Application Wizard - Volunteer Practice

Please select one of the following:

I would like to apply for volunteer practice as a Dentist.

I would like to apply for volunteer practice as a Dental Hygienist.

To apply for a Restricted Volunteer Dental License:

You must meet the requirements of 18VAC60-21-230.E
Complete an Application for Restricted Volunteer Dental License along with any other required documentation (please see instructions included with the application for complete details)
Include a check or money order for $25 made payable to the Treasurer of Virginia

To apply for Registration for Volunteer Dental Practice:

You must meet the requirements of 18VAC60-21-230.F (registration of voluntary practice as an out-of-state licensed Dentist).
Complete an Application for Registration for Volunteer Dental Practice along with any other required documentation (please read the instructions included with the application for complete details).
Include a check of money order for $10.00 made payable to the Treasurer of Virginia.

Application and payment should be mailed to:

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

To apply for a Restricted Volunteer Dental Hygienist License:

You must meet the requirements of 18VAC60-25-170.A
Complete an Application for Restricted Volunteer Dental Hygienist License along with any other required documentation (please see instructions included with the application for complete details)
Include a check or money order for $25 made payable to the Treasurer of Virginia

To apply for Registration for Volunteer Dental Hygiene Practice:

You must meet the requirements of 18VAC60-25-170.B (registration of voluntary practice as an out-of-state licensed Dental Hygienist).
Complete an Application for Registration for Volunteer Dental Hygiene Practice along with any other required documentation (please read the instructions included with the application for complete details).
Include a check of money order for $10.00 made payable to the Treasurer of Virginia.

This information should be mailed to:

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

Virginia Board of Dentistry
denbd@dhp.virginia.gov | Contact the Board
Jamie C. Sacksteder, Executive Director
Sultan E. Chaudhry, DDS, Board President