[Dental] Alumni Information Update Form

Please use the below form to update your alumni information

This form will update your contact information with Penn. Once submitted, please allow up to 3 days for your contact information to be updated in our system.

Questions? Please contact the Penn Dental Medicine Office of Alumni Relations at alumni@dental.upenn.edu or 215-898-8951.

First Name: Required Field

Last Name: Required Field

Penn Dental Class Year(s):

Email:

Preferred PDMJ Format: Required Field

Preferred Phone:

Mobile phone: Required Field

Preferred Address:

Home address 1:

Home address 2:

Home address 3:

Home address 4:

Home City:

Home State:

Home Postal Code:

Home Country:

Company Name:

Job Title:

Professional Specialty:

Use Ctrl or Shift keys to multi-select.

Business address 1:

Business address 2:

Business address 3:

Business address 4:

Business City:

Business State:

Business Postal Code:

Business Country:

Enroll in Find a Penn Dentist

With alumni practices listed worldwide, Find a Penn Dentist offers a unique and interactive platform for potential patients or fellow colleagues to search for practices by area and/or specialty. This platform is exclusive to Penn Dental Medicine alumni, and has already led to new patient referrals for those enrolled. If you would like to be added to Find a Penn Dentist, please check the box below and confirm address information is included above. Listings are free and practices will be added within one week of enrollment.

Yes, I would like to add my practice!

My business information is included above

Become a Mentor

Current pre-doctoral students at Penn Dental Medicine as well as undergraduates students outside the university are looking for mentors and/or shadowing opportunities as they pursue a career in dentistry.

Would you be willing to be contacted regarding one of the following opportunities:

Mentoring

Internships

Career programs and workshops