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1. Are you a dental practice registered within the United Kingdom? *


2. If you are registered with the Care Quality Commission (CQC) in England or the Regulation and Quality Improvement Authority (RQIA) in Northern Ireland please provide your registration number.


3. Practice name:


4. Practice address including postal code:


5. Practice owner:


6. Please provide a unique email address. 

Please note: this email address should be unique to your individual BDA email address if you have an account registered with us. You will not be able to receive Good Practice emails to the same address. We suggest using the practice email address, or the administrator email.


7. Keep up to date with our emails on the latest industry news and exclusive member benefits. Please tick to opt-in.


8. Keep up to date with our postal mailings (please tick to opt-in).


9. Would you like to speak to a member of our team to discuss joining the BDA Good Practice scheme?


10. If yes, please provide your name and the best number to reach you on.