Apply for a dental license

Application attachments

You must submit all required documents before we can process your application and issue your license.

Proof of Graduation from a CODA-accredited dental school

• Either of the following:
  • Original transcript with school seal indicating your date of graduation and degree awarded
  • Original signed letter from the Dean or registrar indicating your date of graduation and degree awarded
• Photocopies are not accepted

National Board Certification Part I and II

• An official, original copy of your National Board certificate indicating your passing score on all sections of the exam, or
• Authorization to the National Boards releasing your scores to Massachusetts

Proof of Regional or State Clinical Examination

• Proof of successful completion of a Board-approved exam
  • Regional and State Clinical Exam Requirements (DOCX)
• An official, original copy of your Board-approved exam scores, or
• Authorization to the Board-approved exam releasing your scores to Massachusetts

Documentation of certifications

Either one of the following documents:

• Current certification in American Red Cross Cardiopulmonary Resuscitation/Automated External Defibrillation (CPR/AED) for the Professional Rescuer
• Current certification in American Heart Association Basic Life Support for Healthcare Providers (BLS)

Massachusetts Dental Ethics and Jurisprudence Exam

• Answer sheet only
• Request a copy here

If applicable

Letters of Standing

• Official verification of professional licensure from each state or jurisdiction in which you now hold, or ever have held, a license
• The official letter must include the current status of your license, license number, the official seal and signature of the jurisdiction’s licensing Board, and any disciplinary action taken
• A photocopy of a license is not acceptable
• A copy of a screen shot from the jurisdiction’s licensing Board website is also not acceptable

Practice History

• If you have ever practiced dentistry in another jurisdiction or state, please include an up-to-date resume, curriculum vitae or practice history

National Practitioner Data Bank Self-Query

• Attach if you have ever held a professional healthcare license in the United States
• To request a self-query please contact the Data Bank at (800) 767-6732 or go to the NPDB website
• The Data Bank will mail the report to you. A copy of the original NPDB report is acceptable.

Criminal Offender Record Information (CORI) Acknowledgment Form

• Only if you have answered “yes” to any of the questions in the Good Moral Character Questions
• This form is attached in the application
• This must be signed in person, and witnessed by either a BHPL employee at the Board's offices or a notary public
  • The BPHL employee or notary public must verify your identity through acceptable identification

Other requirements

A photo of yourself

You will need to attach, a color photograph, passport-sized (2” x 2”) or larger.

Good moral standing

On the application, you must get signatures from 2 licensed dentists who are familiar with your character and quality.

• The dentists do not need to be licensed in Massachusetts
• Immediate family members or close relatives can't sign as to your character and quality

Affidavit

You must sign the affidavit on the application and have it witnessed by a Notary Public.

NOTE: All license applications will remain open for only one year from initial application date.