:: Board of Dental Examiners of Alabama ::

Fees/Fines Online

For better user experience, use the latest version of Edge or Chrome. Online processes are not compatible with mobile browsers such as Safari or with Internet Explorer.

Fees/Fines Online

Name of Payee

Street address

Suite/Apt #

City

State

Zip

Phone number

Email Address

Payment Amount

Payment Type

Applicant or Licensee name (list all attached to payment.)

License Type

License # ( Ensure you are entering your full license number. ex: OCS-XXXXXXXXX, D.XXXXXXX,CS.XXXXXX,H.XXXXXX,DSP-XXXXXX-3 YR, etc)

Review Your Information

Affirm and Pay

Signature

Date

Amount Due

Transaction Fee

Total

Person's Name on Card

Card Type

Card #

Expiration Date (MM/YY)

Security Code