The requirements to receive a non-profit corporation permit can be found in Section 466.025, F.S. and Rule 64B5-7.006, Florida Administrative Code.
A non-profit corporation which is chartered for the purposes of training and teaching dental assistants in the public schools of the state, or promoting research and training among duly licensed dentists in the state or providing dental care for indigent persons shall file an application with the Board which contains the following information:
- A certified copy of the non-profit corporation’s charter which establishes one or more of the purposes for the organization which are specified in Section 466.025(3), F.S.,
- proof of registration with the Internal Revenue Service as a nonprofit organization pursuant to 26 U.S.C. § 501(c)(3).
- For non-profit corporations which provide dental care to indigent patients, statistics which establish that only indigent patients have been treated or admission criteria that only indigent patients will be treated. A description of the physical plant, available equipment and resources which establish that minimum standards of dentistry are or will be practiced at the facility.
- Any other information pertinent to the application which is requested by the Board.
Health Care Fraud; Disqualification for License, Certificate, or Registration
Effective July 1, 2012, section 456.0635, Florida Statutes, provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:
1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
- For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Submit the following documents:
- Signed application form
- Copy of non-profit corporation’s charter and proof of registration with IRS as nonprofit organization 501(c)(3)
- A description of the physical plant, available equipment and resources which establish that minimum standards of dentistry are or will be practiced at the facility.
Please email questions or comments to our office at:
Submit your application and supporting documentation to the following address:
Department of Health
Medical Quality Assurance
Board of Dentistry
4052 Bald Cypress Way, BIN #CO4
Tallahassee, Florida 32399-3258
Click on Chapter or Section Number to View
Florida Administrative Code
Rule 64B5-7: Dental Practice Permits
Note: Before practicing dentistry in Florida read Chapter 456 and Chapter 466, Florida Statutes (F. S.) and Rule Chapter 64B5, Florida Administrative Code (F.A.C). You must know and comply with the laws and rules as they pertain to your professional practice. Laws and rules are subject to change at any time. For updated information refer to the following web-sites www.leg.state.fl.us (Florida Statutes) and www.flrules.org (Florida Administrative Code).