Dental Professional Applicant Information

Detailed information about specific application requirements is available on the Licensure, Registration and Permits page.

Application Forms for Dental Professions

Below are the forms required as a part of the licensure or registration process. The forms may be completed, and uploaded as part of the online application, or emailed to IDB@Iowa.gov when complete.

Dental Assistant Application Forms

Dental Assistant Registration Applications

Dental Radiography Qualification Applications

Dental Hygienist Application Forms

Dental Hygiene License Applications

Local Anesthesia Permit Applications

Dentist Application Forms

Dental License, Resident Dental License, Faculty Permit Applications

Sedation Permit Applications

Permit Application & Miscellaneous Forms

Faculty Permit & Resident License Applications

Sedation Permit Applications

List of Testing Sites

Complete list of community college testing sites that regularly administer the board examinations in jurisprudence, infection control, and dental radiography.

Iowa Community College Testing Sites

To schedule a dental, dental hygiene, or dental assistant examination, please contact the testing site of your choice at least 10 days prior to the exam date. A proctor fee will be paid directly to the community college testing site. A PDF of the following list is also available here.

ANKENY:
Des Moines Area Community College
Testing Center Bldg. 6, Room 23
2006 S. Ankeny Blvd.
Ankeny, IA 50023-8995
Joanne Purtill
Email: jmpurtill@dmacc.edu or ankenytestingcenter@dmacc.edu
Phone: 515.964.6595

BETTENDORF:
Eastern Iowa Community College
Scott Community College Testing Center
500 Belmont Road
Bettendorf, IA 52722
Email: scctestcenter@eicc.edu
Phone: 563.441.4088

BURLINGTON:
Southeastern Community College
1500 West Agency Road
West Burlington, IA 52655
Email: successcenter@scciowa.edu
Phone: 319.208.5155

CALMAR:
Northeast Iowa Community College
Wilder Business Center
Highway 150 South, Box 400
Calmar, IA 52132
Contact: Kathy Donovan
Email: donovanka@nicc.edu
Phone: 844.642.2338 ext. 1495

CARROLL:
DMACC Carroll Campus
Testing Center, 906 N Grant Road #157
Carroll, IA 51401
Contact: Holly Hoffman
Email: carrolltestingcenter@dmacc.eduor hlhoffman3@dmacc.edu
Phone: 712.792.1755

CEDAR RAPIDS:
Kirkwood Community College
2055 Cedar Hall on the Kirkwood Campus
6301 Kirkwood Blvd. S.W.
P.O. Box 2068
Cedar Rapids, IA 52404
Email: testcenter@kirkwood.edu
Phone: 800.332.2055

CENTERVILLE:
Indian Hills Community College
Success Center, 721 N. First St.
Centerville, IA 52544
Contact: Tom Davis
Email: tommy.davis@indianhills.edu
Phone: 800.670.3641 ext. 2207 or 641.856.2143 ext. 2214

CLINTON:
Clinton Community College
Testing Center, 1000 Lincoln Blvd
Clinton, IA 52732
Email: ccctestcenter@eicc.edu
Phone: 563.244.7090

CORALVILLE:
Kirkwood Regional Test Center at Univ. Iowa
2301 Oakdale Blvd. Rm. 126
Coralville, IA 52241
Email: test.center.ic@kirkwood.edu
Phone: 319.887.3642

COUNCIL BLUFFS:
Iowa Western Community College
2700 College Rd.
Council Bluffs, IA 51503
Contact: Cara Trede
Email: testing@iwcc.edu
Phone: 712.325.3277 or 800.432.5852
Fax: 712.388.6803

CRESTON:
Southwestern Community College
1501 West Townline St.
Creston, IA 50801
Contact: Lisa Shawler
Email: shawler@swcciowa.edu
Contact: Casie Klejch (Director)
Email: klejch@swcciowa.edu
Phone: 800.247.4023 ext. 330 or 641.782.1320
Fax: 641.782.1320

DES MOINES
DMACC Urban Campus
1100 7th St, Bldg 1, Room 117
Des Moines, IA 50314
Contact: Roberta Morgan
Email: rmmorgan@dmacc.edu
Phone: 515.697.7809
Schedule online at uctestingcenter@dmacc.edu

DES MOINES
DMACC Southridge Center
1111 E Army Post RD, Suite 2004, Room 3A
Des Moines, IA 50315
Contact: Jane Rogers
Email: jerogers@dmacc.edu or southridgetestingcenter@dmacc.edu
Phone: 515.287.8720

DUBUQUE/PEOSTA
Northeast Iowa Community College
700 Main St., Dubuque, IA 52001
Contact: Russell Bahl
Email: bahlr25104@nicc.edu
Phone: 844.642.2338 ext. 3251

EMMETSBURG
Iowa Lakes Community College
Allied Health, 3200 College Drive
Emmetsburg, IA 50536
Contact: Oscar DeLong, (Director of Library Services)
Email: odelong@iowalakes.edu
Phone: 800.242.5108 ext. 5227 or 712.362.7936
Fax: 712-852-2152

FORT DODGE
Iowa Central Community College
1500 W Agency Road
Fort Dodge, IA 50501
Contact: Amy Moffitt
Email: moffitt_a@iowacentral.edu
Phone: 515.574.1044

KEOKUK
Southeastern Community College
335 Messenger Rd.
Keokuk, IA 52632
Email: kktesting@scciowa.edu
Phone: 319.313.1943

MARSHALLTOWN
Iowa Valley Community College
Iowa Valley Education & Training Center
206 E Church St.
Marshalltown, IA 50158
Contact: Jon Nunez
Email: Jon.Nunez@iavalley.edu
Phone: 641.754.1348
Fax: 641-754-1349

MASON CITY
North Iowa Area Community College
Student Learning Center, 500 College Drive
Mason City, IA 50401
Contact: Leah Wipf
Email: testing.center@niacc.edu
Phone: 888.466.4222 ext. 4237 or 641.422.4237

MUSCATINE
Muscatine Community College
152 Colorado St
Muscatine, IA 52761
Email: mmctestcenter@eicc.edu
Contact: Bethany Owens
Email: blowens@eicc.edu
Phone: 563.288.6056
(An Eastern Iowa Community College - EICC)

OTTUMWA
Indian Hills Community College
Attn: Testing Center
525 Grandview Ave.
Ottumwa, IA 52501
Contact: Chuck Allen
Email: callen@indianhills.edu
Phone: 641.683.5142 or 641.683.5233

SHELDON
Northwest Iowa Community College
603 West Park St.
Sheldon, IA 51201
Contact: Mariah Oliver (Director)
Email: moliver@nwicc.edu
Contact: Keri Siebrecht
Email: ksiebrecht@nwicc.edu
Phone: 800.352.4907 or 712.324.5061 ext. 112

SIOUX CITY
Western Iowa Tech Community College
Testing Center,
4647 Stone Ave., Building A
Sioux City, IA 51106
Email: testcenter@witcc.edu
Phone: 800.352.4649 or 712.274.6443

WATERLOO
Hawkeye Community College
Student Services, Hawkeye Center, 2nd Floor,
1501 E. Orange Rd., P.O. Box 8015
Waterloo, IA 50701
Contact: Marcy Gosse
Email: marcy.gosse@hawkeyecollege.edu
Phone: 800.670.4769 or 319.296.4014

Completed Application Received & Reviewed

Board staff process applications in the order received. An application is not considered complete until applicants have submitted all requested documentation. Please allow enough time for processing of your application. Paper applications often take longer to review and process.

To ensure timely processing of an application, be sure to submit the application fee, and attach all available documentation. Each application has a checklist that details all required documents and credentials. Upon receipt, staff review applications for completeness. After reviewing each application, staff emails the applicant with a list of outstanding items.

PLEASE NOTE: Incomplete applications become invalid after 180 days from the date of receipt. After 180 days, an applicant must submit a new application and fee. If the applicant does not meet the requirements for a license or permit, staff will not issue the license or permit.

Administrative Issuance of License or Registration

If the final review of an application indicates no questions or concerns about the applicant's qualifications for licensure or registration, the executive director has authorized staff to grant the license or registration.

Referral to the License Registration Committee

Staff may refer an application to the License Registration Committee or Dental Hygiene Committee for review. Reasons for referral may include any of the following:

The List of Potentially-Disqualifying Criminal Convictions provides an overview of the types of convictions that could result in the denial of a license. Please note: Having been convicted of an offense on this list does not automatically disqualify an applicant from licensure or registration. The Board reviews applications on a case-by-case basis.

Following review and consideration of a referred application, the committee may:

Final Board Action on Committee Recommendation

Following review and consideration of an application referred to the Board, it may:

  1. Approve issuance of the license or permit,
  2. Deny the issuance of the license or permit, or
  3. Approve issuance of the license or permit under certain terms or restrictions.

The Board may deny an application for license or permit for any of the following reasons:

  1. Failure to meet the requirements for the license or permit.
  2. Failure to provide accurate and truthful information, or the omission of material information.
  3. For any of the grounds for which the Board may revoke or suspend a license.

Denial of Licensure – Appeal Process

If the board votes to deny a license or registration, the board issues a written Preliminary Notice of Denial that outlines the reasons for the denial. An applicant who receives a Preliminary Notice of Denial may appeal the notice and request an appeal hearing.

At the appeal hearing, the applicant has the burden to show the board of their qualifications for licensure. After the hearing, the board may grant the license, grant the license with restrictions, or deny the license. If an applicant does not appeal a Preliminary Notice of Denial, the denial automatically becomes final within 30 days of mailing the decision. Both the Preliminary Notice of Denial and Final Decision of the board are public records.

Dental Board Application & Renewal Fees

A list of fees related to the application and renewal of licenses and registrations in Iowa.

Application Fees for Dentists

DDS/DMD: Dental License on the Basis of Exam:* $200

DDS/DMD: Dental License on the Basis of Credentials or Verification: $550

Fee for Background Check Packet: $46

DDS/DMD: Faculty Permit: $200

MS: Moderate Sedation Permit: $500

GA: General Anesthesia Permit: $500

DDS/DMD: Resident License: $120

Resident License Extension : $40

*Applicants who were issued and held a license in another state for more than 12 months must apply on the basis of credentials or verification.

Application Fees for Dental Hygienists

RDH: Dental Hygiene License on the Basis of Exam:* $100

RDH: Dental Hygiene License Application on the Basis of Credentials or Verification: $200

Fee for Background Check Packet: $46

LA: Local Anesthesia Permit Application: $70

RDH: Faculty Permit: $200

RDH: Resident License: $120

Resident License Extension Application: $40

*Applicants who were issued and held a license in another state for more than 12 months must apply on the basis of credentials or verification.

Application Fees for Dental Assistants and Nurses

RDA: Dental Assistant Registration (without Radiography Qualification): $40

QDA: Dental Assistant Registration & Radiography Qualification (combined): $60

QDA or XDA: Dental Radiography Qualification: $40

Fee Waiver Policy

Effective Jan. 1, 2021, pursuant to HF 2627, individuals whose household adjusted gross income does not exceed 200% of the federal poverty level may request a waiver of application fees related to an initial application for license or registration. Please note: The fee waiver does not extend to applications for renewal, reinstatement or reactivation.

To determine eligibility, you must first identify the number of individuals in your household. Once this is determined, reference the Federal Poverty Level and identify the income that matches the number of individuals in your household. If your household adjusted gross income, as reported on your most recent federal tax return, is less than the identified value, you are eligible for the one-time fee waiver.

DOCUMENTATION FOR QUALIFICATION OF WAIVER

If you wish to apply for a fee waiver you must attest that your household adjusted gross income does not exceed 200% and agree to submit documentation of one of the following to verify your household income:

1. If you are married and filed separately, you will need to submit the Federal Tax Return for both your spouse and yourself.

2. If you were claimed as a dependent on another person’s tax return, you will need to submit the Federal Tax Return for the tax filer who claimed you as a dependent.

Questions can be directed to IDB@iowa.gov.

Renewal Fees for Dentists

DDS/DMD: Dental License: $315

DDS/DMD: Faculty Permit: $315

MS: Moderate Sedation Permit: $125

GA: General Anesthesia Permit: $125

Late Fee: September of Renewal Year: $100

Late Fee: October of Renewal Year: $150

Renewal Fees for Dental Hygienists

RDH: Dental Hygiene License: $150

RDH: Faculty Permit: $315

LA: Local Anesthesia Permit: $25

Late Fee: September of Renewal Year: $100

Late Fee: October of Renewal Year: $150

Renewal Fees for Dental Assistants

RDA: Dental Assistant Registration (without Radiography Qualification): $75

QDA: Dental Assistant Registration & Radiography Qualification (combined): $115

QDA or XDA: Dental Radiography Qualification: $40

Late Fee: September of Renewal Year: $20

Late Fee: October of Renewal Year: $40

Reinstatement Application Fees

Reinstatement applications require payment of a reinstatement application fee and one past-due renewal fee. Additionally, dentists and dental hygienists must submit a background check packet for which the fee is $46.

DDS/DMD: Dental License: $150 + $315 + $46 = $511

RDH: Dental Hygiene License: $100 + $150 + $46 = 316

RDA: Dental Assistant Registration (without Radiography Qualification): $50 + $75 = $125

QDA: Dental Assistant Registration & Radiography Qualification (combined): $50 + $115 = $165

XDA: Dental Radiography Qualification: $40 + $40 = $80

Temporary Permits

VOLUNTEER

If you will be volunteering dental services at a non-profit and you do not hold an active Iowa dental or dental hygiene license, you may apply for a temporary permit on the basis to volunteer. There is no fee for this application; though a completed application must be submitted via the Iowa Dental Board online services website.

EDUCATIONAL or URGENT NEED

Temporary permits on the basis of educational purpose or urgent need may be issued for up to three months at a predetermined location of practice. Applicants are limited to a maximum of three temporary permits in total. Thereafter, applicants would be required to apply for a permanent dental or dental hygiene license.

Note: Temporary permits on the basis of educational purpose or urgent need are not intended for individuals who will make application for a permanent dental license.

Fee for Educational Purpose or Urgent Need: $100

Iowa Dental Board

The Iowa Dental Board licenses and regulates the practice of dentistry, dental hygiene & dental assisting in Iowa.