Membership Application

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Still University Arizona School of Dentistry and Oral Health AZ - Midwestern University College of Dental Medicine CA - Herman Ostrow School of Dentistry of USC CA - Loma Linda University School of Dentistry CA - University of California at Los Angeles School of Dentistry CA - University of California at San Francisco School of Dentistry CA - University of the Pacific Arthur A. Dugoni School of Dentistry CA - Western University of Health Sciences College of Dental Medicine CO - University of Colorado Denver School of Dental Medicine CT - University of Connecticut School of Dental Medicine DC - Georgetown University School of Dentistry DC - Howard University College of Dentistry FL - LECOM College of Dental Medicine FL - Nova Southeastern University College of Dental Medicine FL - University of Florida College of Dentistry GA - Emory University School of Dentistry GA - Georgia Regents University College of Dental Medicine I am a Hygienist IA - University of Iowa College of Dentistry IL - Loyola School of Dentistry IL - Midwestern University College of Dental Medicine IL - Northwestern Dental School IL - Southern Illinois University School of Dental Medicine IL - University of Illinois at Chicago College of Dentistry IN - Indiana University School of Dentistry KY - University of Kentucky College of Dentistry KY - University of Louisville School of Dentistry MA - Boston University Goldman School of Dental Medicine MA - Harvard University School of Dental Medicine MA - Tufts University School of Dental Medicine MD - University of Maryland School of Dentistry MI - University of Detroit Mercy School of Dentistry MI - University of Michigan School of Dentistry MN - University of Minnesota School of Dentistry MO - Missouri School of Dentistry and Oral Health MO - University of Missouri - Kansas City School of Dentistry NC - East Carolina University School of Dental Medicine NC - University of North Carolina School of Dentistry NE - Creighton University School of Dentistry NE - University of Nebraska Medical Center College of Dentistry NS - Dalhousie University Faculty of Dentistry NV - University of Nevada Las Vegas School of Dental Medicine NY - Columbia University College of Dental Medicine NY - New York University College of Dentistry NY - New York University College of DentistryNY - Stony Brook University School of Dental Medicine NY - State University of New York at Buffalo School of Dental Medicine OH - Case Western Reserve Univ. School of Dental Medicine OH - Ohio State University College of Dentistry OK - University of Oklahoma College of Dentistry OR - Oregon Health and Science University School of Dentistry Other PA - Temple University The Maurice H. Kornberg School of Dentistry PA - University of Pennsylvania School of Dental Medicine PA - University of Pittsburgh School of Dental Medicine PR - University of Puerto Rico School of Dental Medicine QC - Universit Laval Facult de M decine Dentaire QC - Université Laval Faculté de Médecine Dentaire SC - Medical University of South Carolina James B. Edwards College of Dental Medicine TN - Meharry Medical College School of Dentistry TX - Texas A&M University Baylor College of Dentistry TX - The University of Texas School of Dentistry at Houston TX - University of Texas Hlth Science Cnt-San Antonio Dental School UT - Dixie State University - Dental Hygiene UT - FORTIS Salt Lake City - Dental Hygiene UT - Roseman University of Health Sciences College of Dental Medicine UT - Salt Lake Community College - Dental Hygiene UT - University of Utah School of Dentistry UT - Utah College of Dental Hygiene UT - Utah Valley University - Dental Hygiene UT - Weber State University - Dental Hygiene VA - Virginia Commonwealth University School of Dentistry WA - University of Washington-Health Sciences School of Dentistry WI - Marquette University School of Dentistry WV - West Virginia University School of Dentistry Dental Specialist Field General Dentist Endodontist Oral & Maxillofacial Radiologist Oral & Maxillofacial Surgeon Orthodontist Pediatric Dentist Periodontist Prosthodontist Hygienist Other Not known at this time (student) Graduation Year Web Site: Can we share your information with academy members for referral purposes? How did you hear about the Academy of LDS Dentists? Friend / Colleague Academy Web site or search Academy Newsletter State or Local Dental Association Humanitarian Organization Advertisement Other Name of Person Who Referred You (if applicable) Would you like to sign up for the Clinicians Report? Annual Membership from January to December: