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1(5 SHELBY J. SMITH, DDS, MS A PROFESSIONAL CORPORATION 2213 Buchanan Road Suite 112 Antioch, CA 94509 Phone: 9257555115 Fax: 9257555003 Web: www.DrShelby.com Welcome! We are delighted to welcome
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How to fill out Shelby J Smith DDS:

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Start by carefully reading through the entire form to make sure you understand all the sections and questions.
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Begin with the personal information section, which typically asks for your name, address, phone number, and date of birth. Provide accurate and up-to-date information.
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Move on to the insurance section, where you'll be required to provide details about your dental insurance coverage. This may include the insurance company's name, policy number, and contact information.
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Next, fill out the medical history section. It is crucial to be thorough and honest when disclosing any pre-existing medical conditions, allergies, medications, or surgeries you have had in the past. This information helps the dentist to provide appropriate and safe dental care.
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If necessary, fill out any additional sections specific to Shelby J Smith DDS, such as preferred appointment times, dental concerns, or any other information requested.
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Sign and date the form as required. Your signature indicates that you have completed the form truthfully to the best of your knowledge.

Who needs Shelby J Smith DDS:

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Shelby J Smith DDS is a dental practice run by Dr. Shelby J Smith.
The dental practice of Shelby J Smith DDS is required to file the necessary paperwork.
To fill out Shelby J Smith DDS forms, you must provide the required information about the dental practice.
The purpose of Shelby J Smith DDS forms is to report information about the dental practice's activities.
Information such as financial data, patient statistics, and services provided must be reported on Shelby J Smith DDS forms.
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