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Get Ohio State Dental Board

Do Not Write In This Space Ohio State Dental Board 77 S High St, 17th Fl Columbus, OH 43215-6135 Phone: 614.466.2580 Fax: 614.752.8995 www.dental.ohio.gov OH Lic/Cert/Reg #: Name (first, middle, last).

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How to fill out the Ohio State Dental Board online

Filling out the Ohio State Dental Board forms online can be a straightforward process when guided properly. This comprehensive guide will provide you with step-by-step instructions to ensure you complete the required forms accurately and efficiently.

Follow the steps to successfully submit your form online.

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. Begin by entering your personal information in the designated fields. Provide your name in the format of first, middle, and last names.
  3. Next, select the appropriate form based on your needs, either the address change form or the name change form, and ensure you understand the respective requirements.
  4. For the address change form, fill in the new address details, including street, city, state, zip code, and county. Also, include your daytime phone number and an alternate phone number or fax number if applicable.
  5. If you are submitting a name change, provide your new legal name, and ensure to attach a copy of the legal document that verified the name change, such as a marriage certificate or divorce decree.
  6. For those submitting an address change as a dentist, make sure to list the new employer and their contact details properly.
  7. Finally, review the entire form for accuracy. Once confirmed, provide your signature as the licensee and date the form appropriately.
  8. After completing the form, you can save your changes, download a copy for your records, print it, or share it as necessary.

Ensure you complete your forms online for a smooth process with the Ohio State Dental Board.

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The State Dental Board is entrusted to promote service excellence in dentistry and to protect the public through licensure, education and enforcement of standards with fairness and integrity.

The Ohio Radiology Certificate is issued by the Ohio State Dental Board (OSDB). Before a dental assistant can apply for their certificate they must complete a training course which has been approved by the OSDB. The Cincinnati Dental Society offers a home study course, which has been approved by the OSDB.

4715-9-05 Practice when the dentist is not physically present. ... (5) The supervising dentist has evaluated the dental hygienist's skills and has made a determination that the dental hygienist is competent to treat patients without the dentist being physically present.

Ohio has 6,626 dentists. That is one dentist for every 1,746 Ohioans.

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