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Minnesota Uniform Dental Initial Credentialing Application

Minnesota Uniform Dental Initial Credentialing Application 2025

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39 votes

The document is a Minnesota Uniform Dental Initial Credentialing Application, which outlines the necessary steps and information required for dental providers to apply for credentialing with Delta Dental of Minnesota and HealthPartners. It includes sections for personal data, education, employment history, licensure, malpractice disclosures, and attestation of accuracy. The application requires detailed documentation and verification of qualifications, including insurance coverage and any legal or professional issues.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (39 Votes)

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