Local Health Departments may offer oral health services such as health education, preventive services or treatment services, or no oral health services. This objective tracks the proportion of local health departments that offer preventive or treatment services for oral health. Local health departments that offer only oral health education services are not included in the numerator. The Association of State and Territorial State Dental Directors fields an annual survey, the Synopsis of State and Territorial Dental Public Health Programs that asks State Dental Directors to report the number of local health departments operating in the state and the number that offer oral health education, preventive services or restorative services. The Synopses collects data for the prior completed fiscal year, for example, the 2009 Synopsis reflect responses for the period of July 1, 2007-June 30, 2008 for most states. National Association of County and City Health Officials conducts periodic profiles of local health departments and reports the number of local health departments in the nation and state.