Broker Supply Request

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:

For prospective members, please search by clicking here

If you are a member and need to quickly Find a Dentist in Oregon, California or to search our PPO directory, search now

For Washington Dentists, click here.

"Smartsmile through Dental Health Services delivers the most value of any dental plan we offer."
- Ryan Hart - Agent