Board of Dentistry Application Forms & Publications

ONE YEAR (1) ABANDONMENT OF APPLICATIONS

Pursuant to HRS §436B-9 Your application shall be considered abandoned, will be destroyed, if you fail to complete the license process within one year after filing the application, or fail to take and pass the examination after becoming eligible to take the examination. If an application is deemed abandoned the applicant shall be required to reapply for licensure and comply with the licensing requirements at the time of the reapplication.

Dentist License

Requirements, Instructions & Application
Application Fillable Form

Verification of License
Application Fillable Form

Temporary License – Dentist

Requirements, Instructions, & Application
Application Fillable Form

Requirements, Instructions, & Application
POST-DOCTORAL RESIDENTS ONLY
Application Fillable Form

Dentist – Temporary Military Spouse License

Requirements, Instructions & Application
Temporary license to practice for the duration of the active-duty military member’s service in Hawaii.

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

Requirements & Application
Application Fillable Form

Verification of License
Application Fillable Form

Verification of Active Clinical Dental Practice
Application Fillable Form

Dental Hygienist License

Requirements, Instructions & Application
Application Fillable Form

Verification of License
Application Fillable Form

Temporary License – Dental Hygienist

Requirements, Instructions & Application
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

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
Application Fillable Form

APPLICATION FOR CONTINUING EDUCATION SPONSOR APPROVAL

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