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WARNING! The name and birthdate on the IDs you intend to use at the test center must match your DENTPIN exactly or you will be denied admission to testing and forfeit your testing/application fee. All the names on your ID must be entered. If needed, several names can be entered in the corresponding name field. See ID Policy for details.

If you are a licensed Dentist and/or Dental Hygienist in the USA you have a DENTPIN®. If you already have a DENTPIN® or are unsure if you do, please do not register for another. Click here to search for your DENTPIN®.

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* designates required fields

Personal Information
First Name*
Middle Name* No Middle Name  
Last Name*
Birthdate (mm/dd/yyyy)*
Gender
Do you consider yourself to be of Hispanic origin?
Which of the following best describes your race?
You may mark more than one.
Is English your first language?

 

Contact Information
Address*
City*
State
ZIP Code
Country*
Phone*  
Email*