650—11.3 (153) Dental licensure by credentials.
	 11.3(1) Applications for licensure by credentials to practice dentistry in this state shall be made on the form provided by the board and must be completely answered, including required credentials and documents.
	 11.3(2) Applications must be filed with the board along with:
	  a.   	 Satisfactory evidence of graduation with a DDS or DMD from an accredited dental college approved by the board or satisfactory evidence of meeting the requirements specified in rule 650—11.4(153).
	  b.   	 Evidence of successful completion of the examination of the Joint Commission on National Dental Examinations or evidence of having passed a written examination during the last ten years that is comparable to the examination given by the Joint Commission on National Dental Examinations. Any dentist who has lawfully practiced dentistry in another state or territory for five years may be exempted from presenting this evidence.
	  c.   	 A statement of any dental examinations taken by the applicant, with indication of pass/fail for each examination taken. Any dentist who has lawfully practiced dentistry in another state or territory for five or more years may be exempted from presenting this evidence.
	  d.   	 Evidence of a current, valid license to practice dentistry in another state, territory or district of the United States issued under requirements equivalent or substantially equivalent to those of this state.
	  e.   	 Evidence that the applicant has met at least one of the following:
	 (1) 	 Passed an examination approved by the board in accordance with Iowa Code section 147.34(1) and administered by a regional or national testing service. The clinical examinations approved by the board are specified in 650—subrule 12.1(5); or
	 (2) 	 Has for three consecutive years immediately prior to the filing of the application been in the lawful practice of dentistry in such other state, territory or district of the United States.
	  f.   	 Evidence from the state board of dentistry, or equivalent authority, from each state in which applicant has been licensed to practice dentistry, that the applicant has not been the subject of final or pending disciplinary action.
	  g.   	 A statement disclosing and explaining any disciplinary actions, investigations, malpractice claims, complaints, judgments, settlements, or criminal charges, including the results of a self-query of the National Practitioners Data Bank (NPDB) and the Healthcare Integrity and Protection Data Bank (HIPDB).
	  h.   	 The nonrefundable application fee for licensure by credentials, plus the fee for the evaluation of the fingerprint packet and the criminal history background checks by the Iowa division of criminal investigation (DCI) and the Federal Bureau of Investigation (FBI), as specified in 650—Chapter 15.
	  i.   	 Current CPR certification. A statement:
	 (1) 	 Confirming that the applicant possesses a valid certificate from a nationally recognized course in cardiopulmonary resuscitation (CPR) that included a “hands-on” clinical component;
	 (2) 	 Providing the expiration date of the CPR certificate; and
	 (3) 	 Acknowledging that the CPR certificate will be retained and made available to board office staff as part of routine auditing and monitoring.
	  j.   	 Evidence of successful completion of the jurisprudence examination administered by the Iowa dental board.
	  k.   	 A completed fingerprint packet to facilitate a criminal history background check by the DCI and FBI.
	 11.3(3) The board may require a personal appearance or may require any additional information relating to the character, education, and experience of the applicant.
	 11.3(4) The board may also require such examinations as may be necessary to evaluate the applicant for licensure by credentials.
	 11.3(5) Applications must be signed and verified attesting to the truth of the statements contained therein.
This rule is intended to implement Iowa Code chapters 147 and 153.
[ARC 9218B, IAB 11/3/10, effective 12/8/10; ARC 0265C, IAB 8/8/12, effective 9/12/12]