AFTCO Dental Practice Sales - Free Dental Practice Appraisals

Please complete the following information and click the "Request Practice Appraisal" button.

Note: Fields Marked in Red Are Required

Your First Name:

Your Middle Initial:

Your Last Name:

I Am:

Address:

Home: Office:

City:

State:

Zip:

Contact Phone Number:

Home: Work: Cell:

Convenient Time To Call:

E-Mail Address:

Dental School:

Year of Graduation:

I Am Currently:

Co-Owner of a Practice
An Associate in a Practice

Sole Owner of a Practice
Looking to Relocate

How did you hear about AFTCO?

Additional Comments

I have read and agree to the terms below

I would like to receive e-mail from AFTCO and their affiliate websites about special programs and opportunites for dentists.

By submitting this electronic form, I do agree not to disclose the name or circumstances of any parties introduced to the me by AFTCO for consideration of any practice opportunity.
I also agree that all information provided by AFTCO is confidential and agree not to disclose to anyone or make copies of any of the information, ideas, procedures, practice opportunities, programs, concepts, contract and/or other data conveyed and entrusted to me without the prior written consent of AFTCO.
In addition, I also agree that, upon request by AFTCO, any projections, calculations, word descriptions, and tangible material given to me relating to any practice opportunity will be immediately returned to AFTCO.