South Carolina Board of Dentistry

Applications/Forms

Online Applications

Below are the links to the forms for the applicable applications. These forms will need to be downloaded, filled out and submitted with the application or as instructed. You may submit the forms in the Uploads sections of the application or mail in to our office. Electronic applications allow you to make payment via Visa/Mastercard or e-check.

1. Please select the appropriate application documents link to download the form(s) before beginning the electronic application.

   • Dentistry Application by Examination
   • Dentistry Application by Credential
   • Dental Specialty
   • Dental Hygiene
   • Dental/Orthodontic Technician Registration
2. Click here to begin the electronic application

Paper Applications

Initial Licensure

• Dental License
  
  • Dentistry Application by Examination
  • Dentistry Application by Credential
  • Dental Specialty
  • Dental Resident Limited License
• Sedation Permit
  
  • Moderate Sedation Permit
  • Deep Sedation/General Anesthesia Permit
  • Sedation Facility Checklist
  • Additional Sedation Facility Registration Form
• Dental Hygiene License
  
  • Dental Hygiene
  • Local Infiltration Anesthesia Certification
  • Nitrous Oxide Monitoring Certification
• Restricted Instructor
• Restricted Volunteer License
• Dental/Orthodontic Technician Registration
• Mobile Dental Facility and Portable Dental Operation Registration

Reinstatement of License/Certification

• Requirement
• Reinstatement Application

Renewals

• 2020 Dental Renewal Form - General/Specialty/Instructor/Volunteer
• 2020 Dental Hygiene Renewal Form - General/ License with IA Certification/Instructor/Volunteer
• 2020 Dental and Orthodontic Technician Renewal Form Volunteer
• CPR and CE Waiver Form

Other Forms

• Licensee List Request
• Duplicate Certificate/License Request