WSDA News Issue 7 · July 2016

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WSDA 6 201 y· ·jul e7

The voice of the Washington State Dental Association

news

2016 PNDC th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 1

IN PICTURES

PREMIER BUILDERS DENTAL FACILITIES

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PNDC attendees have fun in a hands-on lecture

WSDA news

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guest editorial

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Cover story by Rob Bahnsen PNDC, DeLizia photos by Scott Eklund

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component news ada morning huddle highlights

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governance review

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in memoriam

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clinical corner

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wdia news endorsed company news classifieds parrish or perish

letters to the editor

Like us on Facebook: www.facebook.com/WashingtonStateDentalAssociation WSDA News Editor Dr. Mar y Jennings Editorial Advisor y Board Dr. Victor Barry Dr. Richard Mielke Dr. Jeffrey Parrish Dr. Rhonda Savage Dr. Robert Shaw Dr. Mary Krempasky Smith Dr. Timothy Wandell Washington State Dental Association Dr. Bryan C. Edgar, President Dr. Bernard J. Larson, President-elect Dr. D. Michael Buehler, Secretary-Treasurer Dr. Gregory Y. Ogata, Immediate Past President Board of Directors Dr. Theodore M. Baer Dr. Marissa N. Bender Dr. Dennis L. Bradshaw Dr. Ronald D. Dahl Dr. Christopher Delecki Dr. Gary E. Heyamoto Dr. Eric J. Kvinsland

Dr. Dr. Dr. Dr. Dr.

Randall H. Ogata Cynthia R. Pauley James W. Reid Ashley L. Ulmer Amy M. Winston

WSDA Staff: Executive Director Bracken Killpack Senior Vice President/ Assistant Executive Director Amanda Tran Assistant Executive Director Kainoa Trot ter Vice President/Chief Financial Of ficer Peter Aaron Vice President of Government Affairs Mellani McAleenan General Counsel Alan Wicks Vice President of Operations Brenda Berlin

Ar t Director/Managing Editor Robert Bahnsen M anager of Continuing Education and Speaker Ser vices Craig Mathews Government Af fairs Coordinator Michael Walsh Public Policy Coordinator Emily Lovell Membership Ser vices Coordinator Rachel Gunderson Membership and Communications Coordinator Emma Brown Bookkeeper Joline Hartman Association Of fice: (206) 448 -1914 Fax: (206) 443 -9266 Toll Free Number: (800) 448 - 3368

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E- mail/web: info@ wsda.org/wsda.org

In the event of a natural disaster that takes down the WSDA web site and email accounts, the WSDA has established a separate email address. Should an emergency occur, members can contact washstatedental@gmail.com.

The WSDA N ews is pub lishe d 8 time s ye arl y by t he Washington State Dental Association. Copyright © 2016 by the Washington State Dental Association, all rights reser ved. 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.

Subscription price is $65 plus sales tax per year for 8 issues of the News. Foreign rate is $97.92 per year. 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. Communications intended for publication, business matters and advertising should be sent to the WSDA Office, 126 NW Canal Street, Seattle, Wash.

98107. ISSN 1064-0835

Member Publication American Association of Dental Editors.

Winner: 2015: Platinum Pencil Award Honorable Mention, 2014: ADA Golden Apple Award for Outstanding Achievement in the Promotion of Diversity and Inclusion, 2013: Journalism Award, Platinum Pencil, 2012: Journalism Award, Best Newsletter, Division 1, 2012: Platinum Pencil Award Honorable Mention (2), 2008: Best Newsletter, Division 1, 2007 Platinum Pen Award, 2006 Honorable Mention, 2005 Platinum Pencil Award, 2005 Publication Award; International College of Dentists

table of contents issue 7, july 2016

a day in the life

editorial dr. mar y jennings

Governance and the WSDA

Dr. Mary Jennings Editor, WSDA News

“My take is that Mr. DeLizia, with the guidance of the task force, did a remarkable job of deciphering our past and understanding the principles we require to operate our association.

We want lean efficiency on every level. We need opportunities for engagement by diverse members to lead.”

Dr. Mary Jennings, WSDA News editor, welcomes comments and letters from readers. Contact her at her email address:mjenningsdds@gmail.com.

At last year’s House of Delegates (HOD), there was a strong cry by many members for a formal review of WSDA’s governance. Momentum built and soon HD-14-2015 was passed. It states: “RESOLVED, that an external consultant be retained to review the governance, strategic planning, decision-making processes, and enterprise risk management of the Association within a study objective approved by the Board of Directors.”

I have to admit I wasn’t exactly sure what that would look like. We represent a special niche in industry. How does one find an expert who understands the uniqueness of us?

WSDA interviewed several nonprofit consultants and chose James S. DeLizia, CAE. His extensive list of clients is as unique as we are. He has spent months studying us and just released his detailed 61-page “External Governance Review.”

Per DeLizia’s request, we formed an External Review Task Force to help provide background and framework for the review. Once the framework was developed, he interviewed or surveyed the Board of Directors (BOD), the House of Delegates (HOD), WSDA officers, WSDA’s Executive Director, our past presidents, leaders of affiliated groups, committee chairs, WSDA management staff, component society leaders, and component society directors.

My take is that Mr. DeLizia, with the guidance of the task force, did a remarkable job of deciphering our past and understanding the principles we require to operate our association. We want lean efficiency on every level. We need opportunities for engagement by diverse members to lead. We want focus, clarity, transparency, accountability, flexibility, and knowledge-based decision-making. His research supports our members wanting “bottom up,” not “top down” leadership.

There were interesting findings. I have been asked to discuss some of the most surprising.

While 72 percent of HOD respondents are either “very satisfied” or “satisfied” with their experience at the HOD, 69 percent believe that they have a “moderate” or “low” ability to influence or shape the direction, policies, and priorities of the WSDA. While both the BOD and HOD responded that the ideal purpose of the HOD was to “be the voice of the membership,” 65 percent of the HOD and 80 percent of the BOD responded that they either “somewhat agreed” or “strongly disagreed” with the statement, “Members of the House of Delegates do an effective job of communicating WSDA goals, activities, and accomplishments back to the members of their component societies.” That is a rather startling revelation.

Focus groups and interviews indicated that the HOD changes slowly and has not “kept pace with the changes and profile of the membership.” There is quite a variance in how components select and prepare delegates. The HOD is intense and its proceedings are formal. This may be intimidating for some delegates. Much of the information the HOD uses is given to them only a few weeks before the meeting and is difficult to assimilate in such a short time frame.

From my point of view, the HOD is a force of dental nature. It reflects our inherent attention to detail. It is fast-paced and intense. Emotions run high. We have had a few breaches of civility.

In these difficult political times, it has been almost impossible for us to get ahead of issues. Instead, we tend to be more reactive. Mr. DeLizia has not been with us long enough to have attended a session of the HOD. I would be excited to hear his thoughts if he did.

I think he has valid general recommendations. They tie in with recommendations further in the report regarding clarification of the relationship between the HOD and BOD and trickle down into how that works with the ED, officers, and individual members of the board.

He would like to see a better balance between formal decision-making and open discussion and deliberation. He wants to use the delegates as an “environmental scanning group.” I had to Google that. It means we use their input to help us adapt to change so we can endure.

He wants us to gain consensus around two or three goals for the year that “would require a coordinated effort between WSDA and its component societies.” That would enhance the working relationship between the groups.

He would like to see “at-large delegates” to make the HOD more representative of the profile of the membership.

These are just a few of the many findings and recommendations that the report entails.

They are offered here to give you a flavor of what your HOD and BOD are doing to improve the culture and the workings of the WSDA. It is hard to self-reflect and change. The process has begun and will be ongoing. I could see early results in last week’s board meeting.

The WSDA HOD will meet Sept. 22 to 24 in Blaine. I encourage you to read a copy of the report when it becomes available and discuss the issues with your delegates. Make sure you hear back from them!

All members are welcome to come and sit in the gallery with me and watch how our leaders interpret this report and make the WSDA stronger and more meaningful to you, our profession, and the people we serve.

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I am trying to learn to become a better leader. Over the past year, I have attended board trainings, reorganized my email filing system, read books on how to effectively participate in meetings, and watched numerous TED talks on topics like making stress work to your benefit. But my greatest lessons in leadership have come through observation. Some people lead in a way that makes everyone and every process around them better. It’s captivating to watch, and I have noticed that these individuals all have a characteristic in common: They lead with grace.

The thing about grace is that it is not something someone can practice on their own.

In fact, the nature of grace is that it has less to do with the leader, and more to do with those they are leading. Grace in leadership is the choice that someone makes to assume that what others have to offer is better than what they have on their own. It is seeking out and recognizing someone else’s unique perspective or strength and encouraging them to share it. Most amazing to me is that I see this grace extended, not by those who are uncertain and seeking outside help, but by those who would often be described as the most experienced, most talented, or most capable people in the room. Looking to others for their contributions is an expression of the wisdom that our diversity makes us richer together.

Grace is one of those attributes that is hard to define, but unmistakable once you witness it. In 2015, Dr. Elissa Maynard and I were brought in as understudies for Drs. Jeff Parrish and Mike Karr partway through the planning process for the Seattle/King County Clinic. We had around eight years of experience in dentistry between us. Mike and Jeff had a few decades more. But they made it clear from the beginning that we were all equal members of the team. They welcomed us to make contributions and suggestions, and as the week went on, Elissa and I had the final say. The words weren’t just gestures, either. There were times when Elissa and I disagreed with Jeff and Mike, and despite our lack of experience, they deferred to us. Rather than being a shadow and passive observer, I became driven to put everything I could into making the event as successful as possible. This extension of grace transformed me.

I imagine you can think of many others, both inside and outside of dentistry, who are like this. They seem to always be surrounded by excellence. I believe that’s because of their grace, which inspires others to be their best and do their best.

While I see applications in many areas, one reason to bring this all up is because graceful leadership is exactly what we need to help bring fresh leaders into organized dentistry. At the state and national levels, we hold meetings and focus groups and discussions about how to engage members, how to make them feel a part of the association and feel that it is their own. It is clear that our state values the input of this next generation of the profession, and I applaud our district for having new dentists included in the ADA delegation to the House of Delegates. But how do we encourage the voice of new dentists to be a part of all of our conversations?

Leading with grace isn’t something that comes as naturally to me as I would like.

On personality tests, words like “competitive,” “focused,” “driven,” and “independent” seem to pop up a lot. But like so many of you, the reason that I want to lead is because I want to make the world around me better. We will be so much more successful if we dared to see our shortcomings and encourage others to step in and step ahead where they can offer something different.

Within the community of dentistry, as well as in life, we need to follow the example of those inspirational leaders around us. First, by seeing the diversity of experiences that others bring. Then, by challenging and welcoming them to share their opinions and make the conversation richer. This is the way that more of our members become engaged and invested. It’s the way that the Washington State Dental Association and the American Dental Association become truly our collective association. Grace will let us know when to step back and when to let others take the lead. Grace will make all of us better.

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Dr. Brittany Dean ADA New Dentist Committee

“At the state and national level, we hold meetings and focus groups and discussions about how to engage members, how to make them feel a part of the association and feel that it is their own. But, how do we encourage the voice of new dentists to be a part of all of our conversations?”

guest editorial leading with grace

Leading with grace

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The Committee on PNDC and WSDA staff created a total team experience for you this year, and attendees took full advantage of it.

With a new three-day format that enabled attendees to get as many as 23.5 CE credits, to team-centered programming and the ever-popular Sip & Save reception, the 2016 PNDC delivered on its promise!

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MEMBERS GATHER IN BELLEVUE

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2016 PNDC IN PICTURES DENTISTS & DENTAL TEAM

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Technology has always been at the forefront at the PNDC — between lectures, workshops and the exhibit hall, we’ve got it all!

Remember, you have until July 15 to record your CE credits and receive your CE certificates. Just visit wsda.org/ ce-certificates. For questions, email info@wsda.org or call 206-448-1914.

Thanks to all the PNDC Ambassadors for helping to make this year a success!

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We may be known for CE excellence, but everyone needs a break, and the New Dentist 1 0 路 th e wsda ne w s 路 issue 7, was july 路 2016 路 www.wsda.org Reception just the ticket!

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pndc in pictures

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external review results wsda news Jim DeLizia photographed by Scott Eklund/Red Box Pictures 1 2 路 th e wsda ne w s 路 issue 7, july 路 2016 路 www.wsda.org

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A GOVERNANCE FRAMEWORK At the 2015 House, delegates adopted HD-14-2015, a resolution calling for an external review of association governance, strategic planning, decision-making, and enterprise risk management. Following the adoption of the resolution, the board put out an RFP that resulted in 16 candidates and finalists from around the country. The finalists were interviewed and Jim DeLizia of DeLizia Consulting Services (DCS) was selected to conduct the review. DCS was formed in 1997 as a management consulting firm serving the association community. The majority of DCS clients are nonprofit membershipbased professional and trade associations.

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external review results

GOVERNANCE STRATEGY JIM DELIZIA HELPS WSDA DEFINE

external review results wsda news

“It’s not going to be effective unless the changes are made and subsequent leadership teams enforce and reinforce the changes. It becomes very important in making governance change that you have consensus of current and future leaders, and that everyone is working toward a shared vision of what governance should look like. Then, as leaders change there is some consistency in the direction of the organization.”

For this piece, we’ll focus on DeLizia’s methodology, his areas of review, and some general findings and recommendations from his preliminary report. His final report is available to members on The Source at wsdasource.org/membership/ governance.

zation, a lot of clarity regarding roles, and responsibilities regarding training and orientation. I think there are some issues with processes like strategic planning or orientation and training are not supporting the structure as best they could.”

Sound…with caveats

By all accounts, DeLizia’s work has been thorough, starting with his recommendation that the WSDA Board appoint an external review task force to support the review process by providing a perspective of the unique demands on WSDA governance and input on the framework for the review.

The task force’s role was to raise issues that should be investigated, confirm the principles of the “ideal” WSDA governance system, and provide input on the review strategy. It was comprised of Dr. Bryan C. Edgar, task force chair, Dr. Bernard J. Larson, Dr. Kristine M. Aadland, Dr. Alexis P. Apatoff, Dr. Jeffery L. Parrish, Dr. Princy S. Rekhi and Bracken R. Killpack, WSDA Executive Director. Together, the members of the task force identified the following principles and practices of effective governance for the WSDA: efficiency; engagement; focus and clarity; transparency; accountability; flexibility; and knowledge-based decision-making.

“What do you do with all of this, a 60page report with hundreds of findings and observations and 57 recommendations?” he said. “The first step is to take a beat, absorb what’s here, decide what is best or right among the recommendations, and then set some priorities to focus on. Taking on all of the recommendations at once is not only overwhelming, it’s not the best approach.”

First, it must be said that the recommendations a report of this kind generates are only as good as the follow-through an organization does upon receiving them. More often than not, future leaders must be in synch with the adjustments being made today. As DeLizia noted, “It’s not going to be effective unless the changes are made and subsequent leadership teams enforce and reinforce the changes. It becomes very important in making governance change that you have consensus of current and future leaders, and that everyone is working toward a shared vision of what governance should look like. Then, as leaders change, there is some consistency in the direction of the organization.”

Generally speaking, DeLizia found acceptable governance practices in force at the WSDA, with caveats and many recommendations for improvement. DeLizia said, “I believe the organization needs to fully realize the potential of the structure that it has. For example, one could argue that the structure of the House of Delegates is becoming somewhat antiquated in the association arena, but in your case it’s more a matter of taking full advantage of the opportunity. Also, you have a federated structure – national, state and local societies – but there is a lot of untapped potential that you can gain from the state/ component society relationship. Again, the structure is sound, but there is an issue with taking full advantage of that to move your goals forward.”

DeLizia added, “I think there’s also a lack of clarity, understanding, and agreement in some cases as to what the roles, responsibilities, and authorities are. It’s not that they’re outside the accepted practices of association management, but there is a need for some clarity. There could also be some declining effectiveness of a traditional structure like you have. It takes quite a bit of work to make a representational structure the best it can be. It takes good communication up and down the organi-

Creating a task force

Laying the groundwork for the review: researching the WSDA

Among the research that DeLizia did for the review are an electronic survey of all WSDA board members, phone interviews with six board members, an electronic survey of all House delegates, phone interviews with WSDA officers and Killpack, an in-person interview with Killpack, and seven in-person focus groups (past presidents of the WSDA, leaders of affiliated groups and stakeholders, WSDA committee chairs, WSDA staff and board/committee staff liaisons, component society leaders, and finally, component society

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In his meticulous report, DeLizia first revealed his general observations about the WSDA, followed by focused findings for each of the five components of governance.

Under the structure category, he included findings about the House of Delegates, committees, and affiliated groups, complementary roles of the board and executive director, and WSDA-component society relations. Under his review of process, DeLizia reviewed nominations, decisionmaking, strategic planning, evaluation, financial oversight, and operating policy and procedures. Finally, he included his observations of people, resources, and operating culture. DeLizia noted that, overall, there is “widespread desire by pretty much everyone I talked with to work on the organization and increase its effectiveness wherever possible. There was a lot of positive commitment in that regard.” He noted that roadblocks to that process include tensions within the governance system due to the complexity of issues affecting the profession, the declining effectiveness of traditional governance and management structures, and other factors, including “a lingering reaction to the style of previous

Structure: House of Delegates, committees, component societies

Through interviews, surveys, and focus groups, DeLizia received some mixed feedback about our House, and categorized it as a missed opportunity. For instance, while 72 percent of respondents said they were either “very satisfied” or “satisfied” with their experience as a member of the House of Delegates, 65 percent of delegates “somewhat agreed” to “strongly disagreed” with the statement “Members of the House of Delegates do an effective job of communicating WSDA goals, activities, and accomplishments back to members of their component societies.” Eighty percent of the Board responded likewise. Additionally, DeLizia noted, “House proceedings are formal and can be intimidating to some.

There is little time for less formal discussion outside of the decision-making process, or airing of issues for the sole purpose of understanding multiple points of view.

Other than access to information (such as regular financial reports) available to the membership, there is limited, if any, specific engagement with the House beyond communication surrounding the annual meeting of the body, making it difficult for a body that meets once a year to be fully up to speed on the issues that come before it. Simply put, the House meeting agenda constitutes a ‘crash course’ of information on issues and resolutions requiring a vote.”

DeLizia’s HOD recommendations include “moving it more toward a leadership assembly with less focus on governance and a greater focus on connecting state and local groups together, unified planning, and facilitating communication and information flow between the organizations.” He noted that there was a good deal of positive energy around an idea that surfaced regarding the use of the House as a superstructure for the organization, and using that body to set one to three goals for the coming year that the entire organization could adopt, with both state and local reps working together on goals set at the House. Delegates could go back to their components and rally their members around goals that the members care about.

The state and local societies could have responsibilities to implement, certain roles and responsibilities related to the goal,

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and then the House could be the accountable body to which the stakeholders would report back. DeLizia also recommended a better balance of formal and informal aspects of the experience by creating opportunities for more open discussions related to emerging issues, where the pressure of making a decision isn’t necessarily required. Another area ripe for change is the delegate-appointment process. DeLizia said, “Representational structures rely heavily on an effective system to appoint qualified, committed, and prepared members. Provide more direction and specific criteria to support component societies in identifying and appointing delegates that reflect the diverse profile of the membership and can articulate member needs and perspectives. Require (as some component societies already do) that delegates be drawn from, or are given an ex-officio seat on, component society boards or leadership teams. This can help raise the effectiveness of the delegate as a contributor to House discussions and as a liaison back to the component society and a source of information on activities and actions at the state level.” For additional recommendations, visit wsdasource.org/membership/ governance.

When reviewing committees and affiliated groups, DeLizia noted that governance was inconsistent, the board’s role could overlap the function (as is the case with the Committee on Government Affairs), and there is a lack of clarity or understanding of the relationship among WSDA and affiliated groups. For all of these issues, DeLizia provided straightforward fixes that should be easy to implement over time, including establishing deliverables and clarifying reporting requirements.

DeLizia’s recommendations about the complementary roles of the board, the officers, and the executive director seek to clarify how the roles are split and to create explicit delegation of responsibility by the board. Members of the task force requested clarity regarding the role and reach of officer meetings, which typically occur the night before a board meeting. As DeLizia noted, “Some board members believe that the parameters for the role of the officers as a body are not clear or sufficient, and that, as a result, the officers at times make decisions outside of their authority or do not share information that the board should be

external review results

An exhaustive report

staff and elected leaders.”

wsda news

executives). Additionally, DeLizia observed a WSDA Board meeting, reviewed governance documents (including articles, bylaws, and standing rules), committee and executive director job descriptions, recent House and board meeting minutes and materials, documentation of governance support systems (including budget development, nominations, leadership orientation and development, and planning) WSDA financial reports, and other appropriate materials. DeLizia explained, “I put a framework around this investigation using the components of governance system – structure, process, people, resources, and operating culture – and really tried to frame my investigation around those five elements, as well as using the mission as a foundation. Any governance system has to support the mission of an organization, so that has to be a filter. There are principles of effective governance for associations, so that is another guide. Finally, as a filter, I talked with a lot of the stakeholders who sit in different places within the system. Their perceptions were very useful as a filter and a guide in this exercise, as well.”

external review results wsda news

aware of.” However, DeLizia found it was not the case, saying, “A review of officer meeting minutes suggests that the officers are primarily focused on operational issues (including personnel matters, WSDA headquarter facility issues, etc.), and act as a sounding board for the executive director on programs and initiatives. The officers will also frame board meeting agendas and have preliminary discussion on issues to come before the board.” Additional recommendations DeLizia made include items related to personnel matters, executive director evaluation and compensation, and board evaluations and training.

When reviewing component relations, DeLizia found that delegates to the House and board members characterized the relationship between the WSDA and its components as “WSDA and component societies plan and operate fairly independently and can sometimes act as competitors. Fiftytwo percent of House delegate respondents state that WSDA and component societies… cooperate and generally support each other’s programs and services, encouraging members to participate.” To resolve the problem, DeLizia recommends the creation of a component relations task force to start a dialogue to build a shared vision of the state-local relationship. He imagines the task force would review issues such as an alignment of roles (and where the state and locals should play a lead or support function), identification of areas of conflict or redundancy, opportunities for more cooperative or complementary ways to carry out roles, and specific areas for potential collaboration to better serve the members and/or increase operating efficiencies. Areas suggested by interviewees included: revenue share opportunities; joint education sponsorship; membership recruitment and retention; leadership development; and advocacy initiatives.

Process: a meaty area of the report

First and foremost, DeLizia noted, “The decision-making process is complicated by your structure. You have layers of bodies in between the state and the general membership, which you rely on to represent the general members’ interests and needs. The degree to which those layers aren’t providing a comprehensive view or an avenue for input from the general membership degrades the effectiveness of

the decision-making process. In this case, your structure is challenging, though not insurmountable, but it will require different kinds of strategies to reflect the pulse of members’ needs and challenges. There are several points of focus. The first is communication. Those recommendations relate to improving the quality of communication and establishing that the communication is more of a dialogue between communities and the House, and that some selected, but engaging, communication strategies are used when reaching out to the community.

It’s not that you’re not communicating with stakeholders, it’s about changing the tenor of the communications, making them more of a dialogue, and perhaps getting some input about the communication.”

Process: Nominations

Regarding nominations to the House of Delegates, DeLizia noted, “Outside of some consideration of geographic diversity, little if any direction is provided to the Nominations Task Force regarding the particular needs for leadership of the organization and the bodies they are identifying candidates to fill. The nomination process relies heavily on component societies for recommendations and leaders who reach out to others they know.” [Editor’s Note: In his report, DeLizia states, “There is no membershipwide call for nominations.” In fact, each year a call for nominations goes out in the WSDA News with all relevant information, including the open positions, length of term, etc.] Regardless, DeLizia found that “69 percent of the respondents to the House of Delegates survey rate the effectiveness of the WSDA nominating process in consistently producing qualified, committed candidates as ‘very effective’ or ‘effective,’” while simultaneously noting, “The somewhat informal nature of the nomination process has generated the perception on the part of some that leaders are hand-picked, based on the small circle of acquaintances of current leaders.” His recommendations include an intentional nomination process that incorporates “a more defined and intentional search for candidates that embody the leadership experience, skills, qualities, backgrounds, and different points of view the organization needs.” Additionally, he recommends that the task force should be made into a committee and be “focused more broadly and year-round on leadership

development. Consider a ‘Leadership Development Committee’ that could incorporate the nomination function and take a broader look at leadership development needs and strategies throughout the association.”

Process: Decision-Making

Not surprisingly, DeLizia opens this section by saying, “With such a diverse constituency, WSDA governing bodies will never make decisions that please all members.” He then outlines multiple areas where the current decision-making process needs tweaking or adjustment, most notably those related to the House and the board. In his review, DeLizia found that respondents don’t view the House as a representation of the “full diversity of member talent, expertise, and experience,” and noted that it lacked responsiveness to changing member needs and expectations.” Further, DeLizia said, “When asked to rate different aspects of WSDA governance, board members rated ‘timely decision-making’ as the least effective, with ‘accountability and effective checks and balances’ a close second.” While respondents agreed that WSDA is working hard on professional issues, as an organization “it does not always have the benefit of direct member input and finds it hard to get the attention of members on these matters.” Others felt that the “WSDA is not always in touch with the real issues facing the average practitioner, and lacks a regular process to listen to member input and prioritize issues that members care about. All agree, however, that members are generally unaware of the efforts that WSDA does make on their behalf.”

And while he noted that WSDA staff and elected leadership conduct regular calls with component society presidents and executives, along with other personal visits and meetings such as the one at the PNDC, “efforts to solicit adequate response directly from members on issues have largely been unsuccessful.” DeLizia followed his observations with a host of recommendations, including better communication efforts with component societies, new avenues for direct member communication (such as member polling), improved House communications, the establishment of an information loop, and streamlined meeting packets for the board, among several others. Finally, he made suggestions regarding enterprise risk management (ERN), which could prove fruitful to the WSDA as we

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DeLizia noted some deficiencies in the strategic planning process, saying, “The board does a good job thinking strategically on individual issues, but lacks an effective process to develop an encompassing shared vision, set of goals, and priorities for WSDA that would allow leadership to be more forward-looking and proactive.”

To help resolve the issues, he mapped out five areas of recommendations including developing a planning cycle, monitoring and reporting implementation and success of the strategic plan through the use of WSDA’s effective dashboard, plan-driven management, committee and task force changes, and reporting. Additionally, DeLizia had recommendations for evaluation and financial oversight, but noted that policies already in place were either generally effective or in need of simple updates.

People:

In areas like member engagement and leader training and orientation, DeLizia noted that there are a few overriding concepts in association management when it comes to member engagement that really need to be understood and considered if we’re going to be successful. The first is part of a broader system of development that needs to begin when a member first joins the association and continues as they become leaders - and every stage in between. He explained, “I would really encourage you not to think of it as an isolated issue, but as a part of a system that has to work well within the organization to develop future leaders and to engage members at various levels of contribution. Additionally, opportunities for members to get involved have to be perceived as substantive.

They have to match their particular talents and skills, and members have to feel that they are contributing something important to the association and the profession.” The days of getting a warm body to take on a task are long gone, DeLizia said, adding it is imperative that there be ways to get in-

Resources:

At first glance, DeLizia’s findings on the WSDA’s resources might seem troubling.

After all, he stated, “WSDA cost of governance is calculated at 16 percent, taking into account such costs as House, Board, Officer, Committee/Task Force, and ADA meetings, leader outreach to components societies, cost of governance processes such as nominations and professional services, and cost of staff time related to governance support. According to the American Society of Association Executives, comparable cost of governance for professional association in the $2 million to $5 million budget range is 4.4 percent of revenue. Although there are many factors that constitute cost of governance that are variable between associations (such as frequency of board meetings or the inclusion of a large delegate body as part of the governance structure), it is worth reviewing the cost of supporting WSDA governance to see if there are greater efficiencies that can be realized without compromising results (such as increased use of technology, where appropriate.)

DeLizia recommends using benchmarking techniques to compare our numbers with those of similar organizations, noting that our House contributes significantly to our higher costs, as well as the fact that the WSDA bears a major cost for the ADA’s governance.

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“I would really encourage you not to think of it as an isolated issue, but as a part of a system that has to work well within the organization to develop future leaders and to engage members at various levels of contribution.

They have to match their particular talents and skills, and members have to feel that they are contributing something important to the Association and the profession.”

external review results

Process: Strategic planning, evaluation, financial oversight

volved that are convenient and accessible, mesh with the other demands in members’ lives, and cover a wide range of commitment levels with perceived value for the time invested. If all of WSDA’s opportunities have moderate or large time commitments, such as serving on a committee or task force or running for the board, member engagement will be challenging, he explained. “Expanding the range of opportunities will drive member engagement because the third principle is that this is a system of cultivation, so once you make a connection with a member that has been perceived as substantive and rewarding, and they have a positive experience, then you open the door to cultivating them for greater contributions along a pathway that’s right for them.” His recommendations include multiple pathways to leadership, creating a volunteer pool, establishing lessdemanding volunteer opportunities, and adjustments to the nomination process.

wsda news

look to identify and appropriately manage risk, while leveraging our assets to achieve our mission and goals. As he said, it’s a meaty section with a lot of information and recommendations for review, and one that is imperative to review.

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1 8 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org

What next? How do we proceed?

We understand this overview might be daunting to read, and it doesn’t include all of the issues and recommendations DeLizia made. He suggests honing in on a few key issues and making small changes that create quick results - such as changes to the House meeting and format, changes related to the committee on government affairs and testing an issue group related to that committee, and shifting calls and visits with component presidents and execu-

tives to more of a dialogue. Additionally, he said, “The fact that you do an annual board performance review is terrific. Go over it and pick a few results from the evaluation that you can use to set a board development goal to work on during the year.

Test one of the tools that I’ve given you regarding board decision-making to see if it improves the way you make decisions, and treat considerations more comprehensively. Take steps to enhance the board and house orientations, making them more interactive.” And while he advocates choosing some easy changes for quick results, DeLizia said we shouldn’t put off the hard conversations.

“You don’t have to take them all on at once, but take a step or two on some of the harder ones, like clarifying board and officer roles, creating a better dialogue between state and local components toward improving relations, and considering new policies and procedures where you have gaps in your current ones. Become more familiar with the culture of inquiry and begin some discussions about board operating values and a style of governing.

They’re harder conversations, and they may be more long-term, but I think you can start working on a few of them.” It’s important to make changes in governance in a balanced way, one that takes into account the many stakeholders involved in the process, providing strong leadership for change, and getting buy-in and input from those affected. DeLizia said, “Governance change requires strong leadership, but it also can backfire if there isn’t a way to engage the stakeholders and those affected and give them a way to have input. The pace of change is important. You don’t want inertia, you don’t want to lose momentum. At the same time, you don’t want to force things. The pace of change can be too great, it can make people feel uncomfortable and out of control, so you have to balance everything – a strong pace with a measured implementation of what you want to change. Remember that the components are not independent. They’re a part of a holistic system, and they impact one another.”

We invite you to review the report once finished and contact us with your thoughts about governance, communication, and any of the elements of this review.

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 19

DeLizia suggests honing in on a few key issues and making small changes that create quick results — such as changes to the House meeting and format, making changes related to the committee on government affairs and testing an issue group related to that committee, and shifting calls and visits with component presidents and executives to more of a dialogue.

external review results

Operating culture can be difficult to assess and measure accurately. For instance, in their interviews, some respondents told DeLizia that the WSDA operates in a top down fashion, with a lack of transparency and an aversion to dissenting opinions - a generally accepted view of the prior management at the WSDA. Once in leadership, however, most respondents agreed that is no longer the case with the new executive director.

Still, DeLizia’s report states, “Most agree that the WSDA must work to undo a longstanding perception of a closed style of governance and management. A desire to change the culture must be purposeful and requires reinforcement of desired style and behavior, again, over time. Because of the influence of their positions, the officers, board, and executive director have the best opportunity to set a desired tone, model acceptable behavior, and communicate clear and consistent messages about such things as the decision-making process, the desire for member engagement, expectations of leaders, etc.”

DeLizia’s recommendations will take time and require an open environment, the development of trust that includes two-way communication and flow of information, and a sound decision-making process. Additionally, DeLizia stated, “Leaders must be able to trust others involved to subvert personal agendas, act openly and honestly, maintain confidentiality as appropriate, participate actively in discussion, and support decisions of the group.” Recommendations include strengthening the operating culture through process, developing a culture of inquiry (utilizing four essential elements of trust, information sharing, teamwork, and dialogue), and creating a board code of conduct.

wsda news

Operating culture:

in memoriam anderson, chatalas, johnson, kemp, lund, pasquan

in memoriam Dr. Howard S. Anderson

Dr. Howard Sam Anderson died on May 14, 2016 at Point No Point, near Hansville, Washington. He was 91.

Dr. Anderson was born on Oct. 31, 1924 in Centralia, Washington, under difficult circumstances. He began a lifelong habit of making the best of everything. He made many dear friends growing up in Centralia and stayed true to his connections there.

He enlisted and served in the Navy during World War II as an ensign. He used the GI Bill to attend the University of Washington and the UWSoD. He was a proud Husky and a fixture at football games near and far for more than 50 years.

Along the way he married Pat, the love of his life and a steadying influence, but also a willing co-conspirator in any wild adventure he cooked up. He started his dental practice in Ballard, where he stayed for his whole career. Every filling came with a Sven and Ole joke free of charge. He had a solo practice in Ballard for 43 years and began one of Seattle’s first group practices, Crown Hill Dental Center, in 1970, which is still in operation. In 1956, he went back to the UW Dental School to teach, where he had the chance to share his belief in dentistry with a personal touch to many dental students.

Dr. Anderson lived to laugh, and his wonderful sense of humor was a lifelong calling card for him. He had a special talent for making friendships and keeping them long-term, wherever he went. His family and many friends will miss him tremendously.

Dr. Anderson is survived by his children, Christine Stickler (Jay), Camille Horne (Ken), Mark (Rachel), David (Kathy), Stephen, and Lisa Crabtree; 17 grandchildren; 10 greatgrandchildren; his extended family; Colette Jones of Longview; and many friends.

He was preceded in death in 2001 by Patricia, his loving wife of 50 years, and his son-in-law James Crabtree; and in 2008, by his son Will.

ther. He sold his practice and retired from dentistry in 1997 and moved with his wife, Marcia, to Tucson, Arizona.

During his years as a dentist, Dr. Chatalas was inducted into the American College of Dentists and the International College of Dentists. He served on the Washington State Board of Dental Examiners and the ADA Accreditation Commission and participated in the Seattle-King County Dental Society and the Washington State Dental Association on legislative and policy activities. He was a serious advocate of quality and ethical dentistry and always had his patients’ and the public’s best interests at heart.

In his retirement in Tucson, Dr. Chatalas enjoyed golf, playing regularly at Omni Tucson National. Responding to his lifelong interest in art, he became enthusiastically involved with the docent program at the Tucson Museum of Art. He served as president of the Tucson Museum of Art Docent Council, as vice president for docent training, and as a member of the board of directors of the Southern Arizona Center Against Sexual Assault and the Arizona Commission on Judicial Performance Review. He also pursued film acting, taking roles in several local productions. He played the sheriff in a commercially distributed film “Renegade.” He embraced the culture of Tucson and the Southwest, collecting Native American, Mexican, and Western art. He was politically liberal, a man of convictions who advocated for and supported human rights, social justice, choice, and tolerance.

Dr. Chatalas is survived by his wife of 27 years, Marcia; children Jody Chatalas and Helen Chatalas of Seattle; grandchildren Ella Chatalas and Fin Butler of Seattle; his former wife and mother of his children, Catherine McCurdy Chatalas; his sister, Joan, and her three children of Seattle; cousins in Seattle, California, Oregon, and Boise, Idaho; his three canine pals, Buddy, Benny, and Sadie; and numerous friends in Tucson, Seattle, and Boise.

Dr. George M. Chatalas

Dr. Barton S. Johnson

Dr. George Macy Chatalas passed away on March 31, 2016 after a brief illness. He was 78 years old.

Dr. Chatalas was born on Feb. 2, 1938 to George John and Faye Macy Chatalas in Seattle, the second of two children. He attended school in Seattle and received his D.D.S. from the University of Washington in 1964. While at the university, he affiliated with the Phi Gamma Delta fraternity.

Upon graduation he served two years as a captain in the U.S. Air Force at Biggs Field in El Paso, Texas, after which he returned to Seattle to practice dentistry with his fa-

Dr. Bart Johnson was born March 29, 1961 in Burbank, California to William and Betty Johnson. He passed away at home in Seattle on June 30, 2016 after a valiant battle with colon cancer. He was 55 years old.

Dr. Johnson was raised in California’s San Fernando Valley. He and his family were active in the Boy Scouts of America and he ultimately became an Eagle Scout. After attending USC for his undergraduate work, he received his Doctorate of Dental Surgery Degree from UCLA in 1985. He was academically at the top of his class, receiving induction into the Omicron Kappa Upsilon

Dr. Bart Johnson

Honorary Dental Society. Johnson continued his education at UCLA, completing a Hospital Dental Residency in 1986, and received a MS in Oral Biology in 1989.

Dr. Johnson was recruited to Seattle in 1991 to lead the Hospital Dental Residency Program at University of Washington. He remained on faculty as the residency director and an Associate Professor with tenure until 2007. In 2008 he co-founded Seattle Special Care Dentistry and concurrently established the Swedish Medical Center Hospital Dental Residency Program. He remained the Program Director of the Swedish Dental Residency program until his death.

He was widely recognized in the field of dental education. He was a popular lecturer both nationally and internationally and co-edited a textbook, Pharmacology and Therapeutics for Dentistry. He was heavily involved in the local dental community and was named “Washington State Dental Association’s Citizen of the Year” in 2014 for his efforts in caring for the underserved. Dr. Johnson’s great passion was providing care to medically complex patients through residency training. He had the uncanny ability to explain complex topics in simple and understandable ways. As a residency director, he served as a teacher and mentor to hundreds of young dentists, with whom many he maintained lifelong relationships.

He was married to Kristen Johnson for nearly 30 years, divorcing amicably in 2011.

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Dr. Robert H. Kemp

Dr. Robert Hutchinson Kemp passed away on Jan. 26, 2016 in Scottsdale, Arizona. He was 92.

Dr. Kemp was born on Dec. 6, 1923 to Frederick and Ida Kemp in Superior, Wisconsin. He was drafted into the army during World War ll. After the war he studied dentistry and graduated from Marquette University. In 1952 he moved to Seattle and studied orthodontics, graduating from the University of Washington. Dr. Kemp joined his former professor Dr. Paul Lewis in his orthodontic practice and when Dr. Lewis retired, he took over the practice.

Dr. Kemp is survived by his nephew Peter and family in Mesa, Arizona; and cousins in Washington, Florida, and the Northeast.

in 1945 and earned a B.S. degree in chemistry in 1950 and a D.D.S. in 1952, both from the University of Washington. He served his country in the U.S. Navy from May 1945 to July 1946. He was assigned to the Naval Air Station in Pensacola, Florida during World War II and was honorably discharged.

Dr. Lund married his soul mate and love of his life, Jeanne G. Martin, on Dec. 23, 1949. They loved each other for 64 years, until her death in May 2014. Dr. Lund conducted a private general dentistry practice in Burien for 33 years and retired at age 59 in 1986. In retirement he and Jeanne enjoyed family and friends and trips to the Washington coast and Kauai. He enjoyed fishing, snowmobiling, hunting, American history, and country music. An avid sports fan, he loved University of Washington sports, the Sonics, and the Seattle Seahawks. He was also heavily involved in the local Kiwanis and Masonic organizations, giving back to the community in various ways for many years.

Dr. Lund was a loving, supportive husband, beloved father, generous brother, and dear friend to many. He leaves behind a loving legacy to family and friends who will miss him dearly.

Dr. Lund is survived by sons Theodore B. (Victoria) and Jeffrey (Joni); daughters Cindy A. Lund and Kimberlee J. Byrne; sisters Donna L. Shoe and Anne F. Jenson; grandchildren Brandon S. (Jessica) Byrne, Amanda J. (Steven) Lloyd, and Cameron J. (Jamie) Byrne; and great-grandchildren Maddux and Lucas. He was preceded in death by his wife, Jeanne, sister Nadine M. Ward, and son-in-law Bradley S. Byrne. He leaves behind a loving legacy to family and friends who will miss him dearly.

Dr. Theodore G. Lund

Dr. Theodore Gorton Lund passed away from pancreatic cancer during his sleep on May 8, 2016. He was 88.

Dr. Lund was born on Oct. 12, 1927 in Tacoma, Washington, and grew up in National and Eatonville, also in Washington.

He resided and worked his whole adult life in the Puget Sound regions of Seattle, Burien, Rainier Beach, Kent, and Federal Way. He graduated from Eatonville High School

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 21

Dr. Rudolph J. Pasquan

Dr. Rudolph John Pasquan passed away on May 6, 2016 due to acute respiratory lung disease. He was 76.

Dr. Pasquan was born on Aug. 14, 1939 at home in Roslyn, Washington to, Fred and Pauline “Pavka” Brozovich Pasquan, immigrants from Mrkopalj, Croatia.

He attended Roslyn Grade School and graduated from Cle Elum High School in 1957, Central Washington College in 1960, and Marquette University School of Dentistry in 1964. He served as a captain in the U.S. Air Force Dental Corp.

Dr. Pasquan opened his dental practice in 1966 in Renton and retired in 2006. He was a lifetime member of the American Dental Association, Washington Dental Association, Seattle Dental Association, Golden Eagle of Aerie 696 in Roslyn, and Cascade Field & Stream. For more than 50 years, he was a member of the Croatian Fraternal Union. He loved playing his accordion and was a member of the Northwesterners Accordion Association. He also enjoyed doing lapidary work.

Dr. Pasquan is survived by daughters Paula (William) Maris and Susann (Sean) Joo; grandchildren Celia, Will, and Seneca Maris and Evan Joo; his beloved life partner, Odell Clymer; and cousins Walter and Molly Baich and Gene and Cookie Pasquan. He was preceded in death by his parents and brother.

in memoriam anderson, chatalas, johnson, kemp, lund, pasquan

Together they raised two smart, talented and compassionate children, daughter Chelsea and son Nikai. Proficient in American Sign Language, he had a large extended family that included the local deaf community, many of whom were patients and friends.

He enjoyed the natural beauty of the Seattle area, spending his free time biking, kayaking and being outdoors. He was especially proud to have summited Mount Rainier shortly after his fiftieth birthday.

He is preceded in death by his father, William Johnson. He is survived by his daughter Chelsea of Seattle, son Nikai of Boston, mother Betty, sister and brother-inlaw Julie and Mark Messersmith of Florida, and former wife Kristen Johnson. He also leaves his business partners, Dr. Amy Winston and Dr. Noah Letwin, and his adoring staff at Seattle Special Care Dentistry.

The family wishes to thank Dr. Soma Subramaniam at the Swedish Cancer Institute for his kind and attentive care throughout his illness.

Prior to his death, Dr. Johnson asked that memorial contributions be directed to the dental residency that he loved so dearly. In lieu of flowers, please send donations to the Bart Johnson, DDS, MS Memorial Fund, Swedish Medical Center Foundation, 747 Broadway, Seattle, WA 98122 or online at http://www.swedishtributegifts. org/Bart_Johnson

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2 2 路 th e wsda ne w s 路 issue 7, july 路 2016 路 www.wsda.org

CLINICAL CORNER

Expansile multilocular radiolucency: Left posterior mandible Contributed by

Drs. Srinivasa Chandra and Darryl Tew Oral & Maxillofacial Surgery, Harborview Medical Center and Yakima, Wash.

History of present illness

This is a 50-year-old Hispanic male who presented with a lesion of less than a year’s duration in the posterior mandible. His symptoms included pain, 3+ tooth mobility, 15-pound weight loss, and swelling of the gingiva and jaw. The patient also complained of anesthesia of the left chin and lower lip. The patient had been aware of the symptoms with facial swelling of the left side for only a few months. Dr. Tew extracted the mobile teeth and biopsied the area. The initial cone beam CT scan findings (Figure 1) notably show a well-demarcated multilocular and expansile radiolucency perforating bone and pushing teeth apart.

Test your knowledge!

Visit https://dental.washington.edu/oral-pathology/case-of-themonth/ and see if your assessment of the case is correct!

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 23

clinical corner issue 7, july 2016

Expansile multilocular radiolucency: Left posterior mandible

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www.PracticeSales.com Aaron@PracticeSales.com RandyH@PracticeSales.com 2 4 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org

Left to right: Christine Melch (’16), Stephanie Campbell (’19), W. Kalob Lesh (’17), Dean Joel Berg, Dr. Greg Ogata, Ali Harris (18), Kristofer Harris (’18), and Dr. Dan Middaugh

Middaugh Awards

Each year, the WSDA awards a stipend to class presidents at the UWSoD, continuing a long tradition started by Dr. Dan Middaugh as a way to recognize leadership at the dental school. Shown above celebrating at the annual Middaugh Leadership Awards are, left to right: Christine Melch (’16); Stephanie Campbell (’19); W. Kalob Lesh (’17); Dean Joel Berg; Dr. Greg Ogata; Ali Harris; Kristofer Harris (’18); and Dr. Dan Middaugh.

Congratulations, class presidents, for all the hard work you put in!

2016 UW Faculty and Student Awards

On June 3, WSDA President Dr. Bryan Edgar presented the 2016 WSDA Faculty and Student Awards to Dr. Mark Drangsholt and Dr. Mahfuzur Rahman.

WSDA member Drangsholt was awarded the prize in recognition of outstanding contributions to both the UW School of Dentistry and the WSDA. He is the chair of the Oral Medicine department at the UWSoD. Dr. Rahman, a 2016 graduate, received the WSDA Student Award in recognition of a history of scholastic achievement, commitment to leadership, and strength of character. He plans to move to Texas and enroll in a general practice residency program.

Congratulations to both of these outstanding individuals!

Dr. Loree Bolin honored

At the Snohomish County Dental Society (SCDS) general membership meeting in

Dr. Mahfuzur Rahman & WSDA President Dr. Bryan Edgar

Dr. Mark Drangsholt & WSDA President Dr. Bryan Edgar

May, Dr. Loree Bolin was presented with the society’s Special Recognition award by SCDS President Dr. Scott Westford. Each year SCDS recognizes one member dentist for his or her outstanding volunteer service. Dr. Bolin is founder and director of the Health and Hope Foundation (www. healthandhopefoundation.org), which provides dental care and much more to the international communities it serves (most recently in Tanzania).

cy development, as well as devoted extensive volunteer service to the same.

During the session, Dr. Donald Chi, also a WSDA member and UW School of Dentistry faculty member, received the 2016 Jerome B. Miller Crest Oral B for the Kids Award for outstanding efforts on behalf of children’s oral health and welfare. Congratulations to Drs. Berg and Chi for their efforts on behalf of children in the state!

Dr. Joel Berg Named Pediatric Dentist of the Year

Dentists across the country are questioning the business practices of Stericycle, an Illinois-based medical waste disposal company. The ADA has received reports from a number of dentists claiming that the company increased its fees in a way not explicitly stated in its contract. At least one jumped by as much as 250 percent. Read the full article from ADA News here: http://www.ada. org/en/publications/ada-news/2016-archive/ june/stericycle-contracts-read-the-fine-print

Dr. Joel Berg, WSDA member and Dean of the UWSoD, recently was named Pediatric Dentist of the Year by the American Academy of Pediatric Dentistry during the organization’s annual meeting in San Antonio, Texas.

The award honors a pediatric dentist who has made significant contributions to the dental profession and pediatric dentistry through clinical practice, academics, or poli-

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 25

Stericycle Contracts: Read the Fine Print

newsflash midaugh leadership awards, more

newsflash

2 6 路 th e wsda ne w s 路 issue 7, july 路 2016 路 www.wsda.org

Dear Editor, I read with great interest the article on the reorganization of WOHF. Perhaps I can provide a little historical perspective.

In the early ’90s, WSDA had a very small charitable foundation. It gave a few small scholarships to dental hygiene and dental students, but as tuition costs rose and our funding didn’t, it became apparent that we weren’t accomplishing much.

The WSDA board decided to reform the foundation so that we could pay for business -related items through the WSDA and handle charitable requests and programs through WOHF by funding the foundation. We started the phonathon and embarked on program development.

Sandy Hardymon and I began some of the in-school programs by developing them in my children’s school district of Aberdeen. These programs were expanded to most counties, with variable results.

They were dependent on individual volunteer dentists, hygienists, and staff for success. In some areas the energetic volunteers reached many of their area youngsters. As time went by though, many of the volunteers burned themselves out (myself

included) waiting for our colleagues to be involved, too.

At a dinner meeting with then-WDS CEO Jim Garrison, I said give WOHF a million dollars from the $39,000,000 you withheld, and we’ll quit carping about the withhold. As Ralphie said, “He looked at me like I had lobsters crawling out of my ears.” I just had to mention the withhold.

I haven’t been involved with WOHF at the board level since around 2004. I still make my phonathon calls and my personal donations. I have heard the criticism of WOHF that it seems to be wandering.

My disappointment was always that more dentist volunteers didn’t step up to support and grow programs. The selfish advantage for those volunteers was that, many times, others in the community saw us doing our good works and we often gained new patients from it.

The benefit to our profession has been the visibility we gain politically by showing that we care about our communities. Politicians never listen to us about the administration of DSHS dentistry, about changes in their program that would encourage more dentists to be involved. The WOHF programs have helped their perception of us.

I guess my message and plea would be, for whatever direction the reorganization should go, it will always depend upon how involved our member dentists will be. Criticizing and not donating or not being involvedwill lead to the same place we are now. ­— Dr. Tim Wandell Dear Editor, I loved your article about Medicaid dentistry and the fact that people are actually paying attention to how to get it done. I have been advocating for a program that shifts responsibility to the patient to perform minimal recommended oral hygiene habits in order to participate. I have approached Peninsula Community Health Centers as a possible partner. The program would provide an additional option for Medicaid patients to get a higher level of dental services by developing and fulfilling health goals that they create with their physicians. Unless we create accountability at the patient level, we are doomed to create the issues that have plagued DSHS dentistry in the past.

— Dr. Tim Verharen

Dedication to a team can IMPACT THE FUTURE "I strongly believe in Willamette Dental Group's philosophy and emphasis on preventive care. Their approach to delivering preventive care provides our patients with the best possible and predictable health outcomes."

- Mimi Whittemore, DMD Beaverton, OR

Learn more about practice opportunities Academy of General Dentistry Conference July 14-17 I Booth #618

nlachance@willamettedental.com willamettedental.com/careers 503-952-2172

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 27

letters to the editor drs. wandell & verharen

letters to the editor

pcds wins “hands up” award component society news

2 8 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org

On June 2, the Pierce County Dental Society (PCDS) received the “Communities In Schools of Tacoma’s Hands Up” award for its educational programs on the importance of good oral health. The award recognizes individuals, businesses, and organizations that have made significant contributions to students’ success in learning, or have influenced or advocated for community support by empowering students to stay in school and achieve in their lives.

The award was presented by Congressman Derek Kilmer at the Communities in Schools of Tacoma’s annual luncheon.

The group honored PCDS because it has provided low-income children with more than 9,000 oral hygiene kits over the past four years. Citing research that ties poor oral health and mouth pain to school absenteeism, Communities in Schools of Tacoma professed its gratitude for the donation, saying, “Students cannot learn if they are not at school, and we know that attendance is tied to their academic performance. This collaboration demonstrations the commitment from the dental community that education is important, while creating a healthy start and healthy future for our children.”

Cheryl Jenkins, executive director of PCDS, said, “I feel privileged to be able to work with such a great group of dentists, who tirelessly give back to their community. Pierce County Dental Society dentists have helped to create an impressive safety net. They work with community agencies to identify and provide free dental care for those in need. They are a voice for improved oral health, and they ensure that thousands of children have access to a toothbrush, toothpaste, and floss. Every child should be able to brush their teeth.”

Congratulations to everyone who participated in providing children with oral health education and goodie bags in the Tacoma area over the past four years. You really made a difference!

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 29

“Students cannot learn if they are not at school and we know that attendance is tied to their academic performance. This collaboration demonstrations the commitment from the dental community that education is important while creating a healthy start and healthy future for our children.”

pcds wins “hands up” award

Left to right: Dr. Jordan Harris, Dr. Silvia La Rosa, Debbie Lewandowski, and Patty Reno with Congressman Derek Kilmer

component society news

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3 0 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org

O F

ADA Morning

W A S H I N G T O N

SCHOOL OF DENTISTRY

CONTINUING DENTAL EDUCATION FALL 2016 AUGUST 26 – 27 Oral Surgery for the General Dentist – Making it Easier, Faster & More Predictable Karl Koerner, DDS *The course is offered in partnership with the Washington Academy of General Dentistry. Register for this course through the Washington Academy of General Dentistry.

Dental decay more common in children than asthma, but preventable

SEPTEMBER 23 Diagnosis Benign? Not So Fast: Challenging Oral Diseases and the Tools to Decipher Them Dolphine Oda, BDS, MS 30 WISHA-OSHA Compliance for the Dental Office & CDC Guidelines for Infection Control Samuel Barry, DMD This course will be presented in Tacoma, Washington.

OCTOBER 7 Untangling the Confusion of Today’s Restorative Materials Edward J. Swift, Jr., DMD, MS This course will be presented in Fife, Washington. *This course is offered in partnership with the Seattle-King and Pierce County Dental Societies. Register for this course through Seattle-King County Dental Society.

22 Improving the Oral Health of Your Older Patients O. Ross Beirne, DMD, PhD; Beatrice Gandara, DDS, MS; W. Kurt Labberton, DDS and Rod Wentworth, DDS This course will be presented in Spokane, Washington. *This course is offered in partnership with the Washington Dental Service Foundation. Please call or email us to register.

Online Courses at www.uwcde.com including Bloodborne Pathogens!

Registration Information: REGISTER Telephone: (206) 543-5448 Toll Free: (866) 791-1278 NOW! For more detailed course information and to register online

SCHOOL OF DENTISTRY UNIVERSITY of WASHINGTON

UNIVERSITY OF WASHINGTON IS AN ADA CERP RECOGNIZED PROVIDER ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

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In an article for The Inquirer (6/17), Dr. Daniel Taylor, an associate professor at Drexel College of Medicine and a pediatrician with St. Christopher’s Hospital for Children, discussed early childhood caries, stating the condition is “five times more common” than asthma, yet preventable. Early childhood caries can cause a variety of problems, Taylor said, such as “pain, loss of teeth, infections in a child’s head and neck, cavities later in life, impaired growth and weight gain, missed school days, speech problems, and a poorer quality of life.” He noted that the American Dental Association offers caries risk assessment forms to help evaluate a child’s risk of developing caries. Risk factors for dental caries include not having a dental home, not having exposure to fluoride, and having a mother with recent caries.

HHS announces $156 million to help health centers expand dental care

The Santa Monica Observer (6/16) reports that HHS Secretary Sylvia M. Burwell announced the department is awarding $156 million in funding for 420 health centers in 47 states, including “$24,127,657 in funding to support 65 health centers in California.” The money will be used to “increase access to integrated oral health care services and improve oral health outcomes for Health Center Program patients.” Burwell said, “The funding we are awarding will reduce barriers to quality dental care for hundreds of thousands of Americans.”

First black Summa Cum Laude graduate of University of Maryland School of Dentistry Discusses Milestone.

28 The New Wellness Approach to Perio: How to Change the Life of Your Practice and Your Patients Timothy Donley, DDS, MSD

visit www.uwcde.com

Huddle highlights

9:43 AM

The ADA News (6/13) carries the story of Dr. Tera Poole, the first “black summa cum laude” student to graduate from the University of Maryland School of Dentistry.

Pool said she is now “hearing from a lot of minority students in the healthcare field who say they’re looking up to me.” The article adds that the UM School of Dentistry “graduated its first African-African student in 1972 after the entire University of Maryland Baltimore system committed to enrolling more underrepresented minority groups in the late 1960s,” said Dr. Mark Reynolds, dental school dean. Today, African-Americans comprise about 18 percent of the dental school.

ada morning huddle highlights issue 7, july 2016

U N I V E R S I T Y

wdia insurance for ever y stage of your career

As a dentist, you’re the expert on teeth, gums, and how the mouth works in concert with the body in terms of overall health.

And while you know just about everything there is to know about the mouth, you may not know what your insurance needs are and, more importantly, how those needs will change depending on where you are in your career arc.

The stages of your career

As part of its commitment to the gold standard of service, the Washington Dentists’ Insurance Agency (WDIA), a wholly owned subsidiary of WSDA, has worked diligently to develop an insurance road map for dentists based upon four distinct stages of need: new graduates and associates; purchasing a practice; growing your practice; and protecting your family and focusing on retirement.

In delineating the four stages, WDIA has identified those products and services most valuable to its clients. The stages more closely relate to where you are in your career, rather than your age.

So someone opting for early retirement might move more quickly into stage three. In the following three issues of the WSDA News, we’ll investigate the specific needs of the remaining stages.

“Because WDIA’s entire focus is on insurance for dentists, we can advise you on myriad insurance products that protect your assets, grow your business, and eliminate many of the worries for you and your family, no matter what stage your career is in,” said Matt French, director of insurance services for WDIA.

Stage One: New Graduates and Associates

Whether you’re still a student, a new graduate, or have just accepted an associateship, you’re at the start of your career arc, and

INSURANCE FOR EVERY STAGE OF YOUR CAREER

STAGE ONE: NEW GRADS & ASSOCIATES 3 2 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org

Getting started

Insurance can be confusing and tedious. With so many products and companies to choose from, it’s tough to know what’s really best for you. That’s why having a solid relationship with your WDIA insurance broker is so important. We’ll wade through the morass for you, focusing in on what you must have in your career and practice, and let you know options for additional coverages, if you choose them. We are here to help uncover any exposed areas in your insurance portfolio, from the beginning stages throughout your career and life.

Insurance: What you need • NORDIC Professional Liability

Professional liability (malpractice) insurance protects dentists from incurring liability in the course of their work. In the event of a malpractice claim against you, NORDIC will assist in your defense against the claim. Without dental malpractice insurance, if you’re ruled against in court, you will be responsible for the

award. These awards can be large, and there is a risk that the practice might have to be downsized or sold to pay the expenses. Personal property can also be seized to cover the amount of the damages, if the dentist fails to pay them in full. This exposes people to losses and can make it difficult to continue practicing. Dental malpractice insurance provides protection so this doesn’t happen.

• Disability Insurance

Disability insurance is one of the most important insurance products available to dentists. Disability insurance protects you in the event you’re not able to practice due to illness or injury.

Personal disability insurance provides benefits that replace part of your lost income when you become unable to work due to illness or injury. It is important to obtain coverage that is true own occupation. With this policy, if you become totally disabled as a practicing dentist, you’ll continue to receive your disability benefits, even if you work in another occupation.

• Term Life

Term life is a very cost-effective level premium that provides a lump sum benefit to your beneficiaries in the event that you die within a specific time frame; i.e., 10, 20, or 30 years. Term life is important to have when you have a family or liabilities that may be passed on to them upon your death.

• Individual Medical Insurance

This policy covers you and your family for medical costs. This includes preventive care, major medical, and catastrophic coverage.

Policy or Coverage questions? We’re here to help!

In Western Washington Matt French · (206) 441-6824 · matt@wsda.org Kerri Seims · (206) 441-6824 · kerri@wsda.org In Eastern Washington Heath Johnson · (206) 441-6824 · heath@wsda.org Left to right: Matt French, Director of Insurance Services, WDIA; Kerri Seims, Assistant Director of Insurance Services, WDIA; Heath Johnson, Assistant Director of Insurance Services, WDIA

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 33

wdia insurance for ever y stage of your career

what is most important is building a solid foundation for your career. “There are some insurance policies that are vital for those just starting out,” said Kerri Seims, assistant director of insurance services, “and those are malpractice insurance and disability. While disability insurance may seem an unlikely choice when you’re young and healthy, it protects you in the event that you can’t practice, and is one of the most important policies to have in your portfolio.” French and Seims have seen first-hand how having the proper disability policy — even at a young age — can be vitally important.

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2959 Northup Way | P.O. Box 99590 | Bellevue, WA 98004 4 · th e wsda ne w s · issue 7, july · 2016 · www.wsda.org 203 East Meeker | Kent, WA398032 425.822.2245 | 800.735.7231 | nakanishidentallab.com

I submit that there is another parameter that we need to consider beyond the legal and ethical, and that is the professional and perhaps even the tasteful. Think of some of the ads you have seen in various venues.

Were they professional; were they tasteful?

I can think of many that were at least marginal. Sure they may be legal in the strictest sense of the RCW’s word (although I’ve seen some I question), and they may have been ethical in the eyes of the ADA, but is this the image you want to project as a professional? It may not be illegal or unethical for me to post a selfie on a beach, but trust me, it’s not professional and most definitely lacks taste!

While I have yet to see any dentists in such a situation, I have seen forms of advertising that most certainly do not project professionalism: obvious financial loss leaders (free x-rays and cleaning); baitand-switch tactics (instant smile makeovers), or suspect personal testimonials that pull on the heart strings (“she saved

my life”). What about phony Yelp entries?

And remember also, by law every ad MUST have the names of all dentists practicing at that location in it somewhere; this rule is violated routinely, especially on websites.

We can debate whether my claiming I am Enumclaw’s “Top Dentist,” a “Premier Dentist in Buckley,” or a “Five Star Dentist” fits in the “superiority claim” category of the RCW. And how about the “endorsement” or certificate from a questionable or unrecognized organization or source? I recently received a letter telling me I was selected by my peers to join the International Association of Dentists (whoever they are), due to my clear clinical superiority. Since I hardly do much dentistry anymore, and most of it is basic stuff in Haiti, I doubt that I possess much clinical superiority, except maybe in Haiti. But I’m putting it in my next ad!!

How do you react to the truck plastered with a dental ad? What about “sign spinners” on the sidewalk in front of the office a la mattress companies everywhere? When

you select that web master or advertising guru, make sure they are aware of our laws and ethics. But, as importantly, communicate to them your desire to maintain a professional image in your ad buy. Let’s not look like the legal profession and some of their questionable ads, especially those on TV.

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th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 35

1

6/2/16

12:10 PM

parrish or perish, continued

parrish, continued from page 46

endorsed company news best card

Best Card is the credit card processor for thousands of dental offices, and in the past six months, we have received a notable increase in calls from our merchants relating to suspected fraud and embezzlement. It can happen to anyone. As part of the service we provide to all of our customers, we’ve been tracking information provided by the Identity Theft Resource Center (ITRC), a U.S. nonprofit group founded to assist victims and educate the public on the prevention, detection, and mitigation of identity theft. The following statements reveal just how prevalent breaches have become, and the ways in which thieves constantly change the way they steal.

Eva Velasquez, president and CEO of ITRC, says, “2015 was the year of the Social Security number breach. The remediation of a compromised SSN remains a more arduous task for victims when compared to remediation of an individual credit card number. The opportunities for thieves who possess Social Security numbers are significantly greater and pose more consumer risk, not to mention more difficulty for the individual consumer when it comes to deployment of risk minimization techniques.”

Some experts are convinced that 2016 will see more massive public and private sector takedowns, hacks, and exposure of sensitive personal information.

In 2015, the business sector topped the ITRC Breach List with nearly 40 percent of the breaches publicly reported. The health/ medical sector took second place with 35.5 percent of the total overall breaches. Last year, hacking incidents reached a nine-year high of 37.9 percent, followed by employee error/negligence with 14.9 percent, accidental email/internet exposure with 13.7 percent, insider theft with 10.6 percent, physical theft with 10.5 percent, and subcontractor/third party with 9 percent. Data on the move came in last with 7.3 percent.

Identity theft, embezzlement and you

Fraud is lucrative, so you have to accept the possibility that it could happen to you. At Best Card we recently intercepted two very professional attempts to perpetrate identity fraud against doctors. We also uncovered several likely embezzlement cases in dental offices on our program. Here are three instances we have seen in the last year: Fraudulent account requests We received four requests to open merchant accounts for businesses that were registered with the Secretary of State; each provided a voided check with an active routing/account number, and each had a dentist listed as the signer/owner on the merchant account. The accounts were not for dental offices, but many of our dentists own other businesses. Because we sensed red flags, we asked for a copy of the drivers’ licenses, and Googled the doctors whose signatures were on the applications. The images of the doctors were not a match, so we called to alert them to the fraudulent activity. Though we would have discovered the fraud quickly had

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Fraudulent chargebacks Fraudulent chargebacks are very tricky to verify. The good news is they’re not likely to impact on your practice financially because they’re only using your name, not your merchant number, but they still involve identity theft that could impact your personal credit.

If you get a call from someone who is not your patient who claims they have a charge on their statement from your practice, contact us, and we’ll explain what you need to do. In some cases, we can help with the process. Whatever you do, don’t ignore these types of calls.

Staff embezzlement Embezzlement in dental offices is on the rise, which makes sense to dental-practice fraud expert David Harris. “The potential for embezzlement and theft is a problem, and research shows that smaller businesses are more likely to experience problems. For dental practice owners, it’s not just being small that increases risk. The typical dental office management structure is inherently vulnerable to fraud,” Harris says.

We can provide you with information about detection and prevention of embezzlement to minimize your risk. Call us at 877-7393952, ext. 34 and provide a personal email address if you would like a copy. (Staff should not have access to this email account).

Precautions you can take Passwords Immediately change all passwords when staff leave your employment and if a third party (IT, dental software provider, a merchant processor if using an online system) logs into your computer from off-site. Monitor their activity while they are logged in and change relevant passwords after logging out of areas to which they were granted access.

Reconciliations Supervise day-sheet reconciliations of payments received (check, credit cards, or cash) and make sure they match bank statements.

Monitor any audit/change records in your dental software on a periodic basis. Track specific transactions occasionally and inquire why changes were made. Monitor refunds very closely (maybe even require a password that only you know). Best Card sends notices to our merchants when returns are run on a credit card for which there was no initial charge. Do not ignore such notices.

Protect patient record information

It’s vital to protect date of birth and insurance information, and do not store unencrypted credit card numbers anywhere on your computer. PCI (payment card industry) allows hard copy provided it is kept locked up. All of our online systems for credit cards can store a token/authorization code to be used if you need to run a new sale on the same credit card. Staff should never be able to see a patient’s entire credit card number. In our experience, an EMV chip-reading terminal with an analog line is safest. According to research, health record information can be sold on the black market at a rate of $50 per partial health record, and only $1 for stolen credit card information. Remember Anthem Blue Cross & Blue Shield?

Educate staff about computer safety Never open suspicious email or click on related links. If this does happen, immediately run virus scan software and contact your IT person. If using an online system/Ethernet connectivity for accepting credit cards, PCI requires that you run quarterly “network vulnerability scans.” Offices may choose to run them more often, and I would recommend you do so if you suspect any network intrusion possibility. You might be shocked to know that approximately 50 percent of our dental practices fail their first scan!

Protect personal information Take precautions to not allow staff access to your personal information, such as date of birth, Social Security number, tax ID number, articles of incorporation, bylaws, and bank routing/account number information.

With all the public breaches of late, it would be wise to have a company monitor your accounts (it may even be free if you have received a letter notifying you that a company you have an affiliation with has been breached). Best Card offers a $50,000 PCI Breach policy, but these policies tend to cover forensic audit costs, not the fines or cost of the breach itself. You might find it prudent to consider purchasing a Cyber Breach Security policy from NORDIC. Protecting yourself and your business from the consequences of fraud is 90 percent preparation and 10 percent diligence. Taking small steps now can prevent massive issues in the future.

Jennifer Nieto is president of RJ Card Processing Inc. (d/b/a Best Card).

She was the director of finance for the Colorado Dental Association and an FDIC Bank Examiner/CPA. Best Card is currently endorsed by more than 20 medical and dental associations or their affiliates because they offer great expertise and pricing in the credit card industry, with average dental practice savings of 22 percent ($1,480 annual savings) over prior processors. You are welcome to send a recent credit card processing statement to them at CompareRates@BestCardTeam.com or fax to 866-717-7247 to receive a complimentary cost analysis of your fees.

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 37

endorsed company news best card

the accounts been set up, scammers like this process as many stolen cards as they can and quickly spend or wire the money elsewhere before the account gets shut down. A lot of damage can be done in a short period.

Join the Celebration for the

150th Anniversary of the ADA Code of Ethics

Proudly promote your ADA membership in your office.

When a person has a better understanding of the Code of Ethics, 69% are more likely to choose an ADA member dentist.*

There are 5 promises all ADA member dentists make to their patients. Share them today by linking to MouthHealthy.org/ ADAmember.

Visit the ADA Member Center during the ADA Annual Meeting for 150th Code of Ethics information and commemorative giveaways.

*2015 American Dental Association Code of Ethics Consumer Survey

3 8 路 th e wsda ne w s 路 issue 7, july 路 2016 路 www.wsda.org

CURRENT LISTINGS Olympia

General practice in Olympia, three operatories, recently remodeled, state of the art facility, a unique practice with some of its patients.

Redmond

Shared space in a beautiful office.

Space that is shared is reception room and staff lounge.

Completely ready to use.

Tacoma - University Place Five operatories, newly remodeled, four days a week.

Associate positions available at once!

Concerned About Fraud?

We can help review your records in a discrete manner. Call for a free list of items to help thwart embezzlement in your office.

Linnell Isoshima Steven Kanzaki 1206 Olympic Avenue Edmonds, WA 98020 Pager: (206) 399-0242 Fax: (425) 712-1859

OPPORTUNITIES AVAILABLE

ORTHODONTIC PRACTICE PARTNERSHIP OPPORTUNITY. Established South Seattle orthodontic practice with opportunity for 50/50 partnership buy-in. Excellent location on very busy street with high visibility. Beautiful, modern office with state-of-the art technology, digital x-ray systems and experienced, highlyskilled staff. 2015 production 1.1M, currently operating 3 days/wk with the goal of opening a second location in 2-3 years. Seeking a highly motivated, caring orthodontist with outstanding patient rapport and communication skills who embraces the newest technologies, excellent organizational skills and the ability to provide the highest level of patient care at a fast pace. Invisalign experience a plus. Please email CV to OrthoPracticeContact@gmail.com.

DENTIST NEEDED Tacoma - seeking FT or PT general dentist to join established family, cosmetic and implant dental practice. Dentist should be skilled and personable and willing to be an integral part of the practice and community. It would be ideal to find a dentist who wants a long-term opportunity and to call this practice home. Partnership buy in will be considered. Please e-mail resume and inquiries to: docvan99@aol.com.

DENTIST NEEDED — New Health Programs Association is seeking a full time dentist at our Nine Mile Falls, Washington location. Nine Mile Falls, nestled next to Lake Spokane, offers year round recreational opportunities including camping, fishing, boating, swimming, as well as snowmobiling, and cross country skiing. A short 30-minute drive leads to downtown Spokane, the second largest city in Washington. This culturally rich city offers a plethora of entertainment for the whole family from local breweries, fine dining, visual and performing arts to many playgrounds and family fun centers. NEW Health Programs Association is a non-profit community health center system that provides comprehensive care services to the underserved, in an interdisciplinary integrated delivery model. We offer applicants the chance to make a positive impact on patient lives through service. Applicants must be team players with good communication skills and a strong drive to provide quality care to a diverse population. We offer competitive benefits and compensation. NEWHP is an eligible NHSC loan repayment site. Send resumes to: NEW Health Programs/Attn: HR Dtr/P.O. Box 808/ Chewelah, WA 99109. NEWHP is an EOE and provider. www.newhp.org http://lakespokanechamber.com/ http://www.visitspokane.com/ ASSOCIATE DENTIST NEEDED Friday Harbor Dentistry is seeking an Associate Dentist to join our office in the San Juan Islands.

We work to provide our island community excellent dentistry in a caring and compassionate environment. If you are looking for: - A practice that values quality, compassionate and patientfirst dental care - A group of professionals who are dedicated to working hard for each other and their patients - Autonomy - An opportunity to write your own story practicing high quality dentistry in a unique and beautiful part of the world - A truly amazing place to live and raise a family We are currently looking for 3-4 days per week of patient care with the opportunity for growth. We are seeking a long-term associate/partner to become part of our dental team. Please send your cover letter and CV to: fridayharbordentistry@gmail.com or call 360 622 6002 for more information.

DENTIST NEEDED — Growing general dental offices are seeking caring, competent dentist with great people skills to join our team at greater Seattle area. Excellent opportunity for potential partnership. Please email resume to mydental88@ gmail.com.

th e wsda ne w s · issue 7, july · 2016 · www.wsda.org · 39

PROSTHODONTIST/GENERAL DENTIST OPPORTUNITY — Downtown specialist practice is relocating to a beautiful brand new facility and has an opening for a Prosthodontist or experienced General Dentist. Office is in prime downtown Seattle location and has great potential for new patients, referrals and long term opportunities. Office is scheduled to open August/September. Part-time or full-time applicants with long term interests are invited to send their portfolio, resume, cover letter, and a list of your in-network insurance companies to richardalva917@gmail.com.

DENTIST NEEDED — Very outgoing and energetic dentist needed in Olympia. Must have sense of humor and confidence! Great opportunity for an associateship that leads to buy in.

If you have drive and no money, this is for you!

Call (816) 289-4833.

SEEKING ASSOCIATE DENTIST —Shelton and Elma, WA. We are looking for a long term associate/partner who understands and prefers working in a team environment. We are a multi doctor, fullservice general dental practice with two locations, Shelton and Elma, WA. Compensation is based on your production. 25 percent. If you are interested, please email your CV to sdc.efd.nh@gmail.com.

DENTISTS NEEDED — Large dental group seeks both part and full time dentists (general and specialized) throughout Washington, Oregon, California, Hawaii, Arizona, Nevada and Oklahoma. For more information or to apply, please email griffint@InterDent.com or call 360-449-5618.

PORTLAND, ORE. — Dentist opportunity. Do the clinical dentistry you want to do. We offer paths in which you can manage or open your own practice with profit sharing. Pdxdentist@yahoo.com.

DENTIST NEEDED — Yakima Neighborhood Health Services (YNHS) , a Community Health Center in Central Washington State, is looking for a full time dentist to serve low income and underserved individuals and families in a new dental clinic in Granger, WA. Provide full scope preventive and restorative care all ages, six months to elderly. YNHS is an eligible site for National Health Service Corp and Washington State Health Professional loan repayment programs. YNHS also has a special focus to serve the homeless of Yakima County. Dental providers work alongside committed HCH staff to care for high needs homeless individuals. Full time for providers is 40 hours per week. YNHS offers a competitive compensation package, inclusive of malpractice coverage, paid leave, CME, retirement / life / disability. See our website at www.ynhs.org for the breadth in our services and diversity in our staff. We are looking for individuals who share a sense of compassion for the underserved, and passion for quality.

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General Dental Practice Opportunities SOUTH KING COUNTY

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*Personal financial planning, Investment & Wealth Management Services provided by Dental Wealth Advisors, LLC a Registered Investment Advisory

Specialty Dental Practice Opportunities Prosthodontic > Collecting $1.385M

WESTERN WA

Pending Transitions TACOMA [CLOSED]

General Practice > Collecting $811K

WEST SEATTLE -ALKI

General Practice > Collecting $1.28M

EASTSIDE

Orthodontic > Collecting $316K

OLYMPIA [CLOSED]

General Practice > Collecting $750K

MARYSVILLE

General Practice > Collecting $865K

Coming Soon General Practice

LYNNWOOD

MANY MORE Watch for details coming soon!

sam@cpa4dds.com

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mmb@cpa4dds.com

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nate@wealth4dds.com

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karrie@cpa4dds.com

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Jennifer@cpa4dds.com

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Call 425-216-1612 or jennifer@cpa4dds.com us today to see how we can help you!

DG Transitions LLC

The Dental Group

Comprehensive | Professional | Tax Efficient LLC A DENTAL GROUP COMPANY

OPPORTUNITIES AVAILABLE

OPPORTUNITIES AVAILABLE

SPOKANE — Seeking full-time general dentist, able to work a varied shift schedule including weekends; must be able to do all aspects of general dentistry including molar endodontics and 3rd molar/surgical extractions; able to adapt to new systems and paradigms; great opportunity to grow and learn; 1-5 years experience preferable.

Unlimited income potential! Send resume to Dr. Bradley J. Harken; bradharken@hotmail.com.

ASSOCIATE DENTIST NEEDED — For growing Lacey practice, 2-3 days/week initially, with additional production days coming soon. Seeking motivated and skilled dentist with great chairside manner to join our team! Ideal candidates will be proficient in RCT & OS. Great compensation package with benefits available. Please email CV and resume to ashley@tranquilitydentalwellness.com.

DENTISTS NEEDED — Dental Professionals is recruiting dentists for temporary and permanent positions throughout western Washington – Vancouver to Bellingham and the Olympic Peninsula. No fee to you and you pick the days and geographic locations that you are available to work. This is a great opportunity to earn supplemental income or find a permanent position.

If interested please call Bob at (206) 767-4851

ASSOCIATE NEEDED — Seeking a part-time dental associate, 1-2 days a week for a growing privet general dental practice in Bellevue/ Factoria area. Looking for someone who has great people skills and is able to connect with patients. We are asking for a minimum of 2 year’s experience. Please email resume to NagataDDS@gmail.com or fax to (425) 746-2555.

DENTIST NEEDED — HealthPoint Community Health Center has a fantastic new full time dentist opportunity at our Midway Clinic location. The clinic is located just minutes outside the greater Seattle area. HealthPoint is a non-profit, consumer-governed, Community Health Center network serving the needs of the uninsured and medically under-served populations in seven dental clinics. Please send a copy of your CV to recruiting@ healthpointchc.org or visit our website at www. healthpointchc.org.

A REFRESHING PERSPECTIVE — When you work at Willamette Dental Group, the organization’s progressive approach frees you to do what matters to you — and your patients. What makes this multi-specialty group practice unique, and better, is a commitment to proactively facilitating the best possible health outcomes. Combined with a dedication to leveraging scientific data, skill, and the experience to make them happen, when you embrace the organization’s guiding philosophy, you free yourself to facilitate health outcomes—and open yourself up to a world of professional growth and success. Please visit www.willamettedental.com/careers or send your resume to agrundy@willamettedental.com.

PEDIATRIC SPECIALISTS, CANADA — Vancouver/Fraser Valley/Canada Pediatric Dental Specialist(s) required for very busy multidisciplinary specialist offices in the Greater Vancouver Area. Position can be flexible, either P/T or F/T depending on your needs. Work with experienced orthodontists within a very effective internal referral system and benefit by walking into a large established external referral network which is already in place. Clinics have both private enclosed operatories & standard open operatories which are fully digital and paperless. Staff are experienced & familiar with pediatric patient protocols and CDA’s are sedation certified. There is access to many other non standard options such as electric handpieces, lasers, 3D intraoral scanners etc. Associateship or ownership options available with excellent compensation. Will help with relocation for the right individual. Email CV to dentiststaffing@ gmail.com.

GENERAL DENTIST — Position available for busy private practice in Vancouver, WA. Candidate must have at least one year experience. Position is for a single provider practice. Need to be comfortable with surgical extractions and molar endo. Buy out option is available. Base salary with production incentive. Please email resume to declinic@gmail.com.

BUSY FAMILY PRACTICE — Currently operating with one dentist, but is in need of an associate dentist to join our team. We’ve been voted Roseburg’s Reader’s Choice #1 Favorite Dentist for the past six years. Our building was newly built as of Jan. 2008 and we’re up to date with the latest dental equipment and procedures. We have a large patient database and we keep growing. Recent dental school graduates are encouraged to apply, as well as, those with a more substantial work history. Potential candidate must possess an excellent work ethic, friendly chairside manner and a team player attitude. Continuing Education is offered and encouraged. Guaranteed base pay with great incentive potential.

Hours will begin as Part-Time, but could increase to Full-Time in the future. We handle the marketing and new patient generation. Contact us today! jody@drrandol.com.

DENTIST AND HYGIENIST NEEDED — We are a fast growing general dentist practice located in Tacoma looking for a part time/full time hygienist and a dentist. We have a great team work, most of our staff have been with us more than 10 yrs or nearly 10 yrs. Just graduate is welcome to apply as well as experienced. Benefits include paid leaves, 401K and quarterly bonuses. Please submit your resume to kaitlynlee77@gmail.com.

GENERAL DENTIST, SUNNYSIDE — Full time position. Work beside specialists. Offering a great schedule, great compensation and guarantee.

Great opportunity to expand skill set as you work or a perfect opportunity for an experienced dentist to utilize a wide range of skills. For more information, please contact Jolene Babka at jbabka@ applesmiles.com.

ASSOCIATE OPPORTUNITY, YAKIMA — We have a great associate opportunity for a new graduate or a long term home for a seasoned 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 of $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Opportunities to earn much more with our full schedules! Both positions have the opportunity to earn well above $200,000.

Full benefits package. State of the art clinics and equipment. Mix of children and adult dentistry.

Mix of State and private insurance. Full time opportunity available. Moving expense reimbursement offered. Please send inquiries to jbabka@ applesmiles.com.

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ASSOCIATE NEEDED — Seeking skilled dental associate with 2+ years experience. 4+ days/week for a general practice. Offices in Lynnwood/ North Seattle. Must be able to work on Saturdays. Resumes to dentaladsml@gmail.com GENERAL DENTIST, TRI CITIES — Great associate opportunity for a new graduate or a long term home for a seasoned 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 of $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. 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. Position available in coveted Pasco, Washington facility this Spring. Please send inquiries to jbabka@ applesmiles.com.

DENTIST OPPORTUNITY IN WESTERN WASH. — Seeking experienced dentist for busy, well established, successful, fee for service, group dental practice. Full-time position available. Excellent immediate income opportunity ($180,000 to $375,000 + per year) depending on productive ability and hours worked. Secure, long-term position. You can concentrate on optimum patient treatment without practice management duties. Modern well-equipped office with excellent staff, and lab services provided. If you are bright, energetic with a desire to be productive, very personable, and people oriented, and have great general and specialty clinical skills, Fax resume to Dr. Hanssen at (425) 484-2110.

GENERAL DENTIST, SPOKANE — We have a great associate opportunity for a new graduate or a long term home for a seasoned 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 of up to $150,000 for new grads plus bonuses. Base salary of $175,000 plus bonuses for experienced dentists. Opportunies to earn much more with our full schedules! 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. Full time and part time opportunities available. Moving expense reimbursement offered. Please send inquiries to jbabka@applesmiles.com.

classifieds issue 7, july 2016

OPPORTUNITIES AVAILABLE

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OFFICES FOR SALE OR LEASE

OFFICES FOR SALE OR LEASE

FULL-TIME ASSOCIATE IN BELLEVUE — We are looking for full time associate in Bellevue to work 4+ days a week . We are a top office in our area. Beautiful modern office with state of the art technology. Fantastic patients and team.

Fully digital. Must be highly skilled and experienced. Ready to learn and be a part of the team.

Outstanding earning potential. Please email resume to bellevuedentists@gmail.com.

FOR LEASE –Start-up or move your existing practice to this fully equipped, 5 op’s dental office in Maple Valley. 5 operatories, plenty of parking in plaza. Approximately 1,524 sq. ft. with favorable lease terms. Email Steve Kikikis steve@omni-pg.com.

FOR SALE— Well established GP for sale in Snohomish County. 3 ops, fully digital. 1,300 sq. ft office located near Everett Mall. This opportunity is considered a start-up. Contact Steve Kikikis at steve@omni-pg.com.

OPPORTUNITIES WANTED OPPORTUNITY WANTED — TMJ/orofacial pain specialist/dental sleep: 2-yr residency in orofacial pain and oral medicine from USC. Seeking suitable opportunities, full or part-time, near greater seattle area. Contact me at jsahni@usc.edu or (213) 284-4953. https://www.linkedin.com/in/ jasjot-narula-072778b6.

FOR SALE — Fully equipped dental office with 3 op’s for sale in Des Moines. No Patients Included. Approx. 810 sq.ft plus storage room.

Asking $160,000. Email Steve Kikikis steve@ omni-pg.com.

FOR LEASE —Office space available in Auburn. Great office or medical/dental lab. Features courtyard, reception, waiting, bullpen, bathroom, lab/work area. Email Steve Kikikis steve@omni-pg.com.

ASSOCIATESHIP — Seeking Associateship in King and Snohomish County- will graduate from UWSoD early June, 2016. Contact Se Jin An (206)856-4703 or email sejinan89@gmail.com.

FOR LEASE — Class A Medical/Dental space in Tukwila. Blocks from I-5, top floor with 5,000 sq.ft, second floor with 2,500 sq.ft. TI available, $24 per sq.ft, $6 NNN. Email Steve Kikikis steve@omni-pg.com.

GENERAL DENTIST – Seeking general dentist position in greater Seattle area with ten years of dental experience and three years prosthodontics residency training. View my CV: https://goo.gl/ J0iocd Ema

FOR LEASE — Auburn dental office with 1 year free rent, TI package available. Five operatories, on/off site parking. Dental equipment not included. Asking $2,843.75 per month. Email Steve Kikikis steve@omni-pg.com.

OPPORTUNITY WANTED — GPR-trained GP looking for full-time associate position. Three years experience. Proficiency in molar endo, all extractions, implant placement/restoration, CEREC, same-day dentistry, and all bread and butter. Email TRandolphRossDDS@gmail.com.

FOR SALE — Full leased investment opportunity in Maple Valley for sale. Mix of office and retail uses Asking price is 1.4 million for this visible building on .95 acres is 6,400 sq.ft Contact Steve Kikikis at steve@omni-pg.com.

OPPORTUNITY WANTED — 2005 UWSOD grad seeking associateship and/or practice buy in opportunity. Please contact Steven at 206306-3430 or syoon2005@yahoo.com.

FOR SALE —Whatcom County general dentistry practice for sale in highly visible location. Generating average annual collections of $540,000 with four operatories. Refers out most root canals and oral surgery. e-mail Jim Vander Mey jim@omni-pg.com

OFFICES FOR LEASE OR SALE FOR SALE — For an endodontist, general dentist or specialist, building & equipment for sale in Eastern Oregon in a small university town of about 12,000, drawing from surrounding population of about 58,000. Perfect town to raise a family. Over 2240 sq ft building with 4 operatories; two with G6 microscopes. A third operatory is for the occasional emergency to squeeze in; and the fourth is the CBCT room, equipped with a K9000. Plus basement storage and equipment space. Recreational opportunities abound for outdoor enthusiast.

Building and equipment are priced to make an ideal starting package for the new grad or established practicing endodontist, general dentist or specialist who wants to move. Contact email: oregonpractice@gmail.com.

FOR SALE — Profitable General Dental Practice For Sale in Pierce County. Annual collections of approximately $500,000. Three operatories, room for more and potential to grow practice.

Email Rod Johnston rod@omni-pg.com.

FOR LEASE – Partially equipped fully plumbed dental office for lease in Kennweick. four operatories, approx. 2200 sq ft, Nearly turnkey Email Rod Johnston rod@omni-pg.com.

FOR SALE — Growing South Sound Perio Practice and Real Estate for sale. Current collections over $1.6 million. Well run practice with overhead below 50%. Average of 35 new patients per month. Seven equipped operatories. Great ratio of periodontist to general dentists. Remodeled and updated building with room to grow. Call Rod at Omni Practice Group at 206-979-2660.

FOR SALE — Be the only dentist in a small rural town in SE Washington. General dental practice for sale with annual collections of approximately $360,000. Four operatories. Jim Vander Mey jim@omni-pg.com.

FOR SALE - Fee For Service General Dental practice for sale in Grays Harbor County. Annual collections over $200,000, four operatories, lots of parking on busy street. Contact Rod Johnston rod@omni-pg.com.

FOR SALE - West Olympic Peninsula General dental practice and real estate for sale. Annual collections over $800,000. Good overhead, great staff and opportunity. Contact Rod Johnston e-mail rod@omni-pg.com.

FOR SALE - General dental practice for sale in Central Washington. Overhead Rate of 47%, Collections in excess of $400k, work 3 days a week.

Contact Jim Vander Mey jim@omni-pg.com.

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FOR SALE — Snohomish County general dental practice with collections of $1.25 million. Average of 30 new patients per month. Four equipped operatories with room for one or possibly two more.

Contact Rod Johnston at rod@omni-pg.com.

FOR SALE — High visibility dental office for sale in Kent. Great opportunity for a startup location, low overhead. The office is 1,400 sq. ft. 3 operatories.

Contact Steve Kikikis at steve@omni-pg.com.

FOR SALE, SNOHOMISH— Brand new turn key office for sale in Snohomish County. Rare opportunity, highly visible location, six ops, completely digital, brand new equipment (chairs, lights, headpiece etc.) Contact Steve Kikikis at steve@omni-pg.com.

FOR SALE, LYNNWOOD — Practice and/ or 5,000 sq. ft. building. An excellently maintained 5,000 square foot professional building in a prime Lynnwood location with tenants is also for sale or lease. The seller could finance both the practice and the professional building that is zoned general commercial. Email completedental16@gmail.com.

FOR LEASE — Professional office space for lease. 1,800 sq/ft, ample parking, tenant improvement allowance and one year free rent.

This is a high quality medical/dental building in Everett WA. Call today: Downtown Dennis Real Estate. (425) 257-2000.

GENERAL PRACTICE FOR SALE: Olympic Peninsula — Six fully-equipped operatories.

Collecting $1.1M. Approximately 3,000 sq. feet - Real Estate is negotiable. For more details please contact: Jennifer Paine: (425) 216-1612 or Jennifer@cpa4dds.com.

GENERAL PRACTICE FOR SALE: South King County — Large, profitable multi-disciplinary practice. 12 fully equipped operatories. Eaglesoft. Digital radiography. I-V Sedation. Separate digital pan/lateral ceph. CBCT. CEREC. Approximately 5,000 sq/feet. For more details please contact: Jennifer Paine: (425) 216-1612 or Jennifer@cpa4dds.com.

GENERAL PRACTICE FOR SALE: Marysville - Smokey Point — Attractive general practice, collecting $820k. Excellent freeway access from I-5 in a rapidly growing area. 5 operatories and approximately 1,800 sq. ft. For more details/information please contact: Jennifer Paine at (425) 216-1612 or Jennifer@cpa4dds.com GENERAL PRACTICE FOR SALE: Bellevue — Beautiful practice in the heart of downtown Bellevue close to major tech employers like Microsoft, Amazon & T-Mobile. Four fully-equipped ops, approximately 1600 sq-ft Collecting $651k.

Consultation Room and Lab. PracticeWorks. For more details please contact: Jennifer Paine: (425) 216-1612 or Jennifer@cpa4dds.com.

classifieds issue 7, july 2016

OPPORTUNITIES AVAILABLE

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OFFICES FOR SALE OR LEASE

EQUIPMENT FOR SALE

GENERAL PRACTICE FOR SALE: Federal Way — Excellent opportunity located in the prime medical/dental area of Federal Way. Collecting $432k. 3 fully-equipped operatories and 3 additional operatories plumbed/wired; practice features digital radiography, nitrous, and rotary-endo. New Midmark Sterilizer and Ultra Sonic cleaner. Utilizes Dentrix as its practice management software. Refers out most endo, oral surgery, orthodontics and implants. A small percentage of the practice is DSHS. Due to the part-time schedule hours can be more the doubled. For more details please contact: Jennifer Paine: (425) 216-1612 or Jennifer@cpa4dds.com.

FOR SALE— Seattle/Northgate Turn-Key 5,672 SF Specialist Surgical Clinic: two operating, one treatment, six exam, lab and sterilization rooms. Excellent visibility, traffic and ample parking. Contact Stren Lea: (206) 826-5756 stren.lea@marcusmillichap.com WA#121073

FOR SALE — SybronEndo Equipment and Technic as taught by Dr. Mounce, $2500.00. Elements Obturation Unit, Nouvag Endo III Motor, Spring head Hand Piece. All DVD’s Manuals and Extensive Sundries. Essentially all equipment and supplies are new. Treat three cases and it’s paid for. (509) 9241325; Email@info@peerlessdentistry.com.

BELLINGHAM — Lease turnkey dental suite. Formerly successful pediatric and orthodontic Class-A office space. Save $200,000+ construction costs. Ample parking. Interstate-5 access. High-traffic/visibility location. Customization available. Lincoln Professional Center: 360-739-1421 adengst@gmail.com.

BELLEVUE/FACTORIA general dentistry/specialist office for lease. 1,249 sq. ft. 3-ops. (Or, 2,100 sq. ft. for ? ops) Winner location. Easy I90/I-405 frwy access. Across the street from Factoria Mall. 15’ pole sign by Factoria Blvd. available. T.I. required for conversion. Landlord will contribute to concession (206) 915-2263 Mark.

GENERAL PRACTICE FOR SALE North Seattle, WA. An outstanding opportunity in a prime location. Three fully equipped, digital ops, room for four. Real estate also for sale. Please contact SeattleDentalOfficeSale@gmail.com.

FOR LEASE — 2,000 to 4000 SF Prime retail space for dental specialist office at the corner of a traffic signal in Mill Creek. Retail is a part of new housing project in a high growth area. No specialists nearby. For inquires contact parmpal32@hotmail.com or (425) 442-9798.

G/P PRACTICE FOR SALE IN THE LONGVIEW-KELSO AREA — General practice for sale with four fully equipped operatories.

Annual collections over $550,000. Great location with excellent visibility. Well established practice that has been in same location for over 38 years. Well trained staff will assist with the transition. Seller owns building and would sell now or would sell in the future. Outstanding collection policy. Contact: Buck Reasor, DMD, Reasor Professional Dental Services, info@reasorprofessionaldental.com, (503) 680-4366.

FOR LEASE/OWNERSHIP — Multi-tenant commercial building. Location! Location! Location!

This professional building is located in a large shopping complex that is anchored by Haggen Grocery, Starbucks, and McDonalds. This complex is located in a growing and developing area just east of Mill Creek and near the new Glacier Peak High School.

It is ideal for medical/dental tenants needing between 2,000 to 6,500 SF to complement existing general dentist and Providence Medical Clinic. Partial ownership opportunity is available for a qualified tenant. Christian@KoviSolutions.com.

FOR LEASE, OLYMPIA — Ideal location on Martin Way near St. Peter Hospital, 2,000+ sq. ft.

Five ops including chairs, panex and more. Perfect for startup/satellite office, future purchase possible. Contact Don at uncledgh@aol.com.

AVAILABLE, SOUTHCENTER — Just available.

1200 square foot fully equipped 4 operatory dental space. Cerec , Panoral, 4 chairs, lights, nitrous, air and vacuum all available and in place.

Please call Diana at Medical Centers Management (253) 508-1293.

FOR SALE — Tukwila. Newly upgraded dental practice in Tukwila for sale. $725,500.00. Five+ ops with the latest in imaging upgrades, new computers, software and hand pieces. One of the last fee-for-service practices left. Seller will pay for new floor covering throughout, leave the security deposit for the new buyer on the lease assessment and help with the transition. Call today for a tour. Annie Miller, (206)-715-1444.

SPACE SHARING OPPORTUNITY DOWNTOWN SEATTLE – Looking for a dentist with an existing practice to share our office space. This is not an associate position. Restorative practice with in-house C&B, and denture processing lab, and technician. Modern downtown Seattle five chair office. Lease ending soon? Decrease your overhead now! Opportunity to buy into the facility for the right person. drnicolini@hotmail.com.

FOR LEASE — 300 Pelly Ave N. Dental suite available in Renton, walking distance to the prestigious Landing, as well as Boeing. 1,361 sq. ft. on 2nd floor, with only two other dentists in building.

Three operatories, open configuration, plumbed with electrical, air, vacuum, and plumbing. Corner lot with heavy traffic flow. Rate is $23.26/SF/Y NNN, Triple Net is $5.60 (incl. utilities). Contact Dennis Schmuland (425) 417-1206.

FOR LEASE — Quality professional office Space for lease in the heart of the Renton Highlands in the Highlands Professional Plaza medical dental building. Excellent place for an oral surgeon and/or endodontist to open a satellite office or start up practice. Currently there are two GP dentists, a pedodontist, an orthodontist and a large physical therapy clinic. This building has a proven track record of successful businesses because of its location and quality. The building sits across the street from Bartells, QFC, and Starbucks. There are six elementary schools and four high schools within two miles. Get close to where the people live and enjoy fast practice growth. Call (206) 595-9100.

FOR IMMEDIATE OCCUPANCY — A fully plumbed dental office. 1,350 sq ft , three operatories, air, water, vacuum, nitrous oxide and oxygen, private office, lab, staff lounge, separate staff entrance. This office has exceptional exposure to the Southcenter Mall traffic. Call Diana at Medical Centers Management (253) 508-1293.

EQUIPMENT FOR SALE USED/REFURBISHED EQUIPMENT — Adec, Gendex, Pelton Crane, DentalEZ, Porter, Air Tech, Midwest, Midmark and etc. Lab equipment. Parts are also available for almost all equipment. Call Dental Warehouse at 800-488-2446 or http://cascade-dental.net.

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SERVICES HAVE SEDATION, WILL TRAVEL! — Make fearful patients comfortable with IV Conscious Sedation. I am set up to come to your office and sedate your patients so that you can perform needed treatments the patients avoid due to fear. I have over 19 years experience providing safe IV Conscious Sedation. Serving Washington and Oregon. Richard Garay, DDS. (360) 281-0204, garaydds@gmail.com.

INTRAORAL X-RAY SENSOR REPAIR We specialize in repairing Kodak/Carestream, Dexis, Gendex & Schick CDR sensors. Repair & save thousands over replacement cost. We purchase old/broken sensors. www.RepairSensor.com / (919) 924-8559.

EQUIPMENT FOR SALE — For the office of an endodontist, general dentist or specialist all equipment including one Kodak 9000 Cone Beam, 4 dental chairs, two of which are Chairmans, two G-6 microscopes, one with an assistant scope; 2 X-ray Systems, 3 delivery Systems, 2 of which are Adec with fiberoptic lights and so forth. Price: $99,000. Contact email: oregonpractice@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. Telephone (206) 957-4400, O. George Constantine.

ALLIED CLINIC BUILDERS — Premier healthcare contractors in the PNW for over 35 years.

On time, on budget and providing quality that you can afford. Call today for consultation George McBee - Allied clinicbuilders@comcast. net (425) 941-3088.

CLASSIFIED ADS IN THE WSDA NEWS Visit wsda.org/news/classifieds/ to place your ad and select the issues you would like your ad to run in. Follow up your submission with a phone call to Rob at (206) 973-5220 to submit your credit card information (sorry, no check payments), and your ad will be placed.

Sell your practice or fill a position quickly? Don’t worry, you’re only charged for the ads that run. We’re flexible, and the process is painless and cost effective.

Pricing is as follows: Members: $50 for the first 30 words, $1 per word for each word over 30.

Non-members: $100 for the first 30 words, $1 per word for each word over 30.

classifieds issue 7, july 2016

OFFICES FOR SALE OR LEASE

parrish or perish

Considerations on marketing

Back in 1980 when I applied to join SKCDS, someone from their membership committee had to personally visit me where I was practicing. Ostensibly the reason was to welcome me to the club and take me to lunch, but the person (Dr. Irv Cohen, thanks Irv) also was there to measure the sign on the door where I was an associate. There were very strict legal limits on how we could advertise anywhere, including front doors! Now it wasn’t my office, but he checked out the front door lettering anyhow because there was a block on the form that had to be checked. There was a 3- or 4-inch maximum letter height, as I recall. And the only other “advertising piece” we were permitted to use at the time was a business card.

Within a couple of years, I was in my own office in Issaquah and joined the informal monthly dinners of the local dentists who gathered to discuss various issues facing the profession. A hot debate at the time was the ethical methods of advertising; the FTC was starting to intervene and force elimination of many state law bans that were in place at the time, so change was afoot. I recall it was hotly debated as to whether it was even ethical to join other Issaquah dentists who pooled together and placed a name, address, and phone number in a monthly directory of Issaquah dentists in our local newspaper. Many of us did join the directory, but others were sure we were outside the bounds of propriety.

Not long after that debate, horror of horrors, a young dentist new in town placed an individual ad in that same newspaper. A couple of the “old-timers” had a conniption fit and tried to ostracize her from the group. (And, oh by the way, one of them eventually advertised in the newspaper a lot. Nationally and locally the genie was out of the bottle, and many dentists were soon marketing in many different venues: newspapers, yellow pages, mailers to the neighborhood.)

Don’t get me wrong. There were offices that advertised prior to all this, but they were generally not members of organized dentistry or were denture mills in less-than-savory parts of town. Their ads “pushed the limits” of earlier restrictions and often exceeded them. Certainly not everyone had nice 4-inch letters on the front door. I recall one of these “mills” in downtown Seattle with neon signs! Boy, they were clearly unethical!

What has shaken out after these many years with regards to our advertising responsibilities comes from state of Washington law and the ADA Code of Ethics.

From Washington RCW which outlines our legal obligation:

Advertising—False.

Dr. Jeffrey Parrish “If everyone is thinking alike, then somebody isn’t thinking.”

— George Patton

It shall be unlawful for any person, firm, or corporation to publish, directly or indirectly, or circulate any fraudulent, false, or misleading statements within the state of Washington as to the skill or method of practice of any person or operator; or in any way to advertise in print any matter with a view of deceiving the public, or in any way that will tend to deceive or defraud the public; or to claim superiority over neighboring dental practitioners….

(Italics mine) From the ADA Code of Ethics which outlines our ethical obligation:

Advertising

Although any dentist may advertise, no dentist shall advertise or solicit patients in any form of communication in a manner that is false or misleading in any material respect.

(Italics mine) The views expressed are those of the writer and do not necessarily reflect the opinion or official policy of the WSDA.

continued on page 35

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INSURANCE FOR EVERY STAGE OF YOUR CAREER:

Stage One: New Grads and Associates Are you covered?

• NORDIC Professional Liability • Personal Disability Insurance • Term Life • Individual Medical Insurance As a dentist, you’re the expert on teeth, gums, and how the mouth works in concert with the body in terms of overall health.

And while you know just about everything there is to know about the mouth, you may not know what your insurance needs are — and more importantly, how those needs will change depending on where you are in your career arc. Dentists just starting out need NORDIC Professional Liability, personal disability insurance, term life, and individual medical in order to be fully covered.

That’s where the expert staff at WDIA comes in.

Matt, Kerri and Heath can guide and educate you about the types of coverage you need no matter where you are in your career.

Matt French · Kerri Seims Heath Johnson 206.441.6824 · 800.282.9342 www.wdiains.com

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Sole broker for:

Washington State Dental Association 126 NW Canal Street Seattle, WA 98107

PRESORTED STANDARD U.S. POSTAGE PA ID SEATTLE, WA PERMIT NO. 8115

CHANGE SERVICE REQUESTED

We're not the norm…

When we realize our doctors are facing exposures beyond professional liability, we work to develop and offer exceptional dentist-specific products.

NORDIC was one of the first northwest companies to offer dentists comprehensive cyber risk coverage.

Can the big box companies say that?

For more information about cyber coverage, call ……

NORDIC – the Gold Standard

800-662-4075 nordicins.com melissa.sanchez@nordicins.com

Sole broker for NORDIC

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