Nominate a Dentist

If your dentist is not listed in The Dental Care Plus Group's online directory, please fill out this nomination form so we may contact your dentist and invite him/her to start the process of joining our networks.

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Download a Provider Nomination Form

If you would prefer to download the nomination form to either print or email, click here. Hard-copy nomination forms can be faxed to (513) 618-3881, Attention: Provider Recruiting and Contracting. Completed forms can also be emailed to:

The completion of this form, whether online, faxed or emailed, is a request for The Dental Care Plus Group to begin the recruitment process with your dentist. Completing this form does not guarantee that your dentist will become a participating provider. 

Download the Nominate a Dentist form