DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Mina Adeline Abalos Mina Adeline Abalos DMD Dentist 5989 02/19/2010 Active Shirin Abboud Shirin Abboud DMD Dentist 7084 06/21/2018 Active Amin Hassan Abdallah Amin Hassan Abdallah DDS Limited License Dental LL-428-16 07/13/2016 Active Rizalyne May Abdelnour Rizalyne May Abdelnour DMD Dentist 6944 06/09/2017 Active Mary Wadie Abdou Mary Wadie Abdou DMD Dentist 5802 06/26/2009 Active Arthur Phillip Abdoulin Arthur Phillip Abdoulin DMD Dentist 6618 05/22/2015 Active Fethi Yonis Abdulahi Fethi Yonis Abdulahi DDS Dentist 7045 05/31/2018 Active Hamid Reza Abedi Hamid Reza Abedi DDS Specialty Dentist S7-79C 03/07/2013 Inactive Aimee Nicole Abittan Aimee Nicole Abittan DMD Dentist 6808 06/01/2016 Active James G Abraham James G Abraham II DDS Dentist 2210 07/01/1984 Active Laurie Beth Abrams Laurie Beth Abrams DMD Specialty Dentist S6-43 08/26/2005 Active David Abri David Abri DDS Dentist 5495 05/17/2007 Inactive Jason Randall Acevedo Jason Randall Acevedo DDS Dentist 4637 07/12/2004 Active Cesar Acosta Cesar Acosta DMD Dentist 5050 07/20/2006 Inactive Claudia Jeannette Acosta Lenis Claudia Jeannette Acosta Lenis DDS Dentist 7036 08/10/2018 Active Bryan Hale Adams Bryan Hale Adams DMD Dentist 5583 07/26/2007 Inactive Nathan Grant Adams Nathan Grant Adams DMD, MD Specialty Dentist S2-142C 11/10/2015 Active Richard Kenney Adams Richard Kenney Adams DDS Dentist 2561 03/21/1990 Active Timothy Cid Adams Timothy Cid Adams DMD Specialty Dentist S7-88C 05/22/2015 Active Travis Brent Adams Travis Brent Adams DDS Dentist 7022 02/02/2018 Active Aaron Urban Adamson Aaron Urban Adamson DMD Specialty Dentist S2-134C 07/31/2015 Active Anupama Valluru Adusumilli Anupama Valluru Adusumilli DDS Dentist 6081 08/20/2010 Active Nader Djamal Afshari Nader Djamal Afshari DDS Dentist 3179 07/14/1997 Active Shahriar H Agahi Shahriar H Agahi DMD Dentist 6795 05/25/2016 Active Arash Aghakhani Arash Aghakhani DDS Specialty Dentist S6-158C 12/22/2017 Active Gary Clyde Aglietti Gary Clyde Aglietti DMD Dentist 0726 03/01/1973 Active Robert Howard Ahlstrom Robert Howard Ahlstrom DDS Specialty Dentist S5-01 01/01/1978 Active Moni Ahmadian Moni Ahmadian DMD Dentist 6216 06/22/2012 Active Tazeen Shazreh Ahmed Tazeen Shazreh Ahmed DMD Dentist 6912 06/16/2017 Active Ji Hyun Ahn Ji Hyun Ahn DDS Limited License Dental LL-383-14 10/03/2014 Active Jeffrey M Akey Jeffrey M Akey DDS Dentist 2384 07/14/1987 Inactive Troy Ernest Aland Troy Ernest Aland DDS Dentist 4651 09/17/2004 Active Anderson Gustavo Alas Anderson Gustavo Alas DDS Dentist 4159 04/30/2002 Active Rosalynd Alatorre Rosalynd Alatorre DMD Dentist 4859 01/24/2006 Active Samer Bashir Albadawi Samer Bashir Albadawi DMD Dentist 6736 01/20/2016 Inactive Lina Munem SaeedNSBDE Albander Lina Munem Saeed Albander DMD Dentist LIST6855 10/12/2016 Active Jonathan David Albaugh Jonathan David Albaugh DMD Dentist 6142 06/30/2011 Inactive Jabran Alemi Jabran Alemi DDS Specialty Dentist S5-34 11/30/2012 Active Christina Marie Alexandroff Christina Marie Alexandroff DMD Dentist 5594 08/17/2007 Inactive Jacqueline Ann Alford Jacqueline Ann Alford DMD Specialty Dentist S6-162C 05/18/2018 Active Jason William Alford Jason William Alford DMD Dentist 7064 05/11/2018 Active Christelle Youssef Alhwayek Christelle Youssef Alhwayek DMD Dentist 6678 07/08/2015 Active Daniel Bryce Alldredge Daniel Bryce Alldredge DMD Dentist 5871 02/06/2009 Active Jessica Suzanne Allen Jessica Suzanne Allen DMD Specialty Dentist S4-89 08/01/2014 Inactive Mark Algene Allen Mark Algene Allen DDS Dentist 2784 07/26/1993 Active James Brian Allman James Brian Allman DDS Dentist 2358 07/15/1986 Active

1 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Sunbrite Dental 560 N Nellis Blvd E8 06/30/2019 Northwest Reno Smiles 5150 Mae Anne Ave Ste 810A Limited License Dentist 06/30/2019 1350 Kelso Dunes Ave Apt 315 06/30/2019 10479 Foggy Glen Ave 06/30/2019 6355 Bright Nimbus Avenue 06/30/2019 Smile Designers of Las Vegas 5670 W Flamingo Rd Ste B 06/30/2019 3029 Katonka Dr S7 - Endodontist 06/30/2019 3141 Michelson Dr Suite #1803 06/30/2019 Aimee Abittan 3405 Market St. 102 06/30/2019 Park City Dental Spa 1526 Ute Blvd #212 S6 - Pediatric Dentist or Pedodontist 06/30/2019 208 Satin Mist Ct 06/30/2019 3808 W Riverside Dr #501 06/30/2019 Jason R Acevedo, DDS LLC 897 Ironwood Dr Suite #203 06/30/2019 1065 Colorado Ave Ste 3 06/30/2019 3080 St Rose Pkwy Apt 1190 06/30/2019 Central Florida Oral & Maxillofacial Surgery 610 N. Mills Ave #100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Elko Dental Specialists 2575 5th St Ste B 06/30/2019 Richard K Adams DDS 8072 W Sahara Ave Suite B S7 - Endodontist 06/30/2019 Summit Boulevard Dental 13985 S St Ste 806 06/30/2019 The Reno Dentist 855 W 7th St Ste 200 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Mountainside Oral & Maxillofacial Surgery 290 Brinkby Ave Ste 1 06/30/2019 10030 Gold Cup Lane 06/30/2019 Nader Afshari DDS Las Vegas 1 inc. dba Su Familia Dental 4161 south eastern ave suite e8 06/30/2019 Dr. Daniel Boudai Family Dentistry 10933 Victory Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Aghakhani Dental Corporation 1811 S Rainbow Blvd Ste 101 06/30/2019 Park Dental Management Co 501 S Division St S5 - Prosthodontist 06/30/2019 Robert H Ahlstrom DDS MS 3701 Baker Lane Suite 2 06/30/2019 1640 Sewell Dr 06/30/2019 564 Bachelor Button St Limited License Dentist 06/30/2019 302 Treehouse Ct 06/30/2019 150 Alwine Ct 06/30/2019 Aland Family Dentistry 85 Continental Dr 06/30/2019 46469 Wallu Ln 06/30/2019 8525 Mayport Dr 06/30/2019 Sacramento Oral Surgery 1737 Professional Drive NSBDE06/30/2019 LIST11175 Messina Way 06/30/2019 2260 El Cajon Blvd #473 S5 - Prosthodontist 06/30/2019 Pine Plaza Dental 6015 S Fort Apache Road 130 06/30/2019 Alexandroff Dental 1630 SE Ensign Ln S6 - Pediatric Dentist or Pedodontist 06/30/2019 2197 Manzanita Ln 2197 Manzanita Ln 06/30/2019 11119 Pentland Downs St 06/30/2019 Access Health Dental Sunset 3481 E Sunset Rd Ste 101 S4 - Periodontist 06/30/2019 Great Expressions Dental Center 2525 Wycliff Ave 107 06/30/2019 Mark A. Allen, DDS 1701 County Rd Suite K 06/30/2019 TMJ Therapy and Sleep Center of Nevada 401 W Peckham Ln

2 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89110 (702) 459-0303 Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/12/2009 Reno NV 89523 (775) 747-0680 Henderson NV 89014 (702) 968-1682 (702) 968-5277 California-University of California at San Francisco School of Dentistry 06/10/2016 Las Vegas NV 89135 (702) 877-0500 Las Vegas NV 89139 (702) 362-9353 (702) 360-3721 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89103 (702) 304-1234 (916) 435-1734 Pennsylvania-University of Pittsburgh School of Dental Medicine 05/24/2014 Antioch TN 37013 (615) 730-9393 Irvine CA 92612 (909) 613-1183 Carson City NV 89706 (775) 461-1180 (775) 461-1181 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Park City UT 84098 (435) 615-8500 (702) 933-0596 Marquette University 05/20/1984 Las Vegas NV 89144 (702) 740-5437 (702) 796-5437 Tufts University 05/21/1995 Burbank CA 91505 (310) 275-0032 (310) 286-7003 California-University of School of Dentistry 08/06/2002 Minden NV 89423 (775) 783-0888 (530) 544-1709 USC 08/12/2003 Turlock CA 95380 (209) 250-2560 (209) 250-2460 University of Nevada Las Vegas 05/13/2006 Henderson NV 89052 (702) 968-5222 Orlando FL 32803 (407) 843-2261 South Carolina-Medical University of South Carolina College of Dental Medicine 05/19/2006 Elko NV 89801 (801) 262-7447 (775) 738-2731 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/15/2006 Las Vegas NV 89117 (702) 363-0757 (702) 363-0890 Creighton University 08/16/1985 Reno NV 89511 (775) 331-8400 (615) 353-2098 Pennsylvania-Temple University School of Dentistry 05/17/2007 Reno NV 89503 (775) 525-5692 Reno NV 89509 (775) 826-7833 (775) 826-6017 Illinois-Southern Illinois University School of Dental Medicine 06/05/2010 RENO NV 89521 (859) 415-4223 (775) 267-4588 Illinois-University of Illinois at College of Dentistry 05/10/2009 las vegas NV 89119 (702) 233-1222 (702) 233-1250 University of the Pacific 06/16/1996 North Hollywood CA 91606 (702) 259-5295 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las VEgas NV 89146 Carson City NV 89703 (775) 882-1195 (775) 882-3037 Pennsylvania-University of Pittsburgh School of Dental Medicine 06/01/1970 Reno NV 89509 (775) 827-8080 (775) 827-3640 University of the Pacific 06/01/1975 Reno NV 89521 (718) 670-1520 (718) 445-4147 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89138 (702) 964-3626 Henderson NV 89012 (702) 968-5244 (702) 968-5277 California-University of the Pacific Arthur A. Dugoni School of Dentistry 12/31/2013 Hiawatha IA 52233 (319) 390-3670 (319) 390-0248 University of Iowa 06/01/1987 Reno NV 89509 (775) 323-3366 (775) 463-4810 Creighton University 05/15/2004 Ahwahnee CA 93601 (909) 593-7561 (909) 447-7004 UCLA 09/16/1989 Las Vegas NV 89131 (702) 362-9974 (702) 362-0107 Tufts University 05/16/2004 Sacramento CA 95825 Pennsylvania-University of Pittsburgh School of Dental Medicine 05/29/2010 Reno NSBDENV 89521 (702) 658-2311 Massachusetts-Boston University Goldman School of LISTDental Medicine 09/25/2016 San Diego CA 92104 (951) 678-0790 Massachusetts-Tufts University School of Dental Medicine 05/18/2008 Las vegas NV 89148 (702) 473-1444 (760) 233-2206 California-University of California at San Francisco School of Dentistry 06/11/2006 Warrenton OR 97146 (503) 738-8783 (775) 332-8466 Oregon-Oregon Health and Science University School of Dentistry 06/08/2007 Reno NV 89509 Reno NV 89509 (702) 440-4102 Las Vegas NV 89141 (702) 636-5553 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89120 (435) 652-9105 (435) 652-9185 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Dallas TX 75219 (214) 219-3719 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Minden NV 89423 (775) 782-9177 (775) 782-2007 University of the Pacific 06/17/1984 Reno NV 89509 (775) 825-7200 (775) 825-7575 California-University of California at Los Angeles School of Dentistry 06/01/1986

3 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2019

Tennessee-Meharry Medical College School of Dentistry 05/21/2005

Michigan-University of School of Dentistry 04/26/2012

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/19/1994 Maryland-University of Maryland Baltimore College of Dental Surgery 06/30/1996 Nevada-University NSBDEof Nevada, Las Vegas School of Dental Medicine 05/13/2017 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014

4 DENTISTS 01/01/2019

BoardAction

NSBDE LIST

5 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Michael Glen Almaraz Michael Glen Almaraz DDS Specialty Dentist S4-30 06/19/1994 Active David Isaac Alpan David Isaac Alpan DDS Specialty Dentist S3-54 11/13/1998 Active Sana Yassen Alsaiegh Sana Yassen Alsaiegh DMD Dentist 6386 06/28/2013 Active Tanya Zuhair Al-Talib Tanya Zuhair Al-Talib DDS Specialty Dentist S3-281 11/25/2015 Active Michael A Alterman Michael A Alterman DDS Dentist 3490 07/12/1999 Active Ruth Alvarez Ruth Alvarez DDS Specialty Dentist S6-172 08/23/2018 Active Melissa Maria Amaral Melissa Maria Amaral DDS Dentist 4628 07/12/2004 Active Pejmon Amini Pejmon Amini DDS Dentist 4915 03/23/2006 Active John Joseph Amorati John Joseph Amorati DDS Dentist 4691 01/15/2005 Active Yoonji An Yoonji An DMD Dentist 6633 06/04/2015 Active Joyce Carol Anacker Joyce Carol Anacker DDS Dentist 4692 01/15/2005 Active Dennis Anastassatos Dennis Anastassatos DMD Dentist 0578 08/01/1968 Retired Nicholas Andreas Anastassatos Nicholas Andreas Anastassatos DDS Dentist 4627 07/12/2004 Active Christine Crisostomo Ancajas Christine Crisostomo Ancajas DDS Dentist 4830 11/15/2005 Active Bernard Tesorero Ancheta Bernard Tesorero Ancheta DMD Dentist 7092 06/29/2018 Active Lloyd Alexander Ancman Lloyd Alexander Ancman DMD Dentist 6077 08/20/2010 Active Ashley Michelle Anderson Ashley Michelle Anderson DMD Dentist 6439 06/28/2013 Active Brian Craig Anderson Brian Craig Anderson DDS Specialty Dentist S3-252 10/04/2013 Active Erin Aleksandra Anderson Erin Aleksandra Anderson DMD Dentist 6532 06/27/2014 Active Gary Dean Anderson Gary Dean Anderson DDS Dentist 2785 07/26/1993 Active Lowell Kay Anderson Lowell Kay Anderson DMD Specialty Dentist S2-46C 08/26/2005 Active Mykel Rae Anderson Mykel Rae Anderson DMD Dentist 6978 09/22/2017 Active Payden Blake Anderson Payden Blake Anderson DMD Dentist 6952 06/16/2017 Active Todd Jay Anderson Todd Jay Anderson DDS Dentist 6835 08/17/2016 Active Allison Yuriko Andresen Allison Yuriko Andresen DDS Specialty Dentist S5-38C 10/04/2013 Active Craig Kenneth Andresen Craig Kenneth Andresen DDS Specialty Dentist S5-39C 10/04/2013 Active Kevin Jay Andrews Kevin Jay Andrews DDS Specialty Dentist S3-45 09/20/1993 Active Kevin Michael Andrews Kevin Michael Andrews DMD Specialty Dentist S3-322 06/07/2018 Active Robert Lee Andrews Robert Lee Andrews Jr DDS Specialty Dentist S3-63C 08/06/2002 Inactive Meron Anghesom Meron Anghesom DDS Dentist 4345 01/22/2003 Active Nathan Michael Antoine Nathan Michael Antoine DMD Dentist 6915 06/09/2017 Active Adeel Anwar Adeel Anwar DDS Dentist 5952 07/16/2009 Active Lubna Amreen Anwar Lubna Amreen Anwar DDS Dentist 5695 06/27/2008 Active Rachel Lynne Appelblatt Rachel Lynne Appelblatt DDS Specialty Dentist S2-146C 03/31/2017 Active Gabrielle Cruz Aquino Gabrielle Cruz Aquino DMD Dentist 6760 05/25/2016 Active John Louis AraminiNSBDEJohn Louis Aramini DDS Dentist LIST2539 07/08/1989 Active Jubert Joseph Canete Aranas Jubert Joseph Canete Aranas DDS Dentist 6711 09/16/2015 Active Mark Stephen Aranbasich Mark Stephen Aranbasich DDS Dentist 2286 03/26/1985 Active Dennis John Arch Dennis John Arch DDS Dentist 672 08/06/1971 Retired Wesley Tremain Archer Wesley Tremain Archer DMD Specialty Dentist S6-166 08/02/2018 Active Afshin Arian Afshin Arian DMD Dentist 3321 07/13/1998 Active Spencer Darrell Armuth Spencer Darrell Armuth DMD Dentist 6586 03/20/2015 Active David Austin Arpin David Austin Arpin DDS Specialty Dentist S4-18 10/25/1996 Active Edward Dale Asdel Edward Dale Asdel DDS Specialty Dentist S7-81C 10/04/2013 Active Edugie Asemota Edugie Asemota DDS Dentist 6801 06/22/2016 Inactive Margaret Mary Ashe Margaret Mary Ashe DDS Specialty Dentist S7-26 03/30/1998 Inactive

6 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S4 - Periodontist 06/30/2019 Dr. Michael Almaraz 1675 Vista Ln S3 - Orthodontist 06/30/2019 150 N. Fuller Ave 06/30/2019 6527 Lokai Ave S3 - Orthodontist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Lane 06/30/2019 521 Pinnacle Heights Ln S6 - Pediatric Dentist or Pedodontist 06/30/2019 7958 Trail Head Dr 06/30/2019 Melissa M Amaral DDS 6580 S McCarran Blvd B 06/30/2019 15 Vintage Court 06/30/2019 1201 N Nevada St 06/30/2019 9909 Masterpiece Dr 06/30/2019 Glover Dentistry 525 Hammill Ln 06/30/2019 5960 Cartier Dr 06/30/2019 A Dentistry 6580 S. McCarran Blvd B 06/30/2019 11088 Village Crest Ln 06/30/2019 5055 S Lindell Rd Apt 2117 06/30/2019 CMR 467 Box 527 06/30/2019 Tyler M. Chistensen, DDS, PC 10521 Jeffrey's Street Suite 200 S3 - Orthodontist 06/30/2019 6339 Vinecrest Drive 06/30/2019 Brosy Family Dentistry 175 Cadillac Pl 06/30/2019 Gary D. Anderson DDS , Inc. 1625 Hwy 88 S2 - Oral and Maxillofacial Surgeon 06/30/2019 2848 N Foothill Dr 06/30/2019 Roseman University 4 Sunset Way Bldg C 06/30/2019 2875 Rice St 06/30/2019 Golpa Dental Implant Center 12222 N Central Expwy Suite 100 S5 - Prosthodontist 06/30/2019 1635 Belford Rd S5 - Prosthodontist 06/30/2019 1635 Belford Rd S3 - Orthodontist 06/30/2019 Kevin J Andrews, DDS, MS, PC 2125 Green Vista Dr #104 S3 - Orthodontist 06/30/2019 PSC 78 Box 3442 S3 - Orthodontist 06/30/2019 15722 Craighurst 06/30/2019 Summerlin Smiles 9525 W. Russell Road #100 06/30/2019 3098 Sterling Ridge Cir 06/30/2019 Eastern Family Medical & Dental Center 2212 S Eastern Avenue 06/30/2019 Care For You Dental 1597 E Windmill Ln Ste 100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Tahoe Oral Surgery Implant Center 591 Tahoe Keys Blvd Ste D4 06/30/2019 Aces Dental 6127 S. Rainbow Blvd, #100 NSBDE06/30/2019 John L Aramini, DDS LIST1620 Lakeside Dr 06/30/2019 522 White Heart Rd 06/30/2019 4200 Alta Dr 06/30/2019 95 Moore Ln S6 - Pediatric Dentist or Pedodontist 06/30/2019 12212 Capilla Real Ave 06/30/2019 10224 Hawk Bay Pl 06/30/2019 5737 Anniston Ave S4 - Periodontist 06/30/2019 Desert Dental Specialists 7520 W Sahara Ave S7 - Endodontist 06/30/2019 Green Valley Modern Dentistry 4301E. Sunset Rd 06/30/2019 RA Dental Studio 875 North main Street suite 358 S7 - Endodontist 06/30/2019 PO Box 2494

7 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Carson City NV 89703 (775) 882-3033 (775) 882-4449 University of Washington 06/13/1992 Los Angeles CA 90036 (213) 382-8228 (702) 804-0838 University of the Pacific 06/16/1996 Las Vegas NV 89130 (702) 453-7200 (702) 437-4022 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/19/2013 Las Vegas NV 89106 (702) 774-2677 (702) 546-5679 Louisiana State University 05/19/2001 Las Vegas NV 89144 (702) 388-8989 (949) 258-5218 USC 08/20/1996 Las Vegas NV 89113 (702) 979-9799 (702) 979-9823 California-University of California at Los Angeles School of Dentistry 06/14/2013 Reno NV 89509 (775) 825-9353 (775) 825-9397 Creighton University 05/15/2004 Las Vegas NV 89113 (702) 456-3218 Columbia University 05/19/2004 Carson City NV 89703 (775) 882-2290 (775) 882-1308 Ohio State University 06/12/1981 Las Vegas NV 89148 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Reno NV 89511 (775) 825-2227 (775) 825-5936 University of Minnesota 06/08/1991 Reno NV 89511 (775) 673-1059 University of Oregon 06/01/1968 Reno NV 89509 (775) 825-9353 (775) 882-4471 Creighton University 05/15/2004 Las Vegas NV 89135 (702) 651-5510 (702) 651-7383 Northwestern University 04/24/1993 Las Vegas NV 89118 (702) 641-0481 APO AE NV 09096 (301) 677-6078 (803) 751-6886 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NV 89052 (702) 331-2121 (702) 331-1616 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 UT 84121 (775) 753-4000 Iowa-University of Iowa College of Dentistry 06/03/2011 Reno NV 89509 (775) 826-1988 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Minden NV 89423 (775) 782-4144 (775) 782-0504 UCSF 06/01/1969 Provo UT 84604 (801) 943-8703 (775) 738-2731 University of Louisville 05/19/1970 Henderson NV 89014 (702) 968-5222 Logandale NV 89021 (702) 655-0331 Dallas TX 75243 (817) 563-5615 (817) 563-6744 Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 05/24/2013 Reno NV 89509 (775) 323-3574 California-University of California at Los Angeles School of Dentistry 06/11/2010 Reno NV 89509 (775) 323-3574 (775) 323-8233 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Sparks NV 89431 (775) 674-1444 (775) 674-1515 Loma Linda University 06/09/1988 APO AP 96326 (702) 968-5222 Oregon-Oregon Health and Science University School of Dentistry 06/20/2014 Houston TX 77059 (903) 455-0257 (281) 486-6592 Baylor University 05/30/1966 Las Vegas NV 89148 (702) 579-7645 (702) 579-7660 UCSF 06/15/2002 Sparks NV 89431 (775) 971-9282 Las Vegas NV 89104 (702) 735-9334 California-University of Southern California School of Dentistry 08/07/2007 Las Vegas NV 89123 (702) 575-0866 (805) 647-7164 California-University of Southern California School of Dentistry 08/07/2007 South Lake Tahoe CA 96150 (530) 541-4042 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Las Vegas NV 89118 (585) 922-4103 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Reno NSBDENV 89509 (775) 329-1222 (775) 329-6233 University of the Pacific LIST06/01/1989 Las Vegas NV 89148 (702) 338-1679 (940) 484-4585 California-University of Southern California School of Dentistry 05/13/2011 Las Vegas NV 89107 (323) 904-4800 323-904-4801 UCLA 06/01/1984 Reno NV 89509 (775) 826-7648 Northwestern University 06/01/1971 Las Vegas NV 89138 (702) 531-5437 Las Vegas NV 89144 (702) 880-4474 (702) 821-1499 Tufts University 05/18/1997 Shreveport LA 71105 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89117 (702) 384-7200 (702) 384-7593 UCSF 06/17/1990 Las vegas NV 89014 (702) 616-9655 California-University of Southern California School of Dentistry 08/18/1998 alpharetta GA 30009 (770) 475-4455 California-University of Southern California School of Dentistry 08/08/2006 Olympic Valley CA 96146 (760) 568-5928 UCSF 06/20/1992

8 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 05/26/2017 Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 06/04/2017 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Utah-Roseman University of Health Sciences 05/18/2018 Arizona-MidwesternNSBDE University 05/19/2017 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016

9 DENTISTS 01/01/2019

BoardAction

09/27/1990

01/24/2014 NSBDE LIST

10 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Douglas C Ashman Douglas C Ashman DDS Dentist 2329 07/16/1985 Active Stanley Steven Askew Stanley Steven Askew DDS Dentist 3348 01/20/1999 Active Jeffrey Douglas Askins Jeffrey Douglas Askins DDS, MS Specialty Dentist S3-265C 10/03/2014 Active Saba Parveen Asrar Saba Parveen Asrar DDS Specialty Dentist S3-215 07/14/2010 Active Meghrik Assadourian Meghrik Assadourian DDS Limited License Dental LL-470-18 06/21/2018 Active Deepa Manohar Assandas Deepa Manohar Assandas DMD Dentist 6518 06/27/2014 Active Steven Keith Aste Steven Keith Aste DMD Dentist 2629 03/27/1991 Inactive James Craig Aten James Craig Aten DDS Specialty Dentist S7-18 09/20/1993 Retired Michael A Atencio Michael A Atencio DDS Dentist 2691 07/09/1991 Active Farnaz Athari Farnaz Athari DDS Dentist 5629 11/01/2007 Active Farshad Athari Farshad Athari DDS Dentist 4826 10/10/2005 Active Parminder Singh Atwal Parminder Singh Atwal DMD Dentist 6740 02/17/2016 Active Salwa Mohammad-Ali Atwan Salwa Mohammad-Ali Atwan DDS, MS Specialty Dentist S6-54C 06/21/2007 Inactive Aaron Moody Atwood Aaron Moody Atwood DMD Dentist 5795 10/30/2008 Active Blaine Donald Austin Blaine Donald Austin DDS Specialty Dentist S2-115C 07/15/2011 Active Ryan Klomp Austin Ryan Klomp Austin DDS Specialty Dentist S2-152C 10/02/2017 Active Steven A Avena Steven A Avena DDS Dentist 2212 07/01/1984 Active Eric Allen Avitia Eric Allen Avitia DDS Dentist 5609 11/01/2007 Active Carrie Lynn Ayer Carrie Lynn Ayer DMD Dentist 5585 07/26/2007 Inactive Alvin James Ayers Alvin James Ayers DDS Dentist 4655 10/21/2004 Active Afshin Azimi Afshin Azimi DDS Dentist 3180 07/14/1997 Active Shideh Azimi Shideh Azimi DDS Dentist 3514 01/19/2000 Active Stacie Ann Baalbaky Stacie Ann Baalbaky DDS Dentist 4720 01/16/2005 Active William Nadim Baalbaky William Nadim Baalbaky DDS Dentist 4916 03/23/2006 Active Walter John Babula Walter John Babula Jr DMD, MS Specialty Dentist S3-154C 11/01/2007 Active Christopher Douglas Babych Christopher Douglas Babych DMD Dentist 5618 01/17/2008 Inactive Kristin Michelle Baca Kristin Michelle Baca DMD Dentist 6358 06/28/2013 Active Troy Richard Bacon Troy Richard Bacon DDS Dentist 6350 11/30/2012 Inactive Peter John Badalamenti Peter John Badalamenti DDS Dentist 6498 01/24/2014 Active Tommy Sunwoo Bae Tommy Sunwoo Bae DDS Dentist 7098 07/05/2018 Active Joon Baek Joon Baek DDS Dentist 6619 05/22/2015 Inactive Julia Joo Baek Julia Joo Baek DMD Dentist 6529 06/27/2014 Active Rachel Myungsun Baek Rachel Myungsun Baek DMD Dentist 6438 06/28/2013 Active Paige Theresa Bafus Paige Theresa Bafus DDS Dentist 5419 05/17/2007 Inactive Todd James Baggaley Todd James Baggaley DMD Specialty Dentist S6-107 08/12/2011 Active Steven Hadley BaileyNSBDESteven Hadley Bailey DMD Dentist LIST7108 09/07/2018 Active Megan Janee Baker Megan Janee Baker DMD Limited License Dental LL-409-16 06/15/2016 Active Susan Michelle Baker Susan Michelle Baker DDS Dentist 5796 10/30/2008 Inactive Arash Bakhaj Arash Bakhaj DDS Specialty Dentist S3-275 07/08/2015 Active Neema Bakhshalian Neema Bakhshalian DDS Specialty Dentist S4-103C 02/24/2017 Active Tenny Balabegian Tenny Balabegian DDS Specialty Dentist S3-261 06/27/2014 Active Jason Tyler Baldwin Jason Tyler Baldwin DDS Dentist 7069 06/07/2018 Active Kevin Dean Baldwin Kevin Dean Baldwin DDS Dentist 6402 05/10/2013 Active Edward Ramon Balle Edward Ramon Balle DMD Dentist 6086 08/20/2010 Active Peter Sebastian Balle Peter Sebastian Balle DDS Dentist 2628 03/27/1991 Active Leonid Banchik Leonid Banchik DMD Dentist 4566 01/21/2004 Active

11 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 6717 Desert Lily Cir 06/30/2019 Island Dental Center 9750 Covington Cross Dr #100 S3 - Orthodontist 06/30/2019 441 Tibbals Way S3 - Orthodontist 06/30/2019 4013 Lake Edge Way Limited License Dentist 06/30/2019 7837 Turtle Cove Ave 06/30/2019 Susan Schmutz Smith, DDS 8275 S Eastern Ave 101 06/30/2019 Steven K Aste, DMD, PC 4885 South 900 East #106 S7 - Endodontist 06/30/2019 1134 W Culver St 06/30/2019 Atencio Family and Sedation Dentistry 3773 Baker Ln Suite 3 06/30/2019 3365 Pepper Lane #102 06/30/2019 Pleasantsmiles 9530 S Eastern Ave #160 06/30/2019 222 Karen Ave Unit 2104 S6 - Pediatric Dentist or Pedodontist 06/30/2019 45361 Oak Forest Dr 06/30/2019 Urgent Dental 500 E Windmill Suites 130 A & B S2 - Oral and Maxillofacial Surgeon 06/30/2019 1811 N Forest Ridge Dr S2 - Oral and Maxillofacial Surgeon 06/30/2019 1427 East 2850 North 06/30/2019 3117 W Charleston Blvd 06/30/2019 Aary Dental 7945 W. Sahara Ave STE 101 06/30/2019 Willamette Dental Group 4164 Meridian St 06/30/2019 2205 Hilltop #106 06/30/2019 Dr. Azimi, DDS 701 E Charleston Blvd 06/30/2019 AZ Dental 701 E Charleston BLV 06/30/2019 65 Hawk Ridge Dr 06/30/2019 65 Hawk Ridge S3 - Orthodontist 06/30/2019 PO Box 73450 06/30/2019 2740 W Placita Sombra Chula 06/30/2019 Univesity Nevada School of Dental Medicine 1001 Shadow Ln 06/30/2019 Cascade Braces 1547 NE Market Dr 06/30/2019 Boca Park Dental 1000 S. Rampart Blvd 13 06/30/2019 Henderson Dental Group & Orthodontics 545 Marks St Ste 100 06/30/2019 4092 TPC Pkwy #848 06/30/2019 Love Dental 5680 W Flamingo Rd Ste A 06/30/2019 761 Viscanio Place 06/30/2019 Midwest dental 10 Liberty St S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dr. B's Dentistry for Children 5705 Centennial Center Blvd 140 NSBDE06/30/2019 LIST82 Ocean Harbor Ln Limited License Dentist 06/30/2019 1851 North Green Valley Parkway Apartment #1122 06/30/2019 1 Crossing Creek Drive S3 - Orthodontist 06/30/2019 618 Cervantes Dr S4 - Periodontist 06/30/2019 717 W Olympic Blvd Apt 1004 S3 - Orthodontist 06/30/2019 632 N Griffith Park Dr 06/30/2019 6120 Hellyer Ave Ste 150 06/30/2019 Baldwin Distinctive Dentistry 8670 W Cheyenne Ave Ste 205 06/30/2019 Gentle Dental 3041 E. Flamingo C & D 06/30/2019 Balle & Associates 2801 W Charleston Blvd Suite 100 06/30/2019 9935-D Rea Rd Ste 282

12 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Herriman UT 84096 (801) 878-1412 (801) 878-1318 Emory University 06/01/1985 Las Vegas NV 89144 (702) 341-7979 (702) 341-9266 USC 05/08/1992 Yerington NV 89447 (775) 829-8930 Creighton University 05/17/2003 Pflugerville TX 78660 (702) 575-7871 (702) 633-7420 Howard University 05/10/2003 Las Vegas NV 89128 (702) 774-2400 Las Vegas NV 89123 (702) 967-1700 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Salt Lake City UT 84117 (801) 261-1333 (801) 261-1845 University of South Carolina 06/01/1990 Phoenix AZ 85007 (602) 528-1209 (602) 252-7702 Loyola University 05/25/1981 Reno NV 89509 (775) 829-8684 (775) 829-8685 University of Nebraska 05/10/1991 Las Vegas NV 89120 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2007 Las Vegas NV 89123 (480) 830-3138 (702) 633-6079 Northwestern University 04/24/1999 Las Vegas NV 89109 (702) 453-7200 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Northville MI 48168 (734) 414-9554 (734) 414-9574 Michigan-University of Detroit Mercy School of Dentistry 08/01/1995 Las Vegas NV 89123 (702) 228-1106 (702) 541-9849 Kentucky-University of Kentucky College of Dentistry 05/08/2005 Layton UT 84040 (801) 399-3701 (801) 277-4505 Washington-University of Washington-Health Sciences School of Dentistry 06/12/1982 North Ogden UT 84414 (801) 399-3701 Las Vegas NV 89102 (702) 384-1210 (702) 384-1450 University of the Pacific 06/01/1984 Las Vegas NV 89117 (702) 363-0421 (702) 363-8951 Nebraska-University of Nebraska Medical Center College of Dentistry 05/04/2007 Bellingham WA 98226 (855) 433-6825 (808) 248-8917 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Redding CA 96002 (520) 404-0410 (530) 223-4057 University of Iowa 06/09/1967 Las Vegas NV 89104 (702) 759-0005 (702) 759-3495 USC 12/17/1996 Las Vegas NV 89104 (702) 759-0005 USC 08/19/1997 Las Vegas NV 89135 (702) 898-8448 (702) 369-8001 USC 05/14/2004 Las Vegas NV 89135 (702) 898-8448 (702) 369-8001 USC 05/13/2005 Fairbanks AK 99707 (702) 774-2690 (907) 451-7330 Pennsylvania-University of Pittsburgh School of Dental Medicine 05/29/1968 Tucson AZ 85745 (520) 573-1777 (520) 806-4098 Illinois-Southern Illinois University School of Dental Medicine 06/01/2002 Las Vegas NV 89106 (702) 774-2400 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Fairview OR 97211 California-University of Southern California School of Dentistry 09/15/2012 Las Vegas NV 89145 (702) 240-6200 (702) 360-0777 Wisconsin-Marquette University School of Dentistry 05/22/1988 Henderson NV 89014 (702) 425-3697 San Antonio TX 78261 (210) 248-0626 (562) 634-2880 California-University of California at Los Angeles School of Dentistry 12/09/2011 Las Vegas NV 89103 (702) 489-5460 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89138 (702) 313-6888 (702) 309-1893 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Deerfield WI 53531 (608) 467-4828 (702) 651-7383 New York- College of Dentistry 09/27/2004 Las Vegas NV 89149 (702) 998-7100 (702) 998-7101 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NSBDENV 89148 LIST Henderson NV 89074 (702) 895-3011 (541) 850-0930 Oregon-Oregon Health and Science University School of Dentistry 06/25/2010 Fairport NY 14450 (435) 656-2800 (435) 656-1155 Ohio-Ohio State University College of Dentistry 06/12/1987 Henderson NV 89014 (702) 701-7999 (702) 722-2277 California-University of Southern California School of Dentistry 05/11/2012 Los Angeles CA 90015 (888) 597-6775 Burbank CA 91506 New York-New York University College of Dentistry 05/18/2011 San Jose CA 95138 (408) 483-9879 Las Vegas NV 89129 (702) 360-3030 Ohio-Ohio State University College of Dentistry 06/12/2011 Las Vegas NV 89121 (702) 877-6608 (702) 877-0038 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89102 (702) 877-6608 (702) 877-0038 Case Western Reserve University 05/20/1990 Charlotte NC 28277 (702) 360-3178 Boston University 09/25/2003

13 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of California at San Francisco School of Dentistry 06/17/2018

Maryland-University of Maryland Baltimore College of Dental Surgery 05/15/2009 Tennessee-University of Tennessee College of Dentistry 06/13/2013

Nebraska-Creighton University School of Dentistry 05/12/2018

Pennsylvania-UniversityNSBDE of Pennsylvania School of Dental Medicine 05/13/2002 LIST

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2004

14 DENTISTS 01/01/2019

BoardAction

NSBDE LIST

10/21/2011

15 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Olya Banchik Olya Banchik DDS Dentist 4782 07/11/2005 Active Jake Henry Banks Jake Henry Banks DDS Dentist 6897 04/21/2017 Active Michael Paul Banks Michael Paul Banks DDS Dentist 2630 03/27/1991 Active Francesca Barbin Francesca Barbin DDS Dentist 4334 01/18/2003 Active Benjamin Joseph Barborka Benjamin Joseph Barborka DMD Specialty Dentist S7-95 01/04/2017 Active Ernesto Barbosa Ernesto Barbosa DMD Dentist 6060 07/14/2010 Active Rodolfo De-La-Pena Barbosa Rodolfo De-La-Pena Barbosa DMD Dentist 5710 07/17/2008 Active Daniel Casper Barcia Daniel Casper Barcia DDS Dentist 4836 11/15/2005 Active Linda Susan Barconey Linda Susan Barconey DDS Dentist 4975 06/26/2006 Active Afsoon Barkhordar Afsoon Barkhordar DDS Dentist 4338 01/22/2003 Retired Sandy Barnes Sandy Barnes DDS Dentist 6593 01/30/2015 Active Daniel Lawrence Barrett Daniel Lawrence Barrett DMD Dentist 6309 08/17/2012 Active Jeremy George Barrett Jeremy George Barrett DDS Dentist 6672 07/28/2015 Inactive Vernon delaCruz Barruga Vernon delaCruz Barruga DDS Dentist 3496 07/12/1999 Active Bruce Kirby Bartlett Bruce Kirby Bartlett DDS Dentist 2738 07/14/1992 Active Joseph Mark Barton Joseph Mark Barton DMD Limited License Dental LL-265-11 01/26/2012 Active Richard J Barton Richard J Barton DDS Dentist 2567 03/21/1990 Active Thomas Alan James Basora Thomas Alan James Basora DDS Dentist 4481 06/24/2003 Active Trevor Colin Basta Trevor Colin Basta DMD Dentist 6336 09/20/2012 Active Adam Rhees Bateman Adam Rhees Bateman DDS Specialty Dentist S2-104C 07/14/2010 Inactive Kayla Lynn Bateman Etman Kayla Lynn Bateman Etman DDS Specialty Dentist S3-309 07/14/2017 Active Roberto Giovanni Battaglin Roberto Giovanni Battaglin DMD Dentist 5125 09/21/2006 Active Silva Battaglin Silva Battaglin DMD Dentist 4191 05/31/2002 Active Jared Kenneth Bauerle Jared Kenneth Bauerle DMD Specialty Dentist S4-101C 11/02/2016 Active Nicholas Bradford Bauter Nicholas Bradford Bauter DMD, MS Specialty Dentist S3-282 12/23/2015 Active Nathan Ray Baxter Nathan Ray Baxter DDS Dentist 6158 07/12/2011 Active Gregory N Bayles Gregory N Bayles DDS Dentist 2264 09/19/1984 Active Brian Lee Beckstrom Brian Lee Beckstrom DDS Specialty Dentist S3-248 08/02/2013 Active Francis Matthew Beglin Francis Matthew Beglin DDS Specialty Dentist S3-75C 05/26/2005 Active Ali Behnoud Ali Behnoud DMD Dentist 5976 10/09/2009 Inactive Miriam Behpour Miriam Behpour DMD Dentist 7117 07/05/2018 Active Arturo Julian Bejarano Arturo Julian Bejarano DDS Dentist 4931 05/18/2006 Retired Kristen Lisa Beling Kristen Lisa Beling DDS Specialty Dentist S7-21 04/29/1996 Active Michael Dean Bell Michael Dean Bell DDS Dentist 2486 07/22/1988 Active Dianne Lynn Benedictson Dianne Lynn Benedictson DDS Dentist 7003 12/15/2017 Active Jeffrey Alan BenedictsonNSBDEJeffrey Alan Benedictson DDS Dentist LIST6850 10/05/2016 Active Ilya Benjamin Ilya Benjamin DMD Dentist 3724 09/25/2000 Active Christopher John Bennett Christopher John Bennett DDS Dentist 3323 07/13/1998 Active Brett Edward Benson Brett Edward Benson DDS Dentist 7136 09/24/2018 Active Carla Marie Benson Carla Marie Benson DMD Dentist 6181 08/08/2011 Active Keith John Benson Keith John Benson DMD Dentist 6059 08/20/2010 Active Saoly Xuan Benson Saoly Xuan Benson DDS Specialty Dentist S3-272 01/30/2015 Active Maria Jolet Domingo Berberabe Maria Jolet Domingo Berberabe DDS Dentist 2937 07/17/1995 Inactive Jale Berhanu Jale Berhanu DDS Dentist 4932 05/18/2006 Active Eric Bernzweig Eric Bernzweig DDS Specialty Dentist S4-17 10/25/1996 Active Cody Lee Richard Besso Cody Lee Richard Besso DMD Dentist 6570 08/01/2014 Active

16 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 9935-D Rea Rd, Ste 282 06/30/2019 2261 Pyramid Way Ste 3 06/30/2019 Banks Family Dentistry 811 S. Seventh Street 06/30/2019 5985 Thor Cir S7 - Endodontist 06/30/2019 UNLV School of Dental Medicine 1700 W Charleston Blvd 06/30/2019 City Dental 2272 S Nellis Blvd #2 06/30/2019 Healthy smiles 9620 S Las Vegas Blvd E14 06/30/2019 9780 Thesolious Ln 06/30/2019 5428 Angeles Vista Blvd. 06/30/2019 Afsoon Barkhordar DDS 6200 Wilshire Blvd Suite 900 06/30/2019 3930 McKinney Ave #214 06/30/2019 Daniel Barrett DMD 1601 lakeside dr 06/30/2019 417 Woodbridge St 06/30/2019 305 Onyx Crest St 06/30/2019 1290 Sandstone Dr Limited License Dentist 01/25/2019 LVI Global 1401 Hillshire Dr Ste 200 06/30/2019 8975 S Pecos Rd Ste 5A 06/30/2019 Sparks Family Dentistry, LLC 340 Pyramid Way 06/30/2019 Courtesy Dental 748 South Meadows Pkwy Ste 8 S2 - Oral and Maxillofacial Surgeon 06/30/2019 138 Fox Run Rd S3 - Orthodontist 06/30/2019 2151 Village Walk Dr #17305 06/30/2019 2251 S Ft Apache Rd Apt 2100 06/30/2019 900 Granger Farm Way S4 - Periodontist 06/30/2019 1981 Lone Tree Ln S3 - Orthodontist 06/30/2019 B Ortho 13981 S Virginia St Ste 405 06/30/2019 ClearChoice dental implant center 8200 E Belleview Ave #500 06/30/2019 9517 Cape Sable Ln S3 - Orthodontist 06/30/2019 575 Vella Ln S3 - Orthodontist 06/30/2019 Beglin Orthodontics 525 W Washington St 06/30/2019 Lumina Healthcare 7474 Shoreline Dr. Suite 1 06/30/2019 1545 Wigwam Pkwy Apt 2536 06/30/2019 5933 Coral Place S7 - Endodontist 06/30/2019 Sunset Endodontics 54 N. Pecos Suite B 06/30/2019 dr michael d bell 8068 W Sahara Ave Suite A 06/30/2019 Northwest Reno Smiles Dental Group 5150 Mae Anne Ave Ste 810A NSBDE06/30/2019 LIST2257 Concord Ave Jeffrey Benedictson 06/30/2019 Desert Dental 55 S Valle Verde Dr #250 06/30/2019 1530 SW Pine Ct 06/30/2019 Boca Dental & Braces 5642 S Eastern Ave Ste B 06/30/2019 6592 Horatio Court 06/30/2019 10800 Wolf Creek Rd Se S3 - Orthodontist 06/30/2019 The Art of Braces 5980 S Durango Dr Ste 124 06/30/2019 9846 Proud Clarion St 06/30/2019 11757 Knightsbridge Pl S4 - Periodontist 06/30/2019 6835 W Charleston Blvd 06/30/2019 1500 W Huffaker Ln

17 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Charlotte NC 28277 (702) 395-1088 (702) 360-3178 New York University 05/15/2003 Sparks NV 89431 (775) 358-0147 Las Vegas NV 89101 (702) 477-0844 (702) 477-0283 Meharry Medical College 01/30/1991 Las Vegas NV 89103 (702) 651-5510 (702) 492-1981 Northwestern University 04/24/1993 Las Vegas NV 89102 (702) 774-2731 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89104 (702) 522-9933 (702) 566-8883 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89123 (702) 522-9933 (702) 260-7936 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Reno NV 89521 (775) 787-8900 State University of New York 09/24/1976 Los Angeles CA 90043 (310) 672-7822 (310) 330-0722 UCSF 06/24/1979 Los Angeles CA 90048 (323) 935-2111 (323) 935-2414 UCSF 06/15/2002 Dallas TX 75204 (702) 835-1100 Tennessee-Meharry Medical College School of Dentistry 05/21/2011 reno NV 89509 (775) 329-1855 (775) 588-9993 Oregon-Oregon Health and Science University School of Dentistry 06/24/2011 San Luis Obispo CA 93401 (805) 347-4444 California-University of California at Los Angeles School of Dentistry 06/15/2012 Las Vegas NV 89145 (702) 240-6200 (702) 952-8118 Loma Linda University 06/07/1990 Wellington NV 89444 (408) 868-6336 (408) 868-0116 UCSF 06/13/1982 Las Vegas NV 89134 (904) 733-9144 (904) 739-2304 Florida-University of Florida College of Dentistry 05/23/1986 Henderson NV 89074 (702) 456-1147 (702) 456-5929 University of Nebraska 05/01/1987 Sparks NV 89431 (775) 359-3336 (775) 359-0755 Creighton University 05/18/1996 Reno NV 89521 (775) 851-9099 (775) 851-9055 Pennsylvania-Temple University School of Dentistry 07/05/2012 Bolton MA 01740 (801) 653-2929 Illinois-Northwestern Memorial Hospital 04/29/2000 Henderson NV 89012 (702) 735-1010 New York-New York University College of Dentistry 05/22/2013 Las Vegas NV 89117 (702) 878-0808 (702) 220-7926 Massachusetts-Boston University Goldman School of Dental Medicine 01/25/1998 Las Vegas NV 89145 (702) 870-5165 (702) 220-7966 Boston University 05/20/1990 Las Cruces NM 88011 (575) 522-2477 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Reno NV 89511 (775) 391-8996 (775) 246-8404 University of the Pacific 06/13/2004 Greenwood Village CO 80111 (702) 739-6654 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/11/2006 Las Vegas NV 89117 (702) 873-2358 UCLA 06/01/1984 Santa Clara UT 84765 (702) 425-4424 Ohio-Ohio State University College of Dentistry 06/12/2011 Carson City NV 89703 (775) 882-5911 Ohio State University 06/13/1997 Stockton CA 95219 (775) 813-2959 (775) 853-8060 Massachusetts-Tufts University School of Dental Medicine 05/17/2009 Henderson NV 89074 (702) 968-5222 Playa Vista CA 90094 (915) 772-0338 University of Texas 06/06/1981 Henderson NV 89074 (702) 436-4300 (702) 436-0334 UCLA 06/14/1985 Las Vegas NV 89117 (702) 256-7666 (702) 256-7666 Baylor University 06/01/1988 Reno NV 89523 (775) 747-0680 Brentwood NSBDECA 94513 (775) 825-7200 (925) 550-1395 Canada-University of Western Ontario LIST06/06/1995 Henderson NV 89012 (702) 260-1890 (702) 260-7936 University of Florida 05/28/1999 Warrenton OR 97146 (503) 861-6241 (775) 626-6564 Ohio State University 09/01/1994 Las Vegas NV 89119 (702) 456-0005 Las Vegas NV 89141 (702) 656-2301 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Albuquerque NM 87123 (505) 865-4618 (505) 925-4030 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89113 (702) 838-0707 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Las Vegas NV 89178 (702) 880-9532 Loma Linda University 06/08/1995 Loma Linda CA 92354 (702) 690-4487 (702) 690-4486 Northwestern University 04/29/1989 Las Vegas NV 89117 (702) 869-8200 (702) 869-0115 State University of New York-Stoneybrook 05/16/1993 Reno NV 89511 (775) 990-0446 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014

18 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011

Pennsylvania-University of Pittsburgh School of Dental Medicine 06/20/2009

California-UniversityNSBDE of California at San Francisco School of Dentistry 06/13/1993 LIST

Iowa-University of Iowa College of Dentistry 05/06/1989

19 DENTISTS 01/01/2019

BoardAction

09/21/2006 10/03/2014,11/15/2005

06/19/2015 NSBDE LIST 01/30/2015,06/21/2007

20 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Damian Victor Betancourt Damian Victor Betancourt DDS Dentist 2631 03/27/1991 Active Edgar Betancourt-Preval Edgar Betancourt-Preval DDS Dentist 6403 06/28/2013 Active Daniel Steven Bethers Daniel Steven Bethers DDS Specialty Dentist S7-69 12/04/2009 Inactive Hannah Beus Hannah Beus DDS Specialty Dentist S7-93 08/17/2016 Active Wilford Scott Biggs Wilford Scott Biggs DDS Specialty Dentist S7-63 07/17/2008 Active Crystal Lee Bill Crystal Lee Bill DMD Specialty Dentist S6-121 05/10/2013 Active Alan Scott Bills Alan Scott Bills DDS Dentist 4747 04/21/2005 Active Behzad Daniel Binafard Behzad Daniel Binafard DDS Dentist 4424 06/06/2003 Active Mark Joseph Birnbach Mark Joseph Birnbach DMD Limited License Dental LL-282-11 01/26/2012 Active George Abe Bitar George Abe Bitar DMD Dentist 6444 06/28/2013 Active Paul Bishara Bitar Paul Bishara Bitar DMD Dentist 5780 08/22/2008 Active Kline Calvin Black Kline Calvin Black DMD Dentist 5852 06/18/2009 Active Byron M Blasco Byron M Blasco DMD Dentist 2283 03/01/1985 Active Alex Dave Blazzard Alex Dave Blazzard DDS Dentist 4495 07/28/2003 Active Laurie Sue Bloch Laurie Sue Bloch DMD Dentist 3181 07/14/1997 Active Caroline Adelaide Bobbett Caroline Adelaide Bobbett DDS Dentist 2351 07/15/1986 Active John Lee Bocchi John Lee Bocchi II DDS Dentist 4783 07/11/2005 Active Judd Frederick Boehme Judd Frederick Boehme DDS Dentist 6640 06/19/2015 Active David Scott Bogenschutz David Scott Bogenschutz DDS, MS Specialty Dentist S3-302C 05/26/2017 Active Brian Christopher Bohman Brian Christopher Bohman DMD Dentist 5055 07/20/2006 Inactive Paul Gunnar Bohman Paul Gunnar Bohman DDS Specialty Dentist S2-156C 06/29/2018 Active Prashanti Bollu Prashanti Bollu DMD Specialty Dentist S3-228 08/12/2011 Active Michelle Bongiovi Michelle Bongiovi DMD Specialty Dentist S4-19 06/13/1997 Active Peter Stephen Bonifatto Peter Stephen Bonifatto DMD Dentist 7066 07/05/2018 Inactive George Evan Bonn George Evan Bonn DDS Specialty Dentist S2-19 06/01/1988 Retired Leonardo Carlos Ferrer Bordador Leonardo Carlos Ferrer Bordador DMD Specialty Dentist S3-193C 05/01/2009 Active Sarah Nazanine Borghei Sarah Nazanine Borghei DDS Dentist 6866 11/16/2016 Active Douglas Yale Bowen Douglas Yale Bowen DMD Dentist 7007 12/08/2017 Active Dennis Doyle Bowman Dennis Doyle Bowman DDS Dentist 0783 09/01/1974 Active Gregory A Bowman Gregory A Bowman DDS Dentist 2380 03/25/1987 Active Keith Edward Boyd Keith Edward Boyd DDS Dentist 7040 04/13/2018 Active Robert Keith Boyd Robert Keith Boyd DMD Dentist 6629 06/19/2015 Active Michael Peter Boyko Michael Peter Boyko DDS Dentist 4888 03/23/2006 Active Joshua Michael Branco Joshua Michael Branco DMD Dentist 5955 07/16/2009 Active Tina Marie Brandon-Abbatangelo Tina Marie Brandon-Abbatangelo DDS Dentist 3322 07/13/1998 Active Stephen James BranhamNSBDEStephen James Branham DDS Dentist LIST6590 01/30/2015 Active Puneet Brar Puneet Brar DMD Dentist 6784 05/25/2016 Active Gary Alan Braun Gary Alan Braun DMD, MS Specialty Dentist S5-25C 08/22/2008 Active Carmen Monique Brawley Carmen Monique Brawley DMD Dentist 6957 07/21/2017 Active Elizabeth Anne Fassburg Bray Elizabeth Anne Fassburg Bray DMD Dentist 6849 09/14/2016 Active Shannon Rene Brewer Shannon Rene Brewer DDS Dentist 6565 12/12/2014 Active Derryl R Brian Derryl R Brian DDS Dentist 4600 04/29/2004 Active Curtis Jenkins Brimley Curtis Jenkins Brimley DMD Specialty Dentist S7-96C 06/16/2017 Active Christopher Mark Bringhurst Christopher Mark Bringhurst DMD Dentist 5093 08/25/2006 Active Michael Edward Britting Michael Edward Britting DMD Dentist 6763 05/11/2016 Active William Douglas Brizzee William Douglas Brizzee DDS Specialty Dentist S7-19 10/01/1994 Active

21 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 10900 Desert Dove 06/30/2019 222 Karen ave 2704 S7 - Endodontist 06/30/2019 1519 W. Blue Duck Lane S7 - Endodontist 06/30/2019 High Desert Endodontics 4101 Caughlin Square Ste 2 S7 - Endodontist 06/30/2019 Micro Endodontics of Las Vegas 4455 North Tenaya 240 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Around the Mountain Pediatric Dentistry 1024 N San Fransisco St Suite 101 06/30/2019 North Hills Dental Group 1055 North Hills Blvd 06/30/2019 1161 Loma Vista Dr Limited License Dentist 01/25/2019 3782 Orange Ln 06/30/2019 930 Ross Loop D114 06/30/2019 2808 Saint Dizier Drive 06/30/2019 Dental Nation 3255 S. Eastern Ave. 06/30/2019 851 S Rampart Blvd Suite 240 06/30/2019 Alex D Blazzard DDS PC 840 Pinnacle Ct #6A 06/30/2019 Exceptional Dentistry 9501 Hillwood Dr. 06/30/2019 Caroline A Bobbett, DDS 8540 South Eastern Avenue #120 06/30/2019 Sierra Smiles 5465 Kietzke Ln 06/30/2019 Lemmon Valley Dental Group 280 Vista Knoll Pkwy Suite 114 S3 - Orthodontist 06/30/2019 1367 Cedarton Pkwy 06/30/2019 Bohman Orthodontics, PC 13605 Xavier Ln Suite D S2 - Oral and Maxillofacial Surgeon 06/30/2019 Ventura Oral Surgery Center 1280 S Victoria Ste 250 S3 - Orthodontist 06/30/2019 2892 Green Falls Ave S4 - Periodontist 06/30/2019 Michelle Bongiovi JBPHH 06/30/2019 940 Hancock Ave #14 S2 - Oral and Maxillofacial Surgeon 06/30/2019 908 Gatesbridge Ave. S3 - Orthodontist 06/30/2019 Seven Hills Orthodontics-Henderson 2799 Sunridge Heights Pkwy 06/30/2019 1545 W Wigwam Pkwy Apt 2124 06/30/2019 443 Raindance Dr 06/30/2019 PO Box 4461 06/30/2019 Lakes Family Dentistry 8010 W Sahara Ave Suite #230 06/30/2019 3003 Hwy 95 Ste 103 06/30/2019 Celebrate Dental & Braces 5900 W Cheyenne Ave 06/30/2019 Hospitality Dental Associates 4955 S. Durango Drive Suite 201 06/30/2019 10020 Gold Cup Ln 06/30/2019 7389 Silent Water Way NSBDE06/30/2019 LIST9877 Spider Creek Ct 06/30/2019 3885 S Decatur Blvd #1100 S5 - Prosthodontist 06/30/2019 7232 Crandon Park Ave 06/30/2019 3040 Oasis Grand Blvd Apt 1605 06/30/2019 5210 Belsera Ct 06/30/2019 Holmes & Coombs Dentistry 525 W Washington Street 06/30/2019 Nevada Trails Dental 7575 S Rainbow Blvd. #101 S7 - Endodontist 06/30/2019 1388 W Skyscape Way 06/30/2019 Rainsprings Dental Group and Orthodontics 7260 S. Rainbow Blvd 104 06/30/2019 Desert Valley Dental 3665 Lakeside Dr S7 - Endodontist 06/30/2019 Las Vegas Endodontics 6655 W Sahara Ave Suite A-106

22 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89144 (702) 254-3135 (702) 562-3833 Marquette University 06/01/1989 las Vegas NV 89109 (702) 735-9500 (702) 960-0777 New York-New York University College of Dentistry 05/16/2012 St. George UT 84770 (435) 674-7430 (435) 674-7431 USC 05/10/2002 Reno NV 89519 (775) 826-6111 (614) 688-3608 Ohio-Ohio State University College of Dentistry 06/10/2012 Las Vegas NV 89129 (702) 410-5200 (702) 463-5858 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 08/05/1998 Flagstaff AZ 86001 (702) 477-0040 (702) 425-9671 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Reno NV 89506 (775) 677-1055 (775) 857-3908 Virginia Commonwealth University 05/21/1994 Beverly Hills CA 90210 (702) 363-0444 (702) 363-4136 Loyola University 05/31/1987 Boulder CO 80304 (303) 443-4417 (303) 443-1206 Massachusetts-Tufts University School of Dental Medicine 06/03/1973 DuPont WA 98327 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Henderson NV 89044 (702) 879-6737 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NV 89169 (702) 642-8101 (702) 260-7936 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89145 (702) 933-1300 (702) 932-1300 Tufts University 02/23/1985 Mesquite NV 89027 (702) 345-8686 (702) 345-8680 University of the Pacific 06/15/2003 Las Vegas NV 89134 (702) 463-8600 (702) 240-0017 OR Health Sciences University 06/13/1986 Las Vegas NV 89123 (702) 457-6787 (702) 457-3557 University of the Pacific 06/01/1986 Reno NV 89511 (775) 786-1911 (775) 786-8149 Marquette University 05/22/2005 Reno NV 89506 (775) 823-9419 (573) 426-2552 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2002 Grafton WI 53024 (262) 241-3150 (262) 241-3126 Wisconsin-Marquette University School of Dentistry 05/21/1995 Broomfield CO 80023 (720) 887-8357 (702) 774-2696 University of Nevada Las Vegas 05/13/2006 Ventura CA 93003 (805) 642-8672 Henderson NV 89052 (702) 968-5690 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/2008 Waipahll HI 96797 (808) 448-6371 (702) 735-6451 Tufts University 05/23/1993 West Hollywood CA 90069 (661) 288-0288 Henderson NV 89012 (702) 892-0555 University of Iowa 05/12/1984 Henderson NV 89052 (702) 878-2799 (702) 614-0263 Massachusetts-Harvard University School of Dental Medicine 06/07/2001 Henderson NV 89074 California-University of Southern California School of Dentistry 05/13/2016 Henderson NV 89014 (702) 774-2400 Stateline NV 89449 (775) 588-4021 (775) 588-7182 Indiana-Indiana University School of Dentistry 06/01/1972 Las Vegas NV 89117 (702) 363-8001 (702) 363-8240 Georgetown University 06/01/1986 Bullhead City AZ 86442 (928) 763-5777 Las Vegas NV 89108 (702) 425-3697 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89113 (702) 933-7275 (702) 933-0596 Loma Linda University 06/15/1975 Reno NV 89521 (775) 677-0790 (775) 677-0795 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/2008 Las Vegas NV 89149 (702) 774-7108 (702) 436-0932 University of Iowa 06/06/1997 Las Vegas NSBDENV 89149 (702) 878-7700 (702) 878-4630 Northwestern University LIST04/26/1997 Las Vegas NV 89103 (702) 349-2420 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2015 Las Vegas NV 89131 (702) 671-5175 (702) 384-2183 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/22/1977 Fort Myers FL 33916 Reno NV 89519 (775) 322-2061 Carson City NV 89703 (580) 229-0407 (580) 229-0418 Nebraska-Creighton University School of Dentistry 05/18/2002 Las Vegas NV 89139 (702) 367-3700 (702) 363-3705 Case Western Reserve University 05/17/1998 South Jordan UT 84095 (801) 432-8200 Las Vegas NV 89118 (702) 896-7211 (702) 435-2561 OR Health Sciences University 06/01/2005 Reno NV 89509 (775) 884-4888 (775) 267-4288 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89146 (702) 876-5800 (702) 876-5923 Louisiana State University 05/16/1981

23 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 08/20/1996 California-University of Southern California School of Dentistry 08/06/2002

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Puerto Rico-University of Puerto Rico School of Dentistry 06/10/2017 California-UniversityNSBDE of the Pacific Arthur A. Dugoni School of Dentistry 06/17/1984 LIST

Florida - University of Florida College of Dentistry 05/15/2009

Pennsylvania-Temple University School of Dentistry 05/20/1999 Michigan-University of Detroit Mercy School of Dentistry 06/30/2006

24 DENTISTS 01/01/2019

BoardAction

06/21/2007 03/13/2008 NSBDE LIST

25 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

James Marden Broadbent James Marden Broadbent DDS, MS Specialty Dentist S3-185C 10/30/2008 Active Barry D Broadhead Barry D Broadhead DDS Dentist 2161 07/12/1983 Active Kurt Jeffrey Brockman Kurt Jeffrey Brockman DDS Dentist 6700 07/28/2015 Inactive Benjamin Robert Brooks Benjamin Robert Brooks DDS Dentist 6325 09/20/2012 Active Dwyte Edward Brooks Dwyte Edward Brooks DMD Dentist 0839 09/01/1975 Active Paul Robert Brosy Paul Robert Brosy DMD Dentist 2336 03/26/1986 Active Deanna Maddox Brothers Deanna Maddox Brothers DDS Dentist 4773 07/29/2005 Inactive Jennifer Marie Brown Jennifer Marie Brown DMD Dentist 7105 06/29/2018 Active Scott Warren Brown Scott Warren Brown DDS Dentist 2141 12/19/1982 Active Shanan Marie Brown Shanan Marie Brown DDS Specialty Dentist S6-163C 08/23/2018 Active Carl Leslie Brownd Carl Leslie Brownd DDS, MS Specialty Dentist S5-22C 07/26/2007 Retired Morgan Monaco Browne Morgan Monaco Browne DDS Dentist 7062 05/11/2018 Active Preston Michael Browne Preston Michael Browne DDS Dentist 7055 04/27/2018 Active Emily Jo Browner Emily Jo Browner DMD Dentist 6085 08/20/2010 Active Jeffrey Neil Brownstein Jeffrey Neil Brownstein DDS Specialty Dentist S6-92C 10/30/2008 Inactive Anthony Michael Brunelli Anthony Michael Brunelli DDS Dentist 2633 03/27/1991 Active Matthew Kawabori Bruner Matthew Kawabori Bruner DDS Specialty Dentist S3-313C 11/13/2017 Active Frank Peter Bruno Frank Peter Bruno DMD Dentist 3203 01/21/1998 Active James Randall Bruno James Randall Bruno DDS Dentist 4179 05/31/2002 Retired Lance Quentin Bruntz Lance Quentin Bruntz DMD Specialty Dentist S3-72 03/25/2004 Active Gregory Lee Bryan Gregory Lee Bryan DDS Dentist 2214 07/01/1984 Active Jimmy Lee Bryan Jimmy Lee Bryan DMD Dentist 0646 08/01/1970 Retired Whitney Irene Bryant Whitney Irene Bryant DDS Dentist 7130 08/17/2018 Active Robert Waring Bryce Robert Waring Bryce DDS Limited License Dental LL-295-11 01/26/2012 Active Randolph Charles Bryson Randolph Charles Bryson DMD Dentist 4977 06/26/2006 Active Haley Skelton Buchanan Haley Skelton Buchanan DMD Limited License Dental LL-416-16 06/15/2016 Active Jared Thomas Buck Jared Thomas Buck DDS Specialty Dentist S7-70C 04/30/2010 Active Teodora Victoria Buda-Gordon Teodora Victoria Buda-Gordon DDS Dentist 4084 01/23/2002 Active Daniel Bartholomew Budd Daniel Bartholomew Budd DDS Dentist 5771 08/22/2008 Active Michael Bufo Michael Bufo Jr DMD Limited License Dental LL-267-11 01/26/2012 Active William Ronald Buhler William Ronald Buhler DDS Limited License Dental LL-434-16 10/05/2016 Active Christina Bui Christina Bui DMD Dentist 6420 06/28/2013 Active Dung Viet Bui Dung Viet Bui DMD Dentist 4701 01/16/2005 Active Phuong-Ly Thi Bui Phuong-Ly Thi Bui DDS Dentist 4656 10/21/2004 Inactive Quang Dang Minh Bui Quang Dang Minh Bui DMD Specialty Dentist S6-52 09/21/2006 Active Nicole Yabut Bui-FongNSBDENicole Yabut Bui-Fong DDS Specialty Dentist LISTS6-171 08/29/2018 Active Nicholas J Bunk Nicholas J Bunk DMD Dentist 4934 05/18/2006 Active Daniel Mitchell Bunn Daniel Mitchell Bunn DDS Dentist 5496 05/17/2007 Active Anthony Michael Bunnell Anthony Michael Bunnell DMD Dentist 6055 07/14/2010 Inactive Brandon Glen Burke Brandon Glen Burke DDS Specialty Dentist S3-295C 06/16/2017 Active Tamsyn Kara Burkett Tamsyn Kara Burkett DMD Dentist 6747 05/11/2016 Active James Kelby Burnham James Kelby Burnham DDS, MS Specialty Dentist S4-74C 07/15/2011 Inactive Norma Ubalde Burnley Norma Ubalde Burnley DDS Dentist 1022 09/25/1979 Active Robert John Busch Robert John Busch DMD, MD Specialty Dentist S2-116C 05/06/2011 Active Rachel Alice Bush Rachel Alice Bush DMD Dentist 7127 08/17/2018 Active Jacob Kevin Butler Jacob Kevin Butler DMD Dentist 6671 06/19/2015 Active

26 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S3 - Orthodontist 06/30/2019 6780 Vintage Highlands Ln 06/30/2019 3575 Grant Dr Suite 1 06/30/2019 PO BOX 195 06/30/2019 Midtown Dental 620 Humboldt St 06/30/2019 9612 University Ridge 06/30/2019 Brosy & Brosy Family Dentistry 175 Cadillac Pl 06/30/2019 Deanna M Brothers DDS 937 San Francisco Ave 06/30/2019 9072 Heavenly Valley Ave 06/30/2019 Comfort Care Dental Group 803 S 7th S6 - Pediatric Dentist or Pedodontist 06/30/2019 P O Box 11543 S5 - Prosthodontist 06/30/2019 11530 N Skywire Way 06/30/2019 Anton Bisbas Orthodontics 12750 Carmel Country Rd 06/30/2019 Dee for Dentist 8772 S Maryland Pkwy Ste 100 06/30/2019 Mesa Dental 4280 S Hualapai Way #101 101 S6 - Pediatric Dentist or Pedodontist 06/30/2019 West Valley Pediatric Dentistry/SW Mobile DA 14100 N 83rd Ave Ste 280 06/30/2019 Anthony M Brunelli DDS 550 Hammill Ln S3 - Orthodontist 06/30/2019 17130 Avondale Way Ste 109 06/30/2019 7508 Via Sistina St 06/30/2019 3106 E Scorpio Place S3 - Orthodontist 06/30/2019 Orthodontic Partners 3605 Grant Dr 06/30/2019 2421 W Horizon Ridge Pkwy Ste 100 06/30/2019 2695 Dulcinea Dr 06/30/2019 1530 Autumn Hills Dr Limited License Dentist 01/25/2020 Robert W Bryce DDS 46165 Westlake Dr #330 06/30/2019 123 Wicklow Dr Limited License Dentist 06/30/2019 UNLV Orthodontics 8177 Horseshoe Bend Lane S7 - Endodontist 06/30/2019 Modern Endodontics 1177 N Division St #1 06/30/2019 2168 HORSE PRAIRIE DR TEODORA BUDA-GORDON 06/30/2019 Minden Dental 1664 US Hwy 395 N Ste 201 Limited License Dentist 01/25/2020 6 Sandpiper Cove Rd Limited License Dentist 06/30/2019 8912 Sandy Isle Ct 06/30/2019 5348 Wilcox St 06/30/2019 Dedicated Dental 70 E Horizon Ridge Pkwy #150 06/30/2019 1904 W Red Fox Rd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Cavitybusters 6910 S Rainbow Blvd Ste 104 S6 - Pediatric DentistNSBDE or Pedodontist 06/30/2019 My Kids Smile LIST5030 Las Brisas Blvd Ste B3 06/30/2019 1306 Sticklebract Dr 06/30/2019 Peak Dental Associates 7180 Cascade Valley Court Suite #100 06/30/2019 47 Pheasant Ridge Dr S3 - Orthodontist 06/30/2019 1564 N Georgetown Dr 06/30/2019 Las Vegas Center for Cosmetic Dentistry 6136 W Sahara Ave S4 - Periodontist 06/30/2019 582 Lower Daniels Drive James Burnham 06/30/2019 Burnley Dental Group 5140 S Eastern Ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 6305 W Clairemont Ct 06/30/2019 Silver State Smiles 7101 W Craig Rd 06/30/2019 Elko Family Medcal & Dental Center 762 14th St

27 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89110 (702) 968-1682 (702) 990-4435 Northwestern University 06/14/1969 Reno NV 89509 (775) 825-4070 (775) 825-3157 University of the Pacific 06/01/1983 PATUXENT RIVER MD 20670 (301) 342-1407 (559) 439-5336 California-University of Southern California School of Dentistry 05/06/1988 Reno NV 89509 (775) 322-0455 (775) 322-0355 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 Las Vegas NV 89149 (702) 735-0833 (702) 735-5244 Kentucky-University of Kentucky College of Dentistry 06/01/1975 Reno NV 89509 (775) 826-1988 (775) 826-1101 University of Oregon 06/01/1983 South Lake Tahoe CA 96150 (530) 544-2441 (530) 544-2179 University of the Pacific 06/19/1988 Las Vegas NV 89147 (702) 254-6412 Las Vegas NV 89101 (702) 384-4721 (702) 384-2183 Loma Linda University 06/01/1982 Zephyr Cove NV 89448 Oro Valley AZ 85737 (702) 767-9691 (888) 829-8998 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 06/10/1978 San Diego CA 92130 Las Vegas NV 89123 (702) 586-7800 Las Vegas NV 89147 (702) 786-5800 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Peoria AZ 85381 (623) 935-9873 (623) 536-6700 Virginia-Virginia Commonwealth University School of Dentistry 05/16/1998 Reno NV 89511 (775) 852-1770 (775) 852-2770 University of the Pacific 06/17/1990 Redmond WA 98052 (425) 883-3353 Las Vegas NV 89131 (702) 256-8000 (702) 658-5730 University of Pennsylvania 05/19/1980 Chandler AZ 85249 (520) 868-4809 (312) 243-9868 Loyola University 06/12/1976 Reno NV 89509 (775) 825-4804 (775) 825-4892 OR Health Sciences University 06/08/2001 Henderson NV 89052 (702) 454-1980 (702) 454-4716 University of the Pacific 06/01/1984 Henderson NV 89014 (702) 562-2033 (702) 562-0455 University of Oregon 06/01/1970 Reno NV 89511 (775) 683-9020 Potomac Falls VA 20165 (571) 434-8000 (571) 434-7806 Bluffton SC 29910 (702) 445-7075 (702) 834-3332 Temple University 05/29/1986 Las Vegas NV 89113 (702) 744-2690 Kentucky-University of Kentucky College of Dentistry 05/08/2016 Carson City NV 89703 (775) 883-3434 (775) 885-9985 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2002 HENDERSON NV 89052 (702) 939-1298 (703) 685-5757 Loma Linda University 12/14/2002 Minden NV 89423 (775) 782-7705 (775) 782-3125 California-University of California at San Francisco School of Dentistry 06/15/2008 Scarborough ME 04074 (207) 772-4359 (207) 772-4990 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/18/1987 Las Vegas NV 89131 (702) 774-2416 (702) 774-2419 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/22/1986 Las Vegas NV 89148 (702) 675-6898 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/17/2012 Henderson NV 89002 (702) 566-5509 (702) 566-5198 Boston University 06/20/2002 Santa Ana CA 92704 (714) 839-9925 (714) 689-3649 USC 05/12/1995 Las Vegas NV 89118 (702) 362-5437 (702) 631-5437 Temple University 05/21/1999 Reno NSBDENV 89523 (775) 300-6333 LIST Sparks NV 89441 (775) 574-1018 University of Pittsburgh 06/24/1989 Las Vegas NV 89128 (702) 870-2896 (702) 870-4981 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/18/2003 Henderson NV 89014 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Washington UT 84780 (435) 635-3200 (435) 673-5057 North Carolina-University of North Carolina School of Dentistry 05/11/2008 Las Vegas NV 89146 (702) 313-2300 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 East Wenatchee WA 98802 (509) 886-0664 (509) 886-9604 Tennessee-University of Tennessee College of Dentistry 06/04/1999 Las Vegas NV 89119 (702) 891-0079 (702) 891-0455 USC 06/01/1975 Edwards IL 61528 (309) 682-1213 Florida-University of Florida College of Dentistry 05/28/2004 Las Vegas NV 89129 (702) 957-1045 Elko NV 89801 (775) 738-1553 (775) 738-5934 University of Puerto Rico 06/07/2013

28 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/20/2007 Florida-University of Florida College of Dentistry 07/31/2015

California-University of Southern California School of Dentistry 05/15/2015 California-University of Southern California School of Dentistry 05/15/2015

California-Loma Linda University School of Dentistry 05/24/1998 Kentucky-University of Louisville School of Dentistry 08/08/2004

California-University of California at San Francisco School of Dentistry 06/17/2018

California-UniversityNSBDE of California at Los Angeles School of Dentistry 06/10/2016 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

29 DENTISTS 01/01/2019

BoardAction

07/20/1990,10/25/1996

NSBDE LIST

30 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Ryan Shane Bybee Ryan Shane Bybee DDS Specialty Dentist S6-96 08/14/2009 Active Jung Wook Byun Jung Wook Byun DDS Dentist 7014 02/09/2018 Active Laura Cabrera Laura Cabrera DMD Dentist 6887 06/15/2016 Active Ramon Apuyan Cabungcal Ramon Apuyan Cabungcal DMD Dentist 6051 07/14/2010 Active Loren Andrew Cadelinia Loren Andrew Cadelinia DDS Dentist 6075 07/14/2010 Inactive Frank Darius Caffaratti Frank Darius Caffaratti DDS Dentist 2049 10/06/1981 Active Pamela Gayle Caggiano Pamela Gayle Caggiano DDS Dentist 3467 07/12/1999 Active Charles Thomas Calder Charles Thomas Calder DDS, MD Specialty Dentist S2-53 07/20/2006 Active Carlos Efrain Calderon Carlos Efrain Calderon DDS Geographically Restricted Dentist License GR6516TC 07/03/2014 Active Renee Marie Calkins Renee Marie Calkins DDS Dentist 6464 10/04/2013 Active Cari Allison Callaway-Nelson Cari Allison Callaway-Nelson DDS Dentist 4757 05/26/2005 Active Ervin Benjamin Calvo Ervin Benjamin Calvo DDS Dentist 5094 08/25/2006 Active Allen Jackson Cameron Allen Jackson Cameron DMD Dentist 0876 09/01/1976 Active David Leaver Cameron David Leaver Cameron DMD Specialty Dentist S3-299 09/08/2017 Active Stefanie Joy Camm Stefanie Joy Camm DDS Dentist 4815 10/10/2005 Active Amanda Jordan Campbell Amanda Jordan Campbell DDS Dentist 6754 04/06/2016 Active Ann Marie Campbell Ann Marie Campbell DMD Dentist 4420 06/06/2003 Inactive Colin Michael Campbell Colin Michael Campbell DDS Dentist 5571 07/26/2007 Active David Merrill Campbell David Merrill Campbell DDS Dentist 4798 08/26/2005 Inactive Paul David Campbell Paul David Campbell DDS Dentist 4889 03/23/2006 Inactive Ryan James Canada Ryan James Canada DMD Dentist 6109 05/27/2011 Inactive Steven Charles Canfield Steven Charles Canfield DDS Dentist 2514 03/22/1989 Active Cyril Cherisse Canga Cyril Cherisse Canga DMD Dentist 6320 07/18/2012 Active Mark Lloyd Cannon Mark Lloyd Cannon DDS Specialty Dentist S6-41C 12/09/2004 Inactive Russell Rich Cannon Russell Rich Cannon Jr DMD Dentist 6526 06/27/2014 Active Jerrold Palmer Cansdale Jerrold Palmer Cansdale DDS Dentist 2050 06/01/1981 Active James Edward Cantua James Edward Cantua DDS Dentist 7063 05/31/2018 Active Michael Cao Michael Cao DMD Specialty Dentist S6-164 07/12/2018 Active Medick Michael Capirano Medick Michael Capirano DMD Dentist 4979 06/26/2006 Inactive Myron Lee Caplan Myron Lee Caplan DMD Specialty Dentist S6-13 06/28/1973 Retired Aida Flavia Cappiello Aida Flavia Cappiello DDS Dentist 4883 01/24/2006 Active Antonina Christina Capurro Antonina Christina Capurro DMD Limited License Dental LL-384-14 08/01/2014 Active John Theodore Carahalis John Theodore Carahalis DMD Dentist 3517 01/19/2000 Active Scott Richardson Cardall Scott Richardson Cardall DMD, MS Specialty Dentist S3-251 10/04/2013 Retired Jesse Edward Cardenas Jesse Edward Cardenas DDS Dentist 6355 11/30/2012 Active Francesca S CardinaleNSBDEFrancesca S Cardinale DMD Specialty Dentist LISTS7-99 11/13/2017 Active Tyler Barney Carlson Tyler Barney Carlson DMD Dentist 5835 02/06/2009 Inactive Gregory Brent Carman Gregory Brent Carman DMD Dentist 5988 10/09/2009 Active Richard W Carr Richard W Carr Jr DMD Specialty Dentist S6-14 03/01/1988 Disabled Graydon Carr-Ramos Graydon Carr-Ramos DDS Limited License Dental LL-442-17 06/23/2017 Active Albert M Castellan Albert M Castellan DDS Dentist 3071 01/06/1997 Active Angela Marie Catalano Angela Marie Catalano DMD Dentist 5712 06/27/2008 Active John Eric Cercek John Eric Cercek DMD Specialty Dentist S7-98 06/30/2017 Active John Frank Cercek John Frank Cercek Jr DMD Specialty Dentist S4-03 10/01/1981 Retired Megan Michelle Cercek Megan Michelle Cercek DMD Dentist 6435 06/28/2013 Active Jennifer Seungyen Cha Jennifer Seungyen Cha DMD Specialty Dentist S4-15 07/22/1993 Active

31 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S6 - Pediatric Dentist or Pedodontist 06/30/2019 Kidz Dentistry 1600 W Sunset Rd Suite B 06/30/2019 Spring Mountain Dental 5785 Spring Mountain Rd Ste 104 06/30/2019 Dynamic Dental 50 E Centennial Pkwy Ste 113 06/30/2019 6765 W RUSSELL ROAD SUITE 170 06/30/2019 5548 Jerry Litell Way 06/30/2019 Frank D Caffaratti DDS 730 Baring Blvd 06/30/2019 Excellence in Dentistry 321 N Pecos Rd Suite 100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Canyon Ridge 6140 S Fort Apache Rd Suite 120 06/30/2019 Southern Desert Corrrectional Center 20825 Cold Creek Road 06/30/2019 Reno VA Dental Clinic 3674 South Virginia 06/30/2019 4012 Driscoll Mountain 06/30/2019 438 Beautiful Hill Ct 06/30/2019 Allen J Cameron, DMD LTD 5785 Centennial Center Blvd #180 S3 - Orthodontist 06/30/2019 695 North 2375 West 06/30/2019 1224 Four Star Dr 06/30/2019 5351 San Kristia Ave 06/30/2019 30251 Golden Lantern E-503 06/30/2019 St. Rose Family & Cosmetic Dentistry 780 Coronado Center Dr. Ste. 110 06/30/2019 205 Coyote Court 06/30/2019 Dr Paul D Campbell DDS Inc 8540 S Sepulveda #1112 06/30/2019 3050 Valley Dr 06/30/2019 25 Soaring Bird Ct 06/30/2019 6568 Escalante Route Ct. S6 - Pediatric Dentist or Pedodontist 06/30/2019 1900 Chestnut Avenue Apt #102 06/30/2019 Wagner Dental 2045 Village Center Cir 06/30/2019 1532 Mancha Dr 06/30/2019 Marina Hills Dental 282 Spring Creek Pkwy Ste 202 S6 - Pediatric Dentist or Pedodontist 06/30/2019 4241 Christy Way 06/30/2019 17 Hennig Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 300 Pualoa Nani Pl 06/30/2019 Affordable Dental 953 E Sahara Ave Ste A2 Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS 7411 06/30/2019 2700 E Lake Mead Blvd #6 S3 - Orthodontist 06/30/2019 Cardall & Associates PO Box 7223 06/30/2019 2221 Ridgeview Dr. S7 - Endodontist NSBDE06/30/2019 North Las Vegas Dental LIST1703 Civic Center Dr. Ste #6 06/30/2019 White Mountain Dental 2701 Foothill Blvd 06/30/2019 Clear Creek Dental LLC 3790 Highway 395 103 S6 - Pediatric Dentist or Pedodontist 06/30/2019 2033 E Rockledge Dr Limited License Dentist 06/30/2019 2251 S Ft. Apache Rd Apt #2135 06/30/2019 35 Myrtle Beach Drive 06/30/2019 Innovative Dentistry 7260 S. Cimarron Rd. Suite 150 150 S7 - Endodontist 06/30/2019 Endodontic Associates 757 W. 7th St. S4 - Periodontist 06/30/2019 2150 Thomas Jefferson 06/30/2019 Megan M Cercek DMD 3773 Baker Ln 6 S4 - Periodontist 06/30/2019 Las Vegas Penodontal Care and Implant Center, Inc./Dental Implant institute 6170 W Desert Inn Rd

32 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Henderson NV 89014 (702) 733-8341 (702) 733-2115 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/04/2007 Las Vegas NV 89146 (562) 634-2828 North Las Vegas NV 89084 (702) 671-5134 (702) 791-9207 Florida-University of Florida College of Dentistry 05/20/2016 Las Vegas NV 89118 (702) 410-9400 (702) 410-9402 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/22/2000 Sacramento CA 95835 (916) 285-6691 (702) 774-2696 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Sparks NV 89434 (775) 358-1555 (775) 849-9558 University of the Pacific 06/01/1981 Henderson NV 89074 (702) 732-7878 (702) 735-7901 State University of New York 05/16/1999 Las Vegas NV 89148 (702) 655-8400 (530) 224-9637 Loma Linda University 05/28/2000 Indian Springs NV 89070 (702) 879-5476 (702) 879-1231 California-University of California at San Francisco School of Dentistry 06/17/1990 Reno NV 89502 (775) 326-2995 (775) 359-4034 California-University of California at San Francisco School of Dentistry 06/14/2013 Las Vegas NV 89129 (702) 254-3135 (702) 731-0803 USC 12/20/1999 Las Vegas NV 89138 (702) 459-0303 (702) 459-2111 UCLA 06/16/2006 Las Vegas NV 89149 (702) 385-7415 (702) 388-4386 Washington University 06/01/1976 Layton UT 84041 (801) 544-1184 Galloway OH 43119 Ohio State University 06/12/2004 Las Vegas NV 89141 (702) 382-0787 (303) 779-2687 Colorado-University of Colorado at Denver and Health Sciences Center 05/24/2013 Laguna Niguel CA 89521 (775) 853-1935 University of Pennsylvania 05/21/1996 Hendreson NV 89052 (702) 387-5900 (702) 387-5900 Colorado-University of Colorado at Denver and Health Sciences Center 05/25/2007 Bartonville TX 76226 (940) 387-2442 (000) 000-0000 University of the Pacific 06/12/2005 Los Angeles CA 90045 (310) 216-7843 (310) 216-6925 UCLA 06/15/1984 Sioux City IA 51104 (402) 878-2231 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89135 (702) 331-1378 (702) 255-5625 University of the Pacific 06/01/1987 Las Vegas NV 89148 (702) 416-9955 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Glenview IL 60025 (847) 634-6166 (847) 634-6302 University of Nebraska 05/13/1978 Las Vegas NV 89134 (702) 878-5599 (702) 878-0173 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Boulder City NV 89005 (702) 735-9334 (702) 735-9336 Creighton University 05/15/1981 Spring Creek NV 89815 (775) 738-3110 Reno NV 89519 (702) 291-2031 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Pittsburgh PA 15236 (412) 551-7018 University of Pittsburgh 04/22/1974 Kihei HI 96753 (702) 255-8374 University of Pittsburgh 06/01/1967 Las Vegas NV 89104 (702) 795-7771 New York University 05/14/1992 Las Vegas NV 89106 (702) 774-2573 (702) 774-2521 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89030 (702) 649-7708 (702) 649-8074 University of Pittsburgh 08/11/1987 Provo UT 84602 (801) 227-5080 (801) 227-7887 Massachusetts-Harvard University School of Dental Medicine 05/27/2010 Reno NV 89519 (775) 624-9963 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 North Las Vegas NSBDENV 89030 (702) 802-3500 Tufts University LIST06/23/1999 Rock Springs WY 82901 (307) 362-2220 (307) 362-2322 Kentucky-University of Kentucky College of Dentistry 05/08/2005 Carson City NV 89705 (775) 267-2244 (775) 267-2115 Oregon-Oregon Health and Science University School of Dentistry 06/26/2009 Las Vegas NV 89119 (702) 796-1739 Washington University 06/01/1978 Las Vegas NV 89117 (702) 774-2690 Henderson NV 89074 (708) 450-1170 (702) 270-8927 Loyola University 05/24/1980 Las Vegas NV 89113 (702) 933-7275 (702) 407-9991 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Reno NV 89503 (775) 827-1113 Kentucky-University of Louisville School of Dentistry 05/11/2013 Reno NV 89509 (775) 324-5392 University of Oregon 06/01/1973 Reno NV 89509 (775) 827-1113 (775) 827-0997 Kentucky-University of Louisville School of Dentistry 05/11/2013 Las Vegas NV 89146 (702) 220-5000 (702) 247-4014 Washington University 06/01/1989

33 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of California at Los Angeles School of Dentistry 06/15/2001

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Missouri-Saint Louis University 12/04/2009

Nebraska-CreightonNSBDE University School of Dentistry 05/12/2018 LIST

34 DENTISTS 01/01/2019

BoardAction

11/06/1986

11/29/1994 05/10/2013

03/20/2015 NSBDE LIST

05/20/2016,07/18/2012

35 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

John C Chaklos John C Chaklos Jr DMD Dentist 2935 07/17/1995 Inactive Brian Eldon Chamberlain Brian Eldon Chamberlain DDS Specialty Dentist S3-53 04/24/1998 Active Donald Craig Chamberlain Donald Craig Chamberlain DDS Dentist 5522 05/17/2007 Active Elias Nathaniel Chambers Elias Nathaniel Chambers DMD Dentist 5565 07/26/2007 Active Andrew Ryan Champagne Andrew Ryan Champagne DMD Dentist 5538 07/26/2007 Active Cariann Elaine Champagne Cariann Elaine Champagne DDS Specialty Dentist S6-76 01/20/2007 Active Jason Len Champagne Jason Len Champagne DDS Dentist 4050 07/09/2001 Active Larry L Champagne Larry L Champagne DMD Dentist 0877 09/27/1976 Active Brian Garleun Chan Brian Garleun Chan DMD Dentist 5642 03/13/2008 Active Clayton Alexander Chan Clayton Alexander Chan DDS Dentist 4100 02/15/2002 Active Howard Chan Howard Chan DDS Dentist 4326 01/18/2003 Active Joseph Yaomin Chan Joseph Yaomin Chan DDS Specialty Dentist S6-83 07/26/2007 Active Ken S Chan Ken S Chan DDS Dentist 4588 03/25/2004 Retired Sandra Gaye Chan Sandra Gaye Chan DDS Dentist 3325 07/13/1998 Active Nathan Eric Chandler Nathan Eric Chandler DDS Dentist 7049 05/11/2018 Active Alice Chun Feng Chang Alice Chun Feng Chang DDS Specialty Dentist S5-35C 03/07/2013 Inactive Cher Yen Chang Cher Yen Chang DMD Dentist 4862 12/22/2005 Active Jenny Ywh-Hwa Chang Jenny Ywh-Hwa Chang DDS Dentist 5590 07/26/2007 Active Ning Chang Ning Chang DDS Dentist 7058 05/18/2018 Active Lauren Zhe Yaj Chao Lauren Zhe Yaj Chao DMD Dentist 6914 06/30/2017 Active Cary Oscar Charlin Cary Oscar Charlin DDS Dentist 4980 06/26/2006 Inactive Brian Jin Chase Brian Jin Chase DMD Dentist 6442 06/28/2013 Active Man Van Chau Man Van Chau DMD Dentist 4873 01/24/2006 Active Trina Huyen Chau Trina Huyen Chau DDS Dentist 4618 07/29/2004 Active Brandon Leland Chavez Brandon Leland Chavez DDS Dentist 7147 09/27/2018 Active Aseem Chawla Aseem Chawla DMD Dentist 4851 11/15/2005 Active Sumit Chawla Sumit Chawla DMD Specialty Dentist S3-234 01/26/2012 Active Garey Allen Chayra Garey Allen Chayra DDS Specialty Dentist S2-43C 04/21/2005 Inactive Scott Richard Cheever Scott Richard Cheever DDS Dentist 4774 07/29/2005 Active Val Joseph Cheever Val Joseph Cheever DDS Specialty Dentist S6-45C 11/15/2005 Inactive Giri Chelian Giri Chelian DDS Specialty Dentist S3-262 06/27/2014 Active Naren Chelian Naren Chelian DDS Specialty Dentist S3-180 07/17/2008 Active Alice Pei Wen Chen Alice Pei Wen Chen DMD Specialty Dentist S6-91 08/22/2008 Active Chun Leon Chen Chun Leon Chen DMD Specialty Dentist S4-16 04/29/1996 Active Chun-Yu Chen Chun-Yu Chen DMD Specialty Dentist S3-177 06/27/2008 Active Edward Yu Chen NSBDEEdward Yu Chen DDS Dentist LIST4672 12/09/2004 Active Evangeline Yu-Ping Chen Evangeline Yu-Ping Chen DMD Specialty Dentist S5-24 11/01/2007 Active James Cheng-Sheng Chen James Cheng-Sheng Chen DDS Specialty Dentist S7-74 02/11/2011 Active James Yi-Hung Chen James Yi-Hung Chen DDS Dentist 5798 12/04/2008 Inactive Kelvin Ka Chun Chen Kelvin Ka Chun Chen DDS Limited License Dental LL-466-18 06/21/2018 Active Richard Ethan Chen Richard Ethan Chen DMD Dentist 4816 10/10/2005 Active Victoria Wei-Tze Chen Victoria Wei-Tze Chen DDS Specialty Dentist S3-121 09/21/2006 Active Vinne Wei-Ying Chen Vinne Wei-Ying Chen DDS Specialty Dentist S7-51 11/09/2006 Active David Alan Chenin David Alan Chenin DDS Specialty Dentist S3-140 03/07/2007 Active Stephen Terry Chenin Stephen Terry Chenin DDS Specialty Dentist S3-04 06/01/1977 Active Nathan Thomas Cherrington Nathan Thomas Cherrington DDS Dentist 5968 08/14/2009 Active

36 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 1004 Country Club Rd S3 - Orthodontist 06/30/2019 SuperSmile Orthodontics 7090 N. Durango Dr. Suite #120 06/30/2019 Elko Dental Care 2560 Mountain City Hwy Suite 102 06/30/2019 Town Center Dental 8504 Del Webb Blvd 06/30/2019 Champagne Family Dentistry 735 Sparks Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Champagne Dental 735 Sparks Blvd 06/30/2019 Champagne Family Dentistry 735 Sparks Blvd 06/30/2019 5770 Florimont Ct 06/30/2019 Cypress Dental 6880 S McCarran Blvd Ste 9 06/30/2019 Clayton A Chan DDS LLC 9061 W Post Rd 06/30/2019 Alpha Smile Dental Care, LLC 1212 S Maryland Pkwy S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dentistry for Children Associates 850 I St #A 06/30/2019 Gateway Dental 1176 Olivewood Dr 06/30/2019 Moore Family Dentistry II, LLC 10624 S Eastern Ave #N 06/30/2019 424 Mapleton Ct S5 - Prosthodontist 06/30/2019 VA 6900 N. Pecos Rd 06/30/2019 Affordable Dentures&Implants - Las Vegas 2605 S Decatur Blvd Suite 116 06/30/2019 12241 Los Mares Ln 06/30/2019 1436 Calle Montery St 06/30/2019 1491 W Northstar Ln 06/30/2019 Cary Charlin, D.D.S. 11860 Wilshire Blvd 302 06/30/2019 4211 Ridge Top Rd Apt 3513 06/30/2019 Skyline dental 6430 W lake mead blvd #140 06/30/2019 Trina H Chau, DDS LTD 6252 S Rainbow Blvd #130 06/30/2019 Air Force 99th Dental Squadron 1300 N Las Vegas Blvd 06/30/2019 Bella Smiles 6040 S Rainbow Blvd Suite B2 S3 - Orthodontist 06/30/2019 1004 Sylvan Circle S2 - Oral and Maxillofacial Surgeon 06/30/2019 Dept Oral & Maxillofacial Surgery, UTHSCSA 8210 Floyd Curl Dr Mail Code: 8124 06/30/2019 7660 Island Rail Drive S6 - Pediatric Dentist or Pedodontist 06/30/2019 1062 River Pine Cir S3 - Orthodontist 06/30/2019 6592 N Decatur Blvd #160 S3 - Orthodontist 06/30/2019 Aloha Orthodontics 6592 N Decatur Blvd Suite 160 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Red Rock Kids Dental 11700 W Charleston Blvd 180 S4 - Periodontist 06/30/2019 Las Vegas Periodontal Care and Dental Implant Cent 6170 W Desert Inn Rd S3 - Orthodontist 06/30/2019 9032 Thornbury Ln NSBDE06/30/2019 BRIGHT SMILE FAMILY DENTAL LIST9073 W. POST S5 - Prosthodontist 06/30/2019 Greater Las Vegas Dental 8867 W Flamingo Rd #100 S7 - Endodontist 06/30/2019 Chino Valley Endodontics 4632 Riverside DR 06/30/2019 Danimere Dentistry 1226 South Baldwin Ave Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1700 W Charleston Blvd 06/30/2019 7918 Morning Queen Drive S3 - Orthodontist 06/30/2019 Significance Dental Specialists 6018 S Fort Apache #100 S7 - Endodontist 06/30/2019 10433 Orkiney Drive S3 - Orthodontist 06/30/2019 Chenin Orthodontics 10730 S Eastern Ave #100 S3 - Orthodontist 06/30/2019 Chenin Orthodontics 10730 S Eastern #100 06/30/2019 Cherrington Dental 7500 West Lake Mead 11

37 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Jeannette PA 15644 (702) 648-0875 University of Pittsburgh 08/22/1975 Las Vegas NV 89149 (702) 645-5100 (702) 645-6793 UCSF 05/12/1994 Elko NV 89801 (775) 777-7751 (775) 777-7753 Nebraska-Creighton University School of Dentistry 05/17/1997 Las Vegas NV 89134 (702) 360-8696 (702) 658-8811 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Sparks NV 89434 (775) 359-3934 (775) 359-4034 Kentucky-University of Louisville School of Dentistry 05/12/2007 Sparks NV 89434 (775) 359-3934 (775) 359-2323 University of the Pacific 06/17/2001 Sparks NV 89434 (775) 359-3934 (775) 359-8905 University of the Pacific 06/17/2001 Reno NV 89511 (775) 741-9567 (775) 849-3288 University of Louisville 06/01/1975 Reno NV 89509 (775) 825-8366 (775) 825-8367 Oregon-Oregon Health and Science University School of Dentistry 06/08/2007 Las Vegas NV 89148 (702) 271-2950 Loma Linda University 06/09/1988 Las Vegas NV 89104 (702) 385-3688 (702) 385-3866 Northwestern University 08/26/1995 Sparks NV 89431 (775) 358-5330 (775) 358-4355 New York-Columbia University College of Dental Medicine 06/30/2001 Merced CA 95348 (209) 600-7123 (209) 725-2984 USC 08/18/1998 Henderson NV 89052 (702) 407-6700 (702) 407-6710 Loma Linda University 05/24/1987 Draper UT 84020 (801) 571-3446 Las Vegas NV 89086 (702) 791-9000 California-University of California at San Francisco School of Dentistry 06/15/2005 Las Vegas NV 89102 (702) 416-9955 (702) 416-9957 OR Health Sciences University 06/04/2004 Las Vegas NV 89138 (702) 204-3837 (480) 247-6668 New York-New York University College of Dentistry 05/15/2003 Las Vegas NV 89117 Spokane WA 99208 Los Angeles CA 90025 (310) 478-3511 (310) 477-0233 New York University 06/05/1986 Fairfax VT 22030 (775) 354-1785 Massachusetts-Boston University Goldman School of Dental Medicine 05/19/2013 las vegas NV 89108 (702) 647-3377 (702) 631-6688 Temple University 05/19/2005 Las Vegas NV 89118 (702) 734-6252 (702) 257-6259 University of the Pacific 06/23/1991 Nellis AFB NV 89191 (702) 653-2600 Las Vegas NV 89118 (702) 307-7777 (702) 309-9999 Tufts University 11/04/2000 Naperville IL 60540 (630) 914-6060 (630) 442-7216 Massachusetts-Tufts University School of Dental Medicine 05/18/2008 San Antonio TX 78229 (210) 450-3140 (210) 450-2220 UCLA 06/18/1982 North Las Vegas NV 89084 (702) 791-9019 (702) 636-3057 Virginia Commonwealth University 05/22/1993 Riverton UT 84065 (801) 878-1470 (801) 463-7462 Virginia Commonwealth University 05/22/1993 Las Vegas NV 89131 (702) 648-2564 (702) 648-2574 District of Columbia-Howard University College of Dentistry 05/08/2010 Las Vegas NV 89131 (702) 648-2564 (702) 648-2574 UCLA 06/16/2006 Las Vegas NV 89135 (702) 242-2436 (702) 242-2401 Massachusetts-Boston University Goldman School of Dental Medicine 05/22/2005 Las Vegas NV 89146 (702) 220-5000 (702) 247-4014 Harvard Dental School 06/10/1993 Las Vegas NV 89134 (702) 515-1888 (702) 304-0733 Boston University 05/31/1994 LAS VEGAS NSBDENV 89148 (702) 362-6898 (702) 362-4698 USC LIST05/14/1999 Las Vegas NV 89147 (702) 880-5858 (702) 880-9889 Alabama-University of Alabama School of Dentistry at UAB 06/08/1980 Chino CA 91710 (909) 517-0088 (909) 517-3939 California-University of California at Los Angeles School of Dentistry 06/13/1997 Arcadia CA 91007 (702) 648-0875 New York-Columbia University College of Dental Medicine 05/18/2005 Las Vegas NV 89102 (702) 774-2690 Las Vegas NV 89178 (702) 796-0808 (702) 341-0809 Nova Southeastern University 05/29/2005 Las Vegas NV 89148 (702) 547-9977 (702) 733-1788 Loma Linda University 06/09/2006 Las Vegas NV 89144 (702) 233-9988 (702) 733-1788 Columbia University 05/19/2004 Henderson NV 89052 (702) 735-1010 (702) 735-6823 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2000 Henderson NV 89052 (702) 735-1010 (702) 735-6823 UCLA 06/01/1976 Las Vegas NV 89128 (702) 735-5066 (702) 933-9061 Ohio-Ohio State University College of Dentistry 06/14/2009

38 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Northwestern University 04/25/1998

Michigan-University of Detroit Mercy School of Dentistry 05/13/2016 Nevada-University of Nevada Las Vegas School of Dental Medicine 05/13/2017

Oklahoma-University of Oklahoma Health Sciences Center 05/09/2015 NSBDE LIST

Michigan-University of Detroit Mercy School of Dentistry 05/11/2018

39 DENTISTS 01/01/2019

BoardAction

12/12/2014

NSBDE LIST

40 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Tristan Tsz Hei Cheung Tristan Tsz Hei Cheung DMD Dentist 6832 07/13/2016 Active Chanyoung Sean Chi Chanyoung Sean Chi DDS Dentist 5097 08/25/2006 Retired Hyunseok Charlie Chi Hyunseok Charlie Chi DDS Dentist 6902 04/14/2017 Active Chuen Chie Chiang Chuen Chie Chiang DMD Dentist 5759 08/22/2008 Inactive Peter Phuc Chiem Peter Phuc Chiem DDS Dentist 4935 05/18/2006 Active Wendy Uyen Chiem Wendy Uyen Chiem DDS Dentist 4890 03/23/2006 Active John Robert Childs John Robert Childs DDS Dentist 2936 07/17/1995 Active Harvey Howe Chin Harvey Howe Chin DDS Dentist 3046 07/15/1996 Active Philip I-Ming Chin Philip I-Ming Chin DDS Dentist 7123 09/13/2018 Active Robert Thomas Chin Robert Thomas Chin DMD Dentist 7018 01/12/2018 Active Karen Taniguchi Ching Karen Taniguchi Ching DDS Specialty Dentist S6-134C 01/30/2015 Active Karl Ho-Kar Ching Karl Ho-Kar Ching DDS Specialty Dentist S4-95C 01/30/2015 Active Kristin Elizabeth Chino Kristin Elizabeth Chino DMD Dentist 7025 03/13/2018 Active Guy Landrytat Chisteckoff Guy Landrytat Chisteckoff DDS Dentist 3706 07/03/2000 Active Giridhara K Chittivelu Giridhara K Chittivelu DMD Specialty Dentist S3-264 06/27/2014 Active Chih-Fong Chiu Chih-Fong Chiu DMD Dentist 4161 04/30/2002 Active Christopher Tsz Wai Chiu Christopher Tsz Wai Chiu DDS Dentist 6601 06/04/2015 Active Alan Sang Cho Alan Sang Cho DMD Dentist 6937 06/09/2017 Active Kuan-Yu Cho Kuan-Yu Cho DDS Dentist 4590 03/25/2004 Active Andy WoongJae Choi Andy WoongJae Choi DMD Dentist 3472 07/12/1999 Active Eunduk Choi Eunduk Choi DDS Dentist 5584 08/17/2007 Inactive Jinyoung Choi Jinyoung Choi DMD Dentist 6765 04/27/2016 Active Michael Y Chon Michael Y Chon DDS Dentist 6251 04/06/2012 Active Casey Troy Chow Casey Troy Chow DMD Dentist 6317 07/18/2012 Active Carter Calvin Christensen Carter Calvin Christensen DMD Dentist 6433 08/02/2013 Active Russel Kyle Christensen Russel Kyle Christensen DDS Specialty Dentist S7-17 08/26/1993 Active Tyler Miller Christensen Tyler Miller Christensen DDS Dentist 4770 07/29/2005 Active Donald Richard Christiansen Donald Richard Christiansen DMD Dentist 6143 05/06/2011 Inactive Brian Gary Chrzan Brian Gary Chrzan DDS Specialty Dentist S3-273C 05/22/2015 Active Danny Lung Chung Danny Lung Chung DMD Dentist 6573 10/03/2014 Active David Hao Chung David Hao Chung DDS Dentist 4274 07/01/2002 Active Doyon Chung Doyon Chung DMD Dentist 6662 06/19/2015 Active Eve Shau-Tong Chung Eve Shau-Tong Chung DMD Dentist 6213 06/22/2012 Active Grace Hahnsam Chung Grace Hahnsam Chung DDS Dentist 6572 10/03/2014 Active Yu-Chi Ricky Chung Yu-Chi Ricky Chung DDS Dentist 5181 11/30/2006 Active Sheila G Chun-HallNSBDESheila G Chun-Hall DDS Specialty Dentist LISTS6-36C 06/11/2004 Inactive Joseph Santiago Chuy Joseph Santiago Chuy DDS Dentist 4349 01/22/2003 Inactive Joseph Michael Cinelli Joseph Michael Cinelli DMD Limited License Dental LL-426-16 07/20/2016 Active Marc Anthony Cirelli Marc Anthony Cirelli DMD Dentist 5632 11/01/2007 Active Dennis Howard Clark Dennis Howard Clark DDS Dentist 2387 07/01/1987 Active Jeffrey Michael Clark Jeffrey Michael Clark DDS Dentist 6476 12/13/2013 Active Stephen Hone Clark Stephen Hone Clark II DDS Dentist 0814 05/01/1975 Active Jessica Marie Clausen Jessica Marie Clausen DDS Dentist 6121 10/18/2010 Active Jennifer Tacderan Clement Jennifer Tacderan Clement DMD Dentist 6677 07/08/2015 Active Eldon W Clothier Eldon W Clothier DDS Dentist 0865 01/01/1976 Active Marianne Cohan Marianne Cohan DDS Dentist 6502 10/03/2014 Active

41 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 6898 Broadacres Ranch St 06/30/2019 MCPN/Dental Department 3292 Peoria St. 06/30/2019 CMR 454 Box 1114 06/30/2019 Dental Clinic 9630 Bruceville Rd, Suite 106-392 06/30/2019 7910 S Rainbow Blvd STE 125 06/30/2019 5840 W Craig Rd Suit 130 06/30/2019 John Childs DDS 1695 Lakeside Dr 06/30/2019 Vegas Dental Experts 6870 S. Rainbow Blvd, Ste 119 06/30/2019 913 W College St 06/30/2019 P O Box 13296 S6 - Pediatric Dentist or Pedodontist 06/30/2019 21 Woodcrest Dr S4 - Periodontist 06/30/2019 21 Woodcrest Dr 06/30/2019 12212 Capilla Real Ave 06/30/2019 Island Smiles 8940 S Maryland Pkwy #100 S3 - Orthodontist 06/30/2019 Absolute Dental 3830 E Flamingo Rd, Ste E2 06/30/2019 6420 Sky Pointe Dr. #170 06/30/2019 7726 N. First St, #268 06/30/2019 5388 Floating Flower Ave 06/30/2019 2243 S Rainbow Blvd. 06/30/2019 Healthy Smiles 10473 Double R Blvd. 06/30/2019 PO BOX 573 06/30/2019 1651 American Pacific Dr. Apt 11201 06/30/2019 Smooth Dentistry 7060 S. Durango Drive 110 06/30/2019 Bella Smiles 6040 S. Rainbow Blvd B2 06/30/2019 Arrowhead Dental Center 925 Ironwood Dr Ste 1103 S7 - Endodontist 06/30/2019 Russel Christensen 124 Tesoro Dr 06/30/2019 Tyler M. Christensen, DDS 10521 JEFFREYS ST #200 06/30/2019 7228 E. Pampa Ave. S3 - Orthodontist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS7412 06/30/2019 3350 Hillside Garden Dr 06/30/2019 Aliante Dental 6885 Aliante Pkwy #111 06/30/2019 7011 Sunne Ln #325 06/30/2019 UNLV SDM 1001 Shadow Ln 06/30/2019 Smile Shop Dental 10960 S. Eastern Ave Ste 112 06/30/2019 126 Liberty St S6 - Pediatric DentistNSBDE or Pedodontist 06/30/2019 LIST325 Knox Park Rd 06/30/2019 WHFCD 501 E Central Ave Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln 06/30/2019 Marc Cirelli, DMD 465 W. Peckham Lane 06/30/2019 310 Rodarte St 06/30/2019 Naval Hospital Rota Dental Department PSC 819 Box 18 06/30/2019 2820 E Flamingo Rd Suite B 06/30/2019 Community Health Alliance 1055 S Wells Ave 06/30/2019 Diamond Dental Group and Orthodontics 4380 Blue Diamond Rd #102 06/30/2019 Green Valley Dentistry 11 Stephanie St Ste 100 06/30/2019 Summerlin Dental 851 S Rampart Ste 230

42 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89148 (702) 453-6660 (702) 453-6669 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Aurora CO 80010 New York University 05/12/2005 APO AE 09250 Elk Grove CA 95757 (702) 968-5222 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/19/2008 Las Vegas NV 89139 (702) 457-7858 (702) 457-7828 USC 08/08/2000 Las Vegas NV 89130 (702) 395-3047 (702) 870-0974 UCLA 06/04/2000 Reno NV 89509 (775) 329-0300 (775) 329-3379 Creighton University 05/15/1993 Las Vegas NV 89118 (702) 876-6067 (702) 873-2896 University of the Pacific 06/22/1979 Los Angeles CA 90012 Las Vegas NV 89112 (702) 445-7075 Orinda CA 94563 (510) 986-6888 (510) 986-6816 California-University of California at Los Angeles School of Dentistry 06/16/2000 Orinda CA 94563 (510) 352-6392 California-University of California at Los Angeles School of Dentistry 06/16/2000 Las Vegas NV 89138 Las Vegas NV 89123 (702) 270-6501 (702) 914-3635 Indiana University 05/11/1997 Las Vegas NV 89121 (702) 843-5014 (702) 399-8090 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2005 Las Vegas NV 89131 (702) 878-3368 (702) 655-2668 Tufts University 11/02/1996 Fresno CA 93720 New York-New York University College of Dentistry 05/16/2012 Las Vegas NV 89139 Las Vegas NV 89146 (702) 365-0100 (702) 365-0200 University of Maryland 05/22/1998 Reno NV 89521 (775) 853-8899 Tufts University 05/18/1997 College Place WA 99324 (800) 701-0458 California-Loma Linda University School of Dentistry 05/27/2007 Henderson NV 89074 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/14/2012 Las Vegas NV 89113 (702) 722-6110 (702) 722-6999 California-University of Southern California School of Dentistry 08/11/2009 Las Vegas NV 89118 (702) 307-7777 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Minden NV 89423 (775) 782-0022 Pennsylvania-Temple University School of Dentistry 05/13/2010 Las Vegas NV 89144 (702) 876-5800 (702) 255-5778 Georgetown University 05/17/1975 Henderson NV 89052 (702) 331-2121 (702) 331-1616 University of Iowa 06/09/2000 Mesa AZ 85212 (480) 397-2868 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 LAs Vegas NV 89106 (702) 774-4579 (702) 837-5243 New York-State University of New York at Buffalo School of Dental Medicine 06/01/1999 Las Vegas NV 89135 (702) 794-0304 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 North Las Vegas NV 89084 (702) 515-1888 (702) 870-0974 New York University 06/16/2002 Walnut Creek CA 94597 (702) 968-5222 (702) 968-5277 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/14/2012 Las Vegas NV 89101 (702) 774-2400 Henderson NV 89052 (702) 444-7771 (702) 444-7934 Maryland-University of Maryland Baltimore College of Dental Surgery 05/16/2014 Tustin CA 92782 (702) 839-2244 (661) 323-8754 New York-New York University College of Dentistry 09/25/2006 Lake Zurich NSBDEIL 60047 (773) 782-5007 (773) 782-5062 Loyola University LIST05/31/1987 Winter Haven FL 33880 (863) 293-1108 (702) 869-0643 UCSF 06/11/2000 Las Vegas NV 89106 Pennsylvania-Temple University School of Dentistry 07/01/2016 Reno NV 89509 (775) 827-6666 (775) 827-0362 Oregon-Oregon Health and Science University School of Dentistry 06/08/2007 Henderson NV 89014 (702) 990-7336 (702) 990-7340 University of the Pacific 06/01/1987 FPO, AE NV 09645 (775) 825-9225 California-Loma Linda University School of Dentistry 05/27/2012 Las Vegas NV 89120 (702) 732-2333 (702) 732-0881 Loyola University 06/01/1973 Reno NV 89502 (775) 870-4322 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Las Vegas NV 89117 (702) 425-4424 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Henderson NV 89005 (702) 293-1437 (702) 293-3733 USC 06/01/1976 Las Vegas NV 89145 (702) 270-4800 State University of New York-Buffalo 06/01/1992

43 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 12/17/2008

Nebraska-Creighton University School of Dentistry 05/19/1990 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014

Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015

Nevada-Unversity of Nevada, Las Vegas School of Dental Medicine 05/13/2017 NSBDE LIST

44 DENTISTS 01/01/2019

BoardAction

05/17/2007,08/01/2014

03/07/2013

04/25/2014 NSBDE LIST

02/26/2004,08/06/1998,10/03/2014

45 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Earl Jay Colbert Earl Jay Colbert DDS Specialty Dentist S3-61 08/06/2002 Active April Joy Cole April Joy Cole DDS Specialty Dentist S3-283 06/22/2016 Active Lisa Marie Collier Lisa Marie Collier DDS Dentist 6500 04/25/2014 Active William Jewell Collier William Jewell Collier II DDS Dentist 4937 05/18/2006 Active Lindsey Michelle Collins Lindsey Michelle Collins DMD Dentist 6362 09/20/2012 Active Eleni Suzanne Collis Eleni Suzanne Collis DMD Dentist 6450 06/28/2013 Inactive Vincent G Colosimo Vincent G Colosimo DMD Dentist 6654 06/19/2015 Active Christopher J Comfort Christopher J Comfort DDS Dentist 4426 06/06/2003 Inactive Marvin William Conley Marvin William Conley DDS Dentist 0701 09/01/1972 Active Thomas Thawatchai Connolly Thomas Thawatchai Connolly DDS Dentist 4315 01/15/2002 Active Ronnie Lynn Cook Ronnie Lynn Cook DDS, MS Specialty Dentist S3-286C 08/17/2016 Active John Allan Coombs John Allan Coombs DDS Specialty Dentist S3-05 01/01/1973 Active Ryan Patrick Coombs Ryan Patrick Coombs DDS Dentist 4505 07/28/2003 Active Austin John Cope Austin John Cope DMD Dentist 6865 11/23/2016 Active John Robert Cope John Robert Cope DDS Dentist 2980 03/22/1996 Active Richard Edward Copithorne Richard Edward Copithorne DMD Dentist 6985 09/22/2017 Active Brent Reese Corbridge Brent Reese Corbridge DMD Specialty Dentist S3-44 08/30/1995 Active Charles Richard Cordova Charles Richard Cordova Jr DDS Dentist 4398 03/18/2003 Active Charles Richard Cordova Charles Richard Cordova DDS Dentist 6923 05/26/2017 Inactive Paulo Felipe Cortes Paulo Felipe Cortes DMD Dentist 7028 02/23/2018 Active Rosanne Courtney Rosanne Courtney DDS Dentist 2162 07/01/1983 Active Daniel Pete Cowley Daniel Pete Cowley DMD Dentist 5855 07/17/2009 Active Jeffrey Albert Cox Jeffrey Albert Cox DDS Specialty Dentist S6-37 07/29/2004 Active Kenneth Michael Cox Kenneth Michael Cox DDS Dentist 2884 03/22/1995 Active Matthew Owen Cox Matthew Owen Cox DDS Specialty Dentist S7-32 06/29/2002 Active Christopher Scott Cozine Christopher Scott Cozine DDS Dentist 3326 07/13/1998 Active Patricia Sue Craddock Patricia Sue Craddock DDS Dentist 2095 07/01/1982 Disabled Edwin M Crandall Edwin M Crandall DDS Dentist 0982 01/01/1978 Retired Clark Eugene Cressman Clark Eugene Cressman DDS Dentist 4938 05/18/2006 Active Todd Hugh Cressman Todd Hugh Cressman DDS Dentist 3516 01/19/2000 Active Kevin Merrill Croft Kevin Merrill Croft DDS Dentist 6901 04/28/2017 Active Heather Anne Crouch Heather Anne Crouch DDS Dentist 4557 01/21/2004 Retired Caris Lynn Crow Caris Lynn Crow DDS Dentist 1093 09/01/1980 Active Bruce Elliott Crowley Bruce Elliott Crowley DDS Dentist 2216 07/01/1984 Active Chase Elliott Crowley Chase Elliott Crowley DDS Specialty Dentist S7-94 08/17/2016 Active Regina L CrowleyNSBDERegina L Crowley DDS Dentist LIST2211 07/16/1984 Active James William Cruson James William Cruson DMD Dentist 2217 07/10/1984 Active Tricia Mae Aquino Cueva Tricia Mae Aquino Cueva DMD Dentist 7052 05/18/2018 Active Xiaoxi Cui Xiaoxi Cui DDS Limited License Dental LL-464-18 06/21/2018 Active Arnold Bradley Cullum Arnold Bradley Cullum DDS Dentist 4982 06/26/2006 Active Marah M Culpepper Marah M Culpepper DMD Dentist 6824 07/27/2016 Active Francis McKinley Curd Francis McKinley Curd DDS Dentist 4983 06/26/2006 Inactive Russell Stuart Curtis Russell Stuart Curtis DMD Dentist 5098 08/25/2006 Active Jerome Chandler Cutler Jerome Chandler Cutler DDS Dentist 3694 07/03/2000 Active Ji A Cutter Ji A Cutter DMD Dentist 5578 11/01/2007 Active Michel J Daccache Michel J Daccache DDS Specialty Dentist S2-112C 10/01/2010 Active

46 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S3 - Orthodontist 06/30/2019 40 Princeville Ln. S3 - Orthodontist 06/30/2019 1350 W. Horizon Ridge Pkwy. Apt 922 06/30/2019 Community Health Alliance 1055 South Wells Ave 06/30/2019 PO Box 210042 06/30/2019 Small Smiles Dentistry of Reno 3362 South McCarran Blvd. 3362 06/30/2019 Horizon West Dental 2200 Box Butte Ave 06/30/2019 97 Arthur Hills Ct 06/30/2019 PO Box 8250 06/30/2019 Marvin W Conley DDs 1260 6th St 06/30/2019 629 WANDERING VIOLETS WAY S3 - Orthodontist 06/30/2019 4221 Colt Dr S3 - Orthodontist 06/30/2019 3865 Boulder Patch 06/30/2019 Holmes and Coombs Dentistry 525 W Washington St 06/30/2019 Wildcreek Dental 4650 Wedekind Rd 06/30/2019 7560 Rome Blvd john cope 06/30/2019 Accelerated Dental 6115 S Rainbow Blvd Ste 102 S3 - Orthodontist 06/30/2019 Orthodontic Partners 3605 Grant Dr 06/30/2019 Affordable Denture & Implant 4875 Kietzke Blvd Ste B 06/30/2019 9790 E Trennie Lp #1 06/30/2019 10737 Camino Ruiz Ste 120 06/30/2019 Rosanne Courtney DDS 2540 S Torrey Pines Dr 06/30/2019 5401 Villa View Drive S6 - Pediatric Dentist or Pedodontist 06/30/2019 Anthem Pediatric Dentistry 10400 South Eastern Ave. 06/30/2019 Kenneth M Cox, DDS 6615 S Eastern Ave Suite 106 S7 - Endodontist 06/30/2019 Matthew O. Cox, D.D.S. 8460 S Eastern Ave Ste B 06/30/2019 Christopher S Cozine, DDS 8579 S. Eastern Ave #A 06/30/2019 6413 Sterling Springs Pkwy 06/30/2019 850 Twin Pines Rd 06/30/2019 Gentle Dental-Flamingo 3041 E. Flamingo Road Suites C&D 06/30/2019 Gentle Dental of Spanish Trails 5527 S Rainbow Blvd #A 06/30/2019 DDSleep P O Box 522354 06/30/2019 4637 Idlewild Rd 06/30/2019 abbey dental 4408 S. Eastern 06/30/2019 Bruce E. Crowley DDS 9510 W. Sahara Ave. Suite 100 S7 - Endodontist 06/30/2019 Endodontics of Las Vegas 9750 Covington Cross Dr. Ste 150 NSBDE06/30/2019 Regina L. Crowley, DDS LIST35 Regency Way Suite C 06/30/2019 James W Cruson DMD 1389 Lamoille Hwy 06/30/2019 Rampart Dental Group 8975 W Charleston Blvd Ste 100 Limited License Dentist 06/30/2019 7401 Washington Ave Apt 1114 06/30/2019 251 East Fountain Blvd Unit 200 06/30/2019 Regal Dentistry 3663 E Sunset Rd Ste 507 06/30/2019 8520 54th Avenue Circle East 06/30/2019 Courtesy Dental & Orthodontics 307 W Winnie Ln Suite 2 06/30/2019 11617 Cabo Del Verde Ave 06/30/2019 Budget Dental 6376 Spring Mountain Rd Suite #3 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Dr. Michel Daccache Oral and Maxillofacial Surgery 1701 West Charleston #520

47 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89113 (702) 476-2444 (702) 365-0723 Georgetown University 06/05/1967 Henderson NV 89012 (702) 968-5921 California-University of California at San Francisco School of Dentistry 06/14/2013 Reno NV 89502 (209) 952-7843 (775) 348-3893 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Auke Bay AK 99821 (907) 789-1295 (907) 789-7000 University of Missouri 04/29/1983 Reno NV 89502 (775) 329-5437 (530) 546-0467 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Alliance NE 69301 (308) 762-1990 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Henderson NV 89074 (702) 456-6160 University of Pittsburgh 06/01/1991 Gardnerville NV 89460 State University of New York-Buffalo 05/19/1986 Elko NV 89801 (775) 738-8117 (775) 738-2083 California-University of the Pacific Arthur A. Dugoni School of Dentistry 05/01/1972 Las Vegas NV 89138-6072 (702) 869-0369 Baltimore College of Dentistry 05/23/1997 Lake Havasu City AZ 86404 (602) 843-7501 (602) 843-7507 St. Louis University 06/06/1970 Reno NV 89511 (775) 882-5911 (775) 882-0943 Northwestern University 06/01/1971 Carson City NV 89703 (775) 882-4247 (580) 229-0418 Creighton University 05/17/2003 Sparks NV 89431 (775) 356-8254 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/17/2015 Las Vegas NV 89131 Loyola University 06/03/1995 Las Vegas NV 89118 (702) 362-9353 Reno NV 89509 (775) 825-4804 (775) 825-4892 University of Oregon 06/12/1993 Reno NV 89509 (775) 473-6031 UCSF 06/21/1997 Palmer AK 99645 San Diego CA 92126 (858) 566-0842 Las Vegas NV 89146 (702) 367-9599 (702) 367-2958 University of the Pacific 05/01/1983 Farmington NM 87402 (505) 325-8858 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Hendreson NV 89052 (702) 531-5437 (702) 616-3565 University of Colorado 05/20/2000 Las Vegas NV 89119 (702) 735-3506 (702) 307-1124 University of Colorado 05/28/1994 Las Vegas NV 89123 (702) 492-6688 (702) 492-6317 Colorado-University of Colorado at Denver and Health Sciences Center 05/27/2000 Las Vegas NV 89123 (702) 739-8289 (702) 739-0157 University of the Pacific 06/21/1998 Las Vegas NV 89108 (702) 678-1835 (702) 678-1835 University of the Pacific 06/01/1982 Reno NV 89509 Loyola University 06/01/1973 Las Vegas NV 89121 (702) 434-4800 (702) 433-4806 Loma Linda University 05/25/1997 Las Vegas NV 89118 (702) 367-4440 (702) 365-0723 Northwestern University 04/24/1999 Salt Lake City UT 84152 Salt Lake City UT 84124 Loma Linda University 05/25/2003 las vegas NV 89119 (702) 731-5700 (702) 804-5349 Marquette University 06/01/1980 Las Vegas NV 89117 (702) 838-9863 (702) 838-9865 University of Washington 06/01/1984 Las Vegas NV 89144 (702) 463-5000 (702) 877-9210 Ohio-Ohio State University College of Dentistry 05/04/2014 Reno NSBDENV 89509 (775) 829-9929 (775) 829-0267 University of the Pacific LIST06/01/1984 Elko NV 89801 (775) 753-8670 (775) 753-2460 University of Oregon 06/01/1984 Las Vegas NV 89117 (702) 290-4212 Las Vegas NH 89128 Colorado Springs CO 80903 (719) 623-0305 Loyola University 05/30/1992 Las Vegas NV 89120 (702) 728-4092 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Bradenton FL 34211 (941) 405-1507 Case Western Reserve University 05/20/1977 Carson City NV 89703 (775) 885-2323 (775) 885-2323 University of Nevada Las Vegas 05/13/2006 Las Vegas NV 89138 (928) 775-7433 University of the Pacific 06/18/2000 Las Vegas NV 89146 (702) 220-8488 (702) 476-6573 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89102 (702) 750-9444 (702) 750-9442 Michigan-University of Michigan School of Dentistry 04/27/2006

48 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016

California - University of California at Los Angeles School of Dentistry 06/15/1979 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015

New York-State UniversityNSBDE of New York at Stony Brook School of Dental Medicine 06/11/2010 LIST

Pennsylvania-Temple University School of Dentistry 05/11/2017 Nebraska-University of Nebraska Medical Center College of Dentistry 05/05/2018

49 DENTISTS 01/01/2019

BoardAction

02/11/2011,06/19/2015

04/25/2014,11/30/2006NSBDE LIST

50 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Leeor Tal Dadon-Harris Leeor Tal Dadon-Harris DMD Dentist 7080 06/21/2018 Active Varoujan Victor Dadourian Varoujan Victor Dadourian DDS Dentist 3328 07/13/1998 Retired Sassan Dadseresht Sassan Dadseresht DDS Dentist 3483 07/12/1999 Active Chad Timothy Dains Chad Timothy Dains DDS Dentist 5280 01/20/2007 Active Daniel Lucas Dalanhese Daniel Lucas Dalanhese DMD Limited License Dental LL-472-18 07/27/2018 Active Ronald Lindsey Dalley Ronald Lindsey Dalley DDS Dentist 2368 07/01/1986 Active Joseph Danesh Joseph Danesh DDS Dentist 6122 05/06/2011 Inactive Robert Arden Danforth Robert Arden Danforth DDS Limited License Dental LL-0113-06 08/25/2006 Active Hung Ngoc Dang Hung Ngoc Dang DDS Dentist 3520 01/19/2000 Active Sophia Dao Thanh Dang Sophia Dao Thanh Dang DMD Dentist 5126 11/30/2006 Active Thuong Tran Dang Thuong Tran Dang DDS Dentist 5696 06/27/2008 Active Wyatt Stott Dannels Wyatt Stott Dannels DDS Dentist 6743 03/25/2016 Active Alexander Khoa Dao Alexander Khoa Dao DMD Dentist 6805 06/29/2016 Active Minhquan Dang Dao Minhquan Dang Dao DMD Dentist 7048 04/27/2018 Active David Joseph Dapra David Joseph Dapra Jr DMD Dentist 6675 06/19/2015 Active Fahad Ashraf Dar Fahad Ashraf Dar DMD Dentist 7065 06/07/2018 Active Richard John Darsky Richard John Darsky Jr DDS Dentist 4591 03/25/2004 Active Vincent Paul D'Ascoli Vincent Paul D'Ascoli DDS Specialty Dentist S3-06 11/06/1982 Active Joel Bennett Dashut Joel Bennett Dashut DDS Dentist 3327 07/13/1998 Disabled Rachelle Ariana Davidowitz Rachelle Ariana Davidowitz DDS Dentist 6962 08/04/2017 Active Michael George Davies Michael George Davies DDS Dentist 0767 03/25/1976 Active Bradlee Michael Davis Bradlee Michael Davis DDS Dentist 6714 09/16/2015 Active Brett Earl Davis Brett Earl Davis DMD Dentist 6296 06/14/2012 Active Evan Drew Davis Evan Drew Davis DMD Dentist 6951 06/16/2017 Active George Arnold Davis George Arnold Davis Jr DDS Dentist 3205 01/21/1998 Active Jay Ericksen Davis Jay Ericksen Davis DMD Specialty Dentist S3-233 01/26/2012 Active Kerry Neil Davis Kerry Neil Davis DDS Dentist 2854 07/18/1994 Active Shawn Byron Davis Shawn Byron Davis DMD Specialty Dentist S2-110C 10/01/2010 Active Todd Leslie Davis Todd Leslie Davis DMD Dentist 6503 05/21/2014 Active Tyree G Davis Tyree G Davis DDS Dentist 3471 07/12/1999 Active David S de Jongh David S de Jongh DDS Limited License Dental LL-492-18 10/19/2018 Active Chelsea Margaret Bleuss Dean Chelsea Margaret Bleuss Dean DMD Dentist 6302 07/18/2012 Active Eric Chistopher Dean Eric Chistopher Dean DDS Dentist 3492 07/12/1999 Active Jonathan Stuart Dean Jonathan Stuart Dean DDS Dentist 5174 09/21/2006 Active Edilberto DeAndrade Edilberto DeAndrade DDS Specialty Dentist S4-24 06/01/2001 Active Daniel W DeBonisNSBDEDaniel W DeBonis DDS Dentist LIST0536 08/20/1966 Inactive Tomas Gerard deBruin Tomas Gerard deBruin DDS Dentist 3703 07/03/2000 Active Ryan Thomas Dee Ryan Thomas Dee DMD Dentist 5832 08/03/2009 Inactive Mark Isaac Degen Mark Isaac Degen DDS, MD Specialty Dentist S2-49C 01/24/2006 Active Daniel Niel Dela Cruz Daniel Niel Dela Cruz DMD Dentist 6907 07/14/2017 Inactive Dominique Carreon Dela Cruz Dominique Carreon Dela Cruz DMD Dentist 7088 06/21/2018 Active Roy Jon DeLappe Roy Jon DeLappe DDS Dentist 4833 11/15/2005 Active Nicholas Barton DeLisle Nicholas Barton DeLisle DMD Dentist 6752 06/08/2016 Active Steven Eliot DeLisle Steven Eliot DeLisle DDS Dentist 5929 07/16/2009 Active Kenneth Ian Delman Kenneth Ian Delman DMD Dentist 4939 06/26/2006 Inactive Linh Xuan DeLuca Linh Xuan DeLuca DDS Dentist 6481 12/13/2013 Inactive

51 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 11151 Golden Aster Ave 06/30/2019 7429 N Rogers Ave 06/30/2019 Choice Dental 29645 Rancho California Rd, #126 06/30/2019 4956 Park Dr Limited License Dentist 06/30/2019 3101 Quail Crest Ave 06/30/2019 R Lindsey Dalley DDS Inc 500 N Rainbow Blvd Suite 204 06/30/2019 31915 Rancho California Rd #200-150 Limited License Dentist 06/30/2019 9836 Masterpiece Dr 06/30/2019 Columbia Dental 229 N. Stephanie St. Suite C 06/30/2019 Apple Family Dentistry 4818 Sparks Blvd #102 06/30/2019 Dental now 6116 W. Flamingo Rd 06/30/2019 612 chervil valley dr 06/30/2019 Providence Dental 7181 N Hualapai Way Ste. 105 06/30/2019 4117 S Staples St Ste 300 06/30/2019 5501 Ambrose Dr 06/30/2019 1050 Romans Road 06/30/2019 840 S Rancho Drive 4-248 S3 - Orthodontist 06/30/2019 D'Ascoli Orthodontics 1407 N Carson St 06/30/2019 2620 S. Maryland Pkwy Suite 14, #206 06/30/2019 3111 Bel Air Dr Unit 4B 06/30/2019 It's My Smile 10455 Double R Blvd Ste 101 06/30/2019 It's My Smile 10495 Double R Blvd Ste 101 06/30/2019 11279 Alga Ct 06/30/2019 UNLV School of Dental Medicine 1707 W Charleston Blvd 06/30/2019 The Dentist of Summerlin 1920 Village Center Cir #12 S3 - Orthodontist 06/30/2019 Star Orthodontics and Pediatric Dentistry 10660 Southern Highlands Pkwy Suite 110 06/30/2019 UNLV School of Dental Medicine Faculty Practice 1001 Shadow Ln MS 7413 S2 - Oral and Maxillofacial Surgeon 06/30/2019 393 E. Riverside Dr. Ste. 2B 06/30/2019 2045 Dakota Lodge Ave 06/30/2019 Nevada Health Centers, Inc 2212 S Eastern Ave Limited License Dentist 10/18/2019 13141 FM 1960 Rd West 06/30/2019 Sierra Smiles 5465 Kietzke Ln 06/30/2019 Eric C. Dean DDS 925 Roberta Ln 06/30/2019 3183 Wisteria Tree St S4 - Periodontist 06/30/2019 Anthem Periodontics and Dental Implants 2610 W Horizon Ridge Pkwy. #202 NSBDE06/30/2019 LIST690 Rhinehart Street 06/30/2019 Tomas G. de Bruin, DDS 631 Sierra Rose Dr #A 06/30/2019 421 Hemlock St S2 - Oral and Maxillofacial Surgeon 06/30/2019 Mark I. Degen, D.D.S., M. D., Ltd. DBA Red Rock Oral and Maxillofacial Surgery Centre 4730 S Fort Apache Rd #390 06/30/2019 6445 S Maple Ave Apt 1030 06/30/2019 9165 Keystone Ridge Ave 06/30/2019 Kid Dental 1101 W Moana Ln # 4 06/30/2019 Children's Dentistry 4080 N Martin L King Blvd Ste 102B 06/30/2019 childrens dentistry tompkins 2480 e tompkins ave 06/30/2019 2332 Canyonville Dr 06/30/2019 Community Medical Centers 1031 Waterloo Rd

52 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89135 (702) 843-5042 Chicago IL 60626 (773) 465-2922 (773) 465-2998 University of Illinois 06/08/1984 Temecula CA 92591 (702) 363-8655 (951) 676-4555 UCLA 05/07/1993 Carlsbad CA 92008 (760) 431-8112 (702) 853-0533 New York-New York University College of Dentistry 05/11/2006 Henderson NV 89052 (702) 968-5222 Las Vegas NV 89107 (702) 877-2771 (702) 877-4424 University of the Pacific 07/01/1986 Temecula CA 92591 (951) 652-2474 (951) 246-7358 California-Loma Linda University School of Dentistry 06/09/2006 Las Vegas NV 89148 (702) 774-2680 Loma Linda University 06/02/1968 Henderson NV 89074 (702) 221-0783 (702) 221-2573 Loma Linda University 05/24/1998 Sparks NV 89436 (775) 626-6300 (925) 825-4412 Massachusetts-Boston University Goldman School of Dental Medicine 05/22/2005 Las Vegas NV 89103 (702) 361-0061 California-Loma Linda University School of Dentistry 05/30/2004 las vegas NV 89138 (702) 456-0005 California-University of Southern California School of Dentistry 05/17/2013 Las Vegas NV 89166 (609) 816-6580 Pennsylvania-Temple University School of Dentistry 05/06/2016 Corpus Christi TX 78414 (609) 992-1455 Reno NV 89519 (775) 358-1870 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Corona CA 92881 (702) 658-2311 Las Vegas NV 89106 (888) 401-1128 Northwestern University 08/29/1997 Carson City NV 89701 (775) 782-3788 (775) 882-1025 New York University 06/01/1977 Las Vegas NV 89109 Northwestern University 08/31/1978 Las Vegas NV 89109 Reno NV 89521 (775) 329-6300 (775) 331-0979 Minnesota-University of Minnesota School of Dentistry 06/01/1970 Reno NV 89521 (775) 747-0680 (775) 747-0681 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 Las Vegas NV 89141 (702) 737-1225 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89102 (702) 671-5134 Las Vegas NV 89134 (702) 562-2322 (702) 562-9610 USC 06/04/1981 Las Vegas NV 89141 (702) 477-0040 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NV 89106 (702) 651-5510 (702) 651-5029 University of the Pacific 06/19/1994 St. George UT 84790 (435) 628-1100 (435) 673-0330 Pennsylvania-Temple University School of Dentistry 05/22/2003 Las Vegas NV 89123 (702) 837-6555 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89104 (702) 735-9334 (702) 735-9335 University of Michigan 08/18/1989 Houston TX 77065 (832) 912-6670 Reno NV 89511 (775) 786-1911 (775) 331-0979 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Sparks NV 89431 (775) 359-8801 (775) 359-8905 Creighton University 05/16/1998 Las Vegas NV 89135 (702) 569-2523 (702) 653-2682 University of Maryland 05/21/2004 Henderson NV 89052 (702) 270-4600 (702) 270-7773 New York University 05/18/1995 Winnemucca NSBDENV 89445 (775) 623-5093 (775) 623-9104 Loyola University LIST06/01/1966 Reno NV 89511 (775) 826-1838 (775) 826-1889 University of the Pacific 06/20/1999 Anaconda MT 59711 (312) 390-1629 (406) 723-3059 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89147 (702) 253-9090 (702) 253-9083 New York University 05/15/1997 Tempe AZ 85283 Las Vegas NV 89148 (702) 273-3626 Reno NV 89509 (775) 825-5005 (775) 770-6110 UCSF 06/11/2000 Las Vegas NV 89032 (702) 369-6594 (877) 752-9402 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 las vegas NV 89121 (702) 489-5460 (888) 583-4140 Washington-University of Washington-Health Sciences School of Dentistry 06/08/2007 Henderson NV 89044 (702) 385-1166 (702) 614-7174 Tufts University 06/04/1967 Stockton CA 95205 (508) 317-5011 California-University of Southern California School of Dentistry 05/17/2013

53 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Midwestern University 05/31/2018

Utah-Roseman University of Health Sciences 04/14/2018

Pennsylvania-Temple University School of Dentistry 05/11/2017

Illinois-University of Illinois at Chicago College of Dentistry 05/13/2018

California-University of California at Los Angeles School of Dentistry 05/12/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Texas-University ofNSBDE Texas Hlth Science Cnt-Houston Dental Branch 06/07/1980 LIST

Arizona-Midwestern University 05/19/2017 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

54 DENTISTS 01/01/2019

BoardAction

07/16/2009

10/25/1991 NSBDE LIST

55 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Christina A Demopoulos Christina A Demopoulos DDS Specialty Dentist S8-17 06/19/2015 Active Roger Allen Densley Roger Allen Densley DDS Dentist 2542 07/11/1989 Active Jay Thomas Denton Jay Thomas Denton DDS Dentist 6285 06/14/2012 Active Anthony John DePaoli Anthony John DePaoli DDS Dentist 2562 03/21/1990 Active Rupen Der Boghosian-Itutmazian Rupen Der Boghosian-Itutmazian DDS Dentist 5411 03/07/2007 Inactive Larry James Dermody Larry James Dermody DDS Specialty Dentist S2-35C 08/06/2002 Retired Kenneth Scott Dettlaff Kenneth Scott Dettlaff DMD Dentist 4314 10/10/2002 Active Kevin Deuk Kevin Deuk DMD Dentist 4163 04/30/2002 Active Corinne Celeste Devin Corinne Celeste Devin DMD Dentist 5597 07/26/2007 Active Robert Fraser Devin Robert Fraser Devin DDS Dentist 2787 07/26/1993 Active Phillip Russell Devore Phillip Russell Devore DDS Dentist 4285 07/01/2002 Active Navpreet Kaur Dhaliwal Navpreet Kaur Dhaliwal DDS Specialty Dentist S3-199 10/09/2009 Active Parviin Singh Dhaliwal Parviin Singh Dhaliwal DDS Dentist 6898 05/12/2017 Active Roopvinder Dhesi Roopvinder Dhesi DDS Dentist 5034 06/28/2006 Active Deep Karan Singh Dhillon Deep Karan Singh Dhillon DDS Specialty Dentist S6-157 10/06/2017 Active Gurbrinder Singh Dhillon Gurbrinder Singh Dhillon DMD Specialty Dentist S6-81 07/26/2007 Active Mannimrat Kaur Dhillon Mannimrat Kaur Dhillon DDS Dentist 6934 06/16/2017 Active Sonia Dhillon Sonia Dhillon DDS Dentist 4074 10/22/2001 Active Heidi Dickerson Heidi Dickerson DDS Dentist 4527 10/28/2003 Active William George Dickerson William George Dickerson DDS Dentist 0880 09/01/1976 Active Thomas Shupe Dickson Thomas Shupe Dickson DDS Dentist 7154 10/19/2018 Active Michael Todd Dicus Michael Todd Dicus DMD Dentist 5768 10/30/2008 Active David Hobson Diehl David Hobson Diehl DMD Dentist 6939 06/09/2017 Active John Cavitt DiGrazia John Cavitt DiGrazia DDS Dentist 3473 07/12/1999 Active John Dilibero John Dilibero DDS Dentist 3349 01/20/1999 Active Young Kim Dill Young Kim Dill DMD Dentist 3710 07/03/2000 Active Ashley Diem Dinh Ashley Diem Dinh DDS Dentist 7032 02/02/2018 Active Megan-Vinh Quang Dinh Megan-Vinh Quang Dinh DMD Dentist 6683 08/12/2015 Active Terry Gilbert Dischinger Terry Gilbert Dischinger DDS Limited License Dental LL-360-13 05/21/2014 Active Bradley A Ditsworth Bradley A Ditsworth DMD Dentist 2489 07/10/1988 Active Heather Marie Drebitko Diulio Heather Marie Drebitko Diulio DMD Dentist 6896 04/28/2017 Active Farah Divanbeigi Farah Divanbeigi DDS Dentist 3047 07/15/1996 Active Davis Do Davis Do DDS Dentist 6984 09/01/2017 Inactive Dominic Do Dominic Do DDS Dentist 4817 10/10/2005 Active Steven Do Steven Do DDS Dentist 6732 01/13/2016 Active Thanh Dang Do NSBDEThanh Dang Do DDS Dentist LIST4328 01/18/2003 Active Tuyen Minh Do Tuyen Minh Do DMD Dentist 4592 03/25/2004 Active Vuong The Do Vuong The Do DDS Dentist 4791 08/26/2005 Active Peter Phuc Doan Peter Phuc Doan DDS Dentist 4693 01/15/2005 Active Thanh Xuan Doan Thanh Xuan Doan DMD Dentist 5547 06/21/2007 Active Traci Ngoc Doan Traci Ngoc Doan DDS Dentist 3488 07/12/1999 Active Keith Richard Dobrin Keith Richard Dobrin DMD Dentist 6424 06/28/2013 Active Lance C Dodson Lance C Dodson DDS Dentist 0430 12/01/1961 Active John Rhonnel Religioso Domingo John Rhonnel Religioso Domingo DDS Dentist 4076 01/23/2002 Active Mark Joseph Dorilag Mark Joseph Dorilag DDS Dentist 3715 07/03/2000 Active Luiz Alfredo dos Santos Luiz Alfredo dos Santos DMD Dentist 5058 07/20/2006 Active

56 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S8 - Public Health Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS7410 06/30/2019 62 orchard lane 06/30/2019 Centennial Hills Dental Care 7890 West Ann Rd Ste 150 06/30/2019 480 Genovese Ln 06/30/2019 6812 woodman ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 4734 Bersaglio St 06/30/2019 2817 Soaring Peak Ave 06/30/2019 Deuk Dental 1240 E State St #107 06/30/2019 USNH Sigonella PSC 836 Box 25 06/30/2019 820 Flanders Rd 06/30/2019 201 Luxaire Ct S3 - Orthodontist 06/30/2019 Braces Etc 7240 W lake Mead Blvd Ste 2 06/30/2019 McDonald Ranch Modern Dentistry 725 S Green Valley Pkwy Ste 100 06/30/2019 Las Vegas Dentistry 2421 W Charleston Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 905 Alta Oaks Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 905 Alta Oaks Dr 06/30/2019 222 Karen Ave #903 06/30/2019 GKS Inc 423 North L St 06/30/2019 1401 HILLSHIRE DR, STE 200 06/30/2019 1401 HILLSHIRE DR, STE 200 06/30/2019 3823 E Waterman St 06/30/2019 Dicus Family Dentistry 15 McCabe Dr 201 06/30/2019 Marina Hills Dental 282 Spring Creek Pkwy Ste 202 06/30/2019 John C DiGrazia DDS Ltd 1625 Lakeside Dr 06/30/2019 716 Pont Chartrain Dr 06/30/2019 Southwest Dental and Dentures 2538 Anthem Village Dr #100 06/30/2019 4024 Colonel Mendez Way 06/30/2019 8126 Sorrel St Limited License Dentist 06/30/2019 1259 Lake Garden Ct 06/30/2019 Bradley A Ditsworth, DMD 2458 E Russell Rd Ste A 06/30/2019 1020 S Mesa Hills Dr Apt 4301 06/30/2019 P O Box 35835 06/30/2019 7145 N Grand Canyon Dr 06/30/2019 17825 Santa Gertrudes Cir 06/30/2019 7145 N. Grand Canyon Drive NSBDE06/30/2019 LIST2866 Loveland Dr #2015 06/30/2019 9946 Shadycrest Ct 06/30/2019 RED HILLS DENTAL 9770 s. Maryland pkwy Suite 8 06/30/2019 7877 Sirens Song Ct 06/30/2019 Bellflower Dental Care 16106 Bellflower Blvd 06/30/2019 A1 Dental Care 7780 S Jones blvd Suite 101 06/30/2019 471 E. Westfield Ave 06/30/2019 2120 Carter Dr 06/30/2019 9846 Proud Clarion St 06/30/2019 Green Valley Dental Group 710 Coronado Center Dr Suite 100 06/30/2019 Hue Dental 1350 S Jones Blvd Suite 140

57 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89106 (702) 774-2545 (702) 774-2721 USC 12/18/2000 Elma WA 98541 (702) 362-4604 Loyola University 05/01/1989 Las Vegas NV 89149 (702) 878-4397 (702) 425-9948 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/22/2011 Reno NV 89511 (775) 359-6780 (775) 359-6727 University of the Pacific 06/01/1989 van nuys CA 91405 (818) 350-3451 California-University of California at San Francisco School of Dentistry 06/11/2006 Las Vegas NV 89135 University of Minnesota 06/03/1962 Henderson NV 89052 (702) 270-8790 (702) 270-8928 Washington University 05/15/1987 Pahrump NV 89048 (775) 751-8300 (775) 751-5998 Tufts University 05/22/1994 FPO AE 09636 (619) 556-7292 (619) 556-8289 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Reno NV 89511 (775) 851-1789 Georgetown University 05/18/1966 Las Vegas NV 89144 (702) 774-8000 (702) 360-0777 UCLA 06/13/1980 Las Vegas NV 89128 (702) 722-2324 (702) 462-8660 California-Loma Linda University School of Dentistry 12/10/2004 Henderson NV 89052 (702) 560-5231 Las Vegas NV 89102 (702) 870-3818 (702) 258-7649 Case Western Reserve University 05/20/2000 Henderson NV 89014 (702) 307-1578 California-University of California at San Francisco School of Dentistry 06/10/2011 Henderson NV 89014 (702) 852-2022 (702) 537-8888 University of Connecticut 05/19/2003 Las Vegas NV 89109 (702) 671-5134 (702) 671-3126 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 Livermore CA 94551 (925) 449-7167 (775) 727-1073 University of the Pacific 06/17/2001 Las Vegas NV 89134 (702) 341-7978 (702) 341-8510 University of Illinois 05/01/1994 Las Vegas NV 89134 (702) 341-7978 (702) 341-8510 University of the Pacific 06/01/1976 Gilbert AZ 85297 (775) 738-3500 Reno NV 89511 (775) 828-7246 (775) 852-2300 Oregon-Oregon Health and Science University School of Dentistry 06/03/2008 Spring Creek NV 89815 (775) 738-3110 Reno NV 89509 (775) 786-2077 (775) 786-0146 University of the Pacific 06/20/1999 Las Vegas NV 89145 (702) 732-4873 (702) 731-0803 University of West Ontario 06/06/1983 Henderson NV 89052 (702) 897-5560 (702) 269-5511 Temple University 05/21/1998 Fairfax VA 22032 (703) 430-6655 Las Vegas NV 89139 (702) 656-6777 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/14/2015 Lake Oswego OR 97034 (702) 968-5236 (503) 635-5857 Tennessee-University of Tennessee Medical Center 09/15/1974 Las Vegas NV 89120 (702) 798-6216 (702) 798-6269 University of Oregon 06/01/1985 El Paso TX 79912 Las Vegas NV 89133 (702) 474-2454 (702) 474-2946 USC 08/16/1994 Las Vegas NV 89149 Fountain Valley CA 92708 (702) 641-2300 (714) 841-6008 USC 05/14/2004 Las Vegas NV 89149 (949) 551-9905 California-University of Southern California School of Dentistry 12/16/2015 Las Vegas NSBDENV 89109 (702) 433-7827 (702) 492-1580 University of Missouri LIST05/06/1994 Las Vegas NV 89148 (702) 221-4236 (702) 222-0194 Temple University 05/21/1998 Las Vegas NV 89183 (702) 463-7300 (702) 458-0009 Baylor College of Dentistry 06/03/2001 Las Vegas NV 89139 (775) 537-0911 (702) 263-7877 UCLA 09/17/1999 Bellflower CA 90706 (714) 952-3044 (714) 952-3045 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89139 (702) 450-6060 (702) 563-6957 Loma Linda University 05/01/1998 Roselle Park NJ 07204 (702) 968-5222 (702) 968-5277 -University of Medicine & Dentistry of New Jersey New Jersey Dental School 05/23/2012 Reno NV 89509 (775) 800-1051 (775) 786-6177 University of Washington 06/01/1961 Las Vegas NV 89178 (702) 880-9527 (702) 880-9532 Loma Linda University 12/14/2001 Henderson NV 89052 (702) 260-0102 (702) 433-0202 UCLA 06/11/1994 Las Vegas NV 89146 (702) 870-6161 (702) 453-6669 University of Nevada Las Vegas 05/13/2006

58 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

New York-New York University College of Dentistry 05/20/2015

Canada-Dalhousie University 05/15/2015

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/17/2006

Pennsylvania-Temple University School of Dentistry 05/16/2013 California-UniversityNSBDE of Southern California School of Dentistry 05/12/2017 LIST

59 DENTISTS 01/01/2019

BoardAction

10/03/2014

08/17/2007,09/21/2006

03/23/2006,06/27/2014,11/20/2015

05/18/2006,06/11/2004,12/04/2009,12/30/2008NSBDE LIST

05/22/2015,10/09/2009

60 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Julianne Christine Doty Julianne Christine Doty DMD Dentist 7118 08/02/2018 Active Jason R Doucette Jason R Doucette DMD Dentist 3476 07/12/1999 Active Joseph Alan Dougherty Joseph Alan Dougherty DMD Limited License Dental LL-424-16 06/22/2016 Active William J Dougherty William J Dougherty Jr DMD Specialty Dentist S7-20 11/17/1995 Active Georgia Serafin Dounis Georgia Serafin Dounis DDS Dentist 4297 08/06/2002 Active Kyriaki S Dounis Kyriaki S Dounis DDS Dentist 4303 09/26/2002 Active Bruce Dow Bruce Dow DDS Dentist 2137 12/19/1982 Active Robert D Dow Robert D Dow DDS Dentist 3048 07/15/1996 Active David Barclay Dowling David Barclay Dowling DDS, MS Specialty Dentist S3-229C 10/21/2011 Active Jason L Downey Jason L Downey DDS Dentist 3466 07/12/1999 Active William D Downie William D Downie DDS Dentist 1094 09/01/1980 Active Richard J Dragon Richard J Dragon DMD Dentist 2218 07/01/1984 Active Lawrence Allen Drake Lawrence Allen Drake DDS Dentist 2788 07/26/1993 Active Stuart Sumner Drange Stuart Sumner Drange DDS Dentist 0961 03/01/1978 Active Steven Michael Draper Steven Michael Draper DDS Dentist 2634 03/27/1991 Active Morrigan Hannah Drew Morrigan Hannah Drew DDS Dentist 6716 09/16/2015 Active Andrew Gardner Drollinger Andrew Gardner Drollinger DDS Limited License Dental LL-467-18 06/21/2018 Active Jamie Rae Drowley Jamie Rae Drowley DDS Specialty Dentist S3-218 08/20/2010 Active Steven Victor Dryden Steven Victor Dryden DDS Specialty Dentist S2-148 02/10/2017 Active Michael S Duboff Michael S Duboff DMD Dentist 4940 05/18/2006 Active John Joseph Dudek John Joseph Dudek DDS Specialty Dentist S2-45 07/29/2005 Active Mason Robert Duff Mason Robert Duff DMD Dentist 6643 06/04/2015 Active Kenneth Edward Duffie Kenneth Edward Duffie DDS Dentist 4737 04/21/2005 Active Gregory Daniel Dumitru Gregory Daniel Dumitru DDS Dentist 3350 01/20/1999 Active Kelley Mary Dunay Kelley Mary Dunay DMD Specialty Dentist S3-183 08/22/2008 Active Nicholas Ralph Duncan Nicholas Ralph Duncan DDS Dentist 2702 03/25/1992 Active Robert Neil Dunham Robert Neil Dunham DMD Dentist 6991 11/03/2017 Active James Waldo Dunnavant James Waldo Dunnavant Jr DDS Dentist 2855 07/18/1994 Active John Quoc Duong John Quoc Duong DMD Specialty Dentist S7-31 12/08/2001 Active Ken Khanh Duong Ken Khanh Duong DDS Dentist 3738 01/17/2001 Active Lan Thanh Duong Lan Thanh Duong DDS Dentist 3574 05/08/2000 Active Victoria Van Duong Victoria Van Duong DDS Dentist 6536 08/01/2014 Active Brandi Nicole Dupont Brandi Nicole Dupont DMD Dentist 5555 07/26/2007 Active Oshmi Dutta Oshmi Dutta DDS Dentist 5101 08/25/2006 Inactive Brett Gysbert Dyke Brett Gysbert Dyke DMD Dentist 5059 07/20/2006 Retired Calvin Richard DykesNSBDECalvin Richard Dykes DDS Dentist LIST2677 07/09/1991 Active Gerald S Earl Gerald S Earl DMD Dentist 1053 03/01/1980 Active John Lawrence Earl John Lawrence Earl DMD Dentist 0702 08/01/1972 Active Robert Rulon Earl Robert Rulon Earl DDS Dentist 0881 11/01/1976 Active Joseph John Eberle Joseph John Eberle DDS Dentist 0616 08/01/1969 Active Celeste Marie Eckerman Celeste Marie Eckerman DDS Dentist 6161 06/30/2011 Active Mark David Edington Mark David Edington DDS Dentist 4362 01/22/2003 Active Christopher Wayne Edwards Christopher Wayne Edwards DDS Specialty Dentist S3-197 08/14/2009 Inactive Gregory Charles Edwards Gregory Charles Edwards DDS Dentist 2741 07/14/1992 Active Daniel Gordon Egbert Daniel Gordon Egbert DMD Dentist 6713 09/24/2015 Active Zachary Paul Ehrmantrout Zachary Paul Ehrmantrout DDS Dentist 6742 07/27/2016 Active

61 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 8071 Lands End Ave 06/30/2019 6015 S. Virginia Street E324 Limited License Dentist 06/30/2019 8226 Shaded Arbors St S7 - Endodontist 06/30/2019 Sunset Endodontics 54 N. Pecos B 06/30/2019 512 Tuscany View 06/30/2019 512 Tuscany View 06/30/2019 Bruce Dow 155 South C Street Box 2507 06/30/2019 Robert D. Dow, DDS, PC 2421 W Horizon Ridge Pkwy #100 S3 - Orthodontist 06/30/2019 1371 Broady Rd 06/30/2019 Jason L Downey DDS 8876 Spanish Ridge Ave Ste 100 06/30/2019 Warm Springs Correctional Center 3301 E 5th Street 06/30/2019 Dragon Dental 1234 Waterloo Ln 06/30/2019 Abbey Dental Drake, PLLC 4408 S. Eastern Ave 06/30/2019 Carson Valley Dental Arts Implant Dentistry 1480 Hwy 395 06/30/2019 Mason Valley Family Dental 20 State Route 208 06/30/2019 Moana Dental Care 1101 Steamboat Parkway Suite 310 Limited License Dentist 06/30/2019 Roseman University 10894 S River Front Pkwy S3 - Orthodontist 06/30/2019 Griffiths Orthodontics 8710 West Charleston Blvd 150 S2 - Oral and Maxillofacial Surgeon 06/30/2019 CMR 402 Box 970 06/30/2019 Smile Designers of las vegas 5670 W Flamingo Rd suite b S2 - Oral and Maxillofacial Surgeon 06/30/2019 Mountain View Oral Surgery 6970 Smoke Ranch Rd #150 06/30/2019 Infinity Dental 8940 W Tropicana Ave 06/30/2019 6545 Black Oak St 06/30/2019 Virgin Valley Dental 760 W Pioneer Blvd. #3 S3 - Orthodontist 06/30/2019 6445 W Lost Canyon Dr 06/30/2019 7465 Center Drive 06/30/2019 138 Wildhorn Ct 06/30/2019 James W Dunnavant, Jr, DDS 524 South 8th Street S7 - Endodontist 06/30/2019 John Duong, DMD 2291 S Fort Apache Rd #104 06/30/2019 Signature Dental 4990 W Craig Rd #15 06/30/2019 Cavitybusters 6910 S Rainbow Blvd STE 104 06/30/2019 5753 E Santa Ana Canyon RD Apt G545 06/30/2019 Community Health Alliance 1055 S Wells Ave Suite 110 06/30/2019 19115 Prescott Oaks 06/30/2019 312 Glen Hollow St NSBDE06/30/2019 Spring Mountain Dental LIST5785 Spring Mountain Rd Suite 104 06/30/2019 317 Mandarin Hill Lane 06/30/2019 J. Lawrence Earl 5280 S Eastern Ave. C-1 06/30/2019 ROBERT EARL, D.D.S. 5320 W. SAHARA AVE. SUITE #3 06/30/2019 Desert Valley Dental - Reno 3665 Lakeside Dr 06/30/2019 1702 County Rd Suite E 06/30/2019 Modern Dental Care 9895 S. Maryland Pkwy, Ste. A Ste. A S3 - Orthodontist 06/30/2019 2341 Mistletoe Blvd 06/30/2019 6758 Kostner St 06/30/2019 Elko Family Medical and Dentla Center 762 14th Street 06/30/2019 6542 36th Ln SE

62 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89117 (702) 465-8187 Reno NV 89502 (775) 358-1555 (775) 358-3817 OR Health Sciences University 06/09/1999 Las Vegas NV 89139 (702) 968-1682 (702) 968-5277 Henderson NV 89074 (702) 436-4300 (702) 436-0334 University of Pittsburgh 06/01/1977 Las Vegas NV 89145 (702) 744-2667 (702) 233-0368 Marquette University 06/21/1985 Las Vegas NV 89145 (702) 791-9019 Marquette University 05/30/1985 Hawthorne NV 89415 (775) 945-2438 (775) 945-1348 Marquette University 06/01/1980 Henderson NV 89052 (702) 434-8141 (702) 914-8112 Creighton University 05/18/1996 Nesbit MS 38651 (800) 397-6247 (209) 566-2191 Tennessee-University of Tennessee College of Dentistry 03/14/1971 Las Vegas NV 89148 (702) 871-4903 (702) 871-1485 UCLA 06/06/1999 Carson City NV 89701 (775) 684-3092 (775) 883-5778 University of Illinois 06/01/1970 Gardnerville NV 89410 (775) 782-9755 (775) 782-4812 Washington University 05/21/1982 Las Vegas NV 89119 (702) 731-5700 Medical College of Virginia 12/22/1990 Gardnerville NV 89410 (775) 782-7169 (866) 381-2990 UCLA 06/01/1978 Yerington NV 89447 (775) 463-3171 (775) 463-4967 Northwestern University 06/13/1987 Reno NV 89521 (775) 827-8808 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 South Jordan UT 84095 (801) 878-1478 Las Vegas NV 89117 (702) 256-7846 (702) 774-2696 West Virginia University 05/17/1998 APO AE NY 09180 California-University of Southern California School of Dentistry 05/13/2015 Las Vegas NV 89103 (702) 364-2373 (702) 364-8134 Boston University 06/25/2000 Las Vegas NV 89128 (702) 259-6725 (702) 259-6738 University of the Pacific 06/18/2000 Las Vegas NV 89147 (702) 434-4800 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89084 (702) 731-5700 University of Michigan 04/29/1983 Mesquite NV 89027 (702) 346-3880 (702) 346-6290 Loma Linda University 05/08/1995 Tucson AZ 85745 (775) 853-7000 (702) 774-2696 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Carson City NV 89701 (775) 832-3466 (775) 831-2631 Indiana University 12/31/1980 Henderson NV 89074 Las Vegas NV 89101 (800) 836-3377 (800) 836-3377 University of the Pacific 06/19/1994 Las Vegas NV 89117 (702) 732-8800 (702) 869-5554 Temple University 06/20/1998 Las Vegas NV 89130 (702) 656-5273 (702) 656-5805 USC 08/08/2000 Las Vegas NV 89118 (702) 362-5437 (702) 869-5588 Loma Linda University 05/24/1998 Anaheim Hills CA 92807 California-University of California at San Francisco School of Dentistry 06/13/2014 Reno NV 89502 (775) 329-6300 (775) 329-7253 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 San Antonio TX 78258 (425) 785-6000 (210) 625-7398 USC 05/11/2001 Cedar Park TX 78613 (702) 458-0973 University of Nevada Las Vegas 05/13/2006 Las Vegas NSBDENV 89146 (702) 368-3854 (702) 368-3877 University of Iowa LIST05/15/1976 Henderson NV 89012 (702) 731-5700 (702) 458-3762 University of Oregon 06/01/1977 Las Vegas NV 89119 (702) 798-7724 (702) 798-9770 University of Oregon 06/01/1972 LAS VEGAS NV 89146 (702) 871-4990 (702) 871-9853 Creighton University 06/01/1976 Reno NV 89509 (775) 825-1055 (775) 825-1084 Wisconsin-Marquette University School of Dentistry 06/01/1969 Minden NV 89423 (775) 782-2799 (775) 782-9426 California-University of Southern California School of Dentistry 08/07/2007 Las Vegas NV 89183 (702) 372-4039 (702) 270-0598 Creighton University 05/17/2002 Fort Worth TX 76110 (817) 771-0009 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/25/2002 Las Vegas NV 89149 (702) 433-2489 (702) 434-2483 Howard University 05/25/1983 Elko NV 89801 (844) 227-6867 (775) 738-5934 Oregon-Oregon Health and Science University School of Dentistry 06/20/2014 Lacey WA 98503 (360) 491-4884 (360) 491-1270 Washington-University of Washington-Health Sciences School of Dentistry 06/11/2004

63 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Maryland-University of Maryland Baltimore College of Dental Surgery 05/24/2002 Oregon-Oregon HealthNSBDE and Science University School of Dentistry 06/11/1976 LIST

64 DENTISTS 01/01/2019

BoardAction

03/18/2016

01/20/2017

08/10/2000 NSBDE LIST

03/08/1991,05/04/1999,06/01/2000

01/22/2016,10/16/2000

65 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Gregory R Eissmann Gregory R Eissmann DDS Dentist 2232 07/01/1984 Active David John Ellefsen David John Ellefsen DDS Dentist 2678 07/09/1991 Active Benjamin Blair Ellsworth Benjamin Blair Ellsworth DDS Specialty Dentist S4-90 08/01/2014 Active Chad Wallace Ellsworth Chad Wallace Ellsworth DMD Specialty Dentist S6-39 07/29/2004 Active Evan Bale Ellsworth Evan Bale Ellsworth DMD Dentist 7010 01/12/2018 Active Shane Leigh Ellsworth Shane Leigh Ellsworth DMD Dentist 6043 07/14/2010 Active Amanda Marie Elpers Amanda Marie Elpers DMD Dentist 7089 06/21/2018 Active Amir Fouad Elsakr Amir Fouad Elsakr DMD Dentist 5864 04/25/2014 Inactive Theodis Elzie Theodis Elzie DDS Dentist 4181 05/31/2002 Retired David Paul Ember David Paul Ember DDS Specialty Dentist S6-30C 01/18/2003 Active Peter Adams Emmons Peter Adams Emmons DDS Limited License Dental LL-477-18 10/10/2018 Active Eryn Elyse Ence Eryn Elyse Ence DMD Specialty Dentist S3-274 05/22/2015 Active James Norman Ence James Norman Ence DDS Dentist 0928 09/01/1977 Active Mark Raynel Ence Mark Raynel Ence DDS Dentist 6921 06/09/2017 Active Constance Arnettres Epps Constance Arnettres Epps DDS Dentist 4984 06/26/2006 Inactive Andrew Vaughn Erickson Andrew Vaughn Erickson DMD Dentist 4776 07/29/2005 Inactive Luzanne Flora Ermita Luzanne Flora Ermita DMD Dentist 6927 06/16/2017 Active Babak Ershaghi Babak Ershaghi DDS Dentist 3351 01/20/1999 Active Tara Ender Erson Tara Ender Erson DMD Dentist 6293 07/18/2012 Active Eric Alberto Escobar Eric Alberto Escobar DDS Dentist 4700 01/16/2005 Active Julio Edgardo Escobar Julio Edgardo Escobar DDS Dentist 5572 07/26/2007 Active Mark John Escoto Mark John Escoto DDS Dentist 2679 07/09/1991 Active Andrea Liliana Eslava Andrea Liliana Eslava DMD Dentist 6751 05/25/2016 Active Ronald John Espinueva Ronald John Espinueva DMD Dentist 6690 07/08/2015 Active Jessica Ann Etchell Jessica Ann Etchell DMD Dentist 6947 07/14/2017 Active Joshua David Etman Joshua David Etman DDS Dentist 6547 10/03/2014 Active Clinton Leo Euse Clinton Leo Euse DDS Dentist 4570 01/21/2004 Active Kelly Ann Euse Kelly Ann Euse DDS Dentist 5049 06/23/2006 Active Brian Edward Evans Brian Edward Evans DDS Dentist 5956 07/16/2009 Active Darwin Harold Evans Darwin Harold Evans DMD Dentist 6133 02/11/2011 Active James Calvin Evans James Calvin Evans DDS Dentist 0582 08/01/1968 Active Rhonda Joi Everett Rhonda Joi Everett DDS Limited License Dental LL-139-06 05/17/2007 Active Lawrence Philip Evola Lawrence Philip Evola DDS Limited License Dental LL-293-11 01/26/2012 Active Bibiana Chioma Ezeanolue Bibiana Chioma Ezeanolue DMD Specialty Dentist S6-118 11/30/2012 Active Ahmed Mahmoud Ezzeldin Ahmed Mahmoud Ezzeldin DDS Dentist 7068 07/12/2018 Active Spencer James FaddisNSBDESpencer James Faddis DDS Dentist LIST6658 06/04/2015 Active Brandon Wallace Fairbanks Brandon Wallace Fairbanks DMD Dentist 4361 01/22/2003 Inactive Jesse Jay Jeremy Falk Jesse Jay Jeremy Falk DMD Specialty Dentist S2-139 07/22/2015 Active Ryan Robert Falke Ryan Robert Falke DDS Specialty Dentist S2-136 07/22/2015 Active Farah Mohammed Fallah Farah Mohammed Fallah DDS Dentist 6871 01/04/2017 Inactive Sasan Farahmand Sasan Farahmand DDS Dentist 4411 04/29/2003 Active Rana Souhail Faranesh Rana Souhail Faranesh DMD Dentist 5758 10/30/2008 Active Elena Farfel Elena Farfel DMD Dentist 5999 06/23/2010 Active Farzin Rasjtabadi Farhan Farzin Rasjtabadi Farhan DDS Dentist 3695 07/03/2000 Inactive Michelle Shabnam Farnoush Michelle Shabnam Farnoush DMD Dentist 6948 06/16/2017 Active Samira Farokh Samira Farokh DMD Specialty Dentist S6-168 07/27/2018 Active

66 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Gregory R Eissmann, DDS 4101 Caughlin Square Suite 6 06/30/2019 All smiles family Dental 900 N 5th St S4 - Periodontist 06/30/2019 619 Coriander Canyon Ct S6 - Pediatric Dentist or Pedodontist 06/30/2019 Anthem Pediatric Dentistry 10400 S Eastern Ave. 06/30/2019 Aces Dental 6127 S Rainbow Blvd Ste 100 06/30/2019 37 Gentilly Lace Ave 06/30/2019 4450 Hualapai Way Unit 1262 06/30/2019 8307 Candlefish Ct. 06/30/2019 7687 Gossamer Wind St S6 - Pediatric Dentist or Pedodontist 06/30/2019 10580 N McCarran Blvd Ste 115-520 Limited License Dentist 06/30/2019 1342 North 650 East S3 - Orthodontist 06/30/2019 787 Durgos Drive 06/30/2019 James N Ence DDS LTD 754 S Main St #1 06/30/2019 754 S Main St Ste 1 06/30/2019 2417 Wildcrest Ct 06/30/2019 Jordan Landing Dental 7611 S Jordan Landing Blvd Ste 201 06/30/2019 6898 Broadacres Ranch St 06/30/2019 Northwest Dental 3250 N Tenaya Way #108 06/30/2019 Smart Mouth 1570 S Rainbow Blvd. 06/30/2019 Escobar Family Dentistry 532 Humboldt Street 06/30/2019 13530 tremolite dr 06/30/2019 M.J. ESCOTO DDS LLC 2650 LAKE SAHARA DRIVE #120 06/30/2019 2200 S Fort Apache Rd #1054 06/30/2019 178 La Serna St 06/30/2019 1213 Muscato Ct 06/30/2019 Lone Mountain Family Dental 4818 w lone mountain rd 06/30/2019 Advance dentistry by Design LLC 403 W Nye Ln Suite A 06/30/2019 Advanced Dentistry by Design 403 West Nye Lane A 06/30/2019 Wager Evans Dental 5220 Neil Rd Suite 100 06/30/2019 Spring Valley Dentist Office 6160 W Tropicana Ave E-1 06/30/2019 2429 Calico Creek Ct Limited License Dentist 06/30/2019 10886 Toscano Gardens St Limited License Dentist 01/25/2019 25 Lakeridge Drive S S6 - Pediatric Dentist or Pedodontist 06/30/2019 Mint Dental & Orthodontics 375 N Stephanie St Ste 611 06/30/2019 1320 Summerfield Dr. NSBDE06/30/2019 LIST10524 Sparks Summit Ln 06/30/2019 Fairbanks Orthodontics 3300 N Runing Creek Way Bldg F #102 S2 - Oral and Maxillofacial Surgeon 06/30/2019 6200 N Durango Dr. Suite 100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Sierra Oral & Facial Surgery 475 Sommerset Pkwy Ste B 06/30/2019 5418 Woodleaf Ct 06/30/2019 161 Valley Oak Dr 06/30/2019 1804 Walden Ct. 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Lane MS 7410 , Office 246 06/30/2019 Farzin R Farhan, DDS 2822 S Western Ave 06/30/2019 Desert Breeze Dental 8650 W Spring Mtn Rd Ste 101 S6 - Pediatric Dentist or Pedodontist 06/30/2019 2109 Bachelor Ct

67 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89519 (775) 827-2299 (775) 827-3897 UCSF 06/01/1984 Elko NV 89801 (775) 738-8888 (775) 738-0138 Indiana University 06/12/1991 Las Vegas NV 89138 (702) 577-1941 California-University of California at San Francisco School of Dentistry 06/10/2011 Henderson NV 89052 (702) 531-5437 (702) 616-3565 Ohio-Ohio State University College of Dentistry 06/06/2002 Las Vegas NV 89118 (702) 459-5437 Henderson NV 89002 (503) 472-1402 (503) 472-1404 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89147 (702) 228-9911 Las Vegas NV 89113 (713) 271-3000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89139 (770) 801-1641 (702) 263-0905 Meharry Medical College 05/30/1976 Reno NV 89503 (702) 336-2332 (480) 656-8766 Ohio State University 09/19/1975 Tooele UT 84074 Henderson NV 89012 (702) 452-2267 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 St. George UT 84770 (435) 632-2668 (435) 628-6205 University of the Pacific 06/01/1977 St. George UT 84770 (435) 628-7667 High Point NC 27265 (336) 230-0346 (336) 887-2784 Howard University 05/12/1979 West Jordan UT 84084 (801) 280-7001 OR Health Sciences University 06/09/1995 Las Vegas NV 89148 Las Vegas NV 89129 (702) 656-3910 (702) 656-9120 Loma Linda University 05/24/1998 Las Vegas NV 89146 (702) 575-0866 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Reno NV 89509 (775) 786-6168 (775) 852-8199 University of Michigan 05/08/2004 Reno NV 89511 (775) 246-2400 (775) 246-8404 Michigan-University of Michigan School of Dentistry 04/26/2007 LAS VEGAS NV 89117 (702) 256-5353 (702) 243-7581 University of the Pacific 06/23/1989 Las Vegas NV 89117 (702) 547-6453 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Henderson NV 89074 (702) 871-4990 (702) 260-4450 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89144 las vegas NV 89130 (702) 655-9533 (702) 655-9565 New York-New York University College of Dentistry 05/16/2012 Carson City NV 89706 (775) 883-7244 (775) 8837282 Creighton University 05/17/2003 Carson City NV 89706 (775) 883-7244 (775) 852-8199 Creighton University 05/14/2004 Reno NV 89502 (775) 829-7700 (775) 829-7702 California-Loma Linda University School of Dentistry 05/24/2009 Las Vegas NV 89103 (702) 674-1418 (702) 933-0190 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89135 (702) 331-9966 (702) 240-0017 Washington University 06/01/1966 Las Vegas NV 89141 (702) 774-2517 (702) 774-2651 California-University of Southern California School of Dentistry 05/12/2000 Orchard Park NY 14127 (716) 656-8686 (716) 656-8713 New York-New York University College of Dentistry 01/31/1986 Henderson NV 89014 (702) 545-0055 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/18/2009 Herdon VA 20170 Las Vegas NSBDENV 89166 (702) 254-6412 Nebraska-Creighton University School of Dentistry LIST05/16/2015 Lehi UT 84043 (801) 766-4660 (801) 344-8837 University of Louisville 06/12/2001 Las Vegas NV 89138 (702) 660-5574 (702) 660-5578 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Reno NV 89523 (775) 284-2500 (909) 558-0285 California-Loma Linda University School of Dentistry 05/24/2009 Concord CA 94521 California-University of the Pacific Arthur A. Dugoni School of Dentistry 01/31/2013 Irvine CA 92618 (702) 736-9777 (702) 363-4136 Marquette University 05/23/1993 Henderson NV 89074 (702) 838-0707 (702) 838-0706 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NV 89106 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Los Angeles CA 90018 (323) 734-9600 (323) 734-9300 Marquette University 05/22/1994 Las Vegas NV 89117 (702) 869-0032 Las Vegas NV 89128 (702) 658-2311 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012

68 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/16/2017

Massachusetts-Tufts University School of Dental Medicine 05/20/2018

Wisconsin-Marquette University School of Dentistry 06/01/2008

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/2008

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

New York-New YorkNSBDE University College of Dentistry 05/13/2009 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

69 DENTISTS 01/01/2019

BoardAction

12/18/2017 NSBDE LIST

70 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Donald John Farr Donald John Farr DDS Dentist 2789 07/26/1993 Active C Leonard Fath C Leonard Fath DDS Specialty Dentist S7-102 09/13/2018 Active LaDeane Katherine Fattore-Bruno LaDeane Katherine Fattore-Bruno DDS Dentist 4287 08/06/2002 Retired Davin Geo Faulkner Davin Geo Faulkner DMD Dentist 5167 09/21/2006 Active Richard Wymer Featherstone Richard Wymer Featherstone DDS Dentist 2856 07/18/1994 Active Leonard Jack Feld Leonard Jack Feld DDS Dentist 3512 01/19/2000 Inactive Audra Ann Feldhaus Audra Ann Feldhaus DDS Limited License Dental LL-446-17 06/23/2017 Active Karen Feldman Karen Feldman DDS Dentist 6427 06/28/2013 Active David Max Fellars David Max Fellars DDS Dentist 6955 09/15/2017 Active Jedediah Michael Feller Jedediah Michael Feller DDS Specialty Dentist S3-65 03/18/2003 Active Parley Jack Feller Parley Jack Feller DDS Specialty Dentist S3-60C 04/30/2002 Active David Burton Ferguson David Burton Ferguson DDS Specialty Dentist S3-317C 05/04/2018 Active Jason Earl Ferguson Jason Earl Ferguson DDS Dentist 4641 07/12/2004 Active Tamara Lauren Bill Fernandes Tamara Lauren Bill Fernandes DDS Dentist 6709 10/07/2015 Active Thomas Lowell Fernandes Thomas Lowell Fernandes DDS Dentist 6707 09/09/2015 Active Nicole Kahale Inia Fernandez Nicole Kahale Inia Fernandez DMD Dentist 6609 05/22/2015 Active Rene Dedios Fernando Rene Dedios Fernando DDS Dentist 4059 07/09/2001 Active Mark Alexander Ferrari Mark Alexander Ferrari DDS Specialty Dentist S4-11 06/23/1986 Active Yessenia Chaidez Fields Yessenia Chaidez Fields DMD Dentist 6298 06/14/2012 Active Daniel Smart Fife Daniel Smart Fife DDS Specialty Dentist S7-67 08/14/2009 Inactive David Callister Fife David Callister Fife DDS Specialty Dentist S7-36 06/06/2003 Active Angella Santos Figueroa Angella Santos Figueroa DDS Dentist 5744 08/22/2008 Active Alec Miller Fillmore Alec Miller Fillmore DDS Dentist 6203 01/26/2012 Active William A Fischer William A Fischer III DDS Dentist 4532 12/11/2003 Active Clayton Arthur Fisher Clayton Arthur Fisher DDS Dentist 6895 03/31/2017 Active Whitney Ann Fisher Whitney Ann Fisher DMD Dentist 6651 06/04/2015 Active Kevin Peter Flannery Kevin Peter Flannery DDS Dentist 7090 07/12/2018 Active Stephen Nevada Fleming Stephen Nevada Fleming DDS Specialty Dentist S3-07 03/01/1981 Active Michael Lee Flores Michael Lee Flores DMD Dentist 5715 06/27/2008 Active Thomas Robert Flynn Thomas Robert Flynn DMD Specialty Dentist S2-119C 06/30/2011 Active Donald Kurtis Folgner Donald Kurtis Folgner DDS Dentist 4502 07/28/2003 Active Henley Herbert Fong Henley Herbert Fong Jr DDS Dentist 5279 01/20/2007 Active Cale Raymond Forgues Cale Raymond Forgues DMD Limited License Dental LL-419-16 06/15/2016 Active Mallary Campbell Forrest Mallary Campbell Forrest DDS Limited License Dental LL-462-18 06/21/2018 Active James Patrick Fortunato James Patrick Fortunato DDS Dentist 4072 10/22/2001 Inactive Scott Maxmillian ForvillyNSBDEScott Maxmillian Forvilly DDS Dentist LIST3049 07/15/1996 Active Katie Breeann Foster Katie Breeann Foster DMD Specialty Dentist S6-138 08/12/2015 Active Mark Jonathan Fotovat Mark Jonathan Fotovat DDS Dentist 6193 10/21/2011 Active R Cameron Foulk R Cameron Foulk DMD Dentist 6527 07/03/2014 Active Steve Edward Fountain Steve Edward Fountain DDS Dentist 4705 01/16/2005 Inactive Barton Humphries Foutz Barton Humphries Foutz DDS Dentist 2325 07/01/1985 Active Donald James Fowkes Donald James Fowkes DDS Dentist 6471 10/04/2013 Inactive Gerald David Fox Gerald David Fox DDS Dentist 6045 07/14/2010 Active David Richard Fralick David Richard Fralick DMD Dentist 5102 08/25/2006 Active Patrick Joseph France Patrick Joseph France DDS Dentist 1095 09/29/1980 Active Robert Daniel France Robert Daniel France DDS Dentist 0816 03/22/1973 Active

71 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Donald J Farr DDS Ltd 2458 E Russell Rd Suite B S7 - Endodontist 06/30/2019 1348 Dusty Creek St 06/30/2019 3106 E Scorpio Place 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS 7410 06/30/2019 Richard W. Featherstone, DDS, LLP 880 Seven Hills Dr Suite 130 06/30/2019 Southeast Dental 4332-E Slauson Ave Limited License Dentist 06/30/2019 711 Westwoods Dr 06/30/2019 2590 Evening Twilight Ave 06/30/2019 521 Cabrera Ct S3 - Orthodontist 06/30/2019 Feller Orthodontics 2871 N Tenaya Way S3 - Orthodontist 06/30/2019 629 East 3550 South S3 - Orthodontist 06/30/2019 Celebrate Dental & Braces 5900 W cheyenne Ave 06/30/2019 Nevada Dental Arts 56 Commercial Way 06/30/2019 6802 S Echo Ridge St 06/30/2019 6802 S Echo Ridge St 06/30/2019 Shadow Mountain Dental Group & Orthodontics 6525 N Decatur Blvd Ste 150 06/30/2019 Rene Fernando/Denta Care 7965 s rainbow blvd #145 S4 - Periodontist 06/30/2019 Ferrari Dental PLLC 75 Mt Rose Street B 06/30/2019 10143 Tarbell Grove Ave S7 - Endodontist 06/30/2019 Fife Endodontics 26932 Oso Parkway 240 S7 - Endodontist 06/30/2019 David C. Fife, DDS - Endodontics 1975 Village Center Cir #110 06/30/2019 Gubler Family Dental 2430 E Harmon Ave Ste 1 06/30/2019 Community Health Alliance Wells Dental Clinic 1055 S. Wells Ave. Suite 110 06/30/2019 5175 Jerry Tarkanian Way #20107 06/30/2019 Inland Behavioral Health Services 665 N D St 06/30/2019 6 Bantry Way 06/30/2019 9870 Double R Blvd Apt 424 S3 - Orthodontist 06/30/2019 Affiliated Orthodontic Specialists 5320 W Sahara Ave 06/30/2019 Flores Family Dental 6536 N Decatur Blvd 120 S2 - Oral and Maxillofacial Surgeon 06/30/2019 2509 18th St 06/30/2019 12680 Silver Wolf Rd 06/30/2019 Town Center Dental 8504 Del Web Blvd. Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1700 W Charleston Blvd Limited License Dentist UNLV School of Dental Medicine 1700 W Charleston Blvd 06/30/2019 2320 Dr NSBDE06/30/2019 Gentle Dental Care LIST50 East Haskell St Ste C S6 - Pediatric Dentist or Pedodontist 06/30/2019 Windsor Pediatric Dentistry 1299 Main St Ste C 06/30/2019 Mark J Fotovat DDS Inc 4849 Van Nuys Blvd Ste. 101 06/30/2019 The Reno Dentist 855 W. 7th St. #200 06/30/2019 7026 Columbine Ct 06/30/2019 Barton H. Foutz, DDS 2510 Wigwam Pkwy #100 06/30/2019 14 Fairway Drive 06/30/2019 147 East Mesa Ln 06/30/2019 VHA Sierra Nevada Healthcare System 975 Kirman Ave 06/30/2019 Patrick J France D.D.S. 3631 Warren Way 06/30/2019 ROBERT D FRANCE, DDS, LTD 1820 S ARLINGTON AVE

72 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89120 (702) 798-4595 (702) 798-6269 University of Nebraska 05/07/1993 Las Vegas NV 89128 (213) 740-1080 Loyola University 05/25/1985 Chandler AZ 85249 (928) 755-4833 Loyola University 06/11/1977 Las Vegas NV 89106 (702) 774-2400 University of Nevada Las Vegas 05/13/2006 Henderson NV 89052 (702) 914-4478 (702) 837-7531 UCSF 06/13/1972 Maywood CA 90270 (323) 771-7777 (310) 544-5094 USC 06/05/1975 Liberty MO 64068 (816) 454-0377 Henderson NV 89044 (702) 270-8790 (866) 936-4559 Las Vegas NV 89138 Las Vegas NV 89128 (702) 341-8668 (702) 341-7044 University of the Pacific 06/20/1999 Bountiful UT 84010 (307) 362-8842 (801) 294-0761 Northwestern University 06/18/1977 Las Vegas NV 89108 (210) 675-7000 Fallon NV 89406 (775) 423-9990 (775) 423-9992 Loma Linda University 05/30/2004 Spokane WA 99224 (530) 541-4640 (530) 541-3853 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Spokane WA 99224 (530) 541-4640 (530) 541-3853 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Las Vegas NV 89131 (702) 577-1941 (858) 881-5081 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/19/2014 Las Vegas NV 89139 (702) 871-6180 (702) 873-6825 New York University 05/13/1999 Reno NV 89509 (775) 322-5800 (775) 322-5804 Marquette University 06/01/1982 Las Vegas NV 89166 (702) 791-9000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Mission Viejo CA 92691 (949) 273-5505 (949) 498-2473 California-University of California at San Francisco School of Dentistry 06/17/2007 Las Vegas NV 89134 (702) 360-2122 (702) 360-3963 UCLA 06/15/2001 Las Vegas NV 89121 (702) 309-9001 (702) 873-7263 California-Loma Linda University School of Dentistry 05/25/2008 Reno NV 89502 (775) 329-6300 California-Loma Linda University School of Dentistry 05/29/2011 Las Vegas NV 89148 (330) 339-0900 Ohio State University 12/11/1992 San Bernardino CA 92401 (810) 789-9141 Butte MT 59701 (702) 433-5355 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Reno NV 89521 (775) 971-9282 Las Vegas NV 89146 (702) 871-1808 (702) 889-0832 USC 06/01/1967 Las Vegas NV 89131 (702) 242-3373 (702) 636-8767 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Sparks NV 89431 (775) 829-8234 (617) 432-0901 New Jersey-University of Medicine & Dentistry of New Jersey New Jersey Dental School 06/07/1976 Reno NV 89511 (775) 786-3403 (775) 786-3608 University of the Pacific 06/15/2003 Las Vegas NV 89134 (702) 871-8888 (702) 871-8889 California-University of California at Los Angeles School of Dentistry 09/16/2005 Las Vegas NV 89102 (702) 744-2690 Las Vegas NV 89102 (702) 774-2690 Carson City NV 89703 Columbia University 05/13/1987 Winnemucca NSBDENV 89445 (775) 782-0022 (775) 588-9993 University of Colorado LIST05/25/1996 Windsor CO 80550 (775) 322-2061 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Sherman Oaks CA 91403 (702) 869-8031 (702) 656-7557 New York-New York University College of Dentistry 05/12/2010 Reno NV 89511 (775) 823-9419 (775) 823-9427 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Rancho Cucamonga CA 91739 (909) 625-4101 Loma Linda University 05/30/2004 Henderson NV 89074 (702) 792-5929 (702) 792-2850 University of the Pacific 06/01/1985 Chico CA 95928 (530) 893-0750 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/17/2001 Las Vegas NV 89123 (702) 774-2686 (702) 920-8102 Pennsylvania-Temple University School of Dentistry 05/25/1972 Reno NV 89502 (775) 233-7052 (775) 337-2224 University of Nevada Las Vegas 05/13/2006 Reno NV 89509 (775) 323-3350 (775) 323-7032 Marquette University 05/01/1980 RENO NV 89509 (775) 329-8622 (775) 323-7032 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/01/1974

73 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 08/12/2003

Ohio-Ohio State University College of Dentistry 06/11/2006 Florida-Jacksonville University 08/01/2009

New York-New York University College of Dentistry 05/16/2018

Maryland-UniversityNSBDE of Maryland Baltimore College of Dental Surgery 05/20/2011 LIST

74 DENTISTS 01/01/2019

BoardAction

09/12/2009 NSBDE LIST

07/06/1999,11/04/1998

75 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Perry Tharayil Francis Perry Tharayil Francis DDS Dentist 4054 07/09/2001 Active Barry Hart Frank Barry Hart Frank DDS Specialty Dentist S2-30 07/20/1999 Active James Burnett Frantz James Burnett Frantz Jr DMD Dentist 3330 07/13/1998 Active Blanche Elizabeth Franzese Blanche Elizabeth Franzese DDS Dentist 6076 08/20/2010 Inactive Nicholas Anthony Fredericka Nicholas Anthony Fredericka DMD Dentist 4986 06/26/2006 Inactive Brian Jacob Freeman Brian Jacob Freeman DMD Dentist 5859 08/07/2009 Active Julian Douglas Freeman Julian Douglas Freeman DMD Specialty Dentist S3-68C 08/12/2003 Inactive Bruce J Fremming Bruce J Fremming DDS Dentist 0731 03/22/1973 Retired Amy Marie Kathrean French Amy Marie Kathrean French DMD Specialty Dentist S4-93C 10/03/2014 Active Scott T Frey Scott T Frey DDS Limited License Dental LL-432-16 09/07/2016 Active Leilani Delors Marple Friesen Leilani Delors Marple Friesen DDS Dentist 6953 07/14/2017 Active Larry Stephen Frugoli Larry Stephen Frugoli DMD Dentist 2051 11/01/1981 Active Stephen Gabriel Frugoli Stephen Gabriel Frugoli DMD Dentist 6933 06/09/2017 Active Harry Calvin Fry Harry Calvin Fry DDS Dentist 2420 03/20/1988 Active Sophia Shu-Hui Fu Sophia Shu-Hui Fu DDS Dentist 6148 06/30/2011 Retired Suzan Shu Chuan Fu Suzan Shu Chuan Fu DDS Dentist 3732 01/17/2001 Active Mindy M Fugett Mindy M Fugett DMD Dentist 6026 04/30/2010 Active Robert Eugene Fuller Robert Eugene Fuller DDS Dentist 7150 10/10/2018 Active Spencer Christian Fullmer Spencer Christian Fullmer DDS Specialty Dentist S7-78 09/20/2012 Active Kazumi Funamoto Kazumi Funamoto DMD Dentist 4882 01/24/2006 Active Kai Dennis Funke Kai Dennis Funke DDS Dentist 3183 07/14/1997 Active Mark Detlef Funke Mark Detlef Funke DDS Dentist 2938 07/17/1995 Active Marina Funtik Marina Funtik DMD Limited License Dental LL-478-18 12/18/2018 Active Nicholas A Furchner Nicholas A Furchner DDS Dentist 2302 10/01/1985 Active Scott Frederick Futch Scott Frederick Futch DDS Dentist 6874 01/18/2017 Active Joshua David Gailey Joshua David Gailey DMD Dentist 6094 06/09/2011 Active Michael Ryan Galada Michael Ryan Galada DDS Dentist 6904 05/26/2017 Active Christopher Joseph Galea Christopher Joseph Galea DDS Specialty Dentist S2-153C 12/08/2017 Active Jon Patrick Galea Jon Patrick Galea DDS Specialty Dentist S6-28 09/26/2002 Active Daniel Fernando Galindo Daniel Fernando Galindo DDS Specialty Dentist S5-51C 11/26/2018 Active Morris Sewell Gallagher Morris Sewell Gallagher DDS Dentist 2388 07/14/1987 Active Glen Alexander Gallimore Glen Alexander Gallimore DDS Dentist 3050 07/15/1996 Active John Thomas Gallob John Thomas Gallob DMD Dentist 4863 01/24/2006 Active Vivek Gandotra Vivek Gandotra DDS Dentist 6024 04/30/2010 Active Raul Garcia Raul Garcia DMD Limited License Dental LL-413-16 06/01/2016 Active Earl Braden GardNSBDEEarl Braden Gard IV DDS Dentist LIST5736 07/17/2008 Active Amity Lee Gardner Amity Lee Gardner DDS Dentist 4353 01/22/2003 Inactive Michael Christopher Gardner Michael Christopher Gardner DDS Specialty Dentist S3-81C 10/10/2005 Active Sherman Donald Gardner Sherman Donald Gardner DMD Specialty Dentist S3-196 10/09/2009 Active Howard James Garel Howard James Garel DDS Specialty Dentist S2-157C 04/13/2018 Active Steven Charles Garhardt Steven Charles Garhardt DDS Dentist 3184 07/14/1997 Active Staci Jo Garner Staci Jo Garner DMD Dentist 6314 07/18/2012 Active James Donald Garol James Donald Garol DDS Specialty Dentist S3-30 06/01/1985 Active Whitney Elisabeth Garol Whitney Elisabeth Garol DMD Specialty Dentist S6-137 07/08/2015 Active Gail Michelle Garrett Gail Michelle Garrett DDS Dentist 6889 03/24/2017 Active David Saul Gartenberg David Saul Gartenberg DDS Dentist 0867 03/01/1976 Retired

76 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Wild About Smiles 2145 Green Vista Dr #110 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Desert Oral Surgery, LLC 5255 S Durango Drive, Suite #2 06/30/2019 Green Valley Dental Group 710 Coronado Center Dr Suite 100 06/30/2019 N8400 North Shore Rd 06/30/2019 329 Darlington Rd NE 06/30/2019 Las Vegas Modern Dentistry 7171 W Craig Rd 102 S3 - Orthodontist 06/30/2019 860 Rte 168 Suites 202-203 06/30/2019 3330 Loyola S4 - Periodontist 06/30/2019 2950 Ethelinda Way Limited License Dentist 09/06/2019 2901 Emrick Blvd Ste 104 06/30/2019 7910 Laurelton Pl 06/30/2019 Caughlin Crossing Dentistry 1010 Caughlin Crossing 06/30/2019 Caughlin Crossing Dentistry 1010 Caughlin Crossing 06/30/2019 761 Greenbrae 06/30/2019 2235 Ryan Way 06/30/2019 Bright Smile Dental 1958 Village Center Cir #4 06/30/2019 3540 Brighton Way 06/30/2019 Mike O'Callaghan Military Medical Center 4700 N Las Vegas Blvd Bldg 1300 S7 - Endodontist 06/30/2019 High Desert Endodontic Specialists 4101 Caughlin Square Ste 2 06/30/2019 Peccole Family Dental 7720 W Sahara Ave # 110 06/30/2019 Kai D Funke, DDS,Ltd 805 W Seventh St #201 06/30/2019 Mark D Funke, DDS 1898 College Pkwy Ste #101 Limited License Dentist 12/17/2019 5348 Oak Spring Heights 06/30/2019 Nicholas A Furchner, DDS, LTD 605 Sierra Rose Dr Suite 5 06/30/2019 Absolute Dental 5015 Pyramid Way Ste. 113 06/30/2019 3919 Watford Way 06/30/2019 9550 W Sahara Ave Apt 1102 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Oral and Maxillofacial Surgery 290 Brinkby Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 4472 Prospect Hill Ct S5 - Prosthodontist 06/30/2019 ClearChoice Dental Implant Center - Phoenix 20830 N Tatum Blvd Ste #150 06/30/2019 810 Court St 06/30/2019 3455 Cliff Shadows Pkwy. #130 06/30/2019 UNLV Dental GPR 1700 W Charleston Blvd MS 7424 06/30/2019 Children's Dentistry of North Las Vegas 4080 N Martin L King Blvd Ste 101B Limited License Dentist 05/31/2019 1300 Mendavia Ave NSBDE06/30/2019 LISTP O Box 270722 06/30/2019 1022 Augusta S3 - Orthodontist 06/30/2019 6146 Kings Brook Ct S3 - Orthodontist 06/30/2019 8169 S Deer Creek Rd S2 - Oral and Maxillofacial Surgeon 06/30/2019 2139 W Cougar Rock Circle #203 06/30/2019 Steven C Garhardt, DDS 3663 E Sunset Rd #505 06/30/2019 Smile On Dentistry 9775 W Sunset Rd Ste 103 S3 - Orthodontist 06/30/2019 James D. Garol, DDS, MSD 6536 S McCarran Blvd #A S6 - Pediatric Dentist or Pedodontist 06/30/2019 The Smile Shop 3701 Baker Ln Ste 1 06/30/2019 Mountain dental Group 9285 S Cimarron Rd. Ste. 125 06/30/2019 1 Pine Hollow Dr

77 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Sparks NV 89431 (775) 331-9477 (775) 331-2181 University of the Pacific 06/17/2001 Las Vegas NV 89113 (702) 968-3000 (702) 968-3003 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/22/1979 Henderson NV 89052 (702) 260-0102 (702) 260-0881 Temple University 05/18/1995 Menasha WI 54952 (607) 535-5450 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2004 Warren OH 44484 (330) 652-6500 (330) 652-6550 Case Western Reserve University 05/25/1979 Las Vegas NV 89129 (702) 655-0331 (702) 933-0190 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Turnersville NJ 08012 (856) 228-4600 (856) 228-2011 Temple University 05/26/1969 Clovis CA 93619 (559) 298-3695 UCSF 06/01/1968 Reno NV 89521 (775) 322-5122 (775) 322-7038 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Bethlehem PA 18020 (610) 625-5700 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Las Vegas NV 89147 Reno NV 89519 (775) 329-2995 (775) 329-3671 OR Health Sciences University 06/01/1981 Reno NV 89519 (775) 329-2995 Sparks NV 89431 (775) 358-1742 (775) 851-2205 University of the Pacific 06/01/1986 Upland CA 91784 (909) 482-0828 (909) 984-8633 California-University of Southern California School of Dentistry 08/07/2001 Las Vegas NV 89134 (702) 914-6600 (702) 878-6688 Loma Linda University 05/28/2000 Reno NV 89509 (775) 325-6430 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Nellis AFB NV 89191 (702) 653-2600 Reno NV 89519 (775) 826-6111 Ohio-Ohio State University College of Dentistry 06/13/2010 Las Vegas NV 89117 (702) 242-6500 (702) 304-0733 Tufts University 05/23/1999 Reno NV 89503 (775) 337-6700 (775) 337-6770 University of the Pacific 06/15/1997 Carson City NV 89706 (775) 882-5525 (775) 882-5527 Creighton University 05/13/1995 Colorado Springs CO 80923 (719) 574-2417 Reno NV 89511 (775) 322-4778 (775) 322-7963 Marquette University 05/01/1985 Sparks NV 89436 (708) 891-8569 Michigan-University of Michigan School of Dentistry 05/04/1990 Fayetteville NC 28306 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89117 Reno NV 89509 Las Vegas NV 89129 (702) 254-4220 (702) 645-9149 Georgetown University 05/30/1989 Phoenix AZ 85050 (480) 513-4477 Elko NV 89801 (775) 738-6122 (775) 738-9302 University of the Pacific 06/01/1987 Las Vegas NV 89129 (702) 839-0500 (702) 839-0505 UCSF 09/06/1992 Las Vegas NV 89102 (702) 671-5175 (702) 474-9617 Nova Southeastern University 05/25/2003 North Las Vegas NV 89032 (702) 228-7575 (702) 735-3388 New York-New York University College of Dentistry 05/16/2002 Coral Gables FL 33146 (305) 595-4616 (305) 595-4927 Florida-University of Florida College of Dentistry 05/26/1995 Susanville NSBDECA 96127 Indiana-Indiana University School of Dentistry LIST08/31/2001 Houston TX 77057 (713) 486-4271 (775) 329-3736 Creighton University 05/12/2001 Las Vegas NV 89149 (702) 878-0764 (702) 878-1397 Virginia Commonwealth University 05/15/1999 Salt Lake City UT 84121 (775) 738-9666 (775) 738-6815 University of Kentucky 05/08/1971 St. George UT 84770 Las Vegas NV 89120 (702) 944-7000 (702) 944-7005 Northwestern University 12/28/1997 Las Vegas NV 89148 (702) 804-0559 (702) 992-9935 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Reno NV 89509 (775) 827-8700 (775) 827-2979 UCLA 06/01/1973 Reno NV 89509 (775) 825-1000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89178 (214) 757-4500 California-University of California at San Francisco School of Dentistry 06/11/2010 Henderson NV 89052 University of Detroit 06/01/1976

78 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/12/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Iowa-University of Iowa College of Dentistry 06/03/2005

Connecticut-University of Connecticut School of Dental Medicine 05/17/2009

New York-New York University College of Dentistry 09/23/2013 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Kentucky-University of Louisville School of Dentistry 06/30/2016 NSBDENew York-University of Rochester LIST06/13/1999

Colorado-University of Colorado at Boulder 05/31/1979 Missouri-University of Missouri- City School of Dentistry 06/30/1984

79 DENTISTS 01/01/2019

BoardAction

05/20/2016 06/21/2007

12/13/2013

11/14/2000

07/15/2016,10/09/2009

NSBDE LIST

80 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Adam Joseph Gatan Adam Joseph Gatan DMD Specialty Dentist S7-68 08/14/2009 Active Sirintra Gatan Sirintra Gatan DMD Dentist 5598 08/17/2007 Active David Wendell Gates David Wendell Gates DDS Dentist 2703 03/25/1992 Active Pawan Gautam Pawan Gautam DMD Specialty Dentist S3-245C 06/28/2013 Active John Anthony Gawlik John Anthony Gawlik DMD Specialty Dentist S6-47C 07/20/2006 Inactive Amy Anne Gearin Amy Anne Gearin DMD Dentist 4850 11/15/2005 Active Bryce Carrington Gee Bryce Carrington Gee DMD Dentist 7138 08/29/2018 Active Jeffrey Scott Geist Jeffrey Scott Geist DDS Specialty Dentist S3-143C 05/17/2007 Inactive Joseph Gelo Joseph Gelo III DDS Dentist 6252 07/18/2012 Active Gary James Geracci Gary James Geracci DDS Specialty Dentist S2-51C 05/18/2006 Active Civon Leah Gewelber Civon Leah Gewelber DDS Dentist 6560 10/03/2014 Active Carolyn G Ghazal Carolyn G Ghazal DDS Dentist 4987 06/26/2006 Active Heeyup Heath Ghim Heeyup Heath Ghim DMD Dentist 4848 11/15/2005 Active Nora Negin Ghodousi Nora Negin Ghodousi DDS Dentist 6916 05/19/2017 Active Shahram Ghodsi Shahram Ghodsi DDS Dentist 3185 07/14/1997 Active Quincy Lloyd Gibbs Quincy Lloyd Gibbs DDS Dentist 4625 07/12/2004 Inactive Austin James Gibson Austin James Gibson DMD Dentist 7051 05/04/2018 Active James Isaac Gibson James Isaac Gibson III DDS Specialty Dentist S3-97 03/23/2006 Active Ryan Christian Gibson Ryan Christian Gibson DDS Specialty Dentist S2-100 08/14/2009 Active Ryan Scott Gifford Ryan Scott Gifford DDS Specialty Dentist S4-48 05/17/2007 Active Kenneth Charles Gilbert Kenneth Charles Gilbert DMD, MS Specialty Dentist S3-323 06/18/2018 Active Ramandeep Gill Ramandeep Gill DDS Dentist 6334 11/30/2012 Inactive Jere Scott Gillan Jere Scott Gillan Jr DMD Dentist 6729 06/22/2016 Active Larry Eugene Gilman Larry Eugene Gilman DDS Dentist 0914 03/01/1977 Active Michael Scott Gilman Michael Scott Gilman DDS Dentist 6178 06/30/2011 Active Michael Albert Gladwell Michael Albert Gladwell DMD, MD Specialty Dentist S2-143C 11/10/2015 Active Steven Dale Glaser Steven Dale Glaser DDS Dentist 0688 03/01/1972 Retired Rodney S Gleave Rodney S Gleave DMD Dentist 4942 05/18/2006 Active Benjamin Hill Glick Benjamin Hill Glick DMD Dentist 4281 07/01/2002 Active Caron Nelson Glickman Caron Nelson Glickman DDS Limited License Dental LL-479-18 12/06/2018 Active Arthur Glosman Arthur Glosman DDS Dentist 3580 05/08/2000 Inactive Monique Rachel Glosman Monique Rachel Glosman DDS Dentist 6195 10/21/2011 Inactive Joel T Glover Joel T Glover DDS Dentist 3186 07/14/1997 Active Mark L Glyman Mark L Glyman MD, DDS Specialty Dentist S2-42C 02/26/2004 Active Jeffrey L Glynn Jeffrey L Glynn DDS Dentist 2052 10/01/1981 Active Gary Dee GoaslindNSBDEGary Dee Goaslind DDS Specialty Dentist LISTS4-13 06/11/1992 Active Thomas Hansen Godfrey Thomas Hansen Godfrey DMD Dentist 6936 05/26/2017 Active Gregory Griner Goggans Gregory Griner Goggans DMD Specialty Dentist S3-320C 07/27/2018 Active Irwan TiongHin Goh Irwan TiongHin Goh DDS Dentist 4721 02/11/2005 Active Harry Golnazarian Harry Golnazarian DDS Specialty Dentist S2-151 08/04/2017 Active Mike Majid Golpa Mike Majid Golpa DDS Dentist 3510 01/19/2000 Active Juan Arnaldo Oquendo Gomez Juan Arnaldo Oquendo Gomez DDS Dentist 2366 07/15/1986 Active Thomas R Gonzales Thomas R Gonzales DDS Dentist 2427 03/20/1988 Active Pablo Luis Gonzalez Pablo Luis Gonzalez DMD Dentist 6281 08/17/2012 Active Brock Aaron Goodman Brock Aaron Goodman DDS Specialty Dentist S3-220 12/10/2010 Active Christopher Earl Goodman Christopher Earl Goodman DMD Dentist 6868 01/04/2017 Active

81 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S7 - Endodontist 06/30/2019 Seven Hills Endodontics 9550 S Eastern Ave 248 06/30/2019 1604 Villa Rica Dr. 06/30/2019 Center for Cosmetic & Family Dentistry 10410 South Eastern Ave 200 S3 - Orthodontist 06/30/2019 Allura Orthodontics 3039 W Horizon Ridge Parkway Ste 100 S6 - Pediatric Dentist or Pedodontist 06/30/2019 75-6060 Kuakini Hwy D23 06/30/2019 Amy A Gearin, DMD 1975 Village Center Cir Suite 160 06/30/2019 Summerhills Dental 2261 N Rampart Blvd S3 - Orthodontist 06/30/2019 3210 Highlawn Dr 06/30/2019 Aloha Dental 3955 S Durango Dr Suite B-3 S2 - Oral and Maxillofacial Surgeon 06/30/2019 185 Popolo Dr 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln 06/30/2019 1231 Monte Vista Dr 06/30/2019 Black Mountain Dental 1475 W Horizon Ridge Pkwy 100 06/30/2019 8077 Twain Harte ST 06/30/2019 Lasting Smiles Dental Care 4011 Meadows Ln #101 06/30/2019 Dental Implant Center at Walnut Creek 1111 Civic Drive #320 06/30/2019 Gibson Dental 465 W Haskell St S3 - Orthodontist 06/30/2019 Gibson Orthodontics 70 E Horizon Ridge Pkwy Ste 170 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Ryan C Gibson DDS Oral & Maxillofacial Surgery PC 2835 St Rose Pkwy Suite 100 S4 - Periodontist 06/30/2019 Trylovich and Gifford LTD 3811 W Charleston Blvd Suite 201 S3 - Orthodontist 06/30/2019 2670 Thomas Jefferson Dr 06/30/2019 1548 Maehl Dr 06/30/2019 Aspen Dental 1100 N. Alafaya Tr 06/30/2019 974 Mirror Lake Dr 06/30/2019 5220 Neil Rd Ste 210 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Elko Dental Specialists 2575 5th St Ste B 06/30/2019 2308 Mittry 06/30/2019 2169 S Orchard Pines Loop 06/30/2019 2019 Whippoorwill Springs Dr Unit 1 PO Box 40 Limited License Dentist 12/05/2019 37 Patina Terrace SW 06/30/2019 Athus Glosman, DDS 450 N Roxbury Dr #222 06/30/2019 Dentalville 833 W Whittier Blvd 06/30/2019 Glover Dentistry 525 Hammill Ln S2 - Oral and Maxillofacial Surgeon 06/30/2019 Oral and Maxillofacial Surgery Associates of Nevad 2030 E Flamingo Rd #288 06/30/2019 Willow Springs Dental 3450 S Hualapai Way S4 - Periodontist NSBDE06/30/2019 LIST398 West 1750 South 06/30/2019 8455 Fern Ave #205 S3 - Orthodontist 06/30/2019 Smile Doctors 285 SE Inner Loop Ste 110 06/30/2019 Irwan Goh, DDS, PC 2653 West Horizon Ridge Parkway Suite 110 S2 - Oral and Maxillofacial Surgeon 06/30/2019 7837 Turtle Cove Ave 06/30/2019 6420 Medical Center St Suite 101 06/30/2019 Juan Arnaldo O. Gomez, DDS 3037 S Decatur Blvd 06/30/2019 Sedation Dentistry 1825 E Flamingo Rd 06/30/2019 626 Blossom Berry Court S3 - Orthodontist 06/30/2019 Santee Orthodontics 8840 Magnolia Ave Suite 250-260 06/30/2019 9225 W Charleston Blvd #1256

82 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89123 (702) 384-0053 (702) 269-6063 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Henderson NV 89052 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Henderson NV 89052 (702) 616-0777 (702) 616-0703 Marquette University 05/18/1986 Henderson NV 89052 (702) 489-5237 Kailua Kona HI 96740 (808) 326-5629 (623) 536-6700 University of Pennsylvania 05/21/1984 Las Vegas NV 89134 (702) 367-4040 (702) 873-4041 University of Louisville 05/14/2005 Las Vegas NV 89128 (702) 363-8655 Twin Falls ID 83301 (208) 731-3533 (208) 734-4607 Nebraska-University of Nebraska Medical Center College of Dentistry 05/13/1989 Las Vegas NV 89147 (702) 242-6777 (702) 405-2397 New York-New York University College of Dentistry 05/18/2011 Las Vegas NV 89138 (702) 948-7939 (402) 294-9250 Loma Linda University 06/16/1991 Las Vegas NV 89106 (702) 774-2400 (702) 774-2308 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 Redlands CA 92373 (702) 577-1941 (909) 798-0035 Loma Linda University 06/07/1990 Henderson NV 89012 (702) 564-4498 (702) 564-4498 Boston University 07/29/2005 Las Vegas NV 89139 (702) 774-2416 (702) 774-2419 California-University of Southern California School of Dentistry 05/13/2016 Las Vegas NV 89107 (702) 259-5295 (702) 259-6595 USC 05/06/1988 Walnut Creek CA 94596 (925) 266-3550 University of the Pacific 06/13/2004 Winnemucca NV 89445 (775) 623-2364 Henderson NV 89002 (702) 564-1037 (702) 564-1031 California-Loma Linda University School of Dentistry 05/25/2003 Henderson NV 89052 (702) 685-3700 (702) 685-3701 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2005 Las Vegas NV 89102 (702) 750-9875 Colorado-University of Colorado at Denver and Health Sciences Center 05/28/2004 Reno NV 89509 (775) 473-9110 Manteca CA 95337 (209) 575-2400 New York-New York University College of Dentistry 05/12/2010 Orlando FL 32828 (407) 277-7773 Florida-University of Florida College of Dentistry 05/20/2011 Reno NV 89511 (775) 826-7983 (775) 826-7883 UCSF 06/01/1975 Reno NV 89502 (775) 826-7883 California-Loma Linda University School of Dentistry 05/29/2011 Elko NV 89801 (801) 262-7447 (775) 738-2731 Kentucky-University of Louisville School of Dentistry 05/13/2006 Elko NV 89801 (775) 738-7201 (775) 738-8665 Northwestern University 06/01/1971 Bountiful UT 84010 (801) 262-0744 (801) 262-0410 University of South Carolina 05/18/1990 Pinon AZ 86510 (928) 725-9764 University of Louisville 05/12/2001 Calgary AB T3H 4M8 (425) 788-1551 Beverly Hills CA 90210 (310) 273-2215 (310) 385-5940 USC 05/10/1999 Montebello CA 90640 (323) 266-1000 (323) 859-3198 California-University of Southern California School of Dentistry 05/13/2011 Reno NV 89511 (775) 825-2227 (775) 825-5936 University of the Pacific 06/15/1997 Las Vegas NV 89119 (702) 892-0833 (702) 892-0906 UCLA 06/01/1986 Las Vegas NV 89117 (702) 368-0305 (702) 368-0239 University of the Pacific 06/01/1981 Kaysville NSBDEUT 84037 (702) 259-1943 Case Western Reserve University LIST06/01/1972 Shrevport LA 71105 Georgetown TX 78624 (912) 384-1560 Henderson NV 89052 (702) 732-3754 (702) 870-7058 UCSF 06/13/1999 Las VEgas NV 89128 (702) 388-8989 Las Vegas NV 89148 (702) 641-7111 (702) 364-2598 USC 05/10/1996 Las Vegas NV 89102 (702) 253-6841 (702) 253-6841 University of the Pacific 06/01/1985 Las Vegas NV 89119 (702) 798-8405 (702) 798-7203 USC 06/01/1977 North Las Vegas NV 89031 (909) 770-8919 Massachusetts-Tufts University School of Dental Medicine 05/23/2010 Santee CA 92071 (702) 655-6777 New York-Columbia University College of Dental Medicine 06/30/2007 Las Vegas NV 89117 (702) 731-5700 (801) 262-2983 Southern Illinois University 06/08/2000

83 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Utah-Roseman University of Health Sciences 06/03/2016

Oregon-Oregon Health and Science University School of Dentistry 06/19/2015

Washington-UniversityNSBDE of Washington Health Sciences School of Dentistry 06/11/1988 LIST NNevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Georgia-Medical College of Georgia 06/09/1984 Tennessee-University of Tennessee Health Science Center 06/14/1986

California - University of California at Los Angeles School of Dentistry 06/14/2013 New York-Montefiore Medical Center - Dental Dept. 06/30/2017

84 DENTISTS 01/01/2019

BoardAction

03/09/2005,05/10/2013

08/12/2003 12/12/2014 NSBDE LIST

03/07/2013

05/18/1998,05/20/2016,06/01/2001,06/11/2004

85 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Robyn Miriam Goodman Robyn Miriam Goodman DDS Dentist 4858 11/15/2005 Active Allyn Pierce Goodrich Allyn Pierce Goodrich DDS Dentist 2376 07/15/1986 Active Amy Lee Goodwin Amy Lee Goodwin DMD Specialty Dentist S6-102 08/20/2010 Active Marsha Ann Goodwin Marsha Ann Goodwin DDS Dentist 2323 07/16/1985 Retired Trent Gaylord Gookin Trent Gaylord Gookin DDS Specialty Dentist S6-149 10/05/2016 Active Daniel Benson Goold Daniel Benson Goold DDS Dentist 6766 06/06/2016 Active Nicole Helena Gordon Nicole Helena Gordon DDS Dentist 7149 11/01/2018 Active Darren Michael Joseph Goring Darren Michael Joseph Goring DDS Specialty Dentist S5-48 01/12/2018 Active Lisa Marie Gortari Lisa Marie Gortari DDS Dentist 6584 01/30/2015 Inactive Dawit Gebremariam Goshimea Dawit Gebremariam Goshimea DDS Dentist 6558 10/03/2014 Active Harout Varoujan Gostanian Harout Varoujan Gostanian DDS Specialty Dentist S6-42 07/29/2005 Active Raymond B Graber Raymond B Graber II DDS Specialty Dentist S6-05 06/01/1977 Active Raymond Bradbury Graber Raymond Bradbury Graber III DDS Dentist 6715 10/21/2015 Active Rickey Lynn Grant Rickey Lynn Grant DMD Dentist 2857 07/18/1994 Active Edward John Gray Edward John Gray DMD Specialty Dentist S2-34 08/06/2002 Active Hans Peter Gray Hans Peter Gray DDS Specialty Dentist S6-156 09/08/2017 Active Rodney Allen Gray Rodney Allen Gray DDS, MS Specialty Dentist S7-04 06/01/1975 Active Todd Allan Gray Todd Allan Gray DDS Specialty Dentist S6-40 08/27/2004 Active Dawn Linda Green Dawn Linda Green DDS Dentist 2596 07/10/1990 Active Michael Lawrence Green Michael Lawrence Green DDS Dentist 2378 07/01/1986 Inactive Gregory Walter Greenwood Gregory Walter Greenwood DMD Dentist 5628 08/22/2008 Active Cynthia Ann Gregory Cynthia Ann Gregory DMD Dentist 5521 06/21/2007 Active Brandon Lee Grieve Brandon Lee Grieve DMD Dentist 4784 07/11/2005 Active Brandon Reid Griffin Brandon Reid Griffin DDS Dentist 6664 06/04/2015 Active Matthew Ronald Griffith Matthew Ronald Griffith DMD Dentist 6924 06/30/2017 Active John Charles Griffiths John Charles Griffiths DDS Specialty Dentist S3-43 06/07/1991 Active Jay Seth Grossman Jay Seth Grossman DDS Dentist 4541 12/11/2003 Active David T Grove David T Grove DMD, MS Specialty Dentist S3-09 08/01/1971 Active Michael Gu Michael Gu DDS Dentist 6992 10/02/2017 Active Chad Norman Gubler Chad Norman Gubler DDS Dentist 3331 07/13/1998 Active Michael Trent Gubler Michael Trent Gubler DDS Dentist 4633 07/12/2004 Inactive Richard N Gubler Richard N Gubler DDS Dentist 0504 02/15/1965 Retired Sean Travis Gubler Sean Travis Gubler DDS Dentist 4500 07/28/2003 Active Romulo Joseph Guideng Romulo Joseph Guideng Jr DMD Dentist 6063 08/20/2010 Active Tate Woodrum Guild Tate Woodrum Guild DMD Dentist 6779 05/25/2016 Active Anthony Vincent GuillenNSBDEAnthony Vincent Guillen DMD Dentist LIST6089 05/27/2011 Active Tony Guillen Tony Guillen DDS Dentist 0915 03/01/1977 Active Trinidad J Guillen Trinidad J Guillen DDS Dentist 1026 09/01/1979 Active Nadim Morad Guirguis Nadim Morad Guirguis DMD Specialty Dentist S3-267C 10/03/2014 Active Neal Singh Gulati Neal Singh Gulati DDS Dentist 6970 08/16/2017 Active Caitlin Elizabeth Gunn Caitlin Elizabeth Gunn DMD Dentist 6922 07/14/2017 Active Ryan Stephen Gunn Ryan Stephen Gunn DMD Dentist 5605 12/06/2007 Active Manisha Gupta Manisha Gupta DMD Dentist 5104 08/25/2006 Active William B Gussow William B Gussow DDS Dentist 3187 07/14/1997 Active Matthew Herbert Gustafsson Matthew Herbert Gustafsson DDS, MS Specialty Dentist S6-122C 10/04/2013 Active Karla Tatiana Gutierrez-Olivares Karla Tatiana Gutierrez-Olivares DDS Dentist 6557 08/01/2014 Active

86 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Robyn Goodman DDS PC 5990 Silver Lake Rd 06/30/2019 Gardner Family Dental 1631 Nevada Hwy S6 - Pediatric Dentist or Pedodontist 06/30/2019 My Kid's Dentist and Orthodontics 7171 W. Craig Rd. 101 06/30/2019 90 Awaiku St S6 - Pediatric Dentist or Pedodontist 06/30/2019 My Kid's Smile 10645 Double R Blvd 06/30/2019 10585 Moultrie Ave 06/30/2019 P O Box 10341 S5 - Prosthodontist 06/30/2019 Salt Lake Prosthodontics 4020 South 700 East Ste 3 06/30/2019 305 W Vlex Ave 06/30/2019 5884 Farmhouse CT S6 - Pediatric Dentist or Pedodontist 06/30/2019 Centennial Children's Dentistry 7425 W Azure Dr Suite 120 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Raymond B Graber II DDS 2600 College Pkwy H23 06/30/2019 Small Smiles 3362 S McCarran Blvd 06/30/2019 P O Box 417 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Carson Valley Oral Surgery 1516 Charlotte Way Suite A S6 - Pediatric Dentist or Pedodontist 06/30/2019 3895 Corvallis Dr. S7 - Endodontist 06/30/2019 2570 Sharon Way S6 - Pediatric Dentist or Pedodontist 06/30/2019 1675 Meadowview Lane 06/30/2019 Dawn L Green DDS 3900 Paradise Rd Suite 251 06/30/2019 2821 Eastern Ave #5 06/30/2019 2701 Bonaparte Ln 06/30/2019 TLC Dental Care 7520 W Washington Ave, #120 Suite 120 06/30/2019 Hurricane Pediatric Dentistry 48 S 2500 West STE 230 06/30/2019 777 Locks Way Ct Brandon Griffin 06/30/2019 Downtown Dental 1150 Arizona St S3 - Orthodontist 06/30/2019 John C Griffiths, DDS, MDS,PC 8710 W Charleston Blvd. #150 06/30/2019 11980 San Vicente Blvd. #507 S3 - Orthodontist 06/30/2019 137 B Sage Street 06/30/2019 1521 Ruby Cliffs Ln #202 06/30/2019 Chad N Gubler DDS 11221 S Eastern Ave #200 06/30/2019 Michael T Gubler 805 N. 20th Pl. #2 06/30/2019 9882 Ludwig St 06/30/2019 2064 Majestic Peak Dr 06/30/2019 2015 crockett cir 06/30/2019 Balle & Associates 2801 W Charleston Blvd Ste 100 NSBDE06/30/2019 LIST2815 Show Jumper ln 06/30/2019 320 West A St 06/30/2019 2277 Lovelock Hwy S3 - Orthodontist 06/30/2019 Mountain View Orthodontics 1811 S. Rainbow Blvd, 109 06/30/2019 Rocksprings Dental Group 7175 W Lake Mead Blvd Ste 110 06/30/2019 9241 Evergreen Canyon Rd 06/30/2019 409 S MAIN ST dental office 06/30/2019 Aces Braces and Dental 6127 South Rainbow Blvd #100 06/30/2019 Vegas Smiles 4343 N Rancho Dr #131 S6 - Pediatric Dentist or Pedodontist 06/30/2019 10741 Silver Spur Dr 06/30/2019 Dr Azimi 701 E Charleston BLVD

87 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89506 (775) 971-3971 (775) 971-3973 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2005 Boulder City NV 89005 (702) 293-2436 (702) 293-6852 Baylor College of Dentistry 06/02/1984 Las Vegas NV 89129 (702) 655-5435 (702) 631-5437 Massachusetts-Harvard University School of Dental Medicine 06/05/2008 Lahaina HI 96761 University of the Pacific 06/01/1984 Reno NV 89521 (775) 852-6164 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/2014 Las Vegas NV 89129 (702) 653-2621 Michigan-University of Detroit Mercy School of Dentistry 05/13/2016 Zephyr Cove NV 89448 Salt Lake City UT 84107 (801) 261-8056 McAllen TX 78504 (956) 661-1000 (866) 300-4332 California-Loma Linda University School of Dentistry 05/30/2010 Las Vegas NV 89141 (702) 363-8889 Nebraska-Creighton University School of Dentistry 05/17/2014 Las Vegas NV 89130 (702) 734-5333 (702) 990-0304 Creighton University 05/12/2001 Carson City NV 89706 (775) 882-3444 (775) 882-1120 Creighton University 06/01/1973 Reno NV 89502 (303) 443-1895 Nebraska-Creighton University School of Dentistry 05/17/2014 Winnemucca NV 89446 (775) 623-1228 (775) 623-0979 Oral Roberts University 05/03/1982 Gardnerville NV 89410 (775) 782-6491 (775) 782-6492 Oregon-Oregon Health and Science University School of Dentistry 06/07/1996 Reno NV 89511 (775) 359-3934 (775) 624-8188 Nebraska-Creighton University School of Dentistry 05/18/2013 Reno NV 89509 (775) 826-6111 (775) 826-0919 University of Iowa 06/01/1969 Reno NV 89509 (775) 782-8077 (775) 782-6199 University of Iowa 06/07/2002 Las Vegas NV 89169 (702) 369-7444 (702) 369-1192 University of the Pacific 06/01/1990 Sacramento CA 95821 (916) 483-7354 (916) 483-1390 University of the Pacific 06/01/1986 Henderson NV 89044 (702) 220-5000 (702) 586-0787 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89128 (702) 363-1590 (702) 363-1172 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/20/2007 Hurricane UT 84737 (702) 346-2882 (702) 346-8714 University of Louisville 05/08/2004 Augusta GA 30907 (775) 677-1055 (775) 677-1081 Dalhousie University 05/14/2013 Boulder City NV 89005 (702) 293-1437 Las Vegas NV 89117 (702) 256-7846 (702) 256-4370 UCLA 06/01/1986 Los Angeles CA 90049 (310) 863-4700 New York University 07/01/1988 Elko NV 89801 (775) 753-4870 (503) 212-9922 University of Louisville 06/01/1969 Las Vegas NV 89144 (626) 492-8618 Henderson NV 89052 (702) 558-9977 (702) 558-9914 Case Western Reserve University 05/18/1997 Rogers AR 72756 (479) 631-9393 Loma Linda University 05/30/2004 Villa Park CA 92861 (714) 974-0694 USC 06/01/1964 Henderson NV 89074 (702) 558-9977 (702) 558-9914 Loma Linda University 05/25/2003 irving TX 75038 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89102 (702) 997-1177 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Reno NSBDENV 89521 (775) 423-6547 (775) 423-4278 Nevada-University of Nevada, Las Vegas School of LISTDental Medicine 05/14/2011 Fallon NV 89406 (775) 423-6547 (775) 423-4278 Loma Linda University 09/01/1975 Fallon NV 89406 (775) 273-2909 (775) 273-2909 Loma Linda University 06/01/1973 Las Vegas NV 89146 (702) 658-2311 (702) 804-0838 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89128 (702) 228-9911 Las Vegas NV 89134 (702) 979-4431 CEDAR CITY UT 84720 (435) 865-9797 (435) 867-8400 Pennsylvania-Temple University School of Dentistry 05/17/2007 Las Vegas NV 89118 (702) 242-5251 (702) 952-8118 Temple University 05/17/2001 Las Vegas NV 89130 (702) 395-7200 (702) 395-3700 McGill University 06/01/1974 Truckee CA 96161 (530) 550-9311 (530) 550-8655 California-Loma Linda University School of Dentistry 05/28/2006 las vegas NV 89104 (702) 759-0005 (702) 453-6669 California-University of Southern California School of Dentistry 05/16/2014

88 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

New York-New York University College of Dentistry 05/12/2005 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/2014 California-Veterans Affairs Greater Los Angeles Healthcare System 06/30/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 Missouri-University NSBDEof Missouri-Kansas City School of Dentistry 05/17/2013 LIST

California-University of California at San Francisco School of Dentistry 06/13/2014 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

89 DENTISTS 01/01/2019

BoardAction

11/20/2015

08/22/2008

12/09/2004 NSBDE LIST

10/04/2013

90 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Annie Yi Yan Ha Annie Yi Yan Ha DDS Dentist 6891 03/17/2017 Active Jee Hoon Ha Jee Hoon Ha DDS Dentist 7119 09/07/2018 Active Afshin Habashi Afshin Habashi DDS Dentist 3207 01/21/1998 Inactive Touraj Habashi Touraj Habashi DDS Dentist 3051 07/15/1996 Active Freidun Hadi Freidun Hadi DMD Dentist 6918 06/09/2017 Active Jeffery William Hadley Jeffery William Hadley DDS Dentist 2981 03/22/1996 Active Byronn Gene Hahn Byronn Gene Hahn DMD Dentist 5105 08/25/2006 Active Garlin G Hahn Garlin G Hahn DDS Dentist 0584 08/01/1968 Active Stephen Paul Hahn Stephen Paul Hahn DDS Dentist 4733 04/21/2005 Active Chance Arnold Haider Chance Arnold Haider DDS Dentist 4350 01/22/2003 Active Sara Hakim Sara Hakim DDS Dentist 6508 05/21/2014 Active Sohail Sean Hakimi Sohail Sean Hakimi DDS Dentist 4620 07/29/2004 Inactive Blair R Hale Blair R Hale DMD Dentist 0883 09/27/1976 Active Letti L Hale Letti L Hale DDS Dentist 4676 12/09/2004 Active Suzanne M Haley Suzanne M Haley DMD Limited License Dental LL-480-18 10/19/2018 Active John C Hall John C Hall DMD Dentist 2335 03/26/1986 Active Steven W Hall Steven W Hall DDS Dentist 2030 03/23/1981 Active Steven E Hallgren Steven E Hallgren DDS Specialty Dentist S3-10 10/01/1981 Inactive Jacob Scott Hamblin Jacob Scott Hamblin DDS Dentist 4758 05/26/2005 Active Richard Lee Hamilton Richard Lee Hamilton DDS Specialty Dentist S2-05 08/01/1969 Active Robert Cree Hamilton Robert Cree Hamilton DDS Specialty Dentist S3-38 06/02/1989 Active Alexandria Joy Hammond Alexandria Joy Hammond DMD Dentist 4719 01/16/2005 Active Daehyun Han Daehyun Han DDS Dentist 6327 07/18/2012 Active Irene Seungju Han Irene Seungju Han DMD Dentist 6530 07/03/2014 Active Steve Binh Han Steve Binh Han DDS Dentist 4677 12/09/2004 Active Mark Joshua Handelin Mark Joshua Handelin DDS Specialty Dentist S3-95 01/24/2006 Active John San-Siu Hang John San-Siu Hang DDS Dentist 4552 01/17/2004 Active Blaine Roland Hansen Blaine Roland Hansen DMD, MS Specialty Dentist S3-152C 07/26/2007 Active Chad Richard Hansen Chad Richard Hansen DMD Specialty Dentist S7-91 06/22/2016 Active Gerald Van Hansen Gerald Van Hansen DDS Dentist 2490 07/10/1988 Active Joseph Edward Hansen Joseph Edward Hansen DMD Dentist 5684 06/27/2008 Active Levi Martin Hansen Levi Martin Hansen DMD Dentist 6305 08/17/2012 Inactive Kerry Dale Hanson Kerry Dale Hanson DDS Dentist 0564 08/01/1967 Inactive Paul David Hardman Paul David Hardman DMD Dentist 6717 09/16/2015 Active Steven Lee Hardy Steven Lee Hardy DDS Dentist 4545 12/11/2003 Active Ralph Dickson HargraveNSBDERalph Dickson Hargrave Jr DDS Dentist LIST3052 07/15/1996 Active Olinga Hargreaves Olinga Hargreaves DDS Limited License Dental LL-481-18 11/09/2018 Active Douglas Paul Harmer Douglas Paul Harmer DDS Dentist 4870 01/24/2006 Active George Harouni George Harouni DDS Dentist 3702 07/03/2000 Active Dustin Kelly Harrington Dustin Kelly Harrington DMD Dentist 6798 06/22/2016 Active Jack Lewis Harrington Jack Lewis Harrington DDS Dentist 0868 03/01/1976 Active Bruce Stewart Harris Bruce Stewart Harris DDS Specialty Dentist S3-315C 06/07/2018 Active Lynn Chadwick Harris Lynn Chadwick Harris DDS Dentist 6749 03/16/2016 Active Nathan Scott Harris Nathan Scott Harris DDS Dentist 5878 04/16/2009 Active Randall J Harris Randall J Harris DDS Specialty Dentist S4-12 01/24/1992 Disabled Rodney Garth Harris Rodney Garth Harris DDS Dentist 3208 01/21/1998 Active

91 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 4325 W Rome Blvd #1211 06/30/2019 13735 La Jara Cir 06/30/2019 Tierrasanta Dental Group 10405 Tierrasanta Blvd 06/30/2019 Summer Dental 10965 Lavender Hill Dr Ste 120 06/30/2019 5876 Temple Ridge Ct 06/30/2019 Jeffery W Hadley, D.D.S. 3910 Pecos-McLeod #A-140 06/30/2019 Southridge Dental 1000 Wigwam Pkwy Ste 120 06/30/2019 Southridge Dental 1000 Wigwam Pkwy Ste 120 06/30/2019 Galleria Family Dental 715 Mall ring cr #200 06/30/2019 7250 S Durango drive suite 130-203 06/30/2019 3669 spirit bluff ct 06/30/2019 PO Box 220730 06/30/2019 5390 Calgary Ct 06/30/2019 Green Valley Dentalcare 2213 N Green Valley Pkwy Suite 102 Limited License Dentist 10/18/2019 123 Main St 06/30/2019 715 G St 06/30/2019 3085 S Tioga Way S3 - Orthodontist 06/30/2019 8289 Glenwynd Dr 06/30/2019 True Dentistry 9061 W Post Rd S2 - Oral and Maxillofacial Surgeon 06/30/2019 2466 Bedford Park Dr S3 - Orthodontist 06/30/2019 Hamilton & Manuele Orthodontics 401 N Buffalo Dr #220 06/30/2019 Hurst Family Dental 7325 S Pecos Rd 101 06/30/2019 Tender Dental 5001 E Bonanza 06/30/2019 Absolute dental 9400 S Eastern Ave # 101 06/30/2019 5141 ZOROASTER RD S3 - Orthodontist 06/30/2019 Pitts Orthodontics 4786 Caughlin Pkwy #305 06/30/2019 4585 Grindle Point St S3 - Orthodontist 06/30/2019 Hansen Orthodontics 3600 N Buffalo Dr S7 - Endodontist 06/30/2019 Las Vegas Endodontics 6655 W Sahara Ave Ste A-106 06/30/2019 Gerald V Hansen, DDS 475 Arlington Ave Suite 1B 06/30/2019 2300 Mount View Dr 06/30/2019 Hansen Orthodontics 881 N Tyler 06/30/2019 Kerry D Hanson, DDS 6795 Indian Oaks Ln 06/30/2019 123 Desert Lake Dr 06/30/2019 Steven L Hardy DDS dba: Paradise Family Dental 6825 Aliante Parkway NSBDE06/30/2019 LIST9708 Gilespie St #A-101 Limited License Dentist 11/08/2019 3655 S Monaco Pkwy 06/30/2019 Falcon Ridge Dental Care 340 Falcon Ridge Pkwy STE 303 06/30/2019 731 Mall Ring Cir #201 06/30/2019 Lemmon Valley Dental Group 280 Vista Knoll Pkwy Ste 114 06/30/2019 2070 The Back Rd P.O. Box 503 S3 - Orthodontist 06/30/2019 2563 Evening Sky Dr 06/30/2019 7956 Quail Harbor St 06/30/2019 Virgin Valley Dental 760 W Pioneer Blvd Ste #3 S4 - Periodontist 06/30/2019 6591 Breckenridge Ct 06/30/2019 8242 sweetwater creek way

92 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

North Las Vegas NV 89084 (517) 841-0000 (517) 841-0180 District of Columbia-Howard University College of Dentistry 06/28/2013 Cerritos CA 90703 (702) 368-3854 San Diego CA 92124 (858) 492-9300 (702) 617-6019 University of the Pacific 06/16/1996 Las Vegas NV 89135 (702) 852-2022 (702) 947-5088 University of the Pacific 06/16/1996 Las Vegas NV 89149 (702) 651-5592 Las Vegas NV 89121 (702) 454-7695 (702) 454-4875 USC 05/07/1993 Henderson NV 89074 (702) 777-4700 (702) 777-0700 University of Nevada Las Vegas 05/13/2006 Henderson NV 89074 (702) 251-1188 (702) 251-3162 St. Louis University 06/01/1968 Henderson NV 89014 (702) 433-9200 (559) 256-2629 University of Colorado 08/22/1992 Las Vegas NV 89113 (702) 432-4329 (702) 432-4329 Case Western Reserve University 05/19/2002 reno NV 89511 (775) 747-0680 New York-New York University College of Dentistry 05/16/2012 Newhall CA 91322 (661) 255-3130 University of the Pacific 06/23/1991 Las Vegas NV 89118 (702) 324-9161 (702) 871-1485 University of Washington 06/01/1976 Henderson NV 89014 (702) 547-6453 (702) 547-6452 Creighton University 05/15/1999 Saint Simons Island GA 31522 (912) 638-3559 Jacksonville OR 97530 (541) 826-2111 (775) 882-1308 OR Health Sciences University 06/01/1980 Las Vegas NV 89117 (702) 774-2400 (702) 362-0107 Creighton University 05/01/1980 Kalamazoo MI 49009 (269) 349-9684 (269) 349-3605 University of Michigan 04/01/1978 Las Vegas NV 89148 (801) 255-7645 Baylor College of Dentistry 06/01/1985 Henderson NV 89052 (702) 774-2729 (702) 774-2651 Ohio State University 06/01/1963 Las Vegas NV 89145 (702) 243-3300 (702) 243-3354 West Virginia University 06/01/1984 Las Vegas NV 89120 (702) 897-1120 (702) 897-4264 Temple University 05/20/2004 Las Vegas NV 89110 (702) 307-2273 (702) 433-2888 Ohio-Ohio State University College of Dentistry 06/10/2012 Las Vegas NV 89123 (702) 843-0971 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 LAS VEGAS NV 89148 (702) 362-6898 (626) 359-9858 USC 05/14/1999 Reno NV 89519 (775) 825-3400 University of the Pacific 06/17/2001 Las Vegas NV 89147 (702) 735-3838 (702) 364-2424 UCLA 06/19/1998 Las Vegas NV 89129 (702) 568-1600 (702) 568-1983 Kentucky-University of Kentucky College of Dentistry 05/05/2002 Las Vegas NV 89146 (702) 876-5800 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Reno NV 89501 (775) 329-0500 (775) 329-4608 Northwestern University 06/01/1988 Fallon NV 89406 (775) 423-3634 (319) 388-7265 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/15/2005 Wichita KS 67212 (316) 722-6717 (316) 722-1371 Loomis CA 95650 (209) 946-7404 (916) 652-5290 University of the Pacific 06/01/1967 Fernley NV 89408 (775) 426-2811 (775) 426-3129 Oregon-Oregon Health and Science University School of Dentistry 06/22/2012 North Las Vegas NV 89084 (702) 294-2739 (702) 221-2741 Northwestern University 04/25/1998 Las Vegas NSBDENV 89183 (702) 897-1300 (702) 838-0017 University of Missouri LIST05/26/1991 Denver CO 80237 (303) 758-7676 Mesquite NV 89027 (702) 346-5202 Creighton University 05/18/2002 Henderson NV 89014 (702) 434-9464 (702) 434-0073 USC 05/08/1998 Reno NV 89506 (775) 971-9282 (775) 971-9283 Glenbrook NV 89413 (775) 267-2244 (775) 588-9993 USC 06/01/1974 Henderson NV 89052 Las Vegas NV 89131 (702) 653-2610 Mesquite NV 89027 (702) 346-3880 (702) 346-6290 Ohio-Ohio State University College of Dentistry 06/10/2007 Reno NV 89523 University of Maryland 06/01/1979 Las Vegas NV 89113 (702) 699-5551 (702) 914-9019 Virginia Commonwealth University 05/18/1996

93 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of California at Los Angeles School of Dentistry 06/15/2012

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Georgia-Augusta University Medical College of Georgia 06/08/1991

NSBDE LIST Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/22/1999

Loyola University 06/08/1965 Alabama-University of Alabama School of Dentistry 08/31/1969

94 DENTISTS 01/01/2019

BoardAction

02/28/1994,07/29/2004 12/18/2017

03/30/1998 NSBDE LIST

95 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Calvert W Harrison Calvert W Harrison DDS Dentist 3484 07/12/1999 Inactive Laura Elizabeth Harris-Vieyra Laura Elizabeth Harris-Vieyra DDS Specialty Dentist S4-62C 07/14/2010 Inactive Heddamariee Urbaez-Torres Hart Heddamariee Urbaez-Torres Hart DMD Dentist 4598 03/25/2004 Active Ryan Richard Hart Ryan Richard Hart DDS Dentist 7140 09/27/2018 Active Kristina Keturka Harvan Kristina Keturka Harvan DDS Limited License Dental LL-482-18 10/10/2018 Active Marc S Hascheff Marc S Hascheff DDS Dentist 2332 03/26/1986 Disabled Nelly Nehad Hashem Nelly Nehad Hashem DDS Dentist 6737 02/10/2016 Active Saman Nicholas Hashtroudi Saman Nicholas Hashtroudi DMD Dentist 6368 12/13/2012 Active Christine Louise Haskin Christine Louise Haskin DDS Limited License Dental LL-0063-05 04/21/2005 Active Bryce Spencer Haslam Bryce Spencer Haslam DDS Dentist 6531 08/01/2014 Inactive John Heinen Hastings John Heinen Hastings DDS Dentist 4317 11/15/2002 Active Charles Lee Hatley Charles Lee Hatley Jr DMD Specialty Dentist S5-44C 01/27/2016 Active Rhea Margaret Haugseth Rhea Margaret Haugseth DMD Specialty Dentist S6-27C 08/06/2002 Inactive Brian Daniel Haymore Brian Daniel Haymore DDS Specialty Dentist S7-28 08/20/1999 Inactive Gregory Mayo Heideman Gregory Mayo Heideman DMD Dentist 4845 11/15/2005 Active Margaret Ann Heinen Margaret Ann Heinen DMD Dentist 5708 07/17/2008 Active Ronald Frank Heinen Ronald Frank Heinen DDS Dentist 0841 09/01/1975 Active Calvin Kenneth Heinrich Calvin Kenneth Heinrich DDS Specialty Dentist S3-82C 10/10/2005 Active Massoud Maxwell Hejazi Massoud Maxwell Hejazi DMD Dentist 4305 09/26/2002 Active Donna Jo Hellwinkel Donna Jo Hellwinkel DDS Dentist 1097 09/01/1980 Active James M Heltzel James M Heltzel DMD Dentist 0922 03/01/1977 Active Chrishelle Williams Hemphill Chrishelle Williams Hemphill DDS Specialty Dentist S6-135C 01/30/2015 Inactive Savita Hemrajani Savita Hemrajani DDS Dentist 4671 10/21/2004 Inactive Billy Joe Henderson Billy Joe Henderson DDS Dentist 2563 03/21/1990 Inactive George Olis Henderson George Olis Henderson DDS Dentist 2429 03/20/1988 Active Kent Rees Henderson Kent Rees Henderson DDS Dentist 3779 04/30/2001 Inactive Gregg Carl Hendrickson Gregg Carl Hendrickson DDS Dentist 2681 07/09/1991 Active Ivan Kenneth Hendrickson Ivan Kenneth Hendrickson DDS Dentist 6611 05/22/2015 Active Jeffrey Willard Henkes Jeffrey Willard Henkes DDS Dentist 3519 01/19/2000 Inactive Joseph James Henry Joseph James Henry Jr DDS Limited License Dental LL-271-11 01/26/2012 Active Jeffrey Alan Herman Jeffrey Alan Herman DDS Dentist 4057 07/09/2001 Inactive Gustavo Hernandez Gustavo Hernandez DMD Dentist 6692 07/15/2015 Active Justina Marie Hernandez Justina Marie Hernandez DMD Dentist 6909 06/09/2017 Active Evelyn Herrera Evelyn Herrera DMD Dentist 6786 05/25/2016 Active Michael J Herrera Michael J Herrera DDS Dentist 2164 07/12/1983 Active Edward Ephraim HerschaftNSBDEEdward Ephraim Herschaft DDS Dentist LIST4694 01/15/2005 Active Evlyne Hersel Evlyne Hersel DDS Dentist 6617 03/16/2016 Inactive Trevor Don Hess Trevor Don Hess DDS Dentist 7124 08/17/2018 Active Richard William Hibben Richard William Hibben DDS Dentist 4695 01/15/2005 Retired Jeffrey Weston Higbee Jeffrey Weston Higbee DMD Specialty Dentist S6-132 10/03/2014 Active Maen Hijazi Maen Hijazi DMD Dentist 6551 07/03/2014 Active Charles Kennedy Hill Charles Kennedy Hill DMD Specialty Dentist S3-255 01/24/2014 Active Kenneth Earle Hill Kenneth Earle Hill DDS Dentist 4551 01/17/2004 Active Robert E Hill Robert E Hill Jr DDS Dentist 2032 03/01/1981 Active Jennifer Rosanna Hill Flechtenmacher Jennifer Rosanna Hill Flechtenmacher DDS Specialty Dentist S6-161C 06/21/2018 Active Rulon Baron Hillam Rulon Baron Hillam DDS Dentist 6758 05/25/2016 Active

96 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Best Care Dental 3700 Market St. STe A2 S4 - Periodontist 06/30/2019 2800 North 78th St 06/30/2019 Montecito Dental 7150 N Durango Dr Suite 110 06/30/2019 TMJ Therapy and Sleep Center of Nevada 401 W Peckham Ln Limited License Dentist 10/09/2019 11871 E Buckhorn Way 06/30/2006 627 N Rock Blvd 06/30/2019 Community Health Alliance 1055 South Wells Avenue 06/30/2019 7931 Cape Flattery Ave Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS 7415 06/30/2019 4721 Cranberry Ct 06/30/2019 A-List Dental 1621 E. Flamingo Rd Suite #17A S5 - Prosthodontist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln S6 - Pediatric Dentist or Pedodontist 06/30/2019 2838 Hearthside Ct S7 - Endodontist 06/30/2019 1154 Forum Veneto Dr. 06/30/2019 Luth & Heideman Center for Dental Care 6950 W Smoke Ranch Rd Suite 150 06/30/2019 Heinen Family Dentistry, PC 925 Roberta Ln 06/30/2019 Ronald F Heinen, DDS 925 Roberta Way S3 - Orthodontist 06/30/2019 7917 Ben Hogan Dr 06/30/2019 Advent Dental 6835 W. Tropicana Avenue, Suite 110 06/30/2019 Donna J Hellwinkel DDS 7000 Dandini, Room 415 06/30/2019 James M. Heltzel, DMD 4312 S Eastern Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 3333 Southfork Pkwy Apt 912 06/30/2019 4811 Lennon Park Ct 06/30/2019 1933 N McKinley 06/30/2019 1761 Brush Dr 06/30/2019 19800 US Highway 95 North PO Box 206 06/30/2019 Comprehensive Dental Care 2790 Horizon Ridge Pkwy Suite 100 06/30/2019 Simply Wisdomteeth 352 East Riverside Dr Ste, A-9 06/30/2019 119 N Manton Ln Limited License Dentist 01/25/2019 18081 Leafwood Ln 06/30/2019 155 Daily Ln 06/30/2019 2074 Brassy Dr 06/30/2019 Canyon Pointe Dental Group 10870 W Charleston Blvd Ste 170 06/30/2019 Herrera Family Dental 1300 S Lamb Blvd Ste 400 06/30/2019 267 Brinkby Ave NSBDE06/30/2019 UNLV School of Dental Medicine LIST1001 Shadow Ln MS7412 06/30/2019 4910 Petit Ave 06/30/2019 Risas Dental and Braces 2500 E Lake Mead Blvd 06/30/2019 9165 Tudor Park Place S6 - Pediatric Dentist or Pedodontist 06/30/2019 Valley Pediatric Dental 350 W Falcon Ridge Pkwy Bldg 200, Suite #101 06/30/2019 7608 Bauble Ave S3 - Orthodontist 06/30/2019 Chill Orthodontics 9777 S Bermuda Rd Ste 105 06/30/2019 Kenneth Hill D.D.S 1378 Paseo Verde pkwy Suite 100 06/30/2019 7766 Isley Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 834 Chestnut St Apt PH117 06/30/2019 PO Box 1085

97 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Clarkston GA 30021 (404) 296-8877 (404) 296-4003 University of Texas 05/28/1994 Lincoln NE 68507 (402) 280-5085 Wisconsin-Marquette University School of Dentistry 05/22/2005 Las Vegas NV 89149 (702) 254-4278 (702) 259-9634 Temple University 01/31/1997 Reno NV 89509 (775) 298-5508 Franktown CO 80116 Sparks NV 89431 Marquette University 06/01/1985 Reno NV 89502 (904) 955-0799 University of West Ontario 06/20/2012 Las Vegas NV 89147 (702) 254-7507 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89106 (702) 774-2676 (702) 774-2552 University of Texas 05/26/1990 Indianapolis IN 46221 (702) 425-4424 Indiana-Indiana University School of Dentistry 05/11/2014 Las Vegas NV 89118 (775) 454-3888 (775) 738-6815 University of the Pacific 06/16/1996 Las Vegas NV 89106 (702) 774-2650 Kentucky-University of Kentucky College of Dentistry 05/11/1985 Marietta GA 30067 (770) 971-5536 (770) 971-3046 University of Louisville 05/30/1977 Henderson NV 89052 (702) 686-1632 (702) 227-8930 USC 08/22/1995 Las Vegas NV 89128 (702) 304-1902 (702) 515-7786 Temple University 05/19/2005 Sparks NV 89431 (775) 359-8464 (775) 359-8905 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Sparks NV 89431 (775) 359-8464 (775) 359-8905 Georgetown University 06/01/1975 Las Vegas NV 89149 (702) 733-7645 (702) 731-9911 Temple University 06/14/1968 Las Vegas NV 89103 (702) 804-0153 (702) 804-0154 Washington University 05/30/1991 Reno NV 89512 (775) 313-5650 University of the Pacific 06/01/1980 Las Vegas NV 89119 (702) 733-7244 (702) 796-4282 OR Health Sciences University 06/01/1969 Manuel TX 77578 (702) 822-2300 Tennessee-Meharry Medical College School of Dentistry 05/22/2004 Katy TX 77494 (832) 947-6800 (832) 999-4196 RV Dental College 06/30/1998 Hobbs NM 88240 (505) 392-3434 (575) 392-5599 University of Washington 06/01/1977 Carson City NV 89703 (775) 423-7400 (775) 423-7410 University of Missouri-KC 05/01/1980 Orovada NV 89425 (775) 623-5937 UCLA 06/20/1999 Henderson NV 89052 (702) 735-3284 (702) 735-5910 University of the Pacific 06/23/1991 St George UT 84790 (702) 832-0123 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 06/07/1986 Castle Hills TX 78213 (702) 254-9437 (702) 649-9778 Loma Linda University 06/06/1993 Santa Ana CA 92705 (714) 385-1672 (714) 385-1735 California-University of California at Los Angeles School of Dentistry 06/17/1983 Grants Pass OR 97527 (702) 822-2300 (702) 822-2338 University of Illinois 05/05/1996 Las Vegas NV 89142 (702) 997-5958 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89135 (702) 254-6412 Las Vegas NV 89104 (702) 522-2272 (702) 522-2273 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Reno NV 89509 (775) 825-9233 (702) 825-1423 University of the Pacific 06/01/1983 Las Vegas NSBDENV 89106 (702) 774-2654 (702) 774-2721 West Virginia University LIST05/16/1970 Encino CA 91436 (310) 679-9019 (310) 679-3412 California-University of California at Los Angeles School of Dentistry 06/11/2010 North Las Vegas NV 89030 (702) 649-2789 Las Vegas NV 89145 (702) 240-4752 University of Maryland 06/02/1972 Mesquite NV 89027 (888) 963-9601 (702) 398-3804 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89128 (702) 486-5107 (702) 233-9002 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89183 (702) 914-2364 Southern Illinois University 06/01/1996 Henderson NV 89012 (702) 897-7267 (702) 992-4057 Loma Linda University 06/11/1986 Las Vegas NV 89147 (702) 871-5671 (702) 871-6700 University of Texas 06/07/1980 Philadelphia PA 19107 (215) 707-6191 Midway UT 84049 (303) 425-1000 Iowa-University of Iowa College of Dentistry 06/04/2004

98 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Ohio-Ohio State University College of Dentistry 06/11/2006 Colorado-University of Colorado School of Dental Medicine 12/15/2006

Nevada-University NSBDEof Nevada, Las Vegas School of Dental Medicine 05/13/2017 LIST

Indiana-Indiana University School of Dentistry 05/11/2014

Iowa-University of Iowa College of Dentistry 06/11/1993 Iowa-University of Iowa College of Dentistry 06/30/2003

99 DENTISTS 01/01/2019

BoardAction

12/08/2001

05/18/2006

09/23/2016 NSBDE LIST

06/27/2014

100 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Paul Kent Hilton Paul Kent Hilton DDS Dentist 2570 03/21/1990 Disabled William R Hilton William R Hilton DDS Dentist 0704 08/01/1972 Inactive Ernesto Tagala Hipolito Ernesto Tagala Hipolito Jr DMD Dentist 4834 11/15/2005 Active Sena Edlyn Hiradate Sena Edlyn Hiradate DDS Specialty Dentist S6-173C 11/09/2018 Active Timothy Nicholas Ho Timothy Nicholas Ho DMD Dentist 5764 08/22/2008 Active Tinh Trung Ho Tinh Trung Ho DDS Dentist 4722 02/11/2005 Active Anne Kim Hoang Anne Kim Hoang DDS Dentist 6335 09/20/2012 Inactive Bryan Nguyen Bang Hoang Bryan Nguyen Bang Hoang DMD Dentist 6665 06/04/2015 Active Lily Hoang Lily Hoang DMD Dentist 6513 06/27/2014 Inactive Lisa Thi Hoang Lisa Thi Hoang DDS Dentist 6393 03/07/2013 Active Lynh Thuy Hoang Lynh Thuy Hoang DDS Dentist 6138 05/06/2011 Active Ashley Elizabeth Hoban Ashley Elizabeth Hoban DMD Specialty Dentist S6-105 07/15/2011 Active Christopher Charles Hock Christopher Charles Hock DDS Specialty Dentist S2-131C 08/01/2014 Active Lisa Anne Hogan Lisa Anne Hogan DDS Dentist 2977 03/22/1996 Retired Sven Peder Hoge Sven Peder Hoge DMD Dentist 6676 06/19/2015 Active Jonathan David Holland Jonathan David Holland DDS Dentist 4919 03/23/2006 Active Michael Golden Hollingshead Michael Golden Hollingshead DDS Dentist 0636 01/01/1970 Active William J Holmes William J Holmes DDS Dentist 2220 07/01/1984 Active Thomas Joseph Holtman Thomas Joseph Holtman DDS Dentist 6995 10/02/2017 Active Richard Frederick John Holtzen Richard Frederick John Holtzen DMD Specialty Dentist S2-28 07/06/1999 Active Karen Eng Hom Karen Eng Hom DDS Dentist 3333 07/13/1998 Active Ramin Homanfar Ramin Homanfar DDS Dentist 2939 07/17/1995 Active Eric John Homze Eric John Homze DDS Dentist 2983 03/22/1996 Active Larry Shing-Huen Hon Larry Shing-Huen Hon DMD Specialty Dentist S6-165 07/12/2018 Active Dung Thuy Hong Dung Thuy Hong DDS Dentist 2790 07/26/1993 Active James Jinpyo Hong James Jinpyo Hong DDS Dentist 3508 01/19/2000 Active Randy C Hong Randy C Hong DDS Dentist 4348 01/22/2003 Active Kathleen Hidy Hood Kathleen Hidy Hood DDS Dentist 6604 01/30/2015 Active Daniel James Hoopes Daniel James Hoopes DDS Limited License Dental LL-452-17 07/14/2017 Active Benjamin Thomas Horgan Benjamin Thomas Horgan DDS Dentist 4704 01/16/2005 Active Bryan John Horgan Bryan John Horgan DDS Dentist 6376 03/07/2013 Active Fred Lee Horowitz Fred Lee Horowitz DMD Dentist 6979 10/02/2017 Active Hasti Horri Hasti Horri DDS Dentist 7146 10/19/2018 Active Seyed Amir Mohammad Hosseini Seyed Amir Mohammad Hosseini DDS Dentist 6118 02/11/2011 Inactive Robert James Houchin Robert James Houchin DDS Dentist 4525 10/28/2003 Active Everett Leon HowellNSBDEEverett Leon Howell DDS Dentist LIST5690 05/02/2008 Inactive Minyi Hsiao Minyi Hsiao DDS Dentist 6844 08/10/2016 Active Jason Chun-Sheng Hsieh Jason Chun-Sheng Hsieh DDS Dentist 6465 10/04/2013 Inactive Jason Jia-Shiann Hsieh Jason Jia-Shiann Hsieh DDS Dentist 5037 06/28/2006 Active Inri Tan Teng Hsu Inri Tan Teng Hsu DMD Dentist 4293 08/06/2002 Active Myat Min Htut Myat Min Htut DDS Specialty Dentist S3-290C 09/21/2016 Active Anthony Hua Anthony Hua DDS Dentist 6946 06/30/2017 Active Allen Wei-Lun Huang Allen Wei-Lun Huang DMD Specialty Dentist S4-31 07/29/2004 Active Steve Jan Huang Steve Jan Huang DDS Specialty Dentist S2-122 07/18/2012 Active Douglas Merrill Huber Douglas Merrill Huber DDS Dentist 5060 07/20/2006 Active Sascha Hudson Sascha Hudson DMD Dentist 6330 08/17/2012 Active

101 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 5503 Fire Island Dr 06/30/2019 1330 E Crossgrove Ct 06/30/2019 Ernesto Hipolito 9101 West Sahara Ave Ave 105-166 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Sala Family Dentistry 4875 Summit Ridge Dr 06/30/2019 Royal Highlands Dental 11350 Southern Highlands Pkwy 100 06/30/2019 Advanced Dental Care 7435 S Eastern Ave Ste 104 06/30/2019 2 Roanne Cir 06/30/2019 204 Emerald Vista Way 06/30/2019 6154 Belmont Avenue 06/30/2019 North View Dental 3073 N Craig Rd Suite 1 06/30/2019 Smooth Dentistry 7060 S Durango Dr Suite 110 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Summerlin Pediatric Dentistry 653 N Town Center Dr Ste 606 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Absolute Dental 5032 S. Virginia St. 06/30/2019 3937 Placita Del Lazo 06/30/2019 1908 26th Ave NW 06/30/2019 4452 Desert Bloom Ct 06/30/2019 Michael G Hollingshead, DDS 6392 W Spring Mountain Rd 06/30/2019 1647 Buzzy's Ranch Rd 06/30/2019 9105 Teal Lake Ct S2 - Oral and Maxillofacial Surgeon 06/30/2019 Nevada Oral & Facial Surgery 6950 Smoke Ranch Rd #200 06/30/2019 2005 Grouse Street 06/30/2019 Ramin Homanfar 5420 Kietzke Ln #201 06/30/2019 7900 Meadow Vista Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 8400 S Maryland Pkwy Apt 1076 06/30/2019 D. T. Hong, LLC 4888 Sparks Blvd Suite 100 06/30/2019 Lakeside Dental 8821 W Sahara Ave #110 06/30/2019 Avalon Dental 5465 Simmons St #4 06/30/2019 954 Maple Way Limited License Dentist 1445 Stonelake Cove Ave #11308 06/30/2019 Capital City Dental Inc 725 N. Minnesota St. 06/30/2019 Bryan Horgan 3040 kings canyon road 06/30/2019 Oral/Culinary Health Center 650 N Nellis Blvd 2nd Flr 06/30/2019 1350 W Horizon Ridge Pkwy Apt 122 06/30/2019 2227 Granite Dr 06/30/2019 915-C W Foothill Blvd Ste 292 NSBDE06/30/2019 LIST2679 Avenir Place Unit 4121 06/30/2019 245 S Gibson Rd Apt 2-304 06/30/2019 1040 Avondale St 06/30/2019 Smile Haven Family Dentistry 4045 S Eastern Ave 06/30/2019 Capstone Dental, LLC 62 N Pecos Rd #A S3 - Orthodontist 06/30/2019 23000 Paseo De Terrado, Unit 2 06/30/2019 2513 S Diamond St S4 - Periodontist 06/30/2019 Implant and Periodental Center of Nevada 2430 E Harmon Ave #6 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Steve Huang Oral & Implant Surgery 1701 N Green Valley Pkwy 2E 06/30/2019 258 Hampton Ridge Ct 06/30/2019 11748 Del Sur Ave.

102 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89120 (702) 898-3440 (702) 898-3664 Baylor College of Dentistry 06/04/1988 Draper UT 84020 (775) 323-8858 Northwestern University 06/01/1972 Las Vegas NV 89117 (702) 939-6505 (702) 834-7888 Boston University 09/25/1990 Reno NV 89523 Las Vegas NV 89141 (702) 242-0088 (702) 362-0088 Florida-Nova Southeastern University College of Dental Medicine 06/02/2005 Las Vegas NV 89123 (702) 405-2381 (951) 737-9692 UCSF 06/13/1999 Irvine CA 92604 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 Las Vegas NV 89144 (702) 240-6200 Kentucky-University of Kentucky College of Dentistry 05/10/2014 Dallas TX 75214 (702) 774-2415 North Las Vegas NV 89032 (702) 636-8760 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Las Vegas NV 89113 (702) 658-2311 (702) 658-8811 California-University of Southern California School of Dentistry 05/15/2009 Las Vegas NV 89144 (702) 838-9013 (702) 838-9157 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Reno NV 89502 (775) 284-4545 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2010 Las Vegas NV 89120 University of the Pacific 06/23/1991 Minot ND 58703 (701) 723-5565 Kentucky-University of Louisville School of Dentistry 05/09/2015 Las Vegas NV 89129 (702) 405-6100 Loma Linda University 05/25/2003 Las Vegas NV 89146 (702) 871-0304 (702) 871-8482 Wisconsin-Marquette University School of Dentistry 05/01/1969 Carson City NV 89701 (775) 882-4247 (775) 882-8584 University of the Pacific 06/01/1984 Las Vegas NV 89129 Las Vegas NV 89128 (702) 360-8918 (702) 360-2504 Temple University 06/05/1994 Las Vegas NV 89134 (702) 227-6453 (702) 363-3381 Northwestern University 08/26/1995 Reno NV 89511 (775) 827-5511 (775) 852-4154 University of the Pacific 06/14/1992 Reno NV 89511 (775) 575-0777 (775) 575-1336 University of Nebraska 05/06/1994 Las Vegas NV 89123 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Sparks NV 89436 (775) 351-1111 (775) 351-1114 University of Washington 06/12/1993 Las Vegas NV 89117 (702) 255-1848 (702) 256-7043 USC 08/20/1996 North Las Vegas NV 89031 (702) 638-1005 (702) 638-1071 UCLA 06/07/2002 Fallon NV 89406 (775) 423-6547 North Carolina-University of North Carolina School of Dentistry 05/11/2014 Henderson NV 89074 Carson City NV 89703 (775) 883-6700 (775) 883-6701 University of Washington 06/11/2004 carson city NV 89703 (775) 883-6700 (559) 636-4455 California-Loma Linda University School of Dentistry 05/30/2010 Las Vegas NV 89110 (312) 376-2829 Henderson NV 89012 Alamo CA 94507 (510) 568-3322 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Claremont CA 91711 (909) 576-3999 (909) 941-9553 Georgetown University 05/20/1978 Vienna NSBDEVA 22180 (703) 644-0080 (214) 375-4143 Maryland-University of Maryland Baltimore College ofLIST Dental Surgery 07/29/2005 Henderson NV 89012 (702) 968-5222 (702) 968-5277 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2016 San Jose CA 95129 (626) 607-4324 California-University of California at Los Angeles School of Dentistry 06/14/2013 Las Vegas NV 89119 (702) 892-9878 UCSF 06/08/1997 Henderson NV 89074 (702) 990-6926 (702) 990-6928 University of Alabama 06/02/1985 Diamond Bar CA 91765 (702) 968-5222 California-University of Southern California School of Dentistry 05/17/2013 Santa Ana CA 92704 (702) 843-0946 Las Vegas NV 89121 (702) 733-0558 (702) 733-1788 University of Pennsylvania 05/21/2001 Henderson NV 89074 (702) 270-2999 (775) 284-4550 New York-Columbia University College of Dental Medicine 05/21/2008 Henderson NV 89015 (702) 294-1100 (702) 294-1106 University of Oklahoma 06/03/2006 Las Vegas NV 89138 (702) 991-9999 (702) 991-9099 Oregon-Oregon Health and Science University School of Dentistry 06/26/2009

103 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/13/2011 New York-New York University Lagone Health 06/30/2013

California-University of Southern California School of Dentistry 08/07/2001

Washington - Washington University 06/01/1979 California-UniversityNSBDE of Southern California School of Dentistry 05/12/2017 LIST

Michigan-University of Michigan School of Dentistry 04/27/2017

104 DENTISTS 01/01/2019

BoardAction

08/24/1993

05/12/2017,06/19/2015

07/03/2001

NSBDE LIST

105 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Charles Alan Huggins Charles Alan Huggins DDS Dentist 4321 11/15/2002 Active Svetlana Anatoliyevna Huggins Svetlana Anatoliyevna Huggins DDS Dentist 4819 10/10/2005 Active Cody Clifford Hughes Cody Clifford Hughes DMD Specialty Dentist S6-97 10/09/2009 Active Michael Edward Hughes Michael Edward Hughes DDS Dentist 5061 07/20/2006 Active Tracey Ruth Ellen Hughes Tracey Ruth Ellen Hughes DDS Limited License Dental LL-494-18 11/09/2018 Active Hye Yeon Huh Hye Yeon Huh DDS Limited License Dental LL-422-16 06/29/2016 Active Kyle Jared Huish Kyle Jared Huish DDS Dentist 6856 10/12/2016 Active Neil Drummond Hulbert Neil Drummond Hulbert DDS Dentist 4355 01/22/2003 Active James Joseph Hulwi James Joseph Hulwi DMD Dentist 5838 07/14/2009 Inactive Sage Monroe Humphries Sage Monroe Humphries DDS Specialty Dentist S3-310C 09/01/2017 Active Gregory James Hunter Gregory James Hunter DMD, MD Specialty Dentist S2-125C 11/30/2012 Active Bernard Roy Hurlbut Bernard Roy Hurlbut DDS Dentist 4787 07/29/2005 Active Chester Lynn Hurst Chester Lynn Hurst DDS, MS Specialty Dentist S3-76C 06/28/2005 Active Glenn Edward Hurst Glenn Edward Hurst DDS Dentist 2265 09/19/1984 Active Andrew John Huxford Andrew John Huxford DDS Dentist 4499 07/28/2003 Active Andy Hien Huynh Andy Hien Huynh DMD Dentist 3731 01/17/2001 Active Eileen Kim Huynh Eileen Kim Huynh DMD Dentist 6647 05/22/2015 Active James Huynh James Huynh DMD Dentist 5814 07/28/2009 Active Tram Minh Huynh Tram Minh Huynh DMD Dentist 6980 08/25/2017 Active Lillian Ya-Li Hwang Lillian Ya-Li Hwang DMD Dentist 6363 11/30/2012 Inactive Melody Ya-Di Hwang Melody Ya-Di Hwang DMD Dentist 6364 11/30/2012 Inactive Victor Ruey-Jer Hwang Victor Ruey-Jer Hwang DMD Dentist 7013 01/12/2018 Active Chandler Dodd Hyer Chandler Dodd Hyer DMD Specialty Dentist S6-159 10/20/2017 Active Wayne Ichikawa Wayne Ichikawa DDS Specialty Dentist S2-147C 01/18/2017 Active Joshua Michael Ignatowicz Joshua Michael Ignatowicz DMD Dentist 5539 06/21/2007 Active Jane Courtney Ince Jane Courtney Ince DMD Dentist 6639 06/04/2015 Active Lauren Mariko Ing Lauren Mariko Ing DMD Dentist 6774 06/15/2016 Active John Wilbur Inga John Wilbur Inga DDS Dentist 3529 01/19/2000 Active Andrew Paul Ingel Andrew Paul Ingel DMD Dentist 5506 07/30/2007 Active Heidi Lynne Iongi Heidi Lynne Iongi DMD Dentist 7082 06/18/2018 Active Fanny Chou Ngar Ip Fanny Chou Ngar Ip DMD Dentist 5444 01/20/2007 Active Vincent King Ip Vincent King Ip DDS Dentist 5062 07/20/2006 Inactive Mahzarine Meraboon Irani Rohani Mahzarine Meraboon Irani Rohani DDS Dentist 6667 06/04/2015 Active Darren Matthew Isfeld Darren Matthew Isfeld DMD Specialty Dentist S6-154C 09/08/2017 Active Emily Roxanne Ishkanian Emily Roxanne Ishkanian DMD Dentist 6056 07/14/2010 Active Kashif Ismail NSBDEKashif Ismail DMD Specialty Dentist LISTS3-239 07/18/2012 Active Blair Abbott Isom Blair Abbott Isom DDS Dentist 2260 09/19/1984 Active Blair Alexander Isom Blair Alexander Isom DDS Specialty Dentist S2-144C 04/20/2016 Active Mihai Florin Itoafa Mihai Florin Itoafa DMD Dentist 6826 07/13/2016 Active Miro Itskovich Miro Itskovich DDS Dentist 5508 06/21/2007 Inactive Scott Sunao Iwashita Scott Sunao Iwashita DDS Dentist 7043 03/30/2018 Active Randall J Iwasiuk Randall J Iwasiuk DDS Specialty Dentist S7-25 09/05/1997 Active Mario Michael Jackson Mario Michael Jackson DDS Dentist 4594 03/25/2004 Active Tiffany Jan'Nelle Jackson Tiffany Jan'Nelle Jackson DDS Dentist 6080 08/20/2010 Active Salmeh Jafarifar Salmeh Jafarifar DDS Dentist 4565 01/21/2004 Active Mohammadali Jahani Mohammadali Jahani DDS Dentist 6872 01/04/2017 Active

106 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 12065 Vibrato Ct 06/30/2019 10624 S. Eastern Ave., Ste A-202 S6 - Pediatric Dentist or Pedodontist 06/30/2019 8305 Fulton Ranch St 06/30/2019 522 Escalante Dr Limited License Dentist 11/08/2019 1805 Hwy 42 Ste 120 Limited License Dentist 06/30/2019 10618 parthenon st. 06/30/2019 3553 E Downing Cir 06/30/2019 Hulbert Quality Dental 333 W Moana Ln 06/30/2019 116 Country Club Dr S3 - Orthodontist 06/30/2019 Humphries Orthodontics 725 W La Veta Ave Ste 120 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Nevada Oral & Facial Surgery 6950 Smoke Ranch Rd Ste 200 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS7416 S3 - Orthodontist 06/30/2019 Texas Orthodontics 4522 Fredericksburg Rd Ste A28 06/30/2019 Hurst Family Dental 7325 S Pecos Rd 101 06/30/2019 1530 Sunrise Cir 06/30/2019 Evergreen Dental 4355 Spring Mountain Rd #204 06/30/2019 Fara Thomas 10175 W Twain Ave. Ste. 110 06/30/2019 Absolute Dental 945 S Rainbow Blvd 06/30/2019 1879 Timber Glade Pl 06/30/2019 45 E. Newton St., Apt. 220 06/30/2019 45 East Newton Street 220 06/30/2019 160 Cielo Abierto Way Unit 1222 S6 - Pediatric Dentist or Pedodontist 06/30/2019 712 Jacobs Ladder Pl S2 - Oral and Maxillofacial Surgeon 06/30/2019 11700 W Charleston Blvd #170-131 06/30/2019 Joshua M Ignatowicz DMD PC 1070 W Horizon Ridge Pkwy #121 06/30/2019 Green Valley Smiles 2570 Wigwam Pkwy Ste 110 06/30/2019 Dental Designs of Las Vegas 3975 S Durango Dr Ste 102 06/30/2019 John W Inga DDS Ltd 2500 Wigwam Pkwy Suite 110 06/30/2019 5901 Taylor Valley Ave 06/30/2019 3709 Mornings Dawn St 06/30/2019 16 Baywood Court 06/30/2019 Vincent Ip 1509 S Lamar Blvd. 06/30/2019 Su Familia Dental 4161 S Eastern Ave Ste E8 S6 - Pediatric Dentist or Pedodontist 06/30/2019 7132 Abbeyville Dr 06/30/2019 Green Valley Dental Center 275 N Pecos Rd S3 - Orthodontist NSBDE06/30/2019 LIST469 Indigo Springs St 06/30/2019 8845 Helena Ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 Clear Choice Dental Implant Center 6460 Medical Center St Suite 300 06/30/2019 8570 W Coalmine Ave. #103 06/30/2019 5419 Nagle Ave 06/30/2019 657 Regas Dr S7 - Endodontist 06/30/2019 David M Reeves DDS & Randall J Iwasiuk DDS, Ltd 5420 Kietzke Ln #100 06/30/2019 Department of Dentistry- Veterans Admin. Medical C 500 East Veterans Ave 06/30/2019 Windmill Family Dental 2550 E Windmill Ln #145 06/30/2019 Preferred Family Dentistry 8785 W Warm Springs Rd Suite 108 06/30/2019 322 Karen Ave,#1403

107 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89138 (702) 653-2645 (520) 228-2834 University of North Carolina 12/30/1982 Henderson NV 89052 (702) 565-0795 (702) 897-4624 University of the Pacific 06/12/2005 Las Vegas NV 89131 (888) 963-9601 (702) 774-2419 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Henderson NV 89015 (702) 938-2008 (702) 938-2011 Creighton University 05/13/2006 Louisville CO 80027 (702) 341-7978 las vegas NV 89183 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2016 Mesa AZ 85213 (480) 994-9494 Ohio-Ohio State University College of Dentistry 06/13/2010 Reno NV 89509 (775) 826-3444 (775) 826-3456 Howard University 05/11/2002 Mankato MN 56001 (507) 779-7139 (507) 779-7140 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Orange CA 92868 (714) 997-5961 Las Vegas NV 89128 (702) 360-8918 (702) 360-2504 Kentucky-University of Louisville School of Dentistry 05/11/2002 Las Vegas NV 89106 (702) 774-2687 (702) 685-5598 Baylor College of Dentistry 06/04/1983 San Antonio TX 78201 (210) 354-3131 (210) 354-3133 University of Texas 05/19/1984 Las Vegas NV 89120 (702) 897-1120 (702) 897-4624 University of Missouri-KC 05/01/1982 Boulder City NV 89005 (702) 293-0205 (702) 294-0205 University of Colorado 05/24/2003 Las Vegas NV 89102 (702) 876-0808 (702) 876-0818 University of Pittsburgh 05/24/2000 Las Vegas NV 89147 (702) 384-4721 (702) 384-2183 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89145 (702) 399-8700 (702) 657-6817 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 North Las Vegas NV 89084 Boston MA 02118 (925) 451-8674 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Boston MA 02118 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Henderson NV 89012 Las Vegas NV 89138 (702) 623-1633 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89135 (408) 379-5360 (408) 379-5340 California-University of California at Los Angeles School of Dentistry 06/19/1981 Henderson NV 89012 (702) 473-5100 (702) 331-1529 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Hendeson NV 89074 (702) 616-9655 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89147 (702) 254-1444 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Henderson NV 89074 (702) 914-8870 (702) 914-8872 University of Maryland 05/09/1995 Las Vegas NV 89131 (702) 774-2819 (410) 766-3851 Pennsylvania-University of Pittsburgh School of Dental Medicine 06/21/1980 Las Vegas NV 89129 (702) 616-9655 Thornhill,Ontario CA L3T 5W3 (702) 450-5999 Austin TX 78704 (512) 442-4746 New York University 05/11/2006 Las Vegas NV 89119 (702) 368-3854 Michigan-University of Michigan School of Dentistry 05/01/2014 Las Vegas NV 89119 (702) 558-8543 Henderson NV 89074 (702) 896-8933 (702) 364-8134 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NSBDENV 89014 (909) 393-9911 Nevada-University of Nevada, Las Vegas School of LISTDental Medicine 05/12/2007 Las Vegas NV 89129 (800) 409-2562 (702) 645-8807 Marquette University 06/01/1984 Las Vegas NV 89148 (509) 928-8800 (509) 321-0154 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Littleton CO 80123 (702) 257-2872 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Sherman Oaks CA 91401 (909) 627-4177 California-University of Southern California School of Dentistry 05/12/2006 Campbell CA 95008 (408) 295-4770 Reno NV 89511 (775) 825-5221 (775) 823-9824 Loma Linda University 06/14/1985 Tomah WI 54660 (608) 372-1131 (702) 656-5805 University of Washington 06/07/1996 Henderson NV 89074 (702) 331-4848 (702) 436-6884 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Las Vegas NV 89148 (702) 433-0355 (702) 990-2969 Louisiana State University 05/17/2003 Las Vegas NV 89109 (714) 288-8464 California-University of Southern California School of Dentistry 05/17/2013

108 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Iowa-University of Iowa College of Dentistry 06/05/1998

California - University of California at Los Angeles School of Dentistry 06/18/2004 California-University of Southern California School of Dentistry 05/11/2007

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2003

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Massachusetts-BostonNSBDE University Goldman School of Dental Medicine 05/16/2016 Minnesota-University of Minnesota SchoolLIST of Dentistry 08/31/2012

California-University of Southern California School of Dentistry 08/16/1985

109 DENTISTS 01/01/2019

BoardAction

05/18/2018 NSBDE LIST

110 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Saba Jamali Saba Jamali DDS Dentist 6499 04/25/2014 Inactive David Charles James David Charles James Jr DMD Dentist 4290 08/06/2002 Active Susan Louise Jancar Susan Louise Jancar DDS Dentist 2001 09/01/1980 Retired Adam Joseph Janette Adam Joseph Janette DDS Specialty Dentist S2-99C 10/09/2009 Active Debbie Jang Debbie Jang DMD Dentist 6950 06/23/2017 Active Cary Jaques Cary Jaques DDS Dentist 5894 04/16/2009 Active Daniel Malcolm Jarrett Daniel Malcolm Jarrett DMD Limited License Dental LL-443-17 07/14/2017 Active David Rheem Jarrett David Rheem Jarrett DDS Dentist 0649 08/01/1970 Active Scott David Jarrett Scott David Jarrett DDS Specialty Dentist S7-37 07/22/2003 Active Sylvia Ng Jeffries Sylvia Ng Jeffries DDS Dentist 4488 07/28/2003 Active Chet L Jenkins Chet L Jenkins DDS Dentist 7002 11/13/2017 Active Seth Graff Jennings Seth Graff Jennings DMD Dentist 7126 08/29/2018 Active James Ryan Jensen James Ryan Jensen DMD Dentist 6382 01/24/2013 Active Jaren Tolman Jensen Jaren Tolman Jensen DDS Specialty Dentist S6-100 04/30/2010 Active John Ryan Jeppsen John Ryan Jeppsen DMD Dentist 6759 05/11/2016 Active Yeganeh Parhizkar Jewell Yeganeh Parhizkar Jewell DDS, MS Specialty Dentist S3-293 10/19/2016 Active Khalid Rizwan Jilani Khalid Rizwan Jilani DMD Dentist 6504 05/21/2014 Active Toni Rae Jilka Toni Rae Jilka DMD Dentist 7087 06/21/2018 Active Jorge Jimenez-Marquez Jorge Jimenez-Marquez DMD Dentist 6794 06/08/2016 Active Jong Sook Jin Jong Sook Jin DDS Dentist 4759 05/26/2005 Active Kelly Songhee Jin Kelly Songhee Jin DMD Dentist 3739 01/17/2001 Inactive Brandon Hyeongyang Joe Brandon Hyeongyang Joe DDS Specialty Dentist S4-25C 03/26/2002 Active Nantiya Joe Nantiya Joe DDS Dentist 3225 01/21/1998 Active Tejpaul Singh Johl Tejpaul Singh Johl DDS Specialty Dentist S7-45 08/25/2006 Active Frederick Jeremy John Frederick Jeremy John DMD Specialty Dentist S6-140 09/09/2015 Active Beverly Ann Johnson Beverly Ann Johnson DDS Dentist 4666 10/21/2004 Inactive Brendan Gerard Johnson Brendan Gerard Johnson DDS Specialty Dentist S2-29 08/20/1999 Active Cody Spencer Johnson Cody Spencer Johnson DMD Specialty Dentist S6-103 10/01/2010 Active Derek Lyle Johnson Derek Lyle Johnson DMD Dentist 6090 05/27/2011 Active Jay A Johnson Jay A Johnson DDS Dentist 2320 07/16/1985 Active Joseph Curtis Johnson Joseph Curtis Johnson DDS Dentist 6843 09/07/2016 Active Kelly Thuy Hoa Johnston Kelly Thuy Hoa Johnston DMD Dentist 3581 05/08/2000 Active Geraldine E Joiner Geraldine E Joiner DDS Dentist 1027 09/01/1979 Active David Blaine Jolley David Blaine Jolley DMD Dentist 6541 07/03/2014 Inactive Ryan Dean Jolley Ryan Dean Jolley DMD Specialty Dentist S3-298 01/18/2017 Active Brian David JonesNSBDEBrian David Jones DMD Dentist LIST6783 05/18/2016 Active David Reed Jones David Reed Jones DDS Dentist 0885 09/01/1976 Active Francis Ross Jones Francis Ross Jones DDS Limited License Dental LL-0070-05 06/28/2005 Active James Eldon Jones James Eldon Jones DDS Specialty Dentist S7-07 09/01/1983 Active Melissa Schneider Jones Melissa Schneider Jones DDS, MS Specialty Dentist S3-169 01/17/2008 Active Michael Glade Jones Michael Glade Jones DDS Dentist 2682 07/09/1991 Active Leslie Eve Joseph-Messner Leslie Eve Joseph-Messner DDS Dentist 4901 03/23/2006 Inactive Arlene Merriweather Joyner Arlene Merriweather Joyner DDS Dentist 4680 12/09/2004 Active Nakyoung Ju Nakyoung Ju DDS Dentist 6730 12/23/2015 Active David Gregg Julian David Gregg Julian DDS Dentist 4992 06/26/2006 Inactive Soo Jeen Jun Soo Jeen Jun DDS Dentist 6956 07/14/2017 Active

111 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 23502 Bainford Court Saba Jamali 06/30/2019 Dr. James the Dentist, APC 1664 US Hwy 395 Suite 103 06/30/2019 258 Golfview Drive S2 - Oral and Maxillofacial Surgeon 06/30/2019 1222 Paseo de Caballo 06/30/2019 5723 Bear Springs St 06/30/2019 451 Heron Ln Limited License Dentist 06/30/2019 5175 Jerry Tarkanian Way 06/30/2019 4996 Carnoustie Dr S7 - Endodontist 06/30/2019 Sierra Endodontics 9456 Double R Blvd. #A 06/30/2019 South Valley Dental 555 College Drive A 06/30/2019 16536 E Kesler Ln 06/30/2019 Jennings and Larson Family Dentistry 1093 Hancock Rd 06/30/2019 Toothfairy Pediatric Dentistry 5059 S McCarran Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Smile Reef Childrens Dentistry 9500 W Flamingo #200 06/30/2019 1541 Sunrise Cir S3 - Orthodontist 06/30/2019 10294 Via Bianca 06/30/2019 Bonita Dental 2668 Las Vegas Blvd North 101 06/30/2019 1880 Via Firenze 06/30/2019 Inspired Dental 110 E Bruner Ave Ste 130 06/30/2019 8550 W Charleston Blvd #102-303 06/30/2019 Icon Dental 1975 W Craig Rd #103 S4 - Periodontist 06/30/2019 8993 W Flamingo Rd Suite 101 06/30/2019 9155 W Flamingo Rd #12o S7 - Endodontist 06/30/2019 1318 Imperia Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 Carson City Pediatric Dentistry 4530 S Carson St 06/30/2019 4151 Don Luis Dr S2 - Oral and Maxillofacial Surgeon 06/30/2019 Nevada Oral & Facial Surgery 6950 Smoke Ranch Rd #200 S6 - Pediatric Dentist or Pedodontist 06/30/2019 772 N. Dixie Dr STE 101 06/30/2019 1162 Bon Accord Ln 06/30/2019 3172 N Rainbow Blvd #336 06/30/2019 445 Frisco Court 06/30/2019 Ready Dental 4300 E. Sunset Rd. B2 06/30/2019 2808 Brown Circle 06/30/2019 Jolleytime Orthodontics 5756 S Staples St Ste A3 S3 - Orthodontist 06/30/2019 Made You Smile Orthodontics LLC PO Box 1673 NSBDE06/30/2019 David R Jones DDS LIST1701 N. Green Valley Pkwy #2C 06/30/2019 David R Jones DDS 1701 N Green Valley Pkwy Suite 2C Limited License Dentist 06/30/2019 2620 S Maryland Pkwy #511 S7 - Endodontist 06/30/2019 Endodontic Associates, LLP 757 W 7th St #101 S3 - Orthodontist 06/30/2019 Carson City Orthodontics 3790 Hwy 395 S. #406 06/30/2019 Michael G Jones, DDS 601 Whitney Ranch Rd #D18 06/30/2019 Leslie E. Joseph, DDS 10800 Donner Pass Rd #204 06/30/2019 200 W. Sahara #3408 06/30/2019 Ju DDS Professional Corporation 899 Adams Blvd 06/30/2019 Quality Family Dental Care 168 East 5900 South #C-103 06/30/2019 Hue Dental 1350 S Jones Blvd Ste 140

112 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Katy TX 77494 (702) 450-8888 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/22/2009 Minden NV 89423 (775) 782-7799 (775) 782-4362 Washington University 06/22/1977 Tequesta FL 33469 (775) 623-4050 (775) 623-0730 University of the Pacific 06/01/1980 San Luis Obispo CA 93401 (805) 541-5611 (702) 387-5906 Illinois-University of Illinois at Chicago College of Dentistry 06/09/1991 North Las Vegas NV 89031 (702) 793-2182 Fallon NV 89406 (775) 423-5213 (775) 423-9602 Virginia-Virginia Commonwealth University School of Dentistry 05/19/2007 Las Vegas NV 89148 (702) 774-2690 Reno NV 89502 (775) 786-3400 (775) 857-4011 California-University of California at San Francisco School of Dentistry 06/01/1970 Reno NV 89521 (775) 851-4222 (775) 851-4321 University of the Pacific 06/21/1998 Henderson NV 89015 (702) 435-3827 (702) 293-5774 Creighton University 05/17/2003 Gilbert AZ 85295 Bullhead City AZ 86442 (928) 758-5588 Rno NV 89502 (775) 825-5005 (775) 329-0186 Oregon-Oregon Health and Science University School of Dentistry 06/24/2011 Las Vegas NV 89147 (702) 570-7333 (702) 570-5694 Nebraska-Creighton University School of Dentistry 05/13/2006 Boulder City NV 89005 (614) 292-2622 (614) 292-4522 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Reno NV 89511 California-Loma Linda University School of Dentistry 05/25/2014 North Las Vegas NV 89030 (702) 748-8244 (702) 997-1223 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/16/2013 Henderson NV 89044 (702) 896-7211 Las Vegas NV 89183 (702) 221-0783 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89117 (702) 227-5800 (702) 227-5801 USC 05/14/1999 N Las Vegas NV 89032 (702) 385-4266 (702) 362-4266 Tufts University 05/17/1998 Las Vegas NV 89147 (702) 438-0007 (702) 990-8788 University of Oklahoma 05/31/1997 Las Vegas NV 89147 (702) 838-8112 (702) 838-1907 University of Colorado 05/25/1996 Henderson NV 89052 (775) 787-8900 USC 05/12/1998 Carson City NV 89701 (775) 461-3800 (775) 461-3801 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Los Angeles CA 90008 (310) 702-5475 (323) 296-6780 UCLA 06/15/1979 Las Vegas NV 89128 (702) 433-4355 (702) 360-2156 University of the Pacific 06/30/1994 St. George UT 84770 (435) 628-0511 (435) 628-3003 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Fallon NV 89406 (775) 423-7400 (775) 423-7410 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89108 (702) 396-2223 (702) 396-7805 University of the Pacific 06/01/1985 Spring Creek NV 89815 (435) 882-0099 (775) 738-7277 Nebraska-Creighton University School of Dentistry 05/14/2011 Henderson NV 89014 (702) 968-0707 (702) 968-0708 Temple University 05/20/1999 Las Vegas NV 89107 (702) 385-3149 (702) 870-1738 Meharry Medical College 06/01/1972 Corpus Christi TX 78413 (361) 993-2333 (702) 534-4837 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Logandale NV 89021 (702) 774-2563 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Henderson NSBDENV 89074 (702) 914-9501 Nevada-University of Nevada, Las Vegas School of LISTDental Medicine 04/15/2016 Henderson NV 89074 (702) 914-9501 (702) 454-9335 Northwestern University 06/01/1976 Las Vegas NV 89109 (702) 774-2400 Meharry Medical College 12/31/1986 Reno NV 89503 (775) 323-3838 (775) 323-4531 University of Washington 06/01/1983 Carson City NV 89705 (775) 434-0494 (775) 200-9333 University of Colorado 05/27/2005 Henderson NV 89014 (702) 435-9966 (702) 435-0849 Creighton University 06/01/1988 Truckee CA 96161 (530) 587-1074 (530) 587-2198 Ohio State University 06/12/1992 Las Vegas NV 89102 (702) 774-2415 (702) 774-2438 Howard University 05/31/1979 Boulder City NV 89005 (714) 670-2221 (702) 293-3464 California-University of California at San Francisco School of Dentistry 06/15/2012 Murray UT 84107 (801) 293-8950 (801) 262-3541 Creighton University 05/17/1986 Las Vegas NV 89146 (702) 870-6161

113 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Ohio-Ohio State University College of Dentistry 06/09/2000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 NSBDE LIST

Michigan-University of Detroit Mercy School of Dentistry 05/12/2017

114 DENTISTS 01/01/2019

BoardAction

10/04/2013

04/24/2003,09/26/2002NSBDE LIST

115 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Glenn Ray Justice Glenn Ray Justice DDS Dentist 3072 01/06/1997 Active Owen William Justice Owen William Justice Jr DDS Dentist 1007 03/01/1979 Active Guneet Kaur-Kohli Kainth Guneet Kaur-Kohli Kainth DDS Limited License Dental LL-454-17 07/21/2017 Active Darin Keiichi Kajioka Darin Keiichi Kajioka DDS Specialty Dentist S7-22 10/25/1996 Active Vamsi Krishna Kalavacharla Vamsi Krishna Kalavacharla DDS Dentist 6976 10/02/2017 Active John Richard Kaminski John Richard Kaminski DDS Specialty Dentist S4-58 08/22/2008 Active Michael Eldan Kanellis Michael Eldan Kanellis DMD Dentist 6343 06/28/2013 Active James Moonku Kang James Moonku Kang DDS Dentist 6802 08/31/2016 Active Helen Zsofia Kanian Helen Zsofia Kanian DDS Dentist 4581 02/26/2004 Active Vahag Maroot Kanian Vahag Maroot Kanian DMD Dentist 4595 03/25/2004 Active Catherine Charlotte Kanwetz Catherine Charlotte Kanwetz DDS Dentist 2547 07/08/1989 Active Jay Kaplan Jay Kaplan DDS Dentist 4534 12/11/2003 Active Sako Hovig Karakozian Sako Hovig Karakozian DDS Dentist 5634 01/18/2007 Inactive Mahyar Ali Karimi Mahyar Ali Karimi DDS Specialty Dentist S2-150C 01/18/2017 Active Donna Karimzada Donna Karimzada DMD Dentist 6919 05/26/2017 Active Brian Randolph Karn Brian Randolph Karn DMD Dentist 1008 03/01/1979 Active Douglas Dean Karwoski Douglas Dean Karwoski DDS Dentist 4278 07/01/2002 Active Iraj Hamad Kasimi Iraj Hamad Kasimi DMD Dentist 7017 01/26/2018 Active Duff W Kaster Duff W Kaster DDS Dentist 2357 07/15/1986 Active Ryan Davis Katausky Ryan Davis Katausky DMD Dentist 6455 08/02/2013 Active Stanley Mark Kaufman Stanley Mark Kaufman DDS Dentist 4993 06/26/2006 Inactive Thomas John Keating Thomas John Keating DDS Dentist 0607 01/01/1969 Retired Thomas Patrick Keating Thomas Patrick Keating DDS Dentist 4060 07/09/2001 Active Katherine Ann Keeley Katherine Ann Keeley DDS Dentist 3530 01/19/2000 Active Jeremy Marc Keener Jeremy Marc Keener DDS Dentist 4797 08/26/2005 Active Pichak Kelk Pichak Kelk DDS Specialty Dentist S4-43C 01/20/2007 Inactive Kenneth L Kelsey Kenneth L Kelsey DDS Dentist 2145 12/19/1982 Retired Larry J Kemp Larry J Kemp DDS Dentist 7015 01/19/2018 Active Barry Allen Kennedy Barry Allen Kennedy DDS Dentist 2791 07/26/1993 Inactive Thomas John Kenny Thomas John Kenny DMD Dentist 6625 07/22/2015 Active Ammar Kerio Ammar Kerio DMD Dentist 4647 08/27/2004 Active Parisa Kermanshahi-Monfared Parisa Kermanshahi-Monfared DMD Dentist 6074 08/20/2010 Inactive Douglas Kless Kern Douglas Kless Kern DMD Dentist 6185 07/21/2011 Active Shiva Keshmiri Shiva Keshmiri DDS Dentist 4514 09/11/2003 Active Mehrnaz Khadiv Mehrnaz Khadiv DMD Dentist 6757 05/13/2016 Inactive Gurpreet Singh KhairahNSBDEGurpreet Singh Khairah DDS Dentist LIST5477 05/17/2007 Active Ghassan Hanna Khalaf Ghassan Hanna Khalaf DDS Dentist 4289 08/06/2002 Active Michael Anil Chander Khanna Michael Anil Chander Khanna DDS Dentist 3354 01/20/1999 Active Susan Desiree Kha-Olson Susan Desiree Kha-Olson DMD Dentist 6555 10/03/2014 Inactive Shamshudin Kherani Shamshudin Kherani DDS Dentist 5735 08/22/2008 Active Sholina Kherani Sholina Kherani DDS Limited License Dental LL-410-16 04/06/2016 Active Soheil Khodadadi Soheil Khodadadi DDS Dentist 4994 06/26/2006 Inactive Anahita Khoramshahi Anahita Khoramshahi DMD Dentist 7099 06/21/2018 Active Daniel Sina Khorshad Daniel Sina Khorshad DDS Dentist 6790 06/01/2016 Active Keivan Khorshid Keivan Khorshid DDS Dentist 3355 01/20/1999 Active Mohammad Khosousi Mohammad Khosousi DDS Dentist 6598 01/30/2015 Active

116 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Boston Dental 9484 W Lake Mead Blvd #2 06/30/2019 Cheyenne Decatur Dental 3226 N Decatur Blvd Limited License Dentist 06/30/2019 Roseman University 4 Sunset Way Bldg C S7 - Endodontist 06/30/2019 Endodontics of Las Vegas 9750 Covington Cross Dr #150 06/30/2019 Providence Dental 7181 N Hualapai Way Ste 105 S4 - Periodontist 06/30/2019 John Kaminski DDS 1155 W Fourth St 218 06/30/2019 Stewart Family Dentistry 2351 Pyramid Way Ste 22 06/30/2019 Reno Smiles Dentistry & Orthodontics 6395 S McCarran Blvd Ste B 06/30/2019 Choice Dental 9850 S Maryland Pkwy Ste #3 06/30/2019 1378 Opal Valley St 06/30/2019 Catherine C Kanwetz DDS 3575 Grant Drive Suite 1 06/30/2019 jay kaplan 2209 south avenue 06/30/2019 12265 Ventura Blvd 208 S2 - Oral and Maxillofacial Surgeon 06/30/2019 1140 Highland Ave #420 06/30/2019 Diamond Dental Group & Orthodontics 4380 Blue Diamond Rd Ste 102 06/30/2019 Encore Dentistry 9406 W Lake Mead Blvd. Ste 105 06/30/2019 Karwoski Dental 901 Medical Center Dr Suite 200 06/30/2019 Hillcrest Dental 3350 Novat St Ste 145 06/30/2019 Abbey Dental 4408 South Eastern Ave 06/30/2019 Community Health Alliance 1055 S Wells Ave 06/30/2019 7439 Lintwhite St 06/30/2019 2340 Villandry Ct 06/30/2019 76 Grand Masters Dr 06/30/2019 2649 Wigwam Pkwy #102 06/30/2019 Jeremy M. Keener DDS, PC 15 Paradise Ave S4 - Periodontist 06/30/2019 489 Morning Canyon Rd 06/30/2019 4335 Libbiano Ct 06/30/2019 Kemp Dental LLC 1541 E Clark St 06/30/2019 3009 Black Hills Ct. 06/30/2019 Northwest Career College 7398 Smoke Ranch Rd #100 06/30/2019 Smiles Today Dental Group 1580 E Desert Inn Rd 06/30/2019 26 arcade 06/30/2019 6373 old rose drive 06/30/2019 Sahara Dental Professionals 4121 W. Sahara Ave 06/30/2019 canyon pointe dental group 10870 W Charlestone Blvd #170 NSBDE06/30/2019 LIST2600 Calanques Ter 06/30/2019 9205 Amber Vista Dr 06/30/2019 Abbey Dental Drake, PLLC 4408 S Eastern Ave 06/30/2019 4946 E Rooster Circle 06/30/2019 68 Baycrest Place #6 Limited License Dentist 04/05/2019 505 Estate Dr 06/30/2019 Dental Group of Beverly Hills 8641 Wilshire Blvd #125 06/30/2019 9325 W Desert Inn Rd Apt 289 06/30/2019 269 S Beverly Dr Ste #1350 06/30/2019 ABC Dental Care 7219 W Sahara Ave Suite 130 06/30/2019 A+ Dental Group 2285 E Flamingo Rd

117 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89134 (702) 304-8338 Marquette University 06/25/1992 Las Vegas NV 89130 (702) 648-6800 (775) 537-0739 University of North Carolina 06/01/1973 Henderson NV 89014 (702) 968-5230 Las Vegas NV 89144 (702) 878-8584 (702) 877-9210 Indiana University 05/09/1993 Las Vegas NV 89166 (702) 852-2244 Reno NV 89503 (775) 882-3033 (775) 882-4449 UCSF 06/11/1989 Sparks NV 89431 (775) 359-5072 (702) 385-3126 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Reno NV 89509 (775) 359-1565 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/21/2016 Las Vegas NV 89183 (702) 914-9990 (702) 914-9902 Case Western Reserve University 05/01/1988 Henderson NV 89052 (702) 914-9990 (702) 914-9902 University of Kentucky 05/08/1982 Reno NV 89509 (775) 825-4070 (775) 825-3157 University of the Pacific 06/01/1988 south lake tahoe CA 96150 (775) 782-7895 (775) 782-7936 UCLA 06/20/1980 Studio City CA 91304 (818) 538-8899 (702) 837-1302 New York-New York University College of Dentistry 05/10/2007 Manhattan Beach CA 90266 (949) 336-4365 (949) 336-4368 New York-New York University College of Dentistry 05/15/2003 Las Vegas NV 89139 (702) 425-4424 Las Vegas NV 89134 (702) 341-9160 (702) 341-5502 Tufts University 06/01/1978 Dayton NV 89403 (775) 246-7122 (775) 246-7123 University of the Pacific 06/16/2002 Las Vegas NV 89129 (702) 395-1088 Las Vegas NV 89119 (702) 304-1234 (702) 562-1814 University of the Pacific 06/01/1986 Reno NV 89502 (775) 329-6300 North Las Vegas NV 89084 (702) 791-9019 (702) 791-9249 Medical College of Virginia 06/04/1966 Henderson NV 89074 (702) 454-8855 (702) 454-2119 California-University of Southern California School of Dentistry 06/01/1966 Las Vegas NV 89141 (702) 454-8855 (702) 454-8964 Creighton University 05/12/2001 Henderson NV 89074 (702) 263-9339 (702) 263-8556 University of Iowa 05/10/1991 Winnemucca NV 89445 (775) 625-7763 (775) 623-3989 Indiana University 05/09/2004 Corona Del Mar CA 92625 (714) 997-1551 (714) 997-8191 Las Vegas NV 89141 (702) 732-4873 (702) 731-0803 University of Illinois 06/01/1973 Pocatello ID 83201 (208) 232-6400 Westlake Village CA 91362 (702) 498-7576 (702) 655-9565 USC 06/08/1978 Las Vegas NV 89128 (702) 228-9911 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89169 (702) 655-6777 (702) 547-3522 Boston University 09/25/1997 irvine CA 92603 (702) 932-1300 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 las vegas NV 89148 (702) 425-1505 (702) 456-6160 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89102 (702) 257-9090 (702) 871-4509 UCLA 06/11/1995 las vegas NV 89135 (702) 577-1941 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Henderson NSBDENV 89044 (702) 456-0009 (702) 896-7099 California-University of the Pacific Arthur A. Dugoni LISTSchool of Dentistry 06/11/2006 Las Vegas NV 89117 (702) 257-2872 (702) 270-6277 University of the Pacific 08/30/1985 Las Vegas NV 89119 (702) 731-5700 (702) 396-7967 University of Toronto 06/10/1988 Wasilla AK 99654 (702) 628-9107 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Calgary AB Canada AB V7L 1A1 (403) 455-5685 (702) 202-2506 Sherwood Park, Alberta Canada T8B 1M3 (888) 584-3237 (702) 341-8510 Canada-University of Alberta 06/06/1985 Beverly Hills CA 90211 (310) 271-3003 (310) 289-1865 USC 08/17/1991 Las Vegas NV 89117 (702) 897-7001 Beverly Hills CA 90210 (818) 783-8890 California-University of Southern California School of Dentistry 05/17/2013 Las Vegas NV 89117 (702) 228-1700 (702) 228-1776 University of the Pacific 06/15/1997 Las Vegas NV 89119 (702) 522-9192 California-University of Southern California School of Dentistry 05/11/2012

118 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/12/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Oregon-Oregon Health and Science University School of Dentistry 06/21/2013

California-UniversityNSBDE of the Pacific Arthur A. Dugoni School of Dentistry 06/17/1981 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

119 DENTISTS 01/01/2019

BoardAction

10/01/2010

10/03/2014

01/24/2006,05/28/2013,11/15/2002

04/25/2014,12/13/2008NSBDE LIST

06/28/2005

120 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Leila Khossoosi Leila Khossoosi DDS Dentist 6365 11/30/2012 Active Justin Daniel Kiggins Justin Daniel Kiggins DMD Dentist 6721 10/21/2015 Active Matthew Matai Kikuchi Matthew Matai Kikuchi DMD Specialty Dentist S2-138 07/28/2015 Active Ah Young Kim Ah Young Kim DMD Dentist 5935 08/14/2009 Active Aileen Sehee Kim Aileen Sehee Kim DDS Dentist 6879 02/24/2017 Active Christine Joo Eun Kim Christine Joo Eun Kim DMD Dentist 7141 09/13/2018 Active Donghan Kim Donghan Kim DDS Dentist 6963 07/14/2017 Inactive Edward Yungjung Kim Edward Yungjung Kim DDS Dentist 3357 01/20/1999 Retired Eugene Y Kim Eugene Y Kim DDS Dentist 6831 07/20/2016 Active Greg Yookyong Kim Greg Yookyong Kim DDS Specialty Dentist S7-80C 10/04/2013 Active Henry Hyungkil Kim Henry Hyungkil Kim DDS Dentist 4895 03/23/2006 Active James Kim James Kim DDS Specialty Dentist S2-141C 09/02/2015 Active James Yong Kim James Yong Kim DDS Specialty Dentist S2-149C 02/24/2017 Active Ji In Kim Ji In Kim DDS Dentist 6120 12/10/2010 Active Jonathan Eugene Kim Jonathan Eugene Kim DDS Dentist 6974 09/08/2017 Active Jong Jin Kim Jong Jin Kim DDS Dentist 6981 07/13/2018 Active Kahwa Kim Kahwa Kim DMD Dentist 6840 08/17/2016 Inactive Kyung Min Kim Kyung Min Kim DDS Specialty Dentist S6-114C 03/22/2012 Active Lance Jungmin Kim Lance Jungmin Kim DMD Dentist 4575 02/26/2004 Active Melanie Midori Kim Melanie Midori Kim DMD Dentist 6814 07/20/2016 Active Michael Jong-Gyu Kim Michael Jong-Gyu Kim DDS Dentist 6486 12/13/2013 Inactive Min Kyu Kim Min Kyu Kim DMD Specialty Dentist S3-296C 11/23/2016 Active Min Seok Kim Min Seok Kim DMD Dentist 6140 05/06/2011 Active Namgu Kim Namgu Kim DMD Limited License Dental LL-468-18 06/21/2018 Active Raymond Nam-wook Kim Raymond Nam-wook Kim DDS Dentist 3336 07/13/1998 Active Sam Yong Hyon Kim Sam Yong Hyon Kim DDS Dentist 3725 09/25/2000 Inactive Samuel Ih Hoon Kim Samuel Ih Hoon Kim DDS Dentist 2819 03/23/1994 Active Sharon Mia Kim Sharon Mia Kim DDS Specialty Dentist S3-176 05/02/2008 Active To Yong Mari Kim To Yong Mari Kim DDS Dentist 5109 08/25/2006 Retired Unyong Kim Unyong Kim DDS Dentist 7121 09/07/2018 Active Yeong Woo Kim Yeong Woo Kim DDS Dentist 4280 07/01/2002 Active Yong Chin Kim Yong Chin Kim DDS Specialty Dentist S7-75 08/12/2011 Inactive Jackie Ji Kim-Hong Jackie Ji Kim-Hong DDS Dentist 5596 03/13/2008 Active James Gordon Kinard James Gordon Kinard DDS Dentist 2101 07/11/1982 Active Breanna Marie King Breanna Marie King DMD Dentist 5809 06/10/2009 Active Terri Lynn KinneeNSBDETerri Lynn Kinnee DDS Dentist LIST2984 03/22/1996 Inactive Jeffery B Kinner Jeffery B Kinner DDS Dentist 2165 07/12/1983 Active Thomas Stephen Kintonis Thomas Stephen Kintonis DDS Dentist 2940 07/17/1995 Active Travis Zean Kirkland Travis Zean Kirkland DDS Dentist 4167 04/30/2002 Active Allan Joseph Kirkwood Allan Joseph Kirkwood DDS Dentist 3358 01/20/1999 Active Sarah Elizabeth Kitchen Sarah Elizabeth Kitchen DMD Dentist 6312 07/18/2012 Active Summer Ann Marie Rose Kleidosty Summer Ann Marie Rose Kleidosty DMD Dentist 6342 06/28/2013 Active Richard A Klein Richard A Klein DDS Dentist 0916 03/01/1977 Active Tyler Robert Klein Tyler Robert Klein DDS Dentist 6300 07/18/2012 Active Jason Robert Klingler Jason Robert Klingler DMD Dentist 6806 06/15/2016 Active James Joseph Kloer James Joseph Kloer DDS Dentist 4596 03/25/2004 Active

121 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 A+ Dental Group 2285 E. Flamingo Rd 101 06/30/2019 Kiggins Family Dentirsty 602 E Caroline St S2 - Oral and Maxillofacial Surgeon 06/30/2019 Oral & Maxillofacial Surgery of Southern Nevada 5765 S Fort Apache Rd Suite #110 06/30/2019 sage dental care 1080 North Hills Blvd #150 06/30/2019 Atlas Dental 7460 S Rainbow Blvd Ste 100 06/30/2019 3463 Procyon St Unit 280 06/30/2019 14861 Maplewood Dr 06/30/2019 182 Cascade Lake St 06/30/2019 18605 Cecelia Way S7 - Endodontist 06/30/2019 Red Rock Endodontics 9690 W Tropicana Ave Ste 100 06/30/2019 blu dental 2810 E Trinity Mills Rd, #179 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Henderson Oral Surgery 1701 N Green Valley Pkwy 2E S2 - Oral and Maxillofacial Surgeon 06/30/2019 485 Fynn Valley Dr 06/30/2019 Dynamic Dental 150 E. Centennial Pkwy Suite #113 06/30/2019 Kenneth Hill DDS 1378 Paseo Verde Pkwy Ste 100 06/30/2019 Dragon Hill Lodge (c/o Kyu Kim) Unit #15335 P O Box 116 06/30/2019 3200 Zanker Road unit 1428 S6 - Pediatric Dentist or Pedodontist 06/30/2019 897 Vegas View Dr 06/30/2019 8634 Mayport Dr 06/30/2019 Spanish Springs Modern Dentistry 242 Los Altos Pkwy 06/30/2019 2506 Sanabria Lane S3 - Orthodontist 06/30/2019 11841 Orense Dr 06/30/2019 4471 Dean Martin Dr #605 Limited License Dentist 06/30/2019 222 Karen Ave #3402 06/30/2019 Pointe North Dental 7312 West Cheyenne Ave. Ste. 3 06/30/2019 sam kim dds 1111 2nd st 06/30/2019 Samuel I Kim, DDS, MS 8811 W Sahara Ave Suite 100 S3 - Orthodontist 06/30/2019 Kimodontics 8981 W. Sahara Ave Suite 210 06/30/2019 Westside Family Health Center/Dental Department 1100 Federal Blvd Dental Department 06/30/2019 11943 Prospect Hill Dr 06/30/2019 Excel Dental Care 6002 S Durango Dr #100 S7 - Endodontist 06/30/2019 Yong Chin Kim DDS MSD Inc 1465 Live Oak Blvd 06/30/2019 Lakeside Dental 8821 W Sahara Ave #110 06/30/2019 7909 Rockwind Ct 06/30/2019 7770 W Cougar Ave NSBDE06/30/2019 LIST5335 Haugan drive 06/30/2019 5126 Makenna Ct 06/30/2019 Thomas S. Kintonis 2461 Professional Ct. 06/30/2019 AnyDay Dental 2575 N 5th St Ste A 06/30/2019 10959 Turlington Ln 06/30/2019 Summerlin Smiles 9525 W Russel Rd 100 06/30/2019 Floss Dental Boutique 436 Court St 06/30/2019 501 S Carson St Suite 100 06/30/2019 All Bright Dental 7510 W Sahara Ave 06/30/2019 341 Washoe Way 06/30/2019 4001 Faudree Rd #A202

122 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89119 (702) 522-9192 California-University of Southern California School of Dentistry 05/11/2012 Carson City NV 89701 (775) 882-7676 (775) 882-8782 Pennsylvania-Temple University School of Dentistry 05/12/2011 Las Vegas NV 89148 (702) 876-6337 (702) 876-2988 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Reno NV 89506 (775) 677-0790 (775) 409-4222 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/2008 Las Vegas NV 89139 (702) 900-7860 (626) 800-1245 California-University of California at Los Angeles School of Dentistry 06/10/2011 Las Vegas NV 89102 (702) 272-1100 Chino Hills CA 91709 (714) 224-4673 Las Vegas NV 89148 (702) 384-2828 (702) 873-1132 USC 05/08/1978 Cerritos CA 90703 (702) 968-1682 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2016 Las Vegas NV 89147 (702) 876-0000 (702) 876-5002 New York-New York University College of Dentistry 05/11/2006 Carrollton TX 75006 (702) 876-3222 (702) 876-4422 USC 08/18/1987 Henderson NV 89074 (702) 425-4424 New York-Columbia University College of Dental Medicine 05/21/2008 Las Vegas NV 89148 (702) 712-4772 California-University of Southern California School of Dentistry 05/15/2009 North Las Vegas NV 89084 (702) 384-2828 (702) 889-1118 California-University of Southern California School of Dentistry 08/12/2008 Henderson NV 89012 (702) 897-7267 APO AP 96205 (702) 262-0240 (702) 939-2873 New York-New York University College of Dentistry 05/16/1996 San Jose CA 95134 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Henderson NV 89052 (702) 614-1792 (775) 284-4550 New York-Columbia University College of Dental Medicine 05/20/2009 Las Vegas NV 89131 (702) 642-1386 (702) 642-6321 Tufts University 05/01/1998 Sparks NV 89436 (775) 354-1785 Oregon-Oregon Health and Science University School of Dentistry 06/17/2016 Brea CA 92821 (702) 876-3222 California-Loma Linda University School of Dentistry 09/18/2013 Las Vegas NV 89084 (702) 653-2661 (702) 653-2682 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/19/2008 Las Vegas NV 89103 (702) 240-9200 (702) 515-0210 Massachusetts-Tufts University School of Dental Medicine 05/23/2010 Las Vegas NV 89109 (702) 774-4690 Las Vegas NV 89129 (702) 396-9924 (702) 396-3735 University of the Pacific 05/16/1995 rosenberg TX 77471 (281) 342-5020 (702) 616-4703 Loma Linda University 05/13/1999 Las Vegas NV 89117 (702) 255-6311 (702) 255-6793 UCLA 06/16/1989 Las Vegas NV 89117 (702) 220-7878 (702) 733-7878 California-University of Southern California School of Dentistry 08/09/2005 Denver CO 80204 New York University 05/11/2006 Gold River CA 95670 (702) 805-4200 Las Vegas NV 89113 (702) 518-2971 University of the Pacific 06/16/2002 Yuba City CA 95991 (530) 673-1401 (702) 616-4703 UCLA 06/14/2002 Las Vegas NV 89117 (702) 255-1848 (702) 256-7043 California-University of Southern California School of Dentistry 08/20/1996 Las Vegas NV 89117 (702) 719-4700 (702) 719-4701 Creighton University 06/01/1982 Las Vegas NV 89113 (702) 290-4212 (702) 228-2907 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 missoula NSBDEMT 59803 (406) 541-3585 (702) 897-4624 University of Missouri-KC LIST05/07/1993 Las Vegas NV 89113 (702) 531-5437 (702) 616-3565 University of the Pacific 06/01/1983 Las Vegas NV 89128 (702) 360-4600 (702) 869-3706 University of the Pacific 06/18/1995 Elko NV 89801 (775) 738-9666 (775) 738-6815 Creighton University 05/09/1992 Las Vegas NV 89135 University of Colorado 05/27/1995 Las Vegas NV 89148 (702) 405-8600 (702) 896-7099 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Reno NV 89501 (775) 786-1911 (775) 786-8149 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Carson City NV 89701 (775) 883-0565 (775) 883-0587 Loma Linda University 06/01/1975 Las Vegas NV 89117 (702) 714-0973 (702) 558-9159 Nebraska-Creighton University School of Dentistry 05/12/2012 Henderson NV 89074 (702) 774-2690 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Odessa TX 79765 (432) 580-5551 (775) 677-1081 Indiana University 07/31/1977

123 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Pennsylvania-Temple University School of Dentistry 05/10/2018 California-University of Southern California School of Dentistry 05/13/2016

California-Loma Linda University School of Dentistry 06/15/2016

Oregon-Oregon Health and Science University School of Dentistry 06/22/2018 California-Loma LindaNSBDE University School of Dentistry 05/29/2011 LIST

124 DENTISTS 01/01/2019

BoardAction

10/21/2011,10/21/2013

09/18/2015

07/15/2016

07/14/2010 NSBDE LIST

125 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Steven W Klomp Steven W Klomp DMD Dentist 0842 09/01/1975 Active Eric Joseph Koenig Eric Joseph Koenig DMD Dentist 7153 11/26/2018 Active Benny Behnam Kohanteb Benny Behnam Kohanteb DDS Dentist 4509 08/12/2003 Inactive Richard Ernest Kohlmeyer Richard Ernest Kohlmeyer DDS Dentist 0676 08/01/1971 Active Gregg Richard Kolebuck Gregg Richard Kolebuck DDS Dentist 3337 07/13/1998 Active Paul Francis Kolwaite Paul Francis Kolwaite DDS Dentist 2704 03/25/1992 Retired Vladimir Kononov Vladimir Kononov DMD Dentist 6987 09/15/2017 Active Gregory Leonard Koontz Gregory Leonard Koontz DMD, MS Specialty Dentist S4-77C 03/22/2012 Active John Henry Koot John Henry Koot DMD Dentist 0619 08/01/1969 Active Andrew James Korcek Andrew James Korcek DDS Dentist 7030 02/02/2018 Active Priyanka Sanikop Kori Priyanka Sanikop Kori DDS Dentist 7132 08/29/2018 Active Matthew Lanning Koscinski Matthew Lanning Koscinski DMD Dentist 6942 06/30/2017 Active Markus Konrad Koster Markus Konrad Koster DDS Dentist 3338 07/13/1998 Active Leslie Marc Kotler Leslie Marc Kotler DMD Dentist 7009 01/19/2018 Active John Adam Krasowski John Adam Krasowski DDS Limited License Dental LL-254-11 01/26/2012 Active Todd Joseph Krempel Todd Joseph Krempel DDS Dentist 6174 07/15/2011 Active Maria Caroly Krieger Maria Caroly Krieger DMD Dentist 6769 06/01/2016 Active Matthew James Krieger Matthew James Krieger DMD Specialty Dentist S2-140 07/28/2015 Active Jeffrey Scott Krueckel Jeffrey Scott Krueckel DDS Dentist 3339 07/13/1998 Retired John Lewis Krumpotich John Lewis Krumpotich Jr DDS Dentist 1055 03/01/1980 Retired AnnaLee Susan Kruyer AnnaLee Susan Kruyer DDS Dentist 4574 01/21/2004 Active Kohsiu Ku Kohsiu Ku DDS Dentist 4996 06/26/2006 Active Kristen Michelle Kudrewicz Kristen Michelle Kudrewicz DMD Dentist 5575 07/26/2007 Active Melinda Mills Kuhn Melinda Mills Kuhn DMD Dentist 5734 07/17/2008 Active Timothy J Kuiava Timothy J Kuiava DDS Dentist 2372 07/01/1986 Active Nipa Shailesh Kulenkamp Nipa Shailesh Kulenkamp DMD Dentist 6440 06/28/2013 Active Jon Andrew Kulesa Jon Andrew Kulesa DDS Dentist 4840 11/15/2005 Active Lewis Tashrak Kulik Lewis Tashrak Kulik DDS Dentist 4529 12/11/2003 Active Randall Louis Kunik Randall Louis Kunik DDS Limited License Dental LL-476-18 12/06/2018 Active Kristina Kobita Kuprienko Kristina Kobita Kuprienko DMD Dentist 5570 08/17/2007 Active Christopher George Kuranko Christopher George Kuranko DDS Dentist 4857 11/15/2005 Active Tomas Damir Kutansky Tomas Damir Kutansky DDS Dentist 5064 07/20/2006 Active Camy Yingchung Kwok Camy Yingchung Kwok DMD Limited License Dental LL-473-18 08/29/2018 Active Cyrus Dot Kwong Cyrus Dot Kwong DDS Dentist 5686 07/17/2008 Active Jeffrey Lee LaBarre Jeffrey Lee LaBarre DDS Dentist 3746 01/17/2001 Active Stuart Nathan LaboweNSBDEStuart Nathan Labowe DDS Dentist LIST3735 01/17/2001 Active Aaron Vincent Lac Aaron Vincent Lac DMD Dentist 4561 01/21/2004 Active Eric Vy Lac Eric Vy Lac DMD Dentist 4563 01/21/2004 Active Yong Lai Yong Lai DDS Dentist 4872 01/24/2006 Inactive John Frederick Lake John Frederick Lake DDS Dentist 1028 09/01/1979 Inactive Carla Jean LaLande Carla Jean LaLande DMD Specialty Dentist S6-89 07/17/2008 Active Manjinder Singh Lalh Manjinder Singh Lalh DDS Limited License Dental LL-437-16 10/05/2016 Active Saranjeev Singh Lalh Saranjeev Singh Lalh DDS Limited License Dental LL-436-16 11/02/2016 Active Giang Chi Lam Giang Chi Lam DDS Dentist 5141 09/21/2006 Active Lap Jessica Lam Lap Jessica Lam DMD Dentist 6447 06/28/2013 Active Anthony John LaMancusa Anthony John LaMancusa DMD Dentist 3359 01/20/1999 Active

126 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 201 Airport Rd, Box 308 06/30/2019 1265 Vietti St 06/30/2019 18707 Wells Dr. 06/30/2019 Richard Kohlmeyer, DDS 5680 W Flamingo Rd Suite B 06/30/2019 Lake Sahara Dental 1811 S Rainbow Blvd Ste 202 06/30/2019 PO Box 19136 06/30/2019 Lemmon Valley Dental Group 280 Vista Knoll Pkwy S4 - Periodontist 06/30/2019 4505 Main Street Suite 341 06/30/2019 John H Koot, DMD Ltd. 2315 E Tropicana Ave 06/30/2019 1000 Agate Way 06/30/2019 Happy Smiles Dental Group 2585 S Jones Blvd Ste 1B 06/30/2019 Absolute Dental 4300 Meadows Ln Ste 1350 06/30/2019 8221 Old Cistern Ct 06/30/2019 Sunset Dental & Orthodontics 1351 W Sunset Rd Ste 100 Limited License Dentist 01/25/2019 3908 Ashland Ave 06/30/2019 5409 Ireland St. 06/30/2019 7825 Firefall Way Apt 2818 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Mint Dental Specialists 5321 E Mockingbord Ln 06/30/2019 406 Crestmont Dr 06/30/2019 6851 Misty Lake Ct 06/30/2019 Kruyer Dental 8925 W Russell Rd Ste #160 06/30/2019 Smile Haven Family Dentistry 4045 S Eastern Ave 06/30/2019 Kristen Kudrewicz 964 Bonitos Suenos St 06/30/2019 Melinda M Kuhn DMD PC 4101 Caughlin Square Suite 3 06/30/2019 11916 Menchaca Lane 06/30/2019 321 Corsicana St 06/30/2019 Jon A Kulesa DDS 315 W Peckham Ln 06/30/2019 2606 Ragusa Ct Limited License Dentist 06/30/2019 4201 Bee Cave Rd Ste C209 06/30/2019 10425 Fair Oaks Blvd Apt 201 06/30/2019 Healthy Smiles Dental 2575 S Cimarron Rd Ste 100 06/30/2019 966 Venturacci Ln Limited License Dentist 06/30/2019 1543 Emerald Oak Ave 06/30/2019 Kwong Dental Care 333 Califorina Ave 06/30/2019 Dr. Jeffrey LaBarre 2510 Wigwam Pkwy Ste 204 NSBDE06/30/2019 Sparks Dental LIST627 N Rock Blvd 06/30/2019 SmileCity Dental 10170 W Tropicana Ave Ste 155 06/30/2019 SmileCity Henderson 40 N. Valle Verde Dr. Ste. 140 06/30/2019 14949 Camden Ave 06/30/2019 286 SW 4th St S6 - Pediatric Dentist or Pedodontist 06/30/2019 Children's Dental Care Orthodontics 3600 N Buffalo Dr Suite 110 Limited License Dentist 10/04/2019 68 Windermere Dr SW Limited License Dentist 11/01/2019 68 Windermere Dr SW 06/30/2019 Precision Dental 6545 S. Fort Apache Rd. #110 06/30/2019 Sunrise Dental 3417 S Jones Blvd Suite D 06/30/2019 Song Premier Dental Care 220 Horizon Drive Suite F

127 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Panaca NV 89042 (775) 728-4432 (775) 728-4341 OR Health Sciences University 06/01/1975 Henderson NV 89012 (702) 653-2594 Tarzana CA 91356 (702) 388-8989 (702) 396-0075 USC 08/20/1996 Las Vegas NV 89103 (702) 367-1499 (702) 367-2531 Wisconsin-Marquette University School of Dentistry 06/01/1970 Las Vegas NV 89146 (702) 838-5400 (702) 838-5031 USC 05/11/1989 Fountain Hills AZ 85269 Fairleigh Dickenson University 06/12/1965 Reno NV 89506 (775) 971-9282 Virginia Beach VA 23462 (757) 903-2529 (757) 953-8329 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89119 (702) 736-6381 (702) 736-9420 Oregon-Oregon Health and Science University School of Dentistry 06/01/1969 Fernley NV 89408 (775) 426-2811 Las Vegas NV 89146 (702) 476-6767 Las Vegas NV 89107 (702) 843-5039 Las Vegas NV 89131 (702) 322-2180 (702) 761-4359 West Virginia University 08/16/1985 Las Vegas NV 89014 (702) 732-4873 (702) 731-0803 Tufts University 05/29/1989 Wausau WI 54403 (715) 845-9372 (715) 845-7849 Wisconsin-Marquette University School of Dentistry 06/15/1992 Las Vegas NV 89149 (702) 405-6995 (702) 255-6793 Marquette University 06/01/1990 Dallas TX 75230 (702) 450-8888 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Dallas TX 75206 (702) 660-5574 (702) 660-5578 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 San Luis Obispo CA 93401 (805) 544-0671 (805) 544-7058 University of the Pacific 06/21/1998 Fort Myers FL 33908 (301) 663-4629 Georgetown University 06/01/1978 Las Vegas NV 89148 (702) 432-2223 (702) 433-2247 Marquette University 05/21/2001 Las Vegas NV 89119 (702) 892-9878 (702) 892-9073 Case Western Reserve University 05/16/1999 Las Vegas NV 89138 (702) 732-1010 (702) 360-2446 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Reno NV 89519 (775) 829-9331 (775) 829-7474 University of Mississippi 05/27/2005 Las Vegas NV 89138 (702) 651-5510 University of the Pacific 06/01/1986 Las Vegas NV 89138 (312) 642-3370 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Reno NV 89509 (775) 826-7600 (775) 826-5608 University of Washington 08/23/1991 Henderson NV 89052 (702) 719-4700 (702) 617-6036 New York University 06/09/1970 Austin TX 78746 (512) 327-8818 Fair Oaks CA 95628 (702) 982-0400 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89117 (702) 369-7441 (702) 369-1852 Creighton University 05/12/2001 Fallon NV 89406 (775) 423-9990 (775) 423-9992 Loma Linda University 05/28/2006 Henderson NV 89014 Reno NV 89509 (775) 323-3892 (775) 323-4441 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/11/2006 Henderson NV 89074 (702) 263-8400 (702) 407-1971 University of Tennessee 06/06/1997 Sparks NSBDENV 89431 (775) 356-7722 (775) 356-7725 USC LIST09/01/1989 Las Vegas NV 89147 (702) 248-0081 (702) 248-7123 Boston University 06/30/2003 Henderson NV 89074 (702) 648-0011 (702) 364-0011 Boston University 09/25/2003 Chino Hills CA 91709 (909) 624-6199 USC 05/16/2003 Ontario OR 97914 (541) 889-3179 (541) 889-6495 Georgetown University 06/01/1979 Las Vegas NV 89129 (702) 254-8858 (702) 254-9462 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Edmonton, Alberta Canada T6W 0S1 (780) 425-8930 (780) 420-1744 Canada-University of Alberta 06/12/1990 Edmonton, Alberta Canada T6W 0S1 (780) 439-4399 (780) 439-4351 Canada-University of Alberta 06/10/1994 Las Vegas NV 89148 (702) 331-4444 (702) 749-6200 New York University 05/11/2006 Las Vegas NV 89146 (702) 257-6767 (702) 257-6722 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Henderson NV 89015 (702) 876-3222 (702) 360-2846 Tufts University 11/07/1992

128 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 05/24/2011

Arizona - Midwestern University 05/19/2017

California-Loma Linda University School of Dentistry 07/03/2015 California-University of Southern California School of Dentistry 05/11/2018 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 05/30/1987 Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 06/30/1991 Utah-Roseman UniversityNSBDE of Health Sciences 06/04/2016 LIST

129 DENTISTS 01/01/2019

BoardAction

01/15/2005

06/11/2004 01/20/2017

03/13/2008,07/15/2011,10/30/2008

05/22/2015 NSBDE LIST

03/24/2017

01/15/2004,01/20/2007,08/17/2007,08/26/2005

130 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Bryan H Lamb Bryan H Lamb DMD Dentist 2493 07/10/1988 Inactive Christopher Rodney Lamb Christopher Rodney Lamb DMD Specialty Dentist S6-126C 01/24/2014 Active Monte Carroll Lamb Monte Carroll Lamb DDS Dentist 0620 08/01/1969 Retired Riki Ryan Lambert Riki Ryan Lambert DDS Dentist 5651 03/13/2008 Inactive Vernon J Lamborn Vernon J Lamborn DDS Dentist 1098 09/29/1980 Active Kevin Chad Lambourne Kevin Chad Lambourne DDS, MS Specialty Dentist S3-160C 01/17/2008 Retired Kelly Sabrina Lamoreaux Kelly Sabrina Lamoreaux DMD Dentist 6154 06/14/2012 Inactive Diane Elizabeth Land Diane Elizabeth Land DDS Dentist 4997 06/26/2006 Active Joan Landron Joan Landron DMD Dentist 5038 06/28/2006 Active Kenneth Erhart Lang Kenneth Erhart Lang DDS Specialty Dentist S4-08 03/01/1978 Active Robert Charles Lang Robert Charles Lang DDS Dentist 4807 08/26/2005 Inactive Alan Douglas Larkin Alan Douglas Larkin DMD Specialty Dentist S3-244 03/07/2013 Active Kyle M Larson Kyle M Larson DDS Dentist 3190 07/14/1997 Active Nelson D Lasiter Nelson D Lasiter DMD Specialty Dentist S5-04 01/01/1984 Active Kathy Shaghayegh Latifi Kathy Shaghayegh Latifi DDS Dentist 3522 01/19/2000 Active Ronald James Laux Ronald James Laux DDS Limited License Dental LL-337-13 06/28/2013 Active Scott Vernon Law Scott Vernon Law DMD Specialty Dentist S3-311C 07/27/2018 Active Thomas Nichols Lawler Thomas Nichols Lawler DDS Dentist 6807 06/22/2016 Active Keyvan Lazar Keyvan Lazar DDS Specialty Dentist S7-62 01/17/2008 Inactive Steve Howard Lazar Steve Howard Lazar DMD Dentist 4414 04/29/2003 Active Julia Luu Le Julia Luu Le DDS Dentist 4585 02/26/2004 Active Kenneth Tuyen Le Kenneth Tuyen Le DDS Dentist 4586 02/26/2004 Active Michael Thinh Dinh Le Michael Thinh Dinh Le DMD Dentist 6892 12/01/2017 Active Oanh Yen Le Oanh Yen Le DMD Dentist 6212 05/24/2012 Active Phuong Minh Le Phuong Minh Le DMD Dentist 6679 06/19/2015 Active Ryan Tien Le Ryan Tien Le DDS Dentist 6986 08/25/2017 Active Tuan Ngoc Le Tuan Ngoc Le DMD Dentist 3776 04/30/2001 Active Scott Ellsworth Leaver Scott Ellsworth Leaver DDS Specialty Dentist S3-58 03/26/2002 Active Sidney Robert Leaver Sidney Robert Leaver DMD Specialty Dentist S3-17 02/01/1979 Active Bryce DuLynn Leavitt Bryce DuLynn Leavitt DMD Specialty Dentist S2-127 08/02/2013 Active Curry Hamblin Leavitt Curry Hamblin Leavitt DMD Specialty Dentist S4-72 08/20/2010 Active William P Leavitt William P Leavitt DDS Dentist 2315 07/16/1985 Active Ronald Lane LeBroke Ronald Lane LeBroke DMD Dentist 5606 11/01/2007 Active Adrian Dudley Lee Adrian Dudley Lee DMD Dentist 6299 07/18/2012 Active Allen Lap Lun Lee Allen Lap Lun Lee DMD Dentist 3777 04/30/2001 Active Andrew ChristopherNSBDE Lee Andrew Christopher Lee DDS Dentist LIST6884 05/26/2017 Active Anita Suyeon Lee Anita Suyeon Lee DDS Dentist 6983 09/08/2017 Active Charles Ki Cheol Lee Charles Ki Cheol Lee DDS Dentist 6813 06/29/2016 Active Ching Kuo Tony Lee Ching Kuo Tony Lee DMD Dentist 3480 07/12/1999 Active Chong Won Lee Chong Won Lee DDS Limited License Dental LL-288-11 01/26/2012 Active Daniel K Lee Daniel K Lee DDS Dentist 4554 01/17/2004 Retired David Lee David Lee DMD Dentist 3518 01/19/2000 Active David Wa Lee David Wa Lee DDS Dentist 3528 01/19/2000 Active Dong Sung Lee Dong Sung Lee DMD Dentist 5548 07/26/2007 Active Hyuni Eden Lee Hyuni Eden Lee DDS Dentist 6735 03/16/2016 Active Jessica Jisoo Lee Jessica Jisoo Lee DDS Specialty Dentist S2-85C 08/17/2007 Active

131 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Lamb Family Practice 4255 N Eagle Rd Suite 102 S6 - Pediatric Dentist or Pedodontist 06/30/2019 5116 Blissful Valley Cir 06/30/2019 catherine lamb 6225 estrella rd, 6225 estrella rd 6225 estrella rd 06/30/2019 Smiles4Kids 5737 Fairview Ave 06/30/2019 Vernon J Lamborn, DDS, PC 8440 S Eastern Ave Suite B S3 - Orthodontist 06/30/2019 4467 Ridgewood Ln South 06/30/2019 Avenue Dental Studio 4725 South Monaco Street Suite 340 06/30/2019 4242 E Wading Pond Dr 06/30/2019 Absolute Dental 169 N. Nellis Blvd. S4 - Periodontist 06/30/2019 Kenneth E Lang DDS MSD Ltd 4101 Caughlin Square #1 06/30/2019 9396 Clayton Ave S3 - Orthodontist 06/30/2019 My Kids Smile 10645 Double R Blvd 06/30/2019 1001 Providence Ln S5 - Prosthodontist 06/30/2019 Nelson D Lasiter, DMD 2255-B Renaissance Dr 06/30/2019 Anthem Dental 10880 S.Eastern ave. #101 Limited License Dentist 06/30/2019 9761 Trail Rider Dr S3 - Orthodontist 06/30/2019 Smile Doctors 285 SE Inner Loop Ste 110 06/30/2019 Wagner Dental 2045 Village Center Cir S7 - Endodontist 06/30/2019 Prime Endodontics 247 East Palmdale Blvd Suite E 06/30/2019 Steve H Lazar DMD 5731 S Fort Apache Rd #110 06/30/2019 i.Smile Dental 6020 Badura Ave Ste 120 06/30/2019 I Smile Dental 6020 Badura Ave Ste 120 06/30/2019 Bastrop Denture & Implants Center 301 Hwy 71 West Ste 102 06/30/2019 Comprehensive Dental Care 2790 W Horizon Ridge Pkwy Ste 100 06/30/2019 Sunset Dental and Orthodontics 1351 W Sunset Rd Suite 100 06/30/2019 1013 Chessridge May 06/30/2019 10668 Lago Cantini St S3 - Orthodontist 06/30/2019 Leaver & Gardner Orthdontics 5765 Centennial Center Blvd 110 S3 - Orthodontist 06/30/2019 Simister Premier Orthodontics 4306 S Eastern Ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 Gibson and Leavitt Oral & Maxillofacial & Implant 2835 St. Rose Parkway Suite 100 S4 - Periodontist 06/30/2019 7475 W. Sahara Ave STE 101 06/30/2019 8320 Arroyo Justin Ave 06/30/2019 6046 Sun Appello Ave 06/30/2019 Deer Springs Modern Dentistry and Orthodontics 640 East Deer Springs, Suite 180 06/30/2019 Smiley Dental 5700 Spring Mountain Rd #S NSBDE06/30/2019 LIST5037 Souza Dr 06/30/2019 Community Health Alliance 1055 S Wells Ave 06/30/2019 6955 N Durango Drive 1115 304 06/30/2019 SunRise Dental 3417 S. Jones Blvd D Limited License Dentist 01/25/2019 2601 Lasswade Ln 06/30/2019 9112 Sundial Dr 06/30/2019 US Dental Group 4956 E Tropicana Ave 06/30/2019 7752 Bear Ridge St. 06/30/2019 3184 Cereus Ave 06/30/2019 Community Health Alliance 1055 Wells Ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 South Seattle Oral Surgery 429 SW 153rd St

132 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Boise ID 83713 (208) 344-6300 (208) 938-9906 OR Health Sciences University 06/01/1988 Las Vegas NV 89149 (702) 570-7333 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 san miguel CA 93451 Loma Linda University 06/01/1969 Boise ID 83706 (208) 322-3010 (775) 829-1553 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/21/2005 Las Vegas NV 89123 (702) 451-9111 (702) 451-9962 University of the Pacific 06/01/1980 Billings MT 59106 (406) 245-4414 (801) 523-1346 Nebraska-Creighton University School of Dentistry 05/17/2003 Denver CO 80135 (719) 488-5981 (719) 488-3145 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Tucson AZ 85712 (520) 792-1450 (702) 636-3057 University of Michigan 05/04/1990 Las Vegas NV 89131 (702) 384-1010 (718) 292-8968 Temple University 05/22/1997 Reno NV 89519 (775) 826-4000 (775) 826-4637 Marquette University 06/01/1972 Neenah WI 54956 (920) 722-0972 Marquette University 05/17/1981 Reno NV 89521 (775) 852-6164 (775) 201-1122 Kentucky-University of Louisville School of Dentistry 05/08/2010 Boulder City NV 89005 (928) 758-2827 University of the Pacific 06/14/1997 Las Vegas NV 89119 (702) 798-1987 (702) 798-6093 Washington University 06/01/1978 Henderson NV 89052 (702) 616-1600 (702) 616-6611 USC 05/14/1999 Las Vegas NV 89117 (702) 774-2572 Georgetown TX 78626 (254) 526-8666 Las Vegas NV 89134 (702) 878-5599 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/26/2016 Palmdale CA 93550 (661) 265-9400 (661) 265-9494 UCLA 06/16/2000 Las Vegas NV 89148 (702) 476-2700 (702) 405-9574 Tufts University 05/18/1986 Las Vegas NV 89118 (702) 880-4266 (702) 641-0128 UCSF 06/01/1994 Las Vegas NV 89118 (702) 897-5444 (562) 599-6818 New York University 05/01/1996 Bastrop TX 78602 (512) 303-6900 Henderson NV 89052 (702) 735-3284 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/21/2012 Henderson NV 89014 (702) 838-0707 Pennsylvania-Temple University School of Dentistry 05/08/2015 Morrisville NC 27560 (919) 278-7576 Las Vegas NV 89141 (702) 633-6339 (702) 456-4010 Temple University 05/18/2000 Las Vegas NV 89149 (702) 878-0764 (702) 878-1397 University of the Pacific 06/20/1999 Las Vegas NV 89119 (702) 735-4160 (702) 735-8697 OR Health Sciences University 06/01/1972 Henderson NV 89052 (702) 685-3700 (702) 685-3701 Oregon-Oregon Health and Science University School of Dentistry 06/08/2007 Las Vegas NV 89117 (702) 834-8900 (702) 834-8899 Pennsylvania-Temple University School of Dentistry 05/17/2007 Las Vegas NV 89128 (702) 774-2641 University of the Pacific 06/01/1985 Las Vegas NV 89122 (702) 843-5008 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 North Las Vegas NV 89086 (702) 399-3800 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89146 (702) 248-1282 (702) 248-1256 Temple University 05/20/1999 Las Vegas NSBDENV 89146 LIST Reno NV 89502 (775) 329-6300 Las Vegas NV 89149 (563) 425-4211 (702) 804-5349 Nebraska-Creighton University School of Dentistry 05/15/2010 Las Vegas NV 89146 (702) 830-4088 (702) 257-6722 Tufts University 05/17/1998 Oakton VA 22124 (703) 448-1020 (703) 448-2442 Virginia-Virginia Commonwealth University School of Dentistry 05/14/1983 Las Vegas NV 89134 UCSF 06/01/1975 Las Vegas NV 89121 (702) 732-7616 (702) 732-0418 Tufts University 05/21/1995 Las Vegas NV 89113 (702) 647-6453 (702) 873-7654 New York University 06/01/1999 Las Vegas NV 89146 (254) 286-7501 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Reno NV 89502 California-Loma Linda University School of Dentistry 09/24/2012 Burien WA 98166 (206) 914-4189 Washington-University of Washington-Health Sciences School of Dentistry 06/09/1995

133 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Pennsylvania-University of Pittsburgh School of Dental Medicine 05/27/2006 Florida-Jacksonville University 08/01/2009

Arizona-Midwestern University 05/20/2016

Michigan-University of Michigan School of Dentistry 04/26/2007

California-UniversityNSBDE of California at San Francisco School of Dentistry 06/12/2015 LIST California-Loma Linda University School of Dentistry 08/09/2012

134 DENTISTS 01/01/2019

BoardAction

05/01/2009 NSBDE LIST

11/30/2006,12/09/2004

135 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Kang Yul Lee Kang Yul Lee DDS Dentist 4897 03/23/2006 Inactive Keon Sang Lee Keon Sang Lee DDS Dentist 4073 10/22/2001 Active Monica Tricia Lee Monica Tricia Lee DDS Dentist 4880 01/24/2006 Active Paul Chong Chan Lee Paul Chong Chan Lee DDS Dentist 6727 12/09/2015 Active Philip Jun-Yin Lee Philip Jun-Yin Lee DMD Dentist 6626 06/04/2015 Active Robert Lee Robert Lee DMD Dentist 6568 10/03/2014 Active Robin Dong Han Lee Robin Dong Han Lee DDS Dentist 3749 01/17/2001 Active Sandra Lee Sandra Lee DMD Dentist 6632 07/28/2015 Active Scott Sung Lee Scott Sung Lee DMD Dentist 3714 07/03/2000 Active Shannon Kelly Lee Shannon Kelly Lee DMD Dentist 6446 06/28/2013 Active Soo Nam Lee Soo Nam Lee DDS Dentist 4948 05/18/2006 Inactive Soonki Lee Soonki Lee DMD Dentist 6724 11/25/2015 Active Steve Sang Lee Steve Sang Lee DDS Specialty Dentist S3-168C 05/02/2008 Retired Steven Norman Lee Steven Norman Lee DMD Dentist 6549 10/03/2014 Active Teresa Christine Lee Teresa Christine Lee DMD Dentist 6821 07/27/2016 Active Tiffany Kafei Lee Tiffany Kafei Lee DDS Specialty Dentist S5-46C 12/21/2016 Active Todd Paul Lee Todd Paul Lee DDS Dentist 4185 05/31/2002 Inactive Ton Vinh Lee Ton Vinh Lee DDS Dentist 4344 01/22/2003 Active Veronica Sookhee Lee Veronica Sookhee Lee DDS Dentist 7021 02/02/2018 Active YiChen Lee YiChen Lee DMD Dentist 6935 06/16/2017 Active Youngsyl Oh Lee Youngsyl Oh Lee DDS Dentist 4898 03/23/2006 Inactive Carol Soo Yeon Lee-Kim Carol Soo Yeon Lee-Kim DMD Dentist 4487 07/28/2003 Active Catherine Alattica Legaspi Catherine Alattica Legaspi DDS Dentist 6192 10/21/2011 Active Alan Scott Leinassar Alan Scott Leinassar DMD Dentist 2259 09/19/1984 Active Andrea Nicole Leinassar Andrea Nicole Leinassar DDS Dentist 5600 08/17/2007 Active Andrew James Leland Andrew James Leland DDS Specialty Dentist S3-294 11/16/2016 Active Ronald Ray Lemon Ronald Ray Lemon DMD Specialty Dentist S7-66C 10/30/2008 Active Bryson David LeMone Bryson David LeMone DDS Dentist 4796 08/26/2005 Active George Larry Leonakis George Larry Leonakis DDS Dentist 4609 06/11/2004 Active Carlos Hernan Letelier Carlos Hernan Letelier DMD, MD Specialty Dentist S2-40C 12/11/2003 Active Arthur Sit Kuen Leung Arthur Sit Kuen Leung DDS Dentist 2390 07/14/1987 Active Tania Leung Tania Leung DDS Dentist 5171 09/21/2006 Inactive Marc E Levitan Marc E Levitan DDS Specialty Dentist S7-08 09/01/1980 Retired Nathan L Lewis Nathan L Lewis DDS Dentist 2035 03/01/1981 Active Lily Jing Li Lily Jing Li DMD Dentist 3057 07/15/1996 Active Michael Charng LiNSBDEMichael Charng Li DDS Specialty Dentist LISTS3-260C 05/21/2014 Inactive Hung-Che Brian Liao Hung-Che Brian Liao DDS Dentist 5066 07/20/2006 Inactive Salvatore Joseph Licata Salvatore Joseph Licata Jr DDS Dentist 3058 07/15/1996 Active Wanni Lie Wanni Lie DMD Dentist 6920 05/26/2017 Active Christopher Lloyd Ligon Christopher Lloyd Ligon DMD Dentist 6911 05/26/2017 Active Jeffrey Morris Lilyhorn Jeffrey Morris Lilyhorn DDS Dentist 1056 03/01/1980 Active Christopher A Lim Christopher A Lim DMD Dentist 4496 07/28/2003 Active Jason Kenneth Lim Jason Kenneth Lim DDS Dentist 6830 08/03/2016 Active Jody Chai-I Lin Jody Chai-I Lin DMD Dentist 5341 11/09/2006 Active Kevin Lin Kevin Lin DMD Dentist 7067 06/18/2018 Active Louis Min-Tsu Lin Louis Min-Tsu Lin DMD Specialty Dentist S7-42C 11/15/2005 Inactive

136 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 32200 Cathedral Canyon Dr #49 06/30/2019 Dr. David Lee 4956 E Tropicana Ave 06/30/2019 Divine Dental Smile 6350 Mae Anne Ave Suite #1 06/30/2019 Atlas Dental and Orthodontics 7460 S Rainbow Blvd Ste 100 06/30/2019 261 Waterton Lakes Ave 06/30/2019 A1 Dental Care 7780 S Jones Blvd Ste.#101 06/30/2019 Today's Dental and Oral Surgery 1471 N Jones Blvd 06/30/2019 Flamingo Smiles Dentistry 9516 W Flamingo Rd Ste 200 06/30/2019 Scott S Lee, DMD 5105 S Durango Rd Suite 102 06/30/2019 Alexander Dental Group 3896 N Mlk Blvd 06/30/2019 3818 N Peck Rd #C 06/30/2019 1142 Vu Ave S3 - Orthodontist 06/30/2019 3272 Silver Maple Dr 06/30/2019 9957 Biscayne Ln 06/30/2019 Reel Smiles Dental 7785 N Durango Dr #140 S5 - Prosthodontist 06/30/2019 2251 North Rampart Blvd #338 06/30/2019 25145 N. 11500 E. 06/30/2019 Summerlin Smiles 9525 West Russell Rd #100 06/30/2019 11 Pilarcitos Ct 06/30/2019 1001 S Meadows Pkwy Apt 433 06/30/2019 32200 Cathedral Canyon Dr #49 06/30/2019 healthysmiles 10473 Double R Blvd 06/30/2019 Sahara Dental Center 4121 W. Sahara Ave 06/30/2019 Scott Leinassar DMD 2311 Hwy 208: P.O. Box129 06/30/2019 Scott Leinassar DMD 2311 Hwy 208/ PO Box 129 S3 - Orthodontist 06/30/2019 Leland Orthodontics 500 Damonte Ranch Pkwy Ste 765 S7 - Endodontist 06/30/2019 329 Corsicana St 06/30/2019 Smile Solutions 8954 Spanish Ridge Ave #2 06/30/2019 2060 College Pkwy #44 S2 - Oral and Maxillofacial Surgeon 06/30/2019 The Center for Oral Surgery of Las Vegas 10115 W Twain Ave Suite 100 06/30/2019 Arthur S.K. Leung, DDS 3575 Grant Dr #1 06/30/2019 1127 parrott Dr S7 - Endodontist 06/30/2019 3929 Zenith Loop 06/30/2019 11215 Boulder Heights Ct. 06/30/2019 Steven Shuff DDS 2021 Ygnacio Valley RD Suite B-1 S3 - Orthodontist NSBDE06/30/2019 LIST34213 Hourglass St 06/30/2019 1321 Upland Dr. #3165 06/30/2019 Salvatore J Licata Jr DDS LLC 6415 S Fort Apache Road Suite 190 06/30/2019 1504 Truett St Unit 101 06/30/2019 1971 Kachina Mountain Dr 06/30/2019 3030 Rustic Manor Cir 06/30/2019 9967 Berryman Way 06/30/2019 467 Twin River Way 06/30/2019 Henderson Dental Group 545 Marks St 100 06/30/2019 Northwest Reno Smiles 5150 Mae Anne Ave Ste 810A S7 - Endodontist 06/30/2019 2 Washington Square Village Apt 6K

137 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Cathedral City CA 92234 (805) 343-9500 (530) 541-8964 UCLA 06/08/1997 Las Vegas NV 89121 (702) 456-7880 Loma Linda University 06/08/1995 Reno NV 89523 (775) 787-2600 (775) 787-2602 USC 05/14/1999 Las Vegas NV 89139 (626) 600-6080 (626) 800-1245 California-University of Southern California School of Dentistry 05/13/2011 Las Vegas NV 89148 (702) 405-7400 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89139 (702) 380-1212 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/18/2014 Las Vegas NV 89108 (702) 307-2273 (702) 307-2275 USC 12/18/2000 Las Vegas NV 89147 (702) 254-3135 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89113 (702) 262-7900 (702) 262-7979 Tufts University 05/17/1998 North Las Vegas NV 89032 (702) 614-1792 (702) 933-0190 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 El Monte CA 91732 (626) 350-0944 (626) 350-9133 USC 06/07/1979 Fullerton CA 92833 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2012 Yorba Linda CA 92886 (714) 993-2523 California-University of Southern California School of Dentistry 05/11/1989 Las Vegas NV 89117 Massachusetts-Tufts University School of Dental Medicine 05/18/2014 Las Vegas NV 89131 (702) 515-1888 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Las Vegas NV 89128 (702) 991-0404 California-University of Southern California School of Dentistry 05/17/2013 Fairview UT 84629 (435) 891-2191 Creighton University 05/18/1996 Las Vegas NV 89148 (702) 456-7621 (702) 579-7660 Indiana University 06/14/2000 Hillsborough CA 94010 Reno NV 89521 (775) 823-9419 Cathedral City CA 92234 (805) 343-9500 (805) 343-9505 UCLA 06/08/1997 Reno NV 89521 (775) 853-8899 Boston University 01/07/1997 Las Vegas NV 89102 (702) 257-9090 (831) 603-3382 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Smith NV 89430 (775) 465-2388 OR Health Sciences University 06/01/1984 Smith NV 89430 (775) 465-2388 (775) 465-2178 Colorado-University of Colorado at Denver and Health Sciences Center 05/25/2007 Reno NV 89521 (775) 322-2061 California-University of California at Los Angeles School of Dentistry 06/13/2014 Las Vegas NV 89138 (702) 774-2731 (702) 774-2732 Kentucky-University of Kentucky College of Dentistry 05/08/1971 Las Vegas NV 89148 (702) 364-0044 (702) 952-8118 University of Missouri-KC 05/07/2004 Carson City NV 89702 (775) 882-0638 (775) 882-3420 USC 08/19/1997 Las Vegas NV 89147 (702) 367-6666 (702) 367-9555 Tufts University 02/01/1989 Reno NV 89509 (775) 825-4070 (775) 825-3157 University of Missouri-KC 06/01/1983 San mateo CA 94402 (415) 391-9686 California-University of Southern California School of Dentistry 05/13/2005 The Villages FL 32163-4291 University of the Pacific 06/01/1973 Reno NV 89511 (775) 851-4646 (775) 823-5101 Loma Linda University 06/01/1980 Walnut Creek CA 94598 (702) 255-0119 (925) 553-3918 Boston University 05/12/1991 Temecula NSBDECA 92592 New York-Columbia University College of Dental MedicineLIST05/18/2010 Houston TX 77043 New York University 05/15/1999 Las Vegas NV 89148 (702) 255-8000 (702) 255-8355 USC 12/22/1988 Las Vegas NV 89128 Henderson NV 89012 (702) 997-5958 Reno NV 89509 (775) 825-4070 (775) 825-3157 University of Nebraska 06/01/1978 Las Vegas NV 89148 (702) 895-7799 (702) 839-5365 Temple University 05/22/2003 Sacramento CA 95831 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 Henderson NV 89014 (702) 425-3697 (702) 425-9491 Massachusetts-Boston University Goldman School of Dental Medicine 05/14/2006 Reno NV 89523 (775) 747-0680 New York NY 10012 (212) 995-4834 University of New Jersey 06/07/1976

138 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 Utah-Roseman University of Health Sciences 04/15/2017 NSBDE LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Roseman University of Health Sciences 04/18/2018

139 DENTISTS 01/01/2019

BoardAction

10/04/2013

10/28/2003 NSBDE LIST

07/14/2010

140 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Philip Meng Hong Lin Philip Meng Hong Lin DMD Dentist 6160 08/12/2011 Inactive Yang Lin Yang Lin DDS Dentist 6222 01/26/2012 Inactive Donald Wayne Linck Donald Wayne Linck II DDS Specialty Dentist S3-65C 04/29/2003 Active Karl Edward Lind Karl Edward Lind DDS Specialty Dentist S2-59C 09/21/2006 Retired Christopher Neville Lingard Christopher Neville Lingard DMD Specialty Dentist S7-89C 07/28/2015 Active Evan Joshua Lipman Evan Joshua Lipman DMD Dentist 7081 06/07/2018 Active Jeffrey Steven Lissy Jeffrey Steven Lissy DDS Dentist 2494 07/10/1988 Inactive Rex Felix Liu Rex Felix Liu DDS Dentist 2598 07/10/1990 Active Sara Ximeng Liu Sara Ximeng Liu DMD Dentist 6778 05/25/2016 Active William Ta-Jen Liu William Ta-Jen Liu DDS Dentist 5001 06/26/2006 Active Anna Liviz Anna Liviz DDS Dentist 4950 05/18/2006 Retired Raphael Liy Raphael Liy Jr DDS Limited License Dental LL-435-16 10/19/2016 Active Brandon Robert Lloyd Brandon Robert Lloyd DDS Specialty Dentist S3-288C 08/10/2016 Active Michael Charles Lloyd Michael Charles Lloyd DDS Dentist 0870 03/01/1976 Retired Robin Dale Lobato Robin Dale Lobato DDS Dentist 2742 07/14/1992 Active Christopher Joseph LoFrisco Christopher Joseph LoFrisco DMD Dentist 4682 12/09/2004 Active Deborah Huimin Loh Deborah Huimin Loh DDS Dentist 6559 10/03/2014 Active Ji Kin Loh Ji Kin Loh DMD Dentist 6968 07/14/2017 Active John Frederic Lohse John Frederic Lohse DDS Specialty Dentist S3-19 07/01/1974 Active Nicholas Edward Lords Nicholas Edward Lords DDS Dentist 2642 03/27/1991 Active Christopher Gerard Lota Christopher Gerard Lota DMD Limited License Dental LL-255-11 01/26/2012 Active Henry Louis Lotsof Henry Louis Lotsof DDS Dentist 7033 04/13/2018 Active Leo Lou Leo Lou DDS, MS Specialty Dentist S3-174C 06/27/2008 Retired Adam Joseph Lousig-Nont Adam Joseph Lousig-Nont DMD Dentist 5789 10/30/2008 Active Arin Michael Lousig-Nont Arin Michael Lousig-Nont DMD Dentist 5463 06/21/2007 Active Darren Thomas Loveland Darren Thomas Loveland DMD Dentist 3726 09/25/2000 Active Kelcey Gordon Loveland Kelcey Gordon Loveland DMD Specialty Dentist S3-316 02/16/2018 Active Phillip David Lowder Phillip David Lowder DDS Specialty Dentist S3-100 05/18/2006 Inactive Carole Susan Lowe-Richens Carole Susan Lowe-Richens DDS Dentist 3193 07/14/1997 Active Jeffrey Yasin Lu Jeffrey Yasin Lu DDS Dentist 6723 11/25/2015 Active Ingrid Ann Lubbers Ingrid Ann Lubbers DDS Dentist 2391 07/14/1987 Active Jeffrey Brent Luckey Jeffrey Brent Luckey DDS Specialty Dentist S7-40 08/26/2005 Active Jeremy Larkin Ludlow Jeremy Larkin Ludlow DMD Geographically Restricted Dentist License GR6230TA 03/22/2012 Inactive David Kenneth Lund David Kenneth Lund DDS Dentist 2371 07/15/1986 Active Michael Paul Lund Michael Paul Lund DDS Dentist 6702 08/12/2015 Active Minh-Nguyet Thi LuongNSBDEMinh-Nguyet Thi Luong DDS Dentist LIST3733 01/17/2001 Active Phi Diem Luong Phi Diem Luong DDS Specialty Dentist S6-133C 12/12/2014 Active Phu Cong Luong Phu Cong Luong DDS Dentist 3527 01/19/2000 Active Ralph Patrick Luongo Ralph Patrick Luongo Jr DDS Dentist 4802 08/26/2005 Active Richard E Lusby Richard E Lusby DDS Dentist 0917 03/01/1977 Active Spencer LeRoy Luth Spencer LeRoy Luth DMD Dentist 4801 08/26/2005 Active Harvey A Luu Harvey A Luu DDS Limited License Dental LL-415-16 06/15/2016 Active Jarom Nguyen Luu Jarom Nguyen Luu DDS Specialty Dentist S2-113 10/01/2010 Active Peter Luu Peter Luu DDS Dentist 4654 09/17/2004 Active Sally Ly Sally Ly DMD Dentist 7071 05/31/2018 Active Jeffrey Scott Lysdale Jeffrey Scott Lysdale DDS Dentist 4168 04/30/2002 Inactive

141 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 13222 Champions Centre Dr #618 06/30/2019 18558 Gale Ave #266 S3 - Orthodontist 06/30/2019 3557 Boyer Cir S2 - Oral and Maxillofacial Surgeon 06/30/2019 NC60 Box 611 S7 - Endodontist 06/30/2019 Carson City Endodontics 2874 N Carson St Ste 230 06/30/2019 Green Valley Smiles Dentistry 2570 Wigwam Pkwy Ste 110 06/30/2019 812 W Highpoint Dr 06/30/2019 Family and Cosmetic Dentistry, Inc. 2850 E Desert Inn Rd 06/30/2019 10618 Parthenon Street 06/30/2019 6585 Gossamer Fog Ave 06/30/2019 1161 Blythe St Limited License Dentist 06/30/2019 Roseman University of Health Sciences 4 Sunset Way S3 - Orthodontist 06/30/2019 Legendary Smiles Orthodontics 5220 Neil Rd Ste 110 06/30/2019 5692 Spinnaker Bay Dr 06/30/2019 Robin Dale Lobato, DDS PC 9061 W Sahara Ave Suite 101 06/30/2019 10474 Miners Gulch Ave 06/30/2019 990 La Presa Drive 06/30/2019 6255 W Arby Ave Unit 326 S3 - Orthodontist 06/30/2019 1185 W Peckham Ln 06/30/2019 Nicholas E Lords, DDS 2950 S Rainbow Suite 200 Limited License Dentist 01/25/2019 296 Oldwoods Rd 06/30/2019 4609 Elm Terrace S3 - Orthodontist 06/30/2019 3406 W 20th Ave 06/30/2019 196 Ozuna Ct 06/30/2019 Desert View Dental 1231 East Basin Ave Suite 10 06/30/2019 Darren T Loveland DMD LTD 7345 S Durango Dr Suite 112 S3 - Orthodontist 06/30/2019 5783 Rolling Dale Ave S3 - Orthodontist 06/30/2019 PO Box 246 06/30/2019 Complete Dental Care 1552 W Warm Springs Rd Suite 120 06/30/2019 4201 Torrance Blvd Ste 420 06/30/2019 14180 Saddlebow Dr. S7 - Endodontist 06/30/2019 Sierra Endodontics Ltd 9456 Double R Blvd. Suite A 06/30/2019 110 West 1325 North #125 06/30/2019 1481 Genesee Dr 06/30/2019 6640 Broadridge Ct NSBDE06/30/2019 LIST10925 S EASTERN AVE#130 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Toothfairy Childrens Dental 10925 S Eastern Ave Ste 130 06/30/2019 4850 S Fort Apache Rd #102 06/30/2019 P.O.Box 1673 06/30/2019 PO Box 672 06/30/2019 Luth & Heideman Center for Dental Care 6950 W Smoke Ranch Rd Suite 150 Limited License Dentist 06/30/2019 111 S Gibson Rd #12102 S2 - Oral and Maxillofacial Surgeon 06/30/2019 485 fynn valley dr 06/30/2019 All Smiles Dental 3225 S Rainbow Blvd Suite #100 06/30/2019 Dentists of North Las Vegas 6180 N Decatur Blvd Ste 100 06/30/2019 1830 Kirk Dr

142 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Houston TX 77069 Pennsylvania-University of Pittsburgh School of Dental Medicine 06/24/2006 Rowland Heights CA 91748 (626) 581-3188 (626) 581-3988 California-University of Southern California School of Dentistry 08/08/2006 Lafayette CA 94549 (925) 933-0435 (925) 933-0158 UCSF 06/06/1963 Ruby Valley NV 89833 (801) 262-7447 (801) 262-7450 California-University of California at San Francisco School of Dentistry 06/16/1970 Carson City NV 89706 (775) 884-2111 (816) 235-2071 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/2008 Henderson NV 89074 (702) 757-3399 claremont CA 91711 (775) 323-2527 Baltimore College of Dentistry 06/01/1972 Las Vegas NV 89121 (702) 454-0858 (702) 454-1196 USC 05/01/1990 Las Vegas NV 89183 (702) 614-1792 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89139 (702) 233-5551 (702) 633-5559 Case Western Reserve University 05/16/1999 Foster City CA 94404 (000) 000-0000 University of the Pacific 06/19/1994 Henderson NV 89014 (702) 968-5933 New York-Columbia University College of Dental Medicine 06/30/2016 Reno NV 89502 (775) 332-1750 Ohio-Ohio State University College of Dentistry 06/13/2010 Long Beach CA 80903 USC 03/19/1976 Las Vegas NV 89117 (702) 877-0500 (702) 877-9291 Marquette University 05/17/1992 Las Vegas NV 89135 (702) 791-9000 Washington University 05/18/1990 Pasadena CA 91107 (626) 818-9073 California-University of Southern California School of Dentistry 05/16/2014 Las Vegas NV 89118 (702) 852-2244 Reno NV 89509 (775) 771-7355 (775) 825-4892 University of Washington 06/01/1967 Las Vegas NV 89146 (702) 227-6510 (702) 227-0539 Virginia Commonwealth University 05/19/1990 Franklin Lakes NJ 07417 (201) 391-4466 (201) 391-0422 New Jersey-University of Medicine & Dentistry of New Jersey New Jersey Dental School 05/22/1991 Skokie IL 60076 (773) 334-3555 Vancouver BC V6S 1E4 (832) 633-3722 (832) 633-3722 Northwestern University 08/31/2001 Las Vegas NV 89183 (702) 450-5999 (702) 686-5990 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Pahrump NV 89060 (775) 727-1366 (775) 727-7116 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89113 (702) 270-3095 (702) 739-3058 University of Louisville 05/09/1998 Las Vegas NV 89139 (702) 735-0833 Rigby ID 83442 (208) 745-7407 University of Minnesota 05/12/2001 Henderson NV 89014 (702) 451-1889 (702) 451-6067 Creighton University 05/17/1997 Torrance CA 90503 (702) 331-4444 (702) 749-6200 New York-New York University College of Dentistry 05/11/2006 Reno NV 89511 (775) 329-8886 (775) 852-8859 UCSF 06/01/1987 Reno NV 89521 (775) 851-4222 (775) 851-4321 University of Tennessee 06/07/2002 Cedar City UT 84721 (435) 586-3884 (435) 867-0645 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Reno NV 89503 (775) 674-4845 (775) 782-3125 UCSF 06/01/1978 Reno NV 89523 (775) 823-9419 (775) 823-9427 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 Henderson NSBDENV 89011 (702) 222-9700 (702) 309-9700 USC LIST08/18/1998 Henderson NV 89052 (702) 222-9700 California-University of California at San Francisco School of Dentistry 06/10/2011 Las Vegas NV 89147 (702) 255-9154 (702) 255-0857 Loma Linda University 05/30/1999 Zuni NM 87327 (702) 250-0476 State University of New York 06/01/2001 Genoa NV 89411 (775) 843-4688 (775) 588-6143 USC 06/01/1974 Las Vegas NV 89128 (702) 304-1902 (702) 645-7433 Temple University 05/20/2004 Henderson NV 89012 California-University of Southern California School of Dentistry 05/15/2015 Las Vegas NV 89148 (702) 641-5888 (702) 438-8424 California-University of Southern California School of Dentistry 08/08/2006 Las Vegas NV 89146 (702) 220-8726 (702) 876-6059 USC 08/18/1998 North Las Vegas NV 89130 (702) 359-3107 Lake Havasu City AZ 86404 (928) 855-4347 (928) 855-6894 UCLA 06/15/1990

143 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Illinois-University of Illinois at Chicago College of Dentistry 06/08/1984 Nevada-University NSBDEof Nevada, Las Vegas School of Dental Medicine 04/17/2015 Missouri-University of Missouri-Kansas LIST City School of Dentistry 12/15/2017

Midwestern University 05/11/2018

144 DENTISTS 01/01/2019

BoardAction

01/24/2013,06/27/2014 06/21/2007

06/02/1989 NSBDE LIST

09/20/2012

145 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Kent A Lysgaard Kent A Lysgaard DDS Dentist 2289 07/15/1985 Active Karina King Mei Ma Karina King Mei Ma DMD Dentist 6973 08/11/2017 Active John Francis Mack John Francis Mack DDS Dentist 4652 09/17/2004 Active Nicole Leila Mackie Nicole Leila Mackie DDS, MS Specialty Dentist S5-43C 01/30/2015 Active Derek C MacLean Derek C MacLean DDS Dentist 3191 07/14/1997 Active Sherrie Kathleen MacLean Sherrie Kathleen MacLean DDS Dentist 3583 05/08/2000 Active Shahin Madi Shahin Madi DMD, MS Specialty Dentist S4-83C 06/28/2013 Active Thomas Sangyun Maeng Thomas Sangyun Maeng DDS Dentist 3478 07/12/1999 Active Nicholas Anthony Maffeo Nicholas Anthony Maffeo DMD Dentist 5638 11/01/2007 Active James K Mah James K Mah DDS Specialty Dentist S3-138 01/20/2007 Active David Lamar Mahon David Lamar Mahon DDS Dentist 3360 01/20/1999 Active Kayla Elizabeth Mai Kayla Elizabeth Mai DDS Dentist 4491 07/28/2003 Active Kim Thanh Mai Kim Thanh Mai DDS Specialty Dentist S3-155 11/01/2007 Active Sandra Yu Mai Sandra Yu Mai DMD Dentist 5747 08/22/2008 Active Elgene G Mainous Elgene G Mainous DDS Dentist 0822 03/01/1975 Inactive Bob Beck Malaki Bob Beck Malaki DDS Dentist 3727 09/25/2000 Active Louis Jay Malcmacher Louis Jay Malcmacher DDS Limited License Dental LL-484-18 10/10/2018 Active Christina Marie Maldonado Christina Marie Maldonado DMD Specialty Dentist S6-38 07/29/2004 Retired Leo Joseph Malin Leo Joseph Malin DDS Limited License Dental LL-278-11 01/26/2012 Active Catherine Reyes Manahan Catherine Reyes Manahan DDS Dentist 6858 11/02/2016 Active Matthew Pineda Manas Matthew Pineda Manas DDS Dentist 7122 07/27/2018 Active Neil Vinodkumar Mandalia Neil Vinodkumar Mandalia DMD Dentist 6695 09/24/2015 Active Ronrico Arcangel Mangapit Ronrico Arcangel Mangapit DMD Dentist 4156 03/26/2002 Active Emily Reyes Mangohig-Wenzel Emily Reyes Mangohig-Wenzel DDS Dentist 3589 05/08/2000 Active James Lester Mann James Lester Mann DDS Dentist 5169 09/21/2006 Active Steven Kent Mann Steven Kent Mann DMD Dentist 7077 06/29/2018 Active Daniel Dean Mannikko Daniel Dean Mannikko DDS Dentist 3210 01/21/1998 Active Brian Paul Mantor Brian Paul Mantor DMD, MS Specialty Dentist S4-88 06/27/2014 Active Renalie Rebong Manuel Renalie Rebong Manuel DDS Specialty Dentist S6-108 08/12/2011 Active Jeremy Scott Manuele Jeremy Scott Manuele DMD Specialty Dentist S3-266 08/01/2014 Active David Olson Marchant David Olson Marchant DDS Dentist 6359 09/20/2012 Active Esho Sanko Marcus Esho Sanko Marcus DMD Dentist 4684 12/09/2004 Active Vicken Marganian Vicken Marganian DDS Dentist 3718 09/25/2000 Inactive Toni Lynn Margio Toni Lynn Margio DMD Dentist 5003 06/26/2006 Active William Joseph Maricondia William Joseph Maricondia DDS Dentist 4092 01/23/2002 Active Jeffrey Jerome MarkNSBDEJeffrey Jerome Mark DDS Dentist LIST6845 08/31/2016 Active Debra Lynn Markoff Debra Lynn Markoff DDS Dentist 3361 01/20/1999 Active John Michael Marque John Michael Marque DDS Limited License Dental LL-256-11 01/26/2012 Active Carol Lynn Marrandino Carol Lynn Marrandino DDS Dentist 2513 03/19/1989 Active Ronald Ray Marshall Ronald Ray Marshall DDS Dentist 2392 07/14/1987 Active Adam Joseph Martin Adam Joseph Martin DDS, MS Specialty Dentist S3-145 05/17/2007 Inactive Bob Markwood Martin Bob Markwood Martin DDS Specialty Dentist S3-148C 07/26/2007 Active Daniel Clayton Martin Daniel Clayton Martin DDS Specialty Dentist S2-103 10/09/2009 Active Kevin Matthew Martin Kevin Matthew Martin DDS Specialty Dentist S2-26 09/05/1997 Active Marty Wayne Martin Marty Wayne Martin DDS Dentist 0823 03/01/1975 Active Christopher James Martinez Christopher James Martinez DMD Dentist 6638 06/04/2015 Active

146 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Kent Lysgaard, DDS 2911 N Tenaya Way Suite 101 06/30/2019 6960 S Cimarron Rd #240 06/30/2019 PO Box 750181 S5 - Prosthodontist 06/30/2019 Clear Choice-Mackie Implant Dentistry Assoc of Las Vegas 6460 Medical Center St Ste 300 06/30/2019 MacLean Family Dental 860 Seven Hills Drive 06/30/2019 MacLean Family Dental 860 Seven Hills Dr S4 - Periodontist 06/30/2019 8236 N 62nd Pl 06/30/2019 vip dental 3050 E. desert inn rd 105 06/30/2019 Las Vegas Dental Group 2701 W Charleston Blvd S3 - Orthodontist 06/30/2019 PO Box 15288 06/30/2019 Siena Dental 10075 S Eastern Ave 107 06/30/2019 6585 Gossamer Fog Ave S3 - Orthodontist 06/30/2019 Mai Orthodontics 7300 Arroyo Crossing Pkwy Ste 100 06/30/2019 Mai Management 7910 S. Rainbow Blvd 100 06/30/2019 University of Texas Br Oal Surgeons 301 University Blvd 06/30/2019 Dentistforlife 8650 W Tropicana Ave #A207 Limited License Dentist 10/09/2019 4513 Churchill Rd S6 - Pediatric Dentist or Pedodontist 06/30/2019 P O Box 3102 Limited License Dentist 01/25/2020 N3622 Brookview Rd 06/30/2019 2965 Barrett Springs Ave. 06/30/2019 Comprehensive Dental Care 2790 W Horizon Ridge Pkwy Ste 100 06/30/2019 2200 Midvale Terrace 06/30/2019 11019 Bowen Ct 06/30/2019 Lake Dental 7200 Smoke Ranch Rd #110 06/30/2019 Small Smiles of Reno 3362 S McCarran Blvd. 06/30/2019 UNLV School of Dental Medicine 1700 W Charleston Blvd Ste A 06/30/2019 5075 Rio Pinar S4 - Periodontist 06/30/2019 Periodontics Limited 3811 W Charleston Blvd Suite #201 S6 - Pediatric Dentist or Pedodontist 06/30/2019 7874 Wildwood Ridge Ct S3 - Orthodontist 06/30/2019 Hamilton Orthodontics 401 N Buffalo Dr Ste 220 06/30/2019 Mesquite Dental 61 N Willow Street #1 06/30/2019 78 Portezza Dr. 06/30/2019 Vicken Marganian DDS 2684 E Colorado Blvd 06/30/2019 123 Wicklow Dr 06/30/2019 Maricondia Dental Professional Corporation/DBA: AQ Denture and Dental Implant Services 349 W Lake Mead Dr NSBDE06/30/2019 Richard Mark DDS LIST4801 S Cliff Ave Ste 208 06/30/2019 Debra Markoff, DDS Reno Tahoe Dental 590 Hammill Lane Limited License Dentist 01/25/2020 Marque Dental Associates Inc 1582 E Main St 06/30/2019 9013 Night Owl Ct 06/30/2019 Ronald R. Marshall DDS Ltd. 6891 West Charleston Blvd. S3 - Orthodontist 06/30/2019 16478 S Ryckert St S3 - Orthodontist 06/30/2019 102 Bisque Dr S2 - Oral and Maxillofacial Surgeon 06/30/2019 Tahoe Oral Surgery and Implant Center 40165 Truckee Airport Rd STE 303 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Todays Dental 1471 N Jones Blvd 06/30/2019 1215 Ebling Dr 06/30/2019 Macdonald ranch modern dentistry 725 S Green Valley pkwy 100

147 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89128 (702) 360-9061 (702) 360-9059 University of Nebraska 06/01/1985 Las Vegas NV 89113 (702) 798-6684 Las Vegas NV 89131 (702) 312-2273 (702) 267-9564 Creighton University 05/29/1971 Las Vegas NV 89148 (702) 739-6452 (702) 739-6654 New York-New York University College of Dentistry 05/10/2007 Henderson NV 89052 (702) 567-5449 (702) 450-5490 Creighton University 05/17/1997 Henderson NV 89052 (702) 567-5449 (702) 450-5490 Creighton University 05/17/1997 Paradise Valley AZ 85253 (702) 425-3697 Massachusetts-Boston University Goldman School of Dental Medicine 05/16/2004 las vegas NV 89121 (702) 732-7616 USC 08/12/1992 Las Vegas NV 89102 (702) 870-5165 (702) 870-3096 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89114 (702) 774-2535 (702) 774-2696 University of Alberta 06/30/1988 Henderson NV 89052 (702) 567-0000 (702) 897-2924 University of the Pacific 06/21/1998 Las Vegas NV 89139 (702) 233-5551 (702) 633-5559 Case Western Reserve University 05/21/2000 Las Vegas NV 89113 (702) 656-7846 USC 08/09/2005 Las Vegas NV 89139 (702) 580-6459 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Galveston TX 77555 (409) 772-1546 (409) 744-5303 Ohio State University 06/01/1956 Las Vegas NV 89147 (702) 258-5433 (702) 458-5433 Marquette University 05/19/1996 University Heights OH 44118 Mission Viejo CA 92690 (949) 722-1400 OR Health Sciences University 06/08/2001 La Crosse WI 54601 (608) 519-1991 (608) 783-5082 Wisconsin-Marquette University School of Dentistry 05/19/1991 Henderson NV 89044 (702) 453-6660 California-University of Southern California School of Dentistry 05/13/2016 Henderson NV 89052 (702) 919-6206 Henderson NV 89074 (702) 990-4433 Pennsylvania-Temple University School of Dentistry 05/15/2014 Las Vegas NV 89135 (702) 384-3461 (702) 732-4229 Boston University 09/25/1996 Las Vegas NV 89128 (702) 646-7707 (707) 646-1768 UCSF 06/16/1985 Reno NV 89502 (775) 329-5437 (775) 829-1553 University of the Pacific 06/11/2006 Las Vegas NV 89102 (702) 774-2416 Reno NV 89509 (775) 265-4215 (775) 825-8367 University of the Pacific 06/15/1997 Las Vegas NV 89102 (702) 259-1943 (702) 750-9872 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89113 (702) 545-0055 (702) 545-0034 New York-New York University College of Dentistry 05/11/2006 Las Vegas NV 89145 (702) 243-3300 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Mesquite NV 89027 (702) 346-2882 (702) 346-8714 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2011 Henderson NV 89011 (773) 262-0500 (847) 657-0155 Tufts University 02/24/1979 Pasadena CA 91107 (626) 577-5585 (626) 577-7075 University of the Pacific 05/15/1996 Bluffton SC 29910 (702) 445-7075 (702) 834-3332 Temple University 05/29/1986 Henderson NV 89015 (702) 565-6000 (702) 565-0474 Northwestern University 06/16/1979 Independence NSBDEMO 64055 (702) 896-7211 (816) 461-4151 Missouri-University of Missouri-Kansas City School ofLIST Dentistry 05/13/2016 Reno NV 89511 (775) 825-3922 (775) 825-3917 Loma Linda University 05/24/1987 Lancaster OH 43130 (740) 654-3980 (740) 654-9493 Ohio-Ohio State University College of Dentistry 06/10/1983 Las Vegas NV 89134 (702) 870-5165 (702) 870-3096 University of North Carolina 06/01/1988 Las Vegas NV 89117 (702) 255-6768 (702) 255-3416 Wisconsin-Marquette University School of Dentistry 06/01/1986 Olathe KS 66062 (801) 390-2851 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/24/2003 Henderson NV 89074 (702) 774-2691 (702) 774-2693 Virginia Commonwealth University 06/05/1960 Truckee CA 96161 (530) 587-5440 (510) 437-2158 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2005 Las Vegas NV 89108 (702) 312-2273 (702) 312-2276 UCLA 06/12/1992 Sparks NV 89436 (775) 424-3000 (775) 626-7275 California-University of Southern California School of Dentistry 06/01/1974 Henderson NV 89052 (702) 560-5231 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015

148 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Ohio-Case Western Reserve Univ. School of Dental Medicine 05/21/1981

California-University of Southern California School of Dentistry 05/11/2018

Pennsylvania-Temple University School of Dentistry 06/30/2017 NSBDE LIST

149 DENTISTS 01/01/2019

BoardAction

12/13/2013

06/19/2015,06/27/2014

01/30/2015

09/23/2016 NSBDE LIST

150 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

David Oscar Martinez David Oscar Martinez DDS Dentist 2599 07/10/1990 Active Freddie Martinez Freddie Martinez DDS Specialty Dentist S3-256 01/24/2014 Active Lynda Kathleen Martinez Lynda Kathleen Martinez DDS Dentist 2600 07/10/1990 Active Sherri Ann Burgonio Martinez Sherri Ann Burgonio Martinez DMD Dentist 5639 03/13/2008 Active Michelle Martinez-Pham Michelle Martinez-Pham DDS Dentist 5004 06/26/2006 Active Marine Martirosyan Marine Martirosyan DDS Dentist 3211 01/21/1998 Active Ryan D Martz Ryan D Martz DMD Dentist 6928 06/16/2017 Active Jamie Louise Marvel Jamie Louise Marvel DDS Dentist 4821 10/10/2005 Active Matthew George Kaimi Masaki Matthew George Kaimi Masaki DDS Dentist 6295 07/18/2012 Active Patrick Mascarenhas Patrick Mascarenhas DDS Specialty Dentist S5-42C 12/12/2014 Inactive Jeffrey Lyle Mason Jeffrey Lyle Mason DMD Dentist 6696 08/12/2015 Active Deanna Lee Mathisen Deanna Lee Mathisen DMD Dentist 5876 04/30/2010 Active Laura Lynn Matsunaga Laura Lynn Matsunaga DDS Dentist 3212 01/21/1998 Retired Matthew Thomas Matteucci Matthew Thomas Matteucci DMD Dentist 6100 06/07/2011 Active Thomas Scott Matteucci Thomas Scott Matteucci DDS Dentist 2334 03/26/1986 Active Anthony Joseph Mattioli Anthony Joseph Mattioli DDS Dentist 3491 07/12/1999 Active Debra Francesca Mavroidis Debra Francesca Mavroidis DDS Dentist 7037 03/16/2018 Active David Douglas May David Douglas May DDS Dentist 7056 05/29/2018 Active Robert Eugene Mays Robert Eugene Mays Jr DDS Dentist 2222 07/01/1984 Active Ben Bradley Maze Ben Bradley Maze DDS Specialty Dentist S7-13 01/13/1987 Inactive Pradipta Mazumder Pradipta Mazumder DDS Dentist 5990 12/04/2009 Inactive George James McAlpine George James McAlpine DDS Dentist 3748 01/17/2001 Active Alan Thomas McCaffrey Alan Thomas McCaffrey DMD Dentist 5113 08/25/2006 Active Drew Pedro McCaffrey Drew Pedro McCaffrey DMD Dentist 6799 06/29/2016 Active Jennifer Elaine McClanahan Jennifer Elaine McClanahan DMD Dentist 6221 12/09/2011 Active Dawn Louise McClellan Dawn Louise McClellan DDS Specialty Dentist S6-23 03/30/1998 Active Dane Lee McClurg Dane Lee McClurg DDS Dentist 5941 07/16/2009 Inactive Marilyn F McComb Marilyn F McComb DDS Specialty Dentist S6-35C 06/11/2004 Active Melissa Anne McCool Melissa Anne McCool DDS Specialty Dentist S6-90 07/17/2008 Active Sorren Daniel McCool Sorren Daniel McCool DMD Dentist 5680 05/02/2008 Active James William Walter McCreight James William Walter McCreight DDS Limited License Dental LL-257-11 01/26/2012 Active Keith B McDonald Keith B McDonald DDS Dentist 2393 07/12/1987 Active Michael Justice McDonald Michael Justice McDonald DDS Limited License Dental LL-463-18 06/21/2018 Active Susan Catherine McElhany Susan Catherine McElhany DMD Dentist 4313 10/10/2002 Active Joseph S McElhinney Joseph S McElhinney III DDS Dentist 0932 09/01/1977 Active Cody Francis McElroyNSBDECody Francis McElroy DDS Dentist LIST6247 03/22/2012 Active Erin Michelle McEvoy Erin Michelle McEvoy DMD Dentist 6900 04/21/2017 Active Elizabeth Justice McGee Elizabeth Justice McGee DDS Specialty Dentist S6-98 10/09/2009 Active Matthew Dwight McGee Matthew Dwight McGee DMD Dentist 4573 01/21/2004 Active Kellie Jeanne McGinley Kellie Jeanne McGinley DDS Specialty Dentist S6-170 08/02/2018 Active Keith Duane McGruder Keith Duane McGruder DDS Dentist 5870 12/04/2008 Active Vivi Van McIntosh Vivi Van McIntosh DDS Dentist 3716 07/03/2000 Active Sean Briant McKeown Sean Briant McKeown DDS Specialty Dentist S4-105C 11/03/2017 Active Lynn McLellan Lynn McLellan DDS Dentist 2000 09/01/1980 Retired John Christian McLennan John Christian McLennan DMD Dentist 6756 03/23/2016 Active Ryann Michelle McLennan Ryann Michelle McLennan DMD Dentist 6827 07/20/2016 Active

151 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 David O Martinez, DDS, Ltd 257 Brinkby Ave S3 - Orthodontist 06/30/2019 Martinez Braces 4416 E Bonanza Rd Ste 120 06/30/2019 David O. Martinez, DDS, Ltd 257 Brinkby Ave 06/30/2019 9515 Gainey Ranch Ave 06/30/2019 545 Marks St 06/30/2019 Pacific Dental Care 532 W Glenoaks Blvd 06/30/2019 616 Doletto St 06/30/2019 Marvel Dental Carson City LLC 410 Fleischmann Way Ste A 06/30/2019 Durango Dental Group 3140 S Durango Dr Ste. 100 S5 - Prosthodontist 06/30/2019 21 Lenox Rd 06/30/2019 Smile Magic 1108 W Dickinson Blvd Suite B 06/30/2019 Eastern Hills Family Dental 5905 S Eastern Ave Ste 112 06/30/2019 P.O. Box 491194 06/30/2019 Matteucci Family Dental 2764 Lake Sahara Dr 06/30/2019 1020 bonitos suenos 06/30/2019 525 Hammill Ln 06/30/2019 124 S Royal Ascot Dr 06/30/2019 26427 Paradise Cove 06/30/2019 Robert E. Mays, Jr., DDS LTD 2261 Pyramid Way Suite 3 S7 - Endodontist 06/30/2019 7647 Boca Raton Dr 06/30/2019 MBraces, LLC 109 watertown ave Ste #2 06/30/2019 UNLV School of Dental Medicine GPR 1001 Shadow Ln Ms 7424 06/30/2019 Red Rock Dental 900 S Pavilion Center #185 06/30/2019 8177 Horseshoe Bend Ln 06/30/2019 Divine Dental Smile 6350 Mae Anne Ave 1 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dental Care International 1750 Wheeler Peak Drive 06/30/2019 225 Charter House Lane S6 - Pediatric Dentist or Pedodontist 06/30/2019 Marilyn F McComb, DDS 1022 Nevada Hwy PMB 200 S6 - Pediatric Dentist or Pedodontist 06/30/2019 3701 Baker Ln 06/30/2019 2160 Peavine Creek Rd Limited License Dentist 01/25/2019 27366 Brandon Cir 06/30/2019 Kieth McDonald, DDS 5701 W Charleston Blvd Suite 103 Limited License Dentist 06/30/2019 2287 Autumn Fire Ct 06/30/2019 908 Jeanell Dr 06/30/2019 1181 University Ridge Dr NSBDE06/30/2019 Reno Dental Associates LIST475 Kirman Ave 06/30/2019 0901 SW Palatine Hill Rd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Pediatric Dental Care Associates 6365 Simmons St. Suite 100 06/30/2019 Matthew McGee, DMD 211 N. Buffalo Dr. Ste B. S6 - Pediatric Dentist or Pedodontist 06/30/2019 3380 Joy Lake Rd 06/30/2019 Just Smiles Dental 2900 Clear Acre Ln Suite S 06/30/2019 Absolute Dental 4035 S Durango Dr 103 S4 - Periodontist 06/30/2019 2170 Browning Ave 06/30/2019 60 Cassas Ct 06/30/2019 Sierra Smiles 5465 Kietzke Ln 06/30/2019 North Hills Dental 1055 N Hills Blvd

152 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89509 (775) 827-9400 (775) 827-0100 University of Texas 05/01/1990 Las Vegas NV 89110 (702) 979-9799 (702) 979-9823 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Reno NV 89509 (775) 827-9400 (775) 827-0100 University of Texas 05/01/1990 Las Vegas NV 89147 (702) 475-8226 (520) 742-7051 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Henderson NV 89014 (702) 425-3697 (702) 450-6539 New York University 05/14/1998 Glendale CA 91202 (818) 547-4949 (818) 241-0354 USC 08/20/1996 Las Vegas NV 89138 (702) 803-1810 Carson City NV 89703 (775) 623-2364 (775) 623-2841 University of the Pacific 06/12/2005 Las Vegas NV 89117 (702) 362-1856 (702) 804-0465 Nebraska-Creighton University School of Dentistry 05/12/2012 Summit NJ 07901 New York-New York University College of Dentistry 05/13/1999 Fort Stockton TX 79735 (855) 697-6453 (940) 387-1264 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89119 (702) 658-6700 (817) 386-7179 Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/12/2009 Los Angeles CA 90049 (888) 208-9500 USC 05/22/1992 Las Vegas NV 89117 (702) 365-6499 (702) 221-8465 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89138 (702) 221-8465 (702) 221-8465 Marquette University 05/01/1985 Reno NV 89511 (775) 825-2227 (775) 825-5936 University of the Pacific 05/20/1999 Las Vegas NV 89144 (702) 651-5510 (702) 651-7383 Columbia University 05/30/1993 Hemet CA 92544 (951) 929-3344 Sparks NV 89431 (775) 358-0147 (775) 358-5701 University of the Pacific 06/01/1984 Las Vegas NV 89113 University of the Pacific 06/01/1982 Waternury CT 06708 (571) 594-6007 New York-New York University College of Dentistry 05/13/2009 Las Vegas NV 89106 (702) 671-5130 (702) 671-5085 Loyola University 06/08/1974 Las Vegas NV 89144 (702) 243-8788 (702) 243-5785 Temple University 05/18/2006 Las Vegas NV 89113 (702) 464-3090 Kentucky-University of Kentucky College of Dentistry 05/08/2016 Reno NV 89523 (775) 787-2600 (775) 787-2602 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89106 (702) 272-1100 (702) 254-9462 Ohio State University 06/08/1990 Williamsburg VA 23188 (757) 856-2282 California-Loma Linda University School of Dentistry 05/24/2009 Boulder City NV 89005 (702) 765-0041 (702) 765-0042 Georgetown University 03/16/1989 Reno NV 89509 (775) 825-1000 (702) 254-7214 University of the Pacific 06/13/2004 Reno NV 89523 (775) 359-6780 (775) 359-6727 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Steamboat Springs CO 80487 (970) 879-4703 (970) 871-9567 Iowa-University of Iowa College of Dentistry 06/09/1995 Las Vegas NV 89146 (702) 870-8485 (702) 878-4907 University of the Pacific 06/01/1983 Las Vegas NV 89117 (702) 774-8000 Carson City NV 89703 (775) 882-4675 OR Health Sciences University 06/12/1993 Reno NV 89512 (775) 329-6300 (775) 825-3553 UCSF 06/01/1977 Reno NSBDENV 89502 (775) 786-3400 Colorado-University of Colorado at Denver and HealthLIST Sciences Center 05/27/2011 Portland OR 97219 North Las Vegas NV 89031 (702) 254-4220 (702) 254-7214 Creighton University 05/14/2005 Las Vegas NV 89145 (702) 360-4200 (702) 869-8856 Tufts University 05/18/2003 Reno NV 89511 (775) 824-2323 Reno NV 89512 (775) 782-7654 (775) 783-7290 Michigan-University of Detroit Mercy School of Dentistry 05/18/2002 Las Vegas NV 89147 (702) 617-3333 (702) 361-1436 Loma Linda University 06/09/1994 Salt Lake City UT 84108 (801) 293-8833 Reno NV 89511 (775) 853-2892 University of the Pacific 06/01/1978 Reno NV 89511 (775) 786-1911 Oregon-Oregon Health and Science University School of Dentistry 06/19/2015 Reno NV 89506 (775) 329-5437 Oregon-Oregon Health and Science University School of Dentistry 06/17/2016

153 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Pennsylvania-University of Pittsburgh School of Dental Medicine 05/27/2017

University of Nebraska 05/10/1991

California-UniversityNSBDE of the Pacific Arthur A. Dugoni School of Dentistry 06/17/2018 LIST Oregon-Oregon Health and Science University School of Dentistry 06/17/2016

Michigan-University of Michigan School of Dentistry 04/28/2016

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2007 Oregon-Oregon Health and Science University School of Dentistry 06/30/2011

154 DENTISTS 01/01/2019

BoardAction

05/12/2017

NSBDE LIST

155 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Jeffrey Bernard McMillan Jeffrey Bernard McMillan DDS Specialty Dentist S3-227 08/12/2011 Active Joseph Mitchell McMullen Joseph Mitchell McMullen DDS Dentist 4631 07/12/2004 Active Marc Rosell McRae Marc Rosell McRae DDS Dentist 6885 03/31/2017 Active Lucas Thomas McShosh Lucas Thomas McShosh DDS Dentist 7072 07/27/2018 Active Theodore A McWillie Theodore A McWillie DDS Dentist 2103 07/11/1982 Active Richard Alan Mecall Richard Alan Mecall DDS, MS Specialty Dentist S4-23 11/13/1998 Active Jeffrey Allan Meckfessel Jeffrey Allan Meckfessel DDS Dentist 3075 01/06/1997 Active Jesus Medina Jesus Medina Jr DDS Dentist 2512 03/19/1989 Active Colby Albert Meeder Colby Albert Meeder DMD Dentist 6616 05/22/2015 Active Rewadee Dee Dee Meevasin Rewadee Dee Dee Meevasin DMD Dentist 5559 08/17/2007 Active Thomas Joseph Melendrez Thomas Joseph Melendrez DDS Specialty Dentist S2-90 11/01/2007 Active Christy Nicole Pogue Mellor Christy Nicole Pogue Mellor DDS Dentist 6708 10/28/2015 Active Joshua Robert Melton Joshua Robert Melton DDS Dentist 6606 03/20/2015 Active Edgar Yahir Mendieta Edgar Yahir Mendieta DDS Dentist 5493 07/30/2007 Inactive Benjamin Roy Menlove Benjamin Roy Menlove DDS Dentist 4920 03/23/2006 Active Endalkachew Mersha Endalkachew Mersha DMD Dentist 3362 01/20/1999 Active Jamison Parker Metcalf Jamison Parker Metcalf DDS Specialty Dentist S2-159C 09/13/2018 Active David Grant Metzler David Grant Metzler DDS Dentist 0871 03/01/1978 Inactive Mary Ann Michael Mary Ann Michael DDS Dentist 6030 08/20/2010 Active Andre Michaelian Andre Michaelian DDS Dentist 3076 01/06/1997 Active Dennis James Michaelson Dennis James Michaelson DMD Dentist 2511 03/22/1989 Inactive Michael John Mierzejewski Michael John Mierzejewski DMD Dentist 5133 09/21/2006 Inactive Cindy Denise Miller Cindy Denise Miller DDS Dentist 2858 07/18/1994 Active Donald Brent Miller Donald Brent Miller DDS Dentist 2495 07/10/1988 Active George Brett Miller George Brett Miller DMD Dentist 6324 08/17/2012 Active Jade Andrew Miller Jade Andrew Miller DDS Specialty Dentist S6-11 10/01/1981 Active Leighton Thomas Miller Leighton Thomas Miller DDS Dentist 1030 09/01/1979 Retired Robert Daniell Miller Robert Daniell Miller DMD Dentist 6576 10/03/2014 Inactive Scott Lewis Miller Scott Lewis Miller DDS Dentist 2487 07/10/1988 Active Tyson Jon Miller Tyson Jon Miller DMD Specialty Dentist S3-287 07/20/2016 Active Matthew Jason Milligan Matthew Jason Milligan DMD Dentist 5839 06/10/2009 Active Todd Searle Milne Todd Searle Milne DDS Specialty Dentist S6-44 08/26/2005 Active Mason Ofell Miner Mason Ofell Miner DDS Limited License Dental LL-491-18 11/29/2018 Active Mark Hallman Minguey Mark Hallman Minguey DDS Dentist 0774 03/01/1974 Retired Robert Minoofar Robert Minoofar DDS Dentist 4844 11/15/2005 Inactive Joseph Mir NSBDEJoseph Mir DDS Dentist LIST4951 05/18/2006 Active Norma Assunicion Miranda Norma Assunicion Miranda DDS Dentist 4725 02/11/2005 Active Nina Lauraine Mirzayan Nina Lauraine Mirzayan DDS Dentist 4365 01/22/2003 Active Rachel A Mismas Rachel A Mismas DDS Dentist 6659 06/19/2015 Active Michael Spencer Mitchell Michael Spencer Mitchell DMD Dentist 6388 03/07/2013 Active Robert David Mitchell Robert David Mitchell DDS, MS Specialty Dentist S3-319C 05/18/2018 Inactive Terrell Montra Mitchell Terrell Montra Mitchell DDS Dentist 6199 10/21/2011 Active Jesse Alan Mitchem Jesse Alan Mitchem DDS Specialty Dentist S3-289 08/03/2016 Active Charlene G Mo Charlene G Mo DMD Dentist 7101 08/02/2018 Active Nahid Mohammadi Nahid Mohammadi DDS Dentist 3737 01/17/2001 Active Scott Roy Mohlman Scott Roy Mohlman DDS Dentist 2859 07/18/1994 Active

156 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S3 - Orthodontist 06/30/2019 9360 W Flamingo Rd #110-308 06/30/2019 515 Juniper Hill Road 06/30/2019 10741 Royal Jasmine ln 06/30/2019 3380 Joy Lake Rd 06/30/2019 Gentle Dental 1725 E Warm Springs Rd. S4 - Periodontist 06/30/2019 2327 Green Mountain Ct 06/30/2019 Reno Family Dental 5420 Kietzke Ln Ste 208 06/30/2019 Jesus Medina Jr, DDS, LTD 777 North Rainbow Blvd Suite 395 06/30/2019 3308 Dodd Drive 06/30/2019 Dee for Dentist 8772 South Maryland Pkwy suite A S2 - Oral and Maxillofacial Surgeon 06/30/2019 Silver State OMS 757 W 7th St Suite 102 06/30/2019 Small Smiles Dentistry 3362 S McCarran Blvd #3362 06/30/2019 It's My Smile 10455 Double R Blvd Suite 101 06/30/2019 1661 Becket Ave 06/30/2019 Risas Dental & Braces 2500 E Lake Mead Blvd 06/30/2019 Disovery Dental 7581 W Lake Mead Blvd 160 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Oral and Facial Surgery of Mesquite 350 Falcon Ridge Pkwy Ste 400 06/30/2019 11231 Yellow Poplar Dr 06/30/2019 Dentistry for Children 850 I St 06/30/2019 Children's Dental Group 8430 W Lake Mead Blvd Suite 150 06/30/2019 2959 North Bliss Dr 06/30/2019 Comfort Dental of Westminster 10350 N. Federal Blvd Suite 300 06/30/2019 C D Jackson-Miller DDS Inc 805 E Main St Suite B 06/30/2019 Brent Miller DDS 7670 W Sahara Ave Suite 1 06/30/2019 Laser Dental 4401 E Sunset Road Ste 3 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Jade Miller DDS 517 Hammill Ln 06/30/2019 3916 N. Potsdam Ave PMB 458 06/30/2019 Advanced Dental Care 3920 Bee Ridge Road Building E, Suite C 06/30/2019 scott l miller dds 7480 W Sahara Ave S3 - Orthodontist 06/30/2019 Hansen Orthodontics 3600 N Buffalo Dr Ste 110 06/30/2019 Incline Dental Care, LLC 231 Village Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 10501 Horseshoe Falls Ct Limited License Dentist 11/28/2019 72 Suttle St Ste H 06/30/2019 2316 Silver Bluff Ct 06/30/2019 4841 Gloria Ave. NSBDE06/30/2019 LIST8805 Killians Greens dr 06/30/2019 Radiant Smiles 1825 S Nellis Blvd 06/30/2019 2146 Mooreview Street 06/30/2019 Divine Dental 7035 W Ann Rd Suite 110 06/30/2019 Smiles for Life Family Dentistry 8930 W Sunset Rd. 190 S3 - Orthodontist 06/30/2019 22184 Eagles Nest Ct 06/30/2019 980 Courthouse Rd, 1908 Terrell Mitchell S3 - Orthodontist 06/30/2019 Courtesy Dental & Orthodontics 748 S Meadows Pkwy Ste #8 06/30/2019 200 W Sahara Ave #1512 06/30/2019 Nevada Sun Dental 2281 N Green Valley Pkwy 06/30/2019 7416 Shallow Glen Ct.

157 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89147 (702) 736-1116 Tennessee-Meharry Medical College School of Dentistry 10/21/2005 Reno NV 89519 (775) 825-2954 (775) 825-5924 University of the Pacific 07/15/2003 Las Vegas NV 89135 (505) 289-1955 Nebraska-Creighton University School of Dentistry 05/16/2015 Reno NV 89511 (775) 581-4383 Las Vegas NV 89119 (702) 331-1378 (702) 331-1496 Creighton University 06/01/1982 Las Vegas NV 89135 (702) 204-4455 (702) 256-7912 University of Illinois 06/06/1974 Reno NV 89511 (775) 853-4242 (775) 851-9055 University of the Pacific 06/17/1990 Las Vegas NV 89107 (702) 368-3627 (702) 368-3635 Creighton University 06/01/1988 Chesapeake VA 23323 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89123 (702) 586-7800 (702) 586-7575 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Reno NV 89503 (775) 329-2299 (775) 329-2450 USC 08/10/1999 Reno NV 89502 (775) 329-5437 California-Loma Linda University School of Dentistry 05/29/2011 Reno NV 89521 (775) 746-1957 (719) 282-6646 Ohio-Ohio State University College of Dentistry 06/13/2010 COLUMBUS OH 43235 (614) 279-6481 (702) 774-2521 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2004 North Las Vegas NV 89030 (623) 931-8898 (623) 374-7455 Ohio State University 06/13/2004 Las Vegas NV 89128 (702) 877-9999 (702) 889-6131 Boston University 05/17/1998 Mesquite NV 89027 (435) 628-1100 Ft Myers FL 33913 (843) 694-3236 Loma Linda University 12/01/1975 Sparks NV 89431 (775) 358-5330 (775) 358-5344 Michigan-University of Michigan School of Dentistry 04/24/2008 Las Vegas NV 89128 (702) 220-9100 (702) 220-9104 Loma Linda University 06/09/1994 Idaho Falls ID 83401 (208) 478-1312 (800) 285-7795 University of Washington 06/01/1971 Federal Heights CO 80234 (303) 427-2722 (702) 897-4624 Nova Southeastern University 07/31/2006 Fernley NV 89408 (775) 575-2555 (775) 575-6182 University of Nebraska 05/06/1994 Las Vegas NV 89117 (702) 870-6881 (702) 838-5154 Loma Linda University 06/01/1988 Henderson NV 89014 (702) 309-4600 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Reno NV 89511 (775) 824-2323 (775) 824-2324 University of the Pacific 06/01/1981 Sioux Falls SD 57104 (775) 265-4215 (808) 329-0872 Loma Linda University 06/01/1978 Sarasota FL 34233 (941) 923-2552 Florida-Nova Southeastern University College of Dental Medicine 05/18/2014 Las Vegas NV 89117 (702) 562-2033 (702) 562-0455 University of the Pacific 06/01/1988 Las Vegas NV 89129 (702) 568-1600 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Incline Village NV 89451 (775) 831-3466 (775) 831-2631 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89144 (702) 641-5888 (702) 639-0579 Creighton University 05/18/1991 Durango CO 81303 (970) 247-2677 Las Vegas NV 89134 (702) 870-5165 (702) 870-3096 Wisconsin-Marquette University School of Dentistry 06/01/1972 Encino CA 91436 (310) 709-5251 State University of New York 06/10/1994 las vegas NSBDENV 89131 (702) 804-8888 (702) 383-0673 USC LIST05/12/2000 Las Vegas NV 89104 (702) 452-3552 (213) 748-1328 UCLA 06/18/1976 Henderson NV 89012 (702) 492-1955 (702) 492-7663 Loma Linda University 05/26/2002 Las Vegas NV 89130 (702) 735-3994 (702) 735-9335 California-University of Southern California School of Dentistry 08/08/2006 Las Vegas NV 89148 (702) 795-2273 (702) 304-9996 Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/15/2012 Murrieta CA 92562 Gulfport MS 39507 (702) 653-2600 Michigan-University of Michigan School of Dentistry 04/28/2011 Reno NV 89521 (775) 851-9099 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/2014 Las Vegas NV 89102 (702) 774-2674 Henderson NV 89014 (702) 898-0800 (702) 459-0700 USC 12/19/1995 Las Vegas NV 89129 (702) 731-5700 (702) 731-0803 Nebraska-Creighton University School of Dentistry 05/14/1988

158 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Michigan-University of Michigan School of Dentistry 04/28/2016

Iowa-University of Iowa College of Dentistry 06/08/2012 Oklahoma-University of Oklahoma Health Sciences Center 06/30/2016

Wisconsin-MarquetteNSBDE University School of Dentistry 05/20/2001 LIST

California-Loma Linda University School of Dentistry 12/17/1978 California-Loma Linda University School of Dentistry 06/13/1985

Utah-Roseman University of Health Sciences 04/14/2018

159 DENTISTS 01/01/2019

BoardAction

06/11/2004

01/24/2013

01/30/2015

10/01/2010 NSBDE LIST

04/16/2009,10/21/2011

160 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Saeid Mohtashami Saeid Mohtashami DDS Dentist 3059 07/15/1996 Active Luz de Lourdes Molina Luz de Lourdes Molina DMD Specialty Dentist S6-20 10/25/1996 Active Pouya Momtaz Pouya Momtaz DMD Specialty Dentist S3-304 05/26/2017 Active Lizania Montero Lizania Montero DMD Specialty Dentist S6-125 12/13/2013 Inactive Michael John Montgomery Michael John Montgomery DDS Dentist 0640 01/01/1970 Retired Natalia Montoya Natalia Montoya DMD Dentist 6668 06/19/2015 Active Michael Stephen Moody Michael Stephen Moody DMD Specialty Dentist S2-155C 02/23/2018 Active Kyong Hwa Moon Kyong Hwa Moon DMD Dentist 6209 10/21/2011 Active Clarke Clifton Moore Clarke Clifton Moore DMD Dentist 2705 03/25/1992 Active Daniel Kevin Moore Daniel Kevin Moore DDS Dentist 3215 01/21/1998 Active Gary Nathan Moore Gary Nathan Moore DDS Dentist 3216 01/21/1998 Active Michael M Moore Michael M Moore DDS Dentist 0966 03/01/1978 Active Stephen David Moore Stephen David Moore DDS Dentist 3364 01/20/1999 Active Kallie Leyser Moorefield Kallie Leyser Moorefield DDS Dentist 6746 03/01/2016 Active Brandon Jesus Morales Brandon Jesus Morales DMD Dentist 6703 09/09/2015 Active Miguel Roman Morales Miguel Roman Morales DDS Specialty Dentist S7-85 10/03/2014 Active Kenneth Joseph Moran Kenneth Joseph Moran DDS Dentist 2428 03/20/1988 Active Edgar Orlando Morantes Edgar Orlando Morantes DDS Dentist 2394 07/14/1987 Active Mark Richard Morgan Mark Richard Morgan DDS Specialty Dentist S4-09 09/01/1983 Active Michael Alan Morgan Michael Alan Morgan DDS Dentist 2546 07/08/1989 Active Steven Mark Morgan Steven Mark Morgan DDS Dentist 6990 10/02/2017 Active Cynthia Nielson Morgan-Allen Cynthia Nielson Morgan-Allen DDS Dentist 2545 07/08/1989 Active Jay Harris Morgenstern Jay Harris Morgenstern DMD Dentist 7039 07/13/2018 Active Joseph Edward Morneau Joseph Edward Morneau DDS Specialty Dentist S3-263C 08/01/2014 Active Jamie Morris Jamie Morris DDS Dentist 6764 04/06/2016 Active Jason Todd Morris Jason Todd Morris DDS Specialty Dentist S7-41 08/26/2005 Active Larry B Morris Larry B Morris DMD Dentist 1031 09/01/1979 Inactive Shad London Morris Shad London Morris DMD Dentist 6720 01/20/2016 Active Steven Craig Morris Steven Craig Morris DDS Dentist 4170 04/30/2002 Active Yonatan Moshe Moskowitz Yonatan Moshe Moskowitz DDS Dentist 6493 01/24/2014 Active Mehrdad AKA"Mike Most" Mostafaeipour Mehrdad AKA"Mike Most" Mostafaeipour DDS Dentist 3720 09/25/2000 Active Shokofeh R Motlagh Shokofeh R Motlagh DMD Specialty Dentist S3-250 10/04/2013 Active William Bruce Moulton William Bruce Moulton DDS Dentist 0735 03/01/1973 Active Ira Jay Movadi Ira Jay Movadi DDS Dentist 4878 01/24/2006 Active Khosrow Movahedi Khosrow Movahedi DDS Dentist 4903 03/23/2006 Active Jeff Edward MoxleyNSBDEJeff Edward Moxley DDS Specialty Dentist LISTS2-25 08/06/1997 Active Daniel Frederick Muff Daniel Frederick Muff DDS, MD Specialty Dentist S2-123C 08/17/2012 Active Cody Paul Mugleston Cody Paul Mugleston DMD Dentist 6168 07/15/2011 Active Sunshine Annette Mullins Sunshine Annette Mullins DDS Dentist 6705 10/07/2015 Disabled Hyo Jin Mun Hyo Jin Mun DDS Dentist 6597 03/20/2015 Inactive Dilan Vipula Munaweera Dilan Vipula Munaweera DDS Dentist 5869 12/04/2008 Active Lyle Kris Munk Lyle Kris Munk DDS Limited License Dental LL-493-18 11/15/2018 Active Bradford Michael Munninger Bradford Michael Munninger DDS Dentist 4860 11/15/2005 Active Raymond Wendel Murdock Raymond Wendel Murdock DDS Dentist 4171 04/30/2002 Active Ryan Daniel Murphy Ryan Daniel Murphy DDS Specialty Dentist S6-48 08/25/2006 Active Gordon Joseph Murray Gordon Joseph Murray DDS Dentist 2057 10/01/1981 Active

161 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 All Bright Dental 7510 W Sahara Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dentistry for Kids 10455 Double R Blvd S3 - Orthodontist 06/30/2019 City Dental 2272 S Nellis Blvd. #2 S6 - Pediatric Dentist or Pedodontist 06/30/2019 12340 Alameda Trace Circle Apt 2905 06/30/2019 3266 E Maule Ave 06/30/2019 6424 Bonde Farms Ln S2 - Oral and Maxillofacial Surgeon 06/30/2019 Canyon Oral and Facial Surgery 6200 N Durango Dr Bldg 12 Ste 100 06/30/2019 Bright Now Dental 4655 S. W. Griffith Drive #105 06/30/2019 9617 Windom Point Ave. 06/30/2019 10624 S Eastern Ave #N 06/30/2019 gary moore dds ltd 5910 Stetson Hills Ste 110 06/30/2019 Moore Family Dentistry 8409 W Lake Mead Blvd 06/30/2019 Moore Family Dentistry LLC 8409 W Lake Mead Blvd 06/30/2019 368 Crystal Court 06/30/2019 1885 Becky Ct S7 - Endodontist 06/30/2019 Rainsrpings Dental Group 7260 S Rainbow Blvd Ste 104 06/30/2019 P O Box 1080 06/30/2019 8656 Cactus Creek Dr S4 - Periodontist 06/30/2019 14303 Contour Place 06/30/2019 Double Diamond Dental 9492 Double R Blvd Ste A 06/30/2019 14303 Contour Pl 06/30/2019 SummerHills Dental 2261 N Rampart Blvd 06/30/2019 53 Cascade Lake St S3 - Orthodontist 06/30/2019 240 Desert Pass St Apt 906 06/30/2019 7213 Harlow St S7 - Endodontist 06/30/2019 2510 Wigwam Pkwy Suite 200 06/30/2019 855 Valley View Dr 06/30/2019 1496 N Georgetown Dr 06/30/2019 Affordable Dental 3730 E Flamingo Rd 06/30/2019 Radiant Smiles 2633 W Horizon Ridge Pkwy Ste 130 06/30/2019 1701 Double Arch Ct S3 - Orthodontist 06/30/2019 10214 N Eight Iron Lane 06/30/2019 256 Crystal Ct 06/30/2019 Ira Movahhedi Family Dentistry 4225 Saviers Rd #9 06/30/2019 3355 S Town Center Dr #2093 S2 - Oral and MaxillofacialNSBDE Surgeon 06/30/2019 Jeff E. Moxley, DDS, PC LIST3663 E Sunset Rd #403 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Muff Oral & Maxillofacial Surgery 609 Sierra Rose Suite #1 06/30/2019 1050 Crystal Heights Court 06/30/2019 4591 Brentwood ct 06/30/2019 Hyo J Mun DDS Inc 20657 Golden Springs Dr. STE. 205B 06/30/2019 Gentle Dental and Orthodontics 525 East Moana Lane Ln A Limited License Dentist 06/30/2019 2267 West 9305 South 06/30/2019 Desert Valley Dental 300 Hwy 95A S #110 06/30/2019 1587 5th Green Ct S6 - Pediatric Dentist or Pedodontist 06/30/2019 Mount Rose Pediatric Dentistry 16580 Wedge Pkwy #100 06/30/2019 2747 Paradise Rd #1802

162 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89117 (702) 220-6666 (702) 220-8050 USC 05/10/1996 Reno NV 89511 (775) 823-9797 (775) 823-9677 University of Puerto Rico 06/12/1992 Las Vegas NV 89104 (702) 998-2237 (702) 774-2696 Massachusetts-Tufts University School of Dental Medicine 05/22/2011 Austin TX 78727 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2011 Las Vegas NV 89120 (702) 435-6951 University of Minnesota 06/01/1969 Reno NV 89511 (702) 658-2311 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89149 Tigard OR 97005 (775) 322-0800 (775) 348-1489 Massachusetts-Boston University Goldman School of Dental Medicine 05/22/2011 Las Vegas NV 89129-7827 (702) 242-4680 (702) 304-9996 University of Louisville 05/11/1980 Henderson NV 89052 (702) 407-6700 (702) 407-6710 Loma Linda University 06/13/1986 Colorado Springs CO 80923 (719) 694-0400 (702) 791-1030 Loma Linda University 06/13/1986 Las Vegas NV 89128 (702) 254-6700 (702) 254-9437 Loma Linda University 06/01/1977 Las Vegas NV 89128 (702) 254-6700 (702) 254-9437 Loma Linda University 05/14/1985 Fallon NV 89406 (775) 423-7400 (775) 423-7410 Louisiana-Louisiana State University School of Dentistry 05/17/2012 Reno NV 89503 (775) 588-8484 (650) 341-7675 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89118 (702) 614-1792 California-University of California at Los Angeles School of Dentistry 06/15/2012 Tuba City AZ 86045 (928) 283-2672 (928) 283-2991 Marquette University 05/01/1987 Las Vegas NV 89129 (702) 794-0820 (702) 794-0961 UCLA 06/01/1987 Helotes TX 78023 (210) 570-8040 UCLA 06/01/1980 Reno NV 89521 (775) 853-5858 (775) 853-2575 University of Texas 05/13/1989 Helotes TX 78023 Las Vegas NV 89128 (702) 363-8655 (702) 363-3381 University of Texas 05/01/1989 Las Vegas NV 89148 El Paso TX 79912 (702) 454-1008 Louisiana-Louisiana State University School of Dentistry 05/19/2001 Las Vegas NV 89131 (702) 671-5175 California-University of California at Los Angeles School of Dentistry 06/18/1999 Henderson NV 89074 (702) 263-2000 (702) 263-3036 Creighton University 05/18/2002 Mesquite NV 89027 University of Louisville 06/01/1979 Washington UT 84780 (435) 674-2100 (435) 674-2600 Illinois-Southern Illinois University School of Dental Medicine 06/02/2001 Las VEgas NV 89121 (702) 435-3827 (702) 435-3973 University of Detroit 05/20/1995 Henderson NV 89052 (702) 361-0061 (702) 361-1436 New York-Columbia University College of Dental Medicine 10/16/2013 Las Vegas NV 89128 (702) 871-0304 (702) 260-3539 University of Minnesota 06/13/1992 Oro Valley AZ 85737 (702) 834-7755 (702) 228-9344 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Mesquite NV 89027 (702) 731-5700 (702) 346-5336 University of Michigan 06/01/1972 Oxnard CA 93033 (805) 982-8283 (805) 982-8284 University of Minnesota 07/20/1993 Las Vegas NV 89135 (702) 616-1600 UCLA 06/06/1992 Las Vegas NSBDENV 89120 (702) 898-8350 (702) 898-8392 Virginia Commonwealth University LIST05/22/1993 Reno NV 89511 (775) 825-4777 (775) 825-4761 California-University of California at San Francisco School of Dentistry 06/12/1994 Henderson NV 89002 (702) 464-3090 (702) 464-3158 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 zionsville IN 46077 Indiana-Indiana University School of Dentistry 05/10/2009 Diamond Bar CA 91789 (909) 895-3340 California-Loma Linda University School of Dentistry 05/29/2011 Reno NV 89502 (775) 823-5100 (775) 823-5101 California-Loma Linda University School of Dentistry 06/13/2008 West Jordan UT 84088 (801) 878-1433 Fernley NV 89408 (775) 575-0777 University of Colorado 05/26/2001 Gardnerville NV 89460 (775) 265-4215 (775) 265-4246 USC 06/05/1975 Reno NV 89511 (775) 853-1300 (775) 853-0501 Indiana University 05/12/2002 Las Vegas NV 89109 (702) 228-2218 (702) 233-0784 Marquette University 06/01/1981

163 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Florida-University of Miami 06/30/2016

Nebraska-Creighton University School of Dentistry 05/13/2017

Massachusetts-Tufts University School of Dental Medicine 06/10/1983 NSBDE LIST

Nebraska-Creighton University School of Dentistry 05/17/1986

164 DENTISTS 01/01/2019

BoardAction

07/18/2012,11/20/2015

03/18/2003

NSBDE LIST

165 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Mark Hopkins Musicaro Mark Hopkins Musicaro DMD Dentist 6346 06/28/2013 Inactive Thomas Patrick Myatt Thomas Patrick Myatt DDS Specialty Dentist S2-11 09/25/1978 Active Christina Vida Myrin Christina Vida Myrin DMD Dentist 6467 10/04/2013 Active Naweed Ahmad Najand Naweed Ahmad Najand DMD Dentist 7083 06/29/2018 Active Firas Farouq Najeeb Firas Farouq Najeeb DDS Specialty Dentist S3-306 06/30/2017 Active G Peter Najim G Peter Najim III DDS Dentist 3192 07/14/1997 Active James Elias Nassar James Elias Nassar DDS Dentist 3506 01/19/2000 Active Johnny Elias Nassar Johnny Elias Nassar DDS Dentist 3524 01/19/2000 Active Stephen James Nassof Stephen James Nassof DDS Specialty Dentist S6-86 01/17/2008 Active Christine Tolentino Navales Christine Tolentino Navales DDS Dentist 5070 07/20/2006 Active Babak Navidi Babak Navidi DDS Dentist 2942 07/17/1995 Active Satyaprasad C Nayak Satyaprasad C Nayak DMD Dentist 6610 05/22/2015 Active Brian Lee Naylor Brian Lee Naylor DDS Dentist 7070 05/29/2018 Active Benjamin Alexander Neibaur Benjamin Alexander Neibaur DMD Specialty Dentist S3-246C 05/10/2013 Inactive Clayton Thomas Neilson Clayton Thomas Neilson DMD Dentist 6905 05/26/2017 Active John Rick Neilson John Rick Neilson DDS Specialty Dentist S3-33 07/16/1986 Active Amanda Kay Nelson Amanda Kay Nelson DMD Dentist 7035 02/09/2018 Active Brian Hale Nelson Brian Hale Nelson DMD Dentist 7038 06/18/2018 Active Frederic Clyde Nelson Frederic Clyde Nelson Jr DDS Dentist 5008 06/26/2006 Active Guy W Nelson Guy W Nelson DDS Dentist 2424 03/20/1988 Active Marc Andrew Nelson Marc Andrew Nelson DMD Dentist 6110 12/09/2011 Active Matthew Edwin Nelson Matthew Edwin Nelson DDS Dentist 5519 08/17/2007 Inactive Richard Brian Nelson Richard Brian Nelson DDS Dentist 5136 09/21/2006 Active Stanley John Nelson Stanley John Nelson DDS Limited License Dental LL-0033-03 12/11/2003 Active Travis Alan Neu Travis Alan Neu DMD Specialty Dentist S6-169 07/27/2018 Active Michael Frank Neubauer Michael Frank Neubauer DDS Specialty Dentist S4-28C 04/29/2003 Active Brady James Neugebauer Brady James Neugebauer DDS Dentist 4051 07/09/2001 Active Monte J Neugebauer Monte J Neugebauer DDS Dentist 0844 09/01/1975 Retired Tamra Lynn Neugebauer Tamra Lynn Neugebauer DDS Dentist 5072 07/20/2006 Active David Austin Newell David Austin Newell DDS Dentist 4822 10/10/2005 Active Jack Ira Newman Jack Ira Newman DDS Specialty Dentist S7-44C 01/24/2006 Inactive Todd Warren Newton Todd Warren Newton DDS Dentist 3060 07/15/1996 Active Benita Kong Lae Ng Benita Kong Lae Ng DDS Dentist 6326 09/20/2012 Active Seran Suet Ying Ng Seran Suet Ying Ng DMD Specialty Dentist S6-123 08/02/2013 Inactive Aileen Yu Saun Ngan Aileen Yu Saun Ngan DDS Limited License Dental LL-430-16 07/13/2016 Active AudreyNgoc Hong NSBDENghiem AudreyNgoc Hong Nghiem DDS Dentist LIST6561 10/03/2014 Active Peter Mercado Nghiem Peter Mercado Nghiem DMD Dentist 6691 07/15/2015 Active Anthony Quoc Ngo Anthony Quoc Ngo DMD Dentist 4063 07/09/2001 Active Thanh Nhut Ngo Thanh Nhut Ngo DMD Dentist 4632 07/12/2004 Active Aimee Van Anh Nguyen Aimee Van Anh Nguyen DMD Limited License Dental LL-429-16 07/27/2016 Active Benjamin Bao Nguyen Benjamin Bao Nguyen DMD Dentist 6792 06/01/2016 Inactive Brian Dzung Nguyen Brian Dzung Nguyen DMD Dentist 4856 11/15/2005 Active Can Xuan Nguyen Can Xuan Nguyen DMD Specialty Dentist S3-254C 01/24/2014 Inactive Cat-Hien Thai Nguyen Cat-Hien Thai Nguyen DDS Dentist 4352 01/22/2003 Active Daniel Quy Nguyen Daniel Quy Nguyen DDS Dentist 4300 08/06/2002 Inactive Darren Lee Nguyen Darren Lee Nguyen DDS Dentist 4075 01/23/2002 Active

166 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Jacksonville University Orthodontic Department 2800 University Blvd North S2 - Oral and Maxillofacial Surgeon 06/30/2019 TPM Consulting PO Box 833 06/30/2019 Courtesty Dental Group & Orthodontics 7901 W. Tropical Pkwy Suite 120 06/30/2019 7104 Plushstone St S3 - Orthodontist 06/30/2019 318 Glistening Cloud Dr 06/30/2019 470 Pioneer way po box 45 06/30/2019 Southern NV Family Dentistry 10120 S Eastern Ave #375 06/30/2019 10120 S Eastern Ave #375 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dental Care International 1750 Wheeler Peak Dr 06/30/2019 2615 Buckmaster Ln 06/30/2019 3663 E Sunset Rd Ste 301 06/30/2019 Comfort Care Dental group 803 S 7th St 06/30/2019 Dr. Gilbreth Family and Cosmetic Dentistry 5785 Centennial Center Blvd Ste 180 S3 - Orthodontist 06/30/2019 431 East Morning Ridge circle 06/30/2019 Stephen C Price DDS Ltd 2552 Idaho St S3 - Orthodontist 06/30/2019 Green Valley Orthodontics 1909-A N Green Valley Pkwy 06/30/2019 Wonderful Smiles Dental 7211 S Eastern Ave Ste 110 06/30/2019 8809 S Pointe Pkwy East #1061 06/30/2019 505 South St Apt A 06/30/2019 Green Valley Dentistry 11 S Stephanie St Suite 100 06/30/2019 Marc Nelson DMD 710 N Division St 06/30/2019 Matthew E Nelson, DDS 7101 E Thomas Rd 06/30/2019 Wagner Dental 2045 Village Center Circle Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS7410 S6 - Pediatric Dentist or Pedodontist 06/30/2019 796 Spotted Eagle St S4 - Periodontist 06/30/2019 6387 Davidson Ct 06/30/2019 Reno Dental Associates 475 Kirman Ave 06/30/2019 3352 Quilici Rd 06/30/2019 475 Kirman Ave 06/30/2019 David Newell 1625 Highway 88 Suite #204 S7 - Endodontist 06/30/2019 9764 Equus Cir 06/30/2019 Warm Springs Dental 1525 Warm Springs Rd #100 06/30/2019 Community Health Alliance 2244 Oddie Blvd S6 - Pediatric Dentist or Pedodontist 06/30/2019 Seran Ng DMD Inc 15810 Gale ave 298 Limited License Dentist 06/30/2019 Roseman University 4 Sunset Way NSBDE06/30/2019 LIST2015 Crockett Circle 06/30/2019 1917 Granite Ave 06/30/2019 6612 Silverspur Ln 06/30/2019 5061 E. Sahara Ave Limited License Dentist 06/30/2019 Roseman University 4 Sunset Way Bldg C 06/30/2019 1936 Lake St. 06/30/2019 Tri State Dental 450 E Silverado Ranch #105 S3 - Orthodontist 06/30/2019 250 River Rd 06/30/2019 Pearly Whites 3650 S Eastern Ave Suite 220 06/30/2019 34905 Seacliff Ter 06/30/2019 Darren Nguyen 889 S Rainbow Blvd, #671

167 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Jacksonville FL 32211 (910) 396-1571 (910) 396-6202 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Verdi NV 89439 (775) 329-2299 (775) 329-2450 USC 06/01/1976 Las Vegas NV 89149 (702) 839-5030 (702) 259-6596 Oregon-Oregon Health and Science University School of Dentistry 06/21/2013 Las Vegas NV 89148 (702) 655-6777 Henderson NV 89012 (702) 968-5222 (702) 968-5277 New York-New York University College of Dentistry 05/16/2012 Tahoe city CA 96145 State University of New York-Buffalo 06/01/1995 Henderson NV 89052 (702) 361-9611 (702) 492-0182 USC 05/14/1999 Henderson NV 89052 (702) 361-9611 (702) 492-0182 USC 05/08/1998 Las Vegas NV 89106 (702) 272-1100 (702) 451-0583 New York University 01/31/1977 Las Vegas NV 89117 (702) 388-8989 (702) 492-0182 UCSF 06/18/2005 Las Vegas NV 89120 (702) 450-5999 (702) 450-9501 USC 05/12/1995 Las Vegas NV 89101 (702) 948-8235 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/14/2012 Las Vegas NV 89149 (702) 395-0366 Draper UT 84020 (801) 269-0303 (801) 269-0447 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/21/2006 Elko NV 89801 (775) 738-7666 Henderson NV 89074 (702) 897-1611 (702) 897-1396 University of the Pacific 06/01/1982 Las Vegas NV 89119 (702) 823-0086 Phoenix AZ 85044 Yerington NV 89447 (775) 773-2005 (702) 898-0035 USC 04/22/1970 Henderson NV 89012 (702) 457-7818 (702) 456-1264 University of Nebraska 06/01/1987 Carson City NV 89703 (775) 882-4242 (775) 882-4675 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Scottsdale AZ 85251 (480) 947-3004 Virginia-Virginia Commonwealth University School of Dentistry 05/19/2007 Las Vegas NV 89134 (949) 768-1800 (702) 456-5102 University of the Pacific 06/11/2006 Las Vegas NV 89106 (702) 774-2659 (702) 774-2651 University of Michigan 05/01/1979 Henderson NV 89015 (702) 774-2415 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89110 (702) 671-5137 (702) 474-9617 UCLA 06/03/1978 Reno NV 89502 (775) 786-3411 (775) 786-3608 University of the Pacific 06/17/2001 Reno NV 89511 (775) 786-3472 (775) 786-3608 University of the Pacific 06/01/1975 Reno NV 89502 (775) 284-4161 (775) 786-3608 University of the Pacific 06/12/2005 Minden NV 89423 (775) 782-4525 (775) 626-7811 University of Washington 06/11/2005 Boyton Beach FL 33472 (775) 884-2111 (775) 826-0919 New York University 06/06/1962 Henderson NV 89014 (702) 454-0818 (702) 454-3716 USC 05/06/1988 Sparks NV 89431 (775) 825-9225 (775) 825-9366 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2012 Hacienda heights CA 91745 (267) 269-2526 (626) 330-8589 Pennsylvania-Temple University School of Dentistry 05/13/2009 Henderson NV 89014 (702) 968-1682 California-University of Southern California School of Dentistry 05/15/2015 Irving NSBDETX 75038 Texas-Baylor College of Dentistry Component of TexasLIST A & M Health Sci Ctr 05/27/2010 Las Vegas NV 89106 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Huntington Beach CA 92648 (702) 385-4266 (702) 220-4266 Tufts University 05/17/1998 Las Vegas NV 89142 (702) 641-8868 (702) 657-8096 Temple University 05/22/2002 Henderson NV 89014 (702) 968-5222 (949) 981-8386 Massachusetts-Tufts University School of Dental Medicine 05/19/2013 Huntington Beach CA 92683 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89123 (702) 263-8820 (702) 835-1101 Nova Southeastern University 05/30/2004 Gladwyne PA 19035 (408) 995-5009 (408) 995-5129 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/21/1996 Las Vegas NV 89169 (702) 734-2499 (702) 946-0844 UCLA 06/14/2002 Fremont CA 94555 (408) 272-4229 (408) 272-0900 University of the Pacific 06/13/1996 Las Vegas NV 89145 (702) 372-5273 USC 08/08/2000

168 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Indiana-Indiana University School of Dentistry 05/14/2017

Nevada - University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Massachusetts-Boston University Goldman School of Dental Medicine 05/16/2010 NSBDE LIST

169 DENTISTS 01/01/2019

BoardAction

04/25/2014,06/19/2015

08/14/2009 NSBDE LIST

06/21/2007

02/19/2010,10/21/2011

170 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Diem Cong Nguyen Diem Cong Nguyen DMD Dentist 4732 04/21/2005 Active Dieu-Hoa Thi Nguyen Dieu-Hoa Thi Nguyen DMD Dentist 6356 08/02/2013 Active Frank Duke Nguyen Frank Duke Nguyen DDS Dentist 3365 01/20/1999 Active Hermann Huu Nguyen Hermann Huu Nguyen DDS Dentist 3699 07/03/2000 Active Hien Van Nguyen Hien Van Nguyen DDS Dentist 4922 03/23/2006 Active Hong Anh Nguyen Hong Anh Nguyen DDS Dentist 6893 04/14/2017 Active Hongphuc Thi Nguyen Hongphuc Thi Nguyen DDS Dentist 4486 07/28/2003 Active Hop Huu Nguyen Hop Huu Nguyen DMD Dentist 4760 05/26/2005 Active Hung Tan Nguyen Hung Tan Nguyen DMD Dentist 5073 07/20/2006 Active Huy Cao Nguyen Huy Cao Nguyen DDS Dentist 4823 10/10/2005 Active Jack Trieu Nguyen Jack Trieu Nguyen DDS Dentist 6841 08/24/2016 Active Joanne Anh Nguyen Joanne Anh Nguyen DMD Dentist 4336 01/22/2003 Active Julie Kim Nguyen Julie Kim Nguyen DDS Dentist 6971 09/15/2017 Active Khanh Huy Nguyen Khanh Huy Nguyen DDS Dentist 4186 05/31/2002 Active Khanh Tuan Nguyen Khanh Tuan Nguyen DMD Dentist 4603 04/29/2004 Active Kim Thien Nguyen Kim Thien Nguyen DDS Dentist 6372 11/30/2012 Active Long Van Nguyen Long Van Nguyen DMD Specialty Dentist S7-92 07/27/2016 Active Luyen Luc Nguyen Luyen Luc Nguyen DDS Dentist 4750 04/21/2005 Inactive Man Dinh Nguyen Man Dinh Nguyen DMD Dentist 4886 01/24/2006 Active Michelle Kim Nguyen Michelle Kim Nguyen DDS Dentist 6734 01/20/2016 Inactive Peter Son Nguyen Peter Son Nguyen DDS Specialty Dentist S6-139 08/12/2015 Active Phan Ngoc Nguyen Phan Ngoc Nguyen DDS Dentist 4497 07/28/2003 Active Steve Hiep Nguyen Steve Hiep Nguyen DMD Dentist 3778 04/30/2001 Active Suzanne Elizabeth Nguyen Suzanne Elizabeth Nguyen DDS Dentist 6010 07/14/2010 Inactive Thong Huu Nguyen Thong Huu Nguyen DDS Dentist 4837 11/15/2005 Active Thuy-Anh Pham Nguyen Thuy-Anh Pham Nguyen DDS Dentist 7162 11/29/2018 Active Tim Truong Nguyen Tim Truong Nguyen DDS Dentist 4560 01/21/2004 Active Trang Thithu Nguyen Trang Thithu Nguyen DMD Dentist 4709 01/16/2005 Active Tri Manh Nguyen Tri Manh Nguyen DDS Dentist 4368 01/22/2003 Active Trinh Phuong Nguyen Trinh Phuong Nguyen DDS Dentist 4272 07/01/2002 Active Tuong Vi Thi Nguyen Tuong Vi Thi Nguyen DDS Dentist 6699 08/12/2015 Inactive Xuan-Binh Thi Nguyen Xuan-Binh Thi Nguyen DMD Dentist 6972 08/04/2017 Active Suzie Thu-Ha Nguyen-Su Suzie Thu-Ha Nguyen-Su DDS Dentist 3077 01/06/1997 Active Gregory James Nielsen Gregory James Nielsen DDS Dentist 4702 01/16/2005 Inactive France Joseph Nielson France Joseph Nielson DDS Dentist 7133 12/06/2018 Active Nahal Niknam NSBDENahal Niknam DDS Dentist LIST5995 12/04/2009 Inactive Alissara Gena Nimsuwan Alissara Gena Nimsuwan DMD Dentist 7034 04/27/2018 Active Robert Wilford Nisson Robert Wilford Nisson DDS Dentist 2540 07/11/1989 Active Gregory M Nitz Gregory M Nitz DDS Dentist 2171 07/12/1983 Retired Brett Alan Noorda Brett Alan Noorda DMD Dentist 3061 07/15/1996 Active Carey Bruce Noorda Carey Bruce Noorda DDS Specialty Dentist S3-37 03/18/1989 Active Daniel Tom Norris Daniel Tom Norris DDS Dentist 5699 06/27/2008 Active Nikki Rae Norton Nikki Rae Norton DMD Dentist 5424 11/30/2006 Active Cindy Nou Cindy Nou DMD Dentist 6670 06/04/2015 Active Richard Bruce Novick Richard Bruce Novick DDS Specialty Dentist S3-62C 08/06/2002 Active Amy Aurora Nygren Amy Aurora Nygren DMD Dentist 6803 06/08/2016 Active

171 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Viva Dental 840 N Decatur Blvd Suite H 06/30/2019 719 Emerald City Ave 06/30/2019 Heavenly Smiles Dental 2642 W Horizon Ridge Pkwy #4A 06/30/2019 Centennial Hills Dental Health Centre 7501 N Cimarron Rd #105 06/30/2019 Laser Dental 4401 E Sunset Rd #3 06/30/2019 Aces Dental 6127 S Rainbow Blvd Ste 100A 06/30/2019 EverBright Dental 4610 E Sunset Rd 06/30/2019 Planet Dental 4570 N. Rancho Dr. Ste. 2 06/30/2019 American Dental 150 S. HWY 160 Ste. C-11 06/30/2019 149 Tree Shot Ct. 06/30/2019 2700 Botticelli Drive 06/30/2019 Dedicated Dental 70 E Horizon Ridge Pkwy #150 06/30/2019 9353 Bolsa Ave Apt L62 06/30/2019 Siena Hills Family Dental 9330 W Flamingo Rd #112 06/30/2019 Dentists on Nellis 2755 S Nellis Blvd. #12 06/30/2019 Tri State Dental 450 E Silverado Ranch Blvd suite 105 S7 - Endodontist 06/30/2019 American Dental 150 S Hwy 160 Ste C-11 06/30/2019 2440 Vanderbilt Beach Road Unit 212 06/30/2019 8494 Rushfield Ave 06/30/2019 9353 Bolsa Ave #L62 S6 - Pediatric Dentist or Pedodontist 06/30/2019 10739 centerville bay street 06/30/2019 Town & Country Dental 7225 S Durango Dr #102 06/30/2019 1148 Tumbling River Ave 06/30/2019 13297 Michael Rainford Cir 06/30/2019 10072 Saint Augustine St 06/30/2019 Woodbridge Dentistry 4950 Barranca Pkwy Ste 309 06/30/2019 Best Bite Dental 8090 Blue Diamond Rd Suite 120 06/30/2019 2966 Copper Beach Ct 06/30/2019 9353 Bolsa Ave #KG4 06/30/2019 Desert Palms Dental 5515 Camino Al Norte #100 06/30/2019 Able Dental 3211 N Tenaya Way Ste 122 06/30/2019 3657 Carick Place Way 06/30/2019 Suzie Nguyen-Su, D.D.S., Ltd. 2451 Professional Ct #110 06/30/2019 4196 Bainbridge Cir. 06/30/2019 Absolute Dental 2250 S Rancho Dr Ste 205 NSBDE06/30/2019 LIST4340 Warwick Blvd 06/30/2019 8316 Accolade St 06/30/2019 Warm Springs Dental 1525 Warm Springs Rd Suite 100 06/30/2019 2490 Faretto Ln 06/30/2019 Dental Excellence 66 N Pecos Rd Suite B S3 - Orthodontist 06/30/2019 Carey B Noorda, DDS 1701 N Green Valley Pkwy. #1 06/30/2019 Eureka Dental Care 250 S Main St PO Box 586 06/30/2019 Lake Mead Dental 7481 W Lake Mead Blvd 06/30/2019 Aces Dental at Sunset 3674 E Sunset Rd Suite #120 S3 - Orthodontist 06/30/2019 9050 W Tropicana Ave #1128 06/30/2019 1496 Mount Grant

172 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89107 (702) 432-8482 (702) 367-2125 Tufts University 05/23/1999 Las Vegas NV 89183 (702) 565-0000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Henderson NV 89052 (702) 614-6833 (702) 914-3634 USC 08/19/1997 Las Vegas NV 89131 (702) 655-8600 (702) 655-8961 California-University of Southern California School of Dentistry 05/14/1999 Henderson NV 89014 (702) 735-5297 (702) 735-5291 New York University 05/10/2001 Las Vegas NV 89118 (702) 998-2237 Henderson NV 89014 (702) 247-8567 (702) 433-0021 USC 05/08/1998 Las Vegas NV 89130 (702) 656-9497 (702) 656-9138 Temple University 05/21/1998 Pahrump NV 89048 (775) 727-8818 (775) 727-8870 Boston University 05/16/2004 Las Vegas NV 89148 (702) 452-3552 (702) 655-6737 New York University 09/27/2004 Henderson NV 89052 (702) 614-6833 California-University of Southern California School of Dentistry 05/13/2016 Henderson NV 89002 (702) 566-5509 (702) 566-5198 Temple University 05/23/2002 Westminster CA 92683 Las Vegas NV 89147 (702) 562-2333 (702) 562-6386 USC 08/22/1995 Las Vegas NV 89121 (702) 457-5335 (702) 457-3848 Temple University 05/21/1998 Las Vegas NV 89183 (702) 263-8820 California-University of Southern California School of Dentistry 05/11/2012 Pahrump NV 89048 (775) 727-8818 (775) 727-8870 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/19/2013 Naples FL 34109 (239) 593-6708 (239) 593-6710 Northwestern University 08/31/1991 Las Vegas NV 89178 (702) 855-0050 (702) 629-2410 University of Pittsburgh 06/04/2000 Westminster CA 92683 California-University of Southern California School of Dentistry 08/11/2015 Las Vegas NV 89179 (702) 458-6684 Michigan-University of Michigan School of Dentistry 05/02/2013 Las Vegas NV 89113 (702) 558-8696 (702) 558-3116 New York University 05/16/2002 Henderson NV 89052 (702) 317-7767 (702) 898-5232 Pennsylvania-Temple University School of Dentistry 06/21/1997 Garden Grove CA 92843 (714) 229-4880 (714) 229-4823 Tennessee-Meharry Medical College School of Dentistry 05/17/2003 Las Vegas NV 89183 (702) 649-1400 (702) 871-2378 Northwestern University 08/28/1999 Irvine CA 92604 (949) 552-5055 Las Vegas NV 89178 (702) 897-2483 Louisiana State University 05/17/2003 Las Vegas NV 89117 (702) 735-1096 (702) 735-2490 Boston University 05/16/2004 Westminster CA 92683 (702) 222-4330 (714) 373-5039 USC 08/06/2002 North Las Vegas NV 89031 (702) 633-6332 (702) 644-7822 Loma Linda University 05/26/2002 Las Vegas NV 89129 (702) 641-2300 (702) 641-2323 California-University of Southern California School of Dentistry 05/15/2015 San Jose CA 95121 (702) 998-2237 Las Vegas NV 89128 (702) 240-4242 (702) 240-6545 UCLA 06/11/1994 billings MT 59106 (406) 656-8300 (702) 982-1998 University of Colorado 05/28/2004 Las Vegas NV 89102 (702) 291-2031 Kansas City NSBDEMO 64111 California-University of Southern California School ofLIST Dentistry 05/12/2006 Las Vegas NV 89139 (702) 658-2311 Henderson NV 89014 (702) 454-0818 (702) 454-3716 USC 05/01/1989 Reno NV 89511 (775) 852-0676 University of the Pacific 06/01/1983 Henderson NV 89074 (702) 456-7403 (702) 434-7498 OR Health Sciences University 06/07/1996 Henderson NV 89074 (702) 737-5500 (702) 737-5565 University of the Pacific 06/01/1984 Eureka NV 89316 (775) 237-7778 (208) 788-1122 Iowa-University of Iowa College of Dentistry 06/04/2004 Las Vegas NV 89128 (702) 220-4266 (702) 304-9499 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89120 (702) 565-0000 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89147 (702) 456-0005 University of Texas 05/30/1974 Reno NV 89523 (775) 386-2246 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016

173 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/12/2017

California-University of Southern California School of Dentistry 05/14/1999

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Virginia-Virginia CommonwealthNSBDE University School of Dentistry 05/22/2010 LIST Massachusetts-Tufts University School of Dental Medicine 05/22/2016

174 DENTISTS 01/01/2019

BoardAction

01/20/2017,03/13/2008,05/20/2016

02/06/2009

03/18/2003

01/24/2006 02/19/2010 NSBDE LIST

175 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Richard David Occhialino Richard David Occhialino DMD Dentist 3690 07/03/2000 Active Zeny Nickolas Ocean Zeny Nickolas Ocean DDS Dentist 0845 09/01/1975 Active Patrick Allan O'Connor Patrick Allan O'Connor DDS Specialty Dentist S2-18 09/13/1990 Active Kyle Russell O'Donnell Kyle Russell O'Donnell DDS Dentist 6313 07/18/2012 Active Daniel James Oehler Daniel James Oehler DMD Dentist 3578 05/08/2000 Active John Michael OGara John Michael OGara DDS Dentist 1010 03/01/1979 Active Patricia Colleen O'Gara Patricia Colleen O'Gara DDS Dentist 3498 01/19/2000 Active William Patrick O'Gara William Patrick O'Gara DDS Specialty Dentist S3-39 06/02/1989 Active Katherine Ann O'Gorman Katherine Ann O'Gorman DDS Dentist 6544 10/03/2014 Active Sae Kyu Oh Sae Kyu Oh DDS Dentist 3745 01/17/2001 Inactive Samuel Borum Oh Samuel Borum Oh DMD Specialty Dentist S6-153 08/11/2017 Active Saro Oknaian Saro Oknaian DMD Dentist 6771 05/11/2016 Inactive Byron Scott Okubo Byron Scott Okubo DMD, MS Specialty Dentist S3-179 07/17/2008 Active Brady Cade Okuda Brady Cade Okuda DMD Dentist 6443 06/28/2013 Active David Masashi Okuji David Masashi Okuji DDS Dentist 4665 10/21/2004 Inactive Amanda Jo Okundaye Amanda Jo Okundaye DDS Dentist 5993 02/19/2010 Active Otabor Enata Okundaye Otabor Enata Okundaye DDS Specialty Dentist S5-37C 08/02/2013 Active Kathleen Felice Olender Kathleen Felice Olender DDS Specialty Dentist S7-23 03/25/1997 Active Cameron Douglas Oler Cameron Douglas Oler DDS Specialty Dentist S7-61 01/17/2008 Active Dallas Christopher Oler Dallas Christopher Oler DDS Dentist 6380 01/24/2013 Active Andelyn Marie Olsen Andelyn Marie Olsen DMD Dentist 6540 08/01/2014 Active Gregory David Olsen Gregory David Olsen DDS, MS Specialty Dentist S3-259C 04/25/2014 Inactive Heather Nicole Olson Heather Nicole Olson DMD Dentist 6917 06/16/2017 Active Joseph Matthew Olson Joseph Matthew Olson DMD Dentist 6308 08/17/2012 Inactive Kevin Joseph Olson Kevin Joseph Olson DMD Specialty Dentist S6-109 07/15/2011 Active David Kent Ord David Kent Ord DDS Dentist 3217 01/21/1998 Active Daniel Lewis Orr Daniel Lewis Orr II DDS Specialty Dentist S2-12 09/24/1979 Active Mireya Schnieder Ortega Mireya Schnieder Ortega DDS Dentist 4606 06/11/2004 Active Aaron Joseph Osga Aaron Joseph Osga DDS Dentist 7042 05/18/2018 Active Darrell Lee Osterhoudt Darrell Lee Osterhoudt DMD Geographically Restricted Dentist License GR6495TA 04/25/2014 Active Thomas Jon Ostler Thomas Jon Ostler DDS Dentist 3366 01/20/1999 Active Anastasia Lianne Dodson Owens Anastasia Lianne Dodson Owens DDS Dentist 6054 08/20/2010 Active Alan L Ozaki Alan L Ozaki DDS Dentist 2273 03/26/1985 Active Lincoln I Pace Lincoln I Pace DDS Dentist 4954 05/18/2006 Inactive Keith Michael Packer Keith Michael Packer DMD, MS Specialty Dentist S3-303 02/24/2017 Active Marco Tulio PadillaNSBDEMarco Tulio Padilla DMD, MS Specialty Dentist LISTS5-12 09/05/1997 Active Jorge Paez Jorge Paez DDS Dentist 2943 07/17/1995 Active Dan Chan Paik Dan Chan Paik DDS Dentist 2887 03/22/1995 Active Minyong Pak Minyong Pak DDS Dentist 4751 04/21/2005 Active Felipe Merana Paleracio Felipe Merana Paleracio DDS Dentist 4685 12/09/2004 Active Maurice R Palermo Maurice R Palermo Jr DDS Dentist 2058 10/01/1981 Active Sufia Louise Palluck Sufia Louise Palluck DDS Dentist 5123 08/25/2006 Active Randall Joseph Pane Randall Joseph Pane DDS Dentist 3062 07/15/1996 Active Gorden Wells Pang Gorden Wells Pang DMD Dentist 7085 07/05/2018 Active Shane Ray Panter Shane Ray Panter DDS Dentist 2488 07/10/1991 Inactive Mary Katherine Papez-Berg Mary Katherine Papez-Berg DDS Dentist 2684 07/09/1991 Active

176 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 2042 Bobtail Cir 06/30/2019 4225 Palomino Cir S2 - Oral and Maxillofacial Surgeon 06/30/2019 Patrick A O'Connor, LTD 630 S Rancho Dr #B 06/30/2019 Willow Creek Dental 9400 Station St Ste 175 06/30/2019 Daniel J. Oehler, DMD 731 Mall Ring Cir 203 06/30/2019 J Michael O'Gara, DDS 645 W 6th St Suite A 06/30/2019 4480 mountaingate dr S3 - Orthodontist 06/30/2019 18124 Wedge Pkwy #1009 06/30/2019 North Hills Dental Group 1005 North Hills Blvd 06/30/2019 Smileland Dental 3990 Ming Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 5401 Leyton Dr 06/30/2019 Stephanie Dental Group 175 N Stephanie St Ste 170 S3 - Orthodontist 06/30/2019 12 Birchtree Ln 06/30/2019 4608 Conrad Cir 06/30/2019 7960-B Soquel Dr #226 06/30/2019 3815 Tropical Vine St S5 - Prosthodontist 06/30/2019 3815 Tropical Vine St S7 - Endodontist 06/30/2019 7520 W Sahara Ave S7 - Endodontist 06/30/2019 Oler Dental 581 12th St 06/30/2019 131 Bard Ct 06/30/2019 Florence McClure Women's Correctional Center 4370 Smiley Rd S3 - Orthodontist 06/30/2019 3427W Naomi Ln 06/30/2019 1001 S Meadows Pkwy Apt 1521 06/30/2019 4946 East Rooster Circle S6 - Pediatric Dentist or Pedodontist 06/30/2019 Carson City Pediatric Dentistry 4530 S. Carson St 5 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS7410 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Daniel L Orr II DDS MS Ltd 2040 W Charleston Blvd Suite 201 06/30/2019 High Sierra Dental Care 1060 Ski Run Blvd 06/30/2019 Rainsprings Dental Group 8035 S Rainbow Blvd Ste 102 06/30/2019 7 Day Dental 2575 N 5th St Ste A 06/30/2019 4285 Callahan Ave. 06/30/2019 Reno Dental Care 601 W Moana Ln 2 06/30/2019 Alan L Ozaki, DDS 6707 W Charleston Blvd Suite 3 06/30/2019 6239 E Camelback Rd S3 - Orthodontist 06/30/2019 6153 Loma De Cristo Dr S5 - ProsthodontistNSBDE06/30/2019 Advanced Prosthodontics of Las Vegas LIST851 South Rampart Blvd suite #250 06/30/2019 Nevada Dental Esthetics 4455 S Jones Blvd #2 06/30/2019 Dan C. Paik DDS 301 N. Pecos Rd Suite F 06/30/2019 10551 Alo Springs 06/30/2019 Philip M Paleracio DDS LTD 601 south rancho drive suite b-15 06/30/2019 Maurice R Palermo DDS 601 W Moana Ln Suite 4 06/30/2019 Sufia LLC DBA Somerset Dental 7720 W sahara ave #107 06/30/2019 Greg Eissmann, DDS, PC 4101 Caughlin Square Suite 6 06/30/2019 Durango Dental Group 3140 S Durango Dr Ste 100 06/30/2019 9465 Swan Lake Dr 06/30/2019 601 West Moana Lane Suite #7

177 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Henderson NV 89012 (702) 616-1942 (702) 898-7580 University of Pennsylvania 05/15/1973 Reno NV 89519 (775) 329-1333 (775) 329-1335 University of Missouri-KC 06/01/1968 Las Vegas NV 89106 (702) 870-2555 (702) 870-4997 University of Oklahoma 06/01/1985 Lone Tree CO 80124 (303) 730-3910 (303) 362-9259 Nebraska-Creighton University School of Dentistry 05/12/2012 Henderson NV 89014 (702) 731-2757 (702) 363-4136 OR Health Sciences University 06/09/1999 Reno NV 89503 (775) 329-6183 (775) 329-5987 USC 03/16/1979 Reno NV 89519 (775) 329-6183 (775) 329-6987 University of the Pacific 06/20/1999 Reno NV 89511 (775) 825-1881 (775) 825-2024 University of the Pacific 06/01/1985 Reno NV 89506 (775) 359-3934 (775) 359-4034 Michigan-University of Michigan School of Dentistry 05/02/2013 Bakersfield CA 93309 (661) 323-1111 (661) 323-2975 Tufts University 05/14/1996 McKinney TX 75071 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Henderson NV 89074 (702) 655-6777 (702) 982-8501 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Sandy UT 84092 (801) 561-9939 (801) 565-9663 Washington University 05/15/1987 Las Vegas NV 89121 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Aptos CA 95003 (808) 440-6613 UCLA 03/23/1979 Las Vegas NV 89147 (866) 235-3806 Tennessee-Meharry Medical College School of Dentistry 05/22/2004 Las Vegas NV 89147 (702) 791-7019 California-University of California at Los Angeles School of Dentistry 05/10/2013 Las Vegas NV 89117 (702) 384-7200 (702) 384-7593 UCSF 06/16/1991 Elko NV 89801 (208) 734-6464 (208) 734-6470 Nebraska-University of Nebraska Medical Center College of Dentistry 05/07/2004 Burlington NC 27215 (336) 524-0099 North Carolina-University of North Carolina School of Dentistry 05/08/2011 Las Vegas NV 89115 (702) 668-7308 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Queen Creek AZ 85142 (406) 542-7572 (406) 542-7713 Indiana-Indiana University School of Dentistry 05/12/2002 Reno NV 89521 (775) 823-9419 Wasilla AK 99654 (702) 851-6722 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Carson City NV 89701 (775) 461-3800 (775) 461-3801 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89154 (702) 774-2663 (702) 774-2721 USC 08/16/1985 Las Vegas NV 89102 (702) 383-3711 (702) 383-2653 California-University of Southern California School of Dentistry 06/01/1975 South Lake Tahoe CA 96150 (530) 541-7040 (530) 541-3429 UCLA 06/12/1987 Las Vegas NV 89139 (702) 896-7211 Elko NV 89801 (801) 568-0178 (801) 568-3932 Pennsylvania-Temple University School of Dentistry 05/23/2002 Las Vegas NV 89120 (702) 731-5700 Creighton University 05/17/1997 Reno NV 89509 (775) 825-8990 (775) 825-0936 Washington-University of Washington-Health Sciences School of Dentistry 06/08/2007 Las Vegas NV 89146 (702) 870-5783 (702) 870-3193 UCLA 06/01/1984 Scottsdale AZ 85251 (520) 323-1400 (520) 547-0042 USC 05/14/1999 El Paso TX 79912 (915) 857-9700 (915) 857-9702 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NSBDENV 89145 (702) 263-4300 (702) 256-7912 University of Pittsburgh LIST08/01/1991 Las Vegas NV 89103 (702) 737-3553 (702) 873-5100 Creighton University 05/13/1995 Henderson NV 89074 (702) 558-4488 (702) 432-4488 USC 08/18/1987 Las Vegas NV 89179 (702) 299-9919 (415) 397-4233 UCLA 06/14/1996 Las Vegas NV 89106 (702) 385-1166 (973) 259-9700 New York University 05/31/1996 Reno NV 89509 (775) 825-8783 (775) 825-8791 Marquette University 05/01/1981 Las Vegas NV 89117 (702) 862-4088 (702) 862-4098 USC 05/12/2006 Reno NV 89519 (775) 827-2299 (775) 827-3897 University of Nebraska 05/05/1995 Las Vegas NV 89117 (702) 362-1856 Granite Bay CA 95746 (916) 773-1977 (916) 773-2988 University of the Pacific 06/01/1988 Reno NV 89509 (775) 825-6655 (775) 825-8691 UCSF 06/14/1991

178 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 06/30/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 Michigan-UniversityNSBDE of Michigan School of Dentistry 04/26/2012 LIST

Nebraska-Creighton University School of Dentistry 05/12/2018

179 DENTISTS 01/01/2019

BoardAction

11/20/2015 11/17/1995 NSBDE LIST

05/02/2008,08/14/2009

05/20/2016

06/27/2008

180 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Frank John Pappas Frank John Pappas DDS Dentist 7005 01/26/2018 Active William G Pappas William G Pappas DDS Dentist 2224 07/11/1984 Active Sara Kamali Paradiso Sara Kamali Paradiso DDS Dentist 6787 07/13/2016 Active Annie Parafianowicz Annie Parafianowicz DMD Dentist 7086 07/05/2018 Active Febiana Cachero Paran Febiana Cachero Paran DDS Dentist 3587 05/08/2000 Active Rick Brian Parigini Rick Brian Parigini DDS Specialty Dentist S3-47 07/25/1996 Active Ah Reum Park Ah Reum Park DMD Dentist 6453 06/28/2013 Inactive Bin Ho Park Bin Ho Park DDS Dentist 3521 01/19/2000 Inactive Elizabeth Park Elizabeth Park DDS Dentist 4703 01/16/2005 Active Eric Song Joon Park Eric Song Joon Park DDS Dentist 4852 11/15/2005 Active Griffin Davis Park Griffin Davis Park DMD Dentist 6943 06/09/2017 Active Jai Hong Park Jai Hong Park DDS Dentist 5562 06/21/2007 Active Jintae Park Jintae Park DDS Dentist 5678 03/13/2008 Active Soonjin Park Soonjin Park DDS Dentist 5588 11/01/2007 Active Wonpyo Eric Park Wonpyo Eric Park DDS Dentist 4956 05/18/2006 Inactive Coleman Harding Parker Coleman Harding Parker DMD Dentist 6657 06/04/2015 Active Heather Marie Parsons Heather Marie Parsons DMD Specialty Dentist S6-136 05/22/2015 Active Elham Partovi Elham Partovi DDS Dentist 4716 01/16/2005 Inactive Sam Partovi Sam Partovi DMD Dentist 4838 01/24/2006 Active Judd Ellis Partridge Judd Ellis Partridge DMD Specialty Dentist S2-105C 07/14/2010 Active James Stephen Paschal James Stephen Paschal DDS Dentist 2144 12/19/1982 Active Gene Louis Pascucci Gene Louis Pascucci DDS Dentist 2059 10/01/1981 Active James Arnold Pasternak James Arnold Pasternak DDS Dentist 6969 08/25/2017 Active David Louis Pastrell David Louis Pastrell DDS Dentist 2170 07/12/1983 Active Peter Darrell Pastrell Peter Darrell Pastrell DMD Dentist 3475 07/12/1999 Inactive Justin Gabor Patay Justin Gabor Patay DMD Dentist 6108 05/27/2011 Active Bhavin Shashikant Patel Bhavin Shashikant Patel DMD Limited License Dental LL-433-16 10/05/2016 Active Jetan Patel Jetan Patel DDS Dentist 7016 01/12/2018 Active Keya Vipul Patel Keya Vipul Patel DMD Dentist 6964 08/04/2017 Active Meenakshi Devendra Patel Meenakshi Devendra Patel DMD Dentist 4646 08/27/2004 Active Payal Sanjay Patel Payal Sanjay Patel DDS Dentist 6925 05/26/2017 Active Puja Balkrishna Patel Puja Balkrishna Patel DMD Dentist 6571 10/03/2014 Inactive Rahul Patel Rahul Patel DMD Dentist 6846 08/24/2016 Active Rasika Kantilal Patel Rasika Kantilal Patel DDS Dentist 5513 06/21/2007 Active Sarika Rajesh Patel Sarika Rajesh Patel DMD Dentist 5713 07/17/2008 Active Himali Kandarp PatelNSBDE Bhatt Himali Kandarp Patel Bhatt DDS Dentist LIST6685 07/15/2015 Active Pamela Jean Patten Pamela Jean Patten DDS Dentist 4548 12/11/2003 Active Jacqueline Nicole Patterson Jacqueline Nicole Patterson DDS Dentist 5804 10/30/2008 Active Anisha Varkey Paul Anisha Varkey Paul DMD Dentist 6470 08/02/2013 Active Dallas Joseph Paul Dallas Joseph Paul DMD Dentist 6782 06/22/2016 Inactive Steven F Paul Steven F Paul DDS, MD Specialty Dentist S2-101 10/09/2009 Active Candace Cooley Payne Candace Cooley Payne DMD Dentist 6046 07/14/2010 Inactive Eric Bruce Pendleton Eric Bruce Pendleton DDS Dentist 4568 01/21/2004 Active Christian Rene Peralta Christian Rene Peralta DMD Dentist 6477 10/04/2013 Active Justin Tyler Perdichizzi Justin Tyler Perdichizzi DMD Dentist 6340 06/28/2013 Active Liselott Ana Josefa Perez Liselott Ana Josefa Perez DDS Dentist 4308 09/26/2002 Active

181 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 42-29 217th St 06/30/2019 William G. Pappas, D.D.S. 7884 W. Sahara Ave. Suite 100 06/30/2019 Whitney Ranch Dental 1001 Whitney Ranch Dr 06/30/2019 6161 Stone Valley Dr Unit 1103 06/30/2019 Dental Care of Las Vegas, INC 9187 W. Flamingo Rd Ste 100 S3 - Orthodontist 06/30/2019 1702 County Rd #G 06/30/2019 751-2803 Woomylynn Complex 2 Haneul Dalbit-ro 113 Jungsan-Dong Jung-Gu 06/30/2019 Bin Ho Park DDS 782 N Main St Suite E 06/30/2019 Elizabeth Park DDS 501 S. Division St 06/30/2019 Eric S Park DDS PC 1126 Bell St 06/30/2019 609 Beer Grass 06/30/2019 Radiant Smiles II 8961 W Sahara Ave Ste 108 06/30/2019 JP Dental Care 6795 S Virginia St Suite E 06/30/2019 Access Dental Care 10643 Professional Cir Suite 102 06/30/2019 1820 Avenida Del Norte 06/30/2019 Center for Cosmetic & Family Dentistry 10410 S Eastern Ave Ste 200 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Valley Pediatric Dentistry 1701 County Rd Suite I 06/30/2019 6179 Jared Ct 06/30/2019 Desert Smiles 10175 W Twain Ave Suite 120 S2 - Oral and Maxillofacial Surgeon 06/30/2019 13653 Royal Chase Cir 06/30/2019 West Reno Dental 9680 S. McCarran Blvd. 06/30/2019 Gene Pascucci 980 Ryland Ave 06/30/2019 21000 Devonshire St Ste 209 06/30/2019 David L. Pastrell, DDS 6120 Mae Anne Ave Suite 3 06/30/2019 214 Kingsgate Way 06/30/2019 Sala Family Dentistry 4875 Summit Ridge Dr. Limited License Dentist 06/30/2019 1005 Wigwam Pkwy Apt 21203 06/30/2019 Happy Tooth Dental 3528 W 1st St 06/30/2019 Providence Dental 7181 N Hualapai Way Ste 105 06/30/2019 Elko Family Dentistry 674 N. Cedar St. Ste. #A 06/30/2019 245 S Gibson Rd #15207 06/30/2019 1725 2nd Ave SW Apt 418 06/30/2019 1325 Northwestern Drive Apt #2204 06/30/2019 1505 golden oak dr 06/30/2019 Stonewater Dentistry 4450 N Tenaya Way #225 NSBDE06/30/2019 Joshua M Ignatowicz DMD LIST1070 W Horizon Ridge Pkwy Ste 121 06/30/2019 Frontier Family Dental, Inc. 1840 E Calvada Blvd Suite 14 06/30/2019 Las Vegas Smile Center 6600 W Charleston Blvd #103 06/30/2019 17000 Wedge Pkwy #3124 06/30/2019 Dental Arts fo Surprise 14815 W Bell Rd. Ste. 202 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Steven F. Paul, D.D.S., Inc. 31383 Chemin Chevalier 06/30/2019 3647 E Marlene Dr 06/30/2019 Eric b Pendleton DDS, Ltd 601 West Moana Ln. Ste. 4 06/30/2019 Spanish Springs Modern Dentistry 242 Los Altos Pkwy 06/30/2019 5502 Spiceberry Dr. 06/30/2019 Dental Hispana 4800 Alpine Pl #1

182 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Bayside NY 11361 Las Vegas NV 89149 (702) 367-7133 (702) 367-2383 USC 06/01/1984 Henderson NV 89014 (702) 233-2787 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/22/2012 Reno NV 89523 Las Vegas NV 89147 (702) 252-3002 (702) 252-7546 USC 12/20/1999 Minden NV 89423 (775) 782-3600 (775) 782-3620 University of the Pacific 10/22/1964 Incheon xx 22377 Corona CA 92880 (951) 898-5658 (951) 735-9066 USC 05/12/1995 Carson City NV 89703 (775) 887-1195 (530) 541-3895 Loma Linda University 05/25/2003 Gardnerville NV 89410 (775) 782-2251 (775) 782-4501 Loma Linda University 05/27/2001 Las Vegas NV 89144 (702) 877-0500 Las Vegas NV 89117 (702) 331-4444 New York-New York University College of Dentistry 05/11/2006 Reno NV 89511 (775) 853-0503 (775) 853-0504 New York-New York University College of Dentistry 05/12/2005 Reno NV 89521 (775) 737-4035 (775) 737-4036 New York-New York University College of Dentistry 05/11/2006 Fullerton CA 92833 (562) 809-8911 (719) 522-0396 University of Iowa 06/09/2000 Henderson NV 89052 (702) 757-1573 (702) 369-0194 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Minden NV 89423 (775) 782-8077 (775) 782-6199 Massachusetts-Boston University Goldman School of Dental Medicine 05/22/2011 Woodland Hills CA 91367 (805) 653-0620 USC 05/11/2001 Las Vegas NV 89147 (702) 202-2300 (702) 871-4509 Illinois-Southern Illinois University School of Dental Medicine 06/04/1994 Draper UT 84020 (775) 753-6118 (801) 943-5150 Kentucky-University of Louisville School of Dentistry 05/11/2002 Reno NV 89523 (775) 323-4054 (775) 323-4167 Loma Linda University 06/01/1974 Reno NV 89502 (775) 323-2569 (775) 323-2568 Marquette University 05/01/1981 Chatsworth CA 91311 Reno NV 89523 (775) 746-1177 (775) 746-4920 University of the Pacific 06/01/1983 Grants Pass OR 97527 (541) 476-4199 (541) 476-7166 OR Health Sciences University 06/07/1996 Reno NV 89523 (775) 322-2061 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Henderson NV 89074 (702) 968-5937 (702) 968-5277 Oregon-Oregon Health and Science University School of Dentistry 09/19/2014 Santa Ana CA 92703 (714) 617-4400 Las Vegas NV 89166 (702) 852-2244 Elko NV 89801 (775) 777-3737 (775) 359-9336 University of New Jersey 05/21/1997 Henderson NV 89012 (702) 998-2237 minot ND 58701 New Jersey-University of Medicine & Dentistry of New Jersey New Jersey Dental School 05/23/2012 El Paso TX 79912 (702) 361-0061 (702) 361-1436 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/12/2016 Las Vegas NV 89117 (702) 438-8235 Tennessee-University of Tennessee College of Dentistry 05/28/2004 Las Vegas NV 89129 (702) 734-5000 (702) 734-5002 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Henderson NSBDENV 89012 (702) 473-5100 (781) 289-3332 Nebraska-Creighton University School of Dentistry LIST05/18/2013 Pahrump NV 89048 (775) 727-6006 (775) 727-6001 Creighton University 05/17/2003 Las Vegas NV 89146 (702) 312-8710 California-University of California at San Francisco School of Dentistry 06/15/2008 Reno NV 89511 (775) 851-2204 Massachusetts-Boston University Goldman School of Dental Medicine 05/19/2013 Surprise AZ 85374 (480) 498-4293 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Temecula CA 92591 (760) 233-5887 (951) 694-5453 California-University of California at Los Angeles School of Dentistry 06/13/2003 Gilbert AZ 85296 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Reno NV 89506 (775) 825-5711 (775) 825-5936 University of the Pacific 06/15/2003 Sparks NV 89436 (775) 354-1785 (775) 337-2843 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2013 Las Vegas NV 89135 (702) 774-2400 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89107 (702) 870-6362 (702) 870-6399 New York University 05/30/1992

183 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

District of Columbia-Howard University College of Dentistry 05/13/1989

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

California - University of Southern California 06/09/1977

California-University of Southern California School of Dentistry 05/13/2005 Nevada - University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 California-UniversityNSBDE of Southern California School of Dentistry 05/13/2016 LIST

184 DENTISTS 01/01/2019

BoardAction

09/08/2011

01/20/2007 NSBDE LIST

185 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Luisa Liselott Perez Luisa Liselott Perez DDS Dentist 5974 08/14/2009 Active Joseph H Peri Joseph H Peri DDS Dentist 2107 07/11/1982 Disabled Marielaina Perrone Marielaina Perrone DDS Dentist 3509 01/19/2000 Active Bryan Harold Peters Bryan Harold Peters DDS Dentist 4754 04/21/2005 Inactive Brady Todd Petersen Brady Todd Petersen DMD Dentist 6930 05/26/2017 Active Mardelle Rae Petersen Mardelle Rae Petersen DDS Dentist 6739 03/23/2016 Active Robert Todd Petersen Robert Todd Petersen DDS Dentist 6673 06/19/2015 Active Bradley Redge Peterson Bradley Redge Peterson DDS Dentist 5115 08/25/2006 Active Kevin Mark Peterson Kevin Mark Peterson DDS Dentist 5076 07/20/2006 Active Steven Wade Peterson Steven Wade Peterson DMD Dentist 6231 03/22/2012 Active Natasha Claire Petrie Natasha Claire Petrie DDS Dentist 6931 06/09/2017 Active Ann Tramanh Pham Ann Tramanh Pham DDS Dentist 4078 01/23/2002 Active Chi Thikim Pham Chi Thikim Pham DDS Dentist 4322 11/15/2002 Active Christian Alexander Pham Christian Alexander Pham DMD Dentist 5342 11/09/2006 Active Dai Van Pham Dai Van Pham DMD Dentist 5210 05/17/2007 Inactive David Khuong Pham David Khuong Pham DDS Dentist 4351 01/22/2003 Active Derrick Tuan Pham Derrick Tuan Pham DDS Dentist 7104 06/29/2018 Active Jeremy Huy Pham Jeremy Huy Pham DDS Dentist 7011 12/29/2017 Active Kim-Vy Chanh Pham Kim-Vy Chanh Pham DMD Dentist 6793 06/08/2016 Active Michael Tung Duy Pham Michael Tung Duy Pham DMD Dentist 4769 07/29/2005 Active Quyen Manh Pham Quyen Manh Pham DDS Dentist 5042 06/28/2006 Active Robert Pham Robert Pham DDS Dentist 4530 12/11/2003 Active Tam Van Pham Tam Van Pham DDS Dentist 6194 08/12/2011 Retired Tracy Quynh Pham Tracy Quynh Pham DMD Dentist 6926 06/16/2017 Active Yves Yen Pham Yves Yen Pham DMD Dentist 6929 06/30/2017 Active Anthony Quang Phan Anthony Quang Phan DMD Dentist 4923 03/23/2006 Active Dawna Thien Phan Dawna Thien Phan DMD Dentist 5483 06/21/2007 Active Matt Tri Phan Matt Tri Phan DMD Dentist 4282 07/01/2002 Inactive Nam Minh Phan Nam Minh Phan DMD Dentist 6033 07/14/2010 Active Paul Hoang Phan Paul Hoang Phan DDS Dentist 3697 07/03/2000 Active Phi Viet Phan Phi Viet Phan DDS Dentist 6533 08/01/2014 Active Jessica Sahiba Pharar Jessica Sahiba Pharar DMD Dentist 7019 01/12/2018 Active Chiaven Phen Chiaven Phen DDS Dentist 4847 11/15/2005 Active Huai Chang Phen Huai Chang Phen DDS Dentist 4640 07/12/2004 Active Kent Leroy Phillips Kent Leroy Phillips DDS Specialty Dentist S3-32 02/22/1985 Active Flora Monique MarieNSBDE Phipps Flora Monique Marie Phipps DDS Dentist LIST4785 07/11/2005 Active Andy Phui Andy Phui DMD Dentist 6637 06/04/2015 Active Samuel E Pick Samuel E Pick DDS Dentist 0608 01/01/1969 Active Tatevik Pilosyan Tatevik Pilosyan DDS Dentist 6834 07/20/2016 Active Stan Pinkus Stan Pinkus DDS Dentist 4621 07/29/2004 Inactive Timothy Todd Pinther Timothy Todd Pinther DDS Dentist 2888 03/22/1995 Active Gregory J Pisani Gregory J Pisani DDS Dentist 1033 09/01/1979 Active Arnold Charles Pitts Arnold Charles Pitts DDS Specialty Dentist S3-46 07/25/1996 Active Dan Owen Pitts Dan Owen Pitts DDS Dentist 0825 03/01/1975 Inactive Thomas Ross Pitts Thomas Ross Pitts DDS Specialty Dentist S3-22 04/01/1970 Active Yelena Piyevsky Yelena Piyevsky DDS Dentist 3344 07/13/1998 Active

186 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 4800 Alpine Pl Suite 1 06/30/2019 2420 Marina Cir 06/30/2019 Perrone Dental 2551 N Green Valley Pkwy. #A-405 06/30/2019 4825 San Gordiano Ave #C 06/30/2019 5680 Shadow Bend Dr 06/30/2019 Northern Nevada Correctional Center 1721 E Snyder Ave 06/30/2019 Manna Hills Dental 282 Spring Creek Pkwy Ste 202 06/30/2019 Gentle Dental 4451 N Rancho Dr 06/30/2019 Lone Mountain Family Dentistry 461 Hot Springs Rd 06/30/2019 Las Vegas Paiute Health & Human Services 1257 Paiute Cir 06/30/2019 1545 W Wigwam Pkwy Apt 621 06/30/2019 Miracle Dental 8001 N Durango Dr Suite 140 06/30/2019 5224 villa vecchio ct. 06/30/2019 CrestView Dental 60 S Stephanie St Suite #100 06/30/2019 1984 Augusta Dr 06/30/2019 5222 San Milano Ave 06/30/2019 Las Vegas Center for Cosmetic Dentistry 6136 W Sahara Ave 06/30/2019 Absolute Dental 5032 S Virginia St 06/30/2019 Inspired Dental 110 E Bruner Ave Ste 130 06/30/2019 Dental 1975 Craig Rd 06/30/2019 Paradise Smiles Dentistry 3375 E Tropicana Ave Ste F-8 06/30/2019 5516 BOULDER HWY. 06/30/2019 1845 W BEACON AVE 06/30/2019 6251 El Palomino Dr 06/30/2019 6796 Philharmonic Ave 06/30/2019 3665 Ivy canyon ct 06/30/2019 5061 E Sahara Ave Suite A1 06/30/2019 230 Bright Poppy 06/30/2019 3013 Travesara Ave 06/30/2019 Phantastic Dental Care 3625 S Rainbow Blvd. #103 06/30/2019 Dental Implant Institute 6170 W Desert Inn Rd 06/30/2019 P O Box 13296 06/30/2019 433 Singley Dr 06/30/2019 1703 Graystone Canyon Ave S3 - Orthodontist 06/30/2019 8490 Holiday Ln NSBDE06/30/2019 UNLV School of Dental Medicine LIST1001 Shadow Ln Bldg D, Room 233 06/30/2019 9296 Valley Betica Ave 06/30/2019 Samuel E. Pick, DDS 1000 N Green Valley Pkwy Suite 440-132 06/30/2019 Gubler Family Dental 2430 E Harmon Ave Ste 1 06/30/2019 795 Kearny Drive 06/30/2019 Sierra View Dental Center 1064 Riverview Drive 06/30/2019 Gregory J Pisani DDS, P.C. 548 W Plumb Ln Suite A S3 - Orthodontist 06/30/2019 Pitts Orthodontics 4786 Caughlin Pkwy #305 06/30/2019 Soldotha Dental Clinic 155 Smith Way #102 S3 - Orthodontist 06/30/2019 4786 Caughlin Pkwy #305 06/30/2019 Wigwam Dental Care 2649 Wigwam Pkwy #106

187 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89107 (702) 870-6362 (702) 870-6399 New York-New York University College of Dentistry 05/13/2009 Reno NV 89519 (775) 825-9225 (775) 825-9366 University of the Pacific 06/01/1982 Henderson NV 89014 (702) 458-2929 (702) 458-0831 State University of New York-Stoneybrook 06/13/1997 Santa Barbara CA 93111 (805) 569-2338 (775) 358-5344 Loma Linda University 09/14/1992 Las Vegas NV 89135 Carson City NV 89701 (775) 887-9297 (775) 887-9288 California-Loma Linda University School of Dentistry 07/09/1982 Spring Creek NV 89815 Oklahoma-University of Oklahoma College of Dentistry 05/09/2015 Las Vegas NV 89130 (702) 313-6868 (702) 346-8714 Indiana University 05/14/2006 Carson City NV 89706 (775) 883-1092 (775) 883-1096 Ohio State University 06/11/2006 Las Vegas NV 89106 (702) 382-0784 University of Nevada Las Vegas 05/13/2006 Henderson NV 89074 (702) 843-5028 Las Vegas NV 89131 (702) 456-0056 (702) 873-5222 UCLA 06/15/1999 Las Vegas NV 89141 (702) 382-2709 (702) 387-9995 University of Colorado 05/27/1995 Henderson NV 89012 (702) 558-5788 (702) 558-7388 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2004 Houston TX 77057 (702) 616-4703 Oregon-Oregon Health and Science University School of Dentistry 08/11/2006 Las Vegas NV 89141 (702) 263-3373 (702) 263-0690 UCLA 06/15/2000 Las Vegas NV 89146 (702) 362-9353 Reno NV 89502 Las Vegas NV 89183 (702) 798-6684 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89032 (702) 262-5693 (702) 617-0332 Temple University 05/20/1999 Las Vegas NV 89121 (661) 763-5133 (661) 763-5440 New York University 05/13/1999 Las Vegas NV 89122 (702) 547-2231 (702) 547-2232 USC 05/01/1998 ANAHEIM CA 92804 (714) 539-2300 (714) 539-2302 California-University of Southern California School of Dentistry 05/13/2011 Riverside CA 92509 (951) 658-9980 Las Vegas NV 89139 san jose CA 95121 (702) 399-9118 (702) 633-7420 Boston University 05/20/2003 Las Vegas NV 89142 (702) 641-8868 (714) 539-9995 Massachusetts-Boston University Goldman School of Dental Medicine 05/20/2001 Irvine CA 92618 (702) 804-1500 (702) 804-4133 Tufts University 05/16/1998 Henderson NV 89044 (702) 360-4800 (323) 582-2245 Massachusetts-Boston University Goldman School of Dental Medicine 05/17/2009 Las Vegas NV 89103 (702) 227-0085 (702) 227-9275 UCSF 06/17/2000 Las Vegas NV 89146 (702) 384-4721 (702) 384-2183 Washington-University of Washington-Health Sciences School of Dentistry 06/13/2014 Las Vegas NV 89112 (702) 445-7075 Milipitas CA 95035 (408) 240-0250 UCSF 06/15/2003 Las Vegas NV 89183 (702) 982-0800 (702) 982-8181 University of the Pacific 06/13/2004 Reno NV 89511 (775) 332-1750 (775) 851-8491 Loma Linda University 06/01/1973 Las Vegas NSBDENV 89106 (702) 774-2679 (702) 774-2402 Virginia Commonwealth University LIST05/22/2004 Las Vegas NV 89148 (702) 438-0888 (702) 433-2888 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Henderson NV 89074 (702) 498-8606 (702) 737-1494 Washington University 06/01/1966 Las Vegas NV 89121 (702) 796-0095 (702) 293-6852 California-University of Southern California School of Dentistry 05/13/2016 Valley Stream NY 11581 (631) 424-5900 New York University 05/15/1997 Gardnerville NV 89460 (775) 782-3638 (775) 782-6573 University of Colorado 05/28/1994 Reno NV 89509 (775) 329-9534 (775) 827-4460 University of the Pacific 06/01/1979 Reno NV 89519 (775) 825-3400 (775) 825-2900 University of the Pacific 06/20/1994 Soldotna AK 99669 (907) 262-4989 (907) 262-6595 Emory University 06/01/1974 Reno NV 89519 (775) 825-3400 (775)825-2900 University of the Pacific 06/01/1965 Henderson NV 89074 (702) 617-3333 (702) 617-0332 USC 05/12/1995

188 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

New York-Columbia University College of Dental Medicine 05/18/2016

California-University of Southern California School of Dentistry 05/13/2016 Nebraska-Creighton University School of Dentistry 05/18/2013

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 Arizona-Midwestern University 05/19/2017

Nevada-University NSBDEof Nevada, Las Vegas School of Dental Medicine 04/18/2014 LIST

189 DENTISTS 01/01/2019

BoardAction

03/18/1994,05/04/1999

03/18/2016

NSBDE LIST

02/03/2012,07/16/2009

190 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

William R Platt William R Platt DDS Dentist 2225 07/10/1984 Active William Joseph Plumb William Joseph Plumb DDS Dentist 6788 06/22/2016 Active Gregory Beng-Chuan Po Gregory Beng-Chuan Po DDS Dentist 4425 06/06/2003 Active John M Pobanz John M Pobanz DDS, MS Specialty Dentist S3-268C 01/30/2015 Active Kostika Polena Kostika Polena DMD Dentist 6770 05/18/2016 Active James B Polley James B Polley DDS Dentist 2354 07/15/1986 Active Vernon Walter Pollock Vernon Walter Pollock DDS Specialty Dentist S3-73 08/27/2004 Active Monica Rene Ponce Monica Rene Ponce DDS Dentist 3063 07/15/1996 Active Andrew Tudor Popescu Andrew Tudor Popescu DMD Dentist 6768 05/11/2016 Active Matthew Timothy Popp Matthew Timothy Popp DDS Specialty Dentist S2-160C 09/07/2018 Active Alan Steven Poremba Alan Steven Poremba DDS Dentist 4312 09/26/2002 Active Stansby A Porter Stansby A Porter DMD Dentist 4415 04/29/2003 Active Roland L Postlewait Roland L Postlewait DDS Dentist 0664 03/01/1971 Active Hamid Mohtashemi Pour Hamid Mohtashemi Pour DDS Dentist 7041 04/20/2018 Active Jaleh Pourhamidi Jaleh Pourhamidi DMD Specialty Dentist S3-88C 11/15/2005 Active Lewis Reed Powell Lewis Reed Powell Jr DMD Dentist 3572 05/08/2000 Retired Gregory V Powning Gregory V Powning DDS Dentist 846 09/01/1975 Retired Patricia Prada Patricia Prada DDS Specialty Dentist S6-33C 06/11/2004 Active Peggy Dott Preston Peggy Dott Preston DDS Dentist 1024 09/01/1979 Active Stephen C Price Stephen C Price DDS Dentist 2168 07/01/1983 Active Douglas Russell Prince Douglas Russell Prince DMD Dentist 2638 03/27/1991 Active Norma Jacqueline Pritz Norma Jacqueline Pritz DMD Dentist 6496 01/24/2014 Active Thomas James Puhek Thomas James Puhek DDS Dentist 2889 03/22/1995 Inactive Richard James Pulsipher Richard James Pulsipher DDS Specialty Dentist S7-101C 11/09/2018 Active Michael James Purcell Michael James Purcell DDS Specialty Dentist S6-144 01/20/2016 Active Bryce Stewart Putnam Bryce Stewart Putnam DMD Dentist 6134 02/11/2011 Active Barry John Quinn Barry John Quinn DMD Specialty Dentist S3-80 08/26/2005 Inactive John Michael Quinn John Michael Quinn DMD Dentist 6115 10/01/2010 Active Sophia Barbara Quinn Sophia Barbara Quinn DMD Dentist 6357 06/28/2013 Active Tania Maria G Quinn Tania Maria G Quinn DMD Specialty Dentist S3-101 08/25/2006 Inactive Timothy J Quirt Timothy J Quirt DDS Dentist 6592 01/30/2015 Active Azeem Qureshi Azeem Qureshi DDS Dentist 5013 06/26/2006 Active Richard A Racanelli Richard A Racanelli DMD Dentist 6264 07/18/2012 Active Brad Martin Radlosky Brad Martin Radlosky DMD Specialty Dentist S7-83 04/25/2014 Active Aaron Grant Radmall Aaron Grant Radmall DMD Specialty Dentist S4-99 06/29/2016 Active Sarah Rafael RafoNSBDESarah Rafael Rafo DDS Dentist LIST6959 07/14/2017 Active Darryl Kevin Ragland Darryl Kevin Ragland DDS Dentist 4753 04/21/2005 Active Sayed Karim Raiyn Sayed Karim Raiyn DDS Dentist 4533 12/11/2003 Active Douglas Reid Rakich Douglas Reid Rakich DDS Specialty Dentist S7-24 11/21/1997 Active Sundara Rao Ramadurgam Sundara Rao Ramadurgam DDS Dentist 6857 11/30/2016 Active Tracy Marlene Ransdell Tracy Marlene Ransdell DDS Dentist 2890 03/22/1995 Active Jahnavi Rao Jahnavi Rao DDS, MS Specialty Dentist S3-186 12/04/2008 Active Manny Rapp Manny Rapp Jr DDS Specialty Dentist S6-26 08/06/2002 Active Frank Louis Raschilla Frank Louis Raschilla DDS Dentist 3741 01/17/2001 Active Mark Mahbod Rashidi Mark Mahbod Rashidi DDS Dentist 5762 08/22/2008 Active Jonathan Michael Rasmussen Jonathan Michael Rasmussen DDS Specialty Dentist S5-45C 08/10/2016 Inactive

191 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 William Platt DDS / Northwest Professional Svc Inc 805 W 7th St Suite 101 06/30/2019 1571 East 1710 South 06/30/2019 Rainbow Dental Care 4825 South Rainbow Blvd #201 S3 - Orthodontist 06/30/2019 Pobanz Orthodontics 1508 E Skyline Dr Ste 200 06/30/2019 8405 White Shore 06/30/2019 James B Polley, DDS 1875 Village Center Cir #110 S3 - Orthodontist 06/30/2019 Vernon W Pollock, DDS 21 E Mesquite Blvd., Ste. B 06/30/2019 Las Vegas Oral Surgery 7670 W Lake Mead Blvd Suite 130 06/30/2019 Bestcare Dental 5205 South Durango Drive STE. 103 S2 - Oral and Maxillofacial Surgeon 06/30/2019 7516 Java Sparrow St 06/30/2019 12083 Whitehills Street 06/30/2019 10671 Riva De Fiore Ave 06/30/2019 Dr. John Bocchi,John Bocchi DDS 10595 Double R Blvd 06/30/2019 1710 Malcolm Ave #304 S3 - Orthodontist 06/30/2019 Pacific Dental Services 4260 Paseo Verde Ste 145 06/30/2019 33977 Plowshare Rd 06/30/2019 25 Nightowl Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 Absolute Dental 2250 S Rancho Dr Ste 205 06/30/2019 Moana Dental Care 1101 Steamboat Pkwy Suite 310 06/30/2019 Stephen C. Price, d.d.s., Ltd 2552 Idaho St. 06/30/2019 Douglas Prince DMD Ltd. 830 S. Durango Drive Suite 104 06/30/2019 Affordable Dental 2381 E Windmill Lane Ste 11 06/30/2019 2740 Kildrummie St S7 - Endodontist 06/30/2019 Elko Dental Specialists 1760 Browning Way S6 - Pediatric Dentist or Pedodontist 06/30/2019 Northgate Pediatric Dentistry 12225 Voyager Pkwy Ste #6 06/30/2019 Elko Family Medical and Dental Center 762 14th Street S3 - Orthodontist 06/30/2019 Comfort Dental Braces 8223 South Quebec St. Suite O 06/30/2019 Smiles For Life Family Dentistry 8930 W. Sunset Rd. Ste 190 06/30/2019 Stephanie Dental Group 175 N. Stephanie St. ste. #170 S3 - Orthodontist 06/30/2019 Comfort Dental Braces 10401 E Colfax Ave 06/30/2019 Quirt Family Dentistry 200 E Bridge St Ste 100 06/30/2019 Azeem Harris Qureshi 1946 East Rosecrans Ave 06/30/2019 Stunning Smiles of Las Vegas 6410 Medical Center St. Suite B S7 - Endodontist 06/30/2019 Las Vegas Modern Dentistry 7171 W Craig Rd #102 S4 - Periodontist 06/30/2019 Henderson Modern Dentistry 366 W Lake Mead Pkwy Ste 100 NSBDE06/30/2019 LIST1545 Wigwam Pkwy #2124 06/30/2019 Signature Smiles Vegas 4670 Fort Apache Rd #120 06/30/2019 all teeth r us family dentistry, p.c. 5868 s pecos rd suite 100 S7 - Endodontist 06/30/2019 Endodontic Associates LLC 6950 Smoke Ranch Rd #125 06/30/2019 Coast Dental 2660 Windmill Pkwy 06/30/2019 12282 Bluebird Canyon Pl S3 - Orthodontist 06/30/2019 Aces Braces 6127 S.Rainbow Blvd 100A S6 - Pediatric Dentist or Pedodontist 06/30/2019 Adaven Childrens Dentistry 1701 N Green Valley Pkwy #8E 06/30/2019 Frank L Raschilla, DDS 1625 Hwy 88 Suite 201 06/30/2019 Remarkable Smiles Orthodontics 27725 Santa Margarita Pkwy #241 S5 - Prosthodontist 06/30/2019 Rasmussen Prosthodontics Inc 6724 S Highland Dr Ste 101

192 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89503 (775) 323-4410 (775) 323-4610 University of the Pacific 06/01/1984 St. George UT 84790 (435) 673-9606 (435) 673-6812 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2006 Las Vegas NV 89103 (702) 871-1000 (702) 871-4509 UCLA 06/16/1995 South Ogden UT 84405 (801) 627-0500 Nebraska-University of Nebraska Medical Center College of Dentistry 05/03/1996 Las Vegas NV 89128 (702) 843-5008 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89134 (702) 873-0324 (702) 655-5038 Creighton University 05/01/1986 Mesquite NV 89027 (702) 345-2772 (702) 345-3340 University of the Pacific 06/18/1995 Las Vegas NV 89128 (702) 806-7439 (702) 995-0116 UCLA 06/11/1994 Las Vegas NV 89113 (702) 933-1300 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 North Las Vegas NV 89084 Las Vegas NV 89141 (702) 838-6684 (702) 873-7374 UCSF 06/14/1995 Las Vegas NV 89135 (702) 448-6244 (702) 448-8674 Southern Illinois University 06/06/1987 Reno NV 89521 (775) 825-8463 (775) 332-8466 California-Loma Linda University School of Dentistry 06/01/1970 Los Angeles CA 90024 Henderson NV 89074 (702) 968-1652 (702) 774-2651 Pennsylvania-University of Pittsburgh School of Dental Medicine 06/26/1999 Wildomar CA 92595 (951) 244-6135 OR Health Sciences University 06/09/1973 Reno NV 89523 (775) 323-3574 (775) 323-8233 Emory University 06/01/1975 Las Vegas NV 89102 (702) 733-0888 (702) 641-5888 New York University 05/17/1990 Reno NV 89521 (775) 827-8808 (775) 827-9297 University of Texas 09/01/1979 Elko NV 89801 (775) 738-7666 (775) 738-1705 University of Washington 06/01/1983 Las Vegas NV 89145 (702) 240-0202 (702) 240-2392 Washington University 05/18/1990 Las Vegas NV 89123 (702) 933-1300 (702) 932-1300 Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/14/2013 Henderson NV 89044 (702) 435-1378 University of Washington 06/09/1984 Elko NV 89801 Colorado Springs CO 80921 (719) 543-7123 (702) 425-9671 Nebraska-Creighton University School of Dentistry 05/15/1993 Elko NV 89801 (775) 738-1553 (775) 738-5934 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Centennial CO 80112 (303) 220-0550 McGill University 05/23/2002 Las Vegas NV 89148 (702) 795-2273 (702) 795-7222 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NV 89074 (702) 997-5958 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Aurora CO 80010 (303) 341-2273 McGill University 05/23/2001 Wausau WI 54403 (715) 843-9800 (715) 843-9819 Wisconsin-Marquette University School of Dentistry 05/21/2006 Compton CA 90221 (310) 639-5330 (310) 868-9221 USC 08/17/1993 Las Vegas NV 89148 (702) 736-0016 Pennsylvania-University of Pennsylvania School of Dental Medicine 08/01/2001 las vegas NV 89129 (702) 703-6779 Florida-Nova Southeastern University College of Dental Medicine 05/27/2007 Henderson NV 89015 (702) 376-8830 (702) 933-0190 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NSBDENV 89074 LIST Las Vegas NV 89147 (702) 844-9999 (702) 656-9108 UCSF 06/14/1987 las vegas NV 89120 (702) 242-6777 (702) 898-0035 University of Detroit 05/01/1989 Las Vegas NV 89128 (702) 869-8840 (702) 240-0481 UCLA 06/15/1979 Henderson NV 89074 (702) 656-2301 Washington-University of Washington-Health Sciences School of Dentistry 06/13/2014 Las Vegas NV 89138 (702) 433-0007 (702) 875-4230 UCLA 06/17/1994 Las Vegas NV 89118 (702) 724-8200 (702) 243-2893 California-University of California at San Francisco School of Dentistry 06/15/2003 Henderson NV 89074 (702) 492-1955 (702) 492-7663 Creighton University 05/13/2000 Minden NV 89423 (775) 782-3638 (775) 782-6573 New York University 05/24/2000 Mission Viejo CA 92691 (949) 770-8011 (949) 770-6727 California-University of Southern California School of Dentistry 05/16/2008 Salt Lake City UT 84121 (801) 352-7889 (801) 352-0669 North Carolina-University of North Carolina School of Dentistry 05/15/2005

193 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/27/2012 Texas-San Antonio Military Oral and Maxillofacial Surgery Residency 06/22/2017

California-University of Southern California School of Dentistry 05/12/2017

Nebraska-Creighton University School of Dentistry 05/13/1995 Illinois-University of Illinois at Chicago College of Dentistry 06/30/1997

California-UniversityNSBDE of Southern California School of Dentistry 05/12/2017 LIST

194 DENTISTS 01/01/2019

BoardAction

NSBDE LIST

195 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Aaron Brent Rawlings Aaron Brent Rawlings DMD Dentist 6052 08/20/2010 Inactive Raymond D Rawson Raymond D Rawson DDS Dentist 0588 08/01/1968 Active Rick James Rawson Rick James Rawson DDS, MS Specialty Dentist S2-95C 06/27/2008 Active Gerald Elliott Raybeck Gerald Elliott Raybeck DDS Dentist 4173 04/30/2002 Active Vi Nguyen Raymond Vi Nguyen Raymond DDS Dentist 6176 10/21/2011 Active Galya Raz Galya Raz DMD Specialty Dentist S4-106 11/22/2017 Active Timothy Patrick Reardon Timothy Patrick Reardon DDS Specialty Dentist S3-49 05/09/1997 Active Jennifer Rose Rearrick Jennifer Rose Rearrick DDS Dentist 6701 08/12/2015 Active Nicole Marie Reddout Nicole Marie Reddout DMD Dentist 6053 07/14/2010 Active Elizabeth Erin Redlinger Elizabeth Erin Redlinger DMD Dentist 6062 07/14/2010 Active Jeffrey Jared Redlinger Jeffrey Jared Redlinger DMD Dentist 5745 07/17/2008 Active Scott Michael Redlinger Scott Michael Redlinger DMD Specialty Dentist S2-124 07/18/2012 Active Teala Dawn Redlinger Teala Dawn Redlinger DDS Dentist 6269 06/14/2012 Active Michael Keith Reece Michael Keith Reece DDS Limited License Dental LL-277-11 01/26/2012 Active Kenneth Lee Reed Kenneth Lee Reed DMD Dentist 6842 08/31/2016 Active Truvella Shareen Reese Truvella Shareen Reese DMD Dentist 5577 07/26/2007 Active David Merlyn Reeves David Merlyn Reeves DDS Specialty Dentist S7-29 10/20/1999 Active Casey Jeffrey Rehrer Casey Jeffrey Rehrer DMD Limited License Dental LL-474-18 08/23/2018 Active Richard Leland Reich Richard Leland Reich DDS Dentist 0848 09/01/1975 Inactive Mark Alan Reinicke Mark Alan Reinicke DDS Dentist 4958 05/18/2006 Inactive Robin Elizabeth Reinke Robin Elizabeth Reinke DDS Limited License Dental LL-305-12 05/16/2012 Active Elizabeth Ann Reiter Elizabeth Ann Reiter DDS Dentist 4058 07/09/2001 Active Joshua Aaron Renk Joshua Aaron Renk DDS Specialty Dentist S5-47C 01/19/2018 Active Loveline Dulay Reyes Loveline Dulay Reyes DDS Dentist 4959 05/18/2006 Active Patricia Beatrix Reyes Reyes Patricia Beatrix Reyes Reyes DMD Dentist 6775 05/11/2016 Active Ryan Douglas Reyes Ryan Douglas Reyes DDS Specialty Dentist S4-96C 03/20/2015 Active Clinton Talbott Reynolds Clinton Talbott Reynolds DDS Dentist 4630 07/12/2004 Active Ghazaleh Rezaei Ghazaleh Rezaei DMD Dentist 7073 05/31/2018 Active Seyed Alireza Rezaei Seyed Alireza Rezaei DDS Dentist 5998 12/04/2009 Active Noura Rezapour Noura Rezapour DMD Dentist 7107 06/29/2018 Active Chi Yong Rha Chi Yong Rha DDS Dentist 6331 08/17/2012 Active Stephen Sungbin Rheem Stephen Sungbin Rheem DDS Specialty Dentist S3-307 06/30/2017 Active Steven L Rhodes Steven L Rhodes DDS Specialty Dentist S5-06 03/21/1987 Active Peter Lawrence Ricciardi Peter Lawrence Ricciardi DDS Dentist 5078 07/20/2006 Active Brittany Nicole Rich Brittany Nicole Rich DMD Dentist 6661 06/19/2015 Active Drew Daniel RichardsNSBDEDrew Daniel Richards DDS Dentist LIST3477 07/12/1999 Active Gary Dean Richardson Gary Dean Richardson DDS Specialty Dentist S6-49 08/25/2006 Active Bradley Mark Richens Bradley Mark Richens Sr DDS Dentist 3080 01/06/1997 Active Jordan Chay Richert Jordan Chay Richert DMD Specialty Dentist S4-107C 09/24/2018 Active Michael Rafael Ricupito Michael Rafael Ricupito DDS Specialty Dentist S3-70C 04/29/2003 Inactive Samir J Ridha Samir Jawad Ridha DDS Dentist 6993 10/26/2017 Active Robert Clark Riegel Robert Clark Riegel DDS Specialty Dentist S5-13 06/01/2000 Active Mont Merrill Ringer Mont Merrill Ringer DDS Specialty Dentist S2-15 08/28/1985 Retired Michael Dan Ripplinger Michael Dan Ripplinger DDS Dentist 2311 07/16/1985 Active Michael Irwin Rips Michael Irwin Rips DDS Dentist 2944 07/17/1995 Active Adam Rivera Adam Rivera DMD Dentist 5709 06/27/2008 Active

196 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Aaron Rawlings 7001 Hodgson Memorial Dr Suite 3 06/30/2019 401 Grand Augusta Ln S2 - Oral and Maxillofacial Surgeon 06/30/2019 20377 Bordeaux Dr. 06/30/2019 9821 Echo Hills Dr 06/30/2019 Columbia Dental 229 N Stephanie St Ste C S4 - Periodontist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Lane MS 7415 S3 - Orthodontist 06/30/2019 Timothy P. Reardon, DDS, MS 8490 S Eastern Ave #A 06/30/2019 Pyramid Family Dental 2262 Pyramid Way Ste 7 06/30/2019 Naval Station Norfolk Sewell'sPoint 1647 Admiral Taussig 06/30/2019 760 Descartes Ave. 06/30/2019 Sunset Dental & Orthodontics 1351 W Sunset Rd Ste 100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Reno Tahoe Oral Surgery and Dental Implant Center 5420 Kietzke Ln Ste 102 06/30/2019 Small smiles 3362 s mccarran blvd Limited License Dentist 01/25/2020 1615 Barak Ln Ste 1 06/30/2019 Smile Reef Pediatric Dentistry 9500 W Flamingo Rd Suite 200 06/30/2019 Crowne Dental 8390 W. Sahara Ave. #110 S7 - Endodontist 06/30/2019 5420 Kietzke Ln #100 Limited License Dentist 06/30/2019 1083 Plantation Rose Ct 06/30/2019 14780 Redmond Dr, 06/30/2019 3035 Blodgett Dr Limited License Dentist 06/30/2019 5507 Tabernas Ct 06/30/2019 Harmony Dental 1825 Village Center Cir #150 S5 - Prosthodontist 06/30/2019 Las Vegas Prosthodontics 851 S Rampart Blvd Ste 250 06/30/2019 American Dental Center 6901 W Charleston 06/30/2019 Stoker Family Dental 51 E Lake Mead Pkwy S4 - Periodontist 06/30/2019 440 upas st. #206 06/30/2019 Clinton T Reynolds DDS PC 6707 W Charleston Blvd #3-B 06/30/2019 6255 West Arby Ave. Unit 326 06/30/2019 Millennium Dental 3315 W Craig Rd 108 06/30/2019 8960 W Post Rd #2084 06/30/2019 72 WILDWING CT S3 - Orthodontist 06/30/2019 322 Karen Ave Unit 1201 S5 - Prosthodontist 06/30/2019 Steven L Rhodes DDS 501 S Rancho Rd #E-29 06/30/2019 2055 Back Nine Trail 06/30/2019 Dentists On Nellis 2755 S. Nellis Blvd. Suite #12 NSBDE06/30/2019 Drew D. Richards DDS PC LIST272 East Center St 205 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Gary D Richardson DDS 8995 W Flamingo Rd Suite 100 06/30/2019 1902 east 2125 north bradley mark richens S4 - Periodontist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS 7424 S3 - Orthodontist 06/30/2019 39572 Stevenson Pl #230 06/30/2019 30 Merion Circle S5 - Prosthodontist 06/30/2019 Regal Dentistry 3663 E Sunset Rd Ste 507 S2 - Oral and Maxillofacial Surgeon 06/30/2019 2830 Mountain Mist Ct 06/30/2019 M Dan Ripplinger DDS Ltd 2030 E Warm Springs Rd 06/30/2019 33 Sun Blow Ln 06/30/2019 Nevada Southern Detention Center 2190 E. Mesquite Ave

197 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Savannah GA 31406 (912) 352-2021 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89144 (702) 290-2121 (800) 549-8707 California-Loma Linda University School of Dentistry 06/02/1968 Reno NV 89511 (775) 722-2327 (775) 335-6230 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2002 Las Vegas NV 89134 (702) 774-2400 (702) 636-3057 Loyola University 05/26/1979 Henderson NV 89074 (702) 898-9200 California-University of California at Los Angeles School of Dentistry 06/11/2010 Las Vegas NV 89106 (702) 774-2639 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89123 (702) 260-8241 (702) 260-8251 Creighton University 06/01/1971 Sparks NV 89431 (650) 323-4222 (650) 323-4223 California-Loma Linda University School of Dentistry 05/24/2009 Norfolk VA 23511 (757) 953-8605 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NV 89002 (702) 617-3333 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NV 89014 (702) 515-0553 (702) 658-6832 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Reno NV 89511 (775) 853-9696 (775) 853-9695 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Reno NV 89502 (775) 329-5437 Nebraska-Creighton University School of Dentistry 05/15/2010 Bryan TX 77802 (979) 846-6515 (979) 846-8681 Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 02/17/1978 Las Vegas NV 89147 (702) 570-7333 Oregon-Oregon Health and Science University School of Dentistry 06/08/1989 Las Vegas NV 89117 (702) 982-0400 (702) 385-7041 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Reno NV 89511 (775) 825-5221 (775) 823-9824 Loma Linda University 06/14/1985 Henderson NV 89002 (702) 968-5222 Reno NV 89511 (775) 882-7676 (775) 849-4374 Kentucky-University of Louisville School of Dentistry 06/01/1970 Colorado Springs CO 80919 (719) 634-5864 (719) 442-2092 University of Minnesota 12/08/1984 Las Vegas NV 89141 (702) 774-2581 (702) 774-2672 Washington-University of Washington-Health Sciences School of Dentistry 06/08/1990 Las Vegas NV 89134 (702) 562-2400 (702) 562-0011 USC 08/15/1986 Las Vegas NV 89145 Las Vegas NV 89117 (702) 363-0444 (847) 256-0089 University of Illinois 05/07/2005 Henderson NV 89015 (702) 897-7001 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 San diego CA 92103 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2010 Las Vegas NV 89146 (702) 457-9990 (702) 870-3193 Creighton University 05/14/2004 Las Vegas NV 89118 (702) 852-2022 North Las Vegas NV 89032 (702) 202-2970 Colorado-University of Colorado at Denver and Health Sciences Center 12/12/2008 Las Vegas NV 89148 LAS VEGAS NV 89135 (702) 641-5566 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/25/1996 Las Vegas NV 89109 (702) 968-5222 (702) 968-5277 California-University of California at San Francisco School of Dentistry 06/13/2014 Las Vegas NV 89106 (702) 384-4896 (702) 385-0996 University of the Pacific 06/01/1984 Reno NV 89523 (775) 359-3934 (775) 359-4034 Creighton University 05/14/2005 Las Vegas NV 89121 (702) 457-5335 (702) 457-3848 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 ivins NSBDEUT 84738 (435) 652-8111 (702) 242-6777 University of Washington LIST06/09/1984 Las Vegas NV 89147 (702) 838-5437 (702) 254-9462 Creighton University 05/15/1993 layton UT 84040 (956) 267-8502 (702) 451-6067 University of Nebraska 05/18/1996 Las Vegas NV 89106 (702) 774-2489 Fremont CA 94539 (510) 797-6500 (510) 797-6531 University of the Pacific 06/19/1983 Pinehurst NC 28374 (702) 272-1100 (702) 998-0675 Ohio-Ohio State University College of Dentistry 06/07/1996 Las Vegas NV 89120 (702) 436-6186 (702) 436-3276 University of Missouri-KC 06/01/1968 Las Vegas NV 89117 (702) 876-6337 (702) 876-2988 University of the Pacific 06/01/1981 Las Vegas NV 89119 (702) 735-4470 (702) 735-0785 Loma Linda University 06/01/1985 Las Vegas NV 89135 (702) 774-2661 (702) 869-8856 University of the Pacific 06/26/1968 Pahrump NV 89060 (775) 751-4543 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008

198 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Utah-Roseman University of Health Sciences 06/06/2015

California-Loma Linda University School of Dentistry 05/27/2012 California-Loma Linda University School of Dentistry 06/30/2015

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 Florida-Nova SoutheasternNSBDE University College of Dental Medicine 05/18/2018 LIST

Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 06/07/2013 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/26/2016

199 DENTISTS 01/01/2019

BoardAction

03/20/2015

11/09/2006 NSBDE LIST

07/22/2003

200 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Munehiko Ro Munehiko Ro DDS Specialty Dentist S4-104C 09/08/2017 Active Cindy Valrie Roark Cindy Valrie Roark DMD Dentist 6157 06/30/2011 Inactive Glen Allen Roberson Glen Allen Roberson DMD Specialty Dentist S3-182 07/17/2008 Active Ashley Theodore Roberts Ashley Theodore Roberts DMD Dentist 6171 06/30/2011 Active Bradley S Roberts Bradley S Roberts DDS Dentist 2108 07/11/1982 Active Lance Kelvin Robertson Lance Kelvin Robertson DDS Dentist 2109 07/11/1982 Active Rebecca Lynn Robinson Rebecca Lynn Robinson DDS Dentist 6119 12/10/2010 Inactive Steven Douglas Robinson Steven Douglas Robinson DDS Specialty Dentist S4-20 06/13/1997 Active Andrew Glenn Robison Andrew Glenn Robison DDS Dentist 3367 01/20/1999 Active William Gilroy Robison William Gilroy Robison DDS Dentist 3503 01/19/2000 Active Olivia Madeleine Rodrigues Olivia Madeleine Rodrigues DDS Dentist 7004 12/15/2017 Active Olga Kiomara Rodriguez-Valle Olga Kiomara Rodriguez-Valle DMD Dentist 5742 08/22/2008 Active James Kemp Rogers James Kemp Rogers DDS Specialty Dentist S4-22 02/05/1998 Active William R Rohel William R Rohel DDS Dentist 2271 09/16/1984 Active Callisto Rojas Callisto Rojas DMD Dentist 5868 07/27/2009 Inactive Rebecca Erine Rores Rebecca Erine Rores DMD Dentist 5592 11/01/2007 Active Jon-Christopher Mateo Rosales Jon-Christopher Mateo Rosales DMD Dentist 6092 06/27/2011 Active Craig Robert Rose Craig Robert Rose DDS Dentist 3065 07/15/1996 Active Michael Stephen Rose Michael Stephen Rose DDS Dentist 5765 08/22/2008 Active Stephen Charles Rose Stephen Charles Rose DDS Dentist 1058 03/01/1980 Active George Frederick Rosenbaum George Frederick Rosenbaum DDS Dentist 0967 03/01/1978 Active Mark Jay Rosenberg Mark Jay Rosenberg DDS Dentist 4187 05/31/2002 Active David Paul Ross David Paul Ross DMD Dentist 6753 03/16/2016 Active Matthew Robert Ross Matthew Robert Ross DMD Dentist 7076 06/29/2018 Active Jonathan Eric Rothbart Jonathan Eric Rothbart DMD Limited License Dental LL-120-06 09/21/2006 Active Eleni D Roumanas Eleni D Roumanas DDS Specialty Dentist S5-41C 04/25/2014 Inactive Lindsay Marie Row Lindsay Marie Row DMD Specialty Dentist S6-152 07/21/2017 Active Carol-Ann Rowe Carol-Ann Rowe DDS Dentist 3482 07/12/1999 Active Jon Shahrokh Roxarzade Jon Shahrokh Roxarzade DDS Dentist 4484 07/22/2003 Disabled Biana Roykh Biana Roykh DDS Dentist 5116 08/25/2006 Inactive Nicholas Granville Ruana Nicholas Granville Ruana DMD Dentist 6534 06/27/2014 Active Chanon Ruangjumrusvet Chanon Ruangjumrusvet DMD Dentist 6853 10/05/2016 Active Albert Gus Ruezga Albert Gus Ruezga DDS Dentist 4065 10/22/2001 Active Edward Phillip Ruggeroli Edward Phillip Ruggeroli DDS Dentist 2602 07/10/1990 Active Carl William Ruggiero Carl William Ruggiero DDS Specialty Dentist S6-18 10/05/1995 Retired Adrian Ramsey RuizNSBDEAdrian Ramsey Ruiz DDS Dentist LIST4480 06/24/2003 Active Doribeth Ruiz Doribeth Ruiz DMD Specialty Dentist S6-148 08/17/2016 Active Pedro Augusto Ruiz Pedro Augusto Ruiz Jr DDS Dentist 7111 06/29/2018 Active Sonya Ruiz-Sedillo Sonya Ruiz-Sedillo DDS Dentist 3195 07/14/1997 Active Amy Julia Rusinoski Amy Julia Rusinoski DMD Dentist 6214 06/04/2012 Inactive Evguenia Saakova Evguenia Saakova DDS Dentist 4490 07/28/2003 Active Andrea Marie Sacks Andrea Marie Sacks DDS Dentist 5079 07/20/2006 Active Fahtema Sadat Fahtema Sadat DDS Dentist 6693 08/12/2015 Inactive Reza Sadeghi Reza Sadeghi DDS Dentist 6999 11/17/2017 Active Jacqueline Leah Sadeghian Jacqueline Leah Sadeghian DDS Dentist 6458 08/02/2013 Active Saeideh Sadredini Saeideh Sadredini DDS Dentist 6182 08/12/2011 Active

201 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S4 - Periodontist 06/30/2019 ,Anthem Periodontics 2610 W Horizon Ridge Pkwy Ste 202 06/30/2019 Dental One Partners 12528 Pasco Trails Blvd S3 - Orthodontist 06/30/2019 Roseman University of Health Sciences Orthodontic Residency Program 4 Sunset Way Bldg C 06/30/2019 Dr. Arash Aghakhani 1811 S Rainbow Blvd Ste 101 06/30/2019 Bradley S Roberts DDS 3047 E Warm Springs Rd Suite 200 06/30/2019 P O Box 839 06/30/2019 Shasta community Health DentalCenter 1400 Market St 8103 S4 - Periodontist 06/30/2019 Steven D. Robinson, DDS Ltd. 3575 Grant Dr #10 06/30/2019 Redrock Dental 220 N Nevada St 06/30/2019 11160 Torch Cactus Dr. 06/30/2019 5712 Brett Dr 06/30/2019 8587 Verde Park Circle S4 - Periodontist 06/30/2019 Canyon Ridge Peridontics 3575 S Town Center Dr Suite 110 06/30/2019 1365 Meridian Ranch Dr 06/30/2019 Creekside Dental Arts 600 NW Gilman Blvd., Ste. C 06/30/2019 Rores Family Dentistry 15 McCabe Dr Ste 202 06/30/2019 Boston Dental 2870 Bicentennial Pkwy Suite #120 06/30/2019 Rose Family Dentistry 8490 S Eastern Ave #C 06/30/2019 4230 E Charleston Blvd Suite A 06/30/2019 Rose Cosmetic & Family Dentistry 4230 E Charleston Blvd Suite A 06/30/2019 374 Claremont St 06/30/2019 2357 Isabella Dr 06/30/2019 2370 thayer ave 06/30/2019 Dentists of Carson City 1457 S Carson St Ste 101 Limited License Dentist 06/30/2019 3000 Cloverbrook St S5 - Prosthodontist 06/30/2019 VA Loma Linda 11201 Benton St S6 - Pediatric Dentist or Pedodontist 06/30/2019 Summerlin Pediatric Dentistry 653 N Town Center Dr Ste 104 06/30/2019 P O Box 31717 06/30/2019 10980 Willow Valley Ct 06/30/2019 10 Sandra Rd 06/30/2019 124 Pinesage Dr 06/30/2019 Discount Dental 60 N 25th St Ste 110 06/30/2019 Pahrump Family Dental 2340 Calvada Blvd Suite 1 06/30/2019 Edward Ruggeroli 601 S. Rancho Ste. A3 S6 - Pediatric Dentist or Pedodontist 06/30/2019 42463 Waterfall Road NSBDE06/30/2019 LIST1680 Tangiers Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 650 Town Center Dr #2006 06/30/2019 650 S Town Center Dr #2006 06/30/2019 Dr. Sonya Ruiz-Sedillo 8490 S Eastern Ave #C 06/30/2019 244 College Avuenue #2 06/30/2019 5191 Weston Way 06/30/2019 Culinary Health Center - Nevada Dental Benefits 650 N. Nellis Blvd 06/30/2019 23731 Goldrush Dr 06/30/2019 2593 N Brighton St 06/30/2019 2168 Anserville Ave 06/30/2019 4777 stavanger ln

202 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Henderson NV 89052 (702) 270-4600 Spring Hill FL 34610 (813) 373-8078 (813) 636-0462 Massachusetts-Boston University Goldman School of Dental Medicine 05/23/1999 Henderson NV 89014 (702) 968-5236 (702) 774-2696 New Jersey-University of Medicine & Dentistry of New Jersey New Jersey Dental School 05/25/2004 Las Vegas NV 89146 (702) 805-4200 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89120 (702) 454-8773 (702) 454-8267 Marquette University 06/01/1982 Overton NV 89040 (702) 397-8844 (702) 397-8569 University of the Pacific 06/01/1982 Redding CA 96001 (530) 247-7253 (719) 545-5273 California-University of Southern California School of Dentistry 08/12/2008 Reno NV 89509 (775) 827-3302 (775) 827-9095 University of the Pacific 06/19/1994 Carson City NV 89703 (775) 885-9446 (775) 885-0529 University of Nebraska 05/08/1998 Las Vegas NV 89138 (702) 384-5070 (702) 247-1894 University of Colorado 05/29/1999 Sacramento CA 95842 (916) 331-1211 Las Vegas NV 89129 (702) 254-4278 (702) 395-6373 Puerto Rico-University of Puerto Rico School of Dentistry 06/14/2002 Las Vegas NV 89135 (702) 966-0300 (702) 932-5144 Northwestern University 04/29/1989 Reno NV 89523 Loyola University 06/01/1977 Issaquah WA 98027 (425) 392-1239 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Reno NV 89511 (775) 359-1565 (775) 359-1597 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Henderson NV 89044 (702) 522-2277 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89123 (702) 914-0000 (702) 914-5872 USC 05/12/1995 Las Vegas NV 89104 (702) 459-8998 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/2008 Las Vegas NV 89104 (702) 459-8998 (702) 459-8078 University of the Pacific 06/01/1979 Boulder City NV 89005 (702) 293-0373 (702) 293-3464 Loyola University 06/01/1976 Sparks NV 89434 (775) 789-0854 (775) 770-6375 New York University 06/30/1977 henderson NV 89074 (702) 798-7724 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Carson City NV 89701 (775) 372-9898 Las Vegas NV 89117 (702) 951-9786 (215) 247-0591 Boston University 05/16/1982 Loma Linda CA 92357 (909) 478-7024 Northwestern University 04/30/1988 Las Vegas NV 89144 (702) 838-9013 (702) 838-9157 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vgeas NV 89173 (702) 838-3311 (702) 737-3311 Loma Linda University 12/18/1997 Las Vegas NV 89135 (310) 859-2467 USC 05/07/1993 Hillsborough CA 94010 UCSF 06/11/2006 West End NC 27376 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89101 (702) 641-0481 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Pahrump NV 89048 (775) 751-5888 (775) 751-1573 UCSF 06/10/2001 Las Vegas NV 89106 (702) 382-2311 (702) 759-7860 University of the Pacific 06/01/1990 Northville MI 48168 (775) 331-2181 Emory University 06/11/1979 Henderson NSBDENV 89012 (702) 360-4800 (702) 360-2846 UCLA LIST06/16/1995 Las Vegas NV 89144 (702) 254-4220 (702) 254-7214 Puerto Rico-University of Puerto Rico School of Dentistry 06/06/2014 Las Vegas NV 89144 (702) 774-2400 Missouri-University of Missouri-Kansas City School of Dentistry 05/05/2000 Las Vegas NV 89123 (702) 914-0000 (702) 914-5872 USC 08/22/1995 Beaver PA 15009 (724) 888-2684 (724) 709-8061 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Granite Bay CA 95746 (916) 372-8525 (916) 372-5971 University of the Pacific 06/15/2003 Las Vegas NV 89110 (702) 643-7720 (502) 624-2966 USC 05/14/2004 Diamond Bar CA 91765 (702) 896-7211 New York-New York University College of Dentistry 05/22/2013 Burbank CA 91504 Henderson NV 89044 (702) 930-8009 Maryland-University of Maryland Baltimore College of Dental Surgery 05/15/2009 Las Vegas NV 89147 California-University of Southern California School of Dentistry 08/10/2010

203 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-Loma Linda University School of Dentistry 06/30/2017

Oklahoma-University of Oklahoma College of Dentistry 06/08/1980

Midwestern University 05/11/2018 NSBDE LIST

California-University of Southern California School of Dentistry 05/14/2010

204 DENTISTS 01/01/2019

BoardAction

09/18/2015

05/22/2010,10/30/2008NSBDE LIST

205 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Mike Mais Sagarian Mike Mais Sagarian DDS Dentist 4728 02/11/2005 Inactive Jason Little Sala Jason Little Sala DMD Dentist 4346 01/22/2003 Active Todd Arthur Sala Todd Arthur Sala DMD Dentist 4559 01/21/2004 Active Behnam Salar Behnam Salar DMD Specialty Dentist S6-120 05/10/2013 Active Luis Alonso Salazar Luis Alonso Salazar Jr DMD Dentist 6628 05/22/2015 Active Monica Lisa Saldana Monica Lisa Saldana DDS Dentist 4928 05/18/2006 Active Paulene Katherine Salter Paulene Katherine Salter DDS Specialty Dentist S7-65 10/30/2008 Inactive Tida Kristen Linnea Saltz Tida Kristen Linnea Saltz DMD Dentist 3066 07/15/1996 Active Cortnie Steik Sanchez Cortnie Steik Sanchez DMD Dentist 5119 08/25/2006 Active Douglas Paul Sanchez Douglas Paul Sanchez DMD Dentist 5593 08/17/2007 Active Concepcion Marie Sanchez-Garcia Concepcion Marie Sanchez-Garcia DMD Limited License Dental LL-412-16 05/25/2016 Active Louisa A V Sanders Louisa A V Sanders DMD Dentist 4907 03/23/2006 Active Owen Kent Sanders Owen Kent Sanders IV DMD Specialty Dentist S6-106 08/12/2011 Active Robert Michael Sanders Robert Michael Sanders DMD Dentist 4607 06/11/2004 Active David B Sandquist David B Sandquist DDS Dentist 0556 01/01/1967 Active Douglas David Sandquist Douglas David Sandquist DDS Dentist 3219 01/21/1998 Active Brian Glen Sanford Brian Glen Sanford DDS Dentist 2303 07/16/1985 Active Ross E Sanford Ross E Sanford DMD Dentist 1059 03/01/1980 Retired Neil Kunal Sangroy Neil Kunal Sangroy DDS Dentist 7128 08/02/2018 Active Ruben Reyes Santana Ruben Reyes Santana DDS Dentist 4763 05/26/2005 Inactive Eleazar Viray Santiago Eleazar Viray Santiago DDS Dentist 5534 07/26/2007 Active Faith Viray Santiago Faith Viray Santiago DDS Dentist 6878 05/19/2017 Active Maria Jezrell Corsino Santos Maria Jezrell Corsino Santos DDS Dentist 7148 10/10/2018 Active Nischal Saparam Nischal Saparam DMD Dentist 6697 07/31/2015 Active Tammy Maria Sarles Tammy Maria Sarles DMD Dentist 5558 06/21/2007 Active Vilas Sastry Vilas Sastry DMD Dentist 5053 07/20/2006 Active Paul Sablan Sauget Paul Sablan Sauget DDS Specialty Dentist S3-243C 05/10/2013 Retired Samuel H Savage Samuel H Savage DDS Dentist 2167 07/12/1983 Active Troy D Savant Troy D Savant DDS Specialty Dentist S2-32 06/30/2001 Active Alana Kay Saxe Alana Kay Saxe DMD Specialty Dentist S3-187 10/30/2008 Active Joshua Lewis Saxe Joshua Lewis Saxe DDS Specialty Dentist S6-25 03/20/2000 Active Michael David Saxe Michael David Saxe DMD Specialty Dentist S6-16 06/07/1991 Active Steven Allan Saxe Steven Allan Saxe DMD Specialty Dentist S2-20 01/24/1992 Active James Edward Saycich James Edward Saycich DDS Dentist 2163 07/12/1983 Active Shahram Sayedna Shahram Sayedna DDS Dentist 5015 06/26/2006 Active Robert Christoph SchallerNSBDERobert Christoph Schaller Jr DDS Dentist LIST5043 06/28/2006 Active Amy Katheryn Schimschock Amy Katheryn Schimschock DMD Dentist 7074 06/29/2018 Active Michelle Rose Schiro Michelle Rose Schiro DMD Dentist 6791 06/08/2016 Active James John Schlesinger James John Schlesinger III DMD, MD Specialty Dentist S2-129C 08/01/2014 Active David Eric Schmidt David Eric Schmidt DDS Limited License Dental LL-417-16 06/01/2016 Active Joanna Marie Schmitt Joanna Marie Schmitt DDS Dentist 6649 06/04/2015 Active Louis William Schmohl Louis William Schmohl DDS Limited License Dental LL-458-17 12/22/2017 Active Andrew David Schneider Andrew David Schneider DDS Dentist 6684 08/12/2015 Active Richard Jan Schoen Richard Jan Schoen DDS Limited License Dental LL-302-12 08/27/2012 Active Matthew Paul Schofield Matthew Paul Schofield DMD Dentist 6058 07/14/2010 Active Wendy Auslen Schopf Wendy Auslen Schopf DDS Dentist 2385 07/14/1987 Retired

206 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Columbus Family dentistry 505 W Columbus St 06/30/2019 4905 Sierra Pine Dr 06/30/2019 4669 Watham Ct S6 - Pediatric Dentist or Pedodontist 06/30/2019 Toothfairy Pediatric Dental 5059 South McCarran Blvd 06/30/2019 8733 Breezy Brown Ave 06/30/2019 Desert Valley Dental 5990 Silver Lake Rd S7 - Endodontist 06/30/2019 14015 Durango Dr 06/30/2019 Serenity Dental 9053 S Pecos Rd Rd 3010 06/30/2019 Whitney Ranch Dental 1001 Whitney Ranch Dr 110 06/30/2019 Infinity Dental 8940 W. Tropicana Ave. Limited License Dentist 05/24/2019 1300 Mendavia Ave 06/30/2019 2780 Glen Port St S6 - Pediatric Dentist or Pedodontist 06/30/2019 1001 Shadow Ln. MS 7423 06/30/2019 2780 Glen Port St 06/30/2019 David B Sandquist, DDS, Ltd 2650 Lake Sahara Dr Suite 160 06/30/2019 David B Sandquist DDS Ltd 2650 Lake Sahara Dr #160 06/30/2019 Brian G Sanford, DDS 2551 Green Valley Pkwy Suite C-301 06/30/2019 888 Graff Circle 06/30/2019 Alexander Dental Group and Orthodontics 3896 N Martin L King Blvd 06/30/2019 SYNERGY DENTAL IMPLANT CENTER 2707 E. VALLEY BLVD 212 06/30/2019 Las Vegas Family Dental 4399 East Stewart Ave Suite 140 06/30/2019 2400 Hwy 95 Ste 60 06/30/2019 1641 Ryder St 06/30/2019 Rapid Dental Care 4270 S Decatur Blvd A2 06/30/2019 Desert Breeze Dental 8650 W. Spring Mountain Rd. 101 06/30/2019 Aces Dental 6127 South Rainbow Blvd 100 S3 - Orthodontist 06/30/2019 Future Smiles Orthodontics 643 Chalan San Antonio Ste 104 06/30/2019 Samuel H Savage, DDS, Chtd. 223 N Pecos Rd Suite 130 S2 - Oral and Maxillofacial Surgeon 06/30/2019 NV Oral Surgery Ltd 757 West Seventh Street Suite 102 S3 - Orthodontist 06/30/2019 Saxe Orhtodontics 3555 S Town Center Dr #104 S6 - Pediatric Dentist or Pedodontist 06/30/2019 A Children's Dentist 8710 W Charleston Blvd. #100 S6 - Pediatric Dentist or Pedodontist 06/30/2019 A Children's Dentist 8710 W Charleston Blvd. #100 S2 - Oral and Maxillofacial Surgeon 06/30/2019 Advance Oral & Maxillofacial Surgery 1570 S Rainbow Blvd 06/30/2019 James Saycich DDS 2540 S Torrey Pines Dr 06/30/2019 6174 Bedford Falls Cir NSBDE06/30/2019 LIST716 Balboa Dr 06/30/2019 Lemmon Valley Dental Group 280 Vista Knoll Pwy Unit 114 06/30/2019 Champagne Family Dentistry 735 Sparks Blvd S2 - Oral and Maxillofacial Surgeon 06/30/2019 222 Karen Ave., #2503 Limited License Dentist 05/31/2019 1450 Arbor Ln 06/30/2019 787 Durgos Drive Limited License Dentist 06/30/2019 143 Fernwood Dr 06/30/2019 11826 Saverio Ave Limited License Dentist 06/30/2019 3125 Valadon Ave 06/30/2019 Mountain Dental 913 N Mountain St 06/30/2019 5103 Crystal Springs Dr NE

207 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Bakersfield CA 93301 (661) 322-1300 (661) 322-1375 USC 05/10/1996 Reno NV 89519 (775) 322-2061 (775) 322-2065 University of Louisville 05/11/2002 Reno NV 89519 (775) 322-2061 (775) 322-2065 University of Louisville 05/10/2003 Reno NV 89502 (702) 757-6754 (775) 909-4354 Pennsylvania-Temple University School of Dentistry 05/13/2010 Las Vegas NV 89143 (702) 658-2311 (702) 870-2302 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Reno NV 89506 (907) 442-7325 University of the Pacific 06/12/2005 Del Mar CA 92014 (858) 552-7525 California-University of California at San Francisco School of Dentistry 06/16/1991 Henderson NV 89074 (702) 765-5400 (702) 765-5444 Tufts University 05/22/1995 Henderson NV 89014 (702) 233-2787 (702) 434-5928 University of Nevada Las Vegas 05/13/2006 Las Vegas NV 89147 (702) 248-4448 (702) 248-4447 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Coral Gables FL 33146 (305) 595-4616 (305) 595-4927 Florida-University of Florida College of Dentistry 05/26/1995 Las Vegas NV 89135-2020 (702) 774-2661 University of New Jersey 05/01/1982 Las Vegas NV 89144 (702) 641-5888 (702) 450-6711 Pennsylvania-Temple University School of Dentistry 07/05/2007 Las Vegas NV 89135-2020 (702) 774-2660 (702) 774-2672 University of New Jersey 06/02/1978 Las Vegas NV 89117 (702) 734-0776 (702) 734-7761 California-Loma Linda University School of Dentistry 06/01/1966 Las Vegas NV 89117 (702) 734-0776 (702) 734-7761 Loma Linda University 05/25/1997 Henderson NV 89014 (702) 451-8181 University of the Pacific 06/01/1985 Pine Valley UT 84781 (541) 664-8300 (907) 258-3390 University of Louisville 06/01/1980 North Las Vegas NV 89032 (702) 614-1792 WEST COVINA CA 91792 (626) 964-2700 (626) 964-2727 Loma Linda University 12/13/2002 Las Vegas NV 89110 (702) 453-6660 (928) 692-1114 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2002 Bullhead City AZ 86442 (928) 704-4555 Brooklyn NY 11234 Las vegas NV 89103 (702) 733-0888 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/2008 Las Vegas NV 89117 (702) 940-1176 (702) 940-1178 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89118 (702) 998-2237 (702) 432-4488 Boston University 05/22/2005 Tamuning GU 96913 (707) 978-2077 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2004 Henderson NV 89074 (702) 734-1100 (702) 734-7899 University of the Pacific 06/01/1983 Reno NV 89503 (775) 359-3322 (775) 851-3213 University of Colorado 05/25/1996 Las Vegas NV 89135 (702) 541-7070 (702) 774-2696 University of Nevada Las Vegas 05/13/2006 Las Vegas NV 89117 (702) 255-0133 (702) 255-8374 Creighton University 05/17/1997 Las Vegas NV 89117 (702) 255-0133 (702) 255-8374 Washington University 05/28/1989 Las Vegas NV 89146 (702) 258-0085 (702) 258-0585 University of Washington 06/01/1988 Las Vegas NV 89146 (702) 367-9599 (702) 367-2958 University of the Pacific 06/01/1983 Las Vegas NV 89149 (310) 470-3095 (310) 470-3007 UCSF 06/15/2000 Seal Beach NSBDECA 90740 University of Missouri LIST04/26/1985 Reno NV 89506 (775) 971-9282 Sparks NV 89434 (775) 359-3934 (775) 359-4034 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89109 (702) 892-0833 (702) 892-0906 Connecticut-University of Connecticut School of Dental Medicine 05/18/2008 Lake Forest IL 60045 (847) 234-4800 (847) 234-4876 Indiana-Indiana University School of Dentistry 05/15/1994 Henderson NV 89012 (702) 564-0871 Oklahoma-University of Oklahoma College of Dentistry 05/09/2015 San Rafael CA 94901 (415) 459-8006 Las Vegas NV 89138 (702) 228-2218 (702) 228-7411 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2010 Henderson NV 89044 (702) 774-4959 Illinois-Loyola University Medical Center 06/12/1971 Carson City NV 89703 (775) 882-4433 (775) 882-4471 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Bainbridge Island WA 98110 (775) 782-9426 University of the Pacific 06/01/1987

208 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/11/2018

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/15/1997 New York-New York University College of Dentistry 09/24/2018 NSBDE LIST Midwestern University 05/11/2018

California-University of California at San Francisco School of Dentistry 06/16/1970 Ohio-Case Western Reserve Univ. School of Dental Medicine 06/02/1974

209 DENTISTS 01/01/2019

BoardAction

08/20/2010 08/20/2010

NSBDE LIST

210 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

BriAnna Leigh Schraw BriAnna Leigh Schraw DMD Limited License Dental LL-485-18 12/06/2018 Active Brent Tracy Schvaneveldt Brent Tracy Schvaneveldt DMD Dentist 4879 01/24/2006 Retired Nathan David Schwartz Nathan David Schwartz DDS Dentist 4800 08/26/2005 Active Paul Douglas Schwarz Paul Douglas Schwarz DMD Dentist 5543 07/26/2007 Active Richard Louis Scotti Richard Louis Scotti DDS Dentist 4479 06/24/2003 Active Patrick Winter Seely Patrick Winter Seely DDS Specialty Dentist S5-21 01/20/2007 Active Darrell Grant Selig Darrell Grant Selig DDS Dentist 4510 08/12/2003 Active Monique Nairi Selvian Monique Nairi Selvian DDS Dentist 5617 11/01/2007 Retired Jay Kevin Selznick Jay Kevin Selznick DMD, MD Specialty Dentist S2-22 08/30/1995 Active Shannon Michael Sena Shannon Michael Sena DDS Dentist 5934 07/16/2009 Active Jeong Ho Seo Jeong Ho Seo DMD Specialty Dentist S6-150 02/17/2017 Active Clifford Charles Seran Clifford Charles Seran DMD Specialty Dentist S3-99C 05/18/2006 Active Joseph Michael Serra Joseph Michael Serra DDS Limited License Dental LL-258-11 01/26/2012 Active Wendy Seto Wendy Seto DDS Dentist 6554 08/01/2014 Active Douglas Raines Sewell Douglas Raines Sewell DMD Limited License Dental LL-486-18 12/06/2018 Active James Warren Seyfried James Warren Seyfried DDS Dentist 2229 07/01/1984 Active Fatima Shafi Fatima Shafi DMD Dentist 7094 06/29/2018 Active Anna Shagharyan Anna Shagharyan DMD Dentist 6646 05/22/2015 Active Rahi Chandravadan Shah Rahi Chandravadan Shah DDS Dentist 7109 07/05/2018 Active Anita Shahin Anita Shahin DDS Dentist 7047 05/18/2018 Inactive Ali Shahrestani Ali Shahrestani DMD Dentist 5554 06/21/2007 Active Pouyan Shahrokh Pouyan Shahrokh DMD Dentist 6894 03/31/2017 Active Daniel Israel Shalev Daniel Israel Shalev DDS Specialty Dentist S7-30 09/07/2001 Active Richard James Shamo Richard James Shamo DDS Dentist 6367 03/07/2013 Active Allen Tin-Pang Shan Allen Tin-Pang Shan DMD Limited License Dental LL-457-17 10/20/2017 Active Thomas Patrick Shannon Thomas Patrick Shannon DDS Specialty Dentist S3-318C 06/18/2018 Active Sogol Shantiyai Sogol Shantiyai DMD Dentist 6938 07/14/2017 Active Mohammad Nazif Sharifi Mohammad Nazif Sharifi DMD Dentist 6837 07/27/2016 Active Alex Sharifian Alex Sharifian DDS Dentist 4908 03/23/2006 Active Akanksha Sharma Akanksha Sharma DMD Dentist 6949 06/23/2017 Active Rassilee Sharma Rassilee Sharma DDS Dentist 6982 09/08/2017 Active Sheena Sharma Sheena Sharma DMD Dentist 6552 08/01/2014 Active Steven Grant Shaw Steven Grant Shaw DDS Specialty Dentist S3-297 01/11/2017 Active Joseph Ramsey Shawa Joseph Ramsey Shawa DMD Dentist 4583 02/26/2004 Active Thomas Alphonsus Shea Thomas Alphonsus Shea DDS Dentist 4611 06/11/2004 Active Aman Sheikh NSBDEAman Sheikh DMD Dentist LIST4824 10/10/2005 Active John Bradley Shepherd John Bradley Shepherd DMD Dentist 6789 07/27/2016 Active Travis Trent Shepherd Travis Trent Shepherd DMD Geographically Restricted Dentist License GR6862TA 11/30/2016 Active Karen Sue Sheppard Karen Sue Sheppard DDS Dentist 6718 09/24/2015 Active John Chadwick Shepphird John Chadwick Shepphird DMD Dentist 6097 05/27/2011 Active Michael Lawrence Sherman Michael Lawrence Sherman DDS Dentist 7054 10/16/2017 Active Gerald Blake Sherrick Gerald Blake Sherrick DDS Dentist 7093 07/05/2018 Active Yowell Michael Sherrill Yowell Michael Sherrill DDS Dentist 4605 04/29/2004 Retired Andrew Thomas Shields Andrew Thomas Shields III DMD Dentist 4635 07/12/2004 Active Jennifer Susan Shields Jennifer Susan Shields DMD Dentist 4636 07/12/2004 Active Simon Kuang-Yuan Shih Simon Kuang-Yuan Shih DMD Dentist 4877 01/24/2006 Active

211 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

Limited License Dentist 12/05/2019 1788 Bentgrass Ln 06/30/2019 612 Hillcrest Ave 06/30/2019 Nathan Schwartz 537 S Boulder Hwy 06/30/2019 ADHP 8207 East 3rd Street 06/30/2019 11 John Paul Jones Dr S5 - Prosthodontist 06/30/2019 1177 McGee Dr 06/30/2019 Dr. Grant Selig 10300 W Charleston Blvd #13316 06/30/2019 1886 Verdugo Loma Drive S2 - Oral and Maxillofacial Surgeon 06/30/2019 Southern Nevada Oral and Maxillofacial Surgery 2500 W Sahara Ave Ste., #202 06/30/2019 SHANNON MICHAEL SENA DDS 1500 AVENUE F 2 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Star Orthodontics and Pediatric Dentistry 10660 Southern Highlands Pkwy Ste 110 S3 - Orthodontist 06/30/2019 1956 Via Delle Arti Limited License Dentist 01/25/2020 P O Box 1497 06/30/2019 1350 W Horizon Ridge Pkwy Apt 114 Limited License Dentist 12/05/2019 695 S Colorado Blvd Ste 300 06/30/2019 James Seyfried, DDS 1624 Library Ln 06/30/2019 125 Augusta St 06/30/2019 Golpa Dental Implant Center 6420 S Medical Center St Ste 101 06/30/2019 Montecito Town Center Dental Group & Orthodontics 7125 N Durango Dr 06/30/2019 Andersonville Dental 1700 W Foster Ave 06/30/2019 20 Meadowhawk Ln 06/30/2019 Absolute Dental 2250 S. Rancho Drive Ste. # 205 S7 - Endodontist 06/30/2019 Daniel Shalev DDS, Ltd 2510 Wigwam Pkwy #200 06/30/2019 2438 E Lexington Circle Limited License Dentist 06/30/2019 4224 W Charleston Blvd #364 S3 - Orthodontist 06/30/2019 Shannon Orthodontics 4320 44th St SW Ste 101 06/30/2019 717 Peachy Canyon Cir #201 06/30/2019 800 NE 67th Street Apt 614 06/30/2019 1509 Tahiti Ave 06/30/2019 11213 Rose Reflet Pl 06/30/2019 11131 Pentland Downs St 06/30/2019 1708 Hills of Red Dr Unit #201 S3 - Orthodontist 06/30/2019 2257 Nashville Ave 06/30/2019 4792 Caughlin Pkwy Ste 211 06/30/2019 42 woodbury road NSBDE06/30/2019 Gentle Dental LIST3016 W Charleston Blvd. #145 06/30/2019 371 Turtle Peak Ave 06/30/2019 610 Garnet Dr 06/30/2019 8132 147th St NW 06/30/2019 Fallon Family Dental Care 300 W A Street 06/30/2019 1131 Wigwam Pkwy Apt 13104 06/30/2019 865 Auroras Edge Ct 06/30/2019 2033 Bobtail Cir 06/30/2019 Shields Family Dentistry 601 Whitney Ranch Dr D-22 06/30/2019 Shields Family Dentistry 601 Whitney Ranch Dr D-22 06/30/2019 Peccole Family Dental 7720 W Sahara Ave # 110

212 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Tega Cay SC 29708 (803) 548-4899 American Falls ID 83211 (208) 397-4198 (208) 397-5606 Washington University 03/23/1975 Henderson NV 89015 (702) 564-2526 Ohio State University 06/12/2005 Downey CA 90241 (702) 260-1890 (702) 474-9617 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Monroe Township NJ 08831 (908) 486-4521 (908) 241-2176 New York University 06/07/1985 Reno NV 89523 (775) 830-7388 University of the Pacific 06/14/1982 Las Vegas NV 89135 (702) 307-7777 (614) 855-1799 Ohio State University 06/12/1987 Glendale CA 91208 (310) 622-2828 New York-New York University College of Dentistry 05/12/2005 Las Vegas NV 89102 (775) 751-0800 (702) 436-3535 University of Pennsylvania 05/14/1990 ELY NV 89301 (775) 289-3375 (775) 289-3376 Nebraska-Creighton University School of Dentistry 05/16/2009 Las Vegas NV 89141 (702) 774-2415 (702) 774-2438 Henderson NV 89044 (702) 774-2697 (702) 774-2696 University of Pennsylvania 05/18/1970 Novi MI 48376 (248) 380-9330 (248) 380-9359 Michigan-University of Detroit Mercy School of Dentistry 07/02/1990 Henderson NV 89012 (702) 270-8880 (702) 270-8886 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/2013 Denver CO 80246 (215) 880-6180 Minden NV 89423 (775) 782-8176 (775) 783-9176 USC 05/08/1984 Henderson NV 89074 (702) 997-5958 Las Vegas NV 89148 (702) 979-7337 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89149 (702) 658-2311 Chicago IL 60640 (773) 334-4200 Las Vegas NV 89135 (702) 577-1941 (702) 395-7813 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89102 (720) 214-4746 Henderson NV 89074 (702) 263-2000 (702) 263-3036 USC 05/14/1999 Salt Lake City UT 84124 California-University of California at Los Angeles School of Dentistry 06/13/2008 Las Vegas NV 89102 (702) 774-2636 Grandville MI 49418 (616) 534-0550 Las Vegas NV 89144 (702) 774-2690 Seattle WA 98115 (702) 360-4800 (702) 360-2846 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2016 Laguna Beach CA 92651 (702) 997-5958 (714) 368-1411 USC 05/20/1997 Las Vegas NV 89144 (702) 839-2244 Las Vegas NV 89141 (702) 651-5510 Las Vegas NV 89128 (702) 464-3090 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Henderson NV 89052 (702) 454-1008 (702) 454-1009 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/29/2014 Reno NV 89519 (775) 828-1600 Ohio State University 06/01/1991 huntington NY 11743 (702) 455-3977 (631) 470-4569 Georgetown University 05/18/1984 Las Vegas NSBDENV 89102 (702) 380-1212 Nova Southeastern University LIST05/29/2005 Las Vegas NV 89148 (702) 896-7211 (702) 896-7099 Florida-Nova Southeastern University College of Dental Medicine 05/20/2016 Kimberly ID 83341 (775) 752-3056 (208) 423-4867 Kentucky-University of Louisville School of Dentistry 05/10/2008 Stanwood WA 98292 (425) 821-3834 (425) 821-0845 Colorado-University of Colorado at Denver and Health Sciences Center 05/26/1984 Fallon NV 89406 (775) 423-5213 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Henderson NV 89074 Henderson NV 89012 (281) 450-3072 Henderson NV 89012 (702) 653-2601 (702) 653-2682 University of Texas 06/01/1970 Henderson NV 89014 (702) 434-8686 (702) 434-6545 OR Health Sciences University 06/25/2004 Henderson NV 89014 (702) 434-8686 (702) 434-6545 OR Health Sciences University 06/25/2004 Las Vegas NV 89117 (702) 242-6500 (702) 871-8889 Tufts University 05/23/1999

213 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

South Carolina-Medical University of South Carolina College of Dental Medicine 05/17/2002

Pennsylvania-University of Pennsylvania School of Dental Medicine 05/15/2006

Massachusetts-Tufts University School of Dental Medicine 05/20/2018

California-University of Southern California School of Dentistry 05/11/2018 Howard University 05/10/1997

Kentucky-University of Louisville School of Dentistry Michigan-University of Michigan School of Dentistry 04/26/2007 Tennessee-University of Tennessee Health Science Center 05/31/2012 Arizona-Midwestern University 05/20/2016

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017 California-UniversityNSBDE of California at Los Angeles School of Dentistry 06/10/2016 LIST

California-University of California at Los Angeles School of Dentistry 06/12/1992 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/22/2010

214 DENTISTS 01/01/2019

BoardAction

12/15/2005

NSBDE LIST

215 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Yen Shiu Shih Yen Shiu Shih DDS Dentist 5611 11/01/2007 Inactive Elaine Tai Eun Shim Elaine Tai Eun Shim DDS Dentist 3525 01/19/2000 Active Eunsook Shin Eunsook Shin DDS Dentist 2644 03/27/1991 Active Laurel Mira Shin Laurel Mira Shin DMD Dentist 6996 11/13/2017 Active Ryan Christopher Shipp Ryan Christopher Shipp DMD Specialty Dentist S7-55 07/26/2007 Active Kyle Lee Shoenberger Kyle Lee Shoenberger DMD Dentist 6078 08/20/2010 Inactive Sulabh Himansu Shroff Sulabh Himansu Shroff DMD Specialty Dentist S6-130 08/01/2014 Active Eric Steve Shyu Eric Steve Shyu DMD Dentist 6940 07/14/2017 Active Zarina Rae Balilo Sicat Zarina Rae Balilo Sicat DDS Dentist 6373 01/24/2013 Active Ammar Siddiqi Ammar Siddiqi DDS Dentist 6556 08/01/2014 Active Amandeep Singh Sidhu Amandeep Singh Sidhu DDS Dentist 6545 08/01/2014 Active Scott Lewis Siegel Scott Lewis Siegel DMD Dentist 5718 06/27/2008 Inactive Kristian Louis Sievert Kristian Louis Sievert DMD Dentist 6107 05/27/2011 Active J Stephen Sill J Stephen Sill DMD Dentist 2290 07/16/1985 Active Jessica Ann Silva Jessica Ann Silva DMD Specialty Dentist S4-102 11/30/2016 Active John Nicholas Silvaroli John Nicholas Silvaroli DMD Dentist 6961 06/30/2017 Active Patrick Richard Silvaroli Patrick Richard Silvaroli DMD Dentist 6163 06/30/2011 Active Bradley Gene Simister Bradley Gene Simister DDS Specialty Dentist S3-232 12/09/2011 Active Douglas K Simister Douglas K Simister DDS Specialty Dentist S3-153 08/17/2007 Active Jeffrey Ray Simister Jeffrey Ray Simister DDS Specialty Dentist S3-52 02/05/1998 Active Raymond Kent Simister Raymond Kent Simister DMD Dentist 0692 03/01/1972 Active Aaron David Simmons Aaron David Simmons DMD Dentist 5518 05/17/2007 Inactive Tiffany Marie Simmons Tiffany Marie Simmons DMD Dentist 5750 08/22/2008 Inactive Patrick A Simone Patrick A Simone DDS Dentist 2339 03/01/1986 Active Michael Richard Simonian Michael Richard Simonian DDS Dentist 4188 05/31/2002 Inactive Luke Anthony Simonis Luke Anthony Simonis DDS Dentist 6323 07/18/2012 Active Jeremy Martin Simpson Jeremy Martin Simpson DDS Dentist 5972 07/16/2009 Inactive Stephen Lemuel Sims Stephen Lemuel Sims DMD Dentist 4738 04/21/2005 Active Maryam Sina Maryam Sina DDS Specialty Dentist S6-21 03/25/1997 Active Joseph Sinairad Joseph Sinairad DDS Dentist 4528 12/11/2003 Active Amina Singh Amina Singh DDS Dentist 6825 07/20/2016 Active Raunak Singh Raunak Singh DDS Dentist 7059 05/18/2018 Active Jonathan Minsoo Skelton Jonathan Minsoo Skelton DMD Dentist 7103 07/05/2018 Active Gregory C Skinner Gregory C Skinner DDS Dentist 6731 02/17/2016 Active Trevor Michael Skinner Trevor Michael Skinner DDS Limited License Dental LL-469-18 06/21/2018 Active Mark William SlivkaNSBDEMark William Slivka DDS Specialty Dentist LISTS3-78C 08/26/2005 Active Alan Martin Slutsky Alan Martin Slutsky DMD Dentist 4095 02/04/2002 Active James Paul Smerdon James Paul Smerdon DMD Dentist 4512 08/27/2004 Active Barbara Ann Smith Barbara Ann Smith DDS Dentist 2284 03/26/1985 Inactive Dave Len Smith Dave Len Smith DDS Specialty Dentist S3-48 03/25/1997 Active Erik James Smith Erik James Smith DMD Specialty Dentist S6-127C 04/25/2014 Active Gabriel Smith Gabriel Smith DMD Dentist 6725 01/13/2016 Inactive Jamie Rose Smith Jamie Rose Smith DDS Dentist 6624 06/04/2015 Active Joel Lane Smith Joel Lane Smith DDS Limited License Dental LL-259-11 01/26/2012 Active Larry Edward Smith Larry Edward Smith DMD Dentist 5793 12/04/2008 Inactive Logan Michael Smith Logan Michael Smith DDS Dentist 5080 07/20/2006 Active

216 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 324 S Diamond Bar Blvd #879 06/30/2019 Pebble Family Dentistry 1550 N Green Valley Pkwy #350 06/30/2019 Nevada Health Centers Inc. 2212 S. Eastern Ave 06/30/2019 222 Karen Ave Apt 1108 S7 - Endodontist 06/30/2019 Ryan C Ship DMD 9053 S. Pecos Rd. Suite 3000 06/30/2019 2406 Hamilton St S6 - Pediatric Dentist or Pedodontist 06/30/2019 Anthem Pediatric Dentistry 4245 E. Charleston Blvd. 06/30/2019 78 Sea Holly Way 06/30/2019 DIAMOND DENTAL GROUP AND ORTHODONTICS 4380 BLUE DIAMOND RD 102 06/30/2019 7726 Lobella St 06/30/2019 Densley Dental 8955 S. Pecos Rd Ste: 2A 06/30/2019 11701 SW 21st Ct 06/30/2019 Kristian Sievert DMD 3631 Warren Way Ste B 06/30/2019 J Stephen Sill DMD PC 4890 E Bonanza Rd S4 - Periodontist 06/30/2019 1005 Wigwam Pkwy Apt 24106 06/30/2019 3846 Bellingham Dr 06/30/2019 Anthony M. Brunelli DDS, Patrick R. Silvaroli DMD 550 Hammill Lane S3 - Orthodontist 06/30/2019 Simister Orthodontics 340 Falcon Ridge Pkwy Building 200 Suite 104 S3 - Orthodontist 06/30/2019 10200 Crescent Mesa S3 - Orthodontist 06/30/2019 340 Falcon Ridge Pkwy Bldg 200 Ste 104 06/30/2019 1655 Westwind Cir 06/30/2019 3789 E Fruitvale Ave 06/30/2019 3789 E Fruitvale Ave 06/30/2019 Patrick A Simone, DDS 70 N Pecos Rd Ste A 06/30/2019 1232 Limerick Dr 06/30/2019 9521 Bottle Creek Ln 06/30/2019 125 Woodrose Lane 06/30/2019 Stephen L. Sims DMD, Inc 5365 Mae Anne Ave Ste A-1 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dentistry for Children 2551 N Green Valley Pkwy. #400A 06/30/2019 4361 Noeline Ave 06/30/2019 9117 Blazing Fire Ct 06/30/2019 Summer Dental 10965 Lavender Hill Dr Ste 120 06/30/2019 5540 W Harmon Ave Apt 2053 06/30/2019 diamond Lake Family Dental 250 South Lyon Avenue Suite B Limited License Dentist 06/30/2019 7401 W Washington Ave #2127 S3 - Orthodontist NSBDE06/30/2019 LIST5855 N Kolb Rd #7206 06/30/2019 P O Box 7514 06/30/2019 The Dentists' Office 1241 S Taylor St 06/30/2019 P O Box 250 S3 - Orthodontist 06/30/2019 Dave Smith, DDS 5320 W Sahara Ave S6 - Pediatric Dentist or Pedodontist 06/30/2019 Children's Dentistry of Elko 2578 Idaho St 06/30/2019 10686 Alyssum Ln #103 06/30/2019 South Meadows Dental & Orthodontics 825 S Meadows Pkwy Limited License Dentist 01/25/2020 4330 Calder Ave 06/30/2019 5872 W Agave Bloom Ln 06/30/2019 Logan M. Smith, D.D.S. Ltd. 5220 Neil Rd Suite 200

217 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Diamond Bar CA 91765 California-University of Southern California School of Dentistry 05/08/1998 Henderson NV 89074 (702) 567-1887 (702) 990-8547 USC 09/19/1997 Las Vegas NV 89104 (702) 304-1234 (702) 363-3254 UCLA 06/01/1989 Las Vegas NV 89109 (702) 990-4433 Henderson NV 89074 (702) 798-0911 (775) 823-9824 Kentucky-University of Louisville School of Dentistry 05/08/2004 Allentown PA 18104 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/14/2007 Las Vegas NV 89104 (702) 459-5437 (702) 459-5432 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Henderson NV 89074 (702) 728-4095 LAS VEGAS NV 89139 (702) 425-4424 (623) 486-5226 California-University of Southern California School of Dentistry 05/13/2011 Las Vegas NV 89123 (702) 968-5222 California-University of Southern California School of Dentistry 05/16/2014 Las Vegas NV 89074 (702) 257-9090 (702) 307-7969 California-University of Southern California School of Dentistry 05/14/2010 Davie FL 33325 (718) 960-9000 Florida-Nova Southeastern University College of Dental Medicine 05/30/2004 Reno NV 89509 (775) 323-3350 (775) 825-3352 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89110 (702) 649-6859 (702) 649-8711 OR Health Sciences University 06/01/1985 Henderson NV 89074 (559) 288-5377 Massachusetts-Tufts University School of Dental Medicine 05/19/2013 Reno NV 89511 Reno NV 89511 (775) 852-1770 (775) 852-2770 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Mesquite NV 89027 (702) 346-5808 (702) 735-8697 Nebraska-Creighton University School of Dentistry 05/15/2004 Las Vegas NV 89144 (702) 256-7846 (702) 838-9996 Nebraska-Creighton University School of Dentistry 05/27/1997 Mesquite NV 89027 (702) 256-7846 (702) 256-4370 Creighton University 05/13/1995 Las Vegas NV 89146 (702) 878-7700 (702) 878-4630 University of Oregon 06/01/1969 Gilbert AZ 85297 (254) 286-7401 (702) 433-2266 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Gilbert AZ 85297 (702) 474-9617 University of Nevada Las Vegas 05/13/2006 Henderson NV 89074 (702) 735-2755 (702) 735-7901 State University of New York-Buffalo 06/01/1985 Placentia CA 92870 (702) 869-0369 (909) 628-5597 UCLA 06/19/1982 Las Vegas NV 89117 (702) 463-8600 (702) 368-0239 Ohio-Ohio State University College of Dentistry 06/10/2012 Roseburg OR 97471 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/23/2009 Reno NV 89523 (775) 787-7467 Washington University 05/18/1984 Henderson NV 89014 (702) 458-6684 (702) 450-9498 USC 05/09/1991 Encino CA 91436 (818) 780-7555 USC 05/01/1992 Las Vegas NV 89117 (702) 254-3135 New York-New York University College of Dentistry 05/18/2016 Las Vegas NV 89135 (702) 831-4526 Las Vegas NV 89103 (702) 680-1009 Hemet CA 92543 (951) 658-2354 (951) 652-3436 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/17/1981 Las Vegas NV 89128 (307) 887-5249 Tucson NSBDEAZ 85750 (702) 435-3888 Ohio State University LIST06/12/1992 San Diego CA 92167 (702) 365-0723 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/21/1980 Fallon NV 89406 (775) 423-7400 (775) 423-7410 University of Louisville 05/10/2003 Elida NM 88116 (575) 762-1254 (575) 274-6452 University of Missouri-KC 05/01/1982 Las Vegas NV 89146 (702) 871-1808 (702) 871-3767 UCLA 06/16/1989 Elko NV 89801 (775) 299-4790 (775) 738-0495 A.T. Still University Arizona School of Dentistry and Oral Health 06/25/2010 Ventura CA 93004 (805) 648-1090 Puerto Rico-University of Puerto Rico School of Dentistry 02/22/2012 Reno NV 89521 (775) 852-8181 (775) 852-8199 Nebraska-Creighton University School of Dentistry 05/15/2010 Beaumont TX 77706 (409) 895-0089 (702) 341-8510 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/19/1984 Tucson AZ 85735 (520) 883-5722 Oral Roberts University 04/29/1984 Reno NV 89502 (775) 826-2826 (775) 332-8466 USC 05/11/2001

218 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

California-University of Southern California School of Dentistry 05/12/2017 California-Western University of Health Sciences 05/23/2018 Nebraska-CreightonNSBDE University School of Dentistry 05/12/2018 LIST

219 DENTISTS 01/01/2019

BoardAction

04/29/2003

NSBDE LIST

220 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Susan Schmutz Smith Susan Schmutz Smith DDS Dentist 3782 04/30/2001 Active Sydney M Smith Sydney M Smith DDS Dentist 0591 08/01/1968 Retired Trevor Anthony Smith Trevor Anthony Smith DDS Dentist 4587 02/26/2004 Inactive Aimee Nicole Snell-Killam Aimee Nicole Snell-Killam DDS Specialty Dentist S6-94 04/16/2009 Active Zachary D Soard Zachary D Soard DMD Dentist 6522 07/03/2014 Active Prakash Kalubhai Sojitra Prakash Kalubhai Sojitra DDS Dentist 6899 09/08/2017 Active Vivek Surendra Solanki Vivek Surendra Solanki DDS Specialty Dentist S4-100C 08/31/2016 Inactive Bobby Soleiman Bobby Soleiman DDS Specialty Dentist S4-61C 10/09/2009 Active Hazelmei Dizon Soliman Hazelmei Dizon Soliman DDS Dentist 5763 07/16/2009 Inactive Deborah Solomon Deborah Solomon DDS Specialty Dentist S3-284 06/22/2016 Active Sid Solomon Sid Solomon DDS Limited License Dental LL-471-18 08/02/2018 Active Teresa Gabriela Solorzano Teresa Gabriela Solorzano DMD Dentist 7145 10/10/2018 Active Robert Michael Solow Robert Michael Solow DDS Dentist 2706 03/25/1992 Inactive Mansoureh Soltani Mansoureh Soltani DDS Dentist 6595 01/30/2015 Inactive Mohamed Masih Soltani Mohamed Masih Soltani DDS Dentist 2992 03/22/1996 Inactive Alex Young Song Alex Young Song DDS Dentist 3487 07/12/1999 Active Terry Song Terry Song DDS Dentist 5589 11/01/2007 Active Eric Justin Sorensen Eric Justin Sorensen DDS Dentist 4792 08/26/2005 Inactive Thomas Cooley Sorensen Thomas Cooley Sorensen DDS Specialty Dentist S6-34C 06/11/2004 Active Barry Gentry Sorenson Barry Gentry Sorenson DMD Dentist 5850 02/19/2010 Active Levi John Sorenson Levi John Sorenson DMD Specialty Dentist S6-131 10/03/2014 Active John Jalal Soumi John Jalal Soumi DDS Dentist 3502 01/19/2000 Active Steven Rob Speaker Steven Rob Speaker DDS Dentist 6686 07/22/2015 Active Stephen Winther Spelman Stephen Winther Spelman DDS Dentist 2062 10/01/1981 Active Sandra Claire Spengler Sandra Claire Spengler DDS Dentist 4493 07/28/2003 Active Christopher Thomas Spillers Christopher Thomas Spillers DMD Dentist 6596 01/30/2015 Active Darrell Keith Spilsbury Darrell Keith Spilsbury DDS Specialty Dentist S3-36 03/18/1989 Active Michael Louis Squitieri Michael Louis Squitieri DDS Specialty Dentist S7-14 07/10/1987 Active Diane Marie Stacey Diane Marie Stacey DDS Specialty Dentist S3-50/S6-22 05/09/1997 Active Michael Thomas Stallings Michael Thomas Stallings DMD Dentist 7120 07/27/2018 Active Timothy L Standerfer Timothy L Standerfer DMD Dentist 2352 07/15/1986 Active Larry O'Neil Staples Larry O'Neil Staples DDS Dentist 4667 10/21/2004 Active Lauri Ruth Staretz Lauri Ruth Staretz DDS Dentist 4688 12/09/2004 Active Beatrice Ann Stark Beatrice Ann Stark DDS Dentist 3585 05/08/2000 Active Carl Stanley Stasiewicz Carl Stanley Stasiewicz DDS Dentist 4294 08/06/2002 Active Deborha Lynn StatenNSBDEDeborha Lynn Staten DMD Dentist LIST6292 07/18/2012 Active Hidy Pearl Stavarache Hidy Pearl Stavarache DDS Dentist 3084 01/06/1997 Active Joshua John Steffen Joshua John Steffen DDS Specialty Dentist S7-97 03/31/2017 Active Patricia Ann Steiner Patricia Ann Steiner DMD Dentist 5626 11/01/2007 Active Stephanie Carmela Steiner Stephanie Carmela Steiner DDS Limited License Dental LL-444-17 06/23/2017 Active Mardiros Yeghiiche Stepanian Mardiros Yeghiiche Stepanian DDS Dentist 3513 01/19/2000 Inactive John E Stephenson John E Stephenson DDS Dentist 2039 03/23/1981 Active Tanya Stere Tanya Stere DDS Dentist 4364 01/22/2003 Active Richard Melvin Stevens Richard Melvin Stevens DMD Specialty Dentist S3-42 08/11/1990 Active Kenneth Wesley Stewart Kenneth Wesley Stewart DMD Dentist 2110 07/01/1982 Active Mathew Lawrence Stewart Mathew Lawrence Stewart DMD Dentist 6630 05/22/2015 Active

221 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Susan Smith DDS 8275 S. Eastern Ave. Suite 101 06/30/2019 805 Mile Cir Dr 06/30/2019 572 Fox Links St S6 - Pediatric Dentist or Pedodontist 06/30/2019 Big Blue Pediatric Dentistry 1789 E College Pkwy Suite 121 06/30/2019 Camino Al Norte Dental 1306 W Craig Rd Suite H 06/30/2019 4232 Acclaim Way S4 - Periodontist 06/30/2019 Office Mailing Address 22287 Mulholland Hwy #73 S4 - Periodontist 06/30/2019 2345 Stratford Cir 06/30/2019 Pediatric Dentistry and Orthodontics of Livermore 1133 E. Stanley Blvd Suite 217 S3 - Orthodontist 06/30/2019 1806 Clear River Falls Ln Limited License Dentist 08/01/2019 1620 Westwood Blvd 06/30/2019 8452 Boseck Dr Unit 279 06/30/2019 Robert M Solow DDS Inc 6024 Fallbrook Ave #101 06/30/2019 841 Via Somonte 06/30/2019 5795 Hunting Creek Road 06/30/2019 Premier Dental Care 220 Horizon Dr #F 06/30/2019 Access Dental Care 10643 Professional Cir Ste 102 06/30/2019 Eric J Sorensen, DDS, PC / DBA Academy Square Dental Care 488 North 100 East S6 - Pediatric Dentist or Pedodontist 06/30/2019 Any Day Dental 2575 N 5th St. Ste. A 06/30/2019 Family dental Care 263 Spring Valley Pkwy #A-3 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Sorenson Pediatric Dentistry 5745 South Fort Apache Rd Ste. 100 06/30/2019 Garden Cosmetic & Family Dentistry 3575 S Town Center Dr suite 120 06/30/2019 700 Carnegie St Apt 3513 06/30/2019 Willow Springs Dental 3450 S Hualapai Way 06/30/2019 11440 Valentino Ln 06/30/2019 Summit Dental 950 S Durango 140 S3 - Orthodontist 06/30/2019 Darrell K Splisbury DDS MS 731 Mall Ring Cir #100 S7 - Endodontist 06/30/2019 70 N Pecos Rd Ste A S3 - Orthodontist 06/30/2019 Desert Orthodontics and Pediatric Dentistry 390 N Stephanie St 104 06/30/2019 It's My Smile 5030 Las Brisas Blvd Ste B4 06/30/2019 Tim L Standerfer D.M.D 590 Hammill Ln 06/30/2019 Staples Dental 2345 E Centennial Blvd 110 06/30/2019 P.O.Box 371323 06/30/2019 Beatrice Stark Enhance Dental 8551 W Lake Mead 06/30/2019 1380 Dartmouth Dr NSBDE06/30/2019 Desert Hills Dental LIST5475 S Fort Apache Rd Suite 100 06/30/2019 Hidy P. Stavarache DDS 9910 W Cheyenne Ave, Ste 170 S7 - Endodontist 06/30/2019 1616 Walnut St Apt 1008 06/30/2019 Nevada Dental Benefits Center for Oral Health 650 N Nellis Blvd Second Floor Limited License Dentist 06/30/2019 1445 Stonelake Cove Ave apt #7301 06/30/2019 P.O. Box 5059 06/30/2019 Abbey Dental 4408 S Eastern Ave 06/30/2019 Advanced Dental 7580 Norman Rockwell Ln Suite 150 S3 - Orthodontist 06/30/2019 4991 Hayride St 06/30/2019 Stewart Family Dental 2351 Pyramid Way Suite 22 06/30/2019 2555 Bryce Canyon Ln

222 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89123 (702) 967-1700 (702) 967-1703 Creighton University 05/13/2000 Reno NV 89511 (775) 826-7600 (775) 826-5608 California-University of California at San Francisco School of Dentistry 06/01/1968 Henderson NV 89012 (775) 829-1553 Howard University 05/01/1978 Carson City NV 89706 (775) 331-9477 (775) 887-1915 Michigan-University of Michigan School of Dentistry 04/27/2006 North Las Vegas NV 89032 (702) 633-4333 (702) 233-0092 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Modesto CA 95356 (209) 543-0555 Calabasas CA 91302 (352) 216-4924 District of Columbia-Howard University College of Dentistry 05/14/2011 Los Angeles CA 90077 (818) 389-7288 (818) 232-9182 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/16/1996 Livermore CA 94550 (925) 447-1377 California-University of California at San Francisco School of Dentistry 06/11/2006 Henderson NV 89012 (917) 865-1207 (702) 968-5277 New York-New York University College of Dentistry 05/12/2010 Los Angeles CA 90024 (310) 475-5598 Las Vegas NV 89145 Woodland Hills CA 91367 (818) 999-0104 (818) 710-1621 University of Detroit 08/10/1974 Palos Verdes Estates CA 90274 (310) 324-9700 California-University of Southern California School of Dentistry 05/16/2014 Alexandria VA 22303 (775) 287-1695 University of the Pacific 06/18/1995 Henderson NV 89015 (702) 563-6956 (702) 563-6957 Loma Linda University 05/30/1999 Reno NV 89521 (775) 737-4035 (775) 737-4036 New York-New York University College of Dentistry 05/12/2005 Provo UT 84606 (801) 374-0867 (775) 358-5701 Creighton University 05/14/2005 Elko NV 89801 (775) 753-6118 (775) 738-2731 Northwestern University 06/19/1982 Spring Creek NV 89815 (775) 738-3500 (775) 738-7277 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89148 (702) 459-5437 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89135 (702) 869-5700 (702) 869-6657 USC 05/08/1998 Henderson NV 89052 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2015 Las Vegas NV 89117 (702) 871-6044 (702) 368-0239 University of the Pacific 06/01/1981 Las Vegas NV 89138 (702) 565-4040 (702) 647-5645 University of the Pacific 06/16/2002 Las Vegas NV 89145 (702) 834-7755 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Henderson NV 89014 (702) 434-0063 (702) 434-0813 University of the Pacific 06/01/1986 Henderson NV 89074 (702) 791-9000 Marquette University 06/01/1983 Henderson NV 89014 (702) 947-7700 (702) 932-7700 University of the Pacific 06/18/1976 Reno NV 89523 (775) 852-8336 Reno NV 89511 (775) 825-5710 (775) 825-2990 OR Health Sciences University 06/01/1986 North Las Vegas NV 89081 (702) 991-0404 (435) 673-6812 Northwestern University 06/12/1971 Las Vegas NV 89137 (702) 774-2660 University of the Pacific 06/19/1987 Las Vegas NV 89128 (702) 437-1007 (702) 304-1126 USC 05/10/1996 Reno NV 89509 (775) 829-8222 (775) 829-8243 Marquette University 05/04/1966 Las Vegas NSBDENV 89148 (702) 736-7979 (702) 684-7780 Nevada-University of Nevada, Las Vegas School of LISTDental Medicine 05/12/2012 Las Vegas NV 89149 (702) 233-8371 (702) 233-8692 Loma Linda University 07/13/1995 Philadelphia PA 19103 (609) 348-1111 New York-Columbia University College of Dental Medicine 05/21/2014 Las Vegas NV 89110 (702) 478-2027 (702) 333-9140 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Henderson NV 89074 (702) 968-5222 Sherman Oaks CA 91413 (702) 896-0106 USC 05/12/1995 Las Vegas NV 89119 (702) 731-5700 (702) 739-0081 University of Missouri-KC 06/01/1972 Las Vegas NV 89143 (702) 202-3400 (702) 202-6800 California-University of Southern California School of Dentistry 08/06/2002 Las Vegas NV 89149-4760 (702) 968-1682 (775) 738-2731 Tufts University 06/01/1983 Sparks NV 89431 (775) 359-5072 (775) 359-6134 OR Health Sciences University 06/01/1982 Reno NV 89509 (775) 826-4422 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015

223 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

California-University of Southern California School of Dentistry 05/13/2011

California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/19/1988 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/15/2018

Illinois-Southern IllinoisNSBDE University School of Dental Medicine 06/02/2018 LIST

224 DENTISTS 01/01/2019

BoardAction

01/20/2017

07/31/2015 NSBDE LIST

225 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Rian Kenneth Stewart Rian Kenneth Stewart DMD Dentist 5770 08/22/2008 Inactive Thomas M Stewart Thomas M Stewart DDS Dentist 0968 03/01/1978 Inactive David George Stibor David George Stibor DDS Dentist 0890 09/01/1976 Active Charles Edward Stirewalt Charles Edward Stirewalt DMD Dentist 4962 05/18/2006 Active Bradley Craig Stoker Bradley Craig Stoker DMD Dentist 6290 06/14/2012 Active Douglas C Stoker Douglas C Stoker DDS Dentist 2304 07/16/1985 Disabled George Michael Stoker George Michael Stoker DDS Specialty Dentist S6-10 06/01/1977 Active Nicole Michelle Stoker Nicole Michelle Stoker DDS Specialty Dentist S6-87 11/01/2007 Active Jeffrey Stokes Jeffrey Stokes DDS Dentist 2792 07/26/1993 Active Joel Alan Stokes Joel Alan Stokes DDS Dentist 2040 03/23/1981 Active Ross Frederick Stokes Ross Frederick Stokes DDS Dentist 4963 05/18/2006 Active Adam Leonard Stout Adam Leonard Stout DMD Dentist 5847 06/18/2009 Inactive Travis Cory Stratton Travis Cory Stratton DMD Dentist 5561 07/26/2007 Active Daniel Andrew Streifel Daniel Andrew Streifel DDS Dentist 3085 01/06/1997 Active Brandon Joseph Streiff Brandon Joseph Streiff DMD Dentist 5857 06/10/2009 Inactive Sheronda Michelle Strider-Barraza Sheronda Michelle Strider-Barraza DMD Dentist 6910 06/09/2017 Active Bradley Scott Strong Bradley Scott Strong DDS Dentist 2820 03/23/1994 Active Brian David Struby Brian David Struby DDS Dentist 4854 11/15/2005 Active Meagan C O'Donnell Struby Meagan C O'Donnell Struby DDS, MS Specialty Dentist S3-74 04/21/2005 Active Andrew Richard Stubbs Andrew Richard Stubbs DMD Specialty Dentist S7-100C 01/19/2018 Active Andrew Charles Stutz Andrew Charles Stutz DDS Dentist 3729 01/17/2001 Active Gilberto Suarez Gilberto Suarez Jr DDS Dentist 2866 07/18/1994 Active Virginia Suarez Virginia Suarez DMD Dentist 5957 08/14/2009 Active Karthikeyan Subramani Karthikeyan Subramani DDS, MS Limited License Dental LL-439-16 10/26/2016 Active Michelle Christine Sue Michelle Christine Sue DDS Specialty Dentist S7-73 10/01/2010 Active Jeffrey Nathan Suffoletta Jeffrey Nathan Suffoletta DMD Dentist 5705 07/17/2008 Active Preddis Leroy Sullivan Preddis Leroy Sullivan DDS Dentist 5081 07/20/2006 Inactive Richard Michael Sullivan Richard Michael Sullivan DDS Dentist 7097 09/07/2018 Active Stanley Sun Stanley Sun DDS Dentist 5567 11/01/2007 Inactive James Seung Jun Sunwoo James Seung Jun Sunwoo DDS Specialty Dentist S2-145C 10/26/2016 Active Michael James Susich Michael James Susich DDS Dentist 4597 03/25/2004 Active Scott Glenn Sutter Scott Glenn Sutter DDS, MS Specialty Dentist S7-84C 10/03/2014 Active Vesna Spasojcevic Sutter Vesna Spasojcevic Sutter DDS, MS Limited License Dental LL-488-18 10/10/2018 Active Robert Martin Svarney Robert Martin Svarney Jr DDS Specialty Dentist S2-87C 06/21/2007 Active Ashley Brooke Angaran Swan Ashley Brooke Angaran Swan DMD Dentist 4861 11/15/2005 Inactive Eric D Swanson NSBDEEric D Swanson MD, DMD Specialty Dentist LISTS2-41C 02/26/2004 Active Garrett Richard Swanson Garrett Richard Swanson DMD Dentist 6666 06/19/2015 Active Nathan Ezra Swensen Nathan Ezra Swensen DMD Dentist 6454 10/04/2013 Active Elizabeth Mae Swope Elizabeth Mae Swope DDS Dentist 4513 09/11/2003 Inactive Shane William Sykes Shane William Sykes DMD Dentist 6145 06/30/2011 Active Benjamin David Syndergaard Benjamin David Syndergaard DMD Specialty Dentist S4-84 08/02/2013 Active Fariba Tabibi Fariba Tabibi DDS Dentist 5019 06/26/2006 Inactive Brian Khoa Tadang Brian Khoa Tadang DDS Dentist 6521 07/03/2014 Active Marella Jo Tagatac Marella Jo Tagatac DDS Dentist 7046 05/29/2018 Active Eddie Tailung Tai Eddie Tailung Tai DMD Specialty Dentist S7-59 08/17/2007 Active Jose F Talancon Jose F Talancon DDS Dentist 1060 03/01/1980 Active

226 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 50 Hadley Road 06/30/2019 2555 Bryce Canyon Ln 06/30/2019 Las Vegas Dental Group 2701 W Charleston Blvd 06/30/2019 2932 Ballesteros Ln 06/30/2019 Stoker Family Dental 51 E Lake Mead Pkwy 06/30/2015 460 Triener Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 375 Lakeview Dr P O Box 291 S6 - Pediatric Dentist or Pedodontist 06/30/2019 3701 Baker Ln #1 06/30/2019 Jeffrey Stokes, DDS 53 E Lake Mead Dr 06/30/2019 Eastern Canyon Dental Corp 8605 S Eastern Ave #A 06/30/2019 9938 Keifer Valley St. 06/30/2019 Urb Camino Del Mar 70-13 Plaza Arenales 06/30/2019 Stratton Dental 301 W Lake Mead Pkwy 06/30/2019 Abbey Dental 4408 S Eastern Avenue 06/30/2019 Payne Orthodontics 3473 South Jordan Pkwy 06/30/2019 Valley Dental 5841 E Charleston Blvd Ste 220 06/30/2019 Bradley S. Strong, D.D.S., Ltd. 2931 N Tenaya Way Suite 200 06/30/2019 South Meadows Dental & Orthodontics 825 S Meadows Pkwy S3 - Orthodontist 06/30/2019 8489 Fairway Chase Trl S7 - Endodontist 06/30/2019 Boulder Dental Group 806 Buchanan Blvd Ste 108 06/30/2019 6425 Bristlebird St 06/30/2019 Signature Smiles 4670 S Fort Apache Rd 120 06/30/2019 Rancho Dental 1070 N Rancho Dr Limited License Dentist 06/30/2019 1072 Via Della Costrella S7 - Endodontist 06/30/2019 Wang and Jean DMD Dentistry 4200 Trabucco Rd Ste 130 06/30/2019 Jeffrey N Suffoletta DMD 9580 West Sahara STE 190 06/30/2019 6619 Fairwater Dr 06/30/2019 8 Via Amarone 06/30/2019 P. O. Box 660 S2 - Oral and Maxillofacial Surgeon 06/30/2019 458 N Doheny Dr #691848 06/30/2019 545 Mountain Links Dr S7 - Endodontist 06/30/2019 Champagne Family Dentistry 735 Sparks Blvd Limited License Dentist 10/09/2019 502 E State St S2 - Oral and Maxillofacial Surgeon 06/30/2019 Canyon Ridge OMS 6140 South Fort Apache Rd Suite 120 06/30/2019 Deschutes Pediatric Dentistry 1475 SW Chandler Ave 202 S2 - Oral and MaxillofacialNSBDE Surgeon 06/30/2019 LIST2030 East Flamingo Road Suite 288 06/30/2019 Swanson Dental Group 175 Brinkby Ave 06/30/2019 Nate Swensen DMD, LLC 530 Melarky Ste 9 06/30/2019 PO Box 550577 06/30/2019 The Reno Dentist 855 W 7th St Ste 200 S4 - Periodontist 06/30/2019 Carson Periodontics 1675 Vista Ln 06/30/2019 Vadadent Modern Dental Group 16002 Hawthorne Blvd 06/30/2019 20376 E Crestline Dr 06/30/2019 342 Molinetto St S7 - Endodontist 06/30/2019 Apex Endodontics of Las Vegas 2337 E Bonanza Rd 06/30/2019 Jose F Talancon DDS 630 Pyramid Way

227 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

South Burlington VT 05403 (802) 652-1050 Oregon-Oregon Health and Science University School of Dentistry 06/03/2008 Reno NV 89509 (775) 826-4422 University of California 06/01/1978 Las Vegas NV 89102 (702) 870-5165 (702) 435-1583 University of the Pacific 06/01/1976 Tustin CA 92782 (888) 999-7645 (714) 428-1330 University of Pennsylvania 05/19/1980 Henderson NV 89015 (702) 564-0871 (702) 564-5375 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Henderson NV 89002 (702) 564-0871 (702) 564-5375 Georgetown University 06/01/1985 Verdi NV 89439 (775) 825-1000 (775) 826-3030 University of the Pacific 06/01/1974 Reno NV 89509 (775) 825-1000 (775) 826-3030 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2005 Henderson NV 89015 (702) 566-4133 (702) 565-9258 Creighton University 05/15/1993 Las Vegas NV 89123 (702) 699-9876 (702) 699-9872 University of the Pacific 06/01/1972 Las Vegas NV 89178 (702) 896-7211 (702) 896-7099 Loyola University 05/27/1984 Toa Baja 00949 (928) 778-0970 (928) 778-0970 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Henderson NV 89015 (702) 565-5900 (702) 565-7074 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89119 (702) 930-5682 University of Minnesota 06/13/1992 south Jordan UT 84095 (801) 747-7895 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89142 (702) 399-3800 Las Vegas NV 89128 (702) 242-3800 (702) 242-9420 Loma Linda University 06/12/1993 Reno NV 89521 (775) 852-8181 (775) 852-8199 Creighton University 05/18/2002 Reno NV 89523 (775) 423-7400 (775) 423-7410 Creighton University 05/18/2002 Boulder City NV 89005 (303) 524-9343 North Las Vegas NV 89084 (702) 396-2929 (702) 658-6435 Case Western Reserve University 06/12/1968 Las Vegas NV 89147 (702) 877-9999 (702) 656-9108 University of Maryland 05/21/1993 Las Vegas NV 89106 (702) 648-3701 (702) 648-7343 University of New Jersey 05/25/2005 Henderson NV 89011 (702) 968-7054 (702) 968-5277 Irvine CA 92620 (949) 551-4737 USC 05/10/2002 Las Vegas NV 89117 (702) 671-0001 (702) 898-1117 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Riverview FL 33578 (800) 886-4281 University of Illinois 08/31/1985 Henderson NV 89011 Belmont CA 94002 New York-New York University College of Dentistry 05/15/2003 West Hollywood CA 90069 (310) 770-7244 (917) 210-3767 New York-Columbia University College of Dental Medicine 05/21/2003 Henderson NV 89012 (406) 538-4917 Creighton University 05/14/1994 Sparks NV 89434 (775) 359-3934 (775) 359-4034 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2011 Geneva IL 60134 Las Vegas NV 89148 (702) 655-8400 (702) 360-2504 Maryland-University of Maryland Baltimore College of Dental Surgery 05/22/1998 Bend OR 97702 (541) 389-3073 (541) 389-9642 Tufts University 05/22/2005 Las Vegas NSBDENV 89119 (702) 892-0833 (702) 892-0906 Harvard Dental School LIST06/01/1991 Reno NV 89509 (775) 825-9230 (775) 825-9366 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Winnemucca NV 89445 (775) 623-5093 (775) 623-9104 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 South Lake Tahoe CA 96155 (530) 257-2188 (530) 577-3802 Loma Linda University 06/12/1980 Reno NV 89503 (775) 322-5016 (907) 746-5667 Kentucky-University of Kentucky College of Dentistry 05/07/2006 Carson City NV 89703 (775) 882-3033 (775) 882-4449 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Lawndale CA 90260 (310) 371-4104 (310) 472-0467 USC 05/02/1993 Walnut CA 91789 (909) 590-0811 California-University of Southern California School of Dentistry 05/17/2013 Las Vegas NV 89138 Las Vegas NV 89101 (702) 749-4321 (702) 749-4459 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/16/2005 Sparks NV 89431 (775) 356-8251 (775) 356-7041 USC 06/01/1980

228 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

Massachusetts-Boston University Goldman School of Dental Medicine 05/22/2005 Massachusetts-Boston University Goldman School of Dental Medicine 09/25/2011

Illinois-Loyola University 06/12/1976

Illinois-Loyola UniversityNSBDE05/25/1986 LIST

California-University of California at San Francisco School of Dentistry 06/15/2012

229 DENTISTS 01/01/2019

BoardAction

NSBDE LIST

05/02/2008

230 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Richard Duane Talbot Richard Duane Talbot DMD, MS Specialty Dentist S3-280 11/25/2015 Active Byron H Tam Byron H Tam DDS Specialty Dentist S3-308 06/30/2017 Active Calvin H Tam Calvin H Tam DDS Dentist 7001 11/03/2017 Active Un Chong Tam Un Chong Tam DDS Dentist 6279 06/14/2012 Active Kevin Brandon Tan Kevin Brandon Tan DDS Dentist 6525 08/01/2014 Active Vashira Tan Vashira Tan DMD Dentist 4810 08/26/2005 Active Thien Thi Tang Thien Thi Tang DDS Dentist 4284 07/01/2002 Active Van Khanh Tang Van Khanh Tang DMD Dentist 7106 06/29/2018 Active Kyle Nephi Taylor Kyle Nephi Taylor DMD Dentist 6339 06/28/2013 Active Ronald Brent Taylor Ronald Brent Taylor DDS Dentist 3369 01/20/1999 Inactive Ronald Ray Taylor Ronald Ray Taylor DDS Dentist 2425 03/20/1988 Active Shane Trent Taylor Shane Trent Taylor DDS Dentist 4965 05/18/2006 Active Darlene The Hui Dhing Teddy Darlene The Hui Dhing Teddy DDS Dentist 7144 10/10/2018 Active Cintia Esther Teglia Cintia Esther Teglia DDS Dentist 4489 07/28/2003 Active Ali Ismil Tekdogan Ali Ismil Tekdogan DDS Dentist 5022 06/26/2006 Active Deborah Lale Tekdogan Deborah Lale Tekdogan DDS Dentist 4966 05/18/2006 Inactive Thomas Floyd Tenney Thomas Floyd Tenney DMD Dentist 3220 01/21/1998 Active Wayne Gilbert Terhune Wayne Gilbert Terhune DDS Dentist 1034 09/01/1979 Active Matthew John Thacker Matthew John Thacker DMD Dentist 7102 06/21/2018 Active Robert H Thalgott Robert H Thalgott DMD Specialty Dentist S3-31 09/01/1984 Active Foeng Toan Tham Foeng Toan Tham DDS Dentist 2690 07/09/1991 Active Terence Yee See Then Terence Yee See Then DDS Dentist 4967 05/18/2006 Inactive Rick Bruce Thiriot Rick Bruce Thiriot DDS Dentist 2063 10/01/1981 Active Blair Micole Thomas Blair Micole Thomas DMD Specialty Dentist S2-135 05/22/2015 Active Faranak Forootan Thomas Faranak Forootan Thomas DDS Dentist 3221 01/21/1998 Active Marc Allison Thomas Marc Allison Thomas DDS Dentist 4809 08/26/2005 Active Samuel Preetham Thomas Samuel Preetham Thomas DDS Dentist 4301 08/06/2002 Active Martin Gary Thompson Martin Gary Thompson DDS Dentist 2771 03/24/1993 Active Patrick Des Thompson Patrick Des Thompson DMD Dentist 6490 04/25/2014 Active Sandra Michelle Thompson Sandra Michelle Thompson DMD Specialty Dentist S6-129 08/01/2014 Active Valerie Louise Thompson Valerie Louise Thompson DMD Dentist 5813 06/24/2009 Active William Todd Thompson William Todd Thompson DMD Dentist 5083 07/20/2006 Active Alfred Addis Thresher Alfred Addis Thresher DDS Specialty Dentist S3-56 08/20/1999 Active Don Marque Tiburcio Don Marque Tiburcio DDS Dentist 5737 06/27/2008 Active Michael Thomas Tiller Michael Thomas Tiller DDS Dentist 3486 07/12/1999 Inactive Phillip Malcolm TimminsNSBDEPhillip Malcolm Timmins DMD Dentist LIST2497 07/10/1988 Active Corry Larsen Timpson Corry Larsen Timpson DDS Dentist 2821 03/23/1994 Active David Tawei Ting David Tawei Ting DMD Dentist 3692 07/03/2000 Active Travis E Titlow Travis E Titlow DDS Dentist 2112 07/11/1982 Inactive Manuel Hoo Djiang Tjoa Manuel Hoo Djiang Tjoa DDS Dentist 2689 07/09/1991 Active Anna To Anna To DDS Dentist 6061 08/20/2010 Active Chelsie Jo Todd Chelsie Jo Todd DMD Dentist 6681 06/19/2015 Active Rahim Tofigh Rahim Tofigh DDS Dentist 3713 07/03/2000 Retired Diana Grace Tolentino Diana Grace Tolentino DDS Dentist 4298 08/06/2002 Active Franson David Kwock Sun Tom Franson David Kwock Sun Tom DMD Dentist 4910 03/23/2006 Active Woodstock Tom Woodstock Tom DMD Dentist 6591 03/20/2015 Active

231 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

S3 - Orthodontist 06/30/2019 5944 Granite Glen Ct S3 - Orthodontist 06/30/2019 Boca Dental and Braces 556 N Eastern Ave Ste 1 06/30/2019 Union Dental 7135 W Sahara Ave. Ste. 200 06/30/2019 Aces Dental 6127 South Rainbow Blvd Suite 100 06/30/2019 10769 Wallflower Ave 06/30/2019 Axis Dental 10010 W Cheyenne Ave #140 06/30/2019 Prestige Dental 1450 W Horizon Ridge Pkwy #B-311 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln 06/30/2019 Pebble Family Dentistry 1550 N Green Valley Pkwy Ste 350 06/30/2019 802 Monroe St 06/30/2019 Dr. Ronald Taylor, DDS 3505 E Harmon Ave 06/30/2019 2006 Scott Dr 06/30/2019 Mountain Dental Group 9285 S Cimarron Rd Ste 125 06/30/2019 MY KIDS SMILE 3150 Vista Blvd #112 06/30/2019 Great Smiles Deerfield 720 Osterman Ave Suite #304 06/30/2019 Evanston Dental Spa 2805 Central St 06/30/2019 309 RED RIVER CIRCLE 06/30/2019 Wayne G. Terhune, D.D.S., Ltd. 2261 Pyramid Way #1 06/30/2019 9465 W Post Rd Apt 2055 S3 - Orthodontist 06/30/2019 Robert H. Thalgott, DMD, MS, Ltd. 1945 Village Center Circle Suite 110 06/30/2019 6387 Briney Deep Ave 06/30/2019 1540 Hunting Hollow Dr 06/30/2019 2108 Inverness Dr S2 - Oral and Maxillofacial Surgeon 06/30/2019 Gentle Dental 6401 NW Expressway #100 06/30/2019 10175 W. Twain Ave., suite 110 10175 W. twain Ave. suite 110 06/30/2019 Vista Dental Care 4850 Vista Blvd Suite 100 06/30/2019 18251 Glen Lakes Ct 06/30/2019 Martin Thompson DDS 3026 S Durango Drive #100 06/30/2019 Seven Hills Dental Center 860 Seven Hills Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 Little Smiles Pediatric Dentistry 6169 S. Rainbow Blvd 100 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Lane, MS 7410 06/30/2019 Battle Mountain Dental 100 Carson Rd Suite 1 S3 - Orthodontist 06/30/2019 Thresher Orthodontics 9500 W Flamingo Rd #102 06/30/2019 Affordable Dental II 5590 Painted Mirage Rd #150 06/30/2019 1211 26th Ave NSBDE06/30/2019 LIST4319 Cantamar Ct. 06/30/2019 Warm Springs Dental 1525 Warm Springs Rd Suite 100 06/30/2019 9032 Thornbury Ln 06/30/2019 Five Star Dental Care 6839 Five Star Blvd #A 06/30/2019 Manuel Tjoa, DDS 5465 Kietzke Ln 06/30/2019 4911 Michael Jay Way 06/30/2019 1200 Bismarck Ln SE B-302 06/30/2019 1019 Farm Haven Dr 06/30/2019 DRD Dental 8670 W. Cheyenne Ave #230 06/30/2019 Franson K S Tom, DMD 4318 S Eastern Ave 06/30/2019 Anthem Dental 10880 S. Eastern Ave Suite 101

232 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Granite Bay CA 95746 (916) 965-8026 (916) 965-1485 Washington University 05/21/1982 Las Vegas NV 89101 (702) 968-5224 New York-New York University College of Dentistry 05/16/2012 Las Vegas NV 89117 Las Vegas NV 89118 (702) 998-2237 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2011 Las Vegas NV 89135 (702) 465-8187 California-Loma Linda University School of Dentistry 05/25/2014 Las Vegas NV 89129 (702) 227-4392 (702) 992-9180 Temple University 05/18/2000 Henderson NV 89012 (702) 565-0795 (702) 563-0205 Loma Linda University 05/30/1999 Las Vegas NV 89106 (702) 774-2400 Henderson NV 89074 (702) 877-1055 (702) 878-0173 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Ketchikan AK 99901 (907) 886-6977 (702) 565-7074 University of Colorado 05/23/1998 Las Vegas NV 89121 (702) 796-9924 (702) 796-1591 Loma Linda University 06/01/1988 Helena MT 59601 (702) 990-2960 (801) 798-9474 University of Oklahoma 05/31/1997 Las Vegas NV 89178 (702) 433-5355 Sparks NV 89436 (775) 409-4605 (775) 800-1513 University of the Pacific 06/15/2003 Deerfield IL 60015 (847) 945-1050 Creighton University 05/18/1991 Evanston IL 60201 (847) 328-8500 (847) 328-8502 Creighton University 05/13/1995 HIGHLAND VILLAGE TX 75077 (702) 454-5200 (702) 454-4896 OR Health Sciences University 06/04/1997 Sparks NV 89431 (775) 331-4464 (775) 331-1342 University of Washington 06/01/1976 Las Vegas NV 89148 (760) 830-7054 Las Vegas NV 89134 (702) 364-5100 (702) 364-5732 Washington University 06/01/1982 Las Vegas NV 89139 (702) 744-2572 (702) 222-0111 University of Missouri-KC 05/10/1991 Hudson OH 44236 (330) 673-4113 (330) 653-3930 Case Western Reserve University 05/16/1988 Henderson NV 89074 (702) 774-2655 (702) 898-8454 University of the Pacific 06/01/1981 Oklahoma City OK 73132 (405) 689-0964 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Las Vegas NV 89147 (702) 313-2300 (702) 309-4307 University of the Pacific 06/15/1997 Sparks NV 89436 (775) 626-3535 (530) 583-8660 University of the Pacific 06/20/1993 Reno NV 89502 (775) 852-8682 (775) 823-5101 Loma Linda University 06/09/1994 Las Vegas NV 89117 (702) 363-1500 (702) 363-9797 Northwestern University 06/01/1987 Henderson NV 89052 (702) 567-5449 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89118 (702) 254-8858 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89106 (702) 895-3011 (702) 940-1178 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Battle Mountain NV 89820 (775) 635-3300 (702) 791-1030 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89147 (702) 254-4335 (702) 254-7995 Medical College of Virginia 05/17/1997 Las Vegas NV 89149 (702) 450-8888 (702) 898-0524 New York-New York University College of Dentistry 05/10/2007 San Francisco CA 94122 (415) 398-5200 (415) 398-3430 University of the Pacific 06/20/1999 Sparks NSBDENV 89436 (775) 359-0607 (775) 359-0907 OR Health Sciences University LIST06/01/1987 Henderson NV 89014 (702) 454-0818 (702) 454-3716 USC 08/19/1989 Las Vegas NV 89134 (702) 304-1581 (702) 304-0733 Tufts University 05/23/1999 Rocklin CA 95677 (916) 632-3663 (916) 632-3771 Creighton University 06/01/1981 Reno NV 89511 (775) 826-2266 (775) 826-2247 University of Missouri-KC 05/10/1991 Las Vegas NV 89149 (702) 791-9019 Virginia-Virginia Commonwealth University School of Dentistry 05/16/2009 Lacey WA 98503 (702) 869-0032 (702) 940-1178 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Rockville MD 20852 (301) 438-1200 (301) 288-7784 Maryland-University of Maryland Baltimore College of Dental Surgery 05/20/1994 Las Vegas NV 89129 (702) 341-1004 (702) 341-1007 University of Washington 06/03/1991 Las Vegas NV 89119 (702) 736-6119 (617) 638-7567 Tufts University 07/15/1977 Henderson NV 89052 (702) 736-6119 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/15/2014

233 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

New York-New York University College of Dentistry 09/25/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

California-Loma Linda University School of Dentistry 06/08/2018

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 NSBDE LIST

234 DENTISTS 01/01/2019

BoardAction

01/30/2015,03/18/2016

05/22/2015,10/04/2013

07/18/2012,11/01/2007

12/12/2014 NSBDE LIST

04/25/2014

10/01/2010

235 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Arthur Anthony Tomaro Arthur Anthony Tomaro DDS Dentist 4766 05/26/2005 Active Michael John Tomita Michael John Tomita DDS Dentist 3370 01/20/1999 Active Allison Elaine Tomlin Allison Elaine Tomlin DMD Specialty Dentist S3-305 06/27/2014 Active Keaton Matthew Tomlin Keaton Matthew Tomlin DMD Specialty Dentist S6-147 09/14/2016 Active Mark Patrick Tompkins Mark Patrick Tompkins DDS Limited License Dental LL-261-11 01/26/2012 Active Duong Don Ton Duong Don Ton DDS Dentist 4077 01/23/2002 Active Thanh Tam Ton Thanh Tam Ton DDS, MS Specialty Dentist S6-82C 11/01/2007 Active David Phuoc Tong David Phuoc Tong DMD Dentist 4064 10/22/2001 Active Jason Duy Tong Jason Duy Tong DMD Dentist 6291 06/14/2012 Active Amy Siripida Tongsiri Amy Siripida Tongsiri DMD Dentist 5733 07/17/2008 Active Tiffani Mechelle Tonkinson Tiffani Mechelle Tonkinson DDS Dentist 2793 07/26/1993 Active Joanne Chieuanh Tonnu Joanne Chieuanh Tonnu DDS Dentist 4363 01/22/2003 Active Gary D Toogood Gary D Toogood Sr DDS Dentist 0592 08/01/1968 Active Jamie Atiga Toop Jamie Atiga Toop DDS Dentist 6360 09/20/2012 Active Alan Lewis Topham Alan Lewis Topham DDS Dentist 6451 08/02/2013 Active Arshid Torkaman Arshid Torkaman DDS Dentist 6497 04/25/2014 Active Lynda Alexi Torres Lynda Alexi Torres DDS Dentist 6694 07/28/2015 Active Mitchell Allen Tossberg-Wilson Mitchell Allen Tossberg-Wilson DMD Dentist 6960 07/14/2017 Active Arvin Ronald Tounian Arvin Ronald Tounian DDS Dentist 6131 02/11/2011 Active Michaela Joy Tozzi Michaela Joy Tozzi DMD Dentist 6472 08/02/2013 Active Crystal May Traeger Crystal May Traeger DMD Dentist 7114 07/05/2018 Active Florida Traivai Florida Traivai DMD Dentist 5120 08/25/2006 Active Bang Hai Tran Bang Hai Tran DDS Dentist 3744 01/17/2001 Inactive David Huan Tran David Huan Tran DDS Dentist 3499 01/19/2000 Active Dennis Tang Tran Dennis Tang Tran DDS Limited License Dental LL-451-17 09/15/2017 Active Eliza Xuan Tran Eliza Xuan Tran DDS Dentist 7110 07/27/2018 Active Halan Thi Tran Halan Thi Tran DMD Dentist 6941 07/14/2017 Active Huy Tran Huy Tran DDS Dentist 6674 07/08/2015 Active Julie Tran Julie Tran DMD Dentist 6000 06/23/2010 Inactive Karen Tuyen Tran Karen Tuyen Tran DDS Dentist 3775 04/30/2001 Active Louis Tran Louis Tran DDS Specialty Dentist S3-162 11/01/2007 Active Mason Thanh Tran Mason Thanh Tran DDS Dentist 6614 03/20/2015 Active Michael Cao Tran Michael Cao Tran DMD Dentist 6859 10/26/2016 Active Mike Minh Tran Mike Minh Tran DDS Dentist 5811 12/04/2008 Inactive My Gia Hoai Tran My Gia Hoai Tran DDS Dentist 5586 08/17/2007 Active Quan Viet Quoc TranNSBDEQuan Viet Quoc Tran DDS Dentist LIST4177 04/30/2002 Active Tan Quoc Tran Tan Quoc Tran DDS Dentist 3505 01/19/2000 Active Terri Thao Tran Terri Thao Tran DMD Dentist 5084 07/20/2006 Inactive Terrie Xuanth Tran Terrie Xuanth Tran DDS Dentist 4178 04/30/2002 Active Thanh Uyen Kiem Tran Thanh Uyen Kiem Tran DDS Dentist 4544 12/11/2003 Active Thao Kate Thanh Tran Thao Kate Thanh Tran DDS Specialty Dentist S3-164 01/17/2008 Active Phong Tran Cao Phong Tran Cao DDS Dentist 5898 04/16/2009 Active Michele Suzann Tratos Michele Suzann Tratos DDS Dentist 2310 07/16/1985 Active Gwendolyn Ann Traylor Gwendolyn Ann Traylor DDS Dentist 6273 07/18/2012 Inactive Ronald Jon Trevisani Ronald Jon Trevisani DDS Specialty Dentist S2-38C 11/15/2002 Active Alice Honey Trieu Alice Honey Trieu DDS Specialty Dentist S6-167 07/27/2018 Active

236 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Dr. Arthur A Tomaro 2095 Village Center Cir Ste 120 06/30/2019 Island Dental Center 9750 Covington Cross Dr #100 S3 - Orthodontist 06/30/2019 Allison Tomlin DMD, MS, PC 1635 Village Center Circle Ste 150 S6 - Pediatric Dentist or Pedodontist 06/30/2019 9613 Queen Charlotte Dr Limited License Dentist 01/25/2020 19109 W Catawba Ave Suite #108 06/30/2019 First Care Dental 314 West 5th St S6 - Pediatric Dentist or Pedodontist 06/30/2019 2324 El Capitan Ave. 06/30/2019 Dental Plus 3650 S. Decatur Blvd #33 06/30/2019 Dentists on Nellis 2755 S. Nellis Blvd. Ste 12 06/30/2019 Smile Designers of Las Vegas 5670 W Flamingo Rd Ste B 06/30/2019 Tiffani Tonkinson, D.D.S. 72 N Pecos Rd Suite A 06/30/2019 13621 Monroe St 06/30/2019 7581 Demona Dr 06/30/2019 7175 W. Lakemead Ave 06/30/2019 Lakeside Dental 6490 S McCarran Blvd Ste A-9 06/30/2019 New Age Smile 6420 Medical Center Street Ste 101 06/30/2019 Alexander Dental Group 1820 E Craig Road Ste 102 06/30/2019 648 Taza Verde Ave 06/30/2019 Image Dental 7545 W Sahara Ave Ste 200 06/30/2019 Michaela J. Tozzi, DMD 8975 S. Pecos Road 5A 06/30/2019 2612 Sonora St 06/30/2019 DentChic 7975 W Sahara Ave 102 06/30/2019 10362 Circulo de Villa 06/30/2019 All Smiles Dental 10540 Southern Highlands Pkwy. #100 Limited License Dentist 06/30/2019 1978 Sunset Bend Dr 06/30/2019 8440 Westcliff Dr Apt 2029 06/30/2019 A Omega Dental 1520 N Eastern Ave Ste 105 06/30/2019 Precision Dental 6545 S Fort Apache Rd Ste 110 06/30/2019 Saigon Dental 9094 Bolsa Ave 06/30/2019 Lakeview Dental 2291 S Fort Apache Rd #104 S3 - Orthodontist 06/30/2019 8062 Cape Flattery Ave 06/30/2019 5259 ladyhawk way 06/30/2019 11190 Bellflower Ave 06/30/2019 17150 Mimosa Cir 06/30/2019 Image Dental & Orthodontics 7545 W Sahara Ave #200 NSBDE06/30/2019 Quan Tran DDS LIST2389 Renaissance Dr #B 06/30/2019 Allstar Dental 737 N Nellis Blvd 06/30/2019 2705 East Overlook Rd 06/30/2019 All Smiles By Design 10545 S Eastern Ave #140 06/30/2019 3055 Sunrise Heights Dr S3 - Orthodontist 06/30/2019 Image Dental 7545 W Sahara Ave 200 06/30/2019 5 Star Dental 700 E. Silverado Ranch Blvd suite 100 06/30/2019 Michele S. Tratos DDS APC 3057 E Warm Springs Rd #300 06/30/2019 2801 S Ridgewood Ave Unit 1507 S2 - Oral and Maxillofacial Surgeon 06/30/2019 511 Wekiva Commons Cir S6 - Pediatric Dentist or Pedodontist 06/30/2019 11330 SE Quail Run Dr

237 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89134 (702) 331-4700 (702) 331-4703 University of Michigan 05/02/1980 Las Vegas NV 89144 (702) 341-7979 (702) 341-9266 Loma Linda University 05/24/1998 Las Vegas NV 89134 (702) 774-2698 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89145 (702) 254-8858 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Cornelius NC 28031 (704) 895-3833 (704) 895-3656 North Carolina-University of North Carolina School of Dentistry 05/17/1998 Carson City NV 89703 (775) 882-1111 (775) 323-8858 USC 05/09/1997 Arcadia CA 91006 (702) 254-2731 California-University of Southern California School of Dentistry 05/14/1999 Las Vegas NV 89103 (702) 367-7587 (702) 367-2125 Tufts University 05/23/1999 Las Vegas NV 89121 (702) 457-5335 (702) 457-3848 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89103 (702) 722-2324 (702) 897-4293 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Henderson NV 89074 (702) 312-9337 (702) 990-8367 UCSF 06/16/1991 Westminster CA 92683 (714) 696-1684 USC 09/17/1996 Las Vegas NV 89123 (702) 307-7777 (702) 263-6902 University of Nebraska 06/01/1968 Las Vegas NV 89128 (702) 228-9911 California-Loma Linda University School of Dentistry 05/30/2010 Reno NV 89509 (775) 786-7718 Michigan-University of Michigan School of Dentistry 04/29/2010 Las Vegas NV 89148 (702) 641-7111 California-University of Southern California School of Dentistry 08/22/1995 North Las Vegas NV 89030 (702) 680-1009 (702) 933-0190 Maryland-University of Maryland Baltimore College of Dental Surgery 05/15/2015 North Las Vegas NV 89031 (503) 860-8293 Las Vegas NV 89117 (702) 838-0707 (702) 522-1121 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2007 Henderson NV 89074 (702) 630-8818 (702) 446-8234 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89102 (702) 655-6777 Las Vegas NV 89117 (702) 545-0722 (702) 545-0787 University of Nevada Las Vegas 05/13/2006 Fountain Valley CA 92708 (775) 537-0911 (775) 537-0922 University of Minnesota 06/19/1999 Las Vegas NV 89141 (702) 870-8726 (702) 870-8728 University of the Pacific 06/19/1994 Henderson NV 89014 (916) 368-0440 (702) 968-5277 Las Vegas NV 89145 (702) 774-5175 Las Vegas NV 89101 (702) 633-6339 Las Vegas NV 89148 (702) 331-4444 (702) 395-7813 District of Columbia-Howard University College of Dentistry 05/09/2015 Westminster CA 92683 (714) 895-6644 (714) 895-6604 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89117 (702) 869-0001 (702) 869-5554 Baylor College of Dentistry 06/06/1999 Las Vegas NV 89147 (702) 304-8338 New York-Columbia University College of Dental Medicine 05/20/1998 Las Vegas NV 89118 (702) 723-0274 California-University of California at San Francisco School of Dentistry 06/13/2014 Fountain Valley CA 92708 (702) 228-7575 South Carolina-Medical University of South Carolina College of Dental Medicine 05/20/2016 Fountain Valley CA 92708 California-University of Southern California School of Dentistry 05/16/2008 Las Vegas NV 89117 (702) 405-7400 (702) 838-0706 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2007 Las Vegas NSBDENV 89119 (702) 262-2020 (702) 262-0752 Marquette University LIST05/19/1996 Las Vegas NV 89110 (702) 453-2337 (702) 453-4706 USC 05/09/1997 Cleveland OH 44106 (440) 572-4840 (216) 421-0354 Case Western Reserve University 05/15/2005 Henderson NV 89052 (702) 492-9399 (702) 492-6326 USC 05/30/1996 Henderson NV 89052 (702) 644-2222 USC 12/17/1996 Las Vegas NV 89117 (702) 838-0707 (702) 838-0706 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2005 Las Vegas NV 89183 (702) 737-9008 (702) 750-0929 California-University of California at Los Angeles School of Dentistry 06/15/2007 Las Vegas NV 89120 (702) 369-8730 (702) 369-0194 University of the Pacific 07/01/1985 South Daytona FL 32119 (386) 428-3228 (386) 265-5855 Minnesota-University of Minnesota School of Dentistry 06/08/1996 Apopka FL 32712 (407) 366-2243 (407) 359-3343 State University of New York-Buffalo 06/15/1991 Happy Valley OR 97086 (702) 774-2416 (702) 774-2419 California-University of Southern California School of Dentistry 05/15/2015

238 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

MMassachusetts-Tufts University School of Dental Medicine 05/21/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 Nevada- UniversityNSBDE of Nevada, Las Vegas School of Dental Medicine 05/13/2017 LIST

239 DENTISTS 01/01/2019

BoardAction

03/24/2017,07/31/2008 06/27/2014

07/31/2015 NSBDE LIST

240 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Andrew Joseph Triggs Andrew Joseph Triggs DMD Limited License Dental LL-475-18 08/29/2018 Active Alvin S Trinh Alvin S Trinh DDS Limited License Dental LL-456-17 07/14/2017 Active Christopher Nhan Manh Trinh Christopher Nhan Manh Trinh DDS Dentist 4083 01/23/2002 Active Hoa Van Trinh Hoa Van Trinh DDS Dentist 2362 07/15/1986 Active Jennifer Nha Trinh Jennifer Nha Trinh DMD Dentist 6018 04/30/2010 Inactive Jessie Trang Trinh Jessie Trang Trinh DMD Dentist 6019 04/30/2010 Inactive Owen Vu Trinh Owen Vu Trinh DMD Specialty Dentist S5-50C 08/29/2018 Active Sinh Hong Trinh Sinh Hong Trinh DDS Dentist 4506 07/28/2003 Active Thomas Nam Trinh Thomas Nam Trinh DDS Dentist 4555 01/17/2004 Active Justin Courtney Tripp Justin Courtney Tripp DDS Dentist 3577 05/08/2000 Active Troy Jeffrey Trobough Troy Jeffrey Trobough DDS Dentist 2947 07/17/1995 Active Jack Michael Troop Jack Michael Troop DDs Limited License Dental LL-489-18 10/10/2018 Active Kurt William Trotter Kurt William Trotter DMD Dentist 2643 03/27/1991 Active Terry Allen Truesdale Terry Allen Truesdale DDS Dentist 2572 03/21/1990 Active Gilbert A Trujillo Gilbert A Trujillo DDS Specialty Dentist S6-24 07/06/1999 Active Julian Jon Trujillo Julian Jon Trujillo DDS Dentist 5679 03/13/2008 Active Mark Edward Truman Mark Edward Truman DDS Specialty Dentist S3-69 09/11/2003 Active Zachary Bowler Truman Zachary Bowler Truman DMD Specialty Dentist S3-64 01/18/2003 Active Melissa Liu Fish Trumbo Melissa Liu Fish Trumbo DDS Limited License Dental LL-459-17 06/21/2018 Active Nhan Trong Truong Nhan Trong Truong DDS Dentist 3691 07/03/2000 Active Thien Duc Truong Thien Duc Truong DDS Specialty Dentist S3-119 09/21/2006 Active Vanna Thi Truong Vanna Thi Truong DMD Dentist 6436 06/28/2013 Active David Joseph Trylovich David Joseph Trylovich DDS Specialty Dentist S4-14 11/06/1992 Active Carmen Fiona Tsang Carmen Fiona Tsang DMD Dentist 6125 07/20/2011 Inactive Chun Man Tsang Chun Man Tsang DMD Dentist 7053 05/11/2018 Active Sylvia Chiu Wan Tso Sylvia Chiu Wan Tso DDS Dentist 2794 07/26/1993 Inactive Megan Lynn Tufteland Megan Lynn Tufteland DMD Dentist 6473 08/02/2013 Active Lee Roy Turner Lee Roy Turner DDS Dentist 2566 03/21/1990 Inactive Kyle Colledge Tuttle Kyle Colledge Tuttle DMD Limited License Dental LL-465-18 06/21/2018 Active Albert Ted Twesme Albert Ted Twesme DDS Specialty Dentist S2-14 07/01/1979 Active Andy Hyon-Soo Uh Andy Hyon-Soo Uh DDS Dentist 6484 12/13/2013 Active Soo Yon Uh Soo Yon Uh DDS Dentist 6998 12/29/2017 Active Jong Min Um Jong Min Um DDS Dentist 6883 02/24/2017 Active Thomas Carl Unruh Thomas Carl Unruh DDS Dentist 2993 03/22/1996 Active Anna Gill Uppal Anna Gill Uppal DDS Dentist 7029 04/13/2018 Active Jared David UtleyNSBDEJared David Utley DDS Dentist LIST5415 01/20/2007 Active Kathleen Paz Jao Uy Kathleen Paz Jao Uy DMD Dentist 6669 06/04/2015 Active William Anthony Vainer William Anthony Vainer DDS Dentist 7000 12/01/2017 Active Lluvia Valenzuela Lluvia Valenzuela DMD Dentist 6913 05/26/2017 Active Carlos Alberto Valladares Carlos Alberto Valladares DDS Dentist 0921 03/01/1977 Active Clay Mitchell Van Leeuwen Clay Mitchell Van Leeuwen DMD Specialty Dentist S2-137 07/28/2015 Active Tara Lynn Van Orden Tara Lynn Van Orden DMD Dentist 5086 07/20/2006 Active William George Van Patten William George Van Patten Jr DDS Dentist 2687 07/09/1991 Active Marc C Van Tassell Marc C Van Tassell DDS Dentist 4913 03/23/2006 Active LittleJohn Kirk VanHorn LittleJohn Kirk VanHorn DDS Dentist 5122 08/25/2006 Active Jason Todd VanLue Jason Todd VanLue DMD Specialty Dentist S3-219 10/01/2010 Active

241 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

Limited License Dentist 06/30/2019 Roseman University 4 Sunset Way Bldg C Limited License Dentist 06/30/2019 929 Walnut Street 06/30/2019 Precious Dental 4210 W Craig Rd #104 06/30/2019 Hoa Trinh 2375 S Jones Blvd Suite 12A 06/30/2019 6516 Deseo Apt. 341 06/30/2019 5520 Canyon Rd Apt 1027 S5 - Prosthodontist 06/30/2019 4019 Adebella Ave #201 06/30/2019 Elite Dental 6320 simmons street 100 06/30/2019 8817 Barium Rock Ave 06/30/2019 Justin C Tripp DDS, LTD 5420 Kietzke Ln Suite 104 06/30/2019 Trobough Dental 8440 W Lake Mead Blvd Ste 207 Limited License Dentist 10/09/2019 2990 E 17th Ave #1407 06/30/2019 3200 Soaring Gulls Dr Suite 106 06/30/2019 Seven Hills Dental Center 860 Seven Hills Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 JA Miller, DDS/Gilbert A. Trujillo, DDS 517 Hammill Ln 06/30/2019 60 Panorama Crest Ave S3 - Orthodontist 06/30/2019 Truman Orthodontics 10000 West Sahara #110 S3 - Orthodontist 06/30/2019 1134 Jerez Ct Limited License Dentist 06/30/2019 10822 Drake Ridge Ave 06/30/2019 Vista Dental 3960 W.Craig Rd 110 S3 - Orthodontist 06/30/2019 Thien (Sean) Truong, DDS 1350 South Decatur Blvd 06/30/2019 Mint Dental and Orthodontics 375 N Stephanie St #11 S4 - Periodontist 06/30/2019 2644 Bad Rock Cir 06/30/2019 Lafayette Modern Smiles 1217 Diamond Circle Unit 1 06/30/2019 451 Crestdale Ln Apt 41 06/30/2019 Sylvia C. Tso, D.D.S. 80 Arch St #B 06/30/2019 Cherrington Dental 7500 W. Lake Mead Blvd. 06/30/2019 7819 Slip Point Ave Limited License Dentist 06/30/2019 9012 Tropical Tide Ct S2 - Oral and Maxillofacial Surgeon 06/30/2019 30 Quail Hollow Dr 06/30/2019 North Pointe Dental 4690 W Ann Rd Ste 4 06/30/2019 1601 Trineo Ct 06/30/2019 Tender Dental 5001 E Bonanza Rd Ste 160 06/30/2019 Thomas Unruh, DDS PC 1664 Hwy 395 #202 06/30/2019 3300 Renwick Ave Apt 1005 NSBDE06/30/2019 Jared D Utley DDS LIST3431 E. Sunset RD #301 06/30/2019 Maddison Avenue Dental 4358 W Cheyenne Ave 06/30/2019 628 St. Andrews Dr 06/30/2019 Henderson Modern Dentistry 366 W Lake Mead Pkwy Ste 100 06/30/2019 9155 Stange Ave S2 - Oral and Maxillofacial Surgeon 06/30/2019 Alaska Oral and Facial Surgery 1275 Sadler Way Suite #202 06/30/2019 985 Teresa Pl 06/30/2019 William G Van Patten Jr DDS LLC 410 Fleischmann Way Suite A 06/30/2019 1304 East Aultman 06/30/2019 Kenneth Vaughn DDS 5901 South Los Altos Pkwy 100 S3 - Orthodontist 06/30/2019 5181 N. Campbell Rd

242 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Henderson NV 89014 (702) 968-5222 San Gabriel CA 91776 (702) 968-5222 Las Vegas NV 89032 (702) 436-5222 (702) 873-5222 Case Western Reserve University 05/18/1998 Las Vegas NV 89146 (702) 365-6441 USC 08/01/1985 Irving TX 75039 (817) 283-8600 (972) 758-0555 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Benbrook TX 76126 (817) 731-8600 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Las Vegas NV 89115 North Las Vegas NV 89031 (702) 515-2508 (702) 515-1709 Meharry Medical College 05/18/2002 Las Vegas NV 89143 (702) 452-5751 (702) 898-5751 University of Minnesota 06/13/1998 Reno NV 89511 (775) 825-8267 (775) 851-7030 University of Maryland 05/22/1999 Las Vegas NV 89128 (702) 877-9999 (702) 458-0009 University of the Pacific 06/19/1994 Denver CO 80206 Las Vegas NV 89129 (702) 656-8111 (702) 656-6488 OR Health Sciences University 06/01/1990 Henderson NV 89052 (702) 798-1060 (702) 450-5490 Loma Linda University 03/01/1990 Reno NV 89511 (775) 824-2323 (775) 824-2324 University of the Pacific 06/15/1997 Las Vegas NV 89135 (702) 735-9500 (775) 358-4646 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/10/2007 Las Vegas NV 89117 (702) 360-9000 (702) 320-9045 UCLA 06/03/2001 Henderson NV 89052 (702) 452-2267 Temple University 05/18/2000 Las Vegas NV 89166 (702) 774-2690 N. Las Vegas NV 89032 (702) 633-6339 (714) 594-9045 UCSF 06/11/2000 Las Vegas NV 89102 (702) 870-1350 (702) 870-0771 UCLA 06/14/2002 Las Vegas NV 89014 (702) 450-0070 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Henderson NV 89052 (702) 259-1943 (702) 877-2727 Loyola University 05/25/1985 Lafayette CO 80026 (480) 326-1371 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NV 89144 (702) 456-0005 Redwood City CA 94062 (605) 369-3675 UCSF 06/19/1993 Las Vegas NV 89128 (702) 832-0803 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/19/2013 Las Vegas NV 89147 (702) 382-1244 (702) 382-6506 University of the Pacific 06/01/1988 Las Vegas NV 89149 (702) 774-2690 Henderson NV 89014 (702) 436-0900 (702) 436-0636 Marquette University 05/01/1973 North Las Vegas NV 89031 (702) 433-5355 California-University of California at San Francisco School of Dentistry 06/10/2011 Las Vegas NV 89117 Las Vegas NV 89110 (203) 255-0108 New York-New York University College of Dentistry 05/21/2014 Minden NV 89423 (775) 782-0411 (775) 783-8611 University of Colorado 05/27/1995 Elk Grove CA 95758 Las Vegas NSBDENV 89120 (702) 435-3901 (702) 435-1378 California-University of the Pacific Arthur A. Dugoni LISTSchool of Dentistry 06/11/2006 North Las Vegas NV 89032 (702) 724-8200 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Aptos CA 95003 (408) 377-9772 Henderson NV 89015 (702) 870-1350 Las Vegas NV 89129 (928) 499-3061 (702) 739-9845 USC 06/01/1977 Fairbanks AK 99701 (907) 452-4101 Ohio-Case Western Reserve Univ. School of Dental Medicine 05/16/2010 Sparks NV 89436 (775) 329-5162 (775) 329-4129 Boston University 05/20/2001 Carson City NV 89703 (775) 884-3322 (775) 884-4432 University of Colorado 05/25/1991 Ely NV 89301 (775) 289-6166 (772) 289-6753 Creighton University 05/13/2000 Sparks NV 89436 (775) 782-7799 (775) 825-3157 University of the Pacific 06/11/2006 Las Vegas NV 89149 (702) 434-2219 (702) 438-4637 University of Nevada Las Vegas 05/13/2006

243 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Arizona-Midwestern University 05/14/2015 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/12/2016

Oregon-Oregon Health and Science University School of Dentistry 06/19/2015 Minnesota-University of Minnesota School of Dentistry 05/31/2018

Nebraska-University of Nebraska College of Dentistry 05/10/1980

Missouri-University of Missouri-Kansas City School of Dentistry

Massachusetts-Tufts University School of Dental Medicine 05/18/2014

Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 05/11/2018

California-University of California at San Francisco School of Dentistry 06/15/2008

New York-New YorkNSBDE University College of Dentistry 05/21/2014 LIST

California-University of California at Los Angeles School of Dentistry 12/19/2014 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2017

244 DENTISTS 01/01/2019

BoardAction

11/04/2016

07/26/2007 11/21/1997 NSBDE LIST

245 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Stephen Gary Vann Stephen Gary Vann DDS Dentist 6776 02/24/2017 Active Maurice Vargas Maurice Vargas DDS Dentist 5027 06/26/2006 Active John Nubar Vartanian John Nubar Vartanian DDS Dentist 7027 02/16/2018 Active Alexander Stephen Vaughn Alexander Stephen Vaughn DDS Dentist 6009 12/04/2009 Active Andrew Joseph Vaughn Andrew Joseph Vaughn DMD Specialty Dentist S6-160 11/03/2017 Active Kenneth Dean Vaughn Kenneth Dean Vaughn DDS Dentist 2537 07/11/1989 Active David John Velasco David John Velasco DDS Dentist 7008 01/05/2018 Active Jeremy John Velasco Jeremy John Velasco DDS Dentist 4779 07/29/2005 Inactive Bianca Camille Velayo Bianca Camille Velayo DMD Dentist 6650 06/04/2015 Active Jose de Jesus Velazquez Jose de Jesus Velazquez DMD Dentist 2605 07/10/1990 Active Melissa Marie Ven Dange Melissa Marie Ven Dange DMD Limited License Dental LL-441-17 06/23/2017 Active John Henry Vennochi John Henry Vennochi DMD Dentist 2510 03/22/1989 Active Jorge Antonio Vernon Jorge Antonio Vernon DDS Dentist 4582 02/26/2004 Active Matthew Alexander Mario Vial Matthew Alexander Mario Vial DMD Dentist 7096 06/21/2018 Active Nicolette Orlanda Vial Nicolette Orlanda Vial DMD Dentist 7095 06/21/2018 Active Ho Hoang Viet Ho Hoang Viet DDS Dentist 7024 01/19/2018 Active Alexander Vilderman Alexander Vilderman DDS Dentist 4416 04/29/2003 Active Aimee Cirelle Badiola Villamayor Aimee Cirelle Badiola Villamayor DDS Dentist 6589 01/30/2015 Active Demitri Villarreal Demitri Villarreal DDS Specialty Dentist S4-97C 08/12/2015 Active Leah Oswald Villarreal Leah Oswald Villarreal DDS Dentist 6594 01/30/2015 Retired Christopher Dodd Viravongsa Christopher Dodd Viravongsa DMD Dentist 6773 05/25/2016 Active Armand Guy Virtuoso Armand Guy Virtuoso III DMD Dentist 5801 12/04/2008 Active Alex Visot Alex Visot DDS Dentist 4408 03/18/2003 Active William Anthony Vitalie William Anthony Vitalie DMD Limited License Dental LL-281-11 01/26/2012 Active Michael John Vito Michael John Vito DDS Dentist 6975 08/11/2017 Active Miruna Dina Vlad Miruna Dina Vlad DDS Dentist 4771 07/29/2005 Inactive Thach Nhu Vo Thach Nhu Vo DMD Dentist 5087 07/20/2006 Inactive Matthew William Vogel Matthew William Vogel DMD Dentist 6860 01/04/2017 Active Paul Eric VreNon Paul Eric VreNon DDS Dentist 3223 01/21/1998 Active John Vu John Vu DDS Dentist 5622 01/17/2008 Active Liem Thi-Thanh Vu Liem Thi-Thanh Vu DDS Dentist 3781 04/30/2001 Active Trung Quoc Vu Trung Quoc Vu DMD Dentist 5893 04/16/2009 Active Tesha Lynn Waggoner Tesha Lynn Waggoner DMD Dentist 6680 06/19/2015 Inactive William Franklin Waggoner William Franklin Waggoner DDS Specialty Dentist S6-17 10/05/1995 Active James Michael Wagner James Michael Wagner DDS Dentist 3067 07/15/1996 Active Ronald K WagnerNSBDERonald K Wagner DDS Dentist LIST2113 07/11/1982 Disabled Ronald Kent Wagner Ronald Kent Wagner Jr DDS Dentist 4799 08/26/2005 Active Wade W Wagner Wade W Wagner DDS Dentist 3199 07/14/1997 Active Wayne William Wagner Wayne William Wagner DDS Dentist 3372 01/20/1999 Active Rand Clarence Waldron Rand Clarence Waldron DDS Dentist 2308 07/16/1985 Retired Gerald M Wall Gerald M Wall DDS Dentist 4543 12/11/2003 Retired Kathryn Susan Wallace Kathryn Susan Wallace DDS Dentist 6047 07/14/2010 Active Kelly Frances Walsh Kelly Frances Walsh DMD Dentist 6777 06/15/2016 Active Daniel Kenneth Walton Daniel Kenneth Walton DDS, MS Specialty Dentist S3-221 12/10/2010 Active Gregory Charles Walton Gregory Charles Walton DMD Dentist 7050 05/04/2018 Active Julie Kristine Waltrip Julie Kristine Waltrip DDS Dentist 7079 06/29/2018 Active

246 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 2404 Llewellyn Dr 06/30/2019 North Vegas Dental 1631 W Craig Road Rd Ste 10 06/30/2019 1401 Avocado Ave Ste 206 06/30/2019 Alexander S. Vaughn, DDS 3575 Grant Dr 1 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dentistry for Children 700 E Silverado Ranch Blvd Ste 110 06/30/2019 Kenneth D. Vaughn DDS, LLC 5901 Los Altos Pkwy Suite 100 06/30/2019 Age Defying Dentistry 652 E Warner Rd Ste 101 06/30/2019 Jeremy J. Velasco, DDS 490 Post St #1052 06/30/2019 Green Valley Smiles Dentistry 2570 Wigwam Pkwy Ste #110 06/30/2019 Jose J. Velazquez, DMD 1950 E Warm Springs Rd Limited License Dentist 06/30/2019 8915 Whitten Park Ave 06/30/2019 141 Chateau Whistler Ct 06/30/2019 9533 Mountainair Avenue 06/30/2019 2033 Crimson Ridge Dr 06/30/2019 2033 Crimson Ridge Dr 06/30/2019 Boston Dental Group 60 N 25th St Ste 110 06/30/2019 2640 Lyon St 06/30/2019 Amber Hills Dental 771 E Horizon Dr. Suite 176-180 S4 - Periodontist 06/30/2019 16231 Bonalva 06/30/2019 16231 Bonalva 06/30/2019 2004 Bloomfield Ct 06/30/2019 Discovery Dental Family Dentistry 2900 E. Desert Inn Rd #109 06/30/2019 19520 nordhoff str 17 Limited License Dentist 01/25/2019 6 White Woods Trl 06/30/2019 Providence Dental 7181 N Hualapai Way Ste 105 06/30/2019 Miruna D Vlad DDS 5150 Graves Ave #8-C 06/30/2019 13297 Michael Rainford Cir 06/30/2019 3015 Hwy 95 Ste 112 06/30/2019 Desert Breeze Dental 8650 W Spring Mountain Rd #101 06/30/2019 2805 Bull Rider Dr. 06/30/2019 Smile Brite Dental 4975 S Fort Apache Rd #107 06/30/2019 ABSOLUTE DENTAL 1125 N McCARRAN BLVD 06/30/2019 Pediatric Dental Care & Associates 8981 W Sahara Ave Ste 110 S6 - Pediatric Dentist or Pedodontist 06/30/2019 4811 Hayride St 06/30/2019 Dental Wellbeing 7720 W Sahara Ave #114 NSBDE06/30/2019 LIST5861 N Campbell Rd 06/30/2019 Wagner Dental 2045 village center circle 06/30/2019 4618 meadows lane 06/30/2019 Wayne Wagner, DDS 4618 Meadows Ln 06/30/2019 10029 Central Valley Ave 06/30/2019 8415 Turtle Creek Circle 06/30/2019 Wallace Family Dentistry 4101 Caughlin Square #4 06/30/2019 P O Box 2216 S3 - Orthodontist 06/30/2019 Orthodontic Partners 3605 Grant Dr. 06/30/2019 Sedadent Anesthesia Services 3401 Royal Vista Blvd Ste A100 06/30/2019 True Dentistry 9061 W Post Rd

247 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89102 (702) 242-8747 California-University of Southern California School of Dentistry 09/13/1980 North Las vegas NV 89032 (702) 649-6644 (702) 649-9778 UCLA 06/15/1990 Newport Beach CA 92660 (949) 720-0200 Reno NV 89509 (775) 825-4070 (775) 825-3157 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Las Vegas NV 89183 (702) 431-6600 Sparks NV 89436 (775) 626-7772 (775) 626-7811 University of the Pacific 06/01/1989 Gilbert AZ 85296 (480) 840-9200 San Francisco CA 94102 (415) 693-9485 (415) 693-9488 University of the Pacific 06/18/1995 Henderson NV 89074 (702) 757-3399 (702) 425-9719 Massachusetts-Tufts University School of Dental Medicine 05/17/2015 Las Vegas NV 89119 (702) 361-2251 (702) 361-2034 Washington University 05/01/1989 Las Vegas NV 89148 (702) 774-2690 Las Vegas NV 89148 (702) 735-0833 (702) 735-5244 Massachusetts-Tufts University School of Dental Medicine 06/01/1981 Las Vegas NV 89134 (702) 735-3838 (702) 452-9949 New York University 06/01/1990 Sparks NV 89436 (775) 825-6655 Sparks NV 89436 (775) 391-8801 Las Vegas NV 89101 (702) 386-8811 San Francisco CA 94123 (415) 500-2116 (415) 359-9559 University of the Pacific 06/14/1992 Henderson NV 89015 (510) 589-0302 New York-New York University College of Dentistry 05/22/2013 Helotes TX 78023 (702) 735-0833 Helotes TX 78023 (702) 363-8655 (702) 363-3381 Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 05/21/2005 Las Vegas NV 89134 (702) 838-0707 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89121 (702) 750-0933 (702) 616-4703 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 northridge CA 91324 (818) 701-9400 (818) 701-9083 Northwestern University 02/06/1996 Indiana PA 15701 (724) 349-8380 (724) 349-3702 Pennsylvania-University of Pittsburgh School of Dental Medicine 06/30/1981 Las Vegas NV 89166 (702) 852-2022 San Jose CA 95129 (408) 255-0410 (408) 973-0979 University of the Pacific 06/18/1995 Garden Grove CA 92843 (702) 641-5888 Boston University 05/19/2002 Bullhead City AZ 86442 (928) 758-0008 (928) 758-0009 Oregon-Oregon Health and Science University School of Dentistry 06/20/2014 Las Vegas NV 89117 (702) 869-0032 (702) 940-1178 University of the Pacific 06/15/1997 Reno NV 89521 (775) 827-6868 (818) 764-2120 New York-New York University College of Dentistry 05/10/2007 Las Vegas NV 89148 (702) 248-2748 (702) 248-3748 USC 08/08/2000 SPARKS NV 89431 (775) 331-8400 Massachusetts-Boston University Goldman School of Dental Medicine 05/18/1997 Las Vegas NV 89117 (702) 254-4220 (702) 254-4342 Oregon-Oregon Health and Science University School of Dentistry 06/20/2014 Las Vegas NV 89149 (702) 254-4220 (702) 254-7214 West Virginia University 06/18/1980 Las Vegas NV 89117 (702) 648-1200 (702) 360-0193 Case Western Reserve University 05/23/1980 Las Vegas NSBDENV 89149 (702) 878-5599 (702) 878-0173 University of the Pacific LIST06/01/1982 las Vegas NV 89134 (702) 878-5599 (702) 878-0173 University of the Pacific 06/12/2005 Las Vegas NV 89107 (702) 877-2222 (702) 822-2406 University of Missouri-KC 05/09/1997 Las Vegas NV 89107 (702) 877-2222 (702) 822-2406 University of Colorado 05/23/1998 Las Vegas NV 89149 (702) 839-7918 USC 05/01/1985 Las Vegas NV 89113 USC 05/01/1965 Reno NV 89519 (775) 826-5353 Michigan-University of Michigan School of Dentistry 04/24/2008 Boone NC 28607 (210) 450-2223 Reno NV 89509 (614) 535-8554 (775) 851-9055 California-University of California at San Francisco School of Dentistry 06/17/2007 Round Rock TX 78681 (512) 909-3171 Las Vegas NV 89148 (702) 434-4800

248 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

New York-New York University College of Dentistry 05/18/1995

Massachusetts-Tufts University School of Dental Medicine 05/17/2009 Nevada-University of Nevada, Las Vegas School of Dental Medicine 06/30/2016

Nebraska-University of Nebraska Medical Center College of Dentistry 05/09/1987

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 California-University of Southern California School of Dentistry 12/17/2008

New York-State University of New York at Buffalo School of Dental Medicine 06/01/2005 New York-State University of New York at Buffalo School of Dental Medicine 06/25/2006 NSBDE LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 New York-SUNY University Hospital at Stony Brook Dental Department 06/20/2017 Texas-University of Texas Hlth Science Cnt-San Antonio Dental School 05/23/1998

249 DENTISTS 01/01/2019

BoardAction

03/18/2016,08/17/2012

05/26/2005,06/01/2000,06/27/2008,10/15/2010

03/18/2003 01/24/2006 NSBDE LIST

250 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

David Anthony Wang David Anthony Wang DDS Dentist 4689 12/09/2004 Retired Jeffrey Allan Wang Jeffrey Allan Wang DMD Specialty Dentist S4-53 01/17/2008 Active Qi Wang Qi Wang DDS Dentist 6548 08/01/2014 Active Tim Ting-Chun Wang Tim Ting-Chun Wang DDS Dentist 4339 01/22/2003 Inactive Michael R Wanlass Michael R Wanlass DDS Dentist 2287 03/26/1985 Active James Daniel Ward James Daniel Ward DMD Dentist 5960 08/14/2009 Inactive Ryan Douglas Waring Ryan Douglas Waring DDS Dentist 6612 06/19/2015 Active Franklyn B Washburn Franklyn B Washburn DMD Specialty Dentist S3-26 06/01/1978 Active David R Wasserman David R Wasserman DMD Dentist 0693 03/01/1972 Active Bryan Kazumi Watanabe Bryan Kazumi Watanabe DDS Dentist 4971 05/18/2006 Inactive Lynda Carol Watanabe Lynda Carol Watanabe DDS Dentist 4972 05/18/2006 Active Ryan Patrick Watkins Ryan Patrick Watkins DDS Dentist 6822 09/28/2016 Active Matthew Scott Weaver Matthew Scott Weaver DDS Dentist 4790 08/26/2005 Active Scott M Weaver Scott M Weaver DDS Dentist 2003 09/01/1980 Retired R Dean Webber R Dean Webber DDS Dentist 1061 03/01/1980 Inactive Michael Paul Webberson Michael Paul Webberson DDS Dentist 4342 01/22/2003 Active Franklin Ernest Weber Franklin Ernest Weber DDS Dentist 5987 10/09/2009 Retired James Kent Weber James Kent Weber DMD Dentist 4653 09/17/2004 Inactive Mark Jones Webster Mark Jones Webster DDS, MS Specialty Dentist S3-235C 06/14/2012 Active Richard Benjamin Webster Richard Benjamin Webster DDS, MS Specialty Dentist S3-198 08/14/2009 Active Scott Thomas Weed Scott Thomas Weed DDS Specialty Dentist S7-76 04/18/2012 Active Joshua Ammon Weenig Joshua Ammon Weenig DMD Dentist 6852 08/31/2016 Inactive Steven Edward Weinberg Steven Edward Weinberg DDS Dentist 4768 05/26/2005 Retired Karl William Weiss Karl William Weiss DMD Specialty Dentist S3-291C 10/05/2016 Active Bradley Peterson Welch Bradley Peterson Welch DDS Dentist 2772 03/24/1993 Active Fenn Holden Welch Fenn Holden Welch DDS Specialty Dentist S3-59 03/26/2002 Active Gregory Peterson Welch Gregory Peterson Welch DDS Dentist 2604 07/10/1990 Active Jonathan Hopkinson Welch Jonathan Hopkinson Welch DMD Dentist 6289 06/14/2012 Active Matthew Douglas Welebir Matthew Douglas Welebir DDS Dentist 4069 10/22/2001 Active Izabella Wells Izabella Wells DMD Dentist 6452 06/28/2013 Active Adam David Welmerink Adam David Welmerink DDS Specialty Dentist S3-240 07/18/2012 Active David William Welmerink David William Welmerink DDS Specialty Dentist S3-27 11/06/1982 Active Michael Ray Wendelboe Michael Ray Wendelboe DMD Dentist 5569 07/26/2007 Active Joseph Neil Wenzinger Joseph Neil Wenzinger DDS Dentist 2395 07/14/1987 Active Vaune M Wenzinger Vaune M Wenzinger DDS Dentist 0936 09/01/1977 Inactive Pamela JoAnne WestNSBDEPamela JoAnne West DDS Dentist LIST2895 03/22/1995 Active Ronald Duane West Ronald Duane West DMD Dentist 5574 07/26/2007 Active David John Walter Westerhaus David John Walter Westerhaus DDS Dentist 7135 11/09/2018 Active April Lyn Westfall April Lyn Westfall DMD Dentist 6103 02/11/2011 Inactive Kelli Ann Weyrick Kelli Ann Weyrick DMD Dentist 6642 06/04/2015 Active James Victor Whalen James Victor Whalen DMD Dentist 2396 07/14/1987 Active Joshua Loren Whetten Joshua Loren Whetten DDS Specialty Dentist S3-77 07/29/2005 Active Lance Loren Whetten Lance Loren Whetten DMD, MS Specialty Dentist S3-28 07/01/1979 Active Emily Adair Whipple Emily Adair Whipple DMD Specialty Dentist S6-141 09/24/2015 Active David Matthew White David Matthew White DDS Dentist 4567 01/21/2004 Active James John White James John White DDS Dentist 3346 07/13/1998 Active

251 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 1228 Quail Hollow Dr S4 - Periodontist 06/30/2019 Significance Dental Specialists 7151 Cascade Valley Ct Suite 107 06/30/2019 781 Sea Oats Bay 06/30/2019 Columbia Dental Care 46921 Warm Springs Blvd #203 06/30/2019 Wanlass Dental 2625 S Rainbow Blvd Suite C-100 06/30/2019 216 Stuart Lane 06/30/2019 Damonte Ranch Dental Group 10447 Double R Blvd S3 - Orthodontist 06/30/2019 9918 Masterpiece Dr. 06/30/2019 Dr. David R. Wasserman 4055 S Spencer St Suite #200 06/30/2019 7253 MIRACLE MILE 06/30/2019 7253 MIRACLE MILE 06/30/2019 Ryan P Watkins DDS, PLLC 848 N. Rainbow Blvd # 813 06/30/2019 53 E Lake Mead Pkwy 06/30/2019 2408 Orangeburg Pl 06/30/2019 3293 Bunker Hill Ln 06/30/2019 8824 Reining Spur Ave 06/30/2019 32 Tiffany Ln 06/30/2019 5902 Haile Sky St S3 - Orthodontist 06/30/2019 Webster Orthodontics 415 N Main Suite 304 S3 - Orthodontist 06/30/2019 Webster Orthodontics 7603 Grand Teton Dr #110 S7 - Endodontist 06/30/2019 2552 Sharon Way 06/30/2019 1826 Surrey Trl 06/30/2019 8929 Adobe Grande St S3 - Orthodontist 06/30/2019 205 William Drive Karl Weiss 06/30/2019 WELCH DENTISTRY 10420 S Decatur Blvd. Suite 110 S3 - Orthodontist 06/30/2019 1128 Sable Mist Ct 06/30/2019 Welch Dentistry 10420 S Decatur Blvd Ste 110 Suite 110 06/30/2019 Welch Dentistry 10420 S Decatur Blvd Ste 110 06/30/2019 Summerlin Dental/AXIOM Implant & Specialty Dentist 410 S. Rampart Blvd. Suite 360 06/30/2019 All Smiles Family Dentistry 1274 E Plumb Ln Ste C S3 - Orthodontist 06/30/2019 Welmerink Orthodontics 1155 Prater Way S3 - Orthodontist 06/30/2019 Welmerink Orthodontics 1155 Prater Way 06/30/2019 Tenaya Village Dental Care 7260 W Azure Dr 110 06/30/2019 7395 Laredo St 06/30/2019 24121 NE 124th Cir NSBDE06/30/2019 Pamela J West, DDS LIST2095 Village Center Cir #110 06/30/2019 Carson Dental Designs 412 W. John St Suite 100 06/30/2019 8359 Elk Grove Florin Rd Ste 103-340 06/30/2019 PO Box 19368 06/30/2019 Va Sierra Healthcare System 975 Kirman Ave 06/30/2019 Sun Dental Center 9450 Del Webb Blvd S3 - Orthodontist 06/30/2019 11028 Mount Royal Ave S3 - Orthodontist 06/30/2019 1830 Terra Vista Way S6 - Pediatric Dentist or Pedodontist 06/30/2019 Dentistry for Kids Reno 10455 Double R Blvd 06/30/2019 David M White 1300 Haskell St 06/30/2019 James J White, DDS 1140 N Town Center Dr #170

252 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Medford OR 97504 (541) 779-4799 (530) 587-5118 University of Texas 05/19/1985 Las Vegas NV 89128 (702) 233-9988 Pennsylvania-University of Pennsylvania School of Dental Medicine 05/13/2002 Ponte Vedra Beach FL 32082 Nebraska-Creighton University School of Dentistry 05/12/2012 Fremont CA 94539 (510) 792-7888 Columbia University 05/17/2000 Las Vegas NV 89146 (702) 367-4412 (702) 367-4883 University of Michigan 06/01/1984 Oak Harbor WA 98277 (342) 873-8318 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Reno NV 89521 (775) 322-2061 (417) 782-0096 California-Loma Linda University School of Dentistry 05/30/2010 Las Vegas NV 89148-4538 (702) 363-0466 University of Pennsylvania 06/01/1970 Las Vegas NV 89119 (702) 734-1411 (702) 734-9417 Massachusetts-Tufts University School of Dental Medicine 06/01/1970 Riverside CA 92506 (951) 677-3078 (951) 600-0498 Loma Linda University 06/11/1992 Riverside CA 92506 (702) 254-6412 (951) 506-4040 Loma Linda University 06/11/1992 Las Vegas NV 89107 (760) 720-0451 (866) 779-9096 California-Loma Linda University School of Dentistry 05/25/2003 Henderson NV 89015 (702) 564-3444 (702) 564-9530 University of the Pacific 06/12/2005 Henderson NV 89044 (702) 564-3444 (702) 564-9530 University of the Pacific 06/01/1980 Sparks NV 89431 (775) 356-8250 (775) 356-1446 Temple University 06/01/1974 Las Vegas NV 89143 (702) 658-8008 (702) 360-0193 Creighton University 05/18/2002 Canyon TX 79015 (806) 557-4085 (806) 557-4131 Texas-Baylor College of Dentistry Component of Texas A & M Health Sci Ctr 05/17/2006 Las Vegas NV 89148 University of Pittsburgh 06/21/1980 Cedar City UT 84721 (435) 867-9172 (435) 867-0997 Oklahoma-University of Oklahoma College of Dentistry 05/31/1997 Las Vegas NV 89131 (702) 403-5288 (702) 395-7813 California-University of California at Los Angeles School of Dentistry 06/16/2006 Reno NV 89509 (775) 343-7691 (775) 423-9602 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/13/2004 Green Bay WI 54313 (775) 426-2811 Florida-University of Florida College of Dentistry 05/17/2013 Las Vegas NV 89131 (702) 259-5295 (702) 259-6596 University of Maryland 06/02/1972 Canonsburg PA 15317 (702) 434-2219 (702) 456-6160 University of Pittsburgh 06/30/1991 Las Vegas NV 89141 (702) 527-4644 (702) 263-7639 Creighton University 05/13/1989 Las Vegas NV 89144 (702) 240-2300 (702) 240-6006 University of Detroit 05/06/1979 Las Vegas NV 89141 (702) 527-4644 (702) 263-7639 Creighton University 05/01/1990 Las Vegas NV 89141 (702) 331-1378 (702) 868-4099 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Las Vegas NV 89145 (702) 228-2218 (702) 228-7411 Loma Linda University 05/28/2000 Reno NV 89502 (775) 747-0680 (775) 747-0681 Nevada-University of Nevada, Las Vegas School of Dental Medicine 12/12/2009 Sparks NV 89431 (775) 358-6320 (775) 358-0903 Washington-University of Washington-Health Sciences School of Dentistry 06/12/2009 Sparks NV 89431 (775) 358-6320 (775) 358-0903 University of Michigan 05/01/1973 Las Vegas NV 89130 (702) 821-1688 (702) 791-1030 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Las Vegas NV 89117 (702) 873-8556 (702) 257-0577 Loyola University 06/01/1987 Brush Prairie WA 98606 (360) 601-9883 (360) 882-1991 University of Washington 06/01/1977 Las Vegas NSBDENV 89134 (702) 240-0400 (702) 242-0004 USC LIST05/08/1987 Carson City NV 89703 (775) 882-4122 (702) 399-1975 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2007 Sacramento CA 95829 (916) 827-0046 South Lake Tahoe CA 96151 (530) 208-8917 Arizona-A.T. Still University, Arizona School of Dentistry and Oral Health 06/25/2010 Reno NV 89502 (775) 326-2995 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/17/2015 Las Vegas NV 89134 (702) 255-2111 (702) 255-8075 Ohio State University 06/01/1987 Las Vegas NV 89144 (702) 360-3759 (702) 436-2746 Creighton University 05/12/2001 Las Vegas NV 89117 (702) 436-0999 (702) 436-2746 Creighton University 06/01/1977 Reno NV 89521 (775) 823-9797 (775) 823-9677 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/17/2008 Reno NV 89509 (775) 738-1120 (775) 738-3509 University of Michigan 04/25/2003 Las Vegas NV 89144 (702) 562-8833 (702) 562-7910 Northwestern University 08/31/1972

253 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

NSBDE LIST

California-Loma Linda University School of Dentistry 05/27/2012

254 DENTISTS 01/01/2019

BoardAction

01/16/1991

01/20/2007 NSBDE LIST

255 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Johnathan Robert White Johnathan Robert White DDS Dentist 5556 07/26/2007 Active Treagan Nephi White Treagan Nephi White DDS Specialty Dentist S6-151C 06/30/2017 Active Trevor Sage White Trevor Sage White DDS Dentist 6932 06/16/2017 Active Adam Brock Whiteley Adam Brock Whiteley DMD Dentist 6663 06/04/2015 Active Mark Austin Whiting Mark Austin Whiting DMD Limited License Dental LL-431-16 07/13/2016 Active Gary Ervin Widdison Gary Ervin Widdison DDS Dentist 2115 07/11/1982 Active Shannon Widmier Shannon Widmier DDS Geographically Restricted Dentist License GR6272TA 07/18/2012 Active Amber Elizabeth Wiebe Amber Elizabeth Wiebe DMD Limited License Dental LL-490-18 11/01/2018 Active Brad A Wilbur Brad A Wilbur DDS Dentist 2042 03/01/1981 Active Blake Kent Wilde Blake Kent Wilde DDS Specialty Dentist S6-117 08/17/2012 Active Spencer K Wilde Spencer K Wilde DDS Dentist 4086 01/23/2002 Inactive Payden Ty Wildman Payden Ty Wildman DDS Dentist 6800 07/13/2016 Active J Justin Wilkerson J Justin Wilkerson DDS Dentist 3068 07/15/1996 Active Todd C Wilkin Todd C Wilkin DDS Dentist 3200 07/14/1997 Active James Arthur Willardsen James Arthur Willardsen DDS Dentist 3224 01/21/1998 Active John Elliott Willardsen John Elliott Willardsen DDS Dentist 3591 05/08/2000 Inactive Joseph George Willardsen Joseph George Willardsen DDS Dentist 3747 01/17/2001 Active Gary B Williams Gary B Williams DDS Dentist 0570 06/01/1967 Retired Jake Russell Williams Jake Russell Williams DDS Dentist 7131 09/13/2018 Active Jerry B Williams Jerry B Williams DDS Dentist 0850 09/01/1975 Inactive Mark Stephan Douglas Williams Mark Stephan Douglas Williams DMD Dentist 6124 06/30/2011 Inactive Ronald Gordon Willis Ronald Gordon Willis Jr DMD Dentist 5030 06/26/2006 Retired Michael Joseph Wills Michael Joseph Wills DMD Dentist 6329 07/18/2012 Active Brittany Ann Wilson Brittany Ann Wilson DDS Dentist 6460 10/04/2013 Active Jeremy Thomas Wilson Jeremy Thomas Wilson DMD Dentist 5090 07/20/2006 Active Matthew Joseph Wilson Matthew Joseph Wilson DDS Dentist 6641 06/19/2015 Active Michael David Wilson Michael David Wilson DDS Dentist 4288 08/06/2002 Active Scott Paul Wilson Scott Paul Wilson DDS Dentist 4273 07/01/2002 Active Steven Trent Wilson Steven Trent Wilson DDS Dentist 2868 07/18/1994 Active Timothy Andre Wilson Timothy Andre Wilson DDS Dentist 4522 09/26/2003 Active Joseph Armstrong Wineman Joseph Armstrong Wineman DMD Dentist 4291 08/06/2002 Active Kerry Milo Winkel Kerry Milo Winkel DMD Dentist 5689 05/02/2008 Inactive William Christopher Winter William Christopher Winter DMD Dentist 6908 05/12/2017 Active Kevin Lin Winters Kevin Lin Winters DDS Limited License Dental LL-280-11 01/26/2012 Active Stephanie Dawn Winterton Stephanie Dawn Winterton DMD Dentist 6104 05/27/2011 Active Korri Lynn WippermanNSBDEKorri Lynn Wipperman DMD Dentist LIST5732 07/17/2008 Active Christa Allison Wirges Christa Allison Wirges DDS Dentist 4279 07/01/2002 Inactive Matthew Richard Wirig Matthew Richard Wirig DMD Specialty Dentist S3-175 07/17/2008 Active Spencer Clark Wirig Spencer Clark Wirig DMD Dentist 6539 10/03/2014 Active Meredith Anne Wolf Meredith Anne Wolf DMD Dentist 5841 07/27/2009 Active Gerald K Wong Gerald K Wong DDS Dentist 2231 07/01/1984 Inactive Joel Wan Toon Wong Joel Wan Toon Wong DMD Dentist 7137 08/29/2018 Active Mankei Rebecca Wong Mankei Rebecca Wong DMD Dentist 7078 06/21/2018 Active Steven Edwin Wong Steven Edwin Wong DDS Dentist 5499 07/26/2007 Active Victoria Luo-Kei Woo Victoria Luo-Kei Woo DDS Specialty Dentist S1-15C 08/22/2008 Active Wendy Sue Woodall Wendy Sue Woodall DDS Dentist 4668 10/21/2004 Active

256 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 Aesthetic Dentistry 8084 W Sahara Ave Suite G & F S6 - Pediatric Dentist or Pedodontist 06/30/2019 Elko Dental Specialists 1760 Browning Way 06/30/2019 Mesquite Dental 61 N Willow St Ste 1 06/30/2019 OP Smiles 373 Boone Heights Dr Limited License Dentist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln 06/30/2019 8017 Panpipe Ct 06/30/2019 3415 E 4070 N Limited License Dentist 10/31/2019 4942 US 98 W Ste 19 06/30/2019 Green Valley Dental Center 275 N Pecos Rd S6 - Pediatric Dentist or Pedodontist 06/30/2019 4420 Great Falls Loop 06/30/2019 6206 E Paseo Tierra Alta 06/30/2019 885 Valley Crest Dr 06/30/2019 Dentistry For Kids 10455 Double R Blvd 06/30/2019 Todd C Wilkin, DDS 1475 Ave G 06/30/2019 7 Day Dental 2575 N 5th St Ste A 06/30/2019 John Willardsen DDS Inc 295 Terracina Blvd 06/30/2019 True Dentistry of Las Vegas 9061 W Post Rd 06/30/2019 PO Box 277 06/30/2019 6336 Franklin Gate Dr 06/30/2019 24121 NE 124th Cir 06/30/2019 Campbell and Williams Family Dental 2014 Justin Road, Suite 110 06/30/2019 5052 Brill Pt 06/30/2019 10170 W. Tropicana Ave. #156 06/30/2019 Stamm Dental 1960 N Ogden St Ste 260 06/30/2019 Absolute Dental 2301 E Lake mead Blvd 06/30/2019 Inspire Dental of Summerlin 2095 village Center Cir Ste 120 06/30/2019 Anthem Hills Dental 12231 South Eastern Ave Suite 110 06/30/2019 11260 Donner Pass Rd #C1 Box 539 06/30/2019 Spanish Hills Dental 8910 W Tropicana Ave Suite 5 06/30/2019 12788 ring rose st 06/30/2019 Wineman Dental 1701 Green Valley Pkwy Ste 4D 06/30/2019 Bonneville Dental 225 Skyhawk Dr P.O. Box 1216 06/30/2019 Orlando VA 13800 Veterans Way Limited License Dentist 01/25/2019 The Hills Dental Spa 6836 Bee Caves Rd Ste 300 06/30/2019 1109 Saint Andrews Dr NSBDE06/30/2019 LIST5047 Jessica Joy St 06/30/2019 11540 White Cliffs Ave S3 - Orthodontist 06/30/2019 Matthew R Wirig DMD PC 375 N Stephanie Rd #211 06/30/2019 992 Sandpoint Pond Ln 06/30/2019 Shadow Mountain Dental Group 6525 N Decatur Blvd 150 06/30/2019 3100 Fairchild Dr 06/30/2019 200 W Sahara Ave #801 06/30/2019 ,Mountain Dental Group 9285 S Cimarron Rd Ste 125 06/30/2019 Culinary Health Center 650 N Nellis Blvd S1 - Oral and Maxillofacial Pathologist 06/30/2019 UNLV School of Dental Medicine 1001 Shadow Ln MS 7412 06/30/2019 116 Camino Barranca

257 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Las Vegas NV 89117 (702) 823-3000 (702) 360-0193 Missouri-University of Missouri-Kansas City School of Dentistry 05/04/2007 Elko NV 89801 (801) 519-2222 Mesquite NV 89027 (702) 346-2882 Boone NC 28607 (828) 264-0110 Las Vegas NV 89106 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 Las Vegas NV 89131 (702) 651-5592 (702) 382-6506 University of the Pacific 06/01/1981 Kimberly ID 83341 (775) 752-3056 (208) 423-6903 Oklahoma-University of Oklahoma College of Dentistry 06/06/1998 Santa Rosa Beach FL 32459 (850) 267-0777 Henderson NV 89074 (702) 896-8933 (702) 896-6608 University of Nebraska 06/01/1980 Reno NV 89511 (775) 852-6164 (775) 284-7352 Ohio-Ohio State University College of Dentistry 06/13/2010 Tucson AZ 85715 (520) 730-6467 (520) 529-2938 USC 05/11/2001 Carson City NV 89705 (775) 782-0022 (775) 782-0024 New York-State University of New York at Buffalo School of Dental Medicine 06/01/2016 Reno NV 89521 (775) 823-9797 (775) 823-9677 Ohio State University 06/11/1993 Ely NV 89301 (775) 289-4000 (775) 289-4022 University of Colorado 05/25/1996 Elko NV 89801 (775) 738-9666 Loma Linda University 09/09/1996 Redlands CA 92373 (310) 310-5952 (702) 433-4806 Loma Linda University 05/25/1997 Las Vegas NV 89148 (702) 434-4800 (702) 433-4806 Loma Linda University 05/28/2000 Minden NV 89423 (000) 000-0000 USC 06/01/1967 El Paso TX 79912 Brush Prairie WA 98606 (360) 260-6934 (360) 882-1991 University of Washington 06/01/1975 Highland Village TX 75077 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Tallahassee FL 32312 (850) 877-5151 (850) 942-2633 University of South Carolina 05/17/1991 Las Vegas NV 89147 (702) 257-9177 (702) 257-9677 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Denver CO 80218 (702) 735-9500 Virginia-Virginia Commonwealth University School of Dentistry 05/18/2013 North Las Vegas NV 89030 (702) 331-8338 (702) 774-2521 University of Nevada Las Vegas 05/13/2006 Las Vegas NV 89134 (702) 309-0909 (702) 656-2038 Indiana-Indiana University School of Dentistry 05/10/2015 Henderson NV 89052 (702) 791-3100 (702) 362-3105 Creighton University 05/18/1996 Truckee CA 96161 (702) 889-5000 (620) 225-2602 University of the Pacific 06/14/2002 Las Vegas NV 89147 (702) 257-9444 (702) 967-8005 University of the Pacific 06/19/1994 las vegas NV 89141 (702) 464-3090 (702) 639-0579 University of Michigan 05/01/1994 Henderson NV 89074 (702) 270-4800 (702) 270-4900 University of Pittsburgh 06/03/1981 Wendover UT 84083 (435) 665-7730 (435) 665-7732 Pennsylvania-Temple University School of Dentistry 05/22/2003 Orlando FL 32827 (407) 631-1000 Austin TX 78746 (918) 528-3330 (918) 528-3332 Missouri-University of Missouri-Kansas City School of Dentistry 05/05/1989 Cherokee IA 51012 (712) 225-4812 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Las Vegas NSBDENV 89149 (702) 285-5312 (702) 940-1178 Nevada-University of Nevada, Las Vegas School of LISTDental Medicine 05/17/2008 Las Vegas NV 89138 (702) 967-1700 (702) 967-1703 Creighton University 06/18/2002 Henderson NV 89014 (702) 454-1008 (702) 454-1009 University of Nevada Las Vegas 05/13/2006 Henderson NV 89002 (702) 482-8299 (702) 822-1345 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/13/2006 Las Vegas NV 89131 (702) 577-1941 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 El Dorado Hills CA 95762 (916) 783-0122 (916) 783-6127 University of the Pacific 06/22/1978 Las Vegas NV 89102 Las Vegas NV 89178 (702) 433-5355 Las Vegas NV 89110 (702) 515-7737 California-University of Southern California School of Dentistry 05/13/2005 Las Vegas NV 89106 (702) 774-2628 (702) 774-2633 University of West Ontario 06/05/2001 El Paso TX 79912 (702) 774-2722 (702) 774-2651 University of Texas 05/19/1985

258 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Iowa-University of Iowa College of Dentistry 06/03/2011 Iowa-University of Iowa College of Dentistry 06/30/2013 California-University of Southern California School of Dentistry 05/12/2017

Florida-University of Florida College of Dentistry 05/26/2000

Nebraska-Creighton University School of Dentistry 05/17/2014

Kentucky-UniversityNSBDE of Louisville School of Dentistry 05/09/2015 LIST

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

259 DENTISTS 01/01/2019

BoardAction

01/20/2007

03/21/1992

03/09/2005,11/03/2017 01/20/2017 NSBDE LIST

260 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Joshua Daniel Woolley Joshua Daniel Woolley DMD Dentist 6165 07/15/2011 Active Theresa Renee Woolridge-Ofori Theresa Renee Woolridge-Ofori DDS Dentist 4669 10/21/2004 Active Demian Scott Woyciehowsky Demian Scott Woyciehowsky DMD Dentist 6352 09/20/2012 Active Charles Claude Woyda Charles Claude Woyda DDS Dentist 5032 06/26/2006 Active Inez Elaine Wright Inez Elaine Wright DDS Dentist 4699 01/15/2005 Active James Paul Wright James Paul Wright DDS Dentist 4189 05/31/2002 Active Randall I Wright Randall I Wright DDS Dentist 2316 07/16/1985 Active Rosalyn Anne Wright Rosalyn Anne Wright DMD Dentist 2744 07/14/1992 Active Whitney Boyle Wright Whitney Boyle Wright DDS Specialty Dentist S3-301 01/18/2017 Active Arthur Joon Wei Wu Arthur Joon Wei Wu DDS Dentist 4670 10/21/2004 Inactive Eric Cuthbert Wu Eric Cuthbert Wu DMD Limited License Dental LL-460-18 04/20/2018 Active Jennifer Tsai-Pin Wu Jennifer Tsai-Pin Wu DDS Dentist 3515 01/19/2000 Active Jessica Keren Wu Jessica Keren Wu DDS Dentist 6615 05/22/2015 Active Lydia Claire Wyatt Lydia Claire Wyatt DDS Dentist 4340 01/22/2003 Active Tracy D Wyatt Tracy D Wyatt DDS Specialty Dentist S3-163 11/01/2007 Active Robert Earl Wynman Robert Earl Wynman DDS Dentist 0710 08/01/1972 Retired Diana Tu-Dieu Xa Diana Tu-Dieu Xa DDS Dentist 4644 08/27/2004 Active Hai Que (Martin) Xa Hai Que (Martin) Xa DMD Dentist 3780 04/30/2001 Active Trung Que Xa Trung Que Xa DDS Dentist 4623 07/12/2004 Active James Rudolf Yacyshyn James Rudolf Yacyshyn DDS Limited License Dental LL-438-16 11/02/2016 Active Behnam Yaghmai Behnam Yaghmai DDS Dentist 4423 06/06/2003 Active Jenin Hilmi Yahya Jenin Hilmi Yahya DDS Specialty Dentist S5-49C 08/17/2018 Active Jason Masuzo Yamaguchi Jason Masuzo Yamaguchi DDS Dentist 4056 07/09/2001 Active Beth Kikue Yamashiro Beth Kikue Yamashiro DDS Specialty Dentist S3-238 07/18/2012 Active Ji Won Yang Ji Won Yang DDS Dentist 6997 10/26/2017 Active Kimberly Wen-Ting Yang Kimberly Wen-Ting Yang DMD Dentist 6781 05/25/2016 Active Jennifer Gayle Yanga Jennifer Gayle Yanga DMD Dentist 6114 10/01/2010 Active Kimberly Pearl Lao Yap Kimberly Pearl Lao Yap DDS Dentist 6509 05/21/2014 Active Simon Yashari Simon Yashari DDS Dentist 6198 10/21/2011 Inactive Desiree Yazdanshenas Desiree Yazdanshenas DDS Dentist 6412 12/13/2013 Inactive Inyoung Chong Yeam Inyoung Chong Yeam DMD Dentist 7060 05/29/2018 Active Derrek Arthur Yelton Derrek Arthur Yelton DDS Dentist 2305 07/16/1985 Active Jennifer Ju Chun Yen Jennifer Ju Chun Yen DDS Dentist 4409 03/18/2003 Active Sean Seongbin Yim Sean Seongbin Yim DMD Dentist 6069 08/20/2010 Active Mandy Mun-Yin Yip Mandy Mun-Yin Yip DDS Dentist 7091 07/27/2018 Active Adam Burke YorkNSBDEAdam Burke York DMD Dentist LIST5218 11/30/2006 Active Aubrey Young Aubrey Young DMD Dentist 6297 06/14/2012 Inactive Christine Young Christine Young DMD Dentist 6728 12/23/2015 Active Colin George Young Colin George Young DMD Dentist 6608 03/20/2015 Active Dallin Clifford Young Dallin Clifford Young DDS Specialty Dentist S6-95C 07/16/2009 Active Frederick Thomas Young Frederick Thomas Young DMD Dentist 1011 03/01/1979 Active Mon-Han Young Mon-Han Young DMD Dentist 4507 07/28/2003 Active Perry Blake Young Perry Blake Young DDS Specialty Dentist S2-21 03/21/1992 Active Haris Yu Haris Yu DMD Dentist 6945 03/30/2018 Active Sang Chin Yu Sang Chin Yu DMD Dentist 3523 01/19/2000 Active Jae Hyuk Yun Jae Hyuk Yun DDS Dentist 7100 07/05/2018 Active

261 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 3035 Roxbury Dr. 06/30/2019 Theresa Woolridge-Ofori 1301 bertha howe, suite 5 06/30/2019 Wendel Family Dental Centre 7012 NE 40th Street 06/30/2019 Charles C Woyda DDS 6455 Union Boulevard #101 06/30/2019 Advanced Dental 7580 Norman Rockwell Lane 06/30/2019 Four Seasons Dental Spa 8855 W Flamingo Rd #101 06/30/2019 Advanced Dentistry by Design 403 W Nye Ln Suite A 06/30/2019 Grant Mona Dental Office 3575 Grant Dr Suite 1 S3 - Orthodontist 06/30/2019 155 E Louis Way 06/30/2019 20833 Valley Blvd Limited License Dentist 06/30/2019 4168 King Arthur Ct 06/30/2019 Ivy Dental Care Group 740 N Eastern Ave 120 06/30/2019 Coast Dental 8445 W Flamingo Rd 06/30/2019 2904 Coast Line Court S3 - Orthodontist 06/30/2019 Wyatt Orthodontics 7550 W Lake Mead Blvd Suite 6 06/30/2019 P O Box 640 06/30/2019 Star Brite Dental 6720 N Durango Dr Suite #260 06/30/2019 Star Brite Dental 560 Mark St #B 06/30/2019 Starbrite Dental 6720 N Durango Dr Suite 260 Limited License Dentist 11/01/2017 130 Fairway Dr 06/30/2019 10150 Rarity Ave S5 - Prosthodontist 06/30/2019 Smile Designs by Golpa 6420 Medical Center St Ste 101 06/30/2019 Valley Dental 5841 E Charleston 220 S3 - Orthodontist 06/30/2019 Beth Yamashiro DDS MBA PLLC / Beth's Braces 9480 S Eastern Ave Ste 145 06/30/2019 21580 Cypress Ave 06/30/2019 12278 Bluebird Canyon Pl 06/30/2019 MOUNTAIN DENTAL GROUP 9285 S. CIMARRON Rd STE 125 06/30/2019 3040 W. Ann Rd. #101 06/30/2019 13810 NW Passage #208 06/30/2019 Center for Reconstructive Dentistry 1401 Avocado Ave Ste 807 06/30/2019 5969 Smith Valley Rd 06/30/2019 Derrek A Yelton, DDS 2625 S Rainbow Blvd Ste D-103 06/30/2019 First Care Dental 314 W Fifth St 06/30/2019 Affordable Family Dental 270 Dahlia St. 4 06/30/2019 Henderson Modern Dentistry 366 W Lake Mead Pkwy Ste 100 NSBDE06/30/2019 Spanish Springs Family Dental LIST5050 Vista 107 06/30/2019 2653 E Canyon Creek Dr 06/30/2019 600 Epic Way Unit 218 06/30/2019 2771 S Buffalo Dr S6 - Pediatric Dentist or Pedodontist 06/30/2019 3240 Hillary Ave Dallin Young 06/30/2019 3545 Green Acres Dr 06/30/2019 4555 S Fort Apache Rd #136 S2 - Oral and Maxillofacial Surgeon 06/30/2019 601 W. Moana Lane, Suite 5 06/30/2019 10 Whippoorwill Ln 06/30/2019 Sang C Yu, DMD 1500 E Desert Inn Rd #2 06/30/2019 651 Eden Ave

262 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89523 (775) 322-2061 (775) 322-2065 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 mesquite NV 89027 (702) 345-2122 (702) 345-3063 Howard University 05/10/1997 Vancouver WA 98661 (360) 718-2355 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 Colorado Springs CO 80918 (719) 590-8820 (702) 433-2266 University of Minnesota 06/12/1982 Las vegas NV 89113 (702) 382-0380 (702) 897-7424 University of Iowa 06/05/1998 Las Vegas NV 89147 (702) 309-4600 (702) 309-2771 Wisconsin-Marquette University School of Dentistry 05/22/1988 Carson City NV 89706 (775) 883-7244 (775) 883-7282 University of the Pacific 06/01/1985 Reno NV 89509 (775) 825-4070 (775) 825-3157 OR Health Sciences University 06/10/1988 Tempe AZ 85284 (480) 339-4800 (480) 729-6090 Colorado-University of Colorado at Denver and Health Sciences Center 05/23/2008 Walnut CA 91789 (909) 595-7773 (909) 595-0256 Loma Linda University 06/13/1986 Palo Alto CA 94306 Las Vegas NV 89101 (702) 678-6218 (702) 678-5102 USC 05/10/1996 Las Vegas NV 89147 (702) 560-5231 (702) 671-3126 Texas-Univ. of Texas Hlth Science Cnt-Houston Dental Branch 05/23/2014 Las Vegas NV 89117 (702) 220-9555 (702) 433-2266 Louisiana State University 06/20/2000 Las Vegas NV 89128 (702) 242-9777 (702) 242-9265 Nebraska-Creighton University School of Dentistry 05/14/2005 Carnelian Bay CA 96140 (530) 583-4110 (530) 581-3755 College of Physicians & Surgeons 06/01/1972 Las Vegas NV 89149 (702) 456-6678 (027) 893-2033 University of the Pacific 06/17/1990 Henderson NV 89014 (702) 456-5100 (702) 456-5102 Temple University 05/18/2000 Las Vegas NV 89149 (702) 893-2288 (702) 893-2033 UCSF 06/11/2000 Edmonton, Alberta Canada T6J 2C5 Canada-University of Alberta 06/10/1999 Las Vegas NV 89135 (702) 804-5154 (702) 804-5176 Virginia Commonwealth University 05/17/1997 Las Vegas NV 89148 (702) 641-7111 Las Vegas NV 89142 (702) 644-2222 (702) 304-1222 USC 05/15/1998 Las Vegas NV 89123 (702) 706-2468 (866) 770-2875 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/14/2009 Perris CA 92570 (702) 733-0888 Las Vegas NV 89138 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/15/2016 LAS VEGAS NV 89178 (702) 433-5355 (702) 262-0244 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Las Vegas NV 89031 California-University of California at Los Angeles School of Dentistry 06/10/2011 Marina del Rey CA 90292 (760) 446-2233 California-University of California at Los Angeles School of Dentistry 06/10/2011 Newport Beach CA 92660 (949) 644-6988 California-University of Southern California School of Dentistry 05/11/2012 Las Vegas NV 89148 (702) 399-3800 Las Vegas NV 89146 (702) 365-1743 (702) 365-1167 University of the Pacific 06/01/1985 Carson City NV 89703 (775) 882-1111 (775) 882-1120 USC 08/19/1997 Pahrump NV 89048 (702) 489-5460 (877) 752-9402 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/08/2010 Henderson NV 89015 (702) 464-3090 Sparks NSBDENV 89436 (775) 626-6556 (775) 829-1553 Oregon-Oregon Health and Science University SchoolLIST of Dentistry 06/02/2006 Gilbert AZ 85295 (623) 825-6901 (623) 825-9446 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2012 San Jose CA 95134 (209) 526-9430 (209) 577-0344 New Jersey-University of Medicine & Dentistry of New Jersey New Jersey Dental School 05/22/2013 Las Vegas NV 89117 (702) 399-8888 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/15/2014 Fairbanks AK 99709 (208) 733-9331 (208) 732-1222 Iowa-University of Iowa College of Dentistry 06/06/2003 Carson City NV 89705 (775) 883-7773 (775) 883-9793 OR Health Sciences University 06/01/1978 Las Vegas NV 89147 (702) 388-8979 (702) 388-8980 Tufts University 05/17/1998 Reno NV 89509 (775) 828-2999 (775) 828-2772 University of the Pacific 06/01/1985 Ashland MA 01721 Las Vegas NV 89169 (702) 862-8550 (702) 892-8431 Tufts University 05/17/1998 San Jose CA 95117

263 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Pennsylvania-University of Pennsylvania School of Dental Medicine 05/22/2000

Maryland-University of Maryland School of Dentistry 06/30/2015

Michigan-University of Detroit Mercy School of Dentistry 09/06/2017

Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/12/2018

Nebraska-CreightonNSBDE University School of Dentistry 05/12/2018 LIST

Utah-Roseman University of Health Sciences 06/03/2016

Michigan-University of Detroit Mercy School of Dentistry 05/11/2018

264 DENTISTS 01/01/2019

BoardAction

12/12/2014

05/22/2015,12/13/2013 10/04/2013 NSBDE LIST

265 DENTISTS 01/01/2019

Full Name First Name Middle Name Last Name Suffix Professional License Type License Number Original License License

Catherine Yup Catherine Yup DDS Geographically Restricted Dentist License GR6488TA 01/24/2014 Active Gene H Yup Gene H Yup DDS Dentist 2272 03/26/1985 Active Farshad Ariel Zaghi Farshad Ariel Zaghi DMD Specialty Dentist S3-200 07/14/2010 Active Jonathan David Zamora Jonathan David Zamora DDS Dentist 4739 04/21/2005 Active Nasim Zarkesh Nasim Zarkesh DDS Specialty Dentist S6-155 08/25/2017 Active George A Zatarain George A Zatarain DDS Dentist 2688 07/09/1991 Active Peter Michael Zeff Peter Michael Zeff DDS Specialty Dentist S7-38 09/26/2003 Active Rasika Naran Zeff Rasika Naran Zeff DDS Specialty Dentist S6-68 11/09/2006 Active Ali Achraf Zeitoun Ali Achraf Zeitoun DDS Dentist 7075 06/07/2018 Active Kimberly Lai Zheng Kimberly Lai Zheng DMD Dentist 7142 09/24/2018 Active Wenlian Zhou Wenlian Zhou DMD Dentist 5806 08/14/2009 Active Cheng Zhu Cheng Zhu DMD Dentist 4706 01/16/2005 Inactive Naman Zia Ebrahimi Naman Zia Ebrahimi DMD Dentist 6520 06/27/2014 Inactive Bejamin Gerald Zike Bejamin Gerald Zike DDS Dentist 6965 07/21/2017 Active Leila Zokaei Leila Zokaei DDS Specialty Dentist S6-146C 03/31/2017 Active Jennifer Star Zuckerman Jennifer Star Zuckerman DMD Dentist 6099 06/07/2011 Inactive Donald Gordon Zundel Donald Gordon Zundel DDS Dentist 0500 08/01/1964 Active NSBDE LIST

266 DENTISTS 01/01/2019

License Speciality Expiration Practice Name Office Street Office Suite

06/30/2019 2095 Richter Dr 06/30/2019 Gene H. Yup DDS, Ltd 601 W Moana Ln Suite 6 S3 - Orthodontist 06/30/2019 7805 Esteem Street 06/30/2019 1090 Via Saint Lucia Pl S6 - Pediatric Dentist or Pedodontist 06/30/2019 322 Karen Ave #1203 06/30/2019 Z Dentistry 6140 Mae Anne Ave 2 S7 - Endodontist 06/30/2019 757 W 7th St #101 S6 - Pediatric Dentist or Pedodontist 06/30/2019 Zeff Pediatric Dentistry 65 Foothill Road Suite 1 06/30/2019 6452 Jonathon St 06/30/2019 9133 Starling Wing Pl 06/30/2019 7817 Morning Queen Dr 06/30/2019 Pleasant Hill Dental 1894 Contra Costa Blvd 06/30/2019 11088 W Ocean Air Dr Apt 221 06/30/2019 Boca Dental 5642 S Eastern Ave Ste B S6 - Pediatric Dentist or Pedodontist 06/30/2019 100 Park Vista Drive Unit #3104 06/30/2019 Jennifer Zuckerman, DMD 215 East 68th Street 06/30/2019 2592 Granite Springs NSBDE LIST

267 DENTISTS 01/01/2019

Office City State Office Zip Office Number Office Fax Dental School Name Dental School

Reno NV 89509 (775) 273-4296 (775) 273-4299 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/22/1978 Reno NV 89509 (775) 825-1171 (775) 825-0183 Howard University 06/01/1981 Las Vegas NV 89131 (702) 877-2200 (855) 379-2444 Temple University 05/20/1993 Henderson NV 89011 (702) 454-0858 (702) 877-0038 University of the Pacific 06/19/1988 Las Vegas NV 89109 California-University of California at Los Angeles School of Dentistry 06/12/2015 Reno NV 89523 (775) 331-1616 (775) 331-2322 Creighton University 05/18/1991 Reno NV 89503 (775) 323-3838 (775) 323-4531 University of the Pacific 06/17/2001 Reno NV 89511 (775) 851-1770 California-University of the Pacific Arthur A. Dugoni School of Dentistry 06/17/2001 Dearborn MI 48126 Las Vegas NV 89143 Las Vegas NV 89178 (702) 774-2400 (702) 997-8312 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/09/2009 Pleasant Hill CA 94523 (702) 242-6777 (775) 337-2224 Temple University 05/20/2004 San Diego CA 92130 (760) 942-3900 Nevada-University of Nevada, Las Vegas School of Dental Medicine 04/18/2014 Las Vegas NV 89119 (702) 456-0005 Las Vegas NV 89138 (925) 432-2444 California-University of California at San Francisco School of Dentistry 06/11/2006 New York NY 10065 (561) 702-3932 Nevada-University of Nevada, Las Vegas School of Dental Medicine 05/14/2011 Reno NV 89519 (775) 825-2954 (775) 825-5924 College of Physicians & Surgeons 06/01/1964 NSBDE LIST

268 DENTISTS 01/01/2019

Doctoral School Name Doctoral Graduation Post Doctoral School Name Post Doctoral

Michigan-University of Detroit Mercy School of Dentistry 05/12/2017 Nevada-University of Nevada, Las Vegas School of Dental Medicine 08/15/2018

Canada-Dalhousie University 05/18/2017

NSBDE LIST

269 DENTISTS 01/01/2019

BoardAction

NSBDE LIST

270