Get Verified

Step 1 of 3

Create your practice account and start verification today.

Founding Core

1 location

$549/yr

Required fields

Practice details

Practice name

Practice NPI

Your 10-digit National Provider Identifier. Look it up at npiregistry.cms.hhs.gov.

Contact

The person who will manage day-to-day SafeSource notifications.

Contact name

Contact email

Lead dentist

The practice owner whose name appears in the public directory.

I am the lead dentist

Lead dentist name

Lead dentist email

Phone

Practice website

Street address

City

State

ZIP

Account

Create a password

Our practice uses credit cards for clinical supply purchases.

SafeSource currently monitors credit card transactions only.

We’d still love to hear from you — your interest helps shape what we build next.

Your name

Practice name

Payment

This credit card will be used for your annual SafeSource membership payment. In the next screens, you’ll connect the credit card your practice uses for clinical supply purchases — the only card SafeSource monitors.

Card details

Your card is charged today. If you don't connect your purchasing card within 14 days, you'll receive a full refund — no questions asked.