North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 16 - DENTAL EXAMINERS › Subchapter R - ANNUAL RENEWAL OF LICENSE AND CONTINUING EDUCATION REQUIREMENTS: DENTIST › Section .0100 - RENEWAL OF LICENSE › Section 16R .0101 - APPLICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A renewal
				  application for a dental license shall be submitted electronically before
				  midnight on January 31 of each year through the Board's website:
				  www.ncdentalboard.org. The renewal application shall include:
(1) dental license number;
(2) full name;
(3) mailing address;
(4) telephone number;
(5) fax number;
(6) email address;
(7) citizenship or immigration status, with
				  verifying documentation;
(8)
				  whether, during the calendar year preceding the application, the licensee has:
(A) been summoned to court or before a
				  magistrate for the violation of any law or ordinance or for the commission of
				  any felony or misdemeanor;
(B) been
				  arrested for the violation of any law or ordinance or for the commission of any
				  felony or misdemeanor;
(C) been
				  taken into custody for the violation of any law or ordinance or for the
				  commission of any felony or misdemeanor;
(D) been indicted for the violation of any
				  law or ordinance or for the commission of any felony or misdemeanor;
(E) been convicted or tried for the violation
				  of any law or ordinance or for the commission of any felony or
				  misdemeanor;
(F) been charged with
				  the violation of any law or ordinance or for the commission of any felony or
				  misdemeanor;
(G) pleaded guilty to
				  the violation of any law or ordinance or for the commission of any felony or
				  misdemeanor;
(H) been disciplined
				  by any professional licensing board; or
(I) had a malpractice suit settled or pending
				  against the licensee;
(9) whether the licensee has been
				  investigated for employee misclassification as an independent contractor within
				  the five years preceding the application;
(10) employment status as a dentist as of the
				  date of the application, including:
(A)
				  whether the licensee is currently working as a dentist;
(B) primary practice area;
(C) name of the practice in which the
				  licensee provides services;
(D)
				  primary setting in which the licensee provides services;
(E) number of hours the licensee works in an
				  average week;
(F) whether the
				  licensee is self-employed;
(G) if
				  not self-employed, the type of employer for which the licensee works;
				  and
(H) if self-employed, the
				  number of dentists, hygienists, and dental assistants working in the licensee's
				  practice;
(11) a report
				  of the licensee's completion of continuing education hours related to clinical
				  patient care during the calendar year preceding the application, or the
				  licensee's exemption from reporting;
(12) whether the licensee is enrolled in or
				  completed a residency program during the calendar year preceding the
				  application;
(13) whether the
				  licensee holds an unexpired CPR certification;
(14) whether the licensee employed dental
				  hygienists as limited supervision hygienists as set forth in
				  21 NCAC
				  16Z during the calendar year preceding the
				  application;
(15) whether the
				  licensee is registered with and using the N.C. Controlled Substances Reporting
				  System as of the date of the application;
(16) whether the licensee has an active U.S.
				  Drug Enforcement Administration license as of the date of the application to
				  prescribe schedule II-IV controlled medications;
(17) whether the licensee has completed at
				  least one hour of continuing education in controlled substance prescribing
				  practices and controlled substance prescribing for chronic pain management
				  during the calendar year preceding the application; and
(18) a written statement certifying that the
				  information submitted is accurate to the best of the licensee's
				  knowledge.