Wisdom For Wisdom Step 3: Fill Out the Application | Billings Oral Surgery & Dental Implant Center

Select the category that pertains to you.*
- I am a parent of a student under the age of 18.
- I am a student over the age of 18.
Parent Name*
First Last
Student Name*
First Last
Phone*
Email*
Student's Birthdate*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Select the applicant's current educational status.*
High School
College or University (Attending or Planning to Attend)
How did you hear about the Wisdom for Wisdom program?*
If other, please describe.*
Who is your general dentist?*
When did you have your last cleaning appointment?*
Have you been advised by a medical professional to have your wisdom teeth removed?*
- Yes
- No
Our Wisdom for Wisdom program is designed to offset the cost of your textbooks by receiving a complimentary wisdom tooth extraction. As a student or parent of a student, what would the Wisdom for Wisdom program mean to you if you are selected?
Please include your essay below.*
Click here to review the Official Terms & Conditions.
You are required to fully review the Official Terms & Conditions of the Wisdom for Wisdom program before submitting your essay for consideration.
I have read and agree to the Terms and Conditions of the Wisdom for Wisdom program (listed below).*
- I agree

Main Office

Billings Oral Surgery
& Dental Implant Center
152 S 32nd St W, Suite B
Billings, MT 59102
Main: (406) 655-0170
Hours: Mon–Thu: 8:00 AM–3:45 PM
Fri: 8:00 AM–1:45 PM

Heights Office

Billings Oral Surgery
& Dental Implant Center
711 West Wicks Lane
Billings, MT 59105
Main: (406) 655-0170
Hours: Mon–Thu: 8:00 AM–3:45 PM
Fri: 8:00 AM–1:45 PM

Cody

Billings Oral Surgery
& Dental Implant Center
2910 Big Horn Ave, Suite C
Cody, WY 82414
Main: (307) 587-5451
Hours: Mon–Thu: 8:00 AM–3:45 PM
Fri: 8:00 AM–1:45 PM

Sheridan

Billings Oral Surgery
& Dental Implant Center
1274 North Main, Suite A
Sheridan, WY 82801
Main: (307) 673-4452
Hours: Mon–Thu: 8:00 AM–3:45 PM
Fri: 8:00 AM–1:45 PM

Our Wisdom for Wisdom program is designed to offset the cost of your textbooks by receiving a complimentary wisdom tooth extraction. As a student or parent of a student, what would the Wisdom for Wisdom program mean to you if you are selected?

Click here to review the Official Terms & Conditions.

Main Office

Heights Office

Cody

Sheridan

Social

Google Maps

Helpful Links

Billings Oral Surgery & Dental Implant Center

Our Wisdom for Wisdom program is designed to offset the cost of your textbooks by receiving a complimentary wisdom tooth extraction. As a student or parent of a student, what would the Wisdom for Wisdom program mean to you if you are selected?

Click here to review the Official Terms & Conditions.

Main Office

Heights Office

Cody

Sheridan

Social

Google Maps

Helpful Links

Dental Implants

Wisdom Teeth

Forms

Reviews

Billings Oral Surgery & Dental Implant Center