To become a part of the Dentist Direct Dental Plans network, please print, complete, and submit this application to:
Mail to: Dentist Direct Network Services
1010 North 500 East
North Salt Lake, UT 84054
Fax: Attn: Provider Relations, 801-799-9226
For more information about Dentist Direct Dental Plans, call Provider Relations at 1-866-696-6527 Option 3.