The Top 20 Dental Innovators - Nomination Form

Cambridge Innovation Institute is publishing an annual list to spotlight those who have made significant contributions to the advancement of the dental sector. Join us in recognizing these unique individuals by nominating them to our list. Final selections will be made by our Summit Co-Chairs and Advisory Board. The recipients will be invited to the summit where they will be announced and broadly publicized following the event.

Nominee Information
Provide as much information as possible.

* Nominee Name:

* Professional Title / Role:

* Affiliation / Practice / Company:

* Email:

Phone:

Website:

Link to professional biography or LinkedIn profile:

Nomination Criteria:

1. Innovation & Originality: Describe the innovation that the nominee created, or had a leadership role in. What makes this unique or groundbreaking? Explain the problem or unmet need that this innovation/innovator addressed and the significance of it.

2. Impact on the Dental Market: Explain how this has or is expected to have a meaningful impact on patients, providers, or practices.

3. Adoption & Scalability: Explain the current and future potential for the nominee’s innovation to be adopted.

Nominator Information
(if self, just type self)

* Name:

* Professional Title / Role:

* Affiliation / Practice / Company:

* Email:

* Phone: