Application Wizard - Oral Maxillofacial Surgeon Registration of Practice

You have indicated that you wish to apply for an Oral Maxillofacial Surgeon Registration of Practice.

Pursuant to 18VAC60-21-310 every licensed dentist who practices as an oral and maxillofacial surgeon, as defined in § 54.1-2700 of the Code, shall register his practice with the board.

In order to apply, the following information is required:

• A fully completed Oral and Maxillofacial Surgeon Registration of Practice form
• Application fee of $175 (check or money order made payable to the "Treasurer of Virginia"
• Official documentation of completed OMS Residency Program

This information should be mailed to:

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

You have indicated that you want to reinstate a lapsed Oral Maxillofacial Surgeon Registration of Practice. Registrations which have been expired for over a year, must provide the following information to be considered for reinstatement:

• A completed Reinstatement of Oral And Maxillofacial Surgeon Registration form
• Reinstatement fee of $350 (check or money order made payable to the "Treasurer of Virginia")
• Printed confirmation of updated Oral Maxillofacial Surgeon profile

Please mail this information to:

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