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Join the DentaQuest Networks

We would like to invite you to apply to join our network of Participating Dentists. DentaQuest provides managed care, PPO and traditional indemnity dental benefit programs to employers, unions, and associations located in Maryland and Washington, D.C. through DentaQuest Mid-Atlantic, Inc.; and to those located in Virginia through DentaQuest Virginia, Inc.

We can help you keep your practice busy and profitable, while providing your patients with the most comprehensive dental plans available.

Maryland Dental Practices

The state of Maryland requires all medical and dental plans to use the Maryland Uniform Credentialing Form as the sole application for credentialing or recredentialing of physicians and dentists. Please complete and return the Maryland Uniform Credentialing Form along with the requested supplemental information.

Maryland Uniform Credentialing Form Instruction

Maryland Uniform Credentialing Form


 
Virginia and Washington, D.C. Dental Practices

Please complete and return these forms:

Participating Dentist Application

Facility Service Information Form

Supplemental Information

 





 

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Mail all of the above requested documents to:

DentaQuest

Attn: Provider Relations
4061 Powder Mill Road
Calverton, MD 20705-3149

 

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