Dental1.org: Complete Resource for Oral Health Care

Please fill out the form below to become a registered professional on Dental1.org. When approved you will receive the following member benefits:

Practice information listed in the Dental Professional Locator

Member-exclusive opportunities

Provided you are an existing Straumann customer, your account will be approved and ready for viewing within 1-2 business days.

The Dental1.org Dental Professional Locator will allow patients interested in dental implant and tissue regeneration therapy to contact you directly. Please complete the form below and click "OK" to submit when your information reads exactly as you would like it to. The required fields are indicated with an asterisk (*). Approval can take 1-2 business days.

Note: Your personal information will not be sold or shared with any parties outside of Dental1.org. Please read our privacy policy for further information.

Name *

First:
Last:

Title *

Specialty *

E-mail *

Display e-mail within the Locator section

I would like to receive Straumann's monthly eNewsletters

I am interested in adding patient testimonials / before and after pictures to my listing.

Please select one. *
I am a Straumann Customer with my own account
I utilize Straumann products but they are ordered through the account of Dr.
I am a not a Straumann customer. Please have a Straumann representative contact me.

If you would like to attach a photo, e-mail a jpg or gif file to editor@body1.com. Be sure to include your name in the e-mail.
Languages Spoken		Payment Plans Accepted
Biography (250 words)	(Maximum words: 250) You have words left.	Personal Message (250 words)	(Maximum words: 250) You have words left.

What to Bring to Your Appointment
(250 words)

(Maximum words: 250)
You have words left.

Use the left-hand box to give patients a message on what to expect or what to bring to their appointment.

Practice Location
Address 1 *
Address 2
City *
State *
Zip *
Country *
Work Phone *
Fax Number
Web Site

Secondary Practice Location
Address 1
Address 2
City
State
Zip
Country
Work Phone
Fax Number
Web Site

Account Information: You will use this information to sign in and modify your locator listing.

Username *
Password: For security purposes your initial password will be e-mailed to the address you provide
Lost Password Question		Password Answer *
Example: Lost Password Question: What is my dog's name? >>>>> Password Answer: Spot If you forget your password we'll ask you the answer to your password question.
Please select your desired e-mail format.

I hereby authorize Straumann to include my name and practice information under the Dental Professional Locator option found on their company-sponsored Web site Dental1.org. I understand that my inclusion under this section is based solely on my meeting eligibility requirements as described on the Web site and that by including my information, Straumann is not endorsing or recommending my dental practice to patients.