Common Contracts
1 similar Dental Provider Agreement contracts
DOMINION NATIONAL INSURANCE COMPANY NEW JERSEY DENTAL PROVIDER AGREEMENTDental Provider Agreement • November 17th, 2016
This Dental Provider Agreement (the “Agreement”) is made and entered into this day of , (year) (the “Effective Date”) by and between (“DENTIST”) who is licensed to practice Dentistry in the State of New Jersey and Dominion National Insurance Company, on behalf of itself and its applicable affiliates (“PLAN”). Whenever mentioned herein, the term DENTIST shall include all employees of DENTIST, all partners, dental associates, and all staff personnel and agents under DENTIST’S direct supervision and/or control. The provisions of this Agreement are to be construed according to the laws of the State of New Jersey. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
