To download the Provider Services Agreement, Dental Office Information Sheet and Participating Dentists Application press the “Download” button.
A self-extracting file will download to the folder that you select. Once downloaded, double-click on the file. This will extract the files. The suggested program to view the documents is Microsoft Word 97 or higher. Fill out both forms and mail them back to DenteMax at:
DenteMax
Provider Relations
32290 Five Mile Road
Livonia, MI 48154