Apply for a License

Initial Licensure

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:

• License to Practice Dentistry (PDF)
• Credential Verification (PDF)
• DEA Authorization (PDF)
• Proof of Practice (PDF)
• Residency Verification Form (PDF)
• Dentist Portability of Professional Licenses of Members of the Uniformed Services and Their Spouses Application (PDF)  

Renewal requirements

Dentists must renew their license every year. Credentials expire on the credential holder's birthday and may be renewed within 90 days of the expiration date. Dentists must attest to completing the required 63 hours of continuing education every three years as part of the renewal. 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.

Sedation Permit

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 form is required for completing the application process. Please download and print forms:

• Sedation Permit Application Packet (PDF)
• Credential Verification (PDF)

Dental Resident - Limited

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 Residents Limited License Application Packet (PDF)
• Credential Verification (PDF)

Expired Credential Reactivation

Apply on paper

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

• Expired Credential Reactivation Application (PDF)
  • Use this application if your license has been expired for less than three years.
• Expired Over 3 Years Credential Reactivation Application (PDF)
  • Use this application if your license has been expired for more than three years.
• Credential Verification (PDF)
• DEA Authorization (PDF)
• Proof of Practice (PDF)

Dentistry Return to Active from Inactive Status (Over Three Years) and from Retired Active Status

Apply on paper

• Dentistry Return to Active from Inactive Status (Over Three Years) Application Packet (PDF)
• Dentistry Return to Active Status from Retired Active Status (PDF)

Dentist Faculty - Limited

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.

• Dentistry Faculty License Application Packet (PDF)
• Credential Verification (PDF)
• DEA Authorization (PDF)
• Proof of Practice (PDF)

Additional Licensing Information

• Licensing fees
• Jurisprudence exam
• Licensing requirements
• Helpful tips and information
• Frequently asked questions
• License renewals