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Delta Dental of Illinois Dentist Profile Initial Credentialing Application DENTIST INFORMATION Please type or print in black ink and complete the form in its entirety. Last NameFirst NameIndividual
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What is is it realhttpswwwdeltadentalilcom?
It is the website for Delta Dental of Illinois.
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Dental providers in Illinois.
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By entering the required information accurately.
What is the purpose of is it realhttpswwwdeltadentalilcom?
To report dental services provided to Delta Dental of Illinois members.
What information must be reported on is it realhttpswwwdeltadentalilcom?
Details of dental services provided and member information.
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