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Questions? (888) 756-1534
Monday – Friday | 8 am – 6 pm CST

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- Join Now And Start Saving Right Away -

If you’re a TX Dental Plan affiliate provider enrolling your patient(s) on TX Dental Plan, simply select the plan level, fill out the member(s) account information, billing and payment information, then input your unique provider ID number.
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    individual card

    Product Price:$99.00

    Enrollment Fee:$5.00

    Total Price: $104.00

    Account Information

    First Name:

    Last Name:

    Phone:

    Email:

    Password:

    Date of Birth:

  • Billing Address

    Address:

    City:

    State:

    Zip:

    Country:

    tooltipShipping Address

    Shipping is the same as billing

    Address:

    City:

    State:

    Zip:

    Country:

  • Payment Details

    Visa, Master Card, American Express, Discover

    Credit Card:

    Security Code:

    Expiration Date:

    *If paying by check or money order, please submit completed enrollment application along with payment via mail.

    Enrollment Application

    Provider ID Number

    (optional)

    Apply ID

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    Order Details

    Product Price:$99.00

    Enrollment Fee:$5.00

    Total Price: $104.00

    Submit Order

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Need assistance with your enrollment?

Dentists If you have any questions regarding TX Dental Plan please contact one of our Member Engagement Specialists. They are well equipped to handle all your questions. Thank you!

Member Engagement - (888) 756-1534 Option 2
Monday - Friday | 8 am - 6 pm CST If you would like to sign up for TX Dental Plan or you're already a plan member and have a question about your Dental Savings Plan, our Member Engagement Specialists can help.

Provider Engagement - (888) 756-1534 Option 1
Monday - Friday | 8 am - 6 pm CST
Contact our Provider Engagement Team if you're a dental provider interested in affiliating with TX Dental Plan or if you're already an affiliate provider and need any assistance.

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