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.
Dental Provider AgreementDental Provider Agreement • March 17th, 2017 • Maryland
MASTER DENTAL PROVIDER AGREEMENTDental Provider Agreement • August 23rd, 2017
WHEREAS, Provider is actively engaged in the practice of dentistry as a primary care or specialty Provider, and is duly licensed and practicing in accordance with the laws of the State;
The Dental PPA DENTIST AGREEMENTDental Provider Agreement • July 11th, 2022
a practicing licensed dentist (hereafter referred to as the “Provider”) becomes effective on , 20 , and shall be continuous and automatically renew annually without further application.
UNIVERSITY HEALTH CARE, INC. dba PASSPORT HEALTH PLAN DENTAL PROVIDER AGREEMENTDental Provider Agreement • March 20th, 2014 • Kentucky
This Dental Provider Agreement (the "Agreement"), by and between University Health Care, Inc., d/b/a Passport Health Plan ("HMO"), and , (Provider).
DENTAL PROVIDER AGREEMENTDental Provider Agreement • May 16th, 2022
WHEREAS, MCNA has been contracted by one or more Medicaid Managed Care Organizations (“MCO” or “MCOs”) participating in the Kentucky Medicaid Managed Care Program to arrange for the provision of covered dental services to eligible Medicaid recipients assigned to said MCOs.
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.
DENTAL PROVIDER AGREEMENTDental Provider Agreement • May 4th, 2022 • Texas
THIS DENTAL PROVIDER AGREEMENT (“Agreement”) is made and entered into this [ ] day of [ ], 20 (“Effective Date”), by and between [ ] (“Provider”) and Managed Care of North America, Inc., d/b/a/ MCNA Dental Plans (“MCNA”).
