Liberty Dental Plan
Credentialing and enrollment guides for Liberty Dental Plan across 51 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
States Available
51
About Liberty Dental Plan
Liberty Dental Plan is a specialty managed care plan serving over 4 million members across California, Florida, Illinois, Nevada, New Jersey, New York, and Texas. They administer Medicaid, Medicare Advantage, and commercial dental benefits with a focus on preventive care and quality outcomes.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Liberty Dental Plan's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Liberty Dental Plan. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Liberty Dental Plan?
Our specialists handle the entire Liberty Dental Plan enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
CV/Resume
DEA License
Required if performing sedation or prescribing controlled substances
Malpractice Insurance
Medical License
NPI Certificate
Enrollment Forms
Liberty Dental Provider Application
Provider application to join the Liberty Dental Plan network for Medicaid and commercial programs.
Contact Information
Provider Credentialing
1-888-703-6999
Mon-Fri 8am-5pm
Provider Services
1-888-703-6999
Claims & Billing
1-888-703-6999
Quick Links
Need Help?
Let PayerReady handle your Liberty Dental Plan credentialing and enrollment.
Get Started NowAvailable States
+ 36 more states below
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Liberty Dental Plan-specific credentialing details including timelines, contacts, and local requirements.