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February 3, 2017 Nate Booth, DDS If Disney Ran Your Dental Practice –7 Things You Would Do Differently March 31, 2017 John C. Comisi, DDS The Reservoir Restorative Revolution: Bioactive Material and Its Place in Dentistry September 22, 2017 Harold S. Crossley, DDS Avoid Liability: Know Your Patients’ Medications and Their Impact on Dental Treatment October 13, 2017 Frank Celenza, DDS Seeking Interdisciplinary Excellence November 10, 2017 Tieraona Low Dog, MD Life Is Your Best Medicine May 19, 2017 154 th ANNUAL SESSION Featuring Uche Odiatu, DMD “50 Shades of Inflammation – The Body/Mouth/Mind Connection” Rehoboth Beach Country Club Delaware State Dental Society 302-368-7634 All CE programs will be held at the Chase Center on the Riverfront, 815 Justison Street, Wilmington, DE “Navigate Your Future” Delaware State Dental Society Delaware State Dental Society 2017 Continuing Education Series
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Page 1: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

February 3, 2017Nate Booth, DDS

If Disney Ran Your Dental Practice – 7 Things You Would Do Differently

March 31, 2017John C. Comisi, DDS

The Reservoir Restorative Revolution: Bioactive Material and Its Place in Dentistry

September 22, 2017Harold S. Crossley, DDS

Avoid Liability: Know Your Patients’ Medications and Their Impact on Dental Treatment

October 13, 2017Frank Celenza, DDS

Seeking Interdisciplinary Excellence

November 10, 2017Tieraona Low Dog, MD

Life Is Your Best Medicine

May 19, 2017154th ANNUAL SESSIONFeaturing Uche Odiatu, DMD

“50 Shades of Inflammation – The Body/Mouth/Mind Connection”Rehoboth Beach Country Club

Delaware State Dental Society 302-368-7634

All CE programs will be held at the Chase Center on the Riverfront, 815 Justison Street, Wilmington, DE

“Navigate Your Future”

Delaware State Dental SocietyDelaware State Dental Society

2017 Continuing Education Series

Page 2: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

Registration & AdmissionPre-registration is highly recommended to ensure your space at each course. Complete

the registration form and send to: DSDS, 200 Continental Drive, Suite 111, Newark, DE19713, or if you are using a credit card, fax to 302-368-7669. The registration form is availableon the website - www.delawarestatedentalsociety.org. For information, call 302-368-7634.

Doctors and Staff must register on separate forms. Please duplicate the registration formfor additional enrollments. If forms are mailed/faxed together, the complete total may be sentas one check or credit card charge.

Registrations will be processed in the order received and confirmations will be returned byemail one week prior to each course. Fees are payable to Delaware State Dental Society, inU.S. funds by check, money order, MasterCard or Visa.

Refund PolicyAll requests for refunds or cancellations must be received in writing two weeks prior to

the course. No refunds will be given after that time. Each cancellation and/or refund will incura $35 administrative fee. Registration funds are non-transferable. FAX TO: 302-368-7669.

Inclement WeatherIf any changes must occur in the program due to inclement weather, please call the

Delaware State Dental Society at 302-368-7634 for a recording of an up-to-date status report.

Continuing EducationThe Delaware State Dental Society accepts each full seminar day as six credit hours to meet

State of Delaware continuing education requirements. The Board of Dentistry and Dental Hygienerequires all persons licensed to practice dentistry in the State of Delaware to acquire fifty(50) hours of continuing professional education credits every two (2) years. All dental licensesexpire on May 31 of even years (e.g., 2016, 2018). Six hours will be given for ADHA and AADAcredit as approved by each organization. The continuing education programs of the DSDS areaccepted by the AGD for Fellowship/Mastership credit. The Delaware State Dental Society is anADA/CERP Recognized Provider. ADA CERP is a service of the American Dental Associationto assist dental professionals in identifying quality providers of continuing education. ADACERP does not approve or endorse individual courses or instructors, nor does it implyacceptance of credit hours by boards of dentistry.

Continuing education certificates are distributed following the speaker's presentation. Thecertificate is the only record of participation. It is the responsibility of each participant to maintainhis/her personal record. Please come prepared with your ADA, ADHA and AGD membership numbers.

DisclaimerIn the interest of academic freedom, the Delaware State Dental Society has an obligation to present new information in the

field of dentistry. Some of this knowledge may be controversial. Sponsorship of a CE course or demonstration does not implyendorsement of a product or technique. The DSDS reserves the right to change, without notice, courses, speakers or scheduling.

DSDS Council on Education MembersDr. B. James Rogge, CHAIR, Dr. Karen Conlin, Dr. Jeffrey Felzer, Dr. Curtis Leciejewski,

Dr. Monica Mehring and Dr. Nadine VaughanPresident – Dr. James Kramer

ALL PHOTOS OF THE TALL SHIP, KALMAR NYCKEL, HAVE BEEN SUPPLIED BY THE KALMAR NYCKEL FOUNDATION, 1124 EAST 7TH STREET, WILMINGTON, DE 19801

Important Course Information

CE Course Location:Chase Center on the Riverfront, 815 Justison St., Wilmington, DE.

Registration Check-In: 7:45 AM for each course.

Continental Breakfast: 7:45 AM to 8:30 AM, available at each course while you visit the exhibiting companies offering a variety of dental products and services. Many companies offer DSDS specials.

Course Time: Each course begins promptly at 8:30 AM and ends at 4:00 PM.

Registration Fee: The course fee includes continental breakfast, beverage break, luncheon, and FREE self-parking at the Chase Center on the Riverfront. 6 CE Credits

Page 3: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

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Friday, February 3, 2017SPECIAL INTEREST FOR

ENTIRE DENTAL TEAM

If Disney Ran Your Dental Practice7 Things You Would Do Differently

Nate Booth, DDS363,000 people visit Disney theme parkseach day. Since 1991, Disney’s stockprice is up almost 1000%. For over 75

years, Walt Disney’s vision and imagination have brought happinessto children of all ages around world. This spectacular success isnot an accident. The Walt Disney Company consistently does 7things that all businesses can emulate.

When it comes right down to it, all business is show business – even yourdental practice. I realize this concept sounds strange to most dentists.We’re logical people. We do exams, restorations and root canals. Showbusiness, on the other hand, is emotional. It excites and entertains. Youneed to have logic and emotion in your dental practice because “Peopledon’t care how much you know until they know how much you care.”

If Disney ran your dental practice, you would do 7things differently. You would:

Create a Clear and Compelling Practice VisionRealize that Entertainment is EverywhereCreate a Powerful BrandEstablish an Experience Theme, Standards and Delivery SystemsTell Emotional Stories WellImplement, Implement, ImplementHarness the Power of Loyalty

In Nate’s entertaining and practical program, your entire team willlearn how Disney achieves their spectacular success. Your practicewill never be the same.

About Dr. Nate Booth Dr. Nate Booth received his DDSdegree from the University of Nebraska in 1971 and was in privatedental practice for ten years. Nate then earned a Masters Degreein counseling from the same school in 1983. From 1987 to 1997, heworked closely with Anthony Robbins in the creation and delivery ofcorporate training programs. Dr. Booth has done hundreds ofkeynote presentations, seminars and workshops to dental audiencesaround the world. He is the author or co-author of the books How toBuild Your Aesthetic Practice, Unleashing the Power of Dentistry,555 Ways to Reward Your Dental Team, Thriving on Change and TheDiamond Touch. For five years, Nate wrote a top-rated column forDental Economics magazine.

8:30 AM — 4:00 PM6 CE CREDITS

Chase Center on the RiverfrontWilmington, Delaware

Friday, March 31, 2017SPECIAL INTEREST FOR

DOCTORS, HYGIENISTS, ASSISTANTS & SPECIALISTS

The Reservoir Restorative Revolution:Bioactive Material and Its Place in Dentistry

John C. Comisi, DDS

For years the dental profession has been struggling with providingeffective long-term preventive and direct restorative solutions forour patients. The evidence is mounting that we may have been"barking up the wrong tree" in our efforts.

There have been many "bioactive" materials introduced, and thereis a real need for the dental care provider to understand why andhow to use these materials, and why they are important in patientcare now and in the future.

Course Objectives:Explore the remin-demin process of the oral cavity, caries progression and what we need to positively influence the health of the oral cavityReview the current stat of the dental restorative process: why they succeed and why they failGain a true understanding of the current definition of bioactivity and the materials and mechanisms that can help you and our patients in daily dental care

About Dr. John C. Comisi Dr. Comisi has been in privatepractice in Ithaca, NY since 1983, and is President and CEO ofDental Care with a Difference®, PC, where “Knowledge BringsHealth”® and a Clinical Instructor in Dentistry at the University ofRochester School of Medicine and Dentistry. A graduate ofNorthwestern University Dental School, he received his Bachelor ofScience in Biology at Fordham University. He is a respected KeyOpinion Leader, author, speaker and consultant who contributesregularly to the dental literature in such Journals as GeneralDentistry, Compendium of Continuing Dental Education, DentalProduct Shopper, Mentor Magazine, Dental Products Report, DentalEconomics, CE Cosmetic Dentistry, Oral Health Journal, DentistryToday and Inside Dentistry. He is an Editorial Board Member forDental Product Shopper magazine, an Editorial Advisory Board ofDental Products Report and a member of the Continuing EducationAdvisory Board of Dental Learning and a member of the ScientificAdvisory Board for Dental Biomaterials Research and ScienceGroup. He is a member of the National Dental Practice BasedResearch Network (NDPBRN) and the International and AmericanAssociation of Dental Research. Dr. Comisi is a Master of theAcademy of General Dentistry, and holds Fellowships in theAcademy of Dentistry International, the American College ofDentists, the Pierre Fauchard Academy and the International Collegeof Dentists. His practical approach to the trends in dentistry hasmade him a much sought after speaker, author and consultant in thedental industry. He brings a passion and a knowledge base that isrefreshing and sincere.

8:30 AM — 4:00 PM6 CE CREDITS

Chase Center on the RiverfrontWilmington, Delaware

Testimonials“Dr. Nate Booth gave two breakout sessions of If Disney Ran Your Practice at our annualconvention. We had 1000 people register for his programs, and they were glad they did.The audiences loved his practical content, high energy and humor. As a meeting planner,Dr. Booth was very easy to work with.”

Shelly Fava, Denver Dental Society

“You not only entertained, educated and energized over 500 dentists, spouses and dentalstaff members for over four hours, you successfully complimented our theme and set thetone for a terrific weekend.”

Dr. Julian Fair, South Carolina Dental Association

“Dr. Booth was very flexible and easy to work with. I was flooded with positive commentsfrom our members. We would definitely recommend him to any organization looking for agreat speaker.”

Sharon Scronic, Arizona Dental Association

“I don’t care how great a clinician you are or how nice and caring a person you are – ifyou don’t fully understand and practice what Nate so entertainingly teaches, you’re noteven close to being as successful as you deserve to be! Thanks for the great info Nate!”

Rod Kurthy, DMD

Page 5: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

Friday, October 13, 2017SPECIAL INTEREST FOR

DOCTORS, HYGIENISTS & SPECIALISTS

Seeking Interdisciplinary Excellence

Frank Celenza, DDSInterdisciplinary dentistry is proving tobe the most effective means by whichwe can deliver the highest level of

service to our patients. Whether addressing specific cosmeticconcerns or providing advanced rehabilitation and restoration,through coordinated efforts at the specialist level, we canraise our game and provide a better end result.

This seminar will communicate to orthodontists, periodontists,prosthodontists, oral surgeons, and all dentists through thedemonstration of carefully documented clinical cases andspecific literature siting. Areas in which the variousspecialists can work in concert to better serve our patientswill be illustrated. Examples such as the use of forcederuption, coordination of gingival margins, implant placementand utilization in tooth movement will be examined.

Course Objectives:Gain an appreciation for the physiology of tooth movementGain an appreciation for the periodontal benefits of tooth positionGain an appreciation for the implementation of adjunctive orthodontic modalities for prosthetic benefitGain an understanding of how orthodontics can interact with implants

8:30 AM — 4:00 PM6 CE CREDITS

Chase Center on the RiverfrontWilmington, Delaware

About Dr. Frank Celenza Dr. Celenza is unique in hisqualifications in that he is a dual-certified specialist and isactive in both the practice and teaching of periodontics andorthodontics. He received his periodontal certificate fromthe University of Pennsylvania in 1986 and his orthodonticcertificate from New York University in 1988. He hasauthored numerous publications in dental literature; hispioneering work regarding the use of implants inconjunction with orthodontics is groundbreaking and hasbeen extensively published. He has been involved inpostgraduate teaching for over 20 years, is a recognizedspeaker nationally and internationally, and maintains aprivate practice in Manhattan. Dr. Celenza is a pastpresident of the Northeastern Society of Periodontists. Dr.Celenza comes from a long line of distinguished dentalpractitioners. His father, Dr. Frank V. Celenza, was a world-renowned prosthodontist who made many inroads intointernational teaching and research while maintaining alarge practice in Manhattan. Dr. Celenza’s brother, Vincent,now heads that practice and is active in teaching, and hewas also a past president of the NortheasternGnathological Society. Dr. Celenza lives in New Jersey andhas four children. He pursues other passions outside ofdentistry, which include sports car racing (in which he is atwo-time National Champion), competitive cycling(frequently commuting to work by bike), writing, andcomputer technology (which is immediately apparent uponentering his office).

Friday, September 22, 2017SPECIAL INTEREST FOR

DOCTORS, HYGIENISTS, ASSISTANTS & SPECIALISTS

Avoid Liability: Know Your Patients’ Medicationsand Their Impact on Dental Treatment

Harold L. Crossley, DDS

Your patients are living longer thanks totheir medications but many of the

physician-prescribed medications used by your patients havedental implications and side effects affecting your treatment plan.Some of these medications are the drugs of choice of “doctorshoppers.” Some medications are more likely to cause violentbehavior and others can cause a “scalded mouth syndrome” andin fact, others may cause sexual dysfunction. Should I use cautionwhen prescribing NSAIDs with antihypertensives? Is antibioticprophylaxis required for patients with orthopedic prostheses? Andlastly, should I use caution with the patient using “medicalmarijuana?”

This presentation includes the indications, contraindications, andside effects of some of the more common physician-prescribedmedications. These medications represent 30% of all prescriptionstaken by your dental patients and familiarity with these drugs willprovide the dental practitioner with a better appreciation for thehealth profile of your dental patient.

At the conclusion of this course, the attendees will know:Prescription, OTC medications, and foods that could adversely interact with dental drugs Why your patient is taking their medications What oral side effects may be caused by these medicationsAccepted uses and dental implications of “medical marijuana”Maximum doses for commonly prescribed pain medications When not to prescribe NSAIDsHow to manage patients taking some of the newer anticoagulant medicationsHow to combine analgesics to maximize their effectsCurrent recommendations for SBE and orthopedic prosthesis prophylaxis

About Dr. Harold L. Crossley Harold L. Crossley, DDS,M.S., Ph.D. is Professor Emeritus at the University of MarylandDental School. A native of Rhode Island, Dr. Crossley received aBachelor of Science degree in Pharmacy from the University ofRhode Island in 1964. He later was awarded the Master of Science(1970) and Doctorate degrees (1972) in Pharmacology. TheUniversity of Maryland Dental School in Baltimore awarded Dr.Crossley the DDS degree in 1980. The liaison between theclassroom and his part-time dental practice produced a practicalapproach to understanding the pharmacology of drugs used in thedental office. Dr. Crossley has co-authored a number of articlesand four books dealing with a variety of topics within the field ofpharmacology. Other areas of expertise include the pharmacologyof street drugs and chemical dependency. He was the recipient ofthe 2008 Gordon Christensen Lecturer Recognition awardpresented by the Chicago Dental Society and the recipient of the2012 Award of Distinction presented by the Academy of DentistryInternational for his efforts in Continuing Dental Education. He hasbeen a consultant for the United States DEA and other lawenforcement agencies since 1974. Drawing on this uniquebackground, Dr. Crossley has become nationally and internationallyrecognized as an expert on street drugs and chemical dependencyas well as the clinical pharmacology of dental drugs.

8:30 AM — 4:00 PM6 CE CREDITS

Chase Center on the RiverfrontWilmington, Delaware

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Friday, November 10, 2017SPECIAL INTEREST FOR

ENTIRE DENTAL TEAM

Life Is Your Best Medicine

Tieraona Low Dog, MDIt is said that when we are born, we are setupon our medicine road; and that everything

we do in our lives, from the food that we eat, to the way we move in theworld, to the way we treat a stranger - affects us. Modern science is nowconfirming what many indigenous peoples long believed that much of ourhealth and vitality comes from the way we live our lives, from the choicesthat we make each and every day. It has also confirmed that our resiliency,our ability to bounce back and move forward is stronger when we arephysically, emotionally and spiritually nourished. Drawing upon her manyyears as a leading educator, physician, midwife, researcher, and NationalGeographic author, Dr. Tieraona Low Dog has informed and inspiredaudiences around the world with her ability to weave science and ancientwisdom into a message of hope and transformation for the 21st century. Wehope you will join us.

Course Objectives:Participants will be able to discuss the effects of chronic stress on work performance and risk for depression, anxiety, heart disease and other diseasesParticipants will be able to describe how meditation, physical activity, rest, music, and other lifestyle factors can positively impact physical and emotional health Participants will be able to identify strategies for reducing fatigue, improving sleep and increasing emotional well-beingParticipants will be able to describe three ways to improve their nutrition

8:30 AM — 4:00 PM6 CE CREDITS

Chase Center on the RiverfrontWilmington, Delaware

About Dr. Tierona Low Dog Tieraona Low Dog, MD’sexploration of natural medicine and its role in modern health carebegan more than 35 years ago as she studied midwifery, herbalmedicine, massage therapy and martial arts before earning hermedical degree from the University of New Mexico School ofMedicine. She currently serves as the Fellowship Director for theAcademy of Integrative Health and Medicine. This two-yearfellowship is the first integrative interdisciplinary program in theworld committed to training teams of medical doctors, dentists,pharmacists, nursing professionals, physician’s assistants, dietitians,acupuncturists, naturopathic and chiropractic physicians inintegrative health and medicine. Dr. Low Dog is a founding memberof the American Board of Physician Specialties, American Board ofIntegrative Medicine and the Academy of Women’s Health. Aninternationally recognized expert in the fields of integrative medicine,dietary supplements and women’s health, Dr. Low Dog was appointedby President Bill Clinton to the White House Commission onComplementary and Alternative Medicine Policy, served as theelected Chair of the US Pharmacopeia Dietary Supplements andBotanicals Expert Information Panel, and was appointed to theScientific Advisory Council for the National Center forComplementary and Alternative Medicine. She previously served asthe Education/ Fellowship Director at the University of ArizonaCenter for Integrative Medicine (2005-2014), where she oversaw allaspects of the training for more than 600 physicians and nursepractitioners in integrative medicine. She has been an invited speakerto more than 550 scientific/medical conferences, published 40 peer-reviewed articles, written 20 chapters for medical textbooks, and hasauthored five books, including three National Geographic books,Fortify Your Life, Healthy at Home and Life is Your Best Medicine.She has appeared on CNN, ABC’s 20/20, is a frequent guest on theDr. Oz show and NPR’s The People’s Pharmacy.

TOP TEN MEMBERSHIP BENEFITSAmerican Dental Association (ADA)

and Delaware State Dental Society (DSDS)

A COLLECTIVE AND POWERFUL VOICE – Nationally and in Delaware – Nationally representing every dentist, Fighting for laws that protect our prctice, Protecting the public’s oral health, and Locally a DSDS lobbyist in Dover representing our issues.

MEMBER BENEFITS – ADA Insurance Plan, Patient Education Materials & Tools, ADA Professional Product Review and the Latest Research Findings to name a few! Group insurance rates for DSDS members through Bramhall+Hitchen Insurance.

MEMBER SERVICES – The ADA offers a Member Service call center, “Find-a-Dentist” for patients to find you, and the ADA Library for Resources and Marketing Resources. DSDS also offers “Find a Dentist” for patients to find you; Classified Services and Employment Opportunity listings on the DSDS website.

WEBSITES – The ada.org and delawarestatedentalsociety.org websites are always available and offer members a massive amount of information both nationally and locally. Check out what you have been missing!

ANNUAL SESSIONS – ADA Annual Meeting held in the fall at varying locations across the country and the Delaware State Dental Society Annual Session held locally in May, both offer members top national speakers with an opportunity for Education and Camaraderie!

EDUCATION – ADA offers a wide variety of topics with online CE resources. DSDS offers one of the finest CE Programs with five courses per year to meet the Delaware State CE requirement. DSDS offers Discounted Tuition for CE courses; General Membership meetings and Local Kent/Sussex meetings in all 3 counties.

PUBLICATIONS – ADA Journal of the American Dental Association (JADA), ADA News, DSDS Newsletter and Monthly Email blasts from the current President of DSDS.

“GIVE KIDS A SMILE” – ADA markets the month of February for this event. DSDS promotes two locations across the state where we treat and educate the underserved children of Delaware.

PUBLIC COMMUNICATIONS – ADA and DSDS offers resources to the public through their respective websites which help to guide and educate the public.

COST OF MEMBERSHIP – ADA and DSDS offer discounted membership for the new dentist and DSDS can assist in helping members with their dues in cases of financial hardship and disability.

M I S S I O N : The mission of the Delaware State DentalSociety is to support its members’ ability to practice througheducation and advocacy. Intimately involved in this process isthe advancement of quality oral health care for the public.

Delaware State Dental SocietyDelaware State Dental Society

Visit our website atwww.delawarestatedentalsociety.org

Page 7: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

DSDS/ADA MEMBER NON ADA MEMBER STAFF

Five Program Package$1,400.00 $1,875.00 $700.00

(for one dentist and one complimentary staff person per course) (may NOT be shared )

Individual Courses: (please check courses/days for which you are registering)

February 3, 2017 Nate Booth, DDS $315 - before Jan. 20 $415 - before Jan. 20 $175 - before Jan. 20If Disney Ran Your Dental Practice – 7 Things You Would Do Differently $335 - after Jan. 20 $435 - after Jan. 20 $195 - after Jan. 20

March 31, 2017 John C. Comisi, DDS $315 - before Mar. 17 $415 - before Mar. 17 $175 - before Mar. 17The Reservoir Restorative Revolution: Bioactive Material and Its Place in Dentistry $335 - after Mar. 17 $435 - after Mar. 17 $195 - after Mar. 17

September 22, 2017 Harold L. Crossley, DDS $315 - before Sep. 8 $415 - before Sep. 8 $175 - before Sep. 8 Avoid Liability: Know Your Patients’ Medications and Their Impact $335 - after Sep. 8 $435 - after Sep. 8 $195 - after Sep. 8 on Dental Treatment

October 13, 2017 Frank Celenza, DDS $315 - before Sep. 29 $415 - before Sep. 29 $175 - before Sep. 29Seeking Interdisciplinary Excellence $335 - after Sep. 29 $435 - after Sep. 29 $195 - after Sep. 29

November 10, 2017 Tieraona LowDog, MD $315 - before Oct. 27 $415 - before Oct. 27 $175 - before Oct. 27Life Is Your Best Medicine $335 - after Oct. 27 $435 - after Oct. 27 $195 - after Oct. 27

May 19, 2017 Mark Your Calendar154th Annual Session featuring Uche Odiatu, DMD (registration information will be available in March.)

GRAND TOTAL:

TSALIMTSRIF :EMAN

EMAIL ADDRESS (REGISTRATION CONFIRMATIONS WILL BE SENT BY EMAIL ONE WEEK PRIOR TO THE COURSE)

Registration Category – Check One OnlyDentist Dental Assistant Package Staff Person (Complimentary)Dental Hygienist Office Staff Dental Resident (Complimentary)

EMPLOYER’S NAME (STAFF REGISTRATION ONLY)

OFFICE ADDRESS

EDOC PIZ ETATSCITY

CELL PHONE (for emergencies)ENOHPELET ECIFFO

Payment (full payment is due with registration)Check for $__________________ is enclosed payable to Delaware State Dental Society

Charge $__________________ to my ______ MasterCard ______ VISA

SECURITY CODE ON BACK OF CARDETAD NOITARIPXEREBMUN TNUOCCA

Doctors & Staff must register on separate forms.Please duplicate this form for additional enrollments.

If forms are mailed/faxed together, the complete total may be sent as one check or credit card charge.

FOR INFORMATION Call: 302-368-7634Email: [email protected] • Fax: 302-368-7669 • Website: www.delawarestatedentalsociety.org

Mail: DSDS, 200 Continental Drive, Suite 111, Newark, DE 19713

CHECK ALL THAT APPLY …

2017 Continuing Education Registration Form

Refund Policy: All requests for refunds or cancellations must be received in writing no less than two weeks prior to the course. No refunds will be given after that time. Each cancellation and/or refund will incur a $35 administrative fee: Registration funds are non-transferable, FAX TO: 302-368-7669.

Delaware State Dental Society

Page 8: DDelaware State Dental Societye la ware St ate D ent al ... CE Brochure 2017.pdfState of Delaware continuing education requirements. The Board of Dentistry and Dental Hygiene requires

PRSRT STD

U.S. Postage

PAID

Wilmington, DE

Permit No. 605

Delaware State Dental Society200 Continental Drive, Suite 111Newark, DE 19713

“Navigate Your Future”DSDS 2017 CE Series

- VISA SIGNATURE CARD

- CHECKOUT PROGRAM

- MAILING SERVICE

The Delaware StateDental Society invites you to join our new endorsed programs.

Recently the Delaware

State Dental Society

co-endorsed with ADA Business

Resources its high-quality products and

services to provide you with discounts and generate royalties for

the DSDS. These royalties based on memberparticipation can become a key to non-dues incomeand lead to an increase in member benefits. Listedhere are nine of those companies. The costs of ourendorsed products are never inflated to generateroyalties. Information for each program is included.

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For information on any or all programs, contact the DSDS office for a full detailed brochure 302-368-7634

DSDS INVITES YOU TO JOIN OUR NEW ENDORSED PROGRAMS