201 KAR 8:532. Licensure of dentists.
RELATES TO: KRS 39A.350-39A.366, 214.615,
218A.205, 304.040-075, 313.010(9), 313.030, 313.254
STATUTORY AUTHORITY: KRS 214.615(2),
218A.205, 313.021(1)(a), (b), (c), 313.035(1), (3), 313.254
NECESSITY, FUNCTION, AND CONFORMITY: KRS
313.035 and 218A.205 require the board to promulgate administrative regulations
relating to requirements and procedures for the licensure of dentists. This
administrative regulation establishes requirements and procedures for licensure
of dentists.
Section 1. General Licensure
Requirements. An applicant desiring dental licensure in the Commonwealth shall
at a minimum:
(1) Understand, read, speak, and write
the English language with a comprehension and performance level equal to at
least the ninth grade of education, otherwise known as Level 4, verified by
testing as necessary;
(2) Submit a completed, signed, and
notarized Application for Dental Licensure with an email contact address and
with an attached applicant photo taken within the past six (6) months;
(3) Pay the fee required by 201 KAR
8:520;
(4) Not be currently subject to
disciplinary action pursuant to KRS Chapter 313 that would prevent licensure;
(5) Provide proof of completion of the
requirements of KRS 214.615(1);
(6) Complete and pass the board’s jurisprudence
exam;
(7) Provide proof of having current
certification in cardiopulmonary resuscitation (CPR) which meets or exceeds the
guidelines set forth by the American Heart Association;
(8) Submit to a nation-wide criminal
background check by fingerprint through the Federal Bureau of Investigation or
by the Department of Kentucky State Police;
(9) Provide verification within three (3)
months of the date the application is received at the office of the board of
any license to practice dentistry held previously or currently in any state or
jurisdiction;
(10) Provide proof that the applicant is
a graduate of a Commission on Dental Accreditation (CODA) accredited dental
school or college or dental department of a university;
(11) Provide proof that the applicant has
successfully completed Part I and Part II of the National Board Dental
Examination, which is written and theoretical, conducted by the Joint
Commission on National Dental Examinations; and
(12) Provide a written explanation for
any positive returns on a query of the National Practitioner Data Bank.
Section 2. Requirements for Licensure by
Examination. (1) Each individual desiring initial licensure as a dentist by
examination shall complete all of the requirements listed in Section 1 of this
administrative regulation.
(2) Each individual desiring initial
licensure as a dentist by examination shall successfully complete a clinical
examination within the five (5) years preceding the filing of the application. The
board shall accept the following regional clinical examinations:
(a) The examination of the Council of
Interstate Testing Agencies (CITA);
(b) The examination of the Central
Regional Dental Testing Service (CRDTS);
(c) The examination of a North East Regional
Board of Dental Examiners (NERB);
(d) The examination of the Southern
Regional Testing Agency (SRTA); and
(e) The examination of the Western
Regional Examining Board (WREB).
(3) An individual desiring initial
licensure as a dentist by examination more than two (2) years after fulfilling
all of the requirements of his CODA accredited dental education shall:
(a) Hold a license to practice dentistry
in good standing in another state or territory of the United States or the
District of Columbia; or
(b) If the applicant does not hold a
license to practice dentistry in good standing, complete a board approved
refresher course prior to receiving a license to practice dentistry in the
Commonwealth of Kentucky.
(4) An applicant who has taken a clinical
examination three (3) times and failed to achieve a passing score shall not be
allowed to sit for the examination again until the applicant has completed and
passed a remediation plan approved by the board.
Section 3. Requirements for Licensure by
Credentials. Each individual desiring initial licensure as a dentist by
credentials shall:
(1) Complete all of the requirements
listed in Section 1 of this administrative regulation;
(2) Provide proof of having passed a
state, regional, or national clinical examination used to determine clinical
competency in a state or territory of the United States or the District of Columbia;
and
(3) Provide proof that, for five (5) of
the six (6) years immediately preceding the filing of the application, the
applicant has been engaged in the active practice of dentistry when he or she
was legally authorized to practice dentistry in a state or territory of the
United States or the District of Columbia if the qualifications for the authorization
were equal to or higher than those of the Commonwealth of Kentucky.
Section 4. Requirements for Student
Limited Licensure. (1) Each individual desiring a student limited license
shall:
(a) Complete all of the requirements
listed in Section 1 of this administrative regulation with the exception of
subsections (10) and (11);
(b) Provide a letter from the dean or
program director of a postgraduate, residency, or fellowship program in the
Commonwealth of Kentucky stating that the applicant has been accepted into the
program and the expected date of completion;
(c) Submit a signed Statement Regarding
Student Licensure Limitations; and
(d) Submit an official final transcript
of the applicant's dental coursework with the degree posted.
(2) An individual licensed under this
section shall only practice dentistry in conjunction with programs of the
dental school where the individual is a student and shall only provide
professional services to patients of these programs.
(3) Licenses issued under this section
shall be renewed with all other dental licenses issued by the board and shall
automatically expire upon the termination of the holder’s status as a student.
(4) A program enrolling an individual
holding a student limited license shall notify the board in writing of the date
the student graduates from or exits the program.
(5) Nothing in this section shall
prohibit:
(a) A student from performing a dental
operation under the supervision of a competent instructor within the dental
school, college, or department of a university or private practice facility
approved by the board. The board may authorize a student of any dental college,
school, or department of a university to practice dentistry in any state or
municipal institution or public school, or under the board of health, or in a
public clinic or a charitable institution. A fee shall not be accepted by the
student beyond the expenses provided by the stipend;
(b) A student limited license holder from
working under the general supervision of a licensed dentist within the confines
of the postgraduate training program; and
(c) A volunteer health practitioner from
providing services under KRS 39A.350-39A.366.
Section 5. Requirements for Faculty
Limited Licensure. (1) Each individual desiring a faculty limited license
shall:
(a) Complete all of the requirements
listed in Section 1 of this administrative regulation with the exception of
subsections (10) and (11);
(b) Provide a letter from the dean or
program director of the dental school showing a faculty appointment with one
(1) of the Commonwealth’s dental schools;
(c) Submit a signed Statement Regarding
Faculty Licensure Limitations; and
(d) Submit an official final transcript
of his or her dental coursework with the degree posted.
(2) An individual licensed under this
section shall only practice dentistry in conjunction with programs of the
dental school where the individual is a faculty member and shall only provide
professional services to patients of these programs.
(3) Licenses issued under this section
shall be renewed with all other dental licenses issued by the board and shall
automatically expire upon the termination of the holder’s status as a faculty
member.
(4) A program employing an individual holding
a faculty limited license shall notify the board in writing of the date the
licensee exits the program.
Section 6. Requirements for Licensure of
Foreign Trained Dentists. (1) Each individual desiring licensure as a dentist
who is a graduate of a non-CODA accredited dental program shall successfully
complete two (2) years of postgraduate training in a CODA accredited general
dentistry program and shall:
(a) Provide proof of having passed the
Test of English as a Foreign Language (TOEFL) administered by the Educational
Testing Service with a score of 650 on the paper-based examination or a score
of 116 on the internet-based examination, if English is not the applicant's
native language;
(b) Submit a completed, signed, and
notarized Application for Dental Licensure with an email contact address and
with an attached applicant photo taken within the past six (6) months;
(c) Pay the fee required by 201 KAR
8:520;
(d) Not be currently subject to
disciplinary action pursuant to KRS Chapter 313 that would prevent licensure;
(e) Provide proof of having completed the
requirements of KRS 214.615(1);
(f) Complete and pass the board’s jurisprudence
exam;
(g) Provide proof of having current
certification in cardiopulmonary resuscitation (CPR) that meets or exceeds the
guidelines set forth by the American Heart Association;
(h) Submit to a criminal background check
by fingerprint through the Federal Bureau of Investigation or by the Department
of Kentucky State Police;
(i) Provide verification within three (3)
months of the date the application is received at the office of the board of
any license to practice dentistry held previously or currently in any state or
jurisdiction;
(j) Provide proof of having successfully
completed two (2) years postgraduate training in a CODA accredited general
dentistry program;
(k) Submit one (1) letter of
recommendation from the program director of each training site;
(l) Provide proof of successful
completion of Part I and Part II of the National Board Dental Examination,
which is written and theoretical, conducted by the Joint Commission on National
Dental Examinations within the five (5) years preceding application for licensure;
(m) Provide proof of successfully
completing within the five (5) years prior to application a clinical
examination required by Section 2(2) of this administrative regulation; and
(n) Provide a written explanation for any
positive returns on a query of the National Practitioner Data Bank.
(2) An individual desiring initial
licensure as a dentist who is a graduate of a non-CODA accredited dental
program and applies more than two (2) years after fulfilling all of the requirements
of his or her postgraduate training in a CODA accredited general dentistry program
shall:
(a) Hold a license to practice dentistry
in good standing in another state or territory of the United States or the
District of Columbia; or
(b) If the applicant does not hold a
license to practice dentistry in good standing, complete a board approved
refresher course prior to receiving a license to practice dentistry in the
Commonwealth of Kentucky.
Section 7. Requirements for Charitable Limited
Licensure. (1) Each individual desiring a charitable limited license shall:
(a) Understand, read, speak, and write
the English language with a comprehension and performance level equal to at
least the ninth grade of education, otherwise known as Level 4, verified by
testing as necessary;
(b) Submit a completed, signed, and
notarized Application for Charitable Dental Licensure with an attached
applicant photo taken within the past six (6) months;
(c) Not be subject to disciplinary action
pursuant to KRS Chapter 313 that would prevent licensure;
(d) Have a license to practice dentistry
in good standing in another state or territory of the United States or the
District of Columbia; and
(e) Provide a written explanation for any
positive returns on a query of the National Practitioner Data Bank.
(2) An individual licensed under this
section shall:
(a) Work only with charitable entities
registered with the Cabinet for Health and Family Services that have met the
requirements of KRS 313.254 and 201 KAR 8:581;
(b) Only perform procedures allowed by
KRS 313.254(4) and (5) which shall be completed within the duration of the charitable
event;
(c) Be eligible for the provisions of
medical malpractice insurance procured under KRS 304.40-075;
(d) Perform these duties without
expectation of compensation or charge to the individual, and without payment or
reimbursement by any governmental agency or insurer;
(e) Have a charitable limited license
that shall be valid for no more than two (2) years and shall expire during the
regular dental renewal cycle; and
(f) Comply with reciprocity requirements
if applicable.
1. A state that extends a reciprocal
agreement shall comply with this section.
2. An individual shall notify the sponsor
of a charitable clinic and the board of the intent to conduct or participate in
the clinic.
3. An individual conducting or
participating in a charitable clinic shall have a license to practice dentistry
in the state in which the dentist practices.
(3) A dentist licensed under this section
shall not be allowed to prescribe any medications while practicing in the Commonwealth.
Section 8. Requirements for Specialty
Licensure. Each individual desiring initial licensure as a specialist as
defined by KRS 313.010(9) shall:
(1) Submit a completed, signed, and
notarized Application for Specialty Licensure with an attached applicant photo
taken within the past six (6) months;
(2) Pay the fee required by 201 KAR
8:520;
(3) Hold an active Kentucky license to practice
general dentistry prior to being issued a specialty license; and
(4) Submit satisfactory evidence of
completing a CODA accredited graduate or postgraduate specialty program after
graduation from a dental school.
Section 9. Minimum Continuing Education
Requirements. (1) Each individual desiring renewal of an active dental license
shall complete thirty (30) hours of continuing education that relates to or
advances the practice of dentistry and would be useful to the licensee's
practice.
(2) Acceptable continuing education hours
shall include course content designed to increase:
(a) Competency in treating patients who
are medically compromised or who experience medical emergencies during the
course of dental treatment;
(b) Knowledge of pharmaceutical products
and the protocol of the proper use of medications;
(c) Competence to diagnose oral
pathology;
(d) Awareness of currently accepted
methods of infection control;
(e) Knowledge of basic medical and
scientific subjects including biology, physiology, pathology, biochemistry,
pharmacology, epidemiology, and public health;
(f) Knowledge of clinical and
technological subjects;
(g) Knowledge of subjects pertinent to
patient management, safety, and oral healthcare;
(h) Competency in assisting in mass
casualty or mass immunization situations;
(i) Clinical skills through the volunteer
of clinical charitable dentistry that meets the requirements of KRS 313.254;
(j) Knowledge of office business
operations and best practices; or
(k) Participation in dental association
or society business meetings.
(3) A minimum of ten (10) hours shall be
taken in a live interactive presentation format.
(4) A maximum of ten (10) hours total may
be taken that meet the requirements of subsection (2)(i) - (k) of this section.
(5) All continuing education hours shall
be verified by the receipt of a certificate of completion or certificate of
attendance bearing:
(a) The signature of or verification by
the provider;
(b) The name of the licensee in
attendance;
(c) The title of the course or meeting
attended or completed;
(d) The date of attendance or completion;
(e) The number of hours earned; and
(f) Evidence of the method of delivery if
the course was taken in a live interactive presentation format.
(6) It shall be the sole responsibility
of the individual licensee to obtain documentation from the provider or
sponsoring organization verifying participation as established in subsection
(5) of this section and to retain the documentation for a minimum of five (5)
years.
(7) At license renewal, each licensee
shall attest to the fact that he or she has complied with the requirements of
this section.
(8) Each licensee shall be subject to
audit of proof of continuing education compliance by the board.
Section 10. Requirements for Renewal of a
Dental License. (1) Each individual desiring renewal of an active dental
license shall:
(a) Submit a signed, completed
Application for Renewal of Dental Licensure with an email contact address;
(b) Pay the fee required by 201 KAR 8:520;
(c) Maintain with no more than a thirty
(30) day lapse CPR certification that meets or exceeds the guidelines set forth
by the American Heart Association unless a hardship waiver is submitted to and
subsequently approved by the board;
(d) Meet the requirements of KRS
214.615(1) regarding HIV/AIDS education for healthcare providers;
(e) Obtain at least one and one-half
(1.5) hours of continuing education in the use of the Kentucky All Schedule
Prescription Electronic Reporting System, pain management, or addiction
disorders per year or a total of three (3) hours in a two (2) year renewal
cycle; and
(f) Meet the continuing education
requirements as outlined in Section 9 of this administrative regulation except
in the following cases:
1. If a hardship waiver has been
submitted to and is subsequently approved by the board;
2. If the licensee graduated in the first
year of the renewal biennium, in which case the licensee shall complete
one-half (1/2) of the hours as outlined in Section 9 of this administrative regulation;
and
3. If the licensee graduated in the
second year of the renewal biennium, in which case the licensee shall not be
required to complete the continuing education requirements outlined in Section
9 of this administrative regulation.
(2) If a licensee has not actively
practiced dentistry in the two (2) consecutive years preceding the filing of
the renewal application, he or she shall complete and pass a board approved
refresher course prior to resuming the active practice of dentistry.
Section 11. Retirement of a License. (1)
Each individual desiring retirement of a dental license shall submit a
completed and signed Retirement of License Form.
(2) Upon receipt of this form, the board
shall send written confirmation of retirement to the address provided by the
licensee on the Retirement of License form.
(3) A licensee shall not retire a license
that has a pending disciplinary action against it.
(4) Each retirement shall be effective
upon the processing of the completed and signed Retirement of License Form by
the board.
Section 12. Reinstatement of a License.
(1) Each individual desiring reinstatement of a properly retired dental license
shall:
(a) Submit a completed, signed, and
notarized Application to Reinstate a Dental License with an attached applicant
photo taken within the past six (6) months;
(b) Pay the fee required by 201 KAR
8:520;
(c) Show proof of having current
certification in CPR that meets or exceeds the guidelines set forth by the
American Heart Association;
(d) Provide verification within three (3)
months of the date the application is received at the office of the board of
any license to practice dentistry held previously or currently in any state or
jurisdiction;
(e) Submit to a nation-wide criminal
background check by fingerprint through the Federal Bureau of Investigation or
by the Department of Kentucky State Police; and
(f) Provide a written explanation for any
positive returns on a query of the National Practitioner Data Bank.
(2) If an individual is reinstating a
license that was retired within the two (2) consecutive years immediately
preceding the filing of the reinstatement application, the individual shall provide
proof of having met the continuing education requirements as outlined in
Section 9 of this administrative regulation within those two (2) years.
(3) If the applicant has not actively
practiced dentistry in the two (2) consecutive years immediately preceding the
filing of the reinstatement application, the applicant shall complete and pass
a refresher course approved by the board.
(4) If a license is reinstated in the
first year of a renewal biennium, the licensee shall complete all of the
continuing education requirements as outlined in Section 9 of this
administrative regulation prior to the renewal of the license.
(5) If a license is reinstated in the
second year of a renewal biennium, the licensee shall complete one-half (1/2)
of the hours as outlined in Section 9 of this administrative regulation prior
to the renewal of the license.
Section 13. Requirements for Verification
of Licensure. Each individual desiring verification of a dental license shall:
(1) Submit a signed and completed
Verification of Licensure or Registration Form; and
(2) Pay the fee required by 201 KAR
8:520.
Section 14. Requesting a Duplicate
License. Each individual desiring a duplicate dental license shall:
(1) Submit a signed and completed
Duplicate License or Registration Request Form; and
(2) Pay the fee required by 201 KAR
8:520.
Section 15. Issuance of Initial
Licensure. If an applicant has completed all of the requirements for licensure
within six (6) months of the date the application was received at the office of
the board, the board shall:
(1) Issue a license in sequential
numerical order; or
(2) Deny licensure due to a violation of
KRS Chapter 313 or 201 KAR Chapter 8.
Section 16. Incorporation by Reference.
(1) The following material is incorporated by reference:
(a) "Application for Dental
Licensure", July 2010;
(b) "Statement Regarding Student
Licensure Limitations", July 2010;
(c) "Statement Regarding Faculty
Licensure Limitations", July 2010;
(d) "Application for Charitable
Dental Licensure," March 2011;
(e) "Application for Specialty
Licensure", July 2010;
(f) "Application for Renewal of
Dental Licensure", May 2014;
(g) "Retirement of License
Form", July 2010;
(h) "Application to Reinstate a
Dental License", July 2010;
(i) "Verification of Licensure or
Registration Form", July 2010;
(j) "Duplicate License or
Registration Request Form", July 2010; and
(k) "American Heart Association CPR
Guidelines", 2010.
(2) This material may be inspected,
copied, or obtained, subject to applicable copyright law, at the Kentucky Board
of Dentistry, 312 Whittington Parkway, Suite 101, Louisville, Kentucky 40222,
Monday through Friday, 8 a.m. through 4:30 p.m. This material is also available
on the board’s Web site at http://dentistry.ky.gov.
(37 Ky.R. 3022; 38 Ky.R. 501, eff. 9-13-2011; 39 Ky.R. 514; 1378; eff.
2-1-2013; 40 Ky.R. 2328; 2680; eff. 6-18-2014.)