| 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 501-280-4111 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) |
Certificates & Records
Licensing, Military Member Licensure, Permits & Plan Reviews
Public Health Safety
Community, Family & Child Health
Data, Statistics & Registries
Emergencies & Disasters
Prevention & Healthy Living
Boards & Committees
Diseases & Conditions
