Most U.S. dentists and dental students, regardless of membership status, have a pre-existing account.

Newly created accounts will not receive any benefits associated with ADA membership.

Non-Dentist Account Creation

* designates required fields

Personal Information

First Name

*Required

Last Name

*Required

Company

Title

Primary Function

*Required

Web Account Information

User ID

*Required

Password

*Required

Repeat Password

*Required

Contact Information

Select Address Type

Country

*Required

Address

*Required

Address Line 2

Address Line 3

City

*Required

State

*Required

ZipCode

*Required

(Area Code) Phone

*Required

(Area Code)

(Phone Number)

(Area Code) Fax:

(Area Code)

(Fax Number)

I am not a dentist or dental student and do not currently have an ADA account.

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