Ensure your provider directory is accurate

Inaccurate provider directories create frustration for members and providers. To ensure that our members can find you, please visit our online provider directory to verify the information that we have listed for your office.

Updating your dental practice information assists us with processing your dental claims accurately and timely. We are also able to relay correct information to dental members, including your practice contact information and your location.

Notify us whenever there is a change in:

• Location: Adding a new practice, demographic changes to an existing practice (including phone, fax, email, and address), or closing an office. Confirm with us that we have your correct billing and mailing address.
• License: Provide the treating dentist license number as issued rather than a shortened version.
• Tax Identification Number (TIN): Complete and submit a W‑9 form along with a letter or Tax ID change form requesting the TIN change and the effective date of the TIN change. Please provided a list of what networks the change affects. If you are unsure of your network participation, contact Professional Services by calling 866‑947-9398.
• National Provider Identifier (NPI) – Confirm we have your individual NPI and clinic NPI. Please note this is not only for electronic claims submissions. Due to new mandates, some states require an NPI for all claims submissions!
• Ownership change: Provide the practice name, date of purchase, and W‑9 if the TIN is not currently on file. Please include a list of dentists associated with this TIN and their participating networks.
• Adding or removing associates: If an associate retires, leaves, or a new associate is added to your practice, contact us with the updated information.

The Standardized Provider Maintenance Form is a fillable PDF, available online. You can also contact Dental Network Professional Services to email or fax it you. To submit changes to your information in the directory, submit a General Office Information Form, located on our website, via email, fax, or mail. For multiple changes, one General Office Information Form is needed. You can also contact us at 866‑947-9398 to update information as necessary.