Dentist Support Center

Form Name: Online Form: PDF: Become a Participating Dentist The Choice Plan Dentist Participation Agreement The Preferred Plan Dentist Participation Agreement Click here Click here Click here Click here Claims Submission Guidelines Click here Smile Rider Sign Up Form Click here Click here Sullivan-Schein Dental Click here Eyemed Plan info Click here SecureTrack Dental Click here Network Development Service Click here Dentist Service Click here Dental Office Service Click here Order a discounted CDT manual Click here Update Office Info Click here

For Claims Submission: The Preferred Plan 800.762.3159 937.43.0283 Fax:  937.291.8695 Address: 6683 Centerville Business Pkwy Centerville, Ohio 45459 The Choice Plan 866.377.5687 Fax: 937.438.0288 Address: 6683 Centerville Business Pkwy Centerville, Ohio 45459