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204.988.5300
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Questions? Please contact:

Courtney Razmus
Administrator, Registration, Licensing & Corporations
(204) 560-0845
[email protected]


  • Registration Package for General Practitioner
    • Graduate of Accredited Dentist Program
    • Graduate of Non-Accredited Dentist Program
  • Registration Package for Dental Specialist
    • Graduate of Accredited Dental Specialty Program
    • Graduate of Non-Accredited Dental Specialty Program
  • Registration Package for Dental Course Participant
  • Registration Package for Dental Educator
  • Registration Package for Charitable Purpose
  • Registration Package for Student
  • Registration Package for Academic
  • Registration Package for Internationally Trained Dentists
    • Registration Package for Internationally Trained Dentists
    • Financial Aid for Internationally Educated Professionals
  • Registration Package for Out of Province Licensed Dentists (Canada only)
  • Dentist Registration and Licensing Resources

Registration Package for Academic

Only applicants with a full-time appointment at the University of Manitoba, Dr. Gerald Niznick College of Dentistry, are eligible for registration in the Academic class. The complete requirements for successful registration in this category are available in the  Bylaw for Registration and Licensure of Dentists and this package.

Relevant Forms and Documents

  1. Checklist for Registration in the Academic Category
  2. Instructional Guide for Completing Dentist Registration Application Form
  3. Dentist Initial Registration Application Form
  4. Certificate of Standing for other Health Professions and Jurisdictions
  5. Consent to Release Regulatory Information Form
  6. Consent to Release Third Party Assessment Information Form (NDEB)
  7. Consent to Release Third Party Assessment Information Form (RCDC)
  8. Declaration and Agreement of Applicant to MDA Academic Category
  9. Agreement of Supervisor to Member in Academic Category
  10. Consent to Release Health Information Form
  11. Declaration of Commitment to Ethical Practice and the Public Interest

Manitoba Dental Association

202 - 1735 Corydon Avenue
Winnipeg, Manitoba | R3N 0K4

Phone: (204) 988-5300

Fax: (204) 988-5310

Email: [email protected]

Hours

Monday to Friday: 8:30 am to 4:30 pm

Saturday to Sunday: Closed

Holidays: Closed

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Corporate Member of the Canadian Dental Association.