Transcription of APPLICATION FOR DENTAL LICENSE BY …
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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. Successfully complete Part I and Part II of the National Board DENTAL Examination 4.
Dental LBE application information and instructions 1 Rev. 2/2/2018 Louisiana State Board of Dentistry P.O. Box 5256 Baton Rouge, Louisiana 70821-5256
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