Dentist, Dental Assistant and Expanded Function Dental Auxiliary

Type of Non-Refundable Fee	Fee Amount
Dentist
Initial Application by Exam	$700.00
Initial Application - without Examination	$700.00
Initial License - without Examination	$700.00
Faculty license application	$560.00
Resident license application	$115.00
License Renewal	$576.00*
Inactive status Renewal	$150.00*
Renewal Surcharge for Impaired Dentist Program	$25.00
Late Renewal penalty	$288.00
Inactive Late Renewal penalty	$50.00
Expired License Reissuance	$300.00
Duplicate license	$15.00
Certification Letter	$25.00
Anesthesia Permit
Initial Permit Application	$150.00
Permit Renewal (3 years)	$150.00
Late Permit Renewal Penalty	$75.00
Expired Permit Reissuance	$50.00
On-Site Inspection Fee	TBD
Dental Assistant
Application	$40.00
Renewal	$21.00
Late Renewal	$21.00
Expired Reactivation	$20.00
Duplicate	$15.00
Verification	$25.00
Sealant Endorsement	$50.00
Expanded Function Dental Auxiliary
Application	$175.00
Renewal	$160.00
Late Renewal	$80.00
Expired Reactivation	$50.00
Duplicate	$15.00
Verification	$25.00

* Includes the $25.00 Washington Physician Health Program surcharge.

Profession Links

Washington State Department of Health
Health Professions & Facilities
243 & 310 Israel Rd SE
P.O. Box 47865
Olympia, Washington, 98504-7865