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
3230 S Valley View Boulevard
Suite 110
Las Vegas, Nevada 89102
Fax Number 702-362-9702
Website http://aspenlv.com/
Jeffrey Salls
Email
Phone 702-362-5454
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
Insurance Center, Inc.
2200 Hidden Valley Drive
Suite 300
Little Rock, Arkansas 72212
Doug Wilson
Emery & Webb Insurance Services, Inc.
989 Main Street
Fishkill, New York 12524
-
Phone Number 845-896-6727
Fax Number 845-896-6877
Rob Wise
-
Phone Number
800-942-5818 Ext. 1504
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
Aspen Insurance Services
3230 S. Valley view Bouleard
Suite 110
Las Vegas, NV 89102
-
Phone Number 702-362-5454
Fax Number 702-362-9702
Mercer Health & Benefits Administration, LLC
800 West Main Street
Suite 1250
Boise, ID 83702
-
Phone Number 800-522-5462
Rob Wise
-
Phone Number
800-942-5818 Ext. 1504
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
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
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
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
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)
Deleware
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
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
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
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)
Louisiana
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
Louisiana 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)
Maine
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
Maine 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
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
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 Hampshire
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 Hampshire 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)
Rhode Island
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
Rhode Island 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)
Vermont
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
Vermont 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
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
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
-
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
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)