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It outlines the rules summary, application package requirements, notarized affidavit content about five years of clinical practice and patient-care hours, CPR certification, background checks, and exam prerequisites. 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Holders of a limited volunteer dental license may volunteer their professional services, WITHOUT compensation, only for the purpose of helping to meet the dental health needs of individuals served by these facilities.  \n􀁸 It is your responsibility to review the rules and determine if you qualify for a limited volunteer dental license BEFORE submitting an application. Please understand that once your application is received and the application process begins the application fee is NON-REFUNDABLE!!  \n􀁸 Once our office receives your application, you will receive notification of receipt along with information on obtaining a copy of the North Carolina Dental Laws and a resource list for sterilization/infection control that will assist you in preparing for the written tests. After you receive notification, you will need to contact Mary McCullough at [mmccullough@ndcdentalboard.org](mmccullough@ndcdentalboard.org) or (919) 678-8223 ext. 1782 to schedule a time to take the tests. The tests are administered at the Board’s office in Cary MondayFriday from 9:00 am – 12:00 noon and 2:00 pm-4:00 pm. If you are living out-of-state, arrangements can be made for you to take the tests at the State Board office in your state.  \n􀁸 Please Note!! The Board’s rules constantly change. While every effort is made to keep rules and statutes up to date in this and other documents, always check for the latest version of the Board’s rules directly from the Office of Administrative Hearings’ website. A link to their page may be found on our website on the “Rules and Laws” page.  \nSECTION .0500 – LIMITED VOLUNTEER DENTAL LICENSE  \n21 NCAC 16B .0501 LIMITED VOLUNTEER DENTAL LICENSE  \n(a) An applicant for a limited volunteer dental license shall submit to the Board:  \n(1) a completed, notarized application form provided by the Board;  \n(2) the limited volunteer dental licensure fee;  \n(3) an affidavit from the applicant stating:  \n(A) for the five years immediately preceding application, the dates that and locations where the applicant has practiced dentistry;  \n(B) that the applicant has provided at least 1000 hours per year of clinical care directly to patients, for a minimum of five years, not including post graduate training, residency programs or an internship; and  \n(C) that the applicant has provided at least 500 hours of clinical care directly to patients within the last five years, not including post graduate training, residency programs or an internship;  \n(4) if applicable, a statement disclosing and explaining periods, within the last 10 years, of observation, assessment, or treatment for substance abuse, with verification from the applicable program demonstrating that the applicant has complied with all provisions and terms of any county or state drug treatment program, or impaired dentists or other impaired professionals program; and  \n(5) a copy of a current course completion certification card in cardiopulmonary resuscitation.  \n(b) In addition to the requirements of Paragraph (a) of this Rule, an applicant for a limited volunteer dental license shall arrange for and ensure the submission to the Board office, the following documents as a package, with each document in an unopened envelope sealed by the entity involved:  \n(1) documentation of graduation from a dental school accredited by the Commission on Dental Accreditation of the American Dental Association;  \n(2) certificate of the applicant's licen","cbCaijWypc2chkaj","https://ap.wps.com/l/cbCaijWypc2chkaj","pdf",365253,16,"English","# Limited Volunteer Dental License Information Packet\n## Notice and Application Process\n## Section .0500 - Limited Volunteer Dental License\n## Rule 21 NCAC 16B .0501: Application Requirements","[{\"question\":\"What is the purpose of a Limited Volunteer Dental License in North Carolina?\",\"answer\":\"It allows the license holder to practice dentistry only in nonprofit health care facilities serving low-income populations in the State, without compensation, to help meet dental health needs served by those facilities.\"},{\"question\":\"What must applicants submit to the Board for the Limited Volunteer Dental License?\",\"answer\":\"Applicants must submit a completed notarized application, the required licensure fee, and an affidavit covering specific dates/locations of practice and minimum clinical-care hours, plus any required statements, CPR course completion certification, and other documents provided as an unopened sealed package.\"},{\"question\":\"Are the application fees refundable, and how are test schedules arranged?\",\"answer\":\"The application fee is non-refundable once the application is received and the application process begins. After notification of receipt, the applicant must contact the Board to schedule the written tests, which are administered at the Board’s office in Cary during specified weekday time windows.\"}]","LIMITED VOLUNTEER DENTAL LICENSE INFORMATION PACKET - Section .0500 - Limited Volunteer Dental License | PDF",1790672291]