SECTION .0700 – INSTRUCTOR'S LICENSE

21 ncac 16b .0701          INSTRUCTOR'S LICENSE

(a)  An applicant for an instructor's license shall submit to the Board:

(1)           a notarized application form provided by the Board at www.ncdentalboard.org that includes the information and materials required by Rule .0301(a) of this Subchapter;

(2)           the non-refundable instructor's licensure fee set forth in 21 NCAC 16M .0101; and

(3)           a statement disclosing and explaining any investigations, malpractice claims, or state or federal agency complaints, judgments, or settlements that are related to licensure and are not disclosed elsewhere in the application.

(b)  In addition to the requirements of Paragraph (a) of this Rule, an applicant for an instructor's license shall request the applicable entity to send the following required information or documents to the Board office, with each document in an unopened envelope sealed by the entity involved:

(1)           if the applicant is or has ever been employed as a dentist by or under contract with a government agency or a nonprofit or for-profit organization, a certification letter of the applicant's current status and disciplinary history from each agency or organization where the applicant is or has been employed or under contract;

(2)           a certificate of the applicant's licensure status from the dental regulatory authority or other occupational or professional regulatory authority and information regarding all disciplinary actions taken or investigations pending, from all licensing jurisdictions where the applicant holds or has ever held a dental license or other occupational or professional license;

(3)           a report of any pending or final malpractice actions against the applicant, verified by the malpractice insurance carrier covering the applicant;

(4)           a letter of coverage history from all current and all previous malpractice insurance carriers covering the applicant; and

(5)           a certification letter from the dean or director that the applicant has met or been approved under the credentialing standards of a dental school or an academic medical center with which the person is to be affiliated, and certification that the school or medical center is accredited by the American Dental Association's Commission on Accreditation or the Joint Commission on Accreditation of Health Care Organizations.

(c)  The Board shall receive all information and documentation set forth in Paragraphs (a) and (b) of this Rule for the application to be complete. Applications that are not completed within one year of being submitted to the Board shall be disregarded as expired without a refund of the application fee.

(d)  Any applicant who changes his or her address shall notify the Board office in writing within 10 business days.

(e)  Any license obtained through fraud or by any false representation shall be revoked.

History Note:        Authority G.S. 90-28; 90-29.5;

Temporary Adoption Eff. January 1, 2003;

Eff. January 1, 2004;

Recodified from 21 NCAC 16B .0601 Eff. March 1, 2006;

Amended Eff. September 1, 2014;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018;

Amended Eff. March 1, 2020.