(1) The board shall provide for licensing by credentials of out-of-state licensed specialty dentists without additional examination, except a jurisprudence examination, if the applicant:

(a) submits a completed application;

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

(c) certifies 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 (CODA), or its successor;

(ii) has passed the national board examination and submits an original Joint Commission National Board score card;

(iii) has passed or successfully completed:

(A) a board approved general dentistry clinical practical examination for licensure; and

(B) a specialty residency of at least two years accredited by CODA or its successor, or a specialty approved by the board.

(d) provides license verifications from all jurisdictions where the applicant is licensed or has held a license. If employed by the federal government, the applicant shall submit a letter of explanation for any discipline with the employing federal agency;

(e) provides evidence that the applicant 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 any or all of the following:

(i) address of practice location(s);

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

(iii) a letter from all malpractice insurance carriers defining years of coverage and any claims history;

(iv) DEA registration number, if any;

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

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

(vii) 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.

(f) submits evidence the applicant has completed at least 60 hours of continuing education related to clinical dentistry in the three years immediately preceding application for a Montana license. Courses submitted must meet continuing education requirements as defined in board rule;

(g) certifies that the applicant 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 applicant unfit or incapable of practicing dentistry;

(h) 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;

(i) submits documentation from the dean or appropriate administration of the institution regarding any malpractice claims against the applicant during the applicant's residency;

(j) submits a current CPR, ACLS, or PALS card; and

(k) provides affidavits from three persons not related to the applicant regarding the applicant's good moral character.

(2) Applicants shall successfully pass the jurisprudence examination with a final grade of at least 75 percent prior to issuance of a license.