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PATIENT EVALUATION
Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DONATED DENTAL SERVICES APPLICATION Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,700 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our Donated Dental Services (DDS) program has surpassed $330 million in donated dental care, transforming the DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,500 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our surpassed $378 million in donateddental
7 WAYS YOU CAN PROMOTE DENTAL HEALTH INSIDE AND OUTSIDE OF Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
ACCESS TO DENTAL CARE PROGRAMS IN NEW JERSEY Dental Lifeline Network has volunteers in New Jersey ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN NORTH DAKOTA |DDS Contact Regina Baltz, DDS Coordinator 701.729.2731 303.534.5290 (fax) rbaltz@DentalLifeline.org Dental Lifeline Network • North Dakota 1800 15th Street, Suite 100 DONATED DENTAL SERVICES (DDS) 5. How far will I have to travel? • We will try to send you to a volunteer who is close to where you live. 6. Where do I send my completed application? • The mailing address and fax number are on page one (1) at the top left corner. 7. Who pays the dentists? • Dentists are not paid by anyone. They have agreed to donate their time to treat our patients. DONATED DENTAL SERVICES (DDS) DONATED DENTAL SERVICES (DDS) Dear Applicant: The following pages are the Donated Dental Services (DDS) Program Application. ELIGIBILITY: . Dentists in your state have volunteered to provide dental care. DENTAL LIFELINE NETWORK: OUR ORGANIZATION Dental Lifeline Network is a national nonprofit organization, founded in 1974, that provides access to dental care and education for people who cannot afford it and have a permanent disability, or who are elderly: age 65 or older, or who are medically fragile. Learn more about how you can help.PATIENT EVALUATION
Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DONATED DENTAL SERVICES APPLICATION Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,700 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our Donated Dental Services (DDS) program has surpassed $330 million in donated dental care, transforming the DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,500 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our surpassed $378 million in donateddental
7 WAYS YOU CAN PROMOTE DENTAL HEALTH INSIDE AND OUTSIDE OF Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
ACCESS TO DENTAL CARE PROGRAMS IN NEW JERSEY Dental Lifeline Network has volunteers in New Jersey ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN NORTH DAKOTA |DDS Contact Regina Baltz, DDS Coordinator 701.729.2731 303.534.5290 (fax) rbaltz@DentalLifeline.org Dental Lifeline Network • North Dakota 1800 15th Street, Suite 100 DONATED DENTAL SERVICES (DDS) 5. How far will I have to travel? • We will try to send you to a volunteer who is close to where you live. 6. Where do I send my completed application? • The mailing address and fax number are on page one (1) at the top left corner. 7. Who pays the dentists? • Dentists are not paid by anyone. They have agreed to donate their time to treat our patients. DONATED DENTAL SERVICES (DDS) DONATED DENTAL SERVICES (DDS) Dear Applicant: The following pages are the Donated Dental Services (DDS) Program Application. ELIGIBILITY: . Dentists in your state have volunteered to provide dental care. BECOMING A VOLUNTEER DENTIST More than 15,000 dentists and 3,700 laboratories nationwide volunteer for Donated Dental Services (DDS), Dental Lifeline Network’s flagship program. Last year, they provided $24.6 million in treatment to 7,100 patients. Join us! 7 WAYS YOU CAN PROMOTE DENTAL HEALTH INSIDE AND OUTSIDE OF If you work at a dental practice, then promoting better dental health is an inherent part of your job. Make today’s trends and technologies work for you, and check out these seven ways you can promote dental health inside and outside of your practice. ACCESS TO DENTAL CARE PROGRAMS IN ILLINOIS Dental Lifeline Network has volunteers in Illinois ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE IN MINNESOTA Dental Lifeline Network has volunteers in Minnesota ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN MAINE Contact Carol Rioux, DDS Coordinator 207.620.8276 207.626.2946 (fax) crioux@DentalLifeline.org Dental Lifeline Network • Maine P.O. Box 2282 Augusta, ME 04338-2282 OREGON DENTAL CARE PROGRAMS AVAILABLE Contact Rachel Laity, DDS Coordinator 503.594.0837 303.534.5290 (fax) rlaity@DentalLifeline.org Dental Lifeline Network • Oregon 1800 15thStreet, Suite 100
ONLY SUBMIT THIS FORM WITH YOUR APPLICATION IF YOU HAVE A Donated Dental Services (DDS) - Medical Triage Form. Only submit this form with your application if you have a medical need for dentaltreatment.
KANSAS DENTAL CARE PROGRAMS AVAILABLE Contact Erin Kelly, DDS Coordinator 785.273.1900 785.273.1542 (fax) ekelly@DentalLifeline.org Dental Lifeline Network • Kansas 1800 15thStreet, Suite 100
ACCESS TO DENTAL CARE PROGRAMS IN TENNESSEE Contact Lindsay Harold, DDS Coordinator 615.983.2601 (local) 888.286.3121 (fax) lharold@DentalLifeline.org Dental Lifeline Network • Tennessee PO Box 11864 DONATED DENTAL SERVICES (DDS) PROGRAM LOUISIANA DONATED DENTAL SERVICES (DDS) PROGRAM Annual Report Activities from July 1, 2014 - June 30, 2015 The DDS Program in Action Sixty-eight-year-old Mr. C. and his wife live in Spearsville. DENTAL LIFELINE NETWORK: OUR ORGANIZATION Dental Lifeline Network is a national nonprofit organization, founded in 1974, that provides access to dental care and education for people who cannot afford it and have a permanent disability, or who are elderly: age 65 or older, or who are medically fragile. Learn more about how you can help.PATIENT EVALUATION
Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DONATED DENTAL SERVICES APPLICATION Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,500 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our surpassed $378 million in donateddental
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,700 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our Donated Dental Services (DDS) program has surpassed $330 million in donated dental care, transforming the ACCESS TO DENTAL CARE IN MINNESOTA Dental Lifeline Network has volunteers in Minnesota ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN ILLINOIS Dental Lifeline Network has volunteers in Illinois ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. OREGON DENTAL CARE PROGRAMS AVAILABLE Contact Rachel Laity, DDS Coordinator 503.594.0837 303.534.5290 (fax) rlaity@DentalLifeline.org Dental Lifeline Network • Oregon 1800 15thStreet, Suite 100
ACCESS TO DENTAL CARE PROGRAMS IN NORTH DAKOTA |DDS Contact Regina Baltz, DDS Coordinator 701.729.2731 303.534.5290 (fax) rbaltz@DentalLifeline.org Dental Lifeline Network • North Dakota 1800 15th Street, Suite 100 RHODE ISLAND DENTAL CARE PROGRAMS AVAILABLE Contact Matt McLaren, DDS Coordinator 401.821.8656 833.392.1849 (fax) mmclaren@DentalLifeline.org Dental Lifeline Network • Rhode IslandPO Box 175
DENTAL LIFELINE NETWORK: OUR ORGANIZATION Dental Lifeline Network is a national nonprofit organization, founded in 1974, that provides access to dental care and education for people who cannot afford it and have a permanent disability, or who are elderly: age 65 or older, or who are medically fragile. Learn more about how you can help.PATIENT EVALUATION
Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DONATED DENTAL SERVICES APPLICATION Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,500 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our surpassed $378 million in donateddental
DENTISTS, VOLUNTEER TODAY TO CHANGE A LIFE The Network. As a volunteer, you will be part of DLN’s national network of 15,000 volunteer dentists and 3,700 volunteer laboratories, working together to make a difference in the lives of those we serve. Since its inception in 1985, our Donated Dental Services (DDS) program has surpassed $330 million in donated dental care, transforming the ACCESS TO DENTAL CARE IN MINNESOTA Dental Lifeline Network has volunteers in Minnesota ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN ILLINOIS Dental Lifeline Network has volunteers in Illinois ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. OREGON DENTAL CARE PROGRAMS AVAILABLE Contact Rachel Laity, DDS Coordinator 503.594.0837 303.534.5290 (fax) rlaity@DentalLifeline.org Dental Lifeline Network • Oregon 1800 15thStreet, Suite 100
ACCESS TO DENTAL CARE PROGRAMS IN NORTH DAKOTA |DDS Contact Regina Baltz, DDS Coordinator 701.729.2731 303.534.5290 (fax) rbaltz@DentalLifeline.org Dental Lifeline Network • North Dakota 1800 15th Street, Suite 100 RHODE ISLAND DENTAL CARE PROGRAMS AVAILABLE Contact Matt McLaren, DDS Coordinator 401.821.8656 833.392.1849 (fax) mmclaren@DentalLifeline.org Dental Lifeline Network • Rhode IslandPO Box 175
GET ACCESS TO DENTAL CARE WITH OUR PROGRAMS Dental Lifeline Network has multiple programs to help those who need dental care: Donated Dental Services, Dental HouseCalls, Bridge/Campaign of Concern, and Donated Orthodontic Services. Read more to find out how our programs provide access to dental care for vulnerable people in all 50 states. DENTAL CARE FOR QUALIFIED APPLICANTS NATIONWIDE Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
ACCESS TO DENTAL CARE PROGRAMS IN NEW JERSEY Dental Lifeline Network has volunteers in New Jersey ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE IN MINNESOTA Dental Lifeline Network has volunteers in Minnesota ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. 7 WAYS YOU CAN PROMOTE DENTAL HEALTH INSIDE AND OUTSIDE OF Dental Lifeline Network 1800 15th Street, Suite 100 Denver, CO 80202 Phone: 303.534.5360 Fax: 303.534.5290 Dental Lifeline Network is a501(c)(3) nonprofit
ACCESS TO DENTAL CARE IN TEXAS Dental Lifeline Network has volunteers in Texas ready to help. These Donated Dental Services volunteers provide comprehensive treatment to eligible patients. Dentists: We are always looking for more volunteers. Patients: See if you are eligible. ACCESS TO DENTAL CARE PROGRAMS IN MAINE Contact Carol Rioux, DDS Coordinator 207.620.8276 207.626.2946 (fax) crioux@DentalLifeline.org Dental Lifeline Network • Maine P.O. Box 2282 Augusta, ME 04338-2282 ONLY SUBMIT THIS FORM WITH YOUR APPLICATION IF YOU HAVE A Donated Dental Services (DDS) - Medical Triage Form. Only submit this form with your application if you have a medical need for dentaltreatment.
DENTAL CARE PROGRAM OPTIONS IN PENNSYLVANIA Contact Southeast Pennsylvania (Philadelphia and surrounding counties) Marsha Thomas, DDS Coordinator 724.568.4343 724.568.4944 (fax) mthomas@DentalLifeline.org KANSAS DENTAL CARE PROGRAMS AVAILABLE Contact Erin Kelly, DDS Coordinator 785.273.1900 785.273.1542 (fax) ekelly@DentalLifeline.org Dental Lifeline Network • Kansas 1800 15thStreet, Suite 100
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Lifeline Heroes Challenge Dental Lifeline Network supporters will raise money this spring to support DLN programs. Join the cause, become a fundraiser or make a donation today!Get Involved YOU ARE DONATING TO : LIFELINE HEROES CHALLENGE How much would you like to donate? $10 $20 $30 Would you like to make regular donations? I would like to make a one time weekly monthly yearly donation(s) How many times would you like this to recur? (including this payment)* 2 3 4 5 6 7 8 9 10 11 12Name *
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Through our flagship program, DONATED DENTAL SERVICES (DDS), dental care is provided through a national network of 15,000 volunteer dentists and 3,500 volunteer laboratories.Learn More
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Donated Dental Services (DDS) volunteer Dr. Joseph Shea truly knows the value of volunteering…READ MORE
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CONTACT INFORMATION
DENTAL LIFELINE NETWORK 1800 15th Street, Suite 100Denver, CO 80202
Phone: 303.534.5360
Fax: 303.534.5290
_Dental Lifeline Network is a 501(c)(3) nonprofit registered in the US under EIN: 84-6129064_
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