Md. Code Regs. 10.44.15.09 - Application Procedures for Dentists and Dental Hygienists
An applicant for a dental or a dental hygiene license shall submit the following to the Board:
A.
A completed application on a form provided by the Board;
B. A recent photograph of the applicant not
to exceed 3 inches by 3 inches accompanied by a notarized statement stating
that "the photograph is a true photograph of me";
C. An original National Board Score
Card;
D. Certified proof of dental
or dental hygiene education which contains the raised embossed school seal
certifying its authenticity, except that letters from educational institutions
on original letterhead, bearing an original signature, do not require a raised
embossed seal;
E. A certified ADLEX
or ADHLEX score;
F. Documentation
of change of name if the name on any of the documents submitted to the Board
differs from the applicant's name; and
G. Any other documents or information
pertinent to licensure required by the Board.
Notes
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