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:
EmblemHealth
Dental Provider Operations
PO Box 12365
Albany, NY 12214-5558
- Fax: 212-615-4953 (downstate) or 212-510-5135 (upstate)
- E-mail: dentalproviders@emblemhealth.com
