General Information Regarding Licensure Applications

Applications are reviewed during the Board’s monthly meetings.  An application must be complete to be placed on the Board’s Agenda.  Once an application is approved, applicants will receive notice by email of the approval.  Following Board approval, the jurisprudence test is mailed to the approved applicant to complete and return to the Board.  Upon receipt of the successfully completed test, the license is issued and a digital copy of the license is provided via email.  New licensees receive their wall certificate via U.S. mail. 

For questions regarding the licensure process or the status of your application, please contact Ms. Linda Dlugosz at (205) 985-7267 or email linda@dentalboard.org .

 

REQUIRED Citizenship Verification for All Applicants

This form MUST be completed by all applicants for licensure and submitted with the appropropriate application below.

REQUIRED Citizenship and Legal Resident Form

Dental Application for Licensure by Regional Exam

Licensure by Examination (Regional) Dental Application for Out of State Applicant
Licensure by Examination (Regional) Dental Application In State Applicant

REQUIRED Citizenship and Legal Resident Form 

The Board will only accept regional dental examinations for initial dental licensure by regional exam that includes a periodontal examination section conducted on a live patient and a prosthodontic examination section that includes preparation of abutment teeth on a manikin for a fixed prosthesis wherein the bridge draw is evaluated. The Board will make an exception to this requirement for any examination taken and passed before August 1, 2012, as long as no more than five (5) years has passed since the taking of said examination.  Per March, 2012 Minutes.

Hygiene Application for Licensure by Regional Exam

Licensure by Examination (Regional) Hygiene Application for Out of State Applicant
Licensure by Examination (Regional) Hygiene Application for Instate Applicant

REQUIRED Citizenship and Legal Resident Form

Dental & Hygiene Application for Licensure by Credentials

Licensure by Credentials Application

REQUIRED Citizenship and Legal Resident Form

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

Special Purpose License Applications

REQUIRED Citizenship and Legal Presence Form 

3 Year Special Purpose Licensure Application for Dentists & Hygienists
1 Year Special Purpose Licensure Application for Dentists
1 Year Special Purpose Licensure Application for Hygienists

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) Registration Packet

 
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