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
801 North 500 West
Suite 300
Bountiful, UT 84010
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.