Organization Information

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If tax exempt, please make sure to upload your U.S. Treasury (IRS) tax determination letter proving your organization’s non-profit status. If you do not upload it now, you’ll have two days to email a current copy to corpcomm@deltadentalks.com or fax it to 316-462-3372.

Contact Information

Used to communicate with you about your Smile Kit application
Used to communicate with you about your Smile Kit application

Project/Program Information

Estimated number of direct lives affected annually

Smile Kit Request

Smile kits come in two sizes: Adult, for ages 8 and up, and Child, for ages 4-7. The minimum amount of kits you can select is 50 per toothbrush size. The total number of Smile Kits requested must be in increments of 50.

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