Only the latest version of DENTRIX fully supports the use of the NPI number. For information on upgrading your software, call 1-800-DENTRIX, Option 1.

eClaims users: Your version of DENTRIX does not support the use of an NPI number. However, completing the form below will allow us to include your NPI number and continue processing your electronic claims.

If you have multiple NPI numbers you can enter them with the form below. After submitting the first NPI number you will have the option to enter additional NPI numbers.

If you have any questions about filling out the following form please contact us at 1-800-DENTRIX, Option 2, Option 3 and then Option 1.

* Fields marked with an asterisk are required.

First Name:*
Last Name:*
Four-Digit Site ID:*
Provider Tax ID:*
NPI #:*

Customer ID:*
Practice Name:*
Phone:*
Email:*
Address:*
City:*
State:*	- Select -ALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMEMDMAMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY
Zip:*

PRIVACY NOTICE: Dentrix respects your privacy. All information you provide using this response form will ONLY be used by Dentrix Dental Systems in order to process the information you've submitted. Your personal information will NOT be sold, rented, bartered, or otherwise transferred to other people who would send you unsolicited mail.

This form will be sent immediately via e-mail. If you encounter any problems you can send the same information in an e-mail directly to webmaster@dentrix.com with the subject line of "NPI Submission."