DocStaff Dental Placement Agency - Greater Houston Area
DocStaff Dental Placement Agency
Greater Houston Area
Complete all fields that apply. (* denotes required fields)
Name *
First
Last
Date of Birth *
/
MM
/
DD
YYYY
Street Address *
City *
TX
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
IO
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NB
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
State *
Zip Code *
Cell Phone *
-
(###)
-
###
####
Home Phone
-
(###)
-
###
####
Email Address *
Date Available
/
MM
/
DD
YYYY
Position Desired *
Dentist
Hygienist
Dental Assistant
Front Office
Dental Assistant/Front Office
Front Office/Dental Assistant
Years Experience *
Professional License Number
Expiration Date
/
MM
/
DD
YYYY
Days available to Work:
Temp:
MON
TUE
WED
THU
FRI
SAT
Perm:
MON
TUE
WED
THU
FRI
SAT
Software:
EagleSoft
Open Dental
Dental Mac
Dentrix
Practice Works
Other
Skills:
Digital X-Rays
Expanded Duty
Bi-Lingual
Traditional X-Rays
Cerec
Temporary Crowns
Nitrous Certified
Pack Cord
Zoom/In-Office Bleaching
Front Office:
Phone
Scheduling
Management
Payroll
Accounts Receivable
Accounts Payable
Presentation of Treatment Plans
Insurance:
Verification
EOBs
Electronic Filing
PPO
DMO
Medicaid/CHIPS
Practice Experience:
General
Cosmetic
Ortho
Perio
Oral Surgery
Endo
Pedo
Prostho
Comments:
Upload Resume or FAX to: 713-468-9803
Maximum file size 5 MB. Type of files (.pdf, .doc, .docx)
