forms

Please note that once your application is received by the Board office, the process takes at least 90 days.

Dental Provisional, License & Licensure by Credentials Applications

Download the Dental/Provisional License application
(This application is for thos individuals who took or will take the CITA exam)

Download the Dental Licensure by Credentials application

Hygiene Provisional, Licensure Examination & Licensure by Credentials Applications

Download the Hygiene/Provisional Licensure Application
(This application is for thos individuals who took or will take the CITA exam)

Download the Dental Hygiene Licensure by Credentials application

Dental Intern Applications

Download Application for Intern Permit

Download Application for Renewal of Intern Permit
(This application is for those individuals who currently have an intern permit in North Carolina.)

Dental Instructor's Application

Dental Limited Volunteer Application

Anesthesia & Sedation Permits

Request for Duplicate Dental Original License

Request for Certificate of Licensure

Dental Laboratory & Subcontractor Work Order Forms

Download Dental Laboratory Work Order Form

Download Dental Laboratory Subcontractor Work Order Form

Functions of the Board of Dental Examiners
The administration of licensure examinations for dentists and dental hygienists
The promulgation of rules and enforcement of laws and regulations governing the practice of dentistry and dental hygiene in this state
The issuance and renewal of licenses to dentists and dental hygienists