Mobile Dentist
Full time Albany / Saratoga Area
Provide general dental services multi-site long term care facilities.
Compensation $175K - $225K
$1,000 sign on bonus
Have your privileges at any institution been limited, restricted or revoked?* YES NO
If you answered 'YES' to the previous question, please explain below...
Has your narcotics registration been suspended or revoked?* YES NO
If you answered 'YES' to the previous question, please explain below...
Have you been denied membership, renewal or has disciplinary action been instituted against you in any professional organization (i.e. medical, dental, or hygiene)?* YES NO
If you answered 'YES' to the previous question, please explain below...
Have you been a defendant or subject of a malpractice action?* YES NO
If you answered 'YES' to the previous question, please explain below...
Do you have, or are you subject to any pending actions by The New York State Department of Education, Department of Professional Discipline or any other state in which you may hold (or have held) a professional license?* YES NO
If you answered 'YES' to the previous question, please explain below...
Have you ever been denied or had you medical malpractice revoked, non-renewed, limited or terminated?* YES NO
If you answered 'YES' to the previous question, please explain below...
Have you ever been suspended, sanctioned or otherwise restricted from participating in any private, federal or state health insurance program?* YES NO
If you answered 'YES' to the previous question, please explain below...
Have you ever been investigated or censured for violation of patient's rights?* YES NO
If you answered 'YES' to the previous question, please explain below...
Do you have any impairment (mental or physical) that may interfere with the performance of your duties?* YES NO
If you answered 'YES' to the previous question, please explain below...
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