Skip Navigation LinksPennsylvania Department of State > Professional Licensing > Boards & Commissions > Dentistry > Initial Applications

APPLY ONLINE HERE FOR THE FOLLOWING:

Anesthesia Permit-Restricted I
Anesthesia Permit-Restricted II
Anestheisa Permit-Unrestricted

Dental Hygienist
Dental Hygienist Local Anesthesia
Dentist
Expanded Function Dental Assistant
Fictitious Name Registration

Public Health Dental Hygiene Practitioner
Restricted Faculty License

apply oNLINE HERE for the following:

10-Day Temporary Volunteer Dental License
30-Day Temporary Volunteer Dental License
 

To download a paper application, click on the link below:

INITIAL APPLICATIONS

Volunteer (PDF)

Temporary Volunteer License - Dentist Only (PDF)

 

EFDA Education Program Approval (PDF)

Radiological Procedures Authorization (PDF)

Name and/or Address Change or Duplicate Radiological Procedures Authorization (PDF)

 

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