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Dr. Harry S Tab DDS And Associates, PC 201 Old York Road Suite 200 Jenkintown, PA 19046 pH # : 2155760421 Fax # : 2155760816 Patient Personal Information NicknameBirth DateAgeLast, FirstMarital StatusSexAddressHome
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01
Gather all necessary personal information, such as full name, date of birth, and contact details.
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Provide any relevant medical information, including current medication and existing dental conditions.
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Fill out the patient history section, detailing any past procedures, allergies, or pre-existing conditions.
04
Complete the insurance information, if applicable, including policy number and provider details.
05
Sign and date the consent forms, acknowledging understanding of the provided information.
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Pay any necessary fees or provide insurance information for billing purposes.
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Review the completed form to ensure accuracy and completeness before submitting it to Harry S Taub DDS for processing.

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Harry S Taub DDS is needed by individuals who require dental services, such as routine check-ups, cleanings, oral surgeries, and treatments for dental conditions.
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Harry S. Taub DDS is a dental practice owned by Dr. Harry Taub.
Patients who receive dental services from Harry S. Taub DDS may be required to provide their information for filing purposes.
To fill out harry s taub dds, patients may need to provide their personal information, insurance details, and details of the dental services received.
The purpose of harry s taub dds is to report the dental services provided by Harry S. Taub DDS and to facilitate billing and insurance claims.
Information that may need to be reported on harry s taub dds includes patient demographics, insurance information, details of services provided, and billing details.
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