Credentialing
Thank you for your interest in becoming a Credentialed Provider with Valleygate Dental Surgery Centers, or our affiliate center, Carolinas Center for Ambulatory Dentistry. You may complete your application below by clicking on the provided link.
Periodontist Credentialing Privilege Application
Pediatric Dentist Credentialing Privilege Application
Oral Surgeon Credentialing Privilege Application
General Dentist Credentialing Privilege Application
Endodontist Credentialing Privilege Application
CRNA Credentialing Privilege Application
Anesthesiologist Credentialing Privilege Application
Anesthesiologist Assistant Credentialing Privilege Application
- Upon completion of the application, our Credentialing Specialist will be in contact with you for any missing documents.
- The Application will then be reviewed by the Credentialing Committee for recommendations of privileges.
- Upon recommendation from the Credentialing Committee, the application will be presented to the governing board for approval to send to Credential America for full credentialing. The governing board will issue temporary privileges.
For any questions, please contact our office or email: [email protected]