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

apply oNLINE for the following:

10-Day Temporary Volunteer Dental License
30-Day Temporary Volunteer Dental License
Anesthesia Permit-Restricted I
Anesthesia Permit-Restricted II
Dental Hygienist
Dental Hygienist Local Anesthesia
Dentist
Expanded Function Dental Assistant
Post Graduate Trainee
Public Health Dental Hygiene Practitioner

 

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

INITIAL APPLICATIONS

Dentist

Hygienist

Expanded Function Dental Assistant (PDF)

Volunteer (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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