Dental License by Examination application |
Dental License by Credentials application |
Arkansas Speciality application |
License Reinstatement form |
Temporary Charitable License for Dentists |
Moderate Sedation - application and facility permit |
General/Deep Sedation - application and facility permit |
Moderate Sedation - facility permit only |
General/Deep Sedation - facility permit only |
Mobile Dental Facility permit |
Collaborative Care Permit application (note: must be approved by the Arkansas Department of Health's Office of Oral Health before applying with the Board. Contact the Office of Oral Health at 501-280-4111 for more information.) |
Dental Corporation/Limited Liability Company Registration form |
Fictitious Name Request form |
Wall Certificate Remake form |
Verification of Licensure Request form |
Change Request form (to request a name, address, phone number, or email change) |