Section R4-11-202. Dental Licensure by Credential; Application

A.      A dentist applying under A.R.S. § 32-1240(A) shall comply with all other applicable requirements in A.R.S. Title 32, Chapter 11 and this Article.

B.       A dentist applying under A.R.S. § 32-1240(A)(1) shall:

1.        Have a current dental license in another state, territory, or district of the United States;

2.        Submit a written affidavit affirming that the dentist has practiced dentistry for a minimum of 5000 hours during the five years immediately before applying for licensure by credential. For purposes of this subsection, dental practice includes experience as a dental educator at a den- tal program accredited by the American Dental Associa- tion Commission on Dental Accreditation or employment as a dentist in a public health setting;

3.        Submit a written affidavit affirming that the applicant has complied with the continuing dental education require- ment of the state in which the applicant is currently licensed; and

4.        Provide evidence regarding the clinical examination by complying with one of the subsections in R4-11- 201(A)(2).

C.      A dentist applying under A.R.S. § 32-1240(A)(2) shall submit certified documentation sent directly from the applicable regional testing agency to the Board that contains the name of applicant, date of examination or examinations, total score for each examination, name of any separately-scored component of the examination, and separate scores for each component.

D.      For any application submitted under A.R.S. § 32-1240(A), the Board may  request  additional clarifying evidence required under the applicable subsection in R4-11-201(A)(2).

E.       An applicant for dental licensure by credential shall pay the fee prescribed in A.R.S. § 32-1240, except the fee is reduced by 50% for applicants who will be employed or working under contract in:

1.        Underserved areas, such as declared or eligible Health Professional Shortage Areas (HPSAs); or

2.        Other facilities caring for underserved populations, as recognized by the Arizona Department of Health Services and approved by the Board.

F.       An applicant for dental licensure by credential who works in areas or facilities described in subsection (E) shall:

1.        Commit to a three-year, exclusive service period,

2.        File a copy  of a contract or employment verification statement with the Board, and

3.        As a licensee, submit an annual contract or employment verification statement to the Board by December 31 of each year.

G.      A licensee’s failure to comply with the requirements in subsec- tion (F) is considered unprofessional conduct and may result in disciplinary action based on the circumstances of the case.

Historical Note

Former Rule 2b; Former Section R4-11-12 renumbered as Section R4-11-202 and amended effective July 29, 1981 (Supp. 81-4). Former Section R4-11-202 repealed, new Section R4-11-202 renumbered from R4-11-102 and the heading amended by final rulemaking at 5 A.A.R.

580, effective February 4, 1999 (Supp. 99-1). Labeling changes made to reflect current style requirements (Supp. 99-1). Section expired under A.R.S. § 41-1056(E), effec- tive April 30, 2001 (Supp. 01-2). New Section made by final rulemaking at 9 A.A.R. 4126, effective November 8,

2003 (Supp. 03-3).