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I think it depends on your state. In Texas, you have to be registered, renew once a year, stay current on CPR, must pass 3 Texas State Board Exams in Radiology, Jurisprudence, and Infection Control, and have at least I think it’s 6 hrs of continuing education per year. It is against the law here to take an x-ray without being registered!
Call up the dental state board in your state. They will give you more info.