How to Get Credentialed with Guardian Dental in Mississippi
Quick Overview
Timeline
60 - 90 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
Delegated
No
Mississippi-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 Mississippi.
Prepare Your Application
Complete Guardian Dental's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Guardian Dental.
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
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
Guardian DentalGuard Provider Application
Provider application to join the Guardian DentalGuard Preferred or PPO network.
RequiredContact Information
Guardian Dental Credentialing
NationalGuardian Dental General
National