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Click ‘Get Form’ to open the DEA 251 in the editor.
Begin with Section 1 – Applicant Information. Fill in your last name, first name, and middle initial. Ensure that all fields are typed for clarity.
Enter your Social Security Number and business phone number. Remember, this information is kept private and used only for correspondence regarding your application.
Provide your business email address and mother’s maiden name for security purposes. This information will also remain confidential.
Input your DEA Registration Number exactly as it appears on your DEA Registration Certificate to avoid delays.
Complete the remaining fields including the business address and CSOS Coordinator details if applicable.
In Section 2, sign the application using blue or black ink, ensuring it matches the name provided in Section 1.
Finally, have a certified notary public complete Section 3 – Notary Acknowledgement, ensuring all required fields are filled out correctly.
Start filling out your DEA 251 form online for free today!
DEA 110 - Dental Health Education 2.00 Credit(s); DEA 251 - Dental Science 2.00 Credit(s); DEA 575 - Dental Assisting Clinic I 6.00 Credit(s); DEA 607 - Dental
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