Current through Register Vol. 39, No. 6, September 16, 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.
(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 .0101, for the renewal application to be
complete. If a renewal application is not complete, the license will not be
renewed.
(d) Eligible licensees
shall be granted an extension period as set out in
21 NCAC
16B .0900 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.
