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19.2.5 Doctor of Dentistry Practicing as a Limited Physician
Providers may enroll as an individual dentist or as a dental group. To enroll as a Doctor of Dentistry Practicing as a Limited Physician, a dentist must:
• Currently be actively licensed by the TSBDE or currently be licensed in the state where the service was performed at that time.
• Have a Medicare provider identification number before applying for and receiving a Medicaid provider identifer.
• Enroll as a Medicaid provider with a limited physician provider identifier.
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