FOR HEALTHCARE PROVIDERS

Join the Healthcare Provider Network

Expand Your Business Opportunities by Accessing a Large U.S. Market With Strong Purchasing Power and Growing Demand for Dental-Care Alternatives.

Your Practice. Your Professional Identity. A Bridge to International Patients.

Join Free

There is no fee to join the EuroSmile Bridge Albania provider network.

Participating providers also receive an introductory grace period of complimentary profile visibility on the platform.

Join Our Network

Tell us about you and your practice.

Independent Provider Onboarding Questionnaire

Please complete the following information to join the EuroSmile Bridge Albania provider network.

1 Professional Information Full Name *Professional Title *Clinic / Practice Name *

2 Location City *

Tiranë Durrës Vlorë Other:

Full Address *

3 Contact Information Email Address *Phone / WhatsApp *

4 Practice Details Primary Specialty *Other Specialties (optional)Years of Experience (optional)

5 Marketplace Agreement

To help secure the patient’s commitment to your clinic, EuroSmile Bridge Albania collects a non-refundable $800 service fee from the patient. This amount is applied in full toward the patient’s treatment cost with your clinic.

I agree to deduct exactly $800 USD from the final treatment invoice of any patient introduced through the EuroSmile Bridge Albania platform. I understand and agree to work in good faith with EuroSmile Bridge Albania as a trusted, independent provider.

6 Professional Verification Professional License Number *Issued by Urdhri i Stomatologut NIPT / NUIS Number *Business registration — QKB

7 Supporting Documents (optional)

You may upload any relevant professional documents (optional).

Upload DocumentAccepted formats: PDF, JPG, JPEG, PNG, HEIC, HEIF, WEBP, TIFF/TIF, DOC, DOCX (Max 50 MB)

8 Final Acknowledgment I confirm that the information provided is accurate and complete. I agree to the terms of participation in the EuroSmile Bridge Albania provider network. I understand that my profile will be reviewed and verified before being published on the platform.

🔒 Your information is secure and confidential.

EUROSMILE BRIDGE ALBANIAPEOPLE • CARE • OPPORTUNITY

Together for Better Smiles
A Stronger Albania