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Open Dental API Authentication Setup

Setup & Configuration4 min read4/18/2026

You need to connect a third-party application to your practice management data, but you are stuck on how to securely link the two systems. Open dental API authentication is the process that verifies your software's identity, ensuring that only authorized applications can access your patient and clinical information.

This guide explains how to set up the necessary credentials so your integration can communicate securely with your Open Dental database.

Prerequisites

Before you can begin, you must ensure your practice meets the technical requirements for API access:

  1. Developer Portal Access: If you are the developer, you must have an account in the Open Dental Developer Portal. If you are a practice owner, your software vendor should provide you with the necessary keys.
  2. eConnector: For remote API access, your office must have the eConnector service installed and running on your server. This service acts as the bridge between the Open Dental cloud and your local database.
  3. API Access Tier: Ensure your practice has the appropriate API permissions enabled. Contact Open Dental support if you are unsure about your current subscription tier or API capabilities.
  4. Version Compatibility: Ensure your Open Dental software is updated to a current version (25.2 or 25.3) to ensure full compatibility with the latest API methods.

Implementation

The Open Dental API uses Basic Authentication. You will need two keys: a Developer Key (provided by the developer portal) and a Customer Key (generated in the portal and added to your Open Dental software).

1. Configure the Customer Key

In your Open Dental software, go to Setup > Advanced Setup > API. Click Add Key in the lower left. Paste the Customer Key provided by your developer or vendor and ensure the Enabled checkbox is checked.

2. Making the Request

When your application makes a request to https://api.opendental.com/api/v1/, you must include an Authorization header. The format is ODFHIR {DeveloperKey}/{CustomerKey}.

Here is a simple example using JavaScript (Node.js) with the fetch API:

const developerKey = 'YOUR_DEVELOPER_KEY';
const customerKey = 'YOUR_CUSTOMER_KEY';
const authString = Buffer.from(`${developerKey}/${customerKey}`).toString('base64');

fetch('https://api.opendental.com/api/v1/patients', {
  method: 'GET',
  headers: {
    'Authorization': `ODFHIR ${developerKey}/${customerKey}`,
    'Content-Type': 'application/json'
  }
})
.then(response => response.json())
.then(data => console.log(data))
.catch(error => console.error('Error:', error));

Common Errors

If your connection fails, check these common error codes:

Limitations

It is important to understand the boundaries of the API:

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This article is provided by opendentalsupport.com, an independent community resource. We are not affiliated with Open Dental Software, Inc.

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opendentalsupport.com is an independent community resource. We are NOT affiliated with, endorsed by, or sponsored by Open Dental Software, Inc. Open Dental® is a registered trademark of Open Dental Software, Inc.