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Title: Dental Therapist / Advanced Dental Therapist / Resident Provider
Alternate Title:
Description: Minnesota Board of Dentistry
Subject: Dentistry
Creation Date: 5/3/2010 8:30:00 AM
Modification Date: 11/21/2024 9:35:56 AM
Agency Name: Dentistry, Minnesota Board of
Agency URL: https://mn.gov/boards/dentistry/
Agency Description: The mission of the Minnesota Board of Dentistry is to promote and protect public health and safety; and ensure that every licensed dental professional practicing in the state meets the requirements for safe, competent and ethical practice.
Agency Phone: 612-617-2250
888-240-4762
Agency Fax: 612-617-2260
Agency URL: https://mn.gov/boards/dentistry/
Agency Address:
335 Randolph Ave., Suite 250

St. Paul
MN
55102
Unit Name: Brian J. Cochran, Assistant Director (Licensing and Credentialing)
Unit URL:
Unit Description:
Unit Phone: Unit Fax: Contact person(s): brian.j.cochran@state.mn.us
Unit URL:
Audience: Hold Application URL: https://bodgl.hlb.state.mn.us/GLSuite_MNBOD_PROD/GLSuiteWeb/clients/mnbod/Private/OnlineRenewal/Login.aspx
Renewal URL: https://bodgl.hlb.state.mn.us/GLSuite_MNBOD_PROD/GLSuiteWeb/clients/mnbod/Private/OnlineRenewal/Login.aspx
Versa URL:
Requirements:

Review:

New Applicant - Dental Therapy tab

Video Tutorials page  
These video tutorials have been created by Board staff to provide assistance to applicants for licensure in a helpful visual format.

General 

             Pre-Application Process and Criminal Background Checks

Licensure Applications

             Applying for a Dental Therapy License

Exams

            Jurisprudence Examination


Rules: 3100.0100 - .9600

Statutes: 150A

Forms:

Collaborative Management Agreements

Click here to register, edit, or dissolve your CMA 

The forms below may be used for your own record keeping: 

Dental Therapist

Advanced Dental Therapist

 Advanced Dental Therapy Certification  

Advanced Dental Therapy Certification Process

Recordkeeping Instructions

Recordkeeping Forms: 

1 Adult / Posterior Amalgam Class II (OR) Adult / Posterior Composite Class II

2 Adult Anterior Composite Class III

3 Deciduous Molar Pulpotomy Access and Completion

4 Deciduous or Permanent Molar Stainless Steel Crown Completion

5 Extraction of Deciduous Tooth

 Click here for information on the dental therapy examination. 

Application Forms  

Resident Dental Provider Application Form

Application for Licensure by Exam

Advanced Dental Therapy Certification Application Form

Application forms and information are available at New Applicant -Dental Therapy


Fees:

Licensure to Practice as a Resident Provider
Non-refundable Fee: $88.25 (Application fee: $55, Background check fee: $33.25)

Licensure by Exam to Practice Dental Therapy
Non-refundable Fee: $253.25 (Application fee: $100, Background check fee: $33.25, Initial fee: $120)

Advance Dental Therapy Certification Application - $100


Period of Issuance:

Must be renewed. Renew biennially according to birth month and year. 


Length of Determination: Length of process for applicants, except those by credentials, varies by time of year, volume of applicants and other factors.
Other Info:
Activity: Dentistry
License Detail URL:

Dentistry, Minnesota Board of

Verify a License

Minnesota Board of Dentistry


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