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   Step 1 of 4 - Enter Your Subscriber Account Information

Please enter your subscriber information below and then click the Submit button so that we can locate your dental account. Be sure to enter the email address you provided when you registered on this website.

If your organization has provided an Alternate ID to retrieve benefits from our Website, please use this value in the ‘Subscriber ID or SSN’ entry below. Your Alternate ID can be found on your Identification Card.

 *All Information is required

First Name
(as shown on your ID Card): The first name must match exactly as saved in our system. In some cases, the middle initial or middle name is saved to the first name field. Please check your ID Card and enter the first name as shown.
*
Last Name
(as shown on your ID Card): The last name must match exactly as saved in our system. Please check your ID Card and enter the last name as shown.
*
Username:
*
Date Of Birth:
*
Subscriber ID/Alternate ID or SSN:
*
Email Address on Account:
*

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