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Provider Identification Numbers - United Concordia Dental

How Individual Provider Identification Numbers Are Established

Non‐participating providers may obtain a United Concordia Provider Number by submitting a claim form and including:

  • Treating Provider’s name
  • Copy of the provider’s W9
  • Physical address
  • Mailing address (if different than physical address)
  • Telephone number
  • NPI
  • Provider license number

A letter with your assigned United Concordia Provider Number will be mailed to you.

United Concordia urges non-participating providers to keep your provider information current by reporting any changes in writing. Keeping United Concordia informed of these changes will ensure timely processing of claims and delivery of checks (when payment has been assigned by the member). Please submit updates by using one of the following methods:

Email: ProviderRequest@ucci.com

Fax: 1‐844‐235‐7261

Mailing Address:
Provider Data Management
PO Box 69404
Harrisburg, PA 17106‐9404

Learn how to become a United Concordia Network Dentist.