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How does a dental provider notify Denti-Cal of a change in business address?

April 26, 2017address Business dental denti-cal notify Provider

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How does a dental provider notify Denti-Cal of a change in business address?

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• Adding an additional location to that currently used to provide dental services to Medi-Cal recipients, and for which the provider was issued a provider number, shall submit a complete application package. (W & I Code, Section 14043.26(a)(1)), or • Changing location and moving to a different location than that for which the provider was issued a provider number, shall submit a complete application package. • NOTE: This does not apply to licensed clinics, licensed health facilities, licensed adult day health care providers, licensed home health agencies and licensed hospices (W & I Code, Section 14043.26).