Form for updating the AAP Web site's information about the faculty members in charge of a dental school's periodontics program...

Update Your Periodontal Program's Faculty Registry

Use this form to list faculty contact info in the AAP's registry. If you're already listed, enter only corrections on this form and leave other fields blank. If one person holds multiple positions, enter the phone, fax, and e-mail once.

Required Information

  1. Name of your university or institution (required):

  2. Your name (required):

  3. Your e-mail address (required):

Optional Updates

  1. Name of your dental school or program:

  2. Address of your program (include street address, city, state, and zip):



  3. PROGRAM CHAIR
    Program Chair's Name:

    Program Chair's Phone:

    Program Chair's Fax:

    Program Chair's E-mail:



  4. POSTDOCTORAL DIRECTOR
    Postdoctoral Director's Name:

    Postdoctoral Director's Phone:

    Postdoctoral Director's Fax:

    Postdoctoral Director's E-mail:



  5. PREDOCTORAL DIRECTOR
    Predoctoral Director's Name:

    Predoctoral Director's Phone:

    Predoctoral Director's Fax:

    Predoctoral Director's E-mail:



  6. DEAN
    Dean's Name:

    Dean's Phone:

    Dean's Fax:

    Dean's E-mail:

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