Welcome to the Online Application Site
Login as a RETURNING APPLICANT using the information in the email message you received after submitting your registration or select the NEW APPLICANT tab above to register.
Required Information (Certain documents may require upload in PDF or JPG format):
• Education: Professional Program Name, degree received, and graduation year
• Examinations: List of every license-related examination you have taken regardless of the result (e.g. National Boards, Regional, and State Exams), date taken, result (e.g. pass or fail)
• Work/Professional Experience: Chronological list of all work and professional experience beginning from the date of your graduation from Dental/Dental Hygiene school to present. Will need to provide dates worked and hours worked per week.
• State Licensure: List of every state in which you are or have been licensed as a Dentist, Dental Hygienist, or Dental Therapist and/or states in which an application is pending. Will need to provide: state, type of license, license number, date issued, and current status of license. For Dentists Only - Please include a DEA number if applicable and all state issued controlled substance registration numbers if applicable.
• Expiration date of current BLS certification
• Current Photograph (upload in JPG format)
• If applying as a specialist, you will need to submit the Certification of Specialty Training Form. This form is available to print on the Board's website at www.isbd.idaho.gov > Forms
• If applying by credentials, you will need to submit two (2) Proof of Clinical Practice Affidavit forms. This form is available to print on the Board's website at www.isbd.idaho.gov > Forms
• For Dental Therapists only: you will need to submit a Proof of Supervised Clinical Practice Affidavit form. This form is available to print on the Board's website at www.isbd.idaho.gov > Forms
• Personal Data Questions: If applicable, description of your involvement in criminal or Board actions will require copies of relevant documents (upload in PDF format)
• Attestation and authorization for release of personal information
An application cannot be processed and a license cannot be issued until all application requirements have been met and all fees have been paid.
Questions? Contact the Idaho Board of Dentistry
Phone: 208-334-2369
Email: sbdinfo@isbd.idaho.gov
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