A dental hygienist licensed in another state may obtain a
license to practice in Tennessee under the auspices of a dental or dental
hygiene educational institution. This type of license limits only practice
location and not services allowed to be performed. The practice location for
dental hygienists who have this type of licensure is limited to programs
offered by the educational institution and does not authorize practice outside
the institution. The process for obtaining a limited educational license is as
(1) An applicant shall obtain
a Board application form from the Board Administrative Office, respond
truthfully and completely to every question or request for information
contained in the form and submit it along with all documentation and fees
required by the form and this rule to the Board Administrative Office. It is
the intent of this rule that all activities necessary to accomplish the filing
of the required documentation be completed prior to filing a licensure
application and that all documentation be filed simultaneously.
(2) An applicant shall request that a
transcript from a dental hygiene school, college or university be sent directly
from the institution to the Board Administrative Office. The transcript must
show that the degree was conferred and carry the Official Seal of the
An applicant shall
(a) proof of having attained at least
eighteen (18) years of age; and
a signed "passport" style photograph taken within the preceding twelve (12)
(4) An applicant
shall submit evidence of good moral character and competence. Such evidence
shall include at least two (2) letters attesting to the applicant's character
and ability from licensed dentists on the signator's letterhead.
(5) An applicant shall submit proof of United
States or Canadian citizenship or evidence of being legally entitled to live in
the United States. Such evidence may include copies of birth certificates,
naturalization papers, or current visa status.
An applicant shall submit the licensure
application fee and state regulatory fees as provided in rules
Also, if licensure is granted, the new licensee must submit the educational
licensure fee provided in Rule
before a license will be issued.
(7) An applicant shall submit evidence of
current training in cardiopulmonary resuscitation (CPR) which is defined as
successful completion of a BLS for Healthcare Providers, or CPR/AED for
Professional Rescuers, or an equivalent course, which provides training for
healthcare professionals in CPR and the use of an AED by a Board approved
training organization. The course must be conducted in person and include a
skills examination on a manikin with a certified instructor.
An applicant shall disclose the
circumstances surrounding any of the following:
(a) Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
(b) The denial of
licensure application by any other state or the discipline of licensure in any
(c) Any other civil suit
judgment or civil suit settlement in which the applicant was a party defendant
including, without limitation, actions involving malpractice, breach of
contract, antitrust activity or any other civil action remedy recognized under
any country's or state's statutory, common, or case law.
(d) Failure of any professional licensure
applicant shall cause to be submitted to the Board's administrative office
directly from the vendor identified in the Board's licensure application
materials, the result of a criminal background check.
(10) An applicant shall submit or cause to be
submitted the equivalent of Tennessee Certificate of Endorsement from the
licensing board(s) of every state in which the applicant has ever been licensed
which indicates the applicant either holds a current active license and whether
it is in good standing, or held a license which is currently inactive and
whether it was in good standing at the time it became inactive. An applicant
must possess an active license in good standing in at least one (1) state. That
license must have been active for at least one (1) year prior to
(11) An applicant must
successfully complete the Tennessee Board of Dentistry Ethics and Jurisprudence
The dean or
director of the dental or dental hygiene educational institution at which the
applicant is to be employed shall submit on behalf of the applicant the
(a) A letter of recommend for
educational licensure; and
copy of the contract employing the applicant in a faculty position at the
dean or director of the educational institution shall immediately notify the
Board in writing of the termination of any licensee's employment and the
reasons therefore delivered to the Board Administrative Office. Such
notification terminates the licensee's authority to practice in
(14) Any person holding
an educational license is subject to all disciplinary provisions of the
Tennessee Dental Practice Act.
Application review and licensure decisions shall be required by this rule
governed by rule 0460-01-.04
Tenn. Comp. R. & Regs.
certified June 7, 1974. Repeal and new rule filed December 11, 1991; effective
January 25, 1992. Amendment filed March 20, 1996; effective June 3, 1996.
Amendment filed May 15, 1996; effective September 27, 1996. Amendment filed
February 9, 2000; effective April 24, 2000. Amendment filed April 10, 2001;
effective June 24, 2001. Amendment filed April 10, 2002; effective June 24,
2002. Amendment filed March 17, 2006; effective May 31, 2006. Amendment filed
September 30, 2014; effective December 29, 2014. Amendments filed October 25,
2017; effective 1/23/2018.
Authority: T.C.A. §§
63-5-105, 63-5-107, 63-5-110,
63-5-111, 63-5-114, and 63-5-124.