skip to content
Primary navigation

Guest License

Types of Guest Licenses:

  • Guest Dentist License
  • Guest Hygienist License
  • Guest Dental Assistant

Guest Licensure Requirements:

The dentist, dental hygienist, or dental assistant must:

  1. be currently licensed or registered in good standing in another United States jurisdiction and provide an original affidavit of licensure from each state dental board or regulatory agency
  2. be currently engaged in the practice of that person's respective profession in another United States jurisdiction
  3. agree to treat indigent patients who meet the eligibility criteria
  4. submit a letter from the clinic that:
    1. includes a statement, program description or other indication that the clinic provides dental care to patients who have difficulty accessing dental care; and
    2. provide a copy of the IRS letter that indicates that the clinic has been established by a nonprofit organization that is tax exempt under chapter 501(c)(3)
  5. complete a Guest License application
  6. undergo a criminal background check

Note:

  • This type of license must be renewed annually every December 31st.
  • The holder of this type of license shall be subject to Minnesota laws and rules regarding dentistry and the regulatory authority of the board.

To print an application select the appropriate Guest License application below:

 


Guest Volunteer Licensure Process

Types of Volunteer Guest Licenses:

This applies to Dentists, Dental Hygienists and Dental Assistants.

Requirements for Volunteer Guest licensure:

The dentist, dental hygienist, or dental assistant must:

  1. be currently licensed in good standing in another United States jurisdiction and provide original affidavits from each state dental board or regulatory agency
  2. be currently engaged in the practice of that person's respective profession in another United States jurisdiction
  3. provide dental care to patients on a totally voluntary basis without compensation
  4. serve a patient population that has difficulty accessing dental care
  5. submit a letter from the clinic/sponsoring organization that:
    1. includes a statement, program description or other indication that the clinic/organization provides dental care to patients who have difficulty accessing dental care; (and)
    2. provides a copy of the IRS letter that indicates that the clinic/organization has been established by a nonprofit organization that is tax exempt under chapter 501(c)(3)
  6. complete a Volunteer Guest licensure application
Note:
  • This license expires annually every December 31st.
  • Volunteer services shall be limited to providing dental care services for a period of time not to exceed ten days in a calendar year.
  • The holder of this type of license is subject to Minnesotas laws and rules regarding dentistry and the regulatory authority of the Board.

Guest Volunteer License Application Form

back to top