Change of Address

Please fill out the form with the following information.

  • Your Name
  • Address
  • City
  • State
  • Zip
  • Daytime contact number
  • Course Name
  • Course Date

Change of Address Materials Request

Please include COURSE NAME and COURSE DATE in the "Comments" section. Your request cannot be completed without this information.

If you need to change your address for your PERMIT or LICENSE, you will need to contact the Oklahoma Board of Dentistry.