Wyoming Board of Dental Examiners
Late Renewal Forms
Dentists & Hygienists - acceptable January 1, 2024 through March 31, 2024.
Assistants - acceptable if your permit is expired within last five (5) years.
Instructions
DO NOT MAIL OR BRING CASH!
Due to the volume of mail received, staff is unable to go through documents to confirm receipt of a specific submission. If you need to ensure we received your mailing, we suggest you send it via a trackable method.
Click a link below and print the form you need. These are not editable or fillable. You must open and print.
Dentists & Hygienists
Dental Assistants
If you hold both a radiograph and pit and fissure permit renewal, they must be renewed separately according to the Rules changes effective January 14, 2022. If your permit expired five (5) or more years ago, you must apply as if you were new to the state.
Restoration and Relicensure
Instructions
DO NOT MAIL OR BRING CASH!
Due to the volume of mail received, staff is unable to go through documents to confirm receipt of a specific submission. If you need to ensure we received your mailing, we suggest you send it via a trackable method.
Click a link below and print the form you need. These are not editable or fillable. You must open and print.
Dentists:
You must apply for "Dentist Relicensure" from January 1, 2025 and on which costs $370.
Hygienists:
You must apply for "Hygienist Restoration" from April 1, 2024 through December 31, 2024 which costs $190. This will restore your license through December 31, 2025.
You must apply for "Hygienist Relicensure" from January 1, 2025 and on which costs $190.