Store for Dental Professionals

Create a Dental Professional account

Philips Store for Business is a portal for dental professionals to directly purchase Philips products for their organisation. Once submitted, your account request will be reviewed, verified, and confirmed. This process could take three to five days to complete.

Contact email: [email protected]

Are you a retailer? Then please click here to register.

Personal Information Customer Information Organization Information

Personal Information

All fields marked with an asterisk (*) are required.

First name

First name*

Last name

Last name*

Phone Number

Phone Number*

Email address

Email address*

Next step: Customer information

Customer Information Organization Information

Personal Information Customer Information Organization Information

Personal Information Customer Information

Customer Information

Do you already have a Philips account number? You can find your Philips account number on your order documents, like your invoice

Yes No / Don't know

All fields marked with an asterisk (*) are required.

Customer Account number

Customer Account number*

Name

Name*

Zip code / Postal code

Zip code / Postal code*

Country

Country*

Please select the type of account you’d like to register today

Please select the type of account you’d like to register today*

Other, please specify

Other, please specify*

Country

Country*

By submitting this form, I agree to receive marketing related digital communications about Philips products, services, events and offers that may be relevant to me given my user preferences and behavior. I can revoke my consent at any time. What does this mean?

Role in Practice

Role in Practice

Type of Practice

Type of Practice

Product of interest

Product of interest

Area of Care/Speciality

Area of Care/Speciality

Next step: Organization information

Organization Information

Personal Information Customer Information Organization Information

Personal Information Customer Information Organization Information

Organization Information

Customer details

All fields marked with an asterisk (*) are required.

Company Name 2 (optional)

Company Name 2 (optional)*

First name

First name*

Last name

Last name*

Email address

Email address*

Phone Number

Phone Number*

Medical license number

Medical license number*

Language

Language*

Address details

Street Name

Street Name*

House number

House number*

Additional street, Apartment or Suite information (optional)

Additional street, Apartment or Suite information (optional)

Zip code / Postal code

Zip code / Postal code*

City

City*

Region

Region*

Country

Country*

Do you have a VAT number? Filling in your VAT number will help speed up the registration process.

Yes No / Don't know

VAT country

VAT country*

VAT number

VAT number*

Add Credit & invoicing details (optional)

Add delivery details (optional)

Credit & invoicing details

Invoice address - company name

Invoice address - company name

Invoice address - street

Invoice address - street

Invoice address - house number

Invoice address - house number

Invoice address - postal code

Invoice address - postal code

Invoice address - city

Invoice address - city

Invoice address - region

Invoice address - region

Invoice address - country

Invoice address - country

DUNS number

DUNS number

IBAN number

IBAN number

Contact mail for invoices (email)

Contact mail for invoices (email)

Contact person name (i.e. invoicing & finance)

Contact person name (i.e. invoicing & finance)

Contact person e-mail (i.e. invoicing & finance)

Contact person e-mail (i.e. invoicing & finance)

Contact person telephone number (i.e. invoicing & finance)

Contact person telephone number (i.e. invoicing & finance)

Delivery details

Delivery address - company name to receive goods

Delivery address - company name to receive goods

Delivery address - street

Delivery address - street

Delivery address - house number

Delivery address - house number

Delivery address - postal code

Delivery address - postal code

Delivery address - city

Delivery address - city

Delivery address - region

Delivery address - region

Delivery address - country

Delivery address - country

Contact mail for order confirmation (e-mail)

Contact mail for order confirmation (e-mail)

Contact person name (i.e. logistic)

Contact person name (i.e. logistic)

Contact person e-mail (i.e. logistic)

Contact person e-mail (i.e. logistic)

Contact person telephone number (i.e. logistic)

Contact person telephone number (i.e. logistic)

By submitting this form, I agree to receive marketing related digital communications about Philips products, services, events and offers that may be relevant to me given my user preferences and behavior. I can revoke my consent at any time. What does this mean?