Forms & Fees
Application for License/Registration/Permit - Online Licensing Database & Services
To make application for a license, registration or permit, please visit the Board's online licensing database. After logging in to your personal account, you may make application for a new license or renewal, submit a change of address, and make a number of other requests online. Payment may be made by credit card, or check/money order. The online shop also allows you to purchase and request a number of items online.
The average length of time for an application for license/registration to be issued, after all required items are received, is as follows:
Peak months of April - September:
Five to ten business days for all applications for license/registration.
Five to ten business days for trainees.
Non-peak months of October - March:
Three to five business days for all applications for license/registration. Three to five business days for trainees.
Please be aware of the following:
- Applications submitted on paper may take 4-6 weeks longer to process than applications submitted electronically through the online licensing database.
- Applications and other requests are not considered complete until the appropriate fee(s) have been received.
- In order for CPR certification to be accepted for the purposes of initial application and renewal, the CPR course must be a nationally-recognized course that includes a clinical, "hands-on" portion. Online-only certification courses are not acceptable pursuant to Iowa Administrative Code 650.
Completed renewal forms, which are postmarked no later than August 31, 2022 will not be subject to a late fee. Renewal forms postmarked September 1, 2022 or later are subject to late fees.
|Dental License Renewal (e.g. DDS-XXXXX)|
|Faculty Permit Renewal (e.g. FAC-XXXXX)|
|Sedation Permit Renewal (e.g. MS/GA-XXXXX)|
|Application Forms - Dental Assistants (For use with online applications)||Online|
|Application Forms - Dental Hygienists (For use with online applications)||Online|
|Application Forms - Dentists (For use with online applications)||Online|
|Approved Testing Sites|
|Change of Address/Name||Online|
|Order Form - Purchase a Data List or Mailing List|
|Order Form - Trainee Manual, certificates, cards, written certification, printed copies of Board rules and Iowa Code|
|Public Health Supervision Forms||Online|
|Sample Lab Prescription and Point of Origin Form|
|Sign Up for Board Notices via E-Mail||Online|
|Website Feedback Form||Online|
|Infection Control Inspection Form|
|IPRC Self-Report Form|
|Malpractice Report Form|
Continuing Education Forms
Expanded Function Forms
Note: Include verification of training from the training provider with the request for review of out-of-state expanded function training. Lack of detail or documentation may delay a final decision by the Board.
Note: Training curriculum must be included with the request form. Lack of detail or supporting documentation may delay a final decision by the Board.
Level 2 Expanded Function Training Provider Request Form