Oral Arts Dental Lab

This form is for dental professionals only. We are unable to create an Oral Arts account under personal mailing addresses and your request will not be filled. Please use business addresses only.

* indicates required

Business Email Address *

Doctor's First Name *

Doctor's Last Name *

Practice Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Business Phone *

Business Hours *

Doctor's First Name *

If you selected other, please specify.

Coupon Code

FREEZR30

What is your intra-oral scanner brand?

Affiliated with a DSO or GPO group?

If yes, provide group name & membership number

If you answered yes, please provide the group name and your membership number. This information is vital in setting up your Oral Arts account properly.

New Account Information