Fee Changes

Effective February 28, 2019

  • Dental and Dental Specialist application fees will be reduced to $150.00.
  • Dental Hygienist application fees will be reduced to $100.00.

Application Forms

Use these forms for a permit to administer enteral (oral), and/or parenteral (IV) and/or deep sedation/general anesthesia.

Use this form to apply for a permit or registration as a non-for-profit entity providing dental services in the State of Missouri pursuant to the provisions of Chapter 332 of the Revised Statutes of Missouri. This goes into effect August 28, 2004.

Use this form to comply with the State regulation requiring the report of a patient injury or death to the Board.