Dental Lab Owners or General Managers 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.

Information changes may be emailed to the TSBDE at  You may also mail the form to the TSBDE.

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.

Licensee’s mailing address will be published on the TSBDE website.

Mobile Facility Change of Address Request Form