The Arizona State Board of Dental Examiners presents this information as a service to the public...
Online License Renewal
ONLINE RENEWAL 2019
The Arizona State Board of Dental Examiners Renewal Application is available below. Please type your answers into the Adobe Sign form. Once complete, including your e-signature, an emailed receipt will be sent diretly to your email and another will be forwarded directly to Board staff. Please attach documents where applicable. Please note: If you do not receive an emailed receipt, the Board office did not receive your application.
Payment, if any, may be made by Visa or Mastercard using the "Payment" tab or submitted to the Board's office with all paper forms of payment made payable to the Arizona State Board of Dental Examiners. Please note: If you do not receive an emailed receipt, the Board office did not receive your payment.
Please use the "Dentist/Denturist Renewal Application" link to complete and submit your application if you are dentist or denturist.
Please use the "Hygienist Renewal Application" link to complete and submit your application if you are a hygienist:
DENTIST/DENTURIST RENEWAL APPLICATION - Online Submission (Once all required fields are completed, a "Click to Sign" button will display at the bottom of your screen.)
HYGIENIST RENEWAL APPLICATION - Online Submission (Once all required fields are completed, a "Click to Sign" button will display at the bottom of your screen.)
RENEWAL PAYMENT - Online Submission (Visa or Mastercard)
Please note, Board staff will contact you, in writing, if your 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.
PAPER RENEWALS
The renewal application will no longer be provided to you to complete and return to the Board's office. This year, postcards are being delivered to your primary address of record to remind you of your impending renewal. Please feel free to proceed to complete your renewal whether or not you received the postcard.
CONTINUING EDUCATION AFFIDAVITS
On your respective renewal application, you will check only one of the boxes regarding your continuing education (“CE”) and proceed to complete the CE affidavit.
If this is your first time renewing (initial license issuance date was between 7/1/2018 and 6/30/2019), please check the box indicating that this is your first renewal, and therefore, no CE affidavit is required.
Please complete the continuing education ("CE") affidavit that pertains to your license classification. If you are not in compliance with your respective CE requirement, a written request, for an extension, must accompany your renewal application in lieu of the respective affidavit and must be received on or before June 30. Please follow the below DOs and DON'Ts of continuing education:
DO Review the Board's rules or your respective affidavit on your CE requirements;
DO Claim only the credit hours taken July 1, 2016 - June 30, 2019;
DO Enter the number of hours completed for each category on your affidavit. Please note: MOST categories have minimums, FEW, IF ANY, have maximums; and
DO Pay special attention to the self-study section of your affidavit and enter the number of self-study hours completed even if the number is zero (0). Self-study is defined in the Board's rules under AAC R4-11-1209 (page 22 of the link).
DON'T Claim more hours of self-study than allowed on your affidavit, which has already been tailored to the allowable limit;
DON'T Throw away your documentation of attendance. The Board's rules require that you maintain your documentation for the most recently completed renewal period; and
DON'T Wait until the last minute to request an extension for your CE requirements. Your extension request must be submitted along with your license renewal and must be postmarked on or before June 30.
Statement of Citizenship
Pursuant to A.R.S. § 41-1080, all applicants must provide evidence of lawful presence in the United States. Further, A.R.S. § 41-1080 requires documentation of United States citizenship or compliant alien status. If you provided the proper documentation at the time of your initial application or your previous renewal, no further documentation is required.
