ASBDE - Applications & Renewals
Dentists |
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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 |
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Dental Hygiene License by Examination application |
Dental Hygiene License by Credentials application |
License Reinstatement form |
Collaborative Care Permit application (note: must be approved byt 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 |
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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.