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.

Following Board approval, the jurisprudence test link will be emailed to the applicant. The jurisprudence test is given online and results are immediately available upon completion. Once the test results are verified by the licensing specialist, the license is issued and a digital copy of the license is provided via email.

*New licensees will receive their wall certificate via U.S. mail within two weeks of juris prudence test completion.

 These application forms 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-Rev112024
• DENTAL HYGIENE License by Regional Exam-Rev 11-2024
• DENTAL-DENTAL HYGIENE License by Credentials-Rev 11-2024

• Special Purpose Dental License Application to Practice Dentistry Across State Lines can be requested from Board office  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."  In order to be considered, the licensee shall submit a completed request form to the Executive Director no later than August 1 preceding the license renewal cycle that commences on September 1 of the applicable year. (Each year, this form will have to be submitted to continue the retired status.)

Retired-Disabled Application 09-2024

• 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:

a. holds one or more qualifying license (s), all of which are in good standing;

b. 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;

c. because of Military Orders, relocates his or her residency from a place outside of Alabama to a place within Alabama; and 

d. submits to the Executive Director 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-09-2024

Special Teaching/Teaching Permit:

Special Teaching & Teaching Permit Application-9-2024

Special Volunteer License Application:

Special Volunteer License 102024

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