General Compliance Training - Liberty Dental Plan

LIBERTY Dental Plan General Compliance Training

Completion of the General Compliance Training Program will meet the necessary training requirements for you and your staff. Upon completion of this program, you will be able to print a personalized certificate confirming your successful completion of the training. You may print the certificate and retain it for your records. Please note that CE Units are available for California Providers only.

This attestation form is provided as a convenience for contracted Providers and Staff to make a written statement in which they verify that they have completed the entire General Compliance Training.

Please submit the following form to be taken to the Provider General Compliance training module.

First Name:

Last Name:

Professional Title:

Provider NPI:

License #:

Office Name:

Facility ID:

Office Address:

Office City:

Office State:

Office Zip Code:

Office Phone: