If you have recently changed your home or your work address, telephone number or e-mail, please complete our member change of personal details form and return to us by fax or post. For your security, we are not able to accept a change of personal details without sight of your written signature.
Step 1 - Click here to download the form
Step 2 - Complete form by filling in the fields onscreen
Step 3 - Print out the filled in form and sign
Step 4 - Once you have completed the form please return it to us using one of the
• Fax to: +44 (0)20 7400 5701
• Post to: Dentists’ Provident, 91-94 Saffron Hill, London EC1N 8QP
If you have any questions, please contact our member services consultants by e-mailing email@example.com or calling 020 7400 5710.