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Dose Spot Registration Form
Provider Registration
Please fill out the following fields and return to era×opendental.com.
First Name:
Last Name:
DEA #*
Personal NPI #:
Birthdate:
Office Name:
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What is dosespot registration form?
Dosespot registration form is a document used to register for a Dosespot account.
Who is required to file dosespot registration form?
Healthcare providers who wish to use Dosespot services are required to file the registration form.
How to fill out dosespot registration form?
To fill out the form, healthcare providers need to provide their contact information, licensing details, and practice information.
What is the purpose of dosespot registration form?
The purpose of Dosespot registration form is to verify the credentials of healthcare providers and ensure secure access to e-prescribing services.
What information must be reported on dosespot registration form?
The form requires information such as name, address, DEA number, NPI number, and state license number.
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