Click to apply

Nebraska Application

National Donated Dental Services (DDS) 

Coordinator information:
Pam Pairan

888-623-2780

303-534-5290 Fax

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Sponsors/Funders: CIGNA, Daniels Fund, Delta Dental, GlaxoSmithKline, Great-West Life and Annuity Insurance Company, and Patterson Foundation, Retirement Research Foundation and United Concordia

2008/2009
·    $18,150 in donated dental services
·    8 patients treated,
·    14 volunteer dentists; and
·    10 volunteer dental labs

Click to open a Donated Dental Services Application on your desktop or browser using Acrobat Reader. Print this form and mail it today to apply for assistance.