4715-10-01 Application for oral health access supervision permit: dentist.

(A) No licensed dentist shall participate in the oral health access supervision program as provided in sections 4715.36 to 4715.374 of the Revised Code, unless such dentist possesses a permit issued by the Ohio state dental board.

(B) In order to receive such a permit, the licensed dentist shall apply on a form prescribed and provided by the state dental board, submit the application fee of twenty dollars, and provide the following information:

(1) Dentist's name;

(2) Ohio license number; and

(3) Current practice address.

(C) The state dental board shall issue an oral health access supervision permit to a dentist who is in good standing with the board and satisfies all the requirements of this rule.

Effective: 09/17/2011
R.C. 119.032 review dates: 12/01/2015
Promulgated Under: 119.03
Statutory Authority: 4715.03 , 4715.362 , 4715.372
Rule Amplifies: 4715.362 , 4715.364