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Maryland Foundation of Dentistry for the Handicapped Application for Services REFERRING AGENCY IF APPLICABLE Agency Name: Phone: () Name of Caseworker: Address: City, State & Zip: APPLICANT: Name:
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To fill out the Maryland Foundation of Dentistry form, follow these steps:
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Start by downloading the form from the official website or obtain a physical copy from the Maryland Foundation of Dentistry.
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Read the instructions carefully to understand the information required and any specific guidelines.
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Begin by providing your personal details such as name, contact information, and address.
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Fill out the sections related to your dental qualifications, including your education, certifications, and professional experience.
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Make sure to accurately provide any licenses you hold and the expiration dates associated with them.
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Include any additional supporting documents required, such as proof of malpractice insurance or references.
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Maryland Foundation of Dentistry is a nonprofit organization dedicated to supporting oral health initiatives and providing resources for dentists in Maryland.
Dentists practicing in Maryland who are members of the foundation are required to file.
The form can be filled out online or submitted via mail with the required information about the dentist's practice and contributions to oral health.
The purpose of the foundation is to support oral health initiatives, provide resources for dentists, and improve access to dental care for Maryland residents.
Dentists must report their practice information, charitable contributions, continuing education, and any community service activities related to oral health.
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