Get Your Grin Is In Is Your Dentist? - Princeton

Filling out the YOUR GRIN IS IN Is Your Dentist? form is a straightforward process designed to assist your dentist in becoming part of the MetLife Preferred Dentist Program. This guide outlines each step to ensure you complete the form accurately and effectively.

Follow the steps to fill out the form correctly

1. Press the ‘Get Form’ button to retrieve the form and access it in your chosen document editor.
2. Complete the 'Employer/Group Name' field with the name of your employer or group associated with your dental plan.
3. Fill in your full name in the 'Plan Participant Name' section as it appears on your dental plan.
4. Indicate your interest by checking 'YES, I’d like to apply for membership in the MetLife Preferred Dentist Program as a Participating Dentist.'
5. Provide the dentist's name in the 'Dentist Name' field, ensuring it is spelled correctly.
6. Enter the dentist's state license number in the 'State License #' field.
7. Fill out the 'Practice Address' with the street address of the dentist's office.
8. Include any relevant information in the 'Floor/Suite' field if applicable.
9. Complete the 'City', 'State', and 'Zip' fields for the dentist's practice location.
10. Provide the dentist's phone number in the 'Phone' section.
11. If available, include the practice fax number in the 'Practice Fax' field.
12. Fill in the dentist's practice email address in the 'Practice Email' section.
13. After completing all required fields, review the form for accuracy.
14. Save your changes, then download, print, or share the completed form as needed.

Complete the YOUR GRIN IS IN Is Your Dentist? form online today and help your dentist join the MetLife network!