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, must take a jurisprudence test (online), then will receive a digital copy of the license vis email.
The following applications are "fillable" but must be printed to be notarized, and must have the additional required documents and payment submitted as a complete package.
DENTAL License by Regional Exam-Rev 2-2026
For dental graduates that have passed a regional examination within the last 5 years preceding the date on the application AND attended a CODA approved dental school (The Board currently accepts the following regional exams: CDCA, CITA, CRDTS, SRTA and WREB. Both mannequin and patient-based portions are accepted.)
DENTAL HYGIENE License by Regional Exam-Rev 2-2026
For hygiene graduates that have passed a regional examination within the last 5 years preceding the date on the application AND attended a CODA approved dental hygiene program or the Alabama Dental Hygiene Program (ADHP) (The Board currently accepts the following regional exams: CDCA, CITA, CRDTS, SRTA and WREB. Both mannequin and patient-based portions are accepted.)
DENTAL-DENTAL HYGIENE License by Credentials-Rev 2-2026
For dentists and hygienists that have been licensed in another state for at least five (5) years to be considered for licensure without having to take a regional examination AND attended a CODA approved dental or dental hygiene school
Special Purpose Dental License Application to Practice Dentistry Across State Lines
DENTAL Special Purpose License Application 2-2026
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." For age, the licensee must be at least 65 years old. For disability, the licensee must supply the Board with documentation from a physician stating the condition of disability. In order to be considered, the licensee shall submit a completed request form to licensing@dentalboard.org no later than August 1.
(Each year, this form will have to be submitted to continue the retired status.)
Retired-Disabled Application 2-2026
Military/Spouse Portability Application
A Service-connected Practitioner who holds a license to practice dentistry or dental hygiene in a state other than Alabama will be granted a license to practice in Alabama if the service-connected practitioner:
Military-Spouse License Portability Application 2-2026
Special Volunteer License Application:
A short term license to participate in an approved event in the state of Alabama.
Special Volunteer License 2-2026
Code of Alabama (1975) § 34-9-10
270-X-2.01 Education Requirements for Examination-Dentists
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 office to licensing@dentalboard.org.
501(c)(3) Entity Registration Form
General Permits:
Controlled Substance Application:
Controlled Substance Permit APPLICATION 2-2026
General Anesthesia Permit (If you are approved for a GA permit, you do not need an OCS permit.) or Parenteral Sedation Permit:
Hygiene Infiltration Anesthesia Permit:
Hygiene Infiltration Permit Form 02-2026
Oral Conscious Sedation Permit Application:
Portable Dental Operations and Mobile Dental Facilities Initial Application:
Mobile Portable Initial Application and Renewal Form 2-2026
Special Teaching & Teaching Permit Application-02-2026
Drug Dispensing Log:
Drug Inventory Log:
Reinstatement Applications
Dental Reinstatement Application
DENTIST Reinstatement Form (Expired)- 02-2026
Dental Hygiene Reinstatement Application
DENTAL HYGIENIST Reinstatement Form (Expired)-2-2026
Controlled Substance Reinstatement Application
General Anesthesia Reinstatement Application
GA Permit REINSTATEMENT Form (Expired)-2026
Hygiene Infiltration Reinstatement Application
Hygiene Infiltration Reinstatement 2026
OCS Reinstatement Application
Parenteral Anesthesia Reinstatement Application
PS Permit REINSTATEMENT Form (Expired) 2-2026
