United Concordia - Dentists - Becoming a United Concordia Provider

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Become a United Concordia Provider

United Concordia welcomes the opportunity to partner with you and your dental office and invites you to become a member of our growing network of dental providers.

The forms below are provided for your convenience in becoming a participating dentist with United Concordia. To apply for participation with United Concordia, please fill out a Participation Agreement and a Participation Application.

Upon completion, please mail the forms with supporting documentation to:

United Concordia Companies, Inc.
Provider Data Management
P.O. Box 69415
Harrisburg, PA 17110
Or
Fax to Provider Data Management at 717-260-6834

Participation Agreements

Participation Application

Maryland DHMO Participation Agreement

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