- This page, Obtain a Certificate by Regulatory Board, is offered by
- Board of Registration in Dentistry
- Bureau of Health Professions Licensure
- Department of Public Health
Obtain a Certificate by Regulatory Board
You'll need a certificate to register a profession practice with the Secretary of State's office.
Contact for Obtain a Certificate by Regulatory Board
Board of Registration in Dentistry
The Details of Obtain a Certificate by Regulatory Board
What you need for Obtain a Certificate by Regulatory Board
Dentists and Public Health Dental Hygienists who own their professional practice and wish to incorporate as a Professional Corporation are required by the Secretary of State’s Office to obtain and submit a Certificate by Regulatory Board signed by the Board of Registration in Dentistry.
Fees for Obtain a Certificate by Regulatory Board
- We accept personal checks, business checks, or money orders. Make it payable to the Commonwealth of Massachusetts.
- All fees are nonrefundable and nontransferable
- Please don't staple payment to the application
| Name | Fee | Unit |
|---|---|---|
| Professional Corporation Fee | $30 | per dentist |
How to request Obtain a Certificate by Regulatory Board
- Please fill out the form from the Secretary of State’s website
- List only Massachusetts-licensed dentists or public health dental hygienists and their license numbers
- There is a $15 verification fee for each person you include on the form
- Do not sign the form
- Upon completion, mail the form to the Board of Registration in Dentistry:
The Massachusetts Board of Registration in Dentistry
239 Causeway St.
Suite 500
Boston, MA 02114 - After receipt of the form, the Board will verify whether the Massachusetts-issued license(s) is current, at which time we will sign the form, put the Board's seal on it, and return it in the return envelope you provide.
Contact for Obtain a Certificate by Regulatory Board
Address
250 Washington Street, Boston, MA 02108
Phone
Fax
(617) 973-0980