Application Forms & Publications

Dentist License

Abandoned Application Important Notice and FAQ’s

Requirements, Instructions & Application
Application Fillable Form

Verification of License
Application Fillable Form

Dentist Permit to Administer Deep Sedation/General Anesthesia and Moderate Sedation

Instructions & Application
Application Fillable Form

Anesthesia Site Evaluation Check List

Community Service License – Dentist

Abandoned Application Important Notice and FAQ’s

Requirements & Application
Application Fillable Form

Verification of License
Application Fillable Form

Verification of Active Clinical Dental Practice
Application Fillable Form

Dental Hygienist License

Abandoned Application Important Notice and FAQ’s

Requirements, Instructions & Application
Application Fillable Form

Verification of License
Application Fillable Form

Dental Hygienist Certification in the Administration of Intra-Oral Block Anesthesia

Dental Hygienist Certification in the Administration of Intra-Oral Block Anesthesia
Application Fillable Form

Community Service License – Dental Hygienist

Abandoned Application Important Notice and FAQ’s

Requirements & Application
Application Fillable Form

Verification of License
Application Fillable Form

Verification of Active Clinical Dental Hygiene Practice
Application Fillable Form

Renewal of Community Service Dental Hygienist License

Renewal of Community Service Dental Hygienist License
Application Fillable Form

Temporary License

Dental Examiners Temporary License
Application Fillable Form

Program Sponsor Agreement for Continuing Education

Instructions and Application
Application Fillable Form

Inactivation Application for Dentist & Dental Hygienist

Instructions & Application
Application Fillable Form

Reactivation Application for Dentist & Dental Hygienist

Instructions & Application
Application Fillable Form