Collier County Dental Association

Membership Application

We would love to welcome any dentist interested in networking with a group of local dentists who are interested in furthering their knowledge and being a part of organized dentistry in Collier County!

We would like to welcome you by providing your first meeting meal and continuing education FREE OF CHARGE.

Please contact our Membership Chairman, Dr. Juan Rodriguez, for instructions on attending your first meeting.

We look forward to welcoming you as a new member to the Collier County Dental Association!

Please print out the membership form below, bring it filled out to your first CCDA meeting, as well as a check for your annual dues.

Print Form Here

You may also choose to mail your completed membership form with the dues check to:

Jenna Gustason
c/o Collier County Dental Assoc.
2375 Tamiami Train North, Suite 110
Naples, FL 34103