Applications, renewals, and other requests will be completed at

That includes:

  • Anesthesia Permit-Restricted I
  • Anesthesia Permit-Restricted II
  • Anestheisa Permit-Unrestricted
  • Dental Hygienist
  • Dental Hygienist Local Anesthesia
  • Dentist
  • Expanded Function Dental Assistant
  • Fictitious Name Registration
  • Public Health Dental Hygiene Practitioner
  • Restricted Faculty License

You may also request duplicate licenses, changes to your name, and changes to your address at

Reactivation Applications

The reactivation applications have been moved to an online process. To review the requirements and submit your reactivation application online, login to your account at and click the pencil icon next to your license number.

Additional Resources & Documents

Volunteer (PDF)

Temporary Volunteer License - Dentist Only (PDF)

Dental Radiology Personnel (PDF)

Verification of Opioid Education Form (PDF)

EFDA Education Program Approval (PDF)