Member Registration Form

Use the form below to enroll in the Dental Care Advantage program administered by American Dental Professional Services. If you have any questions about completing your application, please contact us at 855-322-4322.

We will process your Dental Care Advantage application upon receipt. You will receive your identification card in the mail.

Dental Care Advantage

This program is NOT a health insurance policy and the program does not make payments directly to the providers of health services. This program provides discounts at certain locations for health services. The program member is obligated to pay the provider for all the health care services that the member will receive, but the member will receive a pre-negotiated discount from the providers listed in the network, in accordance with the specific pre-negotiated discounted fee schedule. This program does not guarantee the quality of the services or procedures offered by the providers. Discounts vary by provider. The Discount Medical Plan Organization that operates this program is American Dental Professional Services, LLC located at 9054 North Deerbrook Trail, Milwaukee, WI 53223. (Not available in the states of Alaska, California, Connecticut, Illinois, Kansas, Montana, Nebraska, Nevada, New Jersey, Rhode Island, South Dakota, Utah, Vermont, Washington, and West Virginia.)

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