156,82 ...... Corcoran, Theodore 14,61 ...... Wryter, Juliet 149,186,61 ...... Zarrinfar, Allen 128 ...... Coviello, Vincent 14,186,61 ...... Wu, Linda 14 ...... Zaun, Phillip 102 ...... Cyr, Jeffrey 107,142 ...... Xia, Joyce 161 ...... Zavislak, Robert 67 ...... Davenport, William 114,77,79 ...... Yalamanchili, Padmaja 54 ...... Zebarth, Stephen 186 ...... Dayse, Robert 190,67,95 ...... Yandle, David 127 ...... Zeiaei-Nafchi, Saeid 153,190 ...... Deeb, George 142 ...... Yang, Hui 42 ...... Zeidler, Dennis 107 ...... Delgado, Edward 167,7 ...... Yang, Ximin 100 ...... Zelazny, Lloyd 73 ...... Deluke, Dean 142 ...... Yann, Borarath 95 ...... Zeno, Allan 119 ...... Devylder, Joseph 10,154,158,161,167 ...... Yann, Borin 7 ...... Zentgraf, Ralph 107 ,7,82 ...... Yaqui, Luis 158,190,49,80 ...... Zhang, Jinghua 100 ...... Dolan, Patrick 131,190,23,26,55 ...... Yavrom, Monica 96 ...... Zhu, Tingting 54 ...... Doriot, Robert 55 ...... Yazdani, Forough 167 ...... Zia, Asma 100 ...... Dorsch, Steve 18,87 ...... Yeager, Daniel 91 ...... Zier, Tara 23,55,7 ...... Dymon, William 102,107,142,151,73 ...... Yeager, Victoria 91 ...... Zima, Andrew 102,84 ...... Eisenhardt, Peter 32,45 ...... Yeargan, Jody 32 ...... Zimmer, Andrew 177 ...... Ercole, Aaron 142 ...... Yedigarian, Rouben 97 ...... Zirnstein, Anh 109 ...... Eschenroeder, Thomas 107,142 ...... Yeh, Paul 118,163,177,37 ...... Zopp, Bryan 181 ...... Faircloth, W 32,45 ...... Yeo, Mike 29 ...... Zubairi, Sadia 61,82 ...... Ferguson, Andrew 107,142 ...... Yi, Amanda 54 ...... Zurmati, Farid 57 ...... Fiorucci, Richard 7 ...... Yi, Chang 100,54 ...... Folck, Michael 178 ...... Yi, John 14,26,87 ORAL SURGEON ...... Ford, Melvin 178 ...... Yi, Tyler 131,54 ...... Foretich, Eric 98 Francioni, Sonia 10,100,190 ...... Ykeda, Cecilia 156 ...... Abbott, Michael 151 ...... Gliksman, Joseph 178,37,77 ...... Yoda, Kyoko 149 ...... Abubaker, A 142 ...... Gocke, Michael 100,190,23 ...... Yoo, Young 190 ...... Agnihotri, Neil 102,107,142,151,73 ...... Goodove, Scott 121,163,178,37 ...... Yoon, David 156 ...... Ali, Ziad 100 ...... Gray, James 178 ...... Yoon, Heather 42 ...... Allen, Harvey 67 ...... Gregory, Eugene 61 ...... Yoon, Jae 54 ...... Amin, Ahmad 153,190,7,95 ...... Guraya, Rajdeep 91 ...... Yoon, Jaewon 26 ...... Amos, Edward 186 ...... Guter, Klaus 178 ...... Yoon, Jangyeul 54 ...... Amrhein, Edward 32,45 ...... Gutmann, J 156 ...... Yoon, Seung 10 ...... Argintar, Barry 95 ...... Haas, H 67 ...... Yorgey, Kenneth 128 ...... Armanious, Mark 14,162,61 ...... Hamrah, Daria 100,14,67 ...... Young, Brenda 54 ...... Arzadon, Joseph 14,70,96 ...... Harris, Monroe 102,107,142,151,73 ...... Young, Glenn 128 ...... Asher, Kevin 14 ...... Hartmann, Paul 185 ...... Young, Lynette 177 ...... Bailey, Ryan 67 ...... Henry, Rolin 158,7 ...... Young, M 141 ...... Beale, Frank 177,37 ...... Herrera, Maricio 114,14,142,44,70 ...... Young, Marcus 114,77 ...... Berry, Zachary 121,163,177,37 ...... Hill, Nicholas 32 ...... Young, Mark 32 ...... Bigelow, William 159 ...... Hoard, Martin 32 ...... Young, Raymond 156,54 ...... Blais, Kenneth 14,70,96 ......

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 236 Delta Dental Premier

...... Hollyfield, Neil 1,192,96 ...... Patel, Ashish 158,168 ...... Yaghmai, Pedram 131,24,27 ...... Howard, Clinton 128,21 ...... Patel, Chirag 18 ...... Yeh, Frank 178,38 ...... Ibanez, Carlos 32,45 ...... Patel, Dipa 15 ...... Zadeh, Hugh 10,191 ...... Iyer, Malini 186,61 ...... Patel, Snehal 156,89 ...... Zagursky, Peter 121,164,178,38 ...... Izadi, Keyoumars 67 ...... Patel, Suketu 131,18,87 ...... Zoghby, Gregg 108,143 ...... Jacks, Thomas 15,70,96 ...... Patterson, Adrian 131,23 ...... Jackson, Julia 10,190,95 ...... Patterson, Travis 15,61 ORTHODONTIST ...... Jett, L 125,163 ...... Paulette, Stephen 79 Keeney, Kanyon 102,107,142,151,73 Pelkofski, Joseph 87 ...... Abbasi-Hafshejani, Azita 149,42,48 Kenney, Jeffrey 114 Pell, James 131,186,190 ...... Abdel-Wahab, Mona 191 Kevorkian, George 169 Perkins, Dennis 1,192,71,96 ...... Abigail, Curtis 15 Kiely, Kevin 185 Pham, Anh 29,61,87 ...... Ahn, Sooyeon 100,89 Kim, Sang 167 Phelps, Maynard 114,77,79 ...... Albinder, Kenneth 178 PARTICIPATING PROVIDERS Klamut, Kenneth 182,192,79 Pinch, John 62,91 ...... Almy, Diana 68 Krochmal, James 119 Priest, James 152 ...... Anderson, Holly 119,178,38 Kuzmik, Michael 168,7 Prillaman, Paul 38 ...... Anderson, Ralph 102,120,143,44 Labella, Carl 70 Quigg, Richard 178 ...... Anderson, Robert 164 Labriola, J 10,190,95 Rai, Shaun 178 ...... Apt, Kolman 82 Lacy, John 182 Ramsey, Brent 79 ...... Arroyo-Pratt, Marielena 143 Larusso, Mark 125,163 Ramsey, Cyrus 131,190,23,26,55 ...... Ashby, John 119,178,38 Lee, N 114 Redmon, David 186 ...... Ashley, Chanda 159,182 Leist, John 114 Renapurkar, Shravan 143 ...... Augustus, Sana 15 Liang, David 15,70,96 Robertson, Steven 131,190,23,26,55 ...... Babcock, Daniel 114 Liu, Frederick 131,190,23,26,55 Rothman, Jeffrey 7 ...... Barakat, Rana 48 Longwe, Edward 29 Sarraf, Ammar 107,143 ...... Bassham, Deborah 1,22 Lyn, Trevann 153,190,55,67,95 Scroggins, Samuel 151 ...... Bates, Sheldon 143 Magid, Mitchell 91 Sellers, Vernon 125,164 ...... Bath, Gregory 168,74 Maharaj, Barry 29,87 Shami, Imad 55 ...... Baugher, Eric 91 Manry, Herbert 48 Sherwood, Richard 48 ...... Beecroft, Stephen 154,158 Margolis, Jason 149 Shin, Thomas 55,67 ...... Behl, Yugal 114,125,178,38,77 Maugeri, Michael 178,37 Shufford, Earl 44 ...... Benes, Kristen 119,164,178,38 Mcandrew, Brian 102,107,142,151,91 Silloway, Kimberly 131,190,24,26,55 ...... Benson, Wakeshi 143,40 Mcclung, James 149 Smagalski, Gary 143,149,32 ...... Berman, Scott 61,82 Mcdonald, Cabel 70 Smith, Peter 131,191,24,26,55 ...... Berry, Zane 152,185,193 Mclaughlin, John 79 Solomon, James 32,45 ...... Beyer, Jeffrey 108,44 Meador, Larry 149 Starley, Eric 186 ...... Bibona, Kevin 108,143,73 Meeks, Darrell 178,37 Strauss, Robert 143 ...... Bivins, William 38 Metzger, Lawrence 102,107,142,151,73 Strickland, Frank 87 ...... Black, Elena 149,91 Miller, Michael 107,142 Szakaly, Brian 152,38 ...... Blackwood, Michael 154 Moose, David 70,87 Tankersley, Kenneth 114,77,79 ...... Blanchette, Mark 91 Morgan, Anne 164 Theberge, Daniel 131,191,24,26,55 ...... Brassington, Bryan 108,143,73 Morgan, David 131,158,186,190,67 Thompson, Brian 1,192,71,97 ...... Britto, A Denis 191,29 ,7,95 Tricker, Nathaniel 33,45 ...... Brosnan, Paul 24,80 ...... Morgan, John 114,142,164,185,37 Trinh, Huy 55 ...... Brown, Camden 150 ,42,48,77 ...... Trotter, Bradley 122,40,83 Buelow, Dwight 102,108,120,127,14 Morrison, Sanford 119,178 ...... Truitt, John 102 3,19,40,73 ...... Mrazik, Jack 77 ...... Vandervort, Gene 18,87 ...... Byrd, Richard 108,143,154,158,61 Mueller, David 178 ...... Vangilder, James 129,21 ,68,82 Murphy, Walter 102 ...... Vendetti, Curtis 178 ...... Casagrande, Zachary 18 Naimi, Amir 131,23 ...... Vigliante, Craig 87 ...... Caspersen, Matthew 68 Nelson, James 143 ...... Wallace, David 21 ...... Cetlin, Dennis 24,82 Nguyen, Phuong 15,190 ...... Wallace, James 107,143 ...... Chang, Ju-Han 61 Nokkeo, Jay 100 ...... Wang, Richard 131,186,191 ...... Cheron, Ann-Colter 27 Olson, Charles 37 ...... Watson, Damon 102,107,143,152,73 ...... Christenson, Brad 38 Oneill, Robert 122,40,83 ...... Webber, Caroline 164,178,38 ...... Claiborne, Jennifer 91 Oswald, Sophie 190,29,67,95 ...... Wentz, Willard 48 ...... Cline, Matthew 143,33,74 Padgett, Thomas 107,143 ...... West, L 185 ...... Cloth, Mark 159,33 Pandolfi, Philip 79 ...... Whitney, James 79 ...... Dabney, C 108 Park, Jonathan 131,190,23,26,55 ...... Wilhelm, Miles 33,45,68 ...... Daczkowski, Thomas 18,95 Parulis, Albert 149 ...... Wlodawsky, Ross 102,107,143,152,73 ...... Dailey, Curtis 123,77 Pashapour, Ali 15 ...... Wojcik, Rose 161,26 ...... 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 237 Delta Dental Premier

...... Davidson, Jeremy 178 ...... Kelleher, Kevin 108 ...... Purcell, Allison 102,108,120,127,14 ...... Davis, George 108,143,40 ...... Kermanshi, Shiva 15,191,61,7,85,95 4,19,40,74 ...... Dennis, Suzanne 33 ...... Khouri, John 70 ...... Pyle, Keith 91 ...... Djeu, Garret 55 ...... Kim, Christine 131,27,55,8 ...... Rebellato, Giuseppe 33 ...... Dunegan, Michael 70,95 ...... Kim, Eunyoung 15,168,191,27 ...... Reddy, Swathi 85,89 ...... Dunlevy, Harry 108 ...... King, John 108 ...... Regimbal, Pamela 102 ...... Dusek, Thomas 38 ...... Kiser, Marshall 129 ...... Riggs, Gary 123,179,77 ...... Ekoh, Madueke 70 ...... Klar, Lawrence 164,179,38 ...... Riley, James 108,144,74 ...... Elhady, Sherif 24 ...... Klar, Neal 164,179,38 ...... Rockhill, Amy 149 ...... Ellis, Donald 10,24 ...... Klima, Rodney 24 ...... Rogers, Dale 102,108,120,127,14 4,19,40,74 ...... Eppard, Holly 45 ...... Kortam, Sahira 18 Ross, Edward 102 ...... Errera, Joseph 102,18,182,45 ...... Kravitz, Neal 153,18 ...... Faber, Beth 164 Kumra, Bob 191 ...... Ross, Vicki 114 ...... PARTICIPATING PROVIDERS Roy, Carl 179,38 ...... Fan, Vivian 131,152,68 ...... Kwon, Hyue 168,27 ...... Rubenstein, Loretta 114 ...... Feldman, Irwin 61 ...... Le, Phu 168 ...... Saba, Shadi 161 ...... Feldman, Seth 61 ...... Lee, Dan 191,29,61,89 ...... Sabol, George 121,179 ...... Filippone, Louis 27,70 ...... Lee, Edwin 61,82 ...... Sachno, Erika 24,84 ...... Fleming, Harold 191,55,61 ...... Lee, Jim 131,156,49,55,68 ...... Saleh, Fadi 15,191 ...... Forrest, David 114 ...... Lee, Richard 108,27,87 ...... Sarment, Sylvie 24 ...... Frank, Harold 15,191 ...... Lee, Sora 55 ...... Savage, Anthony 121,179 ...... Frankenberry, Anishka 1,191,61 ...... Lee, William 100,131,153,18,8 ...... Scarborough, Larry 144 ...... Fulton, Catherine 119,178,77 ...... Lindauer, Steven 143 ...... Scott, Jon 119,179,78 ...... Galbreath, Robert 164,178,33 ...... Lindgren, Meghan 10 ...... Shakashiro, Randa 71 ...... Garai, Allen 168,75 ...... Litschel, Kate 191 ...... Shimeless, Laelaye 149 ...... Gardner, William 143 ...... Lu, Hung Quoc 8 ...... Shivar, Walker 119,179,38 ...... Germane, Nicholas 102 ...... Lupi, James 158 ...... Sina, Nahid 157,27,55,68,96 ...... Ghaffari, Ashkan 168 ...... Marconyak, Louis 179 ...... Smernoff, Gerald 10 ...... Ghatri, Ali 131,156,158,55,68, ...... Marcus, Richard 102,108,120,127,14 ...... 95 3,19,40,74 ...... Smith, Erin 108,144 ...... Goozh, Steven 80 ...... Marquez, Rhina 143,44,61,68 ...... Smith, Shaun 114,119,125 ...... Griffin, Alfred 103,182,45 ...... Matney, John 114 ...... Snyder, Edward 48,97 ...... Grisius, Thomas 128 ...... Mcdonough, James 55 ...... Spears, Melanie 108,127,144,40 ...... Guleria, Alpita 131 ...... Mcgrath, Kevin 121 ...... Spurrier, Bryan 48 ...... Hamer, David 33 ...... Mei, Elizabeth 102,143,74 ...... Staggers, Julie 186 ...... Hamman, Frances 7 ...... Meisha, Dalia 149 ...... Stang, Christine 132,61 ...... Hammond, Albin 88 ...... Mekouar, Hicham 70 ...... Stern, Frederick 191 ...... Hatcher, William 38 ...... Mendes, Kevin 29,96 ...... Stern, Richard 24,27 ...... Hearne, Steven 164 ...... Metzdorf, David 157,55 ...... Sterne, Richard 63 ...... Hennigh, Roger 128,191 ...... Miller, Juliana 182,27 ...... Strange, Robert 87 ...... Hessamfar, Ramin 15,18,191 ...... Miller, Robert 182,27,45 ...... Supan, Paul 87 ...... Holbert, Michael 143 ...... Mittal, Nitika 191 ...... Tamkin, Lewis 79 ...... Holmes, Patrick 178 ...... Mollov, Nikolay 22 ...... Tari, Kianoush 128 ...... Horbaly, William 33 ...... Monacell, John 152 ...... Taylor, Gary 125 ...... Horsey, Gustav 80 ...... Morgan, Kelly 191,87 ...... Taylor, Thomas 164 ...... Hrechka, Kenneth 156 ...... Morgan, Richard 132 ...... Terrill, David 68 ...... Hudson, James 156 ...... Morris, David 80 ...... Thariani, Hani 15,82 ...... Hughes, David 156 ...... Morris, Glenwood 125 ...... Thomas, Charles 144 ...... Hukmani, Navin 153,191,68,87,95 ...... Mullen, Steven 18,87 ...... Tisseront, Stephan 132 ...... Hussaini, Syed 191,68,82,95 ...... Naghdi, Jina 82 ...... Toms, Kevin 24 ...... Hutchins, Gregory 119 ...... Nelson, Kristin 18 ...... Tran, Anh 40,41,8 ...... Hutchison, Alicia 191,95 ...... Nguyen, Denise 168 ...... Tran, Jade 61 ...... Huynh, Thuylinh 15,153 ...... Nguyen, Nikki 157,46,55 ...... Tran, Thoai-Lan 100,126,191,27 ...... Inouye, David 143,33 ...... Niepraschk, Markus 158,33,87 ...... Tratensek, Karen 168,75 ...... Iuorno, Frank 74 ...... Nyczepir, David 108,143,40 ...... Tufekci, Eser 144 ...... Iverson, Darin 15 ...... Oliver, Maya 157 ...... Turner, Randolph 21,42 ...... Izadi, Mohammed 126 ...... Omar, Anisa 29 ...... Ullrich, Courtney 18 ...... Ji, John 10,44 ...... Parks, Meredith 152,164,185,193 ...... Vahab, Philip 27,71,82 ...... Jones, Antonia 114,179,185,38 ...... Peluso, Anthony 119,179,38 ...... Vaughan, Dennis 129 ...... Jones, David 149,150,97 ...... Polack, Amanda 89 ...... Villa, Richard 74 ...... Jones, John 161 ...... Prillaman, William 63 ...... Visser, Britt 121,179 ...... Kaur, Pardeep 179 ...... Pryor, Dennis 157,55,61,80 ...... 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 238 Delta Dental Premier

...... Vroom, Katherine 10 ...... Davis, Rhea 49,71 ...... Madani, Saman 192,56 ...... Waitkus, Alexander 179,78 ...... Dawson, Martha 144 ...... Maestrello, Christopher 145 ...... Weis, Barton 33 ...... Dean-Duru, Lynda 18 ...... Martin, J 125,180,38 ...... Wendell, Peter 185 ...... Delacruz, Carola 153,87 ...... Marzban, Courtney 161,18 ...... Wexel, Walter 179,38,78 ...... Dixon, Jennifer 193,33 ...... Matsui, Toshiki 27 ...... White, Terryl 161 ...... Eberly, Randy 119,78 ...... Mcilveen, Lezley 82 ...... Wiger, John 126 ...... Eddleton, Raymonia 108 ...... Meise, Holly 125,38 ...... Wilkerson-Cox, Sherri 64 ...... Edwards, Justin 108,144,40,68 ...... Merdad, Hisham 187,62,68 ...... Wiltshire, Curtis 108,144,74 ...... Etessam, Neda 100 ...... Merrell, David 145 ...... Wood, Leighton 22 ...... Fernandes, Joyce 132 ...... Mofakhami, Niloofar 121 ...... Woodard, Monica 119,164,38 ...... Flowers, John 108,40 ...... Monajemy, Nooshin 128,161 ...... Woodard, Thomas 119,38 ...... Fontes, Fernanda 157,56 ...... Monsalve, Carlos 82 Woods, Hunter 192,71,97 Galliani-Alvarez, Mirtha 61 Morgan, Pamela 119 ...... PARTICIPATING PROVIDERS ...... Wyatt, Patrick 114 ...... Ganjavi, Sarah 168 ...... Mosley, Monica 48 ...... Yi, Peter 144,191,71,96 ...... Garofalis, Haralambos 114,125,180,185,38 ...... Mourino, Arthur 145 ...... Zaki, Tarek 179 ,78 ...... Muir-Young, Natalie 15 ...... Zhu, Xinsheng 29,49 ...... Gazori, Michael 85 ...... Nelson, Edward 15 ...... Ghalehbaghi, Faranak 56,8 ...... Oduyelu, Bukola 180 PEDIATRIC ...... Ghatak, Monamie 191,27,29,56,61,68 ...... Pal, Gopal 10,126 Gibson, Melissa 186 DENTIST/PEDODONTIST ...... Patel, Ajit 18 ...... Gichana, Roselyne 62 Patel, Arpi 8 ...... Adams, Randy 144 ...... Gill, Kwesi 15,96 Patel, Shital 145 ...... Agarwal, Gaurav 186,69 ...... Gokli, Meera 108,44 Peters, Barrett 182,33 ...... Amacher, Darcy 42 ...... Golden, Alan 128,191,24 Phaeton, Nathalie 62,8 ...... Amante, Alvin 128,191,71 ...... Ha, Jenny 157,56 Pham, Gina 192 ...... Atkins, Carl 144 ...... Hamlin, Daura 119 Phelps, Joy 152,78 ...... Austin, Angela 8 ...... Han, John 157,56 Piscitelli, William 145 ...... Averne, Robert 132 ...... Harman, Ashley 144 Pope, H 68,74 ...... Banaji, Girish 61 ...... Hasty, Michael 180,38 Pugliese, Richard 185 ...... Barham, Latoya 15 ...... Herbst, Heidi 161 Rai, Shwetha 49,71 ...... Barney, John 179,38 ...... Herce, David 180 Razdan, Shinjni 62 ...... Baveja, Julie 168,29 ...... Holmes, Jessica 191 Reardon, Christine 15 ...... Berry, Elizabeth 144 ...... Huie, Mark 114 Rodriguez, Cristelle 18,56 ...... Bethel-Soppet, Shirley 29 ...... Husson, Malinda 144 Rolon, Evelyn 1 ...... Bhatti, Bushra 18 ...... Imafidon, Timothy 108,144,40 Rosenblum, Scott 180,38 ...... Biggs, Kristina 89 ...... Island, Maria 168,18 Saleh, Lara 21 ...... Birsch, Laurie 125 ...... Jaju, Rishita 18 Sankowski, Christine 38 ...... Blank, Derek 15 ...... Jones, Herschel 128,191 Sawyer, Shannon 91 ...... Bortell, Elizabeth 144 ...... Jordan, Marian 29 Sears, Robert 82 ...... Braxton, Darchelle 114,125,179,185,38 ...... ,49,71,78 ...... Kafle, Sumana 85 ...... Shah, Ritu 49,71 Kakar, Deepak 62,68,96 ...... Brickhouse, Tegwyn 144 ...... Sharif, Sherry 56 Kalantar, Neda 132 ...... Britto, Mala 191,29 ...... Shetty, Navin 68,74 Keeton, David 109,144,44 ...... Brown, Gabriel 149,97 ...... Shingler, Arshia 49,71 Kendig, Robert 144 ...... Brown, Townsend 179 ...... Sinada, Nuthyla 21 Khateeb, Mariam 128,192,24 ...... Brumbaugh, Brian 159 ...... Sittason, Shepherd 91 Kim, Sunghee 62 ...... Bunin, Sara 24 ...... Skordalakis, Emmanuel 161,168 Kramer, Gary 24 ...... Burke, Brian 144,42,44,48,68 ...... Spruill, David 38 Kuhn, Amanda 109,40 ...... Carney, Jacqueline 144 ...... Staver, Tatiana 85 Lan, Steve 88 ...... Carter, Sobia 144 ...... Stephenson, Kesha 8 Laughlin, Robert 121,144 ...... Chu, Therese 153 ...... Stump, Aaron 193,33 Le, Hau 192,49,56,62,68,96 ...... Clark, Jessica 180 ...... Sundin, Allan 180 Leaf, Scott 24 ...... Clifford, Kevin 33,45 ...... Ta, Adam 8 Lentini, Erika 144 ...... Cook, Kathryn 33 ...... Talaksi, Ruksana 27 Levin, Mark 180,38 ...... Coulter, Charles 55,82 ...... Tapp-Reid, Donnamaria 78 Lewis, Holly 102,145 ...... Cox, Thomas 180 ...... Ternisky, Cris 100 Lin, Chi-Yi 15,24,29 ...... Crandall, Dawn 96 ...... Tingling, Flavia 15,89 Liu, Ben 161,8 ...... Cruz-Chu, Carlos 15 ...... Toyer, April 192 Lombardozzi, Nicholas 109 ...... Dadkhah, Mina 161,8 ...... Tran, My 49,71,8 Lopez, Joseph 8 ...... Dang, Tuong-Anh 18,27 ...... Tran, Tricia 10,27 Lubbe, Steven 109,44 ...... Davis, Jeffrey 100 ...... Treff, David 24 Luna, Oscar 168 ...... Davis, John 149 ...... 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 239 Delta Dental Premier

...... Unkel, John 145 ...... Gaskins, Charles 145,164,44 ...... Seals, Ashley 16 ...... Vatanka, Heidi 62,8 ...... Goldin, Richard 168,96 ...... Sethi, Shalini 158 ...... Vitsky, Paul 68 ...... Golob Deeb, Janina 145 ...... Shah, Nidhi 122,161,33 ...... Wadhwa, Puneet 180 ...... Gray, Andrew 180 ...... Shait, Abraham 145 ...... Webb, Michael 145,40 ...... Green, Barry 114 ...... Shields, Walter 42 ...... Weis, Morgan 125,180,39 ...... Griffin, Barry 145 ...... Shulman, Jeremy 180 ...... Weiss, Hilary 56,82 ...... Gunsolley, John 145 ...... Slagle, James 122,41 ...... Williams, Nahee 157 ...... Han, Sok Woong 89 ...... Smith, Karl 8 ...... Williams, Tiffany 145 ...... Hanson, Benjamin 187 ...... Smock, Sherman 110,33,91 ...... Wilson, Adrian 8 ...... Hardison, Justin 161,71 ...... Sperling-Habot, Keren 122,16,162,168,27, ...... Woo, Valerie 18 ...... Hartman, Gary 180 41,56,75,96 ...... Wood, Patricia 18,88 ...... Hirschler, David 119 ...... Sweeney, Kevin 145 Wood, Roger 109 Hirshman, Nina 182 ...... Tami, Richard 192 ...... PARTICIPATING PROVIDERS ...... Wooddell, Carol 24 ...... Howanitz, Joan 168 ...... Traboulsi, Georges 192,56,8,96 ...... Woodside, Jennifer 182 ...... Hur, Yong 85 ...... Voth, Stephanie 102,109,120,127,14 5,19,40,74 ...... Wunsch, Patrice 145 ...... Ijadi, Mehrdad 157,192,62,68,8 Wang, William 10,89 ...... Zima, Andrew 62 ...... Ilchyshyn, Nicholas 132 ...... Witte, Ernest 119 ...... Iravani, Farideh 168 ...... Wolfe, Barry 149 PERIODONTIST ...... Iwamoto, Claudio 85 ...... Woodruff, Harvey 80 ...... Kang, Taeheon 56 ...... Karapetian, Christine 157 ...... Zalewsky, Justin 159,8 ...... Aaron, Gavin 149 ...... Khang, Wahn 132 ...... Zamakhchari, Mai 157,56 ...... Abbott, David 19,33,8 ...... Kharmouche, Jean-Claude 161,71 ...... Abril, Edison 126,132,168,18,29, ...... 56,62,85 ...... Koertge, Thomas 145 PROSTHODONTIST ...... Acharya, Priya 149 ...... Koh, Richard 15,18,56,62,88 ...... Akmal, Omer 15,29 ...... Kohli, Malika 15 ...... Abou Nahlah, Esam 16 ...... Al-Joburi, Wesam 157,161,168,62 ...... Kokorelis, Michael 78 ...... Aggarwal, Harshit 10,68 ...... Anderson, David 24,8 ...... Konikoff, Albert 180,39 ...... Alvarez, Juan 162,168,85 ...... Anderson, Jennifer 114,193 ...... Konikoff, Bryan 119,164,180,39 ...... Ayass, Mohamad 16,27 ...... Anderson, Ryan 91 ...... Kooshki, Bijan 18,180,82 ...... Barnard, W 83 ...... Azghandi, Ramin 100 ...... Lakkis, Dima 15,192 ...... Barrero, Carlos 48 ...... Barr, Bruce 180,39 ...... Landy, Neil 180 ...... Betzhold, William 145 ...... Beri, Anuranda 161,168,18,192,27, ...... Lanning, Sharon 145 ...... Brady, Timothy 180 96 ...... Lee, Yeonju 100 ...... Cade, Ronald 145 ...... Bezik, Jaklin 56 ...... Lentz, John 21 ...... Choi, Charlson 56 ...... Black, Barbara 79 ...... Li, Jingchao 168,8 ...... Chrisopoulos, Fotini 62,8,83 ...... Block, Carl 109 ...... Lin, Thomas 10,161,192,56,68,8 ...... Coe, Yong 145 ...... Brain, Jeffrey 15 9 ...... Covaney, Michael 115 ...... Brill, Byron 159 ...... Lin, Zhao 145 ...... Davis, Keenan 119,181 ...... Buyer, John 21 ...... Marinak, Kenneth 180,39 ...... Estafanous, Emad 192 ...... Carlish, Robert 48 ...... Marvil, Lisa 128,157,161,89 ...... Guo, Juanli 168 ...... Carlos, Francisco 62 ...... Miranda, Ruben 15,62,8,96 ...... Hamalian, Techkouhie 16,56 ...... Carpio, Lillian 100 ...... Moretti, Joy 109,122,41 ...... Har, Gregory 96 ...... Cavallari, Kenneth 180 ...... Motamedi, Saeid 158,192,68,96 ...... Hong, Dong-Soo 168,27 ...... Chaddad, Karim 157,158,161,168,18 ...... Nelson, John 192 ...... Huang, Michiko 16 ,82 ...... Niver, Eric 180,185,39 ...... Huang, Peterson 159 ...... Chen, Cliff 132,192,27,56 ...... Oh, Dongha 56 ...... Kazanoglu, Altug 145 ...... Chou, Melanie 157,56 ...... Oh, Eunseok 15,168 ...... Kim, David 56 ...... Choudhary, Khalid 168,56,62 ...... Patron, Alfonso 15,150,161,168,83, ...... Kim, Juhan 109 ...... Christopher, Lourdes 62 96 ...... Koh, Philip 22,56 Pfohl, David 161,88 ...... Culberson, James 68 ...... Lee, Eun Hye 132 Phisuthikul, Norachai 10,15,62 ...... Dail, Ray 114 ...... Loza, Juan 88 Reddy, Bindu 192 ...... Daru, Antara 145,33 ...... Martinez, Luis 132,18 Rogge, Rod 180 ...... Diaz, Jennifer 24,56 ...... Oshea, Michael 62 Ross, John 180,39 ...... Dickson, Jeffrey 187,79 ...... Osseiran, H 169 Salzberg, Trang 119,164,180,39 ...... Donahue, James 84 ...... Park, Si-Woon 169,83 Sanz-Moliner, Javier 109,182,46 ...... Doppalapudi, Vivek 46,82 ...... Polack, Mariano 71 Saroff, Steven 145 ...... Farr, Michael 168 ...... Sadr, Lida 18,181 Saunders, Steven 187,79 ...... Favagehi, Mehrdad 62 ...... Salari, Marjan 192,68,8 Saunders, Victor 187,79 ...... Fields, Charles 132 ...... Synnott, Scott 132 Schroer, Michael 185 ...... Fisher, Steven 192,56,78 ...... 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 240 Delta Dental Premier

...... Weld, Georgia 159

SPECIALTY NOT SPECIFIED

...... 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 PARTICIPATING PROVIDERS ...... Thorpe, Jeffrey 132 ...... Vu, Bao 62 ...... Weiler, Michael 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 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 1-800-237- 6060. A complete list of participating dentists can also be found on our website; www.deltadentalva.com.