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  • Out Of State Certification Form - Dental Board Of California - Dbc Ca

Get Out Of State Certification Form - Dental Board Of California - Dbc Ca

CANTS ONLY INSTRUCTIONS TO APPLICANT: Complete top portion of form. Submit to any State or Country in which you have been licensed regardless of the status of license. Completed forms should be submitted with your application. (Please type or print neatly) 1. Name Last First Middle City State Zip Code 2. Address 3. Birthdate Female 4. Sex Male MM/DD/YYYY Licensing Agency TO BE COMPLETED BY LICENSING AGENCY: I certify that , who graduated from Name of Applicant on , was granted N.

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For the purposes of paragraph (2), categories of provider are: General Dentist, Pediatric Dentist, Oral Surgeon, Dentist Anesthesiologist, Physician Anesthesiologist, Dental Assistant, Registered Dental Assistant, Dental Sedation Assistant, Registered Nurse, Certified Registered Nurse Anesthetist, or Other.

Unlicensed dental assistants are not licensed by the Dental Board of California (Board), but they are subject to certain laws governing their conduct. Section 1750.1 is the statute governing the duties that unlicensed dental assistants are allowed to perform.

After your first renewal, your license/permit will expire every two years on the last day of your birth month, either in an odd or even numbered year (as based on the year of your birth).

Entry Level Dental Assistant Salary in California Annual SalaryMonthly PayTop Earners$52,799$4,39975th Percentile$46,400$3,866Average$43,339$3,61125th Percentile$35,500$2,958

Graduate from a Board-approved RDA program. Complete a minimum of 15 months of dental assistant work experience under a licensed dentist in the U.S. Complete a 4-month program approved by the California Department of Education and 11 months of work experience under a licensed dentist in the U.S.

An unlicensed dental assistant may not perform coronal polishing.

Processing Time When eligibility is approved, a license application is sent. This is a two-page form that needs to be returned with the pro-rated initial license fee. After this is received at the Dental Board, the license is usually issued within 2 weeks.

Dental Board of California Approved Foreign Dental Schools Students who graduate from the University De La Salle Bajio School of Dentistry by May 16, 2026, are eligible to apply for dentist licensure in California.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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