Board of Dental Examiners Online Applications for Licensure Now available for the following: Dental License by Examination Level III Dental License by Examination Level II Dental License by Credentials Dental Specialty Licenses in: Endodontics Oral and Maxillofacial Surgery Oral and Maxillofacial Radiology Oral and Maxillofacial Pathology Orthodontics and Dentofacial Orthopedics Pediatric Dentistry Periodontics Prosthodontics Dental Public Health Dental Anesthesiology Oral Medicine Orofacial Pain Click Here to Apply Online Online applications are filed through your MyAlaska account. Filing via the MyAlaska account allows for email notifications about your application status. Please review the instructions for filing an Initial Application online via MY LICENSE. Paper Applications Dental Applications Dental License Application #08-4159, Revised 02/13/2025 Dental Specialty License Application #08-4863, Revised 09/28/2023 Permit to Administer Moderate or Minimal Sedation Application #08-4172, Revised 03/03/2025 Permit to Administer Deep Sedation or General Anesthesia Application #08-4618, Revised 03/03/2025 Dentist or Dental Hygienist Courtesy License Application #08-0005, Revised 11/13/2023 Notification of Sedation Agreement #08-4749, Revised 03/03/2025 Temporary Dental Permit Application #08-4789, Revised 11/13/2023 Request for Extension of Temporary Dental Permit #08-4858, Revised 11/13/2023 Hygienist Applications Dental Hygiene License Application #08-0075, Revised 02/13/2025 Dental Hygienist Advanced Practice Permit Application #08-4860, Revised 02/13/2025 Certificate to Administer Local Anesthetic Agent Application #08-0073, Revised 04/04/2023 Dental Hygiene Restorative Function Endorsement Application #08-4567, Revised 04/04/2023 Dental Hygiene Collaborative Agreement Application #08-4542, Revised 04/04/2023 Dentist or Dental Hygienist Courtesy License Application #08-0005, Revised 11/13/2023 Dental Hygiene Nitrous Oxide Certificate Application #08-4748, Revised 04/04/2023 Dental Assistant Applications Certification to Perform Coronal Polishing #08-4561, Revised 04/04/2023 Certification to Perform Restorative Functions #08-4577, Revised 04/04/2023 Renewal Applications Click Here to Renew Online Dental License Renewal #08-4132, Revised 12/23/2024 Dental Hygiene License Renewal #08-4063, Revised 12/23/2024 Dental Hygiene Restorative Function Endorsement Renewal #08-4609, Revised 02/05/2025 Dental Assistant Coronal Polishing Certification Renewal #08-4610, Revised 12/23/2024 Dental Assistant Restorative Function Certification Renewal #08-4784, Revised 12/23/2024 Moderate or Minimal Sedation Permit Renewal #08-4780, Revised 01/08/2025 Deep Sedation or General Anesthesia Permit Renewal #08-4781, Revised 01/08/2025 Dental Hygienist Advanced Practice Permit Renewal #08-4963, Revised 02/05/2025 Miscellaneous Forms Sedation Checklist for the Dental Office#08-4775, Revised 03/03/2025 Continuing Education Course Approval Application #08-4241, Revised 03/03/2025 Coronal Polishing Course Approval Application#08-4762, Revised 03/03/2025 Nitrous Oxide Course Approval Application#08-4774, Revised 03/03/2025 Restorative Function Course Approval Application#08-4936, New 09/27/2024 Dental or Dental Hygiene Clinical Program Approval Application#08-4608, Revised 03/03/2025 Division forms may be found in the CBPL Quick links, located in the sidebar to the right.