Dental Hygienist Reinstatement of a Lapsed License

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

Applications are only accepted online.  In order to submit your reinstatement application online, you will need to know your current user ID and password in DPH's system.  If you do not recall your user ID and password, you can use the recovery options as well as the 'Register' link.  If you use the 'Register' link, please disregard the language under 'PLEASE READ' and select 'NEXT' button at the bottom of the page.  On the next screen, you will need to match your first name, last name and the last 4 digits of your SSN and create a new password and validate your email address.  Please select this link to submit your online application.  The application fee is $150

 

As part of the online application, you will upload a recent photo of yourself, an updated resume and certificates of completion of twenty-four hours of continuing education units.

 

Note that applicants who have not been in the active practice of dental hygiene for more than two years are required to pass the the National Board Dental Hygiene Examination or the North East Regional Board of Dental Examiners Examination in Dental Hygiene during the one-year period immediately preceding the application for reinstatement.

 

The applicant shall arrange the following documents to be submitted directly to DPH:

 

Verification of all licenses ever held current or expired from each state or territory in which the applicant is or has ever been licensed.  Most states charge a fee for completion of the verification form; contact each state or territory for fee information;

 

A letter from the appropriate authority confirming your most recent employment as a dental hygienist that includes dates of employment and an overall evaluation of your ability to practice dental hygiene with reasonable skill and safety.

 

All supporting documentation should be sent to:

 

Connecticut Department of Public Health

Dental Hygienist Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Email:  dph.dentalteam@ct.gov