APPLY TODAY!
If you need dental help and meet the qualifications, please complete the form below.
If you need to know more information about eligibility and process, please see this page.
If you need to know more information about eligibility and process, please see this page.
Estimated time: Approximately 5-10 minutes
As part of your application, you may need to submit a few additional forms. The forms below can be submitted at a later date.
- DD-124;
- Medical Documentation;
- Proof of Disability.
Contact
Dental Lifeline Network
1800 15th Street, Suite 100
Denver, CO 80202
1800 15th Street, Suite 100
Denver, CO 80202
Phone: 303.534.5360
Fax: 303.534.5290
