Dental
Aetna Dental
Credentialing and enrollment guides for Aetna Dental across 51 states.
60-120 days
CAQH Required
Re-credential every 3 yrs
About Aetna Dental
Required Documents
CV/Resume
DEA License
Required if performing sedation or prescribing controlled substances
Malpractice Insurance
Medical License
NPI Certificate
Enrollment Forms
Aetna Dental Provider Participation Agreement
Participation agreement to join the Aetna Dental PPO or DMO network.
Online
Download
Select Your State
Choose your state for Aetna Dental-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Open
Arizona
Open
Arkansas
Open
California
Open
Colorado
Open
Connecticut
Open
Delaware
Open
District Of Columbia
Open
Florida
Open
Georgia
Open
Hawaii
Open
Idaho
Open
Illinois
Open
Indiana
Open
Iowa
Open
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
Open
Michigan
Open
Minnesota
Open
Mississippi
Open
Missouri
Open
Montana
Open
Nebraska
Open
Nevada
Open
New Hampshire
Open
New Jersey
Open
New Mexico
Open
New York
Open
North Carolina
Open
North Dakota
Open
Ohio
Open
Oklahoma
Open
Oregon
Open
Pennsylvania
Open
Puerto Rico
Rhode Island
Open
South Carolina
Open
South Dakota
Open
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Open
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Open