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LICENSED DENTIST
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 
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Name:
Abdelnour, George Joseph, Jr.
D.D.S. |
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Address:
14190 N.W. Berry Creek Rd. |
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City / State
/ Zip: McMinnville OR 97128 |
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License #: |
6247 |
License Date: |
11/05/10 |
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Graduation
Date: |
1970 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Aber, Sue Beth,
D.D.S. |
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Address:
320 S. 4th |
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City / State
/ Zip: McAlester OK 74501 |
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License #: |
5268 |
License Date: |
06/29/96 |
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Graduation
Date: |
1996 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Abou-Nassar, Elie ,
D.D.S. |
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Address:
3414 Woodsboro Dr. |
|
City / State
/ Zip: Norman OK 73072 |
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License #: |
6017 |
License Date: |
06/16/08 |
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Graduation
Date: |
2008 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Abshere, Philip Marle,
D.D.S. |
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Address:
51 Rock Ridge Dr. N.E. |
|
City / State
/ Zip: Albuquerque NM 87122 |
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License #: |
4209 |
License Date: |
06/07/81 |
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Graduation
Date: |
1981 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Acker, Bradley George,
D.D.S. |
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Address:
6820 US Hwy. 59 N. |
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City / State
/ Zip: Grove OK 74344 |
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License #: |
5831 |
License Date: |
12/12/05 |
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Graduation
Date: |
2005 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Acuff, Cliff Alan,
D.D.S. |
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Address:
300 Walnut Grove Rd. |
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City / State
/ Zip: Carterville GA 30120 |
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License #: |
4009 |
License Date: |
06/16/79 |
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Graduation
Date: |
1979 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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|
Name:
Adair, Robert Glenn,
D.D.S. |
|
Address:
9321 E Reno |
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City / State
/ Zip: Midwest City OK 73130 |
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License #: |
4093 |
License Date: |
06/08/80 |
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Graduation
Date: |
1980 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Adams, Robert Reith,
D.D.S. |
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Address:
10832 E. San Felipe Ave. |
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City / State
/ Zip: Clovis CA 93619 |
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License #: |
3286 |
License Date: |
06/11/69 |
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Graduation
Date: |
1969 |
Status: |
Fee Exempt |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Adams, Michael Leonard,
D.D.S. |
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Address:
P.O. Box 13215 |
|
City / State
/ Zip: Oklahoma City OK 73113 |
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License #: |
4058 |
License Date: |
09/08/79 |
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Graduation
Date: |
1979 |
Status: |
|
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Aday, Phillip Lynn,
D.D.S. |
|
Address:
1116 N.W. Arlington |
|
City / State
/ Zip: Lawton OK 73507 |
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License #: |
5149 |
License Date: |
04/29/94 |
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Graduation
Date: |
1986 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Adolph, Kathleen Belobraydic,
D.D.S. |
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Address:
800 Forest Ave. |
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City / State
/ Zip: Eufaula OK 74432 |
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License #: |
4960 |
License Date: |
06/16/90 |
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Graduation
Date: |
1990 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Adolph, Gary Phillip,
D.D.S. |
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Address:
112 North Grand |
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City / State
/ Zip: Okmulgee OK 74447 |
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License #: |
4862 |
License Date: |
06/18/88 |
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Graduation
Date: |
1988 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Ahlert, Jeffrey John,
D.D.S. |
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Address:
3614 S.E. Kentucky |
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City / State
/ Zip: Bartlesville OK 74006 |
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License #: |
5006 |
License Date: |
06/08/91 |
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Graduation
Date: |
1991 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
Pedodontics |
Specialty License
Date: |
06/12/93 |
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Specialty License
#: |
55 |
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Name:
Ahrend, Melinda Lea,
D.D.S. |
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Address:
3707 W. 108th Ct. |
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City / State
/ Zip: Sapulpa OK 74066 |
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License #: |
5982 |
License Date: |
07/23/07 |
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Graduation
Date: |
2007 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Ainsworth, John Ray,
D.D.S. |
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Address:
500 N. Financial Ctr. Terr. |
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City / State
/ Zip: Mustang OK 73064 |
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License #: |
4507 |
License Date: |
09/17/83 |
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Graduation
Date: |
1983 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Aitson, Michael Elliott,
D.D.S. |
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Address:
1020 18th St. |
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City / State
/ Zip: Woodward OK 73801 |
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License #: |
5142 |
License Date: |
02/25/94 |
|
Graduation
Date: |
1979 |
Status: |
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Disciplinary
Action: |
Yes |
General Anesthesia
Permit: |
|
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Specialty: |
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Specialty License
Date: |
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Specialty License
#: |
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Name:
Akberali, Aliakber Fakhruddin,
D.D.S. |
|
Address:
9803 E. 83rd Pl. |
|
City / State
/ Zip: Tulsa OK 74133 |
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License #: |
4956 |
License Date: |
06/16/90 |
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Graduation
Date: |
1990 |
Status: |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
|
Specialty License
Date: |
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Specialty License
#: |
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Name:
Albright, Robert Louis,
D.D.S. |
|
Address:
P.O. Box 22 |
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City / State
/ Zip: Altus OK 73522 |
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License #: |
3790 |
License Date: |
06/27/76 |
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Graduation
Date: |
1975 |
Status: |
Fee Exempt |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
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Specialty License
#: |
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Name:
Aldrich, Timothy Allen,
D.D.S. |
|
Address:
1223 S. Peoria Ave., #B |
|
City / State
/ Zip: Tulsa OK 74120 |
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License #: |
5098 |
License Date: |
06/12/93 |
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Graduation
Date: |
1993 |
Status: |
|
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Disciplinary
Action: |
Yes |
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
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Specialty License
#: |
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| |
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Name:
Aldridge, Warren Cleon,
D.D.S. |
|
Address:
1704 South 106th East Avenue |
|
City / State
/ Zip: Tulsa OK 74128 |
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License #: |
2484 |
License Date: |
07/03/51 |
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Graduation
Date: |
1951 |
Status: |
Retired |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
|
Specialty License
Date: |
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Specialty License
#: |
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Name:
Alexander, Kylie Renee,
D.D.S. |
|
Address:
765 N. Aspen Ave. |
|
City / State
/ Zip: Broken Arrow OK 74012 |
|
License #: |
6179 |
License Date: |
06/15/10 |
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Graduation
Date: |
2010 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
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| |
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Name:
Alexander, William Franklin,
D.D.S. |
|
Address:
#1 Cheviot Trace |
|
City / State
/ Zip: Bella Vista AR 72715 |
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License #: |
3502 |
License Date: |
06/27/71 |
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Graduation
Date: |
1945 |
Status: |
Retired |
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
|
Specialty License
Date: |
|
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Specialty License
#: |
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| |
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Name:
Alf, Gerald Allan,
D.D.S. |
|
Address:
728 Winding Way |
|
City / State
/ Zip: Bartlesville OK 74006 |
|
License #: |
4332 |
License Date: |
06/26/82 |
|
Graduation
Date: |
1982 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Alford, Jerome Brian,
D.M.D. |
|
Address:
500 Apache Court |
|
City / State
/ Zip: Gallup NM 87301 |
|
License #: |
4546 |
License Date: |
06/16/84 |
|
Graduation
Date: |
1984 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Allen, Harold Edward,
D.D.S. |
|
Address:
6912 East Reno |
|
City / State
/ Zip: Midwest City OK 73110 |
|
License #: |
3139 |
License Date: |
06/12/67 |
|
Graduation
Date: |
1967 |
Status: |
Fee Exempt |
|
Disciplinary
Action: |
Yes |
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Allen, Ross Parker,
D.D.S. |
|
Address:
8383 S. Penn |
|
City / State
/ Zip: Oklahoma City OK 73159 |
|
License #: |
6019 |
License Date: |
06/16/08 |
|
Graduation
Date: |
2008 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Allen, Michael Dennis,
D.D.S. |
|
Address:
3621 N.W. 63rd |
|
City / State
/ Zip: Oklahoma City OK 73116 |
|
License #: |
3829 |
License Date: |
06/05/77 |
|
Graduation
Date: |
1969 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Periodontics |
Specialty License
Date: |
10/11/77 |
|
Specialty License
#: |
22 |
|
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| |
|
Name:
Allen, David Lawrence,
D.D.S. |
|
Address:
2304 Tall Oaks Trail |
|
City / State
/ Zip: Edmond OK 73003 |
|
License #: |
6180 |
License Date: |
06/15/10 |
|
Graduation
Date: |
2010 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Allen, Mark Jay,
D.D.S. |
|
Address:
519 S. Santa Fe Ave. |
|
City / State
/ Zip: Edmond OK 73003 |
|
License #: |
4333 |
License Date: |
06/26/82 |
|
Graduation
Date: |
1982 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Allison, Errol James,
D.D.S. |
|
Address:
1 Plaza South St., #149 |
|
City / State
/ Zip: Tahlequah OK 74464 |
|
License #: |
4863 |
License Date: |
06/18/88 |
|
Graduation
Date: |
1988 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Allison, Ronald Lee,
D.D.S. |
|
Address:
3636 S. Urbana |
|
City / State
/ Zip: Tulsa OK 74135 |
|
License #: |
2828 |
License Date: |
06/23/60 |
|
Graduation
Date: |
1960 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
|
Name:
Alspaugh, Michael Francis,
D.D.S. |
|
Address:
609 S. Kelly, A-1 |
|
City / State
/ Zip: Edmond OK 73003 |
|
License #: |
5007 |
License Date: |
06/08/91 |
|
Graduation
Date: |
1991 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Alvarez, Richard Joseph,
D.D.S. |
|
Address:
4671 S. West Ave. |
|
City / State
/ Zip: Springfield MO 65810 |
|
License #: |
5150 |
License Date: |
04/29/94 |
|
Graduation
Date: |
1985 |
Status: |
|
|
Disciplinary
Action: |
Yes |
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Alverson, Gary Don,
D.D.S. |
|
Address:
926 East Independence |
|
City / State
/ Zip: Shawnee OK 74801 |
|
License #: |
3830 |
License Date: |
06/05/77 |
|
Graduation
Date: |
1977 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Amaya, Brent Thomas,
D.D.S. |
|
Address:
5 N.W. 156th St. |
|
City / State
/ Zip: Edmond OK 73013 |
|
License #: |
6273 |
License Date: |
06/10/11 |
|
Graduation
Date: |
2011 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ambrose, James Kyle,
D.D.S. |
|
Address:
P.O. Box 326 |
|
City / State
/ Zip: Mangum OK 73554 |
|
License #: |
4334 |
License Date: |
06/26/82 |
|
Graduation
Date: |
1982 |
Status: |
|
|
Disciplinary
Action: |
yes |
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Amilian, Richard Steven,
D.M.D. |
|
Address:
6911 S. 66th E. Avenue, #300 |
|
City / State
/ Zip: Tulsa OK 74133 |
|
License #: |
3729 |
License Date: |
06/08/75 |
|
Graduation
Date: |
1975 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Amos, Barry James,
D.D.S. |
|
Address:
4508 W. Memorial Cir. |
|
City / State
/ Zip: Oklahoma City OK 73142 |
|
License #: |
5811 |
License Date: |
06/30/05 |
|
Graduation
Date: |
2005 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Amy, Brian Donald,
D.D.S. |
|
Address:
10914 Hefner Pt. Dr., #300 |
|
City / State
/ Zip: Oklahoma City OK 73120 |
|
License #: |
5064 |
License Date: |
06/13/92 |
|
Graduation
Date: |
1992 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Orthodontics |
Specialty License
Date: |
07/07/00 |
|
Specialty License
#: |
140 |
|
|
| |
|
Name:
Amy, Donald Harpst,
D.D.S. |
|
Address:
4511 Wagonwheel Rd. |
|
City / State
/ Zip: Edmond OK 73034-5931 |
|
License #: |
4394 |
License Date: |
06/26/82 |
|
Graduation
Date: |
1960 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Lori Suzette,
D.D.S. |
|
Address:
4336 N.W. 23rd St. |
|
City / State
/ Zip: Oklahoma City OK 73107 |
|
License #: |
5411 |
License Date: |
07/09/99 |
|
Graduation
Date: |
1999 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, James Lewis,
D.D.S. |
|
Address:
29 Hacienda Dr. |
|
City / State
/ Zip: Pottsboro TX 75076-4587 |
|
License #: |
2997 |
License Date: |
06/25/64 |
|
Graduation
Date: |
1964 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Ronald William,
D.D.S. |
|
Address:
7134 S. Yale, #205 |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
3920 |
License Date: |
06/24/78 |
|
Graduation
Date: |
1971 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Endodontics |
Specialty License
Date: |
01/17/79 |
|
Specialty License
#: |
15 |
|
|
| |
|
Name:
Anderson, Lana Jo,
D.D.S. |
|
Address:
372 S. Hillside |
|
City / State
/ Zip: Wichita KS 67211 |
|
License #: |
4538 |
License Date: |
01/21/84 |
|
Graduation
Date: |
1982 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Jay Frank,
D.D.S. |
|
Address:
7636 S. Urbana |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
3586 |
License Date: |
06/16/73 |
|
Graduation
Date: |
1973 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Periodontics |
Specialty License
Date: |
06/27/76 |
|
Specialty License
#: |
19 |
|
|
| |
|
Name:
Anderson, Gerald Bret,
D.D.S. |
|
Address:
421 East 5th |
|
City / State
/ Zip: Okmulgee OK 74447 |
|
License #: |
5044 |
License Date: |
01/12/92 |
|
Graduation
Date: |
1990 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Garry Elwood,
D.M.D. |
|
Address:
4415 S. Harvard, #102 |
|
City / State
/ Zip: Tulsa OK 74135-4403 |
|
License #: |
4681 |
License Date: |
06/15/85 |
|
Graduation
Date: |
1985 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Clay Wesley,
D.D.S. |
|
Address:
7705 Wyat Lake Dr. |
|
City / State
/ Zip: Lawton OK 73505 |
|
License #: |
6095 |
License Date: |
06/12/09 |
|
Graduation
Date: |
2009 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, William Denton,
D.D.S. |
|
Address:
P.O. Box 729 |
|
City / State
/ Zip: Durant OK 74701 |
|
License #: |
3089 |
License Date: |
06/16/66 |
|
Graduation
Date: |
1966 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Adam Jacob,
D.D.S. |
|
Address:
96 Maplewood Ave. |
|
City / State
/ Zip: West Hartford CT 06119 |
|
License #: |
6258 |
License Date: |
04/15/11 |
|
Graduation
Date: |
2010 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Anderson, Gunnar Ward,
D.D.S. |
|
Address:
Box 1308 |
|
City / State
/ Zip: Enid OK 73702 |
|
License #: |
2648 |
License Date: |
06/21/56 |
|
Graduation
Date: |
1956 |
Status: |
Fee Exempt |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Andregg, Mark Alan,
D.D.S. |
|
Address:
9002 E. 62nd St. S. |
|
City / State
/ Zip: Tulsa OK 74133 |
|
License #: |
5099 |
License Date: |
06/12/93 |
|
Graduation
Date: |
1992 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Orthodontics |
Specialty License
Date: |
06/30/95 |
|
Specialty License
#: |
125 |
|
|
| |
|
Name:
Andrews, Arlan Keith, Jr.
D.M.D. |
|
Address:
3002 E. 90th Pl. |
|
City / State
/ Zip: Tulsa OK 74137 |
|
License #: |
6148 |
License Date: |
07/31/09 |
|
Graduation
Date: |
1987 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Andrews, Roger Scott,
D.D.S. |
|
Address:
6109 E. Admiral Pl. |
|
City / State
/ Zip: Tulsa OK 74115-8623 |
|
License #: |
4803 |
License Date: |
06/13/87 |
|
Graduation
Date: |
1987 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Andrews, Victor Lynn,
D.D.S. |
|
Address:
1618 North 5th, #2 |
|
City / State
/ Zip: Ponca City OK 74601 |
|
License #: |
3041 |
License Date: |
07/01/65 |
|
Graduation
Date: |
1965 |
Status: |
Fee Exempt |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Archer, Frank Philip,
D.D.S. |
|
Address:
5031 South 33rd West Avenue |
|
City / State
/ Zip: Tulsa OK 74107 |
|
License #: |
3422 |
License Date: |
06/19/71 |
|
Graduation
Date: |
1971 |
Status: |
Fee Exempt |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Archer, John Norman,
D.D.S. |
|
Address:
10914 Hefner Pointe Dr., #300 |
|
City / State
/ Zip: Oklahoma City OK 73120 |
|
License #: |
5065 |
License Date: |
06/13/92 |
|
Graduation
Date: |
1992 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Orthodontics |
Specialty License
Date: |
06/29/96 |
|
Specialty License
#: |
129 |
|
|
| |
|
Name:
Archer, Bryan David,
D.D.S. |
|
Address:
4606 E. 67th St., #312 |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
4804 |
License Date: |
06/13/87 |
|
Graduation
Date: |
1987 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Argo, Mark Leon,
D.D.S. |
|
Address:
8500 N. 129th E. Ave. |
|
City / State
/ Zip: Owasso OK 74055 |
|
License #: |
4957 |
License Date: |
06/16/90 |
|
Graduation
Date: |
1990 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ariana, J. Michael,
D.D.S. |
|
Address:
765 N. Aspen Ave. |
|
City / State
/ Zip: Broken Arrow OK 74012 |
|
License #: |
3831 |
License Date: |
06/05/77 |
|
Graduation
Date: |
1977 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ariana, Jamie Michael,
D.D.S. |
|
Address:
765 N. Aspen Ave. |
|
City / State
/ Zip: Broken Arrow OK 74012 |
|
License #: |
5854 |
License Date: |
06/09/06 |
|
Graduation
Date: |
2006 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arledge, Marc Edward,
D.D.S. |
|
Address:
2016 N. Sante Fe |
|
City / State
/ Zip: Edmond OK 73003 |
|
License #: |
5412 |
License Date: |
07/09/99 |
|
Graduation
Date: |
1999 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Armstrong, Steven Edward,
D.D.S. |
|
Address:
P.O. Box 578 |
|
City / State
/ Zip: Bartlesville OK 74005 |
|
License #: |
5364 |
License Date: |
06/19/98 |
|
Graduation
Date: |
1998 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arnhart, Lisa Washburn,
D.D.S. |
|
Address:
8521 Golf Course Rd. NW, #116 |
|
City / State
/ Zip: Albuquerque NM 87114 |
|
License #: |
5157 |
License Date: |
06/20/94 |
|
Graduation
Date: |
1994 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arnhart, Lisa Washburn,
D.D.S. |
|
Address:
8521 Golf Course Rd. NW, #116 |
|
City / State
/ Zip: Albuquerque NM 87114 |
|
License #: |
5157 |
License Date: |
06/20/94 |
|
Graduation
Date: |
1994 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arnold, Ryan Tapley,
D.D.S. |
|
Address:
1008 Whispering Oaks Blvd. |
|
City / State
/ Zip: Moore OK 73160 |
|
License #: |
5934 |
License Date: |
06/08/07 |
|
Graduation
Date: |
2007 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arnould, Bonnie Schoner,
D.D.S. |
|
Address:
7311 S. Lewis Ave. |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
4958 |
License Date: |
06/16/90 |
|
Graduation
Date: |
1990 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arnould, Forrest Leslie,
D.D.S. |
|
Address:
7311 S. Lewis Ave. |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
4959 |
License Date: |
06/16/90 |
|
Graduation
Date: |
1990 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arquitt, George Edward, III
D.D.S. |
|
Address:
1103 E. Montclair |
|
City / State
/ Zip: Springfield MO 65807 |
|
License #: |
5270 |
License Date: |
06/29/96 |
|
Graduation
Date: |
1996 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arrechea, Vanina Carina,
D.D.S. |
|
Address:
809 Tara Dr. |
|
City / State
/ Zip: Pharr TX 78577 |
|
License #: |
6267 |
License Date: |
06/03/11 |
|
Graduation
Date: |
2010 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Arthurs, Jason Ross,
D.D.S. |
|
Address:
23813 N. 73rd Lane |
|
City / State
/ Zip: Peoria AZ 85383-3283 |
|
License #: |
5596 |
License Date: |
06/25/02 |
|
Graduation
Date: |
2002 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ashburn, Donald George, Jr.
D.D.S. |
|
Address:
340 S. Santa Fe Ave. |
|
City / State
/ Zip: Edmond OK 73003 |
|
License #: |
4954 |
License Date: |
01/06/90 |
|
Graduation
Date: |
1989 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ashmore, Islo Darwin,
D.D.S. |
|
Address:
3104 N.W. 23rd |
|
City / State
/ Zip: Oklahoma City OK 73107 |
|
License #: |
4682 |
License Date: |
06/15/85 |
|
Graduation
Date: |
1985 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ashmore, Glenn Casey,
D.D.S. |
|
Address:
3104 N.W. 23rd |
|
City / State
/ Zip: Oklahoma City OK 73107 |
|
License #: |
5775 |
License Date: |
05/27/05 |
|
Graduation
Date: |
2005 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Ashmore, Glenn Allan,
D.D.S. |
|
Address:
3104 N.W. 23rd |
|
City / State
/ Zip: Oklahoma City OK 73107 |
|
License #: |
3723 |
License Date: |
06/08/75 |
|
Graduation
Date: |
1975 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Atkinson, Randy Walker,
D.D.S. |
|
Address:
1016 N.W. 42nd Street |
|
City / State
/ Zip: Oklahoma City OK 73118 |
|
License #: |
4094 |
License Date: |
06/08/80 |
|
Graduation
Date: |
1980 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Attaphitaya, Surat ,
D.M.D. |
|
Address:
7698 Papyrus Pl., #4 |
|
City / State
/ Zip: Rancho Cucamonga CA 91739 |
|
License #: |
0000 |
License Date: |
07/01/11 |
|
Graduation
Date: |
1995 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Orthodontics |
Specialty License
Date: |
07/01/11 |
|
Specialty License
#: |
184 |
|
|
| |
|
Name:
Atwood, Jared Louis,
D.D.S. |
|
Address:
2328 N.W. 26th St. |
|
City / State
/ Zip: Oklahoma City OK 73107 |
|
License #: |
6221 |
License Date: |
06/23/10 |
|
Graduation
Date: |
2010 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Augsburger, Robert Alan,
D.D.S. |
|
Address:
4606 E. 67th St. Bldg. 7, #201 |
|
City / State
/ Zip: Tulsa OK 74136 |
|
License #: |
5259 |
License Date: |
01/12/96 |
|
Graduation
Date: |
1973 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
Endodontics |
Specialty License
Date: |
11/01/96 |
|
Specialty License
#: |
35 |
|
|
| |
|
Name:
Auld, Michael James,
D.D.S. |
|
Address:
1800 Wood Road |
|
City / State
/ Zip: McAlester OK 74501 |
|
License #: |
6096 |
License Date: |
06/12/09 |
|
Graduation
Date: |
2009 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Auld, Douglas Alan,
D.D.S. |
|
Address:
215 North 6th |
|
City / State
/ Zip: McAlester OK 74501 |
|
License #: |
4337 |
License Date: |
06/26/82 |
|
Graduation
Date: |
1982 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Austerman, Jack B.,
D.D.S. |
|
Address:
10204 Camden Court |
|
City / State
/ Zip: Oklahoma City OK 73162 |
|
License #: |
2586 |
License Date: |
07/01/54 |
|
Graduation
Date: |
1954 |
Status: |
Retired |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Austin, Ronald Eugene,
D.D.S. |
|
Address:
1202 E. Main |
|
City / State
/ Zip: Tishomingo OK 73460 |
|
License #: |
4011 |
License Date: |
06/16/79 |
|
Graduation
Date: |
1979 |
Status: |
|
|
Disciplinary
Action: |
Yes |
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
|
| |
|
Name:
Austin, Jeffrey Paul,
D.D.S. |
|
Address:
3100 S. Berry Rd., #110 |
|
City / State
/ Zip: Norman OK 73072 |
|
License #: |
5413 |
License Date: |
07/09/99 |
|
Graduation
Date: |
1999 |
Status: |
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Disciplinary
Action: |
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General Anesthesia
Permit: |
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Specialty: |
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Specialty License
Date: |
|
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Specialty License
#: |
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| |
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Name:
Avery, Kevin Thomas,
D.M.D. |
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Address:
3304 Brookhollow Rd. |
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City / State
/ Zip: Oklahoma City OK 73120 |
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License #: |
3631 |
License Date: |
08/05/73 |
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Graduation
Date: |
1969 |
Status: |
Fee Exempt |
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
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Specialty License
Date: |
|
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Specialty License
#: |
|
|
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| |
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Name:
Avery, Lauren Kathleen,
D.D.S. |
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Address:
765 N. Aspen |
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City / State
/ Zip: Broken Arrow OK 74012 |
|
License #: |
5856 |
License Date: |
06/09/06 |
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Graduation
Date: |
2006 |
Status: |
|
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Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
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Specialty: |
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Specialty License
Date: |
|
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Specialty License
#: |
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| |
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Name:
Avery-Miranda, Felipe ,
D.D.S. |
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Address:
33 Lyman St. |
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City / State
/ Zip: Westboro MA 01581 |
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License #: |
5855 |
License Date: |
06/09/06 |
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Graduation
Date: |
2006 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
|
Specialty License
#: |
|
|
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| |
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Name:
Ayers, Neil William,
D.D.S. |
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Address:
1117 N.W. 32nd |
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City / State
/ Zip: Newcastle OK 73065 |
|
License #: |
5857 |
License Date: |
06/09/06 |
|
Graduation
Date: |
2006 |
Status: |
|
|
Disciplinary
Action: |
|
General Anesthesia
Permit: |
|
|
Specialty: |
|
Specialty License
Date: |
|
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Specialty License
#: |
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| |
201
N.E. 38th Terr., #2 - Oklahoma City, OK 73105
TEL: (405) 524-9037 FAX: (405) 524-2223
Email: dentist@oklaosf.state.ok.us
Business Hours: Monday-Friday 8:30am to 4:30pm |
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