Arkansas Department of Health

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• ASBDE - Applications & Renewals

ASBDE - Applications & Renewals

Dentists
Dental License by Examination application
Dental License by Credentials application
Arkansas Speciality application
License Reinstatement form
Temporary Charitable License for Dentists
Moderate Sedation - application and facility permit
General/Deep Sedation - application and facility permit
Moderate Sedation - facility permit only
General/Deep Sedation - facility permit only
Mobile Dental Facility permit
Collaborative Care Permit application (note: must be approved by the Arkansas Department of Health's Office of Oral Health before applying with the Board. Contact the Office of Oral Health at 501-280-4051 for more information.)
Dental Corporation/Limited Liability Company Registration form
Fictitious Name Request form
Wall Certificate Remake form
Verification of Licensure Request form
Change Request form (to request a name, address, phone number, or email change)

Hygienists
Dental Hygiene License by Examination application
Dental Hygiene License by Credentials application
License Reinstatement form
Collaborative Care Permit application (note: must be approved by the Arkansas Department of Health's Office of Oral Health before applying with the Board. Contact the Office of Oral Health at 501-280-4051 for more information.)
Local Anesthesia Permit application
Wall Certificate Remake
Verification of License Request form
Change Request form (to request a name, address, phone number, or email change)

Assistants
Application for Registration of Dental Assistants
Expanded Duties Add-On for Registered Dental Assistants
Verification of Licensure Request form
Wall Certificate Remake
Change Request form (to request a name, address, phone number, or email change)

 

Renewals

Dentists & Registered Dental Hygienists:

• The online renewal portal for dentists and hygienists is closed.  Effective February 1, 2020, if you did not renew your dental/dental hygiene license, you will have to reinstate your license.

Registered Dental Assistants

• The online renewal portal for registered dental assistants is closed and will not open until October 1, 2020. If you did not renew your RDA permit by January 31, 2019 you will have to re-apply for a new RDA Permit. Please find RDA application under the Applications tab.