VIP Insider

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VIP Insider

Join our #VIPInsider list, and you will receive advance notice to learn more about upcoming courses and speaking engagements.

Our motto is "we're more than just a course, we're a movement towards a more innovative, interactive, and community based dental education program."

By signing up for this, you agree to receive communication from us regarding upcoming events. Please add surgicalinfluence@gmail.com to your contact list.

Email *

Last Name *

First Name *

Street Address *

CITY *

STATE *

ZIP CODE *

Instagram Handle (@)

Cell Phone *

May we text you course information notifications? *

Which courses are you looking most forward to attending? Minimum of 1 selection required. *

Dental Implants

Esthetic Crown Lengthening

Guided Bone Regeneration

Implant Maintenance

Soft Tissue Management

Soft Skills - Patient Communication, Team Leadership, etc.

Virtual Learning - On Demand Classes

Other:

Required

Please select which applies to you *

General Practitioner

Periodontist

Oral Surgeon

Prosthodontist

Surgical Prosthodontist

Endodontist

Currently in a residency program

Currently in a fellowship program

Other:

Required

How did you hear about Surgical Influence? *

Dental Conference

Friend/Colleague

Google

Instagram

Red Rock Institute

Virtual Webinar

Other:

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