Create an Account
Enter the title currently affiliated with you (e.g., Ms.,
Mr., Dr., etc.).
First Name, Last Name, and Middle Initial
Enter your name in the correct order.
Enter the suffix affiliated with your name, if applicable
(e.g., Jr., Sr.)
If you do not know your DENTPIN®, you must retrieve it (or register
to obtain it) by selecting the link provided on the form, or going
to the ADA website at www.ada.org (select the options for Education
& Careers > Testing > DENTPIN®). Click here to
obtain your DENTPIN ®
Date of Birth
Enter your date of birth in the format MM/DD/YYYY, which
is used to help identify you.
Preferred Email Address
Enter your email address. It is important that this
address is correct. Providing an incorrect email address will
result in you not receiving important messages from ADEA PASS
Enter a username that will be used on this website, using up to 15
alpha or numeric characters. Your username is used to log in and
access your ADEA PASS application and/or register for the
Create a unique password that is 6 to 10 characters long. Use only
letters and numbers. The password is case-sensitive. Try to create
a password that is easy to remember, but not easily guessed by
others. Your password will be used to log in and access your ADEA
PASS application and the Match web site.
Security Question and Answer
Select a security question from the pull down menu, and
then provide your answer. Select a question and answer that are
personal and not easily guessed by others. This security question
and answer will be used to help identify you, for example, if you
forget your password.