Professional Documents
Culture Documents
www.danb.org
Welcome.
Congratulations on taking the first step toward earning DANB Certified Dental Assistant (CDA) certification.
This application packet includes the exam applications for the CDA exam and the three component
exams that make up the CDA exam: Radiation Health and Safety (RHS), Infection Control (ICE) and
General Chairside Assisting (GC). Candidates may take the CDA exam (RHS, GC and ICE), take the
RHS and ICE exams at the same test administration (RHS/ICE), or take and pass the component exams
separately within a five-year period to earn certification.
There are no eligibility requirements to take the RHS and ICE exams. After passing the RHS and ICE
exams, a candidate receives a certificate of knowledge-based competency for each exam passed.
The RHS exam is recognized or required in 21 states and the District of Columbia to meet radiography
requirements. The CDA exam is recognized or required in 31 states and the District of Columbia for
either radiography or for performing expanded functions. Currently, a total of 38 states, the District of
Columbia, the U.S. Air Force and the Department of Veterans Affairs recognize or require DANB exams
for dental assisting practice.
There are eligibility requirements to take the GC or CDA exam. A candidate must be eligible under
one of three pathways. Read pages 12-13 to determine which pathway you will be eligible for and the
documentation necessary for each.
Please be sure to sign and date the application, answer the background information questions, attach
the proper documentation and include the payment. If you have any questions, please contact DANBs
Client Service Representatives at 1-800-367-3262. DANB is here to help you through the process of
earning DANB certification.
There are currently more than 36,000 proud dental professionals who maintain DANB certification!
I wish you the best as you advance in the dental assisting profession.
Sincerely,
2015 Dental Assisting National Board, Inc. The DANB logo is a registered trademark of the Dental Assisting National Board, Inc. (DANB). CDA, COA, CRFDA, CPFDA,CDPMA,
COMSA, DANB, and Dental Assisting National Board are registered certification marks of DANB. RHS, ICE, and Measuring Dental Assisting Excellence are registered service
marks of DANB. CERTIFIED DENTAL ASSISTANT and NELDA are certification marks of DANB. Mark of Dental Assisting Excellence is a service mark of DANB. Use of these
marks is strictly prohibited, except as provided in the Usage Guidelines for DANB Trademarks, without the express written permission of DANB.
DANB is a member of the Institute for Credentialing Excellence. The National Commission for Certifying Agencies (NCCA), an Institute for Credentialing Excellence commission with
responsibility for accrediting certification programs, has evaluated DANB national certification programs (CDA and COA), including DANB component exams (RHS,
ICE, GC and OA), and finds that DANB programs meet NCCAs highest standards, thus helping to assure validity, reliability and objectivity in the testing process.
DANB Executive Director Cindy Durley, M.Ed., MBA, completed a six-year term on the NCCA (Chair in 2003 and 2004) and five years as an Institute for Credentialing Excellence Board Director, serving as President in 2006. DANB Director of Testing and Measurement Johnna Gueorguieva, Ph.D., began her first term as an
Institute for Credentialing Excellence Board Director in 2013.
Table of Contents
About DANB
Exam Prerequisites
Submitting an Exam Application
Payment Instructions
Background Information Policy
Military Discount
Returned Checks
Incomplete Exam Applications
Duplicate Exam Application Policy
Group Testing
Candidates With Disabilities
DANBs Nondiscrimination Policy
Retaking a Passed Exam
Name/Address Changes
DANB Communications
Hand Scoring
Official Exam Results
Duplicate Exam Results
Duplicate Certificates
Retaking a Failed Exam
Release of Exam Results
Verification of Certificates and Certification
Conditional Certificates and Official Exam Results
Appealing a Decision
Application Statements
10
11
12
14
15
16
17
Appendix A:
18
CODA-Accredited Dental Assisting Programs
7
Appendix B:
19
New Jersey-Approved Radiography Programs
Appendix C:
Maryland-Approved Radiography Programs
20
{
{
{
60-day window to
schedule and take exam
DANBs Mission
DANB is a nonprofit organization. DANBs mission is to promote the public good by providing credentialing services to
the dental community.
DANB Certifications
DANB offers four national certifications:
Certified Dental Assistant CDA
Certified Orthodontic Assistant COA
Certified Preventive Functions Dental Assistant CPFDA
Certified Restorative Functions Dental Assistant CRFDA
In addition to these national certifications, DANB also offers
the following certificates of knowledge-based competency,
which allow a dental assistant to demonstrate knowledge in:
Radiation Health and Safety (RHS)
Infection Control (ICE)
Coronal Polish (CP)
Sealants (SE)
Topical Anesthetic (TA)
Topical Fluoride (TF)
Anatomy, Morphology and Physiology (AMP)
Impressions (IM)
Temporaries (TMP)
Isolation (IS)
Information and applications for COA, CPFDA and CRFDA exams can be found in separate DANB exam application packets.
Visit www.danb.org or call 1-800-367-3262.
*Each states dental board implements regulations and establishes rules for delegating legally allowable duties to dental
assistants. Passing one or more of the CDA component
exams or earning CDA certification only conveys authority
to perform these duties in those states that recognize these
exams or this certification as meeting state dental assisting
requirements. This information can be found at www.danb.
org/Meet-State-Requirements.aspx.
Payment Instructions
DANB accepts payment by check, money order or credit card
(Visa, MasterCard, American Express or Discover). Check
or money order payments must be payable to DANB in U.S.
dollars and written in English. The application is a contract to
test, and the check or credit card authorization is the contract
to pay. The candidate should put his/her name on the check.
Military Discount
See the exam applications for active military personnel reduced exam fees. To receive the reduced fee, the candidate
must submit a letter from the commanding officer or an active
military email address (this email address will be verified by
DANB upon approval of application). If a letter is provided,
it must verify the candidates name, rank, Social Security
number, station (location) and estimated date of separation.
If documentation of active duty is not submitted, the application is considered incomplete and will be returned to the
sender. DANB will issue a refund within 30 days of notice
of the incomplete application, minus the $50 nonrefundable
application fee. Military personnel may schedule a DANB
exam at authorized Pearson VUE on-base military test centers. For on-base military test center locations, visit www.
vue.com/danb.
Returned Checks
If a candidate applies for an exam with a check that is returned
by the bank for any reason (including but not limited to nonsuf-
Group Testing
Groups of four or more candidates may request to take any
DANB exams on the same day, at or around the same time.
Download the Group Testing Form from www.danb.org or
contact DANB at 1-800-367-3262 with questions.
If a candidate cannot schedule or reschedule an exam appointment before the end of his/her 60-day testing window and would
like to request a new testing window, he/she must complete
both steps below:
STEP 1: Cancel the exam appointment: If an exam appointment has been scheduled, the candidate must cancel his/
her appointment with Pearson VUE at least 24 hours before
Exam Security
The exam is confidential. Any individual who removes or attempts to remove testing-related materials from the test center,
or who attempts to memorize, distribute or otherwise misuse an
exam, in whole or in part, in any form or by any means, verbal
or written, electronic or mechanical, for any purpose, without
the prior express written permission of DANB, will be subject
to legal action. Any candidate or certificant who engages in
improper behavior also will be subject to disciplinary action by
DANB, which may include denial or revocation of certification
or recertification. DANBs Disciplinary Policy & Procedures
document is available at www.danb.org. The test center
administrator will notify DANB of anyone who talks during the
exam, gives or receives assistance, or otherwise engages or
appears to engage in dishonest or improper behavior before,
during or after the exam. Those candidates may be required
to cease taking the exam and leave the test center.
The test center administrator will send a report to DANB
regarding the incident. After reviewing a reported incident,
DANB will determine whether there is reason to believe
that a candidate has engaged in cheating or other improper
behavior, or has otherwise violated the security of the exam.
If DANB determines that the incident report is valid, DANB
may, at its discretion, pursuant to the procedures set forth in
DANBs Disciplinary Policy & Procedures, take disciplinary
actions, including but not limited to the following:
Order the candidate to retake the exam at a time and
place to be determined by DANB
Invalidate or refuse to release the exam results of the
candidate
Exam Integrity
To ensure a consistently high-quality testing program, each
exam is routinely reviewed for reliability and validity. Each
exam question is statistically analyzed and evaluated for
performance. A small number of pretest questions appear on
each DANB national exam. Pretest questions are new test
items that DANB includes on each exam as a way to ensure
they are accurate measures of candidate knowledge. Pretest
questions are randomly distributed throughout the exam and
are not counted in the final exam results. Since the candidate
will not know which items are pretest questions and which
are not, the candidate should answer all exam questions to
the best of his/her ability.
DANB exam committees, with final DANB Board approval,
establish passing standards (the minimum required to pass a
particular DANB exam) using standard psychometric procedures for criterion-referenced exams. A candidate is expected
to perform at or above the Board-established standard to
pass each exam.
DANB Communications
All communications sent to and from DANB are DANBs property. DANB cannot guarantee that communications will remain
confidential; clients have no expectation of privacy with respect
to items sent or received. DANB may disclose communications
as necessary to comply with legal processes. DANB responds
to phone and email messages within two business days.
Hand Scoring
DANB will hand score an exam on request. The candidate
must submit a Request for Hand Scoring of Exam Results
form and a $50 hand scoring fee to DANB within 30 days
after the date printed on the exam results received. The form
is available at www.danb.org. Hand scoring results of the
exam are completed within 30 days of a request. If the pass/
8
Duplicate Certificates
Duplicate certificates are available for $25. CDA duplicate
certificates may only be requested if the certification was
earned on June 1, 1993, or later. Because DANB provides
several opportunities for a candidate to correct errors, this
$25 duplicate certificate fee also applies for any reprint of a
certificate due to a spelling error. Download the Request for
Duplicate Certificate form at www.danb.org.
Appealing a Decision
If a candidate wishes to appeal a DANB decision regarding eligibility, administrative or exam content issues, he/she
may submit a Request for Reconsideration Under DANBs
Review and Appeal Process form and a $25 appeal fee to
DANBs Executive Director within 30 days of the date on
the DANB correspondence that prompts the candidate to
appeal (e.g., date on the letter indicating the candidates application was incomplete, date on candidates exam results).
The policy governing requests for reconsideration is available by contacting DANB at 1-800-367-3262.
634.2 CDA 2015 Application Packet
Application Statements
1.
Please read the following Application Statements carefully. The Application Statements apply to all DANB national exams.
Candidates signature on the application indicates understanding and agreement to be legally bound by these statements.
I hereby apply to the Dental Assisting National Board, Inc. (DANB) for examination by DANB and issuance to me of a certificate, in accordance with and subject to the procedures and regulations of DANB. Under penalty of perjury, I declare that the information provided on my
application is true. I have read and agree to the requirements and conditions set forth in the DANB application packet covering eligibility
for and the administration of certification exams, the certification process, and DANB policies, including but not limited to the DANB Code
of Professional Conduct. I agree to disqualification from the exam, to denial of certification, and to forfeiture and return to DANB of any
certificate granted me by DANB, in the event that any of the answers or statements made by me in this application are false, or in the
event that I violate any DANB rules or regulations. I authorize DANB to make whatever inquiries and investigations it deems necessary
to verify my credentials or professional standing.
2.
I hereby release DANB, its directors, officers, examiners and agents from any and all liability arising out of or in connection with any action
or omission by any of them in connection with this application, the certification process, any exam given by DANB, any scoring relating
thereto, the failure to issue me a certificate, or any demand for forfeiture or return of such certificate, and I agree to indemnify DANB and said
persons and hold them harmless from any lawsuit, complaint, claim, loss, damage, cost or expense, including attorneys fees, arising out of
or in connection with said certification activities. I UNDERSTAND THAT THE DECISION AS TO WHETHER I QUALIFY FOR A NATIONAL
CERTIFICATION OR CERTIFICATE OF KNOWLEDGE-BASED COMPETENCY RESTS SOLELY AND EXCLUSIVELY WITH DANB AND
THAT THE DECISION OF DANB IS FINAL. Notwithstanding the above, should I file suit against DANB, I agree that any such action shall be
governed by and construed under the laws of the State of Illinois without regard to conflicts of law. I further agree that any such action shall
be brought in the Circuit Court of Cook County in the State of Illinois, or the United States District Court for the Northern District of Illinois; I
consent to the jurisdiction of such state and federal courts; and I agree that the venue of such courts is proper. I further agree that should I not
prevail in any such action, DANB shall be entitled to all costs, including reasonable attorneys fees, incurred in connection with the litigation.
3.
I understand that except as provided below, this application and any information or material received or generated by DANB in connection
with this application or the exam process will be kept confidential and will not be released unless I have authorized such release or the
release is required by law. I understand that DANB will verify receipt of any DANB exam application and the date received, on request.
I further understand and agree that DANB may also provide verification to anyone by phone, by mail or on DANBs website regarding
whether I hold any DANB certifications, including the Certified Dental Assistant (CDA), Certified Preventive Functions Dental Assistant
(CPFDA), Certified Restorative Functions Dental Assistant (CRFDA), Certified Orthodontic Assistant (COA), Certified Dental Practice Management Administrator (CDPMA), or Certified Oral and Maxillofacial Surgery Assistant (COMSA) certifications; any DANB certificates of
knowledge-based competency, including Radiation Health and Safety (RHS), Infection Control (ICE), Coronal Polish (CP), Sealants (SE),
Topical Anesthetic (TA), Topical Fluoride (TF), Anatomy, Morphology and Physiology (AMP), Impressions (IM), Temporaries (TMP), and
Isolation (IS); and any state-specific certificates administered by DANB on behalf of a state regulatory body, including the Arizona Radiologic Proficiency certificate, Arizona Coronal Polishing certificate, Oregon Radiologic Proficiency certificate, Oregon Expanded Functions
Dental Assistant certificate and Oregon Expanded Functions Orthodontic Dental Assistant certificate. Phone and mail verification will be
provided to anyone upon request and will consist of oral or written confirmation of whether I hold any of the DANB-administered credentials
listed above and the effective dates for each credential. Online verification through DANBs website may consist of online display of my
name, the DANB-administered credentials I hold and dates earned, current DANB certification status, and my city and state of residence.
My full address will not be posted online by DANB. I further understand and agree that DANB may, from time to time, provide my name
and address along with the names and addresses of certificants and those holding DANB certificates of knowledge-based competency to
dentists interested in hiring a DANB individual from their area, and to providers of continuing education opportunities. I further understand
that this consent will remain in effect unless and until I submit a written request to have this information omitted from release. I understand
that if I want to opt out of the online verification process, then I must submit a written request for omission of this information to the following address: DANB Communications Department, 444 N. Michigan Ave., Suite 900, Chicago, IL 60611.
4.
I understand that by providing my email address on the application form, I am consenting to receive email messages from DANB and its
affiliates related to their products and services or news affecting the dental assisting profession. I understand that DANB agrees not to
provide my email address to any third party without my consent, and that I can request removal from DANBs email distribution list by following the directions contained in the Privacy Policy section of DANBs Terms and Conditions of Use of DANB.org, located at www.danb.org.
5.
I authorize DANB to release my exam results to state regulatory agencies. Individuals cannot opt out of DANB release of exam results
to state regulatory agencies. I also authorize DANB to use information from my application and exam(s) for statistical analysis, providing
that any personal identification is deleted.
6.
I understand that I can be disqualified from taking or continuing to sit for an exam, from receiving exam results and from obtaining certification if DANB determines through proctor observation, statistical analysis or any other means that I was engaged in collaborative, disruptive
or other unacceptable behavior during the administration of or following the exam.
7.
I understand that the content of all DANB exams is proprietary and strictly confidential information. I hereby agree that I will not disclose,
either directly or indirectly, any question or any part of any question from the exam to any person or entity. I understand that the unauthorized receipt, retention, possession, copying or disclosure of any DANB exam materials, including but not limited to the content of any
exam question, before, during or after the exam may subject me to legal action. Such legal action may result in monetary damages and/
or disciplinary action including voiding exam results and denial or revocation of certification.
8.
I understand that for each application submitted, DANB will process the appropriate payment. If I fail to show up for an exam for which I
have applied, and there is no documented DANB-accepted emergency, and I failed to comply with DANB cancellation policies, I am still
obligated to pay the full exam fee. I further understand that taking the exam and then revoking payment constitutes the wrongful use of
DANB products and services and I may be subjected to legal action. I am obligated to pay for the exam whether I pass or fail. I agree not
to dispute the exam fee. Passing candidates will not be eligible to retain their exam results if the exam fee is not paid in full.
10
Revised 10/1/12
2.
3.
11
Required Documentation
For high school eligibility in the U.S. and Canada:
q Enclose a photocopy of the candidates high school
diploma, GED certificate or official transcript (transcript
may not be a copy) indicating graduation (high school or
GED institution must be a recognized school in the U.S.
education system), or official state agency graduation
verification of high school graduation; or proof of college
or postsecondary coursework at an institution accredited
by a U.S. Department of Education-recognized agency.
Official documents must include a school seal, school
stamp indicating the document is official. For U.S. high
school education verification, contact the state board of
education. Any cost of such independent verification shall
be the responsibility of the candidate. No other documentation will be considered.
For high school eligibility outside the U.S. and Canada:
Enclose a photocopy of the candidates high school diploma or a photocopy of transcript with graduation date
or a photocopy of the postsecondary degree/college
transcript and a photocopy of the document translation.
Enclose an official equivalency report from an independent, DANB-accepted evaluator in a sealed envelope
from the evaluator. If the equivalency report arrives with
the application and is not in a sealed envelope from the
evaluator, the application will be returned, minus the $50
nonrefundable application fee.
An international graduate must submit his/her education
credentials for evaluation to one of these DANB-accepted
providers: National Association of Credential Evaluation Services (www.naces.org) or the American Association of Collegiate Registrars and Admissions
Officers (ies.aacrao.org) at 202-296-3359, ext. 4600, or
ies@aacrao.org. All costs shall be the responsibility of
the candidate. DANB will return all original international
documents to candidates.
2. Minimum of 3,500 hours work experience as a dental
assistant, accrued over a period of at least two years
to a maximum of four years; employment must be
verified by a licensed dentist.
Required Documentation
q Enclose a completed Employer Work Experience Statement found on page 15. Dental assisting experience
gained outside the United States/Canada may be used
to qualify to take a DANB exam.
3. Current Cardiopulmonary Resuscitation (CPR), Basic
Life Support (BLS) or Advanced Cardiac Life Support
(ACLS) from a DANB-accepted provider; must be current at the date of application and exam.
Required Documentation
q Enclose front and back copy of a valid, DANB-accepted
hands-on CPR, BLS or ACLS card (see page 13).
12
13
2015 Certified Dental Assistant (CDA) or General Chairside Assisting (GC) Exam
This 2015 application will be accepted through Dec. 31, 2015.
After Dec. 31, 2015, download a 2016 application packet from www.danb.org.
Please indicate which exam you would
like to take. Check only one box.
1.
It is the responsibility of the candidate to ensure that this application is signed and dated,
the background information questions are answered, and all required documentation
and fees are included and submitted to DANB. Incomplete applications will be returned
with a refund minus the $50 nonrefundable application fee.
2.
Mail or fax completed application and supporting documents to DANB. Checks must
include candidates name.
q CDA exam
(GC, RHS, ICE exams taken together)
q GC exam only
Signature and Date
I hereby affirm that my answers to all questions are true and correct, I have met all eligibility requirements, and I will comply with all DANB policies and procedures. I further affirm that I have read
and understood the Application Statements contained on page 10, and I intend to be legally bound by them. I understand that the $50 application fee is not refundable under any circumstances.
Background Information
All three questions in this section must be answered or application will be returned as incomplete.
Read the questions in their entirety on page 11. Failure to answer all three questions will result in the application being returned as incomplete.
If you checked Yes for any question, make sure to include required documentation.
No 2. Regarding having ever been disciplined by a
No 3. Regarding ever being declared
No 1. Regarding felony convictions within the
Yes
Yes
Candidate Information
Yes
I am a U.S. citizen. q Yes q No Non-U.S. citizens will be provided a temporary number by DANB in lieu of a Social Security #.
Candidates SS#
I work in a state different than the one in which I reside. q Yes q No If yes, what state:_____
__ __ __-__ __ -__ __ __ __
English is the language I speak at home. q Yes q No
I work in a dental office. q Yes q No
I work in a dental office that uses: q digital radiography q automatic processing q manual processing (check all that apply)
(Please type or print with a pen.)
First
q Pathway I
q Pathway II
q Pathway III
Employed in MD or NJ ONLY
State Approved School ID #
__ __ __ __
__ __ __ __ __
(see insert)
Complete documentation must be attached or application will be returned as incomplete. Select the eligibility pathway
and provide the appropriate supporting information. Include CPR card copy (front and back) for all pathways.
Payment Information
Candidates Name_________________________________________________ Candidates SSN ___ ___ ___ - ___ ___ - ___ ___ ___ ___
q Traditional candidate:
CDA exam fee: $375
q Employed in Maryland:
CDA exam fee: $395
q Active military personnel: CDA exam fee: $350
GC only: $200
GC only: $200
GC only: $195
q Check/Money Order (payable to the Dental Assisting National Board, Inc. or DANB)
q Credit Card Authorization (VISA, Mastercard, Discover & American Express accepted): Amount $_____________
Credit Card Number
__ __ __ __
__ __ __ __
__ __ __ __
__ __ __ __
CVV __
__ __
14
OR
Fax: 312-642-8507
Do not fax twice or you will be charged twice.
Revised 10/1/12
If an assistant has worked as a dental assistant for more than one dentist during the required time period, the candidate may attach a letter on office letterhead from all dentists worked for during the time period. Each letter must be signed and dated by the dentist and include the dentists license number,
the month and year the assistant began and ended employment, if the assistant was employed full or part time and that the assistant worked as a dental
assistant. This form must be completed by at least one of the candidates current or former employers and included with the application. DANB will accept
multiple work experience statements in lieu of letters from former employers.
By signing this form, I further attest that I have personally trained or can verify that the candidate has been trained in the following areas. During the tenure of employment, if this candidate has not performed all of these functions in the office, he/she
must still possess a basic understanding of them in order to increase his/her likelihood of success on the exam. If the candidate
has not been trained in or has not demonstrated basic knowledge of all areas listed below, he/she is not eligible to sit for the
exam and should not apply to take this exam until these functions have been performed or knowledge has been demonstrated.
X __________________________________________________
Signature of Licensed Dentist
3 Preliminary examination of patients
(intraoral and extraoral)
3 Charting teeth/completing treatment
documentation
3 Using diagnostic aids
(such as radiographs and
impressions for study models)
3 Taking and recording patients vital
signs
X ______________________________
Date
3 Use, handling and characteristics
of dental materials
3 Providing oral health patient
education
3 Office operations (inventory,
ordering, equipment maintenance
and legal)
3 Preventing/managing dental/medical emergencies
This form is part of the documentation required for CDA/GC application under Pathway
II. Please see pages 12-13 for additional documentation required.
15
q RHS exam
q ICE exam
q RHS/ICE exam
1.
It is the responsibility of the candidate to ensure that this application is signed and dated,
the background information questions are answered, and all required documentation
and fees are included and submitted to DANB. Incomplete applications will be returned
with a refund minus the $50 nonrefundable application fee.
2.
Mail or fax completed application to DANB. Checks must include the candidates name.
I hereby affirm that my answers to all questions are true and correct, I have met all eligibility requirements, and I will comply with all DANB policies and procedures. I understand that if this exam (or exams
on the RHS/ICE application) complete(s) the requirements to earn CDA or COA certification, I attest to holding a current DANB-accepted hands-on CPR, BLS or ACLS card. I further affirm that I have
read and understood the Application Statements contained on page 10, and I intend to be legally bound by them. I understand that the $50 application fee is not refundable under any circumstances.
Background Information
All three questions in this section must be answered or application will be returned as incomplete.
Read the questions in their entirety on page 11. Failure to answer all three questions will result in the application being returned as incomplete.
If you checked Yes for any question, make sure to include required documentation.
No 2. Regarding having ever been disciplined by a
No 3. Regarding ever being declared
No 1. Regarding felony convictions within the
Yes
Yes
Candidate Information
Yes
Candidates SS#
I am a U.S. citizen. q Yes q No Non-U.S. citizens will be provided a temporary number by DANB in lieu of a Social Security #.
I work in a state different than the one in which I reside. q Yes q No If yes, what state:_____
__ __ __-__ __ -__ __ __ __
English is the language I speak at home. q Yes q No
I work in a dental office. q Yes q No
I work in a dental office that uses: q digital radiography q automatic processing q manual processing (check all that apply)
(Please type or print with a pen.)
First
Education/Experience Information
Payment Information
Employed in MD or NJ ONLY
State Approved School ID #
__ __ __ __
(see insert)
Candidates Name_________________________________________________ Candidates SSN ___ ___ ___ - ___ ___ - ___ ___ ___ ___
RHS only: $175
q Traditional candidate:
RHS only: $195
q Employed in Maryland:
q Active military personnel: RHS only: $170
q Check/Money Order (payable to the Dental Assisting National Board, Inc. or DANB)
q Credit Card Authorization (VISA, Mastercard, Discover & American Express accepted): Amount $_____________
Credit Card Number
__ __ __ __
__ __ __ __
__ __ __ __
__ __ __ __
CVV __
__ __
OR
Fax: 312-642-8507
Do not fax twice or you will be charged twice.
Revised 10/1/12
Reference Materials
Please visit www.danb.org to download the exam references
suggested by the DANB exam committees. These references
can be obtained through sellers, libraries or online.
% on exam
10
45
9
% on exam
26
21
31
22
4
10
12
10
17
0753
0754
0346
0822
0864
0790
ALABAMA
Calhoun Comm. Coll.
Faulkner State Community College
Fortis College
Lawson State Comm. Coll.-Bessemer
Trenholm State Technical College
Wallace State Community College
0501
ALASKA
University of Alaska-Anchorage
0503
0743
0605
ARIZONA
Phoenix College
Pima County Community College
Rio Salado College
0255
0505
ARKANSAS
Arkansas Northeastern College
Pulaski Technical College
0511
0514
0515
0534
0506
0523
0838
0536
0745
0518
0516
0517
0776
0257
0259
0261
0270
0528
0721
0529
0532
0512
0535
0538
0804
0250
0722
0540
0502
CALIFORNIA
Cerritos College
Chaffey Community College
Citrus College
City College of San Francisco
College of Alameda
College of Marin
College of the Redwoods
College of San Mateo
Contra Costa College
Cypress College
Diablo Valley College
Foothill College
Hacienda LaPuente Adult Ed.
Heald College-Concord Campus
Heald College-Hayward Campus
Heald College-Stockton Campus
Moreno Valley College
Orange Coast College
Palomar Community College
Pasadena City College
Sacramento City College
San Diego Mesa College
San Jose City College
Santa Rosa Junior College
COLORADO
Front Range Comm. Coll.-Larimer
IntelliTec Medical Institute
Pickens Technical College
Pikes Peak Community College
Pueblo Community College
0823
4001
0549
0591
0533
0839
0170
0550
0852
0551
0531
0805
0688
0555
0915
0554
0530
0609
0723
FLORIDA (cont.)
Eastern Florida State College
Florida State College at Jacksonville
Gulf Coast State College (day)
Gulf Coast State Coll. (online weekend)
Hillsborough Community College
Indian River State College
Lincoln Technical Institute-Fern Park
Lindsey Hopkins Technical Ed. Ctr.
Lorenzo Walker Inst. of Technology
Manatee Technical Institute
Northwest Florida State College
Orlando Technical Center
Palm Beach State College
Pinellas Technical Education Center
Robert Morgan Educational Center
Santa Fe Community College
South Florida State College
Tallahassee Community College
Traviss Career Center
0895
0894
0965
0557
0258
0262
0914
0901
0966
0908
0610
0962
GEORGIA
Albany Technical College
Athens Technical College
Atlanta Technical College
Augusta Technical College
Columbus Technical College
Georgia Northwestern Tech. College
Gwinnett Technical College
Lanier Technical College
Ogeechee Technical College
Savannah Technical College
Southern Crescent Technical College
Wiregrass Georgia Technical College
0265
0785
HAWAII
Heald College-Honolulu Campus
University of Hawaii Maui College
0932
0559
0561
0755
0891
0562
0724
0979
0543
0885
0875
0545
CONNECTICUT
A. I. Prince Technical High School
Lincoln College of New England
Tunxis Community College
Windham Technical High School
0178
0778
0907
0251
0877
0504
FLORIDA
Atlantic Technical Center
Broward Community College
Charlotte Tech. Center
College of Central Florida
Daytona State College
D.G. Erwin Technical Center
18
0725
0729
0794
0574
0647
0254
0572
0795
0986
0857
0573
0577
0579
0993
0581
0582
0583
0756
0727
0260
0584
IOWA
Des Moines Area Comm. College
Hawkeye Community College
Indian Hills Community College
Iowa Western Community College
Kirkwood Community College
Marshalltown Community College
Northeast Iowa Comm. College
Scott Community College
Vatterott College-Des Moines Campus
Western Iowa Tech Comm. Coll.
0585
0987
0602
0587
KANSAS
Flint Hills Technical College
Labette Community College
Salina Area Tech. School
Wichita Area Technical College
0902
0881
0846
KENTUCKY
Bluegrass Comm. & Tech. Coll.Leestown Campus
West Kentucky Tech. College
MAINE
University of Maine Augusta/
University College of Bangor
0988
MARYLAND
Hagerstown Community College
0596
0598
0601
0184
0769
0600
0726
0606
MASSACHUSETTS
Massasoit Community College
McCann Tech. School
Middlesex Community College
Mount Wachusett Community College
Northern Essex Community College
Quinsigamond Community College
Southeastern Technical Institute
Springfield Technical Comm. Coll.
ILLINOIS
Elgin Community College
Illinois Valley Community College
John A. Logan College
Kaskaskia College
Lewis and Clark Comm. College
0171
0655
0608
0612
0758
0611
0780
0619
0824
MICHIGAN
Baker College-Auburn Hills
Baker College-Port Huron
Delta College
Grand Rapids Community College
Lake Michigan College
Mott Community College
Northwestern Michigan College
Washtenaw Community College
Wayne County Comm. College
INDIANA
C4 Columbus Area Career
Connection/Ivy Tech. State
Indiana Univ. School of Dentistry
Ind. U. Sch. of Dentistry-distance
Indiana Univ. Northwest-Gary
Indiana Univ.-Purdue Univ.-Ft. Wayne
International Business College
Ivy Tech Comm. College-Anderson
Ivy Tech Comm. College-Kokomo
Ivy Tech Comm. College-LaFayette
Ivy Tech Comm. College-South Bend
Kaplan College
University of Southern Indiana
0620
0747
0648
0728
0734
0622
0882
0621
0760
0759
0626
0748
0623
MINNESOTA
Central Lakes College
Century College
Dakota County Technical College
Hennepin Technical College
Herzing University
Hibbing Community College
Minneapolis Comm. & Tech. College
Minnesota West Comm. & Tech. Coll.
Minn. St. Comm & Tech Coll.-Moorhead
Northwest Tech. College-Bemidji
Rochester Community & Tech. Coll.
St. Cloud Technical College
South Central Tech. College-Mankato
IDAHO
Carrington College of Boise
College of Western IdahoCosponsor of Boise State University
MISSISSIPPI
Hinds Community College
Meridian Community College
Pearl River Community College
0166
0854
0629
0935
0936
MISSOURI
Missouri College
Nichols Career Center
Ozarks Tech. Community College
Metropolitan Com. Coll.-Penn Valley
St. Louis Comm. College-Forest Park
0633
0816
MONTANA
Montana State Univ.-Great Falls
Salish Kootenai College
0634
0172
0637
0636
0635
0798
NEBRASKA
Central Community College
Kaplan College
Metropolitan Community College
Mid-Plains Community College
Southeast Community College
Vatterott College-Omaha Campus
0969
0859
NEVADA
College of Southern Nevada
Truckee Meadows Comm. College
0719
NEW HAMPSHIRE
NHTI, Concords Community College
0252
0860
0691
0617
0893
0761
0542
0787
5008
0546
0967
0735
0646
0656
0650
0692
0267
0651
0652
0750
0167
0653
0981
0201
4100
0268
0783
NEW JERSEY
Burlington County Inst. of Tech.
Camden County College
Cape May County Tech. Institute
Cumberland Cty. Tech. Ed. Center
Fortis Institute
Rutgers University, School of Health
Related Professions
NEW MEXICO
Central NM Community College
Dona Ana Comm. College
Luna Community College-Las Vegas
Santa Fe Community College
University of New Mexico-Gallup
NEW YORK
Monroe Community College
SUNY Educ Opportunity Ctr.-Buffalo
NORTH CAROLINA
Alamance Community College
Asheville-Buncombe Tech. Comm.
Coll.
Cape Fear Community College
Central Carolina Community College
Central Piedmont Community College
Coastal Carolina Community College
Fayetteville Technical Comm. College
Forsyth Technical Comm. College
Guilford Technical Comm. College
Martin Community College
Miller-Motte College
Miller-Motte College-Raleigh
Montgomery Community College
Rowan-Cabarrus Community College
0654
0928
0657
0658
0921
0659
NORTH DAKOTA
North Dakota State Coll. of Science
0896
0661
0176
0994
0175
OHIO
Choffin Career and Technical Center
Eastern Gateway Community College
Fortis College-Cuyahoga Falls
Herzing University-Akron
Miami-Jacobs Career College
0188
0736
0828
0887
0271
OKLAHOMA
Francis Tuttle Technology Center
Metro Tech. Center, Health Careers
Center
Moore Norman Technology Center
Rose State College
Western Technology Center
0663
0737
0664
0665
0632
0668
OREGON
Blue Mountain Comm. College
Central Oregon Comm. College
Chemeketa Community College
Lane Community College
Linn-Benton Community College
Portland Community College
0263
0869
0918
0870
0834
0738
PENNSYLVANIA
Bradford School
Harcum College
Harrisburg Area Comm. College
Luzerne Cty. Community College
Manor College
Westmoreland County Comm. Coll.
0675
PUERTO RICO
University of Puerto Rico, College of
Health Related Prof.
0676
0624
RHODE ISLAND
Comm. College of Rhode Island
Lincoln Technical Institute
0926
0678
0680
0964
0677
0683
0681
0682
0888
SOUTH CAROLINA
Aiken Technical College
Florence-Darlington Tech. Coll.
Greenville Technical College
Horry-Georgetown Tech. College
Midlands Technical College
Spartanburg Community College
Tri-County Technical College
Trident Technical College
York Technical College
0684
SOUTH DAKOTA
Lake Area Technical Institute
0685
0607
0625
0884
0686
TENNESSEE
Chattanooga State Comm. Coll.
Concorde Career College-Memphis
Kaplan College-Nashville
Northeast State Tech. Comm. Coll.
Tennessee Coll Applied Tech-Knoxville
0982
0687
0739
0848
TENNESSEE (cont.)
Tennessee Tech Center-Dickson
Tennessee Tech Center-Memphis
Tennessee Tech Center-Murfreesboro
Volunteer State Comm. College
0695
TEXAS
Coleman Coll. of Health Sciences
Del Mar College
El Paso Community College
Grayson County College
San Antonio College
Medical Education and Training
Campus-Air Force Dental Asst. Prog.
Texas State Tech. Coll.-Waco
0740
0974
UTAH
Davis Applied Technology College
Ogden-Weber Applied Tech. College
0919
VERMONT
Center for Technology-Essex
2011
0991
0995
0762
VIRGINIA
Fortis College-Richmond
Germanna Community College
Northern Virginia Community Coll.
J. Sargeant Reynolds Comm. Coll.
0702
0703
0704
0904
0927
0980
0707
0710
WASHINGTON
Bates Technical College
Bellingham Technical College
Clover Park Technical College
Lake Washington Tech. College
Renton Technical College
Seattle Vocational Institute
South Puget Sound Comm. College
Spokane Community College
0975
WEST VIRGINIA
Mercer County Tech. Ed. Center
0889
0690
0811
0730
0693
0694
0853
0858
0713
0717
0718
0996
WISCONSIN
Blackhawk Technical College
Fox Valley Technical College
Gateway Technical College
Northeast Wisconsin Tech. College
Western Tech. College
Wisconsin Indianhead Technical
College
0900
DENTAL HYGIENE
All CODA-accredited Dental Hygiene
Programs
19
2169
2117
American InstituteClifton
2321
2167
2160
2102
2311
2319
2118
2151
2401
2318
2324
2109
2101
2140
2106
2133
2315
2162
2168
2141
2132
2144
2170
2104
2116
2400
20
0430
*0400
0439
0424
0403
*0416
0429
*0401
0420
0402
0422
0428
DATS (Bethesda)
*0407
0404
0410
0408
*0405
*0419
0436
0425
0406
*0417
0414
0427
0438
0421
*0411
0423
0426
0412
0431
*0413
0437
0415
*Schools no longer provide courses, but received prior Maryland Board Approval.
21
Secretary
Mary Harrison, CDA, EFDA, EFODA, FADAA
Vice Chair
Carol Oeder, CDA, COA, CPFDA, CRFDA,
CDPMA, FADAA, LPN
Chair
Frank A. Maggio, D.D.S.