Application Overview

 License Applications

An individual may apply for a license to practice as a dentist by completing an application.  Each application contains a checklist of required documents along with a cover page explaining the application process.  After reviewing the application, please contact our office if you have any questions or need assistance. 

The application for new license is for a dentist that has passed a patient based clinical competency dental examination within five years preceding the date of application. 

Dentist-Application for New License

Information pertaining to the patient based clinical competency examination components that are accepted for licensure can be found below. Please click on a link below to obtain information specific to that examination. Requirements may vary by year depending on the exam.

Central Regional Dental Testing Service (CRDTS)

CRDTS-2014 CRDTS-2015 CRDTS-2016 CRDTS-2017 CRDTS-2018 CRDTS-2019

Western Regional Examination Board (WREB) 

WREB-2014 WREB-2015 WREB-2016 WREB-2017 WREB-2018 WREB-2019

Commission on Dental Competency Assessments (CDCA)

CDCA-2014 CDCA-2015 CDCA-2016 CDCA-2017 CDCA-2018 CDCA-2019

Council of Interstate Testing Agencies (CITA)

CITA-2014 CITA-2015 CITA-2016 CITA-2017 CITA-2018 CITA-2019

Southern Regional Testing Agency (SRTA)

SRTA-2014 SRTA-2015 SRTA-2016 SRTA-2017 SRTA-2018 SRTA-2019

The application by credential verification is for individuals that are currently licensed to practice as a dentist in another state and have completed a minimum of three thousand clinical practice hours within the five years preceding the date of application.  If an individual is applying via credential verification, the Board accepts the following patient based clinical competency dental examinations: CRDTS, WREB, CDCA, CITA, or SRTA. 

Dentist- Application by Credential Verification

Individuals applying for a license to practice as a dentist are required to complete a criminal background check.  To obtain a criminal background check information packet, including instructions and fingerprint cards, please contact our office.  You must use the fingerprint cards that you receive from our office, as specific agency data is pre-printed on them.  Other fingerprint cards will not be accepted.    

Request a CBC Packet

Anesthesia & Sedation

A dentist that would like to administer nitrous oxide inhalation analgesia sedation must hold a nitrous oxide inhalation analgesia permit. 

Dentist-Application to Administer Nitrous Oxide

A dentist that would like to administer moderate sedation must hold a moderate sedation permit. 

To apply for a moderate sedation permit, a dentist must complete the application.

Dentist- Application to Administer Moderate Sedation  

Once a completed application is received and approved, the applicant must pass a temporary permit – facility only inspection before a temporary moderate sedation permit will be issued.  A temporary moderate sedation permit can be issued for up to twelve months.

Temporary Permit - Facility Only Inspection Form

Once a temporary moderate sedation permit is issued, the applicant must pass a full office anesthesia inspection within the timeframe set forth in the temporary moderate sedation permit.  Upon passage of the full office anesthesia inspection, a moderate sedation permit can be issued.

A moderate sedation permit holder must pass a full office anesthesia inspection every five years and must complete 25 hours of continuing education in anesthesia related topics during each five-year licensure cycle. 

Office Anesthesia Inspection Form

Information pertaining to the anesthesia inspection process can be found in the practitioner manual for office inspection. 

Practitioner Manual for Office Inspection

All courses that have been approved for a moderate sedation permit are listed in the application to administer moderate sedation.  To request approval of a course that is not listed on this application, but meets the requirements in ARSD 20:43:09, please complete the course approval request form. 

Moderate Sedation Course Approval Request Form

A dentist that would like to administer general anesthesia or deep sedation must hold a general anesthesia and deep sedation permit. 

To apply for a general anesthesia and deep sedation permit, a dentist must complete the application.

Dentist- Application to Administer General Anesthesia and Deep Sedation  

Once a completed application is received and approved, the applicant must pass a temporary permit – facility only inspection before a temporary general anesthesia and deep sedation permit will be issued.  A temporary general anesthesia and deep sedation permit can be issued for up to twelve months. 

Temporary Permit- Facility Only Inspection Form

Once a temporary general anesthesia and deep sedation permit is issued, the applicant must pass a full office anesthesia inspection within the timeframe set forth in the temporary general anesthesia and deep sedation permit.  Upon passage of the full office anesthesia inspection, a general anesthesia and deep sedation permit can be issued.   

A general anesthesia and deep sedation permit holder must pass a full office anesthesia inspection every five years and must complete 25 hours of continuing education in anesthesia related topics during each five-year licensure cycle.    

Office Anesthesia Inspection Form

Information pertaining to the anesthesia inspection process can be found in the practitioner manual for office inspection. 

Practitioner Manual for Office Inspection

Dentists who dispense, administer, or prescribe controlled substances in South Dakota must have a South Dakota Controlled Substance Registration and federal Drug Enforcement Administration Registration.  Dentists that hold a South Dakota Controlled Substance Registration must also register with the South Dakota PDMP.

Dentists that hold a South Dakota Controlled Substance Registration must register with the South Dakota PDMP.

Anesthesia inspectors please log into your account to view the anesthesia inspections that have been assigned to you. 

Account Login

Once a completed application is received and approved, the applicant must pass a temporary permit – facility only inspection before a temporary sedation or anesthesia permit will be issued.  This inspection does not include a dental procedure or delivery of sedation or anesthesia. 

Temporary Permit- Facility Only Inspection Form

Once a temporary sedation or anesthesia permit is issued, the applicant must pass a full office anesthesia inspection within the timeframe set forth in the temporary permit.  Upon passage of the full office anesthesia inspection, a general anesthesia and deep sedation or moderate sedation permit can be issued.  This inspection includes a dental procedure along with delivery of the sedation or anesthesia.     

Office Anesthesia Inspection Form

Upon completion of an anesthesia inspection, please complete the anesthesia inspector travel voucher and submit that to our office.  This form must be received within 20 business days following completion of the inspection.  This form can be emailed to our office to expedite processing.           

Anesthesia Inspector Travel Voucher 

Volunteer Registration

A dentist may apply for a Temporary Volunteer Registration that authorizes the dentist to practice for up to one week in a volunteer capacity. Please submit a complete application and all supporting documents at least twenty business days prior to the dates of service. 

Temporary Volunteer Registration Application

Dental Entities

One or more dentists licensed pursuant to chapter 36-6A may associate to form a corporation, limited liability company, limited partnership, limited liability partnership, or limited liability limited partnership, registered to do business in this state, to own, operate, and maintain an establishment for the study, diagnosis, and treatment of dental ailments and injuries, to promote dental and scientific research and knowledge, and for any other purpose incident or necessary thereto. 

To register a corporation, limited liability company, limited partnership, limited liability partnership, or limited liability limited partnership, or qualified entity please complete the dental entity application for registration. 

Dental Entity Application for Registration

Please complete the Dental Entity Change in Ownership or Management form for any proposed admission, removal, or change of a director, manager, member, partner, or shareholder of a dental entity registered with the Board.  This form must be submitted at least thirty days prior to the proposed action. 

Dental Entity Change in Ownership or Management

Application Status

You may check the status of your application at any time by clicking on the Application Status link below and logging in with the indicated personal information. If any required documentation is missing or incomplete it will be indicated in the status and/or comment spaces. This information is updated as documents are received, so please check this link prior to calling the office to check on the status of your application. Once your application is complete and processed the link above will no longer work and will return a message of "No record was found with those credentials".

If you have any questions, please contact our office.

Application Status

Page Updated: 8/29/2019 1:48:50 PM