Name Email Message Send Enlist In The Tooth Fairy We appreciate your interest in joining The Tooth Fairy Army and look forward to getting to know you. Please provide the following information for consideration: First Name: Last Name: Email: Cell Phone Number: Name of Current Practice: Office Number: Office Address: Office Website: Proficient disciplines of dentistry (check all that apply): Dentist Orthodontist Denturist Prosthodontics Oral surgeon Endodontist Periodontist Cosmetic dentist Other (please list: ) Other disciplines: Years in Practice: Dental School Graduated: Year graduated from dental school: Do you own the practice in which you work? If yes, for how many years have you owned the practice? Personal Instagram handles: Business Instagram handles: Please list relevant certifications: Submit