Dentist Form 4A Supporting Affidavit of Professional Practice for Endorsement Applicants - New York

What Is Dentist Form 4A?

This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 4A?
A: Form 4A is the Supporting Affidavit of Professional Practice for Endorsement Applicants for dentists in New York.

Q: Who needs to submit Form 4A?
A: Form 4A needs to be submitted by dentists who are applying for endorsement in New York.

Q: What is the purpose of Form 4A?
A: The purpose of Form 4A is to provide information about the dentist's professional practice and qualifications.

Q: What information is required in Form 4A?
A: Form 4A requires information about the dentist's education, work experience, and any disciplinary actions.

Q: What should I do if I have questions about Form 4A?
A: If you have questions about Form 4A, you should contact the New York State Education Department, Office of the Professions.

Q: Is Form 4A specific to New York?
A: Yes, Form 4A is specific to dentists applying for endorsement in New York.

Q: Can Form 4A be used for initial licensure?
A: No, Form 4A is specifically for endorsement applicants. For initial licensure, a different application form needs to be used.