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  • Arkansas State Board Of Dental Assistant Change Of Address Form

Get Arkansas State Board Of Dental Assistant Change Of Address Form

Ygienist Registered Dental Assistant I WOULD LIKE TO NOTIFY THE BOARD OF THE CHANGE OF MY: Name Former Name: New name: Home address Old Address: New Address: Office Address Old Address: New Address: Phone & Fax Numbers Old phone & fax #'s: New phone & fax #'s: For newly licensed dentists in Arkansas only: I would like to receive the Education Packet for registering dental assistants in Arkansas. INSTRUCTIONS: You can print this form by clicking on the "Print Form" button and subm.

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How to fill out the Arkansas State Board Of Dental Assistant Change Of Address Form online

Updating your address with the Arkansas State Board of Dental Assistants is essential for maintaining accurate records. This guide provides step-by-step instructions on how to efficiently complete the Change of Address Form online, ensuring your information is current and correct.

Follow the steps to complete the online form effectively.

  1. Locate and click the ‘Get Form’ button to access the Change of Address Form. This will allow you to open the document for editing.
  2. Begin by entering your full name as it appears on your current license in the designated field.
  3. Provide your license number in the appropriate area to help the board identify your record.
  4. Select your professional designation by marking the relevant option: Dentist, Registered Dental Hygienist, or Registered Dental Assistant.
  5. If applicable, indicate if you would like to notify the board of a change in your name by entering your former name and your new name.
  6. Next, update your home address by filling in the old address and your new address.
  7. If your office address has also changed, provide the old office address and the new office address in the specified fields.
  8. Update any phone and fax numbers by specifying the old and new numbers to ensure the board can contact you as needed.
  9. For newly licensed dentists in Arkansas only, you may indicate if you would like to receive the Education Packet for registering dental assistants in Arkansas.
  10. Once all necessary fields are filled, review the form for accuracy. You may now save your changes, download, print, or share the form as required.

Ensure your address is updated by completing the form online today.

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Changing your address on your license in Arkansas requires proof of your new address, such as a bank statement or a government-issued document. You will also need to fill out the necessary forms at your local DFA office. For ease, use the Arkansas State Board Of Dental Assistant Change Of Address Form to ensure all aspects of your records are updated.

Upgrading your license in Arkansas requires valid identification, proof of residency, and the completed application form. Additionally, if your address has changed, ensure you have the Arkansas State Board Of Dental Assistant Change Of Address Form filled out. This helps maintain accurate records and ensures you stay compliant.

You can change your address with the DFA in Arkansas by filling out the Arkansas State Board Of Dental Assistant Change Of Address Form. This form can often be found on the DFA website or at local offices. Ensure that you provide accurate and current information to facilitate the update process and avoid any issues.

To update the address on your driver's license in Arkansas, you will need to complete the Arkansas State Board Of Dental Assistant Change Of Address Form. Gather documents to verify your new address, such as bank statements or government letters. After preparing these materials, you can submit your changes at a local Department of Finance and Administration (DFA) office or online.

To change your address with Medicaid in Arkansas, contact Arkansas Medicaid directly or visit their website. Typically, you will need to fill out forms that include the Arkansas State Board Of Dental Assistant Change Of Address Form. It’s essential to keep this information updated to maintain eligibility for benefits and services.

When you wish to change your address on your license in Arkansas, you need to fill out the Arkansas State Board Of Dental Assistant Change Of Address Form. You will also need to provide proof of your new address, such as a utility bill or lease agreement. Be prepared to submit this information either online or in person to ensure your records are up to date.

To report changes in Access Arkansas, you can log into your account on the Access Arkansas website. From there, navigate to the update section where you can input the necessary changes, including your address. Remember, if you are filling out the Arkansas State Board Of Dental Assistant Change Of Address Form, ensure all details match your recent updates. This process helps keep your information current and accessible.

A dental assistant may apply fit and fissure sealants under the personal supervision of a licensed dentist. Dentists, dental hygienists, and dental assistants who participate in an invasive procedure must change surgical masks between each patient.

Dental Assistants must hold a current permit issued by the Arkansas State Board of Dental Examiners to perform dental radiography, coronal polishing, administration/monitoring of nitrous oxide, and sedation monitoring in the dental office.

ASBDE Complaint & Feedback Discuss the issue with the dentist. Small claims court. Mediation through the Arkansas State Dental Association's Peer Mediation Committee (contact them at 501-834-7650) Contact the Better Business Bureau.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232