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Active Provider Detail Report Providers Participating as of 02/14/2013

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Providers Participating as of 02/14/2013

Provider First Name Provider Last Name Licensures Location Name Address1 Address2 City State Zip Phone Fax County Specialty

DAWN ABOUSY DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

DAWN ABOUSY DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

DAWN ABOUSY DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

DAWN ABOUSY DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

ZUWENA ABRAHAM DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

AVADIS ABRAHAMIAN DDS HOWARD UNIVERSITY COLLEGE OF

DENTISTRY 600 W ST NW STE 233 WASHINGTON DC 20059 (202)806-0041 (202)806-0473 DISTRICT OF COLUMBIA Orthodontist

KINGSLEY U ACHIKEH DDS CITY PLACE DENTAL 8780 GEORGIA AVE SILVER SPRING MD 20910

(301)585-1515

(301)585-5206

MONTGOMERY General Practitioner

TONI ADDERLEY DDS SMALL SMILES DENTAL CENTERS OF 2111 W PATAPSCO AVE BALTIMORE MD 21230 (410)644- (719)584- BALTIMORE CITY General Practitioner

TONI ADDERLEY DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner

TONI ADDERLEY DDS SMALL SMILES DENTAL CENTERS OF 6105 HARFORD RD BALTIMORE MD 21214 (410)254- (410)254- BALTIMORE CITY General Practitioner

TONI ADDERLEY DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

TONI ADDERLEY DDS SMALL SMILES DENTAL CENTERS OF

OXON HILL

30 AUDREY LANE OXON HILL MD 20745

(301)567-5437

(304)156-7545

PRINCE GEORGES General Practitioner

BOSEDE ADENIJI DDS ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

BOSEDE ADENIJI DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

RACHEL AGUNGA DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

RACHEL AGUNGA DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

RACHEL AGUNGA DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

RACHEL AGUNGA DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

IMANEY AHMAD DMD KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 1900 N BROADWAY STE 102 BALTIMORE MD 21213 (443)957- (410)235- BALTIMORE CITY General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 2429 FREDERICK AVE BALTIMORE MD 21223 (443)957- (410)566- BALTIMORE CITY General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 4173 PATTERSON AVE BALTIMORE MD 21215 (443)743- (678)904- BALTIMORE CITY General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 7839 EASTERN AVE STE 7842 BALTIMORE MD 21224 (443)503- (678)904- BALTIMORE CITY General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 406 N FRUITLAND BLVD SALISBURY MD 21801 (800)920- (678)904- WICOMICO General Practitioner

MINOO AKHAVAN MALAYERI DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

MINOO AKHAVAN MALAYERI DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner MINOO AKHAVAN MALAYERI DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 1580 WESEL BLVD STE O HAGERSTOWN MD 21740 (800)920- WASHINGTON General Practitioner

MINA AKHLAGHI DDS ADAMS MORGAN COSMETIC DENTISTRY 1746 COLUMBIA RD NW WASHINGTON DC 20009

(202)797-8989 (202)797-8985 DISTRICT OF COLUMBIA General Practitioner

NYKKOL ALDRIDGE DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

NYKKOL ALDRIDGE DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

Active Provider Detail Report

Report criteria:

Companies: DentaQuest LLC Purchasers: United Healthcare

Groups : DC UnitedHealthcare - Medicaid Subgroup Categories : All Subgroup Categories

Subgroups : DC UnitedHealthcare - Alliance Adult , DC UnitedHealthcare - Medicaid Adult Group: DC UnitedHealthcare - Medicaid

License MD 14032 MD 14032 DC DEN1000199 DC DEN1001051 MD 15039 DC DEN1001051 VA 0401413266 DC DEN1001051 DC DEN1001051 DC DEN1001051 VA 0401413266 VA 0401412948 MD 15322 MD 15322 VA 0401413279 MD 15322 MD 14346 MD 14346 MD 14346 MD 14346 MD 14346 MD 14346 MD 14346 MD 14346 MD 14346 DC DEN5854 MD 14711 DC DEN5854 MD 14711 DC DEN5854 DC DEN5719 DC DEN4133 VA 0401412602 DC DEN1000576 DC DEN1000576 DC DEN1000576 DC DEN1000576

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Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

CANDACE ALEXANDER DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

DALTON ALLEN DDS BIG SMILES DC PC 1776 I ST NW SUITE: 9TH

FLOOR WASHINGTON DC 20006 (888)833-8441 (888)330-4331 DISTRICT OF COLUMBIA General Practitioner

SHAZAAD I ALLY DDS DR SHAZAAD I ALLY DDS 8501 COLESVILLE RD STE 200 SILVER SPRING MD 20910

(301)562-6020

(301)562-6024

MONTGOMERY General Practitioner

EPHRAIM ALTMON DDS KIDDIE CAVITY CARE 4301 CONNECTICUT AVE

NW STE 453 WASHINGTON DC 20008 (202)470-3676 (202)470-2124 DISTRICT OF COLUMBIA Pediatric Dentist

IYAD ALYO DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

MADHUMITHA AMBALAVANAN DMD KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

MADHUMITHA AMBALAVANAN DMD KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

KIMBERLY ANDERSON DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

KIMBERLY ANDERSON DDS KIDS SMILES INC 4837 BENNING RD SE WASHINGTON DC 20019

(202)650-5238 (202)650-5246 DISTRICT OF COLUMBIA General Practitioner

TODD ANDOCHICK DDS ARLINGTON CENTER FOR DENTISTRY 1050 N HIGHLAND ST

#300

ARLINGTON VA 22201 (703)527-3888

(703)527-6888

ARLINGTON General Practitioner

LYNN ANDOSEH DDS SMALL SMILES DENTAL CENTERS OF 6105 HARFORD RD BALTIMORE MD 21214 (410)254- (410)254- BALTIMORE CITY General Practitioner

LYNN ANDOSEH DDS SMALL SMILES DENTAL CENTERS OF 30 AUDREY LANE OXON HILL MD 20745 (301)567- (304)156- PRINCE GEORGES General Practitioner

LYNN ANDOSEH DDS SMALL SMILES DENTAL CENTERS OF 2111 W PATAPSCO AVE BALTIMORE MD 21230 (410)644- (719)584- BALTIMORE CITY General Practitioner

ANTHONY ANYADIKE DDS CITY PLACE DENTAL 8780 GEORGIA AVE SILVER SPRING MD 20910

(301)585-1515

(301)585-5206

MONTGOMERY Orthodontist

FANA ARAGAW DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

CYRUS AREFI DMD WHEATON DENTAL CENTER 11300 VEIRS MILL RD

STE101

WHEATON MD 20902

(301)933-3366

(301)933-3607

MONTGOMERY General Practitioner

MEHRAN ARMANI DDS CHEVY CHASE DENTAL INC 4716 BRADLEY BLVD STE 001 CHEVY CHASE MD 20815

(301)652-0909

(301)652-2993

MONTGOMERY General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC 3343 BELAIR RD 1ST FL BALTIMORE MD 21213 (410)522- (410)522- BALTIMORE CITY General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC- MOBILE UNIT 4 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner VIKAS ARORA DDS MD SMILE CENTER PC - MOBILE UNIT 10905 FORT STE 207 FORT WASHINGTON MD 20744 (301)292- (301)292- PRINCE GEORGES General Practitioner

VIKAS ARORA DDS MD SMILE CENTER PC - MOBILE UNIT 2 10905 FORT STE 207 FORT WASHINGTON MD 20744 (301)292- PRINCE GEORGES General Practitioner

NAVPREET ARORA DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

NAVPREET ARORA DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC - MOBILE UNIT 1 3343 BELAIR RD BALTIMORE MD 21213 (410)522- (410)522- BALTIMORE CITY General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC - MOBILE UNIT 2 3343 BELAIR RD BALTIMORE MD 21213 (410)522- (410)522- BALTIMORE CITY General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC - MOBILE UNIT 3 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC - MOBILE UNIT 5 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC - MOBILE UNIT 6 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC 777 H ST NE WASHINGTON DC 20002

(202)560-5362 (202)560-5955 DISTRICT OF COLUMBIA General Practitioner

NAVPREET ARORA DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

VIKAS ARORA DDS MD DENTAL CENTER PC 2021 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20020 (202)290-1409 DISTRICT OF COLUMBIA General Practitioner

ADAM ARRIA DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

FAHAD ASHRAF DDS MAX ROBINSON CENTER 2301 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20020 (202)797-3567 (202)889-2962 DISTRICT OF COLUMBIA General Practitioner

KWAME ASOMANI DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

KWAME ASOMANI DDS HERO DENTAL OF WASHINGTON DC 1305 RHODE ISLAND

AVE NE WASHINGTON DC 20018 (202)269-4746 (202)269-6994 DISTRICT OF COLUMBIA General Practitioner

KWAME ASOMANI DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

KWAME ASOMANI DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

KWAME ASOMANI DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

SHAWDI ASSAR DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

KARINEH ASSATOURIAN DDS KARINEH ASSATOURIAN DDS 17904 GEORGIA AVE STE 110 OLNEY MD 20832 (301)260- (301)260- MONTGOMERY General Practitioner

CHERIE ATKINS DDS SMALL SMILES DENTAL CENTERS OF 2111 W PATAPSCO AVE BALTIMORE MD 21230 (410)644- (719)584- BALTIMORE CITY General Practitioner

CHERIE ATKINS DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner CHERIE ATKINS DDS DC DEN1000904 SMALL SMILES DENTAL CENTERS OF 6105 HARFORD RD BALTIMORE MD 21214 (410)254- (410)254- BALTIMORE CITY General Practitioner

MD 14240 DC DEN1000904 NY 050549 MD 13722 DC DEN1000769 DC DEN1000769 DC DEN1000769 MD 14320 DC DEN1000769 DC DEN1000665 MA DL11025 MD 14675 NY 051378 MD 14619 MD 14675 GA DN014077 MD 14675 DC DEN1000895 NY 051378 NY 051378 VA 0401412593 VA 0401412593 DC DEN1000895 DC DEN1000895 GA DN014077 GA DN014077 MD 11890 MD 11949 MD 15157 DC DEN3898 MD 15095 MD 15095 MD 15095 VA 0401008025 VA 0401412662 OH 30.016896 MD 14348 MD 14348 MO 2002031361 DC DEN1000562 DC DEN5778 DC DEN2575 MD 14437 Page 2 of 25 2/14/2013 2:17 PM

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Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

CHERIE ATKINS DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

CHERIE ATKINS DDS SMALL SMILES DENTAL CENTERS OF 30 AUDREY LANE OXON HILL MD 20745 (301)567- (304)156- PRINCE GEORGES General Practitioner

ANGELA AUSTIN DMD KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA Pediatric Dentist

OMOTENIOLA AWOFOLU DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

IRENE AYOOLA DDS SMALL SMILES DENTAL CENTERS OF 30 AUDREY LANE OXON HILL MD 20745 (301)567- (304)156- PRINCE GEORGES General Practitioner

IRENE AYOOLA DDS SMALL SMILES DENTAL CENTERS OF 2111 W PATAPSCO AVE BALTIMORE MD 21230 (410)644- (719)584- BALTIMORE CITY General Practitioner

IRENE AYOOLA DDS SMALL SMILES DENTAL CENTERS OF 6105 HARFORD RD BALTIMORE MD 21214 (410)254- (410)254- BALTIMORE CITY General Practitioner

PARVIN AZARBAL DDS SHARMIN DENTAL CLINIC PC 1613 HARVARD ST NW STE 108 WASHINGTON DC 20009

(202)462-5227 (202)462-7445 DISTRICT OF COLUMBIA General Practitioner

ALBERT BACON JR DDS LANDOVER DENTAL ASSOCIATES 932 LARGO CENTER DR LARGO MD 20774 (301)322- (301)322- PRINCE GEORGES Orthodontist

JOHN BAILEY DDS HOWARD UNIVERSITY COLLEGE OF

DENTISTRY 600 W ST NW STE 233 WASHINGTON DC 20059 (202)806-0041 (202)806-0473 DISTRICT OF COLUMBIA General Practitioner

MOOREAN BAKER DDS DR MOOREAN BAKER DDS PA 1341 PENNSYLVANIA

AVE SE WASHINGTON DC 20003 (202)547-6453 (202)547-4575 DISTRICT OF COLUMBIA Pediatric Dentist

ALISON BAKER DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

ERNIE BANKS DDS ERNIE R BANKS DDS 8121 GEORGIA AVE STE

605

STE 605 SILVER SPRING MD 20910 (301)589-1360

(301)589-1361

MONTGOMERY Orthodontist

ERNIE BANKS DDS ERNIE R BANKS 6009 OXON HILL RD OXON HILL MD 20745 (301)839- (301)735- PRINCE GEORGES Orthodontist

JOSEPH BAPTISTE DDS JB DENTAL IMPLANT CENTER 1400 E WEST HWY STE G SILVER SPRING MD 20910

(301)585-6804

(301)585-5395

MONTGOMERY General Practitioner

CHERYLE BAPTISTE DDS CHERYLE BAPTISTE DDS PLLC 4839 WISCONSIN AVE

NW WASHINGTON DC 20016 (202)362-7804 (202)291-2664 DISTRICT OF COLUMBIA General Practitioner

ROY BAPTISTE DDS ROY BAPTISTE PC & ASSOCIATES 3130 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)562-6340 (202)562-6342 DISTRICT OF COLUMBIA General Practitioner

RICHARD BATZ DDS DRS BATZ AND WEINER LAKE DENTAL 8363 CHERRY LN LAUREL MD 20707 (301)953- (301)490- PRINCE GEORGES General Practitioner

MARVIN BECKER DDS DENTAL ONE ASSOCIATES OXON HILL PC 6196 OXON HILL RD STE 650 OXON HILL MD 20745 (301)839- (301)839- PRINCE GEORGES Pediatric Dentist

LUKMAN BECKLES DDS LAROSILIERE, LAROSILIERE DDS PA 8730 GEORGIA AVE STE

308

SILVER SPRING MD 20910 (301)495-3619

MONTGOMERY Prosthodontist

SOREN BEHESHTI DDS MARYLAND DENTAL

CENTER-GERMANTOWN

19731 FREDERICK RD GERMANTOWN MD 20876

(301)528-5000

(301)528-0700

MONTGOMERY General Practitioner

SOREN BEHESHTI DDS MARYLAND DENTAL CENTER 1725 EASTERN AVE BALTIMORE MD 21231 (410)675- (410)342- BALTIMORE CITY General Practitioner

SOREN BEHESHTI DDS MARYLAND DENTAL CENTER-SILVER 8120 FENTON ST STE 100 SILVER SPRING MD 20910 (301)608- (301)608- MONTGOMERY General Practitioner

SOREN BEHESHTI DDS MARYLAND DENTAL CENTER-MANASSAS 10751 AMBASSADOR DR STE 101 MANASSAS VA 20109 (703)369- (703)369- PRINCE WILLIAM General Practitioner

RYLE BELL DDS HOWARD UNIVERSITY COLLEGE OF

DENTISTRY 600 W ST NW STE 233 WASHINGTON DC 20059 (202)806-0041 (202)806-0473 DISTRICT OF COLUMBIA Prosthodontist

RYLE BELL DDS RYLE A BELL DDS, MS 3636 16TH ST NW WASHINGTON DC 20010

(202)328-3332

DISTRICT OF COLUMBIA

Prosthodontist

DEITRA BELLAMY DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner SAMIR BENACHENHOU DDS MARYLAND DENTAL CENTER-SILVER 8120 FENTON ST STE 100 SILVER SPRING MD 20910 (301)608- (301)608- MONTGOMERY General Practitioner SAMIR BENACHENHOU DDS MARYLAND DENTAL CENTER-MANASSAS 10751 AMBASSADOR DR STE 101 MANASSAS VA 20109 (703)369- (703)369- PRINCE WILLIAM General Practitioner

SAMIR BENACHENHOU DDS MARYLAND DENTAL

CENTER-GERMANTOWN

19731 FREDERICK RD GERMANTOWN MD 20876

(301)528-5000

(301)528-0700

MONTGOMERY General Practitioner

SAMIR BENACHENHOU DDS MARYLAND DENTAL CENTER 1725 EASTERN AVE BALTIMORE MD 21231 (410)675- (410)342- BALTIMORE CITY General Practitioner

DEREJE BEREDED DDS GOOD HOPE FAMILY DENTAL PLLC 2645 NAYLOR RD SE STE 102 WASHINGTON DC 20020

(202)581-7600 (202)581-0070 DISTRICT OF COLUMBIA General Practitioner

DEREJE BEREDED DDS DEREJE BEREDED, DDS, LLC 803 SOUTHERN AVE OXON HILL MD 20745 (301)505- PRINCE GEORGES General Practitioner

DEREJE BEREDED DDS GOOD HOPE FAMILY DENTAL 2641 NAYLOR RD SE STE

101 WASHINGTON DC 20020 (202)583-1810 (202)583-1845 DISTRICT OF COLUMBIA General Practitioner

MILTON BERNARD DDS MILTON D BERNARD DDS PC 7826 EASTERN AVE NW

STE 405 WASHINGTON DC 20012 (202)291-2974 (202)722-4551 DISTRICT OF COLUMBIA Oral Surgeon

ARTHUR BERNARD-JONES DDS CHILDREN'S HEALTH PROJECT OF DC,

CHILDREN'S NATIONAL MEDICAL CENTER

1901 MISSISSIPPI AVE SE STE 104 WASHINGTON DC 20020 (202)436-3060 (202)436-3097 DISTRICT OF COLUMBIA General Practitioner ARTHUR BERNARD-JONES DDS CHILDREN'S HEALTH PROJECT OF D.C. 1901 MISSISSIPPI AVE

SE WASHINGTON DC 20020 (202)436-3060 (202)436-3090 DISTRICT OF COLUMBIA General Practitioner

SOHAL BHALODIA DDS DR RAJINDER BHULLAR DDS PA 10905 FORT

WASHINGTON RD STE

FORT WASHINGTON MD 20744 (301)292-6807

(301)292-6860

PRINCE GEORGES General Practitioner

RAJINDER BHULLAR DDS DR RAJINDER BHULLAR DDS PA 10905 FORT

WASHINGTON RD STE

FORT WASHINGTON MD 20744 (301)292-6807

(301)292-6860

PRINCE GEORGES General Practitioner

KRISTINA BIGGS DDS CHILDRENS NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW

PO 37212 DEPARTMEN T OF WASHINGTON DC 20010 (202)476-2160 (202)476-3102 DISTRICT OF COLUMBIA Pediatric Dentist

LENORA BLATHERS DDS WATERFRONT ORAL SURGERY 641 G ST SW WASHINGTON DC 20024

(202)554-3000 (202)484-4938 DISTRICT OF COLUMBIA Oral Surgeon

KOURY BONDS DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner

KOURY BONDS DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

KOURY BONDS DDS SMALL SMILES DENTAL CENTERS OF 30 AUDREY LANE OXON HILL MD 20745 (301)567- (304)156- PRINCE GEORGES General Practitioner

ANDREA BONNICK DDS HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVE NW STE 2B1 WASHINGTON DC 20060

(202)865-1491 (202)865-4849 DISTRICT OF COLUMBIA Oral Surgeon

STEPHANIE BOONE DDS MD 13684 KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

MD 11775 NY 052691 NY 052691 NY 052691 MD 12781 VA 0401411568 MD 13623 OH 30.021740 MD 6010 MD 6010 DC DEN2596 MD 14917 DC DEN1000305 MD 14917 MD 12621 MD 12621 MD 12621 MD 12621 MD 13362 DC DEN2886 DC DEN2886 MD 11829 VA 0401411418 VA 0401411418 VA 0401411418 MD 13799 MD 3996 MD 9944 DC DEN2101 DC DEN4403 MD 9021 MD 9708 MD 9708 MD 12893 DC DEN3930 MD 10076 MD 5375 DC DEN5368 MD 15030 MD 15030 MD 15030 MD 14929 VA 0401411222 DC DEN1000904 MD 14240

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Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

STEPHANIE BOONE DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

STANLEY BOUCREE DDS DR STANLEY A BOUCREE 3200 16TH ST NW STE 108 WASHINGTON DC 20010

(202)265-5910 (202)265-1335 DISTRICT OF COLUMBIA Oral Surgeon

WILLIAM BOWLES DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BOWLES DDS CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner

ELMER BOWMAN DDS CAPITOL CLINICAL DENTAL SERVICES

PLLC 2737A DEVONSHIRE PL NW WASHINGTON DC 20008 (202)232-1116 (202)232-1911 DISTRICT OF COLUMBIA General Practitioner

JEFFREY H BRAIN DDS DRS BATZ AND WEINER LAKE DENTAL 8363 CHERRY LN LAUREL MD 20707 (301)953- PRINCE GEORGES Oral Surgeon

PATRICE BREGGS DDS CHRISTINE A HINDS-NOEL DDS 7505 NEW HAMPSHIRE

AVE

STE 305 TAKOMA PARK MD 20912 (301)445-5885

(301)445-0105

MONTGOMERY General Practitioner

JOHNETTE BROCK DDS DENTAL GALLERIA OF BEAUTIFUL SMILES

PC 8737 COLESVILLE RD STE LL105 SILVER SPRING MD 20910 (301)588-3083 (301)588-3084

MONTGOMERY General Practitioner

FELICIA BROWN DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner

HYACINTH BROWN DDS HYACINTH M BROWN DDS 6000 EXECUTIVE BLVD SUITE 505 N BETHESDA MD 20852

(301)770-6565

(301)770-6568

MONTGOMERY General Practitioner

FELICIA BROWN DDS ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner

FELICIA BROWN DDS CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner

WILLIAM BROWN DDS ROY BAPTISTE PC & ASSOCIATES 3130 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)562-6340 (202)562-6342 DISTRICT OF COLUMBIA General Practitioner

DONNA BROWN DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

DONNA BROWN DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

DONNA BROWN DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

DONNA BROWN DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

ANISHKA BROWN

FRANKENBERRY

DDS DR DAVID G ONEAL & ASSOCIATES 6188 OXON HILL RD SUITE 200 OXON HILL MD 20745 (301)567-3122

(301)567-5234

PRINCE GEORGES Orthodontist

EDWARD BUFORD DDS INTERNATIONAL DENTAL ASSOC, INC 1209 U ST NW WASHINGTON DC 20009

(202)677-8818 (202)667-1024 DISTRICT OF COLUMBIA General Practitioner

KENNETH BUI DMD BURKE FAMILY AND COSMETIC DENTISTRY 6116 ROLLING RD #108 SPRINGFIELD VA 22152 (703)764- (703)842- FAIRFAX General Practitioner

KENNETH BUI DMD VIENNA DENTAL CARE PC 303 MAPLE AVE W STE H VIENNA VA 22180 (703)466- (703)842- FAIRFAX General Practitioner

PAUL BURCHETT DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

HEYWARD BURRELL DDS HEYWARD BURRELL DDS 2415 BENNING RD NE WASHINGTON DC 20002

(202)396-9679 (202)396-6691 DISTRICT OF COLUMBIA General Practitioner

JAMES BUSH DDS BUSH FAMILY MOBILE DENTISTRY -

MOBILE UNIT

1117 LOCHLAND DR GALLATIN TN 37066

(615)613-3945

(615)851-0392

SUMNER General Practitioner

NAKIA BUSH DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner DC DEN1000975 MD 013739100 MD 5299 VA 0401004819 VA 0401411015 VA 0401411015 DC DEN4056 VA 0401411908 DC DEN1000731 DC DEN1000731 DC DEN1000731 DC DEN1000731 MD 6603 DC DEN1000860 DC DEN1000860 MD 7061 DC DEN1000860 DC DEN1000860 DC DEN1000860 DC DEN1000860 DC DEN1000860 DC DEN1000860 DC DEN1000860 DC DEN1000218 DC DEN1000639 DC DEN5669 DC DEN2228 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 DC DEN4825 MD 4139 MD 13684 Page 4 of 25 2/14/2013 2:17 PM

(5)

Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

NAKIA BUSH DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

NAKIA BUSH DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

NAKIA BUSH DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

JAMES BUSH SR DDS BUSH FAMILY MOBILE DENTISTRY - 1117 LOCHLAND DR GALLATIN TN 37066 (615)613- (615)851- SUMNER General Practitioner

RENEE CAMPBELL DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

FRED CAMPBELL III DDS A QUALITY DENTAL CENTER 8115 FENTON ST STE 306 SILVER SPRING MD 20910

(301)608-0150

(301)608-1150

MONTGOMERY General Practitioner PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 4173 PATTERSON AVE BALTIMORE MD 21215 (443)743- (678)904- BALTIMORE CITY General Practitioner PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 1900 N BROADWAY STE 102 BALTIMORE MD 21213 (443)957- (410)235- BALTIMORE CITY General Practitioner PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 2429 FREDERICK AVE BALTIMORE MD 21223 (443)957- (410)566- BALTIMORE CITY General Practitioner PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 7839 EASTERN AVE STE 7842 BALTIMORE MD 21224 (443)503- (678)904- BALTIMORE CITY General Practitioner

PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 1580 WESEL BLVD STE O HAGERSTOWN MD 21740 (800)920- WASHINGTON General Practitioner

PRASAD CHALLAGULLA DMD DR DAVID M VIETH 2 PC DBA KOOL SMILES 406 N FRUITLAND BLVD SALISBURY MD 21801 (800)920- (678)904- WICOMICO General Practitioner

MONICA CHANG DDS ARLINGTON CENTER FOR DENTISTRY 1050 N HIGHLAND ST

#300

ARLINGTON VA 22201 (703)527-3888

(703)527-6888

ARLINGTON General Practitioner

ALBERT CHEEK DDS SOME INC 60 O ST NW WASHINGTON DC 20001

(202)797-8806 (202)265-0927 DISTRICT OF COLUMBIA General Practitioner

ALBERT CHEEK DDS ROY BAPTISTE PC & ASSOCIATES 3130 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)562-6340 (202)562-6342 DISTRICT OF COLUMBIA General Practitioner

CHWEN CHEN DMD CHWEN JING CHEN DMD 11818 SEVEN LOCKS RD POTOMAC MD 20854 (301)610- (301)610- MONTGOMERY General Practitioner

ALEXANDER CHO DDS LANHAM DENTAL CARE 9470 ANNAPOLIS RD STE 101 LANHAM MD 20706

(301)577-4377

(301)577-0870

PRINCE GEORGES General Practitioner

IN CHOI DMD SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

ASHRAF CHOUDHURY DDS ASHRAF U CHOUDHURY DDS 3114 GEORGIA AVE NW WASHINGTON DC 20010

(202)291-1611 (202)291-1449 DISTRICT OF COLUMBIA General Practitioner

FREDRICK CLARK DDS FREDRICK CLARK DDS (D) 6188 OXON HILL RD STE 604 OXON HILL MD 20745 (301)686- (301)686- PRINCE GEORGES General Practitioner

CLAIRE CLARKE DDS COMMUNITY OF HOPE INC 2250 CHAMPLAIN ST NW WASHINGTON DC 20009

(202)232-9022 (202)232-8494 DISTRICT OF COLUMBIA General Practitioner

CLAUDIA CLAROS DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

LAURENCE CLUNIE DDS HILLCREST DENTAL ASSOCIATES 2811 PENNSYLVANIA

AVE SE STE 2 WASHINGTON DC 20020 (202)584-0710 DISTRICT OF COLUMBIA General Practitioner

REGINALD COLE DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

NANCY COLE DDS SMALL SMILES DENTAL CENTERS OF 5322 CHAMBERLAYNE RICHMOND VA 23227 (804)266- (804)266- HENRICO General Practitioner

MICHELE COLEMAN-BENNETT DDS RELAX N SMILE DENTAL CARE LLC 2007 BUNKER HILL RD NE WASHINGTON DC 20018 (202)607-1998 (202)635-0032 DISTRICT OF COLUMBIA General Practitioner MICHELE COLEMAN-BENNETT DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

SHARON COLVIN DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

SHARON COLVIN DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner

SHARON COLVIN DDS SMALL SMILES DENTAL CENTERS OF

BALTIMORE

2111 W PATAPSCO AVE BALTIMORE MD 21230

(410)644-4100

(719)584-7694

BALTIMORE CITY General Practitioner

SHARON COLVIN DDS SMALL SMILES DENTAL CENTERS OF

NORTH BALTIMORE

6105 HARFORD RD BALTIMORE MD 21214

(410)254-5437

(410)254-5310

BALTIMORE CITY General Practitioner STAFFORD CONLEY DDS MD SMILE CENTER PC - MOBILE UNIT 10905 FORT STE 207 FORT WASHINGTON MD 20744 (301)292- (301)292- PRINCE GEORGES General Practitioner

STAFFORD CONLEY DDS MD SMILE CENTER PC - MOBILE UNIT 2 10905 FORT STE 207 FORT WASHINGTON MD 20744 (301)292- PRINCE GEORGES General Practitioner

SHELDON CONTRACT DDS SHELDON CONTRACT DDS 1800 I NW STE 402 WASHINGTON DC 20006

(202)347-2609 (202)783-3027 DISTRICT OF COLUMBIA Orthodontist

ALBERT COOMBS DMD ORAL HEALTH ASSOCIATES 4316 SAINT BARNABAS

RD

TEMPLE HILLS MD 20748 (301)423-6423

(301)423-4450

PRINCE GEORGES General Practitioner

SHARON COVANEY DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

CHRYSTAL COVINGTON DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

BOBBY COX DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

SHANI CROOM-MURIITHI DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

SHANI CROOM-MURIITHI DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

SHANI CROOM-MURIITHI DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042 (703)536- (703)538- FAIRFAX General Practitioner

SHANI CROOM-MURIITHI DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

SHANI CROOM-MURIITHI DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

SHANI CROOM-MURIITHI DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

SHANI CROOM-MURIITHI DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner VA 0401412103 VA 0401412103 VA 0401412103 DC DEN1000734 DC DEN1000734 VA 0401412103 DC DEN1000734 VA 0401004395 MD 13682 VA 0401008846 DC DEN1001057 DC DEN22 MD 14231 MD 14231 MD 5159 DC DEN1001059 VA 0401008133 VA 0401008133 DC DEN4727 MD 9248 VA 0401007602 MD 9314 DC DEN2929 VA 0401413369 MD 13587 MD 10125 DC DEN1000749 DC DEN1000678 ** DS037914 MD 11851 MD 12452 MD 12452 VA 0401412427 MD 15071 MD 15071 MD 15071 MD 15071 MD 15071 MD 15071 DC DEN5658 MD 13228 TN 3213 DC DEN1000975 DC DEN1000975 DC DEN1000975

(6)

Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

SHANI CROOM-MURIITHI DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

PAUL DA CUNHA DMD KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

KAREN DAMERON DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

JOHN DANIELS DDS JOHN T DANIELS DDS 5001 5TH STREET NW WASHINGTON DC 20011

(202)723-8777

DISTRICT OF COLUMBIA

General Practitioner

SHERIFF DARAMY DDS DARAMY DENTAL INCORPORATED 9500 ANNAPOLIS RD STE C6 LANHAM MD 20706 (301)459- (301)459- PRINCE GEORGES General Practitioner

AMY DASSOULAS DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

ALPHONZO DAVIDSON DDS GATEWAY DENTAL 4175 NORTH HANSEN CT STE 300 BOWIE MD 20716 (301)805- (301)805- PRINCE GEORGES General Practitioner

ALPHONZO DAVIDSON DDS ALPHONZO DAVIDSON JR DDS 2811 PENNSYLVANIA

AVE SE STE 2 WASHINGTON DC 20020 (202)584-0710 (202)575-3627 DISTRICT OF COLUMBIA General Practitioner

ALPHONZO DAVIDSON SR DDS LANDOVER DENTAL 932 LARGO CENTER DR LARGO MD 20774 (301)322- (301)322- PRINCE GEORGES Oral Surgeon

ALPHONZO DAVIDSON SR DDS ALPHONZO L. DAVIDSON SR. DDS PA 2811 PENNSYLVANIA

AVE SE

WASHINGTON DC 20020 DISTRICT OF

COLUMBIA

Oral Surgeon JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 1900 N BROADWAY STE 102 BALTIMORE MD 21213 (443)957- (410)235- BALTIMORE CITY Oral Surgeon

JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 2429 FREDERICK AVE BALTIMORE MD 21223 (443)957- (410)566- BALTIMORE CITY Oral Surgeon

JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 4173 PATTERSON AVE BALTIMORE MD 21215 (443)743- (678)904- BALTIMORE CITY Oral Surgeon

JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 7839 EASTERN AVE STE 7842 BALTIMORE MD 21224 (443)503- (678)904- BALTIMORE CITY Oral Surgeon

JAMES DAVIES DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 406 N FRUITLAND BLVD SALISBURY MD 21801 (800)920- (678)904- WICOMICO Oral Surgeon

JAMES DAVIES DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES Oral Surgeon

JAMES DAVIES DDS DR DAVID M VIETH 2 PC DBA KOOL SMILES 1580 WESEL BLVD STE O HAGERSTOWN MD 21740 (800)920- WASHINGTON General Practitioner

JAMES DAVIES DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX Oral Surgeon

ALEXIS DAYSE DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA Orthodontist

ALEXIS DAYSE DDS SMALL SMILES DENTAL CENTERS OF

NORTH BALTIMORE

6105 HARFORD RD BALTIMORE MD 21214

(410)254-5437

(410)254-5310

BALTIMORE CITY Orthodontist

ALEXIS DAYSE DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA Orthodontist

ALEXIS DAYSE DDS SMALL SMILES DENTAL CENTERS OF

BALTIMORE

2111 W PATAPSCO AVE BALTIMORE MD 21230

(410)644-4100

(719)584-7694

BALTIMORE CITY Orthodontist

ALEXIS DAYSE DDS SMALL SMILES DENTAL CENTERS OF

OXON HILL

30 AUDREY LANE OXON HILL MD 20745

(301)567-5437

(304)156-7545

PRINCE GEORGES Orthodontist

ROBERT DAYSE DDS KING ORAL SURGERY GROUP 5801 ALLENTOWN RD

STE 408

CAMP SPRINGS MD 20746 (301)645-4555

(301)645-1219

PRINCE GEORGES Oral Surgeon

ROBERT DAYSE DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA Oral Surgeon

ROBERT DAYSE DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA Oral Surgeon

ROBERT DAYSE DDS SMALL SMILES DENTAL CENTERS OF 30 AUDREY LANE OXON HILL MD 20745 (301)567- (304)156- PRINCE GEORGES Oral Surgeon

ROBERT DAYSE DDS SMALL SMILES DENTAL CENTERS OF 2111 W PATAPSCO AVE BALTIMORE MD 21230 (410)644- (719)584- BALTIMORE CITY Oral Surgeon

ROBERT DAYSE DDS SMALL SMILES DENTAL CENTERS OF 6105 HARFORD RD BALTIMORE MD 21214 (410)254- (410)254- BALTIMORE CITY Oral Surgeon

KENNEDY DELE DMD MARYLAND DENTAL CENTER 1725 EASTERN AVE BALTIMORE MD 21231 (410)675- (410)342- BALTIMORE CITY General Practitioner

KENNEDY DELE DMD MARYLAND DENTAL CENTER-SILVER 8120 FENTON ST STE 100 SILVER SPRING MD 20910 (301)608- (301)608- MONTGOMERY General Practitioner

KENNEDY DELE DMD MARYLAND DENTAL CENTER-MANASSAS 10751 AMBASSADOR DR STE 101 MANASSAS VA 20109 (703)369- (703)369- PRINCE WILLIAM General Practitioner

KENNEDY DELE DMD MARYLAND DENTAL

CENTER-GERMANTOWN

19731 FREDERICK RD GERMANTOWN MD 20876

(301)528-5000

(301)528-0700

MONTGOMERY General Practitioner

CHARLES DEROO DMD ULERY DENTAL & ASSOCIATES 1286 STATE ROUTE 3

STE 7

CROFTON MD 21114

(410)721-8200

(410)721-7629

ANNE ARUNDEL Orthodontist

CHARLES DEROO DMD ULERY DENTAL & ORTHODONTICS 8055 RITCHIE HWY STE 102 PASADENA MD 21122

(410)590-6690

(410)590-1693

ANNE ARUNDEL Orthodontist

CHARLES DEROO DMD ULERY DENTAL & ORTHODONTICS 12793 LAUREL BOWIE

RD

LAUREL MD 20708

(301)623-3737

(301)623-9995

PRINCE GEORGES Orthodontist

CHARLES DEROO DMD ULERY DENTAL & ORTHODONTICS 7067 BALTIMORE

ANNAPOLIS BLVD

GLEN BURNIE MD 21061 (410)859-1255

(410)859-1463

ANNE ARUNDEL Orthodontist

PAREEN DHOLOO DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

STEPHANIE DICKSON DMD DICKSON DENTAL 5962 RICHMOND HWY ALEXANDRIA VA 22303 (571)481- (571)481- FAIRFAX General Practitioner

THOMAS DOWLING DDS THOMAS F DOWLING DDS 310 MERRIMAC CT PRINCE FREDERICK MD 20678

(410)535-0861

CALVERT Orthodontist

RUTH

DUCHATELLIER-CANGE

DDS A GREAT SMILE DENTAL CARE 7826 EASTERN AVE NW STE 301 WASHINGTON DC 20012

(202)726-5106 (202)238-9610 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner VA 0401412622 VA 0401412622 VA 0401412622 VA 0401412622 ** 9 VA 0401006462 VA 0401410681 MD 13755 MD 8455 MD 8455 MD 8455 MD 8455 VA 0401412390 MD 14407 VA 0401412390 VA 0401412390 MD 14139 MD 14139 MD 14139 MD 14139 MD 14139 MD 14139 DC DEN1000905 DC DEN1000905 MD 14532 DC DEN1000905 MD 14532 DC DEN1001044 VA 0401413186 VA 0401413186 DC DEN1001044 DC DEN1001044 VA 0401413186 VA 0401413186 DC DEN1001044 MD 15009 MD 5342 DC DEN2524 MD 11379 DC DEN5474 MD 12366 MD 6480 VA 0401411980 VA 0401410307 VA 0401411125 VA 0401412103 Page 6 of 25 2/14/2013 2:17 PM

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Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

RUTH

DUCHATELLIER-CANGE

DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner RUTH DUCHATELLIER-CANGE

DDS A GREAT SMILE DENTAL CARE PLLC 2750 14TH STREET NW C-11 WASHINGTON DC 20009

(202)726-5106 (202)238-9610 DISTRICT OF COLUMBIA General Practitioner

JONATHAN DUKES DDS DRS BATZ AND WEINER LAKE DENTAL 8363 CHERRY LN LAUREL MD 20707 (301)953- (301)490- PRINCE GEORGES General Practitioner

HUNG DUONG DDS ARLINGTON CENTER FOR DENTISTRY 1050 N HIGHLAND ST

#300

ARLINGTON VA 22201 (703)527-3888

(703)527-6888

ARLINGTON General Practitioner

WILLIAM EBBS DDS THE WASHINGTON DENTAL STUDIO 1234 19TH ST NW STE

100 WASHINGTON DC 20036 (202)822-0700 (202)822-0701 DISTRICT OF COLUMBIA General Practitioner

ALI REZA EGHTESADI DDS DRS BATZ AND WEINER LAKE DENTAL 8363 CHERRY LN LAUREL MD 20707 (301)953- (301)490- PRINCE GEORGES Endodontist

ALI REZA EGHTESADI DDS ASPEN HILL GENERAL & COSMETIC

DENTISTRY

13975 CONNECTICUT AVE

STE 200-201 SILVER SPRING MD 20906 (301)460-1212

(301)288-7784

MONTGOMERY Endodontist

DEREK EGO-OSUALA DDS EXCELSIS ROOT CANAL SPECIALTIES 9113 BRANDYWINE RD STE 101 CLINTON MD 20735

(240)244-1013

PRINCE GEORGES Endodontist

DERRICK EILAND DDS MISTY PARTNERSHIP 419 34TH ST NE WASHINGTON DC 20019

(202)396-6100

DISTRICT OF COLUMBIA

General Practitioner

CRYSTAL ELLIS DDS THE SMILE SUITE 8455 COLESVILLE RD SUITE 102 SILVER SPRING MD 20910

(301)588-0030

(301)588-1699

MONTGOMERY General Practitioner

SHIDEH EMDADI DDS H & M COSMETIC DENTISTRY INC CENTRO

COSMETICO DENTAL

1 MARYLAND AVE STE A GAITHERSBURG MD 20877 (301)355-5155

(888)550-7370

MONTGOMERY General Practitioner

BAHRAM ESHRAGHI DMD SHARMIN DENTAL CLINIC PC 1613 HARVARD ST NW STE 108 WASHINGTON DC 20009

(202)462-5227 (202)462-7445 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD KIDS SMILES INC 4837 BENNING RD SE WASHINGTON DC 20019

(202)650-5238 (202)650-5246 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC 3343 BELAIR RD 1ST FL BALTIMORE MD 21213 (410)522- (410)522- BALTIMORE CITY General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC- MOBILE UNIT 4 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC 777 H ST NE WASHINGTON DC 20002

(202)560-5362 (202)560-5955 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC - MOBILE UNIT 5 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC - MOBILE UNIT 6 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC - MOBILE UNIT 3 4063 MINNESOTA AVE

NE WASHINGTON DC 20019 (443)518-6300 DISTRICT OF COLUMBIA General Practitioner

JOSEPH ESTERLEY DMD MD DENTAL CENTER PC 2021 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20020 (202)290-1409 DISTRICT OF COLUMBIA General Practitioner

MELENA EVANCHO DDS CHILDRENS NATIONAL MEDICAL CENTER 111 MICHIGAN AVE NW

PO 37212 DEPARTMEN T OF WASHINGTON DC 20010 (202)476-2160 (202)476-3102 DISTRICT OF COLUMBIA Pediatric Dentist

PHILIP EZELL DDS BUSH FAMILY MOBILE DENTISTRY - 1117 LOCHLAND DR GALLATIN TN 37066 (615)613- (615)851- SUMNER General Practitioner

AOUA FALL DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

AOUA FALL DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

AOUA FALL DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

AOUA FALL DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

KASEY FARAH DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

ANDREA FAUST-ASOMANI DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner DC DEN1000770 DC DEN1000770 DC DEN1000770 DC DEN1000770 DC DEN1000770 DC DEN1000770 DC DEN1000770 OH 30.023573 MD 14637 MD 14637 MD 14637 MD 14637 MD 4050 MD 14500 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412465 VA 0401412512 MD 14134 DC DEN1000871 DC DEN3658 MD 14162 DC DEN100062 DC DEN100062 DC DEN5714 VA 0401410983 MD 12556 ** 9 VA 0401412622 VA 0401412622 DC DEN1000858 VA 0401412622 ** 9

(8)

Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

ANDREA FAUST-ASOMANI DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

ANDREA FAUST-ASOMANI DDS ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner

TAWANA FEIMSTER DDS ARLINGTON ENDODONTICS PLLC 4350 FAIRFAX DR #160 STE 160 ARLINGTON VA 22203 (571)312- (571)312- ARLINGTON Endodontist

TAWANA FEIMSTER DDS EXQUISITE DENTAL CARE 300 N WASHINGTON ST SUITE 210 ALEXANDRIA VA 22314 (571)970- (571)970- ALEXANDRIA CITY Endodontist

PABLO FIGUEREDO DDS DR PABLO A FIGUEREDO DDS &

ASSOCIATES PC

8722 FLOWER AVE STE 7 SILVER SPRING MD 20901 (301)588-9548

(301)588-6835

MONTGOMERY General Practitioner

PABLO FIGUEREDO DDS FIGUEREDO ASSOCIATES PC 8 RUSSELL AVE SUITE 105 GAITHERSBURG MD 20877

(301)216-0592

(301)216-0718

MONTGOMERY General Practitioner

PABLO FIGUEREDO DDS LOCKWOOD FAMILY DENTAL OFFICE 10801 LOCKWOOD DR STE 340 SILVER SPRING MD 20901

(301)754-3703

(301)754-3702

MONTGOMERY General Practitioner

KASHIA FIGUEROA DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

KATHERINE FISCHER DDS BIG SMILES VIRGINIA PC 2010 CORPORATE RDG SUITE 700 MCLEAN VA 22102

(888)833-8441

(888)330-4331

FAIRFAX General Practitioner

JOHN FLYNN DDS JOHN H FLYNN DDS MS 4607 CONNECTICUT AVE

NW WASHINGTON DC 20008 (202)966-5655 DISTRICT OF COLUMBIA General Practitioner

CHARMAINE FOLKES CARDWELL DDS TENDER DENTAL CARE 10903 INDIAN HEAD HWY STE 202 FORT WASHINGTON MD 20744

(301)203-3944

(301)203-3945

PRINCE GEORGES General Practitioner

ERIC FORETICH DDS MCLEAN ORAL & MAXILLOFACIAL 1515 CHAIN BRIDGE RD MCLEAN VA 22101 (703)893- (703)893- FAIRFAX Oral Surgeon

LYNETTE FORTENBERRY DMD WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD ANACOSTA HEALTH CENTER 1500 GALEN STREET SE WASHINGTON DC 20020

(202)610-7160 (202)610-7164 DISTRICT OF COLUMBIA General Practitioner

LYNETTE FORTENBERRY DMD CONGRESS HEIGHTS 3720 MARTIN LUTHER

KING JR AVE SE WASHINGTON DC 20032 (202)279-1800 (202)279-4943 DISTRICT OF COLUMBIA General Practitioner

SARA FRANZ DDS SK PESIS DDS BIG SMILES MARYLAND PC 8639B 16TH ST STE 271 SILVER SPRING MD 20910

(888)833-8441

(888)330-4331

MONTGOMERY General Practitioner

RUTH FREMONT DDS KIDS SMILES INC 4837 BENNING RD SE WASHINGTON DC 20019

(202)650-5238 (202)650-5246 DISTRICT OF COLUMBIA General Practitioner

BRENT FREY DDS SOME INC 60 O ST NW WASHINGTON DC 20001

(202)797-8806 (202)265-0927 DISTRICT OF COLUMBIA Orthodontist

RAYMOND FUENTES DDS DR PABLO A FIGUEREDO DDS &

ASSOCIATES PC

8722 FLOWER AVE STE 7 SILVER SPRING MD 20901 (301)588-9548

(301)588-6835

MONTGOMERY General Practitioner

ADENIKE GBENLE DDS SHALOM DENTAL LLC 5801 ALLENTOWN RD SUITLAND MD 20746 (240)455- (240)619- PRINCE GEORGES General Practitioner

RICHARD GESKER DMD MARYS CENTER FOR MATERNAL AND

CHILD CARE INC

2333 ONTARIO RD NW WASHINGTON DC 20009 (202)483-8196 (202)332-0541 DISTRICT OF COLUMBIA General Practitioner

RICHARD GESKER DMD MARYS CENTER FOR MATERNAL AND

CHILD CARE

3912 GEORGIA AVE NW WASHINGTON DC 20011

(202)483-8196 (202)722-2728 DISTRICT OF COLUMBIA General Practitioner

KATAYOUN GHAJARNIA DMD ULERY DENTAL & ASSOCIATES 1286 STATE ROUTE 3

STE 7

CROFTON MD 21114

(410)721-8200

(410)721-7629

ANNE ARUNDEL General Practitioner

KATAYOUN GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 8055 RITCHIE HWY STE 102 PASADENA MD 21122

(410)590-6690

(410)590-1693

ANNE ARUNDEL General Practitioner

M REZA GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 8055 RITCHIE HWY STE 102 PASADENA MD 21122

(410)590-6690

(410)590-1693

ANNE ARUNDEL Orthodontist

KATAYOUN GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 12793 LAUREL BOWIE

RD

LAUREL MD 20708

(301)623-3737

(301)623-9995

PRINCE GEORGES General Practitioner

KATAYOUN GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 7067 BALTIMORE

ANNAPOLIS BLVD

GLEN BURNIE MD 21061 (410)859-1255

(410)859-1463

ANNE ARUNDEL General Practitioner

M REZA GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 7067 BALTIMORE

ANNAPOLIS BLVD

GLEN BURNIE MD 21061 (410)859-1255

(410)859-1463

ANNE ARUNDEL Orthodontist

M REZA GHAJARNIA DMD ULERY DENTAL & ASSOCIATES 1286 STATE ROUTE 3

STE 7

CROFTON MD 21114

(410)721-8200

(410)721-7629

ANNE ARUNDEL Orthodontist

M REZA GHAJARNIA DMD ULERY DENTAL & ORTHODONTICS 12793 LAUREL BOWIE

RD

LAUREL MD 20708

(301)623-3737

(301)623-9995

PRINCE GEORGES Orthodontist

SHARIAN GLAZE DDS TAKOMA DENTAL 6480 NEW HAMPSHIRE

AVE

STE 302 TAKOMA PARK MD 20912 (240)398-3268

MONTGOMERY General Practitioner

SHARIAN GLAZE DDS TAKOMA DENTAL 2340 UNIVERSITY BLVD

E

HYATTSVILLE MD 20783 (240)852-7363

PRINCE GEORGES General Practitioner DC DEN1000568 DC DEN1000568 PA DS035239 PA DS035239 PA DS035239 MD 14652 MD 14652 PA DS035239 MD 14652 MD 14652 PA DS035790 PA DS035790 MD 14200 MD 9760 VA 0401412360 PA DS021445L MD 15051 IL 019024964 IL 019024964 IL 019024964 IL 019024964 IL 019024964 IL 019024964 IL 019024964 IL 019024964 IL 019024964 VA 0438000034 MD 9343 DC DEN2948 VA 0401006784 MD 10094 MD 11877 MD 11877 MD 11877 NY 051700 NY 051700 DC DEN1000770 DC DEN1000770 Page 8 of 25 2/14/2013 2:17 PM

(9)

Provider First Name Provider Last Name LicensuresLicense Location Name Address1 Address2 City State Zip Phone Fax County Specialty

SHARIAN GLAZE DDS BIG SMILES DC PC 1776 I ST NW SUITE: 9TH

FLOOR WASHINGTON DC 20006 (888)833-8441 (888)330-4331 DISTRICT OF COLUMBIA General Practitioner

SOORITA GOORAH DDS ASPEN HILL GENERAL & COSMETIC

DENTISTRY

13975 CONNECTICUT AVE

STE 200-201 SILVER SPRING MD 20906 (301)460-1212

(301)288-7784

MONTGOMERY General Practitioner

VANESSA GORDON DDS VANESSA GORDON DDS 9131 PISCATAWAY RD CLINTON MD 20735 (301)877- (240)244- PRINCE GEORGES General Practitioner

WESLEY GORDON DDS WESLEY N GORDON DDS 867 VAN BUREN ST NW WASHINGTON DC 20012

(202)291-3305 (202)829-3730 DISTRICT OF COLUMBIA General Practitioner

PATRICIA GORDON-WILLIS DMD SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner

PATRICIA GORDON-WILLIS DMD SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

ALLEN GOTORA DDS STELLAR DENTAL LLC 5813 EASTERN AVE HYATTSVILLE MD 20782

(301)853-1567

(240)839-5026

PRINCE GEORGES General Practitioner

ALLEN GOTORA DDS STELLAR DENTAL LLC 11120 NEW HAMPSHIRE

AVE STE 301

SILVER SPRING MD 20904 (301)754-1900

(301)754-1900

MONTGOMERY General Practitioner

ALLEN GOTORA DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

KEVIN GRANGER DDS ORAL HEALTH ASSOCIATES 4316 SAINT BARNABAS

RD

TEMPLE HILLS MD 20748 (301)423-6423

(301)423-4450

PRINCE GEORGES General Practitioner

KEVIN GRANGER DDS SMILE SERVICES PLLC 1100 1ST STREET SE SUITE 603 WASHINGTON DC 20003

(202)670-7860

DISTRICT OF COLUMBIA

General Practitioner

JONELLE GRANT DDS KIDS SMILES INC 4837 BENNING RD SE WASHINGTON DC 20019

(202)650-5238 (202)650-5246 DISTRICT OF COLUMBIA Pediatric Dentist

DOMINICQUE GRAY DDS SMALL SMILES DENTAL CENTERS OF

WASHINGTON DC PC

3401 GEORGIA AVE NW WASHINGTON DC 20010

(202)829-5437 (202)829-9255 DISTRICT OF COLUMBIA General Practitioner

DOMINICQUE GRAY DDS SMALL SMILES OF SOUTH WASHINGTON

DC PC 3946 MINNESOTA AVE NE WASHINGTON DC 20019 (202)397-1033 (202)397-2104 DISTRICT OF COLUMBIA General Practitioner

ASTON GREAVES JR DDS WASHINGTON DENTAL HEALTH CARE 729 8TH ST SE WASHINGTON DC 20003

(202)546-2202 (202)546-2204 DISTRICT OF COLUMBIA General Practitioner

PRIYA GREWAL DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

PRIYA GREWAL DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

PRIYA GREWAL DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

PRIYA GREWAL DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

JENNIFER GRIFFIN DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747

(301)568-2029

(301)420-6352

PRINCE GEORGES General Practitioner

JENNIFER GRIFFIN DDS KOOL SMILES DC PC 1531 MARYLAND AVE NE WASHINGTON DC 20002

(202)470-1126 (202)399-0130 DISTRICT OF COLUMBIA General Practitioner

JENNIFER GRIFFIN DDS KOOL SMILES VA-6 PC 6537 ARLINGTON BLVD FALLS CHURCH VA 22042

(703)536-2661

(703)538-3424

FAIRFAX General Practitioner

STEPHEN GRIMM III DDS HOWARD UNIVERSITY COLLEGE OF

DENTISTRY 600 W ST NW STE 233 WASHINGTON DC 20059 (202)806-0041 (202)806-0473 DISTRICT OF COLUMBIA Pediatric Dentist

DAVID GROY DDS KOOL SMILES 6471 MARLBORO PIKE DISTRICT HEIGHTS MD 20747 (301)568- (301)420- PRINCE GEORGES General Practitioner

DAVID GROY DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

EMILIE GUINTO DDS KOOL SMILES 1147 UNIVERSITY BLVD TAKOMA PARK MD 20912 (800)920- (301)445- MONTGOMERY General Practitioner

ANNA GUMBS DMD GUMS DENTAL CARE LLC 8830 CAMERON ST STE 203 SILVER SPRING MD 20910

(301)588-4411

(301)588-0938

MONTGOMERY General Practitioner

RUCHIRA GUNAWARDENA DDS ADVENTURE DENTAL OF LANDOVER HILLS 6725 ANNAPOLIS RD LANDOVER HILLS MD 20784

(301)773-4746

(301)773-4941

PRINCE GEORGES General Practitioner

RUCHIRA GUNAWARDENA DDS HERO DENTAL OF ESSEX PC RONALD B

MONTANO DDS

1346 EASTERN BLVD ESSEX MD 21221

(410)406-3006

(410)406-3007

BALTIMORE General Practitioner

RUCHIRA GUNAWARDENA DDS ADVENTURE DENTAL CENTER 5632 THE ALAMEDA BALTIMORE MD 21239

(410)435-0008

(410)435-0444

BALTIMORE CITY General Practitioner

RUCHIRA GUNAWARDENA DDS RONALD B MONTANO DDS PC DBA

ADVENTURE DENTAL OF MARYLAND

1253 W PRATT ST BALTIMORE MD 21223

(410)727-4746

(410)727-6767

BALTIMORE CITY General Practitioner

MAJID HAGHIGHIYAN DDS SILVER SPRING DENTAL CARE LLC 13321 NEW HAMPSHIRE

AVE

STE 201 SILVER SPRING MD 20904 (301)384-6600

(301)384-6622

MONTGOMERY General Practitioner

KASSAHUN HAILU DDS ACK DENTAL 11300 ROCKVILLE PIKE # ROCKVILLE MD 20852 (301)770- (301)770- MONTGOMERY General Practitioner

BERT HALL DDS WALKER JONES HEALTH CARE CENTER 40 PATTERSON ST NE WASHINGTON DC 20002

(202)354-1120 (202)478-0608 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS UNITY HEALTH CARE INC 1900 MASSACHUSETTS

AVE SE BLDG 29 WASHINGTON DC 20003 (202)548-6500 (202)544-2649 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS HALL AND ASSOCIATES 7221 E RIDGE DR LANDOVER MD 20785 (301)386- (301)386- PRINCE GEORGES General Practitioner

BERT HALL DDS SOUTHWEST HEALTH CENTER 850 DELAWARE AVE SW WASHINGTON DC 20024

(202)548-4520 (202)548-4520 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS UPPER CARDOZO HEALTH CENTER 3020 14TH ST NW WASHINGTON DC 20009

(202)745-4300 (202)544-3783 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS UNITY HEALTH CARE 425 2ND ST NW WASHINGTON DC 20001

(202)508-0500 (202)508-0525 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS UNITY HEALTH CARE 4130 HUNT PL NE WASHINGTON DC 20019

(202)388-8160 (202)388-8164 DISTRICT OF COLUMBIA General Practitioner

BERT HALL DDS EAST OF THE RIVER 123 45TH ST NE WASHINGTON DC 20019

(202)388-7890 (202)232-0723 DISTRICT OF COLUMBIA General Practitioner MD 8188 MD 8188 MD 8188 MD 8188 MD 8188 DC DEN4200 MD 8188 MD 8188 DC DEN5840 MD 13255 MD 14507 MD 14507 MD 14507 MD 14507 DC DEN1000743 MD 14725 ** 0401010100 ** 0401010100 MD 7842 DC DEN1000961 VA 0438000283 VA 0438000283 VA 0401411043 VA 0401411043 VA 0401411043 VA 0401411043 MD 7888 DC DEN1001106 DC DEN1001106 MD 14623 VA 0401411967 VA 0401411967 DC DEN1000793 DC DEN1000793 DC DEN1000793 VA 0401413707 VA 0401413707 DC DEN2700 MD 10936 DC DEN5681 MD 12728

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