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
• 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: Dental, Dental Specialist, Dental Auxiliary
  • Volunteer:
  • Volunteer: Dental, Dental Specialist, Dental Hygiene
  • Volunteer Clinic Requirements
  • Board Approved Volunteer Clinics
• Dental/Orthodontic Technician Registration
• Mobile Dental Facility and Portable Dental Operation Registration
• Mobile Dental and Portable Operation Inspection Checklist

Reinstatement of License/Certification

• Reinstatement Application

Other Forms

• Adverse Occurrence Report
• Application for CE/CPR Waiver
• Licensee List Request
• Duplicate Certificate/License Request