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Diamond Partnership Program


MDE Official Insurance Clearinghouse
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AADOM
American Association of Dental Office Managers
125 Half Mile Road
Suite 200
Red Bank, NJ 07701
info@dentalmanagers.com
732-842-9977

Patterson Advantage Membership

AADOM Registration for Patterson Advantage Members 
 
This registration page is for Patterson Advantage members. Once submitted, your AADOM membership will become active within 2 weeks.
Non-Advantage members, please click here.

First Name
Last Name
Your Patterson Account #*
Title
Name of Dental Practice *
Practice Address*
Suite # (if applicable)
City*
State*
Zip Code*
Office Phone*
Office Fax #*
Type of Practice
If Specialized, please specify specialty:
Are you currently an AADOM Member?
Email Address (where you would like to receive mail)*
USERNAME (for Members Only access)*
Password REQUIRED (4 character min.)*
Name of Your Patterson Representative*
Practice Website (if available):
How often do you visit your Patterson Advantage website?
How did you hear about this offer?
 
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