Applications
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Life Status (PDF)
An active Diplomate who has been in good standing for at least ten years and has reached the age of 65.
Retired Status (PDF)
An active Diplomate who has voluntarily and completedly retired from the practice of dentistry,administration, and/or teaching and has been paying dues for at least ten years.
Reactivate Board Candidacy - call Headquarters at 1-800-410-1250
Reactivate Diplomate Status - call Headquarters at 1-800-410-1250