American Board of Pediatric Dentistry

Board Verification Request

Your verification(s) will be processed in the order that they are received and you should receive a response via email within 7-10 days.

The American Board of Pediatric Dentistry requires a $50 fee per verification and each request needs to be completed separately via the online verification form below by using either MasterCard or Visa for payment.

You must have a general release of information that has been signed by the pediatric dentist being reviewed in your records and available to ABPD if requested. Please do not fax this information to us; if needed by ABPD we will contact you directly.

Requesting Company

Name of Dentist

If you cannot find the dentist in the list below, please contact our office.

Pediatric dentist names in the above list do not necessarily reflect an active status.

I have a copy of the signed general release of information that has been signed by the pediatric dentist being reviewed.

PAYMENT INFORMATION

ABPD does not retain any credit card information on our website, therefore each request must be entered separately.

The fee for this request is $50.
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