Join Our Team

At TDA, we believe that we have the most to offer to everyone involved in dental insurance – particularly providers. We know that you will see just what we are talking about when you join our team of participating providers.

Please select the region you most closely belong. There you will be able to select from your dental specialty.

Arizona Provider - General Dentist
Download General Dentist Form

Arizona Provider - Specialist
Download Specialist Form

Utah DHMO Provider
Download DHMO Dentist Form

Utah PPO Provider
Download PPO Dentist Form

Utah DHMO Provider - Specialist
Download DHMO Specialist Form

All others
Download Form