state well-being committees directory

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1 ALABAMA Alabama Dental Association 836 Washington Ave. Montgomery, AL 36104 Phone: 334.265.1684 FAX: 334.262.6218 E-mail: [email protected] Web: www.aldaonline.org ALABAMA DENTAL WELLNESS PROGRAM Staff Contact Ms. Meri Fleming [email protected] Dr. Michael C. Garver, Dir. 19260 North Mobile St. Citronelle, AL 36522 Phone: 251.866.5585 [email protected] ALASKA Alaska Dental Society 9170 Jewel Lake Rd. #203 Anchorage, AK 99502 Phone: 907.563.3003 FAX: 907.563.3009 E-mail : [email protected] Web : www.akdental.org DENTISTS OF ALASKA RECOVERY EFFORT "DARE" STAFF CONTACT Mr. James Towle, Exec. Dir. [email protected] Volunteer contact Pager 907.275.7881 Contact Person Dr. Michale L. Boothe 121 W. Fireweed LN. #200 Anchorage, AK 99503 Phone: 907.276.5522 FAX: 907.277.8026 [email protected] ARIZONA Arizona Dental Association 3193 N. Drinkwater Blvd Scottsdale, AZ 85251 Phone: 480.344.5777 FAX: 480.344.1442 E-mail: [email protected] Web: www.azda.org Dentists Concerned for Dentists Dr. Cliff Running, chair 3326 N. 3rd Ave. Phoenix, AZ 85013 Phone: 480.948.4200 FAX: 602.234.2409 Committee Members Dr. Darrell Sims 737 E. Glendale Ave., Ste D Phoenix, AZ 85020 Phone: 602.230.7563 FAX: 602.266.6349 Dr. William Bartel 23233 N. Pima Road Scottsdale, AZ 85255 Phone: 480.473.9371 ARKANSAS Arkansas State Dental Association 2501 Crestwood, Suite 205 N. Little Rock, AR 72116 Phone: 501.834.7650 FAX: 501.771.1016 E-mail: [email protected] Web: www.dental-asda.org CARING DENTIST COMMITTEE Hot Line: 501.771.7650 Dr. Mark K. Wilson, chair P.O. Box 307 Osceola, AR 72370 Phone: 870.563.6900 FAX: 870.563.8298 [email protected]

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Page 1: State Well-Being Committees Directory

1

ALABAMA

Alabama Dental Association 836 Washington Ave. Montgomery, AL 36104 Phone: 334.265.1684 FAX: 334.262.6218 E-mail: [email protected] Web: www.aldaonline.org ALABAMA DENTAL WELLNESS PROGRAM

Staff Contact Ms. Meri Fleming [email protected] Dr. Michael C. Garver, Dir. 19260 North Mobile St. Citronelle, AL 36522 Phone: 251.866.5585 [email protected]

ALASKA

Alaska Dental Society 9170 Jewel Lake Rd. #203 Anchorage, AK 99502 Phone: 907.563.3003 FAX: 907.563.3009 E-mail : [email protected] Web : www.akdental.org DENTISTS OF ALASKA RECOVERY EFFORT "DARE" STAFF CONTACT Mr. James Towle, Exec. Dir. [email protected] Volunteer contact Pager 907.275.7881 Contact Person Dr. Michale L. Boothe 121 W. Fireweed LN. #200 Anchorage, AK 99503 Phone: 907.276.5522 FAX: 907.277.8026 [email protected]

ARIZONA

Arizona Dental Association 3193 N. Drinkwater Blvd Scottsdale, AZ 85251 Phone: 480.344.5777 FAX: 480.344.1442 E-mail: [email protected] Web: www.azda.org Dentists Concerned for Dentists Dr. Cliff Running, chair 3326 N. 3rd Ave. Phoenix, AZ 85013 Phone: 480.948.4200 FAX: 602.234.2409 Committee Members Dr. Darrell Sims 737 E. Glendale Ave., Ste D Phoenix, AZ 85020 Phone: 602.230.7563 FAX: 602.266.6349 Dr. William Bartel 23233 N. Pima Road Scottsdale, AZ 85255 Phone: 480.473.9371

ARKANSAS

Arkansas State Dental Association 2501 Crestwood, Suite 205 N. Little Rock, AR 72116 Phone: 501.834.7650 FAX: 501.771.1016 E-mail: [email protected] Web: www.dental-asda.org CARING DENTIST COMMITTEE Hot Line: 501.771.7650 Dr. Mark K. Wilson, chair P.O. Box 307 Osceola, AR 72370 Phone: 870.563.6900 FAX: 870.563.8298 [email protected]

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CALIFORNIA

California Dental Association 1201 K Street Sacramento, CA 95814 Phone: 916.443.0505 (in CA) 800.232.7645 FAX: 916.443.2943 E-mail: [email protected] Web: www.cda.org Staff Contact Ms. Jillian Hayes 916.232.4961 [email protected] Dr. William Slavin , Dental Director Managed Dental Care 6200 Canoga Ave., Ste 100 Woodland Hills, CA 91327 Phone: 818.596.5828 FAX: 818.596.5847 [email protected] SO.CALIFORNIA WELL-BEING COMMITTEE Dr. William S. Russell, Jr. So California Regional 2467 Salem PL. Fullerton, CA 92835-3130 Phone-FAX 714.996.0263 [email protected] Dr. Chris A. Biddle So. California Regional 11645 Wilshire Blvd., Ste 1158 Los Angeles, CA 90025-6808 Phone: 310.820.5703 FAX: 310.826.3063 [email protected] Dr. Eric D. Deverill So. California Regional 437 S Hwy 101, Ste. 121 Solana Beach, CA 92075-2219 Office: 858.794.0231 Home: 858.824.1780 Pager: 619.913.2331 FAX: 858.794.0275

Dr. Errol Gillis So. California Regional 1901 Olympic Blvd., Suite 105 Walnut Creek CA 94596 Cell: 925.943.2673 FAX: 925.943.2673 Dr. Jill L. Grannis So California Regional 3049 Camino del Zuro Thousand Oaks, CA 91360 Phone: 805.523.1380 FAX: 805.523.3002 [email protected] Dr. William Hardee So. California Regional 1003 So. Beacon St. San Pedro, CA 90731 Phone: 310.547.9555 Dr. William M. Hooker So .California Regional 12925 Elm Crest Ct. Yucaipa, CA 92399 Home: 909.797.4343 FAX: 909.558.4211 Cell: 909.805.4343 [email protected] Dr. Robert Krasny So. California Regional 34888 Staccato St. Palm Desert, CA 92210 Home-Fax: 760.200.4951 [email protected] Dr. Russell F. Moon So. California Regional 620 Arizona Ave. Santa Monica, CA 90401 Office: 310.451.3535 Home: 310.951.6116 FAX: 310.951.3645 [email protected]

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Dr. Jeffrey J. Petron So. California Regional 10235 Telephone Rd, #A Ventura, CA 93004-3506 Office: 805.647.7606 FAX: 805.647.7861 Dr. Dennis D. Schumacher So. California Regional 1482 Bussey St. San Bernardino, CA 92405-1823 Office: 626.793.4185 FAX: 626.793.8904 Dr. Robert K. Shimasaki So. California Dental Society 277 S Euclid Ave. Pasadena, CA 91101-2717 Office: 626.793.4185 FAX: 626.793.8904 [email protected] Dr. James M. Tracy So. California Regional 72452 Rancho Rd. Rancho Mirage, CA 92270 Cell: 760.880.9190 Web-site: tracyinterventions.com [email protected] Dr. Bruce Walker So. California Regional 1909 Morgan L.N., #A Redondo Beach, CA 90278 Phone: 310.645.2886 FAX: 310.645.0346 [email protected] Dr. Jack Ackerman 19059 Valley Blvd., # 103 Bloomington, CA 92316 Office: 909.877.3660 Home: 310.861.1551 FAX: 909.877.3682

Dr. Joel Altshul 2023 W. Vista Way, Suite P Vista CA 92083 Phone: 760.630.4705 FAX: 760.630.4609 [email protected] Dr. Jay Bauman 1110 East Chapman Ave. #102 Orange, CA 92866 Phone: 714.953.2970 Dr. Philip Bradford 1936 Pamela St. Corona, CA 92879 Phone: 915.735.2135 [email protected] Dr. Ronald E. Fritz – DDS, Co-Chair P.O. Box 8881 Rancho Santa Fe, CA 92067 Phone: 760.743.8133 Cell: 760.801.9595 [email protected] Paul L. Graber, DDS 2405 Morena Blvd. San Diego, CA 92110 Phone: 619.276.6884 Richard J. Hagstrom, DDS, Co-Chair 8923 La Mesa Blvd. Lamesa, CA 91941 Phone: 619.465.5252 FAX: 619.462.8222 Cell: 619.851.4494 [email protected] Misako Hirota, DDS 219 E. 8th Street National City, CA 91950 619.474.4695 FAX: 619.474.2984 [email protected]

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Dr. Kent Howard, DDS 143 Liverpool Dr. Cardiff, CA 92007 Phone: 760.753.2300-1823 FAX: 760.753.2328 [email protected] Edward D. Kosakoski, DDS 12264 El Camino Real, Ste. 206 San Diego, CA 92130 Phone: 858.755.4787 FAX: 858.755.7704 Connie Martin, R.D.H. 998 Bernita Rd. El Cajon, CA 92020 Phone: 858.458.9000 Home: 619.593.6186 [email protected] Philip Milgram, MD 17977 Valladares Dr. San Diego, CA 92127 Phone: 858.705.4075 [email protected] Todd H. Nalley, DDS 1207 Carlsbad Village Dr., Ste. B Carlsbad, CA 92008-1958 Phone: 760.730.0140 FAX: 760.730.0124 [email protected] Ms. Yolanda Payan-WB Coordinator 1275 W. Morena Blvd., Ste B San Diego, CA 92110-3837 Phone: 619.275.7180 FAX: 619.275.0646 [email protected] Duane Rogers, Psy. D., MFT 3555 Via Beltran San Diego, CA 92117-5730 Phone: 858.246.7350 FAX: 858.272.2375 [email protected]

Dr. James Shelton 10201 Mission Gorge Rd., Ste. B Santee, CA 92071 Phone: 619.448.8998 FAX: 619.448.8261 [email protected] Dr. James Spalenka, DDS 16766 Barnardo Center Dr, Ste 105 San Diego, CA 92128 Phone: 858.487.9444 [email protected] Dr. Dale Trudeau. 2775 Via de la Valle, Suite 103 Del Mar CA, 92014 Phone: 858.755.9775 FAX: 858.755.3462 [email protected] Dr. Grant Vincent, DDS 1773 Via Capri Chula Vista, CA 91913-1522 Phone: 619.934.1718 Arnie Zapel 2028 Clearwater Pl. Chula Vista, CA 91913 Cell: 619.587.2725 FAX: 845.338.3144 NO. CA WELL-BEING COMMITTEE

Dr. Curtis E. Vixie-Chair No. California Dental Society 3020 Johnstonville Rd. Susanville, CA 96130-8739 Phone: 530.310.2395 FAX: 530.257.6914 [email protected] Dr. Richard Diamond No. California Regional 141 Devonshire Way San Francisco, California 94131 Phone: 714.625.1157 Home: 415.753.1676 FAX: 714.625.1147

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Dr. Carl Fredrickson No. California Regional 3200 Mowry Ave., Ste B Fremont, CA 94538-1510 Phone: 510.792.1882 FAX: 510.792.4577 [email protected] Dr. Michael A. Hack No. California Regional 311 California St., Ste 450 San Francisco, CA 94104-2616 Phone: 415.433.1970 Dr. George F. Koerber No. California Regional 3150 Birdsall Ave Oakland, CA 94619-3308 Phone: 925.682.3929 Dr. Alan E. Mueller No. California Regional 990 Laurel St., Ste D San Carlos, CA 94070-3900 Phone: 650.591.8155 Home: 650.591.5444 [email protected] Dr. Douglas R. Roth No. California Regional 1688 Willow St., Ste F San Jose, CA 95125-5109 Phone: 408.978.2060 COMPONENT WELL-BEING CHAIRS

Dr. Keith Chertok- Member Berkeley Dental Society 2620 Ashby Ave. Berkeley, CA 94705 Phone: 510.548.0150 FAX: 510.548.0156 Dr. W. Thomas Pelton Butte-Sierra Dental Society 415 Alturas St, Ste 2 Yuba City, CA 95991-4144 Phone: 530.673.0233 FAX: 530.673.0237 [email protected]

1352 Los Osos Valley Rd. Los Osos, CA 93402-3343 Phone: 805.528.2511 [email protected] Dr. Steven M. Goldy Los Angeles Dental Society 416 N Bedford Dr. Ste 409 Beverly Hills, CA 90210-4318 Phone: 310.550.1511 FAX: 310.550.0781 [email protected] Dr. Thomas S. Jarvis Marin County Dental Society 920 Northgate Dr., Ste 1 San Rafael, CA 94903-3429 Phone: 415.479.1840 Dr. John Pappas Napa-Solano Dental Society 3250 Beard Rd. Napa, CA 94558 Phone: 707.255.5033 FAX: 707.255.1554 Stephen C. Ott, D.D.S. Chairman, Well-Being Committee Sacramento Dental Society 2821 Eastern Ave., Ste 3 Sacramento, CA 95821-5445 Phone: 916.481.6700 [email protected] Dr. Donald R. Call Santa Clara County Dental Society 990 W Fremont Ave., Ste E Sunnyvale, CA 94087-3065 Phone: 408.736.6588 FAX: 408.736.6590 [email protected] Dr. Richard Hagstrom San Diego Dental Society 8923 La Mesa Blvd. La Mesa, CA 91941-4056 Phone: 619.465.5252 FAX: 619.462.8222 [email protected]

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Dr. Bruce T. Hiura San Francisco Dental Society 2305 Van Ness Ave., Ste E San Francisco, CA 94109-1899 Phone: 415.776.5855 Dr. William A. Russ San Joaquin Dental Society 2043 E. Fremont St., Ste 8 Stockton, CA 95207 Phone: 209.466.5000 FAX: 209.466.4010 [email protected] Dr. Lee W. Mettler-Chair Stanislaus Dental Society 1213 Coffee Rd., Ste F Modesto, CA 95355 Phone: 209.521.8642 FAX: 209.521.3205 Dr. J. Michael Boyd-Member Stanislaus Dental Society 2813 Coffee Rd. B2 Modesto, CA 95355-1755 Phone: 209.526.4884 Dr. Edward B. Cowan, Jr. Tri-County Dental Society 2103 Falcons’s Roost Dr. Prescott, AZ 86303 Phone: 978.788.4483 [email protected] Dr. Lawrence A. Jones Tulare-Kings Dental Society 1040 N. Cherry St Tulare, CA 93274-2251 Phone: 559.686.1773 FAX: 559.686.5721 [email protected] COMPONENT WELL-BEING COMMITTEES Alameda County Dental Society Norma Claassen Executive Director 1345 Grand Ave, Ste 102 Piedmont, CA 94610-1000 Phone: 510.547.7130 FAX: 510.547.7191 [email protected]

Fresno-Madera Dental Society Valjean Xaiz Executive Director 371 E Bullard Ave., Ste 120 Fresno, CA 93710-5217 Phone: 559.438.7288 FAX: 559.438.7287 [email protected] Kern County Dental Society Ms. Vicki J. Utt Executive Director 1701 Westwind Dr., Ste 109 Bakersfield, CA 93301-3045 Phone: 661.327.2666 FAX: 661. 327.1229 [email protected] Monterey Bay Dental Society Ms. Carole Hart Executive Director 8 Harris Ct., SteA2 Monterey, CA 93940-5714 Phone: 831.658.0168 FAX: 831.658.0530 [email protected] San Mateo County Dental Society Beverly R. Muehleisen, Exec. Dir. 240 Twin Dolphin Dr., Ste. A Redwood City, CA 94065-1403 Phone: 650. 637.1121 FAX: 650. 637.1166 [email protected] Santa Barbara-Ventura County DS Caroline J. Turner, CAE Executive Director 1607 E Thompson Blvd Ventura, CA 93001-3328 Phone: 805. 656.3166 FAX: 805. 648.5154 [email protected] COLORADO

Colorado Dental Association

3690 S. Yosemite, Ste 100 Denver, CO 80237-1808 Phone: 303.740.6900 FAX: 303.740.7989 E-mail : [email protected] Web: www.cdaonline.org

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CONCERNED COLORADO DENTISTS

Hot Line: 303.772.1852 & 494.6628 [email protected] Staff Contact Jeanne Nicoulin 303.996.2842 PEER ASSISTANCE SERVICES Michael Ford, D.D.S. 7450 S. Gartrell Rd., Suite A-9 Aurora, CO 80016 Phone: 303.840.9557 FAX: 303.766.3639 Cell: 303.810.4475 E-mail: [email protected] Donna Lindsey 303.369.0039 ext. 207 [email protected] Contact Person Dr. Brett Kessler, chair 7479 E. 29th PL Denver, CO 80238 Phone: 303.321.4445 FAX: 303.321.4504 [email protected] Committee Members Dr. John Bauman 1055 17th Ave., Ste. 92 Longmont, CO 80501 Phone: 303.772.1852 [email protected] Dr. John Carpenter 5310 Ward Rd. #101 Arvada, CO 80002 Phone: 303.421.6165 & 422.3238 Dr. Wayne F. Payne 1619 N. Greenwood, Ste. 102 Pueblo, CO 81003 Phone: 719.542.4546 & 544.1365 800.726.4506 [email protected] CONNECTICUT

Connecticut State Dental Association 835 W. Queen St. Southington, CT 06489 Phone: 860.378.1800 FAX: 860.378.1807 E-mail: [email protected] Web: www.csda.com

Contact Person Dr. Thomas Calnon 153 East Ave. Norwalk, CT 06851 Phone: 203.854.5566 [email protected] Committee Members Dr. Jeanne Strathearn 12 N. Main St. West Hartford, CT 06107 Phone: 860.525.9252 Dr. Norman Cavanagh 109 Fox Den Road Glastonbury, CT 06033 Phone: 860.633.8437 [email protected] Dr. George Lacovara 780 Unquowa Rd. Fairfield, CT 06430 Phone: 203.259.3511 [email protected] Dr. William MacDonnell 158 Hunter Dr. West Hartford, CT 06107 Phone: 860.561.1233 Fax: 860.521.4564 [email protected] Dr. A. Howard Mc Laughlin 45 Woodbury Hill Woodbury, CT 06798 Phone: 203.263.3225 Dr. Sedwick Rawlins 66 Waranoke Rd. Manchester, CT 06040 Phone: 860.649.2131 Consultants Dr. Robert Biggins, Ex-Officio 439 Sport Hill Rd. Easton, CT 06612-1715 Phone: 203.261.2387 [email protected]

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Dr. Robert S. Smith, Ex-Officio 661 Middle Tpke. E, Apt B Manchester, CT 06040 Phone: 860.649.5514

DELAWARE Delaware State Dental Society The Christiana Executive Campus 200 Continental Dr., Suite 111 Newark, DE 19713 Phone: 302.368.7634 FAX: 302.368.7669 E-mail: [email protected] Web: www.dedental.com Staff Contact: Ms. Betty J. Dencler, Executive Director DENTISTS' WELLNESS COMMITTEE Dr. Donald Jones, Chair 1 Winston & Maryland Aves. Wilmington, DE 19804 Phone: 302.656.8266 FAX: 302.656.4661 Committee Members Dr. Thomas P. Dougherty 5317 Limestone Rd. Wilmington, DE 19808-1252 Phone: 302.234.2500 [email protected]

DISTRICT OF COLUMBIA

Dist. of Columbia Dental Society

502 C. St. NE Washington, DC 20002 Phone: 202.547.7613 FAX: 210.546.1482 E-mail; [email protected] Web: www.dcdental.org PEER ASSISTANCE GROUP Dr. John W. Drumm, chair 3301 New Mexico Ave. NW, Ste 230 Washington, DC 20016 Phone: 202.244.1601 Cell: 301.520.1056 [email protected]

Committee Members Dr. Barbara Farishian 4201 Cathedral Ave NW, Apt 109W Washington, DC 20016-4929 Phone: 202.363.0106 Cell: 703.217.6467 [email protected]

FLORIDA Florida Dental Association 1111 E. Tennessee St., Ste 102 Tallahasse, FL 32308-6913 Phone: 850.681.3629 FAX: 850.561.0504 E-mail: [email protected] Web: www.floridadental.org Staff Contact Nici Pocock Phone: 800.877.9922 [email protected] FLORIDA PHYS. RECOVERY NETWORK Raymond M. Pomm (MD), Med. Dir. Physician Recovery Network PO Box 1020 Fernandina Beach, FL 32035-1020 Phone: 800.888.8776 Phone: 904.277.8004 (24 hrs.) Dr. Jerome M. Gropper 205 5th St Saint Augustine, FL 32084-1429 Phone: 904.434.2115 [email protected] GEORGIA Florida Dental Association 1111 E. Tennessee St., Ste 102 Tallahasse, FL 32308-6913 Phone: 850.681.3629 FAX: 850.561.0504 E-mail: [email protected] Web: www.floridadental.org CHEM. DEPENDENCY-WELL BEING COMMITTEE Hot Line: 800.432.4357 or 404.636.7553

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Staff Contact Ms. Melana McClatchey Director, Member Services [email protected] GA DENTAL RECOVERY NETWORK Program Contacts Ms. Jane Walter, dir. 2900 Chamblee Tucker Rd. Bldg. 8 Atlanta, GA 30341 Phone: 404.376.5987 FAX : 770.695.1020 [email protected]

Dr. Michael Yarbrough, GDA Program Liasion 3640 Chamblee-Tucker Rd. Chamblee, GA 30341 Phone: 770.938.0232 FAX: 770.938.0681 [email protected]

HAWAII Hawaii Dental Association

1345 S Beretania St. Honolulu, HI 96814 Phone: 808.593.7956 FAX: 808.593.7636 E-mail: [email protected] Web: www.hawaiidentalassociation.net Contact Person Dr. Carl Kobayashi, chair 154 Papalaua St. Ste. 102 Lahaina, HI 96761 Phone: 808.662.3300 FAX: 808.662.3304 [email protected] Committee Members Dr Amy A. Ogawa 94-801 Farrington Hwy. Ste 202 Waipahu HI 96797-3164 Phone: 808.678.8999 FAX: 808.671.8883 Dr James Papayoanou 45-1144 Kamehameha Hwy. Ste 405 Kaneohe HI 96744-3244 Phone: 808.235.6420 FAX: 808.235.6816 [email protected]

Dr Stephen D Shoultz 45-1144 Kamehameha Hwy. Ste 304 Kaneohe HI 96744-3244 Phone: 808.235.0018 Fax:: 808.234.5638 [email protected] Dr. Joji Tokunaga 94-307 Farmington Hwy. Waipahu, HI 96797 Phone: 808.671.9166

IDAHO

Idaho State Dental Association 1220 W. Hays St. Boise, ID 83702-5315 Phone: 208.343.7543 FAX: 208.343.0775 E-mail: [email protected] Web : www.isdaweb.com Contact Person Mr. Quinn Dufurrena 1220 W. Hays Boise, ID 83702 Phone: 208.343.7543 [email protected] Program for Recovering Dental Professionals Mr. John Southworth-Coordinator 5530 W. Emerald Bosie, ID 83706 Phone: 800.386.1695 Or: 208.323.9555 FAX: 208.323.9222 [email protected]

ILLINOIS Illinois State Dental Society 1010 S. 2nd St. P.O. Box 376 Springfield, IL 62704 Phone: 217.525.1406 FAX; 217.525.8872 E-mail: [email protected] Web: www.isds.org CONCERNED DENTISTS PROGRAM Staff Contact Lisa Fowler [email protected]

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Dr. Bob Stone, Chair 406 Boughton Rd. Bolingbrook, IL 60440 Phone: 630.759.5599 Committee Members Dr. James L. Discipio 6737 Stanley Ave. Berwyn, IL 60402 Phone: 708.749.0133 FAX: 708.749.7778 [email protected] Dr. Shantha Murthy 138 East Port St. Farmington, IL 61531 Phone: 309.686.1100 FAX: 309.245.1189 [email protected] Dr. Terri Tiersky 4200 West Peterson Ave. Ste. 136 Chicago, IL 60646 Phone: 773.286.3750 Fax: 773.286.5331 [email protected] Dr. Gordon W. Thorell 1830 Jonquil Circle Rockford, IL 61108 Phone: 815.398.4954 [email protected] Dr. Mark Storer 7747 W. Talcott #560 Chicago, IL 60631 Phone: 773.763.5353 Fax: 773.763.3565 [email protected] Dr. William B. Hamel, III 210 Burlington Ave. Clarendon Hills, IL 60514 Phone: 630.323.0380 Dr. Marc D. Friduss 14007 D 84th Ave. Orland Park, IL 60462 Phone: 708.250.2350

INDIANA Indiana Dental Association P.O. Box 2467 401 W. Michigan Street Indianapolis, IN 46206-2467 Phone: 800.562.5646 Or 316.634.2610 E-mail: [email protected] Web: www.indental.org INDIANA WELLNESS COMMITTEE Hot Line: 800.562.5646 ext. 14

Staff Contact Ms. Candace Backer, MSW Clinical Coordinator 322 Canal Walk Indianapolis, IN 46202 Phone: 317.514.1865 [email protected] Committee Members Dr. Kenneth O. Miller, chair 11701 E. Washington St. Indianapolis, IN 46229 Phone: 317.894.3400 Fax: 317.894.3475 Dr. David Alexander 415 N. 26th St., Ste. 303 Lafayette, IN 47904 Phone: 765.447.9319 Fax: 765.447.7227 [email protected] Dr. Benoni W. Asdell 229 J.F. Kennedy Ave. Loogootee, IN 47904 Phone: 812.295.2429 FAX: 812.295.2429 [email protected] Ms. Candace Backer, MSW 322 Canal Walk Indianapolis, IN 46202 Dr. Thomas G. Barrick 2432 E. South Street Westfield, IN 46074 Phone: 317.896.5143 FAX: 317.896.5861 [email protected]

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Ms. Susan Beckett 1170 Sunset Dr. Wabash, IN 46992 Dr. Kevin J. Deakyne P.O. Box 307 Warren, IN 46792 Phone: 260.375.2626 Fax: 260.375.2626 [email protected] Ann Marie Dixon, CDA 2113 Wildwood St. Portage, IN 436636 Phone: 219.942.4624 Dr. Charles E. Hassel 125 S. Stewart St. Breman, IN 46506-1829 Phone: 574.546.3037 Fax: 574.546.0102 Dr. David Holwager 113 E. Delaware St. Cambridge City, IN 47327 Phone: 765.478.3033 Fax: 765.478.4300 [email protected] Dr. David J. Howell 2911 E. Covenator Dr., Ste. B Bloomington, IN 47401-6320 Phone: 812.333.2614 Fax: 812.333.4594 [email protected] Dr. Thomas Kroczek 2025 W. Glen Park Ave. Griffith, IN 46319 Phone: 219.924.4031 Dr. Raymond M. Maddox 1200 W. Walnut Street Hartford City, IN 47348 Phone: 765.348.4111 FAX: 765.348.4021 [email protected]

Dr. Scot C. Mardis 1616 N. 9th Street Terre Haute, IN 47804 Phone: 812.232.8361 FAX: 812.238.9406 [email protected] Dr. Richard L. Martin, Jr 2921 Burton Drive Kokomo, IN 46902-3279 Phone: 765.453.7328 FAX: 765.453.9184 [email protected]

Dr. Jerry Mc Clarren 28 Morningside Dr. Washington, IN 47501-1311 Phone: 812.254.2999 FAX: 812.254.6254 [email protected] Dr. Thomas Murray 1801 Sherman Dr. #20 Princeton, IN 47670 Phone: 812.385.2420 FAX: 812.386.7542 [email protected] Dr. Steven Pritchard 1550 S. Liberty Dr. Bloomington, IN 47403 Phone: 812.339.2811 FAX: 812.961.0746 [email protected] Dr. T. Michael Robinson 3221 Nichol Ave. Anderson, IN 46011-3148 Phone: 765.643.5356 [email protected] Mr. Ed Rosenbaum 401 W. Michigan St., Ste. 1000 Indianapolis, IN 46202 Phone: 317.634.2610 FAX: 317.634.2610 [email protected]

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Dr. Mara Catey-William 1170 S. 2nd Street Gas City, IN 46933-1704 Phone: 765.674.7241 FAX: 765.674.6570 [email protected] Dr. Annette J. Williamson 11043 Broadway, Ste. A Crown Point, IN 46307-8834 Phone: 219.663.4200 FAX: 219.663.4700 [email protected] Ms.. Ronda Worden 2435 Moss Street Portage, IN 46307-8834 Phone: 765.348.4850

IOWA

Iowa Dental Association 5530 West Parkway, Ste. 100 Johnson, IA 50131 Phone: 515.986.5605 FAX: 515.986.5626 E-mail: [email protected] Web: www.iowadental.org

KANSAS

Kansas Dental Association 5200 SW Huntoon St. Topeka, KS 66604-2398 Phone: 913.272.7360 FAX: 913.272.2301 E-mail: [email protected] Web: www.ksdental.org

WELL-BEING COMMITTEE Phone: 913.631.4348 (nights)

[email protected] Committee Members Dr. Ron Huerter, Chair 490 Navajo Ln. NW Lake Quivira, KS 66217 Phone: 913.631.4348 FAX: 913.631.9079 [email protected]

Ms. Mary Carder, Ph.D. Executive Director Heart of America Professional Network 6405 Medcalf, Ste. 403 Mission, KS 66202 Phone: 913.236.7575 [email protected] Dr. R. Guy Cleverley 428 N. 7th St. Fredonia, KS 66736 Phone: 620.378.2001 FAX: 620.378.4697 [email protected] Professional Renewal Center Kirsten Judd 1201 Wakarusa Dr.,Suite E200 Lawrence, KS 66049 Phone: 785.842.9772 [email protected] Dr. Richard Patrick 6300 Glenwood St. Ste. 11 Overland, Park, KS 66202 Phone: 913.262.6967 [email protected] Reenie Olson, RDH 2422 SE Cedarwood Dr. Topeka, KS 66605 Phone: 785.271.7265 KENTUCKY

Kentucky Dental Association

1940 Princeton Dr. Louisville, KY 40205-1873 Phone: 502.459.5373 FAX: 502.458.5915 E-mail: [email protected] Web: www.kyda.org KDA WELL-BEING COMMITTEE Hot Line: 502.749.8385

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Contact Person Mr. Brian Fingerson, RPH KY Professionals Recovery Network 202 Bellemeade Rd. Louisville, KY 40222 Phone: 502.749.8385 FAX: 502.749.8389 [email protected] Committee Members Dr. Steve Auslander 107 Englewood Dr Bardstown, KY 40004 Phone: 502.348.5480 [email protected] Barbara Bush, RDH 2807 Harvest Lane Bowling Green, KY 42104 Phone: 270.745.3825 Or: 270.843.8685 [email protected] Patty Byrd, RDH 7603 Cantrell Dr. Crestwood, KY 40014 Phone: 502.241.1966 [email protected] Dr. Corky Deaton 359C South Fourth St. Danville, KY 40422 Phone 859.236.5703 or: 859.236.7504 [email protected] Dr. Guy Furnish University of Louisville, School Dentistry Dept Ortho., Ped. & Gen. Dentistry 501 South Preston Louisville, KY 40292 Phone: 502.852.5126 FAX: 502.852.4368 [email protected] Dr. Robert Q Frazer UK College of Dentistry D-640 Chandler Med. Ctr. Lexington, KY 40536 Phone: 859.323.5945 Fax: 859.257.1847 [email protected]

Dr. John E. Lindroth UK College of Dentistry 800 Rose St. Lexington, KY 40536 Phone: 859.323.8540 [email protected] Dr. William Penny 1600 Gardiner LN.. Louisville, KY 40205 Phone: 502.454.4342 Carole Pracht, RDH UK College of Dentistry 800 Rose St. Lexington, KY 40536 Phone: 859. 323.5831 Dr. James H. Timmons UK College of Dentistry 800 Rose St., Rm. D-632 Lexington, KY 40536 Phone: 859.323.6098 [email protected] Dr. William Wuetcher 9803 Abbeywood Village Way Louisville, KY 40241 Phone: 502.423.1692 Consultant Pat Sammon, Ph.D. UK College of Dentistry Dept. of Physiology Lexington, KY 40536-0084 Phone: 859.323.5628 [email protected]

LOUISIANA

Louisiana Dental Association 7833 Office Park Blvd. P O Box 261173 Baton Rouge, LA 70809 Phone: 225.926.1986 FAX: 225.926.1886 E-mail: [email protected] Web: www.ladental.org

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LA WELL-BEING ADVISORY COMMITTEE Dr. Jamie M. Manders, chair 13201 River Rd.. New Orleans, LA 70131-3208 Phone: 504.361.0550 Fax: 504.394.4793 [email protected] ACADIANA Dr. James R. Nichols 401 Settlers Trace Blvd.. Lafayette, LA 70506 Phone: 337.991.0766 FAX: 337.991.0594 BAYOU TBD CENTRAL Dr. Paula E. Karam Post Office Box 707 Oakdale, LA 71463 Phone: 318.335.0440 FAX : 318.335.1689 [email protected] GREATER BATON ROUGE Dr. Richard Wampold 7179 Jefferson Hwy. Baton Rouge, LA 70806 Phone: 225.927.5445 Fax: 225.927.9473 NODA Dr. Jamie M. Manders, Chair 13201 River Road New Orleans, LA 70806 Phone: 504.394.7702 FAX: 504.393.7676 Cell: 504.650.0319 [email protected] NORTHEAST Dr. Jennifer Newton-Boles 4279 Highway 15 Mangham, LA 71259

NORTHLAKE Dr. Kathleen G. Engel 522 E. Rutland St. Covington, LA 70433 Phone: 985.893.2270 Fax: 985.893.2291 [email protected] NORTHWEST Dr. Jeffrey H. Scruggs. 107 Fremont St. Shreveport, LA 71118 Phone: 318.798.2008 FAX: 318.797.5752 [email protected] SOUTHWEST Dr. Troy M. Lefort 2628 Country Club Rd.. Lake Charles, LA 70607 Phone : 337.436.3631 [email protected]

MAINE

Maine Dental Association P.O.Box 215 Manchester, ME 04351 Phone: 207.622.7900 FAX: 207.622.6210 E-mail: [email protected] Web: www.medental.org COMMITTEE ON PHYSICIAN HEALTH Dr. David Simmons, Clinical Dir. MARYLAND Maryland State Dental Association 6410F Dobbin Road Columbia, MD 21045 Phone: 410.964.2880 FAX; 410.964.0583 E-mail: [email protected] Web: www.msda.com

DENTIST'S WELL BEING COMMITTEE Hot Line: 800.341.9704

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Staff Contact Robert White, LPC, Clinical Coordinator Phone: 410.328.8549 800.341.9704 [email protected] www.dentistwellbeing.org Dr. Robert Miller, chair 55 Stoakley Rd. Prince Frederick, MD 20678 Phone: 410.535.4050 Fax: 410.535.0932 [email protected] Committee Members Dr. Harold Crossley 666 W. Baltimore St. Baltimore, MD 21201 Phone: 410.666.7614 [email protected] Michael Anderson, DDS Phone: 301.739.2370 Hagerstown, MD Joseph Kantakevitch 11400 Rockville Pike, Ste. 509 Rockville, MD 20852 Phone: 301.881.7646 Dr. Richard Kelley 17509 Irish Town Rd. Frederick, MD 21727 Phone: 301.694.2300 [email protected] Dr. Mark Pitts 2100 Old Farm Dr. #B Frederick, MD 21702 Phone: 301 698.5208 [email protected] Dr. John Mullally 9 Glen Highland Ct. Hunt Valley, MD Phone: 410.371.4007 [email protected] William DeVeas, DDS Phone: 410.825.8708 [email protected]

MASSACHUSETTS Massachusetts Dental Society Two Willow St. #200 Southborough, MA 01754 Phone: 508.480.9797 FAX: 508.480.0002 E-mail; [email protected] Web: www.massdental.org CDAD-DENTIST WELL-BEING COMMITTEE P.O. Box 716 Andover, MA 01810 Hot Line: 800.468.2004 [email protected] Dr. Thomas Derosier, chair 210 Jones Rd. Falmouth, MA 02540 Phone: 508.540.0303 Or: 508.457.1594 [email protected] Dr. James T. Reilly, Exec. Sec. 4 Rocky Hill Rd. Andover, MA 01810 Phone: 800.468.2004 FAX: 978.749.9539 [email protected] Committee Members Dr. Richard Dugas 16 Waterhouse Rd. Bourne, MA 02532 Phone: 508.759.2724 [email protected] Dr. Arthur Hannigan, Jr. P.O. Box 1659 Orleans, MA 02653 Phone: 508.255.4312 [email protected] Dr. Charles Mahoney 4 Beccles Rd. Falmouth, MA 02540 Phone: 508.540.3106 [email protected] Dr. John B. Register 210 Jones Rd. Falmouth, MA 02540 Phone: 508.540.0303

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Dr. Lionel Pelletier 1577 Beacon St. #1 Brookline, MA 02446 Phone : 617.277.1708 FAX : 978.749.9539 [email protected] Dr. Alfred Peters P.O. Box 3200 Pocasset, MA 02559 Phone: 508.563.2822

MICHIGAN

Michigan Dental Association 230 Washington Sq. N., Ste. 208 Lansing, MI 48933-1312 Phone: 517.372.9070 FAX: 517.372.0008 E-mail : [email protected] Web : www.michigandental.org SPECIAL COMMITTEE ON PEER REVIEW-HEALTH & WELL BEING Hot Line: 517.346.9411 Staff Contact Ms. Grace Deshaw-Wilner, Asst. Exec. Dir. [email protected] Dr. James Oles, chair 359 Fordcroft Rochester Hills, MI 48309 Phone/Home: 248.340.9240 FAX: 248.340.9240 [email protected] Committee Members Joanne Dawley 16315 W. 12 Mile Road Southfield, MI 48076 Phone: 248.443.1600 [email protected] Dr. Joel Grand, DDS 2173 Colony club Ct. Bloomfield Hills, MI 48322-4344 Phone: 248.737.1724 Cell: 248.505.5448 [email protected] or [email protected]

Dr. Joan Lewis, DDS, MS 2801 Waldon Park Dr. Lake Orion, MI 48360 Phone: 248.625.1721 Home: 810.391.2122 FAX; 248.625.5475 [email protected] R. Alan Mead, DDS 801 E. Wheeler Rd. Midland, MI 48640 Office: 989.799.9133 Home: 989.631.4255 Cell: 859.6302 [email protected] W. Scott Meldrum, DDS 295 Elm St Birmingham, MI 48009 Phone: 248.645.5055 FAX: 248.645.5656 [email protected] Frank A. Selega, DDS Birch Street Dental 508 N. Birch St. Kalkaska, MI 49646 [email protected] Consultants: Ms. Shanna McGettrick University of Detroit Mercy Student 298 Lake Medow Dr. Waterford, MI 48327 Phone: 248.934.6569 MDA STAFF Lisa Boettger Sr. Professional Review Specialist Hotline: 800.589.2632 x411 Phone: 517.346.9411 FAX: 517.318.0949 [email protected] Grace DeShaw-Wilner, CAE Assistant Executive Director 230 N. Washington Sq. #208 Lansing, MI 48933 Phone: 734.484.3418 x413/517.346.9413 Home: 517.349.5233 FAX: 517.318.0949 [email protected]

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JoAnn Murphy Sr. Professional Review Assistant Hotline: 800.589.2632 x430 Phone: 517.346.9430 FAX: 517.318.0949 [email protected] Linda Farnum Membership Hotline: 800.589.2632 x424 Phone: 517.346.9424 FAX: 517.318.0949 Christine Wilson, RDA Professional Review Assistant Phone: 800.589.2632 x409 Or: 517.346.9409 FAX: 517.318.0949 [email protected]

MINNESOTA

Minnesota Dental Association 2236 Marshall Ave. Saint Paul, MN 55104 Phone: 651.646.7454 FAX: 651.646.8246 E-mail: [email protected] Web: www.mndental.org DENTISTS CONCERNED FOR DENTISTS Hot Line: 651.641.0730 Staff Contact Dr. Eric J. Aubert 4527 Forest Park St. Louis, MO 62108 Phone: 314.367.7200 Susan Clifford, RDH, BGS 111 Kenilworth Ave. Saint Louis, MO 63119 [email protected] Dr. William T. Kane Committee Chair P.O. Box 246 Dexter, MO 63841-0246 [email protected]

Committee Members Dr. Peter N. Cannon 400 N. Robert St. #270 St. Paul, MN 55101 Phone: 651.641.0730 Dr. James Barthel Maplewood Professional Building 1655 Beam Ave. Maplewood, MN 55109-1163 Phone: 651.770.7703 Fax: 651.770.0973 Gretchen Stein Sand Creek Group, Ltd. 610 N. Main St., Ste 200 Stillwater, MN 55082 Phone: 651.430.3383 Fax: 651.430.9753 [email protected]

MISSISSIPPI

Mississippi Dental Association 2630 Ridgewood Rd., Ste. C Jackson, MS 39216-4903 Phone: 601.982.0442 FAX: 601.366.3050 E-mail: [email protected] Web: www.msdental.org/cms MISSISSIPPI ASSOCIATION OF RECOVERING DENTISTS Staff Contact Tasha Jones, Director, Member Services [email protected] Dr. Darrell M. Hutto, Chair 770 Lakeland Dr., Apt. 109 Jackson, MS 39216 Phone: 601.984.6074 [email protected] Dr. Thomas H. Wiggins, Jr. District II Representative 203 S. Pearman Ave. Cleveland, MS 38732-3247 Phone: 662.843.2022 FAX: 662.843.2011 [email protected]

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Committee Members Dr. Teena F Horn District I Representative 327 N. Jackson St. Houston, MS 38851-2216 Phone: 662.456.9992 FAX: 662.456.9093 [email protected] Dr. Duane F. Hurt District II Representative 100 E. Claiborne Ave. #A Greenwood, MS 38930-3502 Phone: 662.453.5996 FAX: 662.455.6967 [email protected] Dr. Nelson F. Fort District III Representative 1903 23rd Ave. Meridian, MS 39301-3108 Phone: 601.485.2494 FAX: 601.485.4837 Dr. James D. Bounds District V Representative 2574 Marcia Ct., Ste. A Biloxi, MS 39531-2341 Phone: 228.388.7575 FAX: 228.385.1161 [email protected]

MISSOURI

Missouri Dental Association 3340 American Ave. Jefferson City, MO 65109 Phone: 573.634.3436 FAX: 573.635.0764 E-mail: [email protected] Web: www.modental.org Staff Contact Mr. Ira Davis 3340 American Ave. Jefferson City, MO 65109 Phone: 866.442.0300 Cell: 573.424.8467 FAX: 573.442.0200 [email protected]

Professional Assistance Program (PAP) Committee Members Dr. William Kane, chair P.O. Box 246 Dexter, MO 63841 Phone: 573.624.7456 FAX: 573.624.5182 [email protected] Ms. Susan Clifford 111 Kenilworth PL. St. Louis, MO 63119 Phone: 314.962.1312 FAX: 314.645.6163 [email protected] Dr. Larry Jackson 208 Washington St. Doniphan, MO 63119 Phone: 573.996.5323 FAX: 573.996.2577 [email protected] Dr. J.C. Standlee 994 Diamond Rdg., Ste 202 Jefferson City, MO 65109-6885 Phone: 573.893.4402 FAX: 573.632.4398 [email protected] Ms. Anna Lippert P.O. Box 3694 Camdenton, MO 65020 Phone: 573.317.9539 FAX: 573.317.9539 [email protected]

MONTANA Montana Dental Association 17½ S. Last Chance Gulch Helena, MT 59624 Phone: 406.443.2061 FAX: 406.443.1546 E-mail: [email protected] Web: www.mtdental.com MONTANA PROFESSIONAL ASSISTANCE PROGRAM (MPAP) Hot Line: 406.245.4300 Mellani Reese, Admin. Assist. Phone: 406.861.5414

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Contact Person Michael Ramirez, MS-Clinical Dir. Montana Professional Assistance Program 1650 Avenue D., Ste 102 Billings, MT 59102 Phone: 406.245.4300 Alt.: 406.248.6029 David Healow, MD-Medical Dir. Montana Professional Assistance Program 1650 Avenue D., Ste 102 Billings, MT 59102 Phone: 406.252.6674 Alt.: 406.252.3340 Committee Members Dr. Victor Davis. P.O. Box 326 St. Ignatius, MT 59865 Phone: 406.745.4444 V. Anne Hingle, MD P.O. Box 799 Lewistown MT 59457 Phone: 406.538.6206 Alt.: 406.538.4830 Dr. James D. Hoag 430 Windward Way, Ste. 201 Kallispell, MT 59901 Phone: 406.752.8805 Alt.: 406.755.0856 Dr. Randy C. Johnson P.O. Box 27 Victor, MT 58975 Phone: 406.642.3777 Nora Norum, MD 1410 Country Home Ln. Great Falls, MT 59405 Phone: 406.454.6973 Alternate: 406.452.9731 Richard C. Moore, MD PO Box 3530 Hailey, ID 83333 Phone: 208.578.2089

NEBRASKA Nebraska Dental Association 3120 “O” St. Lincoln, NE 68510-1533 Phone: 402.476.1704 Fax: 402.476.2641 E-mail [email protected] Web: www.nedental.org DENTISTS CONCERNED FOR DENTISTS HOTLINE-NEBRASKA LICENSEE ASSISTANCE PROGRAM: 800.851.2336 Staff Contact Ms. Julie Berger [email protected] Dr. William Corcoran, chair 9202 West Dodge Rd., Ste. 301 Omaha, NE 68114 Phone: 402.397.3636 FAX: 402.397.1055 Cell: 402.630.2361 [email protected] Committee Members Dr. Ron Attanasio UNMC College of Dentistry 40th & Holdrege Streets Lincoln, NE 68583 Phone: 402.472.8820 Dr. Frank Ayers 9334 Monroe St. Omaha, NE 68127 Phone: 402.280.2881 Cell: 402.490.9070 Dr. William Breshnahan 14220 Pierce Plaza Omaha, NE 68144 Phone: 402.333.5555 Cell: 402.676.7051 Dr. Craig Braun 206 E. 7th St. Wayne, NE 68787 Phone: 402.593.9911

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Dr. Eric Fung UNMC College of Dentistry 40th & Holdrege Lincoln, NE 68583 Phone: 402.472.6816 Dr. Shaun Parker 11229 W. Dodge Rd. Omaha, NE 68154 Phone: 402.593.9911 Cell: 402.598.3688

NEVADA

Nevada Dental Association 8863 W. Flamingo Rd., Ste. 102 Las Vegas, NV 89147 Phone: 702.255.4211 FAX: 702.255.3302 E-mail: [email protected] Web: www.nvda.org Staff Contact Mr. Maury Astley, Exec.Dir. Contact Person Dr. Michael Day, chair 2261 Pyramid Way #7 Sparks, NV 89431 Phone: 775.358.5265 [email protected]

Committee Members

Dr. William Clements 475 Kirman Ave. Reno, NV 89502 Phone: 775.786.3400 [email protected] Dr. Eric Dean 925 Roberta Way Sparks, NV 89431 Phone: 775.359.8801 [email protected] Dr. Mario Gildone 2020 Sierra Sage Ln. Reno, NV 89509 Phone: 775.826.0179 [email protected]

Dr. Gerald Jackson Mrs. Teresa Jackson 3257 Kingfisher Dr. Reno, NV 89509 Phone: 775.825.0545 [email protected] Dr. Bruce Jorgensen P.O. Box 675 Verdi, NV 89439 Phone: 775.323.0700 [email protected] Mrs. Diana Jorgensen Phone: 775.674.4900 ext. 3808 Dr. William Hilton 75 Mt. Rose St. Reno, NV 89509 Phone: 775.323.8301 [email protected] Dr. Justin Wilkerson 6490 S. McCarran Blvd. Bldg. B, Ste. 18 Reno, NV 89509 Phone: 823.9797 Dr. Dwyte Brooks 7180 Cascade Valley Ct.., Ste 240 Las Vegas, NV 89128-0481 Phone: 702.735.0833 FAX: 702.735.1502 [email protected]

NEW HAMPSHIRE

New Hampshire Dental Society 23 South State St. Concord, NH 03301-2229 Phone: 603.225.5961 FAX: 603.226.4880 E-mail: [email protected] Web: www.nhdental.com

CHEMICAL DEPENDENCY HELP PROGRAM 603.226.3494 pm & weekends

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Contact Person Dr. John Dalco Phone: 781.545.4603 Home: 603.226.3494 Committee Members Dr. Charles A. Burrows 211 High St. Somersworth, NH 03878 Phone: 603.692.6531 [email protected] Dr. Eric Hirschfield 41 Washington St. #A Conway, NH 03818 Phone: 603.447.1999 [email protected]

NEW JERSEY

New Jersey Dental Association One Dental Plaza P.O. Box 6020 North Brunswick, NJ 08902-6020 Phone: 732.821.9400 FAX: 732.821.1082 E-mail: [email protected] Web: www.njda.org PROFESSIONAL ASSISTANCE PROGRAM (PAP) Staff Contact Linda Pleva Phone: 609.919.1660 Dr. Louis Baxtor, MD; Director 742 Alexander Road Princeton, NJ 08540-8568 Director of Membership & Asst. Counsel Phone: 732.821.9400 [email protected] Contact Person Dr. William I. Keene 12 Nathan Ct Newtown, PA 18940-1858 Phone: 609.919.1660 Cellular 732.261.4346 [email protected]

Dr. John Murray 617 Union Ave Bldg 2 Brielle, NJ 08730-1838 Phone: 732.528.5656 FAX: 732.528.5657 [email protected] NEW MEXICO New Mexico Dental Association 9201 Montgomery Blvd. NE, Ste. 601 Albuquerque, NM 87111 Phone: 505.294.1368 FAX: 505.294.9958 E-mail: [email protected] Web: www.newmexicodental.org Dr. Joe J. Simmons III, chair 800 East 30th St. Bldg. #3 Farmington, NM 87401 Phone: 505.327.9161 FAX: 505.325.6657 [email protected] Dr. G. Mark Yarbrough 3900 Eubank N.E., Ste. 14 Albuquerque, NM 87111 Phone: 505.293.8011 [email protected]

NEW YORK

New York State Dental Association 20 Corporate Woods Blvd., Ste. 602 Albany, NY 12211 Phone: 518.465.0044 FAX: 518.465.3219 E-mail: [email protected] Web: www.nysdental.org COUNCIL ON CHEMICAL DEPENDENCY Hot Line: 800.255.2100-518.465.0044

Staff Contacts

Judith L. Shub, Ph.D. Phone: 518.465.0044 x250 [email protected] Jacqueline Donnelly [email protected]

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Contact Person Dr. Robert Herzog, chair 2727 Main St. Buffalo, NY 14214 Phone: 716.833.2727 Home: 716.565.2160 Cell: 716.830.3055 FAX: 716.833.2729 [email protected] Peer Assistance Coordinator Dr. Robert Hezog Committee Members Dr. Amy Bryan 117 Linwood St Buffalo, NY 14209 Phone: 716.882.6333 Fax: 716.882.0891 Home : 716.433.7684 Dennis Bohlin 200 W. 57th Street, #1110 New York, NY 10019 Phone: 212.586.2333 Fax: 212.977.5571 Home: 212.280.2849 Cell: 212.280.2849 [email protected] Peer Assistance Education Coordinator Dr. Donald Bronsky 28 Kenilworth Rd. Binghamton, NY 11229 Phone 607.722.0631 [email protected] Dr. Michael DeFilippis 1740 Front St. East Meadow, NY 11554 Phone: 516.794.8081 Dr. Duda Lawrence 1945 Central Ave. Albany, NY 12205 Phone: 518.456.8252 Home: 518.868.7061 Cell: 518.542.1563 Fax: 518.456.8379 [email protected]

Dr. John McGill 81 Charland Rd. Tupper Lake, NY 12986 Phone: 518.359.2067 Fax: 518.561.4093 Cell: 519524.8794 [email protected] Dr. Jerome Oleksa 115 Fall St. Seneca Falls, NY 13148 Phone: 315.568.5656 Dr. Steven Novick 660 Dogwood Ave Franklin Square, NY 11010 Phone: 516.481.1446 Fax: 516.481.1446 [email protected] Dr. Richard Pitz 400 E. 54th St. New York, NY 10022-5164 Phone: 212.838.1666 Home: 212.752.7362 FAX: 212.838.1737 [email protected] Dr. Henry Pollak 984 N. Broadway, #501 Yonkers, NY 10701 Phone: 914.968.8985 Fax: 914.968.8985 Home: 716.433.7684 Cell: 914.552.1828 [email protected] Dr. Peter Pruden 177 Main St., #102 Huntington, NY 11743-6917 Phone: 631.421.2471 FAX: 631.547.6809 Home: 631.423.8646 Cell: 631.547.6809 [email protected] Donald Safferstein 1 Fordham Hill Oval Huntington, NY 11743-6917 Phone: 718.584.5300 Fax: 718.584.5301 [email protected]

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Orme Samuel 284 State St. Auburn, NY 13021 Phone: 315.252.2234 Greg Schultz 209 Liberly St. Bath, NY 14810 Phone: 607.776.7656 Fax: 607.776.7858 [email protected] Dr. John Scullin 3 Charles St. Auburn, NY 13021 Phone: 315.252.2234 Dr. Sanford Schimmel 3800 Independence Ave. Bronx, NY 10463 Phone: 718.548.4768 Dr. Shetty Sudhakar 102 Wood Hollow Rd. Roslyn Heights, NY 11743-6917 Phone: 718.847.8023 Fax: 718.847.2009 Home: 516.621.2170 [email protected] North Carolina Dental Society P.O. Box 4099 Cary, NC 27519 Phone: 919.677.1396 FAX: 919.677.1397 E-mail: [email protected] Web: www.ncdental.org NC CARING DENTAL PROFESSIONALS Staff Contact Margaret Graves, Exe. Dir. P.O. Box 1258 Southern Pines, NC 28387 Phone: 910.693.1138 [email protected]

Committee Members Dr. John Ludlow, chair UNC School of Dentistry, CB7450 Chapel Hill, NC 27599 Phone: 919.843.4661 FAX: 919.966.0705 [email protected] Ms Linda Andrus, RDH 6700 Chauncey Dr. Raleigh, NC 27615.6335 Phone: 919.846.8366 FAX: 919.847.4016 Ms. Diana Boddorf, RDH 100 Poppleford PL. Cary, NC 27511 Phone: 919.859.6633 FAX: 919.859.6644 [email protected] Dr Benjamin W. Brown 2310 Myron Dr. Raleigh, NC 27607 Phone: 919. 782.8603 FAX: 919.782.1295 [email protected] Dr. Wilson Jewell 218 Pine Grove Dr. Wilmington, NC 28403 Phone: 910.791.2401 Dr. Michael Justice One Vanderbilt Park Dr., Ste 250. Asheville, NC 28803 Phone: 828.277.5230 Barbara Hardee Parker, RDH 1225 Wedgeland Dr. Raleigh, NC 27615 Phone: 919.848.1555 FAX: 919.848.3055 [email protected] Dr. John Slaughter 411 Cronly St. Laurinburg, NC 28352 Phone: 910.277.0661 FAX: 910.276.8342

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Ex-Officio Board Members Dr. C.V. Winter, NCDS Ms. Faye Marley, Exec. Dir. NCDS Dr. Jacob Thorpe, Dir. Emerit. NCDS Ms. Dorothy Rogers, Alliance

NORTH DAKOTA

North Dakota Dental Association P115 N. 4th Street Bismarck, ND 58501-1332 Phone: 701.223.8870 FAX: 701.223.0855 E-mail: [email protected] Web: www.ndental.com NORTH DAKOTA CONCERNED DENTISTS

Staff Contact Kala Bollwitt, Asst. Ex. Dir. [email protected] Contact Person Dr. Kenard A. Turner P.O. Box 99 Rolla, ND 58367 Phone: 701.477.3821 Home: 701.477.3707

OHIO

Ohio Dental Association 1370 Dublin Rd. Columbus, OH 43215-1009 Phone: 614.486.2700 FAX: 614.486.0381 E-mail: [email protected] Web: www.oda.org DENTISTS CONCERNED FOR DENTISTS- DCD Hot Line: 800.282.1526

Staff Contact Ms. Suzanne Payne, ODA Dir. of Events & Special Projects [email protected]

Dr. Mark Wenzel, Chair 7058 Corporate Way #3 Centerville, OH 45459 Phone: 937.434.1151 FAX: 937.434.0698 [email protected] Committee Members Dr. Garrett Kenney 2991 Bent Tree Dr. Cincinnati, OH 45244 Phone: 513.561.3703 [email protected] Dr. Robert Nelson 1425 Offnere St. Portsmouth, OH 45662 Phone: 740.353.1313 Cell: 740.354.6082 FAX: 740.353.1234 Dr. Donald Secrest 712 Graham Rd. Cuyahoga Falls, OH 44221 Phone: 330.928.4422 FAX: 330.940.4285 Dr. Joel Weaver OSU College of Dentistry P.O. Box 182357 Columbus, OH 43210 Phone: 614.292.5574 FAX: 614.292.9472 Suzann Glenn, AODA Liaison 16946 Deer Path Dr. Strongsville, OH 44136 Phone: 440.238.1621 FAX: 440.238.9088 [email protected] Dr. Nancy Goorey AODA Liaison 2201 Castle Crest Dr. Worthing, OH 43085 Phone: 614.885.1500 FAX: 614.888.0055

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OKLAHOMA Oklahoma Dental Association 317 NE 13th St. Oklahoma City, OK 73104 Phone: 405.848.8873 or 800.876.8890 Fax: 405.848.8875 E-mail: [email protected] Web: www.okda.org SUB-COUNCIL ON WELL-BEING Hot Line: 405.376.972.8890 OSMA Health Professionals Recovery Network 601 NW Grand Blvd. Oklahoma City, OK 73118 Phone: 405.843.9571 [email protected]

OREGON

Oregon Dental Association 8699 S.W. Sun Place P.O. Box 3710 Wilsonville, OR 97070-3710 Phone: 503.218.2010 or 800.452.5628 FAX: 503.218.2009 E-mail: [email protected] Web: www.oregondental.org DENTIST WELL BEING COMMITTEE Hot Line: 503.550.0190 Staff Contact Ms. Margaret Torgeson, Dir. Consumer Affairs & Member Services Phone: 503.620.3230-ext. 108 [email protected] Contact Person Dr. Dennis A. Johnson 3425 SE Stark St. Portland, OR 97214-3136 Phone: 503.236.1656 [email protected] Committee Members Dr. Robert D. Johnson 5530 SW Wilbard St. Portland, OR 97219-5656 Phone: 503.494.5850 [email protected]

Dr. Theresa E. Madden 0220 SW Texas St., Suite 105 Portland, OR 97219-2342 Phone: 503.494.0558 CELL: 503.799.4743 [email protected] Dr. Susan Rustvold 1253 SE River Forest Ln. Milwaukie, OR 97267-3603 Phone: 503.659.5246 [email protected] Dr. Todd L. Beck 728 S.E. 60th Portland, OR 97215-1906 Phone: 503.236.1449 Cell: 503.708.0191 [email protected] Dr. Vaughn Tidwell 2236 Pacific Ave. Forest Grove, OR 97116-2448 Phone: 503.359.5481 [email protected] Kurt DeLong 303 N. 1st Street Silverton, OR 97381-1605 Phone: 503.873.8614 [email protected] Bryan Harvey 331 Warner Mine Road Oregon City, OR 97045-4045 Phone: 503.655.6239 Home: 503.988.3663 [email protected] Anna Knecht 5308 SE 52ND Ave. Portland, OR 97214-3136 Phone: 503.775.4000 FAX: 503.774.3247 [email protected] Roy Lusch 948 NE 102nd, St. #105 Portland, OR 97220-4064 503.253.1190 [email protected]

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Robert Woolf 320 “A” Avenue Lake Oswego, OR 97034-3056 Phone: 503.635.3584 [email protected] Kimberly Wright 1554 Garden St P.O. Box 589 West Linn, OR 97068-0589 Phone: 503.655.9300 [email protected]

PENNSYLVANIA

Pennsylvania Dental Association 3501 North Front St Harrisburg, PA 17105-3341 Phone: 717.234.5941 FAX: 717.234.2186 E-mail: [email protected] Web: www.padental.org CONCERNED COLLEAGUE COMMITTEE Staff Contact Mr. Stanley G. Saellam Chief Operating Officer Phone: 717.234.59 x102 [email protected] or [email protected] Committee Members Dr. Mark C. Hagan, chair 1206 N. George St. York, PA 17404 Phone: 717.848.1954 [email protected] Dr. David W. Cunning 101 Progress Dr. Doylestown, PA 18901 Phone: 215.345.7373 FAX: 215.345.0242 Dr. Robert Finkelstein 2214 E. York St. Philadelphia, PA 19125 Phone: 215.425.1414 [email protected]

Dr. Alfred S. Halas 433 W. Butler Ave. New Britain, PA 18901 Phone: 215.345.6688 FAX : 215.345.5183 [email protected] Dr. Robert W. Jewells 132 E. Broad St. Tamaqua, PA 18252 Phone: 570.668.1313 FAX: 570.668.3949 [email protected] Dr. John G. Lazur, Jr. P.O. Box 280 Shamokin Dam, PA 17876 Phone: 570.743.3300 FAX: 570.743.7555 Dr. Waverly Lebard 5 Roadside Ave. Waynesboro, PA 17268-2538 Phone: 717.762.7154 FAX: 717.762.5878 [email protected] Dr. Bartley J. Morrow 9200 Perry Highway Pittsburgh, PA 15237 Phone: 412.364.4423 FAX: 412.847.0616 Dr. J. Richard Oliver 202 Union St. P.O. Box 311 Titusville, PA 16354 Phone: 814.827.6714 FAX: 814.827.2706 [email protected] Dr. Charles M. Pagana 81 Pennywood Ave. Montgomery, PA 17752 Phone: 570.547.6730 [email protected]

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Ms. Kathleen M. Schlotthauer One HAAC Dr., Bldg W-227 Harrisburg, PA 17110 Phone: 717.780.2419 FAX: 717.236.0709 [email protected] Dr. Robert J. Smith 9200 Perry Highway Pittsburgh, PA 15237 Phone: 412.366.3001 FAX: 412.366.6298 [email protected] Trustee Liaison Dr. Jack A. Aughenbaugh, Jr. P.O. Box 369 Hegins, PA 17938 Phone : 570.682.8143 FAX : 570.682.8630 [email protected] Consultant Ms. Jean Morris Pennsylvania Dental Assistants Assoc. 357 Grove Dr. Hegins, PA 17938 Phone: 717.228.6020

RHODE ISLAND

Rhode Island Dental Association 200 Centerville Rd. , Ste 7 Warwick, RI 02886-0204 Phone: 401.732.6833 FAX: 401.732.9351 E-mail: [email protected] Web: www.ridental.com Dr. Robert Champagne 189 Waterman St. Providence, RI 02906 Phone: 401.351.1110 FAX: 401.351.0055

SOUTH CAROLINA

South Carolina Dental Association 120 Stonemark Ln. Columbia, SC 29210-3841 Phone: 800.327.2598 or 803.750.2277 FAX: 803.750.1644 E-mail: [email protected] Web” www.scda.org

DENTISTADVOCACY & ASSIST. COMM.

Staff Contact Mr. Phil Latham [email protected] Hot Line: 803.750.2277 or 800.327.2598 Contact Person Dr. Curtiss Daughtry 517 Palmetto St. Florence, SC 29509 Phone: 843.665.2500 [email protected] Dr. Woody Merritt 514 Reed Rd. Anderson, SC 29621 Phone: 864.225.3141 SOUTH DAKOTA South Dakota (CRDTS) P.O. Box 1194 804 N. Euclid Ave., Suite 103 Pierre, SD 57501-1194 Phone: 605.224.9133 Fax: 605.224.9168 E-mail: [email protected] Web: www.sddental.org DENTISTS CONCERNED FOR SD DENTISTS Staff Contact Dr. Paul Knecht [email protected] Maria Eining 4400 W. 69th St. Sioux Fall, SD 57108 Phone: 605.322.4048 Dr. James C. Hohn 801 E 15th St.., Apt 17 Yankton, SD 57078 Phone: 605.665.7303 [email protected]

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TENNESSEE

Tennessee Dental Association 660 Bakers Bridge Ave. Suite 300 Franklin, TN 37067 Phone: 615.628.0208 FAX: 615.628.0214 E-mail: [email protected] Web: www.tenndental.org CONCERNED DENTAL PROF. COMMITTEE Hot Line: 615.356.8004 Phone: 615.628.3200 FAX: 615.628.3220 Staff Contact Dr. John W. McElhiney, Director 4204 Cecil Ct. Nashville, TN 37207 Phone: 615.865.4671 [email protected] Dr. Dr. Robert F. Goodrich, dir . emeritus. 2104 Sunset Place Nashville, TN 37212 Phone: 615.356.4040 FAX: 615.383.0214 [email protected] Committee Members

Ms. Judie Bailey, RDH 4227 Forest Plaza Dr. Hixson, TN 37343 Phone: 423.875.8374 Nancy Binkley 54 N. Grove Park Rd. Memphis, TN 38117 Dr. Alan Blanton 362 New Byhalia Rd., Ste. 3 Collierville, TN 38107 Phone: 901.853.8116 FAX: 901.854.1181 [email protected] Robin Hamm Buchanan 2518 Sharondale Dr. Nashville, TN 37215

Dr. John W. Burns, Jr. 220 Village Sq. Loudon, TN 37774 Dr. Angela K. Burns 220 Village Sq. Loudon, TN 37774 Dr. Charles Dunlap 846 McCallie Ave. Chattanooga, TN 37403 Phone: 423.265.8202 FAX: 423.265.9702 Ms. Evelyn Edwards P.O. Box 577 Shelbyville, TN 37162 Ms. Jean O. Farrar 2292 Coathbridge Dr. Germantown, TN 37664 Ms. Nina Foley 2176 Hillsboro Rd. Ste. 114 Franklin, TN 37664 Dr. David W. Foulk P.O. Box 3470 Kingsport, TN 37664 Phone: 423.378.4488 FAX: 423.378.3431 Dr. Dennis R. Gardner P.O. Box 129 Spring Hill, TN 37174 Phone: 931.486.2949 FAX: 931.486.2950 Dr. Jerry Gilpin 776 S. Main St. Ashland City, TN 37015 Phone: 615.792.4238 FAX: 615.792.1895 Dr. Roert F. Goodrich 4500 Post Road, #A-9 Nashville, TN 37205

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Mrs. Barbie Graham 9535 Mountain lake Dr. Ooltewah, TN 37363 Dr. Charles Leeby Greenblatt 6311 Kingston Pike, Ste. 1E Knoxville, TN 37919 Phone: 423.588.9645 FAX: 423.588.9855 Dr. Ethel P. Harris 2802 Bransford Ave. Nashville, TN 37204 Phone: 615.783.0142 FAX: 615.783.0143 [email protected] Dr. Ashley L. Hayes P.O. Box 567 Linden, TN 37096 Dr. Ruth Ketron 317 Vermont Drive Kingsport, TN 37660 Ms. Denise Logan 1644 York Ave. Memphis, TN 38104 Mrs. Missy Lunn 1606 Gunbarrel Rd., #104 Chattanooga, TN 37421 Dr. James W. McDaniel 1001 Carter St., Ste.. A Chattanooga, TN 37402 Phone: 423.266.8614 FAX: 423.267.0301 Dr. J. Wayne McElhiney 660 Bakers Bridge Ave., Ste. 300 Franklin, TN 37067 [email protected] Dr. Tony K. Pace P.O. Box 3247 Clarksville, TN 37043 Phone: 931.647.3960 FAX: 931.647.3424 [email protected]

Dr. Coley W. Ramsey 1206 Highland Hills Dr. Lavergne, TN 73086 Phone: 615.459.6354 Dr. Robert D. Thomas 150 Guinn St. Savannah, TN 38372 Phone: 731.925.0055 FAX: 731.925.3440

Dr. David Sain 1849 Memorial Blvd. Murfreesboro, TN 37129 Dr. Ellen Shemancik 105 Kenner Ave. Nashville, TN 37205 Dr. Robert D. Thomas 150 Guinn St. Savannah, TN 38372 Ms. Mary Ellen Vaughn 1100 Liberty St. Knoxville, TN 37919 Phone: 865.546.5567 ext. 131 Dr. Nancy Johnson Williams 8669 Grove Row Dr. Germantown, TN 38139 Ms. Marylou Wilson 724 Mize Road Seymour, TN 37865 Phone: 865.938.8148 Dr. J. Michael Law 231 W. Old Hickory Blvd. Madison, TN 37115 Dr. Darren R. Williams 1100 North Poplar View Lane, #1 Collierville, TN 38017 Phone: 901.854.4422

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Dr. Marjorie A. Woods UT College of Dentistry 875 Union Ave. Memphis, TN 38163 Phone: 901.448.6217 FAX: 901.448.1625 [email protected]

TEXAS

Texas Dental Association 1946 South IH.35, Suite 400 Austin, TX 78704 Phone: 512.443.3675 FAX: 512.443.3031 E-mail: [email protected] Web: www.tda.org TEXAS DENTAL PEER ASSISTANCE PROGRAM Staff Contact Holly Johnston Phone: 512.836.8350 [email protected]

Contact Person Dr. James Hill, chair 8535 Ferndale Rd., Ste. 14 Dallas, TX 75238 Phone: 214.348.2320 FAX: 214.340.0664

UTAH

Utah Dental Association 1151 E. 3900 S., Ste. 160 Salt Lake City, UT 84124 Phone: 801.261.5315 FAX: 801.261.1235 E-mail: [email protected] Web: www.uda.org UTAH CONCERNED DENTISTS Staff Contact Monte Thompson Contact Person Dr. William D. Burns, chair 279 E. 5900 S. #200 Murray, UT 84107 Phone: 801.293.1234 Home: 801.523.0064

Committee Member Dr. G. Allen Hibler 1480 S. Orchard Dr. Bountiful, UT 84054 Phone: 801.295.5865 Home: 801.295.7360 [email protected]

VERMONT

Vermont State Dental Society 100 Dorset St., Ste. 18 South Burlington, VT 05403 Phone: 802.864.0115 FAX: 802.864.0116 E-mail: [email protected] Web: www.vsds.org Staff Contact Mr. Peter Taylor 800.640.5099

VIRGINIA Virginia Dental Association 7525 Staples Mill Road Richmond, VA 23228 Phone: 804.261.1610 FAX: 804.261.1660 E-mail: [email protected] Web: www.vadental.org VDA CARING DENTISTS COMMITTEE Hot Line: 800.552.3886, or: 804.358.4927 FAX: 804.353.7342 VIRGINIA HEALTH PRACTITIONERS’ INTERVENTION PROGRAM Dr. Elinore F. MCCance-Katz, Med. Dir. Dr. Patricia A. Pade, Assoc. Med. Dir. 700 E. Franklin St. Ste. 300 Tower Richmond, VA 23219 Phone: 804.828.1551 FAX: 804.828.5386 [email protected] Contact Person Dr. Harry Simpson, Jr., chair P.O. Box 859 Gloucester, VA 23061 Phone: 804.694.0346 [email protected]

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Committee Members Dr. John M. Bass 212 N. Micklenburg Ave. South Hill, VA 23970 Phone: 434.447.8326 [email protected] Dr. Mark D. Clemons 301 W. Grayson St. Galax, VA 24333 Phone: 540.895.8261 [email protected] Dr. Kenneth M. Haggerty 4500 Old Dominion Dr. Arlington, VA 22207 Phone: 703.241.3953 or 527.6495 FAX: 703.536.8648 Dr. Gordon Prior 96 West Square Dr. Richmond, VA 23233 Phone: 804.784.1978 FAX: 804.784.4746 [email protected] Dr. Victor S. Skaff, Jr. P.O. Box 428 Vinton, VA 24179 Phone: 540.342.4945 FAX: 540.774.1053 [email protected] Dr. Thomas M. Starkey 108 Whitewood Rd., Ste. 1 Charlottesville, VA 22901 Phone: 434.973.2224 FAX: 434.296.8128 [email protected] Dr. Allen S. Zeno 7316 Granby St. Norfolk, VA 23505 Phone: 757.583.4579 FAX: 757.440.9400

WASHINGTON Washington State Dental Association 1001 Fourth Ave., Suite 3800 Seattle, WA 98154 Phone: 206.448.1914 FAX: 206.443.9266 E-mail : [email protected] Web : www.wsda.org

WEST VIRGINIA

West Virginia Dental Association 2016 ½ Kanawha Blvd. E. Charleston, WV, 25311-2204 Phone: 304.344.5246 FAX: 304.344.5316 E-mail: [email protected] Web: www.wvdental.org CONCERNED DENTIST COMMITTEE Hot Line: 304.344.5246 Contact Person Dr. Bert A. Jones P.O. Box 291 Eleanor, WV 25070 Phone: 304.586.4233

WISCONSIN

Wisconsin Dental Association 6737 W. Washington St. Suite 2360 West Allis, WI 53214 Phone: 800.364.7646 or 414.276.4520 FAX: 414.276.8431 E-mail : [email protected] Web : www.wda.org DENTISTS CONCERNED FOR DENTISTS AD HOC COMMITTEE OF THE WDA Hot Line: 800.364.7646

Staff Contact

Ms. Lani Becker [email protected]

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Committee Members Dr Kenneth A. Yarnell, chair 5709 Odana Rd. Madison, WI 53719 Phone: 608.274.5970 Dr. Thomas J. Honl, vice chair 520 Vincent St. #A Stevens Point, WI 54481 Phone: 715.341.5000 [email protected] Dr. Nancy Barton 2600 N. Mayfair Rd.,#340 Wauwatosa, WI 53226 Phone: 414.259.0660 FAX: 414.259.0819 [email protected] Dr. Robert Cline 2414 Kohler Memorial Dr. Sheboygan, WI 53081 Phone: 920.457.4461 Dr. William Franta 9001 N. 76th St. Milwaukee, WI 53223 Phone: 414.354.3990 [email protected] Dr. Douglas Gothier 3022 Woods Edge Way. Fitchburg, WI 53711-5523 Phone: 608.271.3061 Dr. Ell Lee 2361 Lost Dauphin Rd. De Pere, WI 54115 Phone: 920.468.3400 Dr. Susan Lee P. O. Box 558 Baraboo, WI 53913 Phone: 608.356.3124

Dr. James Markenson 7725 N. Port Washington Rd. Glendale, WI 53217-3193 Phone: 414.351.6300 Dr. Elise Sampson 2600 E. Edgewood Ave. Shorewood, WI 53211-2942 Phone: 414.288.6791

WYOMING

Wyoming Dental Association 1637 S Spruce St. Casper, WY 82601-4155 Phone: 307.237.1186 FAX: 307.237.1187 E-mail: [email protected] Web: www.wyda.org WYOMING PROF. ASSIST. PROGRAM Staff Contact Ms. Diane O’Keefe, Exec. Dir. Dr. James Landers, chair 956 12th St. Cody, WY 82414 Phone: 307.587.5588 FAX: 307.507.7123 [email protected]