tap to content

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

2021 Provider Guide

Click to download our 2021 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/Summer 2022 Provider Newsletter English

CDT 2021 Updates  English

Fall/Winter 2021 Provider Newsletter English

Spring/Summer 2021 Provider Newsletter English

Winter/Spring 2020 Provider Newsletter English

Spring/Summer 2020 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

Download Now

chat Chat with us

We’ve updated our Privacy Policy. To learn more about how we collect and use information through our website, please read our Privacy Policy here. By continuing to use this site, you agree to our updated policy.