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APPLY ONLINE HERE for the following:

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

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

Public Health Dental Hygiene Practitioner
Restricted Faculty License

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

Initial Applications

Volunteer (PDF)
Temporary Volunteer License - Dentist Only (PDF)
Dental Radiology Personnel (PDF)

  EFDA Education Program Approval (PDF)


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