Dentist Agreement Sample Contracts

Medicare Advantage amendment to participating dentist agreement
Dentist Agreement • March 4th, 2015

This Amendment (hereinafter the “Amendment”) to the Participating Dentist Agreement (hereinafter the “Agreement”) is made a part of and supplements the Agreement entered into by dentist and Delta

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DENTIST AGREEMENT
Dentist Agreement • February 11th, 2009

THIS AGREEMENT is made and entered into by and between PREMIER ACCESS INSURANCE COMPANY, a California Corporation (“PREMIER”) and the undersigned Dentist, licensed to practice dentistry in the state noted on the signature page (“DENTIST”).

DeCare Dental EncompassSM PARTICIPATING DENTIST AGREEMENT
Dentist Agreement • December 11th, 2006 • Maine

This AGREEMENT is made this day of , by and between DeCare Dental Encompass sponsored by DeCare Dental Networks, LLC, (hereinafter DDN) a Minnesota limited liability company having its principle place of business at 3560 Delta Dental Drive, Eagan, Minnesota, 55122, and the undersigned dentist (hereinafter Dentist).

effective: April 1, 1997 between PRUDENTIAL DENTAL MAINTENANCE ORGANIZATION, INC. (hereinafter called "The Company") and
Dentist Agreement • June 23rd, 1997 • Monarch Dental Corp • Services-specialty outpatient facilities, nec • Texas
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