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ApnoDent Certified Provider Enrollment
Please complete the following form to be listed as an ApnoDent Certified Provider and to receive mailing materials to your office. Immediately upon completion of this form, you will also receive a link to the following materials:
- Prescription Form
- Appliance Submission Instructions
- Video Recording of the Certified Provider Course
NOTE: Please enter your name and credentials as you wish them to appear on the Certified Provider Accreditation certificate (sample below).
APNODENT
CERTIFIED PROVIDER
Proudly Presented To
John Zimmerman
For completing the certification requirements to prescribe the ApnoDent Sleep Appliance.