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Practice
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Phone Lines
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SMS
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Smart Forms
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Summary
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Authorize
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Payment

Practice Information

Confirmed from your intake — review and update if anything has changed.

Practice details ✓ Pre-filled
Team contacts ✓ Pre-filled

Phone Line Porting

We need this to move your numbers. Your current service stays live throughout the entire process — no downtime.

Typical timing: 5–10 business days

Once your information is submitted, your current service continues normally. DentOps monitors the port and keeps you updated throughout.

Current carrier information
The company your phone service is with today
Numbers to port *

Enter all 5 phone numbers you want moved to DentOps.

Upload porting documents

Upload your documents directly here. Accepted formats: PDF, JPG, PNG. Max 10MB per file.

Letter of Authorization (LOA)
Download, complete, sign, and upload below. Pre-filled with Sundance Family Dental information.
Download LOA

Drag files here or

PDF, JPG, PNG  ·  Max 10MB per file

Signed Letter of Authorization (LOA) — signed copy required
Not uploaded
Recent phone bill or invoice (within 30 days)
Not uploaded
Letter of Authorization (LOA) — DentOps will prepare if needed
Not uploaded
Customer Service Record (CSR) — request from current carrier
Not uploaded
Routing preferences
The primary number patients call
Where unresolved calls escalate

SMS Direct Connect

Information needed to register your practice as a compliant SMS sender (A2P 10DLC).

Why this matters

Federal regulations require all businesses sending patient text messages to be registered with carriers. Unregistered messages are blocked or filtered. DentOps handles the full registration — we just need your business details.

Brand registration ✓ Pre-filled from intake
Message types ✓ Confirmed from intake
Appointment reminders
Appointment confirmations
Missed call follow-up
Scheduling coordination
Billing / balance notifications
Recall / reactivation
Patient opt-in method *
Email & messaging preferences ✓ From intake
Warm and casual
Professional and formal

DentOps Smart Forms

Up to 5 forms included at $49/month. Additional forms at $10/form/month.

Select forms to build *
Forms selected: 0 of 5 included
Additional details
Used to style your forms to match your practice
Upload existing forms to replicate

Have existing paper or PDF forms you want us to digitize? Upload them here. Accepted: PDF, JPG, PNG. Max 10MB each.

Drag forms here or

PDF, JPG, PNG  ·  Max 10MB each  ·  Multiple files OK

Service Summary

Confirm your services and monthly total before authorizing.

Monthly services
Voice Lines (5 lines, all features)$199/mo
SMS Direct Connect (A2P registration)$99/mo
DentOps Smart Forms (up to 5)$49/mo
Monthly total$347/mo
Setup fee

A one-time setup fee will be confirmed by your DentOps account manager based on porting complexity and number of forms selected. It will be included in your final agreement before any charge is made.

Everything included in monthly fee

Number porting management, carrier registration, smart form builds, AI routing configuration, and ongoing support. No hidden fees.

Authorization

Assign an authorized representative to sign on behalf of Sundance Family Dental.

Who is signing?
KB
Dr. Kyle Birchall, DDS
Owner, DDS
JD
Janeece Dahl
Office Manager
?
Different person
Enter details below
Signature
KB
Dr. Kyle Birchall, DDS
Owner, DDS · Sundance Family Dental
Awaiting
Signature:

Payment Information

Enter your card details to authorize recurring monthly billing for DentOps Telephony Services.

Secure Payment Collection

This form is served over HTTPS. Your card data is encrypted in transit and handled in compliance with PCI-DSS standards.

Monthly total
$347
per month  ·  billed on your chosen date
Voice Lines (5)$199
SMS Direct Connect$99
Smart Forms$49
Billing contact
Card information
16 digits on the front of your card (15 for Amex)
3 digits on back (4 on front for Amex)
Authorization

By submitting, I authorize DentOps.ai to:

  • Charge the card above for the monthly amount shown, recurring on my chosen billing date
  • Send a receipt to my billing email after each charge
  • Cancel recurring billing with 30 days written notice from either party

Submitted — thank you!

Your DentOps account manager will reach out within one business day to begin your onboarding and porting process with your carrier.

What happens next
Day 1Payment confirmed, onboarding begins
Day 1–3Port request submitted to your carrier
Day 5–10Numbers port (existing service stays live)
Day 10–14Routing configured, SMS registered, forms live