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Request Product Samples
We are happy to send samples of our products to dental offices for their trial prior to purchase. To request samples of our products for your dental office, we provide several options: OPTION 1: fill out and submit our easy to use online form below; OPTION 2: click below to download our sample order PDF and fill out to mail or fax to back to us; or OPTION 3: contact our customer service representatives.

Mail to: Preventech | 4330-C Matthews-Indian Trail Road | Indian Trail, NC 2807
Fax to: 704-849-2417
Call Customer Service: 1-800-474-8681

PLEASE NOTE: Since DAYLI® and PEDIAGEL® are both regulated as drugs by the United States Food and Drug Administration, samples are unavailable. However, all of our products come with a 100% customer satisfaction guarantee, so you can purchase with confidence.
OPTION 1: Product Samples Order Form
For Professional Use Only!
Specify Handpiece / Cup
Midwest Shorty® or Rhino®
Star® Titan®
Specify Cup
Specify Cup
Specify Grit
Specify Flavor






Specify Flavor




Specify Grit


















OPTION 2: Product Samples Order Form
OPTION 3: Contact Us Directly
Call Our Customer Service Line: 1-800-474-8681
Send Us a Fax: 704-849-2417
Send Us an Email: customerservice@preventech.com
  • Preventech
  • Contact Preventive Technologies
  • Dental hygiene products
  • preventive care dental products
  • pediagel
  • next prophy paste
  • nada pumice paste
  • Maxmin
  • esamate handpiece
  • Dayli
From prophy pastes to disposable prophy angles to fluoride varnishes, Preventech has the products your practice needs to keep your patients happy and smiling bright!
Our Preventive Dental Care Products are
Made in the USA