Join Our Dental Networks

Joining the EmblemHealth dental networks is easy. If you’re already credentialed by Dentistat, our credentialing verification vendor, you can become a network participant within three to four weeks of the date we receive all your completed paperwork. If you are not credentialed and would like to become part of our networks, please complete a Dentistat agreement in addition to the application and signed contract.

To apply for our networks:

1) Complete or provide the following application materials:

If you are a solo practitioner, also complete:

If you are a group practice with three or more providers, also complete:

2) Return all documents to us either by:

  • Mail:

    Dental Provider Operations
    PO Box 12365
    Albany, NY 12214-5558

  • Fax: 1-212-615-4953 (downstate) or 1-518-446-0185 (upstate)
  • E-mail: