Home Denturists Denturists Text field Thank you for choosing to pay for your service with the Board’s online payment option. This form is for paying for your Denturist fees. Fields marked with an asterisk are required and must be completed prior to clicking Pay Now. A $2.00 Convenience Fee will automatically be added to your total. Customer Information First Name Last Name License Number # Email @ Phone Number # Address Address City/Town State/Province ArizonaAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Products Options Prorated Initial License Fee - $46 Triennial Renewal Fee - $233 Late Renewal Fee - $100 Jurisprudence Examination (Nonrefundable) - $250 Denturist Triennial Renewal Fee for Retired/Disabled Status - $15 Payment Detail Preview Leave this field blank