NamNR Pro Global Dentists' Pool Signup

Email*

example@example.com

Name*

First NameLast Name

Country*

City & State (Eg Chicago, Illinois) *

Phone number with country code (optional)

Are you a dentist?*

YesNo

Please share a proof of your clinical practice. For example, your current clinical practice address, your active professional website or any online link that can confirm your info & credentials. This is for internal vetting and quality control purposes.*

How many years of clinical experience do you have ?*

0-5 years6-10 years11-20 yearsMore than 20 years

Are you actively working as a dental practitioner as of today?*

YesNo

What's your speciality? (Eg Prosthodontist, General Dentist, Endodontist etc). Note that if you are a general dentist, specialising in a niche then mention that as well. Example - "General dentist specialising in Endodontic procedures"

Are you currently in university studying dentistry ?*

YesNo

If Yes, Kindly provide your currently name of your university.*

Would you be interested in a job, or to support projects, within the Dental Device & Technology domain ?*

YesNoMaybe

If Yes, then how many hours would you be able to commit per week ?

Are you currently under any Non-Disclosure Agreement (NDA) with any dental device or dental software tool company ?*

YesNo

Do you currently teach at an university ?*

YesNo

If Yes, which university you currently teach ?*

Have you published in any medical journals ?*

YesNo

If Yes, how many papers have you published? Kindly provide a link to one of your publications. Kindly also provide your H index if possible.*

Are you currently a Key Opinion Leader (KOL) or advisor for any dental device company ?*

YesNo

If Yes, which company you currently a Key Opinion Leader (KOL) or advisor?

Have you worked for or have been an expert advisor for any dental device or dental software tool company in the past ?*

YesNo

If Yes, which company have you worked for or have been an expert advisor for any dental device or dental software tool company in the past?

Have you been referred by any of the following people to the Pool? Choose the option "Nobody" if not.*

Would you like to have a 45 minutes one on one call with Dr Namrata Upadhyay, Founder & CEO of NamNR Pro to meet and greet, plus talk about your career ambitions?*

YesNo

Have you answered all the questions?*

YesNo

Would you like receive our free newsletter where we share tips on expanding our careers, as dentists, into the Dental Tech space, our e-learning initiatives and active project opportunities from the dental product industry?*

YesNo

Kindly leave any question(s) that you might have for us. We'll respond back to you as soon as we can.

Thanks and we wish you an awesome day ahead!

With positive vibes
The NamNR Pro Team
team@namnrpro.org

*By signing up to this Form, you agree to keep all information shared within the Pool confidential. This might include new innovative dental products and/or existing ones. You also agree to not share the members contacts for any commercial purposes without the consent of the Founder & CEO of NamNR Pro.

Thanks Doc!