delta dental ppo & premier network
TRANSCRIPT
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
ADABOONE, R T - 10
PPO, Premier
BRATTON, BRYAN PPO, Premier
COERVER, BRIAN DPremier
EDWARDS III, BENJAMIN FPremier
EDWARDS, B FPremier
FITZGERALD, JAY - 20PPO, Premier
HALL, BRUCE Premier
HAYNES, JOE PPO, Premier
HOELSCHER, STEPHEN LPPO, Premier
JOHNSON, DAMILOLA PPO, Premier
TERRAL, WILLIAM PPO, Premier
VANBUSKIRK, PAULA E - 30PPO, Premier
WALKUP, RON Premier
WEEMS, MARK WPremier
WILLIAMS, BRUCE MPPO, Premier
ALTUSAMBROSE, JAMES K
Premier
CARY, JACOB MPremier
GLIDDON, MICHAEL J - 10PPO, Premier
GOODMAN, MARK Premier
HENRY, RICHARD GPremier
LAMB, WHITNEY PPO, Premier
LUNDAY, LAUREN - 10PPO, Premier
PORTER, SONNY R - 10PPO, Premier
TALLEY, NATHANIEL WPremier
TIMS, KARA CPPO, Premier
ALVALOTT, GARY G
Premier
PIERCE, JEFFREY PPO, Premier
ALVASMITH, L G
PPO, Premier
TUCKER, CHARLES RPremier
ANADARKOGRIFFITH, JAMES C
Premier
THOMAS, JONATHON VPPO, Premier
TURNER, J PPO, Premier
ANTLERSDUNCAN, TWANA
Premier
ARDMOREAJALA, JOACHIM
PPO, Premier
BARNUM, RAYMOND PPO, Premier
BULARD, RONALD APremier
CASTILLO, ERIC Premier
CHELLAMUTHU, PRAVIN PPO, Premier
CROSS, GERALD VPremier
EDMONDS, R Premier
EL HENNAWEY, REHAM - 15PPO, Premier
GATES, BRYCE PPO, Premier
GERKEN, C A - 20PPO, Premier
GRAVES, RON - 10PPO, Premier
GUTHRIE, JAMIE LPremier
HUGHES, ROBERT VPremier
KUYKENDALL, JOSHUA PPO, Premier
LEDBETTER, LES Premier
LITTEKEN, EUGENE - 30PPO, Premier
LORDS, JONATHAN C - 30PPO, Premier
LUONG, QUANG PPO, Premier
LUTZ, FREDRICK KPPO, Premier
MAUNE, MATTHEW PPO, Premier
MILLER, LINDSEY PPO, Premier
ARDMOREMONTEMAYOR, FRANCIS M
Premier
NAIDU, ASHWANI PPO, Premier
PERRY, L Premier
RYAN, WILLIAM RPPO, Premier
SHUTE, GEORGE APPO, Premier
SJULIN, JOHN LPPO, Premier
SMALLEY, STEPHEN Premier
SOUTHERLAND, AARON C - 10PPO, Premier
STORTS, JESSE DPremier
STORTS, LAUREN Premier
STORTS, TRAVIS MPremier
STRETESKY, TONY - 20PPO, Premier
SUDBERRY, THOMAS BPremier
TERRAL, WILLIAM PPO, Premier
TURNER, HEATHER PPO, Premier
TURNEY, JARETT BPPO, Premier
VU, VINH KPPO, Premier
WALLACE, PATRICK - 10PPO, 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
BARNUM, RAYMOND PPO, Premier
BEARD, STEPHEN PPO, Premier
BARTLESVILLEBLOUNT, CHYRELLE
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
CLENDENEN, LLON H - 20PPO, Premier
COCHRAN, CRAIG S - 10PPO, Premier
CRONIN, PHILLIP PPO, Premier
DAVIDSON, GARY CPPO, Premier
DELO, LARISSA APPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
FARR, RILEY PPO, Premier
HART, RON Premier
HERMAN, ROBERT J - 20PPO, Premier
HUYNH, DAVID PPO, Premier
KAHN, EDWARD PPO, Premier
LARD, JOHN BPPO, Premier
LINDBLOM, JON M - 30PPO, Premier
LUMPKIN, LUCAS PPO, Premier
LYLE JR, R RPremier
NADAULD, MICHAEL PPO, Premier
NIELSEN, ERIC PPO, Premier
POTTER, HEATH MPremier
SHUTE, GEORGE APPO, Premier
STAPLETON, DAVID - 40PPO, Premier
SWISHER, BRENDON MPremier
THOMPSON, WESLEY PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 1 of 22
BARTLESVILLETURNER, HEATHER
PPO, Premier
TURNEY, JARETT BPPO, Premier
UNRUH, MARK - 20PPO, Premier
VIVIAN, THOMAS PPO, Premier
WEST, SCOTT SPPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
BATTIESTZIEGLER, MARK W
PPO, Premier
BEAVERBECKER, TIMOTHY J
PPO, Premier
BETHANYBALENSEIFEN, MARK - 50
PPO, Premier
BRASHER, JOSHUA Premier
DAVIS, FRANCIS APremier
DURST, JAMES APremier
FALLIN, JOSEPH Premier
HARDMAN, GREG Premier
MCKAMIE, J Premier
OLSON, LARRY PPO, Premier
WALLACE, JASON Premier
BIXBYANDERSON, G
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
BIXBYNOWLIN, VAN L - 20
PPO, Premier
PAHLEVANYAN, TYGRAN PPO, Premier
REAVIS, TERRY PPO, Premier
SHANKLE, KENNETH PPO, Premier
TROCKEL, MARTIN FPremier
BLACKWELLNEALE, AARON M
PPO, Premier
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 ARROWANDREWS, ROGER S
PPO, Premier
ASHMORE, GLENN APPO, Premier
BAIRD, MICHAEL PPO, Premier
BALLEW, GEORGE PPO, Premier
BARNUM, RAYMOND PPO, Premier
BEDDOE, RAY - 40PPO, Premier
BEVINS, MICAH JPPO, Premier
BLOUNT, CHYRELLE PPO, Premier
CANNON, PATRICIA DPPO, Premier
CARDON, CREED PPO, Premier
CARLILE, DENNIS JPremier
CLARKE, TRISCHA PPO, Premier
CLOTHIER, EVAN PPO, Premier
BROKEN ARROWCOURSEY, RYAN M
PPO, Premier
CULLENS, ROCKY - 10PPO, Premier
DANG, BAO-HANH TPPO, Premier
DAVIDSON, GARY CPPO, Premier
DEEM, STEVE PPO, 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
GACHES, MARK PPO, Premier
GENTLING, TODD Premier
GOLBEK, ERIC PPO, Premier
GRIFFIN, THOMAS - 20PPO, Premier
GUERRERO, ANDRE - 10PPO, Premier
HIATT, WILLIAM GPPO, Premier
HODGE, W MPremier
HOGG, STEVEN WPremier
HOLLEMAN, VALERIE PPO, Premier
HOOPES, MITCHELL JPremier
HORANI, MOIZ PPO, Premier
HUGHES, TIMOTHY Premier
HUYNH, DAVID PPO, Premier
JACKSON, MELISSA PPO, Premier
JOHNSON, D - 10PPO, Premier
KAHN, EDWARD PPO, Premier
KENNEDY, THOMAS JPPO, Premier
KINCAID, MATTHEW MPPO, Premier
BROKEN ARROWKINCAID, MICHAEL A
PPO, Premier
KNAPP, JASON Premier
KOUZBARI, MHD ZPPO, Premier
KY, FELIX PPO, Premier
LANDER, LARRY D - 10PPO, Premier
LE, MICHAEL PPO, Premier
LE, SALLY PPO, Premier
LEWIS, MATTHEW PPO, Premier
LOCKARD, J T - 20PPO, Premier
MOHSENI BEHBAHANI, SHIMA PPO, Premier
MONGRAIN, ROBERT BPremier
NAAMAN, MAZEN PPO, Premier
NIELSEN, ERIC PPO, Premier
OVERTON, BRADFORD PPO, Premier
OWENS, JAMES F - 30PPO, Premier
OWENS, SAMUEL APPO, Premier
PAHLEVANYAN, TYGRAN PPO, Premier
PARKS, BENNETT PPO, Premier
PARRISH, KYLIE RPPO, Premier
PRINCE, LARRY OPPO, Premier
REGAN, TIMOTHY DPPO, Premier
ROGERS, JOHN MPPO, Premier
ROSKAMP, CHARLES LPremier
SALAYTA, MUHANNAD PPO, Premier
SEGRAVES, GREGORY D - 10PPO, Premier
SHOOP, JOSEPH PPO, Premier
SMITH, JORDON PPO, Premier
SPRAGUE, TAYLOR Premier
STARKEY, JOHNNY B - 30PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 2 of 22
BROKEN ARROWSTEPHENS, MATTHEW C
PPO, Premier
STOS, DANNY PPO, Premier
STRAND, MIKE - 15PPO, Premier
TEMPLETON, C K - 10PPO, Premier
TEWIS, SHANE PPO, Premier
THEOBALD, GARY EPPO, Premier
THOMAS, REGGIE DPPO, Premier
TRAMMELL, VIC H - 10PPO, Premier
TURNER, HEATHER PPO, Premier
TURNEY, JARETT BPPO, Premier
VO, DENNIS PPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
WOODARD, DAVID - 15PPO, Premier
ZHAO, XUEMEI PPO, Premier
BROKEN BOWHEARNE, O B
Premier
CARNEGIECAMERON, JAMIE
Premier
HOLMAN, JON GPremier
CATOOSABREWER, MICHAEL L
PPO, Premier
KENNEDY, THOMAS JPPO, Premier
MICHAELSEN, SOREN PPO, Premier
SHARPE, BRUCE RPPO, Premier
SIMS, GEOFFREY PPO, Premier
TEWIS, SHANE PPO, Premier
CHANDLERDICKSON, JERRY
PPO, Premier
SCHAFER, NICKI LPPO, Premier
CHECOTAHCHANCELLOR, DOUG
PPO, Premier
COLEMAN, HEATH PPO, Premier
MEADOR, JOSEPH MPPO, Premier
MYERS, MITCHELL DPremier
REGAN, TIMOTHY DPPO, Premier
SUMMERLIN, ALLEN PPO, Premier
CHELSEAWESTFALL, BRAD G
PPO, Premier
CHEROKEENGUYEN, LUKE-HIEU
PPO, Premier
CHEYENNESHRADER, STEVEN E
Premier
CHICKASHABHAKTA, RASILA
PPO, Premier
BURRILL, CARAH PPO, Premier
CHUN, DAVID KPPO, Premier
DILLON, RICHARD SPremier
DYER, JOHN GPremier
EATON, DEBRA APremier
GRIFFIN, MEGAN NPremier
JOHNSON, RICHARD L - 10PPO, Premier
KOCH, HEATHER RPPO, Premier
KRUG, MICHAEL PPO, Premier
METTRY, MARK EPremier
MILLER, STEVEN BPPO, Premier
MIRABAL, CHRISTIAN SPPO, Premier
PERRYMAN, REED Premier
PHILLIPS, JOHN Premier
REVELS, STACY LPremier
THOMAS, JONATHON VPPO, Premier
CHICKASHATURNER, J
PPO, Premier
WILLIAMS, GEORGE WPremier
WOMACK, BOB Premier
CHOCTAWCLARKE, JONATHAN
PPO, Premier
GASBARRA, TRACY PPO, Premier
MAY, JUDSON PPO, Premier
PORTER, ALLISON PPO, Premier
RENFROW, SCOTT - 40PPO, Premier
RIDPATH, DAREK PPO, Premier
CLAREMOREBATTLE, JOHN
PPO, Premier
BATTLE, JUSTIN CPPO, Premier
CANNON, DANIEL - 10PPO, Premier
FLINT, CHARLES M - 20PPO, Premier
FREY, BRADLEY MPPO, Premier
GEORGY, DALIA PPO, Premier
GRUENBERG, ROBERT APremier
HAMMOND, LINDSEY PPO, Premier
HANNA, MARIAM PPO, Premier
HARE, L PPO, Premier
HASKINS, RANDALL Premier
HENRY, JOHN BPPO, Premier
HOLLEMAN, VALERIE PPO, Premier
JOHNSON, COURTNEY PPO, Premier
MAILOT, KEVIN Premier
MURRAY, WARREN LPPO, Premier
PAHLEVANYAN, TYGRAN PPO, Premier
PATEL, ANAND N - 20PPO, Premier
CLAREMOREREED, DARRYL D
PPO, Premier
REEDER, BILLIE TPPO, Premier
ROSS, ROBIN MPPO, Premier
SCOTT, STEVEN RPPO, Premier
STEPHENS, MATTHEW CPPO, Premier
TORABI, ALI PPO, Premier
VANDIVER, JONAH RPPO, Premier
WILLHOITE, M KPremier
YOUNG, ABBY RPPO, Premier
CLAYTONLAWLESS, CHANCE
PPO, Premier
CLEVELANDOLIVER, STEVEN D
Premier
TURNER, DWIGHT LPPO, Premier
WILLIAMS, BRUCE MPremier
CLINTONBOONE, DAVID L
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
REID, CHAD PPO, Premier
WALLIS, DENNIS LPPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 3 of 22
COWETAWALLS, MATTHEW J
PPO, Premier
WARLICK, KATIE LPPO, Premier
WARLICK, MATTHEW EPPO, Premier
CRESCENTFRAZIER, NATALIE M
PPO, Premier
KELLY, MARK PPO, Premier
SEXSON, ERIN MPPO, Premier
CUSHINGBAUER, JUSTIN
PPO, Premier
CARDON, CREED PPO, Premier
DAVIS, REBECCA Premier
MESSER, DANIEL HPremier
DEL CITYBENBAJJA, ABDESSAMAD
Premier
GOODWIN, CHARLES Premier
JARJOURA, ELI Premier
LEE, JEAN Premier
MICHELS, CLAY CPPO, Premier
NAGHDI, GOLNAZ Premier
SCOTT, CHARLES PPO, Premier
SIGMON, SAMUEL CPPO, Premier
UNTRAUER, STEVEN RPremier
DEWEYBULLEIGH, NATHAN
PPO, Premier
DRUMRIGHTBIRD, MAX
PPO, Premier
BURKETT, TRAVIS DPPO, Premier
MELTON, ROBERT HPPO, Premier
PRENTICE, JOSHUA PPO, Premier
ROULSTON, TYSON PPO, Premier
DRUMRIGHTVENK, AMANDA
PPO, Premier
DUNCANBEESON, WILLIAM E
PPO, Premier
DAVIS, GERALD DPremier
DAVIS, GERRAD Premier
DILLARD, JOANN PPO, Premier
ELLIOTT, MICHAEL RPPO, Premier
GARCIA, JONATHAN PPO, Premier
GLIDDON, MICHAEL J - 10PPO, Premier
GREGG, STEVEN WPremier
HALL, KENT C - 20Premier
NELSON, MICHAEL EPremier
NELSON, RODNEY Premier
NUGENT, T JPPO, Premier
PORTER, SONNY R - 10PPO, Premier
SCHICK, ROBERT DREW Premier
SCHREINER, TERRY JPremier
SHORES, COTY Premier
WHITE, JAY LYNN Premier
DURANTBACHMANN, CHARLES W
Premier
BEAVER, BRANDON Premier
BULLARD, BLAKE MPPO, Premier
CARPER, CHASITY Premier
CARPER, JASON DPremier
CHAMBERS, CORY PPO, Premier
CRAIGE, D DPPO, Premier
EVANS, MICHAEL PPO, Premier
GRAVES, RON - 10PPO, Premier
DURANTHILL, BENJAMIN
PPO, Premier
HUTCHENS, C TPremier
MARCUM, TAYLOR Premier
MORKOS, KEROLOS PPO, Premier
MUSZYNSKI, JEFFREY Premier
MUSZYNSKI, KAYLA 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, TOM KPPO, Premier
BARTON, TAYLOR Premier
BENBAJJA, ABDESSAMAD Premier
BENDER, KARI EPremier
BLOSSFELD, CAROL Premier
BOWERS, BLAIRE - 40 - 40PPO, Premier
BRASHER, GREGORY Premier
BRASHER, JOSHUA Premier
BREWER, ADAM PPO, Premier
BROWN, NATHAN Premier
BROWN, THOMAS KPPO, Premier
BUCHANAN, JAMES MPremier
CARSON, STEVE RPPO, Premier
CASH, STEPHEN RPPO, Premier
EDMONDCHANDLER, MICHAEL
PPO, Premier
CHEATHAM, D - 30PPO, Premier
CHENG, MICHAEL PPO, Premier
CLARK, R LPPO, Premier
COURY, A SPPO, Premier
ECKROAT, DIRK B - 30PPO, Premier
ELIOT, LEE APremier
FARLEY, JAMES EPremier
FORTENBERRY, ALAN GPPO, Premier
GARZON, MARTHA - 30PPO, Premier
GRAY, PHILIP Premier
GREENLEE, KIMBERLY PPO, Premier
GRIFFIN, SHANNON LPremier
HANSEN, MICHAEL Premier
HARRIS, JOE MPremier
HARROD, K CULLEN Premier
HAYS, TANNER HPremier
HETRICK, CHARLES WPremier
HOLLOMAN, ASHLEY PPO, Premier
HOLLOMAN, MATTHEW Premier
HOLMGREN, L - 10PPO, Premier
HOOPER, C BPPO, Premier
HOOPER, JAMES DPPO, Premier
HOWELL, RICHARD WPPO, Premier
HUNTER, JENNIFER BPPO, Premier
JARJOURA, ELI Premier
JOHNSON, DAMON RPremier
JONES, SAM P - 10PPO, Premier
KAUR, HARNEET PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 4 of 22
EDMONDKIERL, PETER - 20
PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
KOCH, HEATHER RPPO, Premier
KOOP, GENE MPPO, Premier
KRAMER, MITCHELL WPPO, Premier
KUTLESA, BRENT PPO, Premier
LAMB, ROBERT - 10PPO, Premier
MARLEY-HARROD, SAMANTHA LPremier
MARTIN, MARY PPO, Premier
MCINTIRE, TRACY - 10PPO, Premier
MCKINNEY, MICHAEL - 10PPO, Premier
MERIDETH, MARK PPO, Premier
NANDA, RUCHI - 20PPO, Premier
NGUYEN, TUNG NPPO, Premier
NOSRATI, MIRIAM PPO, Premier
PARSI, PEDRAM PPO, Premier
PECK, JAMES CPremier
PITT, GRANT Premier
PORTER, BEAU PPPO, Premier
RADFAR, LIDA PPO, Premier
REED, KAREN GPremier
REYNOLDS, JOSIE Premier
RIOS, ANDREA O - 20PPO, Premier
RUDD, MACK Premier
RYAN, WILLIAM RPPO, Premier
SAFI, RICHARD Premier
SEARCEY, SCOTT - 10PPO, Premier
SIGLER, STEFFAN PPO, Premier
SMITH, MICHAEL KPremier
EDMONDSTEELE, ROBERT C - 30
PPO, Premier
STRANGE, STEVEN PPO, Premier
SULLIVAN, JACKSON L - 15PPO, Premier
TALLEY, JAMIE PPO, Premier
THOMAS, BLAIR - 10PPO, Premier
VASQUEZ, ZENEIDA G - 10PPO, Premier
VAUGHAN, PHOEBE Premier
WALLACE, JASON Premier
WALLACE, MICHAEL Premier
WARD, WILLIAM SPPO, Premier
WAUGH, W SCOTT PPO, Premier
WEDEL, COURTNEY PPO, Premier
WHITFIELD, HEATH A - 30PPO, Premier
WILGUESS, DANIEL JPPO, Premier
WILLCOX, RALPH Premier
WILLCOX, VINCE Premier
WILLOUGHBY, JACK EPremier
EL RENOCOHLMIA, ADAM
Premier
FAULCONER, CHRISTOPHER WPremier
JOERN, JAMES PPO, Premier
KIERL, M J - 20PPO, Premier
KIRK, MICHAEL KPremier
LABAHN, LAMAR EPPO, Premier
SHAFER, BRIAN PPO, 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
ENIDANDREWS, ROGER S
PPO, Premier
BARNUM, RAYMOND PPO, Premier
BLUBAUGH, W CPremier
BOWMAN, CURTIS J - 10PPO, Premier
BREECE, G L - 20PPO, Premier
BURRILL, CARAH PPO, Premier
CHALOUPEK, ELIZABETH APPO, Premier
CHASTAIN, CARRIE LPPO, Premier
DARROW, MEGAN PPO, Premier
DESAI, HETAL PPO, Premier
DURR, STEVE CPremier
EL HENNAWEY, REHAM - 15PPO, Premier
FAGAN, CHRIS PPO, Premier
FAGAN, TIM R - 30PPO, Premier
GARAY, WILFREDO PPO, Premier
GRIESHOBER, KURT SPPO, Premier
GRIMES, LISA RPPO, Premier
HIATT, WILLIAM GPPO, Premier
HOECKER, CHAD PPO, Premier
JOHNSON, ROBERT CPPO, Premier
KINER, LARRY EPremier
KNIGHT, MELINDA PPO, Premier
KONERU, ANUSHA PPO, Premier
ENIDLACK, JARROD D
PPO, Premier
LUNDAY, LAUREN - 10PPO, Premier
MABRY, JAMES PPO, Premier
MILLER, GARY W - 10Premier
MOORE, BOBBY Premier
MOREHART, DENNIS Premier
NGUYEN, THAO PPO, Premier
ROBERTS, ERIN KPremier
TAYLOR, BILL EPremier
TEMPLETON, C K - 10PPO, Premier
THIEN, DIANA PPO, Premier
THOMAS, GREGORY DPremier
THOMAS, JOHN Premier
THOMAS, PAUL PPO, Premier
TODD, TOM NPPO, Premier
VINCENT, DIANE PPO, Premier
WARREN, ROBERT LPPO, Premier
WEDEL, COURTNEY PPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
EUFAULADEW, ROBERT M
Premier
MCINTOSH, ROLEY DPremier
MCINTOSH, S PPPO, Premier
FAIRFAXBEN, MICHAEL S
PPO, Premier
FOX, MICHAEL JPPO, Premier
PHILIP, JUDY PPO, Premier
FAIRVIEWHIEBERT, JUNE J
PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 5 of 22
FORT GIBSONEVANS, FRANK J
PPO, Premier
NELSON, MICHAEL PPO, Premier
TURNER, HEATHER PPO, Premier
WALKER, ANDREW PPO, Premier
WALKER, JESSICA PPO, Premier
FREDERICKANDERSON, CLAY
PPO, 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
DAVIDSON, GARY CPremier
GLENN, STEPHEN OPremier
GOODWIN JR, W APPO, Premier
GUBSER, KARL EPPO, Premier
HACKER, STEFAN SPremier
JOBST, KARL RPPO, Premier
KENNEDY, THOMAS JPPO, Premier
MARAVICH, JOHN KPPO, Premier
GROVEMILLER, RICHARD
Premier
NAAMAN, MAZEN PPO, Premier
NICHOLS, MARK RPremier
PHILLIPS, CRYSTAL LPremier
ROBINSON, KIRBY JOE PPO, Premier
SMITH, JORDON PPO, Premier
STRAHM, ELGIN RPremier
VAUGHAN, RAEGAN Premier
GUTHRIEBROWN, NATHAN
Premier
BUMPAS, BRYAN CPPO, Premier
PROUD, NATHAN NPremier
SMITH, TERRY Premier
TURNEY, LEWIS FPPO, Premier
GUYMONBOHLANDER, R A
Premier
COCONU, MARIANA Premier
PHIPPS, GARRETT Premier
HARRAHBOWMAN, BENJAMIN
PPO, Premier
CALLAWAY, BRIAN PPO, Premier
CHINN, JACK MPPO, Premier
CLARKE, JONATHAN PPO, Premier
KYRK, ERIC DPPO, Premier
MAY, JUDSON PPO, Premier
HEALDTONBREWER, CALEB J
Premier
BREWER, GARY TPremier
HEAVENERMEAD, ERIC J
PPO, 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
HOLDENVILLELAVALLEY, JOE
Premier
TYREE, PHILIP JPremier
HOLLISLEWIS, EARNEST
PPO, Premier
HOMINYFOX, MICHAEL J
PPO, Premier
PHILIP, JUDY PPO, Premier
HUGODEATON, STEVEN M
Premier
JULIAN, JANET RPremier
ROWLAND, WADE PPO, Premier
IDABELDENNINGTON, GARY
Premier
INOLALASTER, S SCOTT
PPO, Premier
JAYGUBSER, KARL E
Premier
WILCOX, CHRISTOPHER Premier
JENKSCOATNEY, RUSSELL E
PPO, Premier
EL HENNAWEY, REHAM - 15Premier
JENKSLAD, BEENA
PPO, Premier
RAY, KEVIN CPremier
SESSOM, CARRIE Premier
SIMER, 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
HACKER, STEFAN SPremier
LANGSTONDIGUMARTHI, VENKATA
PPO, Premier
LAVERNEDAVIS, SUSAN R
Premier
LAWTONADAY, PHILLIP L
Premier
ALFORD, JACQUELINE - 30PPO, Premier
BARNUM, RAYMOND PPO, Premier
BLOOM, JOHN H - 10PPO, Premier
BLYTHE, ANDREA PPO, Premier
BONNER, PAUL S - 30PPO, Premier
BRIDGES, C TPremier
BRIDGES, G PPO, Premier
BROOKS, PERRY - 10PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 6 of 22
LAWTONBURBANK, JAROM R - 15
Premier
BURTON, BONNIE PPO, Premier
CARA, WUSE HPPO, Premier
CARBONE, KEEFE PPO, Premier
CARTER, WILLIAM PPO, Premier
CHELENZA, NICHOLAS - 30PPO, Premier
COOPERMAN, BENJAMIN PPO, Premier
DAVIS, GERRAD PPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
GARAY, WILFREDO PPO, Premier
GLIDDON, MICHAEL J - 10PPO, Premier
GREYSON, BARRY JPPO, Premier
HARRELL, DAVID JPPO, Premier
HIXSON, JEREMY - 10PPO, Premier
HOECKER, CHAD PPO, Premier
JACKSON, MICHAEL DPremier
JENSEN, DAYNE - 10PPO, Premier
JOHNSON, ROBERT CPPO, Premier
JONES, MATHEW - 20PPO, Premier
KAHN, EDWARD PPO, Premier
KIM, JAE PPO, Premier
KNIGHT, MELINDA PPO, Premier
LANGFORD, CARREN PPO, Premier
LARROW, CHRISTOPHER - 30PPO, Premier
LOPEZ, JUAN PPO, Premier
LUNDAY, LAUREN - 10PPO, Premier
LUONG, QUANG PPO, Premier
LUTZ, JAMES PPO, Premier
MAUNE, MATTHEW PPO, Premier
LAWTONMCKINNIS, JACK L
PPO, Premier
MIRACLE, ROBERT LPPO, Premier
MONTGOMERY, ANDREA PPO, Premier
MONTGOMERY, PATRICK PPO, Premier
MULLER, ROBERT KPPO, Premier
NGUYEN, THAO PPO, Premier
PORTER, SONNY R - 10PPO, Premier
REEDER, BRUCE K - 20PPO, Premier
ROBERTS, KATHERINE PPO, Premier
RYAN, WILLIAM RPPO, Premier
SARNO, MICHELLE U - 15PPO, Premier
SHEPPARD, CINDY MPPO, Premier
SHEPPARD, E EPPO, Premier
SHEPPARD, SCOTT PPO, Premier
SULLINS, JAY S - 15PPO, Premier
TODD, TOM NPPO, Premier
TURNEY, JARETT BPPO, Premier
WARN, BRETT RPremier
WARREN, ROBERT LPPO, Premier
WELLS, WAVEL - 30PPO, Premier
WILLIAMS, BRUCE MPPO, Premier
WOOD, PAUL S - 10PPO, Premier
LINDSAYPRACHT, STEVE D
Premier
SHELTON, MATT Premier
LOCUST GROVEGEASLAND, JOHN A
PPO, Premier
MARTIN, KIPPY GPPO, Premier
MCKINNEY, CHRIS PPO, Premier
LOCUST GROVESNELL, JERRY
PPO, Premier
LONE GROVEWEAVER, M D
Premier
WEAVER, ZANE MPremier
MADILLGUTHRIE, CHARLES
Premier
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
AULD, DOUGLAS APremier
AULD, MICHAEL JPremier
BOONE, R T - 10PPO, Premier
CADY, ALAN WPPO, Premier
CARTER, SPENCER PPO, Premier
DONATHAN, G DPremier
GRILLIOT, CLARK WPremier
HARRISON, BAILEY WPremier
HUNTER, JENNIFER BPPO, Premier
LAWLESS, CHANCE PPO, Premier
MCINTOSH, JANNA C - 30PPO, Premier
MCALESTERMILLER, BRENT
PPO, Premier
RAGAN, DUSTIN SPPO, Premier
SHEETS, JACK Premier
TERRAL, WILLIAM PPO, Premier
WYNN, WILLIAM BPremier
MCLOUDAMAYA, BRENT T
PPO, Premier
CHOI, JAE WPPO, Premier
FRANCIS, BRETT PPO, Premier
MEHNER, KEITH PPO, Premier
MIAMIBRANHAM-WILLIAMS, JAMIE
Premier
DOWNUM, KYLE Premier
FOLKS, MARK Premier
JOURDAN, THOMAS BPremier
KEIM, MATTHEW Premier
ROBINSON, CHRISTOPHER TPremier
MIDWEST CITYADAIR, ROBERT G
PPO, Premier
AMAYA, BRENT TPPO, Premier
ASHMORE, GLENN APPO, Premier
BEHRMANN, MICHAEL C - 20Premier
BOHLE III, GEORGE C - 50PPO, Premier
BOZALIS, WILLIAM G - 30PPO, Premier
BRAMMER JR, JEFFREY PPO, Premier
BRASHER, JOSHUA PPO, Premier
BREWER, ADAM PPO, Premier
CASE, JAY CPPO, Premier
CHEEK-COVEY, TENNILLE LPremier
COERVER, BRIAN DPPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 7 of 22
MIDWEST CITYCOHENOUR, KENT - 10
PPO, Premier
COTTERELL, TERRY L - 20Premier
DAUPHIN, JEROMY WPPO, Premier
DUGAN, D CPPO, Premier
EARLE, DIANE MPPO, Premier
EMERSON, MELANIE DPPO, Premier
FARZANEH, MONA JPPO, Premier
FAULK, STEVE RPPO, Premier
FERGUSON, JOHN CLIFFORD PPO, Premier
FEROZ, SHAKIR Premier
FLEMING, JOSEPH PPO, Premier
FRANCIS, BRETT PPO, Premier
GARTIN, FRANKLIN PPPO, Premier
GERMAN, TRACEY PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
GREENLEE, KELLY Premier
GREENLEE, KIMBERLY PPO, Premier
GUFFEY, MATTHEW PPO, Premier
HAHN, PAUL PPO, Premier
HAMPTON, MICHAEL Premier
HARROZ III, EDWARD Premier
HARROZ JR, EDWARD HPremier
HENSLEE, EDWIN E - 10PPO, Premier
HERREN, STEPHEN WPPO, Premier
HIGGINSON, JAKE PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, MARIA TPPO, Premier
HUNTER, JENNIFER BPPO, Premier
MIDWEST CITYJAN, MEHWISH N
PPO, Premier
JEFFERY, JONATHON PPO, Premier
JOHNSON, KATELYN Premier
JONES, CHARLES DPPO, Premier
KEASTER, LANDON PPO, Premier
KENDRICK, STEVEN Premier
LEWIS, EARNEST PPO, Premier
MADAMBA, JORGE PPO, Premier
MARRIOTT, JUSTIN PPO, Premier
MARS, ROBERT DPremier
MAY-JONES, AUDREY LPPO, Premier
MAYFIELD, DALE GPPO, Premier
MCLAREN, MARK PPO, Premier
MENSER, SHERMAN SPPO, Premier
NAFFAH, ROBERT PPO, Premier
NGUYEN, ANTHONY TPPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PANCHMATIA, VISHAL PPO, Premier
PARSI, PEDRAM PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PHUNG, LONG PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
RASHEED, OMAR PPO, Premier
RIOS, ANDREA O - 20PPO, Premier
RUIZ, WALLY - 20Premier
SALOUS, YOUSEF PPO, Premier
MIDWEST CITYSANKU, SHALINA
PPO, Premier
SCHMITZ, TROY PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SIMPSON, JAYMI DPPO, Premier
SPENCER, LAURAN RPPO, Premier
SPIELMANN, GREGORY APPO, Premier
STARK, JOHNNIE LPremier
STOLTENBERG, BRADEN HPPO, Premier
STORM, JULIE JPremier
TA, SERENA PPO, Premier
TEMPLETON, C K - 10PPO, Premier
THEOBALD, JOHN PPremier
THOMAS, BLAIR - 10PPO, Premier
TRUONG, STEVE HPPO, Premier
TUCKER, JOSEPH PPO, Premier
USHERENKO, SVETLANA PPO, Premier
VANDERMEYDEN, JARED PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WANG, YU TING PPO, Premier
WENDELKEN, JAMES A - 10PPO, Premier
WERT, PETER PPO, Premier
WILLBANKS, JAMES MPPO, Premier
WINDSOR, SANDRA Premier
XU, ANDREW - 15PPO, Premier
MINCOATKINSON, RANDY W
PPO, Premier
MOOREASHMORE, GLENN A
PPO, Premier
MOOREBARNES, JON
PPO, Premier
BLAKE, CLINTON LPPO, Premier
BOHLE III, GEORGE C - 50PPO, Premier
BOWERS, BLAIRE - 40PPO, Premier
BRAMMER JR, JEFFREY PPO, Premier
BRASHER, JOSHUA PPO, Premier
CASE, JAY CPPO, Premier
COERVER, BRIAN DPPO, Premier
DAUPHIN, JEROMY WPPO, Premier
FLEMING, JOSEPH PPO, Premier
FREEMAN, RICHARD MPPO, Premier
GARDER, STEPHEN WPPO, Premier
GERMAN, TRACEY PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
HARPER, CHELSEA PPO, Premier
HERREN, STEPHEN WPPO, Premier
HIGGINSON, JAKE PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOMSEY III, RICHARD SPPO, Premier
HOMSEY, RICHARD SPPO, Premier
HONG, YONG Premier
KEASTER, LANDON PPO, Premier
LARSON, PRISCILLA - 20PPO, Premier
LEEMASTER, LARRY DPPO, Premier
MARRIOTT, JUSTIN PPO, Premier
MAY-JONES, AUDREY LPPO, Premier
MILLER, LINDSEY PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 8 of 22
MOOREMONTGOMERY, RONALD K
PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PHUNG, LONG PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
POTTS, ROGER GPPO, Premier
RASHEED, OMAR PPO, Premier
RICHARDSON, JIMMY JPPO, Premier
RIOS, ANDREA O - 20PPO, Premier
SALOUS, YOUSEF PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SPIVA, CHAD DPPO, Premier
TA, SERENA PPO, Premier
TEMPLETON, C K - 10PPO, Premier
THOMAS, BLAIR - 10PPO, Premier
TRENT, BRADLEY PPO, Premier
TUCKER, JOSEPH PPO, Premier
USHERENKO, SVETLANA PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WEAVER, ZANE MPPO, Premier
WENDT, STEPHANIE KPremier
WILLBANKS, JAMES MPPO, Premier
MULDROWMORTON, DON R
PPO, Premier
MUSKOGEEAVERY, LAUREN K
PPO, Premier
BARNUM, RAYMOND PPO, Premier
BARTLETT, BOBBIE PPO, Premier
BIRD, MAX PPO, Premier
BLACK, WESLEY NPPO, Premier
COHLMIA, JEFF T - 20Premier
COOPERMAN, BENJAMIN PPO, Premier
DAVIS, W EPPO, Premier
DEVADHASON, HANNAH RPPO, Premier
DUNN, SUSAN PPO, Premier
FARMER, BARRY J - 30Premier
FISHBURN, CASEY GPPO, Premier
GARAY, WILFREDO PPO, Premier
HACKLER, JAMES - 10PPO, Premier
HALL, JASON RPPO, Premier
HODGSON, MATTHEW PPO, Premier
HOECKER, CHAD PPO, Premier
HOOPES, BRADFORD BPPO, Premier
HOOPES, MITCHELL JPPO, Premier
JOHNSON, ROBERT CPPO, Premier
KNIGHT, MELINDA PPO, Premier
LIVINGSTON, ROBERT J - 10PPO, Premier
LOKEN, THOMAS PPO, Premier
MASSAD, ERIC PPO, Premier
MCCALL, JONAS CPPO, Premier
NGUYEN, THAO PPO, Premier
NICHOLSON, JAMES SPremier
SHANKLE, KENNETH PPO, Premier
STEPHENS, MICHAEL RPPO, Premier
MUSKOGEESUSMAN, MARC L
Premier
TODD, TOM NPPO, Premier
WARREN, ROBERT LPPO, Premier
WEIBEL, DENNIS EPPO, Premier
MUSTANGAINSWORTH, JOHN
PPO, Premier
BOUZIDEN, CALLIE DPPO, Premier
CAREL, MONTE JPPO, Premier
COBB, KRISTI PPO, Premier
CRAIG, ROBI L - 20PPO, Premier
KOCH, HEATHER RPPO, Premier
LARSON, PRISCILLA - 20PPO, Premier
LEE, JEAN Premier
MCCAN, JERRY DPPO, Premier
SAFO-KWAKYE, YVONNE PPO, Premier
STREIGHT, RYAN - 20PPO, Premier
VINCENT, S PPO, Premier
NEWCASTLEBRASHER, GREGORY
Premier
BRASHER, JOSHUA Premier
COX, JIM EPremier
EVETTS, SETH PPO, Premier
GOELZ, CHRISTOPHER Premier
JOHNSON, SIDNEY PPO, Premier
JONES, BRANDON Premier
MILLS, MALORI PPO, Premier
NEWKIRKBURKETT, TRAVIS D
PPO, Premier
FENN, DANIEL PPO, Premier
FOX, MICHAEL JPPO, Premier
NEWKIRKFRANCIS, BRETT
PPO, Premier
JACKSON, RICHARD MPPO, Premier
MELTON, ROBERT HPPO, Premier
PHILIP, JUDY PPO, Premier
SEXSON, ERIN MPPO, Premier
NOBLECLIFFORD, GREGORY M
PPO, Premier
GILLIAM, JAMES DPremier
NABORS, GARY PPO, Premier
SMITH, JARED RPPO, Premier
NORMANASHMORE, GLENN A
PPO, Premier
AUSTIN, JEFFREY PPPO, Premier
BARNUM, RAYMOND PPO, Premier
BASEY, THOMAS APPO, Premier
BEHRMANN, MICHAEL C - 20Premier
BELKNAP, JAMIE Premier
BEYER, PHILIP Premier
BIRD, GABRIEL APPO, Premier
BLUM, WILLIAM JPremier
BOHLE III, GEORGE C - 50PPO, Premier
BOLEN, PERCY - 15PPO, Premier
BOLES, RYAN PPO, Premier
BOWMAN, BENJAMIN PPO, Premier
BRADLEY, STEPHEN EPPO, Premier
BRALY, M - 10PPO, Premier
BRAMMER JR, JEFFREY PPO, Premier
BROOKS, PERRY - 10PPO, Premier
BROWN, J RANDALL PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 9 of 22
NORMANBURRILL, CARAH
PPO, Premier
CALLAWAY, BRIAN PPO, Premier
CAMPBELL, KRISTEN RPremier
CARMEN, BOBBY Premier
CASE, JAY CPPO, Premier
CHANG, JASON WPPO, Premier
CHELLAMUTHU, PRAVIN PPO, Premier
CLIFFORD, NICKLAUS Premier
CODY DUNNINGTON, KATHARINE Premier
CRAIG, ROBI L - 20PPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DOBBINS, MICHAEL KPPO, Premier
DOWELL, STACIA Premier
EL HENNAWEY, REHAM - 15PPO, Premier
FENG, JOSEPH J - 40PPO, Premier
FITZGERALD, JAY - 20PPO, Premier
FLEMING, JOSEPH PPO, Premier
FREY, BRADLEY MPPO, Premier
GALIER, DONNA APPO, Premier
GARAY, WILFREDO PPO, Premier
GERMAN, TRACEY PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
GRIFFITH, JAMES CPremier
HAMMOND, LINDSEY PPO, Premier
HASKETT, WALLACE GPremier
HERREN, STEPHEN WPPO, Premier
HIGGINSON, JAKE PPO, Premier
HILL, JEFFREY CPremier
HINCKLEY, NATHAN J - 15PPO, Premier
NORMANHINCKLEY, SPENCER P - 15
PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOECKER, CHAD PPO, Premier
HOLDEN, LORI PPO, Premier
HUMPHREY, BENJAMIN RPremier
JENKINS, JENNIFER MPremier
JOHNSON, ROBERT CPPO, Premier
KAHN, EDWARD PPO, Premier
KARAMI, MOE Premier
KEASTER, LANDON PPO, Premier
KNIGHT, MELINDA PPO, Premier
KOUZBARI, MHD ZPPO, Premier
LAVELETT, LARRY JPPO, Premier
LAWHON, GARY SPremier
LEEMASTER, BRETT Premier
LEGAKO, KASSIDY PPO, Premier
LEISHER, KYLE RPPO, Premier
LUNDAY, JEFF APPO, Premier
LUNDAY, LAUREN - 10PPO, Premier
LUONG, QUANG PPO, Premier
MARRIOTT, JUSTIN PPO, Premier
MASK, DEREK RPremier
MATTA, ARTHI PPO, Premier
MAUNE, MATTHEW PPO, Premier
MCCASKILL, JIM DPremier
MCCUNE, DALE - 20PPO, Premier
MILLER, DAVID L - 10PPO, Premier
NORMANMOFFITT, ZACHARY D
Premier
MONTGOMERY, VINCENT - 10PPO, Premier
NAIDU, ASHWANI PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, THAO PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PARKER, PHILLIP - 30PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PHUNG, LONG PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
POTTS, GEOFF Premier
POWELL, STEVEN - 15PPO, Premier
RANDALL, CHANDY PPO, Premier
RASHEED, OMAR PPO, Premier
REID, JANET MPremier
RENFROW, SCOTT - 40PPO, Premier
REVELS, MARK J - 20PPO, Premier
RITCHEY, H GRANT 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
SHANNON, TIMOTHY M - 20PPO, Premier
SKAGGS, WILLIAM JPremier
NORMANSPARKS, DONNA
Premier
SPURGEON, JIM Premier
SPURLOCK, SARA KPremier
STREIGHT, RYAN - 20PPO, Premier
TA, SERENA PPO, Premier
TEMPLETON, C K - 10PPO, Premier
TINSLEY, MICHAEL Premier
TODD, TOM NPPO, Premier
TUCKER, JOSEPH PPO, Premier
USHERENKO, SVETLANA 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
WARREN, ROBERT LPPO, Premier
WELLS, ROBERT CPPO, Premier
WHITENECK, SUSAN EPremier
WILLBANKS, JAMES MPPO, Premier
WILLIAMS, RONALD Premier
YEARY, JAMES RPPO, Premier
YEARY, WILLIAM PPO, Premier
NOWATARICKARDS, ROBERT B
Premier
WILLIAMS, THOMAS GPPO, Premier
OKARCHESUTTLE, GARY M
Premier
OKEENEWINTERS, FRED G
PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 10 of 22
OKLAHOMA CITYABER, SUE B
PPO, Premier
ADAMS, MICHAEL Premier
AJMANI ELERA, PARUL PPO, Premier
AL SAKKA, YACOUB - 50PPO, Premier
ALGEO, CLAY PPO, Premier
ALLEN, DAVID LPremier
ALLEN, MARK JPremier
ALLEN, ROSS PPO, Premier
AMOS, BARRY PPO, Premier
ANDERSON, LORI SPPO, Premier
ARNOLD, RYAN TPPO, Premier
ASHMORE, GLENN APPO, Premier
ASHMORE, WINN PPO, Premier
ATKINSON, RANDY WPPO, Premier
AULD, DOUGLAS APPO, Premier
BAIRD, MICHAEL PPO, Premier
BAISDEN, JENNIFER PPO, Premier
BAKER, JAMES - 10PPO, Premier
BARNES, LILLIAN PPO, Premier
BARNUM, RAYMOND 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
BELZ, EDWARD KPremier
BERRY, DEANNA SPPO, Premier
OKLAHOMA CITYBHATNAGAR, ABHINAV
Premier
BIGGS, JUSTIN PPO, Premier
BIRD, DAVID C - 15PPO, Premier
BIRDWELL, DAVID J - 20PPO, Premier
BLANKENSHIP, BRYAN PPO, Premier
BOCKUS, MARIE DPremier
BOHANON, ELIZABETH Premier
BOHLE III, GEORGE C - 50PPO, Premier
BOSTICK, GINA CPPO, Premier
BOWEN, NATHAN DPPO, Premier
BOWERS, DOMINIQUE PPO, Premier
BOZALIS, WILLIAM G - 30PPO, Premier
BRALY, M - 10PPO, Premier
BRAMMER JR, JEFFREY PPO, Premier
BRASHER, JOSHUA PPO, Premier
BROOKS, TIM JPremier
BRYAN, ROB - 10PPO, Premier
BUCHANAN, STEPHEN MPPO, Premier
BURCH, HUGH RPPO, Premier
BURCHARD, WILLIAM B - 40PPO, Premier
BUTLER, J R - 40PPO, Premier
CARDON, CREED PPO, Premier
CAREL, SCOTT MPremier
CARLSON, PETER L - 10PPO, Premier
CARSON, ROBERT - 40PPO, Premier
CASE, JAY CPPO, Premier
CASEY, MARY KPremier
CHAMBERS, CORY PPO, Premier
CHAMBERS, JENNIFER PPO, Premier
OKLAHOMA CITYCHANCELLOR, DOUG
PPO, Premier
CHANG, JASON WPPO, Premier
CHASER, MISTY PPO, Premier
CHASTAIN, STEPHEN APremier
CHELLAMUTHU, PRAVIN PPO, Premier
CHO, KYUNG PPO, Premier
CHOI, JAE WPPO, 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
CODY DUNNINGTON, KATHARINE Premier
COERVER, BRIAN DPPO, Premier
COHENOUR, AARON TPPO, Premier
COHENOUR, KENT - 10PPO, Premier
COHENOUR, PATRICK TPPO, Premier
COHLMIA, JEFF T - 20Premier
COHLMIA, MATTHEW EPremier
COHLMIA, RAYMOND APPO, Premier
COLE, MATTHEW DPremier
COLEMAN, BAILEY Premier
COOK, ASHLEY Premier
CORBIN, CHRISTOPHER NPremier
CORLEY, PHILLIP WPremier
CORWIN, RICHARD NPPO, Premier
COTHRAN, PAULA CPPO, Premier
COWDEN III, LESTER L - 10PPO, Premier
OKLAHOMA CITYCOX, HEATHER
PPO, Premier
COY, KENNETH PPO, Premier
CRAIG, ROBI L - 20PPO, Premier
CROOM, WILLIAM - 10PPO, Premier
CROWLEY, PATRICK PPO, Premier
CUMBY, DUNN HPPO, Premier
CUNNINGHAM, CURTIS PPPO, Premier
CURRIER, G - 20PPO, Premier
DACUS, ZACHARY LPPO, Premier
DAIS, CARL PPO, Premier
DAMODARA, ESWAR - 50PPO, Premier
DANNER, RUSSELL Premier
DAO-VANDENBERG, THANH PPO, Premier
DARROW, JOSEPH PPO, Premier
DAUPHIN, JEROMY WPPO, Premier
DEHART, KATHY PPO, Premier
DEMPSEY, GARY BPremier
DEWBRE, JARRED PPO, Premier
DEWBRE, JEREMY PPO, Premier
DMYTRYK, JOHN - 40PPO, Premier
DOAN, CALVIN Premier
DOAN, THAI-AN - 30PPO, Premier
DOBBINS, WAYNE PPO, Premier
DOMONEY, KALI PPO, Premier
DREW, RICHARD APPO, Premier
DUBBERSTEIN, NEILL WPPO, Premier
DUBBERSTEIN, ZANE PPO, Premier
DUFFY, MICHAEL - 10PPO, Premier
DUGAN, MIKE JPPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 11 of 22
OKLAHOMA CITYDUKE, DAYNA S - 15
PPO, Premier
DUNHAM, LYNNE APremier
DUONG, NHA TRUNG PPO, Premier
EAKERS, ERIC NPPO, Premier
EATON, ERIKA LPPO, Premier
EL HENNAWEY, REHAM - 15PPO, Premier
ELASSAL, GEORGE - 20PPO, Premier
EVANS, DAVID T - 30PPO, Premier
FAGAN, TIM R - 30PPO, Premier
FALLIN, JOSEPH Premier
FARHA, E MPPO, Premier
FARMER, WILLIAM - 30PPO, Premier
FARROW, MELISSA L - 20PPO, Premier
FAUKS, MICHAEL PPremier
FAULCONER, CHRISTOPHER WPPO, Premier
FELTON, J M - 20PPO, Premier
FICK, STEVE Premier
FIELD, TAYLOR PPO, Premier
FITZGERALD, MICHAEL CPPO, Premier
FLEMING, JOSEPH PPO, Premier
FLESHER, DEREN Premier
FLING, MICHAEL CPPO, Premier
FOERSTER-WENDELKEN, LARA Premier
FORTENBERRY, ALAN GPPO, Premier
FOSKIN, RAYMOND PPO, Premier
FOULGER, TAYLOR MPPO, Premier
FRAZIER, NATALIE MPPO, Premier
FREEMAN, WESLEY DPPO, Premier
FRENCH, MELISSA PPO, Premier
OKLAHOMA CITYFREY, BRADLEY M
PPO, Premier
FRITCH, C Premier
FRUITS, TERRY PPO, Premier
FRYE, EMILY M - 10PPO, Premier
GARAY, WILFREDO PPO, Premier
GARETSON, PAUL KPPO, Premier
GARZON, MARTHA - 30PPO, Premier
GAWARGI, MARIAM PPO, Premier
GERMAN, TRACEY PPO, Premier
GIBSON, KEITH Premier
GIFFHORN, W APremier
GLASS, NEIL M - 10PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
GOLDBECK, ANDREW P - 15PPO, Premier
GOLDSMITH, FREDERIC CPPO, Premier
GOODSON, JEREMY - 10PPO, Premier
GOODWIN, CHARLES Premier
GRACE, SANDY Premier
GRAY, DAVID PPO, Premier
GRAY, RONISHA PPO, Premier
GREENLEE, KIMBERLY PPO, Premier
GREENLEY, BARRY PPO, Premier
GRESEHOVER, JOSHUA PPO, Premier
GREYSON, BARRY JPremier
GRIFFIN, SHANNON LPPO, Premier
GUILFORD, NATHAN PPO, Premier
GUTHRIE, ANDREW - 30PPO, Premier
HAFFNER, CHRISTOPHER PPO, Premier
HALL, DOUGLAS PPO, Premier
OKLAHOMA CITYHALLER, KRISTIE B
Premier
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
HARRIS, JOE MPPO, Premier
HARROZ III, EDWARD Premier
HARROZ JR, EDWARD HPPO, Premier
HASEBE, JOY PPO, Premier
HASKETT, WALLACE GPPO, Premier
HASKINS, DON W - 30PPO, Premier
HAYNES, JOE PPO, Premier
HEATH, PAUL PPO, Premier
HEATHCOCK, ERIN BPPO, Premier
HEIM, SOMER R - 30PPO, Premier
HEIM, V M - 20PPO, Premier
HENDERSON, ROBIN D - 40PPO, Premier
HENDRICK, JANET YPremier
HENNEBERRY, MICHAEL PPO, Premier
HENRY, BYRON - 10PPO, Premier
HENRY, JANICE Premier
OKLAHOMA CITYHERMEN, JEFFREY
Premier
HERREN, STEPHEN WPPO, Premier
HERWIG, CRAIG APPO, Premier
HIGGINSON, JAKE PPO, Premier
HILL, MEGAN Premier
HILTON, MYRON S - 15PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOANG, MARIA TPPO, Premier
HODGES, MEGHAN PPO, Premier
HOECKER, CHAD PPO, Premier
HOLCOMB, ED Premier
HOLDER, WENDY RPPO, Premier
HOLLOMAN, ASHLEY PPO, Premier
HOLLOMAN, MATTHEW Premier
HOLMAN, COLIN PPO, Premier
HOLMAN, JON GPPO, Premier
HOLT, TYLER PPO, Premier
HONG, YONG Premier
HUBACZ, JENNA PPO, Premier
HUFFAKER, LAUREN Premier
HUGHES, REBECCA PPO, Premier
HUNTER, CRAIG PPO, Premier
HUNTER, JENNIFER BPPO, Premier
ISAACSON, JOE BPremier
JACOBSON, NANCY LPPO, Premier
JAMBI, SUHAIR - 15PPO, Premier
JAMES, R DON - 20Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 12 of 22
OKLAHOMA CITYJEFFERY, JONATHON
PPO, Premier
JOERN, JAMES PPO, Premier
JOHNSON, ANN PPO, Premier
JOHNSON, ARTHUR PPO, Premier
JOHNSON, DAMON LPPO, Premier
JOHNSON, EDWINA VPPO, Premier
JOHNSON, KATELYN Premier
JOHNSON, KATHERINE LPremier
JOHNSON, RICHARD L - 10PPO, Premier
JOHNSON, ROBERT CPPO, Premier
JONES, ARONDA PPO, Premier
JONES, SAM P - 10PPO, Premier
JONES, SHELBY PPO, Premier
JUN, HYUNG PPPO, Premier
JUN, IN-HYE GRACE PPO, Premier
KADIOGLU, ONUR - 20PPO, Premier
KAHN, EDWARD PPO, Premier
KANAGARLA, SREEKANTH PPO, Premier
KEASTER, LANDON PPO, Premier
KEENAN, MICHAEL PPPO, Premier
KELLY, MARK PPO, Premier
KESSLER, J CPPO, Premier
KIERL, M J - 20PPO, Premier
KIERL, PETER - 20PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
KIM, CHRISTINA PPPO, Premier
KIM, JOE JPremier
KIRBY, TIM PPO, Premier
KIRK, MICHAEL KPremier
OKLAHOMA CITYKIRKPATRICK, DENAE
PPO, Premier
KLONTZ, H - 20Premier
KLONTZ, KELLY J - 20PPO, Premier
KNIGHT, MELINDA PPO, Premier
KNIGHT, VALERIYA VPPO, Premier
KOHS, WILLIAM MPremier
KOONTZ, NATALIE SPPO, Premier
KOTHA, NIPUN PPO, Premier
KOTICHA, TAPAN - 40PPO, Premier
KOUZBARI, MHD ZPPO, Premier
KRUG, MICHAEL Premier
KUKER, AMY Premier
KWAKYE, KWAME - 20PPO, Premier
KWEE, EILEEN PPO, Premier
LAM, COURTNEY PPO, Premier
LANMAN, ASHLEY Premier
LARSON, PRISCILLA - 20PPO, Premier
LAU, SALLIE PPO, Premier
LAWRENCE, DAVID PPO, Premier
LAYTON, KEVIN LPPO, Premier
LEE, JASON - 30PPO, Premier
LEE, JEAN Premier
LESEBERG, DENNIS - 15PPO, Premier
LESLIE, CHRISTOPHER MPremier
LEWIS, DAVID M - 60PPO, Premier
LEWIS, TIFFANY PPO, Premier
LINAN, MARIA PPO, Premier
LLOYD, JIMMY WPPO, Premier
LOPER, ERIC MPPO, Premier
OKLAHOMA CITYLORENTS, EDWARD K
PPO, Premier
LOVETTE, LORI MPPO, Premier
LOWE, JAMES BPremier
LUCE, KAREN - 40PPO, Premier
LUEZAS, GERMAN - 15PPO, Premier
LUONG, QUANG PPO, Premier
LUTTRELL, GABRIEL - 20PPO, Premier
LUTZ, FREDRICK KPPO, Premier
MADAMBA, JORGE PPO, Premier
MADDOX, SHANNON RPPO, Premier
MAGUIRE, PHILIP GPremier
MARRIOTT, JUSTIN PPO, Premier
MARTIN, STEPHEN - 10PPO, Premier
MASOOD, FARAH PPO, Premier
MATTA, ARTHI PPO, Premier
MAUNE, MATTHEW PPO, Premier
MAY, JUDSON PPO, Premier
MAY-JONES, AUDREY LPPO, Premier
MCANEAR, GARRICK PPO, Premier
MCCAN, JERRY DPPO, Premier
MCCONNELL, KESA PPO, Premier
MCCUNE, DALE - 20Premier
MCINTIRE, TRACY - 10PPO, Premier
MCLEOD, MICHAEL PPPO, Premier
MCNAIR, DANIEL SPremier
MCREYNOLDS, MATTHEW PPO, Premier
MEAD, GLENN APPO, Premier
MEHTA, SRISHTI - 20PPO, Premier
MENDENHALL, JACOB W - 10PPO, Premier
OKLAHOMA CITYMETCALF, JAMISON - 10
PPO, Premier
MIER, DAVID CPPO, Premier
MILLER, EARL WPremier
MILLER, JOHN WPremier
MILLER, LINDSEY PPO, Premier
MILLER, ROBERT PPO, Premier
MIRABAL, CHRISTIAN SPPO, Premier
MITCHELL, BRADLEY Premier
MITCHELL, D LPPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
MOHANNA, PARNAM PPO, 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
NAIDU, ASHWANI PPO, Premier
NAIFEH, GEORGE JPPO, Premier
NAIL, CARSON LPremier
NANDA, MUNISHA - 20PPO, Premier
NGUYEN, ANTHONY TPPO, Premier
NGUYEN, BAO-LOAN PPO, Premier
NGUYEN, HA Premier
NGUYEN, KALVIN PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 13 of 22
OKLAHOMA CITYNGUYEN, THAO
PPO, Premier
NGUYEN, TUNG NPPO, Premier
NOBLE, L KPremier
NUVEEN, ERIK - 10PPO, Premier
ONAN, ABBEY PPO, Premier
OPHUS, KELLIE PPO, Premier
OUSLEY, LAURA PPO, Premier
OWEN, ALAN RPremier
PAKZAD, AMIN PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PATEL, SNEHA PPO, Premier
PECK, JAMES CPremier
PHAN, MARK TPPO, Premier
PHILLIPS, ROBERT Premier
PHUNG, LONG PPO, Premier
PILGRIM, CHRISTIAN Premier
PINKSTON, BENJAMIN PPO, Premier
PITT, CLINT EPPO, Premier
PLANT, RAY RPremier
POITEVIEN, JEMIMA - 30PPO, Premier
POORE, CHRIS - 40PPO, Premier
POTTS, ROGER GPPO, Premier
POWER, PHILIP J - 20PPO, Premier
PRICE, DANA BPremier
PRINCE, BRIAN Premier
PROUD, NATHAN NPPO, Premier
RADFAR, LIDA PPO, Premier
RAHILL, G RPremier
OKLAHOMA CITYRAHILL, RANDALL O
Premier
RAMADAN, SALAM TPPO, Premier
RANDALL, CHANDY PPO, Premier
RANEY, STEVEN M - 20PPO, Premier
RASHEED, OMAR PPO, Premier
RATTAN, KAREN BPPO, Premier
RAY, KENNETH - 40PPO, Premier
RAYANI, GOWTHAMI PPO, Premier
RESASCO, MARILINA PPO, Premier
REVILLE, WILLIAM PPremier
RHODES, CORBYN Premier
RHODES, TOBY MPPO, Premier
RHONE, BERNARD PPO, Premier
RING, PHILIP PPO, Premier
RINGER, NATHAN PPO, Premier
RIOS, ANDREA O - 20PPO, Premier
ROCHELLE, WHITNEY PPO, Premier
ROCKWOOD, DOUGLAS PPO, Premier
ROMERO-DELMASTRO, ALEJANDRO A - 20
Premier
ROTHWELL, TIMOTHY Premier
ROUBIK, GEOFFREY PPO, Premier
RYAN, WILLIAM RPPO, Premier
RYKARD, KEVIN Premier
SAFO-KWAKYE, YVONNE PPO, Premier
SALAYTA, MUHANNAD PPO, Premier
SALOUS, YOUSEF PPO, Premier
SANDBURG II, RODNEY APPO, Premier
SANOR, MICHELLE PPO, Premier
OKLAHOMA CITYSCHAFER, BRAD
PPO, Premier
SCHELLENBERG, JARED - 15PPO, Premier
SCHMIDT, LANCE RPremier
SCHULTZ, BRANDON - 15PPO, Premier
SCHWARTZ, DAVID - 10PPO, Premier
SCOGGIN, T KPPO, Premier
SCOTT, CHARLES PPO, Premier
SCOTT, MEGANN PPO, Premier
SEARCEY, SCOTT - 10PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SETTLE, SUSAN PPO, Premier
SEXSON, ERIN MPPO, Premier
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
SHAPARD, NATHAN PPO, Premier
SHEHARYAR, SHAISTA PPO, Premier
SHEPPARD, SCOTT PPO, Premier
SHIRLEY, MARK DPremier
SHIRLEY, ROBERT LPremier
SHIVERS, RODNEY Premier
SILER, JOHNNY PPO, Premier
SIMON, DAVID APremier
SIMPSON, ROBERT PPO, Premier
SLOAT, GEOFFREY CPPO, Premier
OKLAHOMA CITYSMITH, CURTIS L
PPO, Premier
SMITH, KEVIN - 10PPO, Premier
SNOWDEN, BROOKE Premier
SORGEN, BRYAN EPremier
SPARKS, GEOFFREY D - 20PPO, Premier
SPARKS, JAMES PPO, Premier
SPIELMANN, GREGORY APPO, Premier
SPOTTSWOOD, TRISTANNE MPPO, Premier
STALDER, STERLING Premier
STEELE, ROBERT C - 30PPO, Premier
STEPNIEWSKI, ADAM PPO, Premier
STEVENS, ROY LPremier
STEWART, TRENA KPPO, Premier
STREIGHT, RYAN - 20PPO, Premier
SULLINS, RUSTY Premier
SULLIVAN, STEVEN - 10PPO, Premier
SUTHERLAND II, EDWIN - 40PPO, Premier
SWAN, JIMMY DPremier
SWEARINGEN, DON WPPO, Premier
SYLVESTER, DAVID PPO, Premier
SZALAY, DANIEL PPO, Premier
TA, SERENA PPO, Premier
TARIQ, SARAH PPO, Premier
TARTER, MARCIA PPO, Premier
TAYLOR, JIM OPPO, Premier
TAYLOR, STEPHEN MPPO, Premier
TEMPLETON, C K - 10PPO, Premier
TEWIS, SHANE PPO, Premier
THARP, BRUCE PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 14 of 22
OKLAHOMA CITYTHAYER, SCOTT
PPO, Premier
THIEN, DIANA Premier
THOMAS, BLAIR - 10PPO, Premier
TINSLEY, MICHAEL PPO, Premier
TODD, TOM NPPO, Premier
TOFT, TERENCE CPremier
TORBECK, CHARLES Premier
TOWE, CHARLES EPremier
TRAN, CLAIRE Premier
TRUONG, LISA PPO, Premier
TRUONG, STEVE HPPO, Premier
TUCKER, JOSEPH PPO, Premier
TURNER, ERNEST VPPO, Premier
TURPIN, ASHLEA PPO, Premier
UNDERWOOD, JAMES PPO, Premier
USHERENKO, SVETLANA 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
WARD, AMANDA N - 30PPO, Premier
WARREN, ROBERT LPPO, Premier
WAUGH, W SCOTT PPO, Premier
WEDEL, COURTNEY PPO, Premier
OKLAHOMA CITYWENDELKEN, JAMES A - 10
PPO, Premier
WHISLER, SEAN PPO, Premier
WHITE, THERESA M - 30PPO, Premier
WILKES, P W - 50PPO, Premier
WILKINSON, KIM L - 15PPO, Premier
WILLBANKS, JAMES MPPO, 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
WOOTEN, C A - 10PPO, Premier
WULFEKOTTE, G JPremier
YEARY, WILLIAM PPO, Premier
YEATES, CARLA PPO, Premier
YOUNG, STEPHEN - 60PPO, Premier
YOUNGKER, MARK L - 20PPO, Premier
OKMULGEEBOWEN, NATHAN D
PPO, Premier
CARDON, CREED PPO, Premier
CHRISTY, TYSON PPO, Premier
NICK, JERRY BPPO, Premier
NIELSEN, ERIC PPO, Premier
RULEFORD, MIRANDA PPO, Premier
SCHEUERMAN, DAVID PPO, Premier
OKMULGEEVINSON, CHRISTOPHER C
PPO, Premier
VINSON, KRISTIE LPPO, Premier
YAERGER, JEROD PPO, 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
BLOUNT, CHYRELLE PPO, Premier
BOYD, KARLA JPremier
BRATTON, BOBBY JPremier
BUTLER, J R - 40PPO, Premier
BYBEE, K PPO, Premier
CAMPBELL, RONALD APremier
CURTIS, MARK APremier
DAVIDSON, GARY CPPO, Premier
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
HUYNH, DAVID PPO, Premier
OWASSOJOHNSON, D - 10
PPO, Premier
KAHN, EDWARD PPO, Premier
LALWANI, RUCHIRA PPO, Premier
LANDER, LARRY D - 10PPO, Premier
LIM, HENG Premier
MCCAN, JERRY DPPO, Premier
NIGG, KIMBERLY - 30PPO, Premier
PRATHER, JILLIAN Premier
RYAN, WILLIAM RPPO, Premier
SANCHEZ, MICHAEL Premier
SEGRAVES, GREGORY D - 10PPO, Premier
SOMJEE, ALI PPO, Premier
STAPLETON, DAVID - 40PPO, Premier
THOMAS, DIRK SPremier
TRAMMELL JR, VIC HPremier
TRAMMELL, VIC H - 10PPO, Premier
TURNER, HEATHER PPO, Premier
TURNEY, JARETT BPPO, Premier
VOTO, JAYSON Premier
WARD, CHRIS Premier
WILLIAMS, ALEXANDER DPPO, Premier
PARK HILLSNELL, JERRY
PPO, Premier
PAULS VALLEYKIERL, M J - 20
PPO, Premier
MEANS, JAMIE LPPO, Premier
POTTER, BENNY PPO, Premier
WARD, JAMES RPremier
WILSON, MARK EPremier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 15 of 22
PAULS VALLEYWINTERS, TEVI
Premier
WINTERS, TYLER CPremier
PAWHUSKABULLEIGH, ADAM
PPO, Premier
PAWNEEHENDERSON, G S
Premier
KAEHLER, HENRY PPO, Premier
PERKINSBRASHER, JOSHUA
PPO, Premier
HALLEY, JESSICA MPPO, Premier
MARRIOTT, JUSTIN PPO, Premier
RAZOOK, GEORGE PPO, Premier
THOMPSEN, JOHN PPO, Premier
PERRYCHRZ, BRYAN
Premier
DEWHURST, JAMES PPO, Premier
JAMES, WHITNEY PPO, Premier
PIEDMONTCLIFFORD, GREGORY M
Premier
DURST, DOUGLAS PPO, Premier
RICKEY, ROBERT KPPO, Premier
PONCA CITYBEAVER, AARON
PPO, Premier
BOWMAN, CURTIS J - 10PPO, Premier
BROWN, HAL WPremier
BUCHANAN, AARON Premier
BUGG, CHRIS PPO, Premier
FIELDS, BRYAN Premier
JOHNSON, RYAN Premier
LEWIS, EARNEST Premier
LUNDAY, LAUREN - 10PPO, Premier
PONCA CITYNIPPER, WESLEY E
Premier
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
KERR, JEFFERY HPPO, Premier
KONDOS, THEODORE NPPO, Premier
UDOUJ III, HENRY J - 20PPO, Premier
UDOUJ JR, HENRY J - 20PPO, Premier
YANDELL, KENDRA HPremier
PRAGUEHALL, BARRETT R
PPO, Premier
HUTCHENS, JAY LPPO, Premier
MORRIS, DANIEL EPPO, Premier
PRYORBOREN, KEITH
PPO, Premier
CANNON, DANIEL - 10PPO, Premier
CARDON, CREED PPO, Premier
DOHERTY, MARK RPremier
GORE, JAMES PPO, Premier
HERMAN, ROBERT J - 20PPO, Premier
KAPPLE, FRED APPO, Premier
NIELSEN, ERIC PPO, Premier
RAINS, GEORGE PPO, Premier
PRYORRAINS, RHETT
PPO, Premier
SMITH, LORI Premier
PURCELLHERNDON, JAMES N
PPO, Premier
MEAD, GLENN APremier
SCHMIDT, STEPHANIE PPO, Premier
TIMS, DARWIN JPPO, Premier
TURPIN, RYAN LPremier
ROLANDSPARKMAN, BEAU
PPO, Premier
SALLISAWDOTSON, ANA M
Premier
GIRLINGHOUSE, RONALD KPremier
HENSHAW, AUBREY JPPO, Premier
HUBLER, PARLEY PPO, Premier
MCCREIGHT, DANA JPPO, Premier
MCCREIGHT, TOMMY LPPO, Premier
WELLS, BOB PPO, Premier
WELLS, JAMES SPremier
SAND SPRINGSBOWEN, NATHAN D
PPO, Premier
CARDON, CREED PPO, Premier
CARTER, SPENCER PPO, Premier
CLAWSON, JEFFREY PPO, Premier
CRONIN, PHILLIP PPO, Premier
EMAMI, JUSTIN PPO, Premier
EMAMI, MEHRDAD PPO, Premier
FLINT, CHARLES M - 20PPO, Premier
FOOSHEE, STEVEN WPPO, Premier
HAMMOND, RONALD LPPO, Premier
SAND SPRINGSKASTING, DALE E
PPO, Premier
MACLEOD, BRITTANY PPO, Premier
MILLER, MICHAEL PPO, Premier
NIELSEN, ERIC PPO, Premier
PATTEN, BRIAN DPPO, Premier
RHODES, ANGELA PPO, Premier
ROSS, DANA PPO, Premier
WYATT, WAYNE - 20PPO, Premier
SANDSPRINGSWHITNEY, JACOB
Premier
SAPULPABRELAND, MICHAEL
PPO, Premier
CARLETTI, JOHN APPO, Premier
DOYLE, BRIDGET JPPO, Premier
FIELDS, LONDELL Premier
FRIEDRICH, SPENCER PPO, Premier
HAMMOND, LINDSEY PPO, Premier
HASTY, NEIL PPO, Premier
JOHNSON, COURTNEY PPO, Premier
LEBEDOFF, TYSON PPO, Premier
MAXWELL, LESLEY PPO, Premier
MERRILL, PEGGY PPO, Premier
PITTS, RICHARD SPremier
SAYRERAMEY, DANIEL
PPO, Premier
THORNBROUGH, ROY LPremier
SEILINGSWEARINGEN, DON W
PPO, Premier
SEMINOLEHALL, BARRETT R
PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 16 of 22
SEMINOLEHARRIS, DENNIS W
PPO, Premier
JETT, WILLIAM DPremier
KECK, DAVID WPPO, Premier
MORRIS, DANIEL EPPO, Premier
MURRAY, KEVIN PPO, Premier
SHATTUCKBURRIS, KRISTEN A
Premier
NELS, LEAHA Premier
OLIVE, GARRETT Premier
SHAWNEEALVERSON, GARY D
Premier
BAISDEN, JENNIFER PPO, Premier
BAKER, JAMES - 10PPO, Premier
BARNUM, RAYMOND PPO, Premier
BEHRMANN, MICHAEL C - 20Premier
BOWERS, BLAIRE - 40Premier
BOWERS, BRANDON RPremier
CARLSON, PETER L - 10PPO, Premier
CHAMBERS, CORY PPO, Premier
CONKLING, LEON APPO, Premier
DAVIS, RICHARD GPPO, Premier
DREW, BRIAN EPPO, Premier
ELLIS, RENALLA PPO, Premier
FRAZIER, NATALIE MPPO, Premier
GARAY, WILFREDO PPO, Premier
HENRY, CHRISTINA PPO, Premier
HOECKER, CHAD PPO, Premier
HOPKINS, ERIC Premier
JOHNSON, ROBERT CPPO, Premier
SHAWNEEKADIOGLU, ONUR - 20
Premier
KELLY, MARK PPO, Premier
KNIGHT, MELINDA PPO, Premier
KOONCE, JENNIFER Premier
LARSON, PRISCILLA - 20PPO, Premier
LOESER, BRANDON Premier
LU, DARYN PPO, Premier
MENDENHALL, JACOB W - 10PPO, Premier
METCALF, JAMISON - 10PPO, Premier
MINNIGH, CHRISTOPHER APPO, Premier
MULLASSERIL, ANAITA N - 20PPO, Premier
NANDA, MUNISHA - 20PPO, Premier
NGUYEN, THAO PPO, Premier
SEHORN, MICKEY PPO, Premier
SIMPSON, ROBERT PPO, Premier
STOBBE, JOHN CPPO, Premier
STOBBE, JOHN DPPO, Premier
TODD, TOM NPPO, Premier
WARREN, ROBERT LPPO, Premier
SKIATOOKFOWLER, MICHAEL D
Premier
SELLMEYER, DRAKE PPO, Premier
SELLMEYER, G MPPO, Premier
STEPHENS, MATTHEW CPPO, Premier
VANDIVER, JONAH RPPO, Premier
WILLIAMS II, BRADFORD RPPO, Premier
WILLIAMS, BRADFORD RPPO, Premier
SPENCERBOSTICK, GINA C
PPO, Premier
SPENCERDIGUMARTHI, VENKATA
PPO, Premier
SMITH, CURTIS LPPO, Premier
SPERRYSMITH, JUSTEN B
Premier
SPIROFISHER, KEIFER L
Premier
STIGLERHOANG, ANTON
PPO, Premier
SWINK, JOE FPremier
STILLWATERBARNUM, RAYMOND
PPO, Premier
BASSETT, SARA Premier
BRORSEN, RUSSELL PPO, Premier
CHUN, DAVID KPPO, Premier
COFFEY, J WPPO, Premier
DAUGHERTY, DARRELL W - 15PPO, Premier
GARAY, WILFREDO PPO, Premier
HALLEY, JESSICA MPPO, Premier
HALLEY, VINCEN JPPO, Premier
HAYNES, JOE PPO, Premier
HETRICK, C NPremier
HOECKER, CHAD PPO, Premier
JOHNSON, ROBERT CPPO, Premier
JUNGERS, R KPPO, Premier
KENDRICK, STEPHANIE PPO, Premier
KENNEMER, CHANDA - 30PPO, Premier
KIERL, PETER - 20PPO, Premier
KIERL, T PHILIP - 20PPO, Premier
KNIGHT, MELINDA PPO, Premier
LAUVETZ-ENMEIER, JENNIFER LPPO, Premier
STILLWATERLESLIE, CHRISTOPHER M
Premier
MCLAREN, MARK PPO, Premier
MCNICKLE, ZACH PPO, Premier
METCALF, CLINT Premier
MILLER, RICHARD - 10PPO, Premier
MILLER, STEPHEN HPPO, Premier
MOORE, ROBERT LPremier
NGUYEN, THAO PPO, Premier
SADLER, DARRELL LPremier
SETHMAN, ROSS E - 10PPO, Premier
SPAULDING, CRAIG Premier
WALKER, JASON DPPO, Premier
WARREN, ROBERT LPPO, Premier
STILWELLCATRON, CHAD A
Premier
CRITTENDEN, ROBERT PPO, Premier
STROUDBOWERS, BLAIRE - 40
Premier
FRANCIS, BRETT PPO, Premier
SULPHURCOKER, MARGARET A
Premier
HOBBS, RANDI MPremier
PETTIGREW, JANNA LPremier
TAHLEQUAHALLISON, ERROL
PPO, Premier
GEASLAND, JOHN APremier
GREENE, KEIRA PPO, Premier
HODGSON, MATTHEW PPO, Premier
LOGUE, DON Premier
MARTIN, KIPPY GPremier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 17 of 22
TAHLEQUAHMCCONNELL, THOMASON
Premier
OAS, THOMAS Premier
RADER, PAUL EPPO, Premier
ROUSE, BRANT PPO, Premier
SMITH, MARK DPPO, Premier
WALKER, JOHN PPPO, Premier
WALKER, MATTHEW EPPO, Premier
WEBB, ROBERT PPPO, Premier
TALIHINAMCNATT, KYLE
PPO, Premier
TECUMSEHHALL, BARRETT R
PPO, Premier
HALL, LINDSAY PPO, Premier
MORRIS, DANIEL EPPO, Premier
MURRAY, KEVIN PPO, Premier
SIMS, CHARLES APPO, Premier
TISHOMINGOAUSTIN, RON E
Premier
COLLIER, SHANETHA PPO, Premier
MUSZYNSKI, JEFFREY PPO, Premier
PARKS, JUSTIN Premier
RAND, JENNIFER LPremier
TONKAWACAMPBELL, SARAH
Premier
TULSAAKBERALI, ALIAKBER F
PPO, Premier
ALDRICH, TIM PPO, Premier
AMILIAN, RICHARD SPremier
ANDERSON, G PPO, Premier
ANDREGG, MARK - 20PPO, Premier
TULSAANDRUS, CHRISTIAN J
PPO, 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
BARNUM, RAYMOND PPO, Premier
BATY, BENSON Premier
BEATTY, CALYSTA PPO, Premier
BELLER, KATHRYN PPO, Premier
BENNETT, JILL APremier
BERKLACY, STEVEN PPO, Premier
BINGHAM, SETH BPremier
BLACK, WESLEY NPPO, Premier
BLYTHE, FRED BPPO, Premier
BONNER, PAUL S - 30PPO, Premier
BOREN, KEITH PPO, Premier
BOWEN, NATHAN DPPO, Premier
BOYER, TRAVIS LPPO, Premier
BROERMANN, JEFFREY PPO, Premier
BROOKS, TIM JPremier
BROWN JR, RICHARD LPremier
BROWN, STEPHANIE PPO, Premier
BUBERT, JOHN RPremier
BULLEIGH, AARON PPO, Premier
BUNTEMEYER, CRAIG EPPO, Premier
TULSABURKE, CHRISTOPHER
PPO, Premier
BURKITT, JENNIFER PPO, Premier
BUSSMAN, CHRIS PPO, Premier
CALHOUN, CHARLES Premier
CANADY, RICHARD CPremier
CANNON, CHANGA PPO, Premier
CANNON, DANIEL - 10PPO, Premier
CARDON, CREED PPO, 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
CHILLAR, MAYA PPO, Premier
CHRISTOPHER, LESLIE PPO, Premier
CLENDENEN, LLON H - 20PPO, Premier
COBBLE, JAN LPremier
COLOMBIN, JACK BPPO, Premier
COOPER, JONATHAN S - 20PPO, Premier
COOPERMAN, BENJAMIN PPO, Premier
CORNELL, NEIL RPremier
COSTELLO, SEAN PPO, Premier
COURSEY, RYAN MPPO, Premier
CRONIN, PHILLIP PPO, Premier
DAVIES III, WALTER MPPO, Premier
TULSADAVIS, MARK M
PPO, Premier
DEVADHASON, HANNAH RPPO, Premier
DIETERLEN, BRETT BPPO, Premier
DIGGES, JOSEPH KPremier
DO, HUGH TPPO, Premier
DUDLEY, CRAIG SPPO, Premier
EDWARDS, KERRY - 30PPO, 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
FISHER, GARY - 30PPO, 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
FRIEDRICH, SPENCER PPO, Premier
GACHES, MARK PPO, Premier
GAMBLE, THOMAS LPremier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 18 of 22
TULSAGARAY, WILFREDO
PPO, Premier
GARNER, KENNETH PPO, Premier
GEORGY, DALIA PPO, Premier
GERETY, GRANT - 30PPO, Premier
GERKIN, BENJAMIN JPPO, Premier
GILL, DEBORIA FPPO, Premier
GLENN, STEPHEN OPremier
GOLBEK, ERIC PPO, Premier
GONZALEZ, A FELIPE - 15PPO, Premier
GOOD, WARREN Premier
GRAHAM, RANDALL KPPO, Premier
GREER, JERRY - 10PPO, Premier
GRIFFITHS, DANIEL JPPO, Premier
GRIMES, EDWARD W - 15PPO, Premier
GROOM, STANLEY SPremier
GROVES, JOHN EPPO, Premier
GUERRERO, ANDRE - 10PPO, Premier
HACKLER, JAMES - 10PPO, Premier
HALL, JASON RPPO, Premier
HALL, SCOTT R - 40PPO, Premier
HAMMOND, LINDSEY PPO, Premier
HANNA, MARIAM PPO, Premier
HARE, L PPO, Premier
HARGETT, NESLIHAN EPPO, Premier
HASTY, NEIL PPO, Premier
HAUGHT, WILLIAM RPPO, Premier
HELMERICH, LINDSEY PPO, Premier
HENRICH, FRANKLIN JPPO, Premier
HENRY, BLAKE - 20PPO, Premier
TULSAHERMAN, ROBERT J - 20
PPO, Premier
HINKLE, C MIKE Premier
HOANG, ANTON PPO, Premier
HOECKER, CHAD PPO, Premier
HOLLEMAN, ARTHUR LPPO, Premier
HOLLEMAN, VALERIE PPO, Premier
HOLMAN, SARAH PPO, Premier
HOPPER, AMELIA PPO, Premier
HORANI, MOIZ PPO, Premier
HORN, BRUCE DPremier
HOSIER, M J - 20PPO, Premier
HOWARD, BRANDT PPO, Premier
HOWARTH, KEVIN JPremier
HOWL, MIKE SPPO, Premier
HUDSON, LLOYD - 10PPO, Premier
HUNTER, NICK SPremier
JACKSON, MELISSA PPO, Premier
JAMES, LARRY FPPO, Premier
JANITZ, ROGER E - 10PPO, Premier
JOHNSON, COURTNEY PPO, Premier
JOHNSON, EUGENIA M - 15PPO, Premier
JOHNSON, J BERT PPO, Premier
JOHNSON, ROBERT CPPO, Premier
JORISHIE, JACOB WPPO, Premier
JUMP, DAVID PPO, Premier
KAPPLE, FRED APPO, Premier
KEITHLINE, CHARLES R - 30PPO, Premier
KIRKPATRICK, DOUGLAS A - 20PPO, Premier
KIRKPATRICK, THOMAS B - 20PPO, Premier
TULSAKNIGHT, MELINDA
PPO, Premier
KNOWLES, TREVOR PPO, Premier
KUBELKA, MICHAEL J - 15PPO, Premier
KUENNING, GARY LPPO, Premier
LAI, APRIL - 30PPO, Premier
LAI, JOSEPH - 20PPO, Premier
LANDERS, JOHN APPO, Premier
LARD, JOHN BPPO, Premier
LARSON, PRISCILLA - 20PPO, Premier
LE, MICHAEL PPO, Premier
LEVINSON, MARTI Premier
LI, FEIYA - 30PPO, Premier
LOONEY, JOSHUA CPPO, Premier
LOWE, PHILLIP PPO, Premier
LUSK, STEVEN Premier
MADAMBA, JORGE PPO, Premier
MARSHALL HAYS, MOLLY MPPO, Premier
MARSHALL, TED PPO, Premier
MASSARO, MARK EPremier
MASTERS, DANIEL PPO, Premier
MASTIN, CHRISTOPHER R - 10PPO, Premier
MATHIS, DALE RPremier
MAXEY, JIM PPO, Premier
MAXWELL, LESLEY PPO, Premier
MCCORMICK, GENE WPremier
MCDOUGALL, HUGH Premier
MCGEE, ARNIE DPPO, Premier
MCGINNITY, THOMAS PPO, Premier
MERRILL, PEGGY PPO, Premier
TULSAMILES, JEFF A
Premier
MOHANNA, PARNAM PPO, Premier
MOHSENI BEHBAHANI, SHIMA PPO, Premier
MOOSAVI, MOHSEN PPO, Premier
MORROW, MARK E - 30PPO, Premier
MOSE III, JOHN DPremier
MUKKARA, MAMATA PPO, Premier
NAUMAN, ANGIE PPO, Premier
NELLIS, NICOLE PPO, Premier
NGUYEN, THAO PPO, Premier
NGUYEN, TRUYEN DPPO, Premier
NICHOLSON, JASON - 40PPO, Premier
NICK, JERRY BPPO, Premier
NIELSEN, ERIC PPO, Premier
NOAH, RYAN PPO, Premier
NOWLIN, RYAN V - 20PPO, Premier
NOWLIN, VAN L - 20PPO, Premier
OLIVER, STEVEN DPremier
ORYNICH, CATHERINE - 30PPO, Premier
PARKER, JEFF KPremier
PARKS, BENNETT PPO, Premier
PARKS, KENNETH DPremier
PATE, KAREN PPO, Premier
PATEL, ANAND N - 20PPO, Premier
PATEL, RAJ PPO, Premier
PATTEN, BRIAN DPPO, Premier
PAYAS, GLENDA PPO, Premier
PETTIT, JAY WPPO, Premier
PIEPER, BENJAMIN PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 19 of 22
TULSAPITTMAN, DOUGLAS S
PPO, Premier
POOR, CHRISTINA LPremier
POTTORFF, ADAM LPPO, Premier
POWELL, NATHAN PPO, Premier
PRINCE, LARRY OPPO, Premier
RAY, KENNETH - 40PPO, Premier
REEDER, BILLIE TPPO, Premier
RIDDEL, ROSS PPO, Premier
RIGDON, TERRY FPremier
RIGGS, MICHAEL LPPO, Premier
RISNER, RON DPremier
RITTER, ZACK - 15PPO, Premier
ROBERTS, RYAN S - 30PPO, Premier
ROBINS, BRANDON PPO, Premier
ROGERS, THOMAS - 10PPO, Premier
ROGERS, WILLIAM BPPO, Premier
RORABAUGH, DAVID PPO, Premier
ROSS, ROBIN MPPO, Premier
ROULSTON, JOANNA PPO, Premier
ROULSTON, TYSON PPO, Premier
SALAYTA, MUHANNAD PPO, Premier
SCHEUERMAN, DAVID PPO, Premier
SCHOEFFLER, JERRY SPremier
SCHULTZ, JOHN FPPO, Premier
SEGNAR, RANDY PPO, Premier
SESSOM, JEFFERY WADE PPO, Premier
SHANNON, KYLE - 20PPO, Premier
SHANNON, PATRICK - 20PPO, Premier
SHEPHERD, MICHAEL PPPO, Premier
TULSASHUTE, GEORGE A
PPO, Premier
SMITH II, EDDIE PPO, Premier
SMITH, BRICE LPPO, Premier
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
SULLIVAN, CARLA Premier
SUSMAN, MARC LPremier
SUTHAR, PRAGNA PPO, Premier
SWISHER, BRENDON MPPO, Premier
TALIAFERRO, CHELSEA - 30PPO, Premier
TARR, DANIEL EPPO, Premier
TEMPLETON, C K - 10PPO, Premier
TULSATHOMAS, DAVID L
PPO, Premier
THOMPSON, BRANDI BPPO, Premier
THOMPSON, WESLEY PPO, Premier
TIERNAN, MARK DPremier
TINKER, TERRY PPO, Premier
TODD, DEAN OPremier
TODD, TOM NPPO, Premier
TOLER, SHANNON Premier
TOOLE, MICHAEL PPO, Premier
TRAN, TRUNG T - 40PPO, Premier
TRICINELLA, CHRISTOPHER PPO, Premier
TRICINELLA, KENNETH DPPO, Premier
TROCKEL, CHRIS - 20PPO, 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
VROOME, KYLE M - 20PPO, Premier
WAGNER, SCOTT Premier
WANN, S LPremier
WARLICK, DANIEL PPO, Premier
WARLICK, MATTHEW EPremier
WARREN, ROBERT LPPO, Premier
WEBSTER, CHAD PPO, Premier
WEILACHER, JASON Premier
WENDELKEN, AMANDA PPO, Premier
TULSAWHENRY, LAUREN M
PPO, Premier
WHITE, STEVEN VPremier
WHITNEY, MARK EPPO, Premier
WILLIAMS, ALEXANDER DPPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
WILLIAMS, THOMAS GPPO, Premier
WINDER, RONALD L - 30PPO, Premier
WINTERS, KEVIN 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
TUTTLECHASTAIN, BRIAN G
PPO, Premier
MCCAN, JERRY DPremier
MORGAN, JOHN Premier
TYRONEKEYES, CAROLYN
Premier
VIANCOFFEE, LOGAN
PPO, Premier
VINITAHERMAN, ROBERT J - 20
PPO, Premier
JOURDAN, THOMAS BPremier
MAYER, STEPHEN Premier
MAYER-WARD, JANDRA Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 20 of 22
WAGONERCRAIG, MICHAEL
PPO, Premier
HARMAN, AARON PPO, Premier
WARR ACRESBARNUM, RAYMOND
PPO, Premier
CLARK, FRANKLIN PPO, Premier
GARAY, WILFREDO PPO, Premier
HOECKER, CHAD PPO, Premier
JOHNSON, ROBERT CPPO, Premier
KNIGHT, MELINDA PPO, Premier
LIU, QIONG AMY PPO, Premier
NGUYEN, THAO PPO, Premier
TODD, TOM NPPO, Premier
WARREN, ROBERT LPPO, Premier
WATONGACHAMBERS, CORY
Premier
EDSALL, ROBERT DPremier
JOHNSON, ARTHUR Premier
LINAN, MARIA Premier
PROUD, NATHAN NPremier
SCOVILLE, ANDREA MPPO, Premier
TURPIN, ASHLEA Premier
WAURIKACHILES, RICHARD E
Premier
WEATHERFORDBURRILL, CARAH
PPO, Premier
CARLSON, PETER L - 10PPO, Premier
DIXON, STEPHEN PPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
STEPHENS, BRIAN LPPO, Premier
URANECK, WILL WPremier
WEATHERFORDVILLINES, NATHAN
PPO, Premier
WILLIAMS, RYAN P - 20PPO, Premier
WOOD, JOHN CPremier
WOOLFORD, PATRICIA PPO, Premier
WETUMKANELSON, E M
PPO, Premier
WEWOKABROWNING, CHRISTOPHER
PPO, Premier
WILBURTONLAWSON, AYAN
Premier
OSTERHOUT, CASEY Premier
WOODWARDAITSON, MICHAEL E
Premier
HUNTER, W RPremier
JOHNSON, SIDNEY PPO, Premier
POWELL, PHILLIP WPPO, Premier
RIGGS, L DOUGLAS PPO, Premier
TEVEBAUGH, LESLIE APremier
WHITE, MORI KPPO, Premier
WHITE, TERI DPPO, Premier
YADON, W TPremier
WYNNEWOODLEDBETTER, LES
Premier
YUKONASHMORE, GLENN A
PPO, Premier
BERG, TAMARA Premier
BOCKUS, MARIE DPremier
BOHLE III, GEORGE C - 50PPO, Premier
BRACKETT, RYAN - 30PPO, Premier
BRAMMER JR, JEFFREY PPO, Premier
BRASHER, JOSHUA PPO, Premier
YUKONBURRILL, CARAH
PPO, Premier
CARLSON, PETER L - 10PPO, Premier
CASE, JAY CPPO, Premier
CODY DUNNINGTON, KATHARINE Premier
COHENOUR, AARON TPPO, Premier
COHENOUR, PATRICK TPPO, Premier
COLE, MATTHEW DPremier
DAUPHIN, JEROMY WPPO, Premier
DEASON, DAVID EPremier
DUFFEL, WESLEY APPO, Premier
DUKES, PATRICK JASON Premier
FLEMING, JOSEPH PPO, Premier
GERMAN, TRACEY PPO, Premier
GOELZ, CHRISTOPHER PPO, Premier
HAYNES, JOE PPO, Premier
HERREN, STEPHEN WPPO, Premier
HIGGINSON, JAKE PPO, Premier
HINSON, ANGEL PPO, Premier
HOANG, DAVID PPO, Premier
HOANG, DAVID TPPO, Premier
HOUSLEY, COURTNEY PPO, Premier
HUFFAKER, LAUREN Premier
JOHNSON, DAMON LPPO, Premier
JOHNSON, RICHARD L - 10PPO, Premier
KEASTER, LANDON PPO, Premier
MARRIOTT, JUSTIN PPO, Premier
MAULDIN, ALAN Premier
MAY-JONES, AUDREY LPPO, Premier
MCCAN, JERRY DPPO, Premier
YUKONMCCULLOUGH, S - 20
Premier
MCCUNE, DALE - 20Premier
MESIKEP, MARK PPO, Premier
MILLER, MARLO - 20PPO, Premier
MIYAKE, ALAN A - 10PPO, Premier
NGUYEN, KALVIN PPO, Premier
NGUYEN, TUNG NPPO, Premier
OPHUS, KELLIE PPO, Premier
PATEL, AMIT PPO, Premier
PATEL, CHANDANI PPO, Premier
PATEL, SNEHA PPO, Premier
PHUNG, LONG PPO, Premier
POITEVIEN, JEMIMA - 30PPO, Premier
RASHEED, OMAR PPO, Premier
RECKNAGEL, CHRIS Premier
REITER, DAVID RPremier
RHODES, TOBY MPPO, Premier
RIGGS, L DOUGLAS Premier
ROMERO-DELMASTRO, ALEJANDRO A - 20
Premier
SALOUS, YOUSEF PPO, Premier
SCOTT, CHARLES PPO, Premier
SEBOURN, JOSEPH PPPO, Premier
SHERRY, CATHERINE Premier
SPIELMANN, GREGORY APPO, Premier
STEPNIEWSKI, ADAM PPO, Premier
TA, SERENA PPO, Premier
TAYLOR, BRYAN RPremier
TEMPLETON, C K - 10PPO, Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 21 of 22
YUKONTRAN, ROSANNA
PPO, Premier
TUCKER, JOSEPH PPO, Premier
USHERENKO, SVETLANA PPO, Premier
VU, VAN PPPO, Premier
WALLACE, JASON PPO, Premier
WEAVER, ZANE MPremier
WILLBANKS, JAMES MPPO, Premier
WILLINGHAM, RICK LPremier
WYATT, SCOTT Premier
Prepared on 11/18/2016 Delta Dental of Oklahoma PPO and Premier Network Providers Page 22 of 22