Dentist Participation Contact Form

img.wp-smiley,img.emoji{display:inline !important;border:none !important;box-shadow:none !important;height:1em !important;width:1em !important;margin:0 .07em !important;vertical-align:-.1em !important;background:none !important;padding:0 !important;}body{--wp--preset--color--black:#000;--wp--preset--color--cyan-bluish-gray:#abb8c3;--wp--preset--color--white:#fff;--wp--preset--color--pale-pink:#f78da7;--wp--preset--color--vivid-red:#cf2e2e;--wp--preset--color--luminous-vivid-orange:#ff6900;--wp--preset--color--luminous-vivid-amber:#fcb900;--wp--preset--color--light-green-cyan:#7bdcb5;--wp--preset--color--vivid-green-cyan:#00d084;--wp--preset--color--pale-cyan-blue:#8ed1fc;--wp--preset--color--vivid-cyan-blue:#0693e3;--wp--preset--color--vivid-purple:#9b51e0;--wp--preset--color--contrast:var(--contrast);--wp--preset--color--contrast-2:var(--contrast-2);--wp--preset--color--contrast-3:var(--contrast-3);--wp--preset--color--base:var(--base);--wp--preset--color--base-2:var(--base-2);--wp--preset--color--base-3:var(--base-3);--wp--preset--color--accent:var(--accent);--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple:linear-gradient(135deg,rgba(6,147,227,1) 0%,#9b51e0 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan:linear-gradient(135deg,#7adcb4 0%,#00d082 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange:linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red:linear-gradient(135deg,rgba(255,105,0,1) 0%,#cf2e2e 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray:linear-gradient(135deg,#eee 0%,#a9b8c3 100%);--wp--preset--gradient--cool-to-warm-spectrum:linear-gradient(135deg,#4aeadc 0%,#9778d1 20%,#cf2aba 40%,#ee2c82 60%,#fb6962 80%,#fef84c 100%);--wp--preset--gradient--blush-light-purple:linear-gradient(135deg,#ffceec 0%,#9896f0 100%);--wp--preset--gradient--blush-bordeaux:linear-gradient(135deg,#fecda5 0%,#fe2d2d 50%,#6b003e 100%);--wp--preset--gradient--luminous-dusk:linear-gradient(135deg,#ffcb70 0%,#c751c0 50%,#4158d0 100%);--wp--preset--gradient--pale-ocean:linear-gradient(135deg,#fff5cb 0%,#b6e3d4 50%,#33a7b5 100%);--wp--preset--gradient--electric-grass:linear-gradient(135deg,#caf880 0%,#71ce7e 100%);--wp--preset--gradient--midnight:linear-gradient(135deg,#020381 0%,#2874fc 100%);--wp--preset--duotone--dark-grayscale:url("#wp-duotone-dark-grayscale");--wp--preset--duotone--grayscale:url("#wp-duotone-grayscale");--wp--preset--duotone--purple-yellow:url("#wp-duotone-purple-yellow");--wp--preset--duotone--blue-red:url("#wp-duotone-blue-red");--wp--preset--duotone--midnight:url("#wp-duotone-midnight");--wp--preset--duotone--magenta-yellow:url("#wp-duotone-magenta-yellow");--wp--preset--duotone--purple-green:url("#wp-duotone-purple-green");--wp--preset--duotone--blue-orange:url("#wp-duotone-blue-orange");--wp--preset--font-size--small:13px;--wp--preset--font-size--medium:20px;--wp--preset--font-size--large:36px;--wp--preset--font-size--x-large:42px;--wp--preset--spacing--20:.44rem;--wp--preset--spacing--30:.67rem;--wp--preset--spacing--40:1rem;--wp--preset--spacing--50:1.5rem;--wp--preset--spacing--60:2.25rem;--wp--preset--spacing--70:3.38rem;--wp--preset--spacing--80:5.06rem;--wp--preset--shadow--natural:6px 6px 9px rgba(0,0,0,.2);--wp--preset--shadow--deep:12px 12px 50px rgba(0,0,0,.4);--wp--preset--shadow--sharp:6px 6px 0px rgba(0,0,0,.2);--wp--preset--shadow--outlined:6px 6px 0px -3px rgba(255,255,255,1),6px 6px rgba(0,0,0,1);--wp--preset--shadow--crisp:6px 6px 0px rgba(0,0,0,1);}:where(.is-layout-flex){gap:.5em;}body .is-layout-flow > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}body .is-layout-flow > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}body .is-layout-flow > .aligncenter{margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}body .is-layout-constrained > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}body .is-layout-constrained > .aligncenter{margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > :where(:not(.alignleft):not(.alignright):not(.alignfull)){max-width:var(--wp--style--global--content-size);margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > .alignwide{max-width:var(--wp--style--global--wide-size);}body .is-layout-flex{display:flex;}body .is-layout-flex{flex-wrap:wrap;align-items:center;}body .is-layout-flex > *{margin:0;}:where(.wp-block-columns.is-layout-flex){gap:2em;}.has-black-color{color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color:var(--wp--preset--color--white) !important;}.has-pale-pink-color{color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color:var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color:var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color:var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color:var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color:var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background:var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background:var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background:var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background:var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background:var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background:var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background:var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background:var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background:var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background:var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size:var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size:var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size:var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size:var(--wp--preset--font-size--x-large) !important;}.wp-block-navigation a:where(:not(.wp-element-button)){color:inherit;}:where(.wp-block-columns.is-layout-flex){gap:2em;}.wp-block-pullquote{font-size:1.5em;line-height:1.6;}body{background-color:#fff;color:#3a3a3a;}a{color:#cc1e24;}a:visited{color:#8e44ad;}a:hover,a:focus,a:active{color:#1e72bd;}body .grid-container{max-width:1100px;}.wp-block-group__inner-container{max-width:1100px;margin-left:auto;margin-right:auto;}:root{--contrast:#222;--contrast-2:#575760;--contrast-3:#b2b2be;--base:#f0f0f0;--base-2:#f7f8f9;--base-3:#fff;--accent:#1e73be;}:root .has-contrast-color{color:var(--contrast);}:root .has-contrast-background-color{background-color:var(--contrast);}:root .has-contrast-2-color{color:var(--contrast-2);}:root .has-contrast-2-background-color{background-color:var(--contrast-2);}:root .has-contrast-3-color{color:var(--contrast-3);}:root .has-contrast-3-background-color{background-color:var(--contrast-3);}:root .has-base-color{color:var(--base);}:root .has-base-background-color{background-color:var(--base);}:root .has-base-2-color{color:var(--base-2);}:root .has-base-2-background-color{background-color:var(--base-2);}:root .has-base-3-color{color:var(--base-3);}:root .has-base-3-background-color{background-color:var(--base-3);}:root .has-accent-color{color:var(--accent);}:root .has-accent-background-color{background-color:var(--accent);}body,button,input,select,textarea{font-family:"Lato",sans-serif;}body{line-height:1.5;}.entry-content > [class*="wp-block-"]:not(:last-child):not(.wp-block-heading){margin-bottom:1.5em;}.main-title{font-size:45px;}.main-navigation .main-nav ul ul li a{font-size:14px;}.sidebar .widget,.footer-widgets .widget{font-size:17px;}h1{font-family:"Lato",sans-serif;font-weight:300;font-size:40px;}h2{font-family:"Lato",sans-serif;font-weight:300;font-size:30px;}h3{font-family:"Lato",sans-serif;font-size:20px;}h4{font-size:inherit;}h5{font-size:inherit;}@media (max-width:768px){.main-title{font-size:30px;}h1{font-size:30px;}h2{font-size:25px;}}.top-bar{background-color:#636363;color:#fff;}.top-bar a{color:#fff;}.top-bar a:hover{color:#303030;}.site-header{background-color:#fff;color:#3a3a3a;}.site-header a{color:#3a3a3a;}.main-title a,.main-title a:hover{color:#222;}.site-description{color:#757575;}.main-navigation,.main-navigation ul ul{background-color:#222;}.main-navigation .main-nav ul li a,.main-navigation .menu-toggle,.main-navigation .menu-bar-items{color:#fff;}.main-navigation .main-nav ul li:not([class*="current-menu-"]):hover > a,.main-navigation .main-nav ul li:not([class*="current-menu-"]):focus > a,.main-navigation .main-nav ul li.sfHover:not([class*="current-menu-"]) > a,.main-navigation .menu-bar-item:hover > a,.main-navigation .menu-bar-item.sfHover > a{color:#fff;background-color:#3f3f3f;}button.menu-toggle:hover,button.menu-toggle:focus,.main-navigation .mobile-bar-items a,.main-navigation .mobile-bar-items a:hover,.main-navigation .mobile-bar-items a:focus{color:#fff;}.main-navigation .main-nav ul li[class*="current-menu-"] > a{color:#fff;background-color:#3f3f3f;}.navigation-search input[type="search"],.navigation-search input[type="search"]:active,.navigation-search input[type="search"]:focus,.main-navigation .main-nav ul li.search-item.active > a,.main-navigation .menu-bar-items .search-item.active > a{color:#fff;background-color:#3f3f3f;}.main-navigation ul ul{background-color:#3f3f3f;}.main-navigation .main-nav ul ul li a{color:#fff;}.main-navigation .main-nav ul ul li:not([class*="current-menu-"]):hover > a,.main-navigation .main-nav ul ul li:not([class*="current-menu-"]):focus > a,.main-navigation .main-nav ul ul li.sfHover:not([class*="current-menu-"]) > a{color:#fff;background-color:#4f4f4f;}.main-navigation .main-nav ul ul li[class*="current-menu-"] > a{color:#fff;background-color:#4f4f4f;}.separate-containers .inside-article,.separate-containers .comments-area,.separate-containers .page-header,.one-container .container,.separate-containers .paging-navigation,.inside-page-header{background-color:#fff;}.entry-meta{color:#595959;}.entry-meta a{color:#595959;}.entry-meta a:hover{color:#1e73be;}.sidebar .widget{background-color:#fff;}.sidebar .widget .widget-title{color:#000;}.footer-widgets{background-color:#fff;}.footer-widgets .widget-title{color:#000;}.site-info{color:#fff;background-color:#222;}.site-info a{color:#fff;}.site-info a:hover{color:#606060;}.footer-bar .widget_nav_menu .current-menu-item a{color:#606060;}input[type="text"],input[type="email"],input[type="url"],input[type="password"],input[type="search"],input[type="tel"],input[type="number"],textarea,select{color:#666;background-color:#fafafa;border-color:#ccc;}input[type="text"]:focus,input[type="email"]:focus,input[type="url"]:focus,input[type="password"]:focus,input[type="search"]:focus,input[type="tel"]:focus,input[type="number"]:focus,textarea:focus,select:focus{color:#666;background-color:#fff;border-color:#bfbfbf;}button,html input[type="button"],input[type="reset"],input[type="submit"],a.button,a.wp-block-button__link:not(.has-background){color:#fff;background-color:#666;}button:hover,html input[type="button"]:hover,input[type="reset"]:hover,input[type="submit"]:hover,a.button:hover,button:focus,html input[type="button"]:focus,input[type="reset"]:focus,input[type="submit"]:focus,a.button:focus,a.wp-block-button__link:not(.has-background):active,a.wp-block-button__link:not(.has-background):focus,a.wp-block-button__link:not(.has-background):hover{color:#fff;background-color:#3f3f3f;}a.generate-back-to-top{background-color:rgba(0,0,0,.4);color:#fff;}a.generate-back-to-top:hover,a.generate-back-to-top:focus{background-color:rgba(0,0,0,.6);color:#fff;}:root{--gp-search-modal-bg-color:var(--base-3);--gp-search-modal-text-color:var(--contrast);--gp-search-modal-overlay-bg-color:rgba(0,0,0,.2);}@media (max-width:768px){.main-navigation .menu-bar-item:hover > a,.main-navigation .menu-bar-item.sfHover > a{background:none;color:#fff;}}.inside-top-bar{padding:10px;}.inside-header{padding:40px;}.site-main .wp-block-group__inner-container{padding:40px;}.entry-content .alignwide,body:not(.no-sidebar) .entry-content .alignfull{margin-left:-40px;width:calc(100% + 80px);max-width:calc(100% + 80px);}.rtl .menu-item-has-children .dropdown-menu-toggle{padding-left:20px;}.rtl .main-navigation .main-nav ul li.menu-item-has-children > a{padding-right:20px;}.site-info{padding:20px;}@media (max-width:768px){.separate-containers .inside-article,.separate-containers .comments-area,.separate-containers .page-header,.separate-containers .paging-navigation,.one-container .site-content,.inside-page-header{padding:30px;}.site-main .wp-block-group__inner-container{padding:30px;}.site-info{padding-right:10px;padding-left:10px;}.entry-content .alignwide,body:not(.no-sidebar) .entry-content .alignfull{margin-left:-30px;width:calc(100% + 60px);max-width:calc(100% + 60px);}}.one-container .sidebar .widget{padding:0px;}@media (max-width:768px){.main-navigation .menu-toggle,.main-navigation .mobile-bar-items,.sidebar-nav-mobile:not(#sticky-placeholder){display:block;}.main-navigation ul,.gen-sidebar-nav{display:none;}[class*="nav-float-"] .site-header .inside-header > *{float:none;clear:both;}}.recentcomments a{display:inline !important;padding:0 !important;margin:0 !important;}.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}@media screen and (max-height: 1024px){.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+3):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}}@media screen and (max-height: 640px){.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload),.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload) *{background-image:none !important;}.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+2):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}}.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload).nitro-lazy,.e-con.e-parent:nth-of-type(n+4):not(.e-lazyloaded):not(.e-no-lazyload) *.nitro-lazy{background-image:none !important;}.bullet-points ul,.white-bullet-points ul{list-style:none;}.bullet-points ul li::before{content:"■";display:inline-block;width:1em;margin-left:-1em;}.white-bullet-points ul li::before{content:"■";display:inline-block;width:1em;margin-left:-1em;color:white;}body{overflow-x:hidden;}

TELL ME MORE ABOUT
PARTICIPATING WITH BENECARE

DOWN FOR MAINTENANCE

Dentist Participation Contact Form

TELL ME MORE ABOUTPARTICIPATING WITH BENECARE

DOWN FOR MAINTENANCE

TELL ME MORE ABOUT
PARTICIPATING WITH BENECARE