Changing my personal details

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
following methods:
• Fax to: +44 (0)20 7400 5701
• Post to: Dentists’ Provident, 91-94 Saffron Hill, London EC1N 8QP

Direct debit forms

To download our Direct Debit Instruction for UK Bank Accounts please click here.

To download our Direct Debit Instruction for Irish Bank Accounts please click here.


If you have any questions, please contact our member services consultants by e-mailing or calling 020 7400 5710.


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