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Healthcare license portability
Dental Hygienist license reciprocity by state
Dental Hygienist licenses are broadly portable across the US — 43 of the 50 states and DC offer direct recognition or licensure by endorsement, though endorsement often still requires a state-specific law or business exam. Each row below links to the state's official licensing board and lists the specific reciprocal states where we have them.
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43 via endorsement
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2 require exam
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1 not recognized
Reciprocity tier legend
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Recognized
Existing license or national cert accepted directly.
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Endorsement
Apply for a new license — paperwork, fees, no re-exam.
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Exam required
Must retake the state exam or complete state-specific training.
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Not recognized
No reciprocity pathway. Satisfy state requirements from scratch.
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No license required
State does not license this profession.
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Unclear
State policy ambiguous or silent. Contact licensing board.
All 50 states + DC
Each row links to the full dental hygienist profile for that state — exam costs, application fees, licensing board contact, and the source language behind the tier classification.
| State | Reciprocity tier | Summary | Detail |
|---|---|---|---|
| Alabama | assignment_turned_in Endorsement |
Alabama offers licensure by credentials for hygienists with active practice and equivalent licensure standards.
Reciprocal states: Alabama offers licensure by credentials for dental hygienists who have been actively practicing for five years or 5,000 hours, hold a current, valid license in a state with equivalent examination standards (including passing the NBDHE), and meet other requirements. Military spouses may also be eligible for licensure.
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| Alaska | assignment_turned_in Endorsement |
Alaska offers licensure by credentials for those licensed in another state, with specific requirements.
Reciprocal states: Alaska offers licensure by credentials for applicants who have been licensed in another state for more than 5 years, or for 90 days to 5 years (Examination Level II). Specific requirements apply, including verification of licensure from other jurisdictions and a jurisprudence exam.
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| Arizona | assignment_turned_in Endorsement |
Arizona offers licensure by credential or universal recognition; the compact is not yet active.
Reciprocal states: Arizona offers licensure by credential for those licensed in another state with 1000 hours of practice in the last 2 years, or Universal License Recognition for those licensed in another state for at least one year who establish Arizona residency. The Dentist and Dental Hygienist Compact has reached activation status, but compact privileges are not yet being issued and implementation will take 18-24 months.
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| Arkansas | assignment_turned_in Endorsement |
Arkansas offers licensure by credentials for hygienists with five years of practice and specific requirements.
Reciprocal states: Arkansas offers licensure by credentials for dental hygienists who have been licensed and practicing continuously for five or more years in another state, provided they meet specific requirements including a jurisprudence exam and an interview.
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| California | assignment_turned_in Endorsement |
California offers licensure by credential for hygienists licensed in another state for five or more years.
Reciprocal states: California offers 'Licensure by Credential' for applicants licensed in another state for 5 or more years with a minimum of 750 hours of clinical practice per year. Dental hygiene education and licensure from other countries are not recognized.
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| Colorado | assignment_turned_in Endorsement |
Colorado offers licensure by endorsement; the dental compact is not yet active for practice.
Reciprocal states: Colorado participates in the Dentist and Dental Hygienist Compact, which, once active, will allow licensed dental hygienists to practice in other participating states without needing separate licenses. For licensure by endorsement, applicants must submit a licensure by credential application, proof of current licensure in good standing from another state, and proof of liability insurance.
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| Connecticut | assignment_turned_in Endorsement |
Connecticut offers licensure by endorsement for applicants with equivalent or higher licensing standards.
Reciprocal states: Connecticut may issue a license by endorsement to applicants holding a current, valid license in good standing from another state or territory with equivalent or higher licensing standards. The Department compares the other state's current licensing requirements to Connecticut's current requirements, not those at the time the out-of-state license was issued.
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| Delaware | help_outline Unclear |
Reciprocity is unclear, but requires active practice in another state for 3 of 5 years.
Reciprocal states: Not specified, but requires active practice in another state/jurisdiction for 3 of the past 5 years (at least 350 hours of direct patient care per year).
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| District of Columbia | assignment_turned_in Endorsement |
DC offers licensure by endorsement, requiring prior completion of national and regional exams.
Reciprocal states: The District of Columbia offers licensure by endorsement for applicants licensed in other jurisdictions who meet specific criteria, including successful completion of the NERB (CDCA/WREB/ADEX/CITA) examination within 10 years and the National Board Exam. A letter of certification from the reciprocal state is required. The District of Columbia is also part of an interstate compact for dental hygienists, which aims to streamline licensure across participating states.
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| Florida | assignment_turned_in Endorsement |
Florida offers a "MOBILE Endorsement pathway" for out-of-state licensees meeting specific criteria.
Reciprocal states: Florida does not have general reciprocity with any state. However, a 'MOBILE Endorsement pathway' exists for those with an active, unencumbered license from another state, the District of Columbia, or a U.S. territory, provided the scope of practice is similar and a national licensure examination or certification recognized by the board has been passed.
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| Georgia | assignment_turned_in Endorsement |
Georgia offers provisional licensure by credentials for hygienists with active practice in another state.
Reciprocal states: Georgia may issue a provisional license by credentials to applicants with an active, good-standing license from another state with similar credentialing laws, provided they have been in full-time clinical practice (minimum 1,000 hours per year) for the two years immediately preceding application. Active duty military dental hygienists and contract employees on Georgia federal installations may be exempt from the state of practice requirement if they hold an active license in an acceptable state and meet other requirements.
Official state board
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| Hawaii | block Not recognized |
Hawaii does not offer reciprocity; all applicants must meet Hawaii's specific licensure requirements.
Reciprocal states: Hawaii does not offer reciprocity. All applicants, even those licensed in other states, must meet Hawaii's specific requirements for licensure.
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| Idaho | assignment_turned_in Endorsement |
Idaho offers licensure by credentials for hygienists meeting practice hours and prior exam requirements.
Reciprocal states: Idaho offers licensure by credentials for applicants who hold an active license in another state, have been licensed for at least one year, and have practiced a minimum of 1,000 hours in the two years immediately preceding the application date. They must also have successfully completed a board-approved clinical examination and a written and clinical local anesthesia examination.
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| Illinois | assignment_turned_in Endorsement |
Illinois offers licensure by endorsement for hygienists with practice history and equivalent prior licensure.
Reciprocal states: Illinois offers licensure by endorsement for dental hygienists licensed in other states who have practiced for at least 3 of the last 5 years and whose previous jurisdiction's requirements are at least equal to Illinois'. The fee for application for a dental hygienist licensed under the laws of another jurisdiction is $300.
Official state board
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| Indiana | assignment_turned_in Endorsement |
Indiana offers licensure by reciprocity for those with equivalent licenses, practice, and jurisprudence exam.
Reciprocal states: Indiana may issue a license by reciprocity to applicants who are currently licensed in another state with substantially equal licensing requirements, have been in satisfactory practice for at least two of the preceding five years, pass the Indiana jurisprudence exam, and have completed 19 hours of continuing education in the previous two years.
Official state board
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| Iowa | help_outline Unclear |
Iowa adopted the dental compact, but it is not yet active for practice.
Reciprocal states: Iowa has adopted the Dentists and Dental Hygienists Licensure Compact, which will allow licensed professionals to practice in any other member state once the compact becomes active (enacted by seven states).
Official state board
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| Kansas | assignment_turned_in Endorsement |
Kansas offers licensure by credential for hygienists licensed and practicing for over three years.
Reciprocal states: Kansas offers licensure by credential for those licensed in another state for more than 3 years and who have practiced during the past 3 years from the date of application.
Official state board
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| Kentucky | assignment_turned_in Endorsement |
Kentucky offers licensure by credentials for experienced hygienists; the compact is not yet active.
Reciprocal states: Kentucky offers licensure by credentials for applicants who have actively practiced in another U.S. jurisdiction for at least five of the six years preceding the application. Official verification of all other dental hygiene licenses held is required. The Dentist and Dental Hygienist Compact has reached activation status, but compact privileges are not yet being issued.
Official state board
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| Louisiana | assignment_turned_in Endorsement |
Louisiana offers an expedited compact pathway or licensure by credentials for out-of-state hygienists.
Reciprocal states: Louisiana has adopted the Interstate Dental & Dental Hygiene Licensure Compact (IDDHL), which offers an expedited pathway to licensure for qualified dental professionals from other member states. Otherwise, licensure by credentials is available for those holding a nonrestricted license in another state and meeting specific practice hour requirements and Louisiana residency.
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| Maine | assignment_turned_in Endorsement |
Maine accepts out-of-state dental hygienist licenses through endorsement; a compact is also in progress.
Reciprocal states: Maine accepts out-of-state dental hygienist licenses through endorsement. Maine has also joined the Dentist and Dental Hygienist Compact, which will allow for license portability with other participating states once fully implemented (expected 18-24 months from January 2025).
Official state board
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| Maryland | assignment_turned_in Endorsement |
Maryland offers licensure by endorsement for out-of-state hygienists, despite no formal reciprocity agreements.
Reciprocal states: Maryland does not have formal reciprocity agreements, but offers licensure by endorsement for those licensed in other states and a temporary volunteer license for out-of-state hygienists. Maryland is also considering joining the Interstate Dental and Dental Hygiene Licensure Compact.
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| Massachusetts | help_outline Unclear |
Massachusetts offers reciprocal licensure for foreign-trained dentists and allows dental students to practice as hygienists.
Reciprocal states: Massachusetts now offers reciprocal licensure for foreign-trained dentists who have practiced for at least 5 years in another country or foreign province, provided their training and education are comparable to Massachusetts requirements. The law also allows full-time dental students who have completed at least four semesters of dental school to practice as dental hygienists in Massachusetts.
Official state board
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| Michigan | assignment_turned_in Endorsement |
Michigan offers licensure by endorsement for out-of-state hygienists, with varying requirements based on experience.
Reciprocal states: Michigan is considering joining the Dentist and Dental Hygienist Compact, which would streamline the process for out-of-state licensees. Currently, applicants licensed in another state for at least one year and in good standing may apply for licensure by endorsement. Those licensed in another state for at least 3 years that did not require a regional or state exam may petition the board for a determination of substantial equivalency. Those licensed in another state for less than 3 years must provide official transcripts and passing scores for the NBDHE and ADEX exam.
Official state board
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| Minnesota | assignment_turned_in Endorsement |
Minnesota offers licensure by credentials for experienced hygienists, requiring a jurisprudence exam.
Reciprocal states: Minnesota has joined the Dentist and Dental Hygienist Compact, which will allow for license portability among participating states once fully implemented. For licensure by credentials, applicants must have been in active practice for at least 2,000 hours within the 36 months prior to application in another state or Canadian province with substantially equivalent licensure requirements, and pass the Minnesota Jurisprudence Exam.
Official state board
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| Mississippi | assignment_turned_in Endorsement |
Mississippi offers licensure by credentials for experienced hygienists from reciprocating states, requiring a jurisprudence exam.
Reciprocal states: Mississippi will only consider applications for licensure by credentials from candidates who are currently licensed in states who also credential Mississippi dentists and/or dental hygienists. Must have practiced a minimum of five years and pass the Mississippi jurisprudence exam. Mississippi has joined the Interstate Dental and Dental Hygiene Licensure Compact.
Official state board
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| Missouri | assignment_turned_in Endorsement |
Missouri offers licensure by reciprocity for experienced hygienists, potentially requiring a jurisprudence exam.
Reciprocal states: Missouri can grant licensure by reciprocity to dental hygienists licensed in another state for at least two consecutive years, provided their qualifications are equivalent or higher than Missouri's requirements. The applicant may be required to take the Missouri jurisprudence exam. Missouri is also part of the Interstate Dental and Dental Hygienist Licensure Compact, which facilitates licensure portability in other participating states.
Official state board
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| Montana | assignment_turned_in Endorsement |
Montana accepts licensure by credentials, requiring a jurisprudence exam and verification of prior exams.
Reciprocal states: Montana accepts licensure by credentials (reciprocity) for out-of-state dental hygienists. Applicants must have a current license in good standing, pay a $260 fee (which includes a $100 application fee, $75 credentialing fee, and $85 jurisprudence exam fee), pass the Montana Jurisprudence Exam with a 75% score, and provide verification of NBDHE and a clinical exam taken within the last five years. CPR/ACLS/PALS certification and a fingerprint background check are also required.
Official state board
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| Nebraska | assignment_turned_in Endorsement |
Nebraska offers licensure by endorsement for experienced hygienists; a compact pathway will be available later.
Reciprocal states: Applicants must have been actively engaged in practice for at least three years, with one of those years being within the three years immediately preceding the application. As of April 14, 2025, Nebraska enacted the Dental and Dental Hygiene Compact, which will offer an additional pathway to licensure for eligible dental hygienists from other compact states once operational.
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| Nevada | assignment_turned_in Endorsement |
Nevada offers licensure by endorsement for hygienists with an active license and passing National Board scores.
Reciprocal states: Nevada offers licensure by endorsement for dental hygienists who hold an active license in another state or jurisdiction and have passed the National Board Examination with a score of at least 75 or higher.
Official state board
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| New Hampshire | assignment_turned_in Endorsement |
New Hampshire offers licensure by endorsement for experienced hygienists, with recent legislation streamlining the process.
Reciprocal states: New Hampshire offers licensure by endorsement for applicants holding a current, unsuspended, unrestricted license in another state with substantially similar or higher licensing requirements, who have passed the ADEX dental hygiene examination or another similar U.S. regional testing agency exam, and practiced clinical dental hygiene for at least 3 years immediately prior to applying. As of August 27, 2023, new legislation (HB 594) streamlines this process, potentially waiving the need for transcripts, examination results, experience evidence, and letters of reference for qualified individuals from 'qualifying jurisdictions' with substantially similar licensing requirements.
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| New Jersey | assignment_turned_in Endorsement |
New Jersey evaluates reciprocity on a case-by-case basis for hygienists with comparable clinical exams.
Reciprocal states: Reciprocity is evaluated on a case-by-case basis for licensees from other states who have a current license in good standing and have passed a comparable clinical examination. New Jersey is also in the process of adopting the Dentist and Dental Hygienist Compact, which would allow licensees from other compact states to practice in New Jersey without additional licensure upon obtaining a compact privilege.
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| New Mexico | assignment_turned_in Endorsement |
New Mexico offers licensure by credentials for experienced hygienists, requiring a jurisprudence exam and background check.
Reciprocal states: New Mexico offers licensure by credentials for those holding an active license in good standing from another state for at least two years, who have passed the NBDHE, completed required CE, CPR, infection control courses, and the New Mexico jurisprudence exam, and a background check. New Mexico is also enacting the Dentist and Dental Hygienist Interstate Compact to facilitate interstate practice.
Official state board
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| New York | assignment_turned_in Endorsement |
New York offers licensure by endorsement for experienced hygienists; a compact pathway is also developing.
Reciprocal states: New York offers licensure by endorsement for dental hygienists who have practiced for at least eight months during the two years preceding the application. While full license portability doesn't exist, the Dental and Dental Hygiene (DDH) Compact is a promising development, with seven states enacting legislation as of 2024 to allow easier practice in member states. To qualify for compact privileges, dental hygienists must pass an FBI background check, verify eligibility, complete jurisprudence requirements, maintain an active license, and graduate from a CODA-accredited program.
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| North Carolina | assignment_turned_in Endorsement |
North Carolina does not have reciprocity, but offers licensure by credentials for experienced hygienists.
Reciprocal states: North Carolina does not have reciprocity. However, licensure by credentials is available for those licensed in another state with specific experience and good standing. Military endorsement is also available for qualified military personnel and spouses.
Official state board
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| North Dakota | assignment_turned_in Endorsement |
North Dakota offers licensure by credential for experienced hygienists from states with equivalent requirements.
Reciprocal states: North Dakota offers licensure by credential for applicants who have been actively practicing dental hygiene in another jurisdiction for at least three years immediately preceding the application, provided the requirements are substantially equivalent to North Dakota's.
Official state board
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| Ohio | edit_note Exam required |
Ohio requires an examination for some out-of-state hygienists, though an endorsement pathway exists for experienced practitioners.
Reciprocal states: Ohio has passed legislation to join the Dentist and Dental Hygienist Compact. Specific compact states will be determined as the compact is implemented. For non-compact states, reciprocity is possible for applicants who are at least 18 years of age, are graduates of an accredited dental hygiene school, hold a license by examination from a similar dental board, and pass an examination prescribed by the Ohio State Dental Board relating to dental hygiene. Alternatively, applicants with a license in good standing from another state and actively practicing for five years immediately preceding application may be eligible.
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| Oklahoma | assignment_turned_in Endorsement |
Oklahoma licenses experienced hygienists without examination, requiring a jurisprudence exam and proof of prior exams.
Reciprocal states: Oklahoma may license dental hygienists without examination if they are licensed in another state or territory, have been in active practice for at least two years immediately prior to application, meet Oklahoma's education and training standards, are in good standing, and pass the Oklahoma Jurisprudence Examination. The applicant must also have passed a practical examination for licensure equivalent to Oklahoma's requirements and the National Board examinations.
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| Oregon | assignment_turned_in Endorsement |
Oregon grants licenses without further examination for experienced hygienists meeting specific practice and education requirements.
Reciprocal states: Oregon may grant a license without further examination to a dental hygienist licensed in another state if they meet specific requirements, including graduating from a CODA-accredited program, passing a clinical dental hygiene examination, holding an active, unrestricted license, having 3,500 hours of licensed clinical practice in the past five years, and completing 24 hours of continuing education within two years preceding the application. Oregon is also part of the Dentist and Dental Hygienist Compact, which facilitates license portability among member states, though compact privileges are not yet being issued.
Official state board
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| Pennsylvania | assignment_turned_in Endorsement |
Pennsylvania offers licensure by credentials for hygienists from states with equivalent and reciprocating requirements.
Reciprocal states: Pennsylvania offers licensure by credentials for dental hygienists licensed in other states or territories or in Canada, provided their credentials meet Pennsylvania requirements and their licensing board reciprocates with Pennsylvania. Act 41 allows for portability of out-of-state licensees with substantially equivalent licensing requirements.
Official state board
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| Rhode Island | assignment_turned_in Endorsement |
Rhode Island licenses experienced hygienists from states that required a clinical exam outside training.
Reciprocal states: Rhode Island may issue a license to a dental hygienist licensed in another state for five years immediately prior to submitting an application, provided the other state required a clinical exam not part of the applicant's training program. Verification of good standing from other states where licensed is required.
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| South Carolina | assignment_turned_in Endorsement |
South Carolina offers licensure by credential for experienced hygienists and those from regional testing services.
Reciprocal states: South Carolina does not have reciprocal licensure arrangements with other jurisdictions. However, the board may grant licenses to licensees of other states who are members of regional testing services of which the board is also a member without further examination. Applicants licensed in another state who have actively practiced for a minimum of five years may apply for Licensure by Credential.
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| South Dakota | assignment_turned_in Endorsement |
South Dakota offers licensure by credential for experienced hygienists, accepting various clinical competency exams.
Reciprocal states: South Dakota offers licensure by credential verification for individuals currently licensed in another state who have completed a minimum of 3,000 clinical practice hours within the five years preceding the application. The board accepts CRDTS, WREB, CDCA, CITA, or SRTA clinical competency examinations for these applicants. Additionally, active duty military personnel or their spouses transferred to South Dakota who hold a license in good standing in another state may contact the board for a specific application.
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| Tennessee | assignment_turned_in Endorsement |
Tennessee offers licensure by criteria approval (reciprocity) for hygienists actively practicing for three or more years.
Reciprocal states: Tennessee offers licensure by criteria approval (reciprocity) for dental hygienists licensed and actively practicing for three or more years in another state.
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| Texas | assignment_turned_in Endorsement |
Texas offers licensure by credentials for hygienists meeting specific practice or educator experience requirements.
Reciprocal states: Texas offers licensure by credentials for dental hygienists currently licensed in good standing in another state, District of Columbia, or a U.S. territory, provided they meet specific practice or educator experience requirements. The Dentist and Dental Hygienist Compact has reached activation status, but compact privileges are not yet being issued and implementation will take 18-24 months.
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| Utah | help_outline Unclear |
Utah participates in a dental compact, but privileges are not yet issued, making current reciprocity unclear.
Reciprocal states: Utah participates in the Dentist and Dental Hygienist Compact, which creates reciprocity among member states. As of late 2024, the compact had reached activation status, but privileges were not yet being issued and implementation was expected to take 18-24 months.
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| Vermont | assignment_turned_in Endorsement |
Vermont offers endorsement for hygienists from jurisdictions with equivalent standards or experienced licensees.
Reciprocal states: Vermont offers endorsement for applicants licensed in another U.S. or Canadian jurisdiction with substantially equivalent standards, or a 'Fast Track Endorsement' for those actively licensed in good standing in another state for at least 3 years immediately preceding the application.
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| Virginia | assignment_turned_in Endorsement |
Virginia offers licensure by credentials for experienced hygienists who passed a comparable clinical competency exam.
Reciprocal states: Virginia has joined the Dentist and Dental Hygienist Compact, which aims to create reciprocity among participating states. However, compact privileges are not yet being issued, and the implementation process is expected to take 18 to 24 months. For licensure by credentials, applicants must hold a current, unrestricted license in another U.S. jurisdiction, have practiced clinically, ethically, and actively for 24 of the past 48 months, and have passed a clinical competency exam comparable to Virginia's requirements.
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| Washington | assignment_turned_in Endorsement |
Washington offers licensure by endorsement for hygienists from equivalent states, requiring a state law exam.
Reciprocal states: Washington is one of three participating states in the Dentist and Dental Hygienist Compact (DDH), which will create reciprocity among participating states once seven states become participating states. Otherwise, licensure by endorsement is available for applicants holding a valid, current, nonlimited license in another state with substantively equivalent licensing standards and who have been engaged in clinical practice within the previous year. The applicant must also pass the Washington State Drug and Law Examination.
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| West Virginia | edit_note Exam required |
West Virginia does not have direct reciprocity; applicants must pass a regional/state clinical exam and a state law exam.
Reciprocal states: West Virginia does not have direct reciprocity. Applicants licensed in another state must meet equivalent educational requirements, pass the NBDHE, a regional/state clinical exam, and the West Virginia Law Exam. They must also be interviewed by the Board and provide verification of good standing from all previous healthcare licenses.
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| Wisconsin | help_outline Unclear |
Wisconsin is part of a dental compact, but the current status of license portability is not specified.
Reciprocal states: Wisconsin is part of the Dentist and Dental Hygienist Compact, which facilitates licensure portability among participating states.
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| Wyoming | assignment_turned_in Endorsement |
Wyoming offers licensure by endorsement for hygienists from equivalent jurisdictions, requiring verification of prior exams.
Reciprocal states: Wyoming offers licensure by endorsement for applicants with an active license in good standing from another jurisdiction with equivalent licensing requirements. Applicants must provide verification of their active license, official transcripts, national and regional board scores, and proof of lawful presence. If out of active clinical practice, additional hands-on CE may be required.
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How this was compiled · Last updated 2026-07-21
Reciprocity tiers and summaries are compiled from each state's licensing board and department of professional regulation — linked per row above — and reviewed against public board guidance. Licensing rules change frequently and often depend on your license class (for example journeyman vs. master) and the specific states involved. Always confirm current requirements directly with the destination state's board before making a career or relocation decision. This page is informational and is not legal or licensing advice.
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