How to Get Credentialed with Delta Dental in Oregon
Quick Overview
Timeline
90 - 120 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
Delegated
No
Oregon-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Oregon.
Prepare Your Application
Complete Delta Dental's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Delta Dental.
Track & Follow Up
Credentialing typically takes 90-120 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
CV/Resume
Work history and education
DEA License
ConditionalRequired if performing sedation or prescribing controlled substances
Malpractice Insurance
Current malpractice insurance certificate
Medical License
Active dental license required
NPI Certificate
Active NPI number required
Enrollment Forms
Delta Dental Provider Application
Provider application to join the Delta Dental Premier or PPO network.
RequiredContact Information
Delta Dental Credentialing
National1-800-765-6003
Delta Dental General
National1-800-765-6003