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Page 1: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 2: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 3: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 4: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 5: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 6: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 7: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 8: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 9: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 10: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 11: DELTA DENTAL PPO & PREMIER NETWORK

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

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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

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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

Page 14: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 15: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 16: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 17: DELTA DENTAL PPO & PREMIER NETWORK

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

Page 18: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 19: DELTA DENTAL PPO & PREMIER NETWORK

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

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Page 20: DELTA DENTAL PPO & PREMIER NETWORK

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

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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

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Page 22: DELTA DENTAL PPO & PREMIER NETWORK

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

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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

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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

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