The Arizona State Board of Dental Examiners presents this information as a service to the public...
Online License Renewal
Online Renewal Information
Does your license expire on June 30, 2017? Did you license expire on June 30, 2016? Online license renewal is available to Dentists, Dental Hygienists, Dental Consultants and Denturists. Please read the information below before navigating to the login.
Login Page
If you have not created a user name and password, or you created a user name and password prior to June 30, 2016, you will need to create a new user name and password. On the login page navigate to the question Are you a new user? and click on here. You will be asked for your SSN, Birth Date and license number. Format your SSN as xxx-xx-xxxx and your birth date m/d/yyyy (if your month and date are two digits format mm/dd/yyyy). Your license number must include the prefix (D or H), the zeros between the prefix and the four digit license number. If you are unsure of your license number, please see the label on your paper renewal application or look yourself up on the Search for a Dental Professional page.
You will create a user name and password. Your password must be at least eight characters and contain at least one letter, one number and one unique symbol (ex. *, #, !).
If you have forgotten your password, use the Forgot Password? function on the Login Page.
Practice Location Addresses
Dentists and Denturists. You will have the opportunity to add or delete practice location addresses.
Current CPR Healthcare Provider/ACLS/PALS
You will be asked for the expiration date of your Healthcare Provider CPR/ACLS/PALS. If your card has month and year only, use the last day of the month for the expiration date, e.g. the card indicates expiration of MAR 2018, you will enter 03/31/2018 for the expiration date.
Coursework may be completed online if the course required you to physically demonstrate your skills.
Continuing Education
You will be asked to fill in the number of hours per category. Make sure your category hours add up to the at least the minimum total number of hours required which is 72 for Dentists and Dental Consultants, 54 for Dental Hygienists and 36 for Denturists.
NEW REQUIREMENT: Of the total number of continuing education hours you claim, you must fill in the number of hours completed by "self-study" activities. Please review the link for more information.
If your initial license issue date is between 7/1/2016 and 6/30/2017 you will not be required to complete a CE Affidavit.
Arizona Statement of Citizenship or Alien Status for State Public Benefits Page
If you answer "no" to the question, "Are you a citizen or national of the United States?" the system will give you the opportunity to upload documents but will NOT actually upload your documents. You must mail, FAX (602.242.1445), or email ([email protected]) the completed forms and evidence.
Confirmation Page
The CPR date completed on the Confirmation Page is the date you entered the expiration date. For example, if you entered your CPR Expiration date today, the Confirmation Page will display today's date.
Payment
American Express, MasterCard and Visa cards are accepted for online payment.
Your online submission will be reviewed after payment is made.
Ready to Begin the Online Renewal Of Your License?
Go to the Online License Renewal Login Page by clicking here.
Questions??
Contact Nancy Chambers: 602.542.4451
Or use our Contact Form (Recipient: Online Renewals)
Please be advised of the following pursuant to Arizona Revised Statutes (ARS) section 41-1030:
ARS 41-1030(B) An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.
ARS 41-1030(D) This section may be enforced in a private civil action and relief may be awarded against the state. The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section.
ARS 41-1030(E) A state employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal pursuant to the agency's adopted personnel policy.
ARS 41-1030(F) This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.
