Commonwealth of Massachusetts s42

COMMONWEALTH OF MASSACHUSETTS

NOTICE OF THE REGULARLY SCHEDULED MEETING OF THE BOARD OF REGISTRATION IN DENTISTRY

October 4, 2017 239 Causeway Street ~ Room 417 A&B Boston, Massachusetts 02114

AGENDA

If you need reasonable accommodations in order to participate in the meeting, contact the DPH ADA Coordinator Beth Rabasco, Phone: 617-624-5291 in advance of the meeting. While the Board will do its best to accommodate you, certain accommodations may require distinctive requests or the hiring of outside contractors and may not be available if requested immediately before the meeting.

Time # Item Exhibits Contact

8:30 I CALL TO ORDER, DETERMINATION OF QUORUM, a.m. AND APPROVAL OF AGENDA 8:31 II EXECUTIVE SESSION (closed to the public)

The Board will meet in Executive Session as authorized pursuant to M.G.L. c. 30A, § 21(a)(1) for the purposes of discussing the reputation, character, physical condition or mental health, rather than professional competence, of an individual, or to discuss the discipline or dismissal of, or complaints or charges brought against an individual.

Specifically, the Board will discuss and evaluate the Good Moral Character of applicants for licensure.

Specifically, the Board will discuss and evaluate pending disciplinary complaints that involve patient records and treatment of patients.

Specifically, the Board will discuss and evaluate the physical condition or mental health of an individual whose license is on probation. 10:15 III M.G.L. c. 112, §65C SESSION (closed to the public)

BORID Regularly Scheduled Session Agenda, October 4, 2017 1 11:00 IV ADMINISTRATIVE MATTERS 1. Application for Dental Limited Intern Licensure: Dr. Elie St Albord 2. Application for Dental Licensure by Credential: Dr. Deepti Singh Applications, 3. Report from ADEX House of Representatives Reports, B. Young, 4. Review of CE Course on Safe and Effective Prescribing for Pain Memos, S. DuLong, Management—Dr. Howard Pactovis Draft Policy, S. Leadholm, 5. Clarification of Requirement for M-PDO Permit for Clinic Staff Draft K. Fishman 6. Bureau Staff Action Policy—Petition for “Retired” License Status Minutes 7. Probation Monitor Report 8. Review of Minutes—General Session of September 6, 2017 9. Review of Minutes and Approval of Recommendations— Complaint Committee General Session of September 6, 2017 12:10 V FLEX SESSION p.m. 12:15 VI COMPLAINT RESOLUTION p.m. 1. DEN-2013-0062: Dr. Zaher Hammoud S. Leadholm, Memos, 2. DEN-2014-0010: Dr. Roger Desilets L. Seeley- Investigation 3. SA-INV-11394: Dr. Richard Blasé Murphy, Reports, 4. DEN-2016-0080: Dr. Jan Wade Gilbert E. Mulligan, Attachments 5. DEN-2016-0044: Dr. Lilia Fiat K. O’Connell 6. DEN-2016-0045: Danielle Brown, RDH 1:00 ADJOURNMENT p.m.

BORID Regularly Scheduled Session Agenda, October 4, 2017 2