Dear Give Kids A Smile program coordinator:

Thank you for your participation in the 2021 Give Kids A Smile program.

On the following pages you will find the 2021 GKAS Product Recipient List in alphabetical order by state.

Also, below is a list of the contents for each of the five GKAS product kit types. The Screening and Preventive/Restorative kits are now packaged for 25 ct. and 50 ct.

Education Kit #1 (treats up to 50 kids) Screening Kit #2 (two sizes - treaats 25 or 50 kids) Preventive/Restorative Kit #3 (two sizes - treats 25 or 50 kids)

Colgate Children’s Toothbrush Colgate Children's Toothbrush Colgate Children's Toothbrush

Colgate Children’s Toothpaste Colgate Children's Toothpaste Colgate Children's Toothpaste

Oral health education cards Oral health education cards Oral health education cards

Plastic bags with GKAS logo Plastic bags with GKAS logo    Plastic bags with GKAS logo   

JADA Reprint Earloop masks 3M Sealant Kits (2)

6 ft Apart Stickers Gowns (5ct) Prophy Angles

Earloop Masks Fluoride varnish Prophy Paste

Gauze Sponges Earloop masks

6 ft. Apart Stickers Gowns (5ct)

GKAS Banner Fluoride varnish

JADA Reprint Gauze Sponges

Plastic cups

6 ft. Apart Stickers

GKAS Banner

JADA Reprint

Please note that the GKAS product kits are scheduled for delivery to you by January 19, 2021.

We are sorry if we were unable to fulfill the quantity that you requested.

We wish you all the best with your GKAS event, and thank you for the great work you are doing in your community.

ALASKA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening

Kit #2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Sergie Susan Yukon Kuskokwim Health Corporation Bethel AK 4

Burrill Courtney University of Alaska Anchorage Pre Dental Association Eagle River AK 6

Roberts Lindsay Camp Fire Rural Camps Eagle River AK 10

Haskin Nicolette IHS Tanana Chiefs Conference GKAS Fairbanks AK 21

Stockhausen Tara Copper River Native Association Glennallen AK 2

Daverin Holly SEARHC Juneau AK 20

MacArthur Robert Aleutian Family Dentistry Unalaska AK 1

ALABAMA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening

Kit #2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Cheon Kyounga UAB Pediatric Dentistry Department Birmingham AL 4

Keener Tracy Univ of West Alabama Community Dental Clinic Demopolis AL 4

Maddox Natalie Hope House Fairhope AL 3 2

Chockley Karen Calhoun Community College Dental Assisting Program Tanner AL 10

ARKANSAS

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Langstaff Roy Dr. Martin Luther King Jr Drive Youth Center Crossett AR 2

Martinez Carolina Fayetteville Youth Dental Program Fayetteville AR 1

Dirlam Jennifer Landry Family Dentistry GKAS Lepanto AR 9

Smith Mandy Newport Elementary School Newport AR 18

Rodriguez Rachael Rodriguez Dentistry TG Smith Elementary School Springdale AR 6

ARIZONA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Reinhard Samantha Sun Life Family Health Center GKAS Casa Grande AZ 2

Long Valerie IHS Fort Defiance Medical Center Dental Fort Defiance AZ 4

Barkley Penny Arizona Dental Foundation Events Mesa AZ 4 4 5

Brown Nadine IHS Navajo Area Phoenix Area Office Event 6 Phoenix AZ 7

Brown Nadine IHS Navajo Area Phoenix Area Office Event 2 Phoenix AZ 8

Brown Nadine IHS Navajo Area Phoenix Area Office Event 4 Phoenix AZ 4

Brown Nadine IHS Navajo Area Phoenix Area Office Event 5 Phoenix AZ 10

Brown Nadine IHS Navajo Area Phoenix Area Office Event 7 Phoenix AZ 4

Brown Nadine IHS Navajo Area Phoenix Area Office Event 8 Phoenix AZ 5

Brown Nadine IHS Navajo Area Phoenix Area Office Event 3 Phoenix AZ 9

Brown Nadine IHS Phoenix Area Event 1 Phoenix AZ 13

Barkley Penny Arizona Dental Foundation Scottsdale AZ 2 2 2 4

Cluff Ryan Rio Salado College Give Kids A Smile Tempe AZ 2 2

Carbajal Leon Sylvia IHS Tohono O'odham Nation Health Care GKAS Tucson AZ 4

CALIFORNIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Bealer Lynn ELAC Child Developement Center Monterey Park Agoura Hills CA 1 2 4

Tibbets Allyson Alameda Pediatric Dentistry GKAS Alameda CA 4

Peng Yawen Buddhist Tzu Chi GKAS Alhambra CA 8 4

Lucero Catherine Community Service Bureau Head Start GKAS Antioch CA 3 5

To Julianna Parklane Dental 2021 OH Presentation Arcadia CA 20

Cheung Eric Atwater Family Dental Give Kids a Smile Atwater CA 1

Massoumi Sayeh Dr Sayeh Massoumi DDS GKAS Bakersfield CA 2

Yoshida Kristine Big Bear Rotary Dental Screening Big Bear Lake CA 4 5

Payman Parisa IHS Toiyabe Indian Health Project Inc Bishop CA 4

Gorman Dale Kids Community Dental Clinic GKAS Burbank CA 16 6 4

Talukdar Marianne Claremont Village Family Dentistry Claremont CA 2

Wuesthoff Tom IHS Toiyabe Indian Health Service Coleville Preventive Coleville CA 1

Aloian Albert Dentex Dental CA GKAS Culver City CA 1

Lai Larry Health Care Partners Monrovia Elementary School Diamond Bar CA 8 4

Bento Jenny Live and Smile Dental and Orthodontics GKAS Dublin CA 1

CALIFORNIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Suarez Oscar Neighborhood Healthcare GKAS Escondido CA 2

Patish Alla Escondido Dental Arts Smiles Escondido CA 4

Rosales Erika IHS Anav Tribal Health Clinic GKAS Fort Jones CA 4

Bhavsar Vaishali Precious Dental Care GKAS Fremont CA 1

Torres Darline Kids of Orange County GKAS Garden Grove CA 1

Vanatur Tina ABC Kids Dental Group GKAS Granada Hills CA 2 1

Verceles Robert Advocates For Access GKAS Hayward CA 4

Terrones Jorge San Benito Health Foundation GKAS Hollister CA 4

Pan Jenny GKAS at UMMACommunity Clinic Huntington Park CA 15

Parsangi Negah University Park Dental GKAS Irvine CA

Parsangi Negah University Park Dental GKAS Irvine CA 1

Floyd Tina Rolling Smiles Kingsburg CA 10 16 2

Segura Daisy San Gabriel Valley Foundation for Dental Health La Puente CA 1

Caicedo Liliana IHS Lake County Tribal Health Consortium Lakeport CA 1

Sata Megha The South Bay Childrens Health Center GKAS Lawndale CA 4

CALIFORNIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Servin Stefanie Kings County Office of Education Early Childhood Educ Lemoore CA 2

Acevedo Celia IHS Lone Pine GKAS Education Lone Pine CA 5

Perez Meyerer Herman Ostrow School of Dentistry of USC Los Angeles CA 2 3

Aquino Roxana Just Smile Dental Center GKAS Los Angeles CA 3 2 4

Morales Joe Altamed 1st Street Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed Anaheim Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed Boyle Heights Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed El Monte Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed Goodrich Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed Huntington Beach Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed OHU Boyle Heights Portable GKAS Los Angeles CA 4

Morales Joe Altamed OHU El Monte Portable GKAS Los Angeles CA 4

Morales Joe Altamed OHU Huntington Beach Portable GKAS Los Angeles CA 4

Morales Joe Altamed OHU Santa Ana Main Portable GKAS Los Angeles CA 4

Morales Joe Altamed OHU South Gate Portable GKAS Los Angeles CA 4

CALIFORNIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Morales Joe Altamed OHU West Covina Portable GKAS Los Angeles CA 2

Morales Joe Altamed Santa Ana Main Dental GKAS Los Angeles CA 1 2

Morales Joe Altamed South Gate Dental GKAS Los Angeles CA 2 2

Morales Joe Altamed West Covina Dental GKAS Los Angeles CA 2

Morales Joe Altamed Westlake Dental GKAS Los Angeles CA 4

Perez Meyerer Herman Ostrow School of Dentistry of USC Los Angeles CA 5

Rodriguez Lourdez Just Smile Dental Center GKAS Los Angeles CA 2

Liang Jenny Bear Coast Dentistry GKAS Mission Viejo CA 4

Phan Vivian TLC Dental Murrieta CA 1

Le Huong Asian Health Services GKAS Oakland CA 1

Rebong Raymund Oakland Orthodontics GKAS Oakland CA 1

Perez Abigail Native American Health Center GKAS Oakland CA 1

Puri Shalabh Puri Dental GKAS Oxnard CA 3 2

Joy Chuck IHS SSHWC GKAS Placerville CA 2

Hutson Oanh NBHC Port Hueneme Dental Department Port Hueneme CA 8

CALIFORNIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Surdzial Paulette Assistance League of Redlands Dental Center Redlands CA 20

Gonzalez Mary Ann IHS Consolidated Reibal Health GKAS Redwood Valley CA 3 2

Medina Sally Tri County Dental Society Loma Linda Trona Riverside CA 3 3

Medina Sally TCDS Loma Linda University School of Dentistry Riverside CA 2

Solano Claudia Riverwalk Dental Spa Riverside CA 7 1 2

Levering Cathy Smiles for Kids Sacramento CA 2 3

Koonce Mike San Diego County Dental Society GKAS San Diego CA 2 4 4

Berwind Amy iHigh Virtual Academy San Diego CA 6 7

Truong Michelle California Public Health Association GKAS San Francisco CA 1 2

Sikka Nidhi Sikka Dental Corp San Jose CA 2

Tran Michael Santa Clara County Dental Society GKAS San Jose CA 20 10

Hipona Carmen Castro and Hipona Dental Care GKAS San Jose CA 14

Chun Karyn Dr Karyn Chun GKAS Event San Leandro CA 2

Guzman Alma Tiburcio Vasquez Health Center GKAS San Leandro CA 2 2

Khandaqji Sahar Mona Lisa Smile Dental San Ramon CA 2 4

CALIFORNIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Spencer Cory Community Action Partnership Sonoma County GKAS Santa Rosa CA 4

Savidan Michael IHS Santa Ynez Tribal Health Clinic GKAS Santa Ynez CA 1 2

Pesola Kerri Watson Dental GKAS Shingle Springs CA 2

French Michael Safari Smiles GKAS Sonara CA 2 2

Rafalski Jeff Apex Dental of San Diego GKAS Spring Valley CA 2

Ku Min Ku Family Dentistry GKAS Temecula CA 2

Yamane Jeffrey Jeffrey T Yamane DDS GKAS Torrance CA 1

Vallarine Chelsea First Step Dental GKAS Turlock CA 20

Virk Amandeep BV Laser and Cosmetic Dentistry GKAS Union City CA 1

Ghaemmaghami Sara Sara Ghaemmaghami DDS Inc Woodland Hills CA 2 2

COLORADO

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Osso Diane Concorde Career College Dental Hygiene GKAS Aurora CO 2

Markus Sharyn Colorado Springs Dental Society GKAS Colorado Springs CO 4

Gage Alexandra Colorado Orthodontic Foundation's GKAS Commerce City CO 1

Retana Cecilia Salud Family Health Centers GKAS Commerce City CO 1

Valdez Lisa Kids in Need of Dentistry GKAS Denver CO 2

Greenstein Bruce Bruce I Greenstein DMD GKAS Denver CO 4 2

Kingen Jill Metro Denver Dental Society Denver CO 20

COLORADO (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Greenstein Bruce Bruce I Greenstein DMD GKAS Denver CO 2

Rojas Jesus Salud Family Health Centers GKAS Estes Park CO 1

Oja Eugene Eugene E Oja DDS GKAS Estes Park CO 2

Shelton Zach Salud Family Health Centers Fort Collins Fort Collins CO 1

Schmidt Katrina Ward Orthodontics GKAS Fort Collins CO 20

Kaur Rominder Salud Family Health Centers Ft Morgan GKAS Fort Morgan CO 2

Caudill Sarah Just For Grins GKAS Day Fountain CO 20 4

Kerns Ethan Salud Family Health Centers GKAS Frederick CO 2

Martinez Alexandra Salud Family Health Center GKAS Ft Lupton CO 2

Lavery Thomas MarillacHealth Give Kids A Smile Day Grand Junction CO 2

Copeland Amy Copeland Family Dental Littleton CO 9

Hanson Susan Salud Longmont Dental Longmont CO 2

Caudill Sarah Just For Grins GKAS Day Peyton CO 20

Blasingame Jeanna All Seasons Dental GKAS Pueblo CO 1

Valles Virginia Salud Family Health Centers GKAS Sterling CO 1

McCall Kelly Walsh Dental Hygiene Walsh CO 1 2

CONNETICUT

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Rohrbach Andrea Canton Valley Dental GKAS Canton CT 1

Reels Shanna IHS GKAS at MPTN Ledyard CT 1

Megyeri Georgette Caceci Family Dentistry GKAS New Milford CT 6

Hah Chansoo Hello Dental GKAS Stamford CT 1 1

Gardner Veronica Generations Family Health Cente GKAS Willimantic CT 14

DISTRICT OF COLUMBIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Barham LaToya Howard Univ College of Dentistry GKAS Washington DC 4

Reeves Toni Together Educating People Washington DC 4 4

DELAWARE

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Christian Paul Paul Christian DMD GKAS Middletown DE 1

Kashner Patricia Delaware State Dental Society GKAS Newark DE 1

Parker Jamie Graylyn Dental GKAS Wilmington DE 2

FLORIDA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Lorenz Barbara Bay Harbor Complete Dentistry GKAS Bay Harbor FL 17 2 4

Frank Nichole Tooth Fairy Mobile Dental Service GKAS Event Boca Raton FL 5 2

Dean Kylie LECOM GKAS Bradenton FL 2 2 2

Drone Stephanie Cambridge Elementary GKAS Event Cocoa FL 2

Maus Ashley LECOM School of Dental Medicine Defuniak Defuniak Springs FL 2 2

Dunn Monica 96th Dental Squadron Eglin AFB FL 20

Beaufils Lloyd Beaufils Dental GKAS Fort Lauderdale FL 2

Favalli Sarah Lakes Park Childrens Dentistry GKAS Fort Myers FL 5 2

Young Kera Young Smiles Pediatric Dentistry GKAS Gibsonton FL 4 5

Wright Carl Economy Dentistry For Children School Visit Jacksonville FL 16

McGaughey Marilee Palm Beach State College GKAS Lake Worth FL 20

LaRocca Andrea Polk County Dental Association GKAS Lakeland FL 2

Rivers Erin Sunshine Smiles GKAS Melbourne FL 8 2

McNeight Angela Brevard County Dental Society GKAS Melbourne FL 20

Mootry Tracy Miami Dade Colege Sunshine Smiles Miami FL 2

FLORIDA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Arocha Cynthia Amores Dental Care GKAS Miami FL 2

Soto Mora Daisy IHS Miccosukee Dental Clinic GKAS Miami FL 4

Subadan Berry Norma Community Health Of South Florida GKAS Miami FL 2 2 2

Shure Barbara Dr Jill Reed GKAS Special Needs Miami Shores FL 8 6 6

Perello Rosanna R and F Dental Clinic PA Miramar FL 1

Evans Jenn Larkin Orthodontics New Smyrna Beach FL 6 1 2

Adel Lisa Alachua County Dental Association GKAS Newberry FL 20

Poole Robin Valencia College Sealant Fuoride Clinic Orlando FL 1 2

GEORGIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Mohammadizadeh Ali Perfect Image Dental Associates GKAS Alpharetta GA 3

Brown Jessica Junior Service League Americus Dental Clinic Americus GA 8 4

Riggs Bruce Augusta University GKAS 2021 Augusta GA 4

Gudipati Praveen Nutmeg Dental Buford GKAS Cumming GA 4

Turner Dwayne DeKalb County Board of Health Decatur GA 20 3 2

Boyd Catherine OHI For Kids Ellerslie GA 2

GEORGIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Hurt John Zion Community Center GKAS Hampton GA 2 2

Martinez Jessica North Central Health District Oral Health GKAS Macon GA 2

Farrey Kajuana Farrey Family Dentistry MLK Dental Event Moultrie GA 20 5

Acuff David Project Smile Inc GKAS Savannah GA 20 2

HAWAII

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Morita Scott Hawaii Dental Association Foundation GKAS Honolulu HI 22 4

Nagao Arielle Dr Arielle Nagao LLC Mililani HI 2

Stuart Kenneth US Air Force Hickam Dental Education Event Pearl City HI 2

Orikasa Emi Hui No Ke Ola Pono GKAS Maui Wailuku HI 4

Lee Frances Dr Frances M Lee DDS GKAS Waipahu HI 2 2 4

IOWA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Addison Liz FAMILY Inc GKAS Council Bluffs IA 2 4

Cook Jessica Omni Dental GKAS Council Bluffs IA 2

Miller Sue Oak Creek Dental GKAS Cresco IA 1

Guyer Lydia Kountry Kiddos GKAS Luana IA 1

Atienza Michelle Smiles On Main Maquoketa GKAS Maquoketa IA 16

LeMaster Kris Clove Dental Dental Health Month Muscatine IA 7

Koth Samuel Samuel L Koth DDS GKAS Rock Valley IA 2

Prince Dona Dona W Prince DDS GKAS Sioux City IA 4

Wilke Kristen Waukon Dental GKAS Waukon IA 1 2

IDAHO

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Labraaten Rachel Idaho State Dental Assoc IPDS GKAS Event Boise ID 11 4 5 8

Mowery Nikki Heritage Health Dental GKAS Coeur d' Alene ID 2

German Brooke Adams County Dental GKAS Council ID 1

Rich Pamela Eastern Idaho Public Health GKAS Idaho Falls ID 2 1 2

Salinas Romero Carolina Terry Reilly Health Services GKAS Nampa ID 4

Jorgensen Vernena Trailridge Family Dental GKAS Parma ID 2

Sluder April Southeastern Idaho Public Health GKAS Pocatello ID 4

McArthur Douglass Woodland Family Dental GKAS Post Falls ID 2

ILLINOIS

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Kosten Katie SIU School of Dental Medicine GKAS Alton IL 1 3

Smith Hiromi Dr Thomas M Ujiiye GKAS Event Arlington Heights IL 4

Meyer McKinnies Jennifer Southern Illinois Univ Dental Hygiene GKAS Carterville IL 4

Patel G B G B Patel L DDS and Associates GKAS Chicago IL 2

Benz James Illinois Masonic and Dept of Dentistry GKAS Chicago IL 2

Miller Finch Andrea Athena Dental Institute GKAS Chicago IL 5 2 2

Watson Lowry Cheryl Watson and Watson Dental New Spiritual Light GKAS Chicago IL 4

Benz James Illinois Masonic and Dept of Dentistry GKAS Chicago IL 1

Qadri Saema Town of Cicero Health Dept GKAS Cicero IL 2

Allen Amy Dr Felicia Chu and Associates Elgin IL 1

Gaffney Jacqueline Mannheim District 83 GKAS Franklin Park IL 1

McNamara Lori College of DuPage Dental Hygiene Program GKAS Glen Ellyn IL 2

Seghi Heather Illinois Valley Community College GKAS LaSalle IL 2

Kunnassery Liya Northshore Smiles Family Dental Care GKAS Mount Prospect IL 1 1

Obrock Paul Cornerstone Dental Health GKAS Quincy IL 2

ILLINOIS (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Fulce Sharhi Under Carreys Care GKAS Event Riverdale IL 2 2 4

Diehnelt Dawn General Serenity Dental Studio GKAS Schaumburg IL 2

Dozard Samantha Scoot AFB 375th Dental Clinic GKAS Scott AFB IL 4

Creek Kristan Peoria District Dental Society GKAS Washington IL 3

Enke Beth DuPage County Health Department Wheaton IL 4

Puri Rajiv Smiles Dental Center GKAS Wood Dale IL 3

INDIANA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Gilbert Lesley Lesley K Gilbert DDS GKAS Greenfield IN 8

Gaier Conya Dr Gaier Howard Elementary Classroom Kokomo IN 1

Kneller Jaunda LaPorte Service League GKAS La Porte IN 10

Cribbs Brenda West View Elementary Muncie IN 8

Colclasure Abigail GKAS Warren Family Dentistry Warren IN 1

Flannagan Jason First Impressions Family Dental Care GKAS Westfield IN 2

Banks Cindy Lasting Impressions Family Dental Care GKAS Westfield IN 1

KANSAS

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Schumacher Jackie Lifetime Dental Care GKAS Hays KS 2

Miller Karlie Salina Dental Arts GKAS Salina KS 4

KENTUCKY

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Little Lauren UK College of Dentistry Give Kids A Smile Lexington KY 2

Jones Mary Bluegrass Community and Technical College GKAS Lexington KY 2

Herren Michael Herren Family Dentistry GKAS London KY 4

Coffey Lori Sterling Health Care GKAS Mount Sterling KY 1

Moak Lora Williamson Health and Wellness Center GKAS Pikeville KY 2

Sahasi Preeti Signature Smilz GKAS Pikeville KY 6

Shelburne Lynn One Stop Smile Shop LLC GKAS Taylorsville KY 5

LOUISIANA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Einhorn Michael Randolph AFB Dental Clinc Barksdale AFB Event Barksdale AFB LA 2

Carnes Wendy Rosenwald Elementary School GKAS Batchelor LA 9

Miller Jill Arbor Family Health PCP GKAS Batchelor LA 10

Hunt Johnnie Pediatric Dental Specialists of Baton Rouge GKAS Baton Rouge LA 4

Orourke Allen Sancerie Making A Distinctive Difference Baton Rouge LA 2

Faerber Joanna The Health Enrichment Network Growing Up Fit Event 2 Baton Rouge LA 20

Foreman Kathy Associates in Pediatric Dentistry GKAS Baton Rouge LA 5

Bourque Stephanie Lukeville Elementary GKAS Brusly LA 7

Gordon Erin South Crowley Elementary GKAS Crowley LA 6

Roy Scott Smiles for Miles at South Crowley Elementary Crowley LA 6

Clemons Megan Lake Charles Charter Academy GKAS Lake Charles LA 4

Coco Christina Marksville Elementary School GKAS Marksville LA 2

Boxberger Nicole NODA GKAS Metairie LA 1 3

Row Kami Tuft Pediatric Dentistry GKAS Monroe LA 10

Landry Georgia Stephensville Elementary GKAS Morgan City LA 1

LOUISIANA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Staples Lisa EatMoveGrow School Sealant Clinic New Orleans LA 2 3

Staples Lisa EatMoveGrow Oral Health Education New Orleans LA 17

Grizaffi Starr Catholic Elementary of Pointe Coupee GKAS New Roads LA 4

Gunter Adrienne Epps High School First Grade Dental Ed Program Oak Grove LA 1

Gunter Adrienne Forest High School First Grade Dental Ed Program Oak Grove LA 2

Gunter Adrienne Kilbourne High School First Grade Dental Education Oak Grove LA 1

Gunter Adrienne Oak Grove Elementary First Grade Dental Ed Program Oak Grove LA 2

Newton Melise The Health Enrichment Network Event B Oakdale LA 20

Voss Nikki Palmetto Elementary GKAS Palmetto LA 6

Graves Jennie MSA West Academy GKAS Plaquemine LA 10

Basinger Brian Northwest LA Dental Association GKAS Shreveport LA 4

Latiolais Stephanie Early Learning Center Dental Education Week St. Martinville LA 7

Rabalais Henri Fallin Family Dentistry GKAS Zachary LA 2

MASSACHUSETTS

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Chen Ziwei Harvard School of Dental Medicine GKAS Boston MA 2

Nguyen Helen The Forsyth Institute GKAS Cambridge MA 3

Pettine Linda Diman Regional Vocational High School GKAS Fall River MA 5

Viera Nayagara Hispanic International Mission Framingham School Framingham MA 4

Zive Marc Court Street Family Dentistry Westfield Smiles Longmeadow MA 2 4

Connors Rosemary Parks GKAS Mattapan MA 5

Chow Michael Michael Chow DDS GKAS Methuen MA 2

Murphy Kathleen Kirk Dental Associates GKAS Sudbury MA 1

Lowenstein Jeffrey Metropolitan District Dental Society GKAS Wellesley MA 4

MARYLAND

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Jose Ching Giselle Ann Total Health Care GKAS Baltimore MD 1

Simpson Carlie Smile Castle GKAS California MD 1 2

Brown Wendy Dr Wendy’s GKAS Columbia MD 1 2

MARYLAND (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Clark Maxine Maryland Orthodontic Specialists Ellicott City MD 1

Cheung Clayton WRNMMC GKAS Ellicott City MD 20 10

Levy Harvey Dr Harvey Levy and Associates PC Frederick MD 2

Patel Hema Wisteria Dental GKAS Germantown MD 2

Tyler Dawn Magnolia Dental GKAS Mitchellville MD 1

MAINE

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Kimmes Nicole Univ of New England College of Dental Medicine GKAS Portland ME 2

Harriman Heather Passamaquoddy Health Center Princeton ME 4

Dixon Michelle Topsham Dental Arts GKAS Topsham ME 2

MICHIGAN

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

VanBrandt Sandra Adrian Family Dentistry GKAS Day Adrian MI 2

Schultz Jordan University of Michigan School of Dentistry GKAS Ann Arbor MI 2

Etheridge Renae Etheridge Dentistry GKAS Battle Creek MI 2

Wilcox Cate Cate Wilcox Dentistry GKAS Battle Creek MI 10

Jenicke Sheryl Brilliant Smiles Family Dentistry GKAS Cadillac MI 3

Cardinal Anita Fenton Family Dental GKAS Fenton MI 2

Farran Kelly IHS Nottawaseppi Huron Band of the Potawatomi Grand Rapids MI 2

Whittaker Andrea Ottawa County Health Dept GKAS Holland MI 12 1 2

Nelson Susan Hudsonville Family Dentistry GKAS Hudsonville MI 2

Balyeat Janet M SW Gresham DDS GKAS Ironwood MI 2

Miller Bruce Superior District Dental/ Marquette Health Dept Marquette MI 6

Flanagan Drozdowski Courtney Courtney Flanagan Drozdowski RDH GKAS Mayville MI 13

Popp Melissa NEW UP Dental Northwoods GKAS Menominee MI 4

Lund Laura Nimkee Dental Clinic GKAS Mt. Pleasant MI 2

Wakeem Jehan Jehan Wakeem DDS GKAS St Clair Shores MI 6 4 2

Kim John Readiness Center Inc GKAS St. Joseph MI 2

MINNESOTA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Carlson Kim Edgewood Dental Baxter MN 1

Strait Tasha Strait Smiles Family Dentistry GKAS Belle Plaine MN 2

Larsen Carol Normandale Community College Dental Hygiene Program Bloomington MN 1

Dunbar Nancy Park Dental Edinbrook GKAS Brooklyn Park MN 1

Lundin Joelle Buffalo Family Dentistry GKAS Buffalo MN 2

Daws Cheryl Ridges Dental GKAS Burnsville MN 1

Peterson Matt Cambridge Dental Center GKAS Cambridge MN 1

Attridge Joan IHS Red Lake Dental Clinic Cass Lake MN 4

Attridge Joan IHS White Earth Dental Clinic Cass Lake MN 2

Attridge Joan IHS Cass Lake Dental Clinic Cass Lake MN 25

Sieling Leah Park Dental Chaska GKAS Chaska MN 2

Lindgren Cheryl Lindgren Dental Care GKAS Cottage Grove MN 2

Conry Kara Kara Conry Dentistry GKAS Duluth MN 1

Weibel Molly Mosaic Dental Eagan GKAS Eagan MN 2

Mosburg Meagan Elbow Lake Dental Center GKAS Elbow Lake MN 1

MINNESOTA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Meyer Elizabeth Southern Heights Dental Group GKAS Faribault MN 1

Bruning Shari Bassett Creek Dental GKAS Golden Valley MN 2

Serfling Stacey Grand Rapids Dental Care GKAS Grand Rapids MN 1

Magnuson Sarah Lake Sarah Dental GKAS Greenfield MN 1

Reinke Casey Hutchinson Dental Center GKAS Hutchinson MN 2

Cooper Brigette MSU Mankato GKAS Mankato MN 2

Piotrowski Rebecca Brook West Family Dentistry GKAS Maple Grove MN 1

Ebensteiner Kelly Midwest Dental Melrose Melrose MN 1

Norbeck Jennifer Childrens Dental Services GKAS Minneapolis MN 1 2

Pilcher Katy Linden Hills Dentistry GKAS Minneapolis MN 2

Rostvold Kimberly Indian Health Board Give Kids A Smile Minneapolis MN 2

Filkins Jan University of Minnesota GKAS Minneapolis MN 4

Brotzel Marilynn ADT Dental Minneapolis MN 1

Wagnild William Cedar Hills Dental Center GKAS Minnetonka MN 1

Langguth Kirsten Park Dental Ridgepark Minnetonka MN 2

MINNESOTA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Pladson Kris M State Moorhead Give Kids A Smile Moorhead MN 4

Brandt Christy Owatonna Dental Care GKAS Owatonna MN 1

Anderson Heidi Main Street Dental Clinics GKAS Owatonna MN 4

Fogarty Melissa St.Josephs Community Dental Clinic Park Rapids MN 4

Hamann Patricia Hamann Dentistry GKAS Perham MN 2

Hayes Sarah Childrens Dental Health Services GKAS Rochester MN 4

Halstead Phil Park Dental GKAS Roseville MN 2

Flotterud Jessica Hope Dental Clinic GKAS Saint Paul MN 3 4

Malterud Rachel MN Center for Minimally Invasive Dentistry GKAS Saint Paul MN 1

Carreras Dennis Dentistry For Children Sartell MN 1 2

Johnson Kirby Green Lake Dental GKAS Spicer MN 1

Lund Kevin Riverside Dental Care GKAS St Peter MN 1

Polster Sara Park Dental Give Kids A Smile St. Anthony MN 2

Chu Yang Heu Victoria Open Cities Health Center GKAS St. Paul MN 1

Marker Johnson Jennifer East Dental Family Dentistry GKAS St. Paul MN 2

MINNESOTA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Swanson Colleen Southill Dental Group GKAS Stillwater MN 1

Wilmes Kristal Tyler Family Dental GKAS Tyler MN 1

Stenzel Pat Midwest Dental GKAS Wells MN 2

Johnson Renee Carris Health Dental Clinic GKAS Willmar MN 2

Yesil Jasmine Childrens Dental of Winona GKAS Winona MN 3

Johnson Angela Friendly Dental GKAS Worthington MN 1

MISSOURI

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Randazzo Cynthia Cass County Dental Clinic Belton MO 10 10

Quint Jessica Dr Jessica L Quint Howard County Dental Health Fayette MO 20

Guthrie Garret Guthrie Family Dentistry GKAS Grain Valley MO 2

Curry Mia Temple Of Praise Ministries GKAS Jennings MO 3

Thurlow Lisa Concorde Career College Kansas City MO 4

Inks Patricia A T Still Missouri School of Dentistry GKAS Kirksville MO 5 2 3

Pipkin Larissa Reavley Dental GKAS Lamar MO 2

Dalin Jeff St Louis Give Kids A Smile Maryland Heights MO 6

Merrick Jessica Ridgeview Family Dental GKAS Warrensburg MO 1

MISSISSIPPI

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Flake Patricia IHS Choctaw Dental GKAS Choctaw MS 8 8 8

Roninson Gennette Robinson Dental School Visits Columbus MS 4

Perkins Teresa Perkins Pediatric Dentistry GKAS Jackson MS 2

Dyer Amy Keesler AFB Dental Clinic Keesler AFB MS 4

McQuarters Marcia All About Smiles Dental Center GKAS Meridian MS 13 3 2

Wallace Chynna Oak Lane Family Dental Brookhaven Academy Monticello MS 6

Ussery Corey Lee Family Dentistry GKAS Oxford MS 2

Thompson-Roberts LaShunda iSmile Family Dentistry GKAS Southaven MS 4 6

MONTANA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Moore Stacey IHS Rocky Boy Health Center Dental Center Box Elder MT 5

Haugen Holly Northwest Community Health Center GKAS Libby MT 12

McDonald Brandi Missoula Pediatric Dentistry GKAS Missoula MT 8

Fisher Travis IHS Billings Area Event B Polson MT 39 4 3 2

Cross Julie IHS St Ignatius Polson MT 3

Cornett Casey IHS Chief Redstone Dental Clinic GKAS Wolf Point MT 4

NORTH CAROLINA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Bennett Toinette ECU School of Dental Medicine Ahoskie CSLC Ahoskie NC 1

Guevarra You Jean Laurice Little Tooth GKAS Apex NC 2

Tyson Kimberly Sparkling Smiles GKAS Asheboro NC 2

Fetner Maggie Elementary Age Dental Health Month Asheboro NC 2

Britt Cindy CommWell Health of McGees Crossroads Benson NC 2

Harrell Sharon FirstHealth Dental Care Centers Biscoe NC 2

Pappas Jackie Coastal Pediatric Dentistry GKAS Bolivia NC 2

Bilzi Nicole Piedmont Health Services Carrboro Burlington NC 6 2 2

Hardin Yvonne Micaville Elementary School Burnsville NC 2

Tseng Raymond High House Pediatric Dentistry Cary NC 2

Alvey Jenna Carolina Orthodontics and Childrens Dentistry Cary NC 2

Ghai Kavita Raleigh Wake County Dental Society GKAS Cary NC 2 2

Morgan Sarah UNC Adams School of Dentistry GKAS Chapel Hill NC 5 5

Garcia Sara Junior League of Charlotte GKAS Day Charlotte NC 1 2

Hill Christina CommWell Health Newton Grove Dunn NC 2

NORTH CAROLINA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Murphy Jawanna CommWell Dental NGD GKAS Dunn NC 15 5 2

Jagadeesan Chitrakala Durham County Public Health GKAS Durham NC 2

Handy Tiffany Guilford County Dental Society Greensboro NC 1

Pope Jennifer East Central Dental Society GKAS Greenville NC 4

Crouch Lauren The Smiling Turtle Pediatric Dentistry GKAS Holly Springs NC 1

Diaz Tagny Cabarrus Health Alliance GKAS Kannapolis NC 5 2

Jacobson Jeffrey Jeffrey D Jacobson DDS Dare County GKAS Kill Devil Hills NC 2

Redmon Crystal Lake Lure Classical Academy Lake Lure NC 5

Brogan April Mocksville Family Dentistry GKAS Mocksville NC 1

Jolly Dawn Wilkes Dental Clinic GKAS North Wilkesboro NC 2

Bawab Jennifer CommWell Health OIB GKAS Ocean Isle Beach NC 1

Barnes Nicole Martin Tyrrell Washington District Health Dept Plymouth NC 1

Sykes Rebecca Wake County Human Services GKAS Raleigh NC 1

Mayer Ted Dr Ted Mayer GKAS Raleigh NC 1

Edwards Danielle All About Smiles GKAS Reidsville NC 2

NORTH CAROLINA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Millikan Rita Richmond County Health Dept Dental Clinic Rockingham NC 2

Self Eugene ECU School of Dental Medicine Spruce PIne GKAS Spruce Pine NC 2

Oglesby Gloria East Carolina School of Dental Medicine Davidson GKAS Thomasville NC 2

Johnson Bonnie School Health Advisory Council Duplin School Event Wallace NC 13 10

Peele Makani Peele Family Dentistry GKAS Wanchese NC 2

Plage Nataleigh Commwell Health Penderlea GKAS Willard NC 1

Manisero Meghan Carolinas Dentist GKAS Wilmington NC 1

Hardee Beverly Cape Fear Community College GKAS Event Wilmington NC 20

Merhoff Tina Tina S Merhoff DDS GKAS Winston Salem NC 1

NORTH DAKOTA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Johnson Cassie Modern Smiles GKAS Bismarck ND 1

Searcey Nicole Minot AFB Dental Clinic GKAS Minot AFB ND 8

Cohoe Lisa IHS Trenton Community Clinic Dental Program GKAS Trenton ND 2

NEBRASKA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Schardt Deb Public Health Solutions CCC Carleton NE 10 4

Jeppson Kelcey Hebron Dental Clinic GKAS Hebron NE 2

Brown David UNMC College of Dentistry GKAS Lincoln NE 2 2

Saathoff Stephanie Lincoln Pediatric Dentistry GKAS Lincoln NE 2

Johnson Bruegman Karrah Santee Dental Clinic GKAS Niobrara NE 4

Knoll Gayle Shelton Dental Clinic GKAS Shelton NE 2

NEW HAMPSHIRE

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Lutjen Ralph Kiwanis Club of the Mount Washington Valley Madison NH 4

Chow Denise Southern New Hampshire Orthodontics Nashua NH 1

Mroz Patricia Coleman Family Dental Nashua NH 6

Mroz Patricia St John Neumann Fast For Social Action Nashua NH 2

Marsters Kimberly Meyer Family Dentistry Northwood NH 1

NEW JERSEY

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Dunn Kristin Dunn Dental GKAS Bayville NJ 1

Luliucci Barbara Camden County College Dental Hygiene Clinic GKAS Blackwood NJ 2

Modi Tina KinderSmile Foundation GKAS Bloomfield NJ 2 2

Sabnekar Rebeca Itsy Bitsy Dental GKAS Bloomfield NJ 1

Silver Bruce Silver Dental GKAS Burlington NJ 1

Sumner Cecilia CAMcare Health 817 Federal Camden NJ 2

Sumner Cecilia CAMcare Health Corp 121 Whitehorse Camden NJ 2

Sumner Cecilia CAMcare Health Corp 1315 Delaware Camden NJ 2

Sumner Cecilia CAMcare Health Corp 2610 Federal Camden NJ 2

Sumner Cecilia CAMcare Health Corp 813 Ferry Camden NJ 2

Sultan Hassam Dentistry for Children Give Kids a Smile Clifton NJ 1

Qadri Danish Lake Family Dentistry GKAS Colonia NJ 2

Lipson Beck Tracy Tracy Lipson Beck DDS GKAS Colonia NJ 1

Blanchfield Michelle Zufall Health Free Dental Day for Kids Dover NJ 2

Fernandes Genevieve East Brunswick Dental Studio GKAS East Brunswick NJ 2

NEW JERSEY (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Fernandez Darian Edgewater Pediatric Dentistry GKAS Edgewater NJ 2

Roman Michelle MCC GKAS Edison NJ 2

Pereira Ana JFK Dental Clinic GKAS Edison NJ 1

Conlan Kris Drs Vitale and Tedeschi Edison Dental Arts GKAS Edison NJ 1

Chiang Danny My First Dentist GKAS Englishtwon NJ 1

Bardash Jody Dental Professionals of Fair Lawn GKAS Fair Lawn NJ 1

Lopez Ana Bright Star Sapphire Dental Fair lawn NJ 2

Bardash Jody Dental Professionals of Fair Lawn GKAS Fair Lawn NJ 10

nasif lori Lori M Nasif DMD GKAS Fort Lee NJ 1

Montgomery Bob The Relaxing Smile GKAS Freehold NJ 1

Nebblett Natalie Freehold Orthodontics GKAS Freehold NJ 2

Roldan Morgan Turner Wood Dental GKAS Glassboro NJ 1

Soni Meetu The Smile Express Pediatric Dentistry GKAS Greenbrook NJ 2

Grajales Katherine Pegasus Dental Center GKAS Guttenberg NJ 2

Person Lisa Center for Dentistry GKAS Hackensack NJ 1

NEW JERSEY (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Shin Yoo Jin Hello Dental GKAS Haledon NJ 2

Hemmings Falen Southern Jersey Family Medical Centers Inc Hammonton NJ 3

Cai Ping Adults and Kids Dental Care GKAS Hazlet NJ 1

Williams DDS MPH Hallie A Metropolitan Family Health Network GKAS Jersey City NJ 2

Tisdale Jones Al Isha Eastern International College GKAS Jersey City NJ 2

Greene Chris Native Dental GKAS Jersey City NJ 1

Pernett Samantha VNACJ CHC of Asbury Park & Keyport Kid GKAS Keyport NJ 4

Hernandez Lilian CHEMED GKAS Lakewood NJ 2

Forbes Dawn Kids Smile GKAS Monmouth JCT NJ 1

Goldman YvonneHackensack Meridian Health Mountainside Medical Center

Division of DentistryMontclair NJ 2

Vasilenko Gail Rowan College at Burlington County GKAS Mount Laurel NJ 2

Dias Kristal Ocean Health Initiatives GKAS Neptune Township NJ 1

Walker Brenda Eric B Chandler Health Center GKAS New Brunswick NJ 2

McQuillan Michelle RWJBH Dental Clinic GKAS New Bruswick NJ 2

Speights Gardan Kindersmile Community Oral Health Program at BGCN Newark NJ 2

NEW JERSEY (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Heffernan Samantha New Jersey Dental Association GKAS Events North Brunswick NJ 20 10 5 10

Peyyeti Mira Mira Peyyeti DDS GKAS North Brunswick NJ 2

Kuzmich Marina Pearl Family Dentistry GKAS North Plainfield NJ 2

Stinton Christine Rutgers School of Dental Medicine GKAS Northfield NJ 10

Tallman Keri KidZdent GKAS Old Bridge NJ 2

Cook Deborah Bergen Community College GKAS Paramus NJ 2

Llamera Elizabeth First Care Dental Center GKAS Parsippany NJ 2

Minkins Dionne St Josephs Family Health Center GKAS Paterson NJ 4

Patel Haril ABC Smiles Family & Childrens Dentistry GKAS Perth Amboy NJ 2

Andrade Amelia Neighborhood Health Center Elizabeth & Plainfield Plainfield NJ 3

Wright Anna Randolph Pediatric Dental Association GKAS Randolph NJ 10 5

Raposo Jennifer Smile Designs 101 GKAS Somerset NJ 1

Shah Mita Somerset Dental GKAS Somerset NJ 1

Smilow Joshua Smilow Family Dentistry GKAS Springfield NJ 1

Velazquez Elisa Ocean Pediatric Dental Associates GKAS Toms River NJ 4

NEW JERSEY (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Demko Tammy KinderSmile GKAS Trenton NJ 2

Caceres Jessica Smile Central Dental Hudson County PC Union City NJ 2

Caceres Jessica Smile Central Dental PC Union City NJ 2

Caceres Jessica Smile Central Passaic PC Union City NJ 4

Gat Poonam Childrens Dental Care GKAS Union City NJ 1

Frare DDS Mary Compassionate Dental Care GKAS Voorhees NJ 2

Patel Krupa Friendly Smiles GKAS West Deptford NJ 1 2

Mahmoud Sufian Apollonia Dental Arts GKAS West Milford NJ 1

Tong Helen CreatingSmiles GKAS West Orange NJ 1

Leibowitz Aimee Oceans Orthodontics and Pediatrics Westfield NJ 1

Workman Maria Paterson Public Schools Dental Health Services GKAS Westwood NJ 4

NEW MEXICO

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Maes Aliandra IHS Albuquerque Event 1-8 Albuquerque NM 2 7 1

Rule Trish New Mexico Dental Association Foundation Albuquerque NM 2

Williams Missy Smile Expressions GKAS School Tours Arteisa NM 7

Hubley Patricia IHS Jicarilla Service Unit Fluoride Event Dulce NM 1

Manz Julius NWDDS GKAS Farmington NM 1

Trigo Joy Southwest District Dental Society Las Cruces NM 10 15

Wengert Gloria IHS Alamo GKAS Magdalena NM 2

Nayyar Aamna Santa Fe Community College- Department of Dental Health Santa Fe NM 8

BLea Rudy NM Department of Health GKAS Santa Fe NM 1

Begay Lisa IHS Canoncito Band of Navajo's Health Clinic To'hajiilee NM 2

NEVADA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Williams Maria IHS Fallon Tribal Health Center GKAS Fallon NV 2

McClellan Dawn Dental Care International GKAS Las Vegas NV 1

McGinley Kellie Northern Nevada Committee GKAS Reno NV 3

NEW YORK

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Augello Michelle Nickel City Dentistry GKAS Amherst NY 2

Chao Willie Stuttgart Dental Clinic GKAS APO AE NY 2

Craddock Marcy Joseph A Craddock DDS Attica Elementary School Attica NY 9

Kubiniec Michael Batavia City Schools Batavia NY 20

Bijoor Renuka Briarcliff Pediatric Dentistry GKAS Briarcliff Manor NY 2

Yeroshalmi Farhad Jacobi Medical Center Bronx NY 2

Samuels Jacqueline Bronx County Dental Society GKAS Bronx NY 3

Finlay Dionne Smile Savers Pediatric Dentistry GKAS Bronx NY 1

Rodriguez Evelyn SBH Health System Union Community Health Center GKAS Bronx NY 2

Adenu Mensah Nana Bronx Community Health Network GKAS Bronx NY 1

Campbell Joanna Paterson Public School Dental Clinic Bronxville NY 3

Kuznetsov Marina Dr K Dental GKAS Brooklyn NY 2

Hersh Meryl Ezra School Based Dental Program Brooklyn NY 4 3

Reyes DDS MPH Reneida Second District Dental Society Brooklyn NY 25

Gruener Roslyn William OConnor Midwood School GKAS Brooklyn NY 3

NEW YORK (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Licata Deborah Univ of Buffalo SoD Pediatric Dental Associates Buffalo NY 26 4

Fischer Paula University at Buffalo School of Dental Medicine Buffalo NY 2 5

Dunn Judy Northern Adirondack Elementary School Ellenburg Depot NY 8

Marsh Lynn Farmingdale State College Dental Hygiene Department Farmingdale NY 3

Gutierrez Narly Flushing Hospital Medical Center FLUSHING NY 2

Sleeper Laura Plaza College GKAS Forest Hills NY 3 2

PCGouverneur

Dental AssociatesSt Lawrence County Dental Society GKAS Gouverneur NY 4

Moghadasian Behnam Great Neck Dental GKAS Great Neck NY 1

Panzarino Bill Suffolk County Dental Society GKAS Hauppauge NY 8

Cancian Stephan Ninth District Dental Association GKAS Hawthorne NY 2

Harris Adriana Touro College of Dental Medicine GKAS Hawthorne NY 1

Balestrini David Lake Placid Family Dental GKAS Lake Placid NY 1

Mariella Anna Kids Are Great Dental Mt. Kisco NY 2

Lu Gain Charles B. Wang Community Health Center New York NY 2

Reid Rosemary Gerald Leknowitz DDS GKAS Gramercy New York NY 1

NEW YORK (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Ingoglia Susan New York County Dental Society New York NY 31

Patrocinio Jary Columbia University College of Dental Medicine New York NY 16

Logan Keri St. Charles Hospital Stephen B Gold Dental Clinic Port Jefferson NY 1

Salamon Joe IHS Seneca Nation CIRHC Screening and Fluoride at ECLC Salamanca NY 2

Salamon Joe IHS Seneca Nation CIRHC Walkin Sealant Clinic Salamanca NY 2 4

Shieh Jane Charles F Padula DDS Pine Bush Elementary Schenectady NY 2

Loutfy Heba Fort Hamilton Dental GKAS Staten Island NY 2

Lazzara Lisa Kids Dental Staten Island NY 4

Martinez Rosa GKAS Westchester Medical Center Valhalla NY 10 10

Quintin Nicole North Country Family Health Center Watertown NY 2

Skolnick Jay Wayne County Head Start Webster NY 8

Brofsky Joseph Nassau County Dental Society Woodmere NY 2 6

OHIO

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Kale Jennifer Summit County Public Health GKAS Akron OH 2

Lang Dawn Amelia East Family Dentistry Amelia OH 1

Clounie Nikki Axess Pointe Community Health Center Barberton OH 20 8

Buckley Libby Berea Family Dental GKAS Berea OH 1

Johnson Dr Erik Dr Erik Johnson GKAS Boarman OH 20

Smith Kay Bucyrus Dental Solutions GKAS Bucyrus OH 1

George Michelle Carrollton Family Dental GKAS Carrollton OH 1

Mahalaha Dr. Suparna Care Alliance Health Center GKAS Cleveland OH 1

Elias Lora Dr Elias GKAS Cleveland OH 20

Ghering Robert The Dental Depot Cleves OH 13

Palusak Julie Palusak Dental GKAS Columbiana OH 3

Circosta Carley Ohio Dental Association GKAS Columbus OH 5 10

Heminger Brittini Non Profit Clinical Services Columbus OH 4 4

Gross Erin The Ohio State University College of Dentistry GKAS Columbus OH 3

Hines Mitzi Hines Little Smiles Spring GKAS Columbus OH 2

OHIO (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Hammersmith Kim Nationwide Childrens Hospital Hemophilia Education Day Columbus OH 1

Circosta Carley Ohio Dental Association GKAS Columbus OH 5

Heminger Brittini Non Profit Clinical Services Columbus OH 4

Amini Homa Student Chapter of AAPD at OSU Columbus OH 1

Crockett Miller Heather Lower Lights Christian Health Center GKAS Columbus OH 2

Mastropietro Amanda Corydon Palmer Dental Society GKAS Cortland OH 20

Rousseau Melanie PedZ Dental GKAS Dayton OH 1

Jung Leah Good Neighbor House Dayton OH 1

Voll Julie Northwest Ohio Early Childhood Developmental Screenings Defiance OH 20

Bogan Kyle North Orange Family Dentistry GKAS Delaware OH 2

Wade Denise Dr Caldwells GKAS Day East Liverpool OH 2

Suszko Ihor Lorain County Community College Dental Hygiene Prog Elyria OH 2

Fogel Richard Richard L Fogel DDS Elyria OH 9

Cunningham Kari Panther Pediatric Dentistry GKAS Euclid OH 6

Vij Raj Dentistry 4 Kids Akron Dental Society/Fortis College Fairlawn OH 5

OHIO (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Klaiss Mekenna Timothy P Sulken GKAS Fostoria OH 1

Kirian Ashley Tri County Dental Center GKAS Fostoria OH 1

Baytosh Joseph Dr Joseph Baytosh Girard City Schools Educational Event Girard OH 1

Combs Stephanie Family Health Dental GKAS Greenville OH 20

Moore Sarah Clark Family Dentistry GKAS Hillsboro OH 1

Theil Thomas Theil and Theil DDS Charles School Visits Huber Hieghts OH 5

Morrish Margaret GCDS GKAS Independence OH 4

Patel Khyati Baltimore Family Dental GKAS Lewis Center OH 4

Pruneski DeLong Julie Whispering Pines Dental Preschool & Elementary Visits Lorain OH 6

Blake Hope Scott Dental Group GKAS Loudonville OH 1

Liu Irene Liu Clinic GKAS Mansfield OH 5

Hickman Eric Keely Dental Society GKAS Mason OH 1

Keefe Kari Keefe General Dentistry GKAS Massillon OH 8

Mahlman Kelly Dr Timothy Voss Pediatric Dentistry GKAS Maumee OH 20

Cerar Jacqueline Northeastern Ohio Dental Society GKAS Mentor OH 2

OHIO (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Vosler Brad Vosler Dental Miamisburg School Screenings Miamisburg OH 7

Hawkins Cierra Knox County Community Health Center Mount Vernon OH 10

Espy Leah Clark Family Dental GKAS New Lebanon OH 1

deForest Laura Stark County Dental Society North Canton OH 10 10

Satterfield Melanie Oberlin Family Dental Oberlin OH 2

Gutarts Emma R Rubin Gutarts DDS Cleveland Endodontics GKAS Parma OH 1

Logan Jeff Dr Jeffrey Logan GKAS in Area Schools Poland OH 9

Astley Erin Dr Erin Astley Port clinton OH 6 2

Boreman Thomas Smithville Family Dentistry Events Smithville OH 2

Elder Joan Community Health Foundation GKAS Springfield OH 2

Webb Krysten Cuadra Pediatric Dentistry GKAS Tiffin OH 1

Simonton Benjamin Toledo Dental Society GKAS Toledo OH 3

Lotz Ashley Dental Excellence of Delta Oral Health Education Toledo OH 16

Lotz Ashley Dental Excellence of Napoleon Oral Health Education Toledo OH 20

Simonton Benjamin Toledo Dental Society GKAS Toledo OH 2

OHIO (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Silk Stephanie Miami County Dental Clinic Tooth Fairy GKAS Troy OH 10

Fay Morgan Fay Family Dental Care GKAS Upper Sandusky OH 1

Nadler Dr. Sergio Corydon Palmer Dental Society Warren OH 2

Janetski Michelle Columbus Dental Society GKAS Westerville OH 16

Matanzo ThomasEastern Ohio Dental Society at Eastern Gateway

Community CollegeWintersville OH 1

Thompson Christine Susan R Tikson DDS Worthington OH 3

Padgett Melissa Dr Melissa Padgett CH Campbell Preschool Youngstown OH 8

OKLAHOMA

First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Flatt Lisa IHS Chickasaw Nation Dental Outreach Ardmore OK 4

Love Kristi Cleveland Co Little Smiles Blanchard OK 1 2

Forrester Ross IHS Muscogee Creek Nation GKAS Eufaula OK 2

Garvie Katelyn Summer Dental Community GKAS Jenks OK 15 5 2

Keirsey Frankie Spring Dental School Events Jenks OK 20 4 2

OKLAHOMA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Hill Crystal Spring Dental GKAS Jenks OK 15

Snow Brier IHS Kanza Health Center GKAS Newkirk OK 1

McKee Monica IHS Oklahoma City Indian Clinic GKAS Oklahoma City OK 1

Myrick Keasha IHS-OCA-Event-1c-2c-3b-4b-5c Oklahoma City OK 7 5

Edwards Blair Piedmont Comprehensive Dentistry Piedmont OK 7

Drew Brian Dr Brian E Drew DDS GKAS Shawnee OK 2

Speed Mechelle Give Kids A Smile At Cherokee Nation Tahlequah OK 2

Pease Kelly Western Technology Center GKAS Weatherford OK 12 4

OREGON

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Bishop Debbie IHS Klamath Tribal Dental Chiloquin OR 3

Jones Jill Lane Community College Dental Clinic Eugene OR 1

Moore Kathy Pacific University GKAS Hillsboro OR 1

Van Pelt Lynn IHS Portland Area Portland OR 6 3

Lopper CDA EFDA Jodi Boys and Girls Club of Salem Dental Center SALEM OR 2

Mattsen Lora Multnomah Dental Society GKAS Wilsonville OR 2 5

PENNSYLVANIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Karalunas Kate Northampton Community College GKAS Bethlehem PA 2

Gleber Jaclyn ChesPenn Community Health Center Coatesville PA 4 1

Cohen Barry Dr Barry Cohen GKAS Event Drexel Hill PA 8

Pagano Gino Comfortable Dentistry GKAS East McKeesport PA 1

Shannon Jennifer Smiles by Shannon Dental GKAS Harrisburg PA 1

Esianor Mitchual Ethel Dr Esianor Mitchual Dental DREAM Dental Screening Lancaster PA 1

Kapral Mary Ann Noxen Dental GKAS Monroe TWP PA 7

Mancini James Oil City Salvation Army Dental Center Oil City PA 7

Logan Bernadette The Dental Society of Chester Co and Delaware Co GKAS Paoli PA 4

Hopkins Theresa Kornberg School of Dentistry Temple University GKAS Philadelphia PA 2 4

Llogoni Altin Silvana Cumani DMD GKAS Philadelphia PA 1

Tay Leslie Greater Philadelphia Health Action Inc Philadelphia PA 2

Hopkins Theresa Kornberg School of Dentistry Temple University GKAS Philadelphia PA 15

Bergmaier Missy Phoenixville Pediatric Dentistry Phoenixville PA 1

Tobias Mindi Central PA Institute of Science and Technology Pleasant Gap PA 1

PENNSYLVANIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Phillips Tanya Reading School District GKAS 10th and Green Elementary Reading PA 11

Phillips Tanya Reading School District GKAS 12th and Marion Elementary Reading PA 11

Phillips Tanya Reading School District GKAS 13th and Green Elementary Reading PA 11

Phillips Tanya Reading School District GKAS 16th and Haak Elementary Reading PA 10

Phillips Tanya Reading School District Amanda E Stout Elementary Reading PA 17

Phillips Tanya Reading School District Glenside Elementary Reading PA 7

Phillips Tanya Reading School District Lauer's Park Elementary Reading PA 11

Phillips Tanya Reading School District Millmont Elementary Reading PA 11

Phillips Tanya Reading School District Northwest Area Elementary Reading PA 11

Phillips Tanya Reading School District GKAS Riverside Elementary Reading PA 15

Phillips Tanya Reading School District Tyson Schoener Elementary Reading PA 10

Mattzela Kristi CVIM GKAS State College PA 1 1

PUERTO RICO

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Lopez Ana UPR School of Dental Medicine GKAS San Juan PR 4 4 4

RHODE ISLAND

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Pratt Judy Pratt Family Dentistry GKAS East Greenwich RI 1

Fuller Courtney St Joseph Dental Smile Providence RI 2

SOUTH CAROLINA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Bailey Brianna US Navy MCRD Parris Island Dental Clinic GKAS Beaufort SC 20

Dixon Dorothy Coastal Kids Dental and Braces Charleston SC 10

Williams Dr. Deirdre MUSC Dept of Pediatric Dentistry Charleston SC 2

Parker Dana Greenville Free Medical Clinic Greenvillw SC 2

Koren Eric MUSC for Pearl Tourville Prenatal Center Johns Island SC 1

Berrios Karen Health Care Partners of South Carolina GKAS Marion SC 3 1

Wakefield Miranda Apple Seeds Pediatric Dentistry Simpsonville SC 1 1

SOUTH DAKOTA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Baguidy Flauryse IHS GPA PR Dental Clinic Events Aberdeen SD 19 30 24

Hughes Kay Watertown Dental Society GKAS Watertown SD 1

TENNESSEE

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Hasnani Kaz Sequatchie Valley Dental Associates Jasper TN 2 2 2

Hovious Lee Ann Second District Dental Society Knoxville TN 1

Honeycutt Paul Brookside Headstart Manchester TN 3

Honeycutt Paul East Coffee Elementary Manchester TN 5

Hong LiangThe University of Tennessee Health Science Center College

of DentistryMemphis TN 2 1

Bol Ruth Pedo Club GKAS Nashville TN 2

West Kathy Appalachian Life Quality Initiative Oneida Schools Oneida TN 20

Licht Frank USET United South and Eastern Tribes GKAS Smyrna TN 3

TEXAS

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Blacher Christina PA Dental Arts GKAS Allen TX 1

Bell Glenda Dental Health Arlington GKAS Arlington TX 1

Wood Dana Blinn College Dental Hygiene GKAS Bryan TX 2

Rhine John Upward Bound Ranger Child Dental Clinic Comanche TX 1 1

Libbe Schriewer Elizabeth Judson Middle School GKAS Converse TX 3

Evans JaneDallas County Dental Society Foundation at the Agape

ClinicDallas TX 12

Ross-Goodlett Sheteka Fort Hood Dentac GKAS Fort Hood TX 4

Nguyen Sue JPS Health Network Fort Worth TX 4

Smith Jennifer Greater Houston Dental Society GKAS Houston TX 1

Lee George Lee Dental 2 GKAS Houston TX 1 2

Clowe Christine Harris County Public Health GKAS Houston TX 2

Melchor Margo UTHouston School of Dentistry GKAS Houston TX 4

Lee Hanna Lee Dental GKAS Houston TX 1 2

Smith Jennifer Greater Houston Dental Society GKAS Houston TX 2

Radford Adams Rhonda Art Angels Healing Arts Program Houston TX 20

TEXAS (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Mullins Kati School of Science and Technology Houston TX 5

Manrique Amy San Jose Clinic GKAS Houston TX 1

Kulesza SSgt Kelly Lackland Air Force Base GKAS JBSA-Lackland TX 2

Sperry Stephen South Plains District Dental Society GKAS Lubbock TX 7

Scott Shaneka Paris Childrens Dentistry GKAS event Paris TX 1 3

Choy Cherry Randolph AFB Dental Clinic GKAS Randolph AFB TX 2

Walker Hollynd USAF Dunn Dental Clinic San Antonio TX 10

Elkins DDS Cassandra MCD Childrens Dentistry San Antonio TX 4

Walker Hollynd USAF Dunn Dental Clinic San Antonio TX 20

Kines Amber Kiwanis GKAS Terrell TX 20

Nguyen Janice TOMAGWA Healthcare Ministries Tomball TX 2 2

Kincannon Kate Columbia Dental GKAS West Columbia TX 1

UTAH

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Williams Chase William Family Dental Cedar City UT 2 2

Sekaquaptewa Crystal Utah Navajo GKAS Montezuma Creek UT 2 1 2

Lovejoy Mortenson Rachel Community Health Connect Utah County GKAS Provo UT 3

Rindlisbacher Brittney Utah Periodontal Specialists GKAS South Jordan UT 4 2

VIRGINIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Austin Angela Dr Angela Austin GKAS Alexandria VA 2

Bates Richard Dr Richard Bates GKAS Colonial Heights VA 1

Merdad Hisham Merdad Dentistry Gainesville VA 1

Reed Lori Gainesville Pediatric Dentistry Gainesville VA 1

Tyree Jennifer Lynchburg City Schools and Lynchburg Dental Society Lynchburg VA 4

Brett Vicki ECPI University Virginia Beach GKAS Newport News VA 2 2

Stull Sharon Old Dominion University School of Dental Hygiene Norfolk VA 9

Rollins Becky Hale Family Dentistry GKAS Orange VA 5 3

VIRGINIA (continued)

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Melton Ginger Healthy Smiles Dental Center Portsmouth VA 2 1

Bryant Melba Central Virginia Health Services Hopewell Kids Day Prince George VA 2

Smith Cayleigh Smile Wonders GKAS Reston VA 1

North Lindsey Bitty Bites Pediatric Dentistry GKAS Richmond VA 2

Shuck April Dr. Richard Byrd and Associates Orthodontics and Pediatric Richmond VA 1 2

Berry Elizabeth Bon Secours Pediatric Associates GKAS Richmond VA 1

Caudill Carol VCU School of Dentistry GKAS Richmond VA 1

Starrak Eva Medical Care for Childrens Partnership Foundation GKAS Springfield VA 3

Ghaffari Ashkan Northern Virginia Dental Society Vienna VA 2

Moore Sandra Our Lil Miracles GKAS Virginia Beach VA 1

Agarwal Rachna Valley Pediatric Dentistry GKAS Winchester VA 2 1

WASHINGTON

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Raniere Snohomish County Dental Society Everett WA 20

Hawkins Michael Dr Michael Hawkins Issaquah WA 1 1

Kim Lina Lina Kim DDS GKAS Seattle WA 1

Nieto Joe IHS White Swan Dental Clinic Toppenish WA 2

Hedine Karen Walla Walla YMCA Walla Walla WA 2

WISCONSIN

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

OBrien Meghan Antigo Dental Clinic Antigo WI 4

Zutz Missy Baus Family Dental GKAS Chilton WI 1

Meyer Rachel Midwest Dental Fitchburg Fitchburg WI 1

Larson Amy Rock River Dental Fort Atkinson WI 1

Lee Angie Midwest Dental Holmen WI 1

Walgenbach Zach Dentistry On Vine GKAS Hudson WI 1

Gottfried Arvold Heidi Gateway Technical College Boys and Girls Club Kenosha WI 2

Nguyen Thao IHS Oneida Community Health Center Oneida WI 2

Healy Carly Suamico Midwest Dental GKAS Suamico WI 1

Johnson Tim St Croix Tribal Dental Clinic Webster WI 2

Rampetsreiter Marnie Dells Dental GKAS Wisconsin Dells WI 1

WEST VIRGINIA

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Mace Danielle Mace Dental GKAS Morgantown WV 1

Graziani Gina West Virginia University School of Dentistry Morgantown WV 2

Pycraft Brittany MCHD Dentistry GKAS Morgantown WV 2

Brannon Regina Brannon Dental Associates GKAS Spencer WV 1

WYOMING

Last Name First Name Organization/Practice Name City StateEducation

Kit #1

Screening

Kit #2

Screening Kit

#2 (25ct)

Restorative

Kit #3

Restorative

Kit #3 (25ct)

Tonso Erica Kincheloe and Tonso Family Dentistry GKAS Cheyenne WY 2