Create Account To create a customer account simply fill in the form below and submit. Once we have received your form we will set up an account and email you an account number, this number must be used for all transactions on this website. Thanks you for your interest in joining the TrollDental family. Practice Contact Name* First Last Job Position at Practice*Practice Name*Practice Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Practice Contact Email* Practice Phone Number*NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.