New Account Information

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
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.
We include a printed fee schedule in our new doctor kit. Would you like a digital copy to be emailed to the address you provided above?