Nominate a Dentist
Nominate a Dentist to the GEHA Connection Dental® Network
If the dentist of your choice is not listed in the directory, you may complete this form to nominate the dentist to participate in the GEHA Connection Dental Network. An application packet and information about the network will be sent to eligible providers.
If your dentist chooses to join the network, the normal time frame to complete the nomination process is approximately 60 days. All fields are required unless marked as optional.