News: All Licenses and Permits renew starting August 1, 2025.

News: Board Elections Begin September 1st!

News: Please see the latest agenda under News and Announcements

News: ADHP IC Registration Open

Logo
Contact Us
  • Home
  • ADHP
    • About ADHP
    • Current Program Application and Info
  • Applications & Forms
    • State Licensure And Permit Applications
    • Wellness
    • Fee Schedule
    • Licensee List
  • Board Information
    • Board Members
    • Board Staff
    • Board Newsletters
    • Board Meeting Minutes and Financials
    • Board Financials
    • News and Announcements
    • Board Disciplinary Orders/Actions
  • Complaints
    • Complaint Form
  • Calendar
  • Resources
    • Statute and Board Rule Updates
    • Continuing Education
    • Public Records Requests
    • Training Resources
    • FAQs
logo
  • Home
  • ADHP
    • About ADHP
    • Current Program Application and Info
  • Applications & Forms
    • State Licensure And Permit Applications
    • Wellness
    • Fee Schedule
    • Licensee List
  • Board Information
    • Board Members
    • Board Staff
    • Board Newsletters
    • Board Meeting Minutes and Financials
    • Board Financials
    • News and Announcements
    • Board Disciplinary Orders/Actions
  • Complaints
    • Complaint Form
  • Calendar
  • Resources
    • Statute and Board Rule Updates
    • Continuing Education
    • Public Records Requests
    • Training Resources
    • FAQs

State Licensure And Permit Applications

Licensure Applications

Complete, initial application packets for licensure are reviewed before and approved during the Board’s monthly meetings. Once approved, applicants will receive notice by email of the approval, must take a jurisprudence test (online), then will receive a digital copy of the license vis email.

The following applications are "fillable" but must be printed to be notarized, and must have the additional required documents and payment submitted as a complete package.

DENTAL License by Regional Exam-4-2025LB

For dental graduates that have passed a regional examination within the last 5 years preceding the date on the application AND attended a CODA approved dental school (The Board currently accepts the following regional exams: CDCA, CITA, CRDTS, SRTA and WREB.  Both mannequin and patient-based portions are accepted.)

 

DENTAL HYGIENE License by Regional Exam-Rev 4-2025LB

For hygiene graduates that have passed a regional examination within the last 5 years preceding the date on the application AND attended a CODA approved dental hygiene program or the Alabama Dental Hygiene Program (ADHP)  (The Board currently accepts the following regional exams: CDCA, CITA, CRDTS, SRTA and WREB.  Both mannequin and patient-based portions are accepted.)

 

DENTAL-DENTAL HYGIENE License by Credentials-4-2025LB

For dentists and hygienists that have been licensed in another state for at least five (5) years to be considered for licensure without having to take a regional examination AND attended a CODA approved dental or dental hygiene school

 

Special Purpose Dental License Application to Practice Dentistry Across State Lines  Application must be requested from Board office at licensing@dentalboard.org
The practice of dentistry “across state lines” means a dentist who is physically outside the state, treating (including rendering a documented opinion regarding diagnosis or treatment) a patient who is inside the state, via the transmission of patient data; or who is holding him/herself out to the public as being able to do so. Ala. Code 1975, § 34-9-1(12)(a). 34-9-1 is the “definitions” section.

 

Retired/Physically Disabled Application

Rule No. & Title: 270-X-4-.12, Waiver of Annual Registration Fees When Retired Due to Age or Physical Disability

In order to qualify for the annual registration fee waiver, the dentist or dental hygienist's retirement must be due to either "age" or "physical disability." For age, the licensee must be at least 65 years old.  For disability, the licensee must supply the Board with documentation from a physician stating the condition of disability. In order to be considered, the licensee shall submit a completed request form to licensing@dentalboard.org no later than August 1.

(Each year, this form will have to be submitted to continue the retired status.)

Retired-Disabled Application (4/2025)

 

Military/Spouse Portability Application

A Service-connected Practitioner who holds a license to practice dentistry or dental hygiene in a state other than Alabama will be granted a license to practice in Alabama if the service-connected practitioner:

  • holds one or more qualifying license(s), all of which are in good standing;
  • has, pursuant to the Qualifying License(s), engaged in the Active Practice of dentistry or dental hygiene for the 24 months preceding the Military Orders;
  • because of Military Orders, relocates his or her residency from a place outside of Alabama to a place within Alabama;
  • submits to the Director of Licensing at licensing@dentalboard.org a completed application, supporting documentation, and the processing fee prescribed in this Rule shall be issued a license to practice dentistry or dental hygiene, as applicable, in the State of Alabama.

Military-Spouse License Portability Application (4/2025)

 

Special Volunteer License Application:

A short term license to participate in an approved event in the state of Alabama.

Special Volunteer License (4/2025)

Qualifications for Licensure Reference

Code of Alabama (1975) § 34-9-10

270-X-2.01 Education Requirements for Examination-Dentists

270-X-2.19 Licensure By Credentials

270-X-3.03 Education Requirements for Examination, Qualifications, Application, Examination and Licensure of Dental Hygienists

Permit Applications

Registration of 501(c)(3) Entities Operating Dental Clinics

Rule 270-X-4.10 requires that all 501(c)(3) entities register with the Board of Dental Examiners. Please complete the form below and return it and the required supporting documents to the Board office to licensing@dentalboard.org.

501(c)(3) Entity Registration Form

 

General Permits:

Controlled Substance Application:

Controlled Substance Permit APPLICATION 4-2025LB

General Anesthesia Permit (If you are approved for a GA permit, you do not need an OCS permit.) or Parenteral Sedation Permit:

PS GA Permit Application (4/2025)

Hygiene Infiltration Anesthesia Permit:

Hygiene Infiltration Permit Application (4/2025)

Oral Conscious Sedation Permit Application:

OCS Application (4/2025)

OCS Rule-Information

Portable Dental Operations and Mobile Dental Facilities Initial Application:

Mobile-Portable Initial Application and Renewal Application (4/2025)

Special Teaching/Teaching Permit:

Special Teaching & Teaching Permit Application-4-2025LB

Forms:

Drug Dispensing Log:

Drug Dispensing Log

Drug Inventory Log:

Drug Inventory Log - Sample

Quick Links:

Alabama Dental Practice Act
Board Rules
License Renewals
Licensee Lookup
View All News
View All News
View Full Calendar
Board of Dental Examiners of Alabama
2229 Rocky Ridge Road
Birmingham, AL 35216
Ph (205) 985-7267
© 2025 Board of Dental Examiners of Alabama. All Rights Reserved.
  • Home
  • ADHP
    ▼
    • About ADHP
    • Current Program Application and Info
  • Applications & Forms
    ▼
    • State Licensure And Permit Applications
    • Wellness
    • Fee Schedule
    • Licensee List
  • Board Information
    ▼
    • Board Members
    • Board Staff
    • Board Newsletters
    • Board Meeting Minutes and Financials
    • Board Financials
    • News and Announcements
    • Board Disciplinary Orders/Actions
  • Complaints
    ▼
    • Complaint Form
  • Calendar
  • Resources
    ▼
    • Statute and Board Rule Updates
    • Continuing Education
    • Public Records Requests
    • Training Resources
    • FAQs
Contact Us