Dentists should send:
- Click here to complete the application
- Your current CV in a text editing format i.e. Word doc, Google doc, text document.
- A copy of your social security card. If none is available, then send a copy of your passport or birth certificate. (If you do not send your SS card, then we will need to know exactly how your name reads on it.) You can also scan and email but please do not fax this document.
- Your Alien Registration Receipt Card (green card) if you are a lawful permanent resident.
You can also scan and email but please do not fax this document.
- Your current driver's license.
You can also scan and email but please do not fax this document.
- A copy of your Hepatitis B immunization records from your doctor's office or health clinic.
- Names and contact numbers of two or three professional references (former employers, instructors, etc. No friends or relatives, please). We would prefer to talk to these references, so please include their email & phone numbers, if possible.
- A copy of your current North Carolina dental license renewal. Please send us your renewal annually.
- A copy of your DEA certificate
- A copy of your malpractice insurance.
- Your NPI number.
- Your Medicaid number, if you have one.
- Front and Back of you CPR card from a hands on course. We do not accept an online course.