License GuideSOC 29-1242

Oral Maxillofacial Surgeon
License.

An orthopedic surgeon diagnoses conditions affecting bones, joints, muscles, and connective tissues. They examine patients, review imaging scans, and order tests to identify injuries and diseases. Treatment ranges from physical therapy recommendations to surgical repair of broken bones, torn ligaments, and damaged cartilage. They perform arthroscopic procedures, joint replacements, and spinal surgeries. Some specialize in sports medicine, pediatrics, or hand surgery. Day to day, they see patients in clinic, review test results, and operate in surgical settings.

At a Glance

Everything a Oral Maxillofacial Surgeon needs to know.

The Work
What you actually do

Licensed oral maxillofacial surgeons are regulated at the state level. Every state sets its own education, exam, and experience requirements.

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An orthopedic surgeon diagnoses conditions affecting bones, joints, muscles, and connective tissues. They examine patients, review imaging scans, and order tests to identify injuries and diseases. Treatment ranges from physical therapy recommendations to surgical repair of broken bones, torn ligaments, and damaged cartilage. They perform arthroscopic procedures, joint replacements, and spinal surgeries. Some specialize in sports medicine, pediatrics, or hand surgery. Day to day, they see patients in clinic, review test results, and operate in surgical settings.

The Exam
Two-part proctored test

The national board exam for oral maxillofacial surgeons is the uniform test most states accept. Many states add a jurisprudence exam on state statute.

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You'll face an exam with two parts: a national section covering core oral maxillofacial surgery knowledge, and a state-specific section on local regulations. Most states contract with testing companies like PSI, Pearson VUE, or Prometric to administer the exam. You can expect multiple-choice questions assessing your clinical competency. The national portion tests uniform standards, while the state portion ensures you know your jurisdiction's unique requirements. Pass rates vary by state, but you'll need to meet the minimum score set by your licensing board to advance.

Renewal
Keeping it active

Continuing education is required between renewals in every state. Most boards require a mix of general CE and topic-specific units like ethics, patient safety, or opioid prescribing.

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Oral maxillofacial surgeons need continuing education to renew their licenses. The hours required and topics covered vary by state. Common requirements include ethics and state-specific dental laws. Check your state board's renewal rules to see what you need.

Is This For You
Who fits this career

Strong candidates for the oral maxillofacial surgeon role combine the technical knowledge tested on the exam with judgment and communication skills you build through supervised experience.

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You need both surgical precision and the ability to make quick decisions under pressure. During your training, you'll learn when to operate and when to refer a patient elsewhere. You'll spend time explaining complex procedures to anxious patients, so clarity matters as much as your technical skills. The work demands someone who stays calm during complications, listens carefully to colleagues, and doesn't shy away from difficult conversations. You're comfortable with responsibility. You work methodically but adapt when circumstances change.

Unlicensed Risk
Practicing without a license

Practicing as an oral maxillofacial surgeon without an active license is illegal in every state. Typical penalties include civil fines, forfeited income, and in some states criminal charges on repeat offenses.

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Practicing oral maxillofacial surgery without an active license violates state law across the country. Violators face civil fines and must surrender any income earned. States may also impose criminal penalties for repeat offenses, though these vary by jurisdiction. Licensing requirements exist in every state.

Career Outlook
+4% projected

Employment change 2024 to 2034.

The Path

How to Get a Oral Maxillofacial Surgeon License.

You'll need to complete a similar progression in most states. Start with accredited education, then pass a national or state exam. Next comes supervised experience under a licensed professional. You'll also go through a background check. Once licensed, you maintain your credential by completing continuing education before each renewal. The exact hours, degree requirements, and experience minimums differ by state, so check your specific state's board for details.

1
Meet minimum education
Most states require graduation from an accredited oral maxillofacial surgeon program. Degree level and accreditation body vary by profession.
2
Complete supervised clinical hours
Boards set required supervised practice hours under a licensed supervisor. Hours are logged, verified, and submitted with your application.
3
Pass the national board exam
The national certification exam for oral maxillofacial surgeons is the uniform knowledge test most states accept. Some states add a jurisprudence exam on local statute.
4
Submit fingerprints and background check
Most boards collect electronic fingerprints through IdentoGO, Fieldprint, or a similar vendor and run a state and federal background check.
5
Apply for the license
Submit the state application with transcripts, exam scores, experience verification, and fees. Processing runs a few days to several months depending on state and board.
6
Pay fees and activate
Once approved, you pay the initial license fee, post any required bond or insurance, and the state issues your license number.
7
Track renewals and continuing education
Most licenses renew every one to three years with a set amount of continuing education. Missing CE or renewal deadlines risks license inactivation.
Timeline

How long it takes.

Background check and exam scheduling
2 to 6 weeks
License issuance after passing
Few days to several weeks
State processing times vary widely.
Cost Breakdown

What it costs out of pocket.

Required education
Degree program at an accredited institution. Varies massively by degree level.
$30,000 to $250,000
Application and license fee
Paid to the state board at submission. Varies widely by state.
$50 to $500
Fingerprint and background check
Flat vendor fee set by the state.
$40 to $120
Exam fee
Paid to the testing vendor when you schedule.
$50 to $400
Professional liability insurance
Annual policy. Required or strongly recommended in most states.
$300 to $2,500
DEA registration
Federal fee, three-year term. Required only for prescribers.
$0 to $900
Resources

Where to train, certify, and connect.

Optional next steps once your Oral Maxillofacial Surgeon license is active.

Advanced
Certification Board of Cardiovascular Computed Tomography
Alliance for Physician Certification & Advancement
Advanced
Lower Extremity Geriatric Medicine
American Board of Multiple Specialties in Podiatry
Specialty
Certification in Orthopedic Surgery
American Osteopathic Board of Orthopedic Surgery
Advanced
American Board of Vascular Medicine Endovascular Medicine Examination
Alliance for Physician Certification & Advancement
Advanced
American Board of Vascular Medicine Vascular Medicine Examination
Alliance for Physician Certification & Advancement
Specialty
Board Certification in Orthopedic Surgery
American Board of Physician Specialties
Specialty
Certification in Foot Surgery
American Board of Foot and Ankle Surgery
Advanced
Certification Board of Nuclear Cardiology
Alliance for Physician Certification & Advancement
Advanced
Certification Board of Cardiovascular Magnetic Resonance
Alliance for Physician Certification & Advancement
Specialty
Primary Certification in Orthopedic Surgery
American Board of Orthopaedic Surgery
Specialty
Reconstructive Rearfoot/Ankle Surgery
American Board of Foot and Ankle Surgery
Specialty
Orthopaedic Surgery
American Academy of Neurological & Orthopaedic Surgeons
State vs State

Compare any two states.

Pre-license hours and fees vary widely. Pick two states to see the gap.

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Right
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Pre-license hours
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License fee
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Department of Industrial Relations
Issuing board
Texas Medical Board
Frequently Asked

Questions people ask.

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