Forms › Change of Address

It is important that the Board office maintains accurate contact information concerning all licensees, registrants and permit holders in order to ensure that renewal notices and other important correspondence is sent to an appropriate address.

Board rules also require all licensees, registrants and permit holders to inform the Board of a change of legal name or address within sixty (60) days of such change.

For Address Changes. To submit a change of address, please visit the Board's new online licensing database. After creating a user account, you can update your license information directly to the database. You may access the online database here. You may also submit changes of address by mail, email, or fax.

Please note: If you are a dentist, your default mailing address will be your work address unless you notify the Board in writing indicating another preference. If you are a dental hygienist or dental assistant, your default mailing address will be your home address unless you notify the Board in writing indicating another preference

For Name Changes. If you need to inform us of a name change, you must submit a written notarized copy of the legal documents that change the name. Mail this information to:
Iowa Dental Board
400 S.W. 8th Street, Suite D
Des Moines, Iowa 50309-4687

For Duplicate Renewal Card/Certificate with New Address. If you need a new renewal card or certificate with your updated address, you must submit a request for a duplicate card or certificate along with the required fee. You may request and pay for duplicate certificates and cards by accessing the online database.

Request duplicate certificate/renewal card
Fees