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.
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
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. Please note that the form is also used for updating registrant information. Please review Rule 4.10.
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. Please note that the form is also used for updating registrant information. Please review Rule 4.10.
501(c)(3) Entity Registration Form
General Permits:
Controlled Substance Application:
Controlled Substance Application
General Anesthesia and Parenteral Sedation Permit:
Hygiene Infiltration Anesthesia Permit:
Hygiene Infiltration Permit Form
Oral Conscious Sedation Permit Application:
Oral Conscious Sedation Application
Portable Dental Operations and Mobile Dental Facilities Initial Application:
Mobile Portable Initial Application and Renewal Form
Forms:
Drug Dispensing Log:
Drug Inventory Log: