Dental

How to Get Credentialed with Guardian Dental in Idaho

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 3 year(s)

Delegated

No

Idaho-Specific Requirements

Guardian Dental: DentalGuard Preferred (PPO) and DentalGuard Alliance (DHMO) networks. DentalGuard Preferred (PPO) network only in this state (DHMO not available). Apply via Guardian Anytime provider portal (guardiananytime.com). Uses CAQH ProView. Processing typically 30-60 days. State licensing: Idaho State Board of Dentistry issues DDS/DMD licenses. Dental hygienists (RDH) may credential separately. State note: Accepts WREB clinical exam. Extended access dental hygiene permit available for underserved areas. DentalGuard Alliance (DHMO) available in select states (CA, FL, IL, NJ, NY, TX). DentalGuard Preferred (PPO) available nationwide. Guardian is one of the top five dental insurers in the U.S.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Idaho.

2

Prepare Your Application

Complete Guardian Dental's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Guardian Dental.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

Work history and education

DEA License

Conditional

Required 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

Guardian DentalGuard Provider Application

Provider application to join the Guardian DentalGuard Preferred or PPO network.

Required
Online Open →

Contact Information

Guardian Dental Credentialing

National

Guardian Dental General

National

Quick Links

Need Help?

Let PayerReady handle your Guardian Dental enrollment in Idaho.

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Guardian Dental in Other States

Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida

Other Payers in Idaho

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross of Idaho Regence BlueShield of Idaho Idaho Medicaid
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