Dental Office Profile Update

Tips For Using This Tool

Use this tool when:

  • You need to update general information about your office hours, languages, website, phone or fax numbers
  • Your office's physical or billing address changed
  • Your office's general or billing email changed
  • You need to report a change to your NPI number
  • You had providers leave the practice location

Submit a new Participating Provider Agreement when:

  • You hired new dentists at your office
  • Your tax ID number changed
  • You purchased or opened a new dental office


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