Thank you for being a part of our network

Western Dental appreciates the quality of care and service you provide to our members.  We offer a quick and easy way to access Western Dental’s provider guide, newsletter and all vital forms. We value your continual dedication to providing excellent care to our members.

Language Assistance Program

Need help communicating with your Western Dental members? If you need more information about LAP, including contracting dentist’s requirements, please contact our Provider Relations Department at (800) 811-5111. Click the link below for more information.

Learn More

2018 Provider Guide

Click to download our 2018 provider guide.

Provider Guide

Have a Dispute?

Please download the Provider Dispute Form and Resolution Process in the Link Below:

Provider Dispute Form

Need to assist a member filing a grievance?

Please print and complete the PDF grievance member forms below:

English: Grievance Form

Español: Presentar una Queja

Downloadable Documents

Spring 2018 Provider Newsletter English

Fall 2017 Provider Newsletter English

Winter 2016 Provider Newsletter English

Change of Address English

Timely Payment of Claims English

Not a provider? Join now

Please fill out all forms below and fax them to (714) 571-3650.

1) Provider Information

Get Started

2) Work History

Get Started

4) Attestation Statement

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