Apply for a License

Apply online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, you will find your pending credential number on Provider Credential Search. Refer to this credential number any time you contact the Department of Health or submit paperwork.

Apply on paper

The following forms are required for completing the application process. Please download and print forms.

Dental Anesthesia Assistant

Renewal requirements

Dental anesthesia assistants must renew their certification every year. Credentials expire on the credential holder's birthday and may be renewed within 90 days of the expiration date.

A courtesy renewal notice will be mailed to your address on record. You must keep your address current with us. Any renewal postmarked or presented to the department after midnight on the expiration date is late.

Dental anesthesia assistants must complete 14 hours of continuing education every three years. Continuing education must involve direct application of dental anesthesia assistant knowledge and skills. Acceptable continuing education is listed in WAC 246-817-445.

How to renew

Is your contact information current?

In order to serve you better, we must have your correct mailing address in our system. This is especially important because we mail your courtesy renewal notice and updated credential to the address on file. The U.S. Postal Service doesn't forward Department of Health mail. If your contact information isn't current in our system, please complete and submit the contact information change form. If you have questions, contact our staff members.

You must notify the department of any changes in your supervisor(s). Notification of the change must be submitted on the approved form (PDF) prior to you accepting delegation from another supervisor.

You may not practice unless the department has a listing of your current supervisor(s).

How to renew

Online

By mail

In person

Questions?

If you have questions about the renewal process, see our Frequently Asked Questions.

Fee Schedule

See fee information below

WAC 246-817-99005 – Fees

  • Application - $100
  • Renewal - $85
  • Late renewal - $50
  • Expired reactivation - $75
  • Duplicate - $15
  • Verification - $25

Fees submitted with applications for initial credentialing, examinations, renewal, and other fees associated with the licensing and regulation of the profession are non-refundable, per WAC 246-12-340.

Process for Approving/Denying Applications

We finish the final review for approval after a credentialing specialist verifies that the application is fully complete and complies with requirements in chapter 18.350 RCW and chapter 246-817 WAC. We complete background checks and make sure applicants have submitted required fees. Credentialing supervisors and lead workers have the authority to approve routine applications. The disciplining authority may conduct further review if the credentialing supervisor can't verify that the applicant meets all requirements. We'll formally notify applicants of a denial. Those applicants may request a hearing to appeal the decision.

Additional Licensing Information