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Dentist Search Sign Up – Lite Form

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Dentist Search

Dentist Search Sign Up

Your name, address and phone number will be entered into our database and will be searchable but will only appear in our Dentist Search Results Page which:

  • Shows summary information only
  • There is no clickable link to your web site
  • There is no call button on mobile phones
  • Only listed in the city and zip code of your office


    To have the Dentistinfo.com search summary link to your practice web site use the Premium Link registration page. With a Premium Link registration you can add multiple city names and zip codes which are searchable.

    Complete the free dentist search Lite-Listing Form below in full. Press the submit button at the bottom of this page to submit the application form.  Please mail a copy of your current dental and/or specialty license to:
    2001 N. Halsted, STE 202, Chicago, IL 60614.

    Dentist Search – Lite Form



    Select one:


    Select the following Services Provided:
    (These will be searchable)

    Crowns, Bridges and Dentures (Prosthodontics)
    RootCanals (Endodontics)
    Extractions Oral Surgery)
    Gum Treatments (Periodontics)
    TMJ
    Children (Pedodontics)
    Bleaching, Veneers and Bonding (Cosmetic Dentistry)
    Implants
    Braces (Orthodontics)


    Open on Saturdays or Evenings
    welcomes 24 Hr. Emergencies
    that uses 90% less radiation (Digital X-rays)
    CEREC (1 appointment porcelain restorations) Available

    Personal information below (will not appear on web site)

    To the best of my knowledge, all of the preceding answers and information provided are true and correct. If I ever have any changes, I agree to advise Dentistinfo as soon as possible.

    After receiving the completed form, Dentistinfo.com reserves the right to reject or edit all applications based on our ethical standards.
     


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