(1) The board shall provide for licensing of a dentist without additional examination, except a jurisprudence examination, if the applicant meets each of the following:

(a) submits an application on a form provided by the board or its designee;

(b) pays the appropriate fees, including credentialing fee, jurisprudence exam fee and application fee;

(c) provides certification to the board that the dentist:

(i) is a graduate of a dental school accredited by the Commission on Dental Accreditation for the American Dental Association, or its successor;

(ii) has successfully passed the national board dental examination and submits an original Joint Commission on National Dental Examinations score card;

(iii) has successfully completed a clinical practical examination for licensure administered by the Western Regional Examining Board (WREB) or one which is substantially equivalent to the current WREB examination, or administered on or after January 1, 2000, by the Central Regional Dental Testing Service (CRDTS) , or a combination of examinations which are substantially equivalent to the current WREB examination approved by the Montana Board of Dentistry. Applicants using any examination(s) other than WREB or CRDTS, as defined above, will be reviewed on a case-by-case basis;

(iv) is in good standing from all jurisdictions where the applicant is licensed or has held a license. If the dentist is employed by the federal government, the dentist must be in good standing with the employing federal agency;

(v) is currently engaged in the practice of clinical, direct patient care dentistry, and has been actively practicing within the last five years immediately preceding application, for a total accumulation of 3000 hours of experience, as demonstrated by the following information:

(A) address of practice location(s) ;

(B) length of time at location(s) ;

(C) a letter from all malpractice insurance carriers defining years when insured and any claims history;

(D) DEA registration number, if any;

(E) documentation from a commanding officer regarding length of service, duties and responsibilities and any adverse actions or restrictions, if the dentist is serving in the United States federal service;

(F) documentation from the dean or appropriate administration of the institution regarding length and terms of employment and their duties and responsibilities and any adverse actions or restrictions, if the dentist is employed by a dental school; and

(G) proof of hours completed within a residency program, to be credited toward the dental practice requirement, if the dentist is practicing within a residency program;

(vi) submits documentation of all unresolved or adverse decisions based on complaints, investigations, review procedures or other disciplinary proceedings undertaken by a state, territorial, local or federal dental licensing jurisdiction, dental society or law enforcement agency relating to criminal or fraudulent activity, dental malpractice or negligent dental care;

(vii) has completed at least 60 hours of continuing education related to clinical dentistry in the three years immediately preceding application for a license in this state. Courses submitted must meet board approvals as defined in ARM 24.138.2102; and

(viii) is not physically or mentally impaired by use of addictive drugs, alcohol or any other drug or substance or by mental or physical illness which in the determination of the board renders the individual unfit or incapable of practicing dentistry;

(d) submits a current CPR card;

(e) provides affidavits from three persons not related to the candidate, of the applicant's good moral character; and

(f) submits copies of all other state professional licenses.

(2) The jurisprudence examination must be successfully passed once the application for licensure has been approved. Applicants must successfully pass the jurisprudence examination with a final grade of at least 75 percent, prior to issuance of a license.