Nominee Form - Dr. Jeffrey Gibbs Memorial Excellence in Dentistry Award

The Dr. Jeffrey Gibbs Memorial Excellence in Dentistry Award is presented to a dentist that has shown the highest standards of excellence in the dental profession.  This award recognizes their service to their profession, community and overall outstanding achievement.

Award Criteria

Nominees must provide the following criteria:

Nominee Form

Your Name (required)
Your Email (required)
Do you have an active Dental License in good standing
YesNo
List any volunteer community endeavors, leadership positions, charitable giveback programs or any other way that you give back to your community
What is your vision for the future of organized dentistry
List some of your good business practices or ethics that you use within your dental practice

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