650—11.2 (147,153) Dental licensure by examination.
	 11.2(1) Applications for licensure 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.
	 11.2(2) Applications for licensure must be filed with the board along with:
	  a.   	 Documentation of graduation from dental college. 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.   	 Certification of good standing from dean or designee. Certification by the dean or other authorized representative of the dental school that the applicant has been a student in good standing while attending that dental school.
	  c.   	 Certification of good standing in each state where licensed. If the applicant is a dentist licensed by another jurisdiction, the applicant shall furnish certification from the board of dental examiners of that jurisdiction that the applicant is a licensed dentist in good standing.
	  d.   	 Documentation of passage of national dental examination. Evidence of successful completion of Part I and Part II of the examination, with resulting scores, administered by the Joint Commission on National Dental Examinations. At the discretion of the board, any dentist who has lawfully practiced dentistry in another state or territory for five years may be exempted from presenting this evidence.
	  e.   	 Documentation of passage of a regional clinical examination.
	 (1) 	 Successful passage of CRDTS. Evidence of successful completion of the examination taken in the last five years, with resulting scores, administered by the Central Regional Dental Testing Service, Inc.	(CRDTS).
	 (2) 	 Special transition period for dentists passing WREB or ADEX examination prior to September 1, 2011. An applicant who has successfully taken and passed the WREB or ADEX examination within the five years prior to September 1, 2011, may apply for licensure by examination by submitting evidence of successful completion of the WREB or ADEX examination.
	  f.   	 Explanation of any legal or administrative actions. A statement disclosing and explaining any disciplinary actions, investigations, complaints, malpractice claims, 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).
	  g.   	 Payment of application, fingerprint and background check fees. The nonrefundable application fee, 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.
	  h.   	 Documentation of passage of jurisprudence examination. Evidence of successful completion of the jurisprudence examination administered by the Iowa dental board.
	  i.   	 Current CPR certification. Evidence that the applicant possesses a valid certificate in a nationally recognized course in cardiopulmonary resuscitation.
	  j.   	 Current photograph. A photograph of the applicant suitable for positive identification.
	  k.   	 Completed fingerprint packet. A completed fingerprint packet to facilitate a criminal history background check by the DCI and FBI.
	 11.2(3) The board may require a personal appearance or any additional information relating to the character, education and experience of the applicant.
	 11.2(4) Applications must be signed and notarized as to the truth of the statements contained therein.
This rule is intended to implement Iowa Code sections 147.3, 147.29, and 147.34.
[ARC 9218B, IAB 11/3/10, effective 12/8/10; ARC 9510B, IAB 5/18/11, effective 6/22/11]