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Shelby Smith, DDS, MS, APC ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES * You May Refuse to Sign This Acknowledgement* I, have received a copy of these offices Notice of Privacy Practices.
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Shelby Smith DDS MS is a dental practice owned by Dr. Shelby Smith who specializes in orthodontics.
Patients who receive services from Shelby Smith DDS MS are required to file their dental insurance claims.
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The purpose of Shelby Smith DDS MS is to provide orthodontic and dental services to patients in need.
Information such as patient's name, insurance ID, date of service, procedures done, and costs must be reported on Shelby Smith DDS MS.
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