VIRGINIA DENTAL PROVIDER AGREEMENTVirginia Dental Provider Agreement • November 2nd, 2018
Contract Type FiledNovember 2nd, 2018This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as DENTIST) who is qualified and licensed to practice Dentistry in the Commonwealth of Virginia, 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 Virginia. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.