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SMDS DENTAL ASSISTING RADIOLOGY

SOUTHERN MARYLAND DENTAL SOCIETY

IS AN ADA CERP RECOGNIZED PROVIDER 

4920 Niagara Road,  Suite 306, College Park, MD 20740

Tele:301-345-4196        Fax: 240-542-4774       Web site: www.smdsdentists.org.      E-mail: Janice@smdsdentists.org  

DENTAL ASSISTING RADIOLOGY

AND BASIC ANATOMY 

JUNE 3 – JULY 10, 2019 

This course prepares the dental assistant who is employed in a dental office to sit for the Dental Assisting National Board Exam in Radiation Health & Safety Certification.  All clinical practice takes place at the student’s place of employment (including bringing in x-rays).  A total of 11 classes which is 33 hours of class time.  If you have any questions, please call 301-345-4196.

Course requirements:  18 years of age, high school grad or equivalency, 3 months experience and the signature of employing dentist on the application verifying employment & commitment of clinical supervision.  Fluency in English is required.

TUITION: SMDS Member/Staff $510 or Non-Member $575, Fee Includes Book Pkg.

DATES:  June 3,5,10,12,17,19,24,26 July 1,8,10, 2019

TIME:  6:00p.m.– 9:00p.m. Mon. & Wed. 2018   LOCATION:  College Park Classroom

APPLICATION – Please Print Clearly

——————————————————————————————————————

COURSE TITLE:_________________________________________DATE_______________

 

LEGAL NAME:___________________________________AMOUNT ENCLOSED________

 

HOME ADDRESS:____________________________________________________________

 

PHONE/CELL:___________________________EMAIL______________________________

 

DENTIST’S NAME:__________________________________PHONE___________________

 

OFFICE ADDRESS:________________________________________FAX________________

 

EMPLOYING DENTIST:  This employee has been working for______months/years in this

dental office and I agree to provide clinical experience under my direct in room supervision.

I agree to evaluate the applicants’ performance.  Once the course is completed the assistant

may NOT continue to perform these duties until the required boards are passed & state certification received.      Dentist’s Signature_________________________Date__________

 

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