United Concordia welcomes the opportunity to partner with you and your dental office and invites you to become a part of our growing network of dental providers.
Please complete the TDP Dental Agreement, state specific Application, per the below, and any necessary corresponding information and mail or fax back to:
United Concordia Companies, Inc.
Provider Data Management
P.O. Box 69404
Harrisburg, PA 17106–9404
Fax (877) 601–9994