2022 Continuing Education Registration Form

NOTE: Please register one person per form submission. To register multiple people, return to this page and submit a new form for each person.

This form is for paying by credit card only. If you want to pay by check or purchase order, you must download the Registration Form PDF, fill it out and mail or fax it to us. We cannot accept an online registration for checks. Thank you.

Fax: 302-368-7669
Mail: DSDS, 200 Continental Drive, Suite 111, Newark, DE 19713

Name:
Title:
(as it should appear on your tag...DR., MR., MRS., MS.)
Employer's Name:
(Staff registrants only)
Office Address:
City:
State:
Zip Code:
Office Phone:
Emergency Phone:
Email:
(Registration Confirmation will be sent via Email Only one week prior to the course)

Registration Categories (select one only)

DSDS/ADA Dentist
Non-DSDS/ADA Dentist
Dental Hygienist
Dental Assistant
Office Manager/Staff
Resident
Student
Spouse

REGISTRATION FEE:

January 19, 2022
Effective Solutions to Managing Dental Conditions of a Boomer Generation - Samuel B. Low, DDS, MS, M.Ed
WEBINAR – 7:00 PM – 9:00 PM
Course Cost: $150
February 16, 2022
Martinis, Millennials, Motherhood & Menopause – Considerations in Women's Health - Kelli Swanson Jaecks, RDH
WEBINAR – 7:00 PM – 9:00 PM
Course Cost: $125
March 9, 2022
Infection Control and OSHA During and After COVID-19 - John A. Molinari, Ph.D.
EVENING IN-PERSON - 6:00 PM - 9:00 PM
Includes Dinner Buffet - 5:30 PM
Course Cost: $200
May 13, 2022
Take This Job and Love It… Adding the Element of Incredible Visual and Verbal Communication to your Quality Dental Practice - Mark Hyman, DDS, MAGD
FULL DAY IN-PERSON - 8:30 AM - 3:30 PM

ANNUAL SESSION

DSDS/ADA Member
$315.00 - before Apr. 29
$335.00 - after Apr. 29
NonADA Member
$415.00 - before Apr. 29
$435.00 - after Apr. 29
Staff/Student/Spouse
$175.00 - before Apr. 29
$195.00 - after Apr. 29
September 30, 2022
Dental Insurance Reimbursement: My Paycheck Depends on It - AND - Simplify Reimbursement with More New Codes? Are You Kidding? - Mr. Tom Limoli
FULL DAY IN-PERSON - 8:30 AM - 4:00 PM
DSDS/ADA Member
$315.00 - before Sep. 16
$335.00 - after Sep. 16
NonADA Member
$415.00 - before Sep. 16
$435.00 - after Sep. 16
Staff/Student/Spouse
$175.00 - before Sep. 16
$195.00 - after Sep. 16
November 4, 2022
The Time is Now… Success and Profit with Digital Impressions and CAD/CAM Restorations - Jack D. Griffin, Jr., DMD
FULL DAY IN-PERSON - 8:30 AM - 4:00 PM
DSDS/ADA Member
$315.00 - before Oct. 21
$335.00 - after Oct. 21
NonADA Member
$415.00 - before Oct. 21
$435.00 - after Oct. 21
Staff/Student/Spouse
$175.00 - before Oct. 21
$195.00 - after Oct. 21


TOTAL REGISTRATION $0

 
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Christiana Executive Campus
200 Continental Drive
Suite 111
Newark, Delaware 19713
Phone: 302-368-7634
Fax: 302-368-7669
Email: