Contact Us

Please use the form below to Contact Us. Every effort will be made to respond to you in a timely maner.

Contact Method? (Required)

First Name (Required)

Last Name (Required)

Reason for Contact (Required)

Phone (Required)

Email Address (Required)

Additional Comments

Attach File


This form submission will be sent directly to the Dent Tech Claim Support Desk. Your personal information is subject to Dent Tech’s Privacy Policy.