Registration - The Dental Warehouse A Henry Schein Company

Thank you for your interest in registering your account on the website. If you do not have an account at The Dental Warehouse yet, you will need to fill in an account application form. Please download the appropriate form below.

Cash Account Application Form

Credit Application Form

1 Personal Details

2 Your Practice

3 Billing Details

Name
First Last
Email
Phone
Dental Warehouse Account Number*
Password
Enter Password Confirm Password
Strength indicator

Company
HPCSA Number
HPCSA Certificate
Accepted file types: pdf.
Please upload proof of HPCSA certification in pdf format.

Billing Address
Address Line 1 Address Line 2 City Province Postal Code Country
My billing address is different to my shipping address.
- Yes
- No
Shipping Address
Address Line 1 Address Line 2 City Province Postal Code Country