Start Enrolling – Wellness Care Credit

Becoming a Wellness Care Credit provider is easy!

Join the Wellness Care Credit provider network and start offering easy patient financing! Our enrollment process is fast, simple and hassle-free, so you can start performing more procedures as soon as you apply and become enrolled in our network.

Join Our Network and Let Us Help You Make Smiles Simple
Provider Information
First Name**
MIddle Name
Last Name**
Provider Type**
Specialty*
License #*
License Expiration*
Federal Tax ID*
Rep ID / Promo Code
Contact
Phone*
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Email*
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Practice Name & Address
Legal Business Name*
DBA Name
Address*
Suite Number
City*
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Zip*
Administrative Contact (Office Manager)
Office Manager*
Phone Number*
Phone
This field is for validation purposes and should be left unchanged.

Becoming a Wellness Care Credit provider is easy!

Join Our Network and Let Us Help You Make Smiles Simple

Provider Information

Contact

Practice Name & Address

Administrative Contact (Office Manager)