Common Contracts

2 similar Participating Dentist Agreement contracts

Participating Dentist Agreement with United Concordia Companies, Inc. for the Department of Defense (DoD) Programs
Participating Dentist Agreement • December 14th, 2022

Under the applicable laws of the State of _ , I am duly authorized to engage in the practice of dentistry. In consideration for being registered as a participating dentist in the Department of Defense (DoD) Networks (i.e. Active Duty Dental Program (ADDP) Network and/or TRICARE Dental Program (TDP) Network) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia”), I (“Dentist”) do hereby agree as follows:

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Participating Dentist Agreement with United Concordia Companies, Inc. for the Department of Defense (DoD) Programs
Participating Dentist Agreement • January 25th, 2008

Under the applicable laws of the State of , I am duly authorized to engage in the practice of dentistry. In consideration for being registered as a participating dentist in the Department of Defense (DoD) Networks (i.e. Active Duty Dental Program (ADDP) Network and/or TRICARE Dental Program (TDP) Network) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia”), I (“Dentist”) do hereby agree as follows:

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