International Membership Application
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Membership Application (International)

Join us. Start the application process online today. If you know your ADA number, you may enter it and press the search button to update your profile. Otherwise, please complete the form and submit your online application.

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Personal Information

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Education Information

Please attach a copy of your dental school diploma (English translation required). If you cannot attach a copy, fax a copy to the American Dental Association at 312-440-3542 or mail it to: American Dental Assn, Attn: International Membership, 211 E Chicago Ave, Chicago, IL 60611 United States.

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Postal Address Information
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Dues Information

You are currently requesting International (Non-U.S.) Membership in the ADA .

 
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