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Board of Dental Examiners
State of Alaska >Commerce >Professional Licensing > Dental   > License Renewal Applications
 
License Renewal Applications

The following renewal forms are “interactive”, in which you may type all the required information, print and sign the form, and then mail the form with the required fee.

Biennial Dental License Renewal Application, #08-4132, Revised 11/03/08

Biennial Dental Hygiene License Renewal Application
and Local Anesthetic Permit Renewal Application
, #08-4063, Revised 11/03/08

 

 
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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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