THE 4TH NCDS DISTRICT DENTAL SOCIETY ANNOUNCES ITS ANNUAL MEETING Beaches, Boats and Implants FRIDAY, SEPTEMBER 18 SATURDAY, SEPTEMBER 19 Blockade Runner 275 Waynick Blvd - Wrightsville Beach, NC 28480 For Reservations, Call 800-541-1161 and mention NC Dental. Schedule of Events *see additional information about speakers and program Friday, September 18 1:00 p.m. – 5:00 p.m. 5:30 p.m. – 7:30 p.m. Registration open Outdoor Social Cocktail Event on lawn at the hotel! Pre-registration preferred. An event planned for dentists, spouses, dental team members, students and family members. Beverages sponsored by Cooke Capital Saturday, September 19 8:00 a.m. – 2:00 p.m. Registration open 8:00 a.m. – 9:00 p.m. Visit with vendors – other opportunities will be provided at scheduled breaks. 9:00 a.m. – 10:00 a.m. Implant Overdentures 10:00 a.m. – 11:00 a.m. Implant Provisionalization 11:00 a.m. – 12:30 p.m. Locator Pick Ups 12:30 p.m. – 1:30 p.m. Lunch and 4th District Business Meeting Lunch available for dentists only. Pre-registration required. Sponsored by Live Oak Bank 12:30 p.m. – 1:30 p.m. Visit with vendors 1:30 p.m. – 2:30 p.m. Implant Maintenance 2:30 p.m. – 3:30 p.m. Implantitus 3:30 p.m. – 4:30 p.m. Grafting for Implant Placement 5:00 p.m. – 6:30 p.m. Social/Reunions for dentists and spouses only Pre-registration required. Continuing Education Information Total CE hours offered: 6.5 hours The North Carolina Dental Society is a recognized PACE and ADA CERP provider Bio and Speaker Information George R. Deeb, DDS, MD is an Associate Professor and Director of Graduate and Undergraduate Implant Programs at the at the VCU School of Dentistry. Dr. earned his DDS at the University of Colorado Health Sciences Center, graduating in 1995. Continuing his education at Oregon Health Sciences University, he earned his MD and completed a residency in Oral and Maxillofacial Surgery. Highly engaged in his profession, Dr. Deeb has published articles and book chapters, as well as lectured at national and international meetings. In 1999, the International Association of Oral and Maxillofacial Surgeons honored Dr. Deeb with a Recognition of Outstanding Contribution to Oral and Maxillofacial Surgical Continuing Education. Prior to coming to VCU he was a partner in a group practice in Tuscson, Arizona. Dr. Deeb enjoys spending time with his wife and two children. He is an avid mountaineer and enjoys glass casting and fusing in his spare time. Michael L. Huband, DDS is an Associate Professor in Prosthodontics at the VCU School of Dentistry. Dr. Huband received his doctorate degree from Virginia Commonwealth University School of Dentistry and went on to earn a specialty certificate in Prosthodontics at the Louisiana State University Health Sciences Center in New Orleans. This was followed by completion of a fellowship in Maxillofacial Prosthetics and Dental Oncology at M. D. Anderson Cancer Center in Houston Texas. Dr. Huband has held multiple appointments which include Charity Hospital, Lutheran Medical Center, Columbia University, and VCU School of Dentistry. Janina Golob Deeb, DDS, MS is an Assistant Professor at the VCU School of Dentistry. Dr. Golob Deeb received her dental degree from the University of Ljubljana, Slovenia in 1996. Following graduation she completed a year of internship in general dentistry at University of Ljubljana. She continued her education at Oregon Health Sciences University where she received a certificate in periodontology in 2000 and a Masters degree in Oral and Molecular Biology in 2001. Before moving to Richmond she split her work between private practice and group practice in Tucson, Arizona for thirteen years. In June of 2013 she and her husband accepted faculty position and moved to Richmond. Dr. Golob Deeb started working at VCU in 2013 as a part time faculty and switched to a full time position in May of 2014. She teaches in didactic courses and and works as clinical faculty in AEGD, GP clinics and periodontal clinics. Dr. Golob Deeb is a board certified periodontist and holds licenses in Virginia, Arizona, Oregon and her native Slovenia. She continues to practice part-time in the Faculty intramural practice at the Virginia Commonwealth University. In her free time, Dr. Golob Deeb enjoys traveling and learning about different cultures and languages. She plays piano and enjoys music. She enjoys hiking and winter sports such as skiing, snowshoeing and cross-country skiing. Above anything she likes spending time with her family. 2015 NCDS 4th District Annual Meeting – September 18 – 19, 2015 Blockade Runner – 275 Waynick Blvd – Wrightsville Beach, NC Hotel Reservations: Call 800-541-1161 and mention NCDS Conference REGISTRATION FORM – CE SCHEDULED SATURDAY, SEPTEMBER 19, 2015 PLEASE PRINT! NOTE: EACH DENTIST MUST COMPLETE SEPARATE REGISTRATION FORM. COPY THIS FORM AS NEEDED. I. DENTIST REGISTRATION Dentist Name __________________________________________ District ____________ Address______________________________________________________________________ City, State, Zip_________________________________________________________________ Office Phone (___) ________________ Email _______________________________________ 4th District Member Dentist NCDS Member, Non-4th District Dentist NCDS Retired Member Dentist Non-NCDS Member Dentist 1st Year Member Dentist Dental Student Faculty Fee* $150 $200 $100 $300 FREE FREE $100 Total $ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____ I will attend the luncheon (included in registration fee*). Available for dentist only. _____ (INDICATE NUMBER) I/we will attend the Outdoor Social Cocktail Event on Friday evening, 5:30 – 7:30 p.m. This event will be held on the lawn at the hotel – no charge – dentists, spouses, dental team members, students and family members are invited to attend. Beverages sponsored by Cooke Capital. _____ (INDICATE NUMBER) I/we will attend the Saturday evening, (5:00 – 6:30 p.m.) social/reunions – no charge (dentists and spouses only). Spouse’s name if attending: _________________________________________________ II. DENTAL TEAM MEMBER(S) # attending ______ x $50 each ____________ Names (Print and if needed, attach another sheet of paper – need first and last name only) __________________________________ _________________________________ _______________________________ _______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Total Registration Fees Dentist $____________ Dental Team Member $___________ GRAND TOTAL $_________ PAYMENT INFORMATION I wish to pay by check payable to: 4th District Dental Society. I wish to pay by credit card. Please charge my _____ VISA ______ MasterCard Card #_______________________________________ Expiration Date _____/________ Name on Card _____________________________________________________________ Signature Authorizing charges to credit card _______________________________________________ Mail completed registration form along with form of payment to: 4th District NCDS Dental Society Fall Meeting -1600 Evans Road - Cary, North Carolina 27513 Questions: Call 919 234 4027 4th District NCDS Annual Meeting September 18 – 19, 2015 c/o NC Dental Society 1600 Evans Road Cary, NC 27513 Call the Blockade Runner Today! 275 Waynick Blvd - Wrightsville Beach, NC 28480 For Reservations, Call 800-541-1161 and mention NC Dental.
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