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Indiana Professional Licensing Agency

PLA > Professions > Indiana State Board of Dentistry > Board of Dentistry Renewal Documents Board of Dentistry Renewal Documents

To renew your Dental license by paper you must select a form below.  Print and mail the completed form with the required renewal fee to the Indiana Professional Licensing Agency.  The address is on the form and checks should be made out to 'Indiana Professional Licensing Agency'.  If you answer 'yes' to any of the questions be sure to include a detailed response with your renewal form.

Dental Renewal
Dental CSR Renewal
Dental Anesthesia Permit Renewal

Dental Hygienist Renewal
Dental Hygienist Anesthesia Permit Renewal

Dental Instructor Renewal
Dental Instructor CSR Renewal

Mobile Dental Facility Renewal

Limited Dental Residency Renewal