Broker Supply Request

We are glad you are here.

Need brochures, fliers or other marketing supplies? You've found the right place! Send us your request today!

Name: Broker Number:

Group # you are requesting information for Plan:

Address:

Address 2:

City:

State: Zip Code:

Phone Number: Email Address:

Yes, I would like to be added to your e-mail list to receive free ToothTips and Dental Health Insider Newsletters.

Supplies

SmartSmile Brochure

Group Information

Provider Directories

Enrollment Kits
(brochure, copay schedule, enrollment form, Provider Directory)

(Let us know if you would like your supply request shipped to a different address)Notes:

In this section:

Dentist Search

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For Washington Dentists, click here.

From their own mouth.

"I recommend Dental Health Services on a regular basis to my clients. Thanks for providing an affordable dental health solution!"
- Beth Cosker - CGA Benefits