Find an Agent
You can apply for DentistCare® coverage through knowledgeable agents who know your state’s practice environment. Find a local DentistCare agent by state for contact information and application forms.
Alabama
AGENCIES
ProAssurance Agency
100 Brookwood Place Birmingham, Alabama 35209
Phone Number 844-331-6298
Fax Number 205-868-4051
APPLICATIONS
No Applications at this time
Arizona
AGENCIES
Aspen Insurance Services, Inc.
RSC Wallace
640 James Drive, Richardson, TX 75080
Phone Number 972-663-5190
Emery & Webb Insurance Services, Inc.
Kari Proper
-
Phone Number
845-896-6727 Ext. 1126
APPLICATIONS
Arizona dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Arkansas
AGENCIES
RSC Wallace
640 James Drive, Richardson, TX 75080
Phone Number 972-663-5190
ProAssurance Agency
100 Brookwood Place Birmingham, Alabama 35209
Phone Number 844-331-6298
Fax Number 205-868-4051
APPLICATIONS
Arkansas dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
California
AGENCIES
Marsh & McLennan Agency
9171 Towne Centre Drive, Suite 100, San Diego, CA 92122
-
Phone Number 619-952-4005
AMBA
PO Box 851036, Minneapolis, MN 55485-1036
-
Phone Number 800-522-5462
Robin Stroud
Wallace Specialty Insurance Group
508 Twilight Trail
Suite 203
Richardson, TX 75080
Phone Number 972-663-5190
Kyle Wallace
-
Phone Number
972-663-5190
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
APPLICATIONS
California dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Colorado
AGENCIES
Marsh & McLennan Agency
RSC Wallace
640 James Drive, Richardson, TX 75080
Phone Number 972-663-5190
APPLICATIONS
Colorado dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Connecticut
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Visit Website
Innovation Growth Partners Specialty, LLC
180 Park Ave, 1st Floor Florham Park, NJ 07932
-
Phone Number 610-537-1332
Visit Website
Brian George
APPLICATIONS
Connecticut dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Delaware
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Visit Website
Innovation Growth Partners Specialty, LLC
180 Park Ave, 1st Floor Florham Park, NJ 07932
-
Phone Number 610-537-1332
Visit Website
Brian George
APPLICATIONS
Delaware dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Florida
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Visit Website
ProAssurance Agency
-
100 Brookwood Place Birmingham, Alabama 35209
Phone Number 844-331-6298
Fax Number 205-868-4051
APPLICATIONS
Florida dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Georgia
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Georgia dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Idaho
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Idaho dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Illinois
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Illinois dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Indiana
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Indiana dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Iowa
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Iowa dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Kansas
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Kansas dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Kentucky
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Kentucky dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Maryland
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Maryland dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Massachusetts
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Massachusetts dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Michigan
AGENCIES
Somerset Insurance Agency Group
Street
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Michigan dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Minnesota
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Minnesota dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Mississippi
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Mississippi dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Missouri
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Missouri dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Montana
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Montana dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Nebraska
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Nebraska dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Nevada
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Nevada dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
New Jersey
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
New Jersey dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
New Mexico
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
New Mexico dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
New York
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
New York dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
North Carolina
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
North Carolina dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
North Dakota
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
North Dakota dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Ohio
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Ohio dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Oklahoma
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Oklahoma dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Oregon
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Oregon dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Pennsylvania
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Pennsylvania dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
South Carolina
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
South Carolina dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
South Dakota
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
South Dakota dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Tennessee
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Tennessee dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Texas
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Texas dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Utah
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Utah dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Virginia
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Virginia dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Washington
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
Washington dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
West Virginia
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
-
Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
-
Phone Number
972-663-5190
APPLICATIONS
West Virginia dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Wisconsin
AGENCIES
Baer Insurance Services, Inc.
APPLICATIONS
Wisconsin dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)
Wyoming
AGENCIES
Emery & Webb Insurance
989 Main Street
Fishkill, New York 12524
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Phone Number 845-896-6727
Wallace Specialty Insurance Group
640 James Drive
Richardson, TX 75080
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Phone Number 972-663-5190
Website http://www.wallacesig.com
Kyle Wallace
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Phone Number
972-663-5190
APPLICATIONS
Wyoming dentists who do not currently have medical malpractice insurance coverage by ProAssurance, please download and complete the appropriate application, then submit it to your agent.
- Dentist Application - Claims-Made (7 pages)
- Dentist Application - Occurrence (7 pages)
- Dental Corporation Application (5 pages)
- Fraud Warnings (2 pages)