georgia board of dentistry conference call …

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GEORGIA BOARD OF DENTISTRY CONFERENCE CALL BOARD MEETING August 7, 2009 Professional Licensing Boards 237 Coliseum Drive, Macon, GA 12:00 p.m. The following Board members were present: Others Present: Dr. Stephan Holcomb Dr. Becky Carlon Dr. Clyde Andrews Dr. Clark Carroll Dr. Henry Cook Dr. Thomas Godfrey Dr. Isaac Hadley Dr. Logan Nalley Dr. Barry Stacey Ms. Elaine Richardson Ms. Pam Bush Anita Martin, Executive Director Reagan Dean, Board Attorney Melana McClatchey, Georgia Dental Association Dr. Holcomb established that a quorum was present and the meeting that was scheduled to begin at 12:00 p.m., was called to order at 12:05 p.m. Open Session 2. Minutes from the June 5, 2009 board meeting : Dr. Nalley made a motion to approve as amended to reflect that Dr. Godfrey was meeting with Secretary of State Handel before arriving at 2:05 p.m. Dr. Hadley seconded the motion and it carried unanimously. Dr. Holcomb commended the staff for the quality of the minutes. 3. C.E. Audit Committee Drs. Henry Cook, Sr. & Barry Stacey No Report. Dr. Holcomb discussed updating the CE form and having made available on the website. A column will be added for on-site vs. not on site and if you hold an anesthesia permit please specify hours to be used for the required CE. Also, add to the CE block, ACLS and PALS. Dr. Holcomb asked that Ms. Martin make the amendments and resend the CE reporting form to all Board members. 4. Conscious Sedation/General Anesthesia Committee Drs. Clyde Andrews & Barry Stacey Dr. Andrews reported that the issue that is holding up this issue is the pediatric sedation portion of the rule revisions. Dr. Andrews has been in touch with Dr. Lee Getter at MCG for his opinion on training for pediatric sedation. Dr. Andrews also mentioned that the committee is ready for the public forum as soon as the date, time and location are set. Dr. Holcomb asked that Dr. Andrews come up with three dates for location in Macon and time. The committee will have a forum in the next sixty days. The Board will provide the Executive Director with names of an interested parties list for the forum.

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GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

The following Board members were present:

Others Present:

Dr. Stephan Holcomb

Dr. Becky Carlon

Dr. Clyde Andrews

Dr. Clark Carroll

Dr. Henry Cook

Dr. Thomas Godfrey

Dr. Isaac Hadley

Dr. Logan Nalley

Dr. Barry Stacey

Ms. Elaine Richardson

Ms. Pam Bush

Anita Martin, Executive Director

Reagan Dean, Board Attorney

Melana McClatchey, Georgia Dental

Association

Dr. Holcomb established that a quorum was present and the meeting that was scheduled to

begin at 12:00 p.m., was called to order at 12:05 p.m.

Open Session

2. Minutes from the June 5, 2009 board meeting:

Dr. Nalley made a motion to approve as amended to reflect that Dr. Godfrey was meeting

with Secretary of State Handel before arriving at 2:05 p.m. Dr. Hadley seconded the

motion and it carried unanimously. Dr. Holcomb commended the staff for the quality of

the minutes.

3. C.E. Audit Committee – Drs. Henry Cook, Sr. & Barry Stacey – No Report.

Dr. Holcomb discussed updating the CE form and having made available on the website. A

column will be added for on-site – vs. – not on site and if you hold an anesthesia permit – please

specify hours to be used for the required CE. Also, add to the CE block, ACLS and PALS. Dr.

Holcomb asked that Ms. Martin make the amendments and resend the CE reporting form to all

Board members.

4. Conscious Sedation/General Anesthesia Committee – Drs. Clyde Andrews & Barry Stacey

Dr. Andrews reported that the issue that is holding up this issue is the pediatric sedation portion

of the rule revisions. Dr. Andrews has been in touch with Dr. Lee Getter at MCG for his opinion

on training for pediatric sedation. Dr. Andrews also mentioned that the committee is ready for

the public forum as soon as the date, time and location are set. Dr. Holcomb asked that Dr.

Andrews come up with three dates for location in Macon and time. The committee will have a

forum in the next sixty days. The Board will provide the Executive Director with names of an

interested parties list for the forum.

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

5. Credentialing Committee – Dr. Becky Carlon - No Report

Dr. Stacey asked about an individual who has had Georgia practice and whether or not a person

could qualify for a credentials license who has practiced for 5 years in Georgia under a faculty

license. Dr. Nalley had additional questions about the same issue. Dr. Carlon stated that

individuals could always apply for rule variance/waiver requests and can be handled on a case-

by-case basis. Dr. Holcomb asked that any recommendations for revisions to be made to the

credentialing rules to the Executive Director to be provided to the committee.

6. Dental Hygiene Committee: - Ms. Pamela Bush, RDH – Ms. Bush reported that the

committee has not met for a couple of months.

Ms. Bush attended the Hygiene ERC meeting. Changes will be made to the way examiners see

the examination. Ms. Bush supports the changes and urges the Board to support the changes.

There will be a change to implement 3 examiners check in and out. The duties to team captain

will change.

Ms. Bush forwarded to the GDHA the link for the Volunteer Reporting form.

Ms. Bush has received e-mails from faculty members about the anesthesia issue. Ms. Bush is

asking for a follow-up from the Board on this issue.

The Hygiene Committee will meet at the conclusion of the September 11, 2009 Board meeting.

7. Examination & CRDTS Committee Reports: – Dr. Logan Nalley, Jr.

Dr. Nalley reported the MCG exam is August 14-16, 2009. Dr. Holcomb urged all members to

make their arrangements for the annual meeting.

8. Investigative Committee – Dr. Logan Nalley, Jr. – No Open Session Report.

Dr. Nalley asked for an update on Ms. Mickler’s condition. An update was provided by Ms.

Martin. Dr. Nalley asked that an open complaint status report be provided on a monthly basis.

9. Legislative Committee – Drs. Henry Cook & Steve Holcomb – Dr. Nalley reported that Drs.

Holcomb, Andrews and he are planning to visit with MS. Handel on August 26, 2009. Dr.

Holcomb encouraged any board members who had issues that they wanted shared with the

Secretary of State Handel to send them to him or Drs. Nalley and Andrews.

10. Licensure Overview Committee - Dr. Issac Hadley - No Report

Ms. Richardson reported that she drafted a reporting form to be used for the Licensure Overview

Committee and is finalizing the form to be utilized.

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

11. Rules Committee – Dr. Clyde Andrews – Dr. Andrews reported about the prior plans for a

committee meeting by conference call. Dr. Andrews and Executive Director, Anita Martin, will

work to establish a committee meeting to be held in Macon.

12. CRDTS Examination Report – Dr Clark Carroll – Executive Director, Anita Martin, will

send a reminder e-mail. Dr. Nalley requested that the Georgia Board members will get together

at the meeting to meet and discuss issues of interest. Dr. Holcomb instructed all board members

to e-mail Dr. Nalley when they plan to arrive and the programs they plan to attend. Dr. Nalley

will coordinate a meeting.

13. Request from Denise Howard, EMT, ECSI information on Professional CPR and

eACLS. – Dr. Stacey made a motion to approve. Dr. Nalley seconded the motion and it carried

unanimously.

14. Correspondence from Dr. Gene A. Kramer, Secretary, Joint Commission on National

Dental Examinations re: Nominations for the Public Member of the Joint Commission on

National Dental Examinations. – The Board viewed as informational. Ms. Richardson stated

she will review and let the Board know if she is interested.

15. Consider for ratification licenses that have been administratively issued: - Dr. Andrews

made a motion, Dr. Nalley seconded and the Board voted to ratify the following newly issued

licenses. NEWLY LICENSED DENTAL FACULTY 7-9-2009

License # Name Profession Issue Date

DNF000349 Salgueiro, Martin Dental Faculty 6/5/2009 00:00:00

NEWLY LICENSED DENTAL HYGIENISTS 7-9-2009

License # Name Profession Issue Date

DH010666 Fogle, Sarah Elaine Dental Hygienist

5/29/2009 00:00:00

DH010667 Crites, Allison Leigh Dental Hygienist

5/29/2009 00:00:00

DH010668 Brown, Kimberly Leigh Dental Hygienist

6/1/2009 00:00:00

DH010669 Doering, Kelley Ann Dental Hygienist

6/1/2009 00:00:00

DH010670 McPherson, Kasey Marie Dental Hygienist

6/1/2009 00:00:00

DH010671 Hester, Jekia Alexis Dental Hygienist

6/1/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010672 Lamb, Morgan Diane Dental Hygienist

6/1/2009 00:00:00

DH010673 Lane, Robyn E Dental Hygienist

6/1/2009 00:00:00

DH010674 McHargue, Heather Renee Ward Dental Hygienist

6/1/2009 00:00:00

DH010675 Montgomery, Jessica Lynn Dental Hygienist

6/2/2009 00:00:00

DH010676 Okogie, Evaristus Oboareke Dental Hygienist

6/2/2009 00:00:00

DH010677 Peek, Devon Jeneal Dental Hygienist

6/2/2009 00:00:00

DH010678 Templeton, Tara Marie Dental Hygienist

6/2/2009 00:00:00

DH010679 Victor, Rodica Grosu Dental Hygienist

6/2/2009 00:00:00

DH010680 Muse, Jennifer Brooke Dental Hygienist

6/2/2009 00:00:00

DH010681 Edwards, Shaeida Jenine Dental Hygienist

6/2/2009 00:00:00

DH010682 Coleman, Hiroko Shinohara Dental Hygienist

6/2/2009 00:00:00

DH010683 Ward, Hannah Whitney Alexander Dental Hygienist

6/3/2009 00:00:00

DH010684 Campbell, Kristen Deann Dental Hygienist

6/4/2009 00:00:00

DH010685 Ruth, Savannah Jeanine Dental Hygienist

6/4/2009 00:00:00

DH010686 Barmore, Kristin Danielle Dental Hygienist

6/4/2009 00:00:00

DH010687 Carter, Heather Elizabeth Dental Hygienist

6/4/2009 00:00:00

DH010688 Phillips, Laurie Beth Dental Hygienist

6/5/2009 00:00:00

DH010689 Nguyen, Hoi-Vien Trung Dental Hygienist

6/5/2009 00:00:00

DH010690 Grizzle, Kristan Walker Dental Hygienist

6/5/2009 00:00:00

DH010691 Bunn, Heather Cheyenne Bryans Dental Hygienist

6/5/2009 00:00:00

DH010692 Cabrera, Amber Lenora Wheat Dental Hygienist

6/5/2009 00:00:00

DH010693 Green, Jessica Ashley Dental 6/5/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. Hygienist 00:00:00

DH010694 Perry, Clairessa Lasha Dental Hygienist

6/5/2009 00:00:00

DH010695 Blalock, Amy Elizabeth Dental Hygienist

6/5/2009 00:00:00

DH010696 Bailey, Sydonie Fayth Long Dental Hygienist

6/5/2009 00:00:00

DH010697 Woods, Regina Lynn Graves Dental Hygienist

6/5/2009 00:00:00

DH010698 Talmage, Kate Eugenia Dental Hygienist

6/8/2009 00:00:00

DH010699 Lowe, Heather Rebecca Dental Hygienist

6/8/2009 00:00:00

DH010700 Momin, Nadia Dental Hygienist

6/8/2009 00:00:00

DH010701 Branscome, Gina L Dental Hygienist

6/9/2009 00:00:00

DH010702 Rowell, Stephanie Roberts Dental Hygienist

6/9/2009 00:00:00

DH010703 Milne, Heather Marie Dental Hygienist

6/9/2009 00:00:00

DH010704 Stegall, Cierra Danyeil Dental Hygienist

6/9/2009 00:00:00

DH010705 Cloete, Theresa A Dental Hygienist

6/9/2009 00:00:00

DH010706 Smith, Kellie Jo Dental Hygienist

6/9/2009 00:00:00

DH010707 Roberts, Cecil Kayla Crosby Dental Hygienist

6/10/2009 00:00:00

DH010708 Desai, Neha Dental Hygienist

6/10/2009 00:00:00

DH010709 Peterson, Vera Lucia Dental Hygienist

6/10/2009 00:00:00

DH010710 Berry, Patricia Ann Dental Hygienist

6/10/2009 00:00:00

DH010711 Adams, Helen Katheryn Dental Hygienist

6/10/2009 00:00:00

DH010712 Hart, Melissa Mary Dental Hygienist

6/10/2009 00:00:00

DH010713 Pendley, Melissa Ruth Dental Hygienist

6/10/2009 00:00:00

DH010714 Matta, Carolyn Mechelle Dental Hygienist

6/10/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010715 Wright, Kristen Michele Dental Hygienist

6/11/2009 00:00:00

DH010716 Stapleton, Lisa O'Hara Dental Hygienist

6/11/2009 00:00:00

DH010717 Patel, Ami V Dental Hygienist

6/11/2009 00:00:00

DH010718 Gupta, Regina Gilbreath Dental Hygienist

6/11/2009 00:00:00

DH010719 Keller, Mistie Lee Dental Hygienist

6/12/2009 00:00:00

DH010720 Riley, Erin Elizabeth Dental Hygienist

6/12/2009 00:00:00

DH010721 Boles, Karen Denise Dental Hygienist

6/12/2009 00:00:00

DH010722 Patterson, Carrie Ann Dental Hygienist

6/12/2009 00:00:00

DH010723 Williams, Tamarsha Clarice Dental Hygienist

6/12/2009 00:00:00

DH010724 Roberts, Lisa Natasha Roper Dental Hygienist

6/15/2009 00:00:00

DH010725 Chastain, Jamie Lauren Dental Hygienist

6/15/2009 00:00:00

DH010726 Wheeler, Natalie Elizabeth Dental Hygienist

6/15/2009 00:00:00

DH010727 Witmer, Amanda Dawn Dental Hygienist

6/15/2009 00:00:00

DH010728 Jean-Louis, Melissa Simone Mullings

Dental Hygienist

6/15/2009 00:00:00

DH010729 Walton, Candace Dental Hygienist

6/16/2009 00:00:00

DH010730 Zettler, Madeline Rae Dental Hygienist

6/16/2009 00:00:00

DH010731 Craft, Chemika LaShonda Dental Hygienist

6/17/2009 00:00:00

DH010732 Nguyen, Hong-Lien Vu Dental Hygienist

6/17/2009 00:00:00

DH010733 McClain, LaMetrick Dental Hygienist

6/17/2009 00:00:00

DH010734 Phan, Tam Minh Dental Hygienist

6/17/2009 00:00:00

DH010735 Caraway, Carrie Amanda Dental Hygienist

6/18/2009 00:00:00

DH010736 Weaver, Heather Renee Dental 6/22/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. Hygienist 00:00:00

DH010737 Poole, Amanda Leigh Dental Hygienist

6/22/2009 00:00:00

DH010738 Norman, Alison R Dental Hygienist

6/23/2009 00:00:00

DH010739 Elfrink, Olga Adolfovna Dental Hygienist

6/24/2009 00:00:00

DH010740 Botelho, Maria Girly Dental Hygienist

6/24/2009 00:00:00

DH010741 Stallard, Jennifer Lynn Dental Hygienist

6/24/2009 00:00:00

DH010742 Clark, Allison Lee Dental Hygienist

6/25/2009 00:00:00

DH010743 Diazgranados, Andrea Dental Hygienist

6/25/2009 00:00:00

DH010744 Peek, Jashara Kandia Dental Hygienist

6/25/2009 00:00:00

DH010745 Gass, Kelley Anne Dental Hygienist

6/25/2009 00:00:00

DH010746 Fayne, Lauren Aimee Miller Dental Hygienist

6/25/2009 00:00:00

DH010747 Price, Sharon Ellen Dental Hygienist

6/25/2009 00:00:00

DH010748 Willingham, Jennifer Nichole Dental Hygienist

6/25/2009 00:00:00

DH010749 Waddell, Christie Sharp Dental Hygienist

6/26/2009 00:00:00

DH010750 Gibson, Crystal Star Dental Hygienist

6/26/2009 00:00:00

DH010751 Crowder, Michelle Renee Dental Hygienist

6/26/2009 00:00:00

DH010752 Halwani, Reem Dental Hygienist

6/26/2009 00:00:00

DH010753 Nguyen, Kelly Ky Vien Trung Dental Hygienist

6/26/2009 00:00:00

DH010754 Martin, Racheal Leigh Dental Hygienist

6/26/2009 00:00:00

DH010755 Henderson, Whitney Jo Dental Hygienist

6/26/2009 00:00:00

DH010756 Beavers, Lisa Mary Dental Hygienist

6/26/2009 00:00:00

DH010757 Nabipour, Forough Dental Hygienist

6/26/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010758 Kuntzman, Alicia Ann Dental Hygienist

6/26/2009 00:00:00

DH010759 Meyer, Kellie Marie Dental Hygienist

6/26/2009 00:00:00

DH010760 Murphy, Samantha Anne Dental Hygienist

6/30/2009 00:00:00

DH010761 Romarez, Reaid Vimyr Dental Hygienist

7/1/2009 00:00:00

DH010762 Brauda, Milissa Gail Dental Hygienist

7/2/2009 00:00:00

DH010763 Hendricks, Jennifer LeAnn Dental Hygienist

7/2/2009 00:00:00

DH010764 Rakanovic, Ilvana Dental Hygienist

7/2/2009 00:00:00

DH010765 Valdez, Diana Ernestina Dental Hygienist

7/2/2009 00:00:00

DH010766 Catano, Lorena Dental Hygienist

7/2/2009 00:00:00

DH010767 Coffee, Sawyer Lynn Dental Hygienist

7/2/2009 00:00:00

DH010768 Turner, Amanda Sue Davis Dental Hygienist

7/6/2009 00:00:00

DH010769 Kibble, Whitney Lee Dental Hygienist

7/6/2009 00:00:00

DH010770 Cole, Kelly Marea Dental Hygienist

7/7/2009 00:00:00

DH010771 Baker, Alesha Dental Hygienist

7/7/2009 00:00:00

DH010772 Friedt, Melody Alane Dental Hygienist

7/8/2009 00:00:00

DH010773 Brette-Lara, Rosa B Dental Hygienist

7/9/2009 00:00:00

DH010774 Purnell, Zoe Megan Dental Hygienist

7/9/2009 00:00:00

DH010775 Vickery, Debbie Ruth Dental Hygienist

7/9/2009 00:00:00

DH010776 Mock, Lori Michelle Dental Hygienist

7/9/2009 00:00:00

DH010777 Childs, Carolyn Lacy Dental Hygienist

7/9/2009 00:00:00

DH010778 Lawhorn, Brittany Nicole Dental Hygienist

7/9/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

NEWLY LICENSED DENTISTS 7-9-2009

License # Name Profession Issue Date

DN013878 Owens, Jonathan Michael Dentist 5/21/2009 00:00:00

DN013879 Lee, Suyon Dentist 5/28/2009 00:00:00

DN013880 Farrey, Kajuana Pearldealia Dentist 5/28/2009 00:00:00

DN013881 Hooper, Jason Todd Dentist 5/28/2009 00:00:00

DN013882 Davis, Ryan Richard Dentist 5/29/2009 00:00:00

DN013883 Sterett, Eric John Dentist 5/29/2009 00:00:00

DN013884 Gupta, Sabina Dentist 6/2/2009 00:00:00

DN013885 Asher, Leah Dentist 6/2/2009 00:00:00

DN013886 Wolfe, Mary Addison Dentist 6/2/2009 00:00:00

DN013887 Seeba, Garett James Dentist 6/2/2009 00:00:00

DN013888 Chen, Michael Hsin Dentist 6/2/2009 00:00:00

DN013889 Klinger, Carrie Lynn Dentist 6/2/2009 00:00:00

DN013890 Smith, Ronald Douglas Dentist 6/2/2009 00:00:00

DN013891 Aguilera, Suzanna Ruth Williams Dentist 6/2/2009 00:00:00

DN013892 Lauderdale, Candace Shaun Latham Dentist 6/2/2009 00:00:00

DN013893 McCarley, Christie Bleckley Dentist 6/2/2009 00:00:00

DN013894 Thomas, Candace Renea Scott Dentist 6/2/2009 00:00:00

DN013895 Anthony, Katie Hughes Dentist 6/2/2009 00:00:00

DN013896 Hicks Jr, James Dentist 6/3/2009 00:00:00

DN013897 Lewis, Tiffany Ramona Dentist 6/3/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. 00:00:00

DN013898 Whetzel, Joshua Evans Dentist 6/3/2009 00:00:00

DN013899 Burton, Joshua Garrett Dentist 6/3/2009 00:00:00

DN013900 Cox, Ryan Jeffery Dentist 6/3/2009 00:00:00

DN013901 Sweeney, Stephanie Joy Dentist 6/3/2009 00:00:00

DN013902 Arnold, Erin Chandler Dentist 6/3/2009 00:00:00

DN013903 Shah, Neal Navin Dentist 6/3/2009 00:00:00

DN013904 David, Amy Catherine Grizzle Dentist 6/3/2009 00:00:00

DN013905 Hall, Eric Neal Dentist 6/3/2009 00:00:00

DN013906 Wood, Jeremy Don Dentist 6/3/2009 00:00:00

DN013907 Rainford, Tani Kerri-Ann Dentist 6/5/2009 00:00:00

DN013908 Rubin, David Michael Dentist 6/8/2009 00:00:00

DN013909 Fleming, Christopher Healy Dentist 6/8/2009 00:00:00

DN013910 Patel, Nilay Suresh Dentist 6/9/2009 00:00:00

DN013911 Buckley, Elisha Wazeerud-Din Dentist 6/9/2009 00:00:00

DN013912 Fulp, Scott Robison Dentist 6/10/2009 00:00:00

DN013913 Nweze, Uchenna Lena Dentist 6/10/2009 00:00:00

DN013914 Titterington, Kathleen Anne Dentist 6/10/2009 00:00:00

DN013915 Malhotra, Menka Dentist 6/11/2009 00:00:00

DN013916 Simpson V, Richard Wright Dentist 6/11/2009 00:00:00

DN013917 Zillich, Chad Markus Dentist 6/15/2009 00:00:00

DN013918 Hossain, Adnan A Dentist 6/15/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DN013919 Khan, Saima A Dentist 6/15/2009 00:00:00

DN013920 Parekh, Chintan Nanubhai Dentist 6/16/2009 00:00:00

DN013921 Patel, Haren D Dentist 6/16/2009 00:00:00

DN013922 Vo, Toan Truong Dentist 6/16/2009 00:00:00

DN013923 Patel, Jay Vijendra Dentist 6/16/2009 00:00:00

DN013924 Smith, Gia Sharee Dentist 6/18/2009 00:00:00

DN013925 Dhawan, Shilpa Dentist 6/19/2009 00:00:00

DN013926 Sharma, Shikha Gupta Dentist 6/22/2009 00:00:00

DN013927 Vu, Anna Nguyet Dentist 6/24/2009 00:00:00

DN013928 Popescu, Flavia Maria Muntean Dentist 6/25/2009 00:00:00

DN013929 Nguyen, Thuan T Dentist 6/25/2009 00:00:00

DN013930 Smithwick, Alfred Patrick, III Dentist 6/25/2009 00:00:00

DN013931 Halper, Christopher R Dentist 6/25/2009 00:00:00

DN013932 Howell, Leigh Taylor Dentist 6/26/2009 00:00:00

DN013933 Ashford, Carmen Marie Dentist 6/26/2009 00:00:00

DN013934 Kim, Eugene Dentist 6/26/2009 00:00:00

DN013935 Kong, Jeni Yoojin Dentist 6/26/2009 00:00:00

DN013936 Prater, Susan Dentist 6/30/2009 00:00:00

DN013937 Moss, Laura Ashley Dentist 7/2/2009 00:00:00

DN013938 Kabani, Shaila Aamir Dentist 7/6/2009 00:00:00

DN013939 Chamberlain, Chelimo Koech Dentist 7/6/2009 00:00:00

DN013940 Stevens, Eliza Ann Dentist 7/6/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. 00:00:00

DN013941 Thompson, Oluwaseun Grace Dentist 7/6/2009 00:00:00

DN013942 Carter, Scott Brandon Dentist 7/8/2009 00:00:00

NEWLY LICENSED DENTAL HYGIENISTS 7-9-2009

License # Name Profession Issue Date

DH010666 Fogle, Sarah Elaine Dental Hygienist

5/29/2009 00:00:00

DH010667 Crites, Allison Leigh Dental Hygienist

5/29/2009 00:00:00

DH010668 Brown, Kimberly Leigh Dental Hygienist

6/1/2009 00:00:00

DH010669 Doering, Kelley Ann Dental Hygienist

6/1/2009 00:00:00

DH010670 McPherson, Kasey Marie Dental Hygienist

6/1/2009 00:00:00

DH010671 Hester, Jekia Alexis Dental Hygienist

6/1/2009 00:00:00

DH010672 Lamb, Morgan Diane Dental Hygienist

6/1/2009 00:00:00

DH010673 Lane, Robyn E Dental Hygienist

6/1/2009 00:00:00

DH010674 McHargue, Heather Renee Ward Dental Hygienist

6/1/2009 00:00:00

DH010675 Montgomery, Jessica Lynn Dental Hygienist

6/2/2009 00:00:00

DH010676 Okogie, Evaristus Oboareke Dental Hygienist

6/2/2009 00:00:00

DH010677 Peek, Devon Jeneal Dental Hygienist

6/2/2009 00:00:00

DH010678 Templeton, Tara Marie Dental Hygienist

6/2/2009 00:00:00

DH010679 Victor, Rodica Grosu Dental Hygienist

6/2/2009 00:00:00

DH010680 Muse, Jennifer Brooke Dental Hygienist

6/2/2009 00:00:00

DH010681 Edwards, Shaeida Jenine Dental Hygienist

6/2/2009 00:00:00

DH010682 Coleman, Hiroko Shinohara Dental Hygienist

6/2/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010683 Ward, Hannah Whitney Alexander Dental Hygienist

6/3/2009 00:00:00

DH010684 Campbell, Kristen Deann Dental Hygienist

6/4/2009 00:00:00

DH010685 Ruth, Savannah Jeanine Dental Hygienist

6/4/2009 00:00:00

DH010686 Barmore, Kristin Danielle Dental Hygienist

6/4/2009 00:00:00

DH010687 Carter, Heather Elizabeth Dental Hygienist

6/4/2009 00:00:00

DH010688 Phillips, Laurie Beth Dental Hygienist

6/5/2009 00:00:00

DH010689 Nguyen, Hoi-Vien Trung Dental Hygienist

6/5/2009 00:00:00

DH010690 Grizzle, Kristan Walker Dental Hygienist

6/5/2009 00:00:00

DH010691 Bunn, Heather Cheyenne Bryans Dental Hygienist

6/5/2009 00:00:00

DH010692 Cabrera, Amber Lenora Wheat Dental Hygienist

6/5/2009 00:00:00

DH010693 Green, Jessica Ashley Dental Hygienist

6/5/2009 00:00:00

DH010694 Perry, Clairessa Lasha Dental Hygienist

6/5/2009 00:00:00

DH010695 Blalock, Amy Elizabeth Dental Hygienist

6/5/2009 00:00:00

DH010696 Bailey, Sydonie Fayth Long Dental Hygienist

6/5/2009 00:00:00

DH010697 Woods, Regina Lynn Graves Dental Hygienist

6/5/2009 00:00:00

DH010698 Talmage, Kate Eugenia Dental Hygienist

6/8/2009 00:00:00

DH010699 Lowe, Heather Rebecca Dental Hygienist

6/8/2009 00:00:00

DH010700 Momin, Nadia Dental Hygienist

6/8/2009 00:00:00

DH010701 Branscome, Gina L Dental Hygienist

6/9/2009 00:00:00

DH010702 Rowell, Stephanie Roberts Dental Hygienist

6/9/2009 00:00:00

DH010703 Milne, Heather Marie Dental Hygienist

6/9/2009 00:00:00

DH010704 Stegall, Cierra Danyeil Dental 6/9/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. Hygienist 00:00:00

DH010705 Cloete, Theresa A Dental Hygienist

6/9/2009 00:00:00

DH010706 Smith, Kellie Jo Dental Hygienist

6/9/2009 00:00:00

DH010707 Roberts, Cecil Kayla Crosby Dental Hygienist

6/10/2009 00:00:00

DH010708 Desai, Neha Dental Hygienist

6/10/2009 00:00:00

DH010709 Peterson, Vera Lucia Dental Hygienist

6/10/2009 00:00:00

DH010710 Berry, Patricia Ann Dental Hygienist

6/10/2009 00:00:00

DH010711 Adams, Helen Katheryn Dental Hygienist

6/10/2009 00:00:00

DH010712 Hart, Melissa Mary Dental Hygienist

6/10/2009 00:00:00

DH010713 Pendley, Melissa Ruth Dental Hygienist

6/10/2009 00:00:00

DH010714 Matta, Carolyn Mechelle Dental Hygienist

6/10/2009 00:00:00

DH010715 Wright, Kristen Michele Dental Hygienist

6/11/2009 00:00:00

DH010716 Stapleton, Lisa O'Hara Dental Hygienist

6/11/2009 00:00:00

DH010717 Patel, Ami V Dental Hygienist

6/11/2009 00:00:00

DH010718 Gupta, Regina Gilbreath Dental Hygienist

6/11/2009 00:00:00

DH010719 Keller, Mistie Lee Dental Hygienist

6/12/2009 00:00:00

DH010720 Riley, Erin Elizabeth Dental Hygienist

6/12/2009 00:00:00

DH010721 Boles, Karen Denise Dental Hygienist

6/12/2009 00:00:00

DH010722 Patterson, Carrie Ann Dental Hygienist

6/12/2009 00:00:00

DH010723 Williams, Tamarsha Clarice Dental Hygienist

6/12/2009 00:00:00

DH010724 Roberts, Lisa Natasha Roper Dental Hygienist

6/15/2009 00:00:00

DH010725 Chastain, Jamie Lauren Dental Hygienist

6/15/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010726 Wheeler, Natalie Elizabeth Dental Hygienist

6/15/2009 00:00:00

DH010727 Witmer, Amanda Dawn Dental Hygienist

6/15/2009 00:00:00

DH010728 Jean-Louis, Melissa Simone Mullings

Dental Hygienist

6/15/2009 00:00:00

DH010729 Walton, Candace Dental Hygienist

6/16/2009 00:00:00

DH010730 Zettler, Madeline Rae Dental Hygienist

6/16/2009 00:00:00

DH010731 Craft, Chemika LaShonda Dental Hygienist

6/17/2009 00:00:00

DH010732 Nguyen, Hong-Lien Vu Dental Hygienist

6/17/2009 00:00:00

DH010733 McClain, LaMetrick Dental Hygienist

6/17/2009 00:00:00

DH010734 Phan, Tam Minh Dental Hygienist

6/17/2009 00:00:00

DH010735 Caraway, Carrie Amanda Dental Hygienist

6/18/2009 00:00:00

DH010736 Weaver, Heather Renee Dental Hygienist

6/22/2009 00:00:00

DH010737 Poole, Amanda Leigh Dental Hygienist

6/22/2009 00:00:00

DH010738 Norman, Alison R Dental Hygienist

6/23/2009 00:00:00

DH010739 Elfrink, Olga Adolfovna Dental Hygienist

6/24/2009 00:00:00

DH010740 Botelho, Maria Girly Dental Hygienist

6/24/2009 00:00:00

DH010741 Stallard, Jennifer Lynn Dental Hygienist

6/24/2009 00:00:00

DH010742 Clark, Allison Lee Dental Hygienist

6/25/2009 00:00:00

DH010743 Diazgranados, Andrea Dental Hygienist

6/25/2009 00:00:00

DH010744 Peek, Jashara Kandia Dental Hygienist

6/25/2009 00:00:00

DH010745 Gass, Kelley Anne Dental Hygienist

6/25/2009 00:00:00

DH010746 Fayne, Lauren Aimee Miller Dental Hygienist

6/25/2009 00:00:00

DH010747 Price, Sharon Ellen Dental 6/25/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. Hygienist 00:00:00

DH010748 Willingham, Jennifer Nichole Dental Hygienist

6/25/2009 00:00:00

DH010749 Waddell, Christie Sharp Dental Hygienist

6/26/2009 00:00:00

DH010750 Gibson, Crystal Star Dental Hygienist

6/26/2009 00:00:00

DH010751 Crowder, Michelle Renee Dental Hygienist

6/26/2009 00:00:00

DH010752 Halwani, Reem Dental Hygienist

6/26/2009 00:00:00

DH010753 Nguyen, Kelly Ky Vien Trung Dental Hygienist

6/26/2009 00:00:00

DH010754 Martin, Racheal Leigh Dental Hygienist

6/26/2009 00:00:00

DH010755 Henderson, Whitney Jo Dental Hygienist

6/26/2009 00:00:00

DH010756 Beavers, Lisa Mary Dental Hygienist

6/26/2009 00:00:00

DH010757 Nabipour, Forough Dental Hygienist

6/26/2009 00:00:00

DH010758 Kuntzman, Alicia Ann Dental Hygienist

6/26/2009 00:00:00

DH010759 Meyer, Kellie Marie Dental Hygienist

6/26/2009 00:00:00

DH010760 Murphy, Samantha Anne Dental Hygienist

6/30/2009 00:00:00

DH010761 Romarez, Reaid Vimyr Dental Hygienist

7/1/2009 00:00:00

DH010762 Brauda, Milissa Gail Dental Hygienist

7/2/2009 00:00:00

DH010763 Hendricks, Jennifer LeAnn Dental Hygienist

7/2/2009 00:00:00

DH010764 Rakanovic, Ilvana Dental Hygienist

7/2/2009 00:00:00

DH010765 Valdez, Diana Ernestina Dental Hygienist

7/2/2009 00:00:00

DH010766 Catano, Lorena Dental Hygienist

7/2/2009 00:00:00

DH010767 Coffee, Sawyer Lynn Dental Hygienist

7/2/2009 00:00:00

DH010768 Turner, Amanda Sue Davis Dental Hygienist

7/6/2009 00:00:00

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

DH010769 Kibble, Whitney Lee Dental Hygienist

7/6/2009 00:00:00

DH010770 Cole, Kelly Marea Dental Hygienist

7/7/2009 00:00:00

DH010771 Baker, Alesha Dental Hygienist

7/7/2009 00:00:00

DH010772 Friedt, Melody Alane Dental Hygienist

7/8/2009 00:00:00

DH010773 Brette-Lara, Rosa B Dental Hygienist

7/9/2009 00:00:00

DH010774 Purnell, Zoe Megan Dental Hygienist

7/9/2009 00:00:00

DH010775 Vickery, Debbie Ruth Dental Hygienist

7/9/2009 00:00:00

DH010776 Mock, Lori Michelle Dental Hygienist

7/9/2009 00:00:00

DH010777 Childs, Carolyn Lacy Dental Hygienist

7/9/2009 00:00:00

DH010778 Lawhorn, Brittany Nicole Dental Hygienist

7/9/2009 00:00:00

NEWLY LICESNED ENTERAL/INHALATION 7-9-2009

License # Name Profession Issue Date

DNES000211 Haynes, DeAnna Marie

Enteral/Inhalation Conscious Sedation

6/10/2009 00:00:00

DNES000212 Jordan, Sharon S Enteral/Inhalation Conscious Sedation

6/18/2009 00:00:00

DNES000213 Roberts, Sarah Jane Enteral/Inhalation Conscious Sedation

6/24/2009 00:00:00

DNES000214 Leggett, Thomas Kenneth, Jr

Enteral/Inhalation Conscious Sedation

7/9/2009 00:00:00

DNES000215 Ponugoti, Asha Yamini

Enteral/Inhalation Conscious Sedation

7/9/2009 00:00:00

NEWLY LICESNED GENERAL ANESTHESIA 7-9-2009

License # Name Profession Issue Date

DNGA000232 Maiorana, Anthony B General Anesthesia Permit 6/08/2009

DNGA000233 Hall, Brenda Jean General Anesthesia Permit 6/30/2009

DNGA000234 Billingsley, Michael General Anesthesia Permit 7/6/2009

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m. Lee

NEWLY LICESNED CONSCIOUS SEDATION 7-9-2009

License # Name Profession Issue Date

DNCS000271 Kansal, Jay Kumar Conscious Sedation Permit 6/03/2009

DNCS000272 Gangwisch, Richard Peter Conscious Sedation Permit 7/06/2009

Executive Director’s Open Session: Ms. Anita Martin

Ms. Martin stated that during Dr. Godfrey’s term as President 53 wall certificates (29

Hygienist and 24 Dentist) were issued. This matter had been discussed with Mr. Vaughn

and he stated that if we received complaints about this issue a revised certificate would be

issued at no charge to the licensee. Dr. Holcomb recommends that the individuals who

were issued a license during this time period be notified that they are incorrect and that a

correction will be made if so requested. Dr. Nalley stated it was not a major issue and the

Board would wait on a complaint, Dr. Hadley conferred with it not being a major issue.

Dr. Nalley made a motion to issue corrected licenses to these individuals. Dr. Carlon

seconded the motion and the Board vote was unanimous.

Ms. Martin stated that she would be meeting with the Executive Director of the Medical

Board, Ms. LaSharn Hughes when she came down to the Macon office; they are moving

to electronic applications and utilization of the Epiware site.

Ms. Martin stated that Investigative Assistant Judy Mickler plans to retire by October 1,

2009. Ms. Martin states we will have an intern in the position for 20 hours per week until

the position is filled.

Miscellaneous:

Dr. Godfrey stated that he has a report for the Board concerning his meeting with

Secretary of State Handel. He does not at this point have the report finalized but will have

a completed report for the next meeting.

Dr. Nalley asked about the 2009 Board meeting dates. The Investigative Committee

meeting will change to December 4, 2009 and have both Investigative Committee

meeting and the Board meeting as a Conference Call. The Investigative Committee will

schedule appointments for the morning of December 4, 2009. If a full Board meeting is

required for December 4, 2009, the meeting can begin at 12:00 p.m.

December 11, 2009 is the CRDTS re-exam if necessary.

Dr. Holcomb asked about the status of the ULP hearing notices. Mr. Dean and Ms. Fisher

are working on them. Mr. Dean will check on the status of the notices.

GEORGIA BOARD OF DENTISTRY

CONFERENCE CALL BOARD MEETING

August 7, 2009

Professional Licensing Boards

237 Coliseum Drive, Macon, GA

12:00 p.m.

The Board asks that MCG provide names, license numbers and practice locations for all faculty

and resident practicing at off-site locations. Executive Director, Anita Martin, will draft a letter

and send to Dr. Holcomb.

Executive Session

Dr. Nalley made a motion, Dr. Andrews seconded, and the Board voted to enter into Executive

Session in accordance with O.C.G.A. §43-1-19(h)(2), 43-11-47(h) and §43-1-2(k) to deliberate

on applications and enforcement matters and to receive information on applications, investigative

reports and the Assistant Attorney General’s report. Voting in favor of the motion were those

present who included Drs. Carlon, Carroll, Godfrey, Hadley, Stacey, Ms. Bush and Ms.

Richardson. The Board concluded the Executive Session in order to vote on these matters and

continue with the public session.

Applications/Licensure:

1. L.H.J. – Dental Hygiene Applicant. – Approved

2. D.M.X. – Dental Hygiene Applicant – Approved

3. A.J.K. – Dental Hygiene Applicant. – Applicant must provide a written response about

the 01-08-08 DUI before the Board will consider the matter further.

4. B.A.L. – Dental Applicant. – Schedule for an LOC appointment.

J.K.S. – Dental Licensee – Provide a Private Consent Order allowing his practice after August

31, 2009 until Dr. S.’s U.S. residency status has been renewed. Licensee must provide an

updated residence status information within 6 months. Ms. Martin questioned about the federal

law requiring valid status to be issued a license. Mr. Dean advised that this should not be a

problem.

Dr. Nalley motioned, Dr. Carlon seconded and the Board voted to approve all recommendations

made in Executive Session.

The Board meeting adjourned at 1:45 p.m.

Minutes recorded by: Carol White, Board Secretary

Minutes reviewed and edited by: Anita O. Martin, Executive Director

GEORGIA BOARD OF DENTISTRY CONFERENCE CALL Board Meeting

August 7, 2009 Professional Licensing Boards 237 Coliseum Drive, Macon, GA

12:00 p.m.

Page 20 of 20 Georgia Board of Dentistry Minutes