North Carolina State Board of Dental Examiners

Rules & Laws
License & Permits
Anesthesia/Sedation Permits
License Renewal
Fees
License Verification
Online Services
Disciplinary Action
Continuing Education
Dental Assisting
Filing Complaint
Publications
Meeting Announcements
Management Arrangements
Forms
Professional Corporation
Online Examination
Board Newsletter

forms

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

Dental Limited Volunteer Application

Download a Limited Volunteer Application (PDF)

Download a Temporary Volunteer Application (PDF)

Anesthesia & Sedation Permits

To apply for a permit you must log into your account through the Gateway System. Once logged in, you may access and complete the appropriate application.

To access the Licensure Gateway click here: Licensure Gateway

Continuing Education Courses not accepted for initial application.

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)

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