Membership is FREE On behalf of all of us at Synergy Dental Partners, we would like to say welcome to our firm. Our Group Purchasing Membership is completely FREE and allows your dental office to realize the benefits of group purchasing immediately. As a member of Synergy, your office will benefit from cost saving agreements made between Synergy and respective distributors and vendors. Please fill out the web form below or print and fill out the .PDF form and fax to (888) 487-9791 or e-mail to email@example.com so that we can start achieving savings for your office immediately. Name of Dental Office*Doctor's Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Dental License Number*Office Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact Name* First Last Primary Contact Email* Primary Phone*Will the Primary Contact also be ordering supplies?* Yes No Name of Person Ordering Supplies* First Last Phone of Person Ordering Supplies*Email of Person Ordering Supplies* Fax NumberAre you currently a customer of Darby Dental?*YesNoDarby Account NumberHow did you hear about Synergy Dental Partners?*FacebookInstagramLinkedInIndustry PublicationIndustry ColleagueTwitterGoogleOtherQuestions/Comments:* I have read the disclosure agreement: Disclosure AgreementCAPTCHA Membership Application Download the membership application PDF for Synergy Dental Partners GPO or learn more about how to save 17-22% on the consumable dental office supplies Recent Posts Synergy Hosts First Annual Continuing Education Event Dean Smith and Dentistry The Passionate Dentist Welcome, VivioSites Why are private equity and venture capital groups interested in dental practices?