PENNSYLVANIA DENTAL PROVIDER AGREEMENTDominion Dental Services • 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.
DELAWARE ORTHODONTIC PROVIDER AGREEMENTDominion Dental Services • July 18th, 2017
(hereinafter referred to as ORTHODONTIST) 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 PLAN). Whenever mentioned herein, the term ORTHODONTIST shall include all employees of ORTHODONTIST, all partners, dental associates, and all staff personnel under his direct supervision and/or control.
MARYLAND ORTHODONTIC PROVIDER AGREEMENTDominion Dental Services • July 18th, 2017
This Agreement is made and entered into this day of , (year), by and between (hereinafter referred to as ORTHODONTIST) who is qualified and appropriately licensed to practice Dentistry in the state of Maryland, and Dominion Dental Services, Inc. and Dominion Dental Services USA, Inc both Virginia Corporation (hereinafter referred to collectively as a PLAN). Whenever mentioned herein, the term ORTHODONTIST shall include all employees of ORTHODONTIST, 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 State of Maryland. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
DELAWARE DENTAL SPECIALIST AGREEMENTDominion Dental Services • 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.
VIRGINIA ORTHODONTIC PROVIDER AGREEMENTDominion Dental Services • November 2nd, 2018
(hereinafter referred to as ORTHODONTIST) 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 ORTHODONTIST shall include all employees of ORTHODONTIST, 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.
PREFERRED PROVIDER AGREEMENTDominion Dental Services • November 2nd, 2018
(hereinafter referred to as DENTIST) who is qualified and licensed to practice Dentistry in the State his or her dental practice is domiciled, 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 DENTIST’S direct supervision and/or control.
PENNSYLVANIA DENTAL SPECIALIST AGREEMENTDominion Dental Services • 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.
MARYLAND DENTAL SPECIALIST AGREEMENTDominion Dental Services • 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 Maryland 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. The provisions of this Agreement are to be construed according to the laws of the State of Maryland. In the event of any inconsistency between this Agreement and the terms of any coverage contract, the terms of such coverage contract shall control.
VIRGINIA DENTAL PROVIDER AGREEMENTDominion Dental Services • November 2nd, 2018
This 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.
VIRGINIA DENTAL SPECIALIST AGREEMENTDominion Dental Services • November 2nd, 2018
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 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 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 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.
