Thanks for your interest and consideration in becoming an SCL Provider.

We continually refine our processes to make this turn-key program both fun and easy for you and your team!

We understand that you may have some specific questions about how it works. Complete the form below and a team member will follow up with addtional information and answer questions.

Join the SCL Provider Network

(*note – Your information is only for our records and will not be shared.)

Name(Required)

First Last

Personal Email(Required)

Mobile Phone(Required)

How it Works



Enroll as a Provider

Submit the form

We Match You
With a Patient

Pre-screened for financial
need and motivation



Begin Treatment

You determine treatment plan



Create a New Smile

Change the life of a child
and their family