Go to Kentucky.gov home page
Kentucky Board of Dentistry Kentucky Board of Dentistry

Dental Hygienists

Non Renewed Registered Dental Hygienists

 

ATTENTION

The following dental hygienists' licenses have expired (3/4/15 9:00 am)

  KIMBERLY J AYER 3369
  ALICIA NEDA AZIMIPOUR 4497
  WHITNEY DAWSON BELL 4522
  JANINE BETKER 2920
  EMILY JOHANNA BLINCOE 4484
  NANCY J  BOORMAN 4571
  CASEY NEWTON BOSTICK 3945
  LAURA K CAUMMISAR 154
  KIMBERLY SUE CHAMBERLIN 3760
  LESLIE BROOKE CHASE 4711
  KARI JO CHENAULT 4378
  NICOLE K.  CHURCH 4564
  EMILY ANN CLEMENS 3741
  VALERIE DAWN COLLETT 1802
  PAMELA G COUBERT 2343
  MARY KATHY DANIEL 2052
  BARBARA DANIELS 4356
  CRYSTAL G DAVIS 4045
  MARY CATHERINE DEMICK 4420
  APRIL DIETZ 4360
  SUSAN M DISMUKES 3988
  HOLLY LYNN DOSS 4794
  CHRISTINA B DUFFUS 4377
  MONICA K DUNN 4235
  JANIS C DURHAM 301
  ANNE MARIE ELROD 4278
  KELSEY ANN EVERITT 4747
  KAYCI ASHLYN FREEMAN 4596
  MELISSA ANNE GARRISON 4715
  MOLLY JEANNE GEHRET 4720
  JEANNE C GIBSON 88
  JENNIFER GONZALEZ 4361
  KULANA ROBI GRANSON 2918
  KELLI COLLEEN HAWKINS 4611
  NANCY J HAZZARD 2667
  SONYA HOLDER 3719
  BRITTANY LYNN HOLEMAN 4059
  KATHRYN S HOOK 240
  ALEXANDRIA HOWARD 4443
  BECKY HOWE 2977
  LYNSEY JORDAN HUGUENOT 4199
  JESSICA JAMES 4328
  TAMI ROCHELLE JONES 4142
  NANETTE NICOLE KIRK 3985
  MARY KARENDA LAMB 3822
  KERSTIN JOLYNN LATIMER 3875
  KACEY R LETERSKI 3868
  MELISSA MACDONALD 4388
  SHANAN Q MCDUFFEE 4226
  MARILEE S MCGAUGHEY 831
  SASHA M MICKELSON 4150
  MONICA ADRIANNA MILLS 4485
  KATHERINE NICOLE MILLSAP 4776
  KEELY ELICE MISCH 4707
  KATHY LYNN MOORE 3761
  JULIE ADELL MORTENSON 3536
  JESSICA CATHERINE MOUNCE 4442
  BRITTANY MURRAY 4705
  KAYLA SUE O'BRIEN 4542
  JANET CAROL OFFUTT 2767
  KAYLEEN MARIE OLSEN 4687
  KIMBERLY MICHELLE PARSONS 3080
  MORGAN ELISE  PATER 4774
  LINDSAY MARGARET PATTERSON 4545
  CHERYL A PEARCE 1389
  SALLY M PIONTEK 298
  TAMMY JO RAMSEY 3891
  CAITLIN SCHEEL REHDER 4439
  JENELLE MARIE RIGGLEMAN 3742
  KARI NICOLE RIGRISH 4631
  KENDALL LEIGH RIZENBERGS 4748
  CONSTANCE S ROBB 4548
  PAMELA RORRER-MOUNTS 1144
  VICKI ANN SANDERS 1283
  DEREK WADE SANDERS 4266
  SARA I SEXTON 476
  ROBIN SHORT 4368
  JUDITH SKELTON 543
  ASHLIE D SMITH 4101
  SANDRA SOBHY 4472
  JAMIE M  SPENCE 4426
  BETTY A STAIMPEL 1273
  SHEILA J STEPHAN 1070
  AMANDA BROOKE STONE 4792
  ROBIN RENEE STORY 4560
  JANICE GAIL STRANEY 2183
  ANN S SULLIVAN 239
  HANNAH ELIZABETH TEETER 4788
  RIDDHI TRIVEDI 4799
  SHARON WECKEL 3662
  CAROL LEIGH WEGE 4569
  ALYSSA LAUREN WINDHORST 4532
  MARY PATRICIA WOODRUM 3711
  DONNA WUELLNER 4572
  LEE ANN YENOR 2351
  BRIGIT RENE ZAKSEK 4030
  DARBI ZUCCATO 4136

 


2014 KENTUCKY REGISTERED DENTAL HYGIENIST LICENSE REINSTATEMENT INFORMATION

If you are a KY Dental Hygienist and you have not renewed, your LICENSE HAS EXPIRED. You may not work until you have reinstated your license.

Do not wait to contact staff before you complete your reinstatement.  If you need to make changes to your General Supervision/Anesthesia or other privileges - complete your reinstatement first and changes to your privileges will be made after you have completed the online reinstatement.

Please update your own contact information in the online renewal address page. You do not need to contact staff to make updates.

When reinstating your license online, please make sure you select the following when prompted to do so to complete the reinstatement:

1. View Receipt
2. Finish and Print License
3. Download License and Wallet Card
4. Print Your License (Licenses will not be mailed)

To reinstate your license, click here

Reinstatement fees:
January 16 -31   $370
On or after February 1   $630

 

 

Practicing Dental Hygiene in Kentucky

The statutes and regulations governing the practice of dental hygiene in the Commonwealth of Kentucky changed on July 15, 2010. The information on this webpage has been updated to reflect new requirements.

In order to practice dental hygiene in Kentucky, you must hold an active dental hygiene license issued by the Kentucky Board of Dentistry. Your current license must be posted in each of your practice locations.

Please use the links below or to the left to obtain more information on how to obtain or renew a Kentucky dental hygiene license, obtain local anesthesia & nitrous oxide certification, obtain general supervision privileges, or obtain a charitable limited dental hygiene license.

Use this link to view a list of CODA accredited dental hygiene programs.

Public Health Registered Dental Hygienists

The document below is the dental hygiene regulation which passed successfully through the Administrative Regulation Review Subcommittee July 10, 2012. 201 KAR 8:562 Sec.15

PUBLIC HEALTH REGISTERED DENTAL HYGIENIST

Public Health Registered Dental Hygienist Application

 

Initial Licensure

The following application is used to apply for licensure by examination or credentials

The application fee is $125 starting November 1, 2014.

Eligibility guidelines for applicants are detailed below. Each section below also contains an instruction checklist for different types of applicants.

The jurisprudence examination (see below) must be completed by all new applicants for dental hygiene licensure.

You must print out, complete and sign the examination, and then mail it to the Board office for grading. This is an open book exam; you may reference the laws found on this website.

***If you are a dental hygienist and you meet the requirements for a Local Anesthesia Certificate in Kentucky, you must submit a SEPARATE application and $50 fee.

All Kentucky dental hygiene licenses expire on December of even numbered years, and must either be renewed or retired by that date.

Your current license must be conspicuously posted in each of your practice locations.

The Board regrets that it is unable to offer refunds for overpayment of fees.  The original check or money order will be returned to you and you will be asked to forward payment in the correct amount.

If you have questions that are not answered on this page or in the documents it links to, please contact the Board office at 502/429-7280.

Licensure by Examination

To be eligible to apply for licensure by examiniaton, you must meet the following requirements with no exceptions:

  • You must be a graduate of a CODA accredited dental hygiene school, college, or department of a university
  • You must have successfully completed the National Board Dental Hygiene Examination
  • You must have successfully passed within the five (5) years preceding the filing of your application one of the following regional clinical examinations: CITA, CRDTS, NERB, SRTA or WREB*

Additionally, you must prove that you meet the requirements of Sections 1 and 2 of 201 KAR 8:560E by submitting the documentation described in the following instruction checklist.

* for purposes of interpretation of this application requirement, the 5 years run from the year  the clinical exam was completed through the year the application for KY licensure is submitted and finalized.

 

Licensure by Credentials
 

To be eligible to apply for licensure by credentials, you must meet the following requirements with no exceptions:

  • You must be a graduate of a CODA accredited dental hygiene school, college or department of a university
  • You must have successfully completed the National Board Dental Hygiene Examination
  • You must have successfully passed a state, regional, or national clinical examination used to determine clinical competency in a state or territory of the United States or District of Columbia
  • You must submit the affidavit below stating that you have legally been engaged in the practice of dental hygiene for five (5) of the past six (6) years in a state or territory of the United States or the District of Columbia if the qualifications for licensure were equal to or higher than those for licensure in Kentucky

Additionally, you must prove that you meet the requirements of Sections 1 and 3 of 201 KAR 8:560E by submitting the documentation described in the following instruction checklist.

Retirement

If you no longer desire to hold an active Kentucky license, you must notify the Board of your intent to retire your license by submitting a completed and signed Retirement of License Form [PDF-250k]

You may not retire a license that has pending disciplinary action against it.

Failure to properly retire a license may result in disciplinary action for practicing dental hygiene on an expired license or may make you ineligible to reinstate your license.

Reinstatement

To reinstate your license, you must submit the following application, along with the documentation describe in the instruction checklist below

Charitable Limited Dental

If you are a dental hygienist who hold an active license to practice dental hygiene in a U.S. state, territory, or district other than Kentucky and you wish to perform charitable dental hygiene prusuant to KRS 313.254, you must submit the following application to the Board of Dentistry at least thirty (30) days prior to providing healthcare services in Kentucky.  There is no application fee for a Charitable license.

If approved for charitable limited licensure, you will be able to perform dental hygiene in Kentucky under the following conditions.

  • You may provide charitable dental hygiene services for no more than ten (10) days per charitable event
  • You must notify the Board and the Kentucky Cabinet for Health and Family Services prior to performing charitable dental hygiene services
  • You may only work with charitable entities which are registered with the Kentucky Cabinet for Health and Family Services and which meet the requirements of KRS 313.254 and 201 KAR 8:580E
  • You may only perform procedures allowed by KRS 313.254, and those procedure must be completed within the duration of the charitable event
  • You must perform these duties without the expectation of compensation or charge to the individual, and without payment or reimbursement by any govermental agency or insurer

Charitable limited dental hygiene licenses are valid for no more than two (2) years, and expire on December 31 of even numbered years.

If your charitable limited dental hygiene license has expired, you must reapply for licensure to continue to proved chartiable dental hygiene servied in Kentucky.


For more information on charitable licenses and
the new Public Health Dental Hygienist,
visit the website for the Department for Public Health:

Kentucky Oral Health Program
 

 

 

 

Registrations

Applications for Local Anesthesia Registration and General Supervision Registration are available on our Forms page.

Original applications must be submitted; no faxed copies will be accepted.

Criminal Background Check Information

**New**
As a result of HB 1 KASPER legislation, the Board of Dentistry will only accept criminal background checks performed by the FBI.

INSTRUCTIONS

1. Fill out the background check application from the FBI website: https://forms.fbi.gov/identity-history-summary-checks-review/q384893984839334.pdf

2. You MUST indicate on the form that the results be mailed to:
Kentucky Board of Dentistry
Attn: Shimada Hazley
312 Whittington Pkwy, Suite 101
Louisville, KY 40222

3. Take the completed form to any Sheriff's Department, local Police Department or State Police Department.

4. Your fingerprint card will be completed at the station.

5. Mail the completed form, the fingerprint card and the $18 fee to:
FBI CJIS Division - Record Request
1000 Custer Hollow Road
Clarksburg, WV 26306

**Do NOT send the Fingerprint Card to the Board of Dentistry**

**Allow 6 to 8 weeks for the FBI to process your fingerprint card**


For more information on requesting an FBI Criminal Background Check, see: http://www.fbi.gov/about-us/cjis/background-checks/submitting-an-identification-record-request-to-the-fbi

Jurisprudence Exam

On July 15, 2010, the statutes and regulations governing the practice of dentistry in the Commonwealth of Kentucky changed.

The following jurisprudence examination must be completed by all new applicants for dental or dental hygiene licensure.

You must print out, complete, and sign the examination, and then mail it to the Board office for grading. This is an open book exam; use this link to reference the Statutes and Regulations webpage to complete the exam.

For questions that refer to the law outside of the Dental Practice Act, you may also refer to other Kentucky Revised Statutes to answer the question.

Registered Dental Hygienist Training

 

 
Do you have a question about the application for licensure which you already mailed in? You can send an email to:
Shimada.Hazley@ky.gov
 

Background Check Requirement for Initial Licensure
 

 

 

Last Updated 3/4/2015
Privacy | Security | Disclaimer | Accessibility Statement