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This version of the form is not currently in use and is provided for reference only. Download this version of
Dentist Form 4B
for the current year.
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 a clinical residency program for dentists in New York.
Q: What is the purpose of Form 4B?
A: The purpose of Form 4B is to certify that a dentist has successfully completed a clinical residency program 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 information is required on Form 4B?
A: Form 4B requires information such as your personal details, the details of the clinical residency program completed, and the signatures of your program director and yourself.
Form Details:
- Released on November 1, 2022;
- 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 fillable 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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