Enter to win
a smile makeover
Contest is open for individuals 18 years or older at the time
of entry and is only open to legal residents of the 50 United
States and District of Columbia. Read the contest rules.
Contest is open for individuals 18 years or older at the time of entry and is only open to legal residents of the 50 United States and District of Columbia. Read the contest rules.

(Items with an asterisk * are requried)

NOTE: After you click "Submit Entry", an email will be sent to you which requires you to click a link to authenticate your email address. The final step is required in order for your entry to be completed. If you do not receive an email after submitting your entry, please notify us at contest@deardoctor.com