Application Expert Development Program

Would you like to be part of our Expert Development Programs? Please fill out the form below.

Personal information

Name*

Which languages do you speak?*

Other languages?

Which year were you born?*

When did you start working as a dentist?*

Which areas of treatment do you focus on?*

Do you already have experience with giving presentations or publishing articles? If so, where and about which topics?

Are you part of a dental association or club? If so, which?

Phone*

Email*

Practice details

Practice name*

Practice address*

Postal Code, City*

Country*

Practice website

Does your practice have a social media account? If so, which channel(s)?

If yes, in which product categories are you collaborating with Dentsply Sirona?

Which products of Dentsply Sirona do you work with?

If so, which systems do you work with?

If so, which treatment center model do you work with?

If so, which Instruments do you work with?

If so, which Infection Control System do you work with?

If so, which Software do you work with?

If yes, in which system do you plan to invest?

Imaging Systems

Treatment Centers

Infection Control Systems

Instruments

Others

How many treatment rooms do you have in your practice?*

Do you work with any other Dentsply Sirona equipment? If so, which ones?

Your motivation to become an expert for Dentsply Sirona

Please describe what motivates you to become a Dentsply Sirona Expert.*

What type of expert activities would you be most interested in?

As an advisor, to envision products of the future together with us

As a test user, to test new products in your practice

As an ambassador, to share your experience with our products with other colleagues

Contact preferences

At what times should we contact you (by phone)?

We would like to keep you informed with updates and offers from the Dentsply Sirona Group via email. Please tick the box if you are happy for us to do so. You can change your mind at any time. Simply adjust your email settings or unsubscribe from email marketing communications in your preference center.

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