ImpactNetwork

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User Login

New to ImpactNetwork?

Our simple step-by-step registration process requires the following information:

Your full name
Valid form for authenticating your status as a physician or other medical professional.

DEA Number
Medical Education Number
Impact Network issued registration code (used for medical professionals who do not have a DEA or ME number)
ADA Number

Primary Office Address
Office Phone and Fax Numbers
A brief survey of your practice type and/or your specialties

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Account Update

Our research indicates your information may have changed or is no longer accurate.

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Both email addresses must match

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Please enter a valid Social Security Number.

Your Social Security Number does not match IRS records.

Please enter your dentist's last name and then pick from the list provided.

Zip code must be 5 digits long.

Please select a Primary Pharmacy

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Select Yes or No for you secondary pharmacy.

Please select a Secondary Pharmacy

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Thank you and welcome back to Impact Network. It has been a long time since you last visited our site, and to protect your privacy, we ask that you confirm your identity by providing the last four digits of your DEA number. We will then send a six digit verification code to your email address (please keep this page open) which you can use to reset your password.

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Account Update

Tax Information

Primary Specialty