Join Our Dental Networks

Joining the EmblemHealth dental networks is easy. Complete the documents below to become a participating provider in our PPO Dental Networks.

To apply for our networks:

1) Complete or provide the following application materials:

A copy of your Professional Liability Insurance pages (not general) showing name and address of carrier, individuals covered, expiration date and liability limits.

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