PREFERRED WEB BROWSER
It is suggested that you use Google Chrome to complete your online renewal.
Publications Articles Caption
BODEX UPDATE Articles Published in AzDA's Inscriptions
Name Change Form
Pursuant to A.R.S. § 32-1262(H), if you legally change your name and wish that the renewed license, or immediately requested license, be in the new name, please complete this name change form.
NAME CHANGE FORM - online Submission (Once all required fields are completed, a "Click to Sign" button will display at the bottom of your screen.)
Mandatory Reporting Requirements
MANDATORY REPORTING REQUIREMENTS
Please see this link to understand what and when (hint: 10 working days) you need to report misdemenaors and/or felonies.
Contact Us
About This Service
Have a question for our agency? We provide an easy way to reach out to us online through our website. Simply by clicking on the contact us page, you can submit a form to ask us any questions you may have for our agency or the services that we provide. Please provide us a detailed message with all of your contact information so that we may get back to you in a timely manner.
Requirements of the Customer
When you submit your form, please provide us with the following info:
CSPMP Usage Mandate
Controlled Substances Prescription Monitoring Program Mandate - The mandate to utilize the Prescription Monitoring Program went into effect October 16, 2017. Dentists in Arizona are required to access Arizona's Controlled Substance Prescription Monitoring Program before prescribing a controlled substance to any patient.
Board & Committee Meeting Notices, Agendas, Minutes and Audio
Meetings are held at 1740 W. Adams Street, Phoenix, AZ 85007 unless otherwise indicated. An agenda can be amended up to 24 hours in advance of the scheduled meeting time. After the notice and agenda are posted, you may want to check back within 24 hours of the scheduled to see if the original posting was amended. Both the notice and agenda will read amended in the title if they were amended. Board notices, agendas and minutes will be in Adobe pdf format and will require at least Adobe Acrobat Reader to view.
Problems With a Dentist, Dental Hygienist or Denturist
Anyone alleging to have been "harmed" by an Arizona dentist, hygienist or denturist may file a complaint against that professional. In order to file a complaint, please complete the online form below and use the second page, of the complaint form, to describe in detail what you are aggrieving. If you were treated by another licensee before or after the treatment you are now complaining, please provide the contact information for each licensee. If the list of licensees is more than two, please use the link, on the complaint form, to attach a comprehensive list.