Easy Payment Plan

Please Read Before Applying

By clicking on the “APPLY NOW” button below, you consent, acknowledge, and agree to the following:

  • We take your privacy seriously. You are providing express “written” consent to share your information with up to five (5) Lender partners, and for Value Dental Centers, parties calling on behalf of Value Dental Centers, Lender partners, or an authorized third party on their behalf to call you (including through automated means; e.g. autodialing, text and pre-recorded messaging) via telephone, mobile device (including SMS and MMS – charges may apply) and/or email, even if your telephone number is currently listed on any internal, corporate, state, federal or national Do-Not-Call (DNC) list.
  • Consent is not required as a condition to utilize Value Dental Centers’ services, and you may choose to be contacted by an individual customer care representative(s) by calling 1-844-VALUE DR.
  • You are providing Express Written Consent under the Fair Credit Reporting Act for Value Dental Centers and/or its agent(s), and/or up to five (5)lender partners with whom you are matched to obtain your consumer credit report from your credit profile or other information from contracted Credit Bureau(s) associated with your prequalification for credit inquiry.
  • Partners may contact you directly to discuss your loan options as well as to obtain additional financial information in relationship to your offer of credit you receive from them.

Estimated Procedure Amount

First Name


Last Name


Mailing Address





Primary Phone Number


Additional Phone Number


Email Address

Confirm Email Address

Social Security Number

Date of Birth (MM/DD/YYYY)

Housing Information

Monthly Net Income From All Sources

Alimony, child support or separate maintenance income need not be included unless relied upon for credit. You may include the monthly amount that you have available to spend from your assets.