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Patient Tracking #Dental
6019 Seminole Blvd.
Seminole, FL 33772Credit ApplicationProvider ID # 100509
Phones: 7273196019
Fax: 7273986019Identification Information
ID Type: o Driver's License StateIssued
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Fill in your personal information such as name, date of birth, and contact details.
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Provide your dental insurance information, if applicable.
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Specify the reason for your dental visit or the type of treatment needed.
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What is e-dental?
E-dental is an electronic system for filing dental claims and managing patient records.
Who is required to file e-dental?
Dentists and dental offices are required to file e-dental.
How to fill out e-dental?
E-dental can be filled out online through the designated portal using the required information.
What is the purpose of e-dental?
The purpose of e-dental is to streamline the process of submitting dental claims and managing patient information.
What information must be reported on e-dental?
Information such as patient demographics, treatment provided, and billing details must be reported on e-dental.
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