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October 6 2011 NAME ADDRESS1 CITY STATE ZIP DENTAQUEST STREAMLINES APPLICATION PROCESS Dear Dentist s In an effort to streamline our contracting and credentialing process DentaQuest is now accepting the enclosed NEW and IMPROVED 6-page application from all providers who wish to submit their enrollment applications via paper. Dentaquestnetwork. com select Texas from the drop down menu click GO and click Enroll by mail. DentaQuest is also willi...
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What is dentaquest credentialing application form?
The dentaquest credentialing application form is a document used to apply for credentialing with DentaQuest, a dental benefits administrator.
Who is required to file dentaquest credentialing application form?
Dental providers and practices who wish to participate in DentaQuest's network are required to file the credentialing application form.
How to fill out dentaquest credentialing application form?
To fill out the dentaquest credentialing application form, you need to provide various details such as your personal information, professional qualifications, licensing information, malpractice insurance coverage, and other necessary documentation. The form can be filled out online or on a paper copy and submitted to DentaQuest for review.
What is the purpose of dentaquest credentialing application form?
The purpose of the dentaquest credentialing application form is to gather and verify information about dental providers and practices to determine their eligibility and qualifications for participation in DentaQuest's network. This helps ensure that patients receive high-quality dental care from qualified providers.
What information must be reported on dentaquest credentialing application form?
The dentaquest credentialing application form typically requires information such as personal details, educational background, professional qualifications, licensing information, malpractice insurance coverage, work history, references, and other relevant documentation. The specific information required may vary depending on the type of provider or practice.
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