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Request an address change, name change, or duplicate license for dentistry

If you are a dentist, dental hygienist, or dental assistant, and need to change your address or your name on your license, you can request those changes here. You can also request a duplicate license.

Contacts

Board of Registration in Dentistry

Phone

Call Board of Registration in Dentistry at (800) 414-0168
Call Board of Registration in Dentistry at (617) 973-0971

Online

Email Board of Registration in Dentistry at dentistry.admin@state.ma.us

The Details

Fees

You need to pay a fee if you are requesting:

  • To change your name and receive a license with your new name

There is no fee for just changing the address on your license. You can do so online by going to the Board’s website.

Please note that you can go online to change your name or address on an individual or local anesthesia permit. 

Forms of payment

  • All fees are non-refundable and non-transferable
  • All payments are now submitted online.  Please scroll down for more information.  
Name Fee Unit
Name change $27 per license

How to request

Go to the Health Professions Licensing Portal  and create an account, or log into your existing account. If this is your first time using this new portal, please visit Health Professions Licensing System User Guide.

Contact

Address
250 Washington Street, Boston, MA 02108
Directions 
Phone
Call Board of Registration in Dentistry at (800) 414-0168
Call Board of Registration in Dentistry at (617) 973-0971
Online
Email Board of Registration in Dentistry at dentistry.admin@state.ma.us
Fax
(617) 973-0980

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