1010 North 500 East, Suite 101, North Salt Lake, UT 84054

Become a Provider

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
Suite 101
North Salt Lake, UT 84054

Email: Submit Contracting Application

Fax:     Attn: Provider Relations, 801-797-9226

For more information about Dentist Direct Dental Plans, call Provider Relations at 1-866-696-6527 Option 3.