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220 Burnham Street South Windsor, CT 06074 Vox 8882557293 Fax 8602890055 Dental Network of American (DOA) DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATION PAYER ID NUMBER Blue Cross
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How to fill out the Dental Network of America form:

01
Go to the Dental Network of America website.
02
Locate the form section on their homepage or navigate to the specific page for filling out the form.
03
Provide your personal information, such as your full name, address, phone number, and email address.
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Enter your dental practice information, including the name of your practice, address, phone number, and email address.
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Specify the type of dental services you offer or the specialty of your practice.
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Provide information about your office hours, availability, and languages spoken.
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Indicate the number of providers in your practice and whether you are a solo practitioner or part of a group.
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Include any additional details or comments that you believe are relevant.
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Review the information you have entered for accuracy and make any necessary corrections.
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Click the submit or send button to complete the form.

Who needs the Dental Network of America?

01
Dentists looking to join a network of preferred providers.
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Anyone seeking dental care solutions provided by a well-established and trusted network of dental professionals - the Dental Network of America.
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Dental Network of America is a managed care dental insurance provider.
Dental providers are required to file Dental Network of America claims.
Providers can fill out Dental Network of America claims online or through their practice management software.
The purpose of Dental Network of America is to process and pay claims for dental services.
Providers must report patient information, treatment codes, and fees when filing Dental Network of America claims.
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