Application Wizard - Dental Assistants II

You have indicated that you are interested in applying for a Dental Assistant II registration.

What you need in order to apply:

• Application for Registration as a Dental Assistant II. Please be sure that all information and questions are completed on the application. (Detailed instructions are included with this form).

Please mail this information to the following address:

Virginia Department of Health Professions
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233

You have selected that you would like to reactivate a lapsed Dental Assistant II registration.

• Reactivation application for a Dental Assistant II  
• Mail the completed application and fee to:

Virginia Department of Health Professions
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233

You have selected that you would like to reinstate a lapsed Dental Assistant II registration 

Reinstatement of a registration that has been lapsed for more than one year shall require completion of a reinstatement form and payment of a reinstatement fee.

• Reinstatement application for a Dental Assistant II 
• Mail the completed application and fee to:

Virginia Department of Health Professions
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233