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
LEGAL NAME:___________________________________AMOUNT ENCLOSED________
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__________