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.
*Guidance for Dental Licensure by Regional Exam
- 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." This Rule formalizes the procedures and standards that the Board will apply in implementing this statutory requirement.
Retired-Disabled Application 11-2023
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. 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 Permit:
Parenteral Sedation Permit:
Hygiene Infiltration Anesthesia Permit:
Hygiene Infiltration Permit Form
Oral Conscious Sedation Permit Application:
Portable Dental Operations and Mobile Dental Facilities Initial Application:
Mobile Portable Initial Application and Renewal Form
Forms:
Drug Dispensing Log:
Drug Inventory Log:
