John R. Kasich, GovernorAshok Das, DDS, President Susan Johnston, RDH, Vice PresidentHarry N. Kamdar, MBA, Executive Director
The new system launched on August 22, 2016, all applications and renewals will need to be completed online. The Board no longer accepts paper applications or paper checks since the new elicensing system is active.
The Board has made every effort to include the information you need to apply for Coronal Polishing on this website. If you have questions or concerns about the licensure process, contact us at firstname.lastname@example.org or call 614-466-2580 and speak with our licensing coordinator.
Please provide the necessary information/documentation required for processing your license application. You will be notified if any information/documentation is missing or not accepted. Please allow up to 20 calendar days to process a complete application.
Certificate Requirements: Ohio Revised Code 4715-11-03.1
Before You Start: Make sure you have the following items or the application will not allow you to advance. All applications must be complete before submission.
eLicense Ohio Portal - Apply Online
Mailing / Public Address: The Address should be the same for both and should be your home address. Only the city and state show up on the public look-up.
Education History - Type "Other" to enter education institutions that are not found.
Background Questions Required
Identification Photo: Must be in color, Forward facing, Shoulders and above
Hepatitis B Immunity:
I. Vaccination record showing all three (3) hepatitis B shots dates, OR
II. A Postive/ Reactive/ >10 hepatitis surface antibodies titer, OR
III. At the very Least we will accept proof that the first and second shots were administered, and the third shot (full date) is scheduled on a doctor's letterhead, script pad or appointment reminder, OR
IV. Hepatitis B Waiver Form
Qualifications for Certificate
I. Proof of Completing coronal polishing course and passing the standardization exam within 90 days of application,
Proof of being licensed out of state:
a. Copy of current license, certificate, or other credential issued by another state, and
b. Copy of transcripts and/or certificate issued by education institution (must include hours and course content regarding coronal polishing and exam).
II. Proof of being a current Certified Dental Assistant CDA through either of the following:
a. Dental Assisting National Board DANB, OR
b. Ohio Commission on Dental Assistants Certifications OCDAC
Valid Credit Card (MasterCard or Visa)
Coronal Polishing Approved Training Program: Ohio Revised Code 4715-11-03.1
Approved Coronal Polishing Courses