# Washington foreign-trained dentist residency pathway > Residency pathway found for internationally trained dentists evaluating GPR, AEGD, CODA residency, or advanced-education options in Washington. URL: https://dentovio.com/foreign-trained-dentist-license/washington/residency-pathway Last verified: 2026-07-08 Research confidence: high Educational summary only, not legal, immigration, or admissions advice. Dental licensure rules change and program eligibility varies. Confirm current requirements directly with the Washington dental board before choosing a program or filing an application. ## Direct answer In Washington, the sourced state record indicates a CODA residency, GPR, AEGD, or advanced-education pathway may satisfy part of the licensure path under specific conditions. Two routes for a non-CODA / non-accredited-school graduate (WAC 246-817-160): (1) advanced-standing route — evidence of at least two additional predoctoral or postdoctoral academic years of CODA-approved dental education (must include clinical training if completed after July 1, 2018); OR (2) Confirm the current rule directly with Washington State Dental Quality Assurance Commission (Dept. of Health) before choosing a program or filing an application. ## Residency and advanced-education signal Two routes for a non-CODA / non-accredited-school graduate (WAC 246-817-160): (1) advanced-standing route — evidence of at least two additional predoctoral or postdoctoral academic years of CODA-approved dental education (must include clinical training if completed after July 1, 2018); OR (2) CODA residency in lieu of the practical/clinical exam — a general practice residency, AEGD, or pediatric residency, at least one year, ACCREDITED BY CODA, LOCATED IN WASHINGTON STATE, in a residency program that serves predominantly low-income patients (RCW 18.32.040(3)(c)). The residency substitutes for the clinical exam but the 2-additional-academic-years education requirement for non-accredited-school grads still applies. ## Required exams Written: iNBDE, or NBDE Parts I & II, or the Canadian NDEB exam. Clinical: ADEX, CDCA, CITA, WREB, SRTA, CRDTS, or DLOSCE (results within 5 years) — OR the qualifying WA-based low-income CODA residency in lieu of the clinical exam. Plus WA jurisprudence. ## Notes Residency pathway is conditional: must be a CODA GPR/AEGD/pediatric residency located in Washington serving predominantly low-income patients (RCW 18.32.040(3)(c)) and substitutes only for the clinical exam. WAC 246-817-160 was under review to clarify foreign-trained/non-accredited education requirements — verify current text. University of Washington also offers an advanced-standing DDS (UWIDDS) as a separate route. ## Official board source - Washington State Dental Quality Assurance Commission (Dept. of Health): ## References - - - - ## Related - [Foreign-trained dentist license in Washington](https://dentovio.com/foreign-trained-dentist-license/washington/index.html.md) - [Foreign-trained dentist residency pathway by state](https://dentovio.com/foreign-trained-dentist-residency-pathway/index.html.md) - [Foreign dentist license without repeating dental school](https://dentovio.com/foreign-trained-dentist-license-without-repeating-dental-school/index.html.md) - [Foreign-trained dentist advanced-standing pathway by state](https://dentovio.com/foreign-trained-dentist-advanced-standing/index.html.md) - [Foreign-trained dentist licensure by state](https://dentovio.com/foreign-trained-dentist-licensure/index.html.md) - [Foreign-trained dentist licensure matcher](https://dentovio.com/tools/foreign-dentist-license-eligibility)