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.
If you are an active duty member of the armed forces of the United States or the spouse of an active duty member of the armed forces of the United States who is the subject of a military transfer to South Dakota and hold a license or registration in good standing to practice as a Dentist in another state, please contact our office for an Active Duty Military Personnel or Spouse License or Registration Application.
An applicant who would like to petition for a review by the Board to determine if the requirements outlined in SDCL 36-1D-1 have been satisfied must submit an application, applicable fees, and documentation for review. For any South Dakota requirement you do not meet, please submit documentation that demonstrates substantial equivalence with the South Dakota requirement. You may contact our office if you would like to discuss your specific circumstances or if you have questions regarding the documentation necessary for a review to be conducted.
The application for new license is for a dentist that has passed a clinical competency dental examination within five years preceding the date of application. The examination must meet criteria outlined in ARSD 20:43:03:02 to be accepted for licensure. Verification from the testing agency that the exam meets all requirements may be requested.
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 clinical competency dental examinations: CRDTS, WREB, CDCA, CITA, or SRTA.
Anesthesia & Sedation
A dentist that would like to administer nitrous oxide sedation and analgesia must hold a nitrous oxide sedation and analgesia permit.
To apply for a nitrous oxide sedation and analgesia permit, a dentist must complete the application.
Dentist - Application to Administer Nitrous Oxide
Pursuant to § 20:43:09:09, all dentists must notify the board within 72 hours after any death or any incident that results in temporary or permanent physical or mental injury requiring medical treatment of the dentist's patient during, or as a result of, the administration of general anesthesia, and deep sedation, moderate sedation, or nitrous oxide sedation and analgesia. It is not necessary to report incidents such as nausea, a single episode of emesis, or a mild allergic reaction. A complete written report must be submitted to the Board within 30 days of the incident.
A dentist that would like to utilize the services of a licensed anesthesia provider must hold a host permit.
For an overview of the permit application and inspection process, please download this presentation.
APPLICATION - To apply for a host permit, a Dentist must submit a completed application and pass a facility inspection. To initiate the facility inspection, a Dentist must complete Form T1: Practitioner Anesthesia Inspection Checklist and submit the Checklist to the Board office. The Dentist will then be assigned an Inspector.
Dentist - Host Permit Application
Form T1: Practitioner Anesthesia Inspection Checklist- Facility Only
FACILITY INSPECTION – A facility inspection includes:
Dentist + Inspector + Licensed Anesthesia Provider: The Inspector and the Dentist schedule a time to complete the facility inspection. The facility inspection must include participation by both the Dentist and a Licensed Anesthesia Provider. Utilization of video conferencing to conduct a facility inspection is allowed if the Dentist is joining an established practice that has previously undergone a full inspection (i.e., a full inspection has been conducted in that facility in the prior 5 years). During the facility inspection, the Inspector completes Form T2: Facility Inspection/Temporary Permit Office Anesthesia Inspection Results Form. The Inspector submits the completed form to the Board office after the facility inspection.
Form T2: Facility Inspection/ Temporary Permit Office Anesthesia Inspection Results Form
TEMPORARY PERMIT – Following passage of a facility inspection, a temporary host permit may be issued for up to twelve months. During the term of the temporary permit, the Dentist must pass a full inspection to obtain a host permit.
FULL INSPECTION - A full inspection required to obtain and maintain a host permit includes three steps:
- Dentist: The Dentist completes Form 1: Practitioner Anesthesia Inspection Checklist and mails the Checklist and three redacted anesthesia records to the Board office.
Form 1: Practitioner Anesthesia Inspection Checklist- Full Inspection
- Inspector: An assigned Inspector conducts a review of the Checklist and anesthesia records and completes Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review). The Inspector submits this completed form to the Board office after the review.
Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review)
- Dentist + Inspector + Team: An Inspector and Dentist schedule a time to complete the Emergency Response Review portion of the full inspection. The Emergency Response Review can be conducted via video conferencing and does not include a patient procedure. This review must include participation by the Dentist, a Licensed Anesthesia Provider, and the entire team that will assist and respond to an emergency. During the review, the Inspector completes Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review). The Inspector submits this completed form to the Board office after the review.
Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review)
PERMIT - Upon passage of the full office anesthesia inspection, a host permit can be issued. To maintain a host permit, a Dentist must meet all requirements outlined regulations including but not limited to:
- During each five-year licensure cycle: Pass a full office anesthesia inspection (20:43:09:11, 20:43:09:12) and complete 25 hours of continuing education in anesthesia related topics (20:43:03:07).
- Annually: Document completion of team training (ARSD 20:43:03:07) and complete the requisite cases or continuing education (ARSD 20:43:09:08).
A Dentist who holds a host permit and builds a new facility should complete a facility inspection. Please contact the Board office before construction is complete, so an inspection can be scheduled upon completion of construction.
All courses that have been approved for a host permit are listed in the application for a host permit. 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.
Host Permit Course Approval Request Form
Pursuant to § 20:43:09:09, all dentists must notify the board within 72 hours after any death or any incident that results in temporary or permanent physical or mental injury requiring medical treatment of the dentist's patient during, or as a result of, the administration of general anesthesia, and deep sedation, moderate sedation, or nitrous oxide sedation and analgesia. It is not necessary to report incidents such as nausea, a single episode of emesis, or a mild allergic reaction. A complete written report must be submitted to the Board within 30 days of the incident.
A dentist that would like to administer moderate sedation must hold a moderate sedation permit.
For an overview of the permit application and inspection process, please download this presentation.
APPLICATION - To apply for a moderate sedation permit, a Dentist must submit a completed application and pass a facility inspection. To initiate the facility inspection, a Dentist must complete Form T1: Practitioner Anesthesia Inspection Checklist and submit the Checklist to the Board office. The Dentist will then be assigned an Inspector.
Dentist - Application to Administer Moderate Sedation
Form T1: Practitioner Anesthesia Inspection Checklist- Facility Only
FACILITY INSPECTION – A facility inspection includes:
Dentist + Inspector: The Inspector and the Dentist schedule a time to complete the facility inspection. Utilization of video conferencing to conduct a facility inspection is allowed if the Dentist is joining an established practice that has previously undergone a full inspection (i.e., a full inspection has been conducted in that facility in the prior 5 years). During the facility inspection, the Inspector completes Form T2: Facility Inspection/Temporary Permit Office Anesthesia Inspection Results Form. The Inspector submits the completed form to the Board office after the facility inspection.
Form T2: Facility Inspection/ Temporary Permit Office Anesthesia Inspection Results Form
TEMPORARY PERMIT – Following passage of a facility inspection, a temporary moderate sedation permit may be issued for up to twelve months. During the term of the temporary permit, the Dentist must pass a full inspection to obtain a moderate sedation permit.
FULL INSPECTION - A full inspection required to obtain and maintain a moderate sedation permit includes three steps:
- Dentist: The Dentist completes Form 1: Practitioner Anesthesia Inspection Checklist and mails the Checklist and three redacted anesthesia records to the Board office.
Form 1: Practitioner Anesthesia Inspection Checklist Full Inspection
- Inspector: An assigned Inspector conducts a review of the Checklist and anesthesia records and completes Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review). The Inspector submits this completed form to the Board office after the review.
Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review)
- Dentist + Inspector + Team: An Inspector and Dentist schedule a time to complete the Emergency Response Review portion of the full inspection. The Emergency Response Review can be conducted via video conferencing and does not include a patient procedure. This review must include participation by the Dentist and the entire team that will assist and respond to an emergency. During the review, the Inspector completes Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review). The Inspector submits this completed form to the Board office after the review.
Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review)
PERMIT - Upon passage of the full office anesthesia inspection, a moderate sedation permit can be issued. To maintain a moderate sedation permit, a Dentist must meet all requirements outlined regulations including but not limited to:
- During each five-year licensure cycle: Pass a full office anesthesia inspection (20:43:09:11, 20:43:09:12) and complete 25 hours of continuing education in anesthesia related topics (20:43:03:07).
- Annually: Document completion of team training (ARSD 20:43:03:07) and complete the requisite cases or continuing education (ARSD 20:43:09:08).
A Dentist who holds a moderate sedation permit and builds a new facility should complete a facility inspection. Please contact the Board office before construction is complete, so an inspection can be scheduled upon completion of construction.
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
Pursuant to § 20:43:09:09, all dentists must notify the board within 72 hours after any death or any incident that results in temporary or permanent physical or mental injury requiring medical treatment of the dentist’s patient during, or as a result of, the administration of general anesthesia, and deep sedation, moderate sedation, or nitrous oxide sedation and analgesia. It is not necessary to report incidents such as nausea, a single episode of emesis, or a mild allergic reaction. A complete written report must be submitted to the Board within 30 days of the incident.
A dentist that would like to administer general anesthesia or deep sedation must hold a general anesthesia and deep sedation permit.
For an overview of the permit application and inspection process, please download this presentation.
APPLICATION - To apply for a general anesthesia and deep sedation permit, a Dentist must submit a completed application and pass a facility inspection. To initiate the facility inspection, a Dentist must complete Form T1: Practitioner Anesthesia Inspection Checklist and submit the Checklist to the Board office. The Dentist will then be assigned an Inspector.
Dentist - Application to Administer General Anesthesia and Deep Sedation
Form T1: Practitioner Anesthesia Inspection Checklist- Facility Only
FACILITY INSPECTION – A facility inspection includes:
Dentist + Inspector: The Inspector and the Dentist schedule a time to complete the facility inspection. Utilization of video conferencing to conduct a facility inspection is allowed if the Dentist is joining an established practice that has previously undergone a full inspection (i.e., a full inspection has been conducted in that facility in the prior 5 years). During the facility inspection, the Inspector completes Form T2: Facility Inspection/Temporary Permit Office Anesthesia Inspection Results Form. The Inspector submits the completed form to the Board office after the facility inspection.
Form T2: Facility Inspection/ Temporary Permit Office Anesthesia Inspection Results Form
TEMPORARY PERMIT – Following passage of a facility inspection, a temporary general anesthesia and deep sedation permit may be issued for up to twelve months. During the term of the temporary permit, the Dentist must pass a full inspection to obtain a general anesthesia and deep sedation permit.
FULL INSPECTION - A full inspection required to obtain and maintain a general anesthesia and deep sedation permit includes three steps:
- Dentist: The Dentist completes Form 1: Practitioner Anesthesia Inspection Checklist and mails the Checklist and three redacted anesthesia records to the Board office.
Form 1: Practitioner Anesthesia Inspection Checklist- Full Inspection
- Inspector: An assigned Inspector conducts a review of the Checklist and anesthesia records and completes Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review). The Inspector submits this completed form to the Board office after the review.
Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review)
- Dentist + Inspector + Team: An Inspector and Dentist schedule a time to complete the Emergency Response Review portion of the full inspection. The Emergency Response Review can be conducted via video conferencing and does not include a patient procedure. This review must include participation by the Dentist and the entire team that will assist and respond to an emergency. During the review, the Inspector completes Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review). The Inspector submits this completed form to the Board office after the review.
Form 3: Office Anesthesia Inspection Results- Full Inspection (Emergency Response Review)
PERMIT - Upon passage of the full office anesthesia inspection, a general anesthesia and deep sedation permit can be issued. To maintain a general anesthesia and deep sedation permit, a Dentist must meet all requirements outlined regulations including but not limited to:
- During each five-year licensure cycle: Pass a full office anesthesia inspection (20:43:09:11, 20:43:09:12) and complete 25 hours of continuing education in anesthesia related topics (20:43:03:07).
- Annually: Document completion of team training (ARSD 20:43:03:07) and complete the requisite cases or continuing education (ARSD 20:43:09:08).
A Dentist who holds a general anesthesia and deep sedation permit and builds a new facility should complete a facility inspection. Please contact the Board office before construction is complete, so an inspection can be scheduled upon completion of construction.
Pursuant to § 20:43:09:09, all dentists must notify the board within 72 hours after any death or any incident that results in temporary or permanent physical or mental injury requiring medical treatment of the dentist’s patient during, or as a result of, the administration of general anesthesia, and deep sedation, moderate sedation, or nitrous oxide sedation and analgesia. It is not necessary to report incidents such as nausea, a single episode of emesis, or a mild allergic reaction. A complete written report must be submitted to the Board within 30 days of the incident.
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.
FACILITY ONLY INSPECTION - 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. To initiate the facility inspection, a Dentist must complete the Practitioner Anesthesia Inspection Checklist and submit the Checklist to the Board office. The Dentist will then be assigned an Inspector. The Inspector and the Dentist schedule a time to complete the facility inspection. Utilization of video conferencing to conduct a facility inspection is allowed if the Dentist is joining an established practice that has previously undergone a full inspection (i.e., a full inspection has been conducted in that facility in the prior 5 years). During the facility inspection, the Inspector completes Form T2: Facility Inspection/Temporary Permit Office Anesthesia Inspection Results Form. The Inspector submits the completed form to the Board office after the facility inspection.
Form T2: Facility Inspection/ Temporary Permit Office Anesthesia Inspection Results Form
FULL INSPECTION - A full inspection required to obtain and maintain a sedation permit includes three steps:
- Dentist: The Dentist completes Form 1: Practitioner Anesthesia Inspection Checklist and mails the Checklist and three redacted anesthesia records to the Board office.
Form 1:Practitioner Anesthesia Inspection Checklist- Full Inspection
- Inspector: An assigned Inspector conducts a review of the Checklist and anesthesia records and completes Form 2: Office Anesthesia Inspection Results Full Inspection (Checklist and Records Review). The Inspector submits this completed form to the Board office after the review.
Form 2: Office Anesthesia Inspection Results- Full Inspection
- Dentist + Inspector + Team: An Inspector and Dentist schedule a time to complete the Emergency Response Review portion of the full inspection. The Emergency Response Review can be conducted via video conferencing and does not include a patient procedure. This review must include participation by the Dentist and the entire team that will assist and respond to an emergency. During the review, the Inspector completes Form 3: Office Anesthesia Inspection Results Full Inspection (Emergency Response Review). The Inspector submits this completed form to the Board office after the review.
Form 3: Office Anesthesia Inspection Results- Full Inspection
Upon completion of an anesthesia inspection in which travel is required, please complete the anesthesia inspector travel voucher and submit 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. If the inspection was completed via video conferencing, and no travel was required, you do not need to submit a voucher to receive payment for the inspection fee.
The ACC is a peer review committee appointed by the Board. The ACC may perform the following duties at the request of the board:
(1) Review permit applications and approve an application if the requirements of the chapter have been met;
(2) Review educational courses or residency programs and make recommendations to the board;
(3) Review inspector candidates and make recommendations to the board; and
(4) Other duties as delegated by the board or board president.
Additional information about the ACC can be found at ARSD 20:43:09:16. If you are interested in serving on the ACC in any open position noted in the link below, please submit an application by May 1st.
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 ApplicationDental 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.
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 below 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.