Registration


Office and Contact Information

Office Name:


Contact Name:


Email:


Website:


Phone:


Address:


City:


State:


Zip:

 


Payment Information

Card Number:


Expiration:


CVV2:


Other Information

How did you hear about us?:



Please note this is the order/confirmation screen. When you press the "Register Now" button, your order is processed and account creation started.

Total: $239



dentEscore

$239

per year

NO SETUP FEE

Self Certification
150+ ePHI Metrics
Real-time reports.
Immediate Scoring
Multi Location Discounts Available