ATTENTION DENTIST and HYGIENIST APPLICANTS: Please read important information below before applying for licensure!

 

All license applications for dentists and hygienists must be received in the Board office 30 days prior to the next Board meeting (North Dakota Century Code, Chapter 43-28-11).  

 

The next formal meeting of the North Dakota State Board of Dental Examiners is:

 
Next Meeting of the Board
Thursday, Sept 17, 2009
8:00 a.m.
Holiday Inn
3803 13th Ave So.
Fargo, ND

 

Effective January 1, 2008, according to NDCC 43-28-11.2, all new and reinstating applicants for licensure as a dentist or hygienist shall be required to submit to a statewide and nationwide criminal history check. A Criminal Records Check (BCI&I and FBI) completed by the Bureau of Criminal Identification and Investigation, must be submitted directly the Board. Once the Board office receives your application for license, a Criminal History Record Check Request form and two (2) fingerprint cards will be mailed to you. Complete the form and mail it back to the Board office along with the two (2) fingerprint cards containing your set of prints. Both cards must be printed on and submitted directly to the Board office. All costs associated with obtaining a background check are the responsibility of the applicant. The cost to run the criminal history checks is $47.25. You must submit a check or money order for $47.25, made payable to the North Dakota Attorney General along with the form and both fingerprint cards to the Board’s office. Local law enforcement professionals must take fingerprints. Please call ahead, as fingerprinting may only be offered on certain weekdays. Results shall be received by the board prior to the issuance of a license to practice. Turn around time for this process takes at least two weeks. Keep this in mind during the application process.

 

If there are items on the application about which the Board desires additional information, or if there is a malpractice history, or a discovery on the criminal background check process, the application will take longer to process.

 

Your application will be kept on file for one year from date of receipt. Your file will be purged if you do not complete your application process in one year. You will need to resubmit a new application packet and fee after that time.

 

We recommend that applicants handle their own applications without delegating this task to someone else. In our experience, delegation frequently does not work well. The process seems to work more smoothly when individual applicants personally take responsibility for their own licensure and application process.

 

License Expiration Grace Period for New Applicants: All new applicants who are issued a license within 120 days of the upcoming renewal expiration date will be issued a license expiration date of the next renewal period.

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**If you have trouble downloading any of the documents, hit "refresh" on your browser.**  You must have the latest version  of Adobe Acrobat Reader 5.0 to view the forms. Dentist: All dentist applicants will appear to the Board at one of the quarterly meetings before being licensed. For the next meeting date, please click on the Important Info page. Requirements: For Licensure Forms: Application Checklist Application for Dental License Application for License by Credential Review *Use if you have been actively practicing dentistry for at least 5 years Confidential Professional Reference Form Medical Evaluation of Applicant Physical and eye exams need to be separate. The date of the exams can go back 2 years for new graduates. Credential applicants and graduates from more than 2 years ago need to have new exams completed. You may print page 1 twice if you need one for both doctors. Statement of Address Form For General Anesthesia and/or Conscious Sedation Initial Application Renewal Application ADA Guidelines Guidelines for Teaching the Comprehensive Control of Anxiety and Pain Relief Guidelines for Use of Conscious Sedation, Deep Sedation, and General Anesthesia for Dentists Re-instatement: Requirements Application for Re-instatement of a Dentist Reinstatement of License on Inactive Status Inactive Status You may apply for inactive status if you are not currently working as a Dentist or are not working in North Dakota. Application for Inactive Status It is the licensee’s responsibility to understand the requirements to reinstate the license before applying for an inactive license! Re-instatement: The requirements and application are for those wanting to reinstate an inactive or expired dental or dental hygiene license! Requirements Application for Reinstatement of a Dentist Foreign Trained Applicant: Foreign Trained Dentist Volunteer Status: Requirements Application for Volunteer Status - Please contact the Board office for an application Temporary License Requirements Application for Temporary License - Please contact the Board office for an application The fee for a temporary license is $160.00. Duplicate Licenses: The fee is $45.00 to replace your official certificate. There is no charge to replace the small annual renewal card. You must submit your request in writing to the board.   Hygienist: Requirements: For Licensure To find out if a dental hygiene school is accredited by ADA, check the ADA website at http://www.ada.org/prof/ed/programs/search_dahlt_us.asp   Forms: Application Checklist Application for Dental Hygiene License Application for Local Anesthesia Permit Application for License by Credential Review Use if you have been actively practicing dental hygiene for at least 5 years Confidential Professional Reference Form Medical Evaluation of License Applicant Physical and eye exams need to be separate. The date of the exams can go back 2 years for new graduates. Credential applicants and graduates from more than 2 years ago need to have new exams completed. You may print page 1 twice if you need one for both doctors. Statement of Address Form Duties: Please see chapter 20-04-01 of the North Dakota Administrative Code or click RDH/RDA Duties and Supervision. Chart for a list of duties a licensed dental hygienist may perform   Local Anesthesia: Requirements - Please see chapter 20-04-01-03 of the North Dakota Administrative Code for the complete requirements The Board will review all applications for anesthesia Applicant is NOT required to be present for this process Incomplete applications will not be considered New registration card with anesthesia endorsement will be sent out immediately following approval by the Board   Application for Local Anesthesia Permit   Re-instatement: Requirements Application for Re-instatement   Reinstatement of License on Inactive Status ·         Inactive Status You may apply for inactive status if you are not currently working as a hygienist or are not working in North Dakota. Application for Inactive Status  It is the licensee’s responsibility to understand the requirements to reinstate the license before applying for an inactive license!  ·         Re-instatement: The requirements and application are for those wanting to reinstate an inactive or expired dental or dental hygiene license! o        Requirements o        Application for Re-instatement  Duplicate Licenses: The fee is $45.00 to replace your official certificate. There is no charge to replace the small annual renewal card. You must submit your request in writing to the board. Assistants: Requirements: All newly registered and qualified assistants must take jurisprudence exam   Registered If you graduated or passed DANB more than two years ago, please submit 8 hours of Continuing Education verification Qualified To find out if a dental assisting school is a ceredited by ADA, check the ADA website at http://www.ada.org/prof/ed/programs/search_dahlt_us.asp Forms: Application for Registered/Qualified Dental Assistant Application for Renewal of Dental Assistant Registration Duties: Please see chapter 20-03-01-01 of the North Dakota Administrative Code or click RDH/RDA Duties and Supervision Chart for a list of duties an unregistered, qualified or registered assistant many perform. A list of prohibited services are available in Chapter 20-03-01-02 of the North Dakota Administrative Code. ND Administrative Code 20-02-01-03 requires all registered dental assistants monitoring Nitrous Oxide to have the proper training. If you are a RDA monitoring nitrous oxide, but have not received the proper training, please speak to your employer/dentist about how to become trained to meet the Administrative Code standards. Proper training may include a course during dental assistant training at an ADA-accredited school or completion of a training course. There is also additional information available on the Continuing Education page You must download the latest version of Adobe Acrobat Reader to view the NDSBDE Forms.