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South Ridge Dental Ryan Shaffer, DDS Steven Shaffer, DDS 5533 S 27th Street, Suite 102 Lincoln, NE 68512 (402) 4231616I, acknowledge that I have received a copy of (Print Name)South Ridge Dental Notice
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Start by visiting the South Ridge Dental website or office.
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Submit the filled-out form to the receptionist or designated staff at South Ridge Dental.
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Anyone who requires dental services or dental care can benefit from South Ridge Dental. This includes individuals of all ages who need routine check-ups, cleanings, cavity fillings, braces, dentures, oral surgeries, or any other dental treatments. South Ridge Dental provides comprehensive dental care for patients.
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South Ridge Dental is a dental practice that provides a variety of dental services including preventive care, restorative treatments, and cosmetic procedures for patients.
Patients receiving dental services from South Ridge Dental may need to file claims for insurance reimbursement, and dental practitioners or businesses may file relevant documentation for their services.
To fill out South Ridge Dental forms, patients must provide their personal information, insurance details, and specifics about their dental history and treatment needs.
The purpose of South Ridge Dental is to offer comprehensive dental care to improve oral health and provide patients with a positive dental experience.
Information that must be reported includes patient demographics, treatment details, diagnosis codes, and billing information relevant to the dental services provided.
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