Practice Sign Up - Step 1

Each practice will be assigned an LT Connects liaison to aid with all aspects of the platform – from initial registration to searching, hiring, and paying for providers.

First Name *

Last Name *

Practice Name *

Email Address *

Phone Number *

Referral Code (Optional)

State *

City *

Zip Code *

Practice Bio *

1000 characters remaining

Create Practice Account

Connect with Top Dental Professionals