American Dental Join Us Form
JOIN AMERICAN DENTAL PLAN
CHOOSE ONE PLAN OPTION
1 YEAR ANNUAL FEE

  Individual Membership $99.00

  Family Membership $199.00
(Children must be born after January 1, 1992)


Valid for one year.
This is not an insurance product.

390 North Broadway, Suite #110, Jericho, NY 11753
Toll Free: 1-800-44-SMILE - email: join1@americandental.com