PUBLIC BOOK - Nevadadental.nv.gov/uploadedFiles/dentalnvgov/content/Public_Info/Meetin… · 71 Mrs. Shaffer-Kugel indicated that the draft minutes were in the board books for their

NEVADA STATE BOARD

of

DENTAL EXAMINERS

PUBLIC BOARD MEETING

AUGUST 1, 2014

10:30 a.m.

PUBLIC BOOK

1 NEVADA STATE BOARI) OF DENTAL EXAMINERS2 6010 South Rainbow Boulevard, Ste A-i3 Las Vegas, Nevada 891184

(Telephone Conference Call)

7 Telephone conferencing was available at the Board office, 6010 S Rainbow Boulevard, Suite A-i, in Las Vegas Nevada8 89118.

NOTICE OF PUBLIC MEETING

13 Thursday,July 3,201414 6:00PM15

DRAFT MINUTES

1 8 Pleasc Note: The Nevada State Board of Dental Examiners may 1) address agenda items out of sequence to accommodate persons1 9 appearing before the Board or to aid the efficiency or effectiveness of the meeting; 2) combine items for consideration by the public body;20 3) pull or remove items from the agenda at any time. The Board may convene in closed session to consider the character, alleged21 misconduct, professional competence or physical or mental health of a person. See NRS 241.030. Prior to the commencement and22 conclusion of a contested case or a quasi judicial proceeding that may affect the due process rights of an individual the board may refuse23 to consider public comment. See NRS 233B.l26.2425 At the discretion of the Chair, public comment is welcomed by the Board, but will be heard only whcn that itcm is reached and will be26 limited to five minutes per person. A public comment rime will also be available as the last item on the agenda. The Chair may allow27 additional time to be given a speaker as time allows and in his/her sole discretion. Once all items on the agenda are completed the28 meeting will adjourn.

2930 Asterisks (a’) denote items on which the Boardmay take action.31 Action by the Board on an item maybe to approve, deny amen4 or table.323334 1. Call to Order, roll call and establish quorum3536 Dr. Kinard called the meeting to order and Mr. Rigoberto Morales conducted the following role call:3738 Dr. Jade Mifier PRESENT39 Dr. Gregory Pisani PRESENT40 Dr. Byron Blasco PRESENT41 Dr.J Gordon Kinard PRESENT42 Dr. Timothy Pinther PRESENT43 Dr. Jason Champagne PRESENT44 Dr.J. Stephen Sifi PRESENT45 Ms. Theresa Gufflen PRESENT46 Mrs. Leslea Villigan PRESENT47 Ms. Carw L Solie PRESENT48 Mrs. Lisa Wark PRESENT4950 Others Present: Debra Shaffer-Kugel, Executive Director; Rigoberto Morales, Information Tecimology51 Coordinator.5253 Public Attendees: No public attendees.5455 2. Public Comment. No public present.56

July 3, 2014 Public Board Meeting Teleconference Page 1 of 3

57 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has been58 specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

61 *3 old Business (For Possible Action)6263 *(a) Approval for Four Board Members, Executive Director, and Board Legal Counsel to the American64 Association of Dental Boards (AAPB) for year 2014-2015 (For Possible Action)6566 Mrs. Shaffer-Kugel indicated that this item was tabled at theJune 27, 2014 board meeting, to allow time to determine67 which members would be able to travel to the meetings. The four members to attend the annual meetings: Dr. Miller,68 Dr. Blasco; Dr. Kinard; and Ms. Solie (tentatively).6970 MOTION: Dr. Mifier made the motion to approve. The motion was seconded by Dr. Pinther. All were in favor.

7273 * 4. New Business: (For Possible Action)7475 *(a) Approval for Dental L.icensure (APEX) NRS 631.240 (For Possible Action)76

(1) David BJolley, DMD (2) Zachary D Soard, DMD12 Dr. Pinther indicated that he reviewed the applications; both met the criteria, and recommended approval.34 MOTION: Dr. Miller made the motion to approve. Motion was seconded by Dr. Blasco. All were in favor; Dr. Pinther5 abstained.678 *(b) Approval for Dental Licensure (WREB) NRS 631.140 (For Possible Action)9

(1) R Cameron Foulk, DMD(2) Irene S Han, DMD(3) Maen Hijazi, DMD

13 (4) Brian K Tadang, DDS141 5 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.

1 7 MOTION: Dr. Pisani made the motion to approve. Motion was seconded by Ms. Gufflen. All were in favor; Dr.1 8 Pinther abstained.

21 * (c) Restricted Geographical Dental License NRS 631.274 (For Possible Action)2223 (1) Carlos E Calderon, DDS2425 Dr. Pinther indicated that he reviewed the application; it met the criteria, and recommended approval.2627 MOTION: Ms. Solie made the motion to approve. Motion was seconded by Dr. Pisani. All were in favor; Dr. Pinther28 abstained.293031 *QJ) Approval for Dental Hygiene Licensure (WREB) NRS 631.300 (For Possible Action)3233 (1) Kayla L Campbell, RDH34 (2) Caitlyn N Church, RDH


35 (3) Ashley B Weise, RON3637 Dr. Pinther indicated that he reviewed the applications; both met the criteria, and recommended approval.3839 MOTION: Dr. Pisani made the motion to approve. Motion was seconded by Dr. Sifi. All were in favor; Dr. Pinther40 abstained.

424344 MOTION: Dr. Pisani made the motion to remove items (4) (e) and (4) (1) from the agenda. Motion was seconded by45 Ms. Solie. All were in favor.4647 *(e) Consideration of Anesthesia BvaIuators~’Inspectors Recommendations of Failure of Lite48 Permit pursuant to ?L~C 631.2233 (1 and 2) (For Popoible liLa)4950 (i\ fl-.-~i“—I

52 *(f~ Consideration to Crant a Re evaluation of Cite from Lite Permit Holder pursuant to NAC53 631.2235 (2 and 3) (For Ponoible Led r~5455 f1\ fl..

5657 5. Public Comment: No public comment.5859 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has been60 specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

61 6. Aimouncements: No announcements.6263 *7 Adjournment (For Possible Action)6465 MOTION: Dr. Pinther made the motion to adjourn. Motion was seconded by Dr. Blasco. All were in favor.6667686970717273 Meeting adjourned at 6:15 p.m.7475 Respectfully submitted by:7677 _______________________________

78 Debra Shaffer-Kugel, Executive Director7980


1 NEVADA STATE BOARD OF DENTAL EXAMINERS2 6010 South Rainbow Boulevard, Ste A-i3 Las Vegas, Nevada 8911845 Videoconferencing was available at the Board office, 6010 5 Rainbow Boulevard, Suite A-i, in Las Vegas and at the6 Nevada State Board of Medical Examiners located at 1105 Terminal Way, Suite 301, Reno, NV 8950278 NOTICE OF PUBLIC MEETING9

Friday, June 27, 20149:09 a.m.

DRAFT MINUTES

1 5 Please Note: The Nevada State Board of Dental Examiners may 1) address agenda items out of sequence to1 6 accommodate persons appearing before the Board or to aid the efficiency or effectiveness of the meeting; 2) combine1 7 items for consideration by the public body; 3) pull or remove items from the agenda at any time. The Board may1 8 convene in closed session to consider the character, alleged misconduct, professional competence or physical or1 9 mental health of a person. See NRS 241.030. Prior to the commencement and conclusion of a contested case or a20 quasi judicial proceeding that may affect the due process rights of an individual the board may refuse to consider21 public comment. See NRS 233B.l26.2223 At die discretion of the Chair, public comment is welcomed by the Board, but wifi be heard only when that item is24 reached and will be limited to five minutes per person. A public comment time will also be available as the last item25 on the agenda. The Chair may allow additional time to be given a speaker as time allows and in his/her sole26 discretion. Once all items on the agenda are completed the meeting will adjourn.2728 Asterisks (‘i’) denote items on which the Boardmay take action.29 Action by the Board on an item may be to approve; deny arnenc4 or table.303132 1. Call to Order, roll call and establish quorum3334 Dr. Kinard called the meeting to order and Ms. Shaffer conducted the following role call:3536 Dr. Jade Mifier PRESENT37 Dr. Gregory Pisani PRESENT38 Dr. Byron Blasco PRESENT39 Dr.J Gordon Kinard PRESENT40 Dr. Timothy Pinther PRESENT41 Dr. Jason Champagne PRESENT42 Dr. J. Stephen Sifi PRESENT43 Mrs. Theresa Gufflen PRESENT44 Mrs. Leslea Vilhigan PRESENT45 Mrs. Caryn L Solie PRESENT46 Mrs. Lisa Wark PRESENT4748 Others Present: John Hunt, Board Legal Counsel; Debra Shaffer-Kugel, Executive Director; Stacie Huminel, NSBDE49 Accountant, Hummel & Associates.5051 Public Attendees: Annette Lincicome, NDHA; John F. Mack, DDS; Jennifer Cha; Anthony Gabriel; Kristopher Rath,52 Counsel for Dr. Kenneth Hifi; Bryce S. Putnam, DMD, NV Health Centers; Shari Peterson, CSN/NDHA; Greg53 Lousignont, State Licensed Private Investigator; Ian Houston, Counsel for Dr. Toogood; Alex Tanchek, on behalf of54 Neena Laxalt, for the NDHA;JoannaJacob, Ferrari Public Affairs, NDA; Caleb Cage, Office of the Governor.55

June 27, 2014 Board Meeting Minutes Page 1 of 12

56 2. Public Comment: None5758 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has59 been specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

606162 *3 Executive Director’s Report (For Possible Action)6364 *a Minutes-NRS 631.190 (For Possible Action)6566 (1) Public Meeting - 04/25/201467 (2) Budget and Finance Resource Group Meeting — 04/25/201468 (3) Closed Session Minutes 04/25/2014 - (Confidential)69 (4) Public Meeting - 05/21120147071 Mrs. Shaffer-Kugel indicated that the draft minutes were in the board books for their review, and revisions/approval.7273 MOTION: Ms. Solie made the motion to approve. The motion was seconded by Mrs. Wark. All were in favor of the74 motion.7576 *b Fthancials-NRS 631.180 (For Possible Action)7778 (1) Review Balance Sheet and Statement of Revenues, Expenses and Balances for period ending79 April 30, 2014 (For Possible Action)8081 Mrs. Hummel noted to the Board that they their actual budget as of April was nearing the set budget for the current82 fiscal year. She commented to them that the figures in brackets represented under budget items. She indicated that83 she projects that they wifi be able to add about one hundred and thirty thousand dollars ($130,000) to the Boards84 reserves.858687 *c. Budget-NRS 631.180 (For Possible Action)8889 (1) Consideration of the Recommendations from the Budget and Finance Committee Meeting Held90 on April 25, 2014 with regards to the FY2O1591 Draft Budget (For Possible Action)9293 Mrs. Solie asked Mrs. Humnel to clarify line 68 in FY2O15 regarding the difference of approximately 6,000 dollars.94 Mrs. Hummel indicated that in the new fiscal year they appropriated funds to be a]located for another board95 member to attend the annual conference, therefore allowing for four members to attend versus three members. Mrs.96 Solie noted that the scanning services increased significantly in the proposed budget. Mrs. Hummel clarified that97 last fiscal year the Board had to drop the scanning project because they were over budget. Furthermore, that they98 needed to finish the project, thus, they have projected those costs in the upcoming fiscal budget. Mrs. Shaffer-Kugel99 indicated that there is a 90-day agreement with the scanning company to complete the project; furthermore, the

1 00 company wifi be working in-house. She noted to the Board that there are certain state standards that have to be met1 01 and they are an approved state vendor.102103 MOTION: Dr. Blasco made the motion to approve the recommendations. The motion was seconded by Mrs. Wark.104 All were in favor of the motion.1051061 07 (2) Review, Discussion and Approval of FY2015 Draft Proposed Budget (For Possible Action)108109 MOTION: Dr. Miller made the motion to approve proposed budget. The motion was seconded by Mrs. Solie. All11 0 were in favor of the motion.

June 27, 2014 Board Meeting Minutes Page 20112

11111211 3 *d. Contracts: NRS 631.160 (For Possible Action)

11411 5 (1) Annual Review of Executive Director’s Employment Contract (For Possible Action)11611 7 Mr. Hunt indicated that the Board may want, or can go into a closed session.11811 9 MOTION: Mrs. Wark made the motion to approve to extend the contract for twelve (12) months. The motion was120 seconded by Dr. Blasco. Discussion: Dr. Kinard commented that Mrs. Shaffer-Kugel has done an incredible job and121 has enjoyed working with her and all of the staff. He acknowledged all of the accomplishments, especially with the1 22 budget. All were in favor of the motion.123124 JH: Board can also approve a bonus, if the Board was so inclined to do that.1251 26 *e Authorized Investigative Complathts-NRS 631.360 (For Possible Action)1271 28 (1) Dr Z-NRS 631.215(2(h) and (3); NRS 631.3465 (2 and 3); NRS 631.395(10) and NAC 631.275129130 Mrs. Shaffer-Kugel went over the alleged violations.131132 MOTION: Dr. Sifi made the motion to approve. The motion was seconded by Dr. Blasco. All were in favor of the133 motion!134135 *f Committee & Associations-NRS 631.190(For Possible Action)136137 (1) Approval for Four Board Members, Executive Director, and Board Legal Counsel to the1 38 American Association of Dental Boards (AADB) for year 2014-2015 (For Possible Action)1391 40 Mrs. Shaffer-Kugel indicated that the AADB travel for last year were limited to (three) 3 board members, this year1 41 they budgeted to be able to increase it to 4 members. The current set dates for the next meetings are October 7-11,142 2014 and April 2015 in Chicago. Mrs. Shaffer-Kugel commented to the Board that she needs to know how many143 members, and which members would like to go so that she may pay the annual membership for the year. Mrs.144 Villigan commented to the Board that she learned recently of a boot camp injanuary on infection control, and1 45 suggested that possibly they could select (two) 2 conmiittee members and the most experienced evaluator. Dr.1 46 Mifier requested that he be a part of the members selected. Members interested in attending: Dr. Mifier and Mrs.1 47 Solie. It was decided to table this item for thejuly 3td teleconference.148149 MOTION: Mrs. Solie made the motion to table this item until thejuly 3fh teleconference. The motion was seconded150 by Mrs. Wark. All were in favor of the motion.1511521 53 *4 Board Counsel’s Report (For Possible Action)1541 55 *a. Legal Actions/Lawsuit(s) Update (For Possible Action)1561 57 Board Counsel indicated that there were no new lawsuits since 2012. He commented that they he sought injunctive158 relief against an individual posing as a dental hygienist. He noted to the Board that Mrs. Shaffer-Kugel and he1 59 appeared at the LCB session and that they approved all of the Board’s regulation changes.1601 61 *b. Consideration of Stipulation Agreements (For Possible Action)162163 (1) Young K Difi, DMD1641 65 Board Counsel went over the proposed stipulation agreement. On behalf of DSO recommends approval.166

June 27,2014 Board Meeting Minutes Page 3 of 12

1 67 MOTION: Dr. Sifi made the motion to approve. The motion was seconded by Mrs. Gufflen. All were in favor of the1 68 motion.

170 (2) Adam Lousignont, DMD171172 Board Counsel went over the proposed amendment of the previously approved disciplinary stipulation agreement.173 On behalf of DSO recommends approval.1741 75 MOTION: Dr. Blasco made the motion to approve. The motion was seconded by Dr. Sifi. All were in favor of the176 motion.177178 (3) Kayla Mai, DDS1791 80 Board Counsel went over the proposed stipulation agreement. On behalf of DSO recommends approval.1811 82 MOTION: Dr. Sifi made the motion to approve. The motion was seconded by Mrs. Wark. All were in favor of the183 motion.184185 (4) Kermeth Hill, DDS1861 87 Board Counsel went over the proposed stipulation agreement. On behalf of DSO recommends approval.188169 MOTION; Dr. Pthrher made the motion to approve. The motion was seconded by Dr. Pisani. Discussion: Dr. Miller1 90 inquired if the management company had also agreed to amend the errors in question. Mr. Hunt indicated that there1 91 is no mechanism to hold the management company partially responsible without the process of holding a hearing1 92 and allowing the Board to submit a complaint directly to the Secretary of State. All were in favor of the motion.1931 94 (5) Gary Toogood, DDS195196 Board Counsel went over the proposed stipulation agreement. On behalf of DSO recommends approval. Counsel for1 97 Dr. Toogood was present.1981 99 MOTION: Dr. Sifi made the motion to approve. The motion was seconded by Dr. Blasco. All were in favor of the200 motion.

202 *c. Request to Amend the Stipulation Agreement(s) pertaining to the reimbursement of203 investigative and monitoring cost payments and their due dates:204205 (1) John Mack, DDS206207 Board Counsel indicated that Dr. Mack is asking for additional time to submit the reimbursement payments. Dr.208 Mack approached the table. Board Counsel continued to explain the breakdown that Mr. Mack is seeking. All other209 provisions are to remain in full affect.210211 MOTION: Dr. Sifi made the motion to approve to amend the prior stipulation agreement to adopt the amendments212 as presented by Mr. Hunt and that all other provisions to remain in effect. The motion was seconded by Mrs. Wark.213 All were in favor of the motion.214215 (2) Adam Lousignont, DMD21621 7 Dr. Lousignont was present for the meeting and approached the table. He went over the amendments. All other21 8 provisions are to remain in full affect.219220 MOTION: Dr. Pisarii made the motion to approve the amendments for the payment schedule and all other221 provisions to remain in full affect. The motion was seconded by Dr. Pinther. All were in favor of the motion.222


223 *5 New Business (For Possible Action)224225 MOTION: Dr. Mifier made the motion to go out of order to (5) (b). The motion was seconded by Mrs. Gufflen. All226 were in favor of the motion.227228 *b. Overview and Discussion with Director of Military and Veterans Policy Office of the Governor229 (For Possible Action)230231 (1) Caleb S Cage232233 Mr. Cage approached table to address the Board. Mr. Caleb thanked the Board for their time. He indicated that a234 memorandum was provided to the office staff recently and to the public (attached for the record). He commented235 that they received a grant last year to increase avenues of entry to be able to produce better employment for veterans236 based on their experience and skills. He noted that a bifi is to be presented to introduce license by reciprocity for237 military, which wifi not deter the standards by which one may qualify for licensure in the state.238239 Board Counsel indicated to Mr. Cage that the Board is currently seeking a BDR for the Spouses of Mffitary240 personnel. Furthermore, that the Governors’ executive order covers the spouses of military personnel. He suggested,241 perhaps, the Governor could issue an executive order under NRS 629 for all military personnel to all health care242 licensing Boards for those whom have been providing care in the military. Mr. Hunt commented that they could243 seek a BDR to include returning veterans. Dr. Mifier commented to Mr. Cage that it would have to be up to the244 licensing boards to start creating new pathways for the military veterans to obtain licensure upon returning from245 service. Mr. Cage indicated that they would want the language to include the implementation of his proposal.246 Additionally, that he appreciates the Boards willingness to be accommodating. Mr. Hunt noted that from a legal247 standpoint, the initial language could be produced from the Governor’s office, in case the Board is not able to obtain248 aBDR.249250251 MOTION: Mrs. Villigan made the motion to return to agenda order (5)(a). Motion was seconded by Mrs. Wark. All252 were in favor.253254 *a. Request for an Advisory Opinion regarding Informed Consent for Minors pursuant255 to NAC 631.2237 and NAC 631.230 -NAC 631.279 (For Possible Action)256257 (1) Tyree Davis, DDS, Dental Director-Nevada Health Centers258259 Dr. Bryce Putnam was present, on the behalf of Dr. Davis, to present the request for the advisory opinion. Dr.260 Putnam explained that they have a unique practice as they are a federally qualified health facility. Also, that they261 have a mobile bus they utilize to go to the rural areas to see patients under the age of 18. Some of these patients are262 brought by relatives (i.e. brothers, sisters, aunts, uncles, etc.) which unless it is an emergency they require parental263 consent before providing treatment. (Information provided for the record and can be found in the public materials264 book). He added that there was nothing concrete regarding the consent and from whom they can seek consent from265 prior to providing treatment. He inquired if based on the document provided, would it be valid to grant the dentists266 permission without them risking their abifity to practice and to avoid potential penalty.267268 Board Counsel indicated that they must have informed consent from the parent or legal guardian. Unless, however,269 in the event of an emergency. Dr. Putnam inquired if phone/verbal consent would be valid. Board Counsel noted to270 Dr. Putnam that the regulation states that if a patient is a minor the consent must be from the parent or guardian;271 the regulation, however, does not require that it be in writing. Board Counsel noted that the Board cannot approve272 what has been presented, but rather will provide what they interpret the statute to read.273274 MOTION: Board Counsel indicated that it is the Board’s opinion that informed consent as set forth in 631.2237,275 either verbal or written consent without the necessity of a notary is acceptable. Dr. Blasco approved Board276 Counsel’s statement for the motion. The motion was seconded by Dr. Pinther. All were in favor of the motion.277278 MOTION: Dr. Sifi made the motion to take a Recess: 10:37. Motion was seconded by Mrs. Wark. Return: 10: 50 am


279 *c. Appointment of “Representative” to monitor decedent’s (Yalila Ismail, DMD) dental practice-280 NRS 631.385 and NAC 631.273 (For PossibleAction)281282 (1) Bradley Strong, DDS283284 Mrs. Shaffer-Kugel indicated to the Board that Dr. Ismails’ wife, on or about May 27th contacted the board that Dr.285 Ismail passed away. Board Counsel commented that they would like to appoint a representative to ensure that the286 office is running in compliance. Mrs. Shaffer-Kugel noted that this scenario is different because Dr. Ismail currently287 has a stipulation agreement. Board Counsel stated an attorney contacted him that he represented Mrs. Ismail.288 However, the board has not received notice from Mrs. Ismail of her intent to run the practice since Dr. Ismail’s289 passing; however, Dr. Ismail has a current/outstanding stipulation agreement. He noted that Dr. Strong is the290 original DSO and monitors the practice per the stipulation agreement. He commented to the Board that this291 appointment would grant him the authority to monitor the entire practice and not just the areas of concern as292 addressed in the stipulation agreement.293294 MOTION: Ms. Solie made the motion to approve. Motion was seconded by Ms. Gufflen. All were in favor of the295 motion.296297 *d. Request for six (6) month extension for reactivation of specialty dental license-NRS 631.250298 (For Possible Action)299300 (1) Jennifer Cha, DMD301302 Dr. Cha was present and approached the table. Mrs. Shaffer-Kugel reminded the Board that they entertained a303 motion to reactivate her specialty license with an additional request to extend that approval to not take effect until304 June 2014. She noted that in May she sent Dr. Cha a letter to remind her that effective June l’~ her specialty license305 would be activated and her general dental license would expire. Dr. Cha indicated that she had some issues with one306 full mouth restoration and the patient only wanted to be treated by her. Board Counsel indicated that the specialty307 license has already been activated and she wifi have to resolve the issue of her patients. Mrs. Villigan suggested308 having those patients travel to California to be treated under her general dental license.30931 0 MOTION: Dr. Pisani made the motion to reject the request. Motion was seconded by Dr. Mifier. All were in favor of311 themotion.312313 *e. Approval for Dental Licensure by ADEX — NRS 631.240(l)(b)(1) (For Possible Action)314315 (1) ScottAChavezDMD31 6 (2) Brian P Mantor DMD317 (3) Nicholas G Ruana DMD318 (4) Trevor H Smith DMD319320 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.321322 MOTION: Mrs. Villigan made the motion to approve. Motion was seconded by Dr. Blasco. All were in favor of the323 motion; Dr. Pinther abstained.324325 *f~ Approval for Dental Licensure by WREB — NRS 63l.240W(b)(2) (For Possible Action)326

(1) Em A Anderson DMD (7) Hans P Gray DDS(2) Deepa M Assandas DMD (8) Jeffrey W Higbee DMD(3) JuIiaJ Baek DMD (9) Lily Hoang DMD(4) Russell R CannonJr DMD (10) Allison E Tomlin DMD(5) Jacqueline S Delaney DMD (II) Keaton M Tomlin DMD(6) Anthony P Gabriel DMD (12) Naman Zia Ebrahimi DMD

12 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.


3 MOTION: Ms. Solie made the motion to approve. Motion was seconded by Ms. Gufflen. All were in favor of the4 motion; Dr. Pinther abstained.567 *g. Approval for Specialty License by Application — NRS 631.250 (For Possible Action)8

(1) Tenny Balabegian DDS - Orthodontics(2) Gfri Chelian DDS — Orthodontics(3) Giridhara K Chittivelu DMD — Orthodontics

12 (4) Brian P Mantor DMD — Periodontics13 (5) Travis M Sorensen DDS — Oral & Maxillofacial Surgery141 5 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.1617 MOTION: Ms. Gufflen made the motion to approve. Motion was seconded by Dr. Sifi. All were in favor of the1 8 motion; Dr. Pinther abstained.

20*h. Approval of Limited License for Post-Graduate Residency Program (Dental) — NRS 631.271

22 (Pending 90-Day Completion) (For Possible Action)23

(1) Erin Ma DMD (6) Andrewj Vaughn DMD(2) Mackenzie A Porter DMD (7) Duc-Vinh Vo DDS(3) Erica D Robinson DMD (8) NamThien QVu DDS(4) Jeong H Seo DMD (9) Richard B WittyJr DMD(5) Byron H Tam DDS (10)Jessica K Wu DDS

12 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.34 MOTION: Dr. Blasco made the motion to approve. Motion was seconded by Mrs. Villigan. All were in favor of the5 motion; Dr. Pinther abstained.678 ¶. Approval of Limited License for Supervision of Live Continuing Education Course —

9 NRS 631.2715 (For Possible Action)

(1) Mandy L Holley DDS — LVI Global

1 3 Dr. Pinther indicated that he reviewed the application; it met the criteria, and recommended approval.1415 MOTION: Dr. Sifi made the motion to approve. Motion was seconded by Dr. Pisani. All were in favor of the motion;16 Dr. Pinther abstained.

j. Approval for Dental Hygiene Licensure by ADEX — NRS 631.300(l)(b)Q) (For Possible Action)

(1) Felise A Scrivener RDH2223 Dr. Pinther indicated that he reviewed the application; it met the criteria, and recommended approval.2425 MOTION: Dr. Blasco made the motion to approve. Motion was seconded by Ms. Gufflen. All were in favor of the26 motion; Dr. Pinther abstained.2728


29 *k. Approval for Dental Hygiene Licensure by WREB — NRS 631.300(1)(b)(2)30 (For Possible Action)

(1) Ashley K Bresciani RDH (7) Jessica E Hemnilngsen RDH(2) Christine B Camama RDH (8) Hifiarie AJones RDH(3) Stacia M Dinmiltt RDH (9) Whitney R Lewis RDH(4) Brooke A Grubmueller RDH (10) Ryan Palmer RDH(5) Kimberly M Hart RDH (11) Brooke M Smith RDH(6) Kelsey M Hawkes RDH (12)Amanda E Tippetts RDH

12 Dr. Pinther indicated that he reviewed the applications; they met the criteria, and recommended approval.34 MOTION: Ms. Gufflen made the motion to approve. Motion was seconded by Mrs. Wark. All were in favor of the5 motion; Dr. Pinther abstained.67 *1. Approval of Voluntary Surrender of License — NAC 631.160 (For Possible Action)8

(1) Alt Alvin DDS (7) Helene Marret RDH(2) Jeffrey R Spifiers DDS (8) LindaJ Mifis RDH(3) Dana L Atkinson RDH (9) Lynne F Nielsen RDH(4) Margaret G Henley RDH (10) Wendy L Perry RDH(5) Susan R Horvitz RDH (11) Jifi M Schwieters-Kelly RDH(6) Susan A Lavell RDH (12) LindaJ Simpson RDH

2 MOTION: Mrs. Wark made the motion to approve. The motion was seconded by Mrs. Villigan. All were in favor of3 the motion.

5 ~m. Reactivation of dental hygiene license — NAC 631.170(3) (For Possible Action)67 (1) CM Pang Wu RDH89 Mrs. Shaffer-Kugel indicated that Ms. Wu has held an inactive license since 2012, and has not practiced.

1011 MOTION: Mrs. Villigan made the motion to approve. Motion was seconded by Mrs. Wark. All were in favor of the12 motion.13

*n. Approval of Public Health Endorsement — NRS 631.287 (For Possible Action)

16 (1) Ngoc B Kelsch, RDH — Huntridge Teen Clinic — Teen Scene Saturdays171 8 MOTION: Ms. Gufflen made the motion to approve. Motion was seconded by Ms. Solie. All were in favor of the19 motion.

*0. Approval for Anesthesia-Temporary Permit — NAC 631.2254 (For Possible Action)

2223 *Q) Conscious Sedation2425 (a) Erikj Smith, DMD26 (b) Brian P Mantor, DMD27 (c) Brittany Wilson, DDS2829 Dr. Mifier recommended approval.3031 MOTION: Mrs. Wark made the motion to approve. Motion was seconded by Dr. Blasco. All were in favor of the32 motion; Dr. Miller abstained.


33 *p. Approval for Anesthesia-Permanent Permit — NAC 631.2233 (For Possible Action)3435 ~ (1) Conscious Sedation3637 (a) Christopher Lamb, DMD38 (b) KyungMKim,DDS3940 Dr. Mifier recommended approval.

42 MOTION: Ms. Gufflen made the motion to approve. Motion was seconded by Dr. Pisani. All were in favor of the43 motion; Mifier abstained.4445 ~q. Approval for a 90-Day Extension of Anesthesia Permit — NAC 631.2254(2)46 (For Possible Action)4748 * (1) General Anesthesia (For Possible Action)4950 (a) Travis Sorensen, DDS5152 *(2) Conscious Sedation (For Possible Action)5354 (a) Bibiana Ezeanolue, DMD5556 Mifier recommended approval of item (1) and (2).5758 MOTION: Mrs. Villigan made the motion to approve. Motion was seconded by Dr. Pisani. All were in favor of the59 motion. Mifier abstained

62 *r Approval for travel to the OSAPJtme 2014 Meeting, Minnesota (retroactive)63 (For Possible Action)6465 (1) Leslea Villigan, RDH6667 MOTION: Ms. Guillen made the motion to approve. Motion was seconded by Mrs. Wark. All were in favor of the68 motion.6970

~s. Report from Timothy Pinther, DDS, Secretary-Treasurer regarding the North East Regional

72 Board June Meeting in Maryland (For Possible Action)7374 Dr. Pinther indicated that he attended the NERB meeting in Maryland. He briefly went over some of the changes that75 wifi be made to the exam. He indicated that a new proffle is to be fified out by the board members.7677 MOTION: Ms. Gufflen made the motion to accept the report. Motion was seconded by Mrs. Wark. All were in favor78 of the motion.

81 *6. Resource Group Reports8283 *a. Le~is1ative and Dental Practice (For Possible Action)84 (Chair: Dr. Pinther; Dr. Champagne; Dr. Blasco; Dr. Kinard; Mrs. Gufflen, Mrs. Wark)8586 No report87


*b Legal and Disciplinary Action (For Possible Action)

(Chair: Dr. Kinard; Dr. Pisani; Dr. Sifi; Dr. Blasco; Mrs. Vffligan; Mrs. Wark)

91 providirg her with an92 updated list of their membership

94 *~ Examinations liaisons (For Possible Action)95 -

96 *Q) WREB Representatives (For Possible Action)97 (Dr. Blasco and Mrs. Solie)98

(a) Report from the Western Regional Examining Board (DERB) Meeting

01 Dr. Blasco’s report from the DERB MEETING (February 21, 2014 — Phoenix, Arizona)

03 WREB exam administered at 65 schools04 •38 states accept WREB — no Crown & Bridge05 •43 states accept NERB — no Perio06 •University of Utah stifi deciding07 •Pearson Vue is now going to administer the written portion of the WkEB exam08 •3-4 month window to take the written portion / results of WREB available in 72 his09 •Overall —2013 82% of the candidates taking the WREB exam passed 1st time1 0 3% never pass11 CTP — need all Board members to participate (October - January)12 - 20 graders/weekend x 9 weekends1314 From the ADA Rep:15 ADA — $12,000,00016 - Designed to go back to members as a benefit (for member success) — but exact allocation is ambiguous1 7 - Spending the funds to defer the cost of education & for access to care programs hasn’t been successful.1 8 - FTC is in favor of Corporate Dentistry

1 9 The fastest growing segment of the population is the 19 & under year old age group & for the 1st time since the ADA20 has been keeping stats, the 40-60 year old population is decreasing

21 Applications to dental schools plateaued 2 years ago, and last year the applicant number declined

22 New Mexico — entertained the concept of establishing a dental school — but it died in committee23 - Per NM legislation — they accept all exams2425 Texas — their annual board budget has risen from 3 to $6,000,00026 - 15,000 dentists, 800—1000 complaints to be investigated annually27 - 400 violations of Standard of Care

- They have hired a Dental Director to review files (full time job)

29 North Dakota — fighting against “Dental Therapists”. Lobbyists are targeting the weak, the new & the inexperienced30 legislators

31 North Dakota would like assistance with their Anesthesia Guidelines.

32 Arizona — they are experiencing a severe problem in the area of “over treatment”

33 Oklahoma — are requiring permits for assistants in Orthodontic, Oral Surgery and in General Dentistry practices


34 The Kellogg Foundation & the Pew Foundation have been involved in Ohio & New Mexico pushing to ftmd a 1½ year35 program for Mid-level Providers arguing there is a difference between “access to care’ & “wanting access to care”

36 California — for the first time, a public member of the board is president37 - Their board is to consist of 15 members. 8 doctors, 1 RDH, 1 RDA, 5 public members38 - The board has not been fified with the 15 members for years3940 DERB meeting indicated that they published their minutes from their last meeting. Once thing that changed that in41 endo, they now accept 1.5mm past the apex. Now accepted in 38 states and ‘WREB now accepted in 41 states. They42 are constantly coordinating states to accept/offer the WREB exam. Pearson view is to be administering the written43 portion for seniors to take in their final year. An applicant will know if they passed prior to them cleaning their44 operatory. (11:35) New Mexico accepts all exams offered in the US.4546 *(2) APEX Representatives (For Possible Action)47 (Dr. Kinard)4849 Dr. Kinard indicated that his report was as Dr. Pinther stated from his trip.5051 #d. Continuing Education (For Possible Action)52 (Chair: Dr. sifi; Dr. Blasco; Dr. Pisani; Mrs. Villigan; Ms. Solie)5354 Dr. Sifi indicated that they had a meeting earlier that morning and that they wiil be making a recommendation to the55 Board regarding dental hygiene the local anesthesia courses reviewed and discussed.5657 ~ Committee of Dental hygiene (For Possible Action)58 (Chair: Mrs. Gufflen; Mrs. Villigan, Ms. Solie; Dr. Sifi)5960 No report6162 *f Specialty (For Possible Action)63 (Chair: Dr. Pisani; Dr. Mifier; Dr. Pinther)6465 No report6667 *g. Anesthesia (For Possible Action)68 (Chair: Dr. Miller; Dr. Pinther; Dr. Champagne, Dr. Kinard)6970 Dr. Mifier indicated that there was a request from a provider regarding the pediatric sedation regulations and the71 Board’s consideration of possibly reviewing them. He went over some of the requirements that are currently in place72 in thirteen (13) different states regarding monitoring for CO2, and moderate conscious sedation for pediatric patients.7374 ~ Infection Control (For Possible Action)75 (Chair: Mrs. Villigan; Dr. Blasco; Dr. Champagne; Dr. Pisani; Ms. Solie; Mrs. Wark)7677 Mrs. Villigan indicated that they were trying to gather a committee meeting for August pL~ The meeting will be to78 review the inspection form and do some house cleaning. She indicated that during her trip to the OSAP meeting, she79 received positive feedback on the Board’s auditing process.8081 ¶. Budget and Finance Committee (For Possible Action)82 (Chair: Dr. Sifi, Dr. Pinther, Mrs. Wark, Mrs. Gufflen)8384 No report.85


86 8. Public Comment: Mrs.9eterson: announcement that she has stepped down as the director of DH program at the87 College of Southern Nevada as ofJune Pt.8889 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has90 been specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

9192 9. Announcements: Dr. Champagne commented to the Board of a potential conflict; he indicated that in the93 potential future he will be hiring a management service, and therefore, in the future he wifi abstain from any voting94 regarding management agreements.95 Mrs. Shaffer-Kugel announced to the Board members that the dental hygiene renewal portal will close at 11:5996 p.m. on Monday, June 30th~ She indicated to the Board that she will be on vacation next week, and that she has gone97 over everything that the Board may have questions on related with the Board with Rigo. And that they may contact98 him. Furthermore, that Rigo will be at the office to conduct the July 3~I teleconference.99 She reminded the Board members that the next official board meeting is Friday, August 1St

000102 *10. Adjournment (For Possible Action)

0304 MOTION: Mrs. Wark made the motion to adjourn. The motion was seconded by Dr. Pinther. All were in favor of the05 motion.06070809

11 Meeting adjourned at 11:50am1213 Respectfully submitted by:1415 _____________________________________1 6 Debra Shaffer-Kugel, Executive Director17


1 NEVADA STATE BOARD OF DENTAL EXAMINERS2 6010 South Rainbow Boulevard, Ste A-I3 Las Vegas, Nevada 8911845 Videoconferencing was available at the Board office, 6010 S Rainbow Boulevard, Suite A-i, in Las Vegas and at the6 Nevada State Board of Medical Examiners located at 1105 Terminal Way, Suite 301, Reno, NV 8950278 NOTICE OF PUBLIC MEETING9

Fridayjune 27, 20148: 03 am.

13 CONTINUING EDUCATION RESOURCE GROUP14 (Chair; Dr. J Stephen Sifi, Dr. Byron Blasco, Dr. Gregory Pisani, Leslea Villigan, RDH and Caryn Solie, RDH)

16 DRAFT MINUTES171 8 Please Note: The Nevada State Board of Dental Examiners may 1) address agenda items out of sequence to accommodate persons1 9 appearing before the Board or to aid the efficiency or effectiveness of the meeting; 2) combine items for consideration by the20 public body; 3) pull or remove items from the agenda at any time. The Board may convene in closed session to consider the21 character, alleged misconduct, professional competence or physical or mental health of a person. See NRS 241.030. Prior to the22 commencement and conclusion of a contested case or a quasi judicial proceeding that may affect the due process rights of an23 individual the board may refuse to consider public conunent. See NRS 233B.126.2425 At the discretion of the Chair, public comment is welcomed by the Board, but wifi be heard only when that item is reached and26 wifi be limited to five minutes per person. A public comment time will also be available as the last item on the agenda. The Chair27 may allow additional time to be given a speaker as time allows and in his/her sole discretion. Once all items on the agenda are28 completed the meeting wifi adjourn.

2930 Asterisks (9 denote items on which the Boardmay take action.31 Action by the Board on an kern may be to approve; deny amend~ or table.323334 1. Call to Order, roll call and establish quorum3536 Dr. Sifi called the meeting to order and Mrs. Shaffer-Kugel conducted the following roll call:3738 Dr.J Stephen Sifi Present39 Dr. Byron Blasco Present40 Dr. Gregory Pisani Present41 Mrs. Leslea Villigan Present42 Ms. Caryn Solie Present4344 Others present: John A. Hunt, Board Legal Counsel; Debra Shaffer-Kugel, Executive Director.4546 Public attendees: Anne Lincicome, NDHA; Sharon Peterson, CSN/NDHA; Alex Tanchek, on behalf of Neena Laxalt for47 the NDHA;JoannaJacob with Ferrari Public Affairs; Bryce Putnam, Nevada Health Centers; Ian Houston, Counsel for48 Dr. Toogood.49 2. Public Comment. Shari here as a resource to answer any questions they may have.50 ______________________________________________________________51 Note: No vote may be taken upon a matter raised under this kern of the agenda until the matter itself has52 been specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

5354 * 3. Review and Discussion regarding the development of standards and crkeria for post graduate dental55 hygiene local anesthesia and nitrous oxide Board courses (For Possible Action)5657 (a) Review approved post graduate local anesthesia courses for dental hygiene58 (b) Review approved post graduate nitrous oxide courses for dental hygiene

59 (c) Discussion for the development of standards and criteria for the Continuing Education Committee when60 approving post graduate dental hygiene local anesthesia and nitrous oxide courses6162 Dr. Blasco began the meeting indicating that they do not have any protocol set in place on what criteria they can use63 to guide them on approving local anesthesia and nitrous oxide courses. He indicated that in the last year they have64 accepted LA & N20 courses that were taken post-graduate, but they had no protocol to guide them. He indicated65 that the problem is that they cannot deny someone’s course if they don’t have a curriculum to go by. There is66 discussion on the mechanisms that the College of Southern Nevada (CSN) teaches which is what Truckee Meadows67 Community College (TMCC) bases their curriculum on. Dr. Blasco inquired on the requirements that must be met for68 the WREB and ADEX exams that enable a candidate fit to administer at the exam. He suggested, perhaps, following69 the same criteria as the examination agencies.70 Mrs. Peterson approached the committee and offered any information relevant to how the courses are taught,71 and discussed the writers behind the text books used at CSN when teaching their anesthesia and nitrous oxide72 courses.73 Dr. Blasco’s concern was the abffity to find or create criteria for those licensees who have completed a post-74 graduate course. He indicated that he wants to be sure that whichever post-graduate course is completed by a person75 for a permit, is a sufficient course for local anesthesia or nitrous oxide. Mrs. Shaffer-Kugel commented that they could76 draft language for the minimum requirements and send them to each school/entity where applicant took the course to77 see if the course curriculum meets the Boards’ minimum requirements. She further stated, that the Board could78 always set what requirements must be met in regulation.79 Mrs. Solie commented to the conmilttee that they should focus on the criteria they wifi require and what they80 wifi accept as the basic curriculum to approve a course. Dr. Blasco suggested perhaps looking at the criteria that81 WREB and ADEX uses to allow for candidates to sit for their anesthesia exam and/or administer during their clinical82 exam. Mrs. Peterson explained that ADEX only allows students to administer anesthesia for the exam. WREB, she83 further explained, offers and adniinisters a didactic clinical exam for anesthesia. Dr. Sifi indicated that one solution84 could be that the Board begins to accept the VJREB anesthesia exam. Dr. Blasco indicated that they could review the85 WREB anesthesia exam guidelines, and potentially consider adopting it. Mr. Hunt noted to the committee that the86 Board could change the regulation to adopt the set standard from WREBs Anesthesia exam and they could use that to87 base their approvals on. Mrs. Shaffer-Kugel indicated that the committee could review the standards of WREB and88 the other criteria from the schools to base their requirements. Dr. Sifi commented that for now, the committee could89 work on obtaining the WREB guidelines and, potentially, adding them into the regulation. Further, for the time being90 have Dr. Blasco use the WREB requirements as a guideline. Mrs. Peterson indicated that she will provide Mrs.91 Shaffer-Kugel with the WREB anesthesia guidelines. Dr. Blasco indicated that they will be recommending the ‘WREB92 anesthesia guidelines to the Board that these will be the temporary standard guidelines until the regulation can be93 changed.9495 4. Public Comment: No comments were made.9697 Note: No vote may be taken upon a matter raised under this item of the agenda until the matter itself has98 been specifically included on an agenda as an item upon which action may be taken. (NRS 241.020)

99 5. Announcements: No announcements.1001 01 *6. Adjournment (For Possible Action)1021 03 MOTION: Mrs. Villigan made the motion to adjourn. The motion was seconded by Dr. Blasco. . All were in favor of the1 04 motion.1051 06 Meeting adjourned at 8:51 a.m.1071 08 Respectfully submitted by:109110 __________________________

111 Debra Shaffer-Kugel, Executive Director112

NRS 631.220 Filing of application for license.

1. Every applicant for a license to practice dental hygiene or dentistry, or any of its special

branches, must,

(a) File an application with the Board at least 45 days before;

(1) The date on which the examination will be given; or

(2) If an examination is not required for the issuance of a license, the date on which

the Board is scheduled to take action on the application.

(b) Accompany the application with a recent photograph of the applicant together with the

required fee and such other documentation as the Board may require by regulation.

(c) Submit with the application a complete set of fingerprints and written permission

authorizing the Board to forward the fingerprints to the Central Repository for Nevada Records

of Criminal History for submission to the Federal Bureau of Investigation for its report.

2. An application must include all information required to complete the application.

Gregory Greenwood, DMD, PharmD, MaCSD

Date: June 30, 2014

Nevada State Board of Dental ExaminersDebra Shaffer-Kugel, Executive Director6010 S. Rainbow Blvd., Bldg. A, Ste. 1Las Vegas, NV 89118

Dear Nevada State Board of Dentistry,

I, Gregory Greenwood, am writing this letter petitiomng to appear before the board on the

August 1, 2014 meeting, in person. I would like an opportunity to explain and detail events that

led to the signing of a consent decree in December 2013 with the Louisiana State Board of

Dentistry. Currently, I am practicing dentistry iii the state of Louisiana, and my license is active

and iii good standing. I desire to activate my Nevada dental license and move to Nevada. I

attended UNLV dental school, lived in Las \7egus for 8 years, and own a home in Nevada.

I wish to briefly detail the events that led to the consent decree on my Louisiana dental

license in December 2013. I was performing IV conscious sedation in 5 different dental offices,

and due to lack of adequate help, the entries in my sedation drug log were transposed and logged

incorrectly. ~fh~ was discovered during the annual inspection by the state board investigator.

In addition, during the inspection, it was discovered that I did not fill out the proper DEA

import/export form to provide medications during the dental mission trips that I attend

I have since made the necessary adjustments in the way I practice IV sedation to comply with all

state, DEA, and federal laws.

Sincerely,

b~ ~• ~1) ~M,~

Gregory W. Greenwood, DMD, Phannl), MaCSD

r -.

I BEFORE THE NEVADA STATE BOAR]) OF DENTAL EXAMINERS

2 NEVADA STATE BOARD OF DENTAL

3 EXAMINERS,STIPULATION AGREEMENT

Complainant, CASE NO. 08-015985

vs.6

7 GREGORY W. GREENWOOD, DMD

8 Respondent.

9

10 IT IS HEREBY STIPULATED AND AGREED by and between GREGORY

11 GREEN WOOD, DMD (hereafter “Respondent”), in proper person, and the NEVADA STATE

12BOARD OF DENTAL EXAMINERS (hereafter “Board”), by and through the Board’s legal

13

14 counsel, JOHN A HUNT, ESQ., of the law firm of Fox Rothschild, LLP. do hereby stipulate and

15 agree:

16

17 On September 13, 2007, Respondent submitted an application for licensure pursuant to

18 NRS 631.240 to practice dentistry in the State of Nevada.

19

20 2. On January 29, 2008, Respondent received written notification the application for

21

22 licensure pursuant to NAC 631 .O50(2)c~b) was rejected and Respondent may petition the Board to

23 have the application considered at a properly noticed meeting.

24 SEP 02 200825

26

27 ____

GWG28 Pagelof8

Fox Rothschild LU’3100 Howard Hughes PadcwaySuite ~ RROSS 0v4777 08/20/08I.as Vegas, Nevada 19169

(.31 3. On March 13, 2008, Respondent appeared before the Board for consideration of the

2 application for a license to practice dentistry in the State ofNevada.

3

44. On August 22, 2008, Respondent pursuant to NAC 631.050(3), petitioned the Board to

6 have his application considered for a license to practice dentistry in the State ofNevada.

7

8 Respondent in order to be granted a license to practice dentistry in the State ofNevada

9has agreed to the following terms and conditions:

10

A. Respondent’s dental license shall be monitored for a period of eighteen (18)12 months. The monitoring period of eighteen (18) months shall be tolled for the

period of inactive practice. Respondent’s eighteen (18) month monitoring period13 begins when Respondent actively practices dentistry in the State of Nevada.

14 Respondent shall noti& the Board in writing within three (3) business days of alldental facilities Respondent is rendering dental treatment. Respondent shall allow

15 the Executive Director and/or an agent appointed by the Executive Director of theBoard to inspect Respondent’s records without notice during normal business

16 hours to insure compliance of this Stipulation Agreement.

17 B. During the eighteen (18) month monitoring period, Respondent agrees to submit

18 to random sampling of urine, hair and/or bodily fluids for non prescribe controlledsubstances when so ordered by the Executive Director of the Board. Respondent

19 shall be responsible for the costs incurred for the analysis of urine, hair and/or

20 bodily fluids.

21 i. In the event, Respondent fails to submit or present himself for randomdrug testing within six (6) hours of being served with an ordered from the

22 Executive Director of the Board, the Executive Director without any

23 further hearing or action by the Board, shall issue an Order of Suspensionof Respondent’s license to practice dentistry in the State ofNevada.

24 Respondent may petition the Board to reinstate Respondent’s suspended

25 license. Respondent shall also be responsible for any costs or attorney’sfees incurred in the event the Board has to seek injunctive relief to prevent26

27 N~S.BflE, ____

GWG28 Page2of8 SEP 02 200@

Fox RoIf~schhd £123800 Howard Hugiies Parkway

$00 RROSS 0v4777 08/20/08Las Vegas. Nevada 89160

I Respondent from practicing dentistry during the period in which hislicense is suspended. Respondent waives any right to seek judicial

2 review to reinstate his privilege to practice dentistry in the State of Nevada

3 pending a final Board hearing to determine whether to reinstateRespondent’s suspended license.

4ii. In the event, any test or analysis of bodily fluids taken from Respondent

test positive, indicating the presence of a controlled substance (not6 pursuant to a valid prescription), the Executive Director of the Board,

without any further hearing or action by the Board, shall issue an Order7 suspending Respondent’s license to practice dentistry in the State of

8 Nevada. Respondent may petition the Board to reinstate Respondent’ssuspended license. Respondent shall also be responsible for any costs or9 attorney’s fees incurred in the event the Board has to seek injunctive relief

to prevent Respondent from practicing dentistry during the period in10 which his license is suspended. Respondent waives any right to seek

11 judicial review to reinstate his privilege to practice dentistry in the State ofNevada pending a final Board hearing to determine whether to reinstate12 Respondent’s suspended license.

13 iii. Respondent agrees to submit to the Board on the first business day of each

14 month during the eighteen (18) month monitoring period a written log ofall patients who have receive a piPescription for more than 12 units of a

15 controlled substance for each treatment visit. The log should include thefollowing information:

16

17 1. patient’s name2. date of issuance

18 3. units and amount of controlled substance issued; an4,4. treatment rendered to patient ~~EP 0 2 200&

19

20 Failure to submit the written logs by the first business day of eachmonth will result in the issuance of an Order suspending Respondent’s license to

21 practice dentistry in the State of Nevada by the Executive Director of the Board,without any further hearing or action by the Board. When Respondent has

22 submitted the required logs and is otherwise compliant with the terms and

23 conditions of the Stipulation Agreement, the Executive Director of the Board,without any further hearing or action by the Board will issue an Order reinstating

24 Respondent’s license to practice dentistry in the State of Nevada,

25 C. Respondent, agrees to reimburse the “Board” for the cost of the monitoring of this

26

27 ___

GWO28 Page3of8

Fox Rothschild LLP3800 Howard Hug)~ev ParkwaySuite 500 RROSS 0v4777 08/20/08Las Ve~as~ Nevada 89169

(Stipulation Agreement in the amount of One Thousand Five Hundred ($1,500.00)Dollars. This amount shall be delivered to the “Board” within thirt~’ (30) days of

2 adoption of this Stipulation Agreement by the Board.

3D. In the event Respondent defaults on any of the payments set forth in Paragraph C,

4 Respondent agrees his license to practice dentistry in the State of Nevada shallautomatically be suspended without any further action of the Board other thanissuance of an Order of Suspension by the Executive Director. Respondent agrees

6 to pay a liquidattd damage amount of Twenty Five Dollars ($25.00) for each dayRespondent is in default on the payment(s) of any of the amounts set forth in

7 paragraph upon the issuance of the Order of Suspension. In addition to the

8 liquidated damage amount of Twenty Five Dollars ($25.00) for each dayRespondent is in default on the payment(s) of any of the amounts set forth in9 Paragraph C, Respondent j~ursuant to NAC 631.029 shall pay a reinstatement fee

of two hundred ($200.00) dollars. Upon curing the default of the applicable10 defaulted paragraph, Respondent’s license to practice dentistry in the State of

11 Nevada will automatically be reinstated by the Executor Director of the Board,assuming there are no other violations of any of the provisions contained in this

12 Stipulation. Respondent shall also be responsible for any costs or attorney’s feesincurred in the event the Board has to seek injunctive relief to prevent Respondent

13 from practicing dentistry during the period in which his license is suspended.

14 Respondent agrees to waive any right to seek injunctive relief from either theNevada Federal District Court or the Nevada State District Court to reinstate his

15 license prior to curing any default on the amounts due and owing.

16 B. In the event, Respondent fails to cure any defaults in payment within forty-five

17 (45) days of the default, Respondent agrees the amount may be reduced tojudgment.

18F. Respondent waives any right to have the amount owed pursuant to Paragraph 6

19 discharged in bankruptcy.

20

21 CONSENT

22 6. Respondent has read all of the provisions contained in this Stipulation Agreement and

23agrees with them in their entirety.

24 (‘LS0BIJE25 SEP 02 200ft26

27 _____

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Fox Rothschild LLP3800 Howrd Hughes Pnrb.,aySoilt 500 RROSS 0v4777 08/20108LasVcgAs,NevadaSPl69

Si1 7. Respondent is aware by entering into this Stipulation Agreement he is waiving certain

2 valuable due process rights contained in, but not limited to, NRS 631, NAC 631, NRS 23 3B and

3NAC 233B.

4

5

6 8. Respondent expressly waives any right to challenge the Board for bias in deciding

7 whether or not to adopt this Stipulation Agreement in the event this matter was to proceed to a

8 fullBoardhearing.

SEp 02

9. Respondent and the Board agree any statements and/or documentation made or

12 considered by the Board during any properly noticed open meeting to determine whether to

13 adopt or reject this Stipulation Agreement are privileged settlement negotiations and therefore

14 such statements or doc~entation may not be used in any subsequent Board hearing or judicial

15

16 review, whether or not judicial review is sought in either the State or Federal District Court.

17 -

18 10. Respondent acknowledges he has read the StipUlation. Respondent acknowledges he has

19 been advised he has the right to have this matter reviewed by independent counsel and he has

20 ha&ample opportunity to seek independent counsel. Respondent has been specifically informed

21

22 he should seek independent counsel and advice of independent counsel would be in

23 Respondent’s best interest. Having been advised Of his right to independent counsel, as well as

24 had the opportunity to seek independent counsel, Respondent hereby acknowledges, by his own

25 free will, he is consenting to the Stipulation without independent counsel,

26

27 _____

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Fox Rothschild LLP3200 Howard Hoabos ParkwaySuite 500 RROSS 0v4777 08/20108Lao Vegas, Nevada 89169

7Th

I ___________

GWG2

311. Respondent acknowledges he is consenting to this Stipulation Agreement voluntarily,

4without coercion or duress and in the exercise of his own free will.

6

7 12. Respondent acknowledges no other promises in reference to the provisions contained in

8 this Stipulation Agreement have been made by any agent, employee, counsel or any person

9affiliated with the Nevada State Board of Dental Examiners.

10

11

12 13. Respondent acknowledges the provisions in this Stipulation Agreement contain the entire

13 agreement between Respondent and the Board and the provisions of this Stipulation can only be

14S modified, in ~iting, with Board approval.

15

16

17 14. Respondent agrees in the event the Board adopts this Stipulation Agreement he hereby

18 waives any and all rights to seek judicial review or otherwise to challenge or contest the validity

19 of the provisions contained in the Stipulation.

SEP 02 200o

22 15. Respondent and the Board agree none of the parties shall be deemed the drafter of this

23 Stipulation Agreement. In the event this Stipulation Agreement is construed by a court of law or

24 equity, such court shall not construe this Stipulation Agreement or any provision hereof against

25 any party as the drafter of the Stipulation Agreement. The parties hereby acknowledge all parties

26

27 _

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Fox Rothschild LLP3800 How,sd ifuglics ParkwaySuite 500 RROSS 0v4777 08/20/08L.a Vcgas, Nevada 19169

I have contributed substantially and materially to the preparation of this Stipulation Agreement.

2

16. Respondent specifically acknowledges by his signature herein and by his initials at the4

bottom of each page of this Stipulation Agreement, he has read and understands its terms and

6 acknowledges he has signed and initialed of his own free will and without undue influence,

7 coercion, duress, or intimidation.

8

917. Respondent acknowledges in the event the Board adopts this Stipulation Agreement, this

10

~ Stipulation may be considered in any future Board proceeding(s) or judicial review, whether

12 such judicial review is preformed by either the State or Federal District Court(s).

13

14 18. This Stipulation Agreement will be considered by the Board in an open meeting. It is

15

16 understood and stipulated the Board is free to accept or reject the Stipulation Agreement and, if

17 the Stipulation Agreement is rejected by the Board, further disciplinary action may be

18 implemented. This Stipulation Agreement will only become effective when the Board has

19 approved the same in an open meeting. Should the Board adopt this Stipulation Agreement, such

20 adoption shall be considered a final disposition of a contested case and will become a public

21record.

22

23III

24

25

26

27 _____

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Fox Rothschild LU’3S00 Howard Rushes Parkway - SEP 0 2Suito 500 RROSS 0v4777 08/20/08Las Veps. Hevath 29169

I

Disapproved____________

SEP 02 20D$

Fox Rothscbild LLP~eOO Howard Eu~hes ParkwaySuite 500Las Vegas, Nevada X9169

Page 8 of 8GWG

‘S.. 7I

2

Rothschild, LLP.

DATED this~ day of Aus 2008.

~-

GREGORY GREENWOOD, DMD

by a vote of the Nevada State Board of Dental Examiners at a properly noticed meeting.

Board Counsel

1 0~This foregoing Stipulation Agreement was:

Approved___________

I

IDATED this ~.2~?Iay of

INEVADA STATE

21

DENTAL EXAMINERS

2:

RROSS 0v4777 08/20/08

Name &.*r€c5Pn.j j,Ja’~i4cct (~r-~~p j,jzok Current Phone

Complete Mailing Address — ____________________

I, (9req frçM.j k~Jo4’~— &,-e.,t.,i,..wo≤L ,wish to reactivate my inactive~~~ ental Hygiene (circle one) license number

which was placed on inactive/retired status on ‘1 / ~ ) . I certi~’ (choose one below):

V’ 1 have maintained an active license and practice (active license and working) outside the state of Nevada during the periodmy Nevada license has been inactive;

Requirements for reactivation are:1. Payment of the reactivation fee of $200 in addition to the current active license fees. You will need to contact the Board office for

confirmation of the correct fees to pay;2. Provide a list of employment during the time the Nevada license was inactive;3. Submit proof of current. CPR certification (online certification is NOT acceptable);4. Submit proof of completion of continuing education credits as follows (courses must be completed within the previous 12 months);

a. If reactivating between July 1” and December 3l~ of the current renewal year, 10 credits for dentists (a minimum of 7 MUST belive-instruction) /7.5 credits for hygienists (a minimum of 5.25 MUST be live-instruction);

b. If reactivating between January 1’~and June 30th of the current renewal year, 20 credits for dentists (a minimum of 14 MUST belive-instruction) / 15 credits for hygienists (a minimum of 12 MUST be live-instruction);

5. Provide a current self query report from the National Practitioners Data Bank;6. Provide certification from each jurisdiction in which you currently hold a license (expired, inactive, retired, etc.) to practice dentistry or

dental hygiene, that the license is in good standing and that no proceedings which may affect that standing are pending;7. Provide letters of recommendation from two (2) licensed dentists;

______ I have not maintained an active license and practice (no active license and not working) for one or more years outside the

state of Nevada during the period my Nevada license has been inactive or retired;Requirements for reactivation are:

1. For licenses on inactive/retired status for less than 2 years:a. Complete items (1) through (5) above.

2. For licenses on inactive/retired status for 2 years or more:a. Complete items (1) through (5) above;

- b. Pass such additional examinations for licensure as the Board may prescribe.

Isertifluhat during the period of___________________ through __________________ (the period my license was inactive/retired), I had

• - - filing(s) or service or claim(s) 4 complaint(s) of malpracticeoe~either in the State of Nevada or anyjurisdiction outside the State of Nevada. FULL DISCLOSURE OF EACH SUCH CASE MUST BE ENCLOSED WITH THISREACTIVATION APPLICATION.

I authorize and empower the Nevada State Board of Dental Examiners or its agent to contact any person, firm, service,agency, or the like to obtain information deemed necessary or desirable by the Board to verify any information contained inmy application to reactivate my inactive/retired license based npon this affidavit I acknowledge I have a continuingresponsibility to update all information contained in this application until such time as the Board takes action on thisapplication. Failure of an applicant to update the information prior to final action of the Board is grounds for subsequentdisciplinary action.

SIGNATURE OF LICENSEE ~ ~i’ b~~~4- DATE ? /ai 1)3SUBSCRIBED TO AND SWORN BEFOIIE ME, this ~ day of ,20 / 3

SEAL d~::::~;~ot__2;.—NOTARY PUBLIC IN AND FOR SAID COUNTY AND STATE

Rev 01/2013

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INevada State Board of Dental Examiners6010 S. Rainbow Blvd., Bldg. A, Ste. 1Las Vegas, NV 89118(702) 486-7044 (800) DDS-EXAM Fax (702) 486-7046

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APPLICATION TO REACTIVATE AN INACTIVE I RETiRED LICENSEA

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July 22, 2014

Debra Shaffer-KugelExecutive DirectorNevada State Board of Dental Examiners6010 South Rainbow BoulevardBuilding A, Suite 1Las Vegas, Nevada 89118

Dear Ms. Shaffer-Kugel,

On behalf of the staff and Board of Trustees of The Huntridge Teen Clinic, I am writing to express oursincere thanks for your donation in the amount of $50,000 for our Teen Dental Program.

This year The Huntridge Teen Clinic celebrates twenty years of providing free or nominal-cost medicaland dental care and counseling to disadvantaged teens. Our goal is to keep these kids in school byremoving impediments to academic success, such as dental pain and untreated disease. Most of today’steens will someday be employed in our community. We believe the work we’re doing will make thembetter, more dependable and more productive employees.

We recently upgraded our web site. Please visit us at huntridge.org to meet the staff and volunteers inour clinic who do so much to help disadvantaged teens. I am also enclosing a brief description of theTeen Dental Program.

We are dedicated to improving the lives of kids in need, both for them and for the future of ourcommunity. Thank you for supporting us in that mission and thanks again for the generous donation.

~1e&se CohVC’/ OU~

&eep apprec?a7CIbPl lm14ie_ j3oarcQ mewl hers

Be

~ecutive Director

2100 S. Maryland Parkway .- Suite 1 — Las Vegas, Nevada 89104702-732-8776 — Fax 702-369-2162

The Huntridge Teen Clinic

The teenage years are the most memorable years of our lives, but they can also be the most stressful.For teens from families in underserved areas with meager financial resources and no insurance, thestress is often compounded by untreated medical and dental needs and a lack of credible information.The U.S. Department of Health and Human Services has consistently reported that medical issues areamong the leading reasons why kids fall behind in school, and ultimately drop out. Specificallymentioned is chronic dental pain. The staff and Board of Trustees of The Fluntridge Teen Clinic aredetermined to help the underprivileged youth of our community as they grapple with these adult issues.Our goal is to ensure that underprivileged youth have an equally fair chance at academic and careersuccess.

Mission StatementThe mission of The Fluntridge Teen Clinic is to provide free or nominal-cost medical and dental careand counseling to uninsured, underserved and at-risk teenagers who are ineligible or unable to obtaincare otherwise.

HistoryThe Huntridge Teen Clinic is a 501(c)(3) nonprofit corporation established in October 1994 initially asa medical clinic. The dental clinic was added in 1998. The two clinics serve 2,500 teens per year.These are kids from families with meager financial resources, no insurance and few options. Seventy-eight percent are minority children and 93% live at or below the federal poverty level. They areamong the most vulnerable people in our society. In most cases, The Huntridge Teen Clinic representstheir only hope for the basic medical and dental care and counseling that most people take for granted.

Criteria for acceptance in either the medical or dental clinic is that the patient must be between the agesof twelve and eighteen, except the Clinic will continue seeing an existing patient through age nineteen.

Teen Dental ProgramThe dental clinic has four chairs in frilly-equipped dental operatories. A dental hygienist is employedby the Clinic who has been granted a Public Health Endorsement by the Nevada State Board of DentalExaminers.

For fillings, extractions, root canals and other restorative procedures requiring a licensed dentist, theClinic relies on a pool of volunteers from the community. These individuals unselfishly donate theirprecious time and skills to serve teens at the Clinic, or occasionally at their place of business. Toaugment our volunteer dentist program, the Clinic in 2009 entered into an Affiliation Agreement withUNLV School of Dental Medicine under which UNLV students and faculty spend one day per week atthe Clinic providing restorative care to our teens. This affiliation has proven so popular with studeniand faculty that IJNLV-SDM has requested that it be expanded to two days per week, as earl’autumn 2014.

The dental clinic charges $20 per visit and a $55 lab fee if crowns are required. Evenfees are often waived. There are no other charges for dental services.

Huntridge Homeless Adult ProjectIn 2008 The Huntridge Teen Clinic, in collaboration with UNLV School of Dental Medicine, beganproviding restorative dental care to homeless adults. Although treating adults is a departure from ourmission statement, we accepted this challenge because our clinic is unique: We have the facility, theequipment and an existing pool of volunteer dentists in place to do the work.

Oral health for homeless adults is more than a humanitarian issue. We believe that many, if not most,of the unemployed homeless would work if they could interview successfully. But interview success isnear impossible if one’s teeth are missing or unsightly. Many homeless people will not even go oninterviews because of embarrassment over unsightly teeth, resulting in hundreds of potentiallyproductive employees being excluded from meaningful employment. The cost to our community issubstantial, through the increased utilization of social services and unemployment benefits.

The Homeless Adult Project is funded separately from the Teen Medical and Dcntal Programs.Appointments occur on Saturdays only, so as not to interfere with the Teen Program, and are arrangedthrough a network of referring partners including Salvation Army, HELP of Southern Nevada, LasVegas Rescue Mission and several area churches. For hundreds of homeless people in our community,the Project represents an opportunity to break the cycle of poverty and dependence.

The waiting list is an indication of the need for dental services among homeless adults in ourcommunity. It is currently seven months long.

Corporate GovernanceThe Huntridge Teen Clinic is governed by a Board of Trustees consisting of nine community leaderswho (1) are involved in medicine or dentistry, (2) work with adolescents as counselors, educators ormentors or (3) offer an expertise critical to the Clinics success. The Board meets ten times annually;

The Huntridge Teen Clinic2100 South Maryland Parkway, No. 1Las Vegas, Nevada 89 104-3225

Phone: 702-732-8776 Fax: 702-369-2162

Steve Williams, Executive DirectorPhone: 702-575-0640

E-mail: huntridge~flvcoxmai1.comWeb Site: www.huntridge.org

Federal Tax Exemption: 88-0329221I

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AAVOAdopt a Vet Dental Program

Debra Shaffer, Executive DirectorNevada State Board of Dental Examiners6010 S. Rainbow Blvd., Suite AlLas Vegas, NV 89118

Dear Debra:

Thank you so much for selecting the Adopt a Vet Dental Program (AAVD) to receive a donation of$50,000 on June 26, 2014, resulting from your corrective action stipulation. Needless to say, we arevery grateful to receive these funds which will allow us to continue helping our low-incomeveterans with dental care that truly saves and transforms their lives.

The number of veterans enrolled at our Reno VA has increased from 38,000 last October to 56,000this year so far and only about 5% of them will quali~ for dental care. So the demand for dentalcare through AAVD has also increased as we continue to help low-income veterans who simplycannot afford to see a dentist. Although we have 110 dentists and specialists that have donatedover $1,179,300 in dental care services, AAVD is responsible for all the dental lab costs fordentures, partials, and crowns. Our dental labs donate when they can but because of the quantity ofveterans now going through our program, AAVD must pay for the dental lab services at negotiatedcosts. Also, AAVD pays a dentist at Medicaid prices or the HAWC Clinic at discount prices foremergency tooth extractions (if we cannot get it donated) when a veteran is faced with a criticalmedical situation from abscesses and infection. AAVD is pleased to tell you that over 385 low-income veterans have received either full-service and/or emergency dental care. However, ourwaiting list for veterans requiring full-service dental care is now up to 312 veterans and the waittime is approaching 3 years for dental care so our need for more dentists and funding continues togrow. The funds you have provided will make an enormous impact in helping so many moreveterans with dental care.

This May marked the fourth year in operation for AAVD. In June 2013, we merged with theNorthern Nevada Dental Health Program for continued stability and growth and we are excited tobe a part of this incredible organization. Our “grassroots” program has been successful because ofthe generosity and caring dental community while the necessary funding has been provided byprivate donations and grants. Unfortunately, we receive no funding from the State or FederalGovernment (including the VA) yet 99% of our referrals come from the VA.

Thank you again for making a huge positive impact on our program!

Sincerely,

Linda J. Haigh, FounderAdopt a Vet Dental Program

775.870.4358 775.870.4658 Fax j 5250 Nell Road, Suite 103, Reno, NV 89502

JulyID;2014”

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[email protected] I www.AdoptaVetDental.com

Nevada State Board of Dental Examiners

STATE OF

6010 S. Rainbow Blvd., Bldg. A, Ste. 1Las Vegas, NV 89118(702) 486-7044• (800) DDS-EXAM Fax (702) 486-7046

VOLUNTARY SURRENDER OF LICENSE

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KELLIE RICCARDINotary Public. State of Utah

Commission #675839My Commission Expires

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Documents

PUBLIC BOOK - Nevadadental.nv.gov/uploadedFiles/dentalnvgov/content/Public_Info/Meetin… · 71 Mrs. Shaffer-Kugel indicated that the draft minutes were in the board books for their