DELAWARE DENTAL SPECIALIST AGREEMENTDental Specialist Agreement • July 18th, 2017
This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as SPECIALIST) 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 SPECIALIST shall include all employees of SPECIALIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control.
DOMINION NATIONAL INSURANCE COMPANY NEW JERSEY DENTAL SPECIALIST AGREEMENTDental Specialist Agreement • November 17th, 2016
This Dental Specialist Agreement (the “Agreement”) is made and entered into this day of , (year) (the “Effective Date”) by and between (“SPECIALIST”) 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 SPECIALIST shall include all employees of SPECIALIST, all partners, dental associates, and all staff personnel and agents under SPECIALIST’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.
PENNSYLVANIA DENTAL SPECIALIST AGREEMENTDental Specialist Agreement • July 18th, 2017
(hereinafter referred to as SPECIALIST) 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 SPECIALIST shall include all employees of SPECIALIST, 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.
