Membership Options

Active Members

Licensed dentists who wish to be Active Members in the Atlantic Coast Dental Research Clinic, who are within reasonable commuting distance and who can actively participate in the classes and clinics of the Research Clinic shall be eligible for admission subject to approval of the Board of Directors and upon receipt of the application, proof of insurance, and membership dues.

Associate Members

A dentist, licensed under the laws of one of the United States, the District of Columbia, or a United States Territory or possession, or any other national government, who is not within reasonable commuting distance for monthly meetings of the membership but who wishes to support the clinic is eligible for admission to membership as an associate member subject to the approval of the Board of Directors and upon receipt of membership dues.

Allied Members

Any certified dental laboratory technician, dental hygienist, or dental assistant who supports and desires to be active in the studies, work, and programs of the corporation shall be eligible for admission subject to approval of the Board of Directors.

Membership Dues

Dentists, Dental Hygienists, and Dental Assistants: $350.00

RDH and CDA employed by Dentists that are Active Research Clinic Members: $150.00

Oral Implantology Course Dues: $750.00

Second Course offered at: $175.00

* 2024 Dental Graduates will receive free tuition for one year.

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Registration Form

First Name:

Last Name:

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License #:

AGD#:

Subject:

Course Selections: Please check all that apply.

Implants: Placement and Restoration: Dr. Blake

Oral Implantology: Dr. Miller

Periodontal Esthetics & Regeneration: Dr. Feldman

Digital Dentistry: 3D Printing for Restorations: Dr. Dixon

Predictable Digital Dentures: A CAD/CAM Approach: Dr. Dixon

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Date:

*I am a 2024 Dental Graduate

I, being a duly licensed Florida dentist, do hereby apply for membership in the Atlantic Coast Dental Research Clinic. I certify that I am presently carrying liability insurance in the minimum amount of $250,000/750.000. I understand it is my responsibility to attend both the didactic and clinical sessions of my chosen course.

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