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SERFS Tracking Number: DENT-127302198 State: California Filing Company: The Dentists Insurance Company State Tracking Number: 11-5668 Company Tracking Number: PL63011RF TO: 11.0 Medical Malpractice

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What is 11-5668 form dentist insurance?

11-5668 form dentist insurance is a form used by dentists to report their insurance coverage.

Who is required to file 11-5668 form dentist insurance?

All dentists who have insurance coverage are required to file the 11-5668 form.

How to fill out 11-5668 form dentist insurance?

To fill out the 11-5668 form, dentists must provide information about their insurance coverage and any changes in coverage.

What is the purpose of 11-5668 form dentist insurance?

The purpose of the 11-5668 form is to ensure that dentists have adequate insurance coverage to protect themselves and their patients.

What information must be reported on 11-5668 form dentist insurance?

Dentists must report information about their insurance carrier, policy number, coverage limits, and any changes to their coverage.

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