Dentist Form 4B Certification of Completion of Clinical Residency Program - New York

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Dentist Form 4B Certification of Completion of Clinical Residency Program - New York

What Is Dentist Form 4B?

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 4B?
A: Form 4B is a Certification of Completion of Clinical Residency Program for Dentists in New York.

Q: Who needs to fill out Form 4B?
A: Dentists who have completed a clinical residency program in New York need to fill out Form 4B.

Q: What is the purpose of Form 4B?
A: The purpose of Form 4B is to certify the completion of a clinical residency program for dentists in New York.

Q: What information is required on Form 4B?
A: Form 4B requires information such as the dentist's name, contact information, clinical residency program details, and dates of completion.

Q: Are there any fees associated with Form 4B?
A: No, there are no fees associated with Form 4B.

Q: How should Form 4B be submitted?
A: Form 4B should be completed and submitted to the New York State Education Department by mail.

Q: Is Form 4B specific to New York?
A: Yes, Form 4B is specific to dentists who have completed a clinical residency program in New York.

Q: What is the timeline for submitting Form 4B?
A: Form 4B should be submitted within 90 days of completion of the clinical residency program.

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Form Details:

  • Released on August 1, 2015;
  • The latest edition provided by the New York State Education Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Dentist Form 4B by clicking the link below or browse more documents and templates provided by the New York State Education Department.

Download Dentist Form 4B Certification of Completion of Clinical Residency Program - New York

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