NOTE: It is the responsibility of the patient to verify their dentist’s participation in the Delta Dental PPO & Premier Network before treatment.
Please visit our website for current out-of-state and local listings. DeltaDentalOK.org
DIRECTORY OF PARTICIPATING DENTISTS
DELTA DENTAL PPO & PREMIER NETWORK
DELTA DENTAL OF OKLAHOMA
This list does not imply professional superiority of the participating dentists or clinics over any other licensed dentist, nor does it imply
that the dental fees of other licensed dentists differ from the Participants’ dental fees.
SPECIALTY CODES
10 Oral Surgeon
15 Endodontist
20 Orthodontist
30 Pediatric
40 Periodontist
50 Prosthodontist
60 Oral Pathologist
ANY QUESTIONS?Please contact Customer Service:405-607-2100 (OKC Metro)800-522-0188 (Toll Free)
Please mail claims to:Delta Dental of Oklahoma P.O. Box 548809Oklahoma City, OK 73154-8809
Providers may have the ability to provide secondary
language support and special accommodations for patients.
For more information, please visit our website at
DeltaDentalOK.org
ADAAHREND, MELINDA
PPO, Premier
BOONE, R T - 10PPO, Premier
BRATTON, BRYAN PPO, Premier
COERVER, BRIAN DPremier
CRAIG, LENA PPO, Premier
DEVAUGHAN, TYLER - 20PPO, Premier
EDWARDS III, BENJAMIN FPremier
EDWARDS, B FPremier
FITZGERALD, JAY - 20PPO, Premier
HALL, BRUCE Premier
HAYNES, JOE PPO, Premier
OSBORN, VASHTI PPO, Premier
TERRAL, WILLIAM PPO, Premier
VANBUSKIRK, PAULA E - 30PPO, Premier
WALKUP, RON Premier
WEEMS, MARK WPremier
ALTUSAMBROSE, JAMES K
Premier
GOODMAN, MARK Premier
HENRY, RICHARD GPremier
LAMB, WHITNEY PPO, Premier
TALLEY, NATHANIEL WPremier
TIMS, KARA CPPO, Premier
ALVALOTT, GARY G
Premier
PIERCE, JEFFREY PPO, Premier
SMITH, L GPPO, Premier
TUCKER, CHARLES RPremier
ANADARKOGRIFFITH, JAMES C
Premier
ANADARKOTHOMAS, JONATHON V
PPO, Premier
ANTLERSDUNCAN, TWANA
Premier
LAWLESS, CHANCE Premier
STEWART, TRENA KPremier
ARDMOREAJALA, JOACHIM
PPO, Premier
BELKNAP, JAMIE PPO, Premier
BULARD, RONALD APremier
CASTILLO, ERIC Premier
CROSS, GERALD VPremier
EDMONDS, R Premier
EL HENNAWEY, REHAM - 15PPO, Premier
GERKEN, C A - 20PPO, Premier
GRAVES, RON - 10PPO, Premier
GUTHRIE, CHARLES PPO, Premier
GUTHRIE, JAMIE LPremier
HAYNES, JOE PPO, Premier
HUGHES, ROBERT VPremier
JOHNSON, EDWINA VPPO, Premier
JOHNSON, ROBERT CPPO, Premier
KAHN, EDWARD PPO, Premier
KANAGARLA, SREEKANTH PPO, Premier
LAYMON, AMY RPPO, Premier
LEDBETTER, LES Premier
LITTEKEN, EUGENE - 30PPO, Premier
LORDS, JONATHAN C - 30PPO, Premier
MONTEMAYOR, FRANCIS MPremier
RYAN, WILLIAM RPPO, Premier
ARDMORESJULIN, JOHN L
PPO, Premier
SOUTHERLAND, AARON C - 10PPO, Premier
STORTS, JESSE DPremier
STORTS, LAUREN Premier
STORTS, TRAVIS MPremier
STREIGHT, JOHN APPO, Premier
STRETESKY, TONY - 20PPO, Premier
SUDBERRY, THOMAS BPremier
TERRAL, WILLIAM PPO, Premier
TREANOR, JOSEPH Premier
TURNER, HEATHER PPO, Premier
WALLACE, PATRICK - 10PPO, Premier
WARREN, ROBERT LPPO, Premier
WASHINGTON, PHILLIP Premier
WILLIAMS, ALEXANDER DPPO, Premier
WORTHEN, TAMARA B - 30PPO, Premier
ATOKADIAL, MICHAEL L
PPO, Premier
HOOKOM, MATHEW DPremier
BARTLESVILLEANDREWS, ROGER S
PPO, Premier
ARMSTRONG, STEVEN PPO, Premier
BEARD, STEPHEN PPO, Premier
BOREN, KEITH PPO, Premier
BRECHEISEN, SCOTT KPPO, Premier
BULLEIGH, AARON PPO, Premier
BUTLER, J R - 40PPO, Premier
CARDON, CREED PPO, Premier
CLEMENT, RICHARD APPO, Premier
BARTLESVILLECLENDENEN, LLON H - 20
PPO, Premier
COCHRAN, CRAIG S - 10PPO, Premier
CRONIN, PHILLIP PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
FARR, RILEY PPO, Premier
HART, RON Premier
HERMAN, ROBERT J - 20PPO, Premier
KAHN, EDWARD PPO, Premier
KY, FELIX PPO, Premier
LARD, JOHN BPPO, Premier
LE, SALLY PPO, Premier
LINDBLOM, JON M - 30PPO, Premier
LUMPKIN, LUCAS PPO, Premier
LYLE JR, R RPremier
MILES, STEVEN PPO, Premier
NIELSEN, ERIC PPO, Premier
OWENS, TYLER - 30PPO, Premier
POTTER, HEATH MPremier
SHUTE, GEORGE APPO, Premier
STAPLETON, DAVID - 40PPO, Premier
STREET, SCOTT PPO, Premier
SWISHER, BRENDON MPremier
THOMPSON, WESLEY PPO, Premier
TURNER, HEATHER PPO, Premier
UNRUH, MARK - 20PPO, Premier
VIVIAN, THOMAS PPO, Premier
WEST, SCOTT SPPO, Premier
WILLARDSON, DAVID PPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 1 of 22
BARTLESVILLEWILLIS, JOSEPH
PPO, Premier
BEAVERBECKER, TIMOTHY J
PPO, Premier
BETHANYALGEO, CLAY
Premier
BALENSEIFEN, MARK - 50PPO, Premier
BRASHER, JOSHUA PPO, Premier
CLIFFORD, CAMERON PPO, Premier
DAVIS, FRANCIS APremier
HARDMAN, GREG Premier
MAY-JONES, AUDREY LPPO, Premier
MCKAMIE, J Premier
OLSON, LARRY PPO, Premier
WALLACE, JASON PPO, Premier
BIXBYANDERSON, GERALD
PPO, Premier
CHURCH, SHERRY PPO, Premier
HANUS, JAKE PPO, Premier
HENRY, BLAKE - 20PPO, Premier
HINE, CRAIG PPO, Premier
KNAPP, JASON PPO, Premier
LAD, BEENA PPO, Premier
LAD, TEJ PPO, Premier
MADDOX, ROY GPremier
NOWLIN, RYAN V - 20PPO, Premier
NOWLIN, VAN L - 20PPO, Premier
REAVIS, TERRY PPO, Premier
RIDDEL, ROSS PPO, Premier
TROCKEL, MARTIN FPPO, Premier
BLACKWELLBURKETT, TRAVIS D
PPO, Premier
FRANCIS, BRETT PPO, Premier
MAUNE, MATTHEW PPO, Premier
MAY-JONES, AUDREY LPPO, Premier
NEALE, AARON MPremier
BLANCHARDAYERS, NEIL
PPO, Premier
MAYHUE, TOMMY LPremier
TURNEY, TRAVIS PPO, Premier
BRISTOWCORWIN, DEBORAH
PPO, Premier
CORWIN, JAMES PPO, Premier
HENDRICKSON, AMANDA PPO, Premier
PETTIT, JAY WPPO, Premier
BROKEN ARROWAL SALAYTA, MUHANNAD
PPO, Premier
ANDREWS, ROGER SPPO, Premier
ASHMORE, GLENN APPO, Premier
BAIRD, MICHAEL PPO, Premier
BARNES, ADAM TPPO, Premier
BEDDOE, RAY - 40PPO, Premier
BEVINS, MICAH JPPO, Premier
BUSO, HANNAH PPO, Premier
CANNON, PATRICIA DPPO, Premier
CARDON, CREED Premier
CARLILE, DENNIS JPremier
CLARKE, TRISCHA PPO, Premier
CLOTHIER, EVAN PPO, Premier
CULLENS, ROCKY - 10PPO, Premier
DANG, BAO-HANH TPPO, Premier
BROKEN ARROWDAVIDSON, GARY C
Premier
DEEM, STEVE PPO, Premier
DILLARD, KATHERINE PPO, Premier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
DOMONEY, KALI Premier
DOMONEY, MYRNA Premier
EL HENNAWEY, REHAM - 15PPO, Premier
EMERSON, CLINTON W - 20PPO, Premier
ENDICOTT, DREW Premier
EVANS, HEATH - 10PPO, Premier
FAGAN, RANDY PPO, Premier
GARRETT, JOHN APPO, Premier
GENTLING, TODD Premier
GOLBEK, ERIC PPO, Premier
GRIFFIN, THOMAS - 20PPO, Premier
HAMMOND, LINDSEY PPO, Premier
HELMERICH, LINDSEY PPO, Premier
HIATT, WILLIAM GPPO, Premier
HODGE, W MPremier
HOGG, STEVEN WPremier
HOLLEMAN, VALERIE PPO, Premier
HOOPES, MITCHELL JPremier
HUGHES, TIMOTHY Premier
JACKSON, MELISSA PPO, Premier
JOHNSON, D - 10PPO, Premier
KAHN, EDWARD PPO, Premier
KENNEDY, THOMAS JPPO, Premier
KINCAID, MATTHEW MPPO, Premier
BROKEN ARROWKNAPP, JASON
Premier
KNOX, STEPHEN FPPO, Premier
KY, FELIX PPO, Premier
LANDER, LARRY D - 10PPO, Premier
LE, SALLY Premier
MONGRAIN, ROBERT BPremier
NAAMAN, MAZEN PPO, Premier
NGUYEN, KALVIN PPO, Premier
NIELSEN, ERIC Premier
OVERTON, BRADFORD PPO, Premier
OWENS, JAMES F - 30PPO, Premier
OWENS, SAMUEL APPO, Premier
PARKS, BENNETT PPO, Premier
PARRISH, KYLIE RPPO, Premier
PRINCE, LARRY OPPO, Premier
RHODES, ANGELA PPO, Premier
RIDDEL, ROSS PPO, Premier
ROGERS, JOHN MPPO, Premier
ROGOZHKINA, KRISTINA PPO, Premier
RYAN, WILLIAM RPPO, Premier
SEGRAVES, GREGORY D - 10PPO, Premier
SHOOP, JOSEPH PPO, Premier
SMITH, JORDON Premier
SPRAGUE, TAYLOR Premier
STARKEY, JOHNNY B - 30PPO, Premier
STOS, DANNY PPO, Premier
STRAND, MIKE - 15PPO, Premier
STREET, SCOTT PPO, Premier
TA, SERENA PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 2 of 22
BROKEN ARROWTAT, ANTHONY
PPO, Premier
TEWIS, SHANE PPO, Premier
THEOBALD, GARY EPPO, Premier
THOMAS, REGGIE DPPO, Premier
TRAMMELL JR, VIC HPremier
TRAMMELL, VIC H - 10PPO, Premier
TURNER, HEATHER PPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
WOODARD, DAVID - 15PPO, Premier
ZHAO, XUEMEI PPO, Premier
BROKEN BOWHEARNE, O B
Premier
ZIEGLER, MARK WPPO, Premier
CANTONNGUYEN, LUKE-HIEU
PPO, Premier
CARNEGIECAMERON, JAMIE
Premier
CATOOSABREWER, MICHAEL L
PPO, Premier
FRANKLIN, RICHARD PPO, Premier
HUYNH, DAVID PPO, Premier
KENNEDY, THOMAS JPPO, Premier
MAHDY, ALI PPO, Premier
MICHAELSEN, SOREN PPO, Premier
SIMS, GEOFFREY PPO, Premier
TEWIS, SHANE PPO, Premier
CHANDLERDICKSON, JERRY
PPO, Premier
SCHAFER, NICKI LPPO, Premier
TEMPLETON, C K - 10PPO, Premier
CHECOTAHBARNES, ADAM T
PPO, Premier
CHANCELLOR, DOUG PPO, Premier
COLEMAN, HEATH PPO, Premier
MEADOR, JOSEPH MPPO, Premier
REGAN, TIMOTHY DPPO, Premier
SUMMERLIN, ALLEN PPO, Premier
CHELSEAWESTFALL, BRAD G
PPO, Premier
CHEROKEENGUYEN, LUKE-HIEU
PPO, Premier
OISTER, JANA Premier
CHEYENNESHRADER, STEVEN E
Premier
CHICKASHABHAKTA, RASILA
PPO, Premier
BURRILL, CARAH PPO, Premier
DILLON, RICHARD SPremier
EATON, DEBRA APremier
HAN, SARAH PPO, Premier
JOHNSON, RICHARD L - 10PPO, Premier
MAI, AN PPO, Premier
METTRY, MARK EPremier
PERRYMAN, REED Premier
PHILLIPS, JOHN Premier
REVELS, STACY LPremier
THOMAS, JONATHON VPPO, Premier
TORBERT, CLARK PPO, Premier
WILLIAMS, GEORGE WPremier
CHOCTAWCLARKE, JONATHAN
PPO, Premier
CHOCTAWGASBARRA, TRACY
Premier
MAY, JUDSON PPO, Premier
PORTER, ALLISON Premier
RENFROW, SCOTT - 40PPO, Premier
RIDPATH, DAREK PPO, Premier
CLAREMOREBATTLE, JOHN
PPO, Premier
BATTLE, JUSTIN CPPO, Premier
BOREN, KEITH PPO, Premier
CANNON, DANIEL - 10PPO, Premier
CARDON, CREED PPO, Premier
DAVIDSON, GARY CPPO, Premier
DILLARD, KATHERINE PPO, Premier
FLINT, CHARLES M - 20PPO, Premier
GRUENBERG, ROBERT APremier
HAMMOND, LINDSEY PPO, Premier
HARE, L PPO, Premier
HASKINS, RANDALL Premier
JIN, LINFAN PPO, Premier
KIM, JOHN DPPO, Premier
MAILOT, KEVIN Premier
MURRAY, WARREN LPPO, Premier
PAHLEVANYAN, TYGRAN PPO, Premier
PATEL, ANAND N - 20PPO, Premier
REED, DARRYL DPPO, Premier
REEDER, BILLIE TPPO, Premier
ROSS, ROBIN MPPO, Premier
SCOTT, STEVEN RPPO, Premier
TORABI, ALI PPO, Premier
CLAREMOREVANDIVER, JONAH R
PPO, Premier
WILLHOITE, LAURA L - 20PPO, Premier
WILLHOITE, M KPremier
YOUNG, ABBY RPPO, Premier
CLAYTONWOMACK, BOB
PPO, Premier
CLEVELANDOLIVER, STEVEN D
Premier
TURNER, DWIGHT LPPO, Premier
CLINTONBAKER, JAMES - 10
PPO, Premier
BOONE, DAVID LPremier
CARLSON, PETER L - 10PPO, Premier
MCGARRY, ANDREW - 10PPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
OHALLORAN, KEVIN FPremier
SCHOONMAKER, DEVIN PPremier
SERFOSS, KYLE LPremier
SIMON, FLOYD Premier
COALGATECRAIG, LENA
Premier
COLLINSVILLEBOWLER, MELISSA
PPO, Premier
HEREFORD, JAMES PPO, Premier
COWETABRAUMILLER, ALLEN S
PPO, Premier
HARWOOD, MARK PPO, Premier
JACKSON, MELISSA PPO, Premier
REID, CHAD PPO, Premier
WALLIS, DENNIS LPPO, Premier
WALLS, MATTHEW JPPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 3 of 22
COWETAWARLICK, KATIE L
PPO, Premier
WARLICK, MATTHEW EPPO, Premier
CRESCENTFRAZIER, NATALIE M
PPO, Premier
KELLY, MARK PPO, Premier
CUSHINGBROWN, NATHAN
Premier
CARDON, CREED PPO, Premier
DAVIS, REBECCA Premier
FIELDS, LONDELL Premier
JOHNSON, KATELYN Premier
NAIL, CARSON LPremier
WILLARDSON, DAVID PPO, Premier
WILLIAMS, BRUCE MPPO, Premier
DEL CITYGOODWIN, CHARLES
Premier
KRUG, MICHAEL Premier
MICHELS, CLAY CPPO, Premier
NAGHDI, GOLNAZ Premier
SCOTT, CHARLES PPO, Premier
SIGMON, SAMUEL CPPO, Premier
UNTRAUER, STEVEN RPremier
DEWEYBULLEIGH, NATHAN
PPO, Premier
DRUMRIGHTBURKETT, TRAVIS D
PPO, Premier
MCNAIR, DANIEL SPPO, Premier
MERRITT, KIMBERLY PPO, Premier
ROULSTON, TYSON PPO, Premier
SPOTTSWOOD, TRISTANNE MPPO, Premier
DRUMRIGHTVENK, AMANDA
PPO, Premier
DUNCANATKINS, CHRISTOPHER - 10
PPO, Premier
BEESON, WILLIAM EPremier
BEHRMANN, MICHAEL C - 20PPO, Premier
BRIDGES, MATTHEW Premier
DAVIS, GERALD DPremier
DAVIS, GERRAD Premier
ELLIOTT, MICHAEL RPPO, Premier
GLIDDON, MICHAEL J - 10PPO, Premier
GREGG, STEVEN WPremier
HALL, KENT C - 20Premier
MILLER, DAVID L - 10PPO, Premier
NELSON, MICHAEL EPremier
NELSON, RODNEY Premier
NUGENT, TJ PPO, Premier
SCHICK, ROBERT DREW Premier
SHORES, COTY Premier
WHITE, JAY LYNN PPO, Premier
WOOD, PAUL S - 10PPO, Premier
DURANTBEAVER, BRANDON
Premier
BULLARD, BLAKE MPPO, Premier
CARPER, CHASITY Premier
CARPER, JASON DPremier
CRAIGE, D DPPO, Premier
EVANS, MICHAEL PPO, Premier
GRAVES, RON - 10PPO, Premier
HAYNES, JOE PPO, Premier
DURANTHUTCHENS, C T
Premier
LEE, DAVID PPO, Premier
MAHDY, ALI PPO, Premier
MARCUM, TAYLOR Premier
ROBERTS, CASEY PPO, Premier
SOUTHERLAND, AARON C - 10PPO, Premier
WALLACE, PATRICK - 10PPO, Premier
EDMONDALLEN, DAVID L
Premier
ALLEN, MARK JPremier
ALSPAUGH, MICHAEL Premier
ARLEDGE, MARC Premier
ASHBURN, DONALD GPPO, Premier
BALL, VICTORIA - 15PPO, Premier
BARTON, TAYLOR Premier
BENBAJJA, ABDESSAMAD Premier
BENDER, KARI EPremier
BLOSSFELD, CAROL Premier
BOWERS, BLAIRE - 40Premier
BRASHER, GREGORY Premier
BRASHER, JOSHUA Premier
BREWER, ADAM PPO, Premier
BROCK, JOSHUA Premier
BROOKS, TIM JPremier
BROWN, NATHAN Premier
BROWN, THOMAS KPPO, Premier
BUCHANAN, JAMES MPremier
CARSON, STEVE RPPO, Premier
CASH, STEPHEN RPremier
EDMONDCHANDLER, MICHAEL
PPO, Premier
CHEATHAM, DON - 30PPO, Premier
CHENG, MICHAEL PPO, Premier
CLARK, R LYNN PPO, Premier
CLIFFORD, CAMERON Premier
COWDEN, SETH PPO, Premier
EATON, ERIKA LPPO, Premier
ECKROAT, DIRK B - 30PPO, Premier
EDWARDS, JEREMY - 10PPO, Premier
ELIOT, LEE APremier
FARLEY, JAMES EPremier
GARZON, MARTHA - 30PPO, Premier
GRAY, PHILIP Premier
GRIFFIN, SHANNON LPremier
HANSEN, MICHAEL Premier
HARRAMAN, PRESTON Premier
HARRIS, JOE MPremier
HARROD, K CULLEN Premier
HAYS, TANNER HPremier
HETRICK, CHARLES WPremier
HIEGER, CONNOR Premier
HOLLOMAN, MATTHEW Premier
HOOPER, C BPPO, Premier
HOOPER, JAMES DPremier
JARJOURA, ELI Premier
JOHNSON, DAMON RPremier
JONES, SAM P - 10PPO, Premier
KIERL, PETER - 20PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 4 of 22
EDMONDKLAUS, LAUREN - 40
Premier
KOOP, GENE MPPO, Premier
KRAMER, MITCHELL WPremier
KUTLESA, BRENT PPO, Premier
LAMB, ROBERT - 10PPO, Premier
LANGFORD, LETA PPO, Premier
LEWIS, SHANNON M - 20PPO, Premier
MADAMBA, JORGE PPO, Premier
MARLEY-HARROD, SAMANTHA LPremier
MARTIN, MARY PPO, Premier
MCINTIRE, TRACY - 10PPO, Premier
MCKINNEY, MICHAEL - 10PPO, Premier
MERIDETH, MARK PPO, Premier
MILLER, LINDSEY PPO, Premier
MONTGOMERY, RONALD KPPO, Premier
NANDA, RUCHI - 20PPO, Premier
NOSRATI, MIRIAM PPO, Premier
PECK, JAMES CPremier
PITT, GRANT Premier
POLKINGHORNE, JOHN GPremier
PORTER, BEAU PPremier
RADFAR, LIDA PPO, Premier
REED, KAREN GPremier
RIOS, ANDREA O - 20PPO, Premier
RUDD, MACK Premier
SAFI, RICHARD Premier
SEARCEY, SCOTT - 10PPO, Premier
SIGLER, STEFFAN PPO, Premier
SMITH, MICHAEL KPremier
EDMONDSTEELE, ROBERT C - 30
PPO, Premier
STRANGE, STEVEN Premier
SULLIVAN, JACKSON L - 15PPO, Premier
TALLEY, JAMIE Premier
TEMPLETON, C K - 10PPO, Premier
THOMAS, BLAIR - 10PPO, Premier
TUCKER, JOSEPH PPO, Premier
VASQUEZ, ZENEIDA G - 10PPO, Premier
WALLACE, MICHAEL Premier
WARD, WILLIAM SPPO, Premier
WAUGH, W SCOTT Premier
WEAVER, ZANE MPremier
WEDEL, COURTNEY PPO, Premier
WHITFIELD, HEATH A - 30PPO, Premier
WILGUESS, DANIEL JPremier
WILLCOX, RALPH Premier
WILLCOX, VINCE Premier
WILLOUGHBY, JACK EPremier
EL RENOBRASHER, JOSHUA
Premier
COHLMIA, ADAM Premier
FAULCONER, CHRISTOPHER WPremier
GUENTHER, WESLEY PPO, Premier
HIGGINSON, JAKE Premier
JOERN, JAMES PPO, Premier
KARIYA, BRYAN PPO, Premier
KIERL, M J - 20PPO, Premier
KIRK, MICHAEL KPremier
MARRIOTT, JUSTIN Premier
EL RENOSHAFER, BRIAN
Premier
TATE, RAY PPO, Premier
WHITE, ROBIN Premier
ELGINMCKINNIS, JACK L
PPO, Premier
ELK CITYGLADD, BILL
Premier
HIGGINS, DARIN Premier
MORRISON, JACK TPremier
NOWLIN, LISA APremier
NOWLIN, ROBERT FPremier
ENIDAJMANI ELERA, PARUL
PPO, Premier
BLUBAUGH, W CPremier
BOWMAN, CURTIS J - 10PPO, Premier
BREECE, GARY L - 20PPO, Premier
BRORSEN, RUSSELL Premier
BROWN, DAVID Premier
BURRILL, CARAH PPO, Premier
CHALOUPEK, ELIZABETH APPO, Premier
CHASTAIN, CARRIE LPPO, Premier
DARROW, MEGAN PPO, Premier
DICKINSON, SCOTT PPO, Premier
DURR, STEVE CPremier
FAGAN, CHRIS PPO, Premier
FAGAN, TIM R - 30PPO, Premier
GEUNES, ROB PPO, Premier
GRIESHOBER, KURT SPremier
GRIMES, LISA RPPO, Premier
HEALY, STEPHANIE PPO, Premier
ENIDHERBST, STEPHANIE
Premier
HILL, TODD PPO, Premier
JONES, ARONDA PPO, Premier
KINER, LARRY EPremier
LACK, JARROD DPremier
MABRY, JAMES PPO, Premier
MILLER, GARY W - 10Premier
MOORE, BOBBY Premier
MOREHART, DENNIS Premier
NGUYEN, LUKE-HIEU PPO, Premier
POTTER, BENNY PPO, Premier
ROBERTS, DAULTON Premier
ROBERTS, ERIN KPremier
RYAN, WILLIAM RPPO, Premier
TAYLOR, BILL EPremier
THOMAS, JOHN Premier
THOMAS, PAUL PPO, Premier
VINCENT, DIANE PPO, Premier
WEDEL, COURTNEY PPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
YUSEF, SANA PPO, Premier
EUFAULADEW, ROBERT M
Premier
MCINTOSH, ROLEY DPPO, Premier
MCINTOSH, S PPPO, Premier
FAIRFAXBEN, MICHAEL S
PPO, Premier
FOX, MICHAEL JPPO, Premier
PHILIP, JUDY PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 5 of 22
FAIRVIEWHIEBERT, JUNE J
PPO, Premier
FORT GIBSONEVANS, FRANK J
PPO, Premier
NELSON, MICHAEL PPO, Premier
WALKER, ANDREW Premier
WALKER, JESSICA Premier
FREDERICKANDERSON, CLAY
Premier
GLENPOOLBONNET, BRYAN E
PPO, Premier
FISCHER, GERHARD Premier
GEORGY, DALIA PPO, Premier
MOHANNA, PARNAM PPO, Premier
NOAH, RYAN PPO, Premier
POTTORFF, ADAM LPPO, Premier
WHITE, WILLIAM SCOTT Premier
GOREMCGEE, ARNIE D
PPO, Premier
GROVEACKER, BRADLEY G
PPO, Premier
BEAVER, ALLEN PPO, Premier
CRAWFORD, AUDREY Premier
CRAWFORD, STANLEY Premier
GLENN, STEPHEN OPremier
HACKER, STEFAN SPremier
HOOVER, JOHN Premier
JOBST, KARL RPPO, Premier
KENNEDY, THOMAS JPPO, Premier
MARAVICH, JOHN KPPO, Premier
MILLER, RICHARD Premier
GROVENAAMAN, MAZEN
PPO, Premier
PHILLIPS, CRYSTAL LPremier
ROBINSON, KIRBY JOE PPO, Premier
SHERWOOD, STUART PPO, Premier
STRAHM, ELGIN RPremier
VAUGHAN, RAEGAN Premier
GUTHRIEBROWN, NATHAN
Premier
BUMPAS, BRYAN CPremier
HOLDEN, LORI Premier
PROUD, NATHAN NPPO, Premier
SMITH, TERRY Premier
TURNEY, LEWIS FPremier
GUYMONBOHLANDER, R A
Premier
COCONU, MARIANA Premier
PHIPPS, GARRETT Premier
HARRAHBOWMAN, BENJAMIN
PPO, Premier
BROWN, DAVID PPO, Premier
CHINN, JACK MPremier
CLARKE, JONATHAN PPO, Premier
KYRK, ERIC DPremier
HEALDTONBREWER, CALEB J
Premier
BREWER, GARY TPremier
HEAVENERMEAD, ERIC J
Premier
HENNESSEYCOX, KAREN A
PPO, Premier
FERRELL, ANNA PPO, Premier
HENRYETTAEVANS, BEAU B
PPO, Premier
HERMAN, ROBERT J - 20PPO, Premier
JOHNSON, JEREMY SPPO, Premier
NELSON, E MPPO, Premier
HINTONKOCH, HEATHER R
Premier
HOBARTKRUSKA, J L
Premier
TALLEY, NATHANIEL WPremier
HOLDENVILLELAVALLEY, JOE
Premier
HOLLISLIVELY, DUSTIN
PPO, Premier
HOMINYFOX, MICHAEL J
PPO, Premier
PHILIP, JUDY PPO, Premier
HUGODEATON, STEVEN M
Premier
ROWLAND, WADE PPO, Premier
IDABELDENNINGTON, GARY
Premier
PATRICK, MARC Premier
INOLALASTER, S SCOTT
PPO, Premier
JAYWILCOX, CHRISTOPHER
Premier
JENKSBEAVER, ALLEN
PPO, Premier
COATNEY, RUSSELL EPPO, Premier
LAD, BEENA PPO, Premier
RAY, KEVIN CPremier
SESSOM, CARRIE Premier
JENKSSIMER, NEWTON
PPO, Premier
KINGFISHERBARNETT, CHRISTOPHER
Premier
BOWMAN, BENJAMIN Premier
DANNER, JEFFREY CPremier
HENDRIX, DREW Premier
KINGSTONNELSON, JEFFREY
PPO, Premier
KONAWAMEEKS, STEPHANIE A
PPO, Premier
KREBSLUCKETT, ANGELO
PPO, Premier
LANGLEYBIRD, GEORGE M
PPO, Premier
GLENN, STEPHEN OPremier
HACKER, STEFAN SPremier
HOOVER, JOHN Premier
LANGSTONDIGUMARTHI, VENKATA
PPO, Premier
GRANT, VANISIA PPO, Premier
SMITH, CURTIS LPPO, Premier
LAVERNEDAVIS, SUSAN R
Premier
LAWTONADAY, PHILLIP L
Premier
ALFORD, JACQUELINE - 30PPO, Premier
ATKINS, CHRISTOPHER - 10PPO, Premier
BRASHER, JOSHUA Premier
BRIDGES, C TODD Premier
BRIDGES, G PPO, Premier
BROOKS, PERRY - 10PPO, Premier
BUCKNER, NATHAN Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 6 of 22
LAWTONBURTON, BONNIE
PPO, Premier
CARA, WUSE HPPO, Premier
CARBONE, KEEFE Premier
CARTER, WILLIAM PPO, Premier
CHELENZA, NICHOLAS - 30PPO, Premier
CHRISTIAN, JAYANTH PPO, Premier
COOLEY, REGGIE PPO, Premier
CRAIG, ANITRA PPO, Premier
DAVIS, GERRAD PPO, Premier
DEARING, MASON - 20PPO, Premier
DIXON, STEPHEN PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
FENG, JOSEPH J - 40PPO, Premier
GLIDDON, MICHAEL J - 10PPO, Premier
HARRELL, DAVID JPPO, Premier
JACKSON, MICHAEL DPremier
JENSEN, DAYNE - 10PPO, Premier
JONES, ARONDA PPO, Premier
JONES, MATHEW - 20PPO, Premier
KAHN, EDWARD PPO, Premier
LANGFORD, CARREN PPO, Premier
LARROW, CHRISTOPHER - 30PPO, Premier
LAYMON, AMY RPPO, Premier
LOPEZ, JUAN Premier
LUNDAY, LAUREN - 10PPO, Premier
LUTZ, JAMES PPO, Premier
MCKINNIS, JACK LPPO, Premier
MILLER, DAVID L - 10PPO, Premier
MIRACLE, ROBERT LPremier
LAWTONMONTGOMERY, ANDREA
PPO, Premier
MONTGOMERY, PATRICK PPO, Premier
MORIN, CHARLES K - 30PPO, Premier
MULLER, ROBERT KPPO, Premier
NESIBA, JOHN - 10PPO, Premier
POTTER, BENNY PPO, Premier
REEDER, BRUCE K - 20PPO, Premier
RYAN, WILLIAM RPPO, Premier
SHEPPARD, CINDY MPPO, Premier
SHEPPARD, ERNEST EPPO, Premier
SHEPPARD, SCOTT PPO, Premier
STANLEY, ADAM - 10PPO, Premier
STARCK, WILLIAM - 10PPO, Premier
SULLINS, JAY S - 15PPO, Premier
WARN, BRETT RPPO, Premier
WELLS, WAVEL - 30PPO, Premier
WOMACK, BOB PPO, Premier
WOOD, PAUL S - 10PPO, Premier
YUSEF, SANA PPO, Premier
LINDSAYPRACHT, STEVE D
Premier
SHELTON, MATT Premier
LOCUST GROVEGEASLAND, JOHN A
PPO, Premier
HENRY, DAVID PPO, Premier
LONE GROVEWEAVER, M D
Premier
WEAVER, ZANE MPremier
MADILLCRAIG, LENA
Premier
MADILLGUTHRIE, CHARLES
Premier
STORTS, JESSE DPremier
STORTS, LAUREN Premier
STORTS, TRAVIS MPremier
MANGUMAMBROSE, JAMES K
Premier
LIVELY, DUSTIN Premier
MANNFORDGLASS, RONALD G
Premier
MARIETTASTORTS, JESSE D
Premier
STORTS, LAUREN Premier
STORTS, TRAVIS MPremier
MARLOWSCOTT, RYAN
Premier
SCOTT, SHAWN Premier
MCALESTERABER, SUE B
PPO, Premier
ANDRUS, CHRISTIAN JPPO, Premier
AULD, DOUGLAS APremier
AULD, MICHAEL JPremier
BOONE, R T - 10PPO, Premier
CARTER, SPENCER PPO, Premier
CHOWINS, ROMAN Premier
DONATHAN, G DPremier
GRILLIOT, CLARK WPremier
HARRISON, BAILEY WPremier
HUNTER, JENNIFER BPPO, Premier
JULIAN, JANET RPPO, Premier
KIM, JOHN DPPO, Premier
MCALESTERKY, FELIX
PPO, Premier
LAWLESS, CHANCE PPO, Premier
MAJIDI, ARMAN PPO, Premier
MCINTOSH, JANNA C - 30PPO, Premier
MILLER, BRENT PPO, Premier
NGUYEN, LONG PPO, Premier
PARRISH, KYLIE RPPO, Premier
RAGAN, DUSTIN SPremier
SHARRAK, NOOR PPO, Premier
SHEETS, JACK Premier
SOMJEE, ALI PPO, Premier
SUGG, STEPHANIE PPO, Premier
TERRAL, WILLIAM PPO, Premier
WYNN, WILLIAM BPremier
MCLOUDCHOI, JAE W
PPO, Premier
FRANCIS, BRETT PPO, Premier
MEHNER, KEITH PPO, Premier
MIAMIBRANHAM-WILLIAMS, JAMIE
Premier
BRECHEISEN, SCOTT KPremier
CHIEN, TZU-MIN Premier
DOWNUM, KYLE Premier
FOLKS, MARK Premier
JOURDAN, THOMAS BPremier
KEIM, MATTHEW Premier
ROBINSON, CHRISTOPHER TPremier
MIDWEST CITYABDULHADI, ALIA
PPO, Premier
AL-ZUBI, KHALID PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 7 of 22
MIDWEST CITYAMAYA, BRENT T
PPO, Premier
ARIAS, TABITHA PPO, Premier
ASHMORE, GLENN APPO, Premier
BEHRMANN, MICHAEL C - 20PPO, Premier
BELKNAP, JAMIE PPO, Premier
BOHLE III, GEORGE C - 50PPO, Premier
BOZALIS, WILLIAM G - 30PPO, Premier
BREWER, ADAM PPO, Premier
BYRNE, MATTHEW PPO, Premier
CASE, JAY CPPO, Premier
CHASER, MISTY PPO, Premier
CHEEK-COVEY, TENNILLE LPremier
CHUNG, NICOLE - 15PPO, Premier
COTTERELL, TERRY L - 20PPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
DUGAN, D CPPO, Premier
EARLE, DIANE MPPO, Premier
EMERSON, MELANIE DPPO, Premier
FAULK, STEVE RPPO, Premier
FERGUSON, JOHN CLIFFORD PPO, Premier
FEROZ, SHAKIR Premier
FRANCIS, BRETT PPO, Premier
GARTIN, FRANKLIN PPPO, Premier
GRAY, DAVID PPO, Premier
GREENLEE, KELLY Premier
HAMBURG, MARY - 40PPO, Premier
HAMPTON, MICHAEL Premier
MIDWEST CITYHARROZ III, EDWARD
Premier
HARROZ JR, EDWARD HPremier
HENRY, JANICE Premier
HENSLEE, EDWIN E - 10PPO, Premier
HERREN, STEPHEN WPPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, MARIA TPPO, Premier
HOANG, QUAN PPO, Premier
HUFFAKER, LAUREN Premier
JEFFERY, JONATHON PPO, Premier
JOHNSON, KATELYN Premier
JONES, CHARLES DPPO, Premier
KALRA, ROSHAN PPO, Premier
KANAGARLA, MANJU PPO, Premier
KEASTER, LANDON PPO, Premier
KENDRICK, STEVEN Premier
KOUZBARI, MHD ZPPO, Premier
KRATZER, DANIEL - 20PPO, Premier
KRUG, MICHAEL PPO, Premier
KULKARNI, PRIYANKA PPO, Premier
LEE, ANDY PPO, Premier
LONDON, DANIELLE - 20PPO, Premier
MADAMBA, JORGE PPO, Premier
MAI, AN PPO, Premier
MARS, ROBERT DPremier
MAYFIELD, DALE GPPO, Premier
MAYS, TY PPO, Premier
MCLAREN, MARK PPO, Premier
MIDWEST CITYMENSER, SHERMAN S
PPO, Premier
MILLER, LINDSEY PPO, Premier
MONTGOMERY, RONALD KPPO, Premier
NAFFAH, ROBERT PPO, Premier
NARITA, LUMINITA PPO, Premier
NELS, LEAHA PPO, Premier
NGUYEN, ANTHONY TPPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PATEL, AMIT PPO, Premier
PHILLIPS, JOSHUA PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
POLK, KAITLIN PPO, Premier
RASHEED, OMAR PPO, Premier
RIOS, ANDREA O - 20PPO, Premier
RUIZ, WALLY - 20Premier
SALOUS, YOUSEF PPO, Premier
SANKU, SHALINA PPO, Premier
SAUMUR, MICHAEL - 10PPO, Premier
SCHMITZ, TROY PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SIMPSON, JAYMI DPremier
SPENCER, LAURAN RPPO, Premier
SPIELMANN, GREGORY APPO, Premier
STARK, JOHNNIE LPremier
STORM, JULIE JPremier
TA, SERENA PPO, Premier
TAT, ANTHONY PPO, Premier
MIDWEST CITYTHARP, BRUCE
PPO, Premier
THEOBALD, JOHN PPremier
THOMAS, BLAIR - 10PPO, Premier
TUCKER, JOSEPH PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WENDELKEN, JAMES A - 10PPO, Premier
WERT, PETER Premier
WILLIAMS, NOEL PPO, Premier
WINDSOR, SANDRA Premier
XU, ANDREW - 15PPO, Premier
MINCOATKINSON, RANDY W
Premier
MOOREAL-ZUBI, KHALID
PPO, Premier
ARIAS, TABITHA PPO, Premier
ASHMORE, GLENN APPO, Premier
BELKNAP, JAMIE PPO, Premier
BLAKE, CLINTON LPPO, Premier
BOHLE III, GEORGE C - 50PPO, Premier
BREWER, ADAM PPO, Premier
BROADBENT, COLBY PPO, Premier
BYRNE, MATTHEW PPO, Premier
CASE, JAY CPPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
FREEMAN, RICHARD MPPO, Premier
HARPER, CHELSEA PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 8 of 22
MOOREHENRY, JANICE
Premier
HERREN, STEPHEN WPPO, Premier
HIEGER, CONNOR Premier
HILL, TODD PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOANG, QUAN PPO, Premier
HOMSEY III, RICHARD SPPO, Premier
HOMSEY, RICHARD SPPO, Premier
HONG, YONG Premier
KEASTER, LANDON PPO, Premier
KHADIV, MEHRNAZ PPO, Premier
KOUZBARI, MHD ZPPO, Premier
KRUG, MICHAEL PPO, Premier
KULKARNI, PRIYANKA PPO, Premier
LARSON, PRISCILLA - 20PPO, Premier
LEEMASTER, LARRY DPPO, Premier
MADAMBA, JORGE PPO, Premier
MAYS, TY PPO, Premier
MCDANIEL, STEVEN PPO, Premier
MILLER, LINDSEY PPO, Premier
MONTGOMERY, RONALD KPPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PATEL, AMIT PPO, Premier
PHILLIPS, JOSHUA PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
MOOREPOLK, KAITLIN
PPO, Premier
PRESCOTT, JAMES PPO, Premier
RASHEED, OMAR PPO, Premier
RICHARDSON, JIMMY JPPO, Premier
RICHTER III, ROGER PPO, Premier
RIOS, ANDREA O - 20PPO, Premier
ROCHELLE, WHITNEY J - 10PPO, Premier
SALOUS, YOUSEF PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SMITH, KEVIN - 10PPO, Premier
SPIVA, CHAD DPPO, Premier
SULLIVAN, STEVEN - 10PPO, Premier
SYLVESTER II, DAVID - 10PPO, Premier
TA, SERENA PPO, Premier
TAT, ANTHONY PPO, Premier
THOMAS, BLAIR - 10PPO, Premier
TIWANA, G PAUL - 10PPO, Premier
TRENT, BRADLEY PPO, Premier
TUCKER, JOSEPH PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WENDT, STEPHANIE KPremier
WILLIAMS, NOEL PPO, Premier
YEARY, WILLIAM PPO, Premier
MULDROWMORTON, DON R
PPO, Premier
MUSKOGEEBIRD, MAX
PPO, Premier
BURKE, CHRISTOPHER PPO, Premier
MUSKOGEECARDON, CREED
PPO, Premier
CLARK, DAVID PPO, Premier
COHLMIA, JEFF T - 20Premier
DAVIS, W EPPO, Premier
DIGUMARTHI, VENKATA PPO, Premier
DUNN, SUSAN PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
FARMER, BARRY J - 30Premier
FISHBURN, CASEY GPPO, Premier
HACKLER, JAMES - 10PPO, Premier
HALL, JASON RPPO, Premier
HODGSON, MATTHEW PPO, Premier
HOOPES, BRADFORD BPPO, Premier
HOOPES, MITCHELL JPPO, Premier
HORANI, MOIZ PPO, Premier
JOLIFF, LUKE PPO, Premier
LIVINGSTON, ROBERT J - 10PPO, Premier
MAJIDI, ARMAN PPO, Premier
MASSAD, ERIC PPO, Premier
MCCALL, JONAS CPPO, Premier
NICHOLSON, JAMES SPremier
NIELSEN, ERIC PPO, Premier
ROGOZHKINA, KRISTINA PPO, Premier
SHANKLE, KENNETH PPO, Premier
SHARRAK, NOOR PPO, Premier
STEPHENS, MICHAEL RPremier
STIPE, DANIEL PPO, Premier
STREET, SCOTT PPO, Premier
SUSMAN, MARC LPremier
MUSKOGEETURNER, HEATHER
PPO, Premier
WEIBEL, DENNIS EPPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
MUSTANGAINSWORTH, JOHN
Premier
BOUZIDEN, CALLIE DPPO, Premier
CAREL, MONTE JPPO, Premier
COBB, KRISTI PPO, Premier
CRAIG, ROBI L - 20PPO, Premier
DON, ANTHONY PPO, Premier
GUENTHER, WESLEY PPO, Premier
HEINZE, CHRISTY PPO, Premier
JOERN, JAMES PPO, Premier
MCCAN, JERRY DPPO, Premier
SAFO-KWAKYE, YVONNE PPO, Premier
STREIGHT, RYAN - 20PPO, Premier
VINCENT, S PPO, Premier
WILBOURN, JENNIFER Premier
NEWCASTLEBRASHER, GREGORY
Premier
BRASHER, JOSHUA Premier
COX, JIM EPremier
EVETTS, SETH PPO, Premier
JENSEN, DAYNE - 10Premier
JOHNSON, SIDNEY PPO, Premier
JONES, BRANDON Premier
MAY-JONES, AUDREY LPremier
MILLS, MALORI PPO, Premier
WALLACE, JASON Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 9 of 22
NEWKIRKBARTLETT, ERIN
PPO, Premier
BURKETT, TRAVIS DPPO, Premier
DAVIS, TERESA KPPO, Premier
FOX, MICHAEL JPPO, Premier
FRANCIS, BRETT PPO, Premier
PHILIP, JUDY PPO, Premier
ROULSTON, TYSON PPO, Premier
NOBLEGILLIAM, JAMES D
Premier
NABORS, GARY PPO, Premier
SMITH, JARED RPPO, Premier
NORMANABOU-NASSAR, ELIE
PPO, Premier
AL-ZUBI, KHALID PPO, Premier
ARIAS, TABITHA PPO, Premier
ASHMORE, GLENN APPO, Premier
AUSTIN, JEFFREY PPPO, Premier
BASEY, THOMAS APPO, Premier
BEEBE, RACHELLE PPO, Premier
BEHRMANN, MICHAEL C - 20PPO, Premier
BEYER, PHILIP Premier
BIRD, GABRIEL APPO, Premier
BLANCHARD, KATELYN - 20Premier
BLUM, WILLIAM JPremier
BOHLE III, GEORGE C - 50PPO, Premier
BOLEN, PERCY - 15PPO, Premier
BOLES, RYAN PPO, Premier
BRADLEY, STEPHEN EPPO, Premier
BRALY, M - 10PPO, Premier
NORMANBRAMMER JR, JEFFREY
PPO, Premier
BROADBENT, COLBY PPO, Premier
BROOKS, PERRY - 10PPO, Premier
BROWN, J RANDALL PPO, Premier
BURRILL, CARAH PPO, Premier
CAMPBELL, KRISTEN RPremier
CARDON, CREED PPO, Premier
CARMEN, BOBBY Premier
CASE, JAY CPPO, Premier
CHANG, JASON WPPO, Premier
CHRISTIAN, JAYANTH PPO, Premier
CLIFFORD, NICKLAUS Premier
CODY DUNNINGTON, KATHARINE Premier
COPELIN, REBECCA LPPO, Premier
COTTERELL, TERRY L - 20PPO, Premier
CRAIG, ROBI L - 20PPO, Premier
CUMMINGS, BRAD PPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
DOWELL, STACIA Premier
EL HENNAWEY, REHAM - 15PPO, Premier
ERICKSON, KOLTON - 20Premier
FENG, JOSEPH J - 40PPO, Premier
FERRARI, KELLIE PPO, Premier
FITZGERALD, JAY - 20PPO, Premier
FLEMING, JOSEPH PPO, Premier
GALIER, DONNA APPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
NORMANGRIFFIN, MEGAN N
Premier
GRIFFITH, JAMES CPremier
GUTHRIE, CHARLES PPO, Premier
HALL, BARRETT RPremier
HAMMOND, LINDSEY PPO, Premier
HARRAMAN, PRESTON PPO, Premier
HENRY, JANICE Premier
HERREN, STEPHEN WPPO, Premier
HILL, JEFFREY CPremier
HINCKLEY, SPENCER P - 15PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, QUAN PPO, Premier
HUMPHREY, BENJAMIN RPremier
JENKINS, JENNIFER MPremier
JONES, ARONDA PPO, Premier
JUN, HYUNG PPPO, Premier
KAHN, EDWARD PPO, Premier
KANAGARLA, SREEKANTH PPO, Premier
KARAMI, MOE Premier
KEASTER, LANDON PPO, Premier
KIRKPATRICK, DENAE PPO, Premier
KOUZBARI, MHD ZPPO, Premier
KRATZER, DANIEL - 20PPO, Premier
KULKARNI, PRIYANKA PPO, Premier
LAVELETT, LARRY JPPO, Premier
LAWHON, GARY SPPO, Premier
LAYMON, AMY RPPO, Premier
LEEMASTER, BRETT Premier
NORMANLONDON, DANIELLE - 20
PPO, Premier
LUNDAY, JEFF APPO, Premier
LUNDAY, LAUREN - 10PPO, Premier
MASK, DEREK RPremier
MATTA, ARTHI PPO, Premier
MAY-JONES, AUDREY LPPO, Premier
MAYS, TY PPO, Premier
MCCASKILL, JIM DPremier
MCCOLLOUGH, DAVID - 20Premier
MILLER, DAVID L - 10PPO, Premier
MILLER, STEVEN BROCK - 15PPO, Premier
MOFFITT, ZACHARY DPremier
MOLLOY, R BRIAN - 30PPO, Premier
MONTGOMERY, VINCENT - 10PPO, Premier
MORRIS, DANIEL EPremier
MURTAUGH, JAMES N - 30PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PARKER, PHILLIP - 30PPO, Premier
PATEL, AMIT PPO, Premier
PHILLIPS, JOSHUA PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
POLK, KAITLIN PPO, Premier
POTTER, BENNY PPO, Premier
POTTS, GEOFF Premier
POWELL, STEVEN - 15PPO, Premier
RASHEED, OMAR PPO, Premier
REID, JANET MPremier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 10 of 22
NORMANRENFROW, SCOTT - 40
PPO, Premier
RESTUCCIA, GABRIELA - 20PPO, Premier
REVELS, MARK J - 20PPO, Premier
ROBERTS, MITZI PPO, Premier
ROMERO-DELMASTRO, ALEJANDRO A - 20
Premier
RYAN, WILLIAM RPPO, Premier
SALOUS, YOUSEF PPO, Premier
SAUMUR, MICHAEL - 10PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SEXSON, ERIN MPPO, Premier
SHANNON, TIMOTHY M - 20PPO, Premier
SHARPE, BRUCE RPPO, Premier
SPARKS, DONNA Premier
SPURGEON, JIM Premier
SPURLOCK, SARA KPremier
STOLTENBERG, BRADEN HPremier
STREIGHT, RYAN - 20PPO, Premier
TA, SERENA PPO, Premier
TAT, ANTHONY PPO, Premier
TINSLEY, MICHAEL Premier
TUCKER, JOSEPH PPO, Premier
VENK, AMANDA Premier
VENK, RANDALL EPremier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WANG, CHAO-HSIANG PPO, Premier
WARD, AMANDA N - 30PPO, Premier
WELLS, ROBERT CPPO, Premier
NORMANWHISLER, SEAN
PPO, Premier
WILLIAMS, NOEL PPO, Premier
WOMACK, BOB PPO, Premier
YARLAGADDA, VIDYAGHARI PPO, Premier
YEARY, JAMES RPremier
YEARY, WILLIAM Premier
YUSEF, SANA PPO, Premier
NOWATAMCDOUGALL, HUGH
PPO, Premier
RICKARDS, ROBERT BPremier
SCHEUERMAN, DAVID PPO, Premier
WILLIAMS, THOMAS GPPO, Premier
OKARCHESUTTLE, GARY M
Premier
OKEENEWINTERS, FRED G
Premier
OKLAHOMA CITYABER, SUE B
PPO, Premier
ADAMS, MICHAEL Premier
AJMANI ELERA, PARUL PPO, Premier
AL SAKKA, YACOUB - 50PPO, Premier
AL SALAYTA, MUHANNAD PPO, Premier
AL-ZUBI, KHALID PPO, Premier
ALLEN, DAVID LPremier
ALLEN, MARK JPremier
ALLEN, ROSS PPO, Premier
ALLEN, TOBY Premier
AMOS, BARRY Premier
ANDERSON, LORI SPPO, Premier
ARIAS, TABITHA PPO, Premier
OKLAHOMA CITYARNOLD, RYAN T
PPO, Premier
ASHMORE, GLENN APPO, Premier
ASHMORE, WINN PPO, Premier
ATKINSON, RANDY WPremier
AULD, DOUGLAS APPO, Premier
BAIRD, MICHAEL PPO, Premier
BAISDEN, JENNIFER PPO, Premier
BAKER, JAMES - 10PPO, Premier
BARNES, ADAM TPPO, Premier
BARNES, LILLIAN PPO, Premier
BASS, TERRY LPremier
BAUMANN, BRYCE Premier
BAUMANN, ROBERT Premier
BEASLEY, JUSTIN LPremier
BEAVER, AARON PPO, Premier
BEAVERS, CHARLES PPO, Premier
BEAVERS, KAY SPPO, Premier
BEDDOE, RAY - 40PPO, Premier
BEEBE, RACHELLE PPO, Premier
BELKNAP, JAMIE PPO, Premier
BELZ, EDWARD KPremier
BERRY, DEANNA SPPO, Premier
BHATNAGAR, ABHINAV Premier
BIGGS, JUSTIN PPO, Premier
BIRD, DAVID C - 15PPO, Premier
BIRDWELL, DAVID J - 20PPO, Premier
BLANCHARD, KATELYN - 20Premier
BLANKENSHIP, BRYAN Premier
BOCKUS, MARIE DPremier
OKLAHOMA CITYBOHANON, ELIZABETH
Premier
BOHLE III, GEORGE C - 50PPO, Premier
BOLES, RYAN PPO, Premier
BOSTICK, GINA CPPO, Premier
BOWEN, NATHAN DPPO, Premier
BOWERS, DOMINIQUE PPO, Premier
BOZALIS, WILLIAM G - 30PPO, Premier
BRALY, M - 10PPO, Premier
BREWER, ADAM PPO, Premier
BROADBENT, COLBY PPO, Premier
BRUCE, JOSHUA D - 20PPO, Premier
BRYAN, ROB - 10PPO, Premier
BUCHANAN, STEPHEN MPPO, Premier
BUTLER, J R - 40PPO, Premier
BYRNE, MATTHEW PPO, Premier
CAPLIN, COURTNEY - 10PPO, Premier
CARDON, CREED PPO, Premier
CAREL, SCOTT MPremier
CARLSON, PETER L - 10PPO, Premier
CARSON, ROBERT - 40Premier
CARSON, STEVE RPPO, Premier
CASE, JAY CPPO, Premier
CASEY, MARY KPremier
CHAMBERS, CORY PPO, Premier
CHAMBERS, JENNIFER PPO, Premier
CHANCELLOR, DOUG PPO, Premier
CHANG, EUNA KPPO, Premier
CHANG, JASON WPPO, Premier
CHASTAIN, STEPHEN APremier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 11 of 22
OKLAHOMA CITYCHO, KYUNG
PPO, Premier
CHRZ, BRYAN PPO, Premier
CLARK, WILLIAM APPO, Premier
CLAYTON, JOHN C - 20PPO, Premier
CLEAVER, FRED PPO, Premier
CLEMENT, DAVID - 15PPO, Premier
CLEVES, PATTI PPO, Premier
CLIFFORD, TRACI PPO, Premier
CODY DUNNINGTON, KATHARINE Premier
COHENOUR, AARON TPPO, Premier
COHENOUR, PATRICK TPPO, Premier
COHLMIA, DEREK Premier
COHLMIA, JEFF T - 20PPO, Premier
COHLMIA, MATTHEW EPremier
COHLMIA, RAYMOND APPO, Premier
COLE, MATTHEW DPremier
COLEMAN, BAILEY Premier
CORBIN, CHRISTOPHER NPremier
CORLEY, PHILLIP WPremier
CORWIN, RICHARD NPPO, Premier
COTHRAN, PAULA CPPO, Premier
COWDEN III, LESTER L - 10PPO, Premier
COX, HEATHER Premier
CRAIG, ROBI L - 20PPO, Premier
CROWLEY, PATRICK PPO, Premier
CUMBY, DUNN HPPO, Premier
CUMMINGS, BRAD PPO, Premier
CURRIER, G - 20PPO, Premier
DACUS, ZACHARY LPPO, Premier
OKLAHOMA CITYDAIS, CARL
PPO, Premier
DANG, BAO-HANH TPPO, Premier
DANNER, RUSSELL Premier
DAO-VANDENBERG, THANH PPO, Premier
DARROW, JOSEPH PPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DAVIDSON, MYLES PPO, Premier
DEHART, KATHY Premier
DEMPSEY, GARY BPremier
DIGUMARTHI, VENKATA PPO, Premier
DMYTRYK, JOHN - 40PPO, Premier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
DOAN, CALVIN Premier
DOAN, THAI-AN - 30PPO, Premier
DREW, RICHARD APPO, Premier
DUBBERSTEIN, NEILL WPPO, Premier
DUBBERSTEIN, ZANE PPO, Premier
DUFFY, MICHAEL - 10PPO, Premier
DUGAN, MIKE JPPO, Premier
DUKE, DAYNA S - 15PPO, Premier
DUNHAM, LYNNE APremier
DUONG, NHA TRUNG PPO, Premier
EAKERS, ERIC NPPO, Premier
EATON, ERIKA LPPO, Premier
EDWARDS, COLLETTE PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
ELASSAL, GEORGE - 20PPO, Premier
ELASSAL, PHILLIP Premier
OKLAHOMA CITYERICKSON, KOLTON - 20
PPO, Premier
EVANS, DAVID T - 30PPO, Premier
FAGAN, TIM R - 30PPO, Premier
FARHA, E MPPO, Premier
FARMER, WILLIAM - 30PPO, Premier
FAULCONER, CHRISTOPHER WPPO, Premier
FICK, STEVE Premier
FITZGERALD, MICHAEL CPPO, Premier
FLESHER, DEREN Premier
FLING, MICHAEL CPPO, Premier
FLINT, CHARLES M - 20PPO, Premier
FORTENBERRY, ALAN GPPO, Premier
FOSKIN, RAYMOND Premier
FRANCIS, BRETT Premier
FRAZIER, NATALIE MPPO, Premier
FRENCH, MELISSA PPO, Premier
FRITCH, C Premier
FRUITS, TERRY PPO, Premier
FRYE, EMILY M - 10PPO, Premier
FULLER, MARNI PPO, Premier
GARETSON, PAUL KPPO, Premier
GARZON, MARTHA - 30PPO, Premier
GIBSON, KEITH Premier
GIFFHORN, W APremier
GILLILAND, JARED PPO, Premier
GLASS, NEIL M - 10PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
GOLDBECK, ANDREW P - 15PPO, Premier
GOLDSMITH, FREDERIC CPPO, Premier
OKLAHOMA CITYGOODSON, JEREMY - 10
PPO, Premier
GOODWIN, CHARLES Premier
GRACE, SANDY Premier
GRANT, VANISIA PPO, Premier
GRAY, DAVID PPO, Premier
GRAY, RONISHA PPO, Premier
GRAY, STEPHEN - 30PPO, Premier
GREENLEE, KIMBERLY Premier
GREENLEY, BARRY PPO, Premier
GRIFFIN, SHANNON LPPO, Premier
GUFFEY, MATTHEW PPO, Premier
GUILFORD, NATHAN PPO, Premier
GUTHRIE, ANDREW - 30PPO, Premier
GUTTERY, DARRELL Premier
HAFFNER, CHRISTOPHER PPO, Premier
HALLER, KRISTIE BPremier
HAMBURG, MARY - 40PPO, Premier
HAMMOND, LINDSEY PPO, Premier
HANCOCK, J APremier
HANEY, KEVIN PPO, Premier
HANSEN, MICHAEL Premier
HANSTEIN, MARK TPPO, Premier
HARDMAN, GREG PPO, Premier
HARDY, LESLIE B - 15PPO, Premier
HARLAN, JAY A - 10PPO, Premier
HARPER, CHELSEA PPO, Premier
HARRIS, DENNIS WPPO, Premier
HARRIS, DON PPO, Premier
HARROZ III, EDWARD Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 12 of 22
OKLAHOMA CITYHARROZ JR, EDWARD H
PPO, Premier
HASEBE, JOY PPO, Premier
HASKETT, WALLACE GPPO, Premier
HASKINS, DON W - 30PPO, Premier
HEATH, PAUL Premier
HEATHCOCK, ERIN BPPO, Premier
HEIM, SOMER R - 30PPO, Premier
HEIM, V M - 20PPO, Premier
HENDERSON, ROBIN D - 40PPO, Premier
HENDRICK, JANET YPremier
HENDRIX, DREW PPO, Premier
HENRY, JANICE Premier
HERMEN, JEFFREY Premier
HERNANDEZ, ALEXANDRIA PPO, Premier
HERREN, STEPHEN WPPO, Premier
HERWIG, CRAIG APPO, Premier
HIEGER, CONNOR Premier
HILTON, MYRON S - 15PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOANG, MARIA TPPO, Premier
HOANG, QUAN PPO, Premier
HOLCOMB, ED Premier
HOLDEN, LORI PPO, Premier
HOLDER, WENDY RPPO, Premier
HOLLOMAN, ASHLEY PPO, Premier
HOLMAN, COLIN Premier
HOLMAN, JON GPremier
OKLAHOMA CITYHONG, YONG
Premier
HUNTER, CRAIG PPO, Premier
ISAACSON, JOE BPremier
ISHANI AFOUSI, PAYAM - 20PPO, Premier
JACOBSEN, J NATHAN PPO, Premier
JACOBSEN, NANCY LPPO, Premier
JAMBI, SUHAIR - 15PPO, Premier
JAMES, R DON - 20Premier
JAN, MEHWISH NPPO, Premier
JEFFERY, JONATHON PPO, Premier
JOERN, JAMES PPO, Premier
JOHNSON, ANN PPO, Premier
JOHNSON, DAMON LPPO, Premier
JOHNSON, EDWINA VPPO, Premier
JOHNSON, KATELYN Premier
JOHNSON, KATHERINE LPremier
JOHNSON, RICHARD L - 10PPO, Premier
JONES, ARONDA PPO, Premier
JONES, SAM P - 10PPO, Premier
JONES, SHELBY PPO, Premier
JUN, HYUNG PPPO, Premier
JUN, IN-HYE GRACE Premier
KADIOGLU, ONUR - 20Premier
KAHN, EDWARD PPO, Premier
KANAGARLA, SREEKANTH PPO, Premier
KARIM, ARIF PPO, Premier
KEASTER, LANDON PPO, Premier
KELLNER, ELIZABETH - 30PPO, Premier
KELLY, MARK PPO, Premier
OKLAHOMA CITYKHADIV, MEHRNAZ
PPO, Premier
KIERL, M J - 20PPO, Premier
KIERL, PETER - 20PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
KIM, CHRISTINA PPPO, Premier
KIM, JOE JPremier
KING RACKLEY, REBECCA JPPO, Premier
KINNARD, TIMOTHY PPO, Premier
KIRBY, TIM PPO, Premier
KIRK, MICHAEL KPremier
KIRKPATRICK, DENAE PPO, Premier
KLONTZ, H - 20Premier
KLONTZ, KELLY J - 20PPO, Premier
KNIGHT, MELINDA PPO, Premier
KOHS, WILLIAM MPremier
KONERU, ANUSHA PPO, Premier
KOONTZ, NATALIE SPPO, Premier
KOTHA, NIPUN PPO, Premier
KOTICHA, TAPAN - 40PPO, Premier
KOUZBARI, MHD ZPPO, Premier
KRATZER, KRISTIN PPO, Premier
KRUG, MICHAEL Premier
KUKER, AMY PPO, Premier
KULKARNI, PRIYANKA PPO, Premier
LANMAN, ASHLEY Premier
LANMAN, RYAN J - 40PPO, Premier
LAU, SALLIE PPO, Premier
LAWRENCE, DAVID Premier
LAYTON, KEVIN LPremier
OKLAHOMA CITYLEE, JEAN
Premier
LESEBERG, DENNIS - 15PPO, Premier
LEWIS, DAVID M - 60PPO, Premier
LEWIS, TIFFANY PPO, Premier
LOPER, ERIC MPremier
LORENTS, EDWARD KPPO, Premier
LOVETTE, LORI MPPO, Premier
LOWE, JAMES BPremier
LU, DARYN PPO, Premier
LUCE, KAREN - 40PPO, Premier
LUEZAS, GERMAN - 15PPO, Premier
LUTZ, FREDRICK KPPO, Premier
MADAMBA, JORGE PPO, Premier
MADDOX, SHANNON RPPO, Premier
MAGUIRE, PHILIP GPremier
MARTIN, STEPHEN ROSS - 10PPO, Premier
MARTINEZ, MARICRUZ PPO, Premier
MASOOD, FARAH PPO, Premier
MATTA, ARTHI PPO, Premier
MATTU, AMRITPAL PPO, Premier
MAY, JUDSON PPO, Premier
MAYS, TY PPO, Premier
MCANEAR, GARRICK Premier
MCCARTHY, JOHN PPO, Premier
MCCOLLOUGH, DAVID - 20Premier
MCCONNELL, KESA PPO, Premier
MCGARRY, ANDREW - 10PPO, Premier
MCINTIRE, TRACY - 10PPO, Premier
MCINTOSH, JANNA C - 30PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 13 of 22
OKLAHOMA CITYMCKINNEY, MICHAEL - 10
PPO, Premier
MCLEOD, MICHAEL PPPO, Premier
MCNAIR, DANIEL SPremier
MCREYNOLDS, MATTHEW Premier
MEAD, GLENN APPO, Premier
MENDENHALL, JACOB W - 10PPO, Premier
MIER, DAVID CPPO, Premier
MILLER, EARL WPremier
MILLER, JOHN WPremier
MILLER, ROBERT PPO, Premier
MIRABAL, CHRISTIAN SPPO, Premier
MITCHELL, BRADLEY Premier
MITCHELL, D LPPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
MOLLOY, R BRIAN - 30PPO, Premier
MONTGOMERY, CARLTON LPPO, Premier
MONTGOMERY, RONALD KPPO, Premier
MOODY, BRENT W - 30PPO, Premier
MOREHART, TINA Premier
MORRISON, JULIA PPO, Premier
MUELLER, STEVEN TPPO, Premier
MULLASSERIL, PAUL PPO, Premier
MURRAY, KEVIN Premier
MURTAUGH, JAMES N - 30PPO, Premier
NAIFEH, GEORGE JPremier
NAIL, CARSON LPremier
NGUYEN, ANTHONY TPPO, Premier
NGUYEN, BAO-LOAN PPO, Premier
NGUYEN, HA Premier
OKLAHOMA CITYNGUYEN, KALVIN
PPO, Premier
NGUYEN, LYNN PPO, Premier
NGUYEN, THAO PPO, Premier
NGUYEN, TUNG NPPO, Premier
NOBLE, L KPremier
ONAN, ABBEY PPO, Premier
OPHUS, KELLIE PPO, Premier
ORJUELA, WILMER PPO, Premier
OUSLEY, LAURA Premier
OWEN, ALAN RPremier
OWENS, TYLER - 30PPO, Premier
PAKZAD, AMIN PPO, Premier
PARKER, STEPHEN PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PATEL, SNEHA PPO, Premier
PECK, JAMES CPremier
PHAN, MARK TPPO, Premier
PHILLIPS, JOSHUA PPO, Premier
PHILLIPS, ROBERT LPremier
PILGRIM, CHRISTIAN Premier
PINKSTON, BENJAMIN PPO, Premier
PITT, CLINT EPPO, Premier
PLANT, RAY RPremier
POITEVIEN, JEMIMA - 30PPO, Premier
POLK, KAITLIN PPO, Premier
POORE, CHRIS - 40PPO, Premier
POTTER, BENNY PPO, Premier
PRICE, DANA BPremier
OKLAHOMA CITYPRINCE, BRIAN
Premier
PROUD, NATHAN NPPO, Premier
RADFAR, LIDA PPO, Premier
RAHILL, RANDALL OPremier
RAMADAN, SALAM TPPO, Premier
RANEY, STEVEN M - 20PPO, Premier
RAPINI, JENNIFER PPO, Premier
RASHEED, OMAR PPO, Premier
RATTAN, KAREN BPPO, Premier
REEVES, WILLIAM G - 40PPO, Premier
RENEAU, J ROBERT - 50Premier
RESASCO, MARILINA PPO, Premier
RESTUCCIA, GABRIELA - 20PPO, Premier
REVELS, MARK J - 20PPO, Premier
REVILLE, WILLIAM PPremier
RHODES, CORBYN Premier
RHODES, TOBY MPPO, Premier
RHONE, BERNARD PPO, Premier
RIGGINS, KEITRA PPO, Premier
RING, PHILIP Premier
RIOS, ANDREA O - 20PPO, Premier
ROCKWOOD, DOUGLAS PPO, Premier
ROMERO-DELMASTRO, ALEJANDRO A - 20
Premier
ROTHWELL, TIMOTHY Premier
ROUBIK, GEOFFREY Premier
RYAN, WILLIAM RPPO, Premier
RYKARD, KEVIN Premier
SAFO-KWAKYE, YVONNE PPO, Premier
OKLAHOMA CITYSALOUS, YOUSEF
PPO, Premier
SANDBURG II, RODNEY APPO, Premier
SANOR, MICHELLE Premier
SAXON, CHRISTOPHER Premier
SCHELLENBERG, JARED - 15PPO, Premier
SCHMIDT, LANCE RPremier
SCHULTZ, BRANDON - 15PPO, Premier
SCHWARTZ, DAVID - 10PPO, Premier
SCOGGIN, T KPPO, Premier
SCOTT, CHARLES PPO, Premier
SEARCEY, SCOTT - 10PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SETTLE, SUSAN PPO, Premier
SEXSON, ERIN MPPO, Premier
SHADID JR, PAUL APremier
SHADID, DAVID - 15PPO, Premier
SHADID, JEFF Premier
SHADID, NANAY LPPO, Premier
SHADID, PAUL APPO, Premier
SHADID, SCOT RPPO, Premier
SHANBOUR, GREG S - 40PPO, Premier
SHANBOUR, GREGORY F - 40PPO, Premier
SHANNON, TIMOTHY M - 20PPO, Premier
SHAPARD, NATHAN PPO, Premier
SHARPE, BRUCE RPPO, Premier
SHIRLEY, MARK DPremier
SHIRLEY, ROBERT LPremier
SHIVERS, RODNEY Premier
SILER, JOHNNY PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 14 of 22
OKLAHOMA CITYSIMON, DAVID A
Premier
SIMPSON, ROBERT PPO, Premier
SLOAT, GEOFFREY CPPO, Premier
SMITH, CURTIS LPPO, Premier
SMITH, KEVIN - 10PPO, Premier
SNOWDEN, BROOKE Premier
SORGEN, BRYAN EPremier
SPARKS, JAMES PPO, Premier
SPIELMANN, GREGORY APPO, Premier
STEELE, ROBERT C - 30PPO, Premier
STEPNIEWSKI, ADAM Premier
STEVENS, ROY LPremier
STEWART, TRENA KPPO, Premier
STREIGHT, RYAN - 20PPO, Premier
SULLINS, RUSTY Premier
SULLIVAN, STEVEN - 10PPO, Premier
SUTHERLAND II, EDWIN - 40PPO, Premier
SUTTON, JEANNE PPO, Premier
SWAN, JIMMY DPremier
SWEARINGEN, DON WPPO, Premier
TA, SERENA PPO, Premier
TARIQ, SARAH PPO, Premier
TARTER, MARCIA PPO, Premier
TAT, ANTHONY PPO, Premier
TAYLOR, JIM OPremier
TAYLOR, STEPHEN MPremier
TEMPLETON, C K - 10PPO, Premier
TEWIS, SHANE PPO, Premier
THARP, BRUCE PPO, Premier
OKLAHOMA CITYTHEOBALD, RYAN
PPO, Premier
THOMAS, BLAIR - 10PPO, Premier
TIWANA, G PAUL - 10PPO, Premier
TOFT, TERENCE CPremier
TORBECK, CHARLES Premier
TORBERT, CLARK PPO, Premier
TOWE, CHARLES EPremier
TRAN, CLAIRE Premier
TRUONG, LISA PPO, Premier
TRUONG, STEVE HPPO, Premier
TUCKER, JOSEPH PPO, Premier
TULL, GREGORY - 10PPO, Premier
TURNER, ERNEST VPPO, Premier
UNDERWOOD, JAMES PPO, Premier
VANDENBERG, MARK PPO, Premier
VANHORN, JAYCEE Premier
VASQUEZ, ZENEIDA G - 10PPO, Premier
VAUGHAN, PHOEBE PPO, Premier
VINCENT, SHYLER DPremier
VIRTUE, STEPHEN LPPO, Premier
VU, VAN PPPO, Premier
VU, VINH KPremier
WALLACE, JASON PPO, Premier
WAUGH, W SCOTT PPO, Premier
WEDEL, COURTNEY PPO, Premier
WENDELKEN, JAMES A - 10PPO, Premier
WHEATLEY, ANDREW Premier
WHITE, THERESA M - 30Premier
WHITENECK, SUSAN EPPO, Premier
OKLAHOMA CITYWHITLEY, TRACEY - 40
PPO, Premier
WILKES, PAUL W - 50PPO, Premier
WILKINSON, KIM L - 15PPO, Premier
WILLARDSON, DAVID PPO, Premier
WILLBANKS, JAMES MPPO, Premier
WILLIAMS, NOEL PPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
WILSON, JEFFREY Premier
WINDER, RONALD L - 30PPO, Premier
WINDSOR, ANGELA Premier
WITHERS, LARRY DPremier
WOMBLE, ROBERT Premier
WOOD III, CHALMERS PPO, Premier
WOODS, PATRICK APPO, Premier
WOODSON, DOUGLAS GPremier
WOODWARD, JOSHUA DPPO, Premier
WOOTEN, C A - 10PPO, Premier
YARLAGADDA, VIDYAGHARI PPO, Premier
YEATES, CARLA PPO, Premier
YOUNGKER, MARK L - 20PPO, Premier
YUSEF, SANA PPO, Premier
OKMULGEEBOWEN, NATHAN D
PPO, Premier
CALLISTER, BRADEN PPO, Premier
CARDON, CREED PPO, Premier
CHRISTY, TYSON PPO, Premier
NICK, JERRY BPremier
NIELSEN, ERIC PPO, Premier
RULEFORD, MIRANDA Premier
OKMULGEETEMPLETON, C K - 10
Premier
VINSON, CHRISTOPHER CPPO, Premier
VINSON, KRISTIE LPPO, Premier
YAERGER, JEROD Premier
OOLOGAHALLEN-STEED, ADELAIDE
PPO, Premier
GARRISON, CHAD MPPO, Premier
OWASSOAHLERT, JEFF - 30
PPO, Premier
ANDREWS, ROGER SPPO, Premier
ARGO, MARK LPremier
BAIRD, MICHAEL PPO, Premier
BOYD, KARLA JPremier
BRATTON, BOBBY JPremier
BUTLER, J R - 40PPO, Premier
BYBEE, KEVIN Premier
CAMPBELL, RONALD APremier
CURTIS, MARK APremier
DELONG, CHRISTOPHER - 15PPO, Premier
DOBSON, BRENT S - 20PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
EVANS, HEATH - 10PPO, Premier
FRANKLIN, M APremier
GRAY, MATTHEW PPPO, Premier
HIATT, WILLIAM GPPO, Premier
HOPKINS, JEREMY PPO, Premier
HOUSLEY, JEFFREY A - 20PPO, Premier
JOHNSON, D - 10PPO, Premier
JOHNSON, ROBERT CPPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 15 of 22
OWASSOJOLIFF, LUKE
PPO, Premier
KAHN, EDWARD PPO, Premier
LALWANI, RUCHIRA PPO, Premier
LANDER, LARRY D - 10PPO, Premier
LIM, HENG Premier
NICHOLS, HANNAH PPO, Premier
NIGG, KIMBERLY - 30PPO, Premier
PARKER, STEPHEN PPO, Premier
PRATHER, JILLIAN Premier
ROGOZHKINA, KRISTINA PPO, Premier
RYAN, WILLIAM RPPO, Premier
SANCHEZ, MICHAEL Premier
SEGRAVES, GREGORY D - 10PPO, Premier
SHARPE, BRUCE RPPO, Premier
SOMJEE, ALI PPO, Premier
STAPLETON, DAVID - 40PPO, Premier
STIPE, DANIEL PPO, Premier
STREET, SCOTT PPO, Premier
THOMAS, DIRK SPremier
TRAMMELL, VIC H - 10PPO, Premier
TURNER, HEATHER PPO, Premier
VOTO, JAYSON Premier
WARD, CHRIS Premier
WILLIAMS, ALEXANDER DPPO, Premier
PARK HILLSNELL, JERRY
PPO, Premier
PAULS VALLEYFLEMING, JOSEPH
PPO, Premier
KIERL, M J - 20PPO, Premier
PAULS VALLEYMEANS, JAMIE L
Premier
WARD, JAMES RPremier
WINTERS, TEVI Premier
WINTERS, TYLER CPremier
PAWHUSKABULLEIGH, ADAM
PPO, Premier
PAWNEEKAEHLER, HENRY
PPO, Premier
PERKINSBRASHER, JOSHUA
PPO, Premier
CLIFFORD, CAMERON PPO, Premier
HALLEY, JESSICA MPPO, Premier
MARRIOTT, JUSTIN PPO, Premier
MAY-JONES, AUDREY LPPO, Premier
RAZOOK, GEORGE PPO, Premier
THOMPSEN, JOHN PPO, Premier
WILLIAMS, SHANNON PPO, Premier
PERRYCHRZ, BRYAN
Premier
DEWHURST, JAMES Premier
JAMES, WHITNEY PPO, Premier
PIEDMONTCLIFFORD, GREGORY M
Premier
DURST, DOUGLAS PPO, Premier
RICKEY, ROBERT KPPO, Premier
PONCA CITYBEAVER, AARON
PPO, Premier
BROWN, HAL WPremier
BUCHANAN, AARON Premier
BUGG, CHRIS PPO, Premier
COURTNEY, GARY PPO, Premier
PONCA CITYFIELDS, BRYAN
Premier
JOHNSON, RYAN Premier
NIPPER, WESLEY EPremier
OTTO, JOSEPH BPPO, Premier
STREIGHT, JOHN APremier
TYNDALL, PHILLIP Premier
WEBER, W RPremier
WHITEFIELD, QUINT Premier
PORTERGLASS, RONALD G
PPO, Premier
POTEAUHESSER, RONALD N
PPO, Premier
HORN, JOHN DPremier
KONDOS, THEODORE NPPO, Premier
LAWSON, AYAN Premier
OSTERHOUT, CASEY Premier
UDOUJ III, HENRY J - 20PPO, Premier
YANDELL, KENDRA HPremier
PRAGUEHALL, BARRETT R
Premier
HIEGER, CONNOR Premier
HUTCHENS, JAY LPPO, Premier
MORRIS, DANIEL EPremier
PRYORBOREN, KEITH
PPO, Premier
CANNON, DANIEL - 10PPO, Premier
CARDON, CREED PPO, Premier
DAVIDSON, GARY CPPO, Premier
DOHERTY, MARK RPremier
GORE, JAMES PPO, Premier
PRYORHERMAN, ROBERT J - 20
PPO, Premier
HOLMAN, SARAH PPO, Premier
NIELSEN, ERIC PPO, Premier
RAINS, GEORGE PPO, Premier
RAINS, RHETT PPO, Premier
SLACK, BRYCE PPO, Premier
SMITH, LORI Premier
PURCELLGRIFFIN, MEGAN N
PPO, Premier
HERNDON, JAMES NPPO, Premier
MEAD, GLENN APremier
SCHMIDT, STEPHANIE Premier
TIMS, DARWIN JPPO, Premier
TURPIN, RYAN LPremier
ROLANDSPARKMAN, BEAU
PPO, Premier
STEININGER, EMILY PPO, Premier
SALLISAWDOTSON, ANA M
PPO, Premier
GIRLINGHOUSE, RONALD KPremier
GRAY, RANDI KENNEDY PPO, Premier
HENSHAW, AUBREY JPPO, Premier
HUBLER, PARLEY PPO, Premier
MCCREIGHT, DANA JPPO, Premier
MCCREIGHT, TOMMY LPPO, Premier
WELLS, BOB PPO, Premier
SAND SPRINGSBOWEN, NATHAN D
PPO, Premier
CARDON, CREED PPO, Premier
CARTER, SPENCER PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 16 of 22
SAND SPRINGSCRONIN, PHILLIP
PPO, Premier
EMAMI, JUSTIN PPO, Premier
EMAMI, MEHRDAD PPO, Premier
FARR, RILEY PPO, Premier
FLINT, CHARLES M - 20PPO, Premier
FOOSHEE, STEVEN WPPO, Premier
GENOFF, LESLIE LPPO, Premier
HAMMOND, RONALD LPPO, Premier
LE, SALLY PPO, Premier
MACLEOD, BRITTANY PPO, Premier
MILLER, MICHAEL PPO, Premier
NIELSEN, ERIC PPO, Premier
PATTEN, BRIAN DPPO, Premier
PIERCE, JEFFREY PPO, Premier
ROSS, DANA PPO, Premier
SLACK, BRYCE PPO, Premier
WHITNEY, JACOB Premier
WILLARDSON, DAVID PPO, Premier
WYATT, WAYNE - 20PPO, Premier
SAPULPABRELAND, MICHAEL
PPO, Premier
BURKE, CHRISTOPHER PPO, Premier
CARLETTI, JOHN APPO, Premier
CRAIG, CAMERON PPO, Premier
DOYLE, BRIDGET JPPO, Premier
FIELDS, LONDELL Premier
HAMMOND, LINDSEY PPO, Premier
HASTY, NEIL PPO, Premier
MAXWELL, LESLEY PPO, Premier
SAPULPAMOON III, YOUNG
PPO, Premier
NGUYEN, PAULINE PPO, Premier
PITTS, RICHARD SPremier
SOMJEE, ALI PPO, Premier
SAYRETHORNBROUGH, ROY L
Premier
SEILINGSWEARINGEN, DON W
PPO, Premier
SEMINOLEHALL, BARRETT R
Premier
HARRIS, DENNIS WPPO, Premier
HIEGER, CONNOR Premier
JETT, WILLIAM DPremier
KECK, DAVID WPPO, Premier
MORRIS, DANIEL EPremier
SHATTUCKMUELLER, STEVEN T
PPO, Premier
SHAWNEEALVERSON, GARY D
Premier
BAKER, JAMES - 10PPO, Premier
BEHRMANN, MICHAEL C - 20PPO, Premier
BOLES, RYAN PPO, Premier
BOWERS, BLAIRE - 40Premier
CARLSON, PETER L - 10PPO, Premier
CHEN, SCOTT PPO, Premier
CONKLING, LEON APremier
COOK, ASHLEY Premier
COTTERELL, TERRY L - 20PPO, Premier
DAVIS, RICHARD GPPO, Premier
DREW, BRIAN EPPO, Premier
SHAWNEEEL HENNAWEY, REHAM - 15
PPO, Premier
ELLIS, RENALLA PPO, Premier
FRAZIER, NATALIE MPPO, Premier
HENRY, CHRISTINA PPO, Premier
HOPKINS, ERIC Premier
HUDSON, JAMES PPO, Premier
JONES, ARONDA PPO, Premier
KADIOGLU, ONUR - 20PPO, Premier
KAHN, EDWARD PPO, Premier
KELLY, MARK PPO, Premier
KLAUS, LAUREN - 40Premier
KOONCE, JENNIFER Premier
KRATZER, DANIEL - 20PPO, Premier
LARSON, PRISCILLA - 20PPO, Premier
LAYMON, AMY RPPO, Premier
LOESER, BRANDON Premier
LONDON, DANIELLE - 20PPO, Premier
MCGARRY, ANDREW - 10PPO, Premier
MENDENHALL, JACOB W - 10PPO, Premier
MINNIGH, CHRISTOPHER APPO, Premier
MULLASSERIL, ANAITA N - 20PPO, Premier
NGUYEN, THAO PPO, Premier
POTTER, BENNY PPO, Premier
SEHORN, MICKEY PPO, Premier
SHARPE, BRUCE RPPO, Premier
SIMPSON, ROBERT PPO, Premier
STOBBE, JOHN CPPO, Premier
TEMPLETON, C K - 10PPO, Premier
YUSEF, SANA PPO, Premier
SKIATOOKDILLARD, KATHERINE
PPO, Premier
FOWLER, MICHAEL DPremier
SELLMEYER, DRAKE PPO, Premier
SELLMEYER, G MPPO, Premier
VANDIVER, JONAH RPPO, Premier
WILLIAMS II, BRADFORD RPPO, Premier
WILLIAMS, BRADFORD RPPO, Premier
SPENCERBOSTICK, GINA C
PPO, Premier
DIGUMARTHI, VENKATA PPO, Premier
GRANT, VANISIA PPO, Premier
SMITH, CURTIS LPPO, Premier
SPERRYSMITH, JUSTEN B
Premier
SPIROFISHER, KEIFER L
Premier
STIGLERHOANG, ANTON
PPO, Premier
SWINK, JOE FPremier
TRAN, PATRICK PPO, Premier
STILLWATERANDRUS, CHRISTIAN J
PPO, Premier
BASSETT, SARA Premier
BRORSEN, RUSSELL PPO, Premier
COFFEY, J WPPO, Premier
CUMMINGS, BRAD PPO, Premier
DAUGHERTY, DARRELL W - 15PPO, Premier
DIGUMARTHI, VENKATA PPO, Premier
DOMAGALA, ALEXANDRIA PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 17 of 22
STILLWATERHALLEY, JESSICA M
PPO, Premier
HALLEY, VINCEN JPPO, Premier
HAYNES, JOE PPO, Premier
HETRICK, C NPremier
JOHNSON, ROBERT CPPO, Premier
JONES, ARONDA PPO, Premier
KENDRICK, STEPHANIE Premier
KENNEMER, CHANDA - 30PPO, Premier
KIERL, PETER - 20PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
KONERU, ANUSHA PPO, Premier
LAUVETZ-ENMEIER, JENNIFER LPPO, Premier
LEE, JERRY PPO, Premier
LESLIE, CHRISTOPHER MPremier
MCNICKLE, ZACH PPO, Premier
METCALF, CLINT Premier
MILLER, RICHARD - 10PPO, Premier
MILLER, STEPHEN HPPO, Premier
MOORE, ROBERT LPremier
POTTER, BENNY PPO, Premier
ROGOZHKINA, KRISTINA PPO, Premier
SETHMAN, ROSS E - 10PPO, Premier
SIMMONS, JAMES PPO, Premier
SPAULDING, CRAIG Premier
STREET, SCOTT PPO, Premier
VINCENT, DIANE PPO, Premier
WALKER, JASON DPPO, Premier
WALKER, JENNIFER Premier
WILLIAMS, ALEXANDER DPPO, Premier
STILLWATERWILLIAMS, SHANNON
PPO, Premier
YUSEF, SANA PPO, Premier
STILWELLCATRON, CHAD A
Premier
CRITTENDEN, ROBERT PPO, Premier
STROUDFRANCIS, BRETT
PPO, Premier
MCNAIR, DANIEL SPPO, Premier
SULPHURAHLBORN, MICHAEL
Premier
BOWMAN, BENJAMIN Premier
COKER, MARGARET APremier
HOBBS, RANDI MPremier
NABORS, GARY Premier
PETTIGREW, JANNA LPremier
SMITH, JARED RPremier
TAHLEQUAHALLISON, ERROL
PPO, Premier
GEASLAND, JOHN APremier
HODGSON, MATTHEW PPO, Premier
MCCONNELL, THOMASON PPO, Premier
RADER, PAUL EPPO, Premier
ROUSE, BRANT Premier
SMITH, MARK DPPO, Premier
WALKER, JOHN PPPO, Premier
WALKER, MATTHEW EPPO, Premier
WEBB, ROBERT PPPO, Premier
TALIHINAMCNATT, KYLE
PPO, Premier
TECUMSEHHALL, BARRETT R
Premier
TECUMSEHHIEGER, CONNOR
Premier
MORRIS, DANIEL EPremier
SIMS, CHARLES APPO, Premier
TISHOMINGOAUSTIN, RON E
Premier
BEARD, OLLIE PPO, Premier
COLLIER, SHANETHA PPO, Premier
HAYNES, BRENT PPO, Premier
PARKS, JUSTIN Premier
RAND, JENNIFER LPremier
TONKAWACAMPBELL, SARAH
Premier
TULSAAKBERALI, ALIAKBER F
PPO, Premier
AL SALAYTA, MUHANNAD PPO, Premier
ALDRICH, TIM PPO, Premier
AMILIAN, RICHARD SPremier
ANDERSON, GERALD PPO, Premier
ANDREGG, MARK - 20PPO, Premier
ANDRUS, CHRISTIAN JPPO, Premier
ARCHER, BRYAN DPPO, Premier
ARIANA, JAMIE PPO, Premier
ARMSTRONG, STEVEN PPO, Premier
ARNOULD, BONNIE PPO, Premier
ARNOULD, FORREST LPPO, Premier
ASHMORE, GLENN APPO, Premier
AVERY, LAUREN KPPO, Premier
BAIRD, ROBERT PPO, Premier
BATY, BENSON Premier
BEATTY, CALYSTA PPO, Premier
TULSABELLER, KATHRYN
PPO, Premier
BENNETT, JILL APremier
BERKLACY, STEVEN PPO, Premier
BINGHAM, SETH BPremier
BLACK, WESLEY NPPO, Premier
BLYTHE, FRED BPPO, Premier
BOWEN, NATHAN DPPO, Premier
BROERMANN, JEFFREY PPO, Premier
BROWN JR, RICHARD LPremier
BUBERT, JOHN RPremier
BULLEIGH, AARON PPO, Premier
BUNTEMEYER, CRAIG EPPO, Premier
BURKE, CHRISTOPHER PPO, Premier
BURKITT, JENNIFER PPO, Premier
BUSO, HANNAH PPO, Premier
BUSSMAN, CHRIS PPO, Premier
CALHOUN, CHARLES Premier
CANNON, CHANGA PPO, Premier
CANNON, DANIEL - 10PPO, Premier
CARLETTI, JOHN APPO, Premier
CARSON, THOMAS PPO, Premier
CARTER, EMILY - 20PPO, Premier
CARTER, SPENCER PPO, Premier
CASLER, CONRAD CPremier
CAUDLE, CAROLYN Premier
CHA, JEROME YPremier
CHALKIN, MARC PPO, Premier
CHIEN, TZU-MIN PPO, Premier
CLENDENEN, LLON H - 20PPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 18 of 22
TULSACOBBLE, JAN L
Premier
COLOMBIN, JACK BPremier
COOPER, JONATHAN S - 20PPO, Premier
CORNELL, NEIL RPremier
COSTELLO, SEAN PPO, Premier
COURSEY, RYAN MPPO, Premier
CRAIG, CAMERON PPO, Premier
CRONIN, PHILLIP PPO, Premier
CROOK, RANDALL JPPO, Premier
CUZALINA, LAWRENCE ANGELO - 10
PPO, Premier
DAVIES III, WALTER MPPO, Premier
DAVIS, MARK MPPO, Premier
DIETERLEN, BRETT BPPO, Premier
DIGUMARTHI, VENKATA PPO, Premier
DO, DAVIS PPO, Premier
DO, HUGH TPPO, Premier
DO, STEVEN PPO, Premier
DUDLEY, CRAIG SPPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
EMAMI, JUSTIN PPO, Premier
EMAMI, MEHRDAD PPO, Premier
EMERSON, CLINTON W - 20PPO, Premier
ENGELBRECHT, MICHAEL Premier
EVANS, BEAU BPPO, Premier
EVANS, WILLIAM RPPO, Premier
FAULKNER, MARK CPremier
FINNELL, JERRY BPremier
FIREY, KIMBERLEY APremier
TULSAFISHER, GARY - 30
PPO, Premier
FLINCHUM, STEPHANIE PPO, Premier
FLINT, CHARLES M - 20PPO, Premier
FLINT, ROBERT Premier
FONDER, JOHN JPremier
FOX, SARAH M - 30PPO, Premier
FREET, DAVID PPO, Premier
FRENCH, MELISSA PPO, Premier
FRENCH, RONALD DPPO, Premier
GACHES, MARK Premier
GAMBLE, THOMAS LPremier
GARNER, KENNETH PPO, Premier
GERETY, GRANT - 30PPO, Premier
GERKIN, BENJAMIN JPPO, Premier
GILL, DEBORIA FPPO, Premier
GLENN, STEPHEN OPremier
GOLBEK, ERIC PPO, Premier
GOOD, WARREN Premier
GRAY, RONISHA PPO, Premier
GREER, JERRY - 10PPO, Premier
GRIFFITHS, DANIEL JPPO, Premier
GROVES, JOHN EPPO, Premier
HACKLER, JAMES - 10PPO, Premier
HALL, JASON RPPO, Premier
HAMMOND, LINDSEY PPO, Premier
HANNA, MARIAM PPO, Premier
HARE, L PPO, Premier
HARGETT, NESLIHAN EPPO, Premier
HASTY, NEIL PPO, Premier
TULSAHENRICH, FRANKLIN J
PPO, Premier
HENRY, BLAKE - 20PPO, Premier
HERMAN, ROBERT J - 20PPO, Premier
HINKLE, C MIKE Premier
HOANG, ANTON PPO, Premier
HODGES, MEGHAN PPO, Premier
HOLLEMAN, ARTHUR LPPO, Premier
HOLMAN, SARAH PPO, Premier
HOPPER, AMELIA PPO, Premier
HORN, BRUCE DPremier
HOSIER, M J - 20PPO, Premier
HOWARTH, KEVIN JPremier
HOWL, MIKE SPPO, Premier
HUDSON, LLOYD - 10PPO, Premier
HUGHES, REBECCA Premier
HUNTER, NICK SPremier
HUYNH, DAVID PPO, Premier
JACKSON, MELISSA PPO, Premier
JAMES, LARRY FPPO, Premier
JANITZ, ROGER E - 10PPO, Premier
JELSING, PRISCILA JPremier
JOHNSON, COURTNEY PPO, Premier
JOHNSON, EUGENIA M - 15PPO, Premier
JOHNSON, J BERT PPO, Premier
JONES, ARONDA PPO, Premier
JORISHIE, JACOB WPPO, Premier
JUMP, DAVID PPO, Premier
KEITHLINE, CHARLES R - 30PPO, Premier
KIRKPATRICK, DOUGLAS A - 20PPO, Premier
TULSAKIRKPATRICK, THOMAS B - 20
PPO, Premier
KITTERMAN, KERRY - 30PPO, Premier
KLONTZ, KELLY J - 20PPO, Premier
KNOWLES, TREVOR PPO, Premier
KNOX, STEPHEN FPPO, Premier
KUBELKA, MICHAEL J - 15PPO, Premier
KUENNING, GARY LPPO, Premier
KY, FELIX PPO, Premier
LAI, APRIL - 30PPO, Premier
LAI, JOSEPH - 20PPO, Premier
LANDERS, JOHN APPO, Premier
LARD, JOHN BPPO, Premier
LE, SALLY PPO, Premier
LEBEDOFF, TYSON PPO, Premier
LEVINSON, MARTI Premier
LI, FEIYA - 30PPO, Premier
LOONEY, JOSHUA CPPO, Premier
LOSCUITO, LINDA Premier
LOWE, PHILLIP PPO, Premier
LUSK, STEVEN Premier
MARSHALL HAYS, MOLLY MPPO, Premier
MARSHALL, TED PPO, Premier
MASSARO, MARK EPremier
MASTERS, DANIEL Premier
MASTIN, CHRISTOPHER R - 10PPO, Premier
MATHIS, DALE RPremier
MAXEY, JIM PPO, Premier
MAXWELL, LESLEY PPO, Premier
MCCORMICK, GENE WPremier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 19 of 22
TULSAMCDOUGALL, HUGH
PPO, Premier
MCGINNITY, THOMAS PPO, Premier
MCMILLON, HANNAH RPPO, Premier
MERRILL, PEGGY PPO, Premier
MILES, JEFF APremier
MILES, STEVEN PPO, Premier
MIRABAL, CHRISTIAN SPremier
MISNER, KENNER - 20PPO, Premier
MOOSAVI, MOHSEN PPO, Premier
MORROW, MARK E - 30PPO, Premier
MOSE III, JOHN DPremier
NAUMAN, ANGIE PPO, Premier
NELLIS, NICOLE PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TRUYEN DPPO, Premier
NICHOLS, LAUREN Premier
NOAH, RYAN PPO, Premier
NOWLIN, RYAN V - 20PPO, Premier
NOWLIN, VAN L - 20PPO, Premier
OLIVER, STEVEN DPremier
ORYNICH, CATHERINE - 30PPO, Premier
OWENS, TYLER - 30PPO, Premier
PARKER, JEFF KPremier
PARKS, BENNETT PPO, Premier
PARRISH, JAIME A - 40PPO, Premier
PATE, KAREN PPO, Premier
PATEL, ANAND N - 20PPO, Premier
PATEL, RAJ PPO, Premier
PATTEN, BRIAN DPPO, Premier
TULSAPETTIT, JAY W
PPO, Premier
PHUNG, LONG PPO, Premier
PIERCE, JEFFREY PPO, Premier
PITTMAN, DOUGLAS SPPO, Premier
POOR, CHRISTINA LPremier
POTTER, BENNY PPO, Premier
POTTORFF, ADAM LPPO, Premier
POWELL, NATHAN PPO, Premier
PRINCE, LARRY OPPO, Premier
RAY, KENNETH - 40PPO, Premier
REEDER, BILLIE TPPO, Premier
RHYNE JR, CRAIG - 10PPO, Premier
RIDDEL, ROSS PPO, Premier
RIGDON, TERRY FPremier
RIGGS, MICHAEL LPPO, Premier
RISNER, RON DPremier
RITTER, ZACK - 15PPO, Premier
ROBERTS, RYAN S - 30PPO, Premier
ROGERS, THOMAS - 10PPO, Premier
ROGERS, WILLIAM BPPO, Premier
ROGOZHKINA, KRISTINA PPO, Premier
RORABAUGH, DAVID PPO, Premier
ROSS, ROBIN MPPO, Premier
ROULSTON, JOANNA PPO, Premier
ROULSTON, TYSON PPO, Premier
SCHEUERMAN, DAVID PPO, Premier
SCHOEFFLER, JERRY SPremier
SCHULTZ, JOHN FPPO, Premier
SEGNAR, RANDY PPO, Premier
TULSASESSOM, JEFFERY WADE
PPO, Premier
SHANNON, KYLE - 20PPO, Premier
SHARPE, BRUCE RPPO, Premier
SHARRAK, NOOR PPO, Premier
SHEPHERD, MICHAEL PPPO, Premier
SHUTE, GEORGE APPO, Premier
SIKES, KYLE Premier
SMITH II, EDDIE PPO, Premier
SMITH, BRICE LPremier
SMITH, GARY HPPO, Premier
SMITH, GREGG APPO, Premier
SMITH, LINDSAY Premier
SORENSON, JOSHUA PPO, Premier
SOUTHARD, LAURIE L - 15PPO, Premier
SOUTHARD, WRANY RPPO, Premier
STALLINGS, BRETT PPO, Premier
STANDLEE, RACHEL LPPO, Premier
STEFFEN, MICHAEL RPremier
STEPHENS, MATTHEW CPPO, Premier
STEPHENS, RICHARD PPO, Premier
STEVENS, CLINTON DPPO, Premier
STEWART, TOM R - 20PPO, Premier
STEYER, JAMES G - 30PPO, Premier
STIPE, DANIEL PPO, Premier
STOKES, KIMBERLY PPO, Premier
STOLZ, GINA LPPO, Premier
STONE, AMY E - 15PPO, Premier
STOS, DANNY PPO, Premier
STREET, SCOTT PPO, Premier
TULSASULLIVAN, CARLA
Premier
SUSMAN, MARC LPremier
SUTHAR, PRAGNA PPO, Premier
SWISHER, BRENDON MPPO, Premier
TA, SERENA PPO, Premier
TALIAFERRO, CHELSEA - 30PPO, Premier
TARR, DANIEL EPPO, Premier
TAT, ANTHONY PPO, Premier
TEMPLETON, C K - 10PPO, Premier
TEWIS, SHANE Premier
THOMAS, DAVID LPPO, Premier
THOMPSON, BRANDI BPPO, Premier
THOMPSON, WESLEY PPO, Premier
TINKER, TERRY PPO, Premier
TODD, DEAN OPremier
TOLER, SHANNON Premier
TOOLE, MICHAEL PPO, Premier
TRAN, TRUNG T - 40PPO, Premier
TRICINELLA, CHRISTOPHER PPO, Premier
TRICINELLA, KENNETH DPPO, Premier
TROCKEL, CHRIS - 20PPO, Premier
TROCKEL, MARTIN FPPO, Premier
TUCKER, BYRON N - 15PPO, Premier
TURNER, HEATHER PPO, Premier
UMMER, ROHIT PPO, Premier
VAN BRUNT, CORBYN LPremier
VANDIVER, JONAH RPPO, Premier
VINSON, CHRISTOPHER CPPO, Premier
VINSON, KRISTIE LPPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 20 of 22
TULSAVROOME, KYLE M - 20
PPO, Premier
WAGNER, SCOTT Premier
WANN, S LPremier
WARLICK, DANIEL PPO, Premier
WARLICK, KATIE LPremier
WARLICK, MATTHEW EPremier
WEBSTER, CHAD PPO, Premier
WEILACHER, JASON Premier
WENDELKEN, AMANDA PPO, Premier
WHENRY, LAUREN MPPO, Premier
WHITE, STEVEN VPPO, Premier
WHITNEY, MARK EPPO, Premier
WILLARDSON, DAVID PPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
WILLIAMS, THOMAS GPPO, Premier
WINDER, RONALD L - 30PPO, Premier
WOOD III, CHALMERS Premier
WOOD, GARY PPO, Premier
WOODWARD, DONAL R - 10PPO, Premier
WYATT, ERIC WPPO, Premier
WYATT, KENT H - 15PPO, Premier
WYATT, REBECCA APPO, Premier
WYATT, WAYNE - 20PPO, Premier
WYNN, MICHAEL Premier
YUSEF, SANA PPO, Premier
TUTTLECHASTAIN, BRIAN G
Premier
MCCAN, JERRY DPremier
TUTTLEMORGAN, JOHN
Premier
TYRONEKEYES, CAROLYN
Premier
VIANCOFFEE, LOGAN
PPO, Premier
VINITABRECHEISEN, SCOTT K
Premier
HERMAN, ROBERT J - 20PPO, Premier
JOURDAN, THOMAS BPremier
KORB, JANDRA Premier
MAYER, STEPHEN Premier
WAGONERCRAIG, MICHAEL
PPO, Premier
HARMAN, AARON PPO, Premier
WARR ACRESCLARK, FRANKLIN
PPO, Premier
FALLIN, JOSEPH Premier
GRIFFIN, JENNIFER PPO, Premier
JONES, ARONDA PPO, Premier
LIU, QIONG AMY PPO, Premier
POTTER, BENNY PPO, Premier
YUSEF, SANA PPO, Premier
WATONGAEDSALL, ROBERT D
Premier
PROUD, NATHAN NPremier
SCOVILLE, ANDREA MPremier
TURPIN, ASHLEA Premier
WEATHERFORDBURRILL, CARAH
PPO, Premier
CARLSON, PETER L - 10PPO, Premier
DIXON, STEPHEN PPO, Premier
WEATHERFORDMEOLI, NICOLE
PPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
STEPHENS, BRIAN LPPO, Premier
TATE, RAY PPO, Premier
URANECK, WILL WPremier
VILLINES, NATHAN PPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
WOOD, JOHN CPremier
WOOLFORD, PATRICIA PPO, Premier
WETUMKACHOWINS, ROMAN
PPO, Premier
NELSON, E MPPO, Premier
WEWOKABROWNING, CHRISTOPHER
PPO, Premier
WILBURTONLAWSON, AYAN
Premier
OSTERHOUT, CASEY Premier
WOODWARDAITSON, MICHAEL E
Premier
HUNTER, W RPremier
OLIVE, GARRETT Premier
TEVEBAUGH, LESLIE APremier
WHITE, MORI KPremier
WHITE, TERI DPremier
YADON, W TPremier
WYNNEWOODLEDBETTER, LES
Premier
YUKONAL-ZUBI, KHALID
PPO, Premier
ARIAS, TABITHA PPO, Premier
ASHMORE, GLENN APPO, Premier
YUKONBEEBE, RACHELLE
PPO, Premier
BELKNAP, JAMIE PPO, Premier
BERG, TAMARA Premier
BLANCHARD, KATELYN - 20Premier
BOHLE III, GEORGE C - 50PPO, Premier
BRACKETT, RYAN - 30PPO, Premier
BROADBENT, COLBY PPO, Premier
BURRILL, CARAH PPO, Premier
BYRNE, MATTHEW PPO, Premier
CARDON, CREED PPO, Premier
CARLSON, PETER L - 10PPO, Premier
CASE, JAY CPPO, Premier
CLIFFORD, GREGORY MPPO, Premier
CODY DUNNINGTON, KATHARINE Premier
COHENOUR, AARON TPPO, Premier
COHENOUR, PATRICK TPPO, Premier
COLE, MATTHEW DPremier
DAUPHIN, JEROMY WPPO, Premier
DEASON, DAVID EPremier
DO, DAVIS PPO, Premier
DO, STEVEN PPO, Premier
DUFFEL, WESLEY APPO, Premier
DUKES, PATRICK JASON Premier
ERICKSON, KOLTON - 20Premier
GOELZ, CHRISTOPHER PPO, Premier
GUFFEY, MATTHEW PPO, Premier
HAYNES, JOE PPO, Premier
HENRY, JANICE Premier
HERREN, STEPHEN WPPO, Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 21 of 22
YUKONHINSON, ANGEL
PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOANG, QUAN PPO, Premier
HOUSLEY, COURTNEY PPO, Premier
JOHNSON, DAMON LPPO, Premier
JOHNSON, RICHARD L - 10PPO, Premier
KEASTER, LANDON PPO, Premier
KOUZBARI, MHD ZPPO, Premier
KRATZER, KRISTIN PPO, Premier
KULKARNI, PRIYANKA PPO, Premier
LANGFORD, LETA Premier
MAULDIN, ALAN Premier
MAYS, TY PPO, Premier
MCCAN, JERRY DPPO, Premier
MCCOLLOUGH, DAVID - 20Premier
MCCULLOUGH, S - 20Premier
MESIKEP, MARK PPO, Premier
MILLER, MARLO - 20PPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
ONLEY, BRANDON Premier
OPHUS, KELLIE PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, SNEHA PPO, Premier
PERRY, BENTON - 30PPO, Premier
PHILLIPS, JOSHUA PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
YUKONPOLK, KAITLIN
PPO, Premier
RASHEED, OMAR PPO, Premier
RECKNAGEL, CHRIS Premier
REED, WILLIAM Premier
REITER, DAVID RPremier
RIGGS, L DOUGLAS Premier
ROMERO-DELMASTRO, ALEJANDRO A - 20
Premier
SALOUS, YOUSEF PPO, Premier
SCOTT, CHARLES PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SPIELMANN, GREGORY APPO, Premier
STEPNIEWSKI, ADAM PPO, Premier
TA, SERENA PPO, Premier
TAT, ANTHONY PPO, Premier
TAYLOR, BRYAN RPremier
TRAN, ROSANNA PPO, Premier
TUCKER, JOSEPH PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WEAVER, ZANE MPremier
WILLIAMS, NOEL PPO, Premier
WILLINGHAM, RICK LPremier
WYATT, SCOTT Premier
Prepared on 7/18/2018 Delta Dental of Oklahoma PPO and Premier Network Providers Page 22 of 22