For membership in the American Dental Association, Michigan Dental Association and your local dental society.
Please complete all sections of this application.
Thank you for your interest in becoming a member of organized dentistry. Your application will be processed and considered by the Michigan Dental Association and your local dental society, which will provide you with additional information regarding specific application procedures. For complete information regarding the Bylaws and the Principles of Ethics and Code of Professional Conduct of the ADA, which govern the professional conduct of members, please visit the ADA Web site.