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.

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).

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