Member E-mail Form

Do you have a question about dental benefits? Use this form to send DentaQuest your question. For the fastest service, please give us a call. Select your state and plan from our member's page to get your plan's customer service phone number.

Please briefly explain your license request below

First Name

Last Name

Phone

DentaQuest Member ID

Your DentaQuest Member ID number is the 9- or 10-digit number on the front of your card

Please explain your request below

Please note that communications sent on our website are not secure. Please do not include personal identifying information in this form.

PREVENTISTRY PULSE

A newsletter with tips and information to improve your oral health.