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ABDPH Verification of Board Status

The American Board of Dental Public Health (ABDPH) requires a $100 per provider fee made payable to AAPHD starting September 5, 2017. The request should be submitted in writing or electronically and must include a copy of the general release of information that has been signed by the dentist whose Board status is being verified. Electronic signature by the dentist is the preferred method.

This request may be submitted electronically to [email protected] or may be sent via USPS to:

American Association of Public Health Dentistry
Attn: Sandi Steil, Membership Director

3085 Stevenson Drive, Suite 200 | Springfield, IL 62703
Phone: (217) 529-6941 | Fax: (217) 529-9120
[email protected]

If you want to use a credit card, please complete the credit card authorization form and email along with the general release/authorization to [email protected] or fax to Sandi Steil, Membership Director at (217) 529-9120.

Upon receipt of payment, AAPHD will verify the dentist electronically or by U.S. mail. Please allow 24-48 business hours after receipt of all required documents/forms/payment for processing of the verification request.