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CHANGE YOUR MAIN DENTIST

Step 1: Tell us who wants to change their dentist.

Who is looking to change? Enter the member ID number below. The member ID number can be found on the member's ID card.

IMPORTANT: This form is only for Children's Medicaid and CHIP dental plans. If you are enrolled in an adult Medicaid plan (Managed Care) or are enrolled in an Medicare plan, please click here .

Oops. We are sorry, but the member ID number and/or date of birth that you entered does not match our records.


It is possible that you may have entered the wrong number. If so, please try again.


IMPORTANT: This form is only for Children's Medicaid and CHIP dental plans. If you are enrolled in an adult Medicaid plan (Managed Care) or are enrolled in an Medicare plan, please click here .

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Member ID and Date of Birth are required.

Incorrect Date of Birth Format. Please use mm/dd/yyyy format.

policyholder

You are changing the Main Dentist for the following member(s):

Step 2: Search for a dentist.

Find a dentist

Use our online provider directory to find the right dentist for you.

Only a dentist who is accepting new patients can be set as your Main Dentist.

There are no Providers found. Please try again.

Filter

Accepting new patients

You are changing the Main Dentist for the following member(s):

Step 3: Select your new Main Dentist

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Search Results
Dentist(s) found (sorted by distance from )
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Member Values

You are changing the Main Dentist for the following member(s):

Step 4: Confirm your selection

Main dentist:

Choose another dentist

You're all set!

Start seeing your new Main Dentist - no reference number needed!


Your new Main Dentist is:


Go Back To Member Homepage

Change the Main Dentist for another member


Remember to print or save this page for your records. 

Let us know if this completes your request.

We're sorry

We are having troubles making this change right now.

Please try again or contact us


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