louis ana the state bulletin board of · dentistry or judgment rmdered by the courl ill connection...
TRANSCRIPT
LOUIS ANA STATE
BOARD OF DENTISTRY
THE BULLETIN
VOL 2S WINTER 2006
PUBLISHED TO PROMOTE VOLUNTARY COMPLIANCE WITH THE DENTAL PRACTICE ACT
MESSAGE FROM THE PRESIDENT As lhis wi be my la~l OPIX Itunit) l
addre~s yuu a~ the pre~ident f the Louisiana Stale Board ofDentistry I wish to tak [hili opportnniry to c pre s my ill ere grmiruue to all or the board members and slaff With whom I have blaquo-n 0 d sd y as ocilttet1 with sinc 1992 I will be leavlllg lIle board a~r nex t year when I om ternl Ilinited off This has truly been u meml1rable pan of m life whi h I can never r rget Occasionally) believe J have seen It all and men I realile n thi ng ~iln be fu rt her from the trulh The landsiape of the dental community ha changed s much m th past fourteen yean thm I can I begi n to gues whtu it will look like in another fourteen year
I never dreamed lhat generul supe ision woulu hccome II reali ty in Louisuma but here it is Through the effort of the LOUiSiana Denta l As ociati(ln Ilnd th Louisinna Dental Hygiene A SOCIUtlon il has linall come to pas Nevcnhele So I am concemed lhat this may be abused by ~OIl1C people an pray that it never decrcas~ the quality 0 care we provide to th puhlie Hl pefu]ly Ih ru les which are in cITe t wiil pnvent any harm
Wh~n I first carne n the board only a handfu l of people had even heard of a dental clinicn regional testing ogency They now
CCOUnL fbr m)gtt of the clinical licensing in the country All bUI a f II tates n w belong to regional testing agemies Much la l~ ha been generateu ver the pat flt w years reganJing a nauonal cl inical li censing examinatIOn We support [hi endeavor bUI are aware nf many problems which have rept up since the concept really begtUl t take ~hlpe in Orllllldo twO yea Igo at the American A$ illlion 0 Dental Examin rgt meetings It ha often been said thut middotmiddotyou Cilll get a I I uone if you don t care who g~ credit ror it ll1erc seem to be severnI people on the national level who want to gel cred it lor creating a nationol d im aI exam T herein lies the problem
The Loui~ian l Stille Board of Oem i try i c ntracling with the Counci l of Independellt Testing Agencies (C1TA to admi nister the
clinical licenSing examinat i ln in Louisiana beinning JIl c lendnr year 20() We de layed Llle ommen ment of lhe admi nist ra tion r Ult~ exam until th11 due t the logi lieal problems caused in our sUIte by HurricllI1es Katrina and Rita This will give our iCniur JentaJ and hygiene srtJdents titne tOlidapl before the ~ hangeover begins A portion (lfthe clinical examination i the CU n1wlull1 Integrated (orma
(OF) where dental studentmiddot will begin taking [he cltlImimUi n in theirjunior year (2007) Thi~
will give them ample opportun ity to retake that portion of the e)runinall 11 if they arc not successful initially be ore sin ing for the fInal clinjcal exammUlion in their senior year This new trend seem~ lo be universall y acceptet1 b all parties involved J have I][) doubt Ihal mo~t of the ~tudents will be cxtrcmli) cll prepared for that exam
III latiOll to the logi~tic~ 1 problems cau cd by the hurricanes I mwl commend Dr ric Hovlllnd for the amazlllg joh he duJ 111 geltll1 the dental s hool up and nmm ng 0 quickly In Baton Rouge It wa wly a herculean venture on his part Dr Hovland simply put hi head down ~md kcplllking lhe pun h Ii wh iIlt he fought through ail of the problems created by the floodi ng of the dental school in New Orleans Had Dr HovlanJ hi admini~tratinn and staff not resIXmded so quIckly and competently who know where ounlenlal and hygiene ~ucJcnt
w uld be being educated lomorrow I tip my hat to aU of them
I would alsll likc to rept)rt thlllhere is a new licensllre ~alus ill Louisiana Retired dentists wh ish to o lu nreer their scr i ec~ on a pro
no basis to ene the rndigenl may now obtain a lIcen~ fo r that pwposc Many of ur fe llow dentists who have reI woultl like very much to give back tO lheir commumties and thIS is an e cerIen way )f doing s In times such as the we all need to stick (og ther and work with each other to pmvide the best denwl CWl
we (an to all f ow citizen many of wltich are unable to provide for themselves
In losing I wou ld like to expre~s my grati tude to the Louisiana Dental Association and th~ Louisiuna IAnlal Ilygiene Associaticm as well alt the faculty and UllminigttrJtion of the denm scrroo It takes e~lch and everyone of these enlltics working together to mi e the level rdenti try within our stale There is a great
deal or harmony bcltween thc stale board and each of these groups al this point J hope thllt we can always mainUlin thnt Each and every one
f us should be thankful to be part of II toreaL pro s~ ion May God continue to bles u
Respectfully Dennis E Donuld 0 D President Louisiana Stat Board of Dentistry
DENTISTS HELPING DENTISTS The Louisiana Denta l Associa tion De n tists Well Being Advisory Committe e He lp Line
For inioTm a ti on assis tan ce or referr a l p l ease ca ll
(225) 926-1986 (800 a m to 500 pm) Toll Free 1-800-388-6642
(504) 394-7702 after hours
CT ONS The folowing represents summaries of disciplinary artions takell in 2005-2006 by the Louisiana State Board fJJ Dentistry or judgment rmdered by the courl ill connection wit cij alldor criminal proceedings andor appellate proceedings involving registrllltS oj tll board 1 the ClIent fllrfler judidal appeals are takelJ in any of tlulaquo matters they will be reviewed in the next issue ufTlre Bulletlll
I Lanrt Louis Babin DD Raceland Louisiana Yiohltion- T uilun In lllainlJ11I propel tlcntul reconh In Violation 0 RS 3777fJ ( A)(R)
FinnJ dispo ilion- Dr Babin entereu into u ~unsent lecrec Ii herem he agreeu to pay a line in the amount oj )501100 and reimbursed the boards eOls Lnd sllcce~~fully ~( mplclc rel11ttlliIl ~OllrsC in Jmal rccoru-I-ceplng within ix munt ll of III signing of the conli nt ilecrec
2 Jusepb Ellis Berruud III DDS Hummond Louhiarrn Violation- I hat he hdPlluuJly lIluulged ill til u~c or drugs lIarcol lC t nd rnl(nicallag h4UUf in vloluioll of R 7 77h (A)(5) tind tilereaftcr railed to c()opemtc Vi ith the boarn during lis mve l11utllln If thi manr
Final di pc ilion- Dr IkmarJ cnltrcd iOin a consent dcree l herein lie ~lIfrcndcrtd h is Icen~e to pTtlctic denlIstry 1I1 Ihe ~1Ut 01 Louisitna
3 Gusbno M Coulin DD el OrJeltjD bull LOllbiana
VioJationmiddot I Ilegations rconrulJll a dent1 pracl tetmiddot y hich furled L atisfy lile prevailing ccentuble ~landards of d owl pllictice in tl1b tale in violallt1O ur R 17776 ()( ) C~lIldUCl intended (0
decei e llf defr31ld the public 111 vlOlution of RS 1777pound1 (AJ( 16) and vioiallon III a ~Iln~ III dene agrecd upon otween lhe b gturn ami Dr Cuuuo in i iolation uf RSJ7770 (A)4)
Final Uipusition- Dr COlltll1 enlered mto a on~ent Illcre y Ith the bonrd wherem he paId a fine in Ih amOUI1l ( f $101111011 reI lbursCtl dIe boanl CO L lnd l(Il1Ipktion of remeilialion withul ninc monlhs of the agreement being ~illned
4 Iichn I E ordon DD akdale Louisiana
Violalion- Agreement [0 order ctending onomal temporary linqui~hmelH of Dr Gurdon licen e
It rnu1i e ~111 i try in the sture 0
LOUisiana Final disposition- Dr Gordon entered m[o an extension uf the con~enl decree tntercd inlo In 2005 unli l Inul dllPlSlllolI of reluted ~-riminal chargebull
5 Johnn~ M Hollier OD~ Oakdale LOlli iana
iolalionmiddot That he failed I(l notify lhe bolrd or ~hange of atldres~ In vinJatilln of Ruk 304 thereby fonning a viulatlon ( r RS 37776 (A)C4) Fimtl mposition- Dr fIoll ler enler~ mto tlCOn~nl decree wherein he paid a fine m lhe Unll)Unl 015500 00
6 Richard Sleven Jones OD_ Shreveport Louisillna
jolalioo- Habilu(1l mdulgence in Ulr ust of drug narcmks anu intoxicating liquor i ll Iolation of RS J7 77 (A(S) and presrnbing m dl~pen ing hublt- fonning or other legally controlled ~ub5tances in other than a legal and iegitimlile manmr 111 vi lalion of R5 ~777( (A)(6)
Interim disposition Dr Jones entered Ilito a (onscO decree wherem he surremkred his licen e to pnlctic dtnlistry in the Wt of Lnuisiana
7 yothia Marie Ramkelnwan Dns hTevepurt Louisiana
Viohltiun- umcmus complaints and fnilure t cooperate with the hoard in til iove tigation OraUl ~ nning a violll1ion oj R 37776 (AI(24)
Final Disposition Dr Ramdawan entered int u con ln t dt~rel herein she paid I line in the amoun of b I 00000 and maUl rC~tit u li( n to a patient
8 Randall r chaITer DD Ne Orleans 1 oui iana Violation- Dr Schaffers license [[) practlGc dentistry In Louisiunn was revoked 10 the yetr 2000 Tht h ani I~lllr made execulory it utc i iol1 again~t Dr SchillTer aftc Which Dr S~hafrer auemptcd to ulscharge the board m
bankruptcy Dr Schalte r s dischurgeahility wu d~nht1 by th tidcl1ll bankruptcy o uT in eYo Orleans hocvcr as of the date If this ruhlicalioll Dr chuller hn) appealed this decision of the bankruptcy judge
9 orge W Tate DDS Lake barles Louisiana ViolBtionmiddot Failure to return rec rds to ever I patienh in violat ion of Rule I X
lhereb forming a violat ion of RS 37776 (A )(141 tmll h hthiluaJly indulged in the use or dr tlg na r -oties lnd i nt() ~icating liquor ill VI lal ion )1 R 37776 (A I(5 ) and that he fuikd 10
cooperate will] the board III its lIlVtstigaloll of this maner In violll i II
Ilf RS 3777 (A)(27)
Final disposition- Dr Tate entered In lo cnnscnt decree with the board whe~i l1
he paid a 1I lie in the amount ot IOO()()
and reimbursed the boanls cost urrcnderu all middottote and ttl1eral ~ontmlled suhstances prescribing privileges lind is undergoing a ll1onitoflng progrurn with the board and comm nced a perioll of pmbati n of live year beginning November 2f1 2005
10 Ke in Williams DD bull ew Orleans Louisiana
Violation- nprofe~~l()mtl conuud and dental incompetence in violalion o f R n 776 CAl(7) ltmploying pcrCln~ Lo pe-rfoml w(1rk which can ~ performed un by persons licensed lo practIce dcntlstry or dental hygitne ll the Siale 01 Loui luna in viollllion of R 3777 (A) II ) ~ that he fuded to cooperntc with the board in inve ligating Lhl mailer in violilllOll ofRS 37 T16 (Al(27) chol he failed to obtain the mllldnory c ntinuing Jenwi education as rcquirw ill 11iis state in vioillion 01 RS 37776 IA )(24)
Final disposition- A fonnal hean ng WilS
conducted on JUlie 25 2005 olllwing Illich Dr Will i al11~ lice ll~e to prat ticc de tistry In llle state ul LOUisiana was immediatel sus~nded
2
ADVERTISING VIOLATIONS I William J Carlisle m DDs
Marrero Louisiana Violation- Advert isement in vio lation of Rult 30 1 bull thereby forming a violation ()f R S 3777 (A )(24)
Final dispo iition- Dr Carl is le entered into a con ent decree wherein he plid a fine in the am unt or $500 00
1) Do [ Deed to apply ror a new anesthe ia oflice permit if I move to a new office
y S All locati ns in which ane thesiaanai esia is performed must have an office penrut for that level 0 ane thesia which is being ustd If you move to a new office your permit rom rhe old office does n l transfer Plerue c ntactthe Board oflkc for an al1e~the ia application
2) How do J renew my anesthesia pennit(s)
For Lho e Ii en ecs who wlll be renewing their dental Iicenes tt li s year and currently hold (l Personal Nitrous xide Inhalation penn it the perm it renewal fee will e 50 00 if you currenLl hold 3 per anal Parenteral Can c iou Sedation Permit the renewal fee wi ll be $20000 You will rece ive a parme application in the nmewlll packet to renew rhe e permits if this is applicable to you Please review the fonn and return it t the boaru oUice wi th the appropriate fee eparale check luI your licen$c and ptrmit renewal lees are required You will receive lhes perm its wiU your f~newed dcnUlllicense
3) What i the currenlhierarchy of anesthesia permils
The c urrent hierarc hy f r ane thesialanalge ia permits are L) GellerL1 Anestlns iuDccp ltdatilln 1 ) Pannleral SeuutionllV edal ion n Ped iatric Ontl 4) Adult Oml 5 ) N itrous 0 ide 6 ) Local Ane the iu
4) Do J need to po t my originaJ license(s) in my office
YES All Louisiana Iicen ee holding either a denuLi or denta l bygiene licene hall display thei r license in full ancl pen view for ltIll patients LO observe aI ng with all CllITent
TO ALL DENTISTS WHO DISPENSE R ADMfNISTER CONTROLT~ED middotUBSTANCE
IN THEIR PRA TleE
Dear octor
At the p~ en t lime the Loui iana SWle BI)lttrd of Dentistry i~ working
it h all ol her medical rgtlaL d boards und law e nftl rCemeut () prepare a pre cripli( n oniloring program As such it is necessary th1I the Louisiana tate Board of Denti try
lllspe n ~e or aumin i
d ispens ill g r
ster contT subSl fleeS at thei r practice
If yo u are adm inis tering controlled substan es pl e ase com pl ete l he encl o se d q uestio nnaIre an d rdu rn it 111 the ene seu e lt -aut ssed envelope If yo u do n I tl i spen ~e or adm in i ~ter
controlhl sub~lanc in your offi ce p i a e sign th e e nc l o s eti 4uesilO nnaire ltIS well anu r tum it in Ihe e nc losed sel f-addressed envelope
PI ase con tact the office i f you have any questions Thank you fo r your cooperation
Sinceny Denn i E Donald DD S Pr sidell
2007 TENTATIVE BOARD MEETING DATES
february 10 2007 May 25 2007
August 17 2007 December 12007
2007 CLINICAL LICENSING EXAMINATION DATES
March 7middot9 2007 May 23middot25 2007 August 17 2007
FREQUENTLY ASKED QUESTIONS renewal pemli ts of said license
All certificates [permits authorizing In admjn i ~lralion of ane thes ia analgesia r ~edali()n shall also be eli played in ru ll and open view in cIo e proximity [0
tho e licen es and renewul certlficales rcquired to be kept in open and full view fo r the public to observe
When licensee prov ide denlal service in more than ODe fac ility a opy of said Iitenses andor certificates shal l _uffice in p lace of the orig imll and said copy gthall be displayed in fu ll and open view for all patients La ee
If you have lost or misplaced your orieo itlll dentaldent I hyg i ne litense please contact tbe Board for an affidavit of lO~1 licen middote There is a $50 00 ee for duplicate original Iicen es There is also a $5000 fee for duplicate renewal certificates or permits
5) Why is the renewal fee so much
The renewal fee is for two yeaTS
6) How Jong is my renewallicense good ror
All renewals are bicnmal (2 years)
7) What is the deadJine for my renewal application
This year the dead line is December 31 2006
8) Can I place my IiceD eon emi-retired or inactive tatus
O T he Board olll ha an active statu Iryou voluntarily surrender your Iicen e due to retirement your license no longer exists However the board has r at d a
o lu teer or retired talus LO a llow retired licensees to provide pro bono dental c are
9) Does the Louisiana Slate Board of Denti tr regulate or certify dental
istant
NO The Boarddoes not regulate dental assi middottant bull We pro ide a certificate confirmation for Expanded Out Denta l
(con tinued on p age 7)
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NECROLOGY 2005 - 2006 Dr Jam C Br wn January i2 2006 Dr Mic hael Sonnier Deeemher 2005 Dr James j Corbe ll m March 16 2006 Dr Jo~eph Tedesco September 30 2005 Dr Roger Do n~ N ) ember 2005 Dr Haro ld Owald Jr September I 2006 Glori l Gaulden RD H November 7 2005 Dr Law nce 1 Duv ie ilh September 20 2006 Dr Bradley H idalgo 20 6 Dr C lifton O Dummctt September 13 2006 Dr E mil J C harvetJ r October 16 2006 Dr Jo ~e R Gonzal o middottObef 7 2006
DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Dr Corbin Amman 519 Dr Ll ri Dees 5419 Dr Thcryl Humphrey 4428 Dr Wellington Arn aud 1737 Dr Joseph Duvigneaud 1443 Dr Anthony Immediata 4369 Dr R ichard Bertelti 5549 Dr Chanlal Ell is 4778 Dr Olga Isaeva 5572 Or Slephen D Bremer _092 Dr Gregory Ell is 46 16 Dr John K ulas 1787 Dr Hugh Bull ard 4 23 Or George Fontana 1771 Dr Lamar Lane 849 Dr Maryanne B utler 54 8 Dr Elizab th Forhkio 5361 Dr Raymond Louqu 4894 Or Joseph CH id el l 3121 Dr C harle Geyer 1915 Dr Sarah B l we 5231 Dr Ric hard Chafin 1766 Dr David G raham 1991 Dr Francis Cobb 2394 Dr Joanna Hokan on 4239 Dr Rlt bert Co meaux Jr 2049 Dr lVlicbae l Hubfmd 508l
DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Li nda AI xandcr RD 2136 Ji ll Carr RD H 3598 JCilnelte Johnson R DH 11 61 Nikki ArTllmbide RDH 2531 Sara Co nnor RD H 3304 Vickie K Ollcdy RD H 2946 Lan lc Barreca RDH 3241 Misty Ditc haro RD H 3254 SlIsan King R DH 3130 Lauro Bernard RDH 29-i2 LorrHine Fu ll r RD H rm Tracy Lani f R A 3230 Denise Be er RDH 593 Patric iu Garl and RDR 2R3 Sharon Light RD H 27 1 Beth Bf W I1 R DH 81 7 Rebecca Gerhardt-P uckett RDR 30~3 arlin T um in-middotl lo RD I 3321 Melissa Bryant RDH 3427 MlTrie Hannah RDH 15 9 Maria Bullard RDH Jenni fer Harri RDI I 3 29 45 Ian Buras RD H 1495 Haley Harrison R DH 2939
DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Dr Ro Andrew _521 Dr l ames Gard iner 22 3 Dr Fmncis HOfll ist L842 Dr Joseph Beard 2574 Dr Donald Gauthier 1702 Dr au l Kahn 1165 Dr Bryan Bergens 4529 Dr Samuel Gautier 1713 Dr DougJas Ke ller 1453 Dr T iffmy Bullcr-S~hussle r 5541 Dr John B Gregory 2449 Dr J mes Lano 1995 Dr Charles Bu h 1980 Dr Charles G ui ll ry 191 8 Dr Louis LeB lanc Ir 1644 Dr Frankl yn ope land 1498 Dr Harr Gus tafson Jr 2105 Dr Tho mas l ord 1712 Dr Aubrey Dun 3537 Dr Katharine Hebert 3290 Dr D a id Luck 1746 Dr Chad Fulmer 5 63 Dr Steven Hebert 1574
DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Joy Allain KoO H 383 Charl otte Coll ins RoO 420 Kell Fabre RDH 3255
Marc ij Boyd RDH 3309 Robert C tel io RD H lO1 S Mcrilyn GuJ ton RDH 2752
Knl h~ri ne C drn RD H 1344 M ) Dang RDH 37 18
Nan y Cl ine RD H IJ4 Bron Darbo nne RD H 722
ENTERAL CONSCIOU EDATIO PERMIT
Due to the problm caused by Hurricanes Katrina and Ritalh d au line for llhlaining enlera l consl iou~ edation permits has been eXle nded until June 30 2007 in order for Iho e licenees to have uffic ient time to blain the nece ~ary c ntillui ng educat ion before being granted the perm it [0 administer entew l consc i us ~edalion hose den tists adrnini te( tng ECS at (his time may conti nue [0 do 0 unti l June 3D 2007 lhereafter which they must have the permit to do so
4 _____________________________________________________________________________ _____~__
EE ECUTIV D R I gather you can tell by reading the
BulleLin Lhi year thaL di ciplinary a tions fell off dramati ally during the paH year In fact we had only ODe adverti ing violation and ten disciplinary actions Thio can be cfue tly aLtributed Lo the catastrophe endured by our state with Hurri anes Katrina and Rita Not only did our eli ciplinary a tions go down bUllhe complaints received in the office fell by appr imaLely [w thirds Thi in tum cau ed a silver lining in the cloud Our expenses were reduced by
ver $[00000 during this 11 cal year over the p L fiscal year However
ur re erve have been decreasing over the years and the board will be asking for a renewal fee increase next year We are sure that you can understand that the board is in need of a fee increase as there have been no increa es for the last five year and everyones costs continue to rise
A you can see from this bulletin the board ie charging fee for the renewal f anesthe ia permit thi year The board has waived the e fees for over fifteen years but i now in circumstan e wherein the fees mu t be appJ ied in order to bridge the gap until a fee increase occur which could not happen before next year The board is boping to be able Lo commence online renewals of licen es in the next year or two We know many four licen ees would prefer this method of renew 1 as it would speed up the pr ces and decreillie the burden on y u and our staff However that al 0 will cost money
Complaints are starting to come back at a more nonnal rate as our
citizen move back Hen e our expenses will again rise dramatically I beUeve the singular most c mm n cause for complaints to be eot to the board i lack of communication between the dentist and Lhe patient I cannot expre s tills enougb If your patient knows what he i gening be re Lrealment begins there should be little room for complaining afterward
Please remember (hat la L year all who renewed their license middot did not have to provide the board with any continuing education certification The reason wa obvious Tbe hurricanes bad cancelled lhe NODA conference for the previou two years and it was impo ible for many of our licensees to obtain continuing education Nevertheless all tho e licen ees renewing their licenses this year must have one hlf of the required continuing edu aLion requirements atisfied In other words denti ts must have satisfactory pr of r mpleti ng twenty hour of continuing education this year one half of which mu l be cunical Hygieni ts must have twelve bours of continuing education credit thu year ne half of whicb must be clinical
A Dr Donald related in hi Me sage From The Pre ident the Louisiana Slate Board of Dentistry i now C ntracLing with tbe Council of Interstate e ling Agencies to begin administering our clinical licen fig examinalion Thi i a
collaborative effort wiLh other states who are memb rs of CTTA as well Those tates are Alabama Mis usippi North Carolina and several other staLes are III di ussion tagemiddot with CITA In order for aU of tbe clinical examination to be tandardized each state wap examiner wjth other states to conduct the clinical examinations It is not nece sary for one to be a memb r of a dental board in rder to participate wiLh CITA a an examiner If you are intere ted in participating as an examiner in clinical licensing examinatjon you can call the board office or contact CITA dire tJy at PO Box 550 Morrisville orth Carolina 27560 Their phone number is 919-67 shy9792 and you may email tbem at infocitaexamcom
Last year was a tragic year indeed 1personally suffered the death of my only child and so many of us lost our homes and bu ines es With help from God we can make our lives whole again I pray that each and every one of you who were affected by the storms r other tragedies during the past year find peace and harm ny in your personal and professional lives as we attempt to move on in thimiddot thing called life
Yours very truly C Barry Ogden Executive Director
5
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
CT ONS The folowing represents summaries of disciplinary artions takell in 2005-2006 by the Louisiana State Board fJJ Dentistry or judgment rmdered by the courl ill connection wit cij alldor criminal proceedings andor appellate proceedings involving registrllltS oj tll board 1 the ClIent fllrfler judidal appeals are takelJ in any of tlulaquo matters they will be reviewed in the next issue ufTlre Bulletlll
I Lanrt Louis Babin DD Raceland Louisiana Yiohltion- T uilun In lllainlJ11I propel tlcntul reconh In Violation 0 RS 3777fJ ( A)(R)
FinnJ dispo ilion- Dr Babin entereu into u ~unsent lecrec Ii herem he agreeu to pay a line in the amount oj )501100 and reimbursed the boards eOls Lnd sllcce~~fully ~( mplclc rel11ttlliIl ~OllrsC in Jmal rccoru-I-ceplng within ix munt ll of III signing of the conli nt ilecrec
2 Jusepb Ellis Berruud III DDS Hummond Louhiarrn Violation- I hat he hdPlluuJly lIluulged ill til u~c or drugs lIarcol lC t nd rnl(nicallag h4UUf in vloluioll of R 7 77h (A)(5) tind tilereaftcr railed to c()opemtc Vi ith the boarn during lis mve l11utllln If thi manr
Final di pc ilion- Dr IkmarJ cnltrcd iOin a consent dcree l herein lie ~lIfrcndcrtd h is Icen~e to pTtlctic denlIstry 1I1 Ihe ~1Ut 01 Louisitna
3 Gusbno M Coulin DD el OrJeltjD bull LOllbiana
VioJationmiddot I Ilegations rconrulJll a dent1 pracl tetmiddot y hich furled L atisfy lile prevailing ccentuble ~landards of d owl pllictice in tl1b tale in violallt1O ur R 17776 ()( ) C~lIldUCl intended (0
decei e llf defr31ld the public 111 vlOlution of RS 1777pound1 (AJ( 16) and vioiallon III a ~Iln~ III dene agrecd upon otween lhe b gturn ami Dr Cuuuo in i iolation uf RSJ7770 (A)4)
Final Uipusition- Dr COlltll1 enlered mto a on~ent Illcre y Ith the bonrd wherem he paId a fine in Ih amOUI1l ( f $101111011 reI lbursCtl dIe boanl CO L lnd l(Il1Ipktion of remeilialion withul ninc monlhs of the agreement being ~illned
4 Iichn I E ordon DD akdale Louisiana
Violalion- Agreement [0 order ctending onomal temporary linqui~hmelH of Dr Gurdon licen e
It rnu1i e ~111 i try in the sture 0
LOUisiana Final disposition- Dr Gordon entered m[o an extension uf the con~enl decree tntercd inlo In 2005 unli l Inul dllPlSlllolI of reluted ~-riminal chargebull
5 Johnn~ M Hollier OD~ Oakdale LOlli iana
iolalionmiddot That he failed I(l notify lhe bolrd or ~hange of atldres~ In vinJatilln of Ruk 304 thereby fonning a viulatlon ( r RS 37776 (A)C4) Fimtl mposition- Dr fIoll ler enler~ mto tlCOn~nl decree wherein he paid a fine m lhe Unll)Unl 015500 00
6 Richard Sleven Jones OD_ Shreveport Louisillna
jolalioo- Habilu(1l mdulgence in Ulr ust of drug narcmks anu intoxicating liquor i ll Iolation of RS J7 77 (A(S) and presrnbing m dl~pen ing hublt- fonning or other legally controlled ~ub5tances in other than a legal and iegitimlile manmr 111 vi lalion of R5 ~777( (A)(6)
Interim disposition Dr Jones entered Ilito a (onscO decree wherem he surremkred his licen e to pnlctic dtnlistry in the Wt of Lnuisiana
7 yothia Marie Ramkelnwan Dns hTevepurt Louisiana
Viohltiun- umcmus complaints and fnilure t cooperate with the hoard in til iove tigation OraUl ~ nning a violll1ion oj R 37776 (AI(24)
Final Disposition Dr Ramdawan entered int u con ln t dt~rel herein she paid I line in the amoun of b I 00000 and maUl rC~tit u li( n to a patient
8 Randall r chaITer DD Ne Orleans 1 oui iana Violation- Dr Schaffers license [[) practlGc dentistry In Louisiunn was revoked 10 the yetr 2000 Tht h ani I~lllr made execulory it utc i iol1 again~t Dr SchillTer aftc Which Dr S~hafrer auemptcd to ulscharge the board m
bankruptcy Dr Schalte r s dischurgeahility wu d~nht1 by th tidcl1ll bankruptcy o uT in eYo Orleans hocvcr as of the date If this ruhlicalioll Dr chuller hn) appealed this decision of the bankruptcy judge
9 orge W Tate DDS Lake barles Louisiana ViolBtionmiddot Failure to return rec rds to ever I patienh in violat ion of Rule I X
lhereb forming a violat ion of RS 37776 (A )(141 tmll h hthiluaJly indulged in the use or dr tlg na r -oties lnd i nt() ~icating liquor ill VI lal ion )1 R 37776 (A I(5 ) and that he fuikd 10
cooperate will] the board III its lIlVtstigaloll of this maner In violll i II
Ilf RS 3777 (A)(27)
Final disposition- Dr Tate entered In lo cnnscnt decree with the board whe~i l1
he paid a 1I lie in the amount ot IOO()()
and reimbursed the boanls cost urrcnderu all middottote and ttl1eral ~ontmlled suhstances prescribing privileges lind is undergoing a ll1onitoflng progrurn with the board and comm nced a perioll of pmbati n of live year beginning November 2f1 2005
10 Ke in Williams DD bull ew Orleans Louisiana
Violation- nprofe~~l()mtl conuud and dental incompetence in violalion o f R n 776 CAl(7) ltmploying pcrCln~ Lo pe-rfoml w(1rk which can ~ performed un by persons licensed lo practIce dcntlstry or dental hygitne ll the Siale 01 Loui luna in viollllion of R 3777 (A) II ) ~ that he fuded to cooperntc with the board in inve ligating Lhl mailer in violilllOll ofRS 37 T16 (Al(27) chol he failed to obtain the mllldnory c ntinuing Jenwi education as rcquirw ill 11iis state in vioillion 01 RS 37776 IA )(24)
Final disposition- A fonnal hean ng WilS
conducted on JUlie 25 2005 olllwing Illich Dr Will i al11~ lice ll~e to prat ticc de tistry In llle state ul LOUisiana was immediatel sus~nded
2
ADVERTISING VIOLATIONS I William J Carlisle m DDs
Marrero Louisiana Violation- Advert isement in vio lation of Rult 30 1 bull thereby forming a violation ()f R S 3777 (A )(24)
Final dispo iition- Dr Carl is le entered into a con ent decree wherein he plid a fine in the am unt or $500 00
1) Do [ Deed to apply ror a new anesthe ia oflice permit if I move to a new office
y S All locati ns in which ane thesiaanai esia is performed must have an office penrut for that level 0 ane thesia which is being ustd If you move to a new office your permit rom rhe old office does n l transfer Plerue c ntactthe Board oflkc for an al1e~the ia application
2) How do J renew my anesthesia pennit(s)
For Lho e Ii en ecs who wlll be renewing their dental Iicenes tt li s year and currently hold (l Personal Nitrous xide Inhalation penn it the perm it renewal fee will e 50 00 if you currenLl hold 3 per anal Parenteral Can c iou Sedation Permit the renewal fee wi ll be $20000 You will rece ive a parme application in the nmewlll packet to renew rhe e permits if this is applicable to you Please review the fonn and return it t the boaru oUice wi th the appropriate fee eparale check luI your licen$c and ptrmit renewal lees are required You will receive lhes perm its wiU your f~newed dcnUlllicense
3) What i the currenlhierarchy of anesthesia permils
The c urrent hierarc hy f r ane thesialanalge ia permits are L) GellerL1 Anestlns iuDccp ltdatilln 1 ) Pannleral SeuutionllV edal ion n Ped iatric Ontl 4) Adult Oml 5 ) N itrous 0 ide 6 ) Local Ane the iu
4) Do J need to po t my originaJ license(s) in my office
YES All Louisiana Iicen ee holding either a denuLi or denta l bygiene licene hall display thei r license in full ancl pen view for ltIll patients LO observe aI ng with all CllITent
TO ALL DENTISTS WHO DISPENSE R ADMfNISTER CONTROLT~ED middotUBSTANCE
IN THEIR PRA TleE
Dear octor
At the p~ en t lime the Loui iana SWle BI)lttrd of Dentistry i~ working
it h all ol her medical rgtlaL d boards und law e nftl rCemeut () prepare a pre cripli( n oniloring program As such it is necessary th1I the Louisiana tate Board of Denti try
lllspe n ~e or aumin i
d ispens ill g r
ster contT subSl fleeS at thei r practice
If yo u are adm inis tering controlled substan es pl e ase com pl ete l he encl o se d q uestio nnaIre an d rdu rn it 111 the ene seu e lt -aut ssed envelope If yo u do n I tl i spen ~e or adm in i ~ter
controlhl sub~lanc in your offi ce p i a e sign th e e nc l o s eti 4uesilO nnaire ltIS well anu r tum it in Ihe e nc losed sel f-addressed envelope
PI ase con tact the office i f you have any questions Thank you fo r your cooperation
Sinceny Denn i E Donald DD S Pr sidell
2007 TENTATIVE BOARD MEETING DATES
february 10 2007 May 25 2007
August 17 2007 December 12007
2007 CLINICAL LICENSING EXAMINATION DATES
March 7middot9 2007 May 23middot25 2007 August 17 2007
FREQUENTLY ASKED QUESTIONS renewal pemli ts of said license
All certificates [permits authorizing In admjn i ~lralion of ane thes ia analgesia r ~edali()n shall also be eli played in ru ll and open view in cIo e proximity [0
tho e licen es and renewul certlficales rcquired to be kept in open and full view fo r the public to observe
When licensee prov ide denlal service in more than ODe fac ility a opy of said Iitenses andor certificates shal l _uffice in p lace of the orig imll and said copy gthall be displayed in fu ll and open view for all patients La ee
If you have lost or misplaced your orieo itlll dentaldent I hyg i ne litense please contact tbe Board for an affidavit of lO~1 licen middote There is a $50 00 ee for duplicate original Iicen es There is also a $5000 fee for duplicate renewal certificates or permits
5) Why is the renewal fee so much
The renewal fee is for two yeaTS
6) How Jong is my renewallicense good ror
All renewals are bicnmal (2 years)
7) What is the deadJine for my renewal application
This year the dead line is December 31 2006
8) Can I place my IiceD eon emi-retired or inactive tatus
O T he Board olll ha an active statu Iryou voluntarily surrender your Iicen e due to retirement your license no longer exists However the board has r at d a
o lu teer or retired talus LO a llow retired licensees to provide pro bono dental c are
9) Does the Louisiana Slate Board of Denti tr regulate or certify dental
istant
NO The Boarddoes not regulate dental assi middottant bull We pro ide a certificate confirmation for Expanded Out Denta l
(con tinued on p age 7)
3
NECROLOGY 2005 - 2006 Dr Jam C Br wn January i2 2006 Dr Mic hael Sonnier Deeemher 2005 Dr James j Corbe ll m March 16 2006 Dr Jo~eph Tedesco September 30 2005 Dr Roger Do n~ N ) ember 2005 Dr Haro ld Owald Jr September I 2006 Glori l Gaulden RD H November 7 2005 Dr Law nce 1 Duv ie ilh September 20 2006 Dr Bradley H idalgo 20 6 Dr C lifton O Dummctt September 13 2006 Dr E mil J C harvetJ r October 16 2006 Dr Jo ~e R Gonzal o middottObef 7 2006
DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Dr Corbin Amman 519 Dr Ll ri Dees 5419 Dr Thcryl Humphrey 4428 Dr Wellington Arn aud 1737 Dr Joseph Duvigneaud 1443 Dr Anthony Immediata 4369 Dr R ichard Bertelti 5549 Dr Chanlal Ell is 4778 Dr Olga Isaeva 5572 Or Slephen D Bremer _092 Dr Gregory Ell is 46 16 Dr John K ulas 1787 Dr Hugh Bull ard 4 23 Or George Fontana 1771 Dr Lamar Lane 849 Dr Maryanne B utler 54 8 Dr Elizab th Forhkio 5361 Dr Raymond Louqu 4894 Or Joseph CH id el l 3121 Dr C harle Geyer 1915 Dr Sarah B l we 5231 Dr Ric hard Chafin 1766 Dr David G raham 1991 Dr Francis Cobb 2394 Dr Joanna Hokan on 4239 Dr Rlt bert Co meaux Jr 2049 Dr lVlicbae l Hubfmd 508l
DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Li nda AI xandcr RD 2136 Ji ll Carr RD H 3598 JCilnelte Johnson R DH 11 61 Nikki ArTllmbide RDH 2531 Sara Co nnor RD H 3304 Vickie K Ollcdy RD H 2946 Lan lc Barreca RDH 3241 Misty Ditc haro RD H 3254 SlIsan King R DH 3130 Lauro Bernard RDH 29-i2 LorrHine Fu ll r RD H rm Tracy Lani f R A 3230 Denise Be er RDH 593 Patric iu Garl and RDR 2R3 Sharon Light RD H 27 1 Beth Bf W I1 R DH 81 7 Rebecca Gerhardt-P uckett RDR 30~3 arlin T um in-middotl lo RD I 3321 Melissa Bryant RDH 3427 MlTrie Hannah RDH 15 9 Maria Bullard RDH Jenni fer Harri RDI I 3 29 45 Ian Buras RD H 1495 Haley Harrison R DH 2939
DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Dr Ro Andrew _521 Dr l ames Gard iner 22 3 Dr Fmncis HOfll ist L842 Dr Joseph Beard 2574 Dr Donald Gauthier 1702 Dr au l Kahn 1165 Dr Bryan Bergens 4529 Dr Samuel Gautier 1713 Dr DougJas Ke ller 1453 Dr T iffmy Bullcr-S~hussle r 5541 Dr John B Gregory 2449 Dr J mes Lano 1995 Dr Charles Bu h 1980 Dr Charles G ui ll ry 191 8 Dr Louis LeB lanc Ir 1644 Dr Frankl yn ope land 1498 Dr Harr Gus tafson Jr 2105 Dr Tho mas l ord 1712 Dr Aubrey Dun 3537 Dr Katharine Hebert 3290 Dr D a id Luck 1746 Dr Chad Fulmer 5 63 Dr Steven Hebert 1574
DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Joy Allain KoO H 383 Charl otte Coll ins RoO 420 Kell Fabre RDH 3255
Marc ij Boyd RDH 3309 Robert C tel io RD H lO1 S Mcrilyn GuJ ton RDH 2752
Knl h~ri ne C drn RD H 1344 M ) Dang RDH 37 18
Nan y Cl ine RD H IJ4 Bron Darbo nne RD H 722
ENTERAL CONSCIOU EDATIO PERMIT
Due to the problm caused by Hurricanes Katrina and Ritalh d au line for llhlaining enlera l consl iou~ edation permits has been eXle nded until June 30 2007 in order for Iho e licenees to have uffic ient time to blain the nece ~ary c ntillui ng educat ion before being granted the perm it [0 administer entew l consc i us ~edalion hose den tists adrnini te( tng ECS at (his time may conti nue [0 do 0 unti l June 3D 2007 lhereafter which they must have the permit to do so
4 _____________________________________________________________________________ _____~__
EE ECUTIV D R I gather you can tell by reading the
BulleLin Lhi year thaL di ciplinary a tions fell off dramati ally during the paH year In fact we had only ODe adverti ing violation and ten disciplinary actions Thio can be cfue tly aLtributed Lo the catastrophe endured by our state with Hurri anes Katrina and Rita Not only did our eli ciplinary a tions go down bUllhe complaints received in the office fell by appr imaLely [w thirds Thi in tum cau ed a silver lining in the cloud Our expenses were reduced by
ver $[00000 during this 11 cal year over the p L fiscal year However
ur re erve have been decreasing over the years and the board will be asking for a renewal fee increase next year We are sure that you can understand that the board is in need of a fee increase as there have been no increa es for the last five year and everyones costs continue to rise
A you can see from this bulletin the board ie charging fee for the renewal f anesthe ia permit thi year The board has waived the e fees for over fifteen years but i now in circumstan e wherein the fees mu t be appJ ied in order to bridge the gap until a fee increase occur which could not happen before next year The board is boping to be able Lo commence online renewals of licen es in the next year or two We know many four licen ees would prefer this method of renew 1 as it would speed up the pr ces and decreillie the burden on y u and our staff However that al 0 will cost money
Complaints are starting to come back at a more nonnal rate as our
citizen move back Hen e our expenses will again rise dramatically I beUeve the singular most c mm n cause for complaints to be eot to the board i lack of communication between the dentist and Lhe patient I cannot expre s tills enougb If your patient knows what he i gening be re Lrealment begins there should be little room for complaining afterward
Please remember (hat la L year all who renewed their license middot did not have to provide the board with any continuing education certification The reason wa obvious Tbe hurricanes bad cancelled lhe NODA conference for the previou two years and it was impo ible for many of our licensees to obtain continuing education Nevertheless all tho e licen ees renewing their licenses this year must have one hlf of the required continuing edu aLion requirements atisfied In other words denti ts must have satisfactory pr of r mpleti ng twenty hour of continuing education this year one half of which mu l be cunical Hygieni ts must have twelve bours of continuing education credit thu year ne half of whicb must be clinical
A Dr Donald related in hi Me sage From The Pre ident the Louisiana Slate Board of Dentistry i now C ntracLing with tbe Council of Interstate e ling Agencies to begin administering our clinical licen fig examinalion Thi i a
collaborative effort wiLh other states who are memb rs of CTTA as well Those tates are Alabama Mis usippi North Carolina and several other staLes are III di ussion tagemiddot with CITA In order for aU of tbe clinical examination to be tandardized each state wap examiner wjth other states to conduct the clinical examinations It is not nece sary for one to be a memb r of a dental board in rder to participate wiLh CITA a an examiner If you are intere ted in participating as an examiner in clinical licensing examinatjon you can call the board office or contact CITA dire tJy at PO Box 550 Morrisville orth Carolina 27560 Their phone number is 919-67 shy9792 and you may email tbem at infocitaexamcom
Last year was a tragic year indeed 1personally suffered the death of my only child and so many of us lost our homes and bu ines es With help from God we can make our lives whole again I pray that each and every one of you who were affected by the storms r other tragedies during the past year find peace and harm ny in your personal and professional lives as we attempt to move on in thimiddot thing called life
Yours very truly C Barry Ogden Executive Director
5
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
ADVERTISING VIOLATIONS I William J Carlisle m DDs
Marrero Louisiana Violation- Advert isement in vio lation of Rult 30 1 bull thereby forming a violation ()f R S 3777 (A )(24)
Final dispo iition- Dr Carl is le entered into a con ent decree wherein he plid a fine in the am unt or $500 00
1) Do [ Deed to apply ror a new anesthe ia oflice permit if I move to a new office
y S All locati ns in which ane thesiaanai esia is performed must have an office penrut for that level 0 ane thesia which is being ustd If you move to a new office your permit rom rhe old office does n l transfer Plerue c ntactthe Board oflkc for an al1e~the ia application
2) How do J renew my anesthesia pennit(s)
For Lho e Ii en ecs who wlll be renewing their dental Iicenes tt li s year and currently hold (l Personal Nitrous xide Inhalation penn it the perm it renewal fee will e 50 00 if you currenLl hold 3 per anal Parenteral Can c iou Sedation Permit the renewal fee wi ll be $20000 You will rece ive a parme application in the nmewlll packet to renew rhe e permits if this is applicable to you Please review the fonn and return it t the boaru oUice wi th the appropriate fee eparale check luI your licen$c and ptrmit renewal lees are required You will receive lhes perm its wiU your f~newed dcnUlllicense
3) What i the currenlhierarchy of anesthesia permils
The c urrent hierarc hy f r ane thesialanalge ia permits are L) GellerL1 Anestlns iuDccp ltdatilln 1 ) Pannleral SeuutionllV edal ion n Ped iatric Ontl 4) Adult Oml 5 ) N itrous 0 ide 6 ) Local Ane the iu
4) Do J need to po t my originaJ license(s) in my office
YES All Louisiana Iicen ee holding either a denuLi or denta l bygiene licene hall display thei r license in full ancl pen view for ltIll patients LO observe aI ng with all CllITent
TO ALL DENTISTS WHO DISPENSE R ADMfNISTER CONTROLT~ED middotUBSTANCE
IN THEIR PRA TleE
Dear octor
At the p~ en t lime the Loui iana SWle BI)lttrd of Dentistry i~ working
it h all ol her medical rgtlaL d boards und law e nftl rCemeut () prepare a pre cripli( n oniloring program As such it is necessary th1I the Louisiana tate Board of Denti try
lllspe n ~e or aumin i
d ispens ill g r
ster contT subSl fleeS at thei r practice
If yo u are adm inis tering controlled substan es pl e ase com pl ete l he encl o se d q uestio nnaIre an d rdu rn it 111 the ene seu e lt -aut ssed envelope If yo u do n I tl i spen ~e or adm in i ~ter
controlhl sub~lanc in your offi ce p i a e sign th e e nc l o s eti 4uesilO nnaire ltIS well anu r tum it in Ihe e nc losed sel f-addressed envelope
PI ase con tact the office i f you have any questions Thank you fo r your cooperation
Sinceny Denn i E Donald DD S Pr sidell
2007 TENTATIVE BOARD MEETING DATES
february 10 2007 May 25 2007
August 17 2007 December 12007
2007 CLINICAL LICENSING EXAMINATION DATES
March 7middot9 2007 May 23middot25 2007 August 17 2007
FREQUENTLY ASKED QUESTIONS renewal pemli ts of said license
All certificates [permits authorizing In admjn i ~lralion of ane thes ia analgesia r ~edali()n shall also be eli played in ru ll and open view in cIo e proximity [0
tho e licen es and renewul certlficales rcquired to be kept in open and full view fo r the public to observe
When licensee prov ide denlal service in more than ODe fac ility a opy of said Iitenses andor certificates shal l _uffice in p lace of the orig imll and said copy gthall be displayed in fu ll and open view for all patients La ee
If you have lost or misplaced your orieo itlll dentaldent I hyg i ne litense please contact tbe Board for an affidavit of lO~1 licen middote There is a $50 00 ee for duplicate original Iicen es There is also a $5000 fee for duplicate renewal certificates or permits
5) Why is the renewal fee so much
The renewal fee is for two yeaTS
6) How Jong is my renewallicense good ror
All renewals are bicnmal (2 years)
7) What is the deadJine for my renewal application
This year the dead line is December 31 2006
8) Can I place my IiceD eon emi-retired or inactive tatus
O T he Board olll ha an active statu Iryou voluntarily surrender your Iicen e due to retirement your license no longer exists However the board has r at d a
o lu teer or retired talus LO a llow retired licensees to provide pro bono dental c are
9) Does the Louisiana Slate Board of Denti tr regulate or certify dental
istant
NO The Boarddoes not regulate dental assi middottant bull We pro ide a certificate confirmation for Expanded Out Denta l
(con tinued on p age 7)
3
NECROLOGY 2005 - 2006 Dr Jam C Br wn January i2 2006 Dr Mic hael Sonnier Deeemher 2005 Dr James j Corbe ll m March 16 2006 Dr Jo~eph Tedesco September 30 2005 Dr Roger Do n~ N ) ember 2005 Dr Haro ld Owald Jr September I 2006 Glori l Gaulden RD H November 7 2005 Dr Law nce 1 Duv ie ilh September 20 2006 Dr Bradley H idalgo 20 6 Dr C lifton O Dummctt September 13 2006 Dr E mil J C harvetJ r October 16 2006 Dr Jo ~e R Gonzal o middottObef 7 2006
DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Dr Corbin Amman 519 Dr Ll ri Dees 5419 Dr Thcryl Humphrey 4428 Dr Wellington Arn aud 1737 Dr Joseph Duvigneaud 1443 Dr Anthony Immediata 4369 Dr R ichard Bertelti 5549 Dr Chanlal Ell is 4778 Dr Olga Isaeva 5572 Or Slephen D Bremer _092 Dr Gregory Ell is 46 16 Dr John K ulas 1787 Dr Hugh Bull ard 4 23 Or George Fontana 1771 Dr Lamar Lane 849 Dr Maryanne B utler 54 8 Dr Elizab th Forhkio 5361 Dr Raymond Louqu 4894 Or Joseph CH id el l 3121 Dr C harle Geyer 1915 Dr Sarah B l we 5231 Dr Ric hard Chafin 1766 Dr David G raham 1991 Dr Francis Cobb 2394 Dr Joanna Hokan on 4239 Dr Rlt bert Co meaux Jr 2049 Dr lVlicbae l Hubfmd 508l
DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Li nda AI xandcr RD 2136 Ji ll Carr RD H 3598 JCilnelte Johnson R DH 11 61 Nikki ArTllmbide RDH 2531 Sara Co nnor RD H 3304 Vickie K Ollcdy RD H 2946 Lan lc Barreca RDH 3241 Misty Ditc haro RD H 3254 SlIsan King R DH 3130 Lauro Bernard RDH 29-i2 LorrHine Fu ll r RD H rm Tracy Lani f R A 3230 Denise Be er RDH 593 Patric iu Garl and RDR 2R3 Sharon Light RD H 27 1 Beth Bf W I1 R DH 81 7 Rebecca Gerhardt-P uckett RDR 30~3 arlin T um in-middotl lo RD I 3321 Melissa Bryant RDH 3427 MlTrie Hannah RDH 15 9 Maria Bullard RDH Jenni fer Harri RDI I 3 29 45 Ian Buras RD H 1495 Haley Harrison R DH 2939
DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Dr Ro Andrew _521 Dr l ames Gard iner 22 3 Dr Fmncis HOfll ist L842 Dr Joseph Beard 2574 Dr Donald Gauthier 1702 Dr au l Kahn 1165 Dr Bryan Bergens 4529 Dr Samuel Gautier 1713 Dr DougJas Ke ller 1453 Dr T iffmy Bullcr-S~hussle r 5541 Dr John B Gregory 2449 Dr J mes Lano 1995 Dr Charles Bu h 1980 Dr Charles G ui ll ry 191 8 Dr Louis LeB lanc Ir 1644 Dr Frankl yn ope land 1498 Dr Harr Gus tafson Jr 2105 Dr Tho mas l ord 1712 Dr Aubrey Dun 3537 Dr Katharine Hebert 3290 Dr D a id Luck 1746 Dr Chad Fulmer 5 63 Dr Steven Hebert 1574
DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Joy Allain KoO H 383 Charl otte Coll ins RoO 420 Kell Fabre RDH 3255
Marc ij Boyd RDH 3309 Robert C tel io RD H lO1 S Mcrilyn GuJ ton RDH 2752
Knl h~ri ne C drn RD H 1344 M ) Dang RDH 37 18
Nan y Cl ine RD H IJ4 Bron Darbo nne RD H 722
ENTERAL CONSCIOU EDATIO PERMIT
Due to the problm caused by Hurricanes Katrina and Ritalh d au line for llhlaining enlera l consl iou~ edation permits has been eXle nded until June 30 2007 in order for Iho e licenees to have uffic ient time to blain the nece ~ary c ntillui ng educat ion before being granted the perm it [0 administer entew l consc i us ~edalion hose den tists adrnini te( tng ECS at (his time may conti nue [0 do 0 unti l June 3D 2007 lhereafter which they must have the permit to do so
4 _____________________________________________________________________________ _____~__
EE ECUTIV D R I gather you can tell by reading the
BulleLin Lhi year thaL di ciplinary a tions fell off dramati ally during the paH year In fact we had only ODe adverti ing violation and ten disciplinary actions Thio can be cfue tly aLtributed Lo the catastrophe endured by our state with Hurri anes Katrina and Rita Not only did our eli ciplinary a tions go down bUllhe complaints received in the office fell by appr imaLely [w thirds Thi in tum cau ed a silver lining in the cloud Our expenses were reduced by
ver $[00000 during this 11 cal year over the p L fiscal year However
ur re erve have been decreasing over the years and the board will be asking for a renewal fee increase next year We are sure that you can understand that the board is in need of a fee increase as there have been no increa es for the last five year and everyones costs continue to rise
A you can see from this bulletin the board ie charging fee for the renewal f anesthe ia permit thi year The board has waived the e fees for over fifteen years but i now in circumstan e wherein the fees mu t be appJ ied in order to bridge the gap until a fee increase occur which could not happen before next year The board is boping to be able Lo commence online renewals of licen es in the next year or two We know many four licen ees would prefer this method of renew 1 as it would speed up the pr ces and decreillie the burden on y u and our staff However that al 0 will cost money
Complaints are starting to come back at a more nonnal rate as our
citizen move back Hen e our expenses will again rise dramatically I beUeve the singular most c mm n cause for complaints to be eot to the board i lack of communication between the dentist and Lhe patient I cannot expre s tills enougb If your patient knows what he i gening be re Lrealment begins there should be little room for complaining afterward
Please remember (hat la L year all who renewed their license middot did not have to provide the board with any continuing education certification The reason wa obvious Tbe hurricanes bad cancelled lhe NODA conference for the previou two years and it was impo ible for many of our licensees to obtain continuing education Nevertheless all tho e licen ees renewing their licenses this year must have one hlf of the required continuing edu aLion requirements atisfied In other words denti ts must have satisfactory pr of r mpleti ng twenty hour of continuing education this year one half of which mu l be cunical Hygieni ts must have twelve bours of continuing education credit thu year ne half of whicb must be clinical
A Dr Donald related in hi Me sage From The Pre ident the Louisiana Slate Board of Dentistry i now C ntracLing with tbe Council of Interstate e ling Agencies to begin administering our clinical licen fig examinalion Thi i a
collaborative effort wiLh other states who are memb rs of CTTA as well Those tates are Alabama Mis usippi North Carolina and several other staLes are III di ussion tagemiddot with CITA In order for aU of tbe clinical examination to be tandardized each state wap examiner wjth other states to conduct the clinical examinations It is not nece sary for one to be a memb r of a dental board in rder to participate wiLh CITA a an examiner If you are intere ted in participating as an examiner in clinical licensing examinatjon you can call the board office or contact CITA dire tJy at PO Box 550 Morrisville orth Carolina 27560 Their phone number is 919-67 shy9792 and you may email tbem at infocitaexamcom
Last year was a tragic year indeed 1personally suffered the death of my only child and so many of us lost our homes and bu ines es With help from God we can make our lives whole again I pray that each and every one of you who were affected by the storms r other tragedies during the past year find peace and harm ny in your personal and professional lives as we attempt to move on in thimiddot thing called life
Yours very truly C Barry Ogden Executive Director
5
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
NECROLOGY 2005 - 2006 Dr Jam C Br wn January i2 2006 Dr Mic hael Sonnier Deeemher 2005 Dr James j Corbe ll m March 16 2006 Dr Jo~eph Tedesco September 30 2005 Dr Roger Do n~ N ) ember 2005 Dr Haro ld Owald Jr September I 2006 Glori l Gaulden RD H November 7 2005 Dr Law nce 1 Duv ie ilh September 20 2006 Dr Bradley H idalgo 20 6 Dr C lifton O Dummctt September 13 2006 Dr E mil J C harvetJ r October 16 2006 Dr Jo ~e R Gonzal o middottObef 7 2006
DENTAL LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Dr Corbin Amman 519 Dr Ll ri Dees 5419 Dr Thcryl Humphrey 4428 Dr Wellington Arn aud 1737 Dr Joseph Duvigneaud 1443 Dr Anthony Immediata 4369 Dr R ichard Bertelti 5549 Dr Chanlal Ell is 4778 Dr Olga Isaeva 5572 Or Slephen D Bremer _092 Dr Gregory Ell is 46 16 Dr John K ulas 1787 Dr Hugh Bull ard 4 23 Or George Fontana 1771 Dr Lamar Lane 849 Dr Maryanne B utler 54 8 Dr Elizab th Forhkio 5361 Dr Raymond Louqu 4894 Or Joseph CH id el l 3121 Dr C harle Geyer 1915 Dr Sarah B l we 5231 Dr Ric hard Chafin 1766 Dr David G raham 1991 Dr Francis Cobb 2394 Dr Joanna Hokan on 4239 Dr Rlt bert Co meaux Jr 2049 Dr lVlicbae l Hubfmd 508l
DENTAL HYGIENE LICENSES LAPSED FOR NON-RENEWAL IN 2006 ACTION TAKEN MAY 26 2006
Li nda AI xandcr RD 2136 Ji ll Carr RD H 3598 JCilnelte Johnson R DH 11 61 Nikki ArTllmbide RDH 2531 Sara Co nnor RD H 3304 Vickie K Ollcdy RD H 2946 Lan lc Barreca RDH 3241 Misty Ditc haro RD H 3254 SlIsan King R DH 3130 Lauro Bernard RDH 29-i2 LorrHine Fu ll r RD H rm Tracy Lani f R A 3230 Denise Be er RDH 593 Patric iu Garl and RDR 2R3 Sharon Light RD H 27 1 Beth Bf W I1 R DH 81 7 Rebecca Gerhardt-P uckett RDR 30~3 arlin T um in-middotl lo RD I 3321 Melissa Bryant RDH 3427 MlTrie Hannah RDH 15 9 Maria Bullard RDH Jenni fer Harri RDI I 3 29 45 Ian Buras RD H 1495 Haley Harrison R DH 2939
DENTAL LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Dr Ro Andrew _521 Dr l ames Gard iner 22 3 Dr Fmncis HOfll ist L842 Dr Joseph Beard 2574 Dr Donald Gauthier 1702 Dr au l Kahn 1165 Dr Bryan Bergens 4529 Dr Samuel Gautier 1713 Dr DougJas Ke ller 1453 Dr T iffmy Bullcr-S~hussle r 5541 Dr John B Gregory 2449 Dr J mes Lano 1995 Dr Charles Bu h 1980 Dr Charles G ui ll ry 191 8 Dr Louis LeB lanc Ir 1644 Dr Frankl yn ope land 1498 Dr Harr Gus tafson Jr 2105 Dr Tho mas l ord 1712 Dr Aubrey Dun 3537 Dr Katharine Hebert 3290 Dr D a id Luck 1746 Dr Chad Fulmer 5 63 Dr Steven Hebert 1574
DENTAL HYGIENE LICENSES VOLUNTARILY SURRENDERED IN 2006 DUE TO RETIREMENT
Joy Allain KoO H 383 Charl otte Coll ins RoO 420 Kell Fabre RDH 3255
Marc ij Boyd RDH 3309 Robert C tel io RD H lO1 S Mcrilyn GuJ ton RDH 2752
Knl h~ri ne C drn RD H 1344 M ) Dang RDH 37 18
Nan y Cl ine RD H IJ4 Bron Darbo nne RD H 722
ENTERAL CONSCIOU EDATIO PERMIT
Due to the problm caused by Hurricanes Katrina and Ritalh d au line for llhlaining enlera l consl iou~ edation permits has been eXle nded until June 30 2007 in order for Iho e licenees to have uffic ient time to blain the nece ~ary c ntillui ng educat ion before being granted the perm it [0 administer entew l consc i us ~edalion hose den tists adrnini te( tng ECS at (his time may conti nue [0 do 0 unti l June 3D 2007 lhereafter which they must have the permit to do so
4 _____________________________________________________________________________ _____~__
EE ECUTIV D R I gather you can tell by reading the
BulleLin Lhi year thaL di ciplinary a tions fell off dramati ally during the paH year In fact we had only ODe adverti ing violation and ten disciplinary actions Thio can be cfue tly aLtributed Lo the catastrophe endured by our state with Hurri anes Katrina and Rita Not only did our eli ciplinary a tions go down bUllhe complaints received in the office fell by appr imaLely [w thirds Thi in tum cau ed a silver lining in the cloud Our expenses were reduced by
ver $[00000 during this 11 cal year over the p L fiscal year However
ur re erve have been decreasing over the years and the board will be asking for a renewal fee increase next year We are sure that you can understand that the board is in need of a fee increase as there have been no increa es for the last five year and everyones costs continue to rise
A you can see from this bulletin the board ie charging fee for the renewal f anesthe ia permit thi year The board has waived the e fees for over fifteen years but i now in circumstan e wherein the fees mu t be appJ ied in order to bridge the gap until a fee increase occur which could not happen before next year The board is boping to be able Lo commence online renewals of licen es in the next year or two We know many four licen ees would prefer this method of renew 1 as it would speed up the pr ces and decreillie the burden on y u and our staff However that al 0 will cost money
Complaints are starting to come back at a more nonnal rate as our
citizen move back Hen e our expenses will again rise dramatically I beUeve the singular most c mm n cause for complaints to be eot to the board i lack of communication between the dentist and Lhe patient I cannot expre s tills enougb If your patient knows what he i gening be re Lrealment begins there should be little room for complaining afterward
Please remember (hat la L year all who renewed their license middot did not have to provide the board with any continuing education certification The reason wa obvious Tbe hurricanes bad cancelled lhe NODA conference for the previou two years and it was impo ible for many of our licensees to obtain continuing education Nevertheless all tho e licen ees renewing their licenses this year must have one hlf of the required continuing edu aLion requirements atisfied In other words denti ts must have satisfactory pr of r mpleti ng twenty hour of continuing education this year one half of which mu l be cunical Hygieni ts must have twelve bours of continuing education credit thu year ne half of whicb must be clinical
A Dr Donald related in hi Me sage From The Pre ident the Louisiana Slate Board of Dentistry i now C ntracLing with tbe Council of Interstate e ling Agencies to begin administering our clinical licen fig examinalion Thi i a
collaborative effort wiLh other states who are memb rs of CTTA as well Those tates are Alabama Mis usippi North Carolina and several other staLes are III di ussion tagemiddot with CITA In order for aU of tbe clinical examination to be tandardized each state wap examiner wjth other states to conduct the clinical examinations It is not nece sary for one to be a memb r of a dental board in rder to participate wiLh CITA a an examiner If you are intere ted in participating as an examiner in clinical licensing examinatjon you can call the board office or contact CITA dire tJy at PO Box 550 Morrisville orth Carolina 27560 Their phone number is 919-67 shy9792 and you may email tbem at infocitaexamcom
Last year was a tragic year indeed 1personally suffered the death of my only child and so many of us lost our homes and bu ines es With help from God we can make our lives whole again I pray that each and every one of you who were affected by the storms r other tragedies during the past year find peace and harm ny in your personal and professional lives as we attempt to move on in thimiddot thing called life
Yours very truly C Barry Ogden Executive Director
5
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
EE ECUTIV D R I gather you can tell by reading the
BulleLin Lhi year thaL di ciplinary a tions fell off dramati ally during the paH year In fact we had only ODe adverti ing violation and ten disciplinary actions Thio can be cfue tly aLtributed Lo the catastrophe endured by our state with Hurri anes Katrina and Rita Not only did our eli ciplinary a tions go down bUllhe complaints received in the office fell by appr imaLely [w thirds Thi in tum cau ed a silver lining in the cloud Our expenses were reduced by
ver $[00000 during this 11 cal year over the p L fiscal year However
ur re erve have been decreasing over the years and the board will be asking for a renewal fee increase next year We are sure that you can understand that the board is in need of a fee increase as there have been no increa es for the last five year and everyones costs continue to rise
A you can see from this bulletin the board ie charging fee for the renewal f anesthe ia permit thi year The board has waived the e fees for over fifteen years but i now in circumstan e wherein the fees mu t be appJ ied in order to bridge the gap until a fee increase occur which could not happen before next year The board is boping to be able Lo commence online renewals of licen es in the next year or two We know many four licen ees would prefer this method of renew 1 as it would speed up the pr ces and decreillie the burden on y u and our staff However that al 0 will cost money
Complaints are starting to come back at a more nonnal rate as our
citizen move back Hen e our expenses will again rise dramatically I beUeve the singular most c mm n cause for complaints to be eot to the board i lack of communication between the dentist and Lhe patient I cannot expre s tills enougb If your patient knows what he i gening be re Lrealment begins there should be little room for complaining afterward
Please remember (hat la L year all who renewed their license middot did not have to provide the board with any continuing education certification The reason wa obvious Tbe hurricanes bad cancelled lhe NODA conference for the previou two years and it was impo ible for many of our licensees to obtain continuing education Nevertheless all tho e licen ees renewing their licenses this year must have one hlf of the required continuing edu aLion requirements atisfied In other words denti ts must have satisfactory pr of r mpleti ng twenty hour of continuing education this year one half of which mu l be cunical Hygieni ts must have twelve bours of continuing education credit thu year ne half of whicb must be clinical
A Dr Donald related in hi Me sage From The Pre ident the Louisiana Slate Board of Dentistry i now C ntracLing with tbe Council of Interstate e ling Agencies to begin administering our clinical licen fig examinalion Thi i a
collaborative effort wiLh other states who are memb rs of CTTA as well Those tates are Alabama Mis usippi North Carolina and several other staLes are III di ussion tagemiddot with CITA In order for aU of tbe clinical examination to be tandardized each state wap examiner wjth other states to conduct the clinical examinations It is not nece sary for one to be a memb r of a dental board in rder to participate wiLh CITA a an examiner If you are intere ted in participating as an examiner in clinical licensing examinatjon you can call the board office or contact CITA dire tJy at PO Box 550 Morrisville orth Carolina 27560 Their phone number is 919-67 shy9792 and you may email tbem at infocitaexamcom
Last year was a tragic year indeed 1personally suffered the death of my only child and so many of us lost our homes and bu ines es With help from God we can make our lives whole again I pray that each and every one of you who were affected by the storms r other tragedies during the past year find peace and harm ny in your personal and professional lives as we attempt to move on in thimiddot thing called life
Yours very truly C Barry Ogden Executive Director
5
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
CONGRATULATIONS 2006 DENTAL LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
Dr llominick Alongi Dr Vwid 8Ilh rf I r hri) Barru Dr Michael Bird Dr Klmberle) Blltt Dr TiITan i Brun tlt n Dr hclli Breland Dr S~phln Brisco Jr Dr Duid Brown Dr Jcica Brun i I r BIti r Blygtn
r Puulillll tllelilln Dr I onnUlo ll (hapman Dr Rcbcc(ll ChUl)llnllcr
Dr Jeana COJl nlr Dr Daniel Cook Dr Duviu DdYCnpnrl Dr hmlOphl1r Oi~~eon Dr Tam Ignc ) Dr David Donltld DrShcli y resh Dr Nhchac l Fa va loro Dr Ihl11ty FIaUlnaro Dr Launl Ligh Flall mann Dr Zachary Good lIlun Dr Blair Grt l1I ill inn Dr Brandy Hyde Dr Anita Jaylgopal
Dr Scun Johnson Dr Ern iIy J IJi~e Dr Joseph Lemino Dr Gll t hen Jumkcr Dr Michelle LIBlanc Dr Io~eMena Or Art u[() Mendez Or Darren 1 Icr Dr Ken nelh Luminll is Jr Dr Wahecd Mohamed Or Benjamin Ory Dr Roben Or) Ir 01 hie) Pri eto Dr i rgwia Romlt
Dr Rhonda Sand lin Dr Eddy i hlt lmanJI Or Kayl a SOIre Dr Ionmiddot hrit JaJl Sccwru1 Dr l nn~ Th une Dr Launn Thurmon Dr Bre nt T oup Dr Imn(c Vela~~ ltl
Dr Kalhrine Vo Dr Ryan Walker 01 Courm y Wightman Dr Mrrk W i~htman
CONGRATULATIONS 2006 DENTAL HYGIENE LICENSEES LICENSED BY CLINICAL LICENSING EXAMINATION
hri lie Adkilh R DH Gina Dcilering RD1 Shauna Juarez RDH Jcml ic r Prejean RDH Sam ArdIzone RDH lenrHi Od carn bre RDH Lawa KnlW Is RDli Rosly n Preston RDH Htlth r Arlltdgt RDJ [ Sml h Denham RD H 11 na Labat R H Rae Ranev RD H Sll[lh ia Bai l~ RD H He ather I rtyle ROH Stacy l borde RDH Latas ll a Riehm nd RDH Amy Baker RDII Kyluh Duong RDH Ri~h l y n Lall~ley R DH Lyn n nn Ry ab RD H
rnily Ruudciln RDH Stephan ie ELidington RDH Kam LeBouef RD H Emil) 5c tl RDH Kn tcn BlUltr RDH An ne la EI IfU RD H Hay ley Leone RDII I any Sdkrs RDH jul ie Beh an RDH Chrily [-- Igo ut RD H l enn y () uviere RDH Me l U1ic Southern RDII TywHmlilB llyer RD H Regan n leccia RDII EIi e L Llt~ltIan R DH ltlaCI Speer RDJ Nlkl Bond RDH Ik lia crgc RD jcnl1l ter Maxwell RD J Rikk l t Upe) RDH Bmoke Bouelreaux RD H JUl(ud mc Gurdon RDH SU[lhunilt Mlt rid lt RDH Kim Slarkes RDH Ammltill Braher KDH DeiaJl nu ms RDH Rach I Miller R DH Amil r 1tamp)I I RDH Chilntelie Burke R DH atlil Guillnl RD H Amanda MIller RDH -andy kwan RDH Shcrri Bultllncl l S~ilrnatter RDH Ju l ie Unllr RDH Leslie Munch RDI I Misly Stroud RDH
nge lil uldwd l RDJi Tori Ifuy~ RDH htmn Norwood R 0 11 Je J1 t1i~ r Thompson RDH Samh ltlplinger ROI [Jam Hugh RDH Brigcllt NUllCZ RD H Margo Wullltr RD H lli~li Carr ROil Leui Hunt RDH Paige Omiddot t i1 1 RDH lIeather We n er RDH Branell Ihrcn RD li II Ill) Hymel RD H vImy lindt RDH I eiCiI Wi ll iam RDl 1 LlIwrn l R D H El iLlbolh Jnhn()n RDlI Juli Papan ia RD Hbo nny WiI Ii um RDH Vuleric D3nid RD H Milgpe Jol ly RD H Bri dget Parker RDH Chri llan DaugJlcnhaugh RDH R achacl JontJJl R f) H En n Phdli s RDH
CONGRATULATIONS TO THE FOLLOWING LICENSEES LICENSED BY CREDENTIALS IN 2005-2006
DENTISTS HYGIENISTS Dr John Lev in Dr Hugo t HilruC Dr DlUlU Jl~b(11I Mic hael WOllus RDJI Midlelle 11011 RDH Dr bfkranla MImiddotnuoa Pmln Dr Wi ll i~m ~lalhun ll Dr Margn 1i1rvcgg lo Dill ll Jnseph-Brekeruidge RDH Ang la BMen RDH Dr Rac h lie muh Dr Will iam Urmk r nna Morellli Midlelle Ann Berger Johnston RDH Kristine Bll)r RDH Dr SltJnue Cl rur Dr Will iam Causcy DI Eman 1 haw i 1 hlcy 1 ebb RDH Dmfl o[lel and RD I-
Lui~IU1a ill ht gllllg Ihe CITA Iinical dental h)gienc xamillJliM in 008 1 mcmhtr state Louiiana desires ill add to the POll Iof deputy examinegt who 111lt lpcifi ljuulifi Ition aru1 arc interested in tahhnuinn
II ~ou
I J~ I U Ilcd denial hyglelml in Louii na lnU can 11U ldlt erifkauon of malpmclico IUsunlnce Ute LUIreJ1l ly in good ~Iandin all pclMlnali 1inu Junsuictilns l h IV ~ lark history ur a minimum f liVe ytaJ and 4 ure nul employed as [I den I hyglcne educatm rull lime III purr 11m ( If pre ently rectI in cumpensation for empluyment as dental hygi~nc educator) c~ding lure lhan on dllY a week ftc~h ing tlnly a per wem or reimbursement for C(llt[Jemiddot
YIIU Ina he eliuibl I nppl) J 1 ucput~ euminer
All orilmat] n rmcnlatiun Ill the un fllmlm amI wbat dUliesircsponsibililies m imulved will he hcdulcd in rhe cnr (ulU~ Anyone y isiling D illltml please G1uillduLllC with your ni1me add res licme number phone Dumber and lt-TIIll1l
b
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
________________________________________________________________________________________
FREQUENTLY ASKED QUESTIONS Continued
Assitant nJy after they have ubmllled pro rof c mplcuon or the following approved EDDA our c approved rndiology course curr~nt CPR card and the r 00 application fee
to) What happens if I allo m) licen e to lapsl or J do not rene it
If your L uisiana dental or dental hygiene Iic~nsc lapses dUl 10 nOI1shyrenewal you ClIlfiot pructice uell[i~try or dental hygIene Persons who practice 0 rth a lapsed Ii en I are subjectl disciplinary acti n
Licenses expire December 31 After that Jale you wIll receive two celtlfied mail notice reminding you of lhi pos ible overighl Lrwe ~till receive no reop nse from y u or y u infoml the board thaI you do not wi h to ren II lhe license il will be revoked due to nou shyrenewal at the May board meeting
11) What do I need to do to change my Ii nse from retired 10 actin status
Hygieni IS who wi h to change lheir license tram retired t active statu mu [ complele a rlin taLement appllcalion 1Ild submit it 10 lhe b lard office The application will be reviewed and you will be advised of the Oulcome al onlingly
Dentl Is who wish to change lheir license from retired to act ive ratu must submit a letler to the board oflice requesting arne
In either crue conlinulng education and appropriate r e~ will b required ror lhis process
12) Hol do I retire m Louisiana dental or dental hygiene license
Denfuts and hygieni ls may notify the board in wnting or if applicable on your renewaJ application uf your inlention to retire your Louisiana license
13) May J still write pr criptioD if I retire my Louisiana d ntal licen e
NO Ihe board will nOlify Ihe Drug Enforcemem Admmistralion and LouiSIana Board of Pharmacy that you ha e retired your Louisiana dental licen e
14) Why cant I give my change of address over the phone
All change middot of address must be in writing required in the dental practice act You may fax or mail same 10 the board orrice
15) Which clinical Ii ensing examination does th Loui iana
tate Board of Dentistry accept for licensure
Effective May 26 2006 the Louisiana State Board of Dentistry a~ceph the cores Lhe Ii r din i(al liclnsing eamination of denLi$ls and dental hygienl I from the C uncilof Interstate Tesling Agen ies (CIT A) Central egional DenIal Tung Service (CRDT ) Northea I Rlgional Board (NERB ) Southe rn RIgional Tcling Agency (SRTA) Western Regional Examining Board (WREB) and Ule American Dental Examinatioll (ADEX) pr vided thal those leSLlt include ()mp nent on IIw patients ano was completed ne yeru or less from the date for which you are applying
16) How can I get an Enteral Conscious edation pcrmit
Adult Enteral Conscious Sedation personal and fIice pemlit will be issued by the bard upon completion of the appropriate applIcatIon which must be nOlaned fee payment and documentatIon ev idencing compl lion f tnulLing for Enteral Conclou Sedali o Ollie in pections are nor reqUired prior to i ~mance of the pemlit The e FIkes will be inspected in the normal Calif e of board bu ine s pertaining t inspection
PedIalric Enteral on cious Sedation p rmHs wiJI follow the same routine a~ Adult Enlt ral Can cious edation pemIts With the EXCEPTION being that these office must be in pected by Ihe board prior to issuan e of saml
17) Which CPR coor are accepted by the board
Card lopuimonary Res uscitation Course C Basic Life Support [or Health Care ProViders as defined bv the American Heart Association or the American Red C1 s Profe sionaJ Rescue Course or their eqwvalcnl
It hau Id be 11 ted that Medic First td CPR c( une w aclteptecl as e4uivalenl by lbe LOulsiana State B ard f Dtntistry on May 21 2005 Cardi pulm nary RuciwLinn Coune is alJowed for three hours of nonshydinical conlinuing education
LOUISIANA STATE BOARD OF DENTISTRY
STAFF
C Barry Ogden Executive Director
barrylsbd org
Linda Foto Director of Licensing
lindalsbdorg
Erin Conner Administrative Secretary
erinlsbdorg
John Roth Administrative Coordinator 4
johnsbdorg
Carolyn Perez Administrative Coordinator 2
carolynlsbdorg
Diana Chenevert Administrative Assistant 2
dianalsbdorg
7
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8
LOUISIANA STATE BOARD OF DENTISTRY
36 CANAL STREET SUITE 2StU NEW ORLEA NS LOLISlANA 70130
TELEPHONE (504) 561-8574 r ACSlMIlE (5u4) 568 8598 TOLL FREE (817)4137-4488 WFBSITE wvrwl bd org
Dr Pamela Brown DaDlel 5639 Congress Blvd
Balon Rouge Louisiana 70808
Dr Dennis E Donald 627 W College Straat
Lake Chmles louisiana 70605
Christine M Guillaume RDH 8851 Wyeth 5ueeI
Denham Springs Louisiana 70706
Dr Louis Joseph 5213 Rue VerdWl
Alexandiia LouisIana 71303
OJ Charley M Lester 4034 Hollywood Avenue
Shreveport LouiSiana 71109
Dr HDrnell J Madison 743 Terry Pm1cway
Gretna Louisiana 70056
Dr Charles T McCabe Jr 250 Meadowcrest Street 51e 204
Gretna Lou siano 70056
Dr David L Melancon 102 Mystic Boulevacd
Houma LOUisiana 70360
Dr Cotuna P M[Vea Jr 2016 Washington Street
franklinton LOlllslana 70438
Dr James A Pearce 1221 Coolidge Blvd
Laiayetle Louisiana 70503
Dr LynD Philippe 7777 Hennessey Blvd 610
Baton Rouge Loulslana 70808
Dr Samuel TriDca 1220 Stubbs Avenue
Moruoe Louisiana 71201
Dr Sam S Vinci PO Bax 1907
51 francisville Louisiana 70775
Dr Vance L Wascom 3727 MacArthw Blvd
New Orleans Louisiana 70114
C Barry Ogden Executive Director
LOCAL ANESTHESIA PERMIT INFORMATION
The dental hygiene L cal Anesthesia permit i not automatical ly issued upon compltl ion of the lac anesthesia course or ~omple t ion of the ltIenlal hygiene program Each dental hygjeni is enl an appticati n with their riginallic fiSC The application must be comp leted and retu meu to the board oflice with a copy of their cel1ifkale showing satisfactory completion of the locui an the ia course The LSU School of D nlis try the University of Louisiana al Monr e and outhem University in Shreveport end lh~ Board a list 01 persons complctlOg the requirements through thei respective denLaI hygiene programs Those persons grad uating from th d ntal hygiene program only need to complete the application to obtain u local anesthesia pennit ]f
y u need an application please contact the board office If you do not have a permit you are not authorized (0 admini middotter local anesthesia
shy - v Blnn oj Hyg np Llcene (On7201J8) 15000
Rene J ersr nol Nitrous parmi $5000
Renewal 01 Personal Par~n e al Conscious SedalLn Perm11 $20000
De(dHne 10 RAnbullbull bullbull bull bull nKmb-~l 2006 Dellnquenl f_1Id1i be oed to a I _ala paolmOlkod aftar oenb 31 2008
DELINQUEN1 FEES WILL BE AS ES ED TO ALL RENEWALS POSTMARKED AFTER December 312006
DlIe to all ncre(U( in tIlt eoxu oIojjice inspectiolls the Louisiana State Board of Denlst1) is flOW Iwrging f or the renewal af per (Ina nitrous oxide inhalation and persollal parellleral conwiulI) ~edation permit Please mak sure wtyou enclose the appropriate fees with your renewal applicatiOIl Write sepor I fe fl ecks f or renewals Clnd permits
What is tile current hierarchy ofanesthesia permits
The current hierarchy for anesthesialanalge ia pemlilS are I ) General AllcsdlesialDeep Sedauon 2 ) Parenteral SeltlationlrV Sedation 3 J Pediatric Oral 4 Adult Oral 5) N itrous Oxide 6 ) Local Ane the ia
Therefore if you currently hold a pennit fo r level I y u are qu l ified for levels )-6 If you hold a penllit for levd 2 YOll ure qualified fi r levels 2-6 and sO on
PLEASE CHECK US OlIT ON THE INTERNET OUR WEB SITE ADDRESS IS WWWLSBDORG 8