To administer any type of anesthesia or sedation other than local anesthesia, your dental facility must be properly permitted. Include a statement that the condition of equipment meets manufacturers' specifications.Some applications also need these attachments. A qualified dentist administering deep sedation and general anesthesia must have a minimum of three individuals present during the procedure. A qualified dentist inducing minimum sedation must have at least one additional individual trained in BLS present during the administration of the anesthesia. Call 781-471-0915 or go to DOC4NE. Com to make sure your office is prepared for a site visit! Copy of office's Anesthesia Consent Form. The application shall, at a minimum, include the following: (a) Applicant name and Massachusetts dental license number;. The administration of local anesthesia, sedation and general anesthesia is an integral part of dental practice.