Applications & Updates provides you with tailored, state specific, application and update packets. Simply download your state specific packet, fill out the required information and either email, fax or mail them back to us. Please make sure to make a copy and retain it for your office records.

Follow the prompts below to properly obtain the correct packets. You have the choice of either direct downloading or emailing a link to these forms.



Please remember to sign all applicable documents. Processing time for applications without required signatures will be delayed.

If you have further questions you can also contact DenteMax at (800) 752-1547, press option #3 to speak with a live Network Development Specialist. Our Specialists will be available to assist you with any questions you might have.