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Nominate A Provider
Are you seeing a dentist that isn't currently in our network? Take a couple of minutes to complete the provider nomination form below.
Click HERE to nominate your provider for inclusion in our network.
For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, click on our International Directory.
NOTES:
  1. Optional field. Full text is not required.
  2. If Zip Code entered, City and State are ignored.
  3. Only providers listed with their corresponding locations are in network. Not all dentists at a location may be in network and the same provider at a different location may not be in network. It is your reponsibility to ensure the listed provider is active and in network at the time you receive services.
  4. You are entitled to obtain a detailed understanding of additional services or assistance that the provider(s) office is able to offer in support of the patient's specific needs under the Federal American with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.
  5. Out of Network: You may obtain care from any licensed dentist. If the dentist you use is not part of our network, benefits will be determined based on the out-of-network benefit level. Because these providers are out of our network, payment will be based on the lesser of the provider's actual charge or the maximum allowed amounts established by Blue Cross Blue Shield FEP Dental for services rendered by out-of-network providers. You are responsible for the difference between our payment and the amount billed. If a member chooses to go out of network, payment will be made directly to the member.