Dentist Providers In Tulsa, Oklahoma

Search Dentist NPI records in Tulsa, OK

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Tulsa, OK. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 609, of which 223 are registered as organizations and 386 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

63% Individuals

37% Organizations

16% Female

47% Male

63% Individual Providers (386)37% Medical Organizations (223)16% Female Providers (97)47% Male Providers (289)

Map of Providers

We have mapped the Dentist providers in Tulsa, OK to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Tulsa, OK
NPI	Name	Address	Insurance	Medicare	PECOS
1003072927	PARNAM MOHANNA DDS, PLLC (Organization)	5505 S PEORIA AVE TULSA, OK 74105 (918) 743-2347		Non-Participating Provider	NO
1003220088	DAVID SCOTT SCHEUERMAN (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6902	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Taro Health Plan TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1003314329	SEBASTIAN GUTIERREZ DE PINERES (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 641-4635	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1013021039	WAYNE NOLAN WYATT (Individual)	9840 E 81ST ST STE 100 TULSA, OK 74133 (918) 496-1155	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana	Non-Participating Provider	NO
1013066927	MICHAEL KUBELKA (Individual)	4606 E 67TH ST STE 201 TULSA, OK 74136 (918) 494-4144	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental	Non-Participating Provider	NO
1013079425	DAVID O MARKS (Individual)	6565 S. YALE AVE #1101 TULSA, OK 74136 (918) 481-4900		Non-Participating Provider	NO
1013150242	JOHN D. MOSE III D.D.S. P.C. MOSE FAMILY DENTISTRY (Organization)	8316 E 61ST ST SUITE 109 TULSA, OK 74133 (918) 294-9750		Non-Participating Provider	NO
1013187186	DENNY W SOUTHARD (Individual)	6565 S YALE AVE STE 712 TULSA, OK 74136 (948) 481-6622		Non-Participating Provider	NO
1013201052	TERRY R BENNETT DMD INC (Organization)	1616 S DENVER AVE TULSA, OK 74119 (918) 582-8651		Non-Participating Provider	NO
1013337518	OKC DENTAL HEALTH ASSOCIATES, P.C. MYDENTIST-MIDTOWN ORAL SURGERY (Organization)	1420 S LEWIS AVE TULSA, OK 74104 (918) 492-1780		Non-Participating Provider	NO
1013353325	APEX ENDODONTICS, PLLC (Organization)	5010 E 68TH ST SUITE 202 TULSA, OK 74136 (918) 493-3500		Non-Participating Provider	NO
1013458744	SKYVIEW FAMILY DENTAL NEW HORIZONS PRACTICE MANAGEMENT (Organization)	5314 S YALE AVE TULSA, OK 74135 (918) 492-3003		Non-Participating Provider	NO
1023321361	JAMIE ARIANA (Individual)	4329 S PEORIA AVE STE 335 TULSA, OK 74105 (918) 346-6016		Non-Participating Provider	YES
1023379930	KRISTIE LYNN VINSON (Individual)	5119 E 81ST ST TULSA, OK 74137 (918) 492-1917	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1023484284	CHRISTIAN SHAUN MIRABAL (Individual)	3150 E 41ST ST STE 131 TULSA, OK 74105 (918) 749-1639	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1023798709	WOODWARD ORAL SURGERY LLC (Organization)	4617 E 91ST ST TULSA, OK 74137 (918) 492-6994	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1033290309	JOHN BERTRUM JOHNSON (Individual)	4715 E 91ST ST 110 TULSA, OK 74137 (918) 744-1255	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1033571104	ALEXANDER D. WILLIAMS, D.D.S., P.C. ASPEN DENTAL (Organization)	5510 E 41ST ST SUITE C TULSA, OK 74135 (918) 641-4635	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1043349855	DONAL R WOODWARD (Individual)	6143 E 91ST ST TULSA, OK 74137 (918) 492-6994	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1043383367	BRICE LANCE SMITH (Individual)	3120 EAST 81ST STREET TULSA, OK 74137 (918) 494-9070	Blue Cross and Blue Shield of Alabama Guardian Humana	Non-Participating Provider	NO
1043485741	RANDALL SEGNAR DDS PC (Organization)	4608 S HARVARD AVE STE B TULSA, OK 74135 (918) 749-4621		Non-Participating Provider	NO
1043526213	LLON HURST CLENDENEN (Individual)	3305 E 45TH ST TULSA, OK 74135 (918) 743-2315	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1043903073	CONNOR MICHAEL DAUGHERTY (Individual)	2112 S ATLANTA PL TULSA, OK 74114 (580) 548-3354	Guardian	Non-Participating Provider	NO
1053306142	DAN ELDON PATTERSON (Individual)	9118 S TOLEDO AVE TULSA, OK 74137 (918) 495-1800		Non-Participating Provider	NO
1053411124	FRED A KAPPLE (Individual)	3345 S HARVARD AVE TULSA, OK 74135 (918) 743-8539	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1053606624	CREED CARDON (Individual)	6827 S MEMORIAL DR STE D&E TULSA, OK 74133 (918) 872-7140	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Nebraska Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO DentaQuest Insurance Company-MO Dominion National Florida Combined Life Guardian Health Advantage Humana Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1053875690	HERO DENTAL OF OKLAHOMA PC (Organization)	7715 E 91ST ST STE A TULSA, OK 74133 (918) 872-7009		Non-Participating Provider	NO
1063125375	MSDG PLLC (Organization)	3920 E 91ST ST TULSA, OK 74137 (918) 496-2481		Non-Participating Provider	NO
1063507440	WALTER M DAVIES (Individual)	7614 E 91ST STE 120 TULSA, OK 74133 (918) 477-7774	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1063537975	CARRIE D SESSOM (Individual)	7104 S SHERIDAN RD STE 8 TULSA, OK 74133 (918) 392-7654	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Maybe Accepts Medicare	YES
1063780732	JENNI BURKITT D.D.S. PLLC (Organization)	9729 E 79TH ST TULSA, OK 74133 (918) 250-5030		Non-Participating Provider	NO
1073556734	RICHARD STEVEN AMILIAN (Individual)	6911 S 66TH E AVE SUITE 300 TULSA, OK 74133 (918) 493-1886	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1073613204	CHADWICK NATHAN WEBSTER (Individual)	8190 S MEMORIAL DR TULSA, OK 74133 (918) 307-0307	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1073752002	NEIL RICHARD CORNELL (Individual)	6565 S YALE AVE SUITE 1105 TULSA, OK 74136 (918) 481-4949	Humana	Non-Participating Provider	NO
1073780821	MEHRDAD EMAMI (Individual)	7320 S YALE AVE SUITE A TULSA, OK 74136 (918) 496-8010	BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1083114516	APNEA BREATHING CLINIC OF TULSA, PLLC APNEA BREATHING CLINIC OF TULSA (Organization)	1616 S DENVER AVE TULSA, OK 74119 (918) 582-1539		Non-Participating Provider	NO
1083350144	JOHNATHAN VO (Individual)	5676 W SKELLY DR STE A TULSA, OK 74107 (918) 446-0128	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1083454607	PRESTIGE DENTAL, PLLC (Organization)	10010 E 81ST ST STE 200 TULSA, OK 74133 (918) 494-8666	UnitedHealthcare	Non-Participating Provider	NO
1083621353	SHANNON KAYE TOLER (Individual)	611 S PEORIA AVE TULSA, OK 74120 (918) 747-6453		Non-Participating Provider	NO
1083661227	KENNETH DAVID TRICINELLA (Individual)	6128 E 61ST ST TULSA, OK 74136 (918) 496-8268	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1083832133	VAN L. NOWLIN D.D.S.,M.S.D.,INC. (Organization)	5010 E 68TH ST SUITE 200 TULSA, OK 74136 (918) 492-6464		Non-Participating Provider	NO
1093181935	MOIZ HORANI (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 832-1123	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093329260	JONATHAN CHU-MING SOETANDIO (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 641-4635	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1093504292	CALEB TAYLOR RUFF (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6568		Non-Participating Provider	NO
1093725913	EDWARD WILLIAM GRIMES (Individual)	6112 E 61ST ST TULSA, OK 74137 (918) 492-9415	Guardian	Non-Participating Provider	NO
1104041920	JONATHAN SCOTT COOPER (Individual)	3916 E 91ST ST TULSA, OK 74137 (918) 488-8889	Guardian	Non-Participating Provider	NO
1104130533	SETH BRADFORD BINGHAM (Individual)	5676 W SKELLY DR STE A TULSA, OK 74107 (918) 446-0128	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1104186113	CHALMERS RIEGER WOOD (Individual)	3520 E 31ST ST TULSA, OK 74135 (918) 742-2488		Non-Participating Provider	YES
1104272913	HEALTHY SMILES FAMILY DENTISTRY PLLP HEALTHY SLEEP TULSA (Organization)	1326 E 43RD CT STE 100 TULSA, OK 74105 (918) 749-0303		Non-Participating Provider	NO
1104925650	JOSEPH KENT DIGGES (Individual)	8137 E 63RD PL TULSA, OK 74133 (918) 254-9373		Opted out of Medicare	YES
1114094372	TULSA GALLERIA OF SMILES LLC (Organization)	7320 S YALE AVE SUITE A TULSA, OK 74136 (918) 496-8010		Non-Participating Provider	NO
1114096682	MATTHEW WARLICK (Individual)	4712 E 51ST ST TULSA, OK 74135 (918) 459-9090	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1114184488	JERRY B. FINNELL,DDS (Organization)	1623 S PEORIA AVE TULSA, OK 74120 (918) 585-2254		Non-Participating Provider	NO
1114191038	CHARLES M. HINKLE DDS (Organization)	1768 S UTICA AVE TULSA, OK 74104 (918) 745-0994		Non-Participating Provider	NO
1114249190	FOX BROERMANN PEDIATRIC DENTISTRY OF TULSA SARAH FOX BROERMANN (Organization)	6585 S YALE AVE STE 510 TULSA, OK 74136 (918) 492-1106		Non-Participating Provider	NO
1114287091	ON THE CUSP PEDIATRIC DENTISTRY, PLLC (Organization)	8222 E 103RD ST STE 133 TULSA, OK 74133 (918) 970-4944		Non-Participating Provider	NO
1114445285	T-TOWN SMILES, PC (Organization)	6565 S YALE AVE # 1107 TULSA, OK 74136 (918) 481-4922		Non-Participating Provider	NO
1114538063	UTICA FAMILY DENTISTRY PLLC (Organization)	1720 S UTICA AVE TULSA, OK 74104 (918) 712-0000		Non-Participating Provider	NO
1114710670	CHRISTIAN TRAN DOAN (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965		Non-Participating Provider	NO
1114903127	PAMELA G. LOW (Individual)	2538 E 21ST ST TULSA, OK 74114 (918) 742-6321		Non-Participating Provider	NO
1114912128	PAUL B STRAHAN DDS INC (Organization)	15 W 6TH ST STE 1615 TULSA, OK 74119 (918) 587-1303		Non-Participating Provider	NO
1114978509	BRUCE DAVID HORN (Individual)	7990 S SHERIDAN RD TULSA, OK 74133 (918) 492-9090	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1124094982	WESLEY NEILL BLACK (Individual)	6112 E 61ST STREET TULSA, OK 74136 (918) 745-0500	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1124192687	JAMES S. TORCHIA, DDS, INC. (Organization)	6565 S YALE AVE SUITE 510 TULSA, OK 74136 (918) 492-4822		Non-Participating Provider	NO
1124199807	BLAKE R. HENRY (Individual)	7705 E 81ST ST TULSA, OK 74133 (918) 294-7705	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124237821	DOUGLAS A KIRKPATRICK (Individual)	5304 S HARVARD AVE TULSA, OK 74135 (918) 747-1346	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124525902	MOLLY MARSHALL HAYS, DDS, PLLC MARSHALL FAMILY DENTISTRY (Organization)	8830 S YALE AVE TULSA, OK 74137 (918) 492-6200		Non-Participating Provider	NO
1124710801	GAVIN HUMPHREY MARTINDALE (Individual)	710 W 71ST ST TULSA, OK 74132 (918) 262-8925	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1124818471	COLE MCKAY FROST (Individual)	12911 E 31ST ST STE A TULSA, OK 74134 (539) 476-4994		Non-Participating Provider	NO
1134135239	NEIL HASTY (Individual)	5424 S MEMORIAL DR SUITE D-1 TULSA, OK 74145 (918) 280-0880	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1134387160	JOHN J FONDER DMD INC (Organization)	1444 SOUTH NORFOLK AVENUE TULSA, OK 74120 (918) 747-8802		Non-Participating Provider	NO
1144361262	KATHRYN G HENRY (Individual)	5319 S LEWIS AVE STE 222 TULSA, OK 74105 (918) 742-1987	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1144487448	CHRISTOPHER P MCKINNEY DDS, PC DENTAL DESIGNS (Organization)	9671B RIVERSIDE PKWY TULSA, OK 74137 (918) 299-5399		Non-Participating Provider	NO
1144507781	DR.S LOWE, NGUYEN & DO (Organization)	4157 S HARVARD AVE STE 119 TULSA, OK 74135 (918) 743-8133	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1144561622	SPRING DENTAL PLLC (Organization)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1144662271	JOSHUA LEE SORENSON (Individual)	2321 E 3RD ST TULSA, OK 74104 (918) 622-0641	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Taro Health Plan TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1144667395	SPRING DENTAL-PEORIA, PLLC (Organization)	4955 S. PEORIA AVE TULSA, OK 74105 (918) 872-7140	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1144795121	MAGNOLIA FAMILY DENTAL CARE PLLC (Organization)	6939 S 66TH EAST AVE TULSA, OK 74133 (918) 492-3771	UnitedHealthcare	Non-Participating Provider	NO
1154156172	TULSA CITY DENTAL TCD, PLLC (Organization)	5639 E 41ST ST TULSA, OK 74135 (918) 622-3353		Non-Participating Provider	NO
1154328227	JAMES WILSON HACKLER (Individual)	3811 E. 51 ST. TULSA, OK 74135 (918) 492-1780	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1154351500	WAYNE SCOTT HARRINGTON (Individual)	2111 S ATLANTA PL TULSA, OK 74114 (918) 743-9929		Non-Participating Provider	NO
1154436475	REBECCA ANN WYATT (Individual)	5196 S YALE AVENUE TULSA, OK 74135 (918) 664-1888	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1154623403	MINT DENTAL, PLLC (Organization)	4329 S PEORIA AVE STE 335 TULSA, OK 74105 (918) 346-6016		Non-Participating Provider	NO
1154876258	TULSA MODERN DENTAL (Organization)	3345 S HARVARD AVE SUITE 302 TULSA, OK 74135 (918) 591-3535		Non-Participating Provider	NO
1154988277	JEREMY RYAN ARCHER (Individual)	4606 E 67TH ST STE 312 TULSA, OK 74136 (918) 494-4445	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Medica Taro Health Plan UnitedHealthcare	Non-Participating Provider	NO
1164315032	MIDTOWN DENTAL STUDIO PLLC (Organization)	3150 E 41ST ST STE 141 TULSA, OK 74105 (918) 731-2885		Non-Participating Provider	NO
1164471199	HUGH M MCDOUGALL (Individual)	4433 S HARVARD AVE TULSA, OK 74135 (918) 742-8775	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Taro Health Plan TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1164504635	NADIA WHEELER (Individual)	2321 E. 3RD ST TULSA, OK 74104 (918) 710-4480		Non-Participating Provider	NO
1164511275	STEVEN VANCE WHITE (Individual)	7912 E 31ST CT SUITE 120 TULSA, OK 74145 (918) 663-5538	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1164611729	SURE-BITE INC. SURE BITE DENTAL (Organization)	8110 EAST 21ST STREET TULSA, OK 74129 (918) 622-5700		Non-Participating Provider	NO
1164627956	CHRISTOPHER DAVID TRICINELLA (Individual)	6128 E 61ST ST TULSA, OK 74136 (918) 628-0834	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1164688388	BERT G FRANKLIN (Individual)	6565 S YALE AVE SUITE 1012 TULSA, OK 74136 (918) 492-7886		Non-Participating Provider	NO
1164689592	TERRY L VANDALE DDS INC (Organization)	6565 S YALE #1106 TULSA, OK 74136 (918) 481-4970		Non-Participating Provider	NO
1164798757	HERO DENTAL OF TULSA PC ADVENTURE DENTAL OF TULSA (Organization)	4955 S PEORIA AVE TULSA, OK 74105 (719) 576-1850		Non-Participating Provider	NO
1164815395	JOHN F CARLETTI DDS PROF CORP CARLETTI DENTISTRY & ASSOCIATES (Organization)	2808 E. 101ST ST. TULSA, OK 74137 (918) 299-5399	UnitedHealthcare	Non-Participating Provider	NO
1174037212	NOOR A SHARRAK (Individual)	9840 E 81ST ST STE 101 TULSA, OK 74133 (217) 540-5100	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1174565790	L KENT SHACKLETT (Individual)	3305 E 45TH ST TULSA, OK 74135 (918) 743-2315	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1174669527	KIRKPATRICK & LAI DDS INC PC (Organization)	5304 S HARVARD AVE TULSA, OK 74135 (918) 747-1346		Non-Participating Provider	NO
1174754154	FRANKLIN JOHN HENRICH (Individual)	7905 E 106TH ST TULSA, OK 74133 (918) 528-6555	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas CommunityCare Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1174754238	RANCH ACRES FAMILY DENTISTRY PC (Organization)	3247 S HARVARD AVE TULSA, OK 74135 (918) 747-1133		Non-Participating Provider	NO
1174780696	FAMILY DENTAL CARE OF TULSA (Organization)	5510 S MEMORIAL DR STE D TULSA, OK 74145 (918) 627-6364		Non-Participating Provider	NO
1174808810	BINGHAM & HOWARTH FAMILY DENTISTRY (Organization)	6971 E 71ST ST TULSA, OK 74133 (918) 492-7010		Non-Participating Provider	NO
1174885818	JUSTIN MASSEEH EMAMI (Individual)	7320 S YALE AVE SUITE A TULSA, OK 74136 (918) 496-8010	Aetna CVS Health Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO	Non-Participating Provider	NO
1174974737	MOHSEN MOOSAVI (Individual)	6716 E PINE ST TULSA, OK 74115 (918) 836-6884	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1184290298	ROZAN BURKAN (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 641-4635	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1184600199	KAREY R. LOW (Individual)	2538 E 21ST ST TULSA, OK 74114 (918) 742-6321		Non-Participating Provider	NO
1184843633	APRIL ANN LAI (Individual)	2930 S PITTSBURG AVE TULSA, OK 74114 (918) 742-9810	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1184898264	GARRY E. ANDERSON, D.M.D., INC. (Organization)	4415 S HARVARD AVE STE 102 TULSA, OK 74135 (918) 742-2096		Non-Participating Provider	NO
1184969669	DENTAL HEALTH ASSOCIATES OF TEXAS, PC. TULSA HILLS DENTAL CARE (Organization)	7153 S OLYMPIA AVE TULSA, OK 74132 (539) 777-0225	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1194000521	STEVEN A. BERKLACY, D.D.S., INC. (Organization)	6144 S LEWIS AVE TULSA, OK 74136 (918) 743-0700		Non-Participating Provider	NO
1194257543	DENTAL PROFESSIONALS OF OKLAHOMA, PC GLISTEN DENTAL CARE OF TULSA (Organization)	9840 E 81ST ST STE 101 TULSA, OK 74133 (918) 254-8686	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1194579607	COOPER A LYNCH (Individual)	6139 E 91ST ST TULSA, OK 74137 (918) 492-8577	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1205019825	KENNETH GARNER, DDS, INC, PC (Organization)	3150 E 41ST ST SUITE #100 TULSA, OK 74105 (918) 742-1480		Non-Participating Provider	NO
1205021284	MAX D. BIRD (Individual)	10124 S SHERIDAN RD STE A TULSA, OK 74133 (918) 528-6555	Guardian	Non-Participating Provider	NO
1205033016	NESLIHAN E HARGETT DDS PLLC (Organization)	4515 E. 91ST STREET SUITE 101 TULSA, OK 74137 (918) 749-5033		Non-Participating Provider	NO
1205095270	EDWARD W GRIMES DDS INC ENDODONTIC ASSOCIATES OF TULSA (Organization)	6112 E 61ST ST TULSA, OK 74136 (918) 492-9415		Non-Participating Provider	NO
1205097946	RYAN SCOTT ROBERTS (Individual)	4444 S HARVARD AVE STE 100 TULSA, OK 74135 (918) 970-4944		Non-Participating Provider	NO
1205127081	PRISCILA JOY JELSING (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1205204468	SMILE STOP DENTAL, LLC (Organization)	9063 E 31ST ST TULSA, OK 74145 (918) 336-1262		Non-Participating Provider	NO
1205319795	CARTER & HIGGINS ORTHODONTICS PLLC (Organization)	3232 E 31ST ST TULSA, OK 74105 (918) 986-9986	UnitedHealthcare	Non-Participating Provider	NO
1205421773	DYLAN DROEGE (Individual)	3101 S SHERIDAN RD TULSA, OK 74145 (918) 551-7216	Ambetter from Absolute Total Care Ambetter of North Carolina Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1205443306	SHANNON CANDID OF OKLAHOMA, P.C. (Organization)	624 S DENVER AVE STE 300 TULSA, OK 74119 (860) 481-7631		Non-Participating Provider	NO
1205847571	ROGER SCOTT ANDREWS (Individual)	6109 E ADMIRAL PL TULSA, OK 74115 (918) 832-9608	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1205933710	JOSEPH BRIAN SHOOP (Individual)	3345 S HARVARD AVE TULSA, OK 74135 (918) 743-8539	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1215054820	LAURIE LYNN SOUTHARD (Individual)	5010 E 68TH ST SUITE 104 TULSA, OK 74136 (918) 493-3880	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Opted out of Medicare	YES
1215173562	STANLEY S GROOM DDS AND ASSOCIATES PC (Organization)	5801 E 41ST ST SUITE 500 TULSA, OK 74135 (918) 628-0311		Non-Participating Provider	NO
1215194147	BENSON L BATY (Individual)	7335 S LEWIS AVE SUITE 206 TULSA, OK 74136 (918) 496-1051	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1215696364	MICHAEL WYNN AND ASSOCIATES LLC (Organization)	4608 S HARVARD AVE STE A TULSA, OK 74135 (918) 742-7351		Non-Participating Provider	NO
1215942602	G CHRIS BUSSMAN (Individual)	6716 E PINE TULSA, OK 74115 (918) 836-6884	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1215986617	MARK EDWARD MASSARO (Individual)	3150 E 41ST STREET STE 141 TULSA, OK 74105 (918) 743-9924	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1225029671	LAWRENCE ELLIOTT SIMS (Individual)	2117 S ATLANTA PL TULSA, OK 74114 (918) 742-7361	Guardian	Non-Participating Provider	NO
1225094535	BRYAN D ARCHER (Individual)	4606 E 67TH ST STE 312 TULSA, OK 74136 (918) 494-4445	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1225163348	SEAN R COSTELLO (Individual)	7104 S SHERIDAN SUITE 8 TULSA, OK 74133 (918) 492-3752	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1225219389	LOW FAMILY DENTISTRY, LLP (Organization)	2538 E 21ST ST TULSA, OK 74114 (918) 742-6321		Non-Participating Provider	NO
1225291289	THANHVAN VU TRAN (Individual)	401 S UTICA AVE STE A TULSA, OK 74104 (918) 599-8383	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental Solstice Healthplans of Texas Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1225302631	SPENCER MASON FRIEDRICH (Individual)	3101 S SHERIDAN RD TULSA, OK 74145 (918) 280-8114	Aetna CVS Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1225349400	LESLEY ANN MAXWELL (Individual)	7104 S SHERIDAN RD SUITE #8 TULSA, OK 74133 (918) 492-1917	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1225566821	LINDA JEANETTE LOSCUITO (Individual)	5540 S 79TH EAST PL TULSA, OK 74145 (918) 663-0284		Non-Participating Provider	NO
1225592868	HERO DENTAL OF OKLAHOMA PC (Organization)	1646 E 6TH ST TULSA, OK 74120 (918) 895-6933		Non-Participating Provider	NO
1225694672	BYRON MATTHEW SCHROEDER (Individual)	9840 E 81ST ST STE 100 TULSA, OK 74133 (918) 273-6609	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Illinois Ambetter of Oklahoma Ambetter of Tennessee Anthem Blue Cross and Blue Shield Florida Combined Life Humana	Non-Participating Provider	YES
1225728785	CROSSROADS DENTAL AND IMPLANTS (Organization)	8149 E 31ST ST TULSA, OK 74145 (918) 665-2676		Non-Participating Provider	NO
1225871957	KELLAN TODD SCHISLER (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1235221235	LLOYD A HUDSON (Individual)	7316 E 91ST ST TULSA, OK 74133 (918) 491-9996	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1235230467	CRAIG STEWART DUDLEY (Individual)	2738 EAST 51ST STREET SUITE 120 TULSA, OK 74105 (918) 749-1747	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1235269804	DAVID LEON MADDOX (Individual)	5010 E 68TH STREET SUITE 202 TULSA, OK 74136 (918) 493-3500	Guardian	Non-Participating Provider	NO
1235340647	JENNIFER SUZANNE BURKITT DOBSON (Individual)	9729 E 79TH ST TULSA, OK 74133 (918) 250-5030	Guardian Humana	Non-Participating Provider	NO
1235366212	HEATH BRYAN COLEMAN OF OKLAHOMA, DDS, PLLC (Organization)	10441 S REGAL BLVD SUITE #235 TULSA, OK 74133 (918) 364-4100	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Louisiana Healthcare Connections Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1235399890	JOHN FREDERICK SCHULTZ (Individual)	8596 E 101ST ST SUITE A TULSA, OK 74133 (918) 369-4440	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1235499211	DREW ENDICOTT (Individual)	2106 S ATLANTA PL TULSA, OK 74114 (918) 743-7444	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1235560194	D-LINK DENTAL NETWORK (Organization)	1647 E 61ST ST TULSA, OK 74136 (888) 748-3990		Non-Participating Provider	NO
1235679440	TULSA PREMIER DENTISTRY, PLLC (Organization)	7891 E 108TH ST STE X4 TULSA, OK 74133 (918) 364-8180		Non-Participating Provider	NO
1245259779	JOHN BUBERT (Individual)	6565 S YALE AVE 910 TULSA, OK 74136 (918) 743-3503	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1245342815	ALIAKBER F. AKBERALI (Individual)	550 S PEORIA AVE TULSA, OK 74120 (918) 588-1900	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1245343383	DONALD TODD JOHNSON (Individual)	6132 E 61ST ST TULSA, OK 74136 (918) 494-8634	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Opted out of Medicare	YES
1245359371	WILLIAM BERNARD WYNN (Individual)	6565 S YALE AVE SUITE 1008 TULSA, OK 74136 (918) 492-0737		Non-Participating Provider	YES
1245367655	DOUGLAS WAYNE JACKSON (Individual)	5540 S 79TH E PLACE TULSA, OK 74145 (918) 663-0284		Non-Participating Provider	NO
1245390426	JEFFREY GREG BROERMANN (Individual)	6585 S YALE AVE STE 510 TULSA, OK 74136 (918) 492-1106		Non-Participating Provider	NO
1245406446	BRYAN D ARCHER, DDS, INC. (Organization)	4606 E 67TH ST BLDG 7, STE 312 TULSA, OK 74136 (918) 494-4445		Non-Participating Provider	NO
1245496611	ASPIRE DENTAL, PLC (Organization)	10032 S SHERIDAN RD STE F TULSA, OK 74133 (918) 298-5544		Non-Participating Provider	NO
1245689371	WESLEY THOMPSON (Individual)	9063 E 31ST ST TULSA, OK 74145 (918) 619-6200	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1245756428	OLAKUNLE AJANAKU (Individual)	4818 EAST 113TH PLACE SOUTH TULSA, OK 74137 (918) 640-2857	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1245777408	SPRING DENTAL EAST TULSA (Organization)	11720 E 21ST ST TULSA, OK 74129 (918) 437-9111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1245916527	LENA PEREZ (Individual)	11720 E 21ST ST TULSA, OK 74129 (918) 437-9111	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255354544	DAVID R WOODARD (Individual)	5010 E 68TH ST SUITE 202 TULSA, OK 74136 (918) 493-3500	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1255447355	CONRAD C CASLER (Individual)	6911 S 66TH EAST AVE SUITE 300 TULSA, OK 74133 (918) 477-7677	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255507224	TIMOTHY E. MOORE, DDS, MS, PC (Organization)	7134 S YALE AVE SUITE #400 TULSA, OK 74136 (918) 494-7676		Non-Participating Provider	NO
1255569802	RACHEL L STANDLEE (Individual)	6911 S 66TH EAST AVE STE 300 TULSA, OK 74133 (918) 493-1886	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	YES
1255717757	REBECCA ANN HUGHES (Individual)	3150 E 41ST ST STE 131 TULSA, OK 74105 (918) 749-1639	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1255907713	OLUWASEUN DAMILARE OLANIRAN (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1265192355	NICOLE A. NELLIS DDS PLLC (Organization)	9314 S DELAWARE AVE TULSA, OK 74137 (918) 518-6305		Non-Participating Provider	NO
1265498612	GLENDA PAYAS (Individual)	5314 S YALE AVE STE. 1100 TULSA, OK 74135 (918) 492-3003		Non-Participating Provider	YES
1265525067	CHARLES MICHAEL HINKLE (Individual)	1768 S UTICA AVE TULSA, OK 74104 (918) 745-0994	Humana	Non-Participating Provider	NO
1265583603	DOUGLAS S PITTMAN (Individual)	6139 E 91ST ST TULSA, OK 74137 (918) 492-8577	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1265641963	THOMAS B KIRKPATRICK (Individual)	5304 S HARVARD AVE TULSA, OK 74135 (918) 747-1346		Non-Participating Provider	NO
1275415929	BRETT SCHAEUBLE (Individual)	8126 S MINGO RD STE 105 TULSA, OK 74133 (920) 851-6820		Non-Participating Provider	NO
1275526881	WILLIAM R EVANS (Individual)	8149 E 31ST ST STE D TULSA, OK 74145 (918) 665-2676	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1275535957	RICHARD DOUGLAS HILL (Individual)	9119 S TOLEDO AVE TULSA, OK 74137 (918) 749-6841		Non-Participating Provider	NO
1275678195	JONAH R.B. VANDIVER (Individual)	7104 S SHERIDAN SUITE 8 TULSA, OK 74133 (918) 492-1917	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1275750184	ROMAN MICHAEL LOBODIAK (Individual)	3232 E 31ST ST TULSA, OK 74105 (918) 743-1558	Guardian	Non-Participating Provider	YES
1275754913	D. MICHAEL SPRADLIN (Individual)	6565 S. YALE AVE. STE.1100 TULSA, OK 74136 (918) 481-4925		Non-Participating Provider	NO
1275755720	JASON R. HALL, D.D.S. (Organization)	6565 S YALE AVE SUITE 1100 TULSA, OK 74136 (918) 481-4925		Non-Participating Provider	NO
1285272500	HERO DENTAL OF GARNETT PC (Organization)	11331 E 31ST ST TULSA, OK 74146 (719) 576-1850	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1285326694	MCKEEVER PHILLIPS AND JAMES (Organization)	302 E RECONCILIATION WAY TULSA, OK 74120 (800) 787-2812		Non-Participating Provider	NO
1285720839	KENNETH W GARNER (Individual)	3150 E. 41ST ST SUITE#100 TULSA, OK 74105 (918) 742-1480		Non-Participating Provider	NO
1285729905	GINA LAVELLA STOLZ (Individual)	3150 E 41ST ST SUITE 131 TULSA, OK 74105 (918) 749-1639	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1285743211	CHRISTINA LEWIS DDS, PC (Organization)	4502 E 41ST ST TULSA, OK 74135 (800) 409-2563		Non-Participating Provider	NO
1285836890	PHILLIP CURTIS LOWE (Individual)	4300 S HARVARD AVE STE 204 TULSA, OK 74135 (918) 743-8133	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1285960526	SMILE CONCEPTS PC NEW SMILE (Organization)	3150 E 41ST ST SUITE 108 TULSA, OK 74105 (918) 742-4500		Non-Participating Provider	NO
1295394211	HOPE RESTORATIVE AND COSMETIC DENTISTRY (Organization)	9445 S MINGO RD STE 120 TULSA, OK 74133 (918) 286-7776		Non-Participating Provider	NO
1295749976	JEFFERY WADE SESSOM (Individual)	4415 S HARVARD AVE STE 102 TULSA, OK 74135 (918) 742-2096	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1295851004	SIMS ORTHODONTICS (Organization)	2117 S ATLANTA PL TULSA, OK 74114 (918) 742-7361		Non-Participating Provider	NO
1295945475	AMY ELIZABETH STONE (Individual)	6565 S YALE AVE SUITE #712 TULSA, OK 74136 (918) 481-6622	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	YES
1306032131	MICHAEL JAMES TOOLE (Individual)	4322 E 51ST ST TULSA, OK 74135 (918) 743-9946	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1306578182	KIRTAN KAUR (Individual)	5301 S LEWIS AVE TULSA, OK 74105 (918) 770-0870	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1306868492	CORBYN L VANBRUNT DDS PC (Individual)	6565 S. YALE AVE. SUITE 1103 TULSA, OK 74136 (918) 481-4910	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1316069891	SEAN COSTELLO (Organization)	7104 S SHERIDAN SUITE 8 TULSA, OK 74133 (918) 492-3752		Non-Participating Provider	NO
1316114333	MILAN JAIN (Individual)	5002 E 106TH ST TULSA, OK 74137 (214) 284-3786	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1316126683	JONAH R B VANDIVER (Organization)	7104 S SHERIDAN RD SUITE 8 TULSA, OK 74133 (918) 492-1917		Non-Participating Provider	NO
1316607229	WHITE COSMETIC AND FAMILY DENTISTRY, PLLC. (Organization)	8126 S MINGO RD STE 105 TULSA, OK 74133 (918) 663-5538		Non-Participating Provider	NO
1316721566	AREON SMITH (Individual)	1420 S LEWIS AVE TULSA, OK 74104 (918) 262-5622	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1316932973	JERRY L GREER (Individual)	2105 E 21ST ST TULSA, OK 74114 (918) 747-4760	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1326054156	VAUGHT, BURCHARD & ASSOC. INC (Organization)	2902 S PITTSBURG AVE TULSA, OK 74114 (918) 748-8868		Non-Participating Provider	NO
1326137357	ARTHUR LEE HOLLEMAN (Individual)	550 S PEORIA AVE TULSA, OK 74120 (918) 588-1900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1326153644	ERIC WAYNE WYATT (Individual)	5196 S YALE AVENUE TULSA, OK 74135 (918) 664-1888	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1326156571	TIMOTHY ALLEN ALDRICH (Individual)	1223 S PEORIA AVE STE B TULSA, OK 74120 (918) 749-4206	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1326421298	REGION DENTAL, LLC (Organization)	3210 E 21ST ST TULSA, OK 74114 (918) 742-5521		Non-Participating Provider	NO
1336400134	RONISHA GALE DURHAM (Individual)	1420 S LEWIS AVE TULSA, OK 74104 (918) 949-4450	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336505015	MARTIN FREDERICK TROCKEL (Individual)	6632 S MEMORIAL DR TULSA, OK 74133 (918) 364-2222	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1336650837	KENNER MISNER (Individual)	3916 E 91ST ST TULSA, OK 74137 (918) 488-8889	Guardian	Non-Participating Provider	NO
1336794817	LYNNA VAN MERKEY (Individual)	2106 S ATLANTA PL TULSA, OK 74114 (817) 908-9812	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1336831015	NARESH K NAIK (Individual)	10004 S MEMORIAL DR TULSA, OK 74133 (918) 505-9237	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1336854231	32TCD PLLC (Organization)	9729 E 79TH ST TULSA, OK 74133 (918) 250-5030	UnitedHealthcare	Non-Participating Provider	NO
1346210168	JEFFREY ROLAND JOHNSON (Individual)	7134 S YALE AVE SUITE 205 TULSA, OK 74136 (918) 523-5080	Guardian	Non-Participating Provider	NO
1346276151	STEPHEN O GLENN (Individual)	5319 S LEWIS AVE SUITE 222 TULSA, OK 74105 (918) 748-8484		Non-Participating Provider	NO
1346311958	STANLEY STUART GROOM (Individual)	5801 E 41ST ST SUITE 500 TULSA, OK 74135 (918) 628-0311		Non-Participating Provider	YES
1346416914	KIMBERLEY A. FIREY, D.D.S., P.C. BROOKTOWNE DENTISTRY (Organization)	1316 E 41ST ST TULSA, OK 74105 (918) 743-1777		Non-Participating Provider	NO
1346445178	STEPHANIE MARIE FLINCHUM (Individual)	9146 S SHERIDAN RD TULSA, OK 74133 (918) 794-0099	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1346465341	CHILDREN'S DENTAL HEALTH CENTER, P.L.C. (Organization)	9006 E 62ND ST SUITE A TULSA, OK 74133 (918) 249-0249	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1346661311	STEPHANIE MCCARTY BROWN (Individual)	3920 E 91ST ST TULSA, OK 74137 (918) 496-2481	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1346732013	LAUREN NICHOLS (Individual)	7707 E 111TH ST STE 105 TULSA, OK 74133 (918) 299-7750	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1346801198	PROGRESSIVE DENTAL CARE OF TULSA, PLLC (Organization)	7614 E 91ST ST STE 120 TULSA, OK 74133 (918) 477-7774	UnitedHealthcare	Non-Participating Provider	NO
1356351662	MLK DENTISTRY INC MORROW AND LAI DDS PC INC (Organization)	2930 S PITTSBURG AVE TULSA, OK 74114 (918) 742-9810	UnitedHealthcare	Non-Participating Provider	NO
1356371652	CHARLES THOMAS EILER (Individual)	8026 S MEMORIAL DR TULSA, OK 74133 (918) 250-9288		Non-Participating Provider	NO
1356402192	ANGIE KAY NAUMAN (Individual)	9840 E 81ST ST STE 101 TULSA, OK 74133 (918) 254-8686	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1356431654	CAROLYN MARIE CAUDLE (Individual)	401 S BOSTON AVE STE 1800 TULSA, OK 74103 (918) 582-3877		Non-Participating Provider	NO
1356487037	L CHRISTOPHER DDS PC LESLIE CHRISTOPHER DDS (Organization)	1638 S CARSON AVE #1112 TULSA, OK 74119 (918) 584-3176		Non-Participating Provider	NO
1356555783	STEVEN ANDREW BERKLACY (Individual)	6144 S LEWIS AVE TULSA, OK 74136 (918) 743-0700	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356579494	ABBY RENEE' YOUNG (Individual)	6801 E ADMIRAL PL TULSA, OK 74115 (405) 762-2166	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1356590954	DR. RICHARD C. CANADY, D.D.S. (Organization)	6116 E 61ST ST TULSA, OK 74136 (918) 523-9200		Non-Participating Provider	NO
1356743397	PASHA MOSTOFI (Individual)	7322 E 91ST ST TULSA, OK 74133 (925) 300-6216	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1356830004	S & B DENTAL, PLLC (Organization)	3150 E 41ST ST TULSA, OK 74105 (918) 749-1639	UnitedHealthcare	Non-Participating Provider	NO
1366103244	SOUTHARD FAMILY DENTAL, LLC (Organization)	6333 S MEMORIAL DR TULSA, OK 74133 (918) 294-1144		Non-Participating Provider	NO
1366552937	JOSEPH L PROSKOVEC DDS PC INC (Organization)	6139 EAST 91ST STREET TULSA, OK 74137 (918) 491-7313		Non-Participating Provider	NO
1366558348	MICHAEL S. HOWL D.D.S.,P.C. (Organization)	3323 E 46TH ST TULSA, OK 74135 (918) 749-1626		Non-Participating Provider	NO
1366641409	ROBERT ESTES (Individual)	1611 S UTICA AVE # 401 TULSA, OK 74104 (918) 527-8423		Non-Participating Provider	NO
1366677601	VICKI HARLESS (Individual)	440 S HOUSTON AVE SUITE 402 TULSA, OK 74127 (918) 581-2236		Non-Participating Provider	NO
1366775140	OB DENTAL, LLC (Organization)	1421 E 13TH ST TULSA, OK 74120 (918) 585-3744	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1366843096	EMILY CARTER (Individual)	3232 E 31ST ST TULSA, OK 74105 (918) 986-9986	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1366881831	CHRIS TROCKEL (Individual)	6632 S MEMORIAL DR TULSA, OK 74133 (918) 364-2222		Non-Participating Provider	NO
1376230698	COURTNEY MICKLE-DITTRICH (Individual)	1334 N LANSING AVE TULSA, OK 74106 (918) 587-2171	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1376335877	ASHTON LEIGH MASON (Individual)	1326 E 43RD CT TULSA, OK 74105 (918) 749-0303		Non-Participating Provider	NO
1376542928	RONALD LYNN WINDER (Individual)	5602 S MEMORIAL DR TULSA, OK 74145 (918) 664-9797		Non-Participating Provider	NO
1376556142	MICHAEL RICHARD STEPHENS (Individual)	8011 S SHERIDAN RD G TULSA, OK 74133 (918) 494-7055	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1376566935	GARY L. KUENNING (Individual)	5021 S FULTON AVE TULSA, OK 74135 (918) 622-0145	Guardian	Opted out of Medicare	YES
1376601112	SUNG YUP JEROME CHA (Individual)	9445 S MINGO RD TULSA, OK 74133 (918) 496-1919		Non-Participating Provider	NO
1376625830	LAWRENCE ANGELO CUZALINA (Individual)	7322 E 91 ST TULSA, OK 74133 (918) 392-0880	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1376722314	WRANY R. SOUTHARD, D.D.S., P.C. (Organization)	6333 S MEMORIAL DR SUITE G TULSA, OK 74133 (918) 294-1144	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1376725051	JERRY L GREER DDS PC (Organization)	2105 E 21ST ST TULSA, OK 74114 (918) 747-4760		Non-Participating Provider	NO
1376734327	DANIEL A WARLICK (Individual)	9908 E 21ST ST TULSA, OK 74129 (918) 384-0099	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1376741058	PHYLLIS CHIANG HIGGINS (Individual)	3232 E 31ST ST TULSA, OK 74105 (918) 986-9986	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1386328862	SANDRA MARIA PEROZO VAZQUEZ (Individual)	9607 E 95TH CT S TULSA, OK 74133 (918) 288-0818		Non-Participating Provider	YES
1386801736	DR. GEORGE A. SHUTE II D.D.S. (Organization)	5314 S YALE AVE SUITE 410 TULSA, OK 74135 (918) 492-7343		Non-Participating Provider	NO
1386839363	MAX D. BIRD, D.D.S., INC. (Organization)	10124 S SHERIDAN RD STE A TULSA, OK 74133 (918) 528-6555		Non-Participating Provider	NO
1386852150	TRACIE GAYLE MALLOY (Individual)	1225 E 19TH ST TULSA, OK 74120 (918) 582-3927		Non-Participating Provider	NO
1386971406	C&C ORTHO PC (Organization)	3916 E 91ST ST TULSA, OK 74137 (918) 488-8889		Non-Participating Provider	NO
1396165254	OKC DENTAL HEALTH ASSOCIATES, P.C. MYDENTIST-MIDTOWN (Organization)	1420 S LEWIS AVE TULSA, OK 74104 (918) 949-4450	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1396197349	JOSHUA DAVID WOODWARD (Individual)	6143 E 91ST ST TULSA, OK 74137 (918) 492-6994	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1396226262	SONALI BANERJEE (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 994-2066	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1396492534	BEN GERKIN, D.D.S., PC (Organization)	4604 S HARVARD AVE STE A TULSA, OK 74135 (918) 749-2509		Non-Participating Provider	NO
1396716726	CHALMERS RIEGER WOOD (Individual)	3520 E 31ST ST TULSA, OK 74135 (918) 742-2488	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	YES
1396752499	W. SCOTT HARRINGTON DMD INC. (Organization)	2111 S ATLANTA PL TULSA, OK 74114 (918) 743-9929		Non-Participating Provider	NO
1396752663	VAN L. NOWLIN (Individual)	5010 EAST 68TH ST. STE 200 TULSA, OK 74136 (918) 492-6464	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1396755476	TERRY W TINKER (Individual)	6565 SO YALE SUITE 603 TULSA, OK 74136 (918) 492-3681	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1407384639	SCOTT DOUGLAS STREET (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 347-6092	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1407398977	PRISCILA J. JELSING, D.D.S., P.L.L.C. (Organization)	2106 S ATLANTA PL TULSA, OK 74114 (918) 743-7444		Non-Participating Provider	NO
1407470743	TARA RENAE LITTLEFIELD (Individual)	1316 E 41ST ST TULSA, OK 74105 (918) 743-1777	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1407900392	MARTI LEA LEVINSON (Individual)	3124 E. 71ST ST SUITE 100 TULSA, OK 74136 (918) 496-1358	Humana	Non-Participating Provider	YES
1417017260	JAN L COBBLE DDS PC (Organization)	8908 SO YALE AVE SUITE 430 TULSA, OK 74137 (918) 496-2481		Non-Participating Provider	NO
1417039090	RONALD KEITH MONTGOMERY (Individual)	2105 E 15TH ST TULSA, OK 74104 (918) 742-2888	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1417082512	RANDALL JEFFREY CROOK (Individual)	5424 S MEMORIAL DR STE A TULSA, OK 74145 (918) 664-6845	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Opted out of Medicare	YES
1417179854	PROSTHETIC DENTISTRY OF TULSA PC PAUL W WILKES DDS MS (Organization)	6565 S YALE AVE STE 505 TULSA, OK 74136 (918) 502-6675		Non-Participating Provider	NO
1417609447	ALVA DENTAL STUDIO PLLC TULSA SCULPTED SMILES (Organization)	4415 S HARVARD AVE STE 102 TULSA, OK 74135 (918) 742-2096	UnitedHealthcare	Non-Participating Provider	NO
1417624578	DENTAL DEPOT OF I-44 & GARNETT, PLLC (Organization)	1302 S GARNETT RD TULSA, OK 74128 (539) 476-5123	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1417940743	GARY H SMITH (Individual)	5424 S MEMORIAL DR SUITE D1 TULSA, OK 74145 (918) 280-0880	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1417978867	THOMAS LEONARD MCGINNITY (Individual)	3747 E 11TH ST TULSA, OK 74112 (918) 834-2330	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1427055441	JERRY WAYNE SMITH (Individual)	6565 S YALE AVE TULSA, OK 74136 (918) 492-1106		Non-Participating Provider	NO
1427058999	RYAN V NOWLIN (Individual)	5010 E 68TH ST TULSA, OK 74136 (918) 492-6464	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian UnitedHealthcare	Non-Participating Provider	NO
1427154749	LARRY O PRINCE DDS AND ASSOC (Organization)	2047 W EDISON ST TULSA, OK 74127 (918) 584-9300		Non-Participating Provider	NO
1427212372	CHRISTOPHER CHARLES VINSON (Individual)	7104 S SHERIDAN RD STE 8 TULSA, OK 74133 (918) 492-3752	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1427379809	JOHN MICHAEL ROGERS (Individual)	3101 S SHERIDAN RD TULSA, OK 74145 (918) 551-7216	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427431303	MAZEN NAAMAN (Individual)	3210 E 21ST ST TULSA, OK 74114 (918) 742-5521	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1427452309	CHIMNEY HILLS DENTAL (Organization)	7901 S SHERIDAN RD SUITE A TULSA, OK 74133 (918) 492-0412		Non-Participating Provider	NO
1427512060	HERO DENTAL OF OKLAHOMA PC (Organization)	602 S UTICA AVE TULSA, OK 74104 (918) 585-3744		Non-Participating Provider	NO
1437163284	MICHAEL J. HOSIER, DDS, MS, PC (Organization)	9101 S TOLEDO AVE TULSA, OK 74137 (918) 523-4999		Non-Participating Provider	NO
1437296118	RONALD ALLEN VANTUYL (Individual)	3223 E 31ST ST SUITE 108 TULSA, OK 74105 (918) 743-9946		Non-Participating Provider	NO
1437323466	TED L MARSHALL DMD INC (Organization)	8830 S YALE AVE TULSA, OK 74137 (918) 492-6200		Non-Participating Provider	NO
1437438579	DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY (Organization)	4608 S HARVARD AVE SUITE C TULSA, OK 74135 (918) 743-1351		Non-Participating Provider	NO
1437721834	BRANDON HALLS (Individual)	6911 S 66TH EAST AVE STE 300 TULSA, OK 74133 (918) 477-7677	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447270848	RAJ M PATEL (Individual)	10130 S MEMORIAL DR TULSA, OK 74133 (918) 369-3024	Aetna CVS Health Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental PPO Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1447363932	ROBERT GRANT GERETY (Individual)	4606 E 67TH ST SUITE 310 TULSA, OK 74136 (918) 493-3031	Humana	Non-Participating Provider	NO
1447439898	DANNY STOS (Individual)	3150 E 41ST ST SUITE100 TULSA, OK 74105 (918) 742-1480	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1447472824	MICHAEL L. ENGELBRECHT, PC (Organization)	6565 SOUTH YALE AVENUE SUITE 1104 TULSA, OK 74136 (918) 492-9420		Non-Participating Provider	NO
1447545355	DALIA GEORGY (Individual)	9146 S SHERIDAN RD TULSA, OK 74133 (918) 794-0099	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1457468183	FRANCIS L SOMMER (Individual)	401 S UTICA AVE SUITE A TULSA, OK 74104 (918) 599-8383	Guardian	Non-Participating Provider	NO
1457518961	PEDIATRIC DENTISTRY OF TULSA P.C. (Organization)	5602 S MEMORIAL DR TULSA, OK 74145 (918) 664-9797		Non-Participating Provider	NO
1457579534	JAY FRANK ANDERSON (Individual)	6565 S YALE AVE STE. 1008 TULSA, OK 74136 (918) 492-0737		Non-Participating Provider	NO
1457678039	WEST TULSA DENTAL CENTER (Organization)	5031 S 33RD WEST AVE TULSA, OK 74107 (918) 352-3312		Non-Participating Provider	NO
1457709438	JUSTIN MICHAEL YOUNG (Individual)	5319 S LEWIS AVE 222 TULSA, OK 74105 (918) 742-1987	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1457734113	NATHANIEL GRAY HEINSOHN (Individual)	6565 S YALE AVE TULSA, OK 74136 (918) 743-1558	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1457896649	SPRING DENTAL SPECIALTY, PLLC (Organization)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6568	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1467680231	KEITHLINE DIGITAL IMAGING LLC UTICA IMAGING (Organization)	1421 E 13TH ST TULSA, OK 74120 (918) 585-3744		Non-Participating Provider	NO
1467755371	DENTAL DEPOT OF TULSA (Organization)	2145 S SHERIDAN RD TULSA, OK 74129 (405) 832-1123	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1467889394	SPRING ORTHODONTICS TULSA (Organization)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140		Non-Participating Provider	NO
1477346682	YOANNA AVINA (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965		Non-Participating Provider	NO
1477618411	MICHAEL LEE ENGELBRECHT (Individual)	6565 S YALE AVE SUITE 1104 TULSA, OK 74136 (918) 492-9420		Non-Participating Provider	YES
1477676682	JERRY S SCHOEFFLER (Individual)	5416 SO YALE AVE STE 100 TULSA, OK 74135 (918) 492-9711	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1477728145	CHARLES CALHOUN DDS, PC (Organization)	10016 S MINGO RD SUITE B TULSA, OK 74133 (918) 250-8861		Non-Participating Provider	NO
1477852804	RYAN JOHN BAKER (Individual)	9101 S TOLEDO AVE STE A TULSA, OK 74137 (918) 523-4999	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1477937100	JASON HOLLAND (Individual)	5314 S YALE AVE #1100 TULSA, OK 74135 (918) 492-3003	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1487069530	NICOLE ANN NELLIS (Individual)	9314 S DELAWARE AVE TULSA, OK 74137 (918) 518-6305	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1487420352	ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC (Organization)	11916 S OXFORD AVE STE 103 TULSA, OK 74137 (918) 994-7645	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1497082762	HUGH TRAN DO (Individual)	4157 S HARVARD AVE SUITE #119 TULSA, OK 74135 (918) 743-8133	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1497205660	CDHC, PLLC (Organization)	9006 E 62ND ST STE. A TULSA, OK 74133 (918) 249-0249		Non-Participating Provider	NO
1497537534	JORDAN PIERCE DDS (Organization)	2902 S PITTSBURG AVE TULSA, OK 74114 (918) 748-8868		Non-Participating Provider	NO
1497637623	JOHNATHAN VO, D.M.D., P.L.L.C. (Organization)	5676 W SKELLY DR STE A TULSA, OK 74107 (918) 446-0128		Non-Participating Provider	NO
1497752422	JIM MAXEY (Individual)	5930 E 31ST ST SUITE 600 TULSA, OK 74135 (918) 742-2424	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1497840581	MARK COLLEN FAULKNER (Individual)	5416 SOUTH YALE SUITE # 125 TULSA, OK 74135 (918) 496-1100	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1497865828	GARY WILLIAM FINCHER (Individual)	6971 E 71ST ST TULSA, OK 74133 (918) 492-7010		Non-Participating Provider	NO
1497888200	TERRY F. RIGDON (Individual)	6030 S 66TH EAST AVE TULSA, OK 74145 (918) 494-8666		Non-Participating Provider	NO
1508031899	JAMES G. STEYER JR., D.D.S., P.C. ALL SMILES PEDIATRIC & ADOLESCENT DENTISTRY (Organization)	10127 S YALE AVE TULSA, OK 74137 (918) 299-1600		Non-Participating Provider	NO
1508073438	GREGORY D SEGRAVES (Individual)	6132 E 61ST ST TULSA, OK 74136 (918) 494-8634	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	YES
1508218389	CHRISTOPHER BURKE (Individual)	3811 E 51ST ST TULSA, OK 74135 (918) 933-5260	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1508650532	B. LANCE SMITH DDS PLLC (Organization)	3120 E 81ST ST TULSA, OK 74137 (918) 494-9070		Non-Participating Provider	NO
1508660044	ANJALI PATEL (Individual)	9006 E 62ND ST TULSA, OK 74133 (414) 288-6790		Non-Participating Provider	NO
1508876178	ROBERT L WARREN (Individual)	6801 E ADMIRAL PL TULSA, OK 74115 (918) 836-8366	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1508940743	STEPHEN JAMES GERKIN (Individual)	4433 S HARVARD AVE. TULSA, OK 74135 (918) 742-8775		Non-Participating Provider	NO
1518257062	DAVID ERVIN JUMP (Individual)	2105 E 15TH ST TULSA, OK 74104 (801) 318-8315	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1518369362	MICHAEL HOSIER (Individual)	9101 S TOLEDO AVE TULSA, OK 74137 (918) 523-4999	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1518950088	RANDALL K GRAHAM (Individual)	9006 E 62ND ST SUITE A TULSA, OK 74133 (918) 249-0249		Non-Participating Provider	NO
1528027091	RYAN V. NOWLIN DDS, MS, PC (Organization)	5010 E. 68TH ST., SUITE 200 TULSA, OK 74136 (918) 492-6464		Non-Participating Provider	NO
1528053170	GAYLE A DENNEHY (Individual)	1334 N LANSING AVE TULSA, OK 74106 (918) 295-6145		Non-Participating Provider	NO
1528174836	ERNEST M NELSON (Individual)	10125 S SHERIDAN SUITE A TULSA, OK 74133 (918) 299-7474	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental	Non-Participating Provider	NO
1528296423	MEGHAN CHRISTINE HODGES (Individual)	10031 S YALE AVE STE 104 TULSA, OK 74137 (918) 528-3330	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1528379211	MOLLY MARGARET HAYS (Individual)	8830 S YALE AVE TULSA, OK 74137 (918) 492-6200	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1538205042	GARY JOE WOOD (Individual)	3247 S HARVARD AVE TULSA, OK 74135 (918) 747-1133	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538273891	KERRY KERR KITTERMAN (Individual)	2930 S PITTSBURG AVE TULSA, OK 74114 (918) 742-9810	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1538322789	KYLE M VROOME (Individual)	2117 S ATLANTA PL TULSA, OK 74114 (918) 742-7361	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1538328372	SMITH GENERAL DENTISTRY, INC. (Organization)	3912 E 31ST ST TULSA, OK 74135 (918) 747-0850		Non-Participating Provider	NO
1538333596	ARNOULD DENTAL PC (Organization)	7311 S LEWIS AVE TULSA, OK 74136 (918) 496-3377		Non-Participating Provider	NO
1538365572	ALLEN C KEENAN (Individual)	3808 E 51 ST SUITE E TULSA, OK 74135 (918) 749-5033	Guardian	Non-Participating Provider	NO
1538462932	AFFORDABLE DENTURES & IMPLANTS - OKLAHOMA, PLLC (Organization)	7336 S OLYMPIA AVE TULSA, OK 74132 (918) 446-2700	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1538574520	JEFFREY CLAWSON (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dominion National Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1548262314	WILLIAM M NYQUIST (Individual)	11720 E 21ST ST SUITE A TULSA, OK 74129 (918) 437-9111	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1548277114	DEAN O. TODD (Individual)	7134 S. YALE SUITE 100 TULSA, OK 74136 (918) 439-2444		Non-Participating Provider	NO
1548287154	DALE ROBERT MATHIS (Individual)	5404 S MEMORIAL DR SUITE A TULSA, OK 74145 (918) 663-5215	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1548353790	RANDALL RICHARD SEGNAR (Individual)	4608-B SOUTH HARVARD AVE TULSA, OK 74135 (918) 749-4621	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	YES
1548472137	JAMES F. OWENS DDS MS PC AQUA DENTAL (Organization)	10507 E 91ST STREET SUITE 410 TULSA, OK 74133 (918) 455-7700	UnitedHealthcare	Non-Participating Provider	NO
1548478381	ANAND N. PATEL P.C. (Organization)	4550 S HARVARD AVE TULSA, OK 74135 (918) 749-8817		Non-Participating Provider	NO
1548492531	SIGNATURE SMILES OF TULSA (Organization)	6565 S YALE AVE STE 1012 TULSA, OK 74136 (918) 492-7886		Non-Participating Provider	NO
1548779135	DENTAL DEPOT OF I-44 & HARVARD, PLLC (Organization)	4770 S. HARVARD AVE. TULSA, OK 74135 (918) 742-2123	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1558304592	STEVEN O LUSK (Individual)	9815 E 51ST ST TULSA, OK 74146 (918) 664-9995	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1558365213	WILLIAM F LETCHER (Individual)	5522 S LEWIS AVE TULSA, OK 74105 (918) 743-4496		Non-Participating Provider	NO
1558373498	KIRK GAMMELL (Individual)	7320 S YALE AVE STE B TULSA, OK 74136 (918) 496-2499	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1558550863	JAMES ALDEN SELLERS (Individual)	4608 SOUTH HARVARD AVE STE A TULSA, OK 74135 (918) 742-7351		Non-Participating Provider	NO
1558852459	KYLE SIKES (Individual)	6565 S YALE AVE STE 1104 TULSA, OK 74136 (918) 492-9420	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1568467504	DEBORIA FRANCES GILL (Individual)	6141 E 91ST ST STE 204 TULSA, OK 74137 (918) 747-4444	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1568477271	BRETT BUCHANAN DIETERLEN (Individual)	3015 E 91ST ST TULSA, OK 74137 (918) 299-2400	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Humana	Non-Participating Provider	NO
1568525509	THOMAS MATTHEW ROGERS (Individual)	2105 E 21ST ST TULSA, OK 74114 (918) 747-4760	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1568637262	WARREN L. GOOD, D.D.S., P.C. (Organization)	2112 S ATLANTA PL TULSA, OK 74114 (918) 743-6151		Non-Participating Provider	NO
1568757532	BENNETT JOE PARKS (Individual)	550 S PEORIA AVE TULSA, OK 74120 (918) 588-1900	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1568882066	OKC DENTAL HEALTH ASSOCIATES, P.C. MY DENTIST-MIDTOWN ORTHODONTICS (Organization)	1420 S LEWIS AVE TULSA, OK 74104 (918) 794-8101		Non-Participating Provider	NO
1578581476	CHANGA H. CANNON (Individual)	7458 S OLYMPIA AVE TULSA, OK 74132 (202) 489-3661	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	YES
1578732434	CHARLES H MCINNIS (Individual)	8110 E 21ST ST TULSA, OK 74129 (918) 622-5700		Non-Participating Provider	NO
1578874509	SAMUEL OWENS (Individual)	602 S UTICA AVE TULSA, OK 74104 (918) 585-3744	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1588071823	RYAN COURSEY (Individual)	7891 E 108TH ST SUITE X-4 TULSA, OK 74133 (918) 849-7548	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1588490916	NOOR AL DULAIMI (Individual)	8149 E 31ST ST TULSA, OK 74145 (918) 665-2676		Non-Participating Provider	NO
1588799555	BENJAMIN J. GERKIN (Individual)	4604 S HARVARD AVE STE A TULSA, OK 74135 (918) 749-2509	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1588863393	CLINTON DRAKE STEVENS (Individual)	616 S BOSTON AVE STE 308 TULSA, OK 74119 (918) 587-1303	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598213092	SARAH MARCELLA CHILTON (Individual)	6911 S 66TH EAST AVE SUITE 300 TULSA, OK 74133 (918) 493-1886	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Arkansas Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598433278	TANGELO ORTHODONTICS, PLLC (Organization)	9101 S TOLEDO AVE STE A TULSA, OK 74137 (918) 523-4999		Non-Participating Provider	NO
1598490195	RITIKA SINGH (Individual)	9840 E 81ST ST TULSA, OK 74133 (918) 273-6609	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1598508483	BLAKE LENIHAN SMITH (Individual)	3120 E 81ST ST TULSA, OK 74137 (918) 494-9070	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1598707895	KENNETH THOMAS BEZAN (Individual)	5555 E 71ST ST SUITE 9210 TULSA, OK 74136 (918) 524-3366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1598742751	JAMES GEORGE STEYER (Individual)	10127 S YALE AVE TULSA, OK 74137 (918) 299-1600	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Maybe Accepts Medicare	YES
1598789083	DAVID HAN WONG (Individual)	4604 S HARVARD AVE SUITE B TULSA, OK 74135 (918) 749-1850		Opted out of Medicare	YES
1598935793	CHRISTOPHER D. TRICINELLA, D.D.S., PLLC (Organization)	6128 E 61ST ST TULSA, OK 74136 (918) 628-0834		Non-Participating Provider	NO
1609018548	PEDIATRIC DENTAL GROUP, LLC (Organization)	1421 E 13TH ST TULSA, OK 74120 (918) 585-3744	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1609161157	JASON M WEILACHER (Individual)	3520 E 31ST ST TULSA, OK 74135 (918) 742-2488	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	YES
1609564988	JORDAN MICHAEL PIERCE (Individual)	2902 S PITTSBURG AVE TULSA, OK 74114 (918) 748-8868	Guardian	Non-Participating Provider	NO
1609885938	KRISHNA & V.R., P.C. PRAGNA H SUTHAR, DDS (Organization)	8929 S MEMORIAL DR SUITE # 290 TULSA, OK 74133 (918) 254-0135	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1609890722	ROBERT W. OLIVER II, DDS, INC. (Organization)	25 E 21ST ST TULSA, OK 74114 (918) 584-6448		Non-Participating Provider	NO
1609984525	ROBERT A AUGSBURGER (Individual)	4606 E 67TH ST BLDG 7 SUITE 201 TULSA, OK 74136 (918) 494-4144		Non-Participating Provider	NO
1609995695	KIMBERLEY ANN FIREY (Individual)	1316 E 41ST ST TULSA, OK 74105 (918) 743-1777	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1619147816	DENNIS E SMITH DDS PC (Organization)	5620 S MEMORIAL DR TULSA, OK 74145 (918) 664-8156	UnitedHealthcare	Non-Participating Provider	NO
1619166840	DR. RANDY MCCORMICK, P.C., INC. (Organization)	5505 S PEORIA AVE TULSA, OK 74105 (918) 743-2346		Non-Participating Provider	NO
1619199239	TULSA ENDODONTIC ASSOCIATES (Organization)	6565 S YALE AVE SUITE 712 TULSA, OK 74136 (918) 481-6622		Non-Participating Provider	NO
1619291762	LARRY D. LANDER D.D.S.,M.S. INC (Organization)	6132 E 61ST ST TULSA, OK 74136 (918) 494-8634		Non-Participating Provider	NO
1619296639	DANIEL GRIFFITHS (Individual)	3345 S HARVARD AVE STE 102 TULSA, OK 74135 (918) 743-8539	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	NO
1619563525	LPFD PLLC (Organization)	5319 S LEWIS AVE STE 222 TULSA, OK 74105 (918) 742-1987		Non-Participating Provider	NO
1619697588	SLEEP APNEA CARE PLLC (Organization)	7104 S SHERIDAN RD STE 8 TULSA, OK 74133 (918) 392-7654		Non-Participating Provider	NO
1619711983	SAHAR JIWANI (Individual)	1005 W 71ST ST TULSA, OK 74132 (918) 877-1388	BEST Life Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1619931755	JENNIFER SUZANNE COOK (Individual)	401A S UTICA AVE TULSA, OK 74104 (918) 599-8383		Non-Participating Provider	NO
1629076500	CRAIG CAMERON HINE (Individual)	602 S UTICA AVE TULSA, OK 74104 (918) 585-3744	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1629291463	NESLIHAN E. HARGETT (Individual)	4515 E. 91ST STREET SUITE 101 TULSA, OK 74137 (918) 749-5033	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1629297197	MARK MORROW (Individual)	2930 S PITTSBURG AVE TULSA, OK 74114 (918) 742-9810	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1629363817	F PHILIP ARCHER DDS PLLC F PHILIP ARCHER DDS PLLC (Organization)	9224 S TOLEDO CT TULSA, OK 74137 (918) 938-6161		Non-Participating Provider	NO
1629498506	OKC DENTAL HEALTH ASSOCIATES, P.C. LIFETIME DENTISTRY OF SOUTH TULSA (Organization)	9146 S SHERIDAN RD TULSA, OK 74133 (918) 794-0099	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1629819404	JORGE ANIBAL LAGUNA SANDOVAL (Individual)	7811 E 71ST ST STE B TULSA, OK 74133 (918) 878-7803	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1639589005	HANNAH RANJINI MCMILLON (Individual)	602 S UTICA AVE TULSA, OK 74104 (918) 585-3744	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Arkansas Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arkansas Health Advantage Octave Renaissance Dental	Non-Participating Provider	NO
1649287442	RONALD W. ANDERSON (Individual)	7134 S YALE AVE SUITE 205 TULSA, OK 74136 (918) 523-5080		Non-Participating Provider	NO
1649287970	NICHOLAS SCOTT HUNTER (Individual)	5319 S LEWIS AVE SUITE 222 TULSA, OK 74105 (918) 742-1987	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1649315896	BONNIE L ARNOULD (Individual)	7311 S LEWIS AVE TULSA, OK 74136 (918) 496-3377	Humana	Non-Participating Provider	YES
1649383779	JOHN ALLEN LANDERS (Individual)	4322 E 51ST ST TULSA, OK 74135 (918) 743-9946	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649387580	MARC STEPHEN CHALKIN (Individual)	2321 E 3RD ST TULSA, OK 74104 (918) 622-0641		Non-Participating Provider	NO
1649416876	JOHNSON AND SOUTHARD ENDODONTICS (Organization)	5010 E 68TH ST SUITE 104 TULSA, OK 74136 (918) 493-3880		Non-Participating Provider	NO
1649591033	CALLIE D BOUZIDEN (Individual)	6565 S YALE AVE SUITE 1100 TULSA, OK 74136 (918) 481-4900	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	YES
1649686288	DAVID LEE RORABAUGH (Individual)	9908 E 21ST ST TULSA, OK 74129 (918) 384-0099	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1649928052	ROGERS DENTAL GROUP (Organization)	9999 S MINGO RD STE S TULSA, OK 74133 (918) 524-4000		Non-Participating Provider	NO
1649974171	ALONDRA YAHANNY DOMINGUEZ (Individual)	3811 E 51ST ST TULSA, OK 74135 (918) 933-5260		Non-Participating Provider	NO
1659164440	MANAS SAI KOMMAREDDI (Individual)	1302 S GARNETT RD TULSA, OK 74128 (539) 217-0491		Non-Participating Provider	NO
1659314300	GEORGE A. SHUTE (Individual)	5314 S YALE AVE TULSA, OK 74135 (918) 492-7343	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	YES
1659443455	THOMAS LEE GAMBLE (Individual)	5151 E 51ST STE 104 TULSA, OK 74135 (918) 743-6414	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1659960649	SMILE DOCTORS OF OKLAHOMA PC (Organization)	4550 S HARVARD AVE TULSA, OK 74135 (918) 749-8817	UnitedHealthcare	Non-Participating Provider	NO
1669149944	TIMOTHY WAYNE ELLIS (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6568	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1669412391	TED L MARSHALL (Individual)	8830 S YALE AVE TULSA, OK 74137 (918) 492-6200	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Renaissance Dental	Non-Participating Provider	YES
1669467999	JAMES LOUIS WEST (Individual)	9119 S TOLEDO AVE TULSA, OK 74137 (918) 749-6841		Non-Participating Provider	NO
1669833851	MBC DENTAL SMILES 4 LIFE (Organization)	401 S. UTICA AVE #A TULSA, OK 74104 (918) 895-6568	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma UnitedHealthcare	Non-Participating Provider	NO
1679732515	DR. WILLIAM PAUL SOMMER (Organization)	6465 S YALE AVE STE 722 TULSA, OK 74136 (918) 481-7755		Non-Participating Provider	NO
1679748354	MIDTOWN DENTISTRY,INC (Organization)	3345 S HARVARD AVE SUITE 102 TULSA, OK 74135 (918) 743-8539		Non-Participating Provider	NO
1679791636	RAYMOND DALE CLOCK (Individual)	3419 E ADMIRAL PL TULSA, OK 74115 (918) 834-1587		Non-Participating Provider	NO
1679902415	SOONER DENTAL CARE PLLC (Organization)	3150 E 41ST ST STE 100 TULSA, OK 74105 (918) 742-1480		Non-Participating Provider	NO
1689058497	BRANDT HOWARD (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Aetna CVS Health Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1689714677	DALE MANUEL (Individual)	3101 S. SHERIDAN RD MY DENTIST TULSA, OK 74145 (918) 551-7216	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1689719841	FORREST ARNOULD (Individual)	7311 S LEWIS AVE TULSA, OK 74136 (918) 496-3377	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1689831604	MICHAEL STEVEN HOWL (Individual)	3323 E 46TH ST TULSA, OK 74135 (918) 749-1626	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1689835076	LAUREN M WHENRY (Individual)	11916 S. OXFORD STE. 103 TULSA, OK 74137 (918) 994-7645	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1689852667	THOMAS G.WILLIAMS, INC,P.C DENTISTRY BY DESIGN (Organization)	4618 N FRANKFORT AVE TULSA, OK 74126 (918) 425-1376		Non-Participating Provider	NO
1689908121	JOHN E GROVES (Individual)	10125A SOUTH SHERIDAN RD TULSA, OK 74134 (918) 299-7474	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1699025122	WAYNE N. WYATT, DDS, MS, PC (Organization)	9840 E 81ST ST STE 100 TULSA, OK 74133 (918) 496-1555		Non-Participating Provider	NO
1699035592	JOANNA KATHRYN ROULSTON (Individual)	5031 S 33RD WEST AVE TULSA, OK 74107 (918) 446-6100	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental	Non-Participating Provider	NO
1699125989	TZU-MIN CHIEN (Individual)	602 S UTICA AVE TULSA, OK 74104 (918) 585-3744	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Hawaii Dental Service Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1699188482	ALEXANDER WILLIAMS (Individual)	6333 S. MEMORIAL DR TULSA, OK 74133 (918) 922-2653	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1699264259	COURTNEY N JOHNSON , PLLC CHIMNEY HILLS DENTAL (Organization)	7901 S SHERIDAN RD UNIT A TULSA, OK 74133 (918) 492-0412		Non-Participating Provider	NO
1699467167	ELIJAH LOUIS WEISSMAN (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1699794172	WILLIAM RICHARD HAUGHT (Individual)	6716 E PINE ST TULSA, OK 74115 (918) 836-6884		Non-Participating Provider	YES
1699850198	HOWARD D IBA DDS MD INC (Organization)	5010 E 68TH ST SUITE 100 TULSA, OK 74156 (918) 492-5353		Non-Participating Provider	NO
1699932525	CRAIG E. BUNTEMEYER, DDS,PC (Organization)	9113 S TOLEDO AVE TULSA, OK 74137 (918) 743-9275		Non-Participating Provider	NO
1699935916	MYRON EARL KATZ (Individual)	4543 S HARVARD AVE TULSA, OK 74135 (918) 749-6448		Non-Participating Provider	NO
1699937607	PARNAM MOHANNA (Individual)	5505 S PEORIA AVE TULSA, OK 74105 (918) 743-2347	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1699941724	TERRY F. RIGDON, DDS, PC (Organization)	6030 S 66TH EAST AVE TULSA, OK 74145 (918) 494-8666		Non-Participating Provider	NO
1699951053	OKLAHOMA WISDOM TEETH CENTER (Organization)	7316 E 91ST ST TULSA, OK 74133 (918) 491-9996		Non-Participating Provider	NO
1700020567	PATRICK SHANNON (Individual)	3150 E 41ST ST TULSA, OK 74105 (918) 743-2321	Guardian	Non-Participating Provider	NO
1700030657	OCEAN DENTAL, P.C. (Organization)	3118B SOUTH GARNETT ROAD TULSA, OK 74146 (405) 707-0600		Non-Participating Provider	NO
1700052990	JEFF K PARKER, DDS PC (Organization)	1508 S DENVER AVE TULSA, OK 74119 (918) 744-6080		Non-Participating Provider	NO
1700135407	JOHN ROGERS DDS PC REFRESH (Organization)	6802 S OLYMPIA AVE SUITE 275 TULSA, OK 74132 (918) 408-9543		Non-Participating Provider	NO
1700172715	JACOB C WHITNEY (Individual)	3811 E 51ST ST TULSA, OK 74135 (405) 751-7131	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700452653	CAYTLIN DAWN EIDSON (Individual)	710 W 71ST ST TULSA, OK 74132 (918) 262-8925	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1700871779	MICAH J BEVINS (Individual)	6349 S MEMORIAL DR SUITE B TULSA, OK 74133 (918) 252-4444	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1710079611	JOSEPH J. MASSAD (Individual)	3314 E 11TH ST TULSA, OK 74112 (918) 749-5600	Guardian	Non-Participating Provider	NO
1710175484	DONAL R WOODWARD DDS, INC. (Organization)	6143 E 91ST ST TULSA, OK 74137 (918) 492-6994		Non-Participating Provider	NO
1710188057	LESLIE LEA GENOFF (Individual)	401 S UTICA AVE TULSA, OK 74104 (918) 599-8383	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1710413794	MATTHEW KEITH SAXON (Individual)	4545 S HARVARD AVE TULSA, OK 74135 (918) 749-1850	Guardian Humana Renaissance Dental	Opted out of Medicare	YES
1720228075	OKLAHOMA PERIODONTICS EASTERN OKLAHOMA PERIODOTNICS (Organization)	6565 S YALE AVE 1008 TULSA, OK 74136 (918) 492-0737		Non-Participating Provider	NO
1720237589	CALYSTA C BEATTY (Individual)	1334 N LANSING AVE TULSA, OK 74106 (918) 587-2171	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1720246945	GLENDA PAYAS DMD PLLC (Organization)	5314 S YALE AVE STE. 1100 TULSA, OK 74135 (918) 492-3003		Non-Participating Provider	NO
1720252737	RAJESH M. PATEL D.D.S. FAMILY DENTAL CARE (Organization)	10130 S MEMORIAL DR TULSA, OK 74133 (918) 369-3024		Non-Participating Provider	NO
1720314701	TRANSITIONS WITH DIGNITY HEALTH CARE SERVICES (Organization)	115 W 5TH ST 1703 TULSA, OK 74103 (918) 691-5987		Non-Participating Provider	NO
1720392517	CARLA FLEMMING SULLIVAN (Individual)	3124 E 71ST ST STE 100 TULSA, OK 74136 (918) 496-1358	Guardian	Non-Participating Provider	YES
1720406432	CHELSEA TALIAFERRO (Individual)	8222 E 103RD ST TULSA, OK 74133 (918) 970-4944		Non-Participating Provider	NO
1720514805	CARDELYN DDS INC PC KIDS DENTAL (Organization)	10342 E 21ST ST TULSA, OK 74129 (918) 895-8090		Non-Participating Provider	NO
1720518350	KARL BODILY KLINGLER (Individual)	10127 S YALE AVE TULSA, OK 74137 (918) 299-1600	Aetna CVS Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1730125311	ALVARO FELIPE GONZALEZ (Individual)	5555 E 71ST ST SUITE 9210 TULSA, OK 74136 (918) 524-3366	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1730264433	EASTERN OKLAHOMA DENTAL INSTITUTE (Organization)	5196 S YALE AVE TULSA, OK 74135 (918) 664-1888		Non-Participating Provider	NO
1730357674	TULSA DENTAL MANAGEMENT, INC. (Organization)	5676 W SKELLY DR STE A TULSA, OK 74107 (918) 446-0128		Non-Participating Provider	NO
1730359266	DR. ROBERT J. HERMAN DR. JAMES S. TORCHIA AND DR. ROBERT J. HERMAN (Organization)	6565 S YALE AVE SUITE 510 TULSA, OK 74136 (918) 492-4822	UnitedHealthcare	Non-Participating Provider	NO
1730671371	ALLYSON P DOMIAN (Individual)	1321 E 35TH ST TULSA, OK 74105 (918) 743-2928	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1730792714	SILVIA CASTRO (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 641-4635	Ambetter from Arizona Complete Health Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1740018852	BRIANNA T JONES (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6568	Delta Dental of North Carolina	Non-Participating Provider	NO
1740372077	TERRY R BENNETT (Individual)	1616 S DENVER AVE TULSA, OK 74119 (918) 582-8651		Opted out of Medicare	YES
1740447689	RICHARD STEPHENS DDS (Organization)	6030 S 66TH E AVE TULSA, OK 74145 (918) 494-7055		Non-Participating Provider	NO
1740860139	TIMOTHY SEMON (Individual)	1420 S LEWIS AVE TULSA, OK 74104 (918) 949-5540	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1750326690	SARAH M FOX (Individual)	6585 S YALE AVE STE 510 TULSA, OK 74136 (918) 492-1106		Non-Participating Provider	NO
1750388427	JIM MAXEY, D.D.S., INC., PC (Organization)	5930 E 31ST ST SUITE 600 TULSA, OK 74135 (918) 742-2424		Non-Participating Provider	NO
1750412664	TERI DANETTE REED-COOK (Individual)	3118B S. GARNETT ROAD TULSA, OK 74146 (918) 622-0094		Non-Participating Provider	NO
1750575122	JERRY WAYNE ROBERTSON (Individual)	9224 S TOLEDO CT TULSA, OK 74137 (918) 492-7263		Non-Participating Provider	NO
1750729398	JOHN ALAN GARRETT (Individual)	1646 E 6TH ST TULSA, OK 74120 (918) 895-6933	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1760404107	STEPHAN ZIGO (Individual)	4604 S HARVARD AVE SUITE A TULSA, OK 74135 (918) 749-2509	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1760536866	DAVID W PEDICORD (Individual)	4606 E 67TH STREET SUITE 208 TULSA, OK 74136 (918) 491-5888		Non-Participating Provider	NO
1760537047	HOWARD DAVID DUNLAP (Individual)	8988 S SHERIDAN RD D-1 TULSA, OK 74133 (918) 481-3256		Non-Participating Provider	NO
1760658694	LAUREN K AVERY (Individual)	4329 S PEORIA AVE STE 335 TULSA, OK 74105 (918) 346-6016	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	YES
1760752901	CHRIS MASTIN ORAL SURGERY, PLLC (Organization)	9118 S TOLEDO AVE TULSA, OK 74137 (918) 495-1800		Non-Participating Provider	NO
1760864235	PEDIATRIC DENTAL GROUP II, LLC PEDIATRIC DENTAL GROUP II, LLC (Organization)	7715 E 91ST ST STE A TULSA, OK 74133 (918) 585-3744	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1760913982	RSS NADIA WHEELER PLLC (Organization)	5018 E 68TH ST STE 200 TULSA, OK 74136 (918) 281-2000		Non-Participating Provider	NO
1770267817	NATALIE NICOLE REED (Individual)	5639 E 41ST ST TULSA, OK 74135 (918) 622-3354	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770575250	GREGG A SMITH (Individual)	3912 E 31ST PL TULSA, OK 74135 (918) 747-0850	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1770601759	KENNETH D RAY (Individual)	5010 E 68TH STREET SUITE 204 TULSA, OK 74136 (918) 492-7581	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1770706905	JOHN J FONDER (Individual)	1444 S NORFOLK AVE TULSA, OK 74120 (918) 747-8802		Non-Participating Provider	NO
1770759631	TULSA FAMILY DENTAL MATT E WARLICK DDS (Organization)	6846 S CANTON AVE STE 135 TULSA, OK 74136 (918) 459-9090		Non-Participating Provider	NO
1770824781	A GREAT PLACE TO SMILE (Organization)	5510 S MEMORIAL DR TULSA, OK 74145 (918) 663-9990		Non-Participating Provider	NO
1780717702	WRANY R SOUTHARD (Individual)	6333 S MEMORIAL DR STE G TULSA, OK 74133 (918) 294-1144	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1780798793	CHARLES WILLIAM CALHOUN (Individual)	10016 S MINGO SUITE B TULSA, OK 74133 (918) 250-8861	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1780801183	KYLE SHANNON (Individual)	3150 E 41ST ST SUITE 112 TULSA, OK 74105 (918) 743-2321	Guardian	Non-Participating Provider	NO
1790007151	DR. COLPITTS WELLNESS CENTER (Organization)	2448 E 81ST ST SUITE 1600 TULSA, OK 74137 (918) 477-9000		Non-Participating Provider	NO
1790354447	DAVID H. WONG, DDS, PC (Organization)	4545 S HARVARD AVE TULSA, OK 74135 (918) 749-1850		Non-Participating Provider	NO
1790437952	TULSA KIDS DENTAL PLLC SOUTH TULSA KIDS DENTAL (Organization)	10127 S YALE AVE TULSA, OK 74137 (918) 998-0996	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1790892420	XUEMEI ZHAO (Individual)	401 S UTICA AVE SUITE A TULSA, OK 74104 (918) 599-8383	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1790907343	GARY FISHER, D.D.D., P.C. (Organization)	1203 E 33RD ST SUITE 100 TULSA, OK 74105 (918) 744-1555		Non-Participating Provider	NO
1790951614	ENDODONTIC SPECIALISTS OF NORTHEAST OK (Organization)	5555 E 71ST ST STE 9210 TULSA, OK 74136 (918) 524-3366	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1801130703	J. BERT JOHNSON DDS, INC, P.C. (Organization)	4715 E 91ST ST SUITE 110 TULSA, OK 74137 (918) 744-1255	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1801264106	EMILY K. CARTER, DDS, MSD, PLLC CARTER FAMILY ORTHODONTICS (Organization)	3232 E 31ST ST TULSA, OK 74105 (918) 986-9986		Non-Participating Provider	NO
1801331988	BRITTANY KAY DEGEN ELLIS (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (360) 771-0123	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Arizona Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1801809629	LARRY DAVID LANDER (Individual)	6132 E 61ST ST TULSA, OK 74136 (918) 494-8634	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Opted out of Medicare	YES
1811155740	JAMES W HACKLER DDS INC (Organization)	5010 EAST 68TH ST 102 TULSA, OK 74136 (918) 492-1780		Non-Participating Provider	NO
1811317779	OKC DENTAL HEALTH ASSOCIATES, P.C. MYDENTIST-SHERIDAN (Organization)	3101 S SHERIDAN RD TULSA, OK 74145 (918) 551-7216	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1811344534	STEPHEN ROSS RIDDEL (Individual)	9815 E 51ST ST TULSA, OK 74146 (918) 664-9995	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1811550999	SHANNON GREEN (Individual)	4955 S PEORIA AVE TULSA, OK 74105 (918) 895-6568	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1811560766	ZACHARY SIEGLER (Individual)	6565 S YALE AVE STE 712 TULSA, OK 74136 (918) 481-6622	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Opted out of Medicare	YES
1821142852	C. RIEGER WOOD, III, D.D.S., INC. (Organization)	3520 E 31ST ST TULSA, OK 74135 (918) 742-2488		Non-Participating Provider	NO
1821147547	LARRY O PRINCE (Individual)	3101 S SHERIDAN RD TULSA, OK 74145 (918) 551-7216	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1821162702	THOMAS GENTRY WILLIAMS (Individual)	4618 N FRANKFORT AVE TULSA, OK 74126 (918) 425-1376	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Medica Paramount Paramount Dental Taro Health Plan TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1821197682	DANIEL EDWARD TARR (Individual)	10032 S SHERIDAN RD STE. F TULSA, OK 74133 (918) 298-5544	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1821244799	MARK W MERIDETH DDS, PLLC (Organization)	1641 S DELAWARE AVE TULSA, OK 74104 (405) 640-4435		Non-Participating Provider	NO
1821257890	TULSA COSMETIC DENTAL CENTER (Organization)	9445 S MINGO RD TULSA, OK 74133 (918) 496-1919		Non-Participating Provider	NO
1821362757	CATHERINE ASHLEY ORYNICH (Individual)	8222 E 103RD ST STE 133 TULSA, OK 74133 (918) 970-4944	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental	Non-Participating Provider	NO
1821831546	MADISON LAPE (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831227503	JASON R. HALL (Individual)	6565 S YALE AVE STE 1100 TULSA, OK 74136 (918) 481-4925	Aetna CVS Health Ambetter Health Ambetter of Alabama Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1831565753	MARK GACHES (Individual)	10004 S MEMORIAL DR TULSA, OK 74133 (918) 209-5123	Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1831610096	CAMERON CRAIG (Individual)	9671 SOUTH RIVERSIDE DRIVE EAST TULSA, OK 74137 (918) 637-7182	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831714336	JOYAH KORIN BROOKS (Individual)	401 S UTICA AVE TULSA, OK 74104 (804) 516-7824	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1831967629	LITTLE TOOTH CO PLLC (Organization)	3920 E 91ST ST TULSA, OK 74137 (918) 496-2481		Non-Participating Provider	NO
1841346640	LARRY FLETCHER JAMES (Individual)	5011 S FULTON AVE TULSA, OK 74135 (918) 665-0015	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1841384682	CLAUD HOWARD MCKEE (Individual)	6134 E 61ST ST TULSA, OK 74136 (918) 492-4448	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1841545043	COURTNEY NOELL JOHNSON (Individual)	7901 S. SHERIDAN RD SUITE A TULSA, OK 74133 (918) 492-0412	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1841613734	MATTHEW BRADLEY HALL (Individual)	9101 S TOLEDO AVE STE A TULSA, OK 74137 (918) 523-4999	Guardian Renaissance Dental	Non-Participating Provider	NO
1851414312	MICHAEL RAYMOND STEFFEN (Individual)	4835 S FULTON AVE SUITE 100 TULSA, OK 74135 (918) 663-7928	Guardian	Non-Participating Provider	NO
1851432454	MICHAEL PATRICK KEENAN (Individual)	6565 S YALE AVE SUITE 1105 TULSA, OK 74136 (918) 481-4949		Non-Participating Provider	NO
1851485494	JERRY W. SMITH DDS INC (Organization)	6565 S YALE AVE STE 401 TULSA, OK 74136 (918) 492-1106		Non-Participating Provider	NO
1851664205	WILLIAM BRENT BURCHARD (Individual)	2902 S PITTSBURG AVE TULSA, OK 74114 (918) 748-8868	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1851708515	CROSSTOWN DENTAL HEALTH CENTER, P.C. SMILES 4 LIFE (Organization)	401 S UTICA AVE TULSA, OK 74104 (918) 599-8383		Non-Participating Provider	NO
1851918270	MOUMITA SAHA (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Guardian Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1861433658	CRAIG E. BUNTEMEYER (Individual)	9113 S TOLEDO AVE TULSA, OK 74137 (918) 743-9275	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1861505364	JILL A BENNETT (Individual)	4606 E 67TH ST SUITE 310 TULSA, OK 74136 (918) 493-1865		Non-Participating Provider	NO
1861611709	DAVID LYNN THOMAS (Individual)	4823 S SHERIDAN RD #301 TULSA, OK 74145 (918) 663-9119		Non-Participating Provider	NO
1861861510	D GRIFFITHS DDS, PLLC MIDTOWN DENTISTRY (Organization)	3345 S HARVARD AVE STE 102 TULSA, OK 74135 (918) 743-8539		Non-Participating Provider	NO
1871587832	CORBYN L VANBRUNT DDS PC SMILESOFTULSA.COM (Organization)	6565 S YALE AVE STE 1103 TULSA, OK 74136 (918) 481-4910		Non-Participating Provider	NO
1871612713	SHORTLINE DENTAL PLLC (Organization)	9908 E 21ST ST TULSA, OK 74129 (918) 384-0099	UnitedHealthcare	Non-Participating Provider	NO
1871767889	CLINTON D. STEVENS, DDS, INC, PC (Organization)	15 W 6TH ST SUITE 1615 TULSA, OK 74119 (918) 587-1303	UnitedHealthcare	Non-Participating Provider	NO
1881014744	OKC DENTAL HEALTH ASSOCIATES, P.C. MYDENTIST-HARVARD (Organization)	3811 E 51ST ST TULSA, OK 74135 (918) 933-5260	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma	Non-Participating Provider	NO
1881086577	MELISSA JACKSON (Individual)	2539 S COLUMBIA PL TULSA, OK 74114 (504) 638-6479	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881258945	SACHA DARIANA CLARK (Individual)	7322 E 91ST ST TULSA, OK 74133 (918) 392-0880		Non-Participating Provider	YES
1881610020	KATHRYN ELLEN BELLER (Individual)	7711 E 81ST ST TULSA, OK 74133 (918) 461-2766	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1881688513	GARY WALLACE FISHER (Individual)	1203 E 33RD ST STE 100 TULSA, OK 74105 (918) 744-1555	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1881765717	KATHLEEN SUE CANNON (Individual)	315 S UTICA AVE TULSA, OK 74104 (918) 594-4860		Non-Participating Provider	NO
1881860690	GARY H SMITH DDS PC (Organization)	5424 S MEMORIAL DR SUITE D1 TULSA, OK 74145 (918) 280-0880		Non-Participating Provider	NO
1891074837	PRIYANKA KATARIA (Individual)	3118 S GARNETT RD STE B TULSA, OK 74146 (918) 622-0094	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1891312211	SAUMYA VULLAGANTI (Individual)	2145 S SHERIDAN RD TULSA, OK 74129 (918) 948-6965	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1891327599	WHITNEY MUMMA (Individual)	6585 S YALE AVE STE 510 TULSA, OK 74136 (718) 470-3076	Humana	Non-Participating Provider	NO
1891426490	MINA GIRGIS (Individual)	602 S UTICA AVE TULSA, OK 74104 (913) 952-6233	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902140197	DR JIM LOUIS WEST, DDS DR JIM LOUIS WEST, DDS (Organization)	9119 S TOLEDO AVE TULSA, OK 74137 (918) 749-6841		Non-Participating Provider	NO
1902299233	BRADY HALL MOSHER (Individual)	1531 W 81ST ST STE B TULSA, OK 74132 (918) 917-4777	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1902336175	LINFAN JIN (Individual)	9201 S TOLEDO AVE TULSA, OK 74137 (918) 749-3600	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana UnitedHealthcare	Non-Participating Provider	YES
1902909005	SCOTT WILLIAM WAGNER (Individual)	9035 EAST 62ND STREET SOUTH TULSA, OK 74133 (918) 622-3915	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1902939911	JEFF K. PARKER (Individual)	1508 S DENVER AVE TULSA, OK 74119 (918) 744-6080	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1912039041	SHARON LINDE WANN (Individual)	1321 E 35TH ST TULSA, OK 74105 (918) 743-2928	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1912065574	KIMBERLY HILL COZORT-STOKES (Individual)	5639 E 41ST ST TULSA, OK 74135 (918) 622-3353	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1912217605	ORAL AND MAXILLOFACIAL SURGERY AT TULSA SURGICAL ARTS (Organization)	7322 E 91ST ST TULSA, OK 74133 (918) 392-7900		Non-Participating Provider	NO
1912344516	MICHAEL WYNN (Individual)	2820 E 57TH PL TULSA, OK 74105 (918) 630-9350	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1912380643	NATHAN D POWELL DDS PLLC FOREFRONT DENTISTRY (Organization)	5424 S MEMORIAL DR STE A TULSA, OK 74145 (918) 664-6845		Non-Participating Provider	NO
1912744129	AMY SUSAN JOHN (Individual)	5510 E 41ST ST STE C TULSA, OK 74135 (918) 641-4635	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1912916123	MARK ALAN ANDREGG (Individual)	10125 S SHERIDAN RD SUITE E TULSA, OK 74133 (918) 296-3006	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1922020346	GARY H. SMITH, D.D.S., PC TALLGRASS DENTAL GROUP (Organization)	5424 S MEMORIAL DR D-1 TULSA, OK 74145 (918) 280-0880		Non-Participating Provider	NO
1922116490	RONALD DALE RISNER (Individual)	5930 E 31ST ST STE 305 TULSA, OK 74135 (918) 627-1717		Non-Participating Provider	NO
1922317601	WILLIAM M. NYQUIST D.D.S (Organization)	11720 E 21ST ST STE A TULSA, OK 74129 (918) 437-9111		Non-Participating Provider	NO
1922410331	1ST FAMILY DENTAL OF TULSA (Organization)	2840 E 101ST ST TULSA, OK 74137 (918) 518-6305		Non-Participating Provider	NO
1922676469	ANDREW THOMAS BUBERT (Individual)	6918 E 65TH PL TULSA, OK 74133 (918) 671-9759	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932269933	CHARLES R. KEITHLINE (Individual)	1421 E 13TH ST TULSA, OK 74120 (918) 585-3744	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1932317773	ANAND N PATEL (Individual)	4550 S HARVARD AVE TULSA, OK 74135 (918) 749-8817	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1932361839	MARGARET A. MERRILL, D.D.S.,P.C. PEGGY MERRILL, D.D.S. (Organization)	7707 E 111TH ST SUITE 105 TULSA, OK 74133 (918) 299-7750		Non-Participating Provider	NO
1932821428	GREATER TULSA ORTHODONTICS (Organization)	3916 E 91ST ST TULSA, OK 74137 (918) 488-8889		Non-Participating Provider	NO
1942352901	WARREN L GOOD (Individual)	2112 S ATLANTA PL TULSA, OK 74114 (918) 743-6151	Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1942391388	RANDY S MCCORMICK (Individual)	1701 S PEORIA AVE TULSA, OK 74120 (918) 743-2346		Non-Participating Provider	NO
1942439492	TRUNG THANH TRAN (Individual)	9607 E 95TH CT S TULSA, OK 74133 (918) 288-0818		Non-Participating Provider	YES
1942475876	R. DOUGLAS HILL, D.D.S., P.C. (Organization)	9119 S TOLEDO AVE TULSA, OK 74137 (918) 749-6841		Non-Participating Provider	NO
1952410227	STEPHAN J. ZIGO, D.D.S., P.C. (Organization)	4604 S HARVARD AVE SUITE A TULSA, OK 74135 (918) 749-2509		Non-Participating Provider	NO
1952419673	DEE MARTIN SCHOEMANN (Individual)	9759 E 31ST STREET TULSA, OK 74146 (918) 622-6067		Non-Participating Provider	NO
1952449233	J. BRACKEN FINNELL (Individual)	1623 S PEORIA AVE TULSA, OK 74120 (918) 585-2254	Guardian	Opted out of Medicare	YES
1952461428	DAVID T. FREET (Individual)	9006 E 62ND ST TULSA, OK 74133 (918) 249-0249	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1952495103	TULSA DENTAL GROUP, INC (Organization)	7335 S LEWIS AVE SUITE 206 TULSA, OK 74136 (918) 496-1051		Non-Participating Provider	NO
1952510646	JOSEPH LAI (Individual)	5304 S HARVARD AVE TULSA, OK 74135 (918) 747-1346	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1952575961	MJT DENTISTRY PLLC (Organization)	4322 E 51ST ST TULSA, OK 74135 (918) 743-9946		Non-Participating Provider	NO
1952576290	GENE W. MCCORMICK, DDS, P.C. (Organization)	6565 S YALE AVE SUITE 1012 TULSA, OK 74136 (918) 492-7886		Non-Participating Provider	NO
1952638223	TRUYEN DUC NGUYEN (Individual)	4157 S HARVARD AVE SUITE #119 TULSA, OK 74135 (918) 743-8133	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1962448290	JOHN CHARLES WARDEN (Individual)	5555 E 71ST ST SUITE 9210 TULSA, OK 74136 (918) 524-3366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1962451104	OKLAHOMA SMILES YOUTH DENTISTRY, PLLC (Organization)	401A S UTICA AVE TULSA, OK 74104 (918) 599-8383		Non-Participating Provider	NO
1962496851	EUGENE WELKER MCCORMICK (Individual)	6281 E 120TH CT TULSA, OK 74137 (918) 814-8779	Guardian	Non-Participating Provider	NO
1962626044	JEFFREY ANTHONY MILES (Individual)	5930 E 31ST ST SUITE 400 TULSA, OK 74135 (918) 627-7220		Non-Participating Provider	NO
1962677344	DR. MICAH J. BEVINS D.D.S. BEVINS DENTISTRY (Organization)	6349 S MEMORIAL DR SUITE B TULSA, OK 74133 (918) 252-4444		Non-Participating Provider	NO
1962684787	LONDEL JOSEPH FIELDS (Individual)	6281 E 120TH CT STE 400 TULSA, OK 74137 (918) 740-0454	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1962822387	RODNEY P. STEFFEN, DDS, PC MYDENTIST-MIDTOWN ENDO (Organization)	1420 S LEWIS AVE TULSA, OK 74104 (918) 949-4450		Non-Participating Provider	NO
1972342574	TREVOR RACZKOWSKI (Individual)	4770 S HARVARD AVE TULSA, OK 74135 (918) 215-2858	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Florida Combined Life Guardian Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1972378388	LLON H CLENDENEN DDS MS INC TULSA BRACES (Organization)	3305 E 45TH ST TULSA, OK 74135 (918) 743-2315		Non-Participating Provider	NO
1972627008	RICHARD LEE BROWN (Individual)	7115 S YALE AVE TULSA, OK 74136 (918) 492-1991	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1972638963	CHRIS K WARD (Individual)	5522 S LEWIS AVE TULSA, OK 74105 (918) 906-2525		Non-Participating Provider	NO
1972669075	RONALD D FRENCH (Individual)	4604 S HARVARD AVE STE D TULSA, OK 74135 (918) 743-6158	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1972678456	MARK ELLSWORTH WHITNEY (Individual)	6939 S 66TH EAST AVE TULSA, OK 74133 (918) 492-3771	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana	Non-Participating Provider	NO
1972698934	ROBERT EVANS FLINT (Individual)	9201 S TOLEDO AVE TULSA, OK 74137 (918) 749-3600		Opted out of Medicare	YES
1972756468	MARTI LEVINSON, DDS, PLLC (Organization)	7134 S YALE AVE STE 150 TULSA, OK 74136 (918) 496-1358		Non-Participating Provider	NO
1972761427	WESLEY NEILL BLACK DDS PC (Organization)	6112E 61ST STREET TULSA, OK 74136 (918) 745-0500		Non-Participating Provider	NO
1982282802	BUCCAL UP DENTAL TULSA PLLC (Organization)	4606 E 67TH ST STE 312 TULSA, OK 74136 (918) 494-4445		Non-Participating Provider	NO
1982613824	MARK M DAVIS (Individual)	5301 S LEWIS AVE TULSA, OK 74105 (918) 742-8100	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	YES
1982627592	REX SMITH (Individual)	5021 S FULTON AVE TULSA, OK 74135 (918) 628-0834		Non-Participating Provider	NO
1982647624	JOHN DEE MOSE (Individual)	5602 SOUTH MEMORIAL DRIVE TULSA, OK 74145 (918) 294-9750	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1982762753	CHRISTOPHER RYAN CRAIN (Individual)	5301 S LEWIS AVE TULSA, OK 74105 (918) 770-0870	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Louisiana Healthcare Connections Ambetter from Magnolia Health Ambetter from Superior HealthPlan Ambetter of Alabama Ambetter of North Carolina Ambetter of Tennessee Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Louisiana Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental EMI Health Florida Combined Life Guardian HMO Louisiana Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1982865911	G. THOMAS COLPITTS (Individual)	2448 E. 81ST ST., SUITE 1600 TULSA, OK 74137 (918) 477-9000		Non-Participating Provider	NO
1982969523	WILLIAM BARID ROGERS (Individual)	2227 S GARNETT RD STE 112 TULSA, OK 74129 (918) 524-4000	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1992368278	ON THE CUSP SPECIALTY DENTAL PLLC DBA ON THE CUSP MIDTOWN (Organization)	4444 S. HARVARD AVE STE 100 TULSA, OK 74135 (918) 970-4944		Non-Participating Provider	NO
1992373666	BRANDON L THORPE (Individual)	6634 S MEMORIAL DR TULSA, OK 74133 (918) 872-7140	Ambetter from Arkansas Health & Wellness Ambetter from Home State Health Ambetter from Sunflower Health Plan Ambetter from Superior HealthPlan Ambetter of Oklahoma Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life Humana Paramount Paramount Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	NO
1992417273	ATLANTA DENTAL PLLC (Organization)	2106 S ATLANTA PL TULSA, OK 74114 (918) 743-7444	UnitedHealthcare	Non-Participating Provider	NO
1992711881	DENNIS EDWARD SMITH (Individual)	5620 S MEMORIAL DR TULSA, OK 74145 (918) 664-8156	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES

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