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Dentistry Licensing Information

Application Instructions

  • Dentist by Examination- clinical exam less than 5 years

    Application Checklist

    For Applicants who have graduated with a Doctor of Dental Surgery, or Doctor of Dental Medicine Degree from an accredited University. The applicant must have taken and passed the clinical exam less than five (5) years ago. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($250)Criminal Background Check
    Positive Response Document (if applicable)Official TranscriptsCertificate of Completion
    CPR CardNational Board ScoresClinical Exam Scores
    License Verification (if applicable)NPDB Report (if applicable)Name Change Documentation (if applicable)
    Jurisprudence Exam  
    1. Completed Application: Submit an application online at MyLicense.IN.gov. The paper application is available if necessary.
    2. Application fee of $250.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Criminal Background Check
    4. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    5. Name Change Documentation (if applicable): Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    6. Official Transcripts: Applicants must upload an official transcript obtained from the University. The transcripts from which you obtained your degree must show that all requirements for graduation have been met and the date the degree was conferred.
    7. Certificate of Completion: Applicants must submit a completed Certificate of Completion completed and signed by the dean of applicant’s professional school and registrar of the university or college.  Please upload at the time of application or log back into your account and use the License Update option.
    8. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    9. Examination Requirements
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.org
    10. Verification of State Licensure (if applicable): If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    11. National Practitioner Data Bank (if applicable): Applicants who are now or have been licensed to practice dentistry in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.

    National Practitioner Data Bank
    P.O. Box 10832
    Chantilly, Virginia 20153-0832
    Website: www.npdb.hrsa.gov
    Customer Service Center: 1-800-767-6732
    Email: help@npdb.hrsa.gov

    11. Jurisprudence Examination: Once all above items have been reviewed and approved, the applicant will be sent a jurisprudence exam by email. All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. You will have fourteen (14) days from the date the email is sent to you in order to complete the examination and return the required information to our office. All applicants will be examined on the Statute and Rules of Indiana related to the practice of dentistry and dental hygiene, universal precautions, and infectious wastes. This is a 30 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available on the Resources page. The jurisprudence examination is based on the following:

    Ind. Code 25-13 Dental Hygiene Law
    Ind. Code 25-14 Dental Law
    Ind. Code 25-1 Professional Licensing Agency General Provisions
    Title 828 IAC Dental and Dental Hygiene Rules
    Title 410 IAC 1-3 and 1-4 Infectious Waste and Universal Precaution

  • Dentist by Endorsement- Method Expired - See Reciprocity

    Application Checklist

    For Applicants who have graduated with a Doctor of Dental Surgery, or Doctor of Dental Medicine Degree from an accredited University. The applicant must have taken and passed the clinical exam more than five (5) years ago AND have been practicing 2 of the last 3 years an average of 20 hours per week in another State. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($250)Criminal Background Check
    Positive Response Documentation (if applicable)Official TranscriptsLicense Verification
    CPR CardNational Board ScoresClinical Exam Scores
    NPDB ReportReference Letter 1Reference Letter 2
    Reference Letter 320 Hours of CEProof of Practice
    Name Change Documentation (if applicable) Jurisprudence Exam 
    1. Completed Application: Submit an application online at MyLicense.IN.gov. The paper application is available if necessary.
    2. Application fee of $250.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Criminal Background Check
    4. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    5. Name Change Documentation (if applicable): Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    6. Official Transcripts: Applicants must upload an official transcript obtained from the University. The transcripts from which you obtained your degree must show that all requirements for graduation have been met and the date the degree was conferred.
    7. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    8. Examination Requirements
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.or
    9. Verification of State Licensure: If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    10. National Practitioner Data Bank: Applicants who are now or have been licensed to practice dentistry in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.

      National Practitioner Data BankP.O. Box 10832
      Chantilly, Virginia 20153-0832
      Website: www.npdb.hrsa.gov
      Customer Service Center: 1-800-767-6732
      Email: help@npdb.hrsa.gov
    11. Three (3) Reference Letters: Applicants are required to submit reference letters from three (3) practicing dentists, on their official letterhead/stationary, verifying the applicant’s active, moral, and ethical practice of dentistry. The statements must be original and be written and dated no more than eight (8) weeks before the submission of the application.  Please upload at the time of application or you may log back into your account and upload it through the License Update option.
    12. Proof of Continuing Education: Applicants are required to submit proof of twenty (20) hours of continuing dental education taken in the previous two (2) years. No more than two (2) hours of training in basic life support shall count toward this requirement. Copies of certificates, letters from programs and/or transcripts are required.  Please upload into one PDF file at the time of application or log back into your account and use the License Update option.
    13. Proof of Practice: An applicant for licensure by endorsement must have practiced dentistry for at least two (2) out of the three (3) years preceding the date of application. “Practice of dentistry” means that the applicant has actively engaged in clinical patient contact for at least an average of twenty (20) hours per week for two (2) years. A maximum of one (1) year of the two (2) year requirement may have been in postdoctoral training in a program approved by the board.  Applicants are required to submit a statement listing Name and Address of Employer/Self-Employment, Responsibilities, Hours worked per week, and dates of employment.  Please upload at the time of application or log back into your account and use the License Update option.
    14. Jurisprudence Examination: Once all above items have been reviewed and approved, the applicant will be sent a jurisprudence exam by email. All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. You will have fourteen (14) days from the date the email is sent to you in order to complete the examination and return the required information to our office. All applicants will be examined on the Statute and Rules of Indiana related to the practice of dentistry and dental hygiene, universal precautions, and infectious wastes. This is a 30 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available on the Resources page. The jurisprudence examination is based on the following:
    15. Ind. Code 25-13 Dental Hygiene Law
      Ind. Code 25-14 Dental Law
      Ind. Code 25-1 Professional Licensing Agency General Provisions
      Title 828 IAC Dental and Dental Hygiene Rules
      Title 410 IAC 1-3 and 1-4 Infectious Waste and Universal Precaution

  • Dentist by Unaccredited College

    Application Checklist

    For Applicants who have graduated from a Unaccredited College. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($250)Criminal Background Check
    Positive Response DocumentOfficial TranscriptsTranscripts from 2 Year Program
    CPR CardNational Board ScoresClinical Exam Scores
    License VerificationNPDB Report Name Change Documentation
    English Proficiency ExamJurisprudence Exam 
    1. Completed Application: Submit an application online at MyLicense.IN.gov. The paper application is available if necessary.
    2. Application fee of $250.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Criminal Background Check
    4. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    5. Name Change Documentation (if applicable): Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    6. Transcripts:  The applicant must submit a transcript of the applicant’s dental education, including the degree conferred and the date the degree was conferred. Please upload at the time of application or log back into your account and use the License Update option.  If the transcript is in a language other than English, the applicant must include a certified translation of the transcript. If an original transcript is not available, the applicant must submit an affidavit fully and clearly stating the reasons that an original transcript is not available.
    7. Clinical Training Program: Applicants must have successfully completed a clinical training program of at least two (2) years and submit an official transcript. This information may be uploaded at the time of the application submission, or the you may log into your account and upload the information under the License Update section of the account. The applicant must show completion of one of the following:
      (a) An accredited institution that reasonably ensures a level of competency equal to that of graduates of accredited dental colleges, as determined by the board.
      (b) A general practice residency program at an accredited institution.
      (c) Advanced education in a general dentistry program from an accredited institution.
    8. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    9. Examination Requirements
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.org
    10. Verification of State Licensure (if applicable): If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    11. National Practitioner Data Bank (if applicable): Applicants who are now or have been licensed to practice dentistry in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    12. National Practitioner Data Bank
      P.O. Box 10832
      Chantilly, Virginia 20153-0832
      Website: www.npdb.hrsa.gov
      Customer Service Center: 1-800-767-6732
      Email: help@npdb.hrsa.gov

    13. English Proficiency Exam: The applicant must pass the Test of English as a Foreign Language (TOEFL) and submit proof of such to the Board.
      Note: According to IC 25-14-1-4.5(b), the Board, at its discretion, may waive the requirements of the English proficiency examination. If you are requesting a waiver, please provide a statement listing the details of your request. Please upload at the time of application or log back into your account and use the License Update option.
    14. Jurisprudence Examination: Once all above items have been reviewed and approved, the applicant will be sent a jurisprudence exam by email. All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. You will have fourteen (14) days from the date the email is sent to you in order to complete the examination and return the required information to our office. All applicants will be examined on the Statute and Rules of Indiana related to the practice of dentistry and dental hygiene, universal precautions, and infectious wastes. This is a 30 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available on the Resources page. The jurisprudence examination is based on the following:
    15. Ind. Code 25-13 Dental Hygiene Law
      Ind. Code 25-14 Dental Law
      Ind. Code 25-1 Professional Licensing Agency General Provisions
      Title 828 IAC Dental and Dental Hygiene Rules
      Title 410 IAC 1-3 and 1-4 Infectious Waste and Universal Precaution

  • Dental Hygienist by Examination- clinical exam less than 5 years

    Application Checklist

    For Applicants who have graduated with an Associate Degree in Dental Hygiene from an accredited University. The applicant must have taken and passed the clinical exam less than five (5) years ago. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($100)Criminal Background Check
    Positive Response Documentation (if applicable)Official TranscriptsCertificate of Completion
    CPR CardNational Board ScoresClinical Exam Scores
    License Verification (if applicable)NPDB Report (if applicable)Name Change Documentation (if applicable)
    Jurisprudence Exam  
    1. Completed Application: Submit an application online at MyLicense.IN.gov. The paper application is available if necessary.
    2. Application fee of $100.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Criminal Background Check
    4. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    5. Name Change Documentation (if applicable): Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    6. Official Transcripts: Applicants must upload an official transcript obtained from the University. The transcripts from which you obtained your degree must show that all requirements for graduation have been met and the date the degree was conferred.
    7. Certificate of Completion: Applicants must submit a completed Certificate of Completion completed and signed by the dean of applicant’s professional school and registrar of the university or college.  Please upload at the time of application or log back into your account and use the License Update option.
    8. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    9. Examination Requirements:
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.org
    10. Verification of State Licensure (if applicable): If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    11. National Practitioner Data Bank (if applicable): Applicants who are now or have been licensed in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    12. National Practitioner Data Bank
      P.O. Box 10832
      Chantilly, Virginia 20153-0832
      Website: www.npdb.hrsa.gov
      Customer Service Center: 1-800-767-6732
      Email: help@npdb.hrsa.gov

    13. Jurisprudence Examination: Once all above items have been reviewed and approved, the applicant will be sent a jurisprudence exam by email. All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. You will have fourteen (14) days from the date the email is sent to you in order to complete the examination and return the required information to our office. All applicants will be examined on the Statute and Rules of Indiana related to the practice of dentistry and dental hygiene, universal precautions, and infectious wastes. This is a 30 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available on the Resources page. The jurisprudence examination is based on the following:
    14. Ind. Code 25-13 Dental Hygiene Law
      Ind. Code 25-14 Dental Law
      Ind. Code 25-1 Professional Licensing Agency General Provisions
      Title 828 IAC Dental and Dental Hygiene Rules
      Title 410 IAC 1-3 and 1-4 Infectious Waste and Universal Precaution

  • Dental Hygienist by Endorsement- Method Expired - See Reciprocity

    Application Checklist

    For Applicants who have graduated with an Associate Degree in Dental Hygiene from an accredited University. The applicant must have taken and passed the clinical exam more than five (5) years ago AND have been practicing 2 of the last 3 years an average of 20 hours per week in another State. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($100)Criminal Background Check
    Positive Response DocumentOfficial TranscriptsLicense Verification
    CPR CardNational Board ScoresClinical Exam Scores
    NPDB ReportReference Letter 1Reference Letter 2
    Reference Letter 319 Hours of CEProof of Practice
    Name Change DocumentationJurisprudence Exam 
    1. Application & Fee: Submit an application online at MyLicense.IN.gov with the application fee of $100.00. The paper application is available if necessary.
    2. Criminal Background Check
    3. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    4. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    5. Transcripts:  An official (certified) transcript of grades from the school from which the applicant obtained their degree that shows the degree conferred. Please upload at the time of application or log back into your account and use the License Update option.
    6. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    7. Examination Requirements
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.org
    8. Verification of State Licensure: If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    9. National Practitioner Data Bank: Applicants who are now or have been licensed to practice dentistry in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    10. National Practitioner Data Bank
      P.O. Box 10832
      Chantilly, Virginia 20153-0832
      Website: www.npdb.hrsa.gov
      Customer Service Center: 1-800-767-6732
      Email: help@npdb.hrsa.gov

    11. Three (3) Reference Letters: Applicants are required to submit reference letters from three (3) practicing dentists, on their official letterhead/stationary, verifying the applicant’s active, moral, and ethical practice of dentistry. The statements must be original and be written and dated no more than eight (8) weeks before the submission of the application.  Please upload at the time of application or you may log back into your account and upload it through the License Update option.
    12. Proof of Continuing Education: Applicants are required to submit proof of nineteen (19) hours of continuing dental hygiene education taken in the previous two (2) years. No more than two (2) hours of training in basic life support shall count toward this requirement. Copies of certificates, letters from programs and/or transcripts are required.  Please upload into one PDF file at the time of application or log back into your account and use the License Update option.
    13. Proof of Practice: An applicant for licensure by endorsement must have practiced dentistry for at least two (2) out of the three (3) years preceding the date of application. “Practice of dentistry” means that the applicant has actively engaged in clinical patient contact for at least an average of twenty (20) hours per week for two (2) years. A maximum of one (1) year of the two (2) year requirement may have been in postdoctoral training in a program approved by the board.  Applicants are required to submit a statement listing Name and Address of Employer/Self-Employment, Responsibilities, Hours worked per week, and dates of employment.  Please upload at the time of application or log back into your account and use the License Update option.
    14. Jurisprudence Examination: Once all above items have been reviewed and approved, the applicant will be sent a jurisprudence exam by email. All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. You will have fourteen (14) days from the date the email is sent to you in order to complete the examination and return the required information to our office. All applicants will be examined on the Statute and Rules of Indiana related to the practice of dentistry and dental hygiene, universal precautions, and infectious wastes. This is a 30 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available on the Resources page. The jurisprudence examination is based on the following:
    15. Ind. Code 25-13 Dental Hygiene Law
      Ind. Code 25-14 Dental Law
      Ind. Code 25-1 Professional Licensing Agency General Provisions
      Title 828 IAC Dental and Dental Hygiene Rules
      Title 410 IAC 1-3 and 1-4 Infectious Waste and Universal Precaution

  • Dental Instructor

    Application Checklist

    For Applicants who are employed by the Indiana University School of Dentistry (This license is only for Dentists). Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($250)Letter from University
    Affidavit of PracticePositive Response DocumentsTranscripts
    National Board ScoresClinical ScoresLicense Verification
    NPDB20 hours of CETOEFL
    CPRProof of Practice 
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper application is available if necessary.
    2. Application Fee of $250.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Letter from University: A letter from the Indiana University School of Dentistry verifying your employment and Education with their program.  Please upload at the time of application or log back into your account and use the License Update option.
    4. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
    5. Name Change Documentation (if applicable): Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
    6. Official Transcripts: Applicants must upload an official transcript obtained from the University. The transcripts from which you obtained your degree must show that all requirements for graduation have been met and the date the degree was conferred.
    7. Examination Requirements
      • National Board Examination: An official score report from the National Board Dental Examinations, sent directly to the Board from the National Boards, showing passing scores in all sections of the examination. Information on how to obtain your score report and fee information can be obtained by going to their website. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted.
      • Clinical Examination: An applicant must pass all parts of one (1) of the following examinations. Only official score reports can be accepted, copies of a student score report or certificate of passing will not be accepted. Please have your score report sent directly to the Board from one of the entities listed below:
        • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
        • Central Regional Dental Testing Service Examination (CRDTS)
          Website: www.crdts.org
        • Southern Regional Testing Agency (SRTA)Website: www.srta.org
    8. Verification of State Licensure: If you hold a license or certification in another State, you must provide verification of that information. Verifications must be completed from the state of issuance and can be uploaded to your online account.  Those jurisdictions may provide their own verification, or complete our verification form here. Copies of license cards from other jurisdictions are not accepted as proof of verification of licensure.

      The top portion of this form should be completed by the applicant and sent to the appropriate state licensing board for their submission to the Indiana Professional Licensing Agency. The form may be duplicated if you hold multiple licenses. Other jurisdictions may charge a fee to verify licensure. You may wish to contact the state boards prior to your request for verification. You do not need to complete this form if you only hold licensure or certification in the State of Indiana.
    9. National Practitioner Data Bank: Applicants who are now or have been licensed to practice dentistry in another state or jurisdiction must submit a report from the National Practitioner Data Bank (NPDB). Please contact the NPDB to request a self-query report. All self-query report applications must be requested electronically through the NPDB website listed below. Information on how to complete a self-query is located on the website. Please review this helpful information on how to obtain your report. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
      National Practitioner Data Bank
      P.O. Box 10832
      Chantilly, Virginia 20153-0832
      Website: www.npdb.hrsa.gov
      Customer Service Center: 1-800-767-6732
      Email: help@npdb.hrsa.gov
    10. Proof of Continuing Education: Applicants are required to submit proof of twenty (20) hours of continuing dental education taken in the previous two (2) years. No more than two (2) hours of training in basic life support shall count toward this requirement. Copies of certificates, letters from programs and/or transcripts are required.  Please upload into one PDF file at the time of application or log back into your account and use the License Update option.
    11. English Proficiency Exam: The applicant must pass the Test of English as a Foreign Language (TOEFL) and submit proof of such to the Board.
      Note: According to IC 25-14-1-4.5(b), the Board, at its discretion, may waive the requirements of the English proficiency examination. If you are requesting a waiver, please provide a statement listing the details of your request. Please upload at the time of application or log back into your account and use the License Update option.
    12. Proof of Practice: The applicant must provide a statement listing where they have been employed (include dates of employment and practice address) for 5 years out of the 9 years. Please upload at the time of application or log back into your account and use the License Update option.
    13. Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current BLS and/or ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
    14. Affidavit of Practice: Letter verifying that the Applicant will certify that they will teach and practice dentistry only at or on behalf of an Indiana school of Dentistry or an affiliated medical center of an Indiana School of Dentistry. The applicant shall further certify that the applicant will not engage in the private practice of dentistry.  Please upload at the time of application or log back into your account and use the License Update option.
  • Dental Faculty

    Application Checklist

    For Applicants who are employed by the Indiana University School of Dentistry (This license is only for Dentists). Use this section to ensure you've submitted all requirements.

    Completed ApplicationLetter from UniversityPositive Response Documentation (if applicable)
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper application is available if necessary.
    2. Letter from University: Please provide a letter from the school of Dentistry verifying their employment with the University including time of employment. Please upload at the time of application or log back into your account and use the License Update option.
    3. Positive Response Documentation (if applicable): If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
  • Dental Residency Permit

    Application Checklist

    For Applicants who are enrolled in residency program by the Indiana University School of Dentistry (This license is only for Dentists). Use this section to ensure you've submitted all requirements.

    Completed ApplicationLetter from University
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper application is available if necessary.
    2. Letter from University: Please provide a letter from the school of Dentistry verifying your enrollment in the residency program. This letter should include the dates of the residency and name of your supervisor with their Indiana license credential information. Please upload at the time of application or log back into your account and use the License Update option.
  • Dental General Anesthesia Deep Sedation Permit

    Application Checklist

    For Applicants who licensed Dentists in the State of Indiana and wish to employ General Anesthesia, Deep Sedation, or Light Parenteral Conscious Sedation.

    Completed ApplicationApplication Fee ($50)Proof of Sedation Training
    ACLS Card
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper application is available if necessary.
    2. Application Fee of $50.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable. Additional office address(s) must be submitted by paper notification to our office. Please see information below.
    3. Proof of Sedation Training: An applicant must indicate which level of Sedation permit they wish to obtain on their application, and provide proof of training for one of the following :
      • General Anesthesia: An applicant for a permit to employ general anesthesia  must provide satisfactory evidence of completing a minimum of one (1) year of advanced (postdoctoral) training in anesthesiology and related academic subjects (postdoctoral) beyond the undergraduate dental school level in a residency in anesthesiology or oral surgery which meets the requirements stated in 828 IAC 3-1-3. Applicants must submit one of the following documents:
        • A copy of a certificate of completion of the educational or training program signed by the dean of the board approved dental school or director of the board approved anesthesiology residency from which the training was obtained.
        • An official transcript, sent directly from the school, from the board approved dental school which clearly designates completion of the education or training.
      • Deep Sedation: An applicant for a permit to employ general anesthesia  must provide satisfactory evidence of completing a minimum of one (1) year of advanced (postdoctoral) training in anesthesiology and related academic subjects (postdoctoral) beyond the undergraduate dental school level in a residency in anesthesiology or oral surgery which meets the requirements stated in 828 IAC 3-1-3. Applicants must submit one of the following documents:
        • A copy of a certificate of completion of the educational or training program signed by the dean of the board approved dental school or director of the board approved anesthesiology residency from which the training was obtained.
        • An official transcript, sent directly from the school, from the board approved dental school which clearly designates completion of the education or training.
      • Light Parenteral Conscious Sedation: An applicant who wishes to employ Light Parenteral Conscious Sedation must meet one (1) of the following educational and training criteria:
        • The applicant graduated from an approved dental school which included training in conscious sedation techniques at the predoctoral level. This training must meet the requirements of 828 IAC 3-1-5.
        • The applicant completed an intensive postdoctoral training program in the use of light parenteral conscious sedation which meets the requirements of 828 IAC 3-1-5.
        • Applicants must submit one of the following documents:
          • A copy of a certificate of completion of the educational or training program signed by the dean of the board approved dental school, medical school or director of a board approved hospital program from which the training was obtained.
          • An official transcript from a board approved dental school which clearly designates completion of the education or training.
          • A copy of a certificate of completion of a continuing education program which meets the requirements of 828 IAC 3-1-5. The certificate of completion shall be signed by the director of the continuing education program.
    4. Advanced Cardiac Life Support (ACLS) Card: Applicants are required to submit a copy of your current ACLS certification card. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.

    To Add Additional Offices and/or Hospitals

    To add an additional office and/or hospital where you intend to administer general anesthesia, deep sedation, or light parenteral conscious sedation you will be required to submit the following:

    1. Statement: A written request for an additional office and/or hospital with the dentist name, additional location, license and permit number.
    2. Application Fee of $25.00: Make the check or money order payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
  • Dental Hygienist Anesthesia Permit

      Application Checklist

      For Applicants who licensed Dental Hygienist in the State of Indiana and wish to employ local anesthetic.

      Completed ApplicationApplication Fee ($25)Proof of Anesthetic Training
      Local Anesthetic Examination
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper application is available if necessary. You must hold an current dental license in Indiana prior to submission
    2. Application Fee of $25.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable. Additional office address(s) must be submitted by paper notification to our office. Please see information below.
    3. Proof of Anesthetic Training from School:
      • Applicants must submit an official document, directly from the school or program, showing proof of completion of Anesthetic training (must include University name and date earned). This must be a course in local anesthesia administration from an educational program accredited by the Commission on Dental Accreditation of the American Dental Association (CODA) that includes, at a minimum, fifteen (15) hours of didactic instruction and fourteen (14) hours of laboratory work covering the following subject areas:
        (1) Theory of pain control.
        (2) Selection of pain control modalities.
        (3) Anatomy.
        (4) Neurophysiology.
        (5) Pharmacology of local anesthesia.
        (6) Pharmacology of vasoconstrictors.
        (7) Psychological aspects of pain control.
        (8) Systemic complications.
        (9) Techniques of maxillary and mandibular anesthesia.
        (10) Infection control.
        (11) Local anesthesia medical emergencies.
        (12) A demonstration of clinical competency.
    4. Clinical Examination Requirement: Applicants must submit verification of an official report showing the score attained on the local anesthesia examination. This exam must be local anesthesia focused (the clinical exam you completed for your dental hygiene program might not always apply). Please have your score report sent directly to the Board from one of the entities listed below:
      • Commission on Dental Competency Assessment (CDCA), North East Regional Board (NERB), Western Regional Examining Board (WREB), and Council of Interstate Testing Agency (CITA) Website: cdcaexams.org
      • REGIONAL OR STATE EXAMINATION: If you are licensed in another State and completed their own constructed exam for local anesthetic, please have that State provide a copy of the exam for the Board to review. 

        ****If you have not completed a local anesthesia examination administered by one of the entities listed above but have taken a substantially equivalent regional or state examination, please have the state or regional entity submit verification of the examination administered directly to the Board for review.
  • Controlled Substance Registration

    Application Checklist

    Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication Fee ($60)2 Hours of Opioid CE
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper and mailed to our office.
    2. Application fee of $60.00: Fee is paid online during the online application process. For paper applications, make checks or money orders payable to Indiana Professional Licensing Agency. All application fees are nonrefundable.
    3. Continuing Education: Effective July 1, 2019, any licensed provider who applies for a controlled substance registration or renews a controlled substance registration must have two hours of continuing education in opioid abuse and prescribing to obtain or renew the registration. The two hours must be obtained within the previous two years prior to applying for or renewing a registration. Individuals applying for a controlled substance registration who have not yet received their professional license do not need to complete the two hours of CE. Providers applying for a controlled substance registration who already hold a professional license will need to submit proof of the two hours of continuing education with their application.
    4. For more information regarding Controlled Substance information, please visit the Indiana Board of Pharmacy here.
  • Dental Mobile Facility

    Application Checklist

    For Applicants who have Dental Mobile Dental Facility or portable Dental Operation. Use this section to ensure you've submitted all requirements.

    Completed ApplicationApplication fee ($200)Proof of Communication Facility
    Proof of Radiographic Equipment InspectionEmergency Procedures of CareLetters of Support
    Copy of Valid IN Driver's LicenseCopy of Consent FormCopy of Patient Information Sheet
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper and mailed to our office.
    2. Application fee of $200.00: Fee is paid online during the online application process. For paper applicationsmake checks or money orders payable to Indiana Professional Licensing Agency.  All application fees are nonrefundable.
    3. Proof of Communication Facility: Applicants must provide proof that they have a stationary location for record retention and communication of their mobile units.
    4. Proof of Radiographic Equipment Inspection: Applicants must show proof that they have radiographic equipment for their mobile units, and proof that they have met all safety regulations per the requirements set forth by the Department of Health.
    5. Emergency Care Procedure: Applicant must show an example of their emergency procedures of what actions they are taking to ensure patient care inside their mobile units.
    6. Letters of Support: Must provide copies of letters of support for the mobile Dental Facility.
    7. Valid Driver's License: Must show proof that the driver of the mobile unit holds a valid Driver's license in the State of Indiana.
    8. Copy of Consent Form: Must provide an example of the patient consent form they will complete when they use the mobile facility.
    9. Patient Information Sheet: Must show an example of the patient information sheet that the clients will complete when they use the mobile facility.
  • Dental Assistant

    The Indiana Professional Licensing Agency does not issue licenses, permits, or certification for the practice of Dental Assisting. Please contact the Indiana Board of Health if you are a Dental Assistant who needs certification for your x-ray qualifications.

  • Information Regarding Reciprocity and Provisional Licenses
    • Licensure by Reciprocity: The Board shall issue a license to an applicant if the applicant satisfies the following conditions:
      • Holds a current license from another state or jurisdiction; and
        • that state's or jurisdiction's requirements for a license are substantially equivalent to or exceed the requirements for a license of the Board; or
        • when the person was licensed or certified by another state:
          • there were minimum education requirements in the other state or jurisdiction;
          • if there were applicable work experience and clinical supervision requirements in effect, the person met those requirements to be licensed in that state; and
          • if required by the other state or jurisdiction, the person previously passed an examination required for the license or certification.
      • Has not committed any act in any state or jurisdiction that would have constituted grounds for refusal, suspension, or revocation of a license, certificate, registration, or permit to practice that occupation in Indiana at the time the act was committed.
      • Does not have a complaint or an investigation pending before the regulating agency in another state or jurisdiction that relates to unprofessional conduct.
      • Is in good standing and has not been disciplined by the agency that has authority to issue the license or certification.
      • If a law regulating the applicant's occupation requires the board to administer an examination on the relevant laws of Indiana, the Board may require the applicant to take and pass an examination specific to the laws of Indiana.
      • Pays any fees required by the Board for which the applicant is seeking licensure.
    • Provisional Licenses: An applicant for a license by reciprocity is entitled to a provisional license, if all the following conditions are met:
      • The individual signs an attestation, under the penalties for perjury, the following:
        • The individual is in good standing in all states and jurisdictions in which the individual holds a license or certificate for the occupation applied for.
        • The individual has not had a license revoked and has not voluntarily surrendered a license in another state or jurisdiction while under investigation for unprofessional conduct.
        • The individual has not had discipline imposed by the regulating agency for the occupation in another state or jurisdiction.
        • The individual does not have a complaint or an investigation pending before the regulating agency in another state or jurisdiction that relates to unprofessional conduct.
      • The individual does not have a disqualifying criminal history.
      • The individual submits verification that the individual is currently licensed or certified in at least one (1) other state or jurisdiction in the occupation applied for.
      • The individual has submitted an application for a license or certificate under this chapter with the board and has paid any application fee.
    • Expiration of Provisional Licenses: A provisional license expires on the earlier of the following:
      • Three hundred sixty-five (365) days after it is issued.
      • The date on which the board approves and issues the individual a license for the occupation.
      • The date on which the board denies the individual's application for a license or certificate for the occupation.

Renewal and CE Information

  • Renewal Cycle and Information
    Continuing Education Requirements for Dentists

    All Dentist licenses for the Indiana State Board of Dentistry expires on March 1of even-numbered years. Dentists are required to have completed twenty (20) hours of continuing education and are required to complete one-half of their continuing education in live presentations or live workshops. They are also required to complete a two (2) hour course which covers Ethics, Professional Responsibility and the Indiana Statutes and Administrative Rules per renewal period.  Renewal notices are sent approximately ninety (90) days prior to the expiration date. Please ensure you maintain current contact information from your online account. You may renew from your online account, or by submitting a paper renewal form with check or money order. Please review the fee schedule for the renewal fee requirements. Please see detailed information below.

    Continuing education is not required by the dentist if they meet one of the following requirements:

    1. A dentist who has held an initial license for less than two (2) years.
      (Example: Initial license was issued between the dates of March 2, 2022 to March 1, 2024)
    2. A graduate student or a person in a residency program offered by an approved organization.
    3. A person who is determined by the Board as being unable to practice dentistry due to a disability.
    Inactive Status Change

    A Dentist may request to be placed on "Inactive Status" at renewal by submitting a completed renewal form and marking "yes" for the question that asks if you would like to place your license in inactive status. There is no renewal fee or continuing education required to be placed on inactive status. If you wish to reactive your inactive license, please review the reinstatement requirements.

    Dental Anesthesia Permits

    Dentist - 828 IAC 3-1-7.5

    In order to renew a permit to administer general anesthesia, deep sedation, or light parenteral conscious sedation, a dentist shall obtain five (5) hours of continuing education in every license period in the area of anesthesia. The continuing education may include, but its not limited to, a course in advanced cardiac resuscitation protocols. Courses in basic cardiac life support will not be accepted. The five (5) hours of continuing education required under this section counts toward the completion of continuing education requirements under IC 25-1-3.

    If a dentist holds a General Anesthesia, Deep Sedation Permit or a Light Parenteral Conscious Sedation Permit they are required to complete five (5) hours of continuing education in the area anesthesia.


    Continuing Education Requirements for Dental Hygienists

    All Dental Hygienist licenses for the Indiana State Board of Dentistry expires on March 1of even-numbered years. Dental Hygienists are required to have completed nineteen (19) hours of continuing education and are required to complete one-half of their continuing education in live presentations or live workshops. They are also required to complete a basic life support course and a two (2) hour course which covers Ethics, Professional Responsibility and the Indiana Statutes and Administrative Rules per renewal period.  Renewal notices are sent approximately ninety (90) days prior to the expiration date. Please ensure you maintain current contact information from your online account. You may renew from your online account, or by submitting a paper renewal form with check or money order. Please review the fee schedule for the renewal fee requirements. Please see detailed information below.

    Continuing education is not required by the dental hygienists if they meet one of the following requirements:

    1. Example: Initial license was issued from March 2, 2022 to March 1, 2024.
    2. A graduate student or a person in a residency program offered by an approved organization.
    3. A person who is determined by the Board as being unable to practice dental hygiene due to a disability.
    Inactive Status Change

    A Dental Hygienist may request to be placed on "Inactive Status" at renewal by submitting a completed renewal form and marking "yes" for the question that asks if you would like to place your license in inactive status. There is no renewal fee or continuing education required to be placed on inactive status. If you wish to reactive your inactive license, please review the reinstatement requirements.

    Display of License Requirement
    • Dentist: The license shall be properly displayed at all times in the office of the person named as the holder of the license, and a person may not be considered to be in legal practice if the person does not possess the license and renewal card.
    • Dental Hygienist:; The license to practice must be displayed at all times in plain view of the patients in the office where the holder is engaged in practice. No person may lawfully practice dental hygiene who does not possess a license and its current renewal.
  • Renewal and Reinstatement Forms
    Renewal Forms

    Print and mail the completed form with the required renewal fee to the Indiana Professional Licensing Agency.  The address is on the form and checks should be made out to 'Indiana Professional Licensing Agency'.

    Dental Renewal Form
    Dental CSR Renewal
    Dental Anesthesia Permit Renewal Form

    Dental Hygienist Renewal Form
    Dental Hygienist Anesthesia Permit Renewal Form

    Dental Instructor Renewal
    Dental Instructor CSR Renewal

    Mobile Dental Facility Renewal

    Dental Residency Renewal
    Dental Faculty Renewal

    CE Sponsor Renewal
    Please ensure you include your CE Sponsor number on the renewal form

    Expired Reinstatement Information
    • Expired for more than three (3) years as an Indiana Dentist or Dental Hygienist. Please review the fee schedule for the amounts needed to reinstate. All items must be mailed in one packet for review, if your packet is incomplete, it will be returned.
      • Completion of Reinstatement Form. Dental Reinstatement Form or Dental Hygienist Reinstatement Form
      • Submit the Renewal Fee and the application fee.
      • Copy of current CPR card. It will count for no more than (2) hours of your continuing education requirements.
      • Proof of continuing education for the time period the license has been expired including 2 hours of Indiana ethics and jurisprudence.  Copies of certificates, letters from programs and/or transcripts are required.
      • Statement of Practice. Please provide a statement in your own words on what you have been doing since your Indiana license has expired.
      • Upon receipt of the above items you will be scheduled to appear before the Board. The Board will determine if you will need to complete such remediation and/or additional training as deemed appropriate.
    Inactive Reinstatement Information
    • Inactive for three (3) years or less as an Indiana Dentist or Dental Hygienist. Please review the fee schedule for the amounts needed to reinstate. All items must be mailed in one packet for review, if your packet is incomplete, it will be returned.
      • Complete standard renewal form
      • Submit the Application Fee and the Late Fee ($50)
      • Copy of current CPR card. It will count for no more than (2) hours of your continuing education requirements.
      • Show proof of half the required continuing education needed since your license was inactivated. You must show completion of two (2) hours of Indiana ethics and jurisprudence.  Copies of certificates, letters from programs and/or transcripts are required.
      • Statement of Practice. Please provide a statement in your own words on what you have been doing since your Indiana license has been inactive.
    • Inactive for more than three (3) years as an Indiana Dentist or Dental Hygienist. Please review the fee schedule for the amounts needed to reinstate. All items must be mailed in one packet for review, if your packet is incomplete, it will be returned.
      • Completion of Dental Inactive Reinstatement or Dental Hygienist Inactive Reinstatement.
      • Submit the Renewal Fee and the application fee.
      • Copy of current CPR card. It will count for no more than (2) hours of your continuing education requirements.
      • Show proof of half the required continuing education needed since your license was inactivated. You must show completion of two (2) hours of Indiana ethics and jurisprudence.  Copies of certificates, letters from programs and/or transcripts are required.
      • Statement of Practice. Please provide a statement in your own words on what you have been doing since your Indiana license has been inactive.
      • Upon receipt of the above items you will be scheduled to appear before the Board. The Board will determine if you will need to complete such remediation and/or additional training as deemed appropriate.
  • Approved Continued Education Providers

    APPROVED ORGANIZATIONS 
    Approved organizations are also defined in three separate sections of the statute for Dentists and Dental Hygienists. One in the dental hygienists statutes (25-13-2-2); the dental statutes (25-14-3-2) and one in the Professional Licensing Agency statutes (25-1-4-0.2).

    IC 25-13-2-2
    "Approved organization" means the following:

    1. United States Department of Education.
    2. Council on Post-Secondary Education.
    3. National Dental Association.
    4. American Dental Association.
    5. Academy of General Dentistry.
    6. National Dental Hygiene Association.
    7. American Dental Hygiene Association.
    8. Council on Hospital Dental Services.
    9. American Medical Association.
    10. Joint Commission on Accreditation of Hospitals.
    11. Joint Commission on Healthcare Organizations.
    12. Study clubs approved by the board.
    13. Federal, state, and local government agencies.
    14. International organizations approved by the American Dental Association.
    15. A college or other teaching institution accredited by the United States Department of Education or the Council on Post-Secondary Education.
    16. A national, state, district, or local organization that operates as an affiliated entity under the approval of an organization listed in subdivisions (1) through (14).
    17. An internship or a residency program conducted in a hospital that has been approved by an organization listed in subdivisions (1) through (15).
    18. Any other organization or individual approved by the board.

    IC 25-14-3-2
    Approved organization means the following:

    1. United States Department of Education.
    2. Council on Post-Secondary Education.
    3. National Dental Association.
    4. American Dental Association.
    5. Academy of General Dentistry.
    6. National Dental Hygiene Association.
    7. American Dental Hygiene Association.
    8. Council on Hospital Dental Services.
    9. American Medical Association.
    10. Joint Commission on Accreditation of Hospitals.
    11. Joint Commission on Healthcare Organizations.
    12. Study clubs approved by the board.
    13. Federal, state, and local government agencies.
    14. International organizations approved by the American Dental Association.
    15. A college or other teaching institution accredited by the United States Department of Education or the Council on Post-Secondary Education.
    16. A national, state, district, or local organization that operates as an affiliated entity under the approval of any organization listed in subdivisions (1) through (14).
    17. An internship or a residency program conducted in a hospital that has been approved by an organization listed in subdivisions (1) through (15).
    18. Any other organization or individual approved by the board.

    IC 25-1-4-0.2
    "Approved organization" refers to the following:

    1. United States Department of Education.
    2. Council on Post-Secondary Education.
    3. Joint Commission on Accreditation of Hospitals.
    4. Joint Commission on Healthcare Organizations.
    5. Federal, state, and local government agencies.
    6. A college or other teaching institution accredited by the United States Department of Education or the Council on Post-Secondary Education.
    7. A national organization of practitioners whose members practicing in Indiana are subject to regulation by a board or agency regulating a profession or occupation under this title or IC15.
    8. A national, state, district, or local organization that operates as an affiliated entity under the approval of an organization listed in subdivisions (1) through (7).
    9. An internship or a residency program conducted in a hospital that has been approved by an organization listed in subdivisions (1) through (7).
    10. Any other organization or individual approved by the board.

    It is the responsibility of the organization, If not specifically listed in the statute as an approved organization, or study club to request approval from the Board. An organization or study club will be able to tell licensees whether it has been approved by the Board. An approved organization or study club must provide participants with verification of course completion. Applications for approval of continuing education organization or study clubs are available at the Board’s website at http://www.in.gov/pla .

    Courses given or sponsored by an approved organization regarding infectious diseases, universal precautions, and infection control will be accepted.

  • Continuing Education Categories and Definitions

    CONTINUING EDUCATION COURSE DEFINED

    Continuing education is defined in three separate sections of the law. One in the dental hygienist statute (IC 25-13-2-3), the dental statute (IC 25-14-3-3) and one in the Professional Licensing Agency statute (IC 25-1-4-0.5).

    IC 25-13-2-3
    "Continuing education course" means an orderly process of instruction designed to directly enhance the practicing dental hygienist's knowledge and skill in providing relevant dental hygiene services that is approved by an approved organization.

    IC 25-14-3-3
    "Continuing education course" means an orderly process of instruction designed to directly enhance the practicing dentist's knowledge and skill in providing relevant dentist services that is approved by an approved organization

    IC 25-1-4-0.5
    "Continuing education" means an orderly process of instruction:

    (1)  that is approved by:

    (A)  an approved organization or the board for a profession or occupation other than a real estate appraiser; or

    (2)  that is designed to directly enhance the practitioner's knowledge and skill in providing services relevant to the practitioner's profession or occupation.

    *ETHICS, PROFESSIONAL RESPONSIBILITY, AND INDIANA STATUTE & ADMINISTRATIVE RULES CONTINUING EDUCATION REQUIREMENT FOR RENEWAL

    828 IAC 1-5-6
    (a) Effective for the license period ending March 1, 2006, for dentists and dental hygienists, and every license period thereafter, continuing education credit must include two (2) hours which shall cover each of the following subjects:

    1. Ethics.
    2. Professional responsibility.
    3. Indiana statutes and Indiana administrative rules governing the licensure and practice of dentists and dental hygienists.

    (b) Ethics and professional responsibility means the aspirational standards by which a profession decides to regulate its behavior in order to distinguish what is legitimate or acceptable in pursuit of their aims from what is not.
    (c) The two (2) hours required under subsection (a) are not considered courses that relate specifically to the area of practice management.

    Dentists and Dental Hygienists must complete a two (2) hour program which covers the following subject’s ethics, professional responsibility and the Indiana Statutes and Administrative Rules per renewal period. There is no exception to this rule.

    BASIC LIFE SUPPORT FOR DENTAL HYGIENIST'S RENEWAL
    IC 25-13-2-8(b)(3); IC 25-13-2-6(d); 828 IAC 1-6-1

    "Basic Cardiac Life Support" means the successful completion of a course in artificial respiration and cardiac compression which enables the applicant to sustain life in an arrest state.

    Dental Hygienists are required to complete a course in basic life support through a program approved by the Board for each renewal period.

    Only two (2) hours for basic life support may be applied toward the credit hour requirement during each renewal period.

    Waiver of BLS:  The Board may waive the basic life support requirement for licensees who show reasonable cause. A waiver of the requirement to complete a course in basic life support will only be granted for medical conditions or disabilities that prevent the dental hygienist from complying with the basic life support requirement. All requests for waivers of the basic life support requirement must be submitted in writing with the renewal application. A physician’s statement documenting the disability or medical condition must be submitted with the request.

    Audits:  If the dental hygienist is audited for compliance with the requirement for completion of a basic life support course, at the time of the audit the dental hygienist must submit any of the following:

    1. A copy of the cardiopulmonary resuscitation card showing the date of issuance and the date of expiration or date it is due for renewal.
    2. A copy of the attendance sheet for the course that has been signed by the instructor and includes the date the course was given and certifies that the applicant successfully completed the course.
    3. Proof of reasonable cause for noncompliance. A waiver will only be granted for medical conditions or disabilities that prevent the dental hygienist from complying with the basic life support requirement. All requests for waivers of the basic life support requirement must be submitted in writing. A physician’s statement documenting the disability or medical condition must be submitted with the request.

    PRACTICE MANAGEMENT COURSES
    Dentist - IC 25-14-3-8(c)
    Dental Hygienists - IC 25-13-2-6(c)

    A dentist or dental hygienists may not earn more than five (5) credit hours toward the requirements under this section for continuing education courses that relate specifically to the area of practice management.

    DISTANCE LEARNING PROGRAMS
    Dentist - IC 25-14-3-8(a)
    Dental Hygienists - IC 25-13-2-6(e)

    Online courses are acceptable to fulfill one-half the continuing education requirement for dentists and dental hygienists. The course must be approved by one of the accrediting bodies.

    HARDSHIP WAIVER
    IC 25-1-4-4

    A board, a commission, a committee, or an agency regulating a profession or occupation under this title or under IC15, IC16, or IC22 may grant an applicant a waiver from all or part of the continuing education requirement for a renewal period if the applicant was not able to fulfill the requirement due to a hardship that resulted from any of the following:

    • Service in the armed forces of the United States during a substantial part of the renewal period.
    • An incapacitating illness or injury.
    • Other circumstances determined by the board or agency.If a licensee is unable to complete continuing education under the statute listed above, please submit your completed renewal and renewal fee along with written explanation and any other documentation regarding your disability, incapacitating illness or injury, etc. If it is based upon your service in the armed forces please submit copies of your service papers.

    RETENTION OF CONTINUING EDUCATION CERTIFICATES
    IC 25-1-4-3(a)(2)

    Practitioners must retain copies of certificates of completion for CE courses for three (3) years from the end of licensing period for which the continuing education applied.

    A licensee is not required to submit copies of their continuing education certificates at the time of renewal. By renewing online or signing the renewal application you swear or affirm under the penalties of perjury that you have completed the continuing education requirement. A practitioner shall retain copies of continuing education certificates for three (3) years from the end of the licensing period.

    RANDOM CONTINUING EDUCATION AUDITS
    IC 25-1-4-3(b)

    Following every license renewal period, the Board shall randomly audit for compliance more than one percent (1%) but less than ten percent (10%) of the practitioners required to take continuing education courses.

    After the renewal, a percentage of licensees will be chosen in a random audit to submit copies of their continuing education certificates. If the licensee does not comply with the audit the Board will proceed with action as specified IC 25-1-4-5, IC 25-1-4-6, 28 IAC 1-5-4 and 828 IAC 1-5-5.

    AWARD OF CONTINUING EDUCATION CREDIT
    Dentist - IC 25-14-3-9
    Dental Hygienists - IC 25-13-2-7

    COLLEGE COURSE
    A course presented by a college under a regular curriculum is awarded one (1) credit hour for each lecture hour attended.

    OTHER COURSES NOT COLLEGE COURSES
    If the course does not fall under a college course it is awarded one (1) credit hour for each lecture hour and two (2) credit hours for each participation hour of the course.

    SPEECH, LECTURE, OR OTHER PRESENTATION BY A DENTIST
    A speech, lecture, or other presentation by a dentist is awarded two (2) credit hours if the following conditions are met:

    • The presentation concerns a subject that would be suitable for a continuing education course.
    • The subject of the presentation is eligible for credit only once regardless of the number of times it is presented.
    • The dentist maintains a record of the time, place, and date of the presentation.
    • The presentation is sponsored by an approved organization.
    • Not more than four (4) credit hours are awarded to the dentist under this subdivision during a license period.

    STUDY CLUB
    Attendance at a meeting of a study club that uses films, audio cassettes, live presentations or written materials sponsored by the American Dental Association is awarded one (1) credit hour. However, a dentist may not receive credit under this subdivision for more than four (4) credit hours during a license period.

    Attendance at a meeting of a study club featuring a guest speaker whose presentation concerns a subject suitable for a continuing course is awarded one (1) credit hour for each hour attended.

    HOME STUDY
    A home study course that is presented by an approved organization and meets the requirements under this subdivision is awarded the same number of credit hours given to courses provided by a college. If the approved organization does not assess credit hours to a course under this subdivision, the course is awarded one (1) credit hour for each hour of study material. Subject matter of the course may be presented by written, audio, or video materials.

  • Indiana CE Provider Information and Application
    Approval of an Individual or Organization to Provide Continuing Education Courses for Dentists and Dental Hygienists

    This checklist is for applicants who are applying to become a Continuing Education Sponsor in the State of Indiana.

    Completed Application Mission StatementList of Anticipated Programs
    Presenter InformationPrograms OfferedSample of Course Presented
    Sample Course Evaluation FormSample Sign-In SheetSample of CE Certificate of Completion
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper and mailed to our office.
    2. Mission Statement: Applicants must provide a brief statement of their goals of the type of CE they will be presenting for the profession.
    3. List of Anticipated Programs: Applicants must submit a list of each program that will be presented, or a copy of the programs that have been held by the sponsor for the last two (2) years with the date and location of the program, brief content summary, name and academic and professional background of the lecturer, and number of clock hours granted by that program.
    4. Presenter Information: Application must provide a list of names and credentials of all presenters. Please submit a copy of their Curriculum Vitae.
    5. Programs Offered: Applicants must provide a list or brochure of the courses that will be offered as a CE Provider. This must include the names of the courses and where they will be held. If they are being held virtual, it must be indicated and if the course will have an exam at the end of the course.
    6. Sample Course: Please provide a copy sample of one of the courses that will be presented, or that you have presented previously.
    7. Sample Course Evaluation: Please provide a copy of the evaluation form you will be providing to professionals taking your course.
    8. Sample Sign-in Sheet: Please provide a sample of the sign in sheet you will be using to keep track of the professionals attending your course(s). Your sheet at minimum should contain the following:
      • Name of the Program
      • Name of Presenter(s)
      • Date
      • Location
    9. Sample Certificate of Completion: Please provide a copy of your certificate of completion you will provide the professionals who have completed your course(s). Your certificate should contain at minimum the number of hours awarded, completion date, and group(s) approving Presentation.
    Approval of a Study Club to Provide Continuing Education Courses for Dentists and Dental Hygienists

    This checklist is for applicants who are applying to become a Study Club in the State of Indiana. Programs presented prior to the receipt of approval or after the withdrawal or termination of approval by the board shall not count toward continuing education requirements. A Study Club is a nonrenewable sponsor. Approval must be granted each license period if it is an ongoing study club.

    Completed Application Mission StatementSample of CE Certificate of Completion
    Sample Sign- In SheetCopy of Bylaws 
    1. Completed Application: Applications may be submitted online at MyLicense.IN.gov or completed by paper and mailed to our office.
    2. Mission Statement: Applicants must provide a brief statement of their goals of the type of CE they will be presenting for the profession.
    3. Sample Certificate of Completion: Please provide a copy of your certificate of completion you will provide the professionals who have completed your course(s). Your certificate should contain at minimum the number of hours awarded, completion date, and group(s) approving Presentation.
    4. Sample Sign-in Sheet: Please provide a sample of the sign in sheet you will be using to keep track of the professionals attending your course(s). Your sheet at minimum should contain the following:
      • Name of the Program
      • Name of Presenter(s)
      • Date
      • Location
    5. Study Club Bylaws: Please submit a copy of the study group's bylaws.

Exams & Testing

Fee Schedule

  • Dentist Applications/Renewals
    Dentist Application/RenewalFeePenaltyTotal
    Application: Dental License$250NA$250
    Application: Permit to administer general anesthesia, deep sedation (GADS) or light parenteral conscious sedation (LPCS)$50NA$50
    Registration: Additional office in which to administer general anesthesia, deep sedation (GADS) or light parenteral conscious sedation (LPCS)$25NA$25
    Application: Dental Intern Permit$100NA$100
    Application: Instructor's License$250NA$250
    Application: Instructor Permit to administer general anesthesia, deep sedation (GADS) or light parenteral conscious sedation (LPCS)$50NA$50
    Renew: Dental License - due March 1 of even-numbered years$120NA$120
    Renew: Dental License Expired up to three (3) years$170NA$170
    Renew: Dental License Expired more than three (3)  years$370NA$370
    Renew: Dental Intern Permit - Annual$50NA$50
    Renew: Instructor License - Expires March 1 annually$50NA$50
    Reinstatement of Inactive License$370NA$370
    Renewal: Permit to administer general anesthesia, deep sedation (GADS) or light parenteral conscious sedation (LPCS) - Expires March 1 of even-numbered years$50NA$50
    Renewal: Instructor Permit to administer general anesthesia, deep sedation (GADS) or light parenteral conscious sedation (LPCS) - Expires March 1 annually$25NA$25

    Penalties for Non-Compliance with Continuing Education Requirements: If a dentist is not in compliance with the continuing education requirements, pursuant to Ind. Code 25-1-4-5(b)(2)(A) the board may impose a civil penalty, not to exceed one thousand dollars ($1,000.00). If the board determines that a practitioner has knowingly or intentionally made a false or misleading statement to the board concerning compliance with the continuing education audit requirements, the board may impose a civil penalty of not more than five thousand dollars ($5,000.00) under Ind. Code 25-1-4-5(b)(2)(A).

  • Dental Hygienist Applications/Renewals
    Dental Hygienist Application/RenewalFeePenaltyTotal
    Application for Dental Hygiene Licensure by Examination or Endorsement$100NA$100
    Application for a Dental Hygiene Intern Permit$50NA$50
    Renewal of Dental Hygiene License (every two years - due March 1 of even-numbered years)$70NA$70
    Renewal of Dental Hygiene License - expired up to three (3) years$120NA$120
    Renewal of Dental Hygiene License - expired more than three (3) years$170NA$170
    Reinstatement of Inactive License$170NA$170
    Dental Hygiene Intern Permit Renewal$25NA$25

    Penalties for Non-Compliance With Continuing Education Requirements: If a dental hygienist is not in compliance with the continuing education requirements, pursuant to Ind. Code 25-1-4-5(b)(2)(A) the board may impose a civil penalty, not to exceed one thousand dollars ($1,000.00). If the board determines that a practitioner has knowingly or intentionally made a false or misleading statement to the board concerning compliance with the continuing education audit requirements, the board may impose a civil penalty of not more than five thousand dollars ($5,000.00) under Ind. Code 25-1-4-5(b)(2)(A).

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