Nominate a Provider blank

nominate a provider

Your dental plan is powered by the Ameritas Dental Network. The group division of Ameritas Life Insurance Corp. continually recruits new dentists and specialists to join the Ameritas Dental Network. If your dental plan has access to the dental network and your dentist is not an active network provider, you may request that an application packet be sent to their office for consideration. Please complete the Provider Nomination Form in its entirety to ensure the appropriate information is sent to the office.

Nominate Provider

Nominate Provider

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Nominate a Provider
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