Update your details

Update your membership details

Please complete the form below to update your membership details. By doing this we will be able to contact you by email, with more information about your subscription relief payment.

First name

Last name

Dental Protection membership number

Dental Protection membership renewal month

Location of practice

Preferred contact number

Including country code

Email address

Date of birth

In order to provide you with the best possible service we would like to inform you of other products and services offered by us that we believe may be of interest to you. To opt-in to receive such information, either via post or email, please tick here

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To find out more about how we collect, use and handle your personal data, please see the Privacy Statement.