Please use this form to renew your membership and to provide the information for our Find a Dentist directory our website. You can also upload an image of you, your practice, and your logo. In the payment section you can choose to pay online. If you have already renewed or you are mailing a check please fill out the informaion and select Already Renewed or Mailing Check. A 3% fee is added to payments by credit card.

Your cell phone, preferred address, email, and school will not be publised on the public directory.

Please provide as much information as possible. Fields with an * are required.

To pay by check, please use the online form for you directory information and mail your check to:  MS Dental Society - P O Box 55613, Jackson MS, 39110

Retired Member Any member in good standing who has been an active member for twenty-five (25) years or more, and have paid membership dues for the past (5) five years, having attained the age of sixty-eight (68) and no longer earning income from the performance or service as a member of the faculty of a dental school, as a dental administrator or consultant, or as a practitioner of any activity for which a license to practice dentistry or dental hygiene is required by the state, may be classified as a retired member upon application to the Board of Trustees not later than June 30 in any year. A retired member shall be entitled to all privileges of an active member except that his years of Retired membership shall not be included as years of active membership for determining eligibility for life membership