Dental
DentaQuest
Credentialing and enrollment guides for DentaQuest across 51 states.
30-60 days
Re-credential every 3 yrs
About DentaQuest
Required Documents
CV/Resume
DEA License
Required if performing sedation or prescribing controlled substances
Malpractice Insurance
Medical License
NPI Certificate
Enrollment Forms
DentaQuest Provider Enrollment Form
Provider enrollment form for DentaQuest Medicaid and managed dental programs.
Online
Download
Select Your State
Choose your state for DentaQuest-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Open
Arizona
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Arkansas
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California
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Colorado
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Connecticut
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Delaware
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District Of Columbia
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Florida
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Georgia
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Hawaii
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Idaho
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Illinois
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Indiana
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Iowa
Open
Kansas
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Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
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Michigan
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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
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North Dakota
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Ohio
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Oklahoma
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Oregon
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Pennsylvania
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Puerto Rico
Rhode Island
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South Carolina
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South Dakota
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Tennessee
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Texas
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Utah
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Vermont
Open
Virginia
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Virgin Islands
Washington
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West Virginia
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Wisconsin
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Wyoming
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