




Change Your Main Dentist
Step 1: Tell us who wants to change their dentist
Who is looking to change? Enter the member ID number below. The member ID number can be found on the member's ID card.
IMPORTANT: This form is only for Children's Medicaid and CHIP dental plans. If you are enrolled in an adult Medicaid plan (Managed Care) or are enrolled in a Medicare plan, please click here
It looks like you are no longer part of this plan, so we are unable to change your Main Dentist. If you think you received this message in error, head over to our contact us page.
Oh no! We are unable to change your Main Dentist. Sometimes this happens when your information is not in our system or your plan does not allow you to change your Main Dentist. Please try again or contact us.
Member ID and date of birth are required.
Incorrect Date of Birth Format. Please use mm/dd/yyyy format.
You are changing the Main Dentist for the following member(s):
Step 2: Search for a dentist.
Find a Dentist
Use our online provider directory to find the right dentist for you.
Only a dentist who is accepting new patients can be set as your Main Dentist.
Accepting new patients
You are changing the Main Dentist for the following member(s):
Step 3: Select your new Main Dentist
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Provider gender:
Language spoken by provider:
Accepting new patients:
You are changing the Main Dentist for the following member(s):
Step 4: Confirm your selection
Main dentist:
You're all set!
Your Main Dentist was changed on
You can start seeing your new Main Dentist immediately.
Your reference number is
Success! We were able to complete this change for:
Your new Main Dentist is:
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Change the Main Dentist for another member
We're sorry
We are having troubles making this change right now.
Please try again. contact us
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