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Credentialing Online

For your convenience CompBenefits has provided a Credentialing Application and Practice Summary Questionnaire you can download inAdobe Acrobat format. Once downloaded, simply print, complete and mail the materials with requested documents to:

Professional Services
Attn: Data Entry Supervisor
100 Mansell Court East, Ste. 400
Roswell, GA 30076

Please call 1.800.382.3979 to request fee schedules.

Click here to download the Practice Summary Questionnaire in Adobe Acrobat format.

NOTE: Each dentist must complete a Credentialing Application in order to render dental services to CompBenefits patients. A Practice Summary Questionnaire must be completed on each facility.

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