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Guide for the New Dentist - Chapter 3 Licenses & Permits
A dental license is the first of many licenses, permits, certificates and registrations necessary to practice dentistry. This chapter provides links, detailed information and applications on everything from renewing your dental license to environmental and public health regulations and postings.
Clinical Licenses, Permits, Registration & Certificates
Dental License – Renewal Each license renewal period is two years, with your birthday serving as the expiration date. You are required to fill out a mandatory survey to report completion of any advanced educational programs accredited by the Committee on Dental Accreditation in a dental specialty recognized by the ADA, and practice or employment status. A dentist must complete 50 units of continuing education each renewal period, unless you’ve had your license less than two years prior to renewal. For • • • each renewal period, every licensee must complete: Two-unit course on infection control Two-unit course on the Dental Practice Act Dental Board approved basic life support class
No more than 20% of the total number of required units for license renewal may be from courses deemed by the Dental Board to be primarily of benefit to the licensee. No continuing education credit is allowed for specific types of courses, specifically courses without patient benefit. Only courses offered by Dental Board-approved continuing education providers, ADA CERP and AGD PACE providers are eligible for continuing education credit as long as the courses comply with the Dental Board’s regulations. Requirements of Dental Board-approved continuing education providers are found in California Code of Regulations Title 16 Section 1016. The Dental Board will consider, upon petition, courses offered by other providers for continuing education credit. Continuing education credit may be earned, up to a maximum of 20% of the total units required for license renewal, for participation in certain Dental Board activities. Audio/video-recorded courses, home-study materials, and computer courses are considered correspondence courses, and are accepted for up to half of the total required credits. Interactive instruction, such as live lecture, telephone conferences, video conferences, or classroom study is accepted for full credit.
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patient monitoring and recordkeeping requirements. To obtain an OCS certificate: • Must complete 7 units of Dental Board-approved courses in oral conscious sedation to renew the certificate. The units are counted as part of the total units required for licensure renewal. In most cases. CE providers are required to furnish each licensee with a written certificate verifying attendance.org/compass Continuing education providers Must register with the Dental Board.Chapter 3 . If providers offer mandated courses. Renewal: • Complete 15 units of approved continuing education courses in conscious sedation and medical emergencies . You will receive a form from the Dental Board approximately 60 days before your license expires. it’s your responsibility to do what’s necessary to keep it active. and are not in addition to the total. you may renew it within five years if you meet all requirements and pay all fees. Permit holders must meet facility. “a minimally depressed level of consciousness produced by oral medication that retains the patient’s ability to maintain independently and continuously an airway and respond appropriately to physical stimulation or verbal command. drug. as it deems necessary. A dentist must possess a permit to administer conscious sedation to a patient. Complete and sign it to assure the board that you completed the required units. and respond appropriately to physical stimulation or verbal command. Even if you do not receive notification from the Dental Board regarding licensure renewal.” An OCS for Minors certificate is required if: • A dentist provides OCS to patients under the age of 13 years. A dentist does not need an OCS certificate if he or she already has a conscious sedation or general anesthesia permit. An OCS for Adults certificate is required if: • The dentist provides OCS to patients 13 years and older and does not have an OCS for Minors certificate. The renewal date for a certificate is the same as the license renewal date. Your license will not be renewed if you fail to take the mandatory courses and the required number of continuing education units. those courses must be approved by the Dental Board before credit is granted. or a combination thereof. Keep the continuing education certificates for a minimum of four years and only send them in if requested to do so. equipment.Licenses & Permits | 2 of 6 cda. It does not include the administration of oral medications or the administration of a mixture of nitrous oxide and oxygen. The Dental Board will audit licensees’ continuing education records. A permit is not required if the dentist utilizes a licensed dentist or physician and surgeon who possess a general anesthesia or conscious sedation permit. Conscious Sedation Permit Conscious Sedation is a minimally depressed level of consciousness produced by a pharmacologic or nonpharmacologic method. Verify a provider’s registration. which retains the patient’s ability to maintain independently and continuously an airway. ‘Oral conscious sedation’ does not include dosages less than or equal to the single maximum recommended dose that can be prescribed for home use. whether administered alone or in combination with each other. Oral Conscious Sedation Certificates The Dental Practice Act (DPA) defines Oral Conscious Sedation (OCS) as.
Licenses & Permits | 3 of 6 cda. injuries. dispense. or administer controlled substances must register with the U. A permit is not needed if utilizing a licensed dentist or physician and surgeon who possess a general anesthesia permit. or a combination thereof.. Permit holders must meet facility. and defects which involve both functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Oral and Maxillofacial Surgery Permit A licensed physician who is certified by the American Board of Oral and Maxillofacial Surgeons and who is. equipment.S.. patient monitoring and recordkeeping requirements. Examples of controlled substances: Schedule II Morphine OxyContin Demerol Fentanyl Methadone Schedule III Vicodin Tylenol with Codeine Anabolic Steroids Ketamine Schedule IV Valium Xanax Halcion Ambien Talwin Sonata Complete list of controlled substances and schedules NPI Number National Plan and Provider Enumeration System . Drug Enforcement Agency (DEA) and obtain a number. the diagnosis and surgical and adjunctive treatment of diseases. must have a permit in order to perform oral and maxillofacial surgery. “. drug. produced by a pharmacologic or nonpharmacologic method. Renewal: • Complete 24 units of approved continuing education courses in general anesthesia • Take an advanced cardiac life support course Elective Facial Cosmetic Surgery Permit A dentist must have a permit in order to perform elective facial cosmetic surgery.org/compass General Anesthesia Permit General anesthesia is a controlled state of depressed consciousness or unconsciousness. accompanied by partial or complete loss of protective reflexes. licensed as a dentist in another state.Chapter 3 . which is defined as. California does not require separate registration. A dentist must possess a permit if administering general anesthesia or if ordering its administration by a nurse anesthetist. or was. Permit requirements include the successful completion of an oral and maxillofacial surgery residency program accredited by the Commission on Dental Accreditation of the American Dental Association.” Drug Enforcement Agency Registration A dentist who wants to prescribe.
or any right to participate in the management or control of more than one place of practice.105 or by an entity exempt from licensure under Health & Safety Code Section 1206 does not require a mobile dental clinic permit. The permit is address specific. Permits cannot be transferred. A dentist who practices at one of these units does not need a permit.Licenses & Permits | 4 of 6 cda. Mobile Dental Clinic Permit A dentist with a permit may operate one mobile dental clinic or unit registered as a dental office or facility. the owner/operator of such a unit is required to notify the Dental Board within a specified period when dental services are first provided. (Dental corporation names are limited to the dentist’s name. However. Fictitious Name Permit A permit is required if a dentist practices under a name that is not his or her name or is not a corporation name. registered by the dentist. that transmits patient information electronically must obtain this unique number to be used by all health benefits plan payers. Many pharmacies require a prescriber’s NPI number prior to filling a patient’s prescription. use of a burglar alarm may require a local permit. Some cities require permits for outdoor signs.org/compass Each health care provider. Required if constructing a new building or renovating an existing building or suite. A dentist may have more than one NPI number. Additional Office Permit An additional office permit is required if a dentist has proprietary interest of any nature. Operating a business typically requires a local license. A mobile unit that is operated as defined in Health & Safety Code Section 1765. for example. Fictitious Business Name Statement County Clerk Refer to article Fictitious Business Name . one as an individual provider and another as a corporation or group practice.) The permit is address-specific. Some cities collect a tax for each licensed professional working in an office. Business and Facility Licenses and Permits Local Business Licenses and Permits Obtain from city or county where business is located. whether an individual or an organization such as a partnership. Each city or county establishes its own rules with respect to business licenses. A permit may be granted to a property and casualty insurer for a mobile dental unit it provides to a licensed dentist to operate as a temporary site for the dental practice. permits and taxes. whether or not he or she transmits patient information electronically. Obtaining an NPI Number is recommended for all dentists. Building Permit Obtain from city or county where business is located. which has been rendered unusable due to loss or calamity.Chapter 3 .
Regardless of whether the EIN is ever used to file Federal tax returns. Employers must: • Report wages paid to employees and state personal income tax withheld from their wages • Pay unemployment insurance and employment training tax on employee wages. Specific information is required in the statement. for example. as well as withholding and remitting state disability insurance and personal income tax due on wages paid to employees • Report all new employees to the New Employee Registry within 20 days of their start-to-work date • Report the use of independent contractors in certain situations . it becomes the permanent Federal taxpayer identification number for that entity. A new EIN may be necessary if the business changes its structure. California State Payroll Tax Registration Generally. must obtain a seller’s permit.000 in revenue annually is required to register to pay use tax.Licenses & Permits | 5 of 6 cda.Chapter 3 . or as otherwise allowed in Government Code Section 6064. you must have an Employer Identification Number (EIN). or operate as a corporation or a partnership. Once an EIN is assigned. and the statement must be published in a general circulation newspaper within 30 days of filing the fictitious business name statement. a business becomes subject to state payroll taxes upon paying wages over $100 in a calendar quarter to one or more employees. In addition. Employer Registration Employer Identification Number/Taxpayer Identification Number If you have employees.org/compass The state of California requires all for-profit businesses that use a fictitious business name to file a fictitious business name statement with the clerk of the county where the business is located. from a sole proprietorship to a partnership. California use tax may not be owed or may be lowered if California or another state’s sales tax was included in the purchase. such as toothbrushes or teeth whitening kits. the EIN is never reused or reassigned to another business entity. Such statements shall be filed no more than 40 days from the time the business starts transactions. any business that generates $100. A fictitious name statement typically expires five years from the date it was filed. Visit the BOE Web site for a seller’s permit application and more information. An affidavit showing publication of statement must be filed with the county clerk within 30 days after the fourth publication of the statement. The statement must be published once a week for four consecutive weeks. to patients. Use tax must be paid by an entity that purchases items outside of California for use within the state. Seller’s Permit and Use Tax Registration Refer to article Sales and Use Tax A seller of tangible items.
Wastewater Permit Local sanitation agencies Refer to Regulated Dental Office Wastes and Wastewater Several local sanitation agencies require dental practices have wastewater discharge permits. Sitespecific and owner-specific. for any air tank that is 1-1/2 cubic feet in volume or larger. they qualify as small quantity waste generators.Licenses & Permits | 6 of 6 cda. or when the safety valve is set greater than 150 psi. Medical Waste Generator Registration Medical Waste Management Plan Whether it’s contaminated sharps. Inspectors conduct safety checks on tanks and compressors for the purpose of issuing and renewing permits only. Hazardous Waste Generator Registration (EPA ID Number) California Department of Toxic Substances Control Waste Management Guide A dental practice that generates hazardous waste may need to have a California identification (EPA ID) number. the ID number enables regulators to track the waste from its origin to the final disposal. . so check the website of your local sanitation agency. a medical waste treatment permit may be required. or outdated pharmaceuticals (except controlled substances) most dental offices generate medical waste and must register with the state or local enforcement agency. Few waste treatment products can be used without a permit.org/compass Occupational Safety & Environmental Health Permits and Registration Radiation Machines Registration Each X-ray unit must be registered and a fee paid biennially. A permit fee plus travel and hourly costs are charged to the business. biohazardous waste. They do not inspect the workplace for compliance with other Cal/OSHA regulations. Machines are inspected approximately every five years. If all the hazardous waste is managed as universal waste. Typically. Air Tank and Compressor Permit California requires a permit. an identification number is not required. Permit conditions vary from community to community. The fees go toward the agency’s machine inspection program. If medical waste is treated to render it non-infectious.Chapter 3 . issued every five years.