Do You Need a License or Certification to Open a Dental Practice?
- Nate Jones, CPCU, ARM, CLCS, AU

- 3 days ago
- 2 min read
Opening a dental practice is an exciting career milestone, but it requires careful attention to legal and regulatory requirements. One of the first questions aspiring dentists ask is whether a license or certification is required—and the answer is yes. Compliance ensures patient safety, legal operation, and protects your investment in the practice.

This guide explains the licensing and certification requirements, steps to obtain them, and other considerations for starting a dental practice.
Licensing Requirements for Dentists
To legally operate a dental practice in the United States, you must hold a valid dental license in the state where you plan to practice. Key points include:
Dental Degree: Graduation from an accredited dental school (DDS or DMD) is mandatory.
State Licensing Exam: Passing the National Board Dental Examination (NBDE) or Integrated National Board Dental Examination (INBDE) is required.
Clinical Exam: Most states require a regional or state clinical licensing exam.
Continuing Education: Dentists must meet ongoing continuing education requirements to maintain licensure.
Read More: For detailed state-specific licensing requirements, visit American Dental Association (ADA) State Licensing Boards.
Business Licenses and Permits
Operating a dental practice also requires business-related licenses:
Business License: Most cities or counties require a general business license to operate legally.
Occupational License: Some states or municipalities require a separate occupational or professional practice license.
Health Department Permits: Compliance with local health regulations and sanitation standards is required.
Fire and Safety Inspections: Dental offices must meet fire safety and occupancy regulations.
Failing to obtain the proper licenses can result in fines, penalties, or closure of your practice.
Optional Certifications That Boost Credibility
While not always legally required, additional certifications can enhance your practice’s credibility and patient trust:
Specialty Board Certifications: For orthodontics, periodontics, endodontics, or oral surgery.
Infection Control Certification: Ensures compliance with CDC and OSHA guidelines.
CPR and Emergency Management Certification: Recommended for all dental staff.
Insurance and Risk Management
Even with proper licensing, dental practices face risks that can impact profitability and operations. Essential insurance policies include:
Dental Malpractice Insurance protects against claims of professional negligence.
General Liability Insurance covers slips, falls, or property damage.
Property Insurance protects equipment, office furniture, and building improvements.
Workers’ Compensation required if you have employees.
Final Thoughts
Licensing and certification are critical first steps in opening a dental practice. Compliance ensures legal operation, protects patients, and safeguards your investment. Beyond legal requirements, pursuing additional certifications can enhance your reputation, build patient trust, and support practice growth. Coupled with the right insurance, a properly licensed and certified dental practice is positioned for long-term success.
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