Contracting Dentist AgreementContracting Dentist Agreement • April 19th, 2012
Contract Type FiledApril 19th, 2012The undersigned, hereinafter referred to as “Dentist”, applies to become a Contracting Dentist with DeCare Dental Networks, LLC (hereinafter “DDN”), national network. I do hereby represent and agree as follows: (terms in boldface type are defined terms as set forth in the DDN Uniform Policies and Procedures and Administrative Guide, collectively referred to as “UPP”):
CONTRACTING DENTIST AGREEMENTContracting Dentist Agreement • May 14th, 2013
Contract Type FiledMay 14th, 2013This CivicSmiles Contracting Dentist Agreement (Agreement) is between DeCare Dental Networks, LLC (DeCare) and the dentist or dental entity signing this Agreement (Contracting Dentist). In consideration of participation in this national dental network for publically funded health care programs, I represent and agree as follows:
Contracting Dentist AgreementContracting Dentist Agreement • April 19th, 2012 • Minnesota
Contract Type FiledApril 19th, 2012 JurisdictionThe undersigned, hereinafter referred to as “Dentist”, applies to become a Contracting Dentist with DeCare Dental Networks, LLC (hereinafter “DDN”), national network. I do hereby represent and agree as follows: (terms in boldface type are defined terms as set forth in the DDN Uniform Policies and Procedures and Administrative Guide, collectively referred to as “UPP”):
Contracting Dentist AgreementContracting Dentist Agreement • April 10th, 2008
Contract Type FiledApril 10th, 2008The undersigned, hereinafter referred to as “Dentist”, applies to become a Contracting Dentist with DeCare Dental Networks, LLC (hereinafter “DDN”), national network. I do hereby represent and agree as follows: (terms in boldface type are defined terms as set forth in the DDN Uniform Policies and Procedures and Administrative Guide, collectively referred to as “UPP”):