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Nbde01 App Instructions
Nbde01 App Instructions
dean (or designee). Other candidates must submit the appropriate documentation to establish
eligibility.
If you are a graduate of, or a student from an accredited dental school, please enter the name of
the dental school that you attended or attend. This is the school that awarded, or will award you
a DDS or DMD degree.
If you are not a graduate of, or a student from a currently accredited dental school, please
indicate your eligibility status by using one of the following codes.
11
33
99
Enter the name of the dental school that granted or will grant you a DDS/DMD degree. Enter
the city, state, and/or country. Please provide the appropriate documentation with your
application.
E-mail Address
Enter your e-mail address, preferably your personal (not college/university) email address.
Many college/university spam filters block the delivery of your eligibility letter.
Fee
Electronic application: the fee will be collected using a credit card during the application
process.
Paper application: send money order/certified check made payable to the American Dental
Association for the total amount with your paper application and any required documentation.
Members of the ADA or ASDA may write a personal check, but your membership number must
be recorded on the check.
Mailing Address
Enter the address to which your results should be mailed. (Score processing can take up to
four weeks, please ensure you will receive mail at this address four weeks after you test).
If you have an apartment number, enter it. Enter the name of the city. If your mailing address is
in the United States or Canada, enter the appropriate two letter, U.S. state, U.S. territory or
Canadian Province abbreviation. If your address is outside the USA or Canada, leave these
entries blank. Enter your U.S. zip code or Canadian postal code. Other countries leave these
entries blank. Enter the appropriate country code. If other, enter the name of the country in the
space provided. For other countries, provide any other mailing information that may be
necessary.
If your address changes after you submit your application and before your results are
reported, you must update your DENTPIN record and notify the JCNDE. If you modify your
address, e-mail address, etc., in the DENTPIN system, your application or score report request
is not automatically updated; please submit your request for updates to nbexams@ada.org or
2
by fax (312.587.4105).
Name
Enter your legal name: last name, first name, and middle name. Submit a name change
request with documentation to nbexams@ada.org or by fax (312.587.4105).
Signature
By checking the box or by signing the application, you confirm that: 1) the information provided
is true and accurate; 2) you have read the Examination Regulations and agree to abide by
them; 3) you agree to resolve any legal differences by arbitration; and 4) you give permission for
release of your scores to the institutions requested.
Testing Accommodations
If you are requesting testing accommodations, check the yes box and refer to the testing
accommodation information in the NBDE Part I Guide.
Testing History
Indicate whether you have previously taken the NBDE Part I. If yes, please enter the former
name used, if different from your current name.
Year of Graduation
Enter your (anticipated) year of graduation from the dental school identified.