The Arizona State Board of Dental Examiners presents this information as a service to the public...
Online License Renewal
ONLINE RENEWAL 2020
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.
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, please select 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 7/1/2019 and 6/30/2020), 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, 2017 - June 30, 2020;
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.
STATEMENT OF CITIZENSHIP - online submission
