Change of Address – Mobile Dental Facility & Portable Dental Unit

1. Mobile Facility Owners are required to inform the TSBDE within 60 days of a:
   • change of business address;
   • change of employer; or
   • change or re-designation of preferred primary mailing address.
2. Information changes may be emailed to the TSBDE at licensinghelp@tsbde.texas.gov.  You may also mail the form to the TSBDE.  
3. Include the following in your email:
   • your full name
   • license type
   • license number
   • old and new address(es)
   • old and new employer (if applicable)
   • Please specify whether the changes affect the preferred primary mailing address.
4. Licensee’s mailing address will be published on the TSBDE website.

Mobile Dental Facility and Dental Portable Unit Change of Address Request Form