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The Fourth District Dental Society was formed starting with the first organizational meeting held on June 2nd, 1868. This meeting concerned itself with electing officers and delegates to the newly formed Dental Society of the State of New York. Also on the agenda was the formation of a committee to "ascertain the number of dentists in the several counties of the Fourth District: Montgomery, Fulton, Hamilton and Schenectady." Although the Fourth District encompasses 11 counties, apparently there were dentists in only four of these counties at the time.

Today, the Fourth District Dental Society is a component of the New York State Dental Association and the American Dental Association. It comprises the eleven counties of Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Saratoga, Schenectady, Schoharie, Warren and Washington.

In the last 30 years the District has had 6 Executive Directors, Drs. Smith, Erche, Westcott, Gleason, Ms. Nancy Hess and Ms. Lynn Martin. The office is located at 632 Plank Road, Suite 200, Clifton Park, NY 12065.

The membership is broad and diverse and includes about 430 Dentists from an area that stretches north from the Mohawk River to the Canadian Border and from Vermont west deep into the Adirondacks and the Mohawk Valley. The principle cities are Schenectady, Saratoga, Glens Falls, Plattsburg, Lake Placid, Saranac Lake, Amsterdam, Johnstown, Gloversville, and Scotia. There are many other smaller towns, large suburban areas, and large rural areas within the District. The largest concentration of Dentists is in the Schenectady/Saratoga Area, with about 100 Dentists in Saratoga County alone.

Because of the large geographic area of the District, with the dentists widely dispersed, there seems to be an enhanced camaraderie between members. There is a ready willingness to help each other and to volunteer to help the public and needy individuals in every locale. The leadership of the District has always shown a great sense of professional cooperation both among the Board and the Officers and within the 6 County Societies as well. There is also a large group of new young Dentists, both men and women who are stepping into leadership roles and are role models in their communities.