Call 800-233-6785


Dentist Login



Dentists interested in gaining access to New Image Dental Laboratory's RX's, Fee Schedules and additional product information, please complete the form below.

Once the form is submitted and your information is verified , you will receive an email with your login information.

Fields marked (*) are required

First Name:*
Last Name:*
Practice Name:
License Number:*
WorkTelephone:
Email:*
Address:
Address 2:
City:
State:*
Zip:
How did you hear about us?


PRIVACY POLICY:
New Image Dental Laboratories website is provided as a resource to our customers and dental professionals. Your information will be used exclusively by New Image Dental Laboratory. We will not sell or give your address to any third party.