Enrollment Forms
Agent Forms
Cancellation Forms
Customer Support
You can mail or fax forms to:
Professional Benefit Administrators
31 S Center St
Winder, GA 30680-3457
Phone: (770) 963-3939
Toll-free: (800) 578-2082
Fax: (770) 963-6126
Toll-free Fax: (888) 264-6975
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For a list of dental
benefits in your area select a state from the list below or click the
state on the map.
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