Dental Hygienist License (RDH) in North Dakota
This guide details the steps to become a licensed Dental Hygienist (RDH) in North Dakota, covering prerequisites, training, exams, and certification. The process involves 2000 hours of training, including 600 classroom hours and 1400 clinical hours, followed by exams and state registration. The path to licensure typically ranges from 18 to 24 months, with costs between $6,000 and $15,000 depending on the chosen educational institution.
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The career of a Dental Hygienist in North Dakota, with a median salary of $81,740 per year, presents an attractive opportunity for those interested in dental care. This field is not only lucrative but also growing; projections indicate a 7.0% increase in employment by 2034, reflecting a stable demand for dental health services. With a total of 221,600 dental hygienists nationwide, North Dakota offers a competitive environment with significant room for professional growth and stability, making it an appealing option for career-seekers in the healthcare sector.
North Dakota's specific requirements and regional characteristics set it apart as a unique place for dental hygienists. State regulations governing licensing ensure that professionals meet high standards of practice, which maintains the overall quality of healthcare. The state's healthcare landscape includes various major employers such as hospitals, dental clinics, and private practices that consistently need skilled dental hygienists. Additionally, North Dakota's rural expanses mean that professionals in more remote areas are especially valued, which can often lead to higher job security and potential incentives aimed at attracting healthcare providers to underserved regions.
This guide offers a detailed roadmap for obtaining a Dental Hygienist License (RDH) in North Dakota. Readers will find clear instructions on the licensing process, including the educational requirements, examinations, and necessary credentials. The guide also outlines realistic salary expectations, based on current data, and provides insights into the job market, helping prospective dental hygienists understand where opportunities might be most abundant. By presenting this information, the guide aims to equip readers with the knowledge needed to pursue a career as a dental hygienist in North Dakota effectively.
Licensing Authority
ND State Board of Dental Examiners
In North Dakota, individuals seeking to become licensed dental hygienists must meet specific educational, examination, and background check requirements. The North Dakota State Board of Dental Examiners oversees the licensing process for dental hygienists.
Official Resources
North Dakota Requirements
Training Requirements
- Education
- Associate's degree or higher in dental hygiene from an accredited program
- Total Training Hours
- 2000 hours
- Classroom Hours
- 600 hours
- Clinical Hours
- 1400 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- CPR certification
Certification Exam
- Exam
- National Board Dental Hygiene Examination (NBDHE)
- Components
- Written, Skills demonstration
- Fee
- Varies by testing center
How to Become a Dental Hygienist License in North Dakota
tuition $5000-$12000, exam fee $200, background check $50, application fee $100, textbooks/supplies $400, scrubs $250
Fastest Path
18 months
Typical Timeline
20-24 months
Estimated Cost
$6000–$15000
Verify Eligibility for Dental Hygienist Training in North Dakota
Begin by confirming you meet the basic prerequisites for dental hygienist training in North Dakota. Requirements include a high school diploma or GED, being at least 18 years old, and having no disqualifying criminal history. Visit the North Dakota Board of Dental Examiners website to review detailed eligibility criteria and download any necessary forms. Processing times for initial inquiries are typically 1-2 days.
Tip
Ensure all documents are notarized where required to avoid processing delays.
Complete Background Check and Health Screenings
Schedule and complete a background check and health screenings. North Dakota requires an FBI fingerprint check and a TB test. Fingerprinting can be done at local police stations or private vendors offering digital fingerprinting services. TB tests are typically conducted at local clinics or health departments. Results from the FBI check can take up to 4 weeks, while TB test results are usually available within 48 hours.
Tip
Schedule your fingerprinting appointment early in the process to avoid delays.
Research and Select an Approved Dental Hygienist Program
Identify a state-approved dental hygienist training program in North Dakota. Only graduates from approved programs are eligible to take the licensure exam. Check the North Dakota Board of Dental Examiners' website for a list of approved programs. Attending a non-approved program will result in ineligibility for licensure. Consider factors such as program cost, location, and pass rates for the National Board Dental Hygiene Examination (NBDHE).
Tip
Compare program curriculums and contact schools for visitation opportunities to make an informed decision.
Enroll in and Complete the Approved Dental Hygienist Training
Enroll in your chosen approved program and complete 2000 hours of training, consisting of 600 classroom hours and 1400 clinical hours. This training typically spans over 18 to 24 months. Ensure that you maintain adequate records and receive official documentation upon completion, as this will be required for your licensure application. Regular attendance is crucial to meet the required hours within the expected timeline.
Tip
Keep a personal log of your clinical hours in case of discrepancies with school records.
Prepare for the National Board Dental Hygiene Examination (NBDHE)
Start preparing for the NBDHE, which is required for licensure as a dental hygienist in North Dakota. The exam consists of 350 multiple-choice questions covering various aspects of dental hygiene. You can register for the exam through the American Dental Association's website. Utilize study guides, past exam papers, and preparatory courses. The exam fee is typically around $200, and you should allocate at least 3-6 months for preparation.
Tip
Join study groups and participate in online forums for better preparation.
Register for and Schedule the NBDHE
After preparing for the NBDHE, register and schedule your exam. This can be done through the American Dental Association's website, where you can choose a testing center and a date that suits your schedule. Make sure to register at least 3 months in advance to secure your preferred date and location. The cost of registration is included in the exam fee mentioned in the previous step.
Tip
Check for available dates periodically if your preferred date is not initially available.
Take and Pass the NBDHE
On the scheduled date, take the NBDHE at the chosen testing center. Arrive early to allow time for check-in and familiarization with the testing environment. The exam is computer-based and lasts approximately 8 hours, including breaks. A passing score is typically 75 or above. If you fail, you can reschedule after a mandatory waiting period, which can be found on the ADA website.
Tip
Ensure you have a good rest the night before and arrive early to avoid any last-minute stress.
Apply for North Dakota State Certification
After passing the NBDHE, apply for your dental hygienist license through the North Dakota Board of Dental Examiners. Complete the application form available on their website, and submit it along with your exam results, proof of training completion, and the application fee of $100. Processing times can take up to 4-6 weeks. Once approved, your license will be issued and you will be added to the state registry.
Tip
Double-check your application for any errors or missing information to avoid delays.
Receive Your Certification and Verify on State Registry
Upon approval of your licensure application, you will receive your Dental Hygienist License from the North Dakota Board of Dental Examiners. Check the North Dakota state registry to confirm your name and license details are correctly listed. This verification is crucial for employers to validate your credentials. Registry updates typically occur within 1-2 weeks of license issuance.
Tip
Regularly check the registry and follow up with the board if there are any discrepancies.
Find Your First Job as a Licensed Dental Hygienist
With your license verified, begin your job search. Utilize online job portals such as Indeed, Glassdoor, and LinkedIn to find openings for dental hygienists in North Dakota. Additionally, networking with professionals in the industry through associations such as the American Dental Hygienists' Association can provide valuable job leads. Prepare your resume, highlighting your training, licensure, and any practical experience.
Tip
Tailor your resume for each job application to highlight relevant skills and experiences.
Alternative Training Paths
Employer-Sponsored Training Programs
Some dental clinics in North Dakota offer employer-sponsored training programs for aspiring dental hygienists. These programs typically cover tuition fees in exchange for a commitment to work at the clinic for a specified period after licensure. This path can be financially beneficial but may limit employment flexibility initially.
Best for: Individuals looking for financial support and job security post-training
Common Mistakes to Avoid
- •Attending a training program not on the North Dakota Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
National Board Dental Hygiene Examination (NBDHE) administered by Joint Commission on National Dental Examinations (JCNDE)
Written Test
Questions: 350
Time Limit: 8 hours
Format: Multiple choice
Passing Score: 75%
- • Scientific Basis for Dental Hygiene Practice: 25%
- • Provision of Clinical Dental Hygiene Services: 50%
- • Community Health/Research Principles: 15%
- • Professionalism and Ethics: 10%
Skills Test
Skills Tested: 0
Time Per Skill: N/A
The NBDHE does not include a practical skills test component.
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ Admission ticket
- ✓ Two No. 2 pencils
Do Not Bring
- ✗ Personal electronic devices (phones, smartwatches, calculators)
- ✗ Food and drinks
- ✗ Personal items (bags, hats, coats)
Day-of Timeline
Arrive 30 minutes early. Check-in takes 15 minutes. Written test is 8 hours with scheduled breaks.
Getting Your Results
Results are typically available within three to four weeks after the exam date. Candidates receive their scores via the online portal provided by JCNDE.
If You Don't Pass
Candidates can retake the exam after 90 days. The cost of retaking the exam is the same as the initial test fee. There is no limit on the number of attempts allowed in North Dakota.
Exam Strategies
- 1. Answer easier questions first to secure quick points and return to harder questions later.
- 2. Read each question carefully, especially those with negatives or qualifiers such as 'except' or 'not'.
- 3. Use the process of elimination on multiple-choice questions to narrow down choices.
- 4. Manage time effectively, ensuring you have enough time to review your answers.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
From the issuing high school or GED program · Varies · 1-2 weeks
Required for admission into dental hygiene programs
Official College Transcripts
From previously attended colleges or universities · Usually $5-$20 per transcript · 1-2 weeks
Needed if transferring credits to dental hygiene program
Immunization Records
From personal physician or health department · May vary · 1-2 weeks
Must verify current on all required vaccinations
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100 · Varies by course availability
Must be healthcare provider level
Background Check
Third-party background check services · Approximately $50-$100 · 1-3 weeks
Required by most dental hygiene programs for clinical participation
2During Training
Enrollment Verification
From the dental hygiene program's registrar · Usually free · 1 week
Needed for various certification processes and externships
Liability Insurance Proof
Insurance provider through the school or personally acquired · Varies, typically around $50 annually · Immediate to 1 week
Required for clinical practice
Health Assessment Documentation
From personal physician · Varies · Depends on appointment availability
Includes TB test and any other required health screenings
Clinical Logbook
Provided by dental hygiene program · Included in program fees · At start of clinical courses
To track clinical hours and procedures, crucial for exam eligibility
3For the Exam
National Board Dental Hygiene Examination (NBDHE) Application
Joint Commission on National Dental Examinations website · Approximately $400
Must apply to sit for the exam
Clinical Exam Application
From the regional testing agency, e.g., CRDTS · Approximately $950
Separate from the NBDHE, focuses on practical skills
Exam Eligibility from School
Dental hygiene program director · Usually free
Verification of eligibility to take licensing exams
4For Certification
Application for Licensure
North Dakota Board of Dental Examiners website · Approximately $100
Must be submitted post-examination for state licensing
Proof of Passing NBDHE
From JCNDE, sent directly to the state board · Included in exam fee
Official results needed for licensure
Proof of Passing Clinical Exam
From testing agency, sent directly to the state board · Included in exam fee
Official results needed for licensure
Jurisprudence Exam Completion Certificate
North Dakota Board of Dental Examiners website · Approximately $50
State-specific legal and ethical exam
After You're Certified: What's Next
Verify your name on the North Dakota Board of Dental Examiners registry and collect your physical license certificate. Ensure all your details are accurate on the official documentation.
Finding Your First Job
Where to Look
- • North Dakota Dental Association job board
- • Indeed.com with filters set for North Dakota and dental hygiene roles
- • LinkedIn, with a focus on dental practices in major cities like Fargo and Bismarck
- • Local dental staffing agencies
Best Employers for New Grads
- • Private dental offices: Typically offer a close-knit team environment. Responsibilities are broad, providing varied experience.
- • Dental chains: Offer structured environments and potentially more job openings but might have higher quotas for patients.
- • Public health clinics: Focus on community health; may pay less but offer greater job satisfaction and benefits.
Resume Tip: Highlight any clinical rotations or internships, your technical skills (e.g., X-rays, dental software), and soft skills like communication and teamwork.
Interview Tip: Prepare to discuss your clinical experience, how you handle patient care, and scenarios demonstrating your ability to manage the dental office environment.
Expected First-Year Salary
In North Dakota, a new RDH can expect a salary range from $55,000 to $72,000 annually, depending on location and type of employer.
Career Advancement Path
Become a Dental Hygiene Educator or pursue specialization in areas like pediatric dental hygiene.
Requires additional courses and certifications, potentially a bachelor's or master's degree for educational roles.
Challenges to Prepare For
- • Adapting to different office environments and dentist preferences can be challenging.
- • Managing a full schedule while providing quality care to each patient requires efficient time management.
- • Keeping up with continuing education requirements and certifications can be demanding.
Dental Hygienist License Salary in North Dakota
In North Dakota, the median salary for a Dental Hygienist is $81,740 per year or $39.30 per hour, which is below the national median. This difference highlights regional salary variations within the profession.
Entry Level
$65,110
0-1 years experience
Median Salary
$81,740
$39.3/hr · Bureau of Labor Statistics
Experienced
$95,000
5+ years experience
Compared to National Median
$87,530 national · -6.6% in North Dakota
Salary by Metro Area
Highest in the state
Slightly below state median
Salary by Employer Type
The salary in North Dakota, while below national averages, is generally considered sufficient due to the state's lower cost of living.
Benefits & Compensation
Common benefits include health insurance, paid leave, retirement plans, and continuing education subsidies.
Salary Growth Outlook
Projected moderate growth in line with national averages for healthcare professions.
Salary Negotiation Tips
- •Highlight relevant certifications and experiences
- •Discuss continuing education and specialty skills
Job Market in North Dakota
In North Dakota, the job market for Dental Hygienists (RDH) reflects a steady demand influenced by regional healthcare needs and an aging population. While the national employment for Dental Hygienists is projected to grow by 7.0% from 2024 to 2034, North Dakota's growth may vary due to its unique demographic and economic conditions. Factors such as rural healthcare accessibility and state healthcare policies play critical roles in shaping the local demand.
Top Hiring Areas
Largest city with more healthcare facilities.
State capital with steady healthcare needs.
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with fiscal planning cycles of major clinics
Opportunities
- Expansion of services in underserved areas
- Increasing scope of practice under new state regulations
Challenges
- Recruitment in rural areas due to geographic and lifestyle preferences
- Keeping pace with advancements in dental technology and practices
Training Programs in North Dakota
North Dakota offers several pathways for training as a Dental Hygienist, focusing primarily on community colleges and vocational schools. Employer-sponsored programs are less common but available.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $15,000 - $30,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18 - 24 months | $20,000 - $40,000 | In-person |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Wahpeton, North Dakota
High pass rates and strong clinical training
Online & Hybrid Options
Hybrid options are available, combining online theory with in-person clinical practice.
How to Choose a Program
- •Verify the program's accreditation status to ensure eligibility for licensure exams.
Financial Aid & Free Training
Get free Dental Hygienist License program info for North Dakota
Renewal Requirements
Renewal Period
Every year
Renewal Fee
$75
CE Hours
15 hours
Work requirement: None specified
CE Topics: Clinical dental hygiene, Dental science
Out-of-State Reciprocity
North Dakota allows reciprocity for dental hygienists licensed in other states, provided they meet specific requirements and have practiced for at least 3,500 hours over the past five years.
Requirements for Reciprocity
- Proof of current active license in another state
- Minimum practice hours
State Agreements
Specific states are not listed; applicants must meet North Dakota standards.
Additional Exams
Possibly required depending on the state of prior licensure
Application Process
Submit an application for licensure by endorsement, including proof of practice hours and prior licensure.
Fees
$150
Processing Time: 4 to 6 weeks
Licensing Tips
Ensure all documents and fees are submitted together to avoid delays
Stay updated with continuing education requirements to ensure timely renewal
Recommended Resources
Mosby's Comprehensive Review of Dental Hygiene
A popular resource for RDH candidates, offering a full review and several practice exams.
National Board Dental Hygiene Examination (NBDHE) Practice Questions
Provides realistic test simulation with detailed explanations for answers, ideal for exam prep.
Dental Hygiene: Theory and Practice by Michele Leonardi Darby
Covers a wide range of topics relevant to dental hygiene, supported by case studies and evidence-based practices.
Modern Dental Assisting by Bird & Robinson
Includes fundamentals of dental assisting with updated content on the latest tools and practices.
Dental Hygiene Instrument Kit
Essential for hands-on practice, includes tools like scalers and probes necessary for clinical training.
Dental Typodont Model
Used for practical learning and examinations, simulating a realistic oral cavity for training purposes.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-12
- North Dakota Licensing BoardAccessed 2026-02-12
- CareerOneStopAccessed 2026-02-12