Dentists Online Registration

Business Registration - Tax Identification Number

You've selected to register as a Business User. To review, you'll be able to access the following information for the locations you select: benefits, eligibility, banking and payment information, and claims history. You can also update practice information for the locations you select. You can view this information for ALL locations associated with your Tax Identification Number (TIN).

Please Note: Only one Business registration is allowed per TIN. If you select this option, no one else in your organization will be permitted to register as a Business User.

To continue, please enter and confirm your TIN and State

TIN: Confirm TIN:
State:

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