Card of Intent - Become a Participating Dentist

First Name: Last Name: Email Address (required) : License Number: Phone Number: Speciality: Address: City : State / Zip: Please indicate the plan(s) you are interested in joining. The Preferred Plan Network The Choice Plan Network

 

Superior Direct Connect provides members, dentists and benefit administrators with direct access to our system to check claim status, verify benefit eligibility, request EOB’s, add or update employee records, as well as request new ID cards.  All of these capabilities and more are just a click away!