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Medicare Provider Enrollment Application

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PDF | 357.19 Kb
MedPro student dental board coverage application

This application can be used by dental students for student dental board coverage.

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PDF | 94.70 Kb
ODcAst March 2017

This edition features information on: (1) terminal distributor of dangerous drugs licensing requirements, (2) dental specialty advertising guidelines, (3) Section 1557 of the Affordable Care Act, (4) opting in or out of Medicare, (5) Give Kids a Smile events in Ohio, and (6) upcoming ODA events

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Audio | 7.52 Mb
ADA sample Medicare opt out private contract

This edition features information on: (1) terminal distributor of dangerous drugs licensing requirements, (2) dental specialty advertising guidelines, (3) Section 1557 of the Affordable Care Act, (4) opting in or out of Medicare, (5) Give Kids a Smile events in Ohio, and (6) upcoming ODA events

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PDF | 11.16 Kb
ADA sample Medicare opt out affidavit

This edition features information on: (1) terminal distributor of dangerous drugs licensing requirements, (2) dental specialty advertising guidelines, (3) Section 1557 of the Affordable Care Act, (4) opting in or out of Medicare, (5) Give Kids a Smile events in Ohio, and (6) upcoming ODA events

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PDF | 11.86 Kb
Medicare Ordering/Referring Provider Entrollment Application

This edition features information on: (1) terminal distributor of dangerous drugs licensing requirements, (2) dental specialty advertising guidelines, (3) Section 1557 of the Affordable Care Act, (4) opting in or out of Medicare, (5) Give Kids a Smile events in Ohio, and (6) upcoming ODA events

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PDF | 225.18 Kb
MedPro Ohio Dental Individual Application

This application can be used by practicing dentists to receive a free professional liability quote from Medical Protective.

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MS Word | NaN b
MedPro Ohio Dental New Graduate Application

This application can be used by new graduates to receive a free professional liability quote from Medical Protective.

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PDF | 87.36 Kb
Office Liability Quote Request Worksheet

This form can be used to request quotes for office liability insurance.

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PDF | 210.36 Kb