Title 12 . Professional and Vocational Regulations

Chapter 28 . Big Game Guides and Transporters

Section 951. Dental licensure by credentials

12 AAC 28.951. Dental licensure by credentials

(a) The board will issue a license by credentials to practice dentistry to an applicant who meets the requirements of AS 08.36.234 and this section.

(b) An applicant for a license under this section shall submit to the department

(1) a complete, notarized application on a form provided by the department;

(2) the applicable fees established in 12 AAC 02.190;

(3) an authorization from the applicant for release of the applicant's records to the department;

(4) an affidavit from the applicant that lists the license number and name of the jurisdiction for all dental licenses that the applicant holds or has ever held in any jurisdiction;

(5) verification of the status of the applicant's registration with the Drug Enforcement Administration (DEA), sent directly to the department from DEA, even if the applicant is not currently registered with the DEA.

(c) In addition to the requirements of (a) and (b) of this section, an applicant for a license under this section shall arrange for and ensure submission of the results of a level II Professional Background Information Services (PBIS) credentials review conducted by PBIS, sent directly to the department from PBIS. The credential review must include

(1) verification of the status of the applicant's registration with the Drug Enforcement Administration (DEA), sent directly from DEA, even if the applicant is not currently registered with the DEA;

(2) a copy of a current certification in cardiopulmonary resuscitation (CPR) techniques that meets the requirements of 12 AAC 28.920, or a waiver agreement that meets the requirements of AS 08.36.070 (a)(12);

(3) a copy of the applicant's certificate of examination that meets the requirements of AS 08.36.234 (a)(1)(A);

(4) an affidavit from the applicant stating the applicant is not an impaired practitioner;

(5) as required under 12 AAC 28.908(b) , a statement from the applicant certifying the applicant will adhere to the ethical standards specified in 12 AAC 28.905(b) ;

(6) an affidavit from the applicant stating for each of the five years immediately preceding application

(A) the dates and locations where the applicant has practiced dentistry;

(B) that the applicant has been in continuous active clinical practice averaging at least 20 hours per week for each of the five years immediately preceding application as required under AS 08.36.234 (a)(1)(D);

(7) copies of certificates showing the applicant has completed the continuing education required under AS 08.36.234 (a)(1)(H);

(8) if the applicant is or has ever been employed as a dentist with a federal agency, verification of the current status and disciplinary history from each federal agency where the applicant is or has been employed;

(9) a certification from the applicable licensing jurisdiction or testing agency, that verifies that a state, territory, or region of the United States where the applicant passed a written and clinical dental examination and has been licensed to practice dentistry has, at the time the applicant applies for licensure by credentials in this state, licensing requirements at least generally equivalent to those of this state;

(10) verification of the applicant's status and complete information regarding any disciplinary action or investigation taken or pending from all licensing jurisdictions where the applicant holds or has ever held a dental license;

(11) affidavits from three licensed dentists stating the applicant has been in continuous active clinical practice averaging at least 20 hours per week for each of the five years immediately preceding application.

(d) In addition to the requirements of (b) and (c) of this section, an applicant for licensure by credentials must pass the written Alaska jurisprudence examination required under AS 08.36.234 and 12 AAC 28.105.

(e) To determine whether the examination portion of the licensing requirements of another jurisdiction are generally equivalent to those of this state, the examinations for licensure in that jurisdiction must include at least six of the following subject areas and their components or characteristics:

(1) periodontics; clinical abilities testing;

(2) endodontics; clinical abilities testing;

(3) amalgam; clinical abilities testing;

(4) cast gold; clinical abilities testing;

(5) prosthetics; written or clinical abilities testing;

(6) oral diagnosis; written or clinical abilities testing;

(7) other restorative procedure; clinical abilities testing;

(8) standardization and calibration of examiners and anonymity between candidates and grading examiners.

(f) If the licensing requirements of another jurisdiction are determined to not be generally equivalent to those of this state because a subject area specified in (e)(1) - (7) of this section was not included in the other jurisdiction's licensing examination, the board will determine under AS 08.36.234 (a)(1)(B) that the applicant meets the requirements for that subject area if the applicant holds a specialty certification in the omitted subject area.

(g) The personal interview of the applicant required in AS 08.36.234 (a)(3) will be scheduled as provided in 12 AAC 28.915.

(h) In this section, "clinical abilities testing" means an examination that

(1) evaluates a candidate's performance of a procedure or portion of a procedure;

(2) is conducted for the purpose of demonstrating an acceptable level of practical skill in a subject; and

(3) uses a live patient, laboratory simulation, or interactive computer simulation.

History: Eff. 2/18/93, Register 125; am 2/4/94, Register 129; am 2/22/98, Register 145; am 1/28/2000, Register 153; am 8/15/2001, Register 159; am 1/22/2004, Register 169

Authority: AS 08.36.070

AS 08.36.234

Editor's note: An application for a Professional Background Information Services (PBIS) credential review under 12\n AAC 28.951(c) may be obtained from PBIS, 9201 North 25 th Avenue, Suite 185, Phoenix, Arizona, 85021; telephone: (602) 861-5867.