SECTION .0500 – LICENSURE BY CREDENTIALS

 

21 ncac 16b .0501          DENTAL LICENSURE BY CREDENTIALS

(a)  An applicant for a dental license by credentials shall

submit to the Board:

(1)           a completed, notarized application form

provided by the Board;

(2)           the non-refundable licensure by credentials

fee;

(3)           an affidavit from the applicant stating for

the five years immediately preceding the application:

(A)          the dates that and locations where the applicant has

practiced dentistry;

(B)          that the applicant has provided at least 5,000 hours

of clinical care directly to patients, not including post graduate training,

residency programs or an internship; and

(C)          that the applicant has continuously held an active,

unrestricted dental license issued by another U.S. state or U.S. territory;

(4)           a statement disclosing and explaining any

investigations, malpractice claims, state or federal agency complaints,

judgments, settlements, or criminal charges;

(5)           a statement disclosing and explaining

periods within the last 10 years of any voluntary or involuntary commitment to

any hospital or treatment facility, observation, assessment, or treatment for

substance abuse, with verification demonstrating that the applicant has

complied with all provisions and terms of any county or state drug treatment

program, or impaired dentists or other impaired professionals program;

(6)           a copy of a current CPR certificate; and

(7)           a statement disclosing whether or not the

applicant holds or has ever held a registration with the federal Drug

Enforcement Administration (DEA) and whether such registration has ever been

surrendered or revoked.

(b)  In addition to the requirements of Paragraph (a) of

this Rule, an applicant for a dental license by credentials shall arrange for

and ensure the submission to the Board office the following documents as a

package, with each document in an unopened envelope sealed by the entity

involved:

(1)           official transcripts verifying that the

applicant graduated from a dental school accredited by the Commission on Dental

Accreditation of the American Dental Association;

(2)           if the applicant is or has ever been

employed as a dentist by or under contract with a federal agency, a letter

certifying the applicant's current status and disciplinary history from each

federal agency where the applicant is or has been employed or under contract;

(3)           a certificate of the applicant's licensure

status from the dental regulatory authority or other occupational or professional

regulatory authority and a full, fair and accurate disclosure of any

disciplinary action taken or investigation pending, from all licensing

jurisdictions where the applicant holds or has ever held a dental license or

other occupational or professional license;

(4)           a report from the National Practitioner

Databank;

(5)           a report of any pending or final

malpractice actions against the applicant verified by the malpractice insurance

carrier covering the applicant.  The applicant shall submit a letter of

coverage history from all current and all previous malpractice insurance

carriers covering the applicant;

(6)           a score certification letter from a dental

professional regulatory board or regional testing agency of a passing score on

a clinical licensure examination substantially equivalent to the clinical

licensure examination required in North Carolina by Rule .0303 of this

Subchapter.  The examination shall be administered by the dental professional

regulatory board or a regional testing agency. The score certification letter

shall:

(A)          state that the examination included procedures

performed on human subjects as part of the assessment of restorative clinical

competencies and included evaluations in periodontics and at least three of the

following subject areas:

(i)            endodontics, clinical abilities testing;

(ii)           amalgam preparation and restoration;

(iii)          anterior composite preparation and restoration;

(iv)          posterior ceramic or composite preparation and

restoration;

(v)           prosthetics, written or clinical abilities

testing;

(vi)          oral diagnosis, written or clinical abilities

testing; or

(vii)         oral surgery, written or clinical abilities.

testing; and

(B)          state that licensure examinations after January 1,

1998 included:

(i)            anonymity between candidates and examination

graders;

(ii)           standardization and calibration of graders; and



(iii)          a mechanism for post exam analysis;

(7)           the applicant's passing score on the Dental

National Board Part I and Part II written examination administered by the Joint

Commission on National Dental Examinations; and

(8)           the applicant's passing score on the

licensure examination in general dentistry conducted by a regional testing

agency or independent state licensure examination substantially equivalent to

the clinical licensure examination required in North Carolina as set out in

Subparagraph (b)(6) of this Rule.

(c)  All information required shall be completed and

received by the Board office as a complete package with the initial application

and application fee.  Incomplete applications shall be returned to the

applicant.

(d)  All applicants shall submit to the Board a signed

release form, completed Fingerprint Record Card, and other form(s) required to

perform a criminal history check at the time of the application.  The forms are

available at the Board office.

(e)  An applicant for dental licensure by credentials must

pass written examinations as set out in G.S. 90-36 and, if deemed necessary

based on the applicant's history, a clinical simulation examination

administered by the Board. An applicant who fails the written examination may

retake it two additional times during a one year period. The applicant shall

wait at least 72 hours before attempting to retake a written examination. 

Individuals who fail the clinical examination or do not pass the written

examination after three attempts within one year may not reapply for licensure

by credentials.

(f)  Should the applicant reapply for licensure by

credentials, an additional licensure by credentials fee shall be required at

the time of each reapplication.

(g)  Any license obtained through fraud or by any false

representation shall be void ab initio and of no effect.

 

History Note:        Authority G.S. 90-28; 90-36;

Temporary Adoption Eff. January 1, 2003;

Eff. January 1, 2004;

Recodified from 21 NCAC 16B .0401 Eff. March 1, 2006;

Amended Eff. September 1, 2014; February 1, 2010.