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Purchase Order Dentist in United Kingdom Birmingham –Free Word Template Download with AI

Dental Practice Procurement Document — Birmingham, United Kingdom

PO No: BHM-DNT-2025-0472

Date of Issue:14 June 2025
Required Delivery Date:28 June 2025
Payment Terms:Net 30 days from invoice date
Currency:British Pounds Sterling (GBP)
PO Status:Pending Supplier Confirmation
Department:Clinical Operations
Cost Centre:CC-2025-DENT-BHM-014
Approved By:Dr. Eleanor Whitfield, Practice Principal
BUYER INFORMATION (Dental Practice)
Practice Name: Whitfield & Associates Dental Practice
Address: 42 Colmore Row, Birmingham, B3 2AA, United Kingdom
Telephone: +44 (0)121 496 7832
Email: [email protected]
GDS Registration: GDS-2025-BHM-00917
VAT Number: GB 987 6543 21
SUPPLIER INFORMATION
Supplier Name: MedDent Supplies UK Ltd
Address: Unit 7, Harborne Industrial Estate, Birmingham, B15 2TN, United Kingdom
Telephone: +44 (0)121 455 2210
Email: [email protected]
VAT Number: GB 456 7890 12
Bank Details: NatWest, Sort Code: 60-90-45, Account: 88234567
ORDERED ITEMS — Dental Equipment, Consumables & Materials
Ref SKU Description Qty Unit Price (GBP) Line Total (GBP) Delivery Location
01 MDT-4421 Composite Resin Restorative Material, A2 Shade, 4g Syringes (Box of 10) — for routine dental restorations at the Birmingham practice 25 £187.50 £4,687.50 Whitfield & Associates, Colmore Row, Birmingham
02 MDT-3310 Disposable Dental Examination Gloves, Nitrile, Size M (Box of 100) — PPE for all clinical staff 200 £12.80 £2,560.00 Whitfield & Associates, Colmore Row, Birmingham
03 MDT-7782 Intraoral Digital X-Ray Sensor, Wireless, Compatible with UK Dental Software Standards 2 £3,240.00 £6,480.00 Whitfield & Associates, Colmore Row, Birmingham
04 MDT-5561 Dental Handpiece, High-Speed, 400,000 RPM, with Anti-Return Valve — replacement for Unit 3 4 £485.00 £1,940.00 Whitfield & Associates, Colmore Row, Birmingham
05 MDT-2209 Autoclave Cycles Chemical Indicator Strips, Class 5, (Pack of 500) — for sterilisation monitoring compliance 10 £34.95 £349.50 Whitfield & Associates, Colmore Row, Birmingham
06 MDT-8834 LED Dental Curing Light, 1,200 mW/cm², with 5mm and 10mm Tips — for composite and bonding procedures 3 £612.00 £1,836.00 Whitfield & Associates, Colmore Row, Birmingham
07 MDT-1156 Surgical Face Masks, Type IIR, EN 14683:2019 Certified (Box of 50) — mandatory PPE per UK Health Security guidance 150 £8.40 £1,260.00 Whitfield & Associates, Colmore Row, Birmingham
08 MDT-6647 Dental Impression Material, Polyvinyl Siloxane (PVS), Medium Viscosity, 330ml Cartridge (Box of 6) 15 £96.00 £1,440.00 Whitfield & Associates, Colmore Row, Birmingham
09 MDT-9902 Local Anaesthetic, Articaine 4% with Adrenaline 1:100,000, 1.8ml Cartridges (Box of 50) 30 £42.50 £1,275.00 Whitfield & Associates, Colmore Row, Birmingham
10 MDT-3378 Dental Suction Tips, Disposable, Large Bore (Box of 200) — for patient comfort during procedures 80 £15.60 £1,248.00 Whitfield & Associates, Colmore Row, Birmingham
Subtotal (Excluding VAT) £23,086.00
VAT @ 20% (UK Standard Rate) £4,617.20
Delivery & Handling (Birmingham Metro) £145.00
GRAND TOTAL (Including VAT) £27,848.20
TERMS AND CONDITIONS
  1. This Purchase Order is issued by Whitfield & Associates Dental Practice, a registered dental practice operating in Birmingham, United Kingdom, and constitutes a formal request for supply of dental equipment, clinical consumables, and patient-care materials as itemised above.
  2. All goods must comply with the UK Medical Devices Regulations 2002 (as amended) and must carry valid CE or UKCA marking where applicable. The supplier warrants that all dental products supplied are fit for clinical use in a registered dental practice in Birmingham, United Kingdom.
  3. Delivery shall be made to the practice address at 42 Colmore Row, Birmingham, B3 2AA, United Kingdom, between 08:00 and 16:00 on a weekday. The supplier is responsible for all transit risk until goods are signed for by an authorised representative of the dental practice.
  4. Payment shall be made by BACS transfer within thirty (30) calendar days of receipt of a valid tax invoice, in accordance with the UK Prompt Payment Code. Late payment interest shall accrue at the rate of 4% above the Bank of England base rate, as prescribed under the Late Payment of Commercial Debts (Interest) Act 1998.
  5. The supplier shall provide a full delivery note and, where applicable, a Certificate of Conformity or Sterilisation Certificate for all medical and dental items. Failure to provide such documentation shall entitle the dental practice to reject the affected goods without penalty.
  6. All items are subject to inspection upon delivery. Any damaged, incorrect, or non-conforming goods must be reported to the procurement team at Whitfield & Associates within five (5) working days. The supplier shall replace or refund non-conforming items at their own cost within ten (10) working days.
  7. This Purchase Order is governed by the laws of England and Wales. Any disputes arising from this Purchase Order shall be subject to the exclusive jurisdiction of the courts of Birmingham, United Kingdom.
  8. The supplier acknowledges that the goods ordered are intended for use in a clinical dental setting serving patients in the Birmingham, United Kingdom area, and accepts full professional liability for the safety and regulatory compliance of all supplied products.
  9. Neither party shall be liable for failure to perform obligations under this Purchase Order to the extent caused by force majeure events, including but not limited to industrial action, supply chain disruption, or government-imposed restrictions within the United Kingdom.
  10. This Purchase Order may only be amended in writing, signed by both parties. Verbal modifications are not binding. All communications regarding this Purchase Order shall be directed to the procurement email address stated above.
AUTHORISATION & SIGNATURES

For and on behalf of Whitfield & Associates Dental Practice (Buyer)

Name: Dr. Eleanor Whitfield, BDS, MSc, FDS RCS

Role: Practice Principal & Registered Dental Surgeon

Date: ____________________

For and on behalf of MedDent Supplies UK Ltd (Supplier)

Name: ______________________________

Role: Authorised Sales Representative

Date: ____________________

Whitfield & Associates Dental Practice — 42 Colmore Row, Birmingham, B3 2AA, United Kingdom — Registered in England & Wales No. 09876543

This Purchase Order document is the property of Whitfield & Associates Dental Practice. Unauthorised reproduction or distribution is prohibited. © 2025. All rights reserved.

Document Reference: PO BHM-DNT-2025-0472 | Version 1.0 | Generated: 14 June 2025

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