message from the president - lsbd.org · louisiana state board of dentistry the bulletin vol. 26...

8
LOUISIANA STATE BOARD OF DENTISTRY THE BULLETIN VOL. 26 WINTER 2007 PUBLISHED TO PROMOTE VOLUNTARY COMPLIANCE WITH THE DENTAL PRACTICE ACT MESSAGE FROM THE PRESIDENT A ' we come to the end of 2007. I would like to thank all of the board members. e pecially Dr•. Denni Dorutld . Conrad McVea, and Vance Wa ' com for their time and dedication they have given [0 the Louisiana State Board of DenLi try. They have also been a strong force in our change from an iDdep nd nt te ·ting agency to a regional testing agency. The Council of Inter tate Te ting Agcncie (CITA) , which now admini. ters our clinical licensing examination . will afford our Dew dentists and Jenral hygieni t greater mobility. We also would en c ourage denti ts from our state to be orne examiners with CITA. This can be done by contacung Celeste Kohler . Director of Testing. by phone at (91 ( ) 678-9792 or email at ckohler@citaexam. com . 1 would also like La thank Dean Hovland at LSU School of Dentistry for year. of hard work and dedication he has gi ven LO the dental school. especiaUy the PHS! two years in seLting up the dental and hygiene programs in Baton Rouge and then bringing them back Lo New Orleans . He has done a great service for dental and denial hygiene education for the state of Louisiana. I would al 0 like to congratu late Dr. White Grave for being elected to the position of third vice president of the American Association of Dental Examiners . He is a previous two- term state board member and he will represent the South with the dedication and elfle ' ervice ju t as he did as a member of the Louisiana State Board of Dentistry. A national movement for continuing competency for the practicing denti t is growing . This would be a very complex and fmaneia! strain to tate boards as well as to denLi ts and hygienists. [feelthaL continuing education with examination after the course presentation is a more viable method of keeping abrea L. After all, we are aU cornntitted LO lifetime training. Plea e stay attentive to this i ue with your local LOA component. DENTISTS HELPING DENTISTS The LOUisiana Dental Association Dentists' Well Being Advisory Committee Help Line: For information, assistance, or referral please call: (225) 926-1 986 (8:00 a .m. to 5: 00 p.m.) Toll Free 1-800-388-6642 (504) 394- 7702 aIler hours One issue which is of great importance is the incrca e in licen e fee renewals. The Slale bonrd has seen a decrease of approximately 10% of the dental population causing a decrea e in renewal revenue , but we have experienced an increase in inve 'tigative and legal co ts in the past ' everal yeru . We feel an in rease of futy dollars per year for dentists and twenty-five dollars a year for hygienists will help to re olve this issue. I would like to thank. Barry Ogden, our executive director his staff. Linda Foto. Erin Conner , Carolyn Perez , Diana Chenevert . and John Roth for doing such a good job in running the office of tbe state board. In dosing. it has been a privilege to . erve lC president of (he Loui iana Slate Board of Denli ' try . On behalf of all the members of the state board, may you have a afe Chri tma and holiday sea ·on. and may 2008 be a wonderful year for you all. Sincerely, James A. Pearce. D.D.S. Pre 'idem 2008 TENfATlVE BOARD MEEI1NG DATES February 8 , 2008 May 16. 2008 August 15, 2008 December S.6, 2008

Upload: lamdan

Post on 10-Jun-2018

212 views

Category:

Documents


0 download

TRANSCRIPT

LOUISIANA STATE

BOARD OF DENTISTRY

THE BULLETIN

VOL 26 WINTER 2007

PUBLISHED TO PROMOTE VOLUNTARY COMPLIANCE WITH THE DENTAL PRACTICE ACT

bull

MESSAGE FROM THE PRESIDENT A we come to the end of 2007

I would like to thank all of the board members e pecially Drbull Denni Dorutld Conrad McVea and Vance Wa com for their time and dedication they have given [0 the Louisiana State Board of DenLi try They have also been a strong force in our change from an iDdep nd nt te middotting agency to a regional testing agency The Council of Inter tate Te ting Agcncie (CITA) which now admini ters our clinical licensing examination will afford our Dew dentists and Jenral hygieni t greater mobility We also would encourage denti ts from our state to be orne examiners with CITA This can be done by contacung Celeste Kohler Director of Testing by phone at (91 ( ) 678-9792 or email at ckohlercitaexamcom

1 would also like La thank Dean Hovland at LSU School of Dentistry for year of hard work and dedication he has gi ven LO the dental school especiaUy the PHS two years in seLting up the dental and hygiene programs in Baton Rouge and then bringing them

back Lo New Orleans He has done a great service for dental and denial hygiene education for the state of Louisiana

I would al 0 like to congratu late Dr White Grave for being elected to the position of third vice president of the American Association of Dental Examiners He is a previous two-term state board member and he will represent the South with the dedication and elfle ervice ju t as he did as a member of the Louisiana State Board of Dentistry

A national movement for continuing competency for the practicing denti t is growing This would be a very complex and fmaneia strain to tate boards as well as to denLi ts and hygienists [feelthaL continuing education with examination after the course presentation is a more viable method of keeping abrea L After all we are aU cornntitted LO lifetime training Plea e stay attentive to this i ue with your local LOA component

DENTISTS HELPING DENTISTS The LOUisiana Dental Association Dentists Well Being Advisory Committee Help Line

For information assistance or referral please call (225) 926-1 986 (800 a m to 500 pm)

Toll Free 1-800-388-6642 (504) 394-7702 aIler hours

One issue which is of great importance is the incrca e in licen e fee renewals The Slale bonrd has seen a decrease of approximately 10 of the dental population causing a decrea e in renewal revenue but we have experienced an increase in inve tigative and legal co ts in the past everal yeru We feel an in rease of futy dollars per year for dentists and twenty-five dollars a year for hygienists will help to re olve this issue

I would like to thank Barry Ogden our executive director his staff Linda Foto Erin Conner Carolyn Perez Diana Chenevert and John Roth for doing such a good job in running the office of tbe state board

In dosing it has been a privilege to erve lC president of (he Loui iana Slate Board of Denli try On behalf of all the members of the state board may you have a afe Chri tma and holiday sea middoton and may 2008 be a wonderful year for you all

Sincerely James A Pearce D DS Pre idem

2008 TENfATlVE BOARD MEEI1NG DATES February 8 2008

May 16 2008 August 15 2008

December S6 2008

shy

j ~ bullbull

~ Ii CTIONS~

The following represents summaries of disciplinary actions taken in 2006-2007 by the Louisiana Slate Board of Dentistry or judgments rendered by the COllrt ill connection with civil alldor criminal proceedings andor appellate proceedings involving registrants of this board 111 the event further judicial appeals are taken ill any of Ihese matters they will be reviewed in Ihe next issue ofThe Bulletin

J Patricia E Baranco DDS Baton Rouge LolLisiana Violation- Allegations thal her lreaUOenL of a palient was below the prevailing acceptable standard of care in this stilte in violalion of R S ~7 776(A)(8) and that she committed fraud in violation of R$ 37776(A)(21) Final dispo ilion- Dr Baraaco entered into a consent decree wilh the board wherein he agreed to pay a fine in the amount of $3000 reimburse the boards costs reimburse lWo insurance compwlies and complete a remediation course in endodontic at a board approved schooL

2 Morris Glenn Barnett ODS New Orleans Louisiana Violation- Allegations that he dispensed habit-fanning or oCher legally controlled ubstance~ in other thWl a legal or

legiLimate manner in violation of RS 37776(A)(6) Final disp ilion- Dr Barnett entered into a con ent decree with the board wherein he paid a fine in the am unt of $3000 reimbursed the boards costs Wld corrunenced a period of probation of five yean beginning Augu t 17 2007

3 Daryl Charles Byrd DDs Kenner LouIsiana Violntion- Allegations that he abandoned several patients aJld that hi treatment of several patien was below the prevailing cceptable standard of care in this state in violation of R S ~7776(A)(8)

Final Disposition- Dr Byrd entered into a consent decree with the board wherein he paid a fine in the amQunt of $5000 corum need a period of probation of lhree years beginning August 17 2007 and agreed to complete a remediation course in endodontics at u board approved schooL

4 Clifford Charles Comeau Jr DDS Baton Rouge Louisiana Violationmiddot Allegations that he employed an unlicen ed person [0 practice dental hygiene in violation of RS 37775( 12) and 37776(A)(I1)

Final disposition- Dr Comeaux entered into a con~ent dampTee with the board wherein he paid a fine in the amount of 5000 reimbursed the board costs and commenced a period of probation of two years beginlltng August 17 2007

5 TaJmadge Kirk Crane ODS Lafayette Louisiana Violation- Allegations f immoral conduct during his treatment of a palient in vio lation of RS 37776(A)(22) Final Disposition- Dr Crane entered into a consent decree with the board wherein he paid a fine in the amount of $2500 reimbursed the boards costs commenced a period of probation of ten years beginning May 23 2007 throughout whkh Dr Crane hal l have an assistant in the operalory during all patient ooraCI and the board shall monitor his office and employees for compliance and underwent an evaluation by a psychiatrist

6 Brigette Jones DOS lidell Louisiana

Violation- Revocation of clinical privilege which may be evidence of professional r dental incompetency in violation of RS 37776(A)(7) andlor a dental practice which fails to satisfy the prevailing acceprable standards of care in thil slate in violation of RS 37776(A)(8) Final disposltlon- Dr Jones entered into a consent decree with the board wherein he commenced 3 period of probation of

two years beginning May 242007 during which she will limit her practice to pediatric d ntistry

7 Rayfield Lotten DDs Harvey Louisiana Violation- Allegations that hi treatment of a patient was below the prevailing acceptable tandard of dental practice in Lhi~ state in violation of RS 37176(A)(8) Final Dispoltion- Dr Lotten entered into a con eur decree with the board wherein be paid a line in the amount of $1500 reimbur eel the boards costs and made restitution to a patient

8 Edward Charles Massett Jr DDS Slidell LJuisiana Violation- Allegations that he failed to

follow Federal Centers for Disease Control guideline in violation ofRS 37776(A)(8) and (24) Fmal Disposition- Dr Mas ell entered into a consent decree with the board wherein he paid a fine in the amouot of $500 and reimbursed the bowds cost middot

9 George W Tate DDs Lake Charles Louisiana

o violation The original consent decree entered into by Dr Tate was amended to delete the requirementlbal he prtctice nly in association with another dentist licensed in Louisiana

10 Constantine Scott Taylor ODS Shreveport Lolli iana Violation- Allegations lhat he committed Medicaid fraud in violation of RS 37776(A)(2) and (16) and that he made a faJ~e or de eptive claim to a governmental authority in violation of RS 37776(A)(21) FinaJ disposition- Dr Taylor entered into a consent decree with the board wherein he paid a fine in the amount of $5000 reimbursed the boards co ts and commenced a period of probation of three years begjnning May 23 2007

11 Sarah Welch DDs Mi ouri City Texas No violation The originaJ con ent decree entered into by DrWelch was amended to completely rescind the disciplinary aClion taken again t ber

2

ADVERTISING VIOLATIONS 1 J ilIium Barrois 00

Lafayette Louisiana ViDlationmiddot advertisements in violution of Rule OI(H)(3) thereby fonning it violation of R S

37776 (A)(24) Final disposition- Dr Barrois entered into a consent decree wherein he paid a rUle in the nmount of $500 00

2 Hulying C hen DDS Metairie Louisiana Violation- Advertisement in violation of Rule 30 1 thereby forming a violation of RS 37776 (A)(24) Final clisposiOon- Dr Chen entered into a consent decree wherein he paid II fine in the amount of $50000

3 Mary S Churchman DDS Lake C harles Louisiana Violation- AdvcTtisemCnLS in violation of Rule 30 I(H) thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Churchman entered into a consent decree wherein she paid a fine in the amount of $50000

4 Robert V Costello DDS Lafayette LoUisiana Viohltionmiddot Advertisement in violation of Rulc 30 1 and R5 37774 tbereby forming a violation of R S 37776 (A)(24) Final disposition- Dr Costello entered into a consen t decree whercin be paid a line in the amount of $50000

5 Jon A Feerick DDS Lafayetw Loulslana Violation- Advertisement in violution of Rule 301 and R S 37774 thereby forming a violation of RS 37776 (A)(24)

Final disposition- Dr Feeriek entered intI) a consent decree wherein he paid a rme in tile amount M $50000

6 Kurt ALejeune OD~ LarayetW Louisiana Violation- Advcnigtcment in violation of Rule 301 thereby fOmlin u violation of RS 37 776 (A)(24) Final disposition- Dr Lejeune entered Illto 3

conellt dlcree wherein he paid a fine in the amount of $500 00

7 Rodrick E Loud DDs hreveport Louisiana

Violationmiddot Advenisement in violation of Rule 301 thoreby forming II violntion ofRS 37 776 (A)(24) Final clisposition- Dr Loud entered into a onsen decree wherein be paid Q f ine in the

amount of $100000

8 Gregg A May DDs Mandeville Louisiana Violation- Adverti~ement in violution of Rule 30J CE )(3) (4) and (5) thereby forming a violation ofRs 37776 (A)(24) Final clisposition- Dr Moy entered into a consent decree wherein he paid a fine in the amount of$IOOOOO

9 Ammnr A Mekari 00 Metairie Loul~lana Violation- Advertiseruent in violation of Rule 301 thereby forming 11 violation ofRS 37 776 (A)24) Final disposition- Dr Mekrui entered into a consent decree wherein he paid a fine in the amount of $50000

10 James A Moreau Jr 00 Covington LouisiaDII Violation- Adverli$ement in violation of Rule 301(E)(3) (4) and (5) thereby fomling a violation of Rs 37776(A)(24 Final disposition- Dr Moreau entered intu II consent decree wherein he paid a fine in the amount of SI500 00

11 Jeffrey Mark Snilier DDs ovington Louisiana

Violation- Advertisement in violation of Rule 30 I thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Snitzer entered into a conent decree wherein he paid n fine in the amount of $500 00

12 Courtney Weiler Wightman DDS Jefferson Louisiana Violation- Advertisement in violation of Rule 301 thereby forming J violation of R S 37776 (A)(24) Final disposition- Dr Wightmlln entered into a consent decree wherein she paid a fine in tbe amount of $50000

13 Cheng You DDS Ne Orleans Louisiana Violation- Advcrtisement in violation of Rule 301 thereby fonning a violation of Rs 37776 (A)(24) Final dl~position- Dr You entered into a con~enl decree wherein he paid a line in the amount of $50000

FREQUENTLY ASKED QUESTIONS 1 Do I need to apply for a new anesthesia office 3 ) Pediatric Oral

permit If I move to II new of(ice 4) Adult Oral 5 ) Nitrous Oxide YES AU JocJtionamp in which an~thes iaanalgcsia is 6) LocaJ Anesthesia performed must have an office permit for that level

of anesthesia which is being used U you move to a 4) 00 I need to post m) originallicense(s) In new office your permit fmm the old office doe~ not my office transfer Please contact the Board office for un

YES All Louisiana licensees holding either u dentalanesthesia appl ication

or demal hygiene license shilll display their licell~e in 2 How do I renew my anesthesia permil(s)7 full and open view for all patients to observe along

FOT those liccnees who will be renewmg theu with aJl currcnt renewal permits of lgtilid heeDsc

dental lleen~es Ihis year anti currently hold a All certificates or permil~ authorizing the Personal Nitrous Oxlde Inhalation permit adult cc admini~lration oi anesthesia analgesia or sedation permit and pedo-ecs permit the permit renewal fee shall also be di~played in full and open view in close wil l be $50 00 Ifyou currently hold a personal proximity to tho~e license~ and rencwal certit1cate Parenteral Conscious Sedation Permit the renewal required to be kept in open and fuji view for the publi( fee will be $20000 You will receive a separate to observe application in the renewal packet to renew these

When Iicense~ provide dental services in more than penuits if this is applicable to you Please review onc fallliry a copy of said license~ andlor cenificlIlClthe form and return it to the board office with the shall ~uffice in place of the original and said copy appropriate fee Septrate checks for your licen~e shall be displayed in full and open view for all patients and pennit renewal fees art required You wi ll to see receive these perrniLs with your renewed dental

license If you have lost or mispluced your original dentaldental hygiene license pl= contact the Board

3 What is the CulTent hilrardIy of lIIlCtthesia pennits fo r an affidavit of lo~t license There i $5000 fee for

The current hierarchy for ancstilesinlanalgesiu duplicate originalliccnses There is also a SSOOO feepennits are fOT duplicate renewal ccrtificate~ or permits J ) Genera l AnesthesiaDeep Sedauon

2 ) Parenteral SedatioolV Sedation ConIInucd on page 7

TO All DENTISTS WHO DISPENSE OR ADMINISTER

CONTROllED SUBSTANCES IN THEIR PRACTICE

Dear Doctor

At the present time the Louisiana State Board of Dentistry Is working with all other medical related boards and law enforcement to prepare a prescription monitoring program As such it Is necessary that the Louisiana State Board of Dentistry identify all its licensees who dispense or administer controlled substances at their practice

If you are dispensing or administering controlled substances please complete the Clppropriate section of your 2008-2009 dental renewal applicallons if you do not dispense or administer controlled substances in your office please check the appropriate box of the dental renewal application

Please contact the office if you have any questions Thank you for your cooperation

Sincerely James A Pearce DDS President

3

NECROLOGY 2006 - 2007 Dr Clayton Barre May 32007 Dr Walter G nthier Dr Herbert J Bensel December 162006 Dr Patrick Hambrick Iuly 72007 Dr John A Cabibi July 11 2007 Dr LeQn F Heier Dr Richard H Campbell Dr Patrick Kennedy January 5 2007 Rose Anne Deleo RDH April 25 2007 Dr Charles McShane December 17 2006 Dr Roger Downs Vicki Ro e Shelton RDH September It 2007 Dr J eph M Dyer Dr ComeHus P Voorhies Dr Gilmer W Engelhardt September 92007 Dr lrl G Walker April 2005

DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Dr Chrislos MaJtezos 5418 Dr Carmen Nugent 4297 Dr Charles Smith 2875 Dr Willard K Mann 2734 Dr Hugh Oser 2743 Dr Richard Stutes 4012 Dr Bruce Manne 3714 Dr Gustave Perdigon III 2004 Dr Don Timpton 4394 Dr Arnir Marashi 5296 Dr Teryl Petropoulos 5543 Dr Thanh Truong 5591 Dr Thomas M n 3178 Dr Lang ton Reed 1802 Dr Jacqueline Turpin-Mair 5695 Dr Paul Melancon 1398 Dr Guy A Ribaodo ill 5273 Dr Tomie G Tyler 1948 Dr David MickHn 4572 Dr Ronald Ri inger 5166 Dr John M Welsh 1816 Dr Wilfred Montreuil 2370 Dr Lc lie Sclafini 566 L Dr Craig Williams 4395 Dr Aubrey Millon Myers 5125 Dr Mark Sibley 4112 Dr TIleodore Neff 5127 Dr Gerard Simoneaux 5355

DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Shana Rush Creel RDB 3500 Linda Ramelli RDH 555 Faith Smallwood RDH 3798 Shaynon McGinty RDH 3313 Otis Redding RDH 3372 April Smith RDH 3293 Scarlet Menner RDH 1156 Janet Reynold RDH 3314 Mario P Stolberg RD H 2867 Kim Nelson RD H 2561 Tammy R Rome RDH 2843 DanieUe Victoriano RDH 2884 Mary Owen RDH 1041 Lori D Schafer RDH 2961 Julie Weir RDH 3671 Trameika Porter RD H 3650 Charlene 1 COlt R D E 2228 Joyce Wells RDR 931 Cherie Price RD R 2518 Nancy Sellers R DE 3868 Gary Wheeler RD H 3392 Angela Rahm RDH 1654 Kristen Seymour R D H 3471 Nancy Zinser RDR 1552

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Dr Matthew H Blunt 2313 Dr Robert L Roy 1347 Dr Eman Tahawi 5775 Dr Ronald F Currier 1767 Dr Joe ScaJes 2181 Dr Richard B Taunton 3603 Dr lames A Jones 1785 Dr Arthur Scott ill 2083 Dr Jason Timmons 5358 Dr Jon S Ousley Dr Louis C Pendleton

2115 1801

Dr James R Sevier Dr John J Sheridan

3885 2010

Dr Edward C Vocke ill Dr 0 car P Waldrep

2476 1061

Dr Aubrey E Myers Dr Susan M Robichaux

5125 4106

Dr Malcolm Sevier Jr Dr Lonnie M Sibley

3365 2759

Dr Robert E Welborn Jr Dr Robert I Wood

1868 5220

Dr Mario S Rodriguez 2516 Dr Lori L Smith 4363 Dr Warren D Woodward 1673 Dr Russell C Romero 2470 Dr Phil Sparks 3030

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 Dr Robert Llopis 4688

DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Erin Beier Cresap RDH Andree Poirrier Eddleman RDR

2823 3463

Sharon Molbert RD H Judith elson RDH

1144 90

Abigail Steinmetz RDH Maljorie Stevenson RDH

2644 3229

Gay Rh des Gladhart RDR Janna J HallRDH

285 737

Stephanie Parrino RDH Maria Pavur RDH

174 14()0

Corlie Sue Storey RDH Lora Brinson Weathersby RDH

1348 2095

Holly Madere-Hymel RDH 2678 Ritll Salman RDH 298 Brandy S Williams RDH 2788 Gracie Ponder RDR 1646 Jessica Schneider RDH 3599 Carolyn Wright RDH 693 Kathleen McGregor RDH 172 Marilyn Shelby RD B 130 1 Nancy Zeringue RDH 311 Karen Miranda RDH 940 Barbara P Schimpf RDH 773

4 _________________________________________________________________________________

E UTIVE DI

The Louisiana Stale Board of Dentistry no longer conducts clinical licensing examinations Who would have thought this day would ever come Louisiana ba always been an independent testing agency and always put agreal deal of effort time and money into administering a valid and reliable clinical licensing examination However the national changes have convinced us that it was time to join with a regional testing agency The Council of Interstate Testing Agencies (CITA) convinced us 10 COntract with them to administer our clinical licensing examinations in the future By laking this examination our young dentists and dental hygienists will have more mobiHty than ever before The CITA examination i administered in the states of North Carolina Mississippi Alabama Louisiana and Puerto Rico Further sixteen states now recognize the CITA examination and more are coming on board all the time This has been a long time coming and the board decided to go with CITA after reviewing all other cHnical examinations a presented at the meetings of the American Association of Dental Examiners Furthermore the Louisiana Stale Board of Dentistry has been involved with CITA since its inception which facilitates our transition

Please remember that now all licensees must obtain the fujI requirements of continuing education in order to renew their licenses We had previously decreased the number of hours due to the cliffjculties of dentists and dental hygienist being able to obtain continuing education after Hurricanes Katrina and Rita

In the future dentists providing sedation to pediatric patients (under age 13) must be certified in Pediatric Advanced Life Support (PALS) Dentists administering deep sedation to adults will be required to be certified in Advanced Cardiac Life Support (ACLS)

Since the huoicane~Louisiana has lost approximately 200 dentists which equates

to approximately 10 of the dentist population in the state This number is significantly higher than tbe population loss but is in line with other medical professionals who have left the state for greener pastures Kudos to everyone who is sticking it out and fighting this fight Unfortunately this also creates a tiscal problem for the board because we must continue our operations with less revenue We will strive to continue to provide the best service possibJe to the public and the dental populations

As you can see we no longer publish a Dental Practice Act booklet The cost of printing the booklets each year has become prohibitive You can review the Dental Practice Act at our website www 1sbd org You may also download all forms and applications as well such as the licensure by credentials application license by outside examination application restricted license application all anesthesia applications (both dental and dental hygiene) and the expanded duty dental assistant application

Of particular concern is the rise in substance abuse problems as weIJ as fraud The board is receiving more complaints in these two areas than ever before and wilJ vigorously prosecute tllOse practitioners who take advantage of their patients by overdiagnosing or cheating on claims Practitioners who commit fraud may be lining their own pockets but they are a terrible disgrace to the dental profession We ask any dentist who sees fraud committed by another dentist to please report it to us as soon as possible

The board and New Orleans are extremely grateful to have LSU dental school back Ln New Orleans There is a strong need for LSU within the population of New Orleans especially during these tumultuous times of rebuilding our conmlUnilY

The board would like to thank Dr Eric Hovland for his commaodiJlg the LSU dental school through the tenible crisis caused by tbe hurricanes and his unwavering strength and ability to get the school back to New Orleans We understand that Dean Hovland hru submitted his resignation and we wish him weU in al1 of his future endeavors We also look forward to working with his Sllccessor whomever that may be

Unfortunately the board is losing almost thirty-five years of experience on the board with the retirement of Drs Dennis Donald Conrad P McVea and Vance Wascom due to term limits Their experience dedication and knowledge wiIJ never be replaced Dr Donald served for 15 years and as president three times Drs McVea and Wascom both served ten years and as president as well We express our sinceresl gratitude to these fine gentlemen for the many many hours they took from their practices and familJes to serve the board and the public We only hope that their successors come with the same dedication

The board conducted four nominating meetings for new appointments to the board Meetings were held in Lake Charles Lafayette Northlake and NODA

The nominees have been presented to the governor for appointment However as this is a gubernatorial change it is not known if Governor Blanco will make these appointmentgt or if she will allow the Governor Eject Bobby Jindal to make these appointments We eagerly wait with anticipation

In closing I wish each and every one of you a happy and prosperous new year

C Barry Ogden Executive Director

s

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

shy

j ~ bullbull

~ Ii CTIONS~

The following represents summaries of disciplinary actions taken in 2006-2007 by the Louisiana Slate Board of Dentistry or judgments rendered by the COllrt ill connection with civil alldor criminal proceedings andor appellate proceedings involving registrants of this board 111 the event further judicial appeals are taken ill any of Ihese matters they will be reviewed in Ihe next issue ofThe Bulletin

J Patricia E Baranco DDS Baton Rouge LolLisiana Violation- Allegations thal her lreaUOenL of a palient was below the prevailing acceptable standard of care in this stilte in violalion of R S ~7 776(A)(8) and that she committed fraud in violation of R$ 37776(A)(21) Final dispo ilion- Dr Baraaco entered into a consent decree wilh the board wherein he agreed to pay a fine in the amount of $3000 reimburse the boards costs reimburse lWo insurance compwlies and complete a remediation course in endodontic at a board approved schooL

2 Morris Glenn Barnett ODS New Orleans Louisiana Violation- Allegations that he dispensed habit-fanning or oCher legally controlled ubstance~ in other thWl a legal or

legiLimate manner in violation of RS 37776(A)(6) Final disp ilion- Dr Barnett entered into a con ent decree with the board wherein he paid a fine in the am unt of $3000 reimbursed the boards costs Wld corrunenced a period of probation of five yean beginning Augu t 17 2007

3 Daryl Charles Byrd DDs Kenner LouIsiana Violntion- Allegations that he abandoned several patients aJld that hi treatment of several patien was below the prevailing cceptable standard of care in this state in violation of R S ~7776(A)(8)

Final Disposition- Dr Byrd entered into a consent decree with the board wherein he paid a fine in the amQunt of $5000 corum need a period of probation of lhree years beginning August 17 2007 and agreed to complete a remediation course in endodontics at u board approved schooL

4 Clifford Charles Comeau Jr DDS Baton Rouge Louisiana Violationmiddot Allegations that he employed an unlicen ed person [0 practice dental hygiene in violation of RS 37775( 12) and 37776(A)(I1)

Final disposition- Dr Comeaux entered into a con~ent dampTee with the board wherein he paid a fine in the amount of 5000 reimbursed the board costs and commenced a period of probation of two years beginlltng August 17 2007

5 TaJmadge Kirk Crane ODS Lafayette Louisiana Violation- Allegations f immoral conduct during his treatment of a palient in vio lation of RS 37776(A)(22) Final Disposition- Dr Crane entered into a consent decree with the board wherein he paid a fine in the amount of $2500 reimbursed the boards costs commenced a period of probation of ten years beginning May 23 2007 throughout whkh Dr Crane hal l have an assistant in the operalory during all patient ooraCI and the board shall monitor his office and employees for compliance and underwent an evaluation by a psychiatrist

6 Brigette Jones DOS lidell Louisiana

Violation- Revocation of clinical privilege which may be evidence of professional r dental incompetency in violation of RS 37776(A)(7) andlor a dental practice which fails to satisfy the prevailing acceprable standards of care in thil slate in violation of RS 37776(A)(8) Final disposltlon- Dr Jones entered into a consent decree with the board wherein he commenced 3 period of probation of

two years beginning May 242007 during which she will limit her practice to pediatric d ntistry

7 Rayfield Lotten DDs Harvey Louisiana Violation- Allegations that hi treatment of a patient was below the prevailing acceptable tandard of dental practice in Lhi~ state in violation of RS 37176(A)(8) Final Dispoltion- Dr Lotten entered into a con eur decree with the board wherein be paid a line in the amount of $1500 reimbur eel the boards costs and made restitution to a patient

8 Edward Charles Massett Jr DDS Slidell LJuisiana Violation- Allegations that he failed to

follow Federal Centers for Disease Control guideline in violation ofRS 37776(A)(8) and (24) Fmal Disposition- Dr Mas ell entered into a consent decree with the board wherein he paid a fine in the amouot of $500 and reimbursed the bowds cost middot

9 George W Tate DDs Lake Charles Louisiana

o violation The original consent decree entered into by Dr Tate was amended to delete the requirementlbal he prtctice nly in association with another dentist licensed in Louisiana

10 Constantine Scott Taylor ODS Shreveport Lolli iana Violation- Allegations lhat he committed Medicaid fraud in violation of RS 37776(A)(2) and (16) and that he made a faJ~e or de eptive claim to a governmental authority in violation of RS 37776(A)(21) FinaJ disposition- Dr Taylor entered into a consent decree with the board wherein he paid a fine in the amount of $5000 reimbursed the boards co ts and commenced a period of probation of three years begjnning May 23 2007

11 Sarah Welch DDs Mi ouri City Texas No violation The originaJ con ent decree entered into by DrWelch was amended to completely rescind the disciplinary aClion taken again t ber

2

ADVERTISING VIOLATIONS 1 J ilIium Barrois 00

Lafayette Louisiana ViDlationmiddot advertisements in violution of Rule OI(H)(3) thereby fonning it violation of R S

37776 (A)(24) Final disposition- Dr Barrois entered into a consent decree wherein he paid a rUle in the nmount of $500 00

2 Hulying C hen DDS Metairie Louisiana Violation- Advertisement in violation of Rule 30 1 thereby forming a violation of RS 37776 (A)(24) Final clisposiOon- Dr Chen entered into a consent decree wherein he paid II fine in the amount of $50000

3 Mary S Churchman DDS Lake C harles Louisiana Violation- AdvcTtisemCnLS in violation of Rule 30 I(H) thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Churchman entered into a consent decree wherein she paid a fine in the amount of $50000

4 Robert V Costello DDS Lafayette LoUisiana Viohltionmiddot Advertisement in violation of Rulc 30 1 and R5 37774 tbereby forming a violation of R S 37776 (A)(24) Final disposition- Dr Costello entered into a consen t decree whercin be paid a line in the amount of $50000

5 Jon A Feerick DDS Lafayetw Loulslana Violation- Advertisement in violution of Rule 301 and R S 37774 thereby forming a violation of RS 37776 (A)(24)

Final disposition- Dr Feeriek entered intI) a consent decree wherein he paid a rme in tile amount M $50000

6 Kurt ALejeune OD~ LarayetW Louisiana Violation- Advcnigtcment in violation of Rule 301 thereby fOmlin u violation of RS 37 776 (A)(24) Final disposition- Dr Lejeune entered Illto 3

conellt dlcree wherein he paid a fine in the amount of $500 00

7 Rodrick E Loud DDs hreveport Louisiana

Violationmiddot Advenisement in violation of Rule 301 thoreby forming II violntion ofRS 37 776 (A)(24) Final clisposition- Dr Loud entered into a onsen decree wherein be paid Q f ine in the

amount of $100000

8 Gregg A May DDs Mandeville Louisiana Violation- Adverti~ement in violution of Rule 30J CE )(3) (4) and (5) thereby forming a violation ofRs 37776 (A)(24) Final clisposition- Dr Moy entered into a consent decree wherein he paid a fine in the amount of$IOOOOO

9 Ammnr A Mekari 00 Metairie Loul~lana Violation- Advertiseruent in violation of Rule 301 thereby forming 11 violation ofRS 37 776 (A)24) Final disposition- Dr Mekrui entered into a consent decree wherein he paid a fine in the amount of $50000

10 James A Moreau Jr 00 Covington LouisiaDII Violation- Adverli$ement in violation of Rule 301(E)(3) (4) and (5) thereby fomling a violation of Rs 37776(A)(24 Final disposition- Dr Moreau entered intu II consent decree wherein he paid a fine in the amount of SI500 00

11 Jeffrey Mark Snilier DDs ovington Louisiana

Violation- Advertisement in violation of Rule 30 I thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Snitzer entered into a conent decree wherein he paid n fine in the amount of $500 00

12 Courtney Weiler Wightman DDS Jefferson Louisiana Violation- Advertisement in violation of Rule 301 thereby forming J violation of R S 37776 (A)(24) Final disposition- Dr Wightmlln entered into a consent decree wherein she paid a fine in tbe amount of $50000

13 Cheng You DDS Ne Orleans Louisiana Violation- Advcrtisement in violation of Rule 301 thereby fonning a violation of Rs 37776 (A)(24) Final dl~position- Dr You entered into a con~enl decree wherein he paid a line in the amount of $50000

FREQUENTLY ASKED QUESTIONS 1 Do I need to apply for a new anesthesia office 3 ) Pediatric Oral

permit If I move to II new of(ice 4) Adult Oral 5 ) Nitrous Oxide YES AU JocJtionamp in which an~thes iaanalgcsia is 6) LocaJ Anesthesia performed must have an office permit for that level

of anesthesia which is being used U you move to a 4) 00 I need to post m) originallicense(s) In new office your permit fmm the old office doe~ not my office transfer Please contact the Board office for un

YES All Louisiana licensees holding either u dentalanesthesia appl ication

or demal hygiene license shilll display their licell~e in 2 How do I renew my anesthesia permil(s)7 full and open view for all patients to observe along

FOT those liccnees who will be renewmg theu with aJl currcnt renewal permits of lgtilid heeDsc

dental lleen~es Ihis year anti currently hold a All certificates or permil~ authorizing the Personal Nitrous Oxlde Inhalation permit adult cc admini~lration oi anesthesia analgesia or sedation permit and pedo-ecs permit the permit renewal fee shall also be di~played in full and open view in close wil l be $50 00 Ifyou currently hold a personal proximity to tho~e license~ and rencwal certit1cate Parenteral Conscious Sedation Permit the renewal required to be kept in open and fuji view for the publi( fee will be $20000 You will receive a separate to observe application in the renewal packet to renew these

When Iicense~ provide dental services in more than penuits if this is applicable to you Please review onc fallliry a copy of said license~ andlor cenificlIlClthe form and return it to the board office with the shall ~uffice in place of the original and said copy appropriate fee Septrate checks for your licen~e shall be displayed in full and open view for all patients and pennit renewal fees art required You wi ll to see receive these perrniLs with your renewed dental

license If you have lost or mispluced your original dentaldental hygiene license pl= contact the Board

3 What is the CulTent hilrardIy of lIIlCtthesia pennits fo r an affidavit of lo~t license There i $5000 fee for

The current hierarchy for ancstilesinlanalgesiu duplicate originalliccnses There is also a SSOOO feepennits are fOT duplicate renewal ccrtificate~ or permits J ) Genera l AnesthesiaDeep Sedauon

2 ) Parenteral SedatioolV Sedation ConIInucd on page 7

TO All DENTISTS WHO DISPENSE OR ADMINISTER

CONTROllED SUBSTANCES IN THEIR PRACTICE

Dear Doctor

At the present time the Louisiana State Board of Dentistry Is working with all other medical related boards and law enforcement to prepare a prescription monitoring program As such it Is necessary that the Louisiana State Board of Dentistry identify all its licensees who dispense or administer controlled substances at their practice

If you are dispensing or administering controlled substances please complete the Clppropriate section of your 2008-2009 dental renewal applicallons if you do not dispense or administer controlled substances in your office please check the appropriate box of the dental renewal application

Please contact the office if you have any questions Thank you for your cooperation

Sincerely James A Pearce DDS President

3

NECROLOGY 2006 - 2007 Dr Clayton Barre May 32007 Dr Walter G nthier Dr Herbert J Bensel December 162006 Dr Patrick Hambrick Iuly 72007 Dr John A Cabibi July 11 2007 Dr LeQn F Heier Dr Richard H Campbell Dr Patrick Kennedy January 5 2007 Rose Anne Deleo RDH April 25 2007 Dr Charles McShane December 17 2006 Dr Roger Downs Vicki Ro e Shelton RDH September It 2007 Dr J eph M Dyer Dr ComeHus P Voorhies Dr Gilmer W Engelhardt September 92007 Dr lrl G Walker April 2005

DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Dr Chrislos MaJtezos 5418 Dr Carmen Nugent 4297 Dr Charles Smith 2875 Dr Willard K Mann 2734 Dr Hugh Oser 2743 Dr Richard Stutes 4012 Dr Bruce Manne 3714 Dr Gustave Perdigon III 2004 Dr Don Timpton 4394 Dr Arnir Marashi 5296 Dr Teryl Petropoulos 5543 Dr Thanh Truong 5591 Dr Thomas M n 3178 Dr Lang ton Reed 1802 Dr Jacqueline Turpin-Mair 5695 Dr Paul Melancon 1398 Dr Guy A Ribaodo ill 5273 Dr Tomie G Tyler 1948 Dr David MickHn 4572 Dr Ronald Ri inger 5166 Dr John M Welsh 1816 Dr Wilfred Montreuil 2370 Dr Lc lie Sclafini 566 L Dr Craig Williams 4395 Dr Aubrey Millon Myers 5125 Dr Mark Sibley 4112 Dr TIleodore Neff 5127 Dr Gerard Simoneaux 5355

DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Shana Rush Creel RDB 3500 Linda Ramelli RDH 555 Faith Smallwood RDH 3798 Shaynon McGinty RDH 3313 Otis Redding RDH 3372 April Smith RDH 3293 Scarlet Menner RDH 1156 Janet Reynold RDH 3314 Mario P Stolberg RD H 2867 Kim Nelson RD H 2561 Tammy R Rome RDH 2843 DanieUe Victoriano RDH 2884 Mary Owen RDH 1041 Lori D Schafer RDH 2961 Julie Weir RDH 3671 Trameika Porter RD H 3650 Charlene 1 COlt R D E 2228 Joyce Wells RDR 931 Cherie Price RD R 2518 Nancy Sellers R DE 3868 Gary Wheeler RD H 3392 Angela Rahm RDH 1654 Kristen Seymour R D H 3471 Nancy Zinser RDR 1552

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Dr Matthew H Blunt 2313 Dr Robert L Roy 1347 Dr Eman Tahawi 5775 Dr Ronald F Currier 1767 Dr Joe ScaJes 2181 Dr Richard B Taunton 3603 Dr lames A Jones 1785 Dr Arthur Scott ill 2083 Dr Jason Timmons 5358 Dr Jon S Ousley Dr Louis C Pendleton

2115 1801

Dr James R Sevier Dr John J Sheridan

3885 2010

Dr Edward C Vocke ill Dr 0 car P Waldrep

2476 1061

Dr Aubrey E Myers Dr Susan M Robichaux

5125 4106

Dr Malcolm Sevier Jr Dr Lonnie M Sibley

3365 2759

Dr Robert E Welborn Jr Dr Robert I Wood

1868 5220

Dr Mario S Rodriguez 2516 Dr Lori L Smith 4363 Dr Warren D Woodward 1673 Dr Russell C Romero 2470 Dr Phil Sparks 3030

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 Dr Robert Llopis 4688

DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Erin Beier Cresap RDH Andree Poirrier Eddleman RDR

2823 3463

Sharon Molbert RD H Judith elson RDH

1144 90

Abigail Steinmetz RDH Maljorie Stevenson RDH

2644 3229

Gay Rh des Gladhart RDR Janna J HallRDH

285 737

Stephanie Parrino RDH Maria Pavur RDH

174 14()0

Corlie Sue Storey RDH Lora Brinson Weathersby RDH

1348 2095

Holly Madere-Hymel RDH 2678 Ritll Salman RDH 298 Brandy S Williams RDH 2788 Gracie Ponder RDR 1646 Jessica Schneider RDH 3599 Carolyn Wright RDH 693 Kathleen McGregor RDH 172 Marilyn Shelby RD B 130 1 Nancy Zeringue RDH 311 Karen Miranda RDH 940 Barbara P Schimpf RDH 773

4 _________________________________________________________________________________

E UTIVE DI

The Louisiana Stale Board of Dentistry no longer conducts clinical licensing examinations Who would have thought this day would ever come Louisiana ba always been an independent testing agency and always put agreal deal of effort time and money into administering a valid and reliable clinical licensing examination However the national changes have convinced us that it was time to join with a regional testing agency The Council of Interstate Testing Agencies (CITA) convinced us 10 COntract with them to administer our clinical licensing examinations in the future By laking this examination our young dentists and dental hygienists will have more mobiHty than ever before The CITA examination i administered in the states of North Carolina Mississippi Alabama Louisiana and Puerto Rico Further sixteen states now recognize the CITA examination and more are coming on board all the time This has been a long time coming and the board decided to go with CITA after reviewing all other cHnical examinations a presented at the meetings of the American Association of Dental Examiners Furthermore the Louisiana Stale Board of Dentistry has been involved with CITA since its inception which facilitates our transition

Please remember that now all licensees must obtain the fujI requirements of continuing education in order to renew their licenses We had previously decreased the number of hours due to the cliffjculties of dentists and dental hygienist being able to obtain continuing education after Hurricanes Katrina and Rita

In the future dentists providing sedation to pediatric patients (under age 13) must be certified in Pediatric Advanced Life Support (PALS) Dentists administering deep sedation to adults will be required to be certified in Advanced Cardiac Life Support (ACLS)

Since the huoicane~Louisiana has lost approximately 200 dentists which equates

to approximately 10 of the dentist population in the state This number is significantly higher than tbe population loss but is in line with other medical professionals who have left the state for greener pastures Kudos to everyone who is sticking it out and fighting this fight Unfortunately this also creates a tiscal problem for the board because we must continue our operations with less revenue We will strive to continue to provide the best service possibJe to the public and the dental populations

As you can see we no longer publish a Dental Practice Act booklet The cost of printing the booklets each year has become prohibitive You can review the Dental Practice Act at our website www 1sbd org You may also download all forms and applications as well such as the licensure by credentials application license by outside examination application restricted license application all anesthesia applications (both dental and dental hygiene) and the expanded duty dental assistant application

Of particular concern is the rise in substance abuse problems as weIJ as fraud The board is receiving more complaints in these two areas than ever before and wilJ vigorously prosecute tllOse practitioners who take advantage of their patients by overdiagnosing or cheating on claims Practitioners who commit fraud may be lining their own pockets but they are a terrible disgrace to the dental profession We ask any dentist who sees fraud committed by another dentist to please report it to us as soon as possible

The board and New Orleans are extremely grateful to have LSU dental school back Ln New Orleans There is a strong need for LSU within the population of New Orleans especially during these tumultuous times of rebuilding our conmlUnilY

The board would like to thank Dr Eric Hovland for his commaodiJlg the LSU dental school through the tenible crisis caused by tbe hurricanes and his unwavering strength and ability to get the school back to New Orleans We understand that Dean Hovland hru submitted his resignation and we wish him weU in al1 of his future endeavors We also look forward to working with his Sllccessor whomever that may be

Unfortunately the board is losing almost thirty-five years of experience on the board with the retirement of Drs Dennis Donald Conrad P McVea and Vance Wascom due to term limits Their experience dedication and knowledge wiIJ never be replaced Dr Donald served for 15 years and as president three times Drs McVea and Wascom both served ten years and as president as well We express our sinceresl gratitude to these fine gentlemen for the many many hours they took from their practices and familJes to serve the board and the public We only hope that their successors come with the same dedication

The board conducted four nominating meetings for new appointments to the board Meetings were held in Lake Charles Lafayette Northlake and NODA

The nominees have been presented to the governor for appointment However as this is a gubernatorial change it is not known if Governor Blanco will make these appointmentgt or if she will allow the Governor Eject Bobby Jindal to make these appointments We eagerly wait with anticipation

In closing I wish each and every one of you a happy and prosperous new year

C Barry Ogden Executive Director

s

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

ADVERTISING VIOLATIONS 1 J ilIium Barrois 00

Lafayette Louisiana ViDlationmiddot advertisements in violution of Rule OI(H)(3) thereby fonning it violation of R S

37776 (A)(24) Final disposition- Dr Barrois entered into a consent decree wherein he paid a rUle in the nmount of $500 00

2 Hulying C hen DDS Metairie Louisiana Violation- Advertisement in violation of Rule 30 1 thereby forming a violation of RS 37776 (A)(24) Final clisposiOon- Dr Chen entered into a consent decree wherein he paid II fine in the amount of $50000

3 Mary S Churchman DDS Lake C harles Louisiana Violation- AdvcTtisemCnLS in violation of Rule 30 I(H) thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Churchman entered into a consent decree wherein she paid a fine in the amount of $50000

4 Robert V Costello DDS Lafayette LoUisiana Viohltionmiddot Advertisement in violation of Rulc 30 1 and R5 37774 tbereby forming a violation of R S 37776 (A)(24) Final disposition- Dr Costello entered into a consen t decree whercin be paid a line in the amount of $50000

5 Jon A Feerick DDS Lafayetw Loulslana Violation- Advertisement in violution of Rule 301 and R S 37774 thereby forming a violation of RS 37776 (A)(24)

Final disposition- Dr Feeriek entered intI) a consent decree wherein he paid a rme in tile amount M $50000

6 Kurt ALejeune OD~ LarayetW Louisiana Violation- Advcnigtcment in violation of Rule 301 thereby fOmlin u violation of RS 37 776 (A)(24) Final disposition- Dr Lejeune entered Illto 3

conellt dlcree wherein he paid a fine in the amount of $500 00

7 Rodrick E Loud DDs hreveport Louisiana

Violationmiddot Advenisement in violation of Rule 301 thoreby forming II violntion ofRS 37 776 (A)(24) Final clisposition- Dr Loud entered into a onsen decree wherein be paid Q f ine in the

amount of $100000

8 Gregg A May DDs Mandeville Louisiana Violation- Adverti~ement in violution of Rule 30J CE )(3) (4) and (5) thereby forming a violation ofRs 37776 (A)(24) Final clisposition- Dr Moy entered into a consent decree wherein he paid a fine in the amount of$IOOOOO

9 Ammnr A Mekari 00 Metairie Loul~lana Violation- Advertiseruent in violation of Rule 301 thereby forming 11 violation ofRS 37 776 (A)24) Final disposition- Dr Mekrui entered into a consent decree wherein he paid a fine in the amount of $50000

10 James A Moreau Jr 00 Covington LouisiaDII Violation- Adverli$ement in violation of Rule 301(E)(3) (4) and (5) thereby fomling a violation of Rs 37776(A)(24 Final disposition- Dr Moreau entered intu II consent decree wherein he paid a fine in the amount of SI500 00

11 Jeffrey Mark Snilier DDs ovington Louisiana

Violation- Advertisement in violation of Rule 30 I thereby forming a violation of RS 37776 (A)(24) Final disposition- Dr Snitzer entered into a conent decree wherein he paid n fine in the amount of $500 00

12 Courtney Weiler Wightman DDS Jefferson Louisiana Violation- Advertisement in violation of Rule 301 thereby forming J violation of R S 37776 (A)(24) Final disposition- Dr Wightmlln entered into a consent decree wherein she paid a fine in tbe amount of $50000

13 Cheng You DDS Ne Orleans Louisiana Violation- Advcrtisement in violation of Rule 301 thereby fonning a violation of Rs 37776 (A)(24) Final dl~position- Dr You entered into a con~enl decree wherein he paid a line in the amount of $50000

FREQUENTLY ASKED QUESTIONS 1 Do I need to apply for a new anesthesia office 3 ) Pediatric Oral

permit If I move to II new of(ice 4) Adult Oral 5 ) Nitrous Oxide YES AU JocJtionamp in which an~thes iaanalgcsia is 6) LocaJ Anesthesia performed must have an office permit for that level

of anesthesia which is being used U you move to a 4) 00 I need to post m) originallicense(s) In new office your permit fmm the old office doe~ not my office transfer Please contact the Board office for un

YES All Louisiana licensees holding either u dentalanesthesia appl ication

or demal hygiene license shilll display their licell~e in 2 How do I renew my anesthesia permil(s)7 full and open view for all patients to observe along

FOT those liccnees who will be renewmg theu with aJl currcnt renewal permits of lgtilid heeDsc

dental lleen~es Ihis year anti currently hold a All certificates or permil~ authorizing the Personal Nitrous Oxlde Inhalation permit adult cc admini~lration oi anesthesia analgesia or sedation permit and pedo-ecs permit the permit renewal fee shall also be di~played in full and open view in close wil l be $50 00 Ifyou currently hold a personal proximity to tho~e license~ and rencwal certit1cate Parenteral Conscious Sedation Permit the renewal required to be kept in open and fuji view for the publi( fee will be $20000 You will receive a separate to observe application in the renewal packet to renew these

When Iicense~ provide dental services in more than penuits if this is applicable to you Please review onc fallliry a copy of said license~ andlor cenificlIlClthe form and return it to the board office with the shall ~uffice in place of the original and said copy appropriate fee Septrate checks for your licen~e shall be displayed in full and open view for all patients and pennit renewal fees art required You wi ll to see receive these perrniLs with your renewed dental

license If you have lost or mispluced your original dentaldental hygiene license pl= contact the Board

3 What is the CulTent hilrardIy of lIIlCtthesia pennits fo r an affidavit of lo~t license There i $5000 fee for

The current hierarchy for ancstilesinlanalgesiu duplicate originalliccnses There is also a SSOOO feepennits are fOT duplicate renewal ccrtificate~ or permits J ) Genera l AnesthesiaDeep Sedauon

2 ) Parenteral SedatioolV Sedation ConIInucd on page 7

TO All DENTISTS WHO DISPENSE OR ADMINISTER

CONTROllED SUBSTANCES IN THEIR PRACTICE

Dear Doctor

At the present time the Louisiana State Board of Dentistry Is working with all other medical related boards and law enforcement to prepare a prescription monitoring program As such it Is necessary that the Louisiana State Board of Dentistry identify all its licensees who dispense or administer controlled substances at their practice

If you are dispensing or administering controlled substances please complete the Clppropriate section of your 2008-2009 dental renewal applicallons if you do not dispense or administer controlled substances in your office please check the appropriate box of the dental renewal application

Please contact the office if you have any questions Thank you for your cooperation

Sincerely James A Pearce DDS President

3

NECROLOGY 2006 - 2007 Dr Clayton Barre May 32007 Dr Walter G nthier Dr Herbert J Bensel December 162006 Dr Patrick Hambrick Iuly 72007 Dr John A Cabibi July 11 2007 Dr LeQn F Heier Dr Richard H Campbell Dr Patrick Kennedy January 5 2007 Rose Anne Deleo RDH April 25 2007 Dr Charles McShane December 17 2006 Dr Roger Downs Vicki Ro e Shelton RDH September It 2007 Dr J eph M Dyer Dr ComeHus P Voorhies Dr Gilmer W Engelhardt September 92007 Dr lrl G Walker April 2005

DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Dr Chrislos MaJtezos 5418 Dr Carmen Nugent 4297 Dr Charles Smith 2875 Dr Willard K Mann 2734 Dr Hugh Oser 2743 Dr Richard Stutes 4012 Dr Bruce Manne 3714 Dr Gustave Perdigon III 2004 Dr Don Timpton 4394 Dr Arnir Marashi 5296 Dr Teryl Petropoulos 5543 Dr Thanh Truong 5591 Dr Thomas M n 3178 Dr Lang ton Reed 1802 Dr Jacqueline Turpin-Mair 5695 Dr Paul Melancon 1398 Dr Guy A Ribaodo ill 5273 Dr Tomie G Tyler 1948 Dr David MickHn 4572 Dr Ronald Ri inger 5166 Dr John M Welsh 1816 Dr Wilfred Montreuil 2370 Dr Lc lie Sclafini 566 L Dr Craig Williams 4395 Dr Aubrey Millon Myers 5125 Dr Mark Sibley 4112 Dr TIleodore Neff 5127 Dr Gerard Simoneaux 5355

DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Shana Rush Creel RDB 3500 Linda Ramelli RDH 555 Faith Smallwood RDH 3798 Shaynon McGinty RDH 3313 Otis Redding RDH 3372 April Smith RDH 3293 Scarlet Menner RDH 1156 Janet Reynold RDH 3314 Mario P Stolberg RD H 2867 Kim Nelson RD H 2561 Tammy R Rome RDH 2843 DanieUe Victoriano RDH 2884 Mary Owen RDH 1041 Lori D Schafer RDH 2961 Julie Weir RDH 3671 Trameika Porter RD H 3650 Charlene 1 COlt R D E 2228 Joyce Wells RDR 931 Cherie Price RD R 2518 Nancy Sellers R DE 3868 Gary Wheeler RD H 3392 Angela Rahm RDH 1654 Kristen Seymour R D H 3471 Nancy Zinser RDR 1552

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Dr Matthew H Blunt 2313 Dr Robert L Roy 1347 Dr Eman Tahawi 5775 Dr Ronald F Currier 1767 Dr Joe ScaJes 2181 Dr Richard B Taunton 3603 Dr lames A Jones 1785 Dr Arthur Scott ill 2083 Dr Jason Timmons 5358 Dr Jon S Ousley Dr Louis C Pendleton

2115 1801

Dr James R Sevier Dr John J Sheridan

3885 2010

Dr Edward C Vocke ill Dr 0 car P Waldrep

2476 1061

Dr Aubrey E Myers Dr Susan M Robichaux

5125 4106

Dr Malcolm Sevier Jr Dr Lonnie M Sibley

3365 2759

Dr Robert E Welborn Jr Dr Robert I Wood

1868 5220

Dr Mario S Rodriguez 2516 Dr Lori L Smith 4363 Dr Warren D Woodward 1673 Dr Russell C Romero 2470 Dr Phil Sparks 3030

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 Dr Robert Llopis 4688

DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Erin Beier Cresap RDH Andree Poirrier Eddleman RDR

2823 3463

Sharon Molbert RD H Judith elson RDH

1144 90

Abigail Steinmetz RDH Maljorie Stevenson RDH

2644 3229

Gay Rh des Gladhart RDR Janna J HallRDH

285 737

Stephanie Parrino RDH Maria Pavur RDH

174 14()0

Corlie Sue Storey RDH Lora Brinson Weathersby RDH

1348 2095

Holly Madere-Hymel RDH 2678 Ritll Salman RDH 298 Brandy S Williams RDH 2788 Gracie Ponder RDR 1646 Jessica Schneider RDH 3599 Carolyn Wright RDH 693 Kathleen McGregor RDH 172 Marilyn Shelby RD B 130 1 Nancy Zeringue RDH 311 Karen Miranda RDH 940 Barbara P Schimpf RDH 773

4 _________________________________________________________________________________

E UTIVE DI

The Louisiana Stale Board of Dentistry no longer conducts clinical licensing examinations Who would have thought this day would ever come Louisiana ba always been an independent testing agency and always put agreal deal of effort time and money into administering a valid and reliable clinical licensing examination However the national changes have convinced us that it was time to join with a regional testing agency The Council of Interstate Testing Agencies (CITA) convinced us 10 COntract with them to administer our clinical licensing examinations in the future By laking this examination our young dentists and dental hygienists will have more mobiHty than ever before The CITA examination i administered in the states of North Carolina Mississippi Alabama Louisiana and Puerto Rico Further sixteen states now recognize the CITA examination and more are coming on board all the time This has been a long time coming and the board decided to go with CITA after reviewing all other cHnical examinations a presented at the meetings of the American Association of Dental Examiners Furthermore the Louisiana Stale Board of Dentistry has been involved with CITA since its inception which facilitates our transition

Please remember that now all licensees must obtain the fujI requirements of continuing education in order to renew their licenses We had previously decreased the number of hours due to the cliffjculties of dentists and dental hygienist being able to obtain continuing education after Hurricanes Katrina and Rita

In the future dentists providing sedation to pediatric patients (under age 13) must be certified in Pediatric Advanced Life Support (PALS) Dentists administering deep sedation to adults will be required to be certified in Advanced Cardiac Life Support (ACLS)

Since the huoicane~Louisiana has lost approximately 200 dentists which equates

to approximately 10 of the dentist population in the state This number is significantly higher than tbe population loss but is in line with other medical professionals who have left the state for greener pastures Kudos to everyone who is sticking it out and fighting this fight Unfortunately this also creates a tiscal problem for the board because we must continue our operations with less revenue We will strive to continue to provide the best service possibJe to the public and the dental populations

As you can see we no longer publish a Dental Practice Act booklet The cost of printing the booklets each year has become prohibitive You can review the Dental Practice Act at our website www 1sbd org You may also download all forms and applications as well such as the licensure by credentials application license by outside examination application restricted license application all anesthesia applications (both dental and dental hygiene) and the expanded duty dental assistant application

Of particular concern is the rise in substance abuse problems as weIJ as fraud The board is receiving more complaints in these two areas than ever before and wilJ vigorously prosecute tllOse practitioners who take advantage of their patients by overdiagnosing or cheating on claims Practitioners who commit fraud may be lining their own pockets but they are a terrible disgrace to the dental profession We ask any dentist who sees fraud committed by another dentist to please report it to us as soon as possible

The board and New Orleans are extremely grateful to have LSU dental school back Ln New Orleans There is a strong need for LSU within the population of New Orleans especially during these tumultuous times of rebuilding our conmlUnilY

The board would like to thank Dr Eric Hovland for his commaodiJlg the LSU dental school through the tenible crisis caused by tbe hurricanes and his unwavering strength and ability to get the school back to New Orleans We understand that Dean Hovland hru submitted his resignation and we wish him weU in al1 of his future endeavors We also look forward to working with his Sllccessor whomever that may be

Unfortunately the board is losing almost thirty-five years of experience on the board with the retirement of Drs Dennis Donald Conrad P McVea and Vance Wascom due to term limits Their experience dedication and knowledge wiIJ never be replaced Dr Donald served for 15 years and as president three times Drs McVea and Wascom both served ten years and as president as well We express our sinceresl gratitude to these fine gentlemen for the many many hours they took from their practices and familJes to serve the board and the public We only hope that their successors come with the same dedication

The board conducted four nominating meetings for new appointments to the board Meetings were held in Lake Charles Lafayette Northlake and NODA

The nominees have been presented to the governor for appointment However as this is a gubernatorial change it is not known if Governor Blanco will make these appointmentgt or if she will allow the Governor Eject Bobby Jindal to make these appointments We eagerly wait with anticipation

In closing I wish each and every one of you a happy and prosperous new year

C Barry Ogden Executive Director

s

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

NECROLOGY 2006 - 2007 Dr Clayton Barre May 32007 Dr Walter G nthier Dr Herbert J Bensel December 162006 Dr Patrick Hambrick Iuly 72007 Dr John A Cabibi July 11 2007 Dr LeQn F Heier Dr Richard H Campbell Dr Patrick Kennedy January 5 2007 Rose Anne Deleo RDH April 25 2007 Dr Charles McShane December 17 2006 Dr Roger Downs Vicki Ro e Shelton RDH September It 2007 Dr J eph M Dyer Dr ComeHus P Voorhies Dr Gilmer W Engelhardt September 92007 Dr lrl G Walker April 2005

DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Dr Chrislos MaJtezos 5418 Dr Carmen Nugent 4297 Dr Charles Smith 2875 Dr Willard K Mann 2734 Dr Hugh Oser 2743 Dr Richard Stutes 4012 Dr Bruce Manne 3714 Dr Gustave Perdigon III 2004 Dr Don Timpton 4394 Dr Arnir Marashi 5296 Dr Teryl Petropoulos 5543 Dr Thanh Truong 5591 Dr Thomas M n 3178 Dr Lang ton Reed 1802 Dr Jacqueline Turpin-Mair 5695 Dr Paul Melancon 1398 Dr Guy A Ribaodo ill 5273 Dr Tomie G Tyler 1948 Dr David MickHn 4572 Dr Ronald Ri inger 5166 Dr John M Welsh 1816 Dr Wilfred Montreuil 2370 Dr Lc lie Sclafini 566 L Dr Craig Williams 4395 Dr Aubrey Millon Myers 5125 Dr Mark Sibley 4112 Dr TIleodore Neff 5127 Dr Gerard Simoneaux 5355

DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2007 ACTION TAKEN MAY 25 2007

Shana Rush Creel RDB 3500 Linda Ramelli RDH 555 Faith Smallwood RDH 3798 Shaynon McGinty RDH 3313 Otis Redding RDH 3372 April Smith RDH 3293 Scarlet Menner RDH 1156 Janet Reynold RDH 3314 Mario P Stolberg RD H 2867 Kim Nelson RD H 2561 Tammy R Rome RDH 2843 DanieUe Victoriano RDH 2884 Mary Owen RDH 1041 Lori D Schafer RDH 2961 Julie Weir RDH 3671 Trameika Porter RD H 3650 Charlene 1 COlt R D E 2228 Joyce Wells RDR 931 Cherie Price RD R 2518 Nancy Sellers R DE 3868 Gary Wheeler RD H 3392 Angela Rahm RDH 1654 Kristen Seymour R D H 3471 Nancy Zinser RDR 1552

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Dr Matthew H Blunt 2313 Dr Robert L Roy 1347 Dr Eman Tahawi 5775 Dr Ronald F Currier 1767 Dr Joe ScaJes 2181 Dr Richard B Taunton 3603 Dr lames A Jones 1785 Dr Arthur Scott ill 2083 Dr Jason Timmons 5358 Dr Jon S Ousley Dr Louis C Pendleton

2115 1801

Dr James R Sevier Dr John J Sheridan

3885 2010

Dr Edward C Vocke ill Dr 0 car P Waldrep

2476 1061

Dr Aubrey E Myers Dr Susan M Robichaux

5125 4106

Dr Malcolm Sevier Jr Dr Lonnie M Sibley

3365 2759

Dr Robert E Welborn Jr Dr Robert I Wood

1868 5220

Dr Mario S Rodriguez 2516 Dr Lori L Smith 4363 Dr Warren D Woodward 1673 Dr Russell C Romero 2470 Dr Phil Sparks 3030

DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2007 Dr Robert Llopis 4688

DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2007 DUE TO RETIREMENT

Erin Beier Cresap RDH Andree Poirrier Eddleman RDR

2823 3463

Sharon Molbert RD H Judith elson RDH

1144 90

Abigail Steinmetz RDH Maljorie Stevenson RDH

2644 3229

Gay Rh des Gladhart RDR Janna J HallRDH

285 737

Stephanie Parrino RDH Maria Pavur RDH

174 14()0

Corlie Sue Storey RDH Lora Brinson Weathersby RDH

1348 2095

Holly Madere-Hymel RDH 2678 Ritll Salman RDH 298 Brandy S Williams RDH 2788 Gracie Ponder RDR 1646 Jessica Schneider RDH 3599 Carolyn Wright RDH 693 Kathleen McGregor RDH 172 Marilyn Shelby RD B 130 1 Nancy Zeringue RDH 311 Karen Miranda RDH 940 Barbara P Schimpf RDH 773

4 _________________________________________________________________________________

E UTIVE DI

The Louisiana Stale Board of Dentistry no longer conducts clinical licensing examinations Who would have thought this day would ever come Louisiana ba always been an independent testing agency and always put agreal deal of effort time and money into administering a valid and reliable clinical licensing examination However the national changes have convinced us that it was time to join with a regional testing agency The Council of Interstate Testing Agencies (CITA) convinced us 10 COntract with them to administer our clinical licensing examinations in the future By laking this examination our young dentists and dental hygienists will have more mobiHty than ever before The CITA examination i administered in the states of North Carolina Mississippi Alabama Louisiana and Puerto Rico Further sixteen states now recognize the CITA examination and more are coming on board all the time This has been a long time coming and the board decided to go with CITA after reviewing all other cHnical examinations a presented at the meetings of the American Association of Dental Examiners Furthermore the Louisiana Stale Board of Dentistry has been involved with CITA since its inception which facilitates our transition

Please remember that now all licensees must obtain the fujI requirements of continuing education in order to renew their licenses We had previously decreased the number of hours due to the cliffjculties of dentists and dental hygienist being able to obtain continuing education after Hurricanes Katrina and Rita

In the future dentists providing sedation to pediatric patients (under age 13) must be certified in Pediatric Advanced Life Support (PALS) Dentists administering deep sedation to adults will be required to be certified in Advanced Cardiac Life Support (ACLS)

Since the huoicane~Louisiana has lost approximately 200 dentists which equates

to approximately 10 of the dentist population in the state This number is significantly higher than tbe population loss but is in line with other medical professionals who have left the state for greener pastures Kudos to everyone who is sticking it out and fighting this fight Unfortunately this also creates a tiscal problem for the board because we must continue our operations with less revenue We will strive to continue to provide the best service possibJe to the public and the dental populations

As you can see we no longer publish a Dental Practice Act booklet The cost of printing the booklets each year has become prohibitive You can review the Dental Practice Act at our website www 1sbd org You may also download all forms and applications as well such as the licensure by credentials application license by outside examination application restricted license application all anesthesia applications (both dental and dental hygiene) and the expanded duty dental assistant application

Of particular concern is the rise in substance abuse problems as weIJ as fraud The board is receiving more complaints in these two areas than ever before and wilJ vigorously prosecute tllOse practitioners who take advantage of their patients by overdiagnosing or cheating on claims Practitioners who commit fraud may be lining their own pockets but they are a terrible disgrace to the dental profession We ask any dentist who sees fraud committed by another dentist to please report it to us as soon as possible

The board and New Orleans are extremely grateful to have LSU dental school back Ln New Orleans There is a strong need for LSU within the population of New Orleans especially during these tumultuous times of rebuilding our conmlUnilY

The board would like to thank Dr Eric Hovland for his commaodiJlg the LSU dental school through the tenible crisis caused by tbe hurricanes and his unwavering strength and ability to get the school back to New Orleans We understand that Dean Hovland hru submitted his resignation and we wish him weU in al1 of his future endeavors We also look forward to working with his Sllccessor whomever that may be

Unfortunately the board is losing almost thirty-five years of experience on the board with the retirement of Drs Dennis Donald Conrad P McVea and Vance Wascom due to term limits Their experience dedication and knowledge wiIJ never be replaced Dr Donald served for 15 years and as president three times Drs McVea and Wascom both served ten years and as president as well We express our sinceresl gratitude to these fine gentlemen for the many many hours they took from their practices and familJes to serve the board and the public We only hope that their successors come with the same dedication

The board conducted four nominating meetings for new appointments to the board Meetings were held in Lake Charles Lafayette Northlake and NODA

The nominees have been presented to the governor for appointment However as this is a gubernatorial change it is not known if Governor Blanco will make these appointmentgt or if she will allow the Governor Eject Bobby Jindal to make these appointments We eagerly wait with anticipation

In closing I wish each and every one of you a happy and prosperous new year

C Barry Ogden Executive Director

s

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

E UTIVE DI

The Louisiana Stale Board of Dentistry no longer conducts clinical licensing examinations Who would have thought this day would ever come Louisiana ba always been an independent testing agency and always put agreal deal of effort time and money into administering a valid and reliable clinical licensing examination However the national changes have convinced us that it was time to join with a regional testing agency The Council of Interstate Testing Agencies (CITA) convinced us 10 COntract with them to administer our clinical licensing examinations in the future By laking this examination our young dentists and dental hygienists will have more mobiHty than ever before The CITA examination i administered in the states of North Carolina Mississippi Alabama Louisiana and Puerto Rico Further sixteen states now recognize the CITA examination and more are coming on board all the time This has been a long time coming and the board decided to go with CITA after reviewing all other cHnical examinations a presented at the meetings of the American Association of Dental Examiners Furthermore the Louisiana Stale Board of Dentistry has been involved with CITA since its inception which facilitates our transition

Please remember that now all licensees must obtain the fujI requirements of continuing education in order to renew their licenses We had previously decreased the number of hours due to the cliffjculties of dentists and dental hygienist being able to obtain continuing education after Hurricanes Katrina and Rita

In the future dentists providing sedation to pediatric patients (under age 13) must be certified in Pediatric Advanced Life Support (PALS) Dentists administering deep sedation to adults will be required to be certified in Advanced Cardiac Life Support (ACLS)

Since the huoicane~Louisiana has lost approximately 200 dentists which equates

to approximately 10 of the dentist population in the state This number is significantly higher than tbe population loss but is in line with other medical professionals who have left the state for greener pastures Kudos to everyone who is sticking it out and fighting this fight Unfortunately this also creates a tiscal problem for the board because we must continue our operations with less revenue We will strive to continue to provide the best service possibJe to the public and the dental populations

As you can see we no longer publish a Dental Practice Act booklet The cost of printing the booklets each year has become prohibitive You can review the Dental Practice Act at our website www 1sbd org You may also download all forms and applications as well such as the licensure by credentials application license by outside examination application restricted license application all anesthesia applications (both dental and dental hygiene) and the expanded duty dental assistant application

Of particular concern is the rise in substance abuse problems as weIJ as fraud The board is receiving more complaints in these two areas than ever before and wilJ vigorously prosecute tllOse practitioners who take advantage of their patients by overdiagnosing or cheating on claims Practitioners who commit fraud may be lining their own pockets but they are a terrible disgrace to the dental profession We ask any dentist who sees fraud committed by another dentist to please report it to us as soon as possible

The board and New Orleans are extremely grateful to have LSU dental school back Ln New Orleans There is a strong need for LSU within the population of New Orleans especially during these tumultuous times of rebuilding our conmlUnilY

The board would like to thank Dr Eric Hovland for his commaodiJlg the LSU dental school through the tenible crisis caused by tbe hurricanes and his unwavering strength and ability to get the school back to New Orleans We understand that Dean Hovland hru submitted his resignation and we wish him weU in al1 of his future endeavors We also look forward to working with his Sllccessor whomever that may be

Unfortunately the board is losing almost thirty-five years of experience on the board with the retirement of Drs Dennis Donald Conrad P McVea and Vance Wascom due to term limits Their experience dedication and knowledge wiIJ never be replaced Dr Donald served for 15 years and as president three times Drs McVea and Wascom both served ten years and as president as well We express our sinceresl gratitude to these fine gentlemen for the many many hours they took from their practices and familJes to serve the board and the public We only hope that their successors come with the same dedication

The board conducted four nominating meetings for new appointments to the board Meetings were held in Lake Charles Lafayette Northlake and NODA

The nominees have been presented to the governor for appointment However as this is a gubernatorial change it is not known if Governor Blanco will make these appointmentgt or if she will allow the Governor Eject Bobby Jindal to make these appointments We eagerly wait with anticipation

In closing I wish each and every one of you a happy and prosperous new year

C Barry Ogden Executive Director

s

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

CONGRATULATIONS 2007 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION

DR GINNY BAKER DR BENJAMIN BEACH DR KATIE BEACH DR ERI BEAR DR LEE B RTI-lELOT DR REBECC BLUM DR HAROLD BOREL DR MARTTN BRAUD DR GREGORY BURNS DR MOLLY BURNS DR CYNTHIA CALDWELL DR VICTOR CARONA DR ROS CASCIO

DR MELANIE CHEILETrE DR IvUSTY RUMP OR JOSEPH DARO DR MEU SA DUPREE DR JElNTFER PI NEY DR JORGE GARCIA DR AMANDA HASZINGER DR JOHN HOWELL DR MATHIEU IRBY DR CASEYIVERSTLNE DR JAtl1ES JACK ON DR NATALIE JACKSO DR ANDREW JONES

DR TIMOTHY LEACH DR JULIE LEBHLL DR BRYNN LEROUX DR KEITH LUMlNAJSJR DR CAROLINE MA UEL DR BROOKE M CALL M DR MINDY MOORE DR KIM NGUYEN DR JON PERENACK DR JESSICA PERKINS DR STEPHANIE PICOU DR PAUL RAGAS DR NJCHOLAS RAUBER

DR BEATRlZ ROBLES DR KRI TOPHER RUES AME DR JAMES SHIRLEY DR JOHN SLEDGE DR HOPE TAYLOR DR XUA TRAN DR STEPHEN TVRPIN DR CHAD VAUGHT DR LIEN VU DR THUYmiddotHANG VU DR MlCHAEL WIESNER

CONGRATULATIONS 2007 DENTAL HYGIENE LICENSEES LICENSED BY CLINICALLICENSING EXAMINATION

JULIE ALLEN RDH ADELE A DREWS RDH KATIE ARC RI RDHB BRANDY AUSTIN RDH TEPIIA IE SA MAN RDH

CATHERINE BERCIER RDl-l ADRIENNE BOONE RDH JADE BOS bull RDl-l TRACY BOSTICK RD H ERIN B t11TE RDH JENNrFER BROW RDH ROXiE BROWN RDI MICHELLE CAtlCIENNE RDH KEASHA CASTILLE RDH KRIST[ COX RDH ALLIE DAY RDH BRLE DOBBS RDH ASHLEY DUCHESNE RDH

CHARLOTrE DUDOlT RDH CASSIE EDW ARDS RDH SHEILA ELWOOD RDH LECHELLE EMANUEL RDJ-1 LAtlA FLETCHER RDH MELAl IE FOSTER RDH MEGAN FRUGE RDH VJClORlA GREMlLLrO bull RDH KERRJ HEBERT RDJ AMANDA HELM RDH LAURA HELMSTETTER RDH SARAH HERROD RDH LAUREN JO ES RDH ALAlNA JOUBERT RDH ANNA JUNKIN RDH LESliE LAGRANGE RDl1 ASHLEY LECORGNE RDH lODY LEE RDJI

MEGAN LOPE RDH BRJITNEY LOUQUE RDH SHANN MATHERNE RDH

ARAH MILLER RDH AMESHA MOORE RDH LINDSEY MORGAN RDH KATHRYN MOLTO RDH AUTUMN NOYES RDH CYNDJ OCR RDH BRANDI OLIVIER RDH DHBY OLSEN RDH JAMlE PERn E RDH RACHEL PLUNKET RDR AMANDA PUCKETT RDH BMJl Y REICH RDH BRfITANY ROBB RDli ALYSON ROUSSEL RDH CARRIE ROY RDH

JENNIFER RUMSEY RDH JENNIFER SALZER RDH LAUREN SAVOY RDH KA YlA SCtrmONE RDH CRJSTINA SEIDL RDH CARA SMITH RDJl MIRANDA TAYLOR RDH KRISTIN THOMP ON RDH LISA TINGLE RD H BONNIE TOCA RDH SHERRI TOUPS RDM BE TU TRAN RD H PHUONG VAN RDH KRYSTAL VIDRINERDH DIANA WADE RDJ ANNA WANKO RDH AIMEE WHITNEY RDA MEGAN WHITTINGTON RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2006-2007

DENTISTS HYGIENISTS DR MJCHAEL LINDE BERG DR MARIO MONTANEZ ASHLEY TEBBE RDH JENNIFER L CARTER RDH DR SltLVADOR fLORES DR CAROL SHERMA MICHELLE HALL RDH PArrY REEVE RDH DR CHRJSTOPHER H FF DR JA Y CARSO RUTZ KAREN MORRlS RDH JAMJE LOU CASSo RDH DR NORMAN MCGEATHY IU DR KATHERlNE RAMOS KRlSTINE BOYER RDH KATHRYN GODWTN RDH

DAWN E COPELAND RDH CARLJN B TUMINELLO RDH ROBIN L H GHES RDH HEATHER BJSHOP RDH MARClE N LAND RDH

CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY OUTSIDE EXAMINATION IN 2007

DENTISTS HYGIENISTS DR ERIKA GRAHAM DR CAARLOTIE BANKER HOLLY MEAUX RDH DR SAHARELmiddot AflAR DR ANlIKA JACKSON BROOKE WALLACE RDl-l DR CHARLES JACKSON VAN METER ill DR PAYAL ANAND DARRAH N JOHNSON RDH DR LAFAITR COLEMAJII DR JAMJLA MITCHELL CYNTHIA LATHAMRDH DR BRIAN KELLEY DR ROYCEJACOBOOZA DR KATINA BEVERLY DR GREGOR Y GREENWOOD DR KREDENNA BEVERLY DR WENDY MCCURDY DR ELiCIA THOMP 0 DR ANDY HlEH

6

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

FREQUENTLY ASKED QUESTIONS Continued

S) Why is Lhe rCDcwru fee so much

The rcn~w)1 fee is for tWI) yenrs

6) How long is my renewallicensc good for

AU renewals an biennial (2 Yean)

7) What is the deadline Ior my renewal application

This year (he deadline is Dec~D1bcr 3J bull 2007

8) Can I pJaci my license on semi-retired or inllCUVC slatus NO The Board only has an active ~tatus Iryou voluntarily middoturrcnder your license due to retirement your license no longerexisls However thl board hngt created a volunteer or retired statu to allow retired licensees to provide pro bono dental care

9) Does the Louisiana Stale Board of Dentistry regulate or certify dental assistunts

o The Board does not regulate dental assistants We provide a certificate confinnalion for Expanded DUly DentnJ Assistants only after he or she has submiued proof qf completion of the foUnwing approved EDDA course approved radiology course current CPR card and the $2500 application fee

10) What happens if1 allow my license to lapse or J do Dot renew it

If your Louisiana dental or d~nlaJ hygiene license lupses due to non-renewal you cannot practice dentistry or dental hygiene Persons who practice with a lapsed licen~e are ~ubje(t to disciplinary action

Lieense~ expire December 31 After that date you will receive two certified mllil notices reminding you of this possible oversight If we slilJ receive no resporLSe from you or YOll infonn the bonrd that you do nOI wish to renew the license il will be revoked due to non-renewal at the May board meeting

UJ What do I need to do to change my Ucense from retired to active stutus

Hygienists that WL~h to change their license from relirell to active staniS mU~1 complete a reinstatement applic91ion and submit it to the board office The application will be reviewed and you will Ix advisell nf the outcome acoordingly

Dentisl~ that wish to change their licen~e from rctired to acllve Matus must submil a Ietler to the board otTice requesting same

In either case continuing educntion and appropriate fees will be required for this process

12) How do J retire my Louisiana dental or dental hygiene license DenLislq and Hygienists may notify the board in writing or if applicable on your renewal application of your intention 0 retire your Louisiana license

13) May I stU write prescriptions if I retire my Louisiana deDtalllcense

O the board will notify the Drug Enforcement Administration and louiSiana Board of Pharmacy that you bave retired your Louisiana dental license

14) Why cant I give my chun~e of address over the phone

Al l chnnge~ of atldres~ must be in writing as required in tbe dental pmctice act You may fagt or mail bullume to the bOilTd office

15) Which clinical UceDsing examinations does the Louisiana State Board of Dentistry accept for licensure

Effective May 26 2006 the Louisiana Stale Board IIr Dentistry accepts the bcores the ror clinical licenSing cllanunulion of untisls and dental hygienists rrom the Council of Interstate Testing Agencies (CIT A) Central Regional DenIal Testing Service (CRDTS) Northeast Regional Board (NERB) Southern ReglonnJ TeMing Agency (SRTA) WeSlim Regional Examining Board (WREB) and the American DentnJ Exuminlllioll (ADEX) provided thBt those tests include components on live patients Bnd was completcd om year or Ics- from the date for which you nre applying

16) Which CPR courses are accepted by the board

QmljopuJmonary Resuscitation Course C Basic Life Support for Health Care Provider as defined by the American Heart Association or the American Red Cross Professional Rescue Course or their eqUivalent

11 should be noted that Medic First Aid CPR coune was accepleU as equivalent by the Lou isiana State Board of Dentistry on May 21 2005

Cardiopulmonary ReSUSCitation Course i aHowed for three hours of non-clinical cootinullll education

Dentists providing sedation to pediatric palienL (under age 13) must be certified in Pediatric Advanced Cardiac Life Support (PALS) Denusts administering deep sedation to adult will be required to be certified in Advanced Cardiac Life Support (ACLS)

ENTERAL CONSCIOUS PERMIT QUESTIONS

Adult Enteral Conscious Sedation personal and office pcmuts will be issucd by the board upon completion of the appropriate application which mu~l be notarized fee paymen and documentation evidencing completion of tralning for Enteral Consciou$ Sedation Offiee IDspections are not required prior to isullnce Clf the pemtit These offices will be inspected in the normal course of board bus mess pertaining to inspections

Pediatric Entcral Conscious Sedation permits will follow the same rouune as Adult Enlernl Consciou~ Sedation permitR ith lhe EXCEPTION being that these offices mu~t be lfiSpected hy the board prior 10 iSSUllOce of srune

LOUISIANA STATE BOARD OF DENTISTRY

STAFF

C Barry Ogden Executive Director

barryisbdorg

Linda Foto Director of Licensing

lindalsbdorg

Erin Conner Administrative Secretary

erinlsbdorg

John Roth Administrative Coordinator 4

Johnlsbdorg

Carolyn Perez Administrative CoordInator

Carolynlsbdorg

Diana Chenevert Administrative Assistant 2

dlanaLsbdorg

7

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8

LOUISIANA STATE BOARD OF DENTISTRY

365 CANAL STREET - SUITE 2680 NEW ORLEANS LOUISIANA 70130

TELEPHONE (504) 568-8574 FACSIMJIE (504) 568-8598 TOLL FREE (817) 461-4488 WEBSITE wwwlsbdorg

DR H 0 Blackwood m aa Plan-amont Rood

Shreveport Louisiana 71106

Dr Pamela Brown DanJel 5639 Congress Blvd

BatoD Rouge LouisiCUlo 7080a

Dr DenniB E Donald 637 W College Street

Lake Chmles Louisiana 70605

Christine M- Guillaume RDH ass 1Wyeth Street

Denham Springs Louisiana 70706

Dr Loute Josepb 5213 Rue Verdun

Alexandria Louisiana 7 t303

Dr Romell J Madleon 4819 Chel Menlew Highway

New Orleans Louisiana 70126

Dr Charlee T McCabe Jr 250 Meadowcres Street Ste 204

Gretna Louisiana 70056

Dr David L Melcmeon I02MysticB ulevard

Houma Louisiana ]0360

Dr Conrcrd P MeVea Jr 2016 Washington Street

Franklinton Louisiana 70438

Dr James A Pearce 1221 Coolidge Blvd

Lafayette Loulsmna 70503

Dr Lynu Philippe Tn Hennessey Blvd 11610

Baton Rouge Louisiana 708DS

Dr Samuel Trluea 1220 StuhbsAv9nue

Monroe Louisiana 71201

Dr Sam S Vinci PO Box 1907

51 Francisville Louisiana 70775

Dr VanceL Wascom 3127 MacArlhw Blvd

New Orleans LouisJ(ma 70 114

C Barry Ogden Executive Djrector

LOCAL ANESTHESIA PERMIT INFORMATION The denal hygiene Local Anesthesia permit is lot uutomlllcaliy S~led upon completion of the locaJ 1Jlcthcsia coune or complellon of the denial hygiene program Euh dentlll hygienist is cn l an opplicluon wilh Iheie Imgrnullicense nle application mUM be completed Wld returned III the b()[lrd office wllb a copy of Ihir eert ificulC howing satisfactory compleuon of the local unc~lhesi COUThC The LS School of Denliltry Ibe Univermy o f Loui~lan al Monroe nu Southern UlliVt~llY in Shreveport senti the Board a ICit of person~ completing the requirements through lhdr ~peclive dell tal bygiene programs Those persons gr-aduntiog from the dental hygiene program only need to complee tbe appl ication La obtain u local nnehe~ii ~nni If you need an application plellse l)nlllCt he board omce If you do not have a penni you uc not authorized La ucl minirr loca l il ne~thein

PROTECT YOUR PATIE TS amp CUSTOMERS BE SURE YOUR DRUG AND DEVICE SUPPLIERS ARE LICENSED

The LouisiJlnu State Board of Wholesnie Drug Di ~lJibuLor~ licene middot unll regul res drug and device whole aJen In the ever growing markof counterfeit and adu lterated tlnrgs anti devices it is im portant to val idaLe thal your drug and device 5upplier~ are properl licensed and inspected by the wholeswe reguJuLory agencies to help protect your palienL~ and customlCs from unscrupulous people that prey on the healtbcllre industry

The Louisiana Wholesale Dru~ Board maintains a webitc that YOll can use to validate lbaL your suppliers of tlrug~ anti devices are licensed LIl do business in Louisiana nlaL wehsiLe is located at wwwlsbwddorg

Lf you are curremly d ing bu~inss willi a upplier Ihal ~ nul l i~ted on the webitc and not licensed by he Whole ule Drug Board plemc COlllm1 rhe Board illlli-295-8567

Yo ur participat ion in this process of veri lrcntilln will help idnlifylicense and protect the drug and de vice distribu Lion cblllil Lhllt we oJI rely 00 lllld expecl lo be free from counterfeit and adulteTdled drugs and devices

RENEWAL EES

00 bull

Rne 01 or arsonal Par ntGrol ConsciOUS Sedation P rmil $20000middot

Dmu D1I DoceIllboIII007 I)oU_ -will bo 0_0 aU Wltd

_allo-mloor 12lII7

DELINQUENT FEES Will BE ASSESSED TO ALL RENEWALS POSTMARKED AFTER DECEMBER 312007

Dlle to an increase in the costs ofoffice inspections the wuisiallCl State Board of Dentistry is lOW charging for the renewal ofpersoflal nitrolls (lxlde inhalation and personal parenteral cOllsciou sedalion permits Please make slIre that you enclose the appropriatefees with your renewal application Wrire uparate checksfor renewals and pemzits

What is the cunent Iliertuclzy ofanesthesia permits The current hierarchy for anesthesJaanalgesia permits are I) General Ane thesiaiDeep Sedalion 2) Parenteral SedationIV Sedation 3 ) Pediatric Ornl 4) Adult Oral 5) Nitrous Oxide 6) Local Anesthesia Therefore if you currently bold a permit for level I you are qualified for level 1-6 If you hoJJ a permit for level 2 you are qualified for levels 2-6 and 0 on

THE LOUISIANA STATE BOARD OF DENTISTRY DENTAL PRACTICE ACT (S AVAIlABLE ON OUR WEBSITE PLEASE CHECK US OUT ON TIlE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG

8