2024
State Board of Dentistry Regulations: 49 Pa. Code Chapter 33. State Board of Dentistry( pacodeandbulletin. gov)
Chapter 33.109
Licensees are required to notify the board of any legal name or address changes within 10 days.
Note: It is important to have a correct name and address on file because licensees bear the full responsibility for failure to receive correspondence from the board or the Department of State. A licensee’ s name and address on file with the board is also deemed to be the licensee’ s official name and address for the purpose of legal and other official documents.
Licensees can request name changes and update addresses online through the PALS system.
How do I submit a request for a name change?
You submit a request for a name change by clicking the eye icon located on the left panel in your dashboard labeled“ Personal Details.” Be prepared to electronically upload a copy of one of the following name change verification documents: marriage certificate; divorce decree which indicates the retaking of your maiden name; passport; other“ legal” document indicating the retaking of a maiden name.
How do I update my address with by Board / Commission?
You can submit an official address change to your licensing record by clicking the eye icon located on the left panel in your dashboard labeled“ Personal Details.”
Chapter 33.202( c)
Practices that operate under a fictitious name must notify the state board of any changes in the ownership of a dental facility, changes in the designation of the responsible dentist, changes in the scope of practice or changes in the professional staffing within 10 days.
A Fictitious Name is any name assumed by an individual or business other than the legal name of the individual or business. If a sole proprietor is doing business under a stylized name other than his or her name or a registered business is using a name different from its legal name, this is a fictitious name. Fictitious names are registered with the Pennsylvania Department of State’ s Bureau of Corporations and Charitable Organizations.
Chapter 33. 340( 6) &( 7)
Dentists who have an unrestricted anesthesia permit must submit a complete report of death or incident requiring medical care and resulting in physical or mental injury that directly resulted from the administration of general anesthesia, deep sedation, conscious sedation or nitrous oxide / oxygen analgesia by the permitholder, or by a CRNA working under the supervision of the permitholder. The report must be submitted within 30 days of the death or incident.
In addition, the board must receive prior notice of the first time that the office of the permitholder will be used for the administration of general anesthesia, deep sedation, conscious sedation or nitrous oxide / oxygen analgesia.
2024