Licensing
Information
Applications
ALL applicants for a Louisiana license
(both full as well as restricted) are required to take a jurisprudence
examination covering the Louisiana Dental Practice Act which can be found
on our website.
APPLICANTS FOR A LICENSE BY CREDENTIALS
OR A LICENSE BY AN EXAMINATION IN ANOTHER JURISDICTION: Please contact
our office directly to obtain fingerprint cards and forms as they are
unavailable from this website.
The following applications are available in
Adobe Acrobat Format
(*.pdf). Adobe offers a free plug-in viewer on its website.
◦Dental License by Examination
Dental
LBE Application
◦Dental Hygiene License by Examination
Hygiene
LBE Application
◦Anesthesia Permit Applications
Nitrous
Oxide Application
Effective January 20, 2016, qualified third party anesthesia providers may administer sedation and anethesia in any dental office at which there exists an office permit for that level of anesthesia or higher. Qualified third parties are Louisiana licensed physicians specializing in anesthesiology, Louisiana licensed certified registered nurse anesthetists, and Louisiana licensed dentists possessing a personal permit.
Moderate
Sedation Application
General Anesthesia Application
Office permits for any level of anesthesia other than nitrous oxide require an office inspection. Please use the following inspection sheet as a checklist to ensure you have the appropriate equipment and information available for the inspector.
Anesthesia Inspection Sheet
◦Hygiene Anesthesia
Dental
Hygiene Nitrous Oxide Permit Application
Hygiene Local
Anesthesia Application
If you have been licensed and permitted in another state to administer local anesthesia in your practice of dental hygiene, and you wish to apply for a permit to administer local anesthesia in Louisiana, please
also fill out the affidavit below and submit it with your local anesthesia
permit application.
Local
Anesthesia Affidavit
◦Dental License by Credentials Application
Dental
LBC Application
◦Dental Hygiene License by Credentials
Application
Hygiene
LBC Application
◦Restricted License Application
Restricted
License
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