About
Who Can Join
Leadership
Committees
Blog
Membership Benefits
Referral Program
Conference
Conference Info
2023 Agenda
2023 Speakers
2023 Sponsors
2023 Fees
Sponsorship Opportunities
Exhibitor Information
Conference History
Calendar
Log In
Forum Login
Join SOMSA
This page may not work correctly in your current browser, Internet Explorer. We recommend changing to a more modern browser before viewing this page. We recommend
Chrome
,
Firefox
,
Safari
, or
Edge
.
Membership Application
Have an account? Click here to log in...
Membership Level:
Practice-Support
Practice-Administrator
Corporate-Administrator
Business-Membership
Consultant-Membership
First Name:
Last Name:
Company:
Job Title
Practice Administrator
Office Administrator
Practice Manager
Office Manager
General Manager
Business Manager
COO/Director of Operations
Surgeon
Billing Manager
Coding Manager
Clinical Administrator/Director
Nursing Administrator
Front Office Administrator
Surgical Assistant
Front Staff
Email:
Work Phone:
Work Fax:
Work Address:
Work Address Line 2:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip:
-
Zip Suffix
If you would like to manage your Neon CRM account (i.e., view donation history, renew membership, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.
How Heard
Predecessor at practice
My doctor
A vendor/supplier we work with
Terri Bradley Consulting
Internal referral (e.g. DSO/MSO membership)
AAOMS Annual Meeting/Mixer
OMSNIC
Online Search (Google, Bing, etc.)
Flyer/Postcard
Email
Fax
SW Society Meeting
Other Meeting or Event
Friend or Acquaintance
Carestream Dental Users Meeting
Marketing phone call
IDIA Newsletter
Referral Source
Number of Offices
Number of Surgeons
Surgeons Names
Practice Software
WinOMS (Carestream)
WinOMS Sensei Cloud (Carestream)
DSN
DSN Cloud
OMSVision (Henry Schein)
Windent OMS (Carestream)
MEDIMS (Nectech)
Open Dental
Other - Cerner Medical - EHR
Other - Eaglesoft
Other - MacPractice
Other - NextGen
Other - PBYTE
Other - QSI
various systems
Practice Type
OMS Private Practice
OMS University Affiliated
OMS Hospital based/owned
Other: OMS industry partner
Professional Certifications
Total number of Full-Time Equivalencies
Years in OMS
X
Log in to your existing account
Login Name
Password
Log In
Forgot your password?
Enter the e-mail address associated with your account and we'll send you a link to recover your login information.
Email
Recover Account
Neon CRM by
Neon One