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Academy of General Dentistry 560 W. Lake St., Sixth Floor Chicago, Illinois 60661-6600 (888) AGD-DENT Fax: (312) 335-3432 Continuing Dental Education Transcript Member # 183800 Student Member Since: ChauLong T. Nguyen, DDS, MAGD 724 Oak Grove Ave Ste 120 Menlo Park, CA 94025-4362 Active Member Since: 05/01/2000 Active CE Start Date: 05/01/2000 Status: MAGD Passed Exam: 08/19/2002 Current LLSR Start Date: 01/01/2010 PostGrad Work: 1 year Residency Subject / Discipline Date of Activity Program ID# Provider Organization Name Code Description Delivery Mode Verify Code Approved Hours Maint Hrs. 02/14/2001 214208 University of California - San Francisco 142 Emergency Training/CPR Participation 2.00 2.00 03/17/2001 214208 University of California - San Francisco 314 Trauma Management Participation 7.00 7.00 05/12/2001 214208 University of California - San Francisco 250 Operative Dentistry Lecture 7.00 7.00 06/02/2001 214208 University of California - San Francisco 490 Periodontics Lecture 7.00 7.00 06/25/2001 214215 University of the Pacific Arthur A. Dugo 780 Esthetics/Cosmetic Dentistry Lecture VOF 7.00 7.00 06/25/2001 214215 University of the Pacific Arthur A. Dugo 016 Pharmacotherapeutics (Basic Science) Lecture VOF 7.00 7.00 10/06/2001 214208 University of California - San Francisco 250 Operative Dentistry Participation 7.00 7.00 10/13/2001 214208 University of California - San Francisco 016 Pharmacotherapeutics Lecture 7.00 7.00 Accelerated

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Academy of General Dentistry560 W. Lake St., Sixth FloorChicago, Illinois 60661-6600

(888) AGD-DENT Fax: (312) 335-3432Continuing Dental Education Transcript

Member # 183800 Student Member Since:

ChauLong T. Nguyen, DDS, MAGD724 Oak Grove Ave Ste 120Menlo Park, CA 94025-4362

Active Member Since: 05/01/2000Active CE Start Date: 05/01/2000Status: MAGDPassed Exam: 08/19/2002Current LLSR Start Date: 01/01/2010

PostGrad Work: 1 year Residency

Subject / Discipline

Date ofActivity

ProgramID#

ProviderOrganizationName

Code Description DeliveryMode

VerifyCode

ApprovedHours

MaintHrs.

02/14/2001 214208

University ofCalifornia -SanFrancisco

142 Emergency Training/CPR Participation 2.00 2.00

03/17/2001 214208

University ofCalifornia -SanFrancisco

314 Trauma Management Participation 7.00 7.00

05/12/2001 214208

University ofCalifornia -SanFrancisco

250 Operative Dentistry Lecture 7.00 7.00

06/02/2001 214208

University ofCalifornia -SanFrancisco

490 Periodontics Lecture 7.00 7.00

06/25/2001 214215

University ofthe PacificArthur A.Dugo

780 Esthetics/CosmeticDentistry Lecture VOF 7.00 7.00

06/25/2001 214215

University ofthe PacificArthur A.Dugo

016 Pharmacotherapeutics(Basic Science) Lecture VOF 7.00 7.00

10/06/2001 214208

University ofCalifornia -SanFrancisco

250 Operative Dentistry Participation 7.00 7.00

10/13/2001 214208

University ofCalifornia -SanFrancisco

016 Pharmacotherapeutics Lecture 7.00 7.00

Accelerated

10/20/2001 217597 DentalLearning Ctr

070 Endodontics Lecture 6.00 6.00

10/20/2001 210297 Schoeffel, GJohn 070 Endodontics Participation .00 P 6.00

11/11/2001 219029

SeattleInstitute forAdvancedDental Ed

780 Esthetics Participation 16.00 16.00

12/04/2001 214208

University ofCalifornia -SanFrancisco

310 Oral and MaxillofacialSurgery Participation 2.00 2.00

01/30/2002 219029

SeattleInstitute forAdvancedDental Ed

180 Myofascial PainDysfunction/Occlusion Participation 16.00 16.00

02/06/2002 211030MedicoDentalStudy Guild

690 Implants Participation .00 P 2.00

03/15/2002 214215

University ofthe PacificSchool ofDent

780 Esthetics Participation 3.00 3.00

03/16/2002 214215

University ofthe PacificSchool ofDent

555 Dental Jurisprudence Lecture 2.00 2.00

04/11/2002 219029

SpearInstitute(formerlySeattle Instit

735 Treatment Planning/OralMedicine, Diagnosis, Patho Participation 4.00 4.00

04/11/2002 219029

SeattleInstitute forAdvancedDental Ed

670 Prosthodontics-Removable Participation 4.00 4.00

04/11/2002 219029

SeattleInstitute forAdvancedDental Ed

690 Implants Participation 8.00 8.00

04/26/2002 105601LaresResearch,Inc.

135 Laser Therapy /Electosurgery Lecture .00 P 7.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

612 Ceramic Restorations Lecture 1.00 1.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

780 Esthetics Lecture 2.00 2.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

253 Tooth-ColoredRestorations Lecture 2.00 2.00

LouisianaState

06/21/2002 214224 UniversitySchool ofDen

490 Periodontics Lecture 1.00 1.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

183 Occlusal Management Lecture 1.00 1.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

612 Ceramic Restorations Lecture 2.00 2.00

06/21/2002 214224

LouisianaStateUniversitySchool ofDen

780 Esthetics Lecture 1.00 1.00

06/22/2002 214224

LouisianaStateUniversitySchool ofDen

612 Ceramic Restorations Lecture 2.00 2.00

06/22/2002 214224

LouisianaStateUniversitySchool ofDen

780 Esthetics Lecture 2.00 2.00

06/22/2002 214224

LouisianaStateUniversitySchool ofDen

612 Ceramic Restorations Lecture 2.00 2.00

06/22/2002 214224

LouisianaStateUniversitySchool ofDen

780 Esthetics Lecture 2.00 2.00

06/28/2002 218678PattersonDentalSupply, Inc.

612 Ceramic Restorations Participation 14.00 14.00

06/30/2002 214208

University ofCalifornia -SanFrancisco

820 Post Grad Education One yearPostgrad 250.00 250.00

08/26/2002 216217Academy ofGeneralDentistry

855 FAGD Exam Study Guide FAGD StudyGuide 25.00 25.00

10/11/2002 209187Academy ofLDSDentistry

135 Laser Therapy /Electosurgery Participation 4.00 4.00

11/21/2002 218787CAESY, APattersonCompany

550 Practice Management Lecture 2.00 2.00

12/06/2002 219029

SeattleInstitute forAdvancedDental Ed

017 Dental Materials Lecture 8.00 8.00

Seattle

12/07/2002 219029 Institute forAdvancedDental Ed

017 Dental Materials Lecture 16.00 16.00

03/14/2003 215013ImplantStudy Groupof NY

780 Esthetics Participation 3.00 3.00

03/15/2003 218984 Fishbein,Myron 612 Ceramic Restorations Participation .00 P 6.00

06/20/2003 216561 CRAFoundation 550 Practice Management Participation 6.00 6.00

06/20/2003 216561 CRAFoundation 017 Dental Materials Lecture 6.00 6.00

06/20/2003 216561 CRAFoundation 148 Infection Control Lecture 1.00 1.00

09/08/2003 216555MidwestImplantInstitute

250 Operative Dentistry Participation .00 P 14.00

09/25/2003 212130

MidPeninsulaDentalSociety

142 Emergency Training/CPR Participation 3.00 3.00

10/16/2003 212130

MidPeninsulaDentalSociety

691 Surgical Phase Therapy Participation 2.00 2.00

12/04/2003 214190

New YorkUniversityCollege ofDentistry

370 Orthodontics Participation 7.00 7.00

12/05/2003 214190

New YorkUniversityCollege ofDentistry

370 Orthodontics Participation 6.00 6.00

01/16/2004 212130

MidPeninsulaDentalSociety

148 Infection Control Participation 4.00 4.00

03/12/2004 214215

University ofthe PacificSchool ofDent

148 Infection Control Participation 6.00 6.00

03/12/2004 214215

University ofthe PacificSchool ofDent

144 Table Clinics Lecture 2.00 2.00

04/01/2004 214190

New YorkUniversityCollege ofDentistry

370 Orthodontics Participation 8.00 8.00

04/08/2004 213054StanfordUniversity-CA

738 Communicating CasePresentations Participation .00 P 2.00

05/11/2004 214190

New YorkUniversityCollege ofDentistry

370 Orthodontics Participation 4.00 4.00

05/21/2004 218486 Pro-Dentec 495 Non-Surgical TherapeuticManagement Lecture 6.00 6.00

08/12/2004 90519 142 Emergency Training/CPR Lecture .00 U 8.00

09/01/2004 214209

University ofTexas MDAndersonMedical

142 Emergency Training/CPR Lecture 7.00 7.00

09/12/2004 219258NevadaDentalAssociation

250 Operative Dentistry Lecture 14.00 14.00

01/12/2005 212505

GrantCountyDentalSociety-WA

016 Pharmacotherapeutics Participation003.0-2125-05006

.00 P 3.00

01/21/2005 214215

University ofthe PacificSchool ofDent

016 Pharmacotherapeutics Lecture 3.00 3.00

01/21/2005 214215

University ofthe PacificSchool ofDent

010 Basic Science Lecture 2.00 2.00

03/04/2005 208722 PerioInstitute, Inc. 490 Periodontics Participation 8.00 8.00

05/21/2005 208258

Academy ofDentalTherapeuticsand Stoma

130 Electives SelfInstruction 4.00 4.00

06/24/2005 214239 UnknownProvider 370 Orthodontics Lecture .00 P 1.00

07/15/2005 216217Academy ofGeneralDentistry

737 Physical Evaluation Lecture 139 3.00 3.00

08/12/2005 218784MedicalProtectiveCompany

555 Dental Jurisprudence Lecture 8.00 8.00

08/31/2005 219234CaliforniaDentalAssociation

142 Emergency Training/CPR Lecture 7.00 7.00

09/23/2005 209120DentalEducationLaboratory

074 Non-Surgical Endodontics Participation 16.00 16.00

10/13/2005 212483PeninsulaDentalSociety

142 Emergency Training/CPR Participation 3.00 3.00

10/26/2005 208521PracticalClinicalCourses

690 Implants SelfInstruction 2.00 2.00

10/26/2005 208521PracticalClinicalCourses

690 Implants SelfInstruction 1.00 1.00

11/05/2005 214215

University ofthe PacificSchool ofDent

250 Operative Dentistry Lecture 7.00 7.00

11/10/2005 212483PeninsulaDentalSociety

130 Electives Lecture 2.00 2.00

03/11/2006 218678PattersonDentalSupply, Inc.

250 Operative Dentistry Lecture 6.00 6.00

03/12/2006 208258Academy ofDentalTherapeuticsand Stoma

311 Exodontia SelfInstruction vof 4.00 4.00

03/29/2006 307455 RedwoodsGroup 750 Special Patient Care Lecture vof 3.00 3.00

04/23/2006 217959

DentalImplantTrainingCenter

690 Implants Participation vof 12.00 12.00

05/06/2006 214215

University ofthe PacificSchool ofDent

430 Pediatric Dentistry Lecture vof 7.00 7.00

05/22/2006 214239The DentalComplianceGroup

563 California Dental PracticeAct Lecture vof .00 P 4.00

07/21/2006 218766GenevaDentalInstitute

671 Complete Dentures Participation 570 16.00 16.00

09/15/2006 219234

CaliforniaDentalAssociation(CDA)

180 Myofascial PainDysfunction/Occlusion Lecture VOF 2.50 2.50

09/15/2006 219234

CaliforniaDentalAssociation(CDA)

490 Periodontics Lecture VOF 2.50 2.50

09/16/2006 219234CaliforniaDentalAssociation

780 Esthetics Lecture VOF 5.00 5.00

10/05/2006 214226

University ofColoradoSchool ofDentist

610 Prosthodontics - Fixed SelfInstruction 1.50 1.50

10/05/2006 214226

University ofColoradoSchool ofDentist

550 Practice Management SelfInstruction .50 .50

10/07/2006 214215

University ofthe PacificSchool ofDent

780 Esthetics Participation 5.00 5.00

10/28/2006 300131 IDEA 490 Periodontics Participation vof 32.00 32.00

11/04/2006 208731 NobelBiocare 691 Surgical Phase Therapy Participation VOF 7.00 7.00

11/04/2006 208731 NobelBiocare 692 Reconstructive Phase

Therapy Participation VOF 7.00 7.00

11/16/2006 210303 StraumannUSA 690 Implants Participation 7.00 7.00

01/05/2007 208258

Academy ofDentalTherapeuticsand Stoma

780 Esthetics SelfInstruction vof 4.00 4.00

01/17/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 184 2.00 2.00

01/20/2007 219290AGD-California 492 Soft Tissue Surgery Participation

08-2279-07001 8.00 8.00

01/21/2007 219290 AGD-California 780 Esthetics Lecture 08-2279-

07002 8.00 8.00

02/02/2007 311934 PESI, LLC 555 Dental Jurisprudence Lecture vof 6.00 6.00

03/24/2007 214206

TuftsUniversitySchool ofDentalMedici

610 Prosthodontics - Fixed SelfInstruction vof 2.00 2.00

03/27/2007 214231

University ofTexas HealthScienceCente

671 Complete Dentures SelfInstruction 90% 2.00 2.00

03/27/2007 216217Academy ofGeneralDentistry

132 Anesthesia and PainControl

SelfInstruction 188 2.00 2.00

03/27/2007 216217Academy ofGeneralDentistry

250 Operative Dentistry SelfInstruction 189 2.00 2.00

03/27/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 190 2.00 2.00

03/28/2007 214231

University ofTexas HealthScienceCente

671 Complete Dentures SelfInstruction 86% 5.50 Y 5.50

03/28/2007 214231

University ofTexas HealthScienceCente

671 Complete Dentures SelfInstruction 83.3% 4.00 4.00

03/31/2007 214204

Loma LindaUniversityDentalSchool

180 Myofascial PainDysfunction/Occlusion

SelfInstruction vof 1.00 1.00

03/31/2007 214204

Loma LindaUniversityDentalSchool

610 Prosthodontics - Fixed SelfInstruction VOF 1.00 1.00

03/31/2007 304492

Loma LindaUniversitySchool ofDentistr

130 Electives SelfInstruction VOF .00 P 1.00

04/14/2007 214215

University ofthe PacificSchool ofDent

690 Implants Participation VOF 7.00 7.00

04/20/2007 211277MassadLearningCenter

671 Complete Dentures Participation vof 16.00 16.00

04/20/2007 211277MassadLearningCenter

671 Complete Dentures Lecture vof 4.00 4.00

04/28/2007 214208

University ofCalifornia -SanFrancisco

754 Dentistry for the MedicallyCompromised Lecture VOF 7.00 7.00

06/02/2007 308173KOIS Center(FormerlyCRE, Inc.)

183 Occlusal Management Lecture 183 22.00 22.00

06/02/2007 308173 KOIS Center(FormerlyCRE, Inc.)

183 Occlusal Management Participation 183 5.00 5.00

06/22/2007 218766GenevaDentalInstitute

671 Complete Dentures Participation VOF 670 8.00 8.00

06/22/2007 218766GenevaDentalInstitute

672 Partial Dentures Participation VOF 670 8.00 8.00

07/02/2007 216217Academy ofGeneralDentistry

752 Geriatric Dentistry SelfInstruction 191/80 2.00 2.00

07/02/2007 216217Academy ofGeneralDentistry

672 Partial Dentures SelfInstruction 192/80 2.00 2.00

07/02/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 193/80 2.00 2.00

07/19/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction vof 1.00 1.00

07/20/2007 216720 GC America,Inc. 258 Caries Prevention Self

Instruction vof 1.00 1.00

07/20/2007 216720 GC America,Inc. 258 Caries Prevention Self

Instruction vof 1.00 Y 1.00

07/20/2007 216720 GC America,Inc. 258 Caries Prevention Self

Instruction vof 1.00 Y 1.00

07/20/2007 216720 GC America,Inc. 780 Esthetics Self

Instruction vof 1.00 1.00

07/29/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 195/80 2.00 2.00

07/30/2007 216217Academy ofGeneralDentistry

017 Dental Materials SelfInstruction 196/80 2.00 2.00

07/30/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 194/80 2.00 2.00

08/01/2007 216720 GC America,Inc. 258 Caries Prevention Self

Instruction VOF SS05 1.00 Y 1.00

08/01/2007 216720 GC America,Inc. 258 Caries Prevention Self

Instruction VOF SS09 1.00 Y 1.00

08/04/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction

VOFMC011 1.00 Y 1.00

08/04/2007 216720 GC America,Inc. 312 Orthognathic Surgery Self

Instruction vof 1.00 1.00

08/04/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction

VOFMC010 1.00 1.00

08/07/2007 214239 GregorySawyer 258 Caries Prevention Participation vof .00 P 7.00

09/05/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction vof 1.00 1.00

09/05/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction vof 1.00 Y 1.00

09/05/2007 216720 GC America,Inc. 434 Management of Child

PatientSelfInstruction vof 1.00 Y 1.00

MidPeninsula

09/10/2007 212130 DentalSociety

142 Emergency Training/CPR Participation VOF .00 P 3.00

09/14/2007 208521PracticalClinicalCourses

183 Occlusal Management Participation VOF 15.00 15.00

09/22/2007 214215

University ofthe PacificSchool ofDent

074 Non-Surgical Endodontics Participation vof 14.00 14.00

09/26/2007 305919LaresResearch,Inc.

135 Laser Therapy /Electosurgery Lecture VOF .00 P 7.00

09/27/2007 214267

AmericanDentalAssociation(ADA)

154 Sports Dentistry Lecture 5345 2.50 2.50

09/28/2007 214267

AmericanDentalAssociation(ADA)

550 Practice Management Lecture 6331 2.50 2.50

09/28/2007 214267

AmericanDentalAssociation(ADA)

690 Implants Lecture 6104 2.50 2.50

09/29/2007 214267

AmericanDentalAssociation(ADA)

430 Pediatric Dentistry Lecture 7330 2.50 2.50

09/29/2007 214267

AmericanDentalAssociation(ADA)

310 Oral and MaxillofacialSurgery Participation 7204 2.50 2.50

09/30/2007 214267

AmericanDentalAssociation(ADA)

780 Esthetics Participation 8202 2.50 2.50

10/26/2007 212130

MidPeninsulaDentalSociety

253 Tooth-ColoredRestorations Participation VOF .00 P 7.00

11/01/2007 216217Academy ofGeneralDentistry

739 Oral Pathology SelfInstruction 198/80 2.00 2.00

11/01/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 199/80 2.00 2.00

11/01/2007 216217Academy ofGeneralDentistry

070 Endodontics SelfInstruction 197/80 2.00 2.00

11/14/2007 219029

SeattleInstitute forAdvancedDental Ed

250 Operative Dentistry Participation VOF 12.00 12.00

11/14/2007 219029

SeattleInstitute forAdvancedDental Ed

250 Operative Dentistry Lecture VOF 12.00 12.00

Academy of

11/19/2007 216217 GeneralDentistry

750 Special Patient Care SelfInstruction

100% 2.00 2.00

11/19/2007 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 87% 2.00 2.00

12/08/2007 210303 StraumannUSA, Inc. 315 Pre-Prosthetic Surgery Participation VOF 10.00 10.00

02/05/2008 216217Academy ofGeneralDentistry

730 Oral Medicine, OralDiagnosis

SelfInstruction 100% 2.00 2.00

02/23/2008 208731 NobelBiocare 691 Surgical Phase Therapy Participation VOF 3.50 3.50

02/23/2008 208731 NobelBiocare 692 Reconstructive Phase

Therapy Participation VOF 3.50 3.50

02/25/2008 216217Academy ofGeneralDentistry

017 Dental Materials SelfInstruction 80% 2.00 2.00

02/25/2008 216217Academy ofGeneralDentistry

310 Oral and MaxillofacialSurgery

SelfInstruction 87% 2.00 2.00

02/29/2008 214215

University ofthe PacificSchool ofDent

130 Electives Lecture VOF 2.00 2.00

02/29/2008 214215

University ofthe PacificSchool ofDent

735 Treatment Planning Lecture VOF 3.00 3.00

03/01/2008 214215

University ofthe PacificSchool ofDent

555 Dental Jurisprudence Lecture VOF 2.00 2.00

03/01/2008 214215

University ofthe PacificSchool ofDent

148 Infection Control Lecture VOF 2.00 2.00

03/08/2008 214193

University ofSouthernCalifornia -USC

780 Esthetics/CosmeticDentistry Lecture vof 7.00 7.00

03/14/2008 214193

University ofSouthernCalifornia -USC

610 Prosthodontics - Fixed Lecture vof 7.00 7.00

03/15/2008 214193

University ofSouthernCalifornia -USC

780 Esthetics/CosmeticDentistry Participation vof 7.00 7.00

03/29/2008 214193

University ofSouthernCalifornia -USC

315 Pre-Prosthetic Surgery Participation VOF 8.00 8.00

03/30/2008 214193

University ofSouthernCalifornia -USC

315 Pre-Prosthetic Surgery Participation VOF 7.00 7.00

PracticalClinical

04/04/2008 208521 Courses-Gordon J.Chr

253 Porcelain Veneers Participation VOF 15.00 15.00

05/07/2008 217999

HenrySpenadelContinuingEd Programof

070 Endodontics Participation VOF 6.50 6.50

05/17/2008 214215

University ofthe PacificSchool ofDent

010 Basic Science Participation VOF 7.00 7.00

05/17/2008 214215

University ofthe PacificSchool ofDent

012 Anatomy Lecture vof 7.00 7.00

05/30/2008 216217Academy ofGeneralDentistry

780 Esthetics SelfInstruction 212 2.00 2.00

05/30/2008 216217Academy ofGeneralDentistry

016 Pharmacotherapeutics SelfInstruction 213 2.00 2.00

05/30/2008 216217Academy ofGeneralDentistry

017 Dental Materials SelfInstruction 214 2.00 2.00

05/30/2008 216217Academy ofGeneralDentistry

670 Prosthodontics-Removable SelfInstruction 215 2.00 2.00

06/14/2008 214193

University ofSouthernCalifornia -USC

612 Ceramic Restorations Lecture vof 14.00 14.00

06/29/2008 214193

University ofSouthernCalifornia -USC

612 Ceramic Restorations Participation vof 20.00 20.00

09/12/2008 219234

CaliforniaDentalAssociation(CADA)

016 Pharmacotherapeutics Lecture VOF 2.50 2.50

09/12/2008 219234

CaliforniaDentalAssociation(CADA)

153 Psychosocial, Anxiety &Fear in Dentistry Lecture vof 2.50 2.50

09/13/2008 219234

CaliforniaDentalAssociation(CADA)

149 Multi-Disciplinary Topics Lecture VOF 2.50 2.50

11/05/2008 217999

HenrySpenadelContinuingEd Programof

310 Oral and MaxillofacialSurgery Participation VOF-

J1105 6.50 6.50

11/08/2008 209120DentalEducationLaboratories

074 Non-Surgical Endodontics Participation VOF 8.00 8.00

11/08/2008 209120DentalEducationLaboratories

074 Non-Surgical Endodontics Lecture VOF 2.00 2.00

11/10/2008 216217Academy ofGeneralDentistry

735 Treatment Planning SelfInstruction DART/219 2.00 2.00

11/10/2008 216217Academy ofGeneralDentistry

610 Prosthodontics - Fixed SelfInstruction DART/220 2.00 2.00

11/10/2008 216217Academy ofGeneralDentistry

070 Endodontics SelfInstruction DART/221 2.00 2.00

03/15/2009 214193

University ofSouthernCalifornia -USC

153 Psychosocial, Anxiety &Fear in Dentistry Participation 7.00 7.00

03/15/2009 214193

University ofSouthernCalifornia -USC

153 Psychosocial, Anxiety &Fear in Dentistry Lecture 7.00 7.00

03/20/2009 214215

University ofthe PacificSchool ofDent

130 Electives Lecture 2.00 2.00

03/21/2009 214215

University ofthe PacificSchool ofDent

563 California Dental PracticeAct Lecture 2.00 2.00

03/21/2009 214215

University ofthe PacificSchool ofDent

148 Infectious Disease Lecture 2.00 2.00

04/08/2009 216217Academy ofGeneralDentistry

017 Dental Materials SelfInstruction DART/228 .00 .00

04/08/2009 216217Academy ofGeneralDentistry

731 Digital Radiology SelfInstruction DART/229 2.00 2.00

04/08/2009 216217Academy ofGeneralDentistry

250 Operative (Restorative)Dentistry

SelfInstruction DART/230 2.00 2.00

05/18/2009 214193

University ofSouthernCalifornia -USC

737 Physical Evaluation Lecture 7.00 7.00

05/22/2009 214685

AmericanAcademy ofPediatricDentistry

434 Management of ChildPatient Participation 7.75 7.75

05/23/2009 214685

AmericanAcademy ofPediatricDentistry

435 SpaceManagement/Appliances Lecture 5.00 5.00

06/13/2009 214215

University ofthe PacificSchool ofDent

731 Digital Radiology Participation VOF 8.00 8.00

07/16/2009 218678 PattersonDental 731 Digital Radiology Lecture VOF 2.00 2.00

07/19/2009 214215

University ofthe PacificSchool of 751

Hospital Dentistry (SpecialPatient Care) Lecture VOF 13.50 13.50

Dent

07/29/2009 217999

HenrySpenadelContinuingEd Programof

256 Porcelain Fused to MetalRestorations Lecture VOF 6.50 6.50

08/25/2009 214239 UnknownProvider 142

Medical EmergencyTraining and CPR(Electives)

Participation 03-2113-7029 .00 P 3.00

09/11/2009 214215

University ofthe PacificSchool ofDent

751 Hospital Dentistry (SpecialPatient Care) Lecture VOF 7.00 7.00

09/13/2009 219234

CaliforniaDentalAssociation(CADA)

430 Pediatric Dentistry Participation 3.5-2186-09636 3.50 3.50

09/25/2009 217044

AmericanHeartAssociation(AHA)

142Medical EmergencyTraining and CPR(Electives)

Participation VOF 3.00 3.00

10/01/2009 214267

AmericanDentalAssociation(ADA)

430 Pediatric Dentistry Participation 2.5-2478-09223-A 2.50 2.50

10/01/2009 214267

AmericanDentalAssociation(ADA)

770 Self-Improvement Lecture 9399 1.00 1.00

10/01/2009 214267

AmericanDentalAssociation(ADA)

433 Behavior Management(Pediatric Dentistry) Lecture 2.5-2478-

09210-A 2.50 2.50

10/02/2009 214267

AmericanDentalAssociation(ADA)

736 Cancer Screening (OralMedicine, Diagnosis, Path) Lecture 2.5-2478-

09319-A 2.50 2.50

10/03/2009 214267

AmericanDentalAssociation(ADA)

740 Biopsy/Excision of OralLesions/Oral Med, Diag, Pa Participation 2.5-2478-

09417-A 2.50 2.50

10/23/2009 214215

University ofthe PacificSchool ofDent

751 Hospital Dentistry (SpecialPatient Care) Lecture VOF 7.00 7.00

10/29/2009 214215

University ofthe PacificSchool ofDent

751 Hospital Dentistry (SpecialPatient Care) Lecture VOF 7.00 7.00

10/29/2009 214215

University ofthe PacificSchool ofDent

751 Hospital Dentistry (SpecialPatient Care) Participation VOF 21.00 21.00

11/05/2009 212130

MidPeninsulaDentalSociety

148 Infectious Disease(Electives) Lecture VOF .00 P 3.00

University ofCalifornia - Dental Materials (Basic

11/14/2009 214208 SanFrancisco

017 Science) Participation 0155 14.00 14.00

12/04/2009 214193

University ofSouthernCalifornia -USC

734 Clinical Diagnosis/OralMedicine, Diagnosis, Patho Lecture 07-2294-

09141 3.50 3.50

12/04/2009 214193

University ofSouthernCalifornia -USC

735 Treatment Planning/OralMedicine, Diagnosis, Patho Lecture 07-2294-

09141 3.50 3.50

03/11/2010 218678 PattersonDental 562 Digital/Video Imaging

(Practice Management) Lecture VOF 3.00 3.00

03/12/2010 214215

University ofthe PacificSchool ofDent

250 Operative (Restorative)Dentistry Lecture VOF 3.00 3.00

03/13/2010 214215

University ofthe PacificSchool ofDent

563 California Dental PracticeAct/Practice Management Lecture VOF 2.00 2.00

03/13/2010 214215

University ofthe PacificSchool ofDent

148 Infectious Disease(Electives) Lecture VOF 2.00 2.00

03/13/2010 214215

University ofthe PacificSchool ofDent

144 Table Clinics (Electives) Lecture VOF 2.00 2.00

03/27/2010 214215

University ofthe PacificSchool ofDent

070 Endodontics Lecture VOF 12.00 12.00

04/08/2010 304696

University ofSydneyDentistryLibrary

013 Microbiology (BasicScience) Lecture VOF .00 P 8.00

06/18/2010 217999

HenrySpenadelContinuingEd Programof

492 Soft Tissue Surgery(Periodontics) Participation VOF 6.50 6.50

07/09/2010 216217Academy ofGeneralDentistry

615Computerdesigned/fabricatedcrowns (Prosth/Fixed)

Participation VOF 3.00 3.00

07/09/2010 216217Academy ofGeneralDentistry

615Computerdesigned/fabricatedcrowns (Prosth/Fixed)

Lecture VOF 3.00 3.00

07/12/2010 316714 ImplantDirect LLC 690 Implants Lecture VOF 8.00 8.00

07/24/2010 214208

University ofCalifornia -SanFrancisco

149 Multi-Disciplinary Topics(Electives) Lecture VOF 7.00 7.00

01/21/2011 219241

HawaiiDentalAssociation(HIDA)

430 Pediatric Dentistry Lecture VOF 6.00 6.00

Hawaii

01/21/2011 219241 DentalAssociation(HIDA)

770 Self-Improvement Lecture VOF 1.00 1.00

03/04/2011 214215

University ofthe PacificArthur A.Dugo

070 Endodontics Lecture VOF 3.00 3.00

03/04/2011 214215

University ofthe PacificArthur A.Dugo

070 Endodontics Lecture VOF 3.00 3.00

03/05/2011 214215

University ofthe PacificArthur A.Dugo

130 Electives Lecture VOF 2.00 2.00

03/18/2011 218766

CandulorUSA(formallyGenevaDental Ins

670 Prosthodontics/Removable Lecture 670 8.00 8.00

03/18/2011 218766

CandulorUSA(formallyGenevaDental Ins

670 Prosthodontics/Removable Participation 670 8.00 8.00

06/25/2011 214215

University ofthe PacificArthur A.Dugo

016 Pharmacotherapeutics(Basic Science) Lecture VOF 7.00 7.00

06/25/2011 214215

University ofthe PacificArthur A.Dugo

780 Esthetics/CosmeticDentistry Lecture VOF 7.00 7.00

09/14/2011 212130

MidPeninsulaDentalSociety

142Medical EmergencyTraining and CPR(Electives)

Participation 3.0-2207-11012 .00 P 3.00

09/23/2011 219234

CaliforniaDentalAssociation(CADA)

550 Practice Management andHuman Relations Lecture 3.0-2186-

11745 3.00 3.00

09/23/2011 219234

CaliforniaDentalAssociation(CADA)

563 California Dental PracticeAct/Practice Management Lecture 2.0-2186-

11602 2.00 2.00

10/28/2011 208218DentsplyInternationalInc

070 Endodontics Participation VOF 7.00 7.00

12/16/2011 217999

HenrySpenadelContinuingEd Programof

736 Cancer Screening (OralMedicine, Diagnosis, Path) Lecture 730 2.00 2.00

02/16/2012 208519 KerrCorporation 255

Posterior CompositeRestorations (OperativeDent)

Lecture VOF 2.00 2.00

02/24/2012 214208University ofCalifornia atSan Francisc

149 Multi-Disciplinary Topics(Electives) Lecture VOF 20.00 20.00

03/03/2012 219198 AGDChapter-Northern CA

780 Esthetics/CosmeticDentistry

Participation 06-2279-12007

6.00 6.00

03/23/2012 212130

MidPeninsulaDentalSociety

780 Esthetics/CosmeticDentistry Lecture VOF 3.50 3.50

03/23/2012 212130

MidPeninsulaDentalSociety

690 Implants Lecture VOF 3.50 3.50

04/27/2012 218448Special CareDentistryAssociation

562 Digital/Video Imaging(Practice Management) Lecture VOF 1.50 1.50

04/27/2012 218448Special CareDentistryAssociation

149 Multi-Disciplinary Topics(Electives) Lecture VOF 1.00 1.00

04/28/2012 218448Special CareDentistryAssociation

752 Geriatric Dentistry (SpecialPatient Care) Lecture VOF 1.50 1.50

04/28/2012 218448Special CareDentistryAssociation

730 Oral Medicine, OralDiagnosis, Oral Pathology Lecture VOF 1.00 1.00

04/29/2012 218448Special CareDentistryAssociation

750 Special Patient Care Lecture VOF 1.00 1.00

04/29/2012 218448Special CareDentistryAssociation

750 Special Patient Care Lecture VOF 2.00 2.00

04/29/2012 218448Special CareDentistryAssociation

436 Special Needs Patient Care(Pediatric Dentistry) Lecture VOF 1.25 1.25

04/29/2012 218448Special CareDentistryAssociation

754 Dentistry for the MedicallyCompromised/Sp Pt Care Lecture VOF 1.00 1.00

06/09/2012 214239 Europerio 490 Periodontics Lecture VOF .00 P 17.00

10/20/2012 208731NobelBiocareUSA, LLC

690 Implants Lecture 1923528 13.50 13.50

02/15/2013 214208University ofCalifornia atSan Francisc

550 Practice Management andHuman Relations Lecture VOF 20.00 20.00

02/15/2013 214215

University ofthe PacificArthur A.Dugo

610 Prosthodontics/Fixed Lecture VOF 3.00 3.00

02/15/2013 214215

University ofthe PacificArthur A.Dugo

610 Prosthodontics/Fixed Lecture VOF 8.00 8.00

02/15/2013 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture VOF 6.00 6.00

03/09/2013 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture VOF 2.00 2.00

University of

03/09/2013 214215the PacificArthur A.Dugo

563 California Dental PracticeAct/Practice Management Lecture VOF 2.00 2.00

03/09/2013 214215

University ofthe PacificArthur A.Dugo

144 Table Clinics (Electives) Lecture VOF 2.00 2.00

08/28/2013 214239 UnknownProvider 142

Medical EmergencyTraining and CPR(Electives)

Lecture VOF .00 P 3.00

10/31/2013 214267

AmericanDentalAssociation(ADA)

130 Electives Lecture VOF 1.50 1.50

10/31/2013 214267

AmericanDentalAssociation(ADA)

134 Prescription MedicationManagement Lecture VOF 3.00 3.00

10/31/2013 214267

AmericanDentalAssociation(ADA)

134 Prescription MedicationManagement Lecture VOF 2.50 2.50

11/01/2013 214267

AmericanDentalAssociation(ADA)

490 Periodontics Lecture VOF 3.00 3.00

11/01/2013 214267

AmericanDentalAssociation(ADA)

490 Periodontics Lecture VOF 2.50 2.50

11/02/2013 214267

AmericanDentalAssociation(ADA)

154SportsDentistry/Mouthguards(Electives)

Lecture VOF 2.50 2.50

11/02/2013 214267

AmericanDentalAssociation(ADA)

561InformationTechnology/Computers(Practice Mgmt)

Lecture VOF 1.00 1.00

11/02/2013 214267

AmericanDentalAssociation(ADA)

730 Oral Medicine, OralDiagnosis, Oral Pathology Lecture VOF 1.50 1.50

03/07/2014 214215

University ofthe PacificArthur A.Dugo

150 Nutrition (Electives) Lecture VOF 3.00 3.00

03/08/2014 214215

University ofthe PacificArthur A.Dugo

149 Multi-Disciplinary Topics(Electives) Lecture VOF 2.00 2.00

03/08/2014 214215

University ofthe PacificArthur A.Dugo

550 Practice Management andHuman Relations Lecture VOF 2.00 2.00

03/08/2014 214215

University ofthe PacificArthur A.Dugo

149 Multi-Disciplinary Topics(Electives) Lecture VOF 2.00 2.00

04/26/2014 214215University ofthe PacificArthur A.Dugo

430 Pediatric Dentistry Lecture VOF 6.00 6.00

06/28/2014 216217Academy ofGeneralDentistry

250 Operative (Restorative)Dentistry Participation P19 3.00 3.00

06/28/2014 216217Academy ofGeneralDentistry

254Anterior CompositeRestorations (OperativeDent)

Participation P22 3.00 3.00

07/29/2014 214226

University ofColoradoDenverSchool of

697 Diagnosis and TreatmentPlanning (Implants) Lecture VOF 1.00 1.00

07/29/2014 214226

University ofColoradoDenverSchool of

430 Pediatric Dentistry Lecture VOF 1.00 1.00

07/29/2014 214226

University ofColoradoDenverSchool of

190 Orofacial Pain Lecture VOF 1.00 1.00

07/29/2014 214226

University ofColoradoDenverSchool of

752 Geriatric Dentistry (SpecialPatient Care) Lecture VOF 1.00 1.00

09/04/2014 219234

CaliforniaDentalAssociation(CADA)

250 Operative (Restorative)Dentistry Participation VOF 3.00 3.00

09/05/2014 219234

CaliforniaDentalAssociation(CADA)

250 Operative (Restorative)Dentistry Participation VOF 3.00 3.00

11/06/2014 214696

AmericanAcademy ofImplantDentistry (A

165 Digital Radiology(Electives) Lecture 14145 1.50 1.50

11/06/2014 214696

AmericanAcademy ofImplantDentistry (A

013 Microbiology (BasicScience) Lecture 14147 3.00 3.00

11/07/2014 214696

AmericanAcademy ofImplantDentistry (A

696 Implant Surgical Stents(Implants) Lecture 14187 1.50 1.50

11/07/2014 214696

AmericanAcademy ofImplantDentistry (A

690 Implants Lecture VOF 1.50 1.50

11/07/2014 214696

AmericanAcademy ofImplantDentistry (A

616 Implant Restorations(Prosthodontics/Fixed) Participation 14161 3.00 3.00

11/08/2014 214696

AmericanAcademy ofImplantDentistry (A

318Bone Grafting/GTRSurgery/Oral &Maxillofacial Sur

Participation 14178 3.00 3.00

University ofCaries Detection and

12/12/2014 214226 ColoradoDenverSchool of

257 Prevention (OperativeDent)

SelfInstruction

Nov 2014 1.00 1.00

12/12/2014 214226

University ofColoradoDenverSchool of

017 Dental Materials (BasicScience)

SelfInstruction Nov 2014 1.00 1.00

12/12/2014 214226

University ofColoradoDenverSchool of

615Computerdesigned/fabricatedcrowns (Prosth/Fixed)

SelfInstruction Nov 2014 1.00 1.00

12/12/2014 214226

University ofColoradoDenverSchool of

150 Nutrition (Electives) SelfInstruction Nov 2014 1.00 1.00

02/13/2015 214208University ofCalifornia atSan Francisc

130 Electives Lecture 20-2004-15001 20.00 20.00

03/13/2015 214215

University ofthe PacificArthur A.Dugo

160 Sleep Apnea & ApplianceTherapy (Electives) Lecture VOF 1.50 1.50

03/13/2015 214215

University ofthe PacificArthur A.Dugo

160 Sleep Apnea & ApplianceTherapy (Electives) Lecture VOF 1.50 1.50

03/14/2015 214215

University ofthe PacificArthur A.Dugo

148 Infectious Disease(Electives) Lecture VOF 2.00 2.00

03/26/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15080 4.00 4.00

03/26/2015 214204

Loma LindaUniversitySchool ofDentistr

018 Physiology (Basic Science) Lecture 15080 1.50 1.50

03/27/2015 214204

Loma LindaUniversitySchool ofDentistr

697 Diagnosis and TreatmentPlanning (Implants) Lecture 15080 3.00 3.00

03/31/2015 214204

Loma LindaUniversitySchool ofDentistr

138 Digital Dental Photography(Electives) Lecture 15090 2.00 2.00

04/16/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15081 4.00 4.00

04/16/2015 214204

Loma LindaUniversitySchool ofDentistr

315 Implant Surgery (Oral &Maxillofacial Surgery) Lecture 15081 2.00 2.00

04/16/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15081 3.00 3.00

Loma Linda

04/16/2015 214204 UniversitySchool ofDentistr

690 Implants Participation 15081 4.00 4.00

04/17/2015 214204

Loma LindaUniversitySchool ofDentistr

692 Reconstructive PhaseTherapy (Implants) Lecture 15081 1.50 1.50

04/17/2015 214204

Loma LindaUniversitySchool ofDentistr

691 Surgical Phase Therapy(Implants) Lecture 15081 4.50 4.50

04/21/2015 214204

Loma LindaUniversitySchool ofDentistr

159 Prevention of MedicalErrors (Electives) Lecture 15081 2.00 2.00

05/07/2015 214204

Loma LindaUniversitySchool ofDentistr

315 Implant Surgery (Oral &Maxillofacial Surgery) Participation 15082 8.00 8.00

05/08/2015 214204

Loma LindaUniversitySchool ofDentistr

315 Implant Surgery (Oral &Maxillofacial Surgery) Participation 15082 5.00 5.00

05/12/2015 214204

Loma LindaUniversitySchool ofDentistr

691 Surgical Phase Therapy(Implants) Lecture 15092 2.00 2.00

06/04/2015 214204

Loma LindaUniversitySchool ofDentistr

012 Anatomy (Basic Science) Participation 15083 10.00 10.00

06/05/2015 214204

Loma LindaUniversitySchool ofDentistr

616 Implant Restorations(Prosthodontics/Fixed) Lecture 15083 6.00 6.00

06/09/2015 214204

Loma LindaUniversitySchool ofDentistr

695 Implant Restorative(Implants) Lecture 15093 2.00 2.00

06/24/2015 146290 CarestreamDental LLC 315 Implant Surgery (Oral &

Maxillofacial Surgery) Lecture8880-062415-369

.00 U 2.00

07/09/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15084 4.00 4.00

07/09/2015 214204

Loma LindaUniversitySchool ofDentistr

695 Implant Restorative(Implants) Lecture 15084 4.00 4.00

07/09/2015 214204

Loma LindaUniversitySchool ofDentistr

012 Anatomy (Basic Science) Lecture 15084 2.00 2.00

07/10/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15084 6.00 6.00

Loma Linda

07/14/2015 214204 UniversitySchool ofDentistr

670 Prosthodontics/Removable Lecture 15094 2.00 2.00

08/06/2015 214204

Loma LindaUniversitySchool ofDentistr

496 Implant surgery(Periodontics) Lecture 15085 1.50 1.50

08/06/2015 214204

Loma LindaUniversitySchool ofDentistr

719 Product Training Participation 15085 3.00 3.00

08/06/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15085 4.00 4.00

08/07/2015 214204

Loma LindaUniversitySchool ofDentistr

615Computerdesigned/fabricatedcrowns (Prosth/Fixed)

Lecture 15085 6.00 6.00

08/11/2015 214204

Loma LindaUniversitySchool ofDentistr

610 Prosthodontics/Fixed Lecture 15095 2.00 2.00

08/12/2015 214239 FAN OF CPR 142Medical EmergencyTraining and CPR(Electives)

Participation 14-0822-15001 .00 P 3.00

08/20/2015 219234

CaliforniaDentalAssociation(CADA)

150 Nutrition (Electives) Lecture 15560 2.50 2.50

08/21/2015 219234

CaliforniaDentalAssociation(CADA)

555DentalJurisprudence/Ethics(Practice Management)

Lecture 15740 3.00 3.00

09/17/2015 214204

Loma LindaUniversitySchool ofDentistr

318Bone Grafting/GTRSurgery/Oral &Maxillofacial Sur

Lecture 15089 1.50 1.50

09/17/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15089 4.00 4.00

09/17/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15089 4.00 4.00

09/18/2015 214204

Loma LindaUniversitySchool ofDentistr

318Bone Grafting/GTRSurgery/Oral &Maxillofacial Sur

Participation 15089 4.00 4.00

09/18/2015 214204

Loma LindaUniversitySchool ofDentistr

132 Anesthesia and PainControl (Electives) Lecture 15089 1.50 1.50

09/22/2015 214204

Loma LindaUniversitySchool ofDentistr

616 Implant Restorations(Prosthodontics/Fixed) Lecture 15096 2.00 2.00

Loma Linda

10/01/2015 214204 UniversitySchool ofDentistr

690 Implants Lecture 15087 4.00 4.00

10/01/2015 214204

Loma LindaUniversitySchool ofDentistr

719 Product Training Participation 15087 2.50 2.50

10/01/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15087 3.00 3.00

10/02/2015 214204

Loma LindaUniversitySchool ofDentistr

719 Product Training Participation 15087 3.00 3.00

10/02/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15087 1.50 1.50

10/02/2015 214204

Loma LindaUniversitySchool ofDentistr

012 Anatomy (Basic Science) Lecture 15087 1.50 1.50

10/07/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15097 2.00 2.00

10/22/2015 214696

AmericanAcademy ofImplantDentistry (A

691 Surgical Phase Therapy(Implants) Lecture 15151 1.00 1.00

10/22/2015 214696

AmericanAcademy ofImplantDentistry (A

695 Implant Restorative(Implants) Lecture 15174 2.00 2.00

10/23/2015 214696

AmericanAcademy ofImplantDentistry (A

691 Surgical Phase Therapy(Implants) Lecture 15179 1.50 1.50

10/23/2015 214696

AmericanAcademy ofImplantDentistry (A

695 Implant Restorative(Implants) Lecture 15178 3.00 3.00

11/12/2015 214204

Loma LindaUniversitySchool ofDentistr

490 Periodontics Lecture 15088 2.00 2.00

11/12/2015 214204

Loma LindaUniversitySchool ofDentistr

719 Product Training Participation 15088 4.00 4.00

11/12/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15088 4.00 4.00

11/13/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15088 1.50 1.50

11/13/2015 214204

Loma LindaUniversitySchool ofDentistr

318Bone Grafting/GTRSurgery/Oral &Maxillofacial Sur

Lecture 15088 2.00 2.00

11/13/2015 214204

Loma LindaUniversitySchool ofDentistr

670 Prosthodontics/Removable Lecture 15088 2.50 2.50

11/17/2015 214204

Loma LindaUniversitySchool ofDentistr

018 Physiology (Basic Science) Lecture 15098 2.00 2.00

12/03/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15089 1.50 1.50

12/03/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Lecture 15089 2.50 2.50

12/03/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants Participation 15089 4.00 4.00

12/03/2015 214204

Loma LindaUniversitySchool ofDentistr

690 Implants SelfInstruction 15099 140.00 140.00

03/04/2016 214215

University ofthe PacificArthur A.Dugo

253 Porcelain Veneers(Operative Dentistry) Lecture

003.0-2125-16007

3.00 3.00

03/04/2016 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture003.0-2125-16004

3.00 3.00

03/05/2016 214215

University ofthe PacificArthur A.Dugo

149 Multi-Disciplinary Topics(Electives) Lecture

002.0-2125-16009

2.00 2.00

03/05/2016 214215

University ofthe PacificArthur A.Dugo

563 California Dental PracticeAct/Practice Management Lecture

002.0-2125-16014

2.00 2.00

03/05/2016 214215

University ofthe PacificArthur A.Dugo

148 Infectious Disease(Electives) Lecture 002.0-

2125-16011 2.00 2.00

04/03/2016 219234

CaliforniaDentalAssociation(CADA)

780 Esthetics/CosmeticDentistry Lecture 16-2209-

16117 16.00 16.00

05/13/2016 219234

CaliforniaDentalAssociation(CADA)

200 Orofacial Pain Lecture 3.0-2186-16413 3.00 3.00

05/13/2016 219234

CaliforniaDentalAssociation(CADA)

318Bone Grafting/GTRSurgery/Oral &Maxillofacial Sur

Participation3.0-2186-16324 3.00 3.00

05/14/2016 219234

CaliforniaDentalAssociation(CADA)

250 Operative (Restorative)Dentistry Participation 3.0-2186-

16330 3.00 3.00

05/14/2016 219234

CaliforniaDentalAssociation(CADA)

070 Endodontics Participation 3.0-2186-16333 3.00 3.00

09/08/2016 219234

CaliforniaDentalAssociation(CADA)

555DentalJurisprudence/Ethics(Practice Management)

Lecture 854 3.00 3.00

09/10/2016 219234

CaliforniaDentalAssociation(CADA)

430 Pediatric Dentistry Participation 738 3.00 3.00

10/27/2016 214696

AmericanAcademy ofImplantDentistry (A

345 Prescriont Medicationmgmt Participation 978479 3.00 3.00

10/27/2016 214696

AmericanAcademy ofImplantDentistry (A

153 Psychosocial, Anxiety &Fear in Dentistry/Elective Participation 556310 3.00 3.00

10/27/2016 214696

AmericanAcademy ofImplantDentistry (A

345 Prescriont Medicationmgmt Lecture S1 3.00 3.00

10/27/2016 214696

AmericanAcademy ofImplantDentistry (A

153 Psychosocial, Anxiety &Fear in Dentistry/Elective Lecture S4 3.00 3.00

10/27/2016 214696

AmericanAcademy ofImplantDentistry (A

616 Implant Restorations(Prosthodontics/Fixed) Lecture S6 3.00 3.00

10/28/2016 214696

AmericanAcademy ofImplantDentistry (A

560Appointment/RecallProcedures (PracticeMgmt)

Lecture S10 3.00 3.00

10/28/2016 214696

AmericanAcademy ofImplantDentistry (A

616 Implant Restorations(Prosthodontics/Fixed) Participation 792597 3.00 3.00

10/28/2016 214696

AmericanAcademy ofImplantDentistry (A

560Appointment/RecallProcedures (PracticeMgmt)

Participation 185277 3.00 3.00

10/28/2016 214696

AmericanAcademy ofImplantDentistry (A

560Appointment/RecallProcedures (PracticeMgmt)

Participation 185277 3.00 3.00

10/29/2016 214696

AmericanAcademy ofImplantDentistry (A

616 Implant Restorations(Prosthodontics/Fixed) Participation W12 3.00 3.00

10/29/2016 214696

AmericanAcademy ofImplant 616 Implant Restorations

(Prosthodontics/Fixed) Participation 919405 3.00 3.00

Dentistry (A

12/10/2016 214211University ofCalifornia atLos Angeles

370 Orthodontics Lecture 08-2291-16662 8.00 8.00

01/28/2017 214215

University ofthe PacificArthur A.Dugo

253 Porcelain Veneers(Operative Dentistry) Lecture VOF 4.00 4.00

01/28/2017 214215

University ofthe PacificArthur A.Dugo

253 Porcelain Veneers(Operative Dentistry) Participation VOF 4.00 4.00

01/29/2017 214215

University ofthe PacificArthur A.Dugo

253 Porcelain Veneers(Operative Dentistry) Lecture VOF 4.00 4.00

01/29/2017 214215

University ofthe PacificArthur A.Dugo

253 Porcelain Veneers(Operative Dentistry) Participation VOF 4.00 4.00

02/22/2017 218448Special CareDentistryAssociation

753Dentistry for theHandicapped/SpecialPatient Care

Lecture VOF 16.00 16.00

03/04/2017 214215

University ofthe PacificArthur A.Dugo

017 Dental Materials (BasicScience) Lecture VOF 4.00 4.00

03/04/2017 214215

University ofthe PacificArthur A.Dugo

770 Self-Improvement Lecture VOF 2.00 2.00

03/30/2017 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture VOF 9.00 9.00

03/31/2017 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture VOF 9.00 9.00

04/01/2017 214215

University ofthe PacificArthur A.Dugo

690 Implants Lecture VOF 18.00 18.00

07/03/2017 214211University ofCalifornia atLos Angeles

730 Oral Medicine, OralDiagnosis, Oral Pathology Lecture VOF 2.00 2.00

07/03/2017 214211University ofCalifornia atLos Angeles

250 Operative (Restorative)Dentistry Lecture VOF 2.00 2.00

07/04/2017 214211University ofCalifornia atLos Angeles

690 Implants Lecture VOF 2.00 2.00

07/04/2017 214211University ofCalifornia atLos Angeles

731 Digital Radiology/OralMedicine, Diagnosis, Pathol Lecture VOF 2.00 2.00

07/06/2017 214211University ofCalifornia atLos Angeles

490 Periodontics Lecture VOF 2.00 2.00

07/06/2017 214211 University ofCalifornia atLos Angeles

077 Cracked Tooth &Restorations(Endodontics)

Lecture VOF 2.00 2.00

07/07/2017 214211University ofCalifornia atLos Angeles

612 All Ceramic Restorations(Prosthodontics/Fixed) Lecture VOF 4.00 4.00

07/07/2017 214211University ofCalifornia atLos Angeles

490 Periodontics Lecture VOF 4.00 4.00

07/07/2017 214211University ofCalifornia atLos Angeles

690 Implants Lecture VOF 2.00 2.00

07/07/2017 214211University ofCalifornia atLos Angeles

731 Digital Radiology/OralMedicine, Diagnosis, Pathol Lecture VOF 2.00 2.00

08/23/2017 214239 Fan of CPR 142Medical EmergencyTraining and CPR(Electives)

Participation VOF .00 P 3.00

08/25/2017 219234

CaliforniaDentalAssociation(CADA)

550 Practice Management andHuman Relations Lecture VOF 2.50 2.50

10/14/2017 214696

AmericanAcademy ofImplantDentistry (A

135LaserTherapy/Electosurgery(Electives)

Lecture A11738 1.00 1.00

10/14/2017 214696

AmericanAcademy ofImplantDentistry (A

692 Reconstructive PhaseTherapy (Implants) Lecture A11740 1.00 1.00

12/02/2017 218642

BIOLASE -WorldClinicalLaser &Imaging

130 Electives Lecture VOF 1.50 1.50

12/02/2017 218642

BIOLASE -WorldClinicalLaser &Imaging

135LaserTherapy/Electosurgery(Electives)

Lecture VOF 1.50 1.50

12/02/2017 218642

BIOLASE -WorldClinicalLaser &Imaging

250 Operative (Restorative)Dentistry Lecture VOF 4.00 4.00

12/02/2017 218642

BIOLASE -WorldClinicalLaser &Imaging

490 Periodontics Lecture VOF 5.00 5.00

12/09/2017 219198AGDChapter-Northern CA

555DentalJurisprudence/Ethics(Practice Management)

Lecture 112233 2.00 2.00

*Note about verification codes: "VOF" in the verification code field indicates that the provider did not assign acourse verification code but the AGD has a copy of the CE certificate on file. For self-study courses and exams, ifthe score is provided, it is reported as the verification code.

**AGD will record CE for affiliate members; however affiliates may not accrue CE toward the AGD membership

awards (FAGD, MAGD or LLSR).

Legend of ExceptionCodes

Code Description

JTakenbefore CEStart Date

P

ProgramProvidernotapproved

S StudentEntry

X

Self-Instructionissueexpired

YUserforcedacceptance

LLSR SUMMARY OF TRANSCRIPTDELIVERY Earned Hours Maximum Allowed Total Usable HoursCASE_PRESENTATION 0.00 75.00 0.00FAGD_STUDY 0.00 25.00 0.00LECTURE 517.25 --- 517.25MILITARY ROTATION 0.00 200.00 0.00PARTICIPATION 156.00 --- 156.00POSTGRAD 0.00 0.00 0.00PUBLICATION 0.00 100.00 0.00SELF INSTRUCTION 144.00 150.00 144.00TEACHING 0.00 100.00 0.00

817.25 817.25

DISCIPLINE SUMMARYDiscipline / Description Participation Hours Overall Hours010 (*) Basic Science 10.00 25.00070 (*) Endodontics 10.00 30.00130 Electives 3.00 95.00180 (*) Occlusion 0.00 0.00200 Orofacial Pain 0.00 4.00250 (*) Operative (Restorative) Dentistry 23.00 46.00310 (*) Oral and Maxillofacial Surgery 23.00 28.50340 Anesthesia, Pain Mgmt, Sedation, Pharmacology 3.00 20.00370 (*) Orthodontics 0.00 8.00430 (*) Pediatric Dentistry 3.00 17.25490 (*) Periodontics 6.50 26.50550 Practice Management and Human Relations 6.00 56.00610 (*) Prosthodontics/Fixed 15.00 53.00670 (*) Prosthodontics/Removable 8.00 20.50690 (*) Implants 39.50 319.00

730 (*) Oral Medicine, Oral Diagnosis, Oral Pathology 0.00 10.50750 (*) Special Patient Care 0.00 22.50770 Self-Improvement 0.00 3.00780 (*) Esthetics/Cosmetic Dentistry 6.00 32.50820 Post Grad Education 0.00 0.00TOTAL HOURS EARNED: 156.00 817.25TOTAL HOURS REQUIRED: 150.00 500.00MINIMUM HOURS STILL REQUIRED: 0.00 0.00

Once you receive Academy Mastership you may apply for the Lifelong Learning Service Recognition. This chartshows how many of your credits will apply toward the Recognition, based on the date you were approved forMastership. You will know you have completed the requirements for Lifelong Learning Service Recognition whenthis chart shows the following: 1) Total Hours Earned is at least 150 for Participation and 500 Overall, and 2) atleast eight of the required (*) disciplines are covered in the Continuing Education completed since Mastership wasapproved. Contact us at 888-AGD-DENT or www.agd.org for an application for the Lifelong Learning ServiceRecognition.