American Association of Dental Boards

Register for a New Account
* fields are required.
First Name*:
2-150 Chars

Last Name*:
2-150 Chars
(add DMD DDS etc. here)
Email*:
5-300 Chars- this will be your user ID.
Password*:
5-10 Chars
Street Address 1*:
5-300 Chars
Street Address 2:
Street Address 3:
City*:
5-50 Chars
State*:
2-10 Chars
Zip Code*:
5-20 Chars
Country*:
AGD Number:
(optional)
Are you a member of AADB?* Yes No
Membership Number:
*(Note: AADB Membership is not the same thing as ADA membership. AADB members are typically board members of State Dental Licensing Boards. If you are unsure - please contact the AADB Central Office at Info@DentalBoards.org)