Common Contracts
4 similar Dental Provider Agreement contracts
PENNSYLVANIA DENTAL PROVIDER AGREEMENTDental Provider Agreement • July 18th, 2017
This Agreement is made and entered into this day of , ,(year) by and between (hereinafter referred to as DENTIST) who is licensed to practice Dentistry in the Commonwealth of Pennsylvania and Dominion Dental Services, Inc. and Dominion Dental Services USA, Inc., both Virginia Corporations (hereinafter referred to collectively as PLAN). Whenever mentioned herein, the term DENTIST shall include all employees of DENTIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control. The provisions of this Agreement are to be construed according to the laws of the Commonwealth of Pennsylvania. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
DELAWARE DENTAL PROVIDER AGREEMENTDental Provider Agreement • July 18th, 2017
This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as DENTIST) who is licensed to practice Dentistry in the State of Delaware and Dominion Dental Services, Inc. and Dominion Dental Services USA, Inc., both Virginia Corporations (hereinafter referred to collectively as a PLAN). Whenever mentioned herein, the term DENTIST shall include all employees of DENTIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control.
DISTRICT OF COLUMBIA DENTAL PROVIDER AGREEMENTDental Provider Agreement • July 18th, 2017
This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as DENTIST) who is qualified and appropriately licensed to practice Dentistry, and Dominion Dental Services, Inc. and Dominion Dental Services USA, Inc., both Virginia Corporations (hereinafter referred to collectively as a PLAN). Whenever mentioned herein, the term DENTIST shall include all employees of DENTIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control. The provisions of this Agreement are to be construed according to the laws of the District of Columbia. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
MARYLAND DENTAL PROVIDER AGREEMENTDental Provider Agreement • July 18th, 2017
This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as DENTIST) who is qualified and appropriately licensed to practice Dentistry, and Dominion Dental Services, Inc. and Dominion Dental Services USA, Inc., both Virginia Corporations (hereinafter referred to collectively as a PLAN). Whenever mentioned herein, the term DENTIST shall include all employees of DENTIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control. The provisions of this agreement are to be construed according to the laws of the State of Maryland. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
