AmeriPlan® Corporation welcomes your interest in joining our healthcare provider network!

We look forward to partnering with you in providing quality discount dental and healthcare services to AmeriPlan® members. Upon your acceptance, you will immediately be placed on our list of national providers. Please take a few moments to complete the following form and we'll begin the application process.

Answers to Commonly-Asked Questions
If I am on a National or State DO NOT CALL List, by checking the "I Agree" box below and clicking on the "Continue" button below then submitting my contact information which may include my telephone number, you are authorized to contact me by telephone at that number regarding the AmeriPlan® Business Opportunity for the three (3) month period following date of this consent."
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