Initial Dental Hygienist Licensure by Credentials

The Board may grant a license by credentials, without further professional examination, to a dental hygienist currently licensed in another jurisdiction provided that the applicant is of good moral character, has met all eligibility requirements, and has submitted the following information to the Board: (1) An accurate, complete and signed application, as specified by the Board for that purpose; Office of Administration and Finance, unless waived in accordance with M.G.L. c. 112, § 1B; (3) An original transcript with the college seal stating the degree granted and the date of issue from a CODA-accredited dental hygiene program or Board-approved successor accrediting agency, or a letter including the college's seal signed by the appropriate authority attesting to the applicant's degree and date of graduation; (4) A physician's statement made after an examination conducted within one year of the date of application, attesting to the health of the applicant and to any impairments that may affect the ability of the applicant to practice dental hygiene; (5) Proof satisfactory to the Board of a minimum of one year of practice in dental hygiene or dental hygiene education immediately preceding the application for licensure by credentials; (6) Proof satisfactory to the Board that the applicant is currently licensed and in good standing in another jurisdiction based on passing a Board-approved examination; (7) Documentation of passing each of the following examinations: (a) Parts I and II of the ADA National Board Examination for Dental Hygienists; and (b) Massachusetts Dental Ethics and Jurisprudence Examination or any successor examination or a Board-approved successor examination. (8) Certified letters of standing from all jurisdictions in which the applicant has been issued a license to practice dental hygiene attesting to the standing of the applicant's license including a report of any past or pending disciplinary action, or any pending complaints against the applicant; (9) Documentation of current BLS certification or CPR/AED certification; (10) A statement disclosing any and all disciplinary, civil or criminal action taken or filed against the applicant at any time after reaching the age of majority and prior to the date of application, with supporting documentation as the Board may require; (11) A passport-size color photograph; (12) Proof satisfactory to the Board of good moral character; and (13) An attestation, signed under pains and penalties of perjury, that the applicant has complied with all state tax laws pursuant to M.G.L. c. 62C, § 49A and child support laws pursuant to M.G.L. c. 119A, § 16(a).