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Get the free PART 1 DENTIST NAMED DENTIST AND AUTHORIZE PAYMENT - mountstudents

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Mail To: TheCampusTrust 1st Floor, Both Building, 20 Crosby Place St. John's Newfoundland A1B 3Y8 YOUR CLAIM CANNOT BE PROCESSED UNLESS ALL QUESTIONS ARE ANSWERED IN FULL UNIQUE No SP C PATIENT S
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How to fill out part 1 dentist named:

01
Enter your full name in the designated field.
02
Provide your contact information, including phone number and email address.
03
Input the name and address of your current dentist.
04
If you do not have a regular dentist, leave this section blank or write "N/A".

Who needs part 1 dentist named:

01
Individuals who already have a designated dentist should fill out this section.
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It is also relevant for those who are switching dentists or seeking dental treatment.
03
Patients who do not have a regular dentist can skip this section or provide alternative information.
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Part 1 dentist named refers to the name of the primary dentist.
Any dental office or clinic is required to file part 1 dentist named.
Part 1 dentist named can be filled out by entering the full name of the primary dentist in the designated section.
The purpose of part 1 dentist named is to identify the primary dentist responsible for the dental practice.
The only information required on part 1 dentist named is the full name of the primary dentist.
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