Want to Enroll in our Dental Plan?

Join Now

Here is how:

  • Select an available provider office from our Doctors page

  • Review our Plan Brochure

  • Download, complete and sign the Enrollment Form  (Click Here)

  • Mail your Enrollment Form with a check or money order made payable to Dedicated Dental, for the appropriate premium amount, plus a one-time $10.00 enrollment fee to the address on the form.


    Individual Plan Annual Rates:

    1200 Plan  Single Single +1 Dependent  Family of 3 or 4 Family of 5+
    $60 $120  $144   $180


  • You may also visit one of our Dedicated Dental offices for same-day sign up.

Your membership becomes effective the date your application & payment are received in our corporate office.

Please call our Member Services Dept. at 1-800-277-1112 for any questions or to request an
enrollment form


Grievance Form