Indiana Board of Chiropractic Examiners s2

INDIANA STATE BOARD OF DENTISTRY AGENDA Will meet on Friday, April 1, 2011 at 9:00 a.m.

Indiana Professional Licensing Agency Indiana Government Center South 402 West Washington Street, Room W064 Indianapolis, Indiana

I. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 9:00 a.m.

II. ADOPTION OF AGENDA

III. ADOPTION OF THE MINUTES:

A. February 4, 2011

IV. APPEARANCES 9:15 a.m.

A. PROBATIONARY

1. Michael Edward Bajza, D.D.S., License No. 12009652A Administrative Cause No. 2005 DB 0011

2. Raymond Burris, D.D.S., License No. 12006355A Administrative Cause No. 2009 ISDB 0010

3. William Paul Cornils, D.D.S., License No. 12007331A Administrative Cause No. 2010 ISDB 0009

4. David S. Kilgore, D.D.S., License No. 12011506A Administrative Cause No. 2010 ISDB 0007

5. Christopher S. Leonard, D.D.S., License No. 12009363A Administrative Cause No. 2005 DB 0002

6. Byron Patrick Moore, D.D.S., License No. 12010628A Administrative Cause No. 2010 ISDB0014

7. Edward Mamaril, D.D.S., License No. 12008594A Administrative Cause No. 2008 ISDB 0001

8. Matthew Negrelli, D.D.S., License No. 1209878A Administrative Cause No. 2009 ISDB 0005

9. Clifford T. Salk, D.D.S., License No. 12006043A Administrative Cause No. 2010 ISDB 0002

10. Philip Ray Travis, D.M.D., License No. 12011406A Administrative Cause No. 2010 ISDB 0003

11. Teresa Michelle Watkins, D.D.S., License No. 12010271A Administrative Cause No. 2006 DB 0003

1 B. RENEWAL/REINSTATEMENT

1. Carrie Ann Klene, D.D.S. License No. 12010745A

C. APPLICATION

1. Andrea Joy Byrd, L.D.H.

V. ADMINISTRATIVE HEARINGS

A. Robin M. Thoman, D.D.S., License No. 12008941A 9:30 a.m. Administrative Cause No. 2010 ISDB 0016 Re: Complaint

B. Trevor Treasure D.D.S., License No. 12010719A 10:00 a.m. Administrative Cause No. 2007 DB 0002 Re: Petition for Modify Probation

C. Donald Eugene Rogers, D.D.S., License No. 12009523A 10:30 a.m. Administrative Cause No. 2011 IDB 0002 Re: Complaint

D. Michelle Tissot-Ebeyer, D.D.S., License No. 12010621A 11:00 a.m. Administrative Cause No. 2011 IDB 0001 Re: Complaint

E. Stephen Scott Hall, D.D.S., License No. 12009719A 11:15 a.m. Administrative Cause No. 2011 ISDB 0005 Re: Petitioner’s Motion to Dismiss Complaint

F. Charles J. Durham, D.M.D, License No. 12006254A 11:30 a.m. Administrative Cause No. 2010 ISDB 0018 Re: Emergency Suspension

G. Jill Reitmeyer, D.D.S. 11:45 a.m. Administrative Cause No. 2011 ISDB 0003 Re: Appeal of Denial of Licensure

VI. DISCUSSION

A. Terry L. Baker, D.D.S. Re: Waiver of Certification for Coronal Scaling and Caries Prevention

B. James R. Miller, D.D.S., M.S.D., Ph.D. State Oral Health Director Indiana State Department of Health Re: Representative of the Board

C. Frank R. Recker, D.D.S., J.D. Re: Advertising Regulations

D. IUSD Exec Com. Meeting Report for March 4, 2011

E. Oral Cancer Screening by a Licensed Dental Hygienist

F. Licensed Dental Hygienist Working For Multiple Dentists

G. Dental Office Practices

2 VII. APPLICATION REVIEW

A. Examination

B. Endorsement 1. Glen Frederic Abbott, II, D.D.S. 2. Jeremy Bruner, D.D.S. 3. Lana Marie DeSapio Rios, L.D.H. 4. James Goodpastor, D.M.D. 5. Peggy Jones, D.D.S.

C. Anesthesia and Sedation Permits 1. Terri A. Winn, D.D.S.

D. Dental Intern Permit

E. Mobile Dental Facility

F. Instructors License

G. Professional Corporations

VIII. PROBATIONARY REPORT

A. Lisa Agresta, L.D.H.

B. Courtney Carpenter, L.D.H.

C. Penelope Dunlap, D.D.S.

D. Marci Huth, L.D.H.

IX. CONTINUING EDUCATION

X. REPORTS

XI. OLD/NEW BUSINESS

XII. ASSOCIATION REPORTS

A. Indiana Dental Association

B. Indiana Dental Hygiene Association

C. Indiana Dental Assistants Association

XIII. ADJOURNMENT

Next Scheduled Meeting:

Friday, June 3, 2011 Indiana Government Center South 402 West Washington Street, Room W064 Indianapolis, Indiana