Provider App — Screen Designs
9 screens
Screen 01
Sign Up
Account creation · Provider type · Personal email
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Screen 02
Personal Info
Name · NPI · Contact · Home address
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Screen 03
Licenses
California dental license · Multi-state ready
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Screen 04
DEA & CDS
DEA registration · California CDS license
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Screen 05
Malpractice
Policy carrier · Coverage limits · COI upload
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Screen 06
Education
Dental degree · Residency · CE certifications
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Screen 07
Work History
Employment timeline · References · Gap notes
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Screen 08
Review & Submit
Full summary · Attestation · Submit profile
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