Step 1 of 2: Apply to Become an Author

To Start, Please Tell Us About You and Your Dental Practice

Step 1 of 2: Apply to Become an Author

Your Practice Name *

Would you like to read/review the book(s) you may be interested in authoring? *

YES

Provide your best email and we'll email you links for you to review the books once you have completed the application process. *

Doctor's First Name *

Doctor's Last Name *

What is your website address? *

Which of the following services/procedures do you offer (select any that apply): *

Dental Implants

Cosmetic Dentistry

Sedation (other than Nitrous Oxide)

Approximately how many restorative or cosmetic cases do you conduct in a month over $5,000? *

1 – 3

4 – 6

7 +

How many years have you been placing implants and/or offering cosmetic and restorative dentistry services? *

1 – 3 years

4 – 6 years

7+ years

Please list the Training, Continuing Education and Associations you have received and/or belong to specifically for high-value dental procedures. *

Do you take Before and After Pictures of your Cosmetic and/or Restorative Cases? *

Yes

No

Do you have specific reviews or testimonials from patients about the cosmetic, restorative and/or sedation procedures you offer? *

Yes

No

If accepted to become an author, what book(s) would you be interested in authoring (select any that apply)?

Dental Implants

Cosmetic Dentistry

Dental Sedation

Your cell phone number. *

What is an alternate phone number where we can reach you? *

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To Start, Please Tell Us About You and Your Dental Practice​