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.

Dental License

License Requirements:  Ohio Revised Code 4715.10  http://codes.ohio.gov/orc/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.

eLicense Ohio Portal - Link to the eLicense Portal to apply
Fee: Even Year - $454.00
Odd Year - $267.00 Renewal - $312.00 / Late Fee - 127.00

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 ever taken and passed an accepted Regional Board examination (NERB/CDCA, SRTA, CRDTS or WREB), then you must select Examination regardless of whether you have an out-of-state-license.
  • Out-of-State - Reciprocity - If you have never successfully passed one of the accepted Regional Board examinations (NERB/CDCA, SRTA, CRDTS or WREB), and you currently possess a license in good standing from another state for at least five (5) years immediately preceding this application.
  • Residency - You 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 passing an accepted Regional Board examination.  
  • Certification of Dental School: - Proof  of graduation from a Commission on Dental Accreditation accredited Dental College.  We will accept the following: 
  • Official Transcripts with graduation date;
  • Certificate of Dental School-signed after graduation date (link provided); or 
  • A Letter from school with Seal-signed after graduation date 
  • National Board Score Card - If you need this document, please contact the National Board at 312-440-2678.
  • Regional Board Exam Results with scores if you are applying via Examination.
  • Out-of-state License Certification if you have never taken any Regional Board examination.
  • Proof of Residency - PGY1  - This is proof of completing an accredited post-graduate residency program.  You will also need to upload a copy of your certificate of completion.    
  • 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).
  • Medical Report  completed within six months of application.
  • Proof of Hepatitis B immunity  - This should be an immunization record showing proof of all three shot dates completed or a positive Hepatitis B antibodies titer.
  • Jurisprudence Exam - You will need to upload only the completed answer sheet with notary section

     

    Documents required to be sent directly to the Board

    AND
    • All Certification letters from any other states in which you have held or currently hold a license to practice dentistry.  Certification/Verification letters should be sent directly to the Ohio State Dental Board:
    • e-mail: licensing@den.ohio.gov
    • U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

       

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

    License Requirements:  Ohio Administrative Code 4715-18-01  http://codes.ohio.gov/oac/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.

    eLicense Ohio Portal - Link to the eLicense Portal to apply
    Fee: Even Year - $454.00
    Odd Year - $267.00
    Renewal - $312.00 / Late Fee - 127.00

    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.

    • Certification of Dental School: - Proof  of graduation from a Commission on Dental Accreditation accredited Dental College.  We will accept the following: 
    • Official Transcripts with graduation date;
    • Certificate of Dental School-signed after graduation date (link provided); or 
    • A Letter from school with Seal-signed after graduation date 
    • Notarized Transcript and/or Educational Credentials in English Translation
    • Proof of completing a 2 year GPR or AEGD program from an accredited dental school  
    • TOEFL Scores, passing is 75% or higher
    • National Board Score Card - If you need this document, please contact the National Board at 312-440-2678.
    • Regional Board Exam Results with scores if you are applying via Examination.
    • Out-of-state License Certification if you have never taken any Regional Board examination.
    • 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).  
    • Medical Report completed within six months of application.
    • Proof of Hepatitis B immunity  - This should be an immunization record showing proof of all three shot dates completed or a positive Hepatitis B antibodies titer.
    • Jurisprudence Exam - You will need to upload only the completed answer sheet with notary section
      Dental Practice Act, 2017
      Jurisprudence Exam 
      Answer Sheet 
    • Documents required to be sent directly to the Board
      Criminal Record Check Results (FBI & Ohio BCI) - Refer to Ohio Revised Code 4715.101 Background check
      AND
      All Certification letters from any other states in which you have held or currently hold a license to practice dentistry.  Certification/Verification letters should be sent directly to the Ohio State Dental Board:
      • e-mail: licensing@den.ohio.gov
      • U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

     

      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 

      General Anesthesia and Conscious Sedation Permits

       

      General Anesthesia Permit Endorsement

      Permit Requirements: Ohio Administrative Code 4715-5-05  http://codes.ohio.gov/oac/4715-5-05v1

      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

      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 Manage 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. 

      Proof of Properly Equipped Facility Checklist

      General Anesthesia Attestation for Additional Facility

      Conscious Sedation Permit Endorsement

      Permit Requirements:  Ohio Administrative Code 4715-5-07  http://codes.ohio.gov/oac/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
      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 Manage 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. 

      Proof of Properly Equipped Facility Checklist

      Conscious Sedation Attestation for Additional Facility

      Limited Continuing Education License

      Requirements

      Limited Continuing Education License

      The Ohio State Dental Board (Board) shall, without examination, issue a temporary Limited Continuing Education license to a resident of a state other than Ohio who is licensed to practice dentistry in such state and is in good standing, is a graduate of an accredited dental college, and is registered to participate in a continuing dental education practicum in Ohio.

      The application must be endorsed by the Director of the continuing education practicum.The dentist holding a temporary Limited Continuing Education license may practice dentistry only on residents of the state in which he is permanently licensed or on patients referred by a dentist licensed in Ohio, and only while participating in a required clinical exercise of the endorsing practicum on the premises of the facility where the practicum is being conducted.

      Practice under a temporary Limited Continuing Education license shall be under the direct supervision and full professional responsibility of an instructing dentist licensed in Ohio, shall be limited to the performance of those procedures necessary to complete the endorsing practicum and shall not exceed thirty days of actual patient treatment in any year. A "treatment day" is any portion of any day during which treatment is rendered to a patient in a continuing education practicum.

      Persons applying for a Limited Continuing Education license must pay the nonrefundable application fee of $127 / Renewal $94.00; provide certification of graduation from an accredited school; certification of licensure from any states in which they currently hold or have held a license; application must be endorsed by the Director of the continuing education practicum; and proof of having been immunized against or having immunity to the hepatitis B virus.

      The Limited Continuing Education license is renewable a maximum of two times.

      Application

      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
      Fee: $127.00 / Renewal $94.00


      Mailing Address: Address where official Board correspondence will be mailed
      Public Address: Address displayed on Public Licensee Lookup Page
      Employment History
      Education History Background Questions

      Required Uploads:
      Certification of Dental School-We will accept the following:  Official Transcripts w/ graduation date, Certificate of Dental School-signed after graduation date (link provided), or a Letter from school with Seal-signed after graduation date
      Certificate of Director of Continuing Education Practicum
      Proof of Hepatitis B Immunity  (Immunization records or antibodies titer)
      Photograph 
      Out-of-State License Certification if applicable
      Medical Report 
      Valid Credit Card (MasterCard or Visa)

      Limited Dental Teaching License

      Requirements

      Dental Limited Teaching Licenses

      The Ohio State Dental Board (Board) may without examination issue a Limited Teaching License to a dentist who is authorized to practice dentistry in another state or country, and who has a full-time appointment to the faculty of the endorsing dental college or dental hygiene school. A person holding a limited teaching license may practice only in connection with programs operated by the endorsing dental college.

      Limited Teaching Licenses are subject to yearly renewal. The nonrefundable fee for the license is $127.00 / Renewal $127.00 for dentists. 

      The application must be certified by both the dean of the dental college, and the chairman of the department, or by the director of the dental hygiene school and a Criminal Records Check (BCI&I and FBI) completed by the Bureau of Criminal Identification and Investigation, must be submitted directly the the Board. Results shall be received by the board prior to the issuance of a license to practice. For information on obtaining a background check, you may go the their website:http://www.ohioattorneygeneral.gov/Business/Services-for-Business/WebCheck/Webcheck-Community-Listing.

      Pass a written jurisprudence examination on the Dental Practice Act, Chapter 4715. of the Ohio Revised Code. 

      Application

      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

      Fee: $127.00 / Renewal: $127.00

      Mailing Address: Address where official Board correspondence will be mailed 
      Public Address: Address displayed on Public Licensee Lookup Page 
      Employment History 
      Education History 
      Background Questions 

      Required Uploads: Certification of Dental School-We will accept the following:  Official Transcripts w/ graduation date, Certificate of Dental School-signed after graduation date (link provided), or a Letter from school with Seal-signed after graduation date
      Certificate of Appointment as a Teacher Certificate
      Medical Report
      Out-of-State License Certification if applicable
      Photograph

      Dental Practice Act, 2017
      Jurisprudence Exam and Exam Sheet 

      Documents required to be sent directly to Board:
      BCI/FBI Background Check 

      Valid Credit Card (MasterCard or Visa)

      Limited Resident's License

       

      Requirements

      Limited Resident's License

      The Ohio State Dental Board (Board) may grant a Limited Resident's License to a graduate of a dental school, authorized to practice in another state or country or qualified to take the regular licensing examination in this state, and who furnishes the Board satisfactory proof that he has been appointed a dental resident at an accredited dental college in this state or at an accredited program of a hospital in this state, but who has not yet been licensed as a dentist by the Board. 

      Any person receiving such Limited Resident's License may practice dentistry only in connection with programs operated by the dental college or hospital at which he is appointed as a resident as designated on his Limited Resident's License, and only under the direction of a licensed dentist who is a member of the staff thereof, or a dentist holding a current limited teaching license, and only on bona fide patients of such programs. If residency program is changed, you must submit a new application for a limited resident's license. 

      Limited Resident's License applications must be reviewed and approved by the Board. The license is valid from July 1st of the year of issue, through the termination of the residency program. 

      The nonrefundable fee for the Limited Resident's License is $13.00.

      Application

      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
      Fee: $13.00

      Mailing Address: Address where official Board correspondence will be mailed 
      Public Address: Address displayed on Public Licensee Lookup Page 
      Employment History 
      Education History 
      Background Questions 

      Required Uploads: Certification of Dental School-We will accept the following:  Official Transcripts w/ graduation date, Certificate of Dental School-signed after graduation date (link provided), or a Letter from school with Seal-signed after graduation date
      Dental Residency Certificate of Appointment  
      Proof of hepatitis B Immunity (Immunization records or antibodies titer)
      Photograph
      Out-of-State License Certification if applicable
      Medical Report 
      Valid Credit Card (MasterCard or Visa) 

      Oral Health Access Supervision Permit

      Requirements

      4715.362 APPLICATION FOR PERMIT; DENTIST

      A dentist who desires to participate in the oral health access supervision program shall apply to the state dental board for an oral health access supervision permit. The application shall be under oath, on a form prescribed by the board in rules adopted under section 4715.372 of the Revised Code, and accompanied by an application fee of twenty five dollars. To be eligible to receive the permit, an applicant shall meet the requirements established by the board in rules adopted under section 4715.372 of the Revised Code. The state dental board shall issue an oral health access supervision permit to a dentist who is in good standing with the board and satisfies all of the requirements of this section. 
      Effective Date: 8/31/2010 

      Application

      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
      Fee: $25.00 / Renewal: $25.00

      Mailing Address: Address where official Board correspondence will be mailed 
      Public Address: Address displayed on Public Licensee Lookup Page 
      Employment History 
      Education History 
      Background Questions 
      Valid Credit Card (MasterCard or Visa)

      If RenewingOral Health Access Supervision Program Renewal Log

      Reinstatement of Dental License

       

      Requirements

      4715.14
      (A) (1) Each person who is licensed to practice dentistry in Ohio shall, on or before the first day of January of each even-numbered year, register with the state dental board. The registration shall be made on a form prescribed by the board and furnished by the secretary, shall include the licensee's name, address, license number, and such other reasonable information as the board may consider necessary, and shall include payment of a biennial registration fee of two hundred forty-five dollars. Except as provided in division (E) of this section, this fee shall be paid to the treasurer of state. Subject to division (C) of this section, a registration shall be in effect for the two-year period beginning on the first day of January of the even-numbered year and ending on the last day of December of the following odd-numbered year, and shall be renewed in accordance with the standard renewal procedure of sections 4745.01 to 4745.03 of the Revised Code.

      (2) (a) Except as provided in division (A)(2)(b) of this section, in the case of a licensee seeking registration who prescribes or personally furnishes opioid analgesics or benzodiazepines, as defined in section 3719.01 of the Revised Code, the licensee shall certify to the board whether the licensee has been granted access to the drug database established and maintained by the state board of pharmacy pursuant to section 4729.75 of the Revised Code.
      (b) The requirement in division (A)(2)(a) of this section does not apply if any of the following is the case: (i) The state board of pharmacy notifies the state dental board pursuant to section 4729.861 of the Revised Code that the licensee has been restricted from obtaining further information from the drug database. 
      (ii) The state board of pharmacy no longer maintains the drug database. 
      (iii) The licensee does not practice dentistry in this state.

      (3) If a licensee certifies to the state dental board that the licensee has been granted access to the drug database and the board finds through an audit or other means that the licensee has not been granted access, the board may take action under section 4715.30 of the Revised Code.

      (B) A licensed dentist who desires to temporarily retire from practice and who has given the board notice in writing to that effect shall be granted such a retirement, provided only that at that time all previous registration fees and additional costs of reinstatement have been paid.
      (C) Not later than the thirty-first day of January of an even-numbered year, the board shall send a notice by certified mail to a dentist who fails to renew a license in accordance with division (A) of this section. The notice shall state all of the following:
      (1) That the board has not received the registration form and fee described in that division; (2) That the license shall remain valid and in good standing until the first day of April following the last day of December of the odd-numbered year in which the dentist was scheduled to renew if the dentist remains in compliance with all other applicable provisions of this chapter and any rule adopted under it; 
      (3) That the license may be renewed until the first day of April following the last day of December of the odd-numbered year in which the dentist was scheduled to renew by the payment of the biennial registration fee and an additional fee of one hundred dollars to cover the cost of late renewal;
      (4) That unless the board receives the registration form and fee before the first day of April following the last day of December of the odd-numbered year in which the dentist was scheduled to renew, the board may, on or after the relevant first day of April, initiate disciplinary action against the dentist pursuant to Chapter 119. of the Revised Code; 
      (5) That a dentist whose license has been suspended as a result of disciplinary action initiated pursuant to division (C)(4) of this section may be reinstated by the payment of the biennial registration fee and an additional fee of three hundred dollars to cover the cost of reinstatement.

      (D) Each dentist licensed to practice, whether a resident or not, shall notify the secretary in writing or electronically of any change in the dentist's office address or employment within ten days after such change has taken place. On the first day of July of every even-numbered year, the secretary shall issue a printed roster of the names and addresses so registered.

      (E) Twenty dollars of each biennial registration fee shall be paid to the dentist loan repayment fund created under section 3702.95 of the Revised Code.

      Amended by 130th General Assembly File No. TBD, SB 276, §1, eff. 3/19/2015
      Amended by 130th General Assembly File No. TBD, HB 394, §1, eff. 3/19/2015
      Amended by 130th General Assembly File No. TBD, HB 341, §1, eff. 1/1/2015
      Amended by 130th General Assembly File No. TBD, HB 483, §101.01, eff. 1/1/2015
      Effective Date: 10-29-2003; 8/31/2010; 9/13/2010

      Application

      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

      Retired Status = $439.00
      Expired Status = $693.00


      UPLOADS: 
      Medical Report 
      Proof of Hep B immunity (immunization records or antibodies titer)
      Proof of 40 hours of Continuing Education 

      Jurisprudence Exam - You will need to upload only the completed answer sheet with notary section

      Documents required to be sent directly to the Board

      AND
      • All Certification letters from any other states in which you have held or currently hold a license to practice dentistry.  Certification/Verification letters should be sent directly to the Ohio State Dental Board:
      • e-mail: licensing@den.ohio.gov
      • U.S. Mail: 77 South High Street, 17th Floor, Columbus, Ohio 43215-6135

       

      Continuing Education for Reinstatement

      4715-8-04 CONTINUING EDUCATION REQUIREMENTS FOR RENEWAL OR REINSTATEMENT.
      (A) Each applicant for biennial license registration or license reinstatement shall certify that the applicant has completed the requisite hours of continuing dental education (hereinafter “CE”) since the start of the registration period. This certification shall be evidence of completion of the CE requirement as set forth in sections 4715.141, 4715.25, and 4715.58 of the Revised Code, provided that:
       (1) The board may annually select applications for biennial license registration or license reinstatement for verification that all CE requirements have been met. Licensees whose applications are selected shall submit additional documentation of compliance with CE requirements as the board may require, within thirty days.
      (2) Applicants shall keep detailed records of CE hours taken. Records of all CE undertaken shall be retained by the applicant for the period of at least four years after the completion of the CE activity, and shall be kept available for agents of the board for review. At a minimum, the following information must be retained:
      (a) Description of the CE activity;
      (b) The location of the CE activity;
      (c) The dates of attendance
      (d) The hours of each CE activity; and
      (e) A certificate or letter of completion issued by the presenter of the CE activity, if available, or any other available documentation of the completion of the CE activity, acceptable to the board. Which shall include at a minimum the following:
      (i) Name(s) of the sponsor and instructor(s);
      (ii) Course title; and
      (iii) Number of credit hours of continuing education acceptable towards Ohio licensure renewal.
      (iv) It is the licensees responsibility to ensure that courses taken fulfill the requirements set forth in sections 4715.141, 4715.25 and 4715.58 of the Revised Code and sections 4715-8-01 to 4715-8-04 of the Administrative Code.

      (B) Failure to maintain adequate records of CE activity rebuts the presumption established in paragraph (A) of this rule that the CE requirements have been completed.

      (C) Nothing in this rule shall limit the board’s authority to investigate and take action pursuant Chapter 4715. of the Revised Code.

      Effective Date: 4-5-01 Prior Effective Dates: 2-5-93; 3-3-95; 4-27-98

      Temporary Volunteer Certificate

       

      Requirements

      4715.421 TEMPORARY DENTAL VOLUNTEER'S CERTIFICATE. 

      (A) As used in this section: (1) "Accredited dental college" has the same meaning as in section 4715.10 of the Revised Code. 
      (2) "Accredited dental hygiene school" has the same meaning as in section 4715.36 of the Revised Code. 
      (3) "Operation" has the same meaning as in section 2305.234 of the Revised Code. 

      (B) Within thirty days after receiving an application for a temporary volunteer's certificate that includes all of the items listed in divisions (C)(1) and (2) of this section, the state dental board shall issue, without examination, a temporary volunteer's certificate to a person not licensed under this chapter so that the person may provide dental services in this state as a volunteer. 

      (C) An application for a temporary volunteer's certificate shall include both of the following: 
      (1) A copy of the applicant's degree from an accredited dental college or accredited dental hygiene school; (2) One of the following, as applicable: 
      (a) Evidence satisfactory to the board that the applicant holds a valid, unrestricted license to practice dentistry or dental hygiene issued by a jurisdiction in the United States that licenses persons to practice dentistry or dental hygiene; 
      (b) Evidence satisfactory to the board that the applicant is practicing dentistry or dental hygiene in one or more branches of the United States armed services. 

      (D) The holder of a temporary volunteer's certificate shall not accept any form of remuneration for providing dental services pursuant to the certificate. Except in a dental emergency, the holder shall not perform any operation. The board may revoke a temporary volunteer's certificate on receiving proof satisfactory to the board that the holder has engaged in practice in this state outside the scope of the holder's certificate or that there are grounds for action against the person under section 4715.30 of the Revised Code. 

      (E) A temporary volunteer's certificate shall be valid for a period of seven days, and may be renewed upon the application of the holder, unless the certificate was previously revoked under division (D) of this section. The board shall maintain a register of all persons who hold a temporary volunteer's certificate. The board may charge a fee not to exceed twenty-five dollars for issuing or renewing a certificate pursuant to this section. 
      (1) The board shall issue to each person who qualifies under this section for a temporary volunteer's certificate a wallet certificate that states that the certificate holder is authorized to provide dental services pursuant to the laws of this state. The holder shall keep the wallet certificate on the holder's person while providing dental services. 
      (2) The holder of a temporary volunteer's certificate issued pursuant to this section is subject to the immunity provisions in section 2305.234 of the Revised Code. 

      (F) The board shall adopt rules in accordance with Chapter 119. of the Revised Code to administer and enforce this section. 

      (G) Not later than ninety days after the effective date of this section, the state dental board shall make available through the board's internet web site the application form for a temporary volunteer's certificate under this section, a description of the application process, and a list of all items that are required by division (C) of this section to be submitted with the application. Added by 130th General Assembly File No. TBD, HB 463, §1, eff. 3/23/2015.

      Application

      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
      Fee: $25.00 / Renewal: $25.00


      Mailing Address: Address where official Board correspondence will be mailed 
      Public Address: Address displayed on Public Licensee Lookup Page 
      Employment History 
      Education History 
      Background Questions 

      Required Uploads: Proof of License to Practice Dentistry in the United States 
      Proof of Hepatitis B Immunity
      Photograph 
      Out of State License Certification 
      Certificate of Dental College 
      Valid Credit Card (MasterCard or Visa)

      Volunteer Certificate

       

      Requirements

      4715.42 VOLUNTEER'S CERTIFICATE. 
      (A) (1) As used in this section 

      (a) "Free clinic" has the same meaning as in section 3701.071 of the Revised Code. 
      (b) "Indigent and uninsured person" and "operation" have the same meanings as in section 2305.234 of the Revised Code. 

      (2) For the purposes of this section, a person shall be considered retired from practice if the person's license has been surrendered or allowed to expire with the intention of ceasing to practice as a dentist or dental hygienist for remuneration. 

      (B) Within thirty days after receiving an application for a volunteer's certificate that includes all of the items listed in divisions (C)(1), (2), and (3) of this section, the state dental board shall issue, without examination, a volunteer's certificate to a person who is retired from practice so that the person may provide dental services to indigent and uninsured persons at any location, including a free clinic. 

       (C) An application for a volunteer's certificate shall include all of the following: 
      (1) A copy of the applicant's degree from dental college or dental hygiene school. 
      (2) One of the following, as applicable: 
      (a) A copy of the applicant's most recent license to practice dentistry or dental hygiene issued by a jurisdiction in the United States that licenses persons to practice dentistry or dental hygiene.  
      (b) A copy of the applicant's most recent license equivalent to a license to practice dentistry or dental hygiene in one or more branches of the United States armed services that the United States government issued.

      (3) Evidence of one of the following, as applicable:  
      (a) The applicant has maintained for at least ten years prior to retirement full licensure in good standing in any jurisdiction in the United States that licenses persons to practice dentistry or dental hygiene. 
      (b) The applicant has practiced as a dentist or dental hygienist in good standing for at least ten years prior to retirement in one or more branches of the United States armed services. 

      (D) The holder of a volunteer's certificate may provide dental services only to indigent and uninsured persons, but may do so at any location, including a free clinic. The holder shall not accept any form of remuneration for providing dental services while in possession of the certificate. Except in a dental emergency, the holder shall not perform any operation. The board may revoke a volunteer's certificate on receiving proof satisfactory to the board that the holder has engaged in practice in this state outside the scope of the holder's certificate or that there are grounds for action against the person under section 4715.30 of the Revised Code. 

       (E) (1) A volunteer's certificate shall be valid for a period of three years, and may be renewed upon the application of the holder, unless the certificate was previously revoked under division (D) of this section. The board shall maintain a register of all persons who hold volunteer's certificates. The board shall not charge a fee for issuing or renewing a certificate pursuant to this section. 

      (2) To be eligible for renewal of a volunteer's certificate, the holder of the certificate shall certify to the board completion of sixty hours of continuing dental education that meets the requirements of section 4715.141 of the Revised Code and the rules adopted under that section, or completion of eighteen hours of continuing dental hygiene education that meets the requirements of section 4715.25 of the Revised Code and the rules adopted under that section, as the case may be. The board may not renew a certificate if the holder has not complied with the appropriate continuing education requirements. Any entity for which the holder provides dental services may pay for or reimburse the holder for any costs incurred in obtaining the required continuing education credits.  (3) The board shall issue to each person who qualifies under this section for a volunteer's certificate a wallet certificate and a wall certificate that state that the certificate holder is authorized to provide dental services pursuant to the laws of this state. The holder shall keep the wallet certificate on the holder's person while providing dental services and shall display the wall certificate prominently at the location where the holder primarily practices. 
       (4) The holder of a volunteer's certificate issued pursuant to this section is subject to the immunity provisions regarding the provision of services to indigent and uninsured persons in section 2305.234 of the Revised Code. 

      (F) The board shall adopt rules in accordance with Chapter 119. of the Revised Code to administer and enforce this section. 

      (G) The state dental board shall make available through the board's web site the application form for a volunteer's certificate under this section, a description of the application process, and a list of all items that are required by division (C) of this section to be submitted with the application. 

      Amended by 130th General Assembly File No. TBD, HB 320, §1, eff. 3/23/2015 Effective Date: 04-13-2004; 04-07-2005

      Application

      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
      Fee: Free

      Mailing Address: Address where official Board correspondence will be mailed 
      Public Address: Address displayed on Public Licensee Lookup Page 
      Employment History 
      Education History 
      Background Questions 

      Required Uploads:Certification of Dental School-We will accept the following:  Official Transcripts with graduation date, Certificate of Dental School-signed after graduation date (link provided), or a Letter from school with Seal-signed after graduation date 
      Proof of License to Practice Dentistry or Dental Hygiene in the United States 
      Proof of Hepatitis B immunity (immunization records or antibodies titer)
      Photograph
      Out-of-State License Certificate if applicable
      Valid Credit Card (MasterCard or Visa)

      Miscellaneous Forms

      Hepatitis B Waiver
      Retirement Request