Applications for Dentists

This resource page provides applications for licensure, required forms to be completed and submitted with applications, education or certification requirements for renewal of a license.

Dental Examiners Home

Initial License

Licensure
- Dentist Application for Licensure
- Optional Medicaid-to-Schools Questionnaire
Anesthesia/Sedation
- Initial Application to Administer General Anesthesia and/or Sedation
Reports
- Dental Residency Program Reporting Form
- Dental Student Program Report

Mail your completed application, required forms and payment to:

Office of Professional Licensure & Certification
7 Eagle Square
Concord, NH 03301

Forms of Payment Accepted for Paper Applications: Personal Check, Money Order or Cashier's Check

Renewal of License

Visit: Online Applications for Renewal (You can also use this link to check the status of your Application)

If you are unsure of any required credits for renewal, please contact OPLC Customer Support at CustomerSupport@oplc.nh.gov.

Dentists - To complete the health professions survey requirement for license renewal, please visit the Health Professions Survey page. Note: Inactive status licenses are exempt from the survey requirement.

Public Health Supervision

Reciprocity

New Changes for Reciprocity in New Hampshire

Other Requirements for Licensure

For other additional forms and documents