Dental Provider Quarterly Report

Quarterly Reports are to be completed within 60 days following the last day of each quarter.

How to Submit Dental Provider Quarterly Reports

Download this report and submit via email, fax, or mail.

Email to TCWD@THA.com.

OR

Fax to 615-242-4803.

OR

Mail to the address below:

Tennessee Center for Health Workforce Development
5201 Virginia Way
Brentwood, TN 37027