If you want your dentist to participate with United Concordia, please complete the form below. Upon receiving your email, we will contact your dentist.
Submit your dentist's information using our convenient form and we'll extend an offer to join our network. If your dentist chooses to join, your out-of-pocket costs will automatically be lowered.
Your information will not be submitted if you exit the application now.
Use the following values depending on your relationship to United Concordia: