Chanhassen Family Dentistry Payments

952.443.DENT[3368]

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Credit Card Security Code

For your safety and security, we require that you enter your card's verification number. CVV2 (Card Verification Value), CVC2 (Card Validation Code), CID (Card IDentification #) and Security codes are an authentication mechanism established by credit card companies to reduce fraud for Internet transactions. Requiring a card holder to enter the CVV2, CVC2, CID or Security codes at transaction time helps verify that the card is on hand.

Mastercard, Visa, & Discover

The verification number is a 3-digit number printed on the back of your Mastercard, Visa or Discover card. It appears after and to the right of your card number.

American Express

For American Express, it's a 4-digit number printed on the front of your card. It can be located on the right or left hand side of the card

ChanDent Account Num *
Acct First Name *
Acct Last Name *
Home Phone
Cell Phone
Name On Card *
Card Billing Address *
Card Billing City *
Card Billing State *
Card Billing Zip Code *
Card Billing Email * For Payment Confirmation
Card Type *
Card Number * No spaces or dashes
Security Code What is the security code?
Expiration Date *
Payment Amount * eg. 100.00	$ USD