Dentist Application Instructions:
In order to submit an online application, please go to MyLicense.IN.gov and you will either need to create or login to your Access Indiana, single sign-on account. You will complete the initial online application and submit payment of $250.00 with a credit or debit card. Please review the information regarding applying by exam, OR applying by endorsement to determine the additional forms needed for licensure. It is the applicant’s responsibility to follow the instructions and ensure all requirements for licensure are submitted or requested. You will be contacted by a customer service representative with details of what additional documentation is required to complete your application. Applications are processed in the order received. The paper application is available if necessary.
If you are a Foreign Trained Dentist, please follow this link for qualifications and requirements.
Applying by Examination Requirements:
- Application & Fee: Submit an application online at MyLicense.IN.gov with the application fee of $250.00. The paper application is available if necessary.
- 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.
- 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.
- 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.)
- 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
- 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.
- 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
- 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.
- 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.)
- 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.
11. 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 Precaution
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.
- 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 originals and dated and have been written not more than eight (8) weeks before the submission of the application.
- 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.
- 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.
Graduates from an Unaccredited College outside the United States:
Graduate from an unaccredited college is 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.
- 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.
- Transcript: The applicant must submit an original transcript of the applicant’s dental education, including the degree conferred and the date the degree was conferred. If the original 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 the following:
(i) A notarized or certified copy of the original dental school transcript, which must include the degree conferred and the date the degree was conferred.
(ii) An affidavit fully and clearly stating the reasons that an original transcript is not available.
- Clinical Training Program: Applicants must have successfully completed a clinical training program of at least two (2) years and submit an official transcript directly from the school or program in 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.
Abandoned Applications: 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.
Controlled Substance Registration - Dentist Application Instructions:
- Submit an application online at MyLicense.IN.gov with the application fee of $60.00. The paper application is available if necessary.
- Applicants must have an active Indiana dentist license before they can obtain an Indiana CSR. A dentist must hold one CSR in order to prescribe, administer & dispense controlled substances in the State of Indiana. An additional, separate registration is required for each practice address at which a dentist physically possesses controlled substances to administer or dispense. A separate registration is NOT required for each place where a dentist merely prescribes controlled substances. One valid CSR is sufficient for a dentist to prescribe controlled substances throughout the State.
- Dentists MUST use an Indiana practice address when applying for a CSR. A CSR will only be issued to a street address; post office boxes will not be acceptable unless accompanied by a street address. An application with an incomplete or out of state address will be returned. Dentists must notify the Indiana Professional Licensing Agency in writing of any change of address.
- 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.
- Drug Schedules to Request: Dentists may apply for authorization for Schedules II through V. Schedule I controlled substances have no accepted medical use and are generally restricted to researchers only.
- Drug Enforcement Administration: After your CSR has been approved, you must also apply for a federal Drug Enforcement Administration (DEA) registration by going to their website. If you have further questions, you may contact the DEA at (317) 226-7977.