Complete Application to Enroll in Our Programs or Course of Interest

Course Application

Step 1 of 2 - Student Application for Admissions

Name(Required)
Address(Required)

EDUCATION: ( If Applicable)

Graduated?
Did you receive a Degree/Diploma?
Max. file size: 100 MB.

Emergency Contact Information:

Name:(Required)
MM slash DD slash YYYY

Get in Touch With the National Institute of Dental Assisting

  • Class Location:
    6740 Rock Spring Rd.

    Suite 210

    Wilmngton NC 28403

  • Mon-Fri 8am-5pm