Virginia Board of Dentistry
Forms, Applications, and Exam Info
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Dentist / Dental Hygienist Forms
Applicants for a Dental license (by Examination or Credential) or a Dental Hygienist license (by Examination or Endorsement) are now accepted online. Click here to begin the online application process for a Dental license or Dental Hygienist license.
View the Instructions for Dental license
Restricted Volunteer License to Practice Dentistry and Dental Hygiene - Application and Instructions - Revised November, 2010
Reactivation application for Dentists and Dental Hygienists - Revised Feb. 2010
Reinstatement application For Dentist and Dental Hygienist - Revised May 2010
Deep Sedation/General Anesthesia
Permit To Administer Deep Sedation/General Anesthesia Application
Conscious/Moderate Sedation
Permit To Administer Conscious/Moderate Sedation Application
Application for Dental Temporary Restricted Permit (§54.1-2715) - contact the Board of Dentistry for an application
Application for Restricted License to teach dentistry for foreign dentists (§54.1-2714) - contact the Board of Dentistry for an application
Oral and Maxillofacial Surgeon/Cosmetic Procedure Certification
Oral and Maxillofacial Surgeon Registration of Practice - Revised Feb. 2010
Oral And Maxillofacial Surgeon Reinstatement Of Registration Of Practice - Revised Feb. 2010
Certification to Perform Cosmetic Procedures Application - Revised March 2012
Temporary Resident / Faculty / Mobile Dental Facility / Portable Dental Operation
Application for Temporary Resident’s License - Revised July 1, 2012
Mobile Dental Facility or Portable Dental Operation Application for Registration - Revised Jan. 14, 2010
Application for a Faculty License to Teach Dentistry – Revised June 17, 2013
Volunteer Practice Forms
Instruction Sheet - Revised Aug. 5, 2008
Volunteer Practice Sponsor Form - Revised Aug. 5, 2008
Application for Registration for Volunteer Practice - Revised Aug. 5, 2008
Dental Assistants II
Instructions for Dental Assistant II Applicants - Revised May 31, 2013
Application for Registration as a Dental Assistant II - Revised Feb. 9, 2012
Form A - Certification Of Dental Assisting Education - Revised Feb. 8, 2012
Form B - Duties - October 17, 2011
Form C - Certification Of Authorization To Perform Expanded Duties As A Dental Assistant - March 23, 2011
Exam Information
Regional Examinations
CITA (Council of Interstate Testing Agencies) www.citaexam.com
Effective September 1, 2007 accept passing scores
CRDTS (Central Regional Dental Testing Services, Inc.) www.crdts.org
Effective January 1, 2005 accept passing scores
NERB (North East Regional Board) www.nerb.org
Effective Jan. 1, 2005 accept passing scores
SRTA (Southern Regional Testing Agency) www.srta.org
Accept passing scores from any year
WREB (Western Regional Examining Board) www.wreb.org
Effective 1, 2005 accept passing scores
National Boards
Administered by the American Dental Association www.ada.org
Inspection Form
Dental Office Inspection Form Revised 1/2012
Dental Lab Work Orders
Dental Laboratory Work Order Form (pdf) - Revised Dec. 2012
Dental Laboratory Subcontractor Work Order Form (pdf) - Revised Dec. 2012