Dental Hygiene Information
Applying by Examination Requirements:
2. Criminal Background Check: All applicants must obtain a criminal background check prior to being issued a license or registration. For information please click on criminal background check. Please note that you must wait until you have received your online application receipt or you have been notified by us that we have received your application before you obtain your criminal background check. If your background is received prior to the date we received your application, we will not be able to accept those results and you will be required to do the background process again.
3. Written Statement: If you answered “yes” to any questions on your application, explain fully, including all related details in a signed, written statement. Include the violation, location, date, and disposition. You will need to provide copies of any and all court documentation regarding each offense. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
4. Transcripts: An official (certified) transcript of grades from the school from which the applicant obtained their degree that shows the degree conferred. This must be sent directly from the school (e-transcripts accepted to firstname.lastname@example.org.)
5. Certificate of Completion: (Examination Candidates Only) Applicants must submit a completed Certificate of Completion, sent directly to the Board from the school, completed and signed by the dean of applicant’s professional school and registrar of the university or college
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. Please make sure that your signature is on the 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: Applicants must submit 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.
- Clinical Examination: To be eligible for licensure by examination, an applicant must pass all parts of one (1) of the following examinations within the five (5) year period immediately before the date of the Board’s receipt of the Applicant’s application. Please have your score report sent directly to the Board from one of the entities listed below:
- Commission on Dental Competency Assessment (CDCA) or North East Regional Board (NERB)Website: cdcaexams.org
- Central Regional Dental Testing Service Examination (CRDTS)
- Southern Regional Testing Agency (SRTA)Website: www.srta.org
- Western Regional Examining Board (WREB)Website: www.wreb.org
8. Jurisprudence Examination: All applicants for dental licensure are required to pass a jurisprudence examination. No applicant is exempt from this requirement. After the approval of your application by the Board, you will be emailed the examination and instructions. 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 50 question true-false and multiple-choice examination. Passing criteria is 75%. Statutes and Administrative Rules are available to download at www.pla.IN.gov. 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 Precautions
9. Name Change Document: A copy of a marriage certificate or an official affidavit indicating any legal name change, if your name differs from that on any documents. This may be uploaded with your application or using the License Update feature in your account after submitting your application online.
10. Verification of State Licensure: Verifications must be submitted by every state where you hold or have held a license or certification. This form needs to be submitted to the Indiana State Board of Dentistry by the state in which you hold or have held a license or certification. (Electronic Verification of State Licensure are accepted to email@example.com.)
Applying by Endorsement Requirements:
Applicants who are applying by endorsement are required to submit the following documents as well as the documents listed above. The documents listed may be uploaded with your application or using the License Update feature in your account after submitting your application online.
1. 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 dental hygiene. The statements must be originals and dated and have been written not more than eight (8) weeks before the submission of the application.
2. 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.
3. Practice Statement: An applicant for licensure by endorsement must have engaged in the satisfactory practice of dental hygiene for at least two (2) years out of the five (5) years preceding the date of application. Satisfactory practice of dental hygiene” means that the applicant has actively engaged in practicing dental hygiene 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 post associate degree-training in dental hygiene in a program approved by the board.
4. National Practitioner Data Bank: Applicants who are now or have been licensed to practice dental hygiene 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. A $5.00 fee will be assessed for your NPDB report. All self-query fees may be paid by credit card or debit card. Once you receive your NPDB report, please forward the report to the Professional Licensing Agency.
- National Practitioner Data Bank
Healthcare Integrity and Protection Data Bank
P.O. Box 10832
Chantilly, Virginia 20153-0832
Customer Service Center: 1-800-767-6732
If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted subsequent to an abandoned application shall be treated as a new application.