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.
IF YOU WOULD LIKE TO SIGN UP AS A MONTHLY PAYER PLEASE CONTACT US AT 855-322-4322 TO COMPLETE YOUR APPLICATION.