WSDA Spring 2019
news
The voice of the Washington State Dental Association
Changing Direction How Delta Dental Went From WSDA Startup to Billion-Dollar Company
WDIA Extends TDIC Partnership – 27 | Managing Your Online Reputation – 28 WSDA Ne w s | Spring 2019 | www.wsda.org
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CONTENTS
From the Executive Director............................................................................. 6 Bracken Killpack
Changing Direction
From the Editor......................................................................................................................... 7 Dr. Princy Rekhi
Guest Editorial............................................................................................................................ 9 Dr. Chris Delecki
PNDC Update.............................................................................................................................10 Regulatory & Compliance News............................................................... 12 Association Updates..................................................................................................... 14 Giving Back................................................................................................................................... 16
How Delta Dental Went From WSDA Startup to Billion-Dollar Company
Cover Story: Changing Direction.......................................................... 20 WDIA News.................................................................................................................................. 27 Secondary Story: Managing Your Online Reputation............................................................................................................28 ADA News....................................................................................................................................... 32 UW School of Dentistry News................................................................... 34 Clinical Corner......................................................................................................................... 35 CE Opportunities................................................................................................................36 Around the State................................................................................................................36 In Memoriam.............................................................................................................................. 37 Classifieds........................................................................................................................................ 41 Laughing Gas............................................................................................................................ 53 The Last Word........................................................................................................................ 54 Dr. Joe Vaughn
WSDA News Editor Dr. Princy Rekhi Editorial Advisory Board Dr. Brittany Dean Dr. John Evans Dr. Julie Kellogg Dr. Stephen Lee Dr. Joe Vaughn WSDA News Publisher Bracken Killpack Board of Directors Dr. Christopher Delecki, President Dr. Dennis L. Bradshaw, President-Elect Dr. Nathan G. Russell, Secretary-Treasurer Dr. Cynthia R. Pauley, Immediate Past President Dr. Marissa N. Bender Dr. Amy Cook Dr. Joseph Y. de Jesus Dr. Chris E. Dorow Dr. John L. Gibbons Dr. Todd R. Irwin Dr. Christine L. Kirchner Dr. Mark Koday Dr. Eric J. Kvinsland Dr. Blake McKinley Dr. Kim S. Nordberg Dr. Ashley L. Ulmer
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WSDA STAFF: Executive Director Bracken Killpack Assistant Executive Director Kainoa Trotter Administrative Director Peter Aaron Director of Government Affairs Emily Lovell Director of Continuing Education and Events Emily Rademacher Manager of Communications and Marketing Emma Brown Government Affairs Manager Sophie Doumit Governance and Data Manager Rachal Gunderson Accounting Manager Maryann Butler Membership Concierge Martina Torres Coordinator of Events, Exhibits and Sponsorship Miranda Meccia
Phone: (206) 448-1914 Toll-Free: (800) 448-3368 Fax: (206) 443-9266 info@wsda.org | www.wsda.org
Copyright Š 2019 by the Washington State Dental Association, all rights reserved. No part of this publication may be reproduced without permission of the editor. Statements of fact or opinion are the responsibility of the authors alone and do not express the opinions of the WSDA, unless the Association has adopted such statements or opinions. Advertising is published as a service to readers; the editor reserves the right to accept, reject, discontinue or edit any advertising offered for publication. Publication of advertising materials is not an endorsement, qualification, approval or guarantee of either the advertiser or product.
Like us on Facebook:
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Follow us on Twitter: twitter.com/TheWSDA
WSDA Ne w s | Spring 2019 | www.wsda.org
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FROM THE EXECUTIVE DIRECTOR
How Delta Dental Behaves in the Dark “Power is the ability to influence the behavior of others to get the outcomes one wants.” Joseph S. Nye Jr.
Bracken Killpack Executive Director, WSDA
“Utilizing the former dean as its surrogate, Delta delivered its own talking points and opinions through a prominent voice in the dental community.”
F
or years, WSDA member dentists have worried about how Delta Dental’s market dominance impacts their practices and the patients they serve. We now know that negative impacts of that power are being felt in the public arena as well. Over the past 18 months, WSDA executed a public records request to obtain and review emails between Delta Dental and a former state employee, Dr. Joel Berg, who previously served as the dean of the University of Washington School of Dentistry (UWSOD). Their email exchanges shed light on how Delta Dental furthers its own interests through its “philanthropic” relationships. The emails demonstrate that the largest donor to our state’s only dental school placed its dean in a “pay for performance” position whereby Delta contributions to UWSOD appear predicated on UWSOD providing benefit to Delta. One example of this behavior is the role Delta asked Dr. Berg to play in Delta maintaining its business relationship with one of its largest clients. In late 2015, Delta had the then-dean participate in the company’s sales presentation to maintain its contract to administer dental benefits for Boeing employees. Delta was successful in maintaining the Boeing business. Conversations between Delta executives and board members captured in the public records request show Delta became “supportive of a major gift” to UWSOD after the former dean was “extremely helpful in the Boeing presentation.” According to an email written by former Delta CEO Jim Dwyer, Dr. Berg had become a “very good partner” after Dwyer and Dr. Berg had a “heart to heart chat.” Delta’s CEO sought to support UWSOD after UWSOD helped Delta.
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
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Employees of Delta Dental and its Arcora Foundation also exerted pressure on the former dean to provide seemingly “neutral” third-party validation of positions or outcomes desired by Delta, including actively lobbying for Delta’s proposal to take over administration of the state’s dental Medicaid
program. Utilizing the former dean as its surrogate, Delta delivered its own talking points and opinions through a prominent voice in the dental community. Dr. Berg’s actions on behalf of Delta were compensated with an advisory role for Delta Dental’s venture fund, SpringRock (a financial relationship that does not appear to have been disclosed to UW leadership) and also with an informal role as “Senior Advisor” to Delta. The information described above has been shared with UW leadership and the State Auditor’s Office. We applaud UW for committing to strengthen their internal controls to ensure that inappropriate relationships do not exist, and we have offered to assist them in any way we can in this matter. As troubling as the information contained in these emails is, it does not answer the important question of whether Delta leverages other community relationships to further its corporate goals. Delta also does business with other state institutions, including the Health Care Authority and the Department of Health. Does it try to leverage those relationships as well? Similarly, do Delta employees engage in similar activities with non-governmental organizations? What strings are attempted or actually attached to Delta Dental and Arcora Foundation contributions to non-profit groups? There’s an old saying that sunshine is the best disinfectant. The unsettling activities uncovered in these emails were exposed because of our state’s strong public disclosure laws on public agencies. One can only wonder what other troubling activities would be uncovered if these same disclosure laws applied more broadly. n W
FROM THE EDITOR
Resources to Help Your Practice Succeed
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s sunny weather gradually replaces our blustery February, let’s spring into action tackling some hardships many WSDA members may face as practitioners. It seems the more I network, the more I learn that many colleagues are facing unprecedented difficulties in not only finding staff, but also in running their practices. Whether it’s increased overhead or a lack of new business, increasingly cumbersome regulation or simply stress, running a dental practice is not as “simple” as it once was. The next generation of dentists will not have it any easier. Younger practitioners face heavy student loan debt that, when coupled with the cost of living in many Pacific Northwest communities, is a daunting task to tackle. None of us have all the answers. But I was able to work with the WSDA and ADA to gather some insights and highlight some resources to aid us in running successful practices.
REGULATORY GUIDANCE The WSDA will continue to provide current and relevant information about regulations that may impact how we practice. Keep your eye out for email updates about proposed rules and summaries of rules once they are implemented to help you remain compliant. We will also highlight recent regulatory changes in each issue of the WSDA News as well as online at wsda.org/regulations.
PRACTICE MANAGEMENT RESOURCES The ADA Center for Professional Success website (success.ada.org) provides an abundance of information relating to just about any aspect of practice imaginable. From practice valuation/practice merger resources and HIPAA compliance facts to practice management webinars and coordination of benefits materials, the Center for Professional Success is a valuable member benefit that I encourage all of you to explore. Since I continue to hear from practitioners across the state that dealing with dental benefits carriers has become increasingly difficult, I compiled a few of what I believe to be some of the most valuable dental benefits resources from the ADA:
• Third Party Payer Concierge: Contact the ADA for one-on-one assistance with dental insurance/third party payer issues. Call (800) 621-8099 or email dentalbenefits@ada.org. • Contract Analysis Service: Have ADA review your third party payer contracts to receive a clear, concise explanation of a contract so you can better understand its terms. Learn more at success.ada.org/ dental-benefits/third-party-contractissues. • Coding Questions: Members and staff who have coding questions can call the ADA’s Member Service Center at (800) 621-8099 or email dentalcode@ada.org.
STUDENT LOAN REFINANCING To help members manage the burden of student loan debt, both WSDA and ADA offer members-only refinancing rate discounts through their endorsed providers, SoFi and Laurel Road. As of publication date, members can receive a 0.125% rate discount when they refinance with SoFi, or a 0.25% rate discount when they refinance with Laurel Road.
Dr. Princy Rekhi
Editor, WSDA News
“As our profession continues to evolve and we face new challenges in our practices, I urge you to keep me and the WSDA informed about issues you deal with on a day-to-day basis.” Dr. Princy Rekhi, WSDA News Editor, welcomes comments and letters from readers. Contact him at editor@wsda.org.
DEVELOPING BENEFITS TO MEET YOUR NEEDS As our profession continues to evolve and we face new challenges in our practices, I urge you to keep me and the WSDA informed about issues you deal with on a day-to-day basis. This feedback will allow us to make sure that resources are allocated and our programs and services are designed to help our members succeed and continue to provide the highquality patient care for which Washington dentists are known. n W
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
WSDA Ne w s | Spring 2019 | www.wsda.org
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www.nakanishidentallab.com WSDA Ne w s | Spring 2019 | www.wsda.org
GUEST EDITORIAL
Changing the Status Quo on Fluoride “Your Kids Are Probably Using Too Much Toothpaste, And It’s Hurting Their Teeth”
1. Nearly 80 percent of the children aged 3-15 years started brushing later than normal.
“Your Kids are using too much toothpaste and it’s making their teeth all nasty like”
2. Greater than 38 percent of the children aged 3-6 years used more toothpaste than recommended by the American Dental Association and CDC.
“Children are using an unhealthy amount of toothpaste, CDC warns” “CDC: Kids are overdosing on toothpaste”
‘A CALL FOR ACTION’
“Public Health Warning Issued for Fluoride Toothpaste”
The CDC report is a “call for action” for the dental profession and the toothpaste industry to review current approaches to educate parents and market toothpaste.
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bove are a few examples of articles or stories that recently appeared in the media after the Centers for Disease Control and Prevention (CDC) released a report on February 1, 2019 entitled, “Use of Toothpaste and Toothbrushing Patterns Among Children and Adolescents — United States, 2013-2016.” These ominous titles seem to paint a dark picture about the use of fluoride toothpaste among children in the United States.
FLUORIDE WARNINGS The phrase “Hurting Their Teeth” is referring to the fluorotic aesthetics or fluorosis that appears in the permanent teeth when children age 1 to 12 consume higher than recommended levels of fluoride. A report on dental fluorosis from data collected using the National Health and Nutrition Survey demonstrated a 30 percent increase in fluorosis over a 10-year period from 2002 to 2012. In 2015, the U.S. Public Health Service issued a recommendation to reduce the amount of the optimum fluoride concentration in drinking water based upon trends that showed an increase use of fluoride exposure through consumer products like toothpaste. Unfortunately, the CDC report has provided fluoride skeptics and anti-fluoride groups with ammunition to issue alerts and warnings on the perceived damaging and dangerous effects of fluoride on our bodies. The CDC report stated findings of a recent National Health and Nutrition Examination Survey (NHANES) that included a couple of questions on toothpaste use and toothbrushing habits. While the NHANES findings have research limitations that must be given careful consideration, analysis of the 2013-2016 data found two important takeaways by CDC:
A 2011 study done at the University of Washington concluded, “Most parents use more fluoridated toothpaste than is recommended for young children and verbal instructions to limit the dose are ineffective.” I recently took a stroll down the toothpaste aisle at the local drug store. I looked at a number of toothpaste brands and types. The instructions relating to children’s use of the products were not always clear and consistent among the brands. Perhaps most disturbing were the graphics displayed on some brands that showed toothbrushes with full loads of toothpaste. The graphics looked more like a “tasty treat” that we purchase for our kids at the local soft-serve ice cream stand.
Dr. Chris Delecki President, WSDA
“Dentists must take action by stressing the importance of the daily brushing of a child’s teeth with the appropriate amount of toothpaste at every dental visit.”
RECOMMENDATIONS As we confront those who disagree with the use of fluoride in our drinking water or oral health products, we must change the status quo. In this regard I would make the following recommendations: • Develop opportunities to increase oral health instructions for all families of young children, through improved access to the dentist as well as by expanding our collaborative efforts with other health and child care providers.
Unfortunately, toothpaste marketing images can encourage over-use.
• Dentists must take action by stressing the importance of the daily brushing of a child’s teeth with the appropriate amount of toothpaste at every dental visit. • Instruction on toothpaste use should include visual cues or clinical demonstrations on toothpaste amounts.
Dr. Delecki was recently interviewed by KOMO Radio Consumer Advocate Herb Weisbaum about children’s use of toothpaste. To read the interview, visit bit.ly/2TXnav9.
• Our profession must work with the consumer product industry to redefine and standardize consumer fluoride product information. n W
The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
WSDA Ne w s | Spring 2019 | www.wsda.org
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PNDC UPDATE
Trending Courses
PNDC 2019 offers dozens of courses over three days from more than 40 speakers. See trending courses by audience and view the full schedule at wsda.org/pndc. For Dentists Restorative Dentistry: Practical Solutions to Everyday Problems Dr. Harald Heymann | Thursday, June 20 from 2-5 PM
Endo for GPs: Better, Faster and Safer Root Canals Dr. Manor Haas | Friday, June 21 from 7:30-10:30 AM
Periodontal Maintenance of Dental Implants Dr. Gregory Oxford | Friday, June 21 from 1-4 PM
Oral Health Care and Treatment Strategies for Older Adults Dr. Gregory Oxford | Saturday, June 22 from 8:30-11:30 AM
For Hygienists Sugar: The Inflammation Trail Trisha O’Hehir, MS, RDH | Thursday, June 20 from 2-5 PM
Marijuana: What Providers Need to Know Katherine Soal, RDH, MSDH | Friday, June 21 from 7:30-10:30 AM & 1-4 PM
Periodontal Maintenance of Dental Implants Dr. Gregory Oxford | Friday, June 21 from 1-4 PM
Enhancing Your Career Through Ergonomics: Preventive Medicine for Your Life Tija Hunter, CDA, EFDA | Friday, June 21 from 1-4 PM
For Assistants & EFDAs Infection Control 2019: What, Why, Where, When, and How Terre Harris | Thursday, June 20 from 8-11 AM & Friday, June 21 from 7:30-10:30 AM
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Women’s Heart Attack Risk and Prevention: Know the Red Flags Amy Doneen, DNP, ARNP | Thursday, June 20 from 2-5 PM
Delivering W.O.W. Service: Patients Forget Everything Except How You Made Them Feel! Judy Kay Mausolf | Friday, June 21 from 7:30-10:30 AM
Enhancing Your Career Through Ergonomics: Preventive Medicine for Your Life Tija Hunter, CDA, EFDA | Friday, June 21 from 1-4 PM
For Front Office Staff Reinventing the New Patient Experience Dr. Roger Levin | Thursday, June 20 from 2-5 PM
Delivering W.O.W. Service: Patients Forget Everything Except How You Made Them Feel! Judy Kay Mausolf | Friday, June 21 from 7:30-10:30 AM
Coding and Insurance Skills Teresa Duncan, MS | Friday, June 21 from 7:30-10:30 AM
Nobody Told Me That! Management Issues Everyone is Afraid to Talk About Teresa Duncan, MS | Friday, June 21 from 1-4 PM
Popular courses at PNDC 2019 also include those to meet opioid prescribing, suicide prevention, minimal sedation and BLS requirements. Visit wsda.org/cerequirements to learn more!
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wsda.org/pndc WSDA Ne w s | Spring 2019 | www.wsda.org
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REGULATORY & COMPLIANCE NEWS
Washington State Regulatory Changes Are you up to date on rules and requirements affecting Washington dentists? Read on for a summary and visit wsda.org/regulations for more information.
Recently Implemented Rules Make sure you are in compliance with these new or updated rules.
Paid Family and Medical Leave Program The Washington State Employment Security Department (ESD) announced that the Paid Family and Medical Leave Program reporting deadline for the first quarter (April 30) will be pushed back to July 31, 2019. Employers will now report and remit premiums for quarters one and two between July 1 and July 31, 2019. Please note this deadline change only applies to Paid Family and Medical Leave for 2019.
Opioid Prescribing Washington dentists who prescribe opioids should familiarize themselves with new opioid prescribing rules. The rules include several new requirements such as prescribing limits, prescription monitoring program checks, and continuing education.
Continuing Education Major changes to Washington’s continuing education requirements for dentists went into effect on January 1, 2019. Dentists must now earn 63 hours of CE every three years. Please note: While the CE reporting period has changed from annually to every three years, you will still need to renew your dental license every year on or before your birth date!
Rules Under Consideration The following rules are, as of publish date, being considered by the Dental Quality Assurance Commission (DQAC).
Delegation of Duties to Hygienists DQAC is currently considering amending the list of allowable tasks that may be performed by licensed dental hygienists under general supervision. This rule change is the result of a request to allow dental hygienists to perform certain tasks under general supervision that are typically performed by a dental assistant under close supervision. DQAC is still in the process of determining which tasks are appropriate for a dental hygienist to perform under general supervision.
Dental Infection Control DQAC is currently considering proposed changes to dental infection control rules. The proposed changes include several new requirements such as the sterilization of slow-speed hand piece motors, quarterly testing of water delivery systems for acceptable water quality, and infection prevention standards education and training.
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Dental Anesthesia DQAC is considering amendments to update general requirements for the administration of anesthetic agents for dental procedures. Additionally, the Commission is considering amendments to address 24-hour on-call availability after a complex dental procedure, on-site inspections for all dentists holding sedation permits, and the creation of a pediatric sedation endorsement. WSDA strongly encourages members to get involved in the rulemaking process by reviewing proposed rules and providing feedback to DQAC. Visit wsda.org/regulations to learn more and for a link to sign up for DQAC’s interested parties email list.
Dental Medicaid Moving to Managed Care July 1 The Washington State Health Care Authority (HCA) has contracted out the administration of Washington’s Dental Medicaid Program. The managed care program is currently scheduled to be implemented on July 1, 2019. Visit wsda.org/medicaid for updates on the transition to managed care and for links to resources from the HCA.
New Opioid Prescribing Rules for Dentists The Dental Quality Assurance Commission (DQAC) recently adopted a series of changes and new sections to existing rules that establish requirements and standards for prescribing opioids. The adopted rules are in response to the Legislature’s enactment of ESHB 1427 in 2017, which directed the five health care prescribing boards and commissions (medical, dental, nursing, osteopathic and podiatric) to adopt opioid prescribing rules by January 1, 2019. The rules include several new requirements such as patient notification, Prescription Monitoring Program (PMP) queries, prescribing limits, and continuing education requirements. Read on for a summary of the rules or visit wsda.org/opioids to learn more.
Patient Notification Upon initial prescriptions and at each transition phase of treatment, dentists must provide patients with information regarding opioid risks, safe and secure storage, and proper disposal of unused medication. Dentists must document such notification in the patient record. This requirement may be satisfied by providing the following handouts from the Department of Health: • Chronic Pain Patient Handout • Surgical Pain Patient Handout • Acute Pain Patient Handout • Subacute Pain Patient Handout Find links to these handouts and other resources at wsda.org/opioids.
REGULATORY & COMPLIANCE NEWS
PMP Queries When prescribing opioids, dentists are required to query the PMP at the first opioid prescription refill or renewal for acute pain, each pain transition treatment phase (acute to subacute and subacute to chronic), and periodically for chronic pain patients based upon the patient’s risk assessment. Dentists may delegate performance of required PMP queries to an authorized healthcare designee. An authorized healthcare designee is a current healthcare provider credentialed with the Washington State Department of Health, such as a dental hygienist, dental assistant or EFDA. Any healthcare provider credentialed with the state may be a designee to perform PMP queries.
Prescribing Limits The adopted rules establish prescribing limits for acute nonoperative pain and acute perioperative pain, subacute pain, as well as establish prescribing limits for youth. The rules limit opioid prescriptions to a 7-day supply for acute nonoperative pain and acute perioperative pain, and a 14-day supply for subacute pain. Additionally, for patients 24 years of age and under, the dentist may not prescribe more than 12 tablets. Dentists may only prescribe beyond these limits if they provide clinical documentation in the patient record to justify the need for such quantity.
Continuing Education Dentists who prescribe opioids must complete a one-time CE requirement regarding best practices in the prescribing of opioids and the adopted opioid rules. This CE must be at least three hours in length and can count toward license renewal requirements.
Using the Prescription Monitoring Program (PMP) If you are new to using the PMP or want to refresh your knowledge of the system, the Department of Health (DOH) provides several resources to make the process easier.
Training Guide The DOH website provides a detailed training guide document for practitioners learning to use the system.
Training Videos If you prefer your training in video format, the DOH YouTube channel provides short, step-by-step instructional videos on PMP topics, such as: • How to Register for Access • How to Do a Recipient Query • How to View Query Results • How to Do a Prescriber DEA Query • How to Do a Prescriber History Query • How to Manage Delegate Accounts The channel also includes a longer video which provides a complete tutorial on how to use the system. You can find links to the training guide, videos and other PMP resources at wsda.org/opioids.
You can find upcoming opioid prescribing CE opportunities listed at wsda.org/opioids. The 2019 Pacific Northwest Dental Conference, held June 20-22 in Bellevue, will also offer a course that fulfills the entire CE requirement: Opioid Prescribing Rules: How and Why to Comply Friday, June 21 from 1:00-4:00 PM PNDC 2019 in Bellevue, WA Register for a conference badge to attend. WSDA members register for just $175/$275 before May 3!
Additional Information and Resources Visit wsda.org/opioids for more information and resources including links to the full rules, CE opportunities, Department of Health materials and more.
WSDA Ne w s | Spring 2019 | www.wsda.org
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ASSOCIATION UPDATES
Rep. Michelle Caldier and students from the UW School of Dentistry show off their DAD scarves. One profession, one voice!
WSDA President Dr. Christopher Delecki addresses DAD attendees.
Thank You for Attending Dental Action Day! Thank you to the WSDA member dentists and UW dental students who spent a day in Olympia this January at Dental Action Day (DAD)! Attendees spent the day meeting with Washington legislators to advocate for their profession and the patients they serve. One profession, one voice! You don’t have to wait until next year to support your profession in Olympia. Strengthen WSDA’s grassroots advocacy efforts any time of year with a gift to DentPAC, WSDA’s grassroots, non-partisan dental political action committee. Learn more and donate at wsda.org/ dentPAC. Attendees meet with Deputy Minority Leader Rep. Joel Kretz. Attendees meet with Rep. Nicole Macri, Vice Chair of the House Health Care & Wellness committee.
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Attendees meet with Sen. Annette Cleveland, Chair of the Senate Health & Long Term Care committee.
ASSOCIATION UPDATES
2019 WSDA House of Delegates The 2019 WSDA House of Delegates, the governing body of the Association, will meet September 26-28 at the Davenport Hotel in Spokane.
Board of Directors (4 positions) Term: 3 years Requirement: WSDA member
Committee on Budget and Finance (1 position)
Comprised of voting delegates from each local dental society, the House of Delegates steers Association policy and priorities for the coming year. If you are interested in becoming a delegate, please contact your local dental society’s leadership to learn how to get involved.
Term: 4 years Requirement: WSDA member
Apply Now for WSDA & ADA Elected Leadership Positions
Please email info@wsda.org with any questions regarding positions or the election process.
WSDA is now accepting applications from members to run for the following elected WSDA and ADA positions. Elections will be held at the WSDA House of Delegates, September 26-28, 2019 at the Davenport Hotel in Spokane. Apply at wsda.org/electedpositions. Applications are due by June 30, 2019.
President-elect (1 position) Term: 1 year as President-elect, 1 year as President, 1 year as Immediate Past President, 3 years as ADA Delegate (2020, 2021, 2022) Requirements: WSDA member. Must have been a member for the preceding five consecutive years.
Secretary-Treasurer (1 position) Term: 3 years Requirements: WSDA member. Must have been a member for the preceding five consecutive years.
Delegate to the ADA (3 positions) Term: 3 years (2020, 2021, 2022) Requirement: WSDA member
Nominate a Dentist for 2019 WSDA Citizen of the Year Do you know a dentist in your community doing selfless charity work in their community? Nominate them for Citizen of the Year! WSDA’s Citizen of the Year award is given to a member who has performed outstanding service that serves a community in need, reinforces the value of service to the dental community, and promotes the image of dentistry. Learn more and nominate a dentist at wsda.org/COY. Nominations are due by Friday, June 7. The 2019 Citizen of the Year will be honored on Friday, September 27 at the WSDA House of Delegates in Spokane.
UW School of Dentistry students join forces with WSDA dentists to advocate for the dental profession.
WSDA Ne w s | Spring 2019 | www.wsda.org WSDA Ne w s | Spring 2019 | www.wsda.org
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GIVING BACK
Making A Difference for Those Who Served Bellevue periodontist and Navy veteran Dr. C.R. Anderegg has been an amazing supporter of combat veterans through his involvement with Everyone for Veterans. Founded by retired Issaquah periodontist Dr. Theresa Cheng, Everyone for Veterans connects veterans with “wingmen”— otherwise known as dentists — who treat veterans at no charge. E4V has more than 400 dentists, plus dozens of specialists and dental labs across the United States that have provided volunteer services to low-income veterans. Of those, 226 are in the state of Washington. The group also connects local volunteer businesses with vets in need of other services or goods.
INSPIRED BY SERVICE Dr. Cheng said she was inspired in 2008 after reading about a local soldier who had suffered grave injuries in Fallujah, Iraq. “I really identified with the mother whose life was turned upside down by caring for her son,” she told the ADA News. “Being naive about veteran issues, we decided as an office to give back to family members with free dental care, thinking that veterans get dental care from the VA.” According to the U.S. Veterans Administration, about 7.6 percent of the U.S. population are military veterans. Only veterans who are designated 100-percent service-connected disability are eligible for VA dental care, so most do not have dental benefits. They can buy a dental plan through the VA, but for the low-income veterans, they cannot afford it, according to Dr. Cheng. To register for the program, veterans must meet three requirements: • Have been deployed to combat/imminent danger areas • Qualify as low income • Do not have dental benefits from the VA Spouses of veterans who meet those requirements are also eligible. “These low-income veterans are hardworking, working full-time jobs at what they can, often in low-paying jobs with limited or no benefits,” Dr. Cheng told ADA News. “They raised their families and had a lifetime of sporadic urgent care for their dental needs. They could never catch up with their dental care to have a healthy mouth. For the veterans who’ve survived being in harm’s way, we felt that it is not right that they have to endure a lifetime of dental disease. We decided that at least for the veterans who have returned from combat areas and are low-income, we would provide comprehensive care.” “Never in my wildest dreams did I think I would be working on veteran issues,” she added.
VET TO VET Having himself spent nine years in the Navy, including two years aboard the now retired aircraft carrier USS America doing general dentistry work, Dr. Anderegg knew first-hand about armed service members doing their job every day, often in dangerous conditions. As part of his commitment to give back and honor veterans, he has found working with Everyone for Veterans to be a perfect fit to give back here in the local community, where many combat vets need additional services.
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Veteran Steve Pike is all smiles as he’s surrounded by Dr. Anderegg and his team of Pat, Midge and Selena. One of Dr. Anderegg’s volunteer matches was Steve Pike, a Vietnam Veteran who needed multiple extractions, bone grafts and dental implants to help restore his smile. Pike was deployed to Vietnam for a year and was an Infantry Point Man — the leading soldier in a unit advancing through hostile or unsecured territory — in the jungle for almost six months. His return stateside was difficult, just as it is for many combat veterans. But, he was fortunate to have great family support. He has challenges with Post Traumatic Stress Disorder (PTSD) but is successfully managing it. Pike was also diagnosed with throat cancer in 2015 but has had chemotherapy and responded well and the future looks healthy. The dental work provided by Dr. Anderegg and his staff helped lift his spirits in the midst of his ongoing challenges. And he is just one of hundreds of veterans Dr. Anderegg and other area dentists help out each year.
GET INVOLVED Volunteer dentists are essential to the continued success of Everyone for Veterans. To learn more about E4V or to register as a dentist interested in the program, visit everyoneforveterans.org/for-dentists or contact Dr. Cheng directly at drcheng@everyoneforveterans.org.
Everyone for Veterans (E4V) everyoneforveterans.org/for-dentists
GIVING BACK
Bellevue Children Benefit from Charitable Care WSDA member Dr. Judson Werner gives back with ‘Give Kids A Smile’ On Feb. 1, 2019, the Bellevue dental office of Dr. Judson Werner partnered with the Boys & Girls Clubs of Bellevue to donate over $9,000 worth of dental care and provide 18 children with free cleanings, exams, fluoride, and fillings. This was the practice’s 15th year of participating in this program to give back to the community. “Give Kids A Smile” is an annual, one-day volunteer initiative to provide free educational, preventative, and restorative services to children from low-income families. To learn more about this event across the nation, check out the ADA website: ADA.org/GKAS Judson A. Werner, DDS, Dental Assistant Hailey Parker, patient Israel Martinez and Dental Hygienist Marie-Alexandre Henry
Judson A. Werner, DDS, with his son, Tristan Werner, daughter Gisele Werner, and patient Jenna Ruiz
Dental Hygienist Joyce Nakashima and patient Isabella Ruiz and Amy Haselman
Dr. Werner and team with patients on the practice’s annual Give Kids A Smile day.
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CE Requirements You Can Meet at PNDC 2019 Need to meet CE requirements for opioid prescribing, suicide prevention, or minimal sedation? How about renew your BLS ​ certification? There are courses for all of those at PNDC 2019! Learn more at wsda.org/cerequirements or visit wsda.org/pndc for a full course schedule.
PACIFIC NORTHWEST DENTAL CONFERENCE June 20-22, 2019 | Bellevue, WA
wsda.org/pndc CE COURSE REQUIREMENT MET AT PNDC
Minimal Sedation CE COURSE REQUIREMENT MET AT PNDC
Opioid Prescribing Washington dentists who prescribe opioids must complete a one-time CE requirement regarding best practices in the prescribing of opioids and DQAC’s opioid prescribing rules. The CE must be at least three hours long.
Licensed Washington dentists who currently administer minimal sedation must participate in seven hours of CE on related topics every five years.
Money Makes the World Go Round, But Drugs Can Make it Spin! Understanding Drug Interactions in Dental Practice Saturday, June 22 from 8:30 AM-12 PM
Opioid Prescribing Rules: How and Why to Comply
Oh the Pus! Oh the Pain! Appropriate Antibiotic and Analgesic Prescribing
Friday, June 21 from 1-4 PM
Saturday, June 22 from 1-4:30 PM
CE COURSE REQUIREMENT MET AT PNDC
CE COURSE REQUIREMENT MET AT PNDC
Suicide Prevention Beginning August 1, 2020, licensed Washington dentists must complete a one-time training for suicide assessment that includes screening, referral, and imminent harm via lethal means elements. The training must be at least three hours long.
Suicide Awareness and Referral for Dental Professionals Saturday, June 22 from 1-4 PM
Basic Life Support (BLS) Certification Dental staff providing direct patient care in an in-office or outpatient setting must hold a current and valid healthcare provider basic life support (BLS) certification. Certification is good for two years.
BLS for Healthcare Providers: A HandsOn Workshop Thursday, June 20 from 2-5 PM or Friday, June 21 from 7:30-10:30 AM and 1-4 PM Cost: $95
Register by May 3 for early bird savings! 18
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Changing Direction How Delta Dental Went From WSDA Startup to Billion-Dollar Company
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The company began with the simple
idea of providing pre-paid dental care to union members’ children who might not otherwise have access. Over the last 65 years, that small startup has grown into today’s Delta Dental of Washington, a company covering nearly two-thirds of patients enrolled in private dental benefit plans in the state.
n In 1954, WSDA member dentists created the company known today as Delta Dental of Washington n Throughout its history, member dentists helped the company survive financial challenges n As the company has grown, its relationship with member dentists has changed n Over many decades, member dentists have exercised their governance rights to advocate on behalf of their patients
1954
First flight of Boeing 707 ushers in the age of commercial jet airline travel.
Over the coming pages, we will explore the history of Delta Dental and how its relationships with its member dentists and the Washington State Dental Association have changed over the years. Most of the information on this timeline was pulled from archived issues of the WSDA News spanning from 1954 through 2018.
1954
1957
Members of the International Longshoremen’s and Warehousemen’s Union (ILWU) meet in Bellingham. They approve a proposal to invest approximately $750,000 (the equivalent of over $7 million in today’s dollars) to secure pre-paid dental care for an estimated 4,000 children of union members up and down the West Coast.
The Washington State Dental Service Corporation begins branching out beyond its original ILWU coverage program. In conjunction with the Washington State Department of Public Assistance (now called DSHS), it launches a program to provide dental services for about 19,000 welfare recipients in eight counties. Another program is developed to cover accidental dental injuries suffered by students in Washington schools.
The union approaches state dental associations in Washington, Oregon and California. In the midst of the Cold War, the societies’ reaction is cautious, with many member dentists considering the idea to be “socialist.” At the same time, there is growing concern within the profession regarding closed panel dental plans, and the Washington State Dental Association becomes convinced that the union is prepared to establish their own program with or without its active participation. Ultimately, WSDA decides to opt in, providing funding to help establish the Washington State Dental Service Corporation (WSDSC). The two organizations share office space and an executive director but maintain separate governing boards. The Articles of Incorporation are left intentionally broad to allow WSDSC to move into additional business arrangements. Dentists who signed on agree to have 5 percent of their fees withheld for “research and development,” a strategy to raise capital for the new organization. In the first year of operation, WSDSC provides for treatment of nearly 1,500 children of Washington ILWU members, with an 86 percent participation rate among children over two years of age.
1960 Washington State Dental Service Corporation changes its name to Washington Dental Service (WDS). The organization is granted tax-exempt status by the IRS. Although organized as a non-profit under state law, its application for federal tax-exemption in 1956 was originally denied.
1961 At its annual member meeting in October 1961, member dentists created regional representation for WDS governance with the creation of an assigned trustee position for each local dental society, except for Seattle-King County Dental Society, which was awarded three trustee positions. Three additional “trustees-at-large” positions were also created. WSDA receives “Grand Award” from the American Society of Association Executives for the formation of Washington Dental Service (WDS). The award’s citation states that the result of WSDA’s action is that “the dental profession has won greater respect in the eyes of the public; improved dental techniques have developed, and socialized medicine again has been deterred with the answer to a serious need supplied by free enterprise.”
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1962
1962
1966
The WSDA House of Delegates adopts a resolution that calls for an administrative separation between WSDA and WDS effective June 1963.
Washington Dental Service joins the Delta Dental Plans Association, a national network of companies providing dental coverage and pre-paid benefits plans. This association allows WDS clients like Boeing to offer multistate coverage for their employees.
1963 Seattle hosts the World’s Fair, leaving behind a legacy that includes Seattle Center, monorail and the Space Needle.
1979
Following nine years of joint administration and shared office space, the administrative separation of WSDA and Washington Dental Service becomes final June 1, 1963. Executive leadership also split at this time with Mr. Vern Vixie, former WSDA assistant administrator, assuming the position of executive director of the WSDA and Mr. R. E. Paulsen, former WSDA executive director, becoming chief administrator for WDS. WSDA President Dr. Richard Tucker and WDS President Dr. George Wood make the following statement in the June 1963 issue of the WSDA News: “The separation and move of the WDS does not mean that there is either a lack of interest or severing of the relationship between the professional association and the dental service plan. The WDS was formed by the WSDA and its future is closely tied to dentistry and its policies. This will be true only if the two groups maintain liaison and interest. We are certain this is the intent of both organizations.”
Mid-1960s The Seattle SuperSonics win the NBA title in a five-game series over the Washington Bullets.
The 5-percent-of-fees withhold for “research and development,” levied on all WDS member dentists at the outset of the company, is eliminated. The exact date of the elimination is unknown.
1965 WDS continues to grow, establishing new programs with the Machinists, Meat-cutters and Bakery and Confectionary Workers unions. A new Incentive Care Program is launched to promote regular dental visits by laddering benefits from 70 percent in the first year to an eventual 100 percent coverage of basic care.
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WDS creates a new subsidiary organization to provide “administrative service only” plans to businesses that want WDS to administer selffunded dental plans. WDS charges business 25 cents to 75 cents per month per eligible person, according to the June 1966 WSDA News.
1967 WDS’ new subsidiary selling “administrative service only” plans faces early operational deficits. WDS member dentists are levied with “service charges” to cover these deficits.
1968 Robert Paulsen ends his 14-year term as WDS CEO, having grown the company to $11.5 million in annual premium revenues.
1970 The annual “service charges” levied on member dentists beginning in 1967 to support the WDS “administrative services only” plans are eliminated.
1975 A ruling from Washington’s Insurance Commissioner determines that the company needs to increase reserves. In response, WDS reinstates a 5 percent “withhold” that had been levied on member dentists from 1954 to the mid-1960s. A resolution at the 1975 WSDA House of Delegates calls for the WDS Executive Committee to hire a full-time auditor to help improve fiscal management of the company. Another resolution declares that the withholding should be limited to a single year and reviewable at the 1976 WSDA House of Delegates, and that any further financial contributions by member dentists beyond this initial withholding should be considered loans to the company.
1976
1985
WDS member dentists adopt bylaw amendments to create a nine-person Board of Directors comprised of six dentists and three public members. According to the September 1976 issue of the WSDA News, this new board will serve “in an administrative capacity… meet once a month and the directors would be reimbursed for expenses ‘and a reasonable fee’ for time spent.” The 1976 bylaw amendments also provide WDS member dentists with a mechanism for placing items on the annual meeting agenda.
To help fulfill its community service obligations as a not-for-profit corporation, Washington Dental Service launches the WDS Foundation with an initial contribution of $250,000 to cover its first two years of activity.
In response to concerns raised by ADA legal counsel about potential Federal Trade Commission investigations, the boards of Washington Dental Service and the Washington State Dental Association vote to dissolve all legal ties between the two entities. All state dental associations affiliated with dental services companies, with the exception of the Oregon Dental Association (ODA) and Oregon Dental Service (ODS), take similar action. The Oregon Dental Association/ODS (now known as MODA) affiliation still exists today.
1979 WDS reports that it completed 1978 with a 17.5 percent increase in revenue and a 12.1 percent increase in number of beneficiaries. The improved financial position of the company allows the 5 percent withhold that began in 1975 to be reduced to 3 percent, effective January 1, 1979.
1982 As the company regains its financial footing, WDS discontinues the withhold started in 1975.
1983 WDS establishes a capitation plan for employees of the Boeing Company.
1984
1980
1989 WDS begins conducting statistical analysis of the cost-per-patient of member dentists and begins a mandatory predetermination policy called the Average Cost per Patient (ACP) program. More than 1,300 WDS members sign a petition calling for a special membership meeting, and those in attendance vote 369 to 21 (95%) to discontinue the program. The Board does so in September.
1990 Paul Ratliffe completes a dozen years as CEO of Washington Dental Service. Annual premium revenue is $150 million and capital reserves are $54 million. James Garrison is selected to succeed Ratliffe. Prior to becoming CEO, Garrison was a WDS board member and CEO of K2 Corporation.
On May 18, Mount St. Helens erupts, showering ash across thousands of square miles of the Pacific Northwest.
1986
1991 WDS members approve a series of bylaw changes that add three more public members to the WDS board and create a “Provider Compensation Committee” of the board with a majority of the committee being public members.
1993 WDS receives a contract from the Health Care Authority (HCA) to provide dental benefits to state employees. The HCA is the first group to buy WDS’ new Participating Provider Organization (PPO) offering. WDS announces that enrolled state employees will have the “freedom to choose any dentist, but will receive higher benefits by seeing a PPO dentist.”
Microsoft goes public on March 13, paving the way for a tech sector boom that is still being felt in the Puget Sound region today.
1989
Washington celebrates its centennial of statehood.
At a special membership meeting, WDS member dentists are told that the funds “contributed” through the withhold process cannot be legally returned to them.
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1991
The digital information age takes a giant leap forward with the public debut of the World Wide Web.
1995
1995
2003
According to responses published in the April 1995 issue of the WSDA News, WDS confirms that, in addition to its Board of Directors, the organization also continues to utilize its Board of Trustees. All 36 trustees are practicing dentists elected by WSDA’s component societies.
Jim Dwyer becomes Washington Dental Service CEO.
WDS begins offering its PPO policy in conjunction with its capitation program at the customer’s request. The November 1995 issue of the WSDA News quotes then-WDS CEO Jim Garrison with this explanation: “Earlier this year, Boeing management established a corporate objective of reducing their overall cost structure 25 percent, including their cost of dental benefits. The essence of the issue the WDS Board faced was to maintain Boeing as a major customer given their request for a triple employee choice option (Premier Fee for Service, PPO or capitation) and their overall objectives.”
1997 Amazon.com ships its first book on its way to becoming the world’s leading online retailer.
2000
Predictions of widespread computer system failures as a result of the “Y2K” rollover are largely exaggerated.
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WDS signs a consent decree with the Attorney General’s Office in which it agrees to remove the so-called “most favored nation clause” from its contracts with member dentists. The clause stipulated that if member dentists agreed to charge another dental benefits carrier lower fees than those filed with WDS, than the member dentists must accept those lower fees from WDS as well. The Attorney General’s Office contends that the “most favored nation clause” inhibits competition and hurt consumers.
2001 Washington Dental Service reaches 700,000 subscribers, twice as many as its nearest competitor. Annual premium revenue increases to $485 million and reserves grow to $85 million. The WDS board is expanded to 16 members, with eight dentist and eight public members.
2002 Annual contribution from Washington Dental Service to the WDS Foundation grows to $4 million.
2008 WDS puts forward significant bylaw amendments to member dentists. The amendments eliminate the Board of Trustees, comprised of 36 WDS member dentists from all 17 component societies. Prior to the adoption of these amendments, the Trustees had elected WDS member dentists to serve on the company’s Board of Directors. The bylaw amendments provide for direct election of dentists on the WDS Board by all WDS member dentists, with a nominating committee composed of a majority of independent directors selecting dentist candidates to stand for election.
2011 On April 4, WDS announces a “restructuring” of provider reimbursement rates, an average reduction of 15 percent, effective June 15, 2011. WDS claims that the move, coming on the heels of two years of frozen reimbursement rates, is required to remain competitive in the face of growing market competition and to respond to cost pressures imposed by major employers sponsoring plans for their employees. WDS reports that 94 cents of every premium dollar are paid out in patient claims. WDS members react strongly to the reduction. WSDA legal counsel cautions that their response options are limited, as anti-trust laws clearly prohibit any collective action that could be perceived as trying to set or change fees. A group of WDS member dentists forms a group called Concerned Dentists of Washington State (CDWS). With CDWS leadership, WDS member dentists pass a series of bylaw amendments that include a new requirement for WDS to provide all members with an annual report and the ability for member dentists to vote via proxy ballot. WDS cash and investments are $193 million.
2012
2016
Washington Dental Service CEO Jim Dwyer is interviewed by Seattle NBC affiliate KING 5. In defending the 2011 fee reduction, he dismisses dentists’ concerns, suggesting that “dentists could start working five days a week” if they want to maintain their incomes. He also claims that, on average, dentists only work three-and-a-half days weekly.
Aggregate compensation for WDS Board members (excluding CEO) increases from $677,000 in 2015 to $1.28 million in 2016. CEO Jim Dwyer’s compensation increases to $2.7 million, up from $1.1 million in 2011.
In response to Dwyer’s comments during the King 5 interview, the WSDA Board sends a letter to the WDS Board that reads as follows:
2017
“Recent statements by Washington Dental Service (WDS) CEO James Dwyer raise the question of his fitness to continue to represent the state’s largest dental insurer. His total disregard for the impact of his statements on the very profession on which WDS depends, his apparent ignorance of the business of dentistry, and his effort to demean the profession with the public, were appalling. We fully understand that you, as a member of the Board of Directors, have a fiduciary responsibility for the actions of WDS and its employees. It is time for you to exercise that responsibility and take action to demonstrate that WDS does indeed value its relationship with the dental profession and the patient/ doctor relationship that is the basis of your business.”
2013 Washington Dental Service completes a four-year corporate restructuring effort that includes changing the name of the company to Delta Dental of Washington. Filings are made with the Washington State Office of the Insurance Commissioner (OIC), which approves the moves on May 22, 2013. Information provided by the company to the OIC states that there is no membership opposition to the changes. WDS’ filings also represent that member dentists have no right to vote on details of the proposed reorganization. The filings also say that members will have the same rights postrestructuring as before.
2004
WDS’ cash and investments increase to $275 million.
In June, Delta changes the name of its charitable foundation from the Washington Dental Service Foundation to the Arcora Foundation. In September, after more than 650 Delta member dentists sign a petition calling for a special meeting, a series of bylaw amendments are presented to members to ensure that Delta’s decisions are patientfocused, make the company more responsive to patients and member dentists, and give members more visibility into its operations. Detailed proposals include dedicating 94 percent of premium revenue to claims (per 2011 statements), establishing an independent review process to resolve disputed claims, and providing for open election of dentist representatives to the Delta board. The bylaw amendments pass with more than 91 percent approval. Following the special meeting, Delta announces that the Board’s independent directors vetoed most of the amendments. In several cases, Delta argues that the 2013 corporate restructuring makes the approved bylaw amendments moot.
Facebook is launched, allowing food photos, political memes and funny cat videos to be seen by millions.
2014
In February, the Seattle Seahawks defeat the Denver Broncos 43-8 in Super Bowl XLVIII.
2016
Delta cancels its 2017 annual member meeting.
Seattle Sounders FC defeat Toronto FC to win the MLS Cup for the first time in club history.
WDS cash and investments increase to $234 million and WDS collected over $1 billion in premium revenue.
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2018
Wildfires in several states, including Washington, devastate the Western US.
2018
In September, the Seattle Storm claim the 2018 WNBA title over the Washington Mystics.
2018
2019
In January, five WDS members file a complaint with the Washington State Office of the Insurance Commissioner (OIC), asking for an investigation into statements and omissions of important information that occurred in Delta’s 2013 reorganization filings. The dentists’ OIC complaint also asks that all Delta members be provided with full and accurate information on the effects of the reorganization and given an opportunity to vote on all the changes proposed at the time, as well as any corporate changes made by the Delta board of directors subsequent to the reorganization. The OIC indicates that their office is reviewing this complaint in detail.
On February 20, 2019, WSDA joins three member dentists in taking legal action against Delta Dental of Washington, alleging that its independent directors twice have unlawfully rejected bylaw amendments overwhelmingly passed by the organization’s member dentists to improve transparency into operations and make Delta more patientfocused. The complaint also charges that Delta Dental has not held an annual meeting since November 2016. The lawsuit argues that Delta’s decisions have consistently put profits ahead of legitimate concerns about better supporting patient care and treatment decisions.
In July, WSDA leadership requests the Antitrust Division of the Washington State Office of the Attorney General (AG) to investigate whether Delta has engaged in illegal monopsonist practices in Washington. Monopsonist holds sway by dominating demand. While monopsony market power in and of itself is not illegal, maintaining buyside market power through anticompetitive conduct is a violation of antitrust statutes.
For more information, visit wsda.org/delta.
WDS members file petitions for a second special meeting in as many years to be held in November to vote on additional bylaw amendments. These amendments focus on the process of selecting dentist representatives to the board, specifically requiring open nomination and election processes. The bylaw amendments pass with nearly 96 percent approval. Following the special meeting, Delta announces that the board’s independent directors vetoed most of the amendments. Delta cancels its 2018 annual member meeting. Jim Dwyer retires as Delta Dental CEO. During Dwyer’s tenure, the company has grown to more than 3,000,000 subscribers, annual premium revenue of more than $1.2 billion, and operating reserves of more than $300 million. Mark Mitchke, who previously was vice president of Global Fulfillment Services at Amazon, becomes CEO.
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WDIA NEWS
WSDA and WDIA Extend Partnership with TDIC
I
n March, WSDA and WDIA officially extended their partnership with The Dentists Insurance Company (TDIC) for five years through March 2024. With this extended partnership, WSDA will continue to endorse TDIC and WDIA will continue to serve as the exclusive broker for TDIC in Washington. In late 2018, regulators approved the merger of Northwest Dentists Insurance Company (NORDIC) into TDIC, its parent company for the last two years. NORDIC was purchased by TDIC from WSDA and Moda Health in 2017. “WDIA is excited to continue its relationship with our long-time professional liability partner as the company transitions fully into TDIC,” said WDIA President Dr. Amir Ganji. “While the name on your policy has changed, the support and service from WDIA and TDIC (formerly NORDIC) staff will remain the same. Like WDIA, TDIC is focused on dentists and governed by dentists.” TDIC supports dentists by offering professional and business liability insurance and other coverage to more than 19,000 dentists in ten states. TDIC was founded in 1980 and is a wholly-owned subsidiary of the California Dental Association. “We are grateful for WSDA and WDIA extending their partnerships with us by endorsing TDIC as a recommended insurance provider,” said Daniel Davidson, DMD, chair of the TDIC Board of Directors. “They know TDIC has a nearly 40-year history of protecting dentists and always has the best interests of policyholders at heart.” The selection of TDIC as WSDA and WDIA’s ongoing partner was the result of a thorough request for proposal (RFP) process that was mandated by the 2018 WSDA House of Delegates. The task force that oversaw the process developed the RFP application, thoroughly screened applicants, held inperson interviews, and conducted reference checks on several companies. “The task force carefully reviewed RFPs from several professional liability carriers and interviewed four strong finalists,” said RFP Task Force Chair Dr. Nathan Russell. “Ultimately, we unanimously selected
TDIC because we were impressed with the company’s commitment to dentists and its plans for enhancing the coverages offered to Washington dentists in the years ahead.” “Policies for TDIC’s clients in other states are different than the policies inherited from NORDIC,” said RFP Task Force Member Dr. Blake McKinley, Jr. “Once TDIC is able to fully integrate both companies and complete an internal system upgrade, several changes will be made to our existing TDIC policies that we believe will make our already great policies even better. We look forward to sharing these exciting changes in the future.” Task force members also considered TDIC’s ability to provide both professional liability and business owners’ protection options an important factor in the decision-making process. “TDIC’s work in supporting policyholders during recent wildfires in California exemplified the first-class support we were looking for in a partner,” said WDIA Director of Insurance Services Matt French. “We are never able to plan when bad situations will arise. So it’s good to know that when they do, TDIC jumps in quickly, long before many other companies will return your first phone call.”
WDIA Staff Reorganization Will Enhance Professional and Business Liability Support Over the past 18 months, WDIA has undergone a strategic assessment and examined ways the agency can more fully support its growing number of clients. One of the major takeaways of this process was to assign WDIA staff to specific insurance lines. Megan French, WDIA’s longest serving employee, has assumed a new role within WDIA as Professional Liability Specialist. Megan is the first point of contact for Washington dentists looking for professional liability and business owners’ protection. “We believe focusing Megan on our TDIC insurance offerings will allow us to maintain the quality service our members have come to expect from WDIA as the agency continues to grow,” said WSDA Executive Director Bracken Killpack. “Megan already has extensive
WDIA’s Professional Liability Specialist Megan French
knowledge about TDIC’s policies and she is well suited to help our TDIC policyholders just as our Medical Specialist Padraic Moran helps our medical insurance policyholders.”
While the full WDIA reorganization has been developed and approved by WDIA leadership, its implementation is an ongoing process as new staff are added and trained. More updates about WDIA will be shared in the months ahead. For more information: Call WDIA at (800) 282-9342 or visit wdiains.com
Professional Liability Task Force Members WSDA would like to thank the members of the task force for dedicating several hours to running the RFP process. Dr. Nathan Russell Chair (WSDA Secretary Treasurer and WDIA Director) Dr. Puneet Aulakh (WDIA Director) Dr. Chris Pickel (Former WSDA and WDIA Director) Dr. Blake McKinley, Jr. (WSDA Director) Bracken Killpack (WSDA Executive Director) Matt French (WDIA Director of Insurance Services) Rachael Ream (Partner, Studebaker Nault, PLLC)
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Practical steps for managing your
online reputation ★ Research suggests that 85% of consumers trust online reviews as much as personal recommendations ★ Asking patients who are satisfied with their treatment to post positive reviews can help overshadow one or two negative reviews ★ As employers, dentists must take care when requesting social media account information from employees or prospective employees
Facebook. Instagram. Twitter. Yelp. Consumers have their pick when it comes to the number of social media platforms available to crow about outstanding service — or complain when something goes wrong. In today’s multichannel marketing world, what should you do if you or your practice is singled out for a bad review or complaint? Dealing with these challenges is called online reputation management: The act of actively monitoring, managing, and engaging with
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the public perception of your brand online. Because anyone with access to the Internet can now play the role of a self-styled critic, it’s easier for any kind of review — positive or negative — to be amplified.
commentaries about everything from bad burritos to defective pet products and, yes, dental procedures.
Just a few years ago, if someone had a problem with a product or service, they complained to whomever would listen. Maybe they wrote a letter to their local newspaper, complained to a government agency or, in the extreme example, picketed the targeted business.
It’s almost inevitable: A post or negative comment is going to appear online eventually. And when that happens, it’s important that dentists understand what they can do to respond.
Today, in a matter of keystrokes, consumers are able to post photos, video and
WHEN IT HAPPENS
Barbra Nault, a health care attorney with Studebaker Nault, PLLC in Bellevue, says the most appropriate ways to deal with negative
Reputation Management: By the Numbers
85% 86% 89%
of consumers trust online reviews as much as personal recommendations
Peers are now considered to be as credible as experts of consumers read reviews for local businesses
of consumers read businesses’ responses to reviews
Who is reading online reviews of healthcare providers?
43% of people age 55+ read online reviews for medical/healthcare businesses 33% of people age 35-54 read online reviews for medical/healthcare businesses
64% 15% 30%
trust online search engines the most when conducting research on a business
of consumers don’t trust businesses who don’t have online reviews
of consumers say they positively judge a business that publicly responds to online reviews
1 customer who complains, there are 26 others who remain silent For every
Sources: Bright Local (2019); Status Labs (2019), Groovehq.com/Lee Resources International, Inc. (2015)
online reviews are practical, not legal. First things first, she recommends that you contact the patient — offline — and offer to meet and discuss their concerns. Then, consider whether the patient’s negative review has identified a problem in the practice that needs to be addressed. If possible, Nault suggests responding to the review by describing the organization’s standard practices or policies to address the concern in a general way – never by discussing or disclosing anything specific to, or about, the patient.
Be careful not to publicly acknowledge that the reviewer is actually a patient of the practice, she notes, as this may constitute a breach of patient confidentiality.
“This could be perceived as an attempt to hide the ball, and may only trigger another negative review,” she says.
And perhaps the best way to diffuse or soften the blow of a difficult online review?
EMPLOYEES AND SOCIAL MEDIA
“Ask other patients who are satisfied with their treatment or services if they would like to post a review,” she says. “More positive reviews will overshadow one or two negative ones.” As a rule, Nault says it’s ill-advised to threaten or demand a patient or interested person delete or change an online review.
It’s one thing to field a negative review from a patient. What happens when the source is an employee? Most private sector employers, Nault says, are also subject to the National Labor Relations Act which “protects the right of employees to act together to address conditions at work,
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with or without a union.” These protections also extend to work-related conversations conducted on social media, she says. Nonunion employers may not be mindful of these protections and can get into trouble inadvertently by telling employees they cannot comment or post online about the terms or conditions of their employment or say anything negative about an employer. When in doubt, it is probably best to check with an attorney. Another tricky situation for employers, regardless of the profession, is using social media to screen job applicants. According to Nault, the Equal Employment Opportunity Commission has issued guidance that indicates employers must be very careful about using social media in evaluating job candidates or judging employee performance. “In the hiring process,” says Nault, “there is a risk the employer will learn information about an applicant that is not properly considered in a hiring decision, and thereby create a risk that an unfavorable hiring decision could be perceived as discriminatory.” In Washington, employers are prohibited from requesting or requiring that employees or prospective employees provide their user names and passwords, or grant access to an employer, or permit an employer to review information on a private social media site, except in very limited circumstances.
PROVIDER PITFALLS Nault cautions that, as providers, dentists must take steps to maintain a clear separation between their personal and professional social media accounts. Professional social media accounts are good for providing general information about what the practice is doing to improve the overall patient experience, update patients and the public generally on current on developments in treatment or the industry, and publicize community involvement activities or professional accolades of its owners or employees. Personal accounts should be just that – personal, private and not shared with patients. “A social medial account is not an appropriate forum for delivering advice to any particular patient,” says Nault. “That communication should occur in a setting where providerpatient confidentiality can be maintained. This limitation includes responding to negative or unfavorable comments posted by a patient or patient’s family. In all cases, patient-specific communications should be done ‘offline.’” Ideally, the business or practice should have one professional account with limited access given to someone serving as a gatekeeper to ensure that any information published on the account is accurate and appropriately reflects the organization’s message, says Nault.
“As a rule, Nault says it’s ill-advised to threaten or demand a patient or interested person delete or change an online review.” And patient testimonials, photographs or other personal information should only be provided after a patient gives informed, written consent, she says. “Patients should be permitted to revoke consent at any time.”
REPUTATION ‘EXPERTS’ A quick Google search will yield an array of businesses that claim to be experts in reputation management. Buyer beware, says Nault. “Consultants with expertise in online and brand development can assist, but it is important that anyone who touches or manages a professional provider’s online reputation be well-informed about the patient confidentiality obligations of the provider and everyone working at the practice,” says Nault. “Unless the consultant has experience in the healthcare industry, these limitations may not be top of mind.” n W
Coping with Negative Reviews With 85% of online consumers saying they trust online reviews as much as personal recommendations, it’s important that businesses — both individual practitioners and larger practices alike — attend to their online presence and be prepared when negative comments are posted. Here are some ways dentists and their office staff can manage negative reviews and their online reputation.
Understand the Situation The first step in managing a bad comment or review is to determine whether what has been said is true. Is this person a patient? Did you perform the services they are referencing? It’s important to respond to any comments in a timely and professional manner. If a mistake truly was made, apologize and invite the client to have a conversation offline, in person. Just remember that anything you post can be viewed by current and prospective clients alike.
Be Responsive As with any urgent or crisis situation, you should address a negative review in a timely manner. Failure to respond quickly (or at all)
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can send the wrong message and suggest guilt, ill-intent or a lack of concern with patient outcomes. A speedy response might just provide an opportunity to change the patient’s mind, so it’s important to acknowledge the comment right away. Apologize for how they feel, and then suggest you take the conversation offline (e.g. via phone or face-to-face) so you can find a way to make things right.
Use Bad Reviews as Opportunities One study estimates that for every customer who complains, there are 26 others who remain silent. Granted, sometimes a bad review reflects unrealistic expectations on the part of the reviewer. But it could also be an opportunity to look more closely at an issue and determine whether changes are needed to create more satisfied patients. Sources: groovehq.com/support/deal-with-bad-online-reviews bigfin.com/blog/negativereviews
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ADA HIGHLIGHTS Driving Dentistry Forward
CONNECTING, SIMPLIFYING & LEARNING
2018 marked a milestone for the ADA. This year, our successes were the direct result of listening intently to YOU — our 163,000 insightful members — and providing the tools, resources and networks that help us to drive dentistry forward together. Thank you for joining us on this incredible journey; we see a lot of amazing progress ahead. This is the ADA. YOUR ADA.
ADA.ORG/HIGHLIGHTS
SUPPORTING MEMBER SUCCESS
7,000+
members helped by ADA Third Party Payer Concierge™.
30,000+
downloads of new Science Institute JADA papers, including the nonrestorative caries treatment guideline.
INFLUENCING AND ADVOCATING
2,000+
letters sent to Capitol Hill and 1,200+ in person visits to lawmakers to pass the Action for Dental Health Act.
1st ADA policy
in support of a vaccine — the HPV vaccine — that may help prevent the infection that can cause oropharyngeal cancer.
$33,000
*
Laurel Road® saves dentists more than $33,000 on average over the life of their loans.
175
16,000+
dental professionals came together at ADA 2018 – America’s Dental Meeting®.
123,500+
hours of CE courses taken on-demand and in-person.
31,000+
dentists are in the ADA credentialing service, powered by CAQH ProView® to simplify payer paperwork.
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ADA catalog products, including ADA TV and the Dental Drug Handbook, to provide exceptional patient care.
new practice management resources added to ADA.org.
IMPROVING ORAL HEALTH
1st health organization
to support mandatory CE, prescribing limits to combat the opioid crisis.
2,400+
downloads of Tooth Talk, a new podcast about dental news and the organization’s impact in Washington, D.C.
POWERING THE PROFESSION, ADVANCING THE ORAL HEALTH OF THE PUBLIC
3MM+
patient visits to ADA Find-a-Dentist®.
200MM+
consumers received timely oral health information through the CVS Pharmacy® collaboration.
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new products with the ADA Seal of Acceptance on shelves.
$3.4MM+
in scholarships, grants, awards and donated dental products provided by the ADA Foundation.
*Average savings calculated based on single loans of DDS and DMD degree holders refinanced from 9/2013 to 12/2017 where borrowers’ previous rates were disclosed. Assumes same loan terms for previous and refinanced loans, and payments made to maturity with no prepayments. Actual savings for individual loans vary based on loan balance, interest rates, and other factors.
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ADA NEWS
Dental Anesthesiology Recognized as Dental Specialty
New ADA Podcast Tackles Issues in Practice Management and Beyond
The ADA News (3/12, Solana) reports that dental anesthesiology has become “the 10th dental specialty recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards.” On March 11, the National Commission “adopted a resolution based on an application from the American Society of Dentist Anesthesiologists to recognize dental anesthesiology as a dental specialty.” Dr. James Tom, president of the American Society of Dentist Anesthesiologists, said, “This historic vote by the National Commission certainly reflects the ADA’s ongoing efforts towards improved patient care and safety in the areas of dental sedation, dental anesthesiology and access for those with special health care needs.” In addition to dental anesthesiology, other recognized dental specialties include dental public health, endodontics, oral and maxillofacial pathology, oral and maxillofacial radiology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry, periodontics, and prosthodontics. Learn more at ada.org/ publications/ada-news.
ADA’s Dr. Betsy Shapiro chats with a diverse group of people in Beyond the Mouth, a new podcast from the Center for Professional Success. New episodes of Beyond the Mouth season 1 are being released every other Wednesday through April 24, 2019. Beyond the Mouth is available through iTunes, Spotify, and other major podcast distributors. Learn more at success.ada.org/career/beyond-the-mouth-podcast.
Planning to Join or Exit a Practice? This Is Where You Should Start What issues do you need to consider when entering or exiting a practice? Associating with an existing practice offers many benefits to the younger dentist, while older dentists should have a wellplanned exit strategy. Joining and Leaving the Dental Practice (3rd ed.), by William P. Prescott, Esq., EMBA, is a free, downloadable e-book designed to educate dental and related professionals on important business, legal, and tax planning issues of practice entry and succession. Learn more at success.ada.org/practice-management/ joining-and-leaving-the-dental-practice.
Get a dental benefits roadmap you can’t find anywhere else Get one-on-one support for your provider issues by phone or email with our ADA Third Party Payer Concierge™.
Find members-only resources to make informed contract decisions and navigate the complexities of coding.
Find third party payer solutions now.
Streamline the credentialing process so you can spend more time with your patients.
ADA.org/dentalbenefits
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UW SCHOOL OF DENTISTRY NEWS
UWSOD Launches Drive to Upgrade Clinics The UW School of Dentistry has launched a new fundraising campaign for clinics to upgrade its physical facility and acquire essential technology for its pre-doctoral program. “Our School urgently needs these upgrades,” Interim Dean Gary Chiodo said in a letter to supporters. “With so much equipment past its useful life, marred, or in disrepair, our clinics simply do not present the appearance our patients should expect from one of the world’s top 10 dental schools. Nor do they provide the kind of working environment we all want for our outstanding faculty, staff, and students.” According to the dean, the school must replace all the chairs – for patients and providers alike – on the top two clinical floors of its D wing, along with cabinetry and other infrastructure. With a campaign theme of “Imagine Our Future,” the school must also boost its technological resources. “We need to add electric hand pieces, so students will be learning with both the electric and air turbine technology,” he says. “State-of-the-art technology must start in the D-1 Simulation Clinic and continue seamlessly into the patient clinics. This includes CAD/CAM technology related to digital dentistry.” The school also seeks more intraoral scanners to prepare its students more fully for today’s dental office. Ultimately, it would like to acquire technology such as haptic goggles to raise the standard of training even higher. Dean Chiodo envisions a UW Center for Digital Dentistry providing world-class education for students and residents and continuing education for Washington dentists. “We must recognize the crucial importance of modernizing our school if we wish to continue attracting the best and brightest students, retain the stellar faculty and researchers who make our high ranking possible, and recruit the new people who will ensure our future excellence. Our clinics must be inviting for our patients as well,” he says. “This is all about modernizing our pre-clinical instruction, which is the foundation for clinical practice,” says Dr. John Sorensen, research director for the Graduate Prosthodontics program. He hopes to see digital dental instruction start as early as pre-dental courses. Although second-year students have been training with oral scanners, more are needed for all pre-doctoral students to be trained properly, faculty members say. At least one is sought for every hexagon station in the Simulation Clinic.
For faculty members, digital software’s big attraction is its self-evaluation capability. After students scan their tooth preparation, the software reviews their work and provides a color-coded 3D analysis of preparation wall taper, over- or under-reduction, quality of margin preparation, and other criteria. “Our goal is to have students be exceptional at selfassessment,” Dr. Sorensen says. Beyond that, students can “We must recognize improve their the crucial importance of esthetic analysis and smile design skills, modernizing our school he says, and adds: if we wish to continue “For digital implant prosthodontics, attracting the best and implant software can brightest students.” go through the entire process from A to Z, starting with site assessment and treatment planning. The user can perform a virtual surgery and create a surgical guide for the real thing. Users can pre-design and mill temporary and permanent restorations. With our faculty and students working together, we will have almost complete in-house control.” “As we succeed in this campaign and secure the funding we need for critical improvements, that will bring us to current standards and we will be able to advance our national and global rankings, and deservedly so,” Dean Chiodo says. “However, I want to plan for the future and establish a funding resource so that we may stay in front of developing technology and never again be in a position of needing to replace, remediate, and improve so much so fast.” Given that the school has trained about half of all Washington practicing dentists, he emphasized its importance to the overall quality of dentistry in the state. “Our whole dental community has a stake in this,” he says. “We do not need a new dental school – but we need to seriously fix the one we have.” n W
Learn more at dental.washington.edu/campaign-for-clinics
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CLINICAL CORNER
UW Oral Pathology Case of the Month March 2019
Large multilocular, expansile radiolucency, anterior mandible Contributed by Dr. Patricia Kelly | University Oral & Maxillofacial Surgery, Seattle, WA
History of Present Illness This is a 30-year-old female presented to her dentist, as a new patient, with an expansile swelling in the anterior mandible. A panoramic radiograph was taken which demonstrated a large multilocular lesion (Figure 1). The lesion is of unknown duration and the patient was unaware of the lesion until it was pointed out to her. She denies any sensory disturbances; she denies pain. The patient’s past medical
history is significant for Asthma, GERD, IBS, generalized anxiety disorder and dental phobia.
Make Your Diagnosis! Visit wsda.org/clinicalcorner to see if your diagnosis is correct. Thank you to UW Oral Pathology for sharing this Case of the Month.
JADA+ Clinical Scans The Journal of the American Dental Association (JADA) has made it easier than ever for members to keep up with trustworthy, up-to-date clinical research. JADA+ Clinical Scans offer summaries of the latest published research covering a variety of topics that, at about 500 words each, are short enough to fit into your busy schedule. See below for several recent scans and browse all available scans at jada.ada.org/clinicalscans.
Latest Scans Teeth undergoing crown or root resection procedures seem to have acceptable survival rates Cold treatment as an adjunct to inferior alveolar nerve block may reduce pain and anxiety in patients undergoing endodontic treatment in mandibular molars with symptomatic irreversible pulpitis Patients seem to be more satisfied when using complete dentures fabricated using the neutral zone technique than those fabricated using a conventional technique
Children delivered via cesarean section had a lower risk of developing caries than those delivered vaginally in a low caries prevalence setting Insufficient evidence of superiority of any restorative technique for primary teeth over another regarding anxiety, pain, and oral health–related quality of life Uncertainty about the outcomes of the clinical remount step when fabricating complete dentures owing to limitation in systematic review process Splinted teeth do not seem to have a higher risk of tooth loss in highly compliant patients
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CE OPPORTUNITIES
PNDC 2019: Washington’s Largest Dental Conference
Thurston-Mason Counties Dental Society Charity Golf Tournament
Register today for the Pacific Northwest Dental Conference! Held June 20-22 in Bellevue, PNDC offers you the chance to earn up to 19 CE credits over three days from your choice of more than 40 speakers.
Thurston-Mason Counties Dental Society will host a Charity Golf Tournament on Friday, May 17 at Indian Summer Golf and Country Club in Olympia.
Early Bird Pricing – Prices Jump After May 3! WSDA Member Dentists: $275 Recent Grad WSDA Member Dentists: $175 WA Non-Member Dentists: $1,800 Hygienists: $175 Assistants & Staff: $140 Learn more and register at wsda.org/pndc.
Local Continuing Education Attend upcoming CE courses in your area! Visit wsda.org/localCE to learn more.
Clark County Dental Society General Membership Meeting Thursday, May 2, 2019 at 6 PM Royal Oaks Country Club, Vancouver
Pierce County Dental Society PCDS Spring Meeting Practice Power – Making an Impact on Patients, Productivity & Profits Speaker: Debra Englehardt-Nash Friday, May 3, 2019 from 8:30 AM-4 PM Emerald Queen Conference Center, Fife
Seattle-King County Dental Society New Dentist: Branding Yourself & Other Job Search Strategies Speaker: Sasha Bachtold Wednesday, May 15 from 6:30-9 PM UW South Campus Center, Seattle
Snohomish County Dental Society CPR Pro & First Aid Courses Friday, April 26, 2019 from 8:30-11 AM (CPR) & 12-3 PM (First Aid) Everett
SCDS General Meeting Wednesday, May 15 from 6-8:30 PM Mill Creek Country Club, Mill Creek
Spokane District Dental Society SDDS Membership Meeting Oral Cancer: The Good, The Bad, The Ugly Speaker: Dr. Sara Gordon Tuesday, May 14 at 6 PM Empire Health Foundation Philanthropy Center, Spokane
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AROUND THE STATE
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Proceeds from the tournament will benefit Olympia Union Gospel Mission No-Fee Dental Clinic and Turning Pointe Survivor Advocacy Center. Registration, breakfast and the driving range open at 7:30 AM with a shotgun start at 9 AM. Lunch and the award ceremony will take place at 1:30 PM. Registration Fees: • TMCDS members: $100 • Other players: $150 Email tmcdentalsociety@gmail.com to register.
Request a Free Infection Prevention Assessment for Your Office In 2015, the Washington State Department of Health received federal funding from the Centers for Disease Control and Prevention (CDC) to conduct enhanced Infection Control Assessment Response (ICAR) assessments. Dental clinics throughout the state can participate in this pilot program. Public health experts will meet with interested dental clinics and conduct an infection prevention assessment using CDC guidelines. Visits are voluntary, consultative and provided at no cost. Dental clinics across the state can participate in this program. ICAR visits typically take half a day to complete. Topics covered during the visit will range from hand hygiene to antimicrobial stewardship. Visits may include observations of staff performing hand hygiene or sterilization practices. Following a visit, ICAR consultants will provide the facility with a report of the findings and provide improvement tools. If you are interested in taking advantage of this program, please contact the following offices to schedule an appointment:
Eastern Washington
Dorothy MacEachern MS, MPH, CIC at (509) 324-1569 or dmaceachern@srhd.org
Southwest Washington
Dana C. Nguyen BSN, RN, CIC at 564-397-2000 ext. 7272 or dana.nguyen@clark.wa.gov
Puget Sound Region
Patty Montgomery MPH, RN, CIC at patricia.montgomery@doh.wa.gov Would you like to feature upcoming local dental society events in the next issue of the WSDA News or on wsda.org? Please email events to Emma Brown at emma@wsda.org for consideration.
IN MEMORIAM
Dr. Ronald Allen Bryant On May 24, 1948, Ronald Allen Bryant was born in Dallas, TX to Eugene Willis Bryant and Dorothy Eakin Bryant. On December 23, 2018, he died peacefully surrounded by his loving family from rare and untreatable prostate cancer. He was a wonderful family man and a worldclass dentist; he absolutely loved both his family and his career. In his own words, “My family is number one. My wife, Cheryl, and I have been married 50 years, and we have two wonderful grown sons (Jon and Jason), two lovely daughters-in-law (Austin and Marisa), two beautiful granddaughters (Mikayla and Audrey), and a grandson (Max), who (like me) loves to build things. We feel blessed and are very proud of them all.” He was proud of his family, and his family was also so very proud of him. He was a kindhearted, positive, curious, enthusiastic, generous, and vibrant man who positively impacted so many lives. His death is a tremendous loss for his family, his friends, and the field of dentistry. Dr. Bryant truly felt like he was born to be a dentist. As a child, he was always interested in arts and crafts, and could often be found building things in his father’s workshop. In school, his favorite subject was science. In 7th grade, after a visit to his dentist he decided dentistry was a perfect blend of art, craftsmanship, and science. He decided right then to become a dentist and never wavered. As a boy he earned his Eagle Scout which helped establish and cement a legendary work ethic that is the envy of any achiever. He applied this work ethic in pursuit of becoming the very best dentist he could possibly be. Before beginning his dental career, he earned his B.S. from University of Texas, Arlington, and his D.D.S. from Baylor Dental College in Dallas (where he was so grateful for the guidance and mentorship he received from Dr. Jesse T. Bullard). After becoming a dentist, he completed a two-year residency at University of Washington School of Dentistry earning a specialty M.S.D. degree in prosthodontics with emphasis in the field of periodontal prosthodontics. After completing his M.S.D. at U.W., he and his
family fell in love with the Seattle area and decided to make it their home. After he began practicing, he was determined to develop into one of the best dentists in his field. He was always thrilled to attend courses providing advanced training in the most cutting-edge dental techniques. He passionately studied cosmetic dentistry, dental implant surgery and restoration, prosthodontics, restorative dentistry, periodontics, advanced soft tissue and bone grafting surgical procedures, TMJ, laser dentistry, sedation dentistry, dental porcelain, and dental laboratory procedures. As a prosthodontist, Dr. Bryant excelled in restorative and reconstructive dentistry. He was regarded by many of his peers as one of the best clinicians in the world. As a tribute to him and all he achieved we are listing his many professional accomplishments below. Dr. Bryant was board-certified by the American Board of Prosthodontics, a process requiring a rigorous test passed only by about 30 percent of trained prosthodontists. He was also board-certified by the American Board of Oral Implantology/Implant Dentistry. Additionally, he was one of only 35 prosthodontists in the world to have earned board certification in both prosthodontics and implant dentistry. Dr. Bryant also attained the distinction of Accredited Fellow of the American Academy of Cosmetic Dentistry, an honor earned by fewer than 50 dentists worldwide. Because of these accomplishments and other notable qualifications, many dentists have referred their patients to Dr. Bryant for difficult and complicated treatments. His additional professional distinctions include being awarded Fellow in the American College of Prosthodontists (FACP), Fellow in the American Academy of Implant Dentistry, and Fellow in the American College of Dentists (FACD). He also had memberships in the American Dental Association, Washington State Society of Prosthodontists, American Academy of Implant Dentistry, Academy of Osseointegration, American Academy of Fixed Prosthodontics, Washington State Dental Association, Seattle-King County Dental Society. Further, he was a former faculty member at both the University of Washington School of Dentistry and Baylor Dental College. He also achieved honors in Omicron Kappa Upsilon Honor Society, Alpha Chi Honor Society, Southwest Academy of Restorative
Dentistry Award, Baylor Odontological Honor Society, and the Psi Omega Scholastic Award. While his family and his career were his greatest passions, he also enjoyed photography - especially nature and wildlife photography. Photography was in his genes; his father was a professional portrait photographer, as was his brother. He also enjoyed flying single-engine aircraft and had ratings for land, sea, and IFR. Dr. Bryant is survived by his wife Cheryl McDonough Bryant; sons Jonathan Allen Bryant (wife Austin) and Jason Bryant (wife Marisa); grandchildren Mikayla Leigh Bryant, Audrey Anne Bryant and Maxwell Jameson Bryant; and siblings Ray Howard Bryant (wife Debra) and Robyn Bryant McDowell (husband Fred). He was a man beloved by many who gave so much to his family and to the world. He will be greatly missed and is gone much too soon.
Dr. James R. Hansel This day for our family and friends is a very sad day. Our Wonderful Jim has passed away. Sadly, he leaves his wife of Fifty-Seven years. She has great love and memories through her tears. His daughter, Barbara, shares his love of children and art. She teaches children for her part. His son, Ken, is also in the world of care. As a Pharmacist helped with Jim’s treatment anytime anywhere. Our German boy, Chris who became a second son. Was in our family a son and brother to everyone. Grand Babies were Jim’s biggest and most fun joys. Barb gave him Mike & Geoff, two great boys. She also gave us a sweetie pie from Mike. Her name is Callista, a little darling we all like. Ken added his boys Bryan and Jake. Also, a beautiful girl, Halie, who is great. Chris contributed Ally, Collin and Nic. Chris won’t see them grow up which makes us sick. Jim was best known for placing braces.
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IN MEMORIAM
Making beautiful smiles on beautiful faces. His fabulous artistic talent was in carving birds. All so beautiful there aren’t adequate words. He loved hunting with his boys and all. Anything outdoors especially in the fall. He will be missed by family and friends he knows. As memories of his Love, Caring, Teasing and Sarcasm grows. Rest in Peace my Love.
Dr. Bob Janisch Edward Robert “Bob” Janisch, D.D.S., M.S.D., died on March 13, 2019. Bob was born on November 10, 1931 to Edward and Dorothy Janisch in Seattle. Growing up in Magnolia, Bob had many friends and graduated from Queen Anne High in 1950, after excelling in track and field and as a quarterback. From early on, Bob made and kept lifelong friends. During summers after World War II from 1946 to 1955, Bob was on the Boy Scouts Camp Parsons Staff on the Hood Canal. He was an Eagle Scout with Troop 82 and at Camp Parsons Bob obtained the highest ranking in the Order of the Silver Marmot (Blue Braid). Bob led and positively influenced young men on many hikes and climbs throughout the Olympic Mountains. In June 2018 Bob relished participating in a 100-year anniversary celebration at Camp Parsons. In 1956 Bob graduated from the University of Washington dental school in the top of his class where he was a member of Alpha Delta Phi fraternity, Omicron Kappa Upsilon, National Dental Honorary and Purple Shield. On July 14, 1956 he married Doris “Dodie” Ann Turner in Seattle. Shortly thereafter, Bob was drafted into the United States Air Force, where he and Dodie were stationed in Cheyenne, Wyoming for two years. Bob rose to the rank of Captain and was the go-to dentist at the Warren Air Force Base. Bob would later recall this time as a two-year honeymoon with Dodie, where during off duty time they hiked and skied in the Rockies, water skied, golfed, and made more lifelong friends. In the summer of 1958 Bob and Dodie
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returned to Seattle with a newborn son and Bob commenced his private dental practice. He had offices in Seattle and Bellevue. He also instructed at the University of Washington Dental School over the course of his career. In 1960 Bob and Dodie were blessed with a newborn daughter. In 1962 Bob and his young family moved to Bellevue. In 1966 Bob entered the University of Washington Orthodontic school and commenced the practice of orthodontics in 1968. Bob always maintained his love of the outdoors as a hiker, snow and water skier, golfer and boater with his family. In 1970 Bob suffered a stroke which completely paralyzed his right side (from which he never regained use) and took his speech, spelling, and sense of taste. This was caused by a ski accident, when a cable binding came loose, and a ski struck him in the neck. With the endless support of his beloved wife, Dodie, Bob exhibited remarkable determination, endless courage, pure grit and incredible hard work to regain the ability to walk albeit always accompanied by a heavy right leg brace. Bob also re-learned to read, write, spell and to speak again. Bob returned to the practice of Orthodontics in 1974. Bob resumed instructing at the University of Washington School of Orthodontics for many years. Bob did not let the stroke lessen his zest for life: he continued to take his family on outings such as boat trips, road trips, and beach walks. Bob and Dodie traveled throughout America and overseas. Bob and Dodie retired to Stretch Island, Washington, where Bob designed and crafted a pine walled cabin with Dodie overlooking the Sound. At the cabin Bob enjoyed the company of his family and longtime friends through his remaining years Bob is survived by his cherished wife of almost 63 years, Dodie Turner Janisch; his son Tom Janisch (Patti Janisch); his daughter Kay Janisch Ambrose (Michael Ambrose); his granddaughter Juli Janisch (Ian Edelson); and many friends (e.g., birthday bunch!). Friends on learning of Bob’s passing have written: “…Bob is still a prince, a gentleman with a wonderful sense of humor, with kindness and consideration…generosity of spirit. We will always remember him with
his amused smile, the guy who knew the joke before we caught on…”
Dr. James Lorin Lord Died February 17, 2019 at 81 years old in Seattle, WA due to complications associated with cancer following a stroke. Jim was raised in Colfax Washington and went on to attend Washington State University where he graduated with a Bachelor’s of Science degree in Zoology in 1960. He furthered his education at the University of Washington where he obtained a Doctor of Dental Surgery degree in 1964 followed by a Master of Science in Dentistry in Graduate Prosthodontics in 1970. He was on faculty at the University of Washington as an Instructor, Assistant Professor, and Associate Professor for most of his career. Outside the University, he maintained a private practice in North Seattle for 27 years. Jim was active in numerous local and national academic and professional associations. He enjoyed the professional collaboration and advancement of his profession through these affiliations and his service. He was President of the Seattle-King County Dental Society from 1987-1988, President of the Washington State Society of Prosthodontists in 1985. President of the Pacific Coast Society for Prosthodontics from 1990-1991 and President of the Academy of Prosthodontics in 1998. An avid fisherman, Jim loved being on the water and spent many summer vacations with his three sons living on their fishing boat in the San Juan Islands. He retired on his floating home in Portage Bay (Lake Union) in 2003 after selling his private practice. Jim was a husband, father, step-father, grandfather, brother, teacher, colleague, neighbor and friend. In the final years of his life he suffered from dementia and as a result lived a relatively quiet and simple life on the water. He loved spending his days watching the boats and lake goers make their way through the Montlake Cut of Lake Union and feeding “his” ducks and geese. Jim is survived by his first wife, 3 sons, 5 grandchildren; 2 step children and 3 step grandchildren.
IN MEMORIAM
Dr. Kenneth Nelson Morrison Dr. Kenneth Nelson Morrison, 101, of Seattle Washington, passed away on Saturday, February 9th, surrounded by loving family in comfort and at peace. Ken’s life journey began on November 14th, 1917, in Guelph, Ontario, Canada. His parents John and Elisa Morrison, together with his siblings Jiggs and Helen created the family that molded him into the disciplined, learned, athletic, welcoming man of integrity and honesty that defined him. He graduated from the University of Toronto Dental School and served as a dentist in the Royal Canadian Army attached to the Air Force in WWII. He started his civilian dental career in Vancouver, BC, after the war. In 1948 Ken married Marion Campbell McLachlan in New Westminster, Canada. Shortly thereafter they moved to Seattle, Washington, where they raised their family. Marion passed in 2002. She was his beautiful, soft spoken, devoted, loving companion of 54 years. In 2006 he married one of Marion’s close friends, Dorothy Humber. In 2016, after 10 years of mutual support and affection “Dot” passed. Ken is survived by his two sons Scott and Blake with their wives Julie and Mary, his two daughters Stephanie and Marney and their husbands Paul and Greg, three grandchildren Schuyler, Chandler, and Chelsea, two great-grandchildren Ava and Lachlan, and two more great grandchildren, “buns in the oven,” due in 2019. Our dad, or “Far,” was a man of high ideals. He taught us to be fair and open minded to all people, beliefs and persuasions, and that a well thought out, respectful debate was more powerful than a sharp, hastily conjured and delivered rebuke. As a very proud professor of Dentistry from 1949 to 1988, and one of a handful of men that envisioned and started the esteemed University of Washington Dental School, he did not entertain mediocrity in himself nor from his students. Thus he earned the reputation for being stern and his nickname “Blackie.” He was and is still highly respected in the dental community and often reflected that he was privileged to have worked with some of the brightest minds in dentistry.
His two outdoor passions were downhill skiing, which he enjoyed through his middle eighties, and swimming laps; a daily warm weather event he enjoyed through his midnineties. As a family we enjoyed both, as well as camping on the coast and across the country. Ever seeking his physical well being, Far was an avid jogger which in his later years acquiesced into an avid walker. He and our mom, “Mor,” gave us the gift of world travel, a keen appreciation for art, civility, the art of being humble, and the importance of being informed. Far’s last New Year’s Resolution was simple; “to not see his 102nd birthday.” His wish was gently granted.
Dr. Dale Oliver Murray
soul.
Dale Oliver Murray passed away December 5, 2018. He lived his life full of family, kindness and grace. Heaven has received a very special
Dale was born August 6, 1925 in Yacolt, Washington to Joe and Myra Murray and older brother Glenn. The family moved to Tacoma where Dale attended Washington Elementary, Mason Junior High and Stadium High School graduating in 1943 where he was the State High School diving champion. Following graduation, he enlisted in the Navy and was commissioned aboard the U.S.S. Columbia. He attended Iowa State College, College of Puget Sound (now known as UPS) and the University of Washington earning degrees in Civil Engineering and his Doctor of Dental Surgery. He opened his dental office in downtown Tacoma where he practiced dentistry for over 40 years. He and Doreen attended Stadium High School together, then reconnected at CPS and were married on September 2, 1948 at Immanuel Presbyterian Church. Dale loved the outdoors and introduced his wife and family to numerous sports teaching them all to snow ski, water ski, fish and golf. Summers were spent on Hood Canal in a cabin that he built, digging clams, crabbing, boating and entertaining many friends and family. Water skiing was a huge part of the Hood Canal summers and Dale worked on perfecting his 360’s on trick skis.
Encouraged by his mother at an early age, music became an important part of his life. He played many instruments and would often entertain family and friends playing his tonettes. He and Doreen loved attending Jazz festivals in Sun Valley and the Oregon Coast. He spent his spare time perfecting his woodworking projects (a craft that was passed down from his father), designing and building everything from an Indian sculpture he named “Strong Horse”, to Santa playing the organ. He was also a huge Husky fan and he and Doreen loved going to the Husky football games. Dale was a Phi Delta Theta, a longtime member of the American Dental Association, a member of the Gig Harbor Golf Course, and a member of Chapel Hill Presbyterian Church. He is survived by his wife of 70 years, Doreen; his daughters Kay (Gerry), Joan (Michael), Martha (Steve); his son Jack (Cindy); Grandchildren Molly, Kelly (Abdul), Thad, Conor; and great granddaughter Amya.
Dr. Melvin Frederick Rugg Melvin Frederick Rugg, “Dr. Mel”, a respected Dentist and long-time resident of Kent, died peacefully in his sleep on December 13, 2018 at the age of 86, due to complications from a fall. He also battled cancer and heart disease for many years. Melvin was born in Auburn, WA on November 10, 1932 to Dr. Roy and Mildred Rugg. He grew up in Kent, WA and graduated from the last graduating class of the old Kent-Meridian High School, in 1950, before the school moved up the hill to its current location in 1951. A mutual friend introduced him to his beloved future wife, Judith Olson, at a dance in the late 40’s. They were married in 1953 and celebrated their 64th Anniversary shortly before Judith passed in January 2017. Melvin graduated from the University of Washington Dental School in 1956. After graduation, he joined the Navy as a Dentist and was posted to San Diego, CA, taking his family with him. After his discharge, he moved the family back to Kent, WA and joined his father Roy Rugg and uncle Porter Rugg in their Dental practice located in downtown
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IN MEMORIAM
Kent. Melvin built a new office building on the East Hill of Kent in the late 60’s and moved his dental practice there. He retired in 2002 after 46 years of Dentistry. Melvin was an active member of the Kent Kiwanis Club for more than 55 years. He was a life member of the American and Washington State Dental Associations and a respected member of the American Academy of Gold Foil Operators, in Dentistry. He enjoyed skiing, fishing, boating, working on various household projects and puttering around in the garden of his Auburn and Gig Harbor properties. He was happiest when helping others, a loving, caring, gentle soul, always a gentleman with a wonderful dry sense of humor. A devoted servant of God, his humble, compassionate and generous nature touched many lives. He will be greatly missed by his loved ones, friends and all who knew him. Melvin’s greatest joy was his family. He cherished his children, grandchildren and great-grand-children. He is survived by his sister Bernice Stencil and husband Chet; SIL
- Clarin Blessing Olsen and husband Wayne; daughter Elizabeth Cooper and husband Geoffrey; son James Rugg and wife Kipling; 3 grandchildren, Caroline Weatherford and husband Trey, Meredith Zapffe and husband Davis and Thomas Rugg and wife Celina; 6 great-grandchildren, Scarlett, Savannah, Juliette, Haisten, Lavender and Henry; and niece Karen Stencil.
Dr. Richard Lee VanDerschelden Richard Lee VanDerschelden D.D.S died peacefully at home on January 31, 2019. Dick was born in Omak on 4/11/1934 to Joe and Goldie. He graduated from Fife HS in 1951, then from UW Dental School in 1957. He entered the US Navy, married Carol Ann Bull, and served 2 years obtaining rank of Lieutenant. He practiced dentistry in South Park where he served the community for 44 years. During this time he was active with South Park
Lions, Georgetown Comm Center, helped open the Highpoint Dental Clinic, and made 3 humanitarian dental trips to Bolivia. After retiring he volunteered 10 years at the Union Gospel Mission Clinic. Dr V. loved traveling the world with friends and family. He loved fishing, bird hunting, museums, work, reading and his family. Richard was preceded in death by his parents, his brother Dale, and his wife of 52 years, Carol Ann. He is survived by his daughters, Robin, Rebecca, and Stacy and their spouses. Also by 5 grandchildren and 1 great grandchild, his sisters JoAnn and LaRae and his sister in laws, Alice DiMarco, Denny Bull and Connie VanDerschelden, and a plethora of nieces, nephew and extended family. He was so loved & will be missed. Rest in Peace Dad! Thank you to the families for submitting these obituaries. To submit a member obituary for recognition in the WSDA News, please email editor@wsda.org.
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DDS/DMD - BELLINGHAM, WA — I am seeking a general dentist from a GPR, Military, private practice, or graduate DDS with Washington State license and current on all CPR, immunizations, CE etc. I am a GP in a multi-dentist/OS and Ortho building well established practice in the heart of Bellingham. I’m not ready to sell at this point but an associate leading to partnership/sale is my desire. Contact: 22thdds@gmail.com include CV and a short letter of why you are interested in dentistry and Bellingham.
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rooms, restaurants and more. Add in the numerous pieces of public art and special events, the seasonal Farmers Market and outdoor concerts, and you start to see why our downtown has been recognized time and again as one of the best small town Main Streets in the country. Walla Walla has long been known as one of the most fertile agricultural areas in the nation, producing such crops as wheat, asparagus, strawberries and the famous Walla Walla Sweet Onions. However, it’s as wine country that Walla Walla is most celebrated. With more than 120 wineries representing a wide range of varietals, it doesn’t take long to see why people return again and again to Walla Walla. Walla Walla Wine Country offers the rare opportunity to experience not only world-class wines but to meet the winemakers, vintners, and family members carrying on the wine tradition. No one is in a rush. Conversation is relaxed. Here, tasting wine becomes an entirely different and wonderful adventure. Additionally, convenient day trips within the Walla Walla Valley include the towns of College Place, Waitsburg, Dayton, and Milton-Freewater. Only a short drive or bike ride away, our neighbors offer even more unique museums, dining and spirits, shopping and community events. Whether you’re looking for something to do, a place to stay, a hot new restaurant or the perfect winery to spend an afternoon, we’ve got you covered. (Visit Walla Walla © 2019) https:// youtu.be/qHJsW0dV3Lo Education: Graduate of a School of Dentistry. Experience: Experience working, as a dentist preferred. Licenses/ Certificates/Registration: Current Washington/ Oregon State Dental License, Current BLS Certification, and Current DEA. Knowledge/Skills/ Abilities Required: Knowledge of dental principles and treatment procedures including prevention of pain, infection, loss of teeth developing dentition; knowledge in public health principles; ability to be compassionate and culturally sensitive towards underserved populations, specifically the migrant population; must be able to provide: highest quality of clinic care to all patients, highest quality of care in a public health care setting; must be able to adhere to review by: YVFWC Quality Assurance program, Washington State Dental Practice Act, National Health Service Corps and United States Public Health Service Guidelines; must be able to further the cause of public health concepts; ability to work with all ages of patients; ability to work with an interpreter, if necessary; ability to interact effectively with patients, families, clinic team members and others; ability to demonstrate professionalism in appearance and behavior; and Bilingual (English/Spanish) preferred. Please forward your resume to americal@yvfwc.org for consideration or apply online at http://www. Click2Apply.net/xrz92dkjfchm9dsr
PART-TIME DENTIST FOR NATIONAL CLAIM REVIEW COMPANY — Work from your home or office. Must have a clean active Washington dentist license for a minimum of 5 years. Seeking a dedicated individual. Please submit resume TLite@ pandrdental.com or fax 609-225-5432. FULL-TIME ASSOCIATE SEQUIM, WA — Private, small group practice in Sequim, WA is hiring a full-time associate for our expanded facility opening May 2019. All aspects of general dentistry. Digital xray, CBCT, Cerec. We have a patient first philosophy. Rapid growth, ownership potential, excellent compensation. Abundant recreation... come live and practice where everyone wants to retire! 2 years experience preferred. Email CV to olypendentist@yahoo.com SEEKING ASSOCIATE DENTIST (FULL-TIME) – PORT ANGELES, WA — Are you searching for an opportunity in dentistry that rises above the ho-hum of traditional private practice as well as the binding constraints of the corporate approach? Do you yearn for a setting that tirelessly cultivates clinical compassion and excellence alongside extraordinary teamwork and practice health? If so, we invite you to contribute your talent and passion to a leading dental organization that embodies Washington’s innovative spirit. Our aim is simple: We preserve the integrity of private practice while leveraging the power of the cooperative group. And here’s the real deal: You’ll work shoulder-to-shoulder with some of the most talented and committed dental professionals and industry leaders. The tools, technology, and clinical support are unparalleled, and practice partnership is the end-game. The field of dentistry is progressively changing, and we’re at the forefront of the positive transformation. We hope you’ll consider joining us -- or at least exploring the opportunity -- as we continue to strengthen an extraordinary culture that shines through our service to each and every patient. Please send resume to adam@atlasdentistry.com. ASSOCIATE DENTIST DOWNTOWN SEATTLE — Established dental practice in downtown Seattle is looking for an associate dentist to work 1-2 days per week, providing quality dental care to our adult patient population. We have a solid team ready to support the doctor. We are looking for a longterm commitment, and there is an opportunity for a future buy-in. The applicant must have: - Washington dental license in good standing - At least 2 years of private practice experience in US. Please send C.V. / resume to: amarashi@hotmail.com SEEKING DENTAL ASSOCIATE IN EVERSON, WA — A growing family and cosmetic practice in Everson, WA is seeking a dental associate to join our amazing and caring staff. We have plenty of patients who need you! Two to three days a week. We offer a
EXPERIENCED DENTAL ASSOCIATE OPPORTUNITY — Very busy modern paperless, privately owned dental practice on the Eastside. Offering general and advanced dental procedures to our patients. If you love being a dentist, educating your patients, take pride in your dentistry and are ready for a full schedule the day you start! Then we are the practice for you. We are a great group to work with, all with the same goal in mind . . . . . 100% treatment acceptance through patient education. Our schedules are full, our production is high, and you will be busy. If you are interested in a long term associate position with high production, send a cover letter about you and resume to this posting. We will be contacting doctors with the best fit. Thank you and we look forward to meeting you soon. Forward resume to growyourpracticetoday@ gmail.com PARTNERSHIP OPPORTUNITY — Why associate and earn for others, when you can earn much more for yourself? Become a partner from day one! Our group is looking to add a General Dentist in Western Washington in a prime location. Our overhead, on average, is below 50%. Our marketing efforts generate over 100 new patients per month. The doctors in our group earn 3-4 times the national average. Our unique mentoring is available for all doctors both clinically and with the management side of the business. If interested please contact: Travis Probst 719-352-5773, comfortdwa@gmail.com PEDIATRIC DENTIST — Our group is looking to add a Pediatric Dentist in western Washington. The location has a great pediatric dentist to population ratio. We envision a guaranteed salary for two years, then a possible buy in option. We have an existing network of dentists committed to referring to you. As a group, we feel it is time to have a pediatric dentist we can refer to. For more information please contact: Travis Probst DDS, 719-352-5773 cell, taphme@yahoo.com GENERAL DENTIST, WALLA WALLA — We are currently looking for a General Dentist passionate about public health and committed to working with underserved patient populations to join us in Walla Walla, WA. If you are you a General Dentist looking for a competitive salary and an exceptional and fulfilling quality-of-life, consider joining the Yakima Valley Farm Workers Clinic family. We are a Patient-Centered Medical Home passionate about providing high-quality and comprehensive dental care for all age groups. Our team of dentists, hygienists, and other staff member emphasize prevention and work with their patients to develop effective treatment plans. We Offer • Competitive salary • Medical, Dental and Vision health coverage • 22 vacation days per year • $2,000 plus 40 hours of paid leave for continuing education • Hiring bonus • Relocation assistance • Eligibility for state and federal loan repayment programs • & MORE! Our mission celebrates diversity. We are committed to equal opportunity employment. Walla Walla, WA A vibrant reflection of the past and the present, downtown Walla Walla is the place where you begin to discover what makes Walla Walla so unique. A walk down tree-lined streets reveals a funky mix of vintage shops, boutiques, cafes, bookstores, tasting
DENTIST NEEDED, TOPPENISH — We are currently looking for a General Dentist passionate about community health and committed to working with underserved patient populations to join our team! If you are you a General Dentist looking for a competitive salary and an exceptional and fulfilling quality-of-life, consider joining the Yakima Valley Farm Workers Clinic family. We are a Patient-Centered Medical Home passionate about providing high quality and comprehensive care. Our team-based approach to patient care
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WSDA Ne w s | Spring 2019 | www.wsda.org
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means you are part of a care team passionate about working in community health. We Offer: • Competitive salary • Generous benefit package • Relocation assistance • Hiring Bonus • Eligibility for state and federal loan repayment programs Joining YVFWC means you will have the added benefit of living in the Pacific Northwest, where you can enjoy spectacular wilderness areas and crystalclear lakes and rivers. You can enjoy fine Northwest wines and a spectacular selection of fruits and vegetables. You will also be within an easy drive to a growing metropolitan area, offering fine dining and shopping, theatres, museums, and elite universities. Our mission celebrates diversity. We are committed to equal opportunity employment. Education: Graduate of a School of Dentistry. Experience: Experience working, as a dentist preferred. Licenses/ Certificates/Registration: Current Washington/ Oregon State Dental License, Current BLS Certification, and Current DEA. Knowledge/Skills/ Abilities Required: Knowledge of dental principles and treatment procedures including prevention of pain, infection, loss of teeth developing dentition; knowledge in public health principles; ability to be compassionate and culturally sensitive towards underserved populations, specifically the migrant population; must be able to provide: highest quality of clinic care to all patients, highest quality of care in a public health care setting; must be able to adhere to review by: YVFWC Quality Assurance program, Washington State Dental Practice Act, National Health Service Corps and United States Public Health Service Guidelines; must be able to further the cause of public health concepts; ability to work with all ages of patients; ability to work with an interpreter, if necessary; ability to interact effectively with patients, families, clinic team members and others; ability to demonstrate professionalism in appearance and behavior; and Bilingual (English/Spanish) preferred. If you are interested in learning more about these practice opportunities, please forward your resume to americal@yvfwc.org for review or apply online at http://www.Click2Apply.net/jnzbk56f4hr2y27p
performing timely performance reviews. They will be responsible for answering clinical questions and assisting with the dental management of complex patients. Both, positions will provide comprehensive, coordinated dental care services to a diverse and underserved patient population. UCNW manages patient care using a team-based approach in our interactions with patients and working to achieve stated objectives and outcomes. Ideal Candidate Offers: • Graduation from an accredited Dental program, including completion of a 3-year accredited residency or work-related position • The ideal Associate Dental Director will possess 3+ years’ experience, in progressively responsible administrative/management-related positions within a dental clinic environment, preferably in a community health center setting working with underserved populations. The ideal Dentist candidate has Adult experience, in a community health care setting, with a strong desire to serve an under-served population. • Current, valid license to practice dentistry in Washington State • Valid driver’s license • Valid DEA Certificate and current BLS certification We Offer: • A competitive compensation package; plus Medical, Dental, & Vision, and 401(k)-Retirement plan with employer match after 1 year of eligibility • Generous paid time off benefit with six paid holidays Live in a Community, rated one of the most desirable in the USA! A popular university & retirement community of 80,000, nestled between Bellingham Bay and Mt. Baker. A short distance from Seattle, Vancouver BC and the San Juan Islands. To learn more about Bellingham visit https://www.bellingham.org. Apply at: www.unitycarenw.org; or contact: karla. lacktorin@ucnw.org.
drive to a growing metropolitan area, offering fine dining and shopping, theatres, museums, and elite universities. If you are interested in learning more about these practice opportunities, please forward your resume to americal@yvfwc.org for review. Our mission celebrates diversity. We are committed to equal opportunity employment. Education: Graduate of a School of Dentistry. Experience: Experience working, as a dentist preferred. Licenses/ Certificates/Registration: Current Washington/ Oregon State Dental License, Current BLS Certification, and Current DEA. Knowledge/Skills/ Abilities Required: Knowledge of dental principles and treatment procedures including prevention of pain, infection, loss of teeth developing dentition; knowledge in public health principles; ability to be compassionate and culturally sensitive towards underserved populations, specifically the migrant population; must be able to provide: highest quality of clinic care to all patients, highest quality of care in a public health care setting; must be able to adhere to review by: YVFWC Quality Assurance program, Washington State Dental Practice Act, National Health Service Corps and United States Public Health Service Guidelines; must be able to further the cause of public health concepts; ability to work with all ages of patients; ability to work with an interpreter, if necessary; ability to interact effectively with patients, families, clinic team members and others; ability to demonstrate professionalism in appearance and behavior; and Bilingual (English/Spanish) preferred. Apply Here: https://chc.tbe.taleo.net/chc01/ats/careers/v2/viewR equisition?org=YVFWC&cws=48&rid=5981
ASSOCIATE POSITIONS IN EUGENE and FLORENCE, OR — Associate positions in Eugene and Florence. FFS, well-established 2 locations expanding. Beneficial to confidently perform endo, oral surgery, surgical implants. Contact Megan@ omni-pg.com, 503.830.5765. (OD122) ASSOCIATE DENTAL DIRECTOR AND DENTIST WANTED — Unity Care NW, located in Bellingham and Ferndale, Washington is expanding our Dental Clinics with openings for an Associate Dental Director & Dentist. We are a private, non-profit, federally qualified health center, proudly and successfully serving the greater Bellingham area since 1982. Our clinics offer comprehensive primary medical, behavioral health, and dental care as well as pharmacy services to a diverse and often underserved patient population of all ages. Employing over 250 caring and compassionate employees, our mission is to increase the years of healthy life in the people & communities we serve. Under the supervision of the Dental Director, the Associate Dental Director, manages, and supervises the Dental Providers and Dental Hygienists in their clinic. This includes selecting, orienting, training, coaching, mentoring, disciplining, and
ORAL SURGEON AND PERIODONTIST OPPORTUNITY — Our dental building in the Renton Highlands has the front lower space available for an Oral Surgeon or Periodontist. Our building has two general dentists, a busy Pedo office, an Orthodontist, and Endodontist, and a very busy Physical Therapy office. An Oral Surgeon would be a great fit and would complete our cross referrals. The Renton Highlands is booming and our Highlands Professional Plaza is in the heart of it across from Qfc and Bartells. For more info call 206-795-4085. GENERAL DENTIST WANTED — Yakima Valley Farm Workers Clinic is currently looking for a General Dentist passionate about community health and committed to working with underserved patient populations to join our team! If you are you a General Dentist looking for a competitive salary and an exceptional and fulfilling quality-of-life, consider joining the Yakima Valley Farm Workers Clinic family. We are a Patient-Centered Medical Home passionate about providing high quality and comprehensive care. Our team-based approach to patient care means you are part of a care team passionate about working in community health. We Offer: • Competitive salary • Generous benefit package • Relocation assistance • Hiring Bonus • Eligibility for state and federal loan repayment programs Joining YVFWC means you will have the added benefit of living in the Pacific Northwest, where you can enjoy spectacular wilderness areas and crystal-clear lakes and rivers. You can enjoy fine Northwest wines and a spectacular selection of fruits and vegetables. You will also be within an easy
GENERAL DENTIST, WALL WALLA — Yakima Valley Farm Workers Clinic is currently looking for a General Dentist in Walla Walla, passionate about community health and committed to working with underserved patient populations to join our team! If you are you a General Dentist looking for a competitive salary and an exceptional and fulfilling quality-of-life, consider joining the Yakima Valley Farm Workers Clinic family. We are a Patient-Centered Medical Home passionate about providing high quality and comprehensive care. Our team-based approach to patient care means you are part of a care team passionate about working in community health. We Offer: • Competitive salary • Generous benefit package • Relocation assistance • Hiring Bonus • Eligibility for state and federal loan repayment programs Joining YVFWC means you will have the added benefit of living in the Pacific Northwest, where you can enjoy spectacular wilderness areas and crystal-clear lakes and rivers. You can enjoy fine Northwest wines and a spectacular selection of fruits and vegetables. You will also be within an easy drive to a growing metropolitan area, offering fine dining and shopping, theatres, museums, and elite universities. If you are interested in learning more about these practice opportunities, please forward your resume to americal@yvfwc.org for review. Our mission celebrates diversity. We are committed to equal opportunity employment. Education: Graduate of a School of Dentistry. Experience: Experience working, as a dentist preferred. Licenses/Certificates/ Registration: Current Washington/Oregon State Dental License, Current BLS Certification, and Current DEA. Knowledge/Skills/Abilities Required:
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Practice Sales Transitions Management Consulting
CURRENT LISTINGS South Sound Pediatric Practice new | $573,000
Avg annual collections 650K. Well-established 20+ yrs, 5 treatment chairs.
Tukwila new | $905,000
Ideal central location, top of the line equip. 2018 collections over 1 mil. 4 ops, plumbed for a 5th. Motivated seller!
Kitsap County new | $674,000
4 ops. Collected near 1 mil in 2018 on 4 days/wk, no marketing, doing only hygiene and limited restorative treatment. Specialist procedures referred out.
OVER 50 YEARS OF
EXPERTISE IN THE DENTAL INDUSTRY We would love to help.
Mount Vernon new | $917,000
Established 4 ops, 2018 collections over 1.2 mil. Digital and cone beam technology. Not a participating PPO practice.
Shoreline reduced price | $175,000
Better than a start-up. 2 ops, plumbing for a 3rd. 2017 collections 272K. Affordable lease.
San Juan Islands reduced price | $200,000
3 ops, collecting avg of 300K on limited days.
Grays Harbor County practice & building | $475,000 Well-established 6 ops in a downtown location. 2018 collections 575K on less than 145 days/yr.
Mukilteo practice & building | $1,050,000
5 treatment rooms, digital, collecting 375K on 3 days/ wk. Practice and building together.
Kent | $220,000 Beautifully designed space, lots of natural light, well-run.
Lakewood Opportunity | $80,000 3 ops, plumbed for a 4th, 2017 collections 101K on 1.5 days/wk. Primarily capitation.
South Sound Perio Practice 4 treatment rooms, annual collections over 900K on 150 doctor days/yr.
Kirkland pending Silverdale pending TODD MCVAY todd@tkmgllc.com
JULIE HAWKEN julie@tkmgllc.com
JEN BENNETT jen@tkmgllc.com
DAVE KNUTZEN
Lynnwood pending Seattle pending CENTRAL WASHINGTON
Central WA | $195,000 4 treatment rooms, collections over 400K/yr. Property also avail. Motivated seller!
RECENT TRANSITIONS Dr. Rodney Wentworth to Dr. Priyanka Sharma
Dr. Jeffrey Green to Dr. Thom Markeson SEATTLE, WA
BELLEVUE, WA
EASTERN WASHINGTON
Whitman County new | $732,000
Dr. Steven Kitts to Dr. Karen Tritinger-Young
Dr. Sabrina Habib Heppe to Dr. Selina An & Dr. Ben Choi
8 ops, seeing 70+ new patients/mo. Free-standing bldg, state of the art equip.
YAKIMA, WA
SEATTLE, WA
Whitman County reduced price | $595,000
Dr. Sam Kim to Dr. Yuchen Hu
Dr. Kimberly Chapman to Dr. Ara Carmody
RENTON, WA
BOTHELL, WA
Dr. Patricia Weiss to Dr. Amanda Mayes
Dr. Donald Crow & Dr. Michelle Crow to Dr. Ryan Bond & Dr. Megan Bond
BREMERTON, WA
EVERETT, WA
Dr. Susan Robins to Dr. Christine Wu & Dr. Christopher Shyue
Dr. Daman Awla to Smiles Dental Group
SNOQUALMIE, WA
SNOHOMISH, WA
Well-established, 5 ops, annual collections trending above 900K, state of the art equip.
Spokane | $292,000 7 ops, has been in place 38 yrs. Avg annual collections over 500K. Close in proximity to Gonzaga University.
Spokane Valley pending Davenport pending Spokane pending IDAHO
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CONTACT US TODAY! WSDA Ne w s | Spring 2019 |
Post Falls pending
knutzenmcvaygroup.com or 425.489. 0848
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OPPORTUNITIES AVAILABLE Knowledge of dental principles and treatment procedures including prevention of pain, infection, loss of teeth developing dentition; knowledge in public health principles; ability to be compassionate and culturally sensitive towards underserved populations, specifically the migrant population; must be able to provide: highest quality of clinic care to all patients, highest quality of care in a public health care setting; must be able to adhere to review by: YVFWC Quality Assurance program, Washington State Dental Practice Act, National Health Service Corps and United States Public Health Service Guidelines; must be able to further the cause of public health concepts; ability to work with all ages of patients; ability to work with an interpreter, if necessary; ability to interact effectively with patients, families, clinic team members and others; ability to demonstrate professionalism in appearance and behavior; and Bilingual (English/ Spanish) preferred. Apply Here: https://chc.tbe.taleo. net/chc01/ats/careers/v2/viewRequisition?org=YVF WC&cws=48&rid=5921 FULL TIME ASSOCIATE, KIRKLAND — Looking for a full-time associate (Monday-Friday) to work in our large, busy, modern, Kirkland office. We are a private office that has been established in this location since 1989. We are not a corporate office. This is a great opportunity for anyone who desires to learn the business side of dentistry and wants to own their own office, or wants to be part of a group practice. Email info@kirklandteeth.com. ASSOCIATE WANTED, WENATCHEE — Fibonacci Smile is a cosmetic-restorative, relationship oriented, fee for service practice in beautiful Wenatchee, Washington. We are seeking an excellence driven dentist as an associate with the desire that they would develop into an owner of the business. Dentist should have at least 4 years of experience and a track record of exceptional people skills, passion for dentistry, and personal growth. Please email your CV to Joyt@FibonacciSmile.com. OWNERSHIP OPPORTUNITY, RICHLAND — Springtime will be bright at Bright Now! Dental. Join our newest practice in Richland! Office coming Spring 2019. **Up to 20K Signing Bonus available** **Ownership Opportunity** You have the opportunity to provide dental care on a variety of cases from the simple to the complex at your discretion. As we continue to grow, we need talented individuals like you to help us attain even more success in providing the best dental services for all. Happy Smiles for everyone. Please contact mary. moreno@smilebrands.com. OPPORTUNITY AVAILABLE-PART TIME — Senior Dentist seeks gradual retirement in Spokane Valley, WA. Seeking a younger Dentist with skills to include: Endodontics, Periodontics, Implants, and Pedodontics. The practice will grow with a young skilled Dental Provider. Email resume to: baronGene23@gmail.com SEEKING FULL TIME RDH, POULSBO — We are looking to hire a hygienist for 3 or 4 days a week. At 3 days a week you will be full time and eligible for benefits such as medical, paid time off, and retirement fund matching. We will also include a $1500 hiring bonus after a successful 90 days. Our practice is hygiene centered. We take pride in our professionalism and building strong and long
OPPORTUNITIES AVAILABLE lasting relationships with the patients in our local community. We are a small practice and easy going. Please submit resumes through email or in person. We look forward to meeting you. Dr. Dan Peck Poulsbo Dental Care 20855 Bond Road NE Poulsbo, WA 98370 www.poulsbodentalcare.com. ASSOCIATE WANTED, SOUTH SOUND — Great opportunity to work for the Best of South Sound! A growing family and cosmetic practice in Olympia, Washington is seeking an associate to join our amazing and caring staff. We have plenty of patients who need you! Two to three days a week. We offer a great compensation. Two years experience. Please e-mail resume to maryannvetter@usa.net ASSOCIATE OPPORTUNITY — We have a great associate opportunity for a Dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. We provide a base salary, plus production bonuses and are offering a signing bonus between $15,000-$25,000!! Full benefits package and moving allowance. We offer a moving allowance, paid time off, license reimbursement, malpractice coverage and a continuing education stipend. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Email jbabka@applesmiles.com. ASSOCIATE GENERAL DENTIST, SOUTH KING COUNTY — Seeking Associate General Dentist two days a week at a busy South King county practice. Email padillabeth@gmail.com SEEKING GENERAL DENTIST, SPOKANE — General Dentist -- Full Time / Spokane Unique opportunity to practice dentistry with a highly trained team. We are a Dental Ambulatory Surgery Center / Dental Practice who provides specialized services to thousands of patients every year awake and under general anesthesia. Great pay and benefits. Expected to do all aspects of general dentistry including rct’s and wisdom teeth extractions. Please email Resume to: Employment@ SleepDentistrySpokane.com Visit our website to see what we are all about! SleepDentistrySpokane.com GIG HARBOR, WA — How about working in a town where you feel like you are on vacation everyday! Really quaint community with sooo much charm and growth. Come join our amazing team in our beautiful boutique dental office. This is a rare opportunity. Equity position available if that is of interest to you. Health insurance and 401k. No medicaid or HMO. Contact Ty at ty@ravingsmiles. com LONGVIEW, WA — A rare opportunity to join our amazing and beautiful Longview office with over 10,000 active patients. Minimum daily $1,200 compensation. Current doctor salaries are over $300k. Amazing team and excellent benefits. Equity partnership also available. No Medicaid or HMO. Contact Ty at ty@ravingsmiles.com
CLASSIFIEDS OPPORTUNITIES AVAILABLE GENERAL DENTIST NEEDED — DENTIST NEEDED! Seeking FT/PT General Dentist in Pierce County area to join established family, cosmetic and implant dental practice. Dentist should want a long term relationship and ideally desire to become a Partner in 1-2 years. Dentist should be skilled, personable and willing to be an integral part of the community. Please email resume and inquiries to: docvan99@aol.com. SEEKING AN ORAL SURGEON/ PERIODONTIST — Seeking an Oral Surgeon/ Periodontist at our Kirkland office for 1 day a month for our Implant and surgery cases. bhatdds@gmail.com ASSOCIATE DENTIST WANTED — Anacortes, WA. Our longtime associate dentist is retiring, so we are looking for a general dentist that is focused on high quality comprehensive dental care. We are a modern, mature office with an experienced staff who loves providing top notch care while having fun along the way. If you think you might be a great fit for our office, please send your resume and cover letter to the following email address: utejane@yahoo.com ORAL SURGEON WANTED - BELLEVUE — State of the art general dental practice with custom oral surgery suite in Bellevue WA seeking oral surgeon to work few days a month for all of our oral surgery/ implant patients. Please contact us by email at dental.officead.local@gmail.com DENTAL HYGIENIST NEEDED — Island Dental is looking for a Dental Hygienist to join our practice. 2 years experience is preferred. Needs current Washington license. Hourly rate DOE. Please email resume to islanddental@rockisland.com. DENTIST, COLLEGE PLACE — SonBridge Dental Clinic in College Place, WA is looking to fill the paid position of a Dentist at 4 days/week. Call Mel Lang at (509) 301-3460 if interested. DENTAL ASSOCIATE — Privately owned, established dental practice in the Seattle area looking for a dental associate to work Thursday through Saturday with experienced staff. New graduates welcome to apply. Email HealthySmilesDDC@comcast.net ASSOCIATE, MULTIPLE LOCATIONS — We have a great associate opportunity for a dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $200,000 (for experienced dentists) plus bonuses, but opportunity to earn upwards of $350,000/year. New grad salary starting at $180,000, plus bonuses. Full benefits package and moving allowance. We are offering a signing bonus, moving allowance, paid time off, license reimbursement, malpractice coverage and a continuing education stipend. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please email jbabka@applesmiles.com for consideration or questions.
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Preferred Provider
PRACTICE VALUES ARE AT AN ALL TIME HIGH! Our team of expert transition consultants, and large database of buyers, ensure you will get the greatest value for your practice. If you are considering selling your practice, now is the time. Start the conversation today.
Rod Johnston, MBA, CMA
Frank Sciabica
license #24938
license #130877
rod@omni-pg.com
frank@omni-pg.com
877-866-6053 ext. 1.
877-866-6053 ext. 4
omni-pg.com
Hiring Dentists CHAS Health is based locally, with multiple locations throughout Eastern Washington and North Idaho, and serves a critical need in the community by providing healthcare to patients of all ages, regardless of insurance status. We offer: excellent pay and benefits; loan repayment programs; generous paid time off; and best of all, rewarding work and the chance to make a difference
Looking for a new opportunity? Apply today! work@chas.org • 509.444.8888 chas.org/careers
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Dental
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Pharmacy
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CLASSIFIEDS
OPPORTUNITIES AVAILABLE
OPPORTUNITIES WANTED
OPPORTUNITIES WANTED
ASSOCIATE OPENINGS, VARIOUS LOCATIONS — We have a great associate opportunity for a dentist looking to be compensated well with less of the headaches and stress. Group practice composed of general dentists, orthodontists, and oral surgeons. For new grads it’s the perfect opportunity to learn your craft by working side by side with generalists and specialists while being paid very well. Base salary starting at $200,000 (for experienced dentists) plus bonuses, but opportunity to earn much, much more. New grad salary starting at $175,000, plus bonuses. Full benefits package and moving allowance. State of the art clinics and equipment. Mix of children and adult dentistry. Mix of State and private insurance. Come try out Eastern Washington, where there’s 300+ days of sunshine, beautiful landscaping, the gorgeous Columbia River and family friendly communities and low cost living! We have openings in Spokane, Yakima and Tri-Cities! Please send inquiries to jbabka@applesmiles.com.
OPPORTUNITY WANTED - LECOM School Grad — Seeking an associate position in Washington. View CV here https://drive.google.com/open?id=10bd bV1Jr0NoZNfAkbsg0C3cjLpQgJN1i
OPPORTUNITY WANTED — 2019 University of San Francisco (DDS), University of Penn (Orthodontics) — Graduate seeks an orthodontics position in the Seattle, Bellevue, Tacoma areas. Email me for my CV: ctruong@upenn.edu.
FANTASTIC GENERAL DENTIST OPPORTUNITY — Close to downtown Seattle, new state of the art clinic, easy parking, beautiful new office. Great support staff. Group practice with Oral Surgeons and Orthodontists co-treating. Guarantee as well as production bonus. Must love working with children and have a great attitude. Please email jbabka@ applesmiles.com for consideration or questions.
OPPORTUNITY WANTED — 2019 Ohio State University College of Dentistry graduate — Seeks an associate position west of Seattle. View my CV here: https://drive.google.com/file/d/1K8qgo1zQZqfD E3j2u4lR8WiqL3JhKmne/view?usp=sharing.
OPPORTUNITIES WANTED LOCUM TENENS, UW GRAD — 1980 University of Washington graduate available for temporary coverage, extended part time or possible full time. Experienced in all aspects of General Dentistry including Cerec Blue Cam. Available for limited days thru June 2019. Available 2-4 days per week starting July 2019. Please email brucej@brucejohnson.com. 425-890-8482 OPPORTUNITY WANTED, UNIVERSITY ILLINOIS GRADUATE — University of Illinois at Chicago graduate seeks an Orthodontist position in Spokane, Kennewick, Richland or Tacoma. https:// drive.google.com/drive/folders/1p8ojrSjCgX_bzIKwB tLkQ5I6LvXiOpXA?usp=sharing OPPORTUNITY WANTED, ROSEMAN GRADUATE — Roseman University graduate seeks a General Dentistry position in King County. https:// www.dropbox.com/sh/c6w6eh7ng8jr00z/AACHG_ QIhz_IMXRBb1nxmLb0a?dl=0 DENTAL OFFICE SPACE NEEDED — We are looking for a dental clinic that is already plumbed within 10 miles of Bellevue. We are willing to purchase the cabinets, equipments or even the real estate. Please email or call gavinashg@yahoo.com 425-647-4318. OPPORTUNITY WANTED, MIDWESTERN UNIVERSITY GRADUATE — Midwestern University, Illinois graduate seeks a General Dentistry position in Seattle, WA. Isabel Lo https:// drive.google.com/open?id=1ENEEeUhZ8LzCbmrx6g XplYdtx7luscye. OPPORTUNITY WANTED — 2018 University of British Columbia Prosthodontics graduate seeks a Prosthodontics/Restorative dentistry position in western Washington. www.linkedin.com/in/saraaabdulateef
OPPORTUNITY WANTED - Prosthodontics Grad — Looking for an associate position in Prosthodontics/General Dentistry in the Seattle area. View CV here https://www.linkedin.com/in/ dr-siva-reddy-guvva-dds-mba-hcm-ms-34917711b/ OPPORTUNITY WANTED - NYU Grad — Seeking associate position in Western Washington. View CV here https://drive.google.com/file/d/1UvPiRu3Z9Xv_ DoiNA_eIWboJa1D8ysqK/view?usp=sharing LOCUM TENENS COVERAGE — Maternity leave, illness, vacation, military reserve or disability? Contact me to discuss your specific needs-for a day, a week or longer. References available upon request. Call GARY J ARNOLD DDS (734) 649-9979 garyarnolddds@gmail.com.
OPPORTUNITY WANTED, 2018 Herman Ostrow School of Dentistry of USC Grad — Seeks a family/ cosmetic dentistry position in western Washington. View my CV here: https://drive.google.com/ file/d/1ZbwFXqW0b_XURJ_YY3aRc1B4e5Ih-7zu/ view?usp=sharing OPPORTUNITY WANTED, 2017 NYU College of Dentistry Grad — Seeks a general dentist position in Seattle. View my CV here: https://drive.google. com/file/d/1SPu-yAMJxp8Dr7NrLzsrfLpTyurAmr6c/ view?usp=sharing. OPPORTUNITY WANTED, 2018 UCSF SoD IDP Grad — Seeks a general dentistry position in the greater Seattle area. View my CV here: https://drive.google.com/ file/d/1VB_Pz7waA8xN6zRPN6TrelVrrL8-5Wdx/ view?usp=sharing. OPPORTUNITY WANTED — 2017 University of Detroit Mercy School of Dentistry — Graduate seeks a general dentistry position in greater Seattle. View my CV here: https://drive.google.com/ open?id=1RyyurwvieQKSjNU4JG27_ywTKDs7_4Yi. OPPORTUNITY WANTED — 2018 UCSF SOD IDP — Graduate seeks a general dentistry position in Seattle + 30 miles. Need H1B sponsorship. View my CV here: https://drive.google.com/ open?id=1I1iDpcYCyvI7fk8tYVliS_x5fcDACYKq. OPPORTUNITY WANTED — 2017 University of Washington School of Dentistry — Graduate seeks a general dentistry position in Washington. View my CV here: https://docs.google.com/document/d/1GcpGGFOnk12DcfM1aFyWRGy0ulmG_28ldsJgH4 eCpo/edit?usp=sharing. OPPORTUNITY WANTED — 2018 University of Colorado Denver SODM ISP — Graduate seeks an associate position in the Tacoma, Renton or Tukwila areas. View my CV here: www.linkedin.com/in/ hannahngocdoan.
OFFICES FOR SALE OR LEASE HIGHLY DISTINGUISHED DENTAL PRACTICE IN KITSAP COUNTY, WA FOR SALE — If you are looking for a highly distinguished dental practice in Kitsap County, WA for sale, it is your lucky day! The current doctor is open to various options; not only are they looking to sell completely, they are open to affiliating with the right group. This highly regarded practice features longstanding and hard working staff, loyal patients, and an incredible growth opportunity! Even more, the practice recently added 5 new opportunities in March 2019. This practice is perfectly located in one of the most desired locations in the state, and is also right off one of the busiest highways in the state. Therefore making your patient’s visit even more convenient! Due to the highly loyal patient base, impeccable reputation and amazing staff, there is immense goodwill within the practice. Similarly, as a result of the perfect layout, well established procedures and diligent staff, you are guaranteed to make money from day one! To learn even more details about this wonderfully designed practice, please read more below: 9 Fully Equipped dental operatories (5 added in March 2019) More than 3000 Active Patients Over $650,000 in Collections Adjusted EBITDA almost $170,000 Nearly 28% of patients pay with insurance and another 71% use medicaid, therefore the remaining 1.2% pay with cash. Furthermore, there is great growth opportunity with extended hours, offering more services in house and additional marketing efforts This opportunity certainly won’t be available for long. For that reason, we recommend you contact us soon! To learn even more about this undeniably incredible practice, please contact Kaile Vierstra with Professional Transition Strategies either by phone at 719.694.8320 or certainly by email at kaile@ professionaltransition.com. GENERAL PRACTICE FOR SALE: BELLINGHAM — General practice located in picturesque coastal/ border town near major university priced to sell or merge. Collecting $550. 4 fully-equipped operatories. Digital Radiography & pano. Intra-oral cameras. 1,467 sq./ft (apx). Real Estate is also available/negotiable. For more information please contact: Karrie or Sam at (425) 216-1612 or Transitions@cpa4dds.com. ENDODONTIC PRACTICE FOR SALE: SEATTLE WA — State of the art, well established, urban endodontic practice in the heart of Seattle, collecting $1.66m. 7 fully-equipped operatories. High collections; low overhead. Approx. 2,600 sq./ft. Two private offices, two sterilization rooms, internal rest rooms and ample storage. Digital radiography & pano, Rotary Endo and Scopes in surgical ops and CBCT. Owner available for part-time workback. For more information contact: Karrie or Sam at (425) 216-1612 or email Transitions@cpa4dds.com.
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4.0 Transitions by
YOU DESERVE THE BEST! We work for you to get it. Contact us today!
• You worked hard, reap your reward • You deserve accuracy and expertise • We provide superior transitions Lynne Nelson Co-Founder
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Client Coordinator
(888) PMA-404U or (888) 762-4048 info@practicemanagementassociates.org • www.practicemanagementassociates.org
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OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
GENERAL PRACTICE FOR SALE: SNOHOMISH COUNTY — Outstanding profitable general practice in a thriving family-based community! Collecting $930,000. 4 fully-equipped operatories with fifth plumbed. Digital records. Excellent growth potential as endo, oral surgery, ortho, Implants and perio surgery are referred out. Great office location nearby schools and reverse commute from Seattle or Eastside. For more information please contact: Karrie or Sam at (425) 216-1612 or Transitions@ cpa4dds.com.
SOUTH SOUND GENERAL DENTAL PRACTICE FOR SALE (KENT) — South Sound General Dental Practice For Sale (Kent). Well established - 5 ops with “quiet room.” Selling Dr. willing to stay - OFFER PENDING. Please call Piega: 425-890-8271. (WD277)
EASTERN WASHINGTON ESTABLISHED PRACTICE FOR SALE — Owner wishes to retire. New office and equipment 2006, 4 chairs,digital pano and x-ray. Collections 2018 at 605K, Excellent hygiene income. Live and work in beautiful LAKE CHELAN. Principals Only. reply to crgav523@aol.com PRACTICE FOR SALE – MONROE, WA — State of the Art, Modern Dental Clinic for sale by owner dentist. Fully digital office with Dentrix software, 3 equipped ops and plumbed for 5 ops. Separate room with Digital Pano. Open only 3 days/wk. Opportunity to build the practice and take it to new levels. Dentist wants to cut back on work. Please send resume and provide a brief on intent to buy (reason, financing etc.)Email: spmedicaldental@gmail.com BELLINGHAM: TURNKEY DENTAL SUITE FOR LEASE — Formerly successful general dentist Class-A office space. Save $150,000+ construction costs. Ample parking. Immediate Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: Contact 360-220-0370, scott@pacificcontinentalrealty.com PEDIATRIC DENTAL PRACTICE FOR SALE — South suburb of Seattle. Well established 20+ years. Five treatment chairs, with 2100 square feet in a well managed professional building. Average annual collections of 650K. Please email Jessica at jessica@ tkmgllc.com for prospectus or call her at 425-4890848. PUYALLUP DENTAL OFFICE FOR SALE OR LEASE — 3200 square feet. seven plus operatories, fully plumbed and ready for you to install your dental equipment. Great exposure on Meridian between the fairgrounds and South Hill. Ample parking, Park-like setting. Pat Beug (253) 227-5894 BELLEVUE PRACTICE FOR SALE — Excellent location close to Microsoft. Located in shopping plaza. 3 Ops, digital x-rays, camera, panoramic. 1000 SF. Dentist is retiring. Email to belldental2@yahoo. com PEDIATRIC DENTAL PRACTICE FOR SALE IN THE SEATTLE AREA — Pediatric Dental Practice For Sale in the Seattle Area. Annual collections over $1M per year. Five fully equipped operatories. Contact info@reasorprofessionaldental.net; 503-6804366.(WD273). SOUTHERN OREGON DENTAL, DENTURIST PRACTICE, BUILDING FOR SALE — Southern OR Dental, Denturist Practice, Building for sale. Mostly C/B, extractions, bone grafts, dentures. 6 ops. CBCT, 2 soft tissue lasers. 1900sf building, large parking lot. Contact megan@omni-pg.com, 503-830-5765.(OD127)
NE PORTLAND — Charming, impeccably maintained 1 story wood free standing building w/ parking lot. Great visibility off I-84. Currently used as dental practice with 3 operatories. If used for another purpose, could be 5 exam rooms or offices. Contact megan@omni-pg.com; 503-830-5765. (OR102) FOR LEASE — Renovated Pacific Pointe Plaza seeking medical/dental professional. Spaces range from 3,600 to 2,000 SF. Space recently leased to the thriving, fully state-of-the-art Mukilteo Dental Center featuring 18 operatories. Ideal location for dental specialist with high referral potential. Secured garage parking, abundant surface stall. Great signage along busy Mukilteo Speedway. Contact steve@omni-pg.com. (WR117) FOR SALE, WOODINVILLE — Reasonably motivated seller in Woodinville, WA. Annual collections over $500,000 in 3 operatories. Hygiene production is 27% of collections. Well-established practice with room to grow, located in a retail strip center. Contact frank@omni-pg.com; 425-985-8390. (WD187) MUKILTEO — Calling all General & Specialty Dentists! Does your office look and smell like a dental office? Time to treat yourself and patients to a modern, refreshing dental experience with views of Puget Sound from every window. This fully loaded, turn-key office in Mukilteo, WA, 3 ops (plumbed for 4th), low monthly rent and potential 100% financing. High visibility, 1 mile from Boeing. Building owner open to selling property. Contact rod@omni-pg.com or call 206-979-2660 for more info. (WD201) BELLINGHAM AREA — PENDING Bellingham area, 4ops (could be 5) FEE FOR SERVICE!! Extremely profitable, beautifully appointed. Hygiene fully booked through March. Please call Piega at 425 890-8271. (WD259) NORTH OF SEATTLE — NORTH OF SEATTLE Periodontal Practice for sale. Great Cash Flow. No PPOs. Four operatories. Great visibility. 1656 SF leased office space, 900 SF available next door. Contact Buck 877-866-6053; info@omni-pg.com. (WD192) MERGE-OUT OPPORTUNITY, SHORELINE — A satellite, startup or merge-out (very affordable) opportunity, great Shoreline location: ~300 active patients. Collects ~125k/open one day/week. 3 operatories. Newer equipment. Call 206-832-6319, tdhakchang@gmail.com. FOR SALE, SEATTLE — Great opportunity in a densely populated Seattle neighborhood. 500+ active, all PPO/Cash. ~20 new patients monthly. 3 op, 1276 sq ft. mihendeavors@gmail.com DENTAL OFFICE SPACE, WENATCHEE — Dental office space available 2500 sq ft 5op’s rooms, waiting, records, staff, dr. office, conference, .pan and storage with lab. Contact Dr. Steven Harvey @ 509 421 4914.
CLASSIFIEDS OFFICES FOR SALE OR LEASE DENTAL OFFICE SPACE NEEDED — We are looking for a dental clinic that is already plumbed within 10 miles of Bellevue. We are willing to purchase the cabinets, equipments or even the real estate. Please email or call gavinashg@yahoo.com 425-647-4318. OFFICE AVAILABLE, VANCOUVER, WA — Small 3 op office in same location for 25 years located in retail space in busy intersection. Paperless, new gendex sensor, adec chair. Office open 1 day. No marketing. PPO and FFS. Rent 975 a month. Sale price 60K. Email clinic.inq@gmail.com OFFICE SPACE NEAR MICROSOFT — TURN-KEY DENTAL OFFICE FOR SALE (BEL-RED ROAD) A gorgeous 7 op dental office space on Bel-Red Road is for sale. The office is one of the closest dental clinics to Microsoft. For photos or questions email tkhach3@gmail.com or call (425)279-3698. PROFESSIONAL OFFICE SPACE - NORTH SEATTLE — Professional Office Space - North Seattle Professional Office Space available for lease in stand-alone building in North Seattle. Approximately 3500 sq ft (sub dividable). Call 206.228.7254 or email ballingercommons@comcast. net. HIGH VISIBILITY SPACE AVAILABLE — Free standing High Visibility space available. 3,500sq. ft. 8 exam rooms, consultation room, pano room, large lab area, executive office, administrative office , kitchenette, plenty of parking. Email viktor.maz@ gmail.com. NEW LISTING, BELLINGHAM — This practice collected $900K in 2018 and needs an experienced dentist who likes cosmetic and quadrant dentistry. One fully equipped restorative op and 2 hygiene ops with 1 overflow/records chair. For additional details please contact Lynne or Donna info@ practicemanagementassociates.org or 888.762.4048. FOR SALE, NORTH CENTRAL WASHINGTON PRACTICE — Seller ready to retire. 4 operatory digital practice, private pay and Insurance only, 2.5 doctor days per week, $500,000 average annual collections, highly profitable, building ownership potential, priced right for quick sale, outstanding opportunity! Paul Hawkins, AFTCO 509-999-5091. GENERAL DENTISTRY PRACTICE FOR SALE, BELLEVUE — Looking for an experienced dentist to take over our 40+ year family practice. Inquiries can be emailed to 4saledds@gmail.com. READY TO LEASE, KIRKLAND — Fully-fixtured orthodontic space in Kirkland. Clinic Size: 1,800 RSF. 4-to-5 patient chairs. Located in established medical office park. Contact Ann Bishop, Wallace Properties 425.278.6308 bishop@wallaceproperties.com. FOR SALE, WENATCHEE — For sale free standing professional building w/ garage sits on 1.05 beautifully landscaped acres. Prime location. Currently being used as a dental assisting school on weekends only. Near new equipment package available separately. $1,500,000. Contact Dr. Tim Reynolds (509)679-5145/ or www.Dhummerdoc@aol. com.
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Visit wsda.org/classifieds to browse the most up-to-date job and practice opportunities.
CLASSIFIEDS
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
OFFICES FOR SALE OR LEASE
OFFICE FOR LEASE, MUKILTEO — Rare opportunity to lease a beautiful 1,610 dental/ orthodontic space available in Class A facility located in the Harbour Pointe Community. The space is filled with tons of natural light and located in an immaculately maintained office building with plenty of parking. Please call Laura at 206-232-7500 for more details or a showing.
BOTHELL — 2,000 SF premier retail space at North Creek Plaza near UW Bothell, Cascadia Community College, and the Bothell Technology Corridor. (WR113) Contact Steve Kikikis - steve@omni-pg.com.
DOWNTOWN BELLEVUE — General Dental Practice for sale. Annual Collections over $550,000. 15 new patients/month with no marketing. A lot of work being referred out. Contact Frank 425-985-8390; frank@omni-pg.com. (WD212)
DENTAL PRACTICE FOR SALE, SPOKANE — Great location in Spokane. Three operatories, fully equipped very functional dental office 2193-sf with 647-sf storage basement. Dentist is retiring. Contact: barongene23@gmail.com FOR SALE, REDMOND — Redmond Dental Practice for sale. 6 ops fully furnished and stocked. Busy practice that produces about 1.8M/yr and clears over 600K after all deductions and expenses. If interested please email lambs4ever@aol.com or call 206-427-6460 MUKILTEO CLASS A DENTAL OFFICE FOR LEASE — Class A Dental Office for Lease. Beautifully designed and built out dental office available for lease along Mukilteo Speedway. Space features reception with built in children den/ play area, custom front desk and lighting, patient restroom, staff restroom, 6 operatories, sterilization, lab, staff lounge with lockers, Doctors office, storage, and mechanical room. Located on the second floor, the space includes high visibility signage location to 18,000 daily drivers. Plus, part ownership in building is a potential for leasing tenant. Current tenants include The Lodge restaurant and Harbour Pointe Orthodontics. NNN Includes water, garbage, and electrical. 7928 Mukilteo Speedway Mukilteo WA 98275 2,400 SF | Rent $34 + $9.24nnn. Contact Steve Kikikis at 877-866-6053 ext. 3; steve@omni-pg.com. (WR116) 3 OPERATORY DENTAL OFFICE FOR LEASE — 3 operatory dental office for lease in very well maintained Medical/Dental building. Space includes shared entry, waiting area, ada compliant restroom, staff lounge and mechanical room. Exclusive use to the space is reception, restroom, pano room, doctors office, 3 operatories, sterile/lab. Site features plenty of open parking stalls. Co-tenants include two general dentists. Great opportunity for a dentist specialist. Building is also available for purchase. 7825 47th Ave NE Marysville WA 98270 1800 SF | Rent $15.92 + $10.80nnn. Contact Steve Kikikis at 877-8666053 ext. 3; steve@omni-pg.com. (WR115) GRANITE FALLS — Stand-alone Medical/Dental office. 2 spaces - 2,000sf / 1,104sf. Nice opportunity for owner/user - Generate income in additional space or occupy entire building. Abundant parking. 877-8666053 ext. 3; steve@omni-pg.com NORTH SEATTLE — Medical dental building for sale in North Seattle. Currently built out as an orthodontic office. 12 parking stalls for the sole use of property. Contact steve@omni-pg.com. TRI CITIES — Grandridge dental/medical office for lease. Excellent opportunity to do a start-up or move your existing practice. Fully built out with 4 equipped operatories. Email steve@omni-pg.com. LYNNWOOD — Plumbed Dental office available. Roughly 2,000 sq. ft., 5 ops including Nitrous and O2, plenty of parking, visibility from 196th. Contact Steve - steve@omni-pg.com.(WR111)
PERIODONTIC DENTAL PRACTICE — Periodontic dental practice with a strong hygiene program located in desirable Northwest Washington neighborhood. Growing annual collections currently at $1,500,000. Hygiene production is 30% of total collections. Condo unit also for sale. Contact: frank@ omni-pg.com; 425-985-8390. (WD257) BEAUTIFUL PLUMBED OFFICE SPACE, BELLEVUE — Beautiful Plumbed office space in Bellevue’s medical/dental corridor. Recent remodel. 7 operatories. No patients. Equipment available for sale. Potential turn-key practice for less than the cost of a new build out. Call Rod 206-979-2660. (WD255) EASTERN WASHINGTON — Perio Practice For Sale. Annual collections over $300,000. 5 fully equipped operatories with 2 additional possible. 2100 SF office space in a building with other healthcare professionals. Building has great visibility and a large monument sign out front. Building is across the street from a large hospital. Well-trained and experience staff will continue and assist with the transition. Well-established practice that has been in the same location for over 36 years. Contact Buck Reasor, DMD at info@reasorprofessionaldental.net; 503-680-4366. (WD253) SHORELINE — Neighborhood Dental Practice and Building for Sale. Great visibility. Annual collections of $400,000 & over $600,000 in prior years. Four operatories. Contact frank@omni-pg.com; 877-8666053 ext. 4. (WD246) BELLEVUE DENTAL PRACTICE & REAL ESTATE FOR SALE — Annual collections over $1.2 M. Five operatories, room for a sixth. Opportunity to grow. Contact frank@omni-pg.com, 877-866-6053 ext. 4. (WD245) BELLEVUE — Holistic Dental Practice For Sale. Annual Collections of $1 million. On busy street with visibility. Focus on holistic dentistry, Great reputation. Five operatories. Contact - frank@ omni-pg.com, 425-985-8390. EAST VANCOUVER — Mid-sized practice. Popular area. 4 equipped,1800 sf. Marius equipment, digital, Dentrix. Ideal for second location or affordable place to grow. Endo, ortho, implants referred out. No marketing in place. 2017 collections $300K. Contact 503.830.5765, megan@omni-pg.com. (WD239) DOWNTOWN SEATTLE — General dental practice for sale in medical dental building. 4 operatories, $350,000 collections. Contact Frank - 877-866-6053; frank@omni-pg.com (WD226) SEATTLE — Established general dental practice for over 50 years in desirable, high income household neighborhood. Three operatories. Annual collections over $500,000. Room to grow. Contact 425-985-8390; frank@omni-pg.com. PUYALLUP — Dental Practice for Sale. 4 ops located in retail center. Annual collections of $500,000. Contact Frank at 877-866-6053. (WD218)
SEATTLE — General Dental Practice for sale. Desirable neighborhood, high visibility next to Starbucks. 5 ops. Annual collections of $1.5 million. Contact rod@omni-pg.com. (WD208) NORTH SEATTLE — Motivated Seller, doctor said “bring me an offer”. Annual collections over $500,000 per year on 3 days per week. Four operatories in an office space with low rent. No marketing currently being done. Opportunity to get into this practice and grow it. Contact Frank 877-866-6053 ext 4; frank@ omni-pg.com. (WD161) GRAYS HARBOR — Dental practice for sale collecting almost $600,000 in two locations. Call Buck at (503) 680-4366 for more information. (WD194) LAKE CHELAN — General Dental Practice for sale. Annual collections $600,000+. Good patient base, room to grow. 4 operatories in newer, beautiful building which is also for sale. Contact rod@omni-pg. com. (WD184) NORTH KING COUNTY — Annual collections almost $900,000. 5 operatories, Prime location. Low overhead, hi net practice with great cash flow. Email rod@omni-pg.com. (WD190) FOR SALE, LINCOLN COUNTY — Owner is selling two separate general dental practices both within 35 miles of Spokane. Excellent cash flow for a practice of this size. Contact rod@omni-pg.com. (WD189) EVERETT DENTAL PRACTICE FOR SALE — Located in an attractive stand alone building on busy street. Four equipped operatories, room for a fifth. Annual collections over $500,000 on 3 days per week with little marketing. Lots of room for growth and profit. Contact frank@omni-pg.com; 425-9858390. (WD254) PERIODONTIC PRACTICE FOR SALE, EASTERN WASHINGTON — State of the art, family friendly periodontic practice in Eastern Washington. 5 fully-equipped operatories. High profitability! High collections; low overhead. Approx. 1,700 sq/ ft + common area. Sterilization room and private office. 3-D Cone Beam. For more information contact: Karrie or Sam at (425) 216-1612 or Transitions@ cpa4dds.com MILL CREEK — Dental Practice for Sale. Annual Collections approximately $1mil. 5 ops, room for 3 more. Digital x-rays and panoramic, intra-oral camera and laser. 3,270 sq ft of office space. Contact Frank 877-866-6053, frank@omni-pg.com. (WD215) GENERAL/COSMETIC PRACTICE FOR SALE, OLYMPIA — Beautiful, state-of-the-art practice in the heart of the State’s capital! Buy-in/out option available. Eight fully-computerized operatories w/ Adec chairs. Digital radiography and pano. Lasers. Nitrous. Rotary endo /elements obturation. Dexis CariVu. Intra-oral cameras. iTero. Dentrix/Dexis. 3,900 sq/ft approx. For more information contact: Karrie or Sam at (425) 216-1612 or Transitions@ cpa4dds.com
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CLASSIFIEDS OFFICES FOR SALE OR LEASE BELLEVUE HOLISTIC PRACTICE — Holistic Dental Practice For Sale. Annual Collections of $1 million. Located on busy street with visibility. Practice focuses on holistic dentistry with a great reputation. Five operatories. Contact - frank@ omni-pg.com, 877-866-6053 ext. 4. (WD243) SEATTLE GP FOR SALE — General dental practice for sale. Desirable neighborhood, high visibility next to Starbucks. Five ops. Annual collections of $1.5 million. Contact rod@omni-pg.com. (WD208) LINCOLN COUNTY — G/P Practice for sale within 35 miles of Spokane in the same location since mid-60s. Annual collections over $340,000. Four operatories. Doctor works 3 days/week. Doctor owns the building and will sell it now or in the future. Excellent collection policy and cash flow for a practice of this size. Contact Buck (877) 866-6053; info@omni-pg.com. (WD196) PUYALLUP GP PRACTICE — Motivated Seller. General Dental practice for sale. Lots of room with six equipped operatories. Paperless, digital practice using Open Dental software. Great location near mall and new Wesley Park Neighborhood. Contact Frank - frank@omni-pg.com; (877) 866-6053. (WD223) WEST SKAGIT VALLEY — General Dental Practice located near the water. Four operatories. Annual collections approximately $400,000/year. Call Frank - (877) 866-6053. (WD173) SKAGIT COUNTY — General dental practice for sale. Annual collections over $250,000. Four operatories. Be the only dentist in town. Email frank@omni-pg.com. (WD172) EASTSIDE — Great location just off I-90. Annual collections over $400,000. Two ops, possible room to grow. Call Frank (877) 866-6053. (WD180) FIRST HILL SEATTLE — All Cash, Fee For Service, Cosmetic Reconstructive Dental Practice following AACD, LVI and KOIS Principles located in the First Hill area of Seattle. Relationship based practice with over $1.4 million in collections on 149 work days per year. Seller willing to mentor the buyer. Beautifully designed and decorated practice. Contact Rod at rod@omni-pg.com. (WD191) SEATTLE, GREAT NEIGHBORHOOD — SEATTLE Established general dental practice for over 50 years in desirable, high income household neighborhood. Three operatories. Annual collections over $500,000. Room to grow. Contact Frank 877-866-6053; frank@ omni-pg.com. (WD225) MEDICAL DENTAL BUILDING FOR SALE IN NORTH SEATTLE — Currently built out as an orthodontic office. 12 parking stalls for the sole use of property. Contact steve@omni-pg.com. (WR106) NEW! DENTAL PRACTICE FOR SALE, MILL CREEK — Four chairs +2200 sq ft plumbed for six, busy main street shopping center, consistent collection over 700k, open dental and digital xray, good new patient flow, strong referral base, referring extractions ortho perio implants, pre-approved financing, priced to sell. Email FVqualitydentalcare@ gmail.com.
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Visit wsda.org/classifieds to browse the most up-to-date job and practice opportunities.
OFFICES FOR SALE OR LEASE BUY LOW - PARKLAND/FREDRICKSON/ SPANAWAY — Dental office collecting 135K a yr. One year old, brand new buildout. Growing population/jobs. High Visibility facing busy Freeway. Work FT to bring office to 1 million. 3 fully functional operatories, w/a 4th and 5th operatory plumbed and outfitted with a dental chair. Digital-Xray, panorex, touch screen computers. Big shopping plaza anchors by FredMeyers. Reception area with Granite counter tops. 135K a year collection working 2 days a week. There is a lot of potential for growth with the right doctor and team. Price: $275000.00 - $297,000.00 Email thuandp@hotmail.com for more information. G/P PRACTICE FOR SALE IN GRAYS HARBOR COUNTY — Doctor has two practices that are 30 miles apart. One practice is the only dental office for 30 miles. Annual collections of $580,000. If you are seeking a small community to raise your family and become an active member in the community then this is a great opportunity. The main office has four fully equipped operatories. Well trained and experienced staff will assist and continue in the transition. Well-established practice that has been in the same location for 25 years. Outstanding and productive hygiene program in place. Excellent collection policy. Contact: Buck Reasor, DMD-Practice Transition Broker, Reasor Professional Dental Services. info@ reasorprofessionaldental.com, 503-680-4366. FOR SALE, VARIOUS LOCATIONS — New practices for sale, located in Bellevue, Burien, Tukwila, Olympia, Tacoma. Also numerous pre-existing dental spaces for lease. Call today. New office development consultants for over 35 years. Annie Miller at REMAX (206) 715-1444. FEE FOR SERVICE PRACTICE FOR SALE IN SEATTLE — 2016 collections of $1,350,000. Cosmetic/ reconstructive in the Kois philosophy. Fee for service practice Great cash flow. Four fully equipped operatories, digital X-Rays, refers out endo and oral surgery. Well trained and experienced staff will continue and assist with the practice transition. Well established practice that has been in the same location for over 20 years. Selling Dr. will mentor purchasing Dr. for a limited time. Buck Reasor, DMD, Reasor Professional Dental Services, info@ reasorprofessionaldental.com, (503) 680-4366. DENTAL PRACTICE FOR SALE — Great location in Lynnwood. Three operatories, fully equipped, dental office. Dentist is retiring. Contact Dirk at dirk1@msn. com for details.
EQUIPMENT FOR SALE EQUIPMENT PACKAGE — Two dental chair units, doctor/assistant chairs, digital sensors, X-Ray tube, vacuum pump, air compressor, Midmark autoclave, smaller equipments. Very lightly used. Excellent condition. Affordable Price. Instruments & supplies, and furniture if desired. 206-832-6319, tdhakchang@ gmail.com
EQUIPMENT FOR SALE SURGICAL SYSTEM FOR SALE — X-Nav Technologies X-Guide 3D surgical system. Excellent for single or multi implant cases. Less than a year old. Used less than 5 times. All attachments and a W & H electric handpiece + motor included. over 30K value. will sell for 19K Buyer must make arrangements to for pick up/delivery. Contact: rojovapor@gmail.com or Jake at (208) 949-1351.
SERVICES SEEKING DENTAL ASSOCIATE IN EVERSON, WA — A growing family and cosmetic practice in Everson, WA is seeking a dental associate to join our amazing and caring staff. We have plenty of patients who need you! Two to three days a week. We offer a great compensation. Please email evernookdental@ gmail.com LOCUM TENENS, UW GRAD — 1980 University of Washington graduate available for temporary coverage, extended part time or possible full time. Experienced in all aspects of General Dentistry including Cerec Blue Cam. Available for limited days thru June 2019. Available 2-4 days per week starting July 2019. Please email brucej@brucejohnson.com. 425-890-8482 LOCUM TENENS — Washington license, 32 years GP experience. Cerec user, extensive surgical/ grafting experience in addition to typical restorative skills. Located on the Olympic Peninsula, but have a small plane so I’m close enough to anything this side of the Cascades. Contact cell/text (360) 531-1762, or chuljian1863@gmail.com. LOCUM TENENS COVERAGE — Maternity leave, illness, vacation, military reserve or disability? Contact me to discuss your specific needs-for a day, a week or longer. References available upon request. Call GARY J ARNOLD DDS (734) 649-9979 garyarnolddds@gmail.com.
OFFICE CONSTRUCTION CONSTANTINE BUILDERS INC. (CBI) — WSDA endorses CBI as their preferred builder of Dental facilities with over 25 years of experience from ground up buildings, renovations, remodels, and interior tenant improvement projects. All projects are completed on time and within budget. CBI provides the highest level of quality service with integrity that exceeds our client’s expectation. Please see our display ad on page two and website at www. constantinebuilders.com for additional information and how you can become another satisfied client.
LAUGHING GAS
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WSDA Ne w s | Spring 2019 | www.wsda.org
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THE LAST WORD
Washington Dental Licensure Needs Serious Attention in 2019
I Dr. Joe Vaughn WSDA News Editorial Board
“I fully believe in protecting the public and keeping unqualified dentists from practicing. But when you look at it objectively, our current licensing process makes no sense.”
’ll be honest.
I’ve been out of the licensing loop for a couple of years. When I took the CRDTS exam in 2015, I was tired, frustrated, and confused why such a process even existed. These same feelings arose the following year when my then-girlfriend (and now-wife) took the WREB at UW. It was night and day from the exam I took, yet we both can practice in the same state even though our education was completely different, and our licensing exams were…completely different. But after that, I sort of lost touch. Honestly, the more time that separates me from the exam, the less I care about it. Because now I care more about insurance woes and DSO’s and whatever the newest restrictions on my license are. But this really deserves our attention. It continues to be a very real problem for our new graduates, and thus should be a problem for all of us.
PROGRESSIVE, YET INCONSISTENT The DQAC website states that all regional exams are accepted in Washington. But if you keep reading, you see that isn’t completely accurate. Take WREB for example. WREB recently added an optional prosthodontic section in which you prep plastic teeth on a mannequin. Even though this portion of the exam is optional for WREB, DQAC states that it’s now required to gain licensure in Washington. Realize that there are thousands of practicing dentists in this state who did not take this prosthodontic section when they received their licenses. But now, in 2019, you must take this portion to prove competence to DQAC.
Dr. Vaughn is a member of the WSDA News Editorial Board. The views expressed in all WSDA publications are those of the individual authors and do not necessarily reflect the official positions or policies of the WSDA.
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Of course, you could forego the exam process altogether by completing a one-year residency. The catch is that the residency has to serve a low-income population. Wait, so does that mean general practice residencies, like the one I completed at UW, don’t qualify? UW didn’t qualify when I was a resident in 2015; but how about in 2019? No one knows. All the DQAC website says is that “acceptable residencies are CODA-approved GPRs and AEGDs…at least one year in length and must be in a setting that serves predominantly low-
income patients in Washington State.” There are no further criteria listed for what qualifies such a residency. I reached out to my residency’s administrative department to see if they had more information, but to their knowledge, the Department of Health had not gathered any information on their program nor had they been notified that there were going to be rule changes. On the application for “Residency Training in lieu of Exam,” it requires that the residency program “self-report” whether or not it meets the criteria. But nowhere does it state what these criteria actually are, and it seems that residency programs haven’t received any guidance whatsoever on how to prove their own merit in this process. I understand that DQAC might theoretically be trying to improve access to care by placing residents where few dentists would go. But is that fair? Is it standardized? Does it make any sense from a “public safety” standpoint? A residency should be about the training you receive, not the population that you treat.
FINAL THOUGHTS Washington appears to be on the right track, but there’s still much work to do. I fully believe we are headed towards a licensing exam without live patients. The ADA wants it. ASDA wants it. Whether we agree or not, it’s coming. While I would love to see this change for many reasons, what I care most about is fairness, standardization, and transparency. Whether we keep the live patient portion of the exam or not, doesn’t it make sense to get rid of all regional tests and make one standardized national test? Why not be more transparent about exam companies and their motivations? Considering that an exam costs $3,000, and around 6,000 graduating students take them each year, licensure is a multi-million dollar business. If “public safety” is the true motivation, why is there so much money involved? I fully believe in protecting the public and keeping unqualified dentists from practicing. But when you look at it objectively, our current licensing process makes no sense. Dental students notice. New dentists notice. It’s time we all give this issue the attention it deserves. n W
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Washington State Dental Association 126 NW Canal Street, #300 Seattle, WA 98107
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