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APPLICATION FOR DENTAL LICENSE BY …

DENTAL LBE APPLICATION information and instructions 1 Rev. 2/2/2018 Louisiana State Board of Dentistry Box 5256 Baton Rouge, Louisiana 70821-5256 Telephone ~ Fax APPLICATION FOR DENTAL LICENSE BY EXAMINATION NON-REFUNDABLE APPLICATION FEE $400 DENTAL HEALTH CARE PRACTITIONER WELL BEING PROGRAM FEE $50 REQUIREMENTS FOR LICENSURE Each applicant applying for a Louisiana DENTAL LICENSE by examination must 1. Have graduated from a DENTAL school that was accredited at the time of the applicant s graduation by the Commission on DENTAL Accreditation of the American DENTAL Association 2. Have successfully completed a Louisiana State Board of Dentistry approved clinical licensing examination within the 3 years immediately prior to applying for a DENTAL LICENSE 3.

Dental LBE application information and instructions 2 Rev. 2/2/2018 ACCEPTABLE CLINICAL LICENSURE EXAMINATION The only acceptable clinical licensure examination is the ADEX examination (regardless of testing agency). As of August 10, 2015, the only regional testing agencies administering the ADEX examination are CITA and CDCA …

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