Skip Ribbon Commands
Skip to main content
Navigate Up
Sign In

Dental Board : Temporary_Permit


Temporary Volunteer Dental 

Dental Hygiene Licenses
and Temporary Dental Clinic Permits

Dentists and Dental Hygienists 
Application - Dentist - Temporary Volunteer Download
Application - Dental Hygienists - Temporary Volunteer Download
Temporary Dental Clinics 
Application - Bona Fide Charitable Organization - Temporary Dental Clinic Permit

Updated 03/03/2015
 Office of Governor

Table of Contents

Board Members

  • President -  Maurice S. Miles, D.D.S.
  • Vice President - Ronald F. Moser, D.D.S.
  • Secretary Treasurer - Jane S. Casper, R.D.H., M.A.
  • Interim Executive Director - Donald M. Russell, D.D.S.