If you are a dental professional who practice in one of the United States or Territories, you are eligible for enrollment at the limited or full levels.
If you are a dental professional outside of the United States, you can enroll at the informational level only.

The Enrollment Questionnaire is completed electronically ONLY and requires an email address. A printed version of the Enrollment Questionnaire is available for reference or reviewing the questions prior to enrollment.

A printed version of the Enrollment Questionnaire that was used from 2005-2019 is available for historical reference.

If you have any questions, please contact us by email at nationaldpbrn@uab.edu.