Wyoming Board of Dental Examiners

Restoration, Relicensure, and Reinstatement Forms

If your license expires December 31, 2019, you have until March 31, 2020 to renew in the administrative grace period. This period does NOT allow you to practice, only to renew late and pay the late fees (total of double renewal fees - $370 for dentists and $190 for hygienists). After March 31:

  • Dentists:

    • You must apply for "relicensure" which costs $370. This will relicense you through December 31 of that same year.

  • Hygienists:

    • You must apply for "restoration" from April 1, 2020 through December 31, 2020 which costs $190. This will restore your license through December 31, 2020. You will need to renew it by December 31, 2020.

    • You must apply for "relicensure" from January 1, 2021 and on which costs $190. This will relicense you through December 31 of that same year.

  • Assistant Permit Holders:

    • You may seek late renewal by going to the renewal page.

Dentists

Click a link below and print the form you need. These are not editable or fillable. You must open and print.

Dentist Relicensure - For those who did not timely renew

Dentist Reinstatement - For those seeking reinstatement following disciplinary action

Hygienists

Click a link below and print the form you need. These are not editable or fillable. You must open and print.

Hygienist Restoration - For those who did not timely renew in the last year

Hygienist Relicensure - For those who did not timely renew or restore their license

Hygiene Reinstatement - For those seeking reinstatement following disciplinary action