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1902512163 PREMIER ENDODONTICS, PC National Provider Identifiers Registry The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated

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How to fill out 1902512163 premier endodontics pc

01

Obtain the form 1902512163 Premier Endodontics PC.

02

Fill out the patient's personal information such as name, date of birth, and contact details.

03

Provide information about the referring dentist and the reason for the referral.

04

Include any relevant medical history or insurance information.

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Sign and date the form where necessary.

06

Review the completed form for accuracy before submission.

Who needs 1902512163 premier endodontics pc?

01

Patients who have been referred to Premier Endodontics PC for specialized dental procedures.

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Dentists who are referring patients to Premier Endodontics PC for advanced endodontic treatments.

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What is 1902512163 premier endodontics pc?

1902512163 premier endodontics pc is a specific tax identification number assigned to a dental practice called Premier Endodontics PC.

Who is required to file 1902512163 premier endodontics pc?

Premier Endodontics PC is required to file taxes using this tax ID number.

How to fill out 1902512163 premier endodontics pc?

To fill out 1902512163 premier endodontics pc, the dental practice must report its income, expenses, and other relevant financial information.

What is the purpose of 1902512163 premier endodontics pc?

The purpose of 1902512163 premier endodontics pc is to accurately report the financial activities of Premier Endodontics PC to the tax authorities.

What information must be reported on 1902512163 premier endodontics pc?

Information such as income, expenses, deductions, and credits related to the dental practice must be reported on 1902512163 premier endodontics pc.

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