# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | name(+) | 0;1 | POINTER | 200 | B | |
.04 | new dental provider number | 0;4 | FREE TEXT | D | This is the Dental Provider Number. The first two characters are the zero-filled DENTAL PROVIDER TYPE, the second two characters are the zero-filled DENTAL PROVIDER SPECIALTY and the last 4 characters are system generated. | |
1 | dental provider number | 0;2 | FREE TEXT | C | ||
2 | status | 0;3 | SET OF CODES | 1:INACTIVE |