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First Name * Required
Last Name * Required
Email * Required
Phone * Required
Preferred Method of Contact * Required
Personal Address
Street Address Address Line 2 City State ZIP Code
Dental School * Required
About Your Practice
Type of Practice
Number of Locations
Office Names
Own or Lease
Square Feet
Number of Treatment Rooms
Business Address
Street Address Address Line 2 City State ZIP Code
Business Phone
Name of Practice Management System
Payer Mix
PPO
HMO
FFS
Medicaid
Annual Collections
How long do you plan to continue working in your practice?
How did you hear about us?
Hear from dentist
- Over the next few weeks, I would like to hear directly from a dentist who has already made the decision to affiliate their practice with you.
Email
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We’re growing our team – let’s talk.

When you join the Elite Dental Partners team, you’ll be able to focus more on clinical care and less on administrative work. Or, if you’re looking to continue your career, you’ll find a rewarding experience filled with opportunities to develop, grow and ultimately, succeed.

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Request a Practice Assessment

About Your Practice

Payer Mix

We’re growing our team – let’s talk.