The Arizona State Board of Dental Examiners Initial License Application is available below. Once complete with the Adobe Sign license application, including your e-signature, your application, along with any supporting documents you may have attached will be emailed directly to Board staff. Where applicable, most of the documentation can be attached to the online application. Other documents like, other jurisdictional license verifications, transcripts, exam scores, etc. are required to be submitted by that source. If you forget to attach supporting documents, or there is a delay in doing so, you may email them directly to the Board's info box at [email protected]. You may also deliver your documents in person or mail to:
Arizona State Board of Dental Examiners
1740 West Adams Street, Suite 2470
Phoenix, Arizona 85007
In addition to the Initial License Application, below are other documents that are useful in your application submission and may also be required as part of your initial application submission. The Initial Application Instructions are included in the application, but are also available, separately, for you to get organized prior to completing your initial application. The Statement of Citizenship form is required for all applicants regardless of how you intend to apply and demonstrates that the applicant satisfactorily demonstrates that he/she is lawfully present to work in the United States. The Verification of a Non-Arizona Dental License form is available for individuals to send to another jurisdiction in which the applicant currently holds, has held or applied for a dental license. Previous Arizona dental license holders are not eligible for a license through the universal licensure pathway regardless of how or why you no longer have an Arizona license.
INITIAL APPLICATION - online submission
INITIAL APPLICATION INSTRUCTIONS - downloadable document
STATEMENT OF CITIZENSHIP FORM - online submission, OR
STATEMENT OF CITIZENSHIP FORM - download and save in order to attach to the Initial Application
VERIFICATION OF A NON-ARIZONA DENTAL LICENSE - download, save, print, sign and date and forward to all other jurisdictions for verification of licensure.