Application Forms

Thank you for your interest in becoming a member of the New York County Dental Society.

You can download a PDF version of the appropriate application, complete and mail it to: 6 East 43rd Street, 11th Floor, New York, NY 10017 or you can fax it (212) 573-9501.  You should also include:

  • A check made out to New York County Dental Society in the amount of the dues quote you received.
  • A signed agreement to abide by the code of ethics.
  • A piece of letterhead or business card indicating your office address in Manhattan.

We will contact you once your application has been reviewed or should additional information be required - Approval of your application will take approximately 6 weeks and will provide you with membership to the following entities: the American Dental Association (national), the New York State Dental Association (state) and the New York County Dental Society (local)