Registration

Thank you for your interest in joining Dental Conduit. We value the dental industry and how it’s evolved. Apply below and a representative from Dental Conduit will reach out to you within 72 hours. If you have any questions, you can view our FAQs or send us a message. If you have an invitation code, enter it to be automatically approved.

Username

Password

First Name

Last Name

Billing Address

Billing Country

Billing State/Province

Billing City

Billing Postcode

Custom User Fields

Practice Name *

Group Name

Dental License # *

Address

Phone Number *

# of Offices

Website URL *

Facebook Page URL

Profile Image

Images must be max 1000x1000 pixels and 2MB. Allowed file types include: jpg, jpeg, png, webp, gif

Invitation Code

Custom User Fields

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Dental Conduit

Company Info

Account

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