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DentaQuest, LLC Office Reference Manual DUAL ELIGIBLE SPECIAL NEEDS PLANS (DSP)Georgia Indiana Ohio PO Box 2906 Milwaukee, WI 532012906 www.dentaquest.comThis document contains proprietary and confidential
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01
Obtain a copy of the Ohio dental health partner form.
02
Fill out personal information such as name, address, phone number, and date of birth.
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Provide information about your dental history and current dental health status.
04
Sign and date the form to certify that the information provided is accurate.
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Submit the completed form to the appropriate dental health partner provider.

Who needs ohio dental health partner?

01
Individuals in Ohio in need of dental health services and looking for a dental health partner.
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People who want to access affordable or free dental care through a dental health partner program.
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Anyone in Ohio who wants to maintain good oral health and prevent dental issues.
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Ohio Dental Health Partner is a registration form for dentists and dental practices in Ohio.
All dentists and dental practices operating in Ohio are required to file Ohio Dental Health Partner.
Ohio Dental Health Partner can be filled out online through the Ohio Department of Health website.
The purpose of Ohio Dental Health Partner is to ensure that all dental practices in Ohio are registered and compliant with state regulations.
Ohio Dental Health Partner requires information such as dentist's name, practice address, license number, and contact information.
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