Dentist

ANNOUNCEMENT:

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.

To learn more about the licensure process, select the type of license you wish to apply for from the list of professions below. The Board has made every effort to include the information you need to apply for licensure on this website.  If you have questions or concerns about the licensure process, contact us at licensing@den.ohio.gov 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.

Initial Dental Licensure Application

Application for License Ohio Revised Code 4715.10  

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.

A Dentist applicant must be a graduate of an accredited dental college, and meet one of the following requirements to apply:

I. Have taken an examination administered by any of the following regional testing agencies and received on each component of the examination a passing score: the central regional dental testing service, inc., northeast regional board of dental examiners, inc., the southern regional dental testing agency, inc., or the western regional examining board; OR

II. Have taken an examination administered by the state dental board and received a passing score as established by the board – no longer offered; OR

III. Possess a license in good standing from another state and have actively engaged in the legal and reputable practice of dentistry in another state or in the armed forces of the United States, the United States public health service, or the United States department of veterans' affairs for five years immediately preceding application; OR

IV. Have completed a dental residency program accredited or approved by the commission on dental accreditation and administered by an accredited dental college or hospital.

Notification:  Once you register and start your online application, you will need to select the application, and then the application type:  
Examination - If you have taken, and passed an accepted Regional Board examination, regardless of whether you have an out-of-state-license.
Out-of-State - If you have never successfully passed one of the accepted Regional Board examinations, and you currently hold a license in good standing from another state and are actively engaged in the legal and reputable practice of dental hygiene in another state for five (5) years immediately preceding application.
ResidencyYou must have completed a dental residency program accredited or approved by the Commission on Dental Accreditation and administered by an accredited dental college or hospital in lieu of taking or passing an accepted Regional Board examination.  

Mailing / Public Address: The Address should be the same for both, and should be your primary practice address. If you do not have a practice location yet, then it should be your home address.  Only the city and state show up on the public look-up; however, addresses are public record and may be released upon request.
Employment History-  Additional Office Locations and/or prior employment 
Education History- Type "Other" to enter education institutions that are not found. 
Background Questions 

Criminal Records Check - FBI/BCI Requirement - Ohio Revised Code 4715-4-01

Required Uploads: 

Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Medical Report - Completed by a Physician, Physician Assistant, or Nurse Practitioner

Jurisprudence Exam - This is an exam over the Dental Practice Act 
Dental Practice Act, 2017
Jurisprudence Exam

Answer Sheet and Notary page -These are the two documents you will upload – it is your responsibility to have the Notary Page notarized.  

Proof of being a Graduate of an Accredited Dental College- the following will be accepted:
I. Transcripts indicating graduation date and degree received, OR
II. Certification of Dental School - signed and sealed after graduation date- seal must be visible and legible, OR
III.  A Certification Letter from school signed and sealed after graduation date – seal must be visible and legible

Joint Commission on National Dental Examinations (JCNDE) Score Card
I. You can upload the paper score card, OR
II. A Word.doc requesting to pull your scores online – but the scores must be available online, so please verify.  You can contact the JCNDE at 312-440-2678

License Verification(s) – if applicable
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Proof of Residency/PGY1 – For applicants applying via the Residency route ONLY
Proof of Residency/ PGY1 and Copy of Certificate of Completion 

Valid Credit Card (MasterCard or Visa) 

eLicense Ohio Portal - Apply Online 
Fee: Even Year - $454.00

Odd Year - $267.00
Renewal - $312.00 / Late Fee - 127.00

Please note:  It does not matter when your license is first issued, you will be required to renew by December 31st of the odd year.  That is why there are two different fees depending on when you apply.  

Initial Dental Licensure for Graduates of an Unaccredited Dental College Outside the United States Application

Application for Licensure of Graduates of Unaccredited Dental Colleges Located Outside the United StatesOhio Administrative Code 4715-18-01

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.

Notification: Once you register and start your online application, you will need to select the application and then the application type for Unaccredited College Outside of USA.

Mailing / Public AddressThe Address should be the same for both, and should be your primary practice address. If you do not have a practice location yet, then it should be your home address.  Only the city and state show up on the public look-up; however, addresses are public record and may be released upon request. 
Employment History- Additional Office Locations and/or prior employment 
Education History- Type "Other" to enter education institutions that are not found. 
Background Questions - Supporting documentation for any affirmative answers related to Background Questions - This should include a personal detailed summary of the situation and any supporting documentation (ex. Medical records and/or court documents indicating the charges and disposition).  

Criminal Record Check - FBI/BCI Requirement - Ohio Revised Code 4715-4-01

Required Uploads: 

Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) - NO FILTERS

Hepatitis B Immunity: 
I. Vaccination record showing all three (3) hepatitis B shots dates, OR 
II. A Positive/ 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. 
IV. Hepatitis B Waiver Form

Medical Report -Completed by a Physician, Physician Assistant, or Nurse Practitioner

Jurisprudence Exam - This is an exam over the Dental Practice Act 
Dental Practice Act, 2017
Jurisprudence Exam
Answer Sheet and Notary page -These are the two documents you will upload – it is your responsibility to have the Notary Page notarized.   

Proof of being a Graduate of a Dental College - the following will be accepted: 
I. Transcripts indicating graduation date and degree received, OR
II. Certification of Dental School - signed and sealed after graduation date - seal must be visible and legible, OR
III. A Certification Letter from school signed and sealed after graduation date - seal must be visible and legible
Notarized Transcript and/or Educational Credentials in English Translation are required. 

Proof of Successful Completion a minimum of two years of Clinical Training at an Accredited Institution:
Certification of Clinical Training - and Copy of Certificate of Completion. 

Successful passage of either the “Test Of English as a Foreign Language” (TOEFL) or “English Language Services Test” - A passing score is 75% or higher. 

Joint Commission on National Dental Examinations (JCNDE) Score Card
I. You can upload the paper score card, OR
II. A Word.doc requesting to pull your scores online – but the scores must be available online, so please verify.  You can contact the JCNDE at 312-440-2678

Proof of one of the following requirements:
I.  Proof of passing an examination administered by an accepted regional testing agency, and received on each component of the examination a passing score. OR
II.  Possess a license in good standing from another state and have actively engaged in the legal and reputable practice of dentistry in another state or in the armed forces of the United States, the United States public health service, or the United States department of veterans’ affairs for five years immediately preceding application. 

License Verification(s) - if applicable
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Valid Credit Card (MasterCard or Visa) 

eLicense Ohio Portal - Apply Online
Fee: Even Year - $454.00
Odd Year - $267.00
Renewal - $312.00 / Late Fee - 127.00

Please note: It does not matter when your license is first issued, you will be required to renew by December 31st of the odd year. That is why there are two different fees depending on when you apply.

Renewal & Continuing Education

Registration – Notice of Change of Address – Ohio Revised Code 4715.14

Continuing Education – Ohio Revised Code 4715.141

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.

Required Uploads:

Proof of completing at least forty hours of continuing dental education completed during the two- year period immediately preceding renewal.

Valid Credit Card (MasterCard or Visa)

eLicense Ohio PortalApply Online

Renewal: $312.00/ Late Fee $127.00

Reinstatement of Dental License

Registration – Notice of Change of Address – Review Sections (B)&(C)(4)(5) – Ohio Revised Code 4715.14 One Correction – The Board no longer “Automatically Suspends” non-renewal licenses, but instead, the status is updated to Inactive/Expired status. 

Continuing Education Requirements for Renewal or ReinstatementOhio Revised Code 4715-8-04

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.

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; however, addresses are public record and may be released upon request.
Employment History 
Education History - Type "Other" to enter educational institutions that are not found. 
Background Questions 

Criminal Records Check - FBI/BCI Requirement – Ohio Revised Code 4715-4-01

Required Uploads: 

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Medical Report - Completed by a Physician, Physician Assistant, or Nurse Practitioner

Jurisprudence Exam - This is an exam over the Dental Practice Act 
Dental Practice Act, 2017
Jurisprudence Exam
Answer Sheet and Notary page -These are the two documents you will upload – it is your responsibility to have the Notary Page notarized.  

Proof of 40 Hours of Continuing Education

License Verification(s) – if applicable 
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

eLicense Ohio PortalApply Online
Fees:  $312 “Reinstatement” = (Inactive/Retired Status)
$312 “Renewal” + $381 “Reinstatement fee” = (Inactive/Expired Status)

General Anesthesia and Conscious Sedation Permits

General Anesthesia Permit Endorsement

Permit Requirements: Ohio Administrative Code 4715-5-05  

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

Fee: $127.00 application fee  and $400.00 evaluation fee

If you are already a licensed Dentist through the OSDB, and have not registered with the new online portal. Please contact us at licensing@den.ohio.gov with your name, license number and email address.  We will send you a registration email for the portal.  Once registered, you will be able to apply for your sedation permit on the portal by clicking option on your license and select Apply for an endorsement.   

(1) General Anesthesia Permit Application you must provide proof of one of the following:  

(A) Has completed an approved, accredited post-doctoral training program which affords appropriate training necessary to administer deep sedation and general anesthesia; and/or

(B) Has completed an approved Accreditation council for graduate medical education (ACGME) accredited post-doctoral training program in anesthesiology which affords appropriate training necessary to administer deep sedation and general anesthesia: and/or

(C) Has completed a minimum of two year advanced clinical training in anesthesiology from an American dental association commission on dental accreditation accredited institution that meets the objectives set forth in the "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students" as adopted by the October 2007 American dental association house of delegates.

(2) Proof of current successful completion of an advanced cardiac life support course, or its age appropriate equivalent.

(3) Provide a copy of your blank patient medical history form.

(4) Provide a copy of your blank patient sedation record.

(5) Describe your drug control program. 

(6) Proof of maintaining a permanent address within the State of Ohio in which he/she conducts business pursuant to his/her Ohio Dental License.

(7) Proof of Properly Equipped Facility Checklist

General Anesthesia Attestation for Additional Facility

Conscious Sedation Permit Endorsement

Permit Requirements:  Ohio Administrative Code 4715-5-07  

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 
Fee: $127 application fee  and $200 evaluation fee

If you are already a licensed Dentist through the OSDB, and have not registered with the new online portal.  Please contact us at licensing@den.ohio.gov with your name, license number and email address.  We will send you a registration email for the portal.  Once registered, you will be able to apply for your sedation permit on the portal by clicking option on your license and select Apply for an endorsement.  

(1) Conscious Sedation Permit Application you must provide proof of one of the following: 

(A) Completion of a comprehensive pre-doctoral or continuing education conscious sedation training in an accredited educational institution or program, which included a minimum of sixty hours of didactic instruction and twenty cases of clinical experience commensurate with each intended route(s) of administration, whether; Oral for children twelve years or younger; or Non-intravenous parenteral; or Intravenous.

Training in intravenous conscious sedation qualifies the permit holder to administer any route of conscious sedation.  Didactic and clinical training shall conform to the principles in the "Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students" as adopted by the October 2007 American dental association house of delegates, with clinical experience commensurate with the intended route of administration; or

(B) Completion of an accredited post-doctoral training program which included conscious sedation training equivalent to paragraph (B) (1) of this rule; or

(C) Completion of the qualifications governing the use of general anesthesia in rule 4715-5-05 of the Administrative Code; and

(2) Proof of current successful completion of an advanced cardiac life support course, or its age appropriate equivalent.

(3) Provide a copy of your blank patient medical history form.

(4) Provide a copy of your blank patient sedation record.

(5) Describe your drug control program. 

(6) Proof of maintaining a permanent address within the State of Ohio in which he/she conducts business pursuant to his/her Ohio Dental license. 

(7) Proof of Properly Equipped Facility Checklist

Conscious Sedation Attestation for Additional Facility

Limited Continuing Education License

Application for Limited License - Please Review Section (C) - Ohio Revised Code 4715.16

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.

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. 
Employment History 
Education History - Type "Other" to enter education institutions that are not found. 
Background Questions 

Required Uploads:

Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Medical Report - Completed by a Physician, Physician Assistant, or Nurse Practitioner 

Proof of being a Graduate of an Accredited Dental College - the following will be accepted: 
I. Transcripts indicating graduation date and degree received, OR
II. Certification of Dental School - signed and sealed after graduation date- seal must be visible and legible, OR
III.  A Certification Letter from school signed and sealed after graduation date – seal must be visible and legible

Proof of Registration to Participate in an Endorsing Practicum:
Certificate of Director of Continuing Education Practicum

Proof of being a Resident of a State other than Ohio, and Licensed to Practice Dentistry in such State, and is in Good Standing:
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov, OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Valid Credit Card (MasterCard or Visa)

eLicense Ohio Portal - Apply Online
Fee: $127.00 / Renewal $94.00

Limited Dental Teaching License

Application for Limited License - Please Review Section (B) - Ohio Revised Code 4715.16

Limited Teaching License - Please Review All Sections - Ohio Revised Code 4715-7-02

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.

Mailing Address: Home Address - Only the city and state show up on the public look-up. 
Public Address: Dental College where Teaching 
Employment History 
Education History - Type "Other" to enter education institutions that are not found. 
Background Questions 

Criminal Records Check - FBI/BCI Requirement - Ohio Revised Code 4715-4-01

Required Uploads:

Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Medical Report - Completed by a Physician, Physician Assistant, or Nurse Practitioner 

Proof of being a Graduate of a Dental College - the following will be accepted: 
I. Transcripts indicating graduation date and degree received, OR
II. Certification of Dental School - signed and sealed after graduation date- seal must be visible and legible, OR
III.  A Certification Letter from school signed and sealed after graduation date – seal must be visible and legible

License Verification(s) – if applicable
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov, OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Proof of Full-Time Appointment to the Faculty of the Endorsing Dental College:
Certificate of Appointment as a Teacher Certificate

Jurisprudence Exam - This is an exam over the Dental Practice Act 
Dental Practice Act, 2017
Jurisprudence Exam

Answer Sheet and Notary page -These are the two documents you will upload – it is your responsibility to have the Notary Page notarized.  

Valid Credit Card (MasterCard or Visa)

eLicense Ohio Portal - Apply Online 
Fee: $127.00 / Renewal: $127.00​

Limited Resident's License

Application for Limited License - Please Review Section (A) - Ohio Revised Code 4715.16

Limited Resident's License - Please Review All Sections - Ohio Revised Code 4715-7

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.

Mailing Address: Home Address - Only the city and state show up on the public look-up. 
Public Address: Dental College or Hospital where completing Dental Residency
Employment History 
Education History - Type "Other" to enter education institutions that are not found. 
Background Questions 

Required Uploads:

Identification Photo: Must be a current, unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Medical Report - Completed by a Physician, Physician Assistant, or Nurse Practitioner 

Proof of being a Graduate of a Dental College - the following will be accepted: 
I. Transcripts indicating graduation date and degree received, OR
II. Certification of Dental School - signed and sealed after graduation date- seal must be visible and legible, OR
III.  A Certification Letter from school signed and sealed after graduation date – seal must be visible and legible

Proof of being Appointed a Dental Resident at an Accredited Dental College in this State, or an Accredited Program of a Hospital in this State:
Dental Residency Certificate of Appointment  

License Verification(s) – if applicable
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov, OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Valid Credit Card (MasterCard or Visa) 

eLicense Ohio Portal - Apply Online
Fee: $13.00

Oral Health Access Supervision Permit

OHASP Information

DefinitionsOhio Revised Code 4715.36

Permit RequiredOhio Revised Code 4715.364

Authority Under PermitOhio Revised Code 4715.365

Compliance with Protocols; Appointment with Authorizing DentistOhio Revised Code 4715.366

Maximum Number of Permittees Under Authorizing DentistOhio Revised Code 4715.367

List of Locations Where Services are Provided Ohio Revised Code 4715.368

Authorized ActivitiesOhio Revised Code 4715.373

OHASP Initial Application

Application for Oral Health Access Supervision Permit; Dentist – Ohio Revised Code 4715-10-01, and Ohio Revised Code 4715.362

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.

Mailing / Public Address: The Address should be the same for both, and should be your primary practice address. If you do not have a practice location yet, then it should be your home address.  Only the city and state show up on the public look-up; however, addresses are public record and may be released upon request.
Employment History-  Additional Office Locations and/or prior employment 
Education History- Type "Other" to enter education institutions that are not found. 
Background Questions 

License Verification(s) – if applicable
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

Valid Credit Card (MasterCard or Visa) 

eLicense Ohio Portal Apply Online
Fee: $25.00 

OHASP Renewal Application

Expiration of Oral Health Access Supervision Permit; Renewal - Ohio Revised Code 4715-10-02, and Ohio Revised Code 4715.369

Required Upload:
Oral Health Access Supervision Program Renewal Log

Temporary Volunteer's Certificate

Temporary Dental Volunteer's Certificate - Ohio Revised Code 4715.421

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.

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; however, addresses are public record and may be released upon request.
Employment History 
Education History - Type "Other" to enter educational institutions that are not found. 
Background Questions 

Required Uploads: 

Identification Photo: Must be an unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Copy of Degree from Accredited Dental College or Dental Hygiene School 

Copy of most recent license to practice Dentistry or Dental Hygiene – Issued by a jurisdiction in the United States or in one or more branches of the United States armed services. 

License Verification(s) – if applicable 
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

If Renewing:  A temporary volunteer’s certificate shall be valid for a period of 7 days and may be renewed upon application and payment of $25.00.  

Valid Credit Card (MasterCard or Visa)

eLicense Ohio PortalApply Online
Fee: $25.00 / Renewal: $25.00

Volunteer's Certificate

Volunteer's Certificate - Ohio Revised Code 4715.42

Volunteer's Certificate - Ohio Revised Code 4715-22-01

A Volunteer certificate is issued to RETIRED Dentist or Hygienist to provide free service to indigent and uninsured persons.

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.

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; however, addresses are public record and may be released upon request.
Employment History 
Education History - Type "Other" to enter educational institutions that are not found. 
Background Questions 

Required Uploads:

Identification Photo: Must be an unobstructed, full face identification-type photo (color, forward-facing, head and shoulders only) – NO FILTERS

Hepatitis B Immunity:  
I. Vaccination record showing full dates of all three (3) hepatitis B shots, OR
II. Blood titer test results. Acceptable results are: reactive; positive; or >10, OR
III. Proof that the first and second shots were administered (full dates of both), and the third shot (full date) scheduled on a doctor's letterhead, or script pad, or appointment reminder card, OR
IV. Hepatitis B Waiver Form

Copy of Degree from Accredited Dental College or Dental Hygiene School 

Copy of most recent license to practice Dentistry or Dental Hygiene – Issued by a jurisdiction in the United States or in one or more branches of the United States armed services.

Proof of maintaining full licensure for at least 10 years prior to retirement – Full licensure in good standing, used by a jurisdiction in the United States or in one or more branches of the United States armed services, by means of a Verification letter(s).

License Verification(s) – if applicable 
You are required to list all the state(s) you have ever held or hold a license to practice.  Please contact each State Dental Board to request a certification/verification letter to be sent directly to the Board via e-mail: licensing@den.ohio.gov,  OR U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

If Renewing:  A volunteer’s certificate shall be valid for a period of 3 years and be renewed upon application– no fee. 

Eligibility for Renewal – Proof of completion of 60 hours of continuing dental education, or 18 hours of continuing dental hygiene education.  The nonprofit shelter or health care facility in which the holder provides dental or dental hygiene services may pay for or reimburse the holder for any costs incurred in obtaining the required continuing education credits.  

Valid Credit Card (MasterCard or Visa)

eLicense Ohio PortalApply Online
Fee = Free

Declaring a Specialty

(A) A licensed dentist is recognized as a specialist in Ohio if the dentist meets the standards set forth in paragraph (B) of this rule. Any licensed dentist who does not meet the standards set forth in paragraph (B) of this rule is a general dentist. A general dentist is permitted to render specialty services in Ohio.

(B) A licensed dentist must comply with the following requirements before being recognized as a specialist in Ohio:

(1) The indicated specialty(s) of dentistry must be those for which there are certifying boards recognized by the American dental association; and

(2) The licensed dentist seeking specialty recognition must have successfully completed a post-doctoral education program for each specialty, which post-doctoral education program, at the time of completion, was accredited or held "preliminary provisional approval" or "accreditation eligible status" by the American dental association commission on dental accreditation; or

(3) The requirements of paragraph (B)(2) of this rule shall not apply to otherwise qualified specialists who have announced their specialty or designation prior to August 1, 1974.

(C) The use of the terms "specialist", "specializes" or the terms "orthodontist", "oral and maxillofacial surgeon", "oral and maxillofacial radiologist", "periodontist", "pediatric dentist", "prosthodontist", "endodontist", "oral pathologist", or "public health dentist" or other similar terms which imply that the dentist is a specialist may only be used by licensed dentists meeting the requirements of paragraph (B) of this rule.

(D) All licensed dentists who advertise services must comport with rules 4715-13-01 to 4715-13-05 of the Administrative Code.

(E) Rules regarding the advertising of specialty services are specifically set forth in rule 4715-13-05 of the Administrative Code.

Declaring a Specialty Form 

 

 

Miscellaneous Forms

 

Hepatitis B Waiver
Retirement Request