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DENTISTS
Application for Dental Licensure by Examination or Endorsement:
Application for a Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
Registration of an Additional Office in which to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
Dental Intern Permit Application:
Instructor's License Application:
Instructor's Application for General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
Dental License Renewal:
Dental License Renewal that has been expired for up to three (3) years:
Dental License Renewal that has been expired for more than three (3) years:
Dental Intern Permit Renewal:
Instructor's License Renewal:
Reinstatement of Inactive License:
Renewal of Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
Renewal of Instructor's Permit to Administer General Anesthesia, Deep Sedation (GADS) or Light Parenteral Conscious Sedation (LPCS):
Verification of Dental Licensure to another state:
Duplicate Wall License:
Professional Corporation Registration Application:
Professional Corporation Registration Renewal:
Penalties for Non-Compliance with Continuing Education requirements:
If a dentist is not in compliance with the continuing education requirements, the amount of the civil penalty shall be based upon the number of continuing education credit hours needed:
1-2 hours
3-5 hours
6-10 hours
11-15 hours
16-20 hours
$100
$250
$500
$750
$1000
Application for Dental Hygiene Licensure by Examination or Endorsement:
Application for a Dental Hygiene Intern Permit:
Renewal of Dental Hygiene License:
Renewal of Dental Hygiene License that has been expired for up to three (3) years:
Renewal of Dental Hygiene License that has been expired for more than three (3) years:
Reinstatement of Inactive License:
Dental Hygiene Intern Permit Renewal:
Verification of Dental Hygiene Licensure to another state:
Duplicate Wall License:
Penalties for Non-Compliance With Continuing Education Requirements:
If a dental hygienist is not in compliance with the continuing education requirements, the amount of the civil penalty shall be based upon the number of continuing education credit hours needed:
1-2 hours
3-5 hours
6-10 hours
11-14 hours
$50
$100
$250
$375