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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 60. Board of Dentistry
Chapter 21. Regulations Governing the Practice of Dentistry
7/5/2025

FORMS (18VAC60-21).

Application for Dental License (rev. 6/2023)

Application for Reinstatement of Dental License (rev. 6/2023)

Application for Reactivation of Dental License (rev. 6/2023)

Application for Temporary Dental Permit (rev. 6/2023)

Application for Faculty Dental Licensure (rev. 6/2023)

Application for Registration for Volunteer Dental License (rev. 6/2023)

Temporary Resident Application (rev. 6/2023)

Application for Restricted Volunteer Dental License (rev. 6/2023)

Moderate Sedation Application (rev. 6/2023)

Deep Sedation/General Anesthesia Application (rev. 6/2023)

Reinstatement for Moderate Sedation or Deep Sedation/General Anesthesia (rev. 6/2023)

Foreign Faculty Application (rev. 6/2023)

Application for OMS Registration (rev. 6/2023)

Application for OMS Registration Reinstatement (rev. 6/2023)

Application for Certification to Perform Cosmetic Procedures (rev. 6/2023)

Application for Reinstatement of Certification to Perform Cosmetic Procedures (rev. 6/2023)

Mobile or Portable Facility Application (rev. 6/2023)

Additional Location Pre-Inspection Survey Form (rev. 6/2023)

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