A licensee who holds a retired license and wishes to return to practice dentistry for monetary compensation shall submit to the department an application for reinstatement, along with a check or money order payable to, "Treasurer, State of CT" in the amount of $569.75 and meet the following requirements:
A licensee who holds a retired license who has provided volunteer services without compensation within the two years immediately preceding the date of application shall provide:
Verification of all licenses ever held by the applicant (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 form. Please contact each state or territory for fee information.
A letter submitted directly to this office from the appropriate authority verifying that the applicant provided volunteer services without compensation within the two years immediately preceding the date of application for reinstatement; and
Verification of completion of 12 hours of continuing education within the 12 months immediately preceding the date of application.
A licensee who has not provided volunteer services without compensation within the two years immediately preceding the date of the application for reinstatement shall file an application and fee as outlined above and:
Verification of all licenses ever held by the applicant (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 form. Please contact each state or territory for fee information.
Verification of completion of 25 hours of continuing education within the 12 months immediately preceding the date of application.
Successfully complete the clinical skills examination administered by the Northeast Regional Board of Dental Examiners, Inc. (NERB).
Connecticut Department of Public Health
Dental Licensing
410 Capitol Ave., MS# 12 APP
P.O. Box 340308
Hartford, CT 06134
Phone: (860) 509-7603
Fax: (860) 707-1929
Email:
dph.dentalteam@ct.gov