Dental
Liberty Dental Plan
Credentialing and enrollment guides for Liberty Dental Plan across 51 states.
30-60 days
Re-credential every 3 yrs
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 3 year(s)
States Available
51
How Liberty Dental Plan Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Not published by the payer
Recredentialing
Not published by the payer
Liberty Dental Plan administers dental benefits, primarily for state Medicaid and CHIP programs, so participation is per state contract. Apply through its provider enrollment channel for your state.
The stall to avoid: State Medicaid dental routes through a specific administrator per state. Confirm which company holds your state's dental contract before applying, and remember an active state Medicaid ID typically comes first.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
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
1
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
2
Prepare Your Application
Complete Liberty Dental Plan's provider enrollment application with all required information and supporting documentation.
3
Submit Your Application
Submit your completed enrollment package to Liberty Dental Plan. Select your state below for state-specific submission details.
4
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.
Online
Download
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
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District Of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
+ 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.
Alabama
Open
Alaska
Open
Arizona
Open
Arkansas
Open
California
Open
Colorado
Open
Connecticut
Open
Delaware
Open
District Of Columbia
Open
Florida
Open
Georgia
Open
Hawaii
Open
Idaho
Open
Illinois
Open
Indiana
Open
Iowa
Open
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
Open
Michigan
Open
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
Open
North Dakota
Open
Ohio
Open
Oklahoma
Open
Oregon
Open
Pennsylvania
Open
Puerto Rico
Rhode Island
Open
South Carolina
Open
South Dakota
Open
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Open
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Open
Liberty Dental Plan credentialing requirements by state
Liberty Dental Plan enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Liberty Dental Plan operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|---|
| Alaska | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Alabama | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Arkansas | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Arizona | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| California | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application (practice details, TIN, SSN). CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required items: NPI Type I (individual) and Type II (entity/billing) as applicable; current dental license(s); a current DEA or state controlled-substance certificate if applicable; and a malpractice certificate with professional liability limits of at least $1,000,000 per occurrence / $3,000,000 aggregate, plus 5 years of work history with no gaps. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. A full re-credentialing review occurs every 3 years, following NCQA and CMS standards. LIBERTY administers dental benefits for Medicaid, Medicare Advantage, and commercial members. California is a confirmed LIBERTY Medicaid (Medi-Cal) dental market. |
| Colorado | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Connecticut | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| District Of Columbia | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Delaware | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Florida | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Georgia | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Hawaii | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Iowa | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Idaho | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Illinois | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Indiana | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application (practice details, TIN, SSN). CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required items: NPI Type I (individual) and Type II (entity/billing) as applicable; current dental license(s); a current DEA or state controlled-substance certificate if applicable; and a malpractice certificate with professional liability limits of at least $1,000,000 per occurrence / $3,000,000 aggregate, plus 5 years of work history with no gaps. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. A full re-credentialing review occurs every 3 years, following NCQA and CMS standards. LIBERTY administers dental benefits for Medicaid, Medicare Advantage, and commercial members. |
| Kansas | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Kentucky | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Louisiana | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Massachusetts | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Maryland | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application (practice details, TIN, SSN). CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required items: NPI Type I (individual) and Type II (entity/billing) as applicable; current dental license(s); a current DEA or state controlled-substance certificate if applicable; and a malpractice certificate with professional liability limits of at least $1,000,000 per occurrence / $3,000,000 aggregate, plus 5 years of work history with no gaps. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. A full re-credentialing review occurs every 3 years, following NCQA and CMS standards. LIBERTY administers dental benefits for Medicaid, Medicare Advantage, and commercial members. |
| Maine | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Michigan | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Minnesota | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Missouri | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Mississippi | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Montana | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| North Carolina | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| North Dakota | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Nebraska | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| New Hampshire | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| New Jersey | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application (practice details, TIN, SSN). CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required items: NPI Type I (individual) and Type II (entity/billing) as applicable; current dental license(s); a current DEA or state controlled-substance certificate if applicable; and a malpractice certificate with professional liability limits of at least $1,000,000 per occurrence / $3,000,000 aggregate, plus 5 years of work history with no gaps. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. A full re-credentialing review occurs every 3 years, following NCQA and CMS standards. LIBERTY administers dental benefits for Medicaid, Medicare Advantage, and commercial members. New Jersey is a confirmed LIBERTY market with Medicaid dental presence. |
| New Mexico | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Nevada | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| New York | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Ohio | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Oklahoma | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-273-3066
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application (practice details, TIN, SSN). CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required items: NPI Type I (individual) and Type II (entity/billing) as applicable; current dental license(s); a current DEA or state controlled-substance certificate if applicable; and a malpractice certificate with professional liability limits of at least $1,000,000 per occurrence / $3,000,000 aggregate, plus 5 years of work history with no gaps. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. A full re-credentialing review occurs every 3 years, following NCQA and CMS standards. LIBERTY administers dental benefits for Medicaid, Medicare Advantage, and commercial members. Oklahoma operates as a dedicated Medicaid plan, LIBERTY Dental Plan of Oklahoma. |
| Oregon | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Pennsylvania | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Rhode Island | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| South Carolina | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| South Dakota | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Tennessee | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Texas | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Utah | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Virginia | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Vermont | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Washington | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Wisconsin | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| West Virginia | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
| Wyoming | LIBERTY Dental Plan | Open | 10–90 days |
Provider portal
888-700-0643
|
LIBERTY Dental Plan credentials dentists through its Professional Relations department. Submit a completed LIBERTY Credentialing Application; CAQH applications are accepted in most states but may require additional information or a state-mandated application. Required: NPI Type I and Type II as applicable, current dental license(s), a DEA or state controlled-substance certificate if applicable, and a malpractice certificate with at least $1,000,000/$3,000,000 limits, plus 5 years of gap-free work history. Credentialing may take up to 90 days, though many providers complete it in as little as 10 days. Re-credentialing occurs every 3 years following NCQA and CMS standards. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about Liberty Dental Plan credentialing
How long does Liberty Dental Plan credentialing take?
Liberty Dental Plan credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Liberty Dental Plan require CAQH?
No. Liberty Dental Plan does not enroll through CAQH ProView, so credentialing data is submitted directly on Liberty Dental Plan's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Liberty Dental Plan operate in?
Liberty Dental Plan has credentialing operations in 51 states. 51 of those 51 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.