How can a foreign-trained dentist get licensed in the US?

Dental licensing in the US is handled by each state dental board, not nationally, so the first step is to check the board of the state where you want to work. Requirements differ, and they change, so always confirm on the board's own website. Traditionally, most states require a degree from a program accredited by CODA (the Commission on Dental Accreditation). For a foreign-trained dentist that usually means one of two routes: 1. Apply to an advanced standing program for internationally trained dentists, often called a 2-3 year DDS/DMD track. Many schools take applications through ADEA CAAPID, which also handles transcript and credential verification. Other schools only offer a full 4-year DDS/DMD. 2. Complete a CODA-accredited specialty or residency program. Some states accept this for licensure, but not all do. A growing number of states have created alternative pathways that let some foreign-trained dentists be licensed without a US dental degree, for example through supervised practice, extra testing or approved foreign schools. These rules are new and differ widely. Look at the board's page on foreign-trained or internationally educated applicants. Typical requirements across routes: 1. Pass the INBDE (Integrated National Board Dental Examination), administered by the Joint Commission on National Dental Examinations (JCNDE), which is part of the ADA. 2. Pass a clinical licensing exam accepted by your state. These are run by bodies such as ADEX/CDCA or CITA (formerly WREB), or the state itself. Many states now also accept alternatives such as residency-based pathways. 3. Show English proficiency. Schools and boards often ask for TOEFL or similar. 4. Complete the state jurisprudence exam, background check and application. Fees, deadlines and pass criteria change, so check the ADA/JCNDE, ADEA CAAPID and your state board directly. Visa options depend on your situation and should be confirmed with official immigration sources or a qualified adviser. If you have gone through this process, please share your experience, the state you chose and what you would do differently in the replies.