The Arizona State Board of Dental Examiners Renewal Applications will be available at the beginning of April 2020.
Again, this year, you will not be receiving a renewal application through regular US mail; the application is available online. Please type your respective responses for each question or make the appropriate selection(s). Once complete, including your online payment (if any), please sign the application in the e-signature block, add your email and then click the button at the bottom-right of your screen that reads “Click to Sign”, as pictured to the left. You will not be able to click the aforementioned button unless you complete the minimum required fields. “The count” of required fields appears in the top right-hand corner of the renewal application, as pictured in the picture to the right. After clicking the “Click to Sign” button, you will receive the message below. If you do not receive the message below, then the Board did not receive your completed application. Within five (5) minutes, you will also receive an emailed copy of your completed application.
DENTIST/DENTURIST RENEWAL APPLICATION - Online Submission
HYGIENIST RENEWAL APPLICATION - Online Submission
RENEWAL PAYMENT - Online Submission (Visa or MasterCard)
CONTINUING EDUCATION EXTENSION REQUEST - Online Submission
On March 26, 2020, Governor Ducey issued an Executive Order, which among other things extends the expiration date of professional licenses expiring between March 1, 2020 and September 1, 2020 by six (6) months from the expiration date. Therefore, all dental examiner licenses that expire June 30, 2020 shall extend to December 30, 2020. The Executive Order also defers continuing education ("CE") requirements by six (6) months (12/30/2020). Additionally, the Board's rules, which prevent licensees from taking all CE online have been suspended. Most, if not all CE can be completed online and the AzDA's Western Regional Dental Experience is now virtual and allows for a great opportunity to complete the required CE.
Please note, Board staff will contact you, in writing, if your renewal application is found to be incomplete. Once the Board processes your renewal application, Board staff will send you your license via regular U.S. Mail. If you are trying to renew for the 2018 or 2019 renewal year, please do not complete either renewal application above. Please contact staff for the proper renewal application.
Please feel free to contact the Board's office at 602.242.1492 or [email protected], if you have any questions.