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Indiana Professional Licensing Agency

PLA > Professions > Indiana State Board of Dentistry > Dental Hygiene Anesthetic Permit Dental Hygiene Anesthetic Permit

In order to apply for a dental hygiene anesthetic permit, please download the following documents listed below:

Application for a Dental Hygiene Anesthetic Permit
Instructions and Information
Verification of Licensure Form

Indiana State Board of Dentistry Statute and Administrative Rules.
A compilation from the Indiana Code and Administrative Code. The Indiana State Board of Dentistry Compilation from the Indiana Code and Indiana Administrative Code is available to Download:

Microsoft Word Version
Adobe PDF Version

Indiana Professional Licensing Agency Statute.
A compilation of the statutes governing professions regulated by the Boards and Commissions under the Indiana Professional Licensing Agency. The Indiana Professional Licensing Agency Statute Compilation from the Indiana Code is available to Download:

Microsoft Word Version
Adobe PDF Version

If you have questions regarding applying for a dental hygiene anesthetic permit, please contact our office by email at PLA8@pla.in.gov or by telephone at (317) 234-2054.  

NOTE:  A dental hygienist may not administer local anesthesia until the Board has approved and issued you a dental hygiene anesthetic permit.