Tips For Using This Tool
Use this form to update specific information regarding your dental office. This information is used to accurately process and pay claims. In addition, it may be used in your provider directory listing. Note: You’ll need to fill out a separate form for each office location that has changes or updates.
Tips For Using This Tool
Use this tool when:
You may be asked to complete credentialing paperwork when:
Questions?
Professional Relations Hours:
Monday - Friday: 7:30 A.M. - 4:30 P.M.
Toll-free Dentist Direct Line:
866.746.1834