Dentists Online Registration

Location Registration - Tax Identification Number

You've selected our Location registration option. 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.Please Note: Only one registration is allowed per location selected. You will need your Tax Identification Number (TIN) to register.

To continue, please enter and confirm your TIN and State

TIN: Confirm TIN:
State:

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