Please select a category from the dropdown to view related forms and applications.
Please use our Application Wizard for guidance on how to apply for initial licensure as a Dentist.
Please note: CLINICAL EXAMINATIONS ACCEPTED FOR LICENSURE guidance document 60-25 Policy On Dental Clinical Competency Examination Requirements For Licensure, effective August 5, 2021
Applicants for a Dental license (by Examination or Credential) are accepted exclusively online through our online system.
Instructions for Dental license
Reactivation application for Dentist – Revised July 2021
Reinstatement application For Dentist – Revised July 2021
Application for a Temporary Dental Permit - Revised July 2021
Please use our Application Wizard for guidance on how to apply for initial licensure as a Dental Hygienist.
Applicants for a Dental Hygienist license (by Examination or Endorsement) are accepted exclusively online through our online system.
Please note: CLINICAL EXAMINATIONS ACCEPTED FOR LICENSURE guidance document 60-26 Policy On Dental Hygiene Clinical Competency Examination Requirements For Licensure, effective August 5, 2021.
Instructions for Dental Hygienist license application
Reactivation application for Dental Hygienists – Revised July 2021
Reinstatement application For Dental Hygienist – Revised July 2021
Application for a Temporary Dental Hygiene Permit - Revised July 2021
Application for Registration as a Dental Assistant II- Revised February 2022
Reinstatement application for a Dental Assistant II - Revised July 2021
Reactivation application for a Dental Assistant II - Revised July 2021
Form A Dental Assistant II - Certification of Completion of Dental Assistant Education
Form B Dental Assistant II - Experience Verification
Form C Dental Assistant II - Certification of Authorization to Perform Expanded Duties as a Dental Assistant
Application for Oral and Maxillofacial Surgeon Registration of Practice – Revised February 2022
Reinstatement of Oral And Maxillofacial Surgeon Registration – Revised February 2022
Application for Certification to Perform Cosmetic Procedures – Revised August 2020
Reinstatement of Certification to Perform Cosmetic Procedures - Revised August 2020
Application for a Permit to Administer Deep Sedation/General Anesthesia – Revised February 2022
NOTICE: The Guidelines for Teaching Pain Control and Sedation to Dentists and Dental Students adopted by the American Dental Association in October 2016 detail the current education standards for a moderate sedation course. The October 2016 Guidelines no longer include provisions for a course to administer only by an enteral method. Any moderate sedation course taken on or after November 1, 2016 must meet the October 2016 Guidelines in order for an applicant to qualify for a conscious/moderate sedation permit in Virginia. These Guidelines must be met to qualify to administer by any method and to qualify to administer by an enteral method only. Please download the Guidelines.
Application for a Permit to Administer Moderate Sedation – Revised February 2022
Reinstatement application for a permit to administer Moderate Sedation and Deep Sedation/General Anesthesia - Revised February 2022
Application for Restricted Volunteer Dental License – Revised July 2021
Application for Restricted Volunteer Dental Hygienist License – Revised July 2021
Application for Dental Volunteer License - Revised July 2021
Application for Dental Hygienist Volunteer License - Revised July 2021
Continuing Education (CE) Credit Form for Volunteer Practice - Revised May 2019
Application for Temporary Resident’s License – Revised July 2021
Application for a Faculty License to Teach Dentistry – Revised July 2021
Application for a Temporary Foreign Restricted Faculty Permit - Revised July 2022
Application for a Dental Hygiene Faculty License – Revised July 2021
Application for Registration of a Mobile Dental Facility or Portable Dental Operation - Revised August 2020
76-24.3 - Inspection report for dental offices, revised April 16, 2021
Pre-Inspection Survey Form - Revised May 2019
Dental Laboratory Work Order Form - Revised Dec. 2012
Dental Laboratory Subcontractor Work Order Form - Revised Dec. 2012
Name/Address Change Form - Revised May 2019
Request for Verification of Virginia Dentist/Dental Hygienist License - Revised March 2021
Petition for Rule-making - Revised May 2022
Virginia Board of Dentistry
denbd@dhp.virginia.gov | Contact the Board
Jamie C. Sacksteder, Executive Director
Nathanial C. Bryant, DDS, Board President