Current through Register Vol. 39, No. 6, September 16, 2024
(a) A renewal
application for a dental hygiene 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 hygiene license number;
(2) full name;
(3) mailing address and any secondary address
the licensee wishes to provide;
(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 dental hygienist
as of the date of the application, including;
(A) whether the licensee is currently working
as a dental hygienist;
(B) name of
the practice in which the licensee provides services;
(C) primary setting in which the licensee
provides services;
(D) type of
employer for which the licensee works; and
(E) number of hours the licensee works in an
average week;
(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 holds an unexpired
CPR certification;
(13) whether the
licensee has been employed as a limited supervision hygienist as set forth in
21 NCAC
16Z during the calendar year preceding the
application; and
(14) a written
statement certifying that the information submitted is accurate to the best of
the licensee's knowledge.
(b) In addition to the requirements of
Paragraph (a) of this Rule, the licensee shall mail to the Board the following
materials for review by the Board before the license will be renewed:
(1) for each matter existing under
Subparagraph (a)(8) of this Rule, a statement describing the nature, facts, and
disposition of the matter, and include a copy, certified by the clerk of court
or the applicable licensing board, of the disposition or judgment in the
matter; and
(2) for each matter
under Subparagraph (a)(9) of this Rule, documentation of the results of the
investigation.
(c) The
Board shall receive all information and documentation set forth in Paragraphs
(a) and (b) of this Rule, accompanied by the renewal fees set forth in
21 NCAC
16M .0102, for the renewal application to be
complete. If a renewal application is not complete, the license shall not be
renewed.
(d) Eligible licensees
shall be granted an extension period as set out in Rule .0111 of this
Subchapter in which to pay renewal fees, obtain CPR certification, and comply
with the Board's continuing education rules.
(e) Any license obtained through fraud or by
any false representation shall be revoked.
