Please note that once your application is received by the Board office, the process may take at least 90 days.
Dental Intern Applications
Download Application for Intern Permit (PDF)
Download Application for Renewal of Intern Permit (PDF) (This application is for those individuals who currently have an intern permit in North Carolina.)
Dental Limited Volunteer Application
Download a Limited Volunteer Application (PDF)
Download a Temporary Volunteer Application (PDF)
Anesthesia & Sedation Permits
Download the General Anesthesia Permit Application (PDF)
Download the Itinerant General Anesthesia Permit Application (PDF)
Download the Moderate Pediatric Conscious Sedation Permit Application (PDF)
Download the Moderate Conscious Sedation Permit Application (PDF)
Download the Itinerant Moderate Conscious Sedation Permit Application (PDF)
Download the Minimal Conscious Sedation Permit Application (PDF)
Professional Corporations
Download Application to Register PLLC (PDF)
Download Application to Register PA/PC (PDF)
Download Request for Certificate of Licensure for corporation (PDF)
Request for Duplicate Dental Original License
Download Duplicate Request Form (PDF)
Request for Certificate of Licensure
Download Certificate of Licensure Request Form (PDF) (Official mailed verification or Letter of Good Standing for Licensure in another State) - Fee required
Dental Laboratory & Subcontractor Work Order Forms
Download Dental Laboratory Work Order Form (PDF)
Download Dental Laboratory Subcontractor Work Order Form (PDF)
