bls submittal - denturists - 7.14.14 - 12.20.13 (1) ·...
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Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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July 14, 2014
To Whom It May Concern:
RE: BUREAU OF LABOR STATISTICS STANDARD OCCUPATIONAL CLASSIFICATION SUBMITTAL FOR THE “DENTURIST” PROFESSION
Please find enclosed a report on the denturist profession. We are requesting a Standard Occupational Classification for this profession.
The denturist profession has been recognized/regulated and licensed for many years; (e.g., Maine was recognized as an independent profession in 1977, Oregon has been a regulated profession for 37 years; Washington State received recognition and regulation in 1994). Currently there are six licensed states; progress is being made seeking regulation in additional states.
We have attached a detailed outline and attempted to answer the questions obtained from your website.
If you should require any further or more specific information, please do not hesitate to contact our office.
Sincerely,
On Behalf of the Denturists of the USA THE NATIONAL DENTURIST ASSOCIATION, USA Wanda Anderson, Executive Director PO BOX 2344 POULSBO, WA 98370 T: 360.232.4353 / 855.653.3688 F: 360.779.6879 E:[email protected] www.nationaldenturist.com
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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REQUEST FOR A
STANDARD OCCUPATIONAL CLASSIFICATION
FOR THE
DENTURIST PROFESSION
SUBMITTED BY:
THE NATIONAL DENTURIST ASSOCIATION, USA
PO BOX 2344 POULSBO, WA 98370
Telephone: 360.232.4353 / 855.653.3688 Facsimile: 360.779.6879
E-‐mail address:[email protected] www.nationaldenturists.com
TITLE PAGE
Information Overview – Nature of Work, Job Titles ......................................................................................... 3 Information Overview – Numbers of Jobs/Workers, Industry, Education, Licensing .......................... 5 Information Overview – Tools and Technologies; Professional Assocations .......................................... 7 REGULATION OF PROFESSION – BY STATE AND YEAR ................................................................................. 9 STATUTES AND LICENSING REQUIREMENTS BY STATE ........................................................................... 10 EDUCATION – COLLEGES OFFERING DENTURIST PROGRAMS ............................................................... 11 EDUCATIONAL REQUIREMENT FOR STATE BOARDS AND LICENSURE.............................................13 SYLLABUS REQUIRED FOR LICENSING.............................................................................................................14 ASSOCIATIONS -‐ STATE ........................................................................................................................................... 15 ASSOCIATIONS – NATIONAL AND INTERNATIONAL ................................................................................... 17 THE NATIONAL DENTURIST ASSOCIATION INFORMATION.......................................................................18 OREGON: STATE LAW DIVISION 410 ................................................................................................................. 19 WASHINGTON -‐ STATE LAW CHAPTER 18.30 RCW ..................................................................................... 20 IDAHO -‐ STATE LAW TITLE 54, CHAPTER 33 – “Freedom of choice of Dentures Act” .................... 21 MONTANA -‐STATE LAW TITLE 37, CHAPTER 29.101 “Freedom of Choice in Denture Services Act of 1984” .......................................................................................................................................................................... 22 ARIZONA -‐ STATE LAW NUMBER 32-‐1293 ...................................................................................................... 24 MAINE -‐ STATE LAW TITLE 32, CHAPTER 16, SUBCHAPTER 6 ............................................................... 25
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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Information Overview – Nature of Work, Job Titles
1. Nature of the work performed. What duties do the workers in the occupation perform? Which duties are common to all jobs in the occupation and would therefore appear in the “required duties” statement in the occupation definition (as illustrated in Figure 1). What duties are frequent but not performed by all workers and might be identified in “may” statements in the occupation definition. Are there supervisory or management duties? If so what types of workers are supervised and what types of management activities are performed? For revisions to existing occupations is the work described in the SOC definition accurate and up to date?
Denturists serve patients with removable dental appliances. The scope of practice differs from state to state and the service to patients can include all removable dental appliances with the exception of orthodontia. As part of this service to the patient, denturists obtain and evaluate the patient's medical and dental history, provide a complete oral examination and evaluate radiographs in some instances. Denturists take the impressions and secure appropriate measurements, then design and construct the appliance. The denturist will insert the appliance; this insertion visit includes further instructions to the patient and emphasizes the importance of the scheduled follow-‐up visits. Denturists also perform related patient services such as evaluating the need for a reline of a denture, denture relines, denture adjustments, repairing dentures, denture cleaning, etc.
Denturists recall the patient at least once a year, if not more often to perform an oral evaluation and check the fit of the appliance and examine the oral tissues. This is very important as many patients with dentures are overlooked by the industry that treats natural dentition. Denturists report that most of their new patients had not been seen for an oral examination for several years.
In carrying out their duties denturists are typically self-‐employed while employing other staff members.
2. How the work performed is distinct from other detailed occupations in the SOC. Does the same or similar work appear in other SOC occupations? If so, how is the proposed occupation distinct? What changes should be made to existing SOC occupations that have the same or similar work?
The work performed by Denturists is distinct; a denturist is the only professional educated and legislated exclusively to serve individuals with removable dental prosthetics. Denturists work directly with patients providing removable oral appliances.
Denturists are not dentists; denturists do not perform invasive procedures.
Denturists are not dental laboratory technicians (with whom we are often incorrectly associated). Dental laboratory technicians work only from a prescription from a dentist. Dental laboratory technicians are not educated or licensed to see patients or to work intra-‐orally.
Denturists work directly with patients to serve removable dental appliances. A patient is not required to have a prescription in order to see a denturist. Denturists are independent practitioners and see patients in their own private practices. Patients are often referred to denturists by other healthcare providers; most are referred by satisfied patients.
The denturist education, licensure requirements and scope of practice set the profession apart as a distinct, unique, well defined profession.
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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3. Job titles. What job titles are commonly used by workers in this occupation? Are these titles unique to the proposed occupation? Are titles listed in the Direct Match Title File actually in use? Are there other titles that should be included in the file?
There is only one job title: Denturist – this is the job title and is unique to the occupation. Currently when you search for this occupation, you get “NO RESULTS” from the BLS website.
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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Information Overview – Number of Jobs/Workers, Industry, Education, Licensing
4. Indications of the number of jobs or workers in the occupation. Information on employment size and expected growth is helpful in evaluating the proposed occupation against Classification Principle 9 concerning collectability.
Currently there are 350 -‐375 Licensed denturists in the USA. Each employs between 1-‐9 employees, which brings the total number of employees working within the Denturist Industry as follows:
Licensed Denturists 350 350 375 375 Auxiliary Staff: 350 3,150 375 3,375 TOTAL: 700 3,500 750 3,750
As of 2010 according to the American Dental Association's Health Policy Resources Center 178 million U.S. citizens have missing teeth, 35 million have no teeth, and these numbers were expected to increase. In some areas of the U.S. 42% of the population aged 65 and older are fully edentulous (missing all their teeth). The need for the denturist profession has increased and will continue to increase due to this growing number of edentulous people in the USA, and the critical need for accessible affordable dental services. Denturists, as healthcare professionals have served the citizens in several states and many countries for decades. These countries include Canada, Australia, the United Kingdom, the Netherlands and many more. Currently Canada which has recognized and regulated the denturist profession for the entire country since 1962 has over 3000 licensed denturists to serve their population of 34+ million people. Using the Canadian population to denturist ratio, the United States should welcome over 25,000 denturists in order to effectively serve the needs of the edentulous. Efforts are ongoing seeking recognition for denturists in every state.
5. Types of employers. In what industries does this occupation occur? This information is useful in understanding the nature of the work performed as well as evaluating collectability.
Dental Industry
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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6. Education and training. What education and training are typically required for workers to be able to perform this occupation? What types of schools or training providers offer this education or training? How long does the education or training take? What degrees or other credentials are generally required, if any? Identification of specific education and training programs and institutions is helpful.
A license is required to become a denturist. In order to sit for a state board examination for licensure the candidate must have been graduated from an accredited or approved college denturist program. The denturist's education includes the sciences necessary to evaluate the patient's oral health, the dental prosthetic need as well as the technical skills necessary to actually fabricate a dental appliance to accommodate that need, and all follow-‐up patient care. Denturist students must intern for a specific period and submit a portfolio of completed and successful patient cases as part of the licensing criteria. Denturists must pass both a written and a practical state government regulatory body examination. This three to five day board examination includes the sciences involving oral health issues and the technical skills necessary to actually construct the dental appliance.
In order for denturists to maintain a license to practice he/she must meet the state's mandated continuing education yearly requirements.
See attached information on denturist colleges and syllabus. (Pages 11 -‐ 14)
7. Licensing. Are licenses usually required? Identification of specific licenses and licensing agencies is helpful.
Yes… as mentioned above. A license is required to serve patients as a denturist. A denturist is the only professional educated and legislated exclusively to serve patients with removable dental prosthetics.
Also see attached information on State Laws and Licensing requirements. (Pages 19 -‐ 25)
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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Information Overview – Tools, Technologies and Professional Associations
8. Tools and technologies. What tools and technologies are generally used by workers in performing the occupation? Are the tools and technologies mentioned in existing SOC occupation definitions accurate and up to date?
• General office equipment -‐ desks, chairs, files, cabinets, etc. • Reception room furniture and accessories • Practice Management Software (DomX), Accounting Software, Word
Processing Software, Spreadsheet software • Computers – Desktops; laptops • Telephone systems, printers, copiers, fax machines, etc. • Patient education materials; patient dental appliance supplies • Dental examination chairs -‐ related parts and accessories including
examination lights and water lines • Operatories -‐ cabinets, water/sink, and general sterilization supplies,
gloves, masks, barrier supplies, etc. • Operatory supplies for patient's impression-‐ patient bibs/clips, cups,
examination mirrors, gauze/sponges, etc. • Impression trays; edentulous impression trays; partial denture
impression trays; Dentate trays • Dental impression material; impression dispensing gun; • Dental impression syringes • Steam autoclaves or sterilizers; Autoclaves; High heat sterilizers;
related sterilization chemicals • Dental articulators or accessories -‐ face bows; Gothic arch tracers;
needle point tracers; Pantographic tracing instruments • Tooth color shade guides; artificial teeth • Dental gauges and accessories • Air compressors; lathes; flasks; pressure molding devices; presses;
duplicating flask; model trimmer; boil out units; curing unit; ultrasonic; microwave; digital denture equipment/supplies
• Dental implant placement instruments; abutment drivers; implant ratchet
• General laboratory accessories, equipment and supplies/products
(e.g., acrylic, wax) for full/partial dentures, implant dentures, teeth whitening trays, mouth guards and snoring devices construction require a sundry of supplies and equipment; procedures differ so much of the equipment, products and supplies would be relative to the preference of the denturist.
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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9. Professional or trade associations and unions. Are there professional or trade associations or labor unions related to the proposed occupation? Identification of specific associations or unions is helpful.
Please see the attached information for Professional Associations.
(pages 15 -‐ 18)
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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REGULATION OF PROFESSION – BY STATE AND YEAR
State Date State Was Regulated
Arizona
1978 By Legislation
Oregon 1978 By Initiative
Washington 1994 By Initiative | 1995 By Legislation
Idaho 1982 By Initiative | 1983 By Legislation
Montana 1984 By Initiative | 1985 By Legislation
Maine 1977 By Legislation | Amended 1994
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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STATUTESAND LICENSING REQUIREMENTS BY STATE
State Credentialing/Law Website: Law Website: Licensing
Oregon Oregon Revised Statues (ORS) 680.500 to 680.565
http://www.oregonlegislature.gov/bills_laws/lawsstatutes/2011ors680.html
http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_331/331_tofc.html
Washington Revised Code of Washington (RCW) 18.30
http://apps.leg.wa.gov/RCW/default.aspx?cite=18.30
http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/Denturist/ApplicationsandForms.aspx
Idaho
Section 54-‐3309, Idaho Code, CHAPTER 33 FREEDOM OF CHOICE OF DENTURES ACT
http://www.legislature.idaho.gov/idstat/Title54/T54CH33.htm
Board of Licensing Web: http://ibol.idaho.gov/IBOL/BoardPage.aspx?Bureau=DEN
Montana MONTANA STATE LAW 24.138.505
http://www.mtrules.org/gateway/ChapterHome.asp?Chapter=24%2E138
http://www.mtrules.org/gateway/RuleNo.asp?RN=24%2E138%2E511
Arizona ARIZONA STATE BOARD OF EXAMINERS
http://azdentalboard.us/statutes.html
http://www.azleg.gov/FormatDocument.asp?inDoc=/ars/32/01293.htm&Title=32&DocType=ARS
Maine
Title 32: Profession and Occupations, Chapter 16: Subchapter 6: Denturists
http://www.mainelegislature.org/legis/statutes/32/title32sec1100-‐E.html
http://www.mainedental.org/forms.htm
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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EDUCATION – SCHOOLS OFFERING DENTURIST PROGRAMS
American Denturist College
www.americandenturistcollege.com [email protected] www.Facebook.com/AmericanDenturistCollege 1241 Oak Street Eugene, OR 97401 T: 541.654.5885 / 800.544.6267 F: 800.544.6267 American Denturist College curriculum includes hands-‐on learning, an externship and the flexibility of online courses. A full school catalog, curriculum overview, and application are available online for perspective students. Bates College
www.bates.ctc.edu Downtown Campus 1101 S. Yakima Avenue Tacoma, WA 98405 T: 253.680.7000 BATES -‐ South Campus
2201 South 78th Street Tacoma, WA 98409 T: 253.680.7400 BATES -‐ Mohler Campus
2320 South 19th Street Tacoma, WA 98405 T: 253.680.7700
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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George Brown College
www.georgebrown.ca PO Box 1015, Station B Toronto, Ontario, Canada M5T 2T9 T: 416.415.2000 / 1.800.515.5559 (Canada and the United States) TTY: 1.877.515.2002 Center for Health Sciences
Waterfront Campus 51 Dockside Drive Toronto, Ontario, Canada M5T 2T9 T: 416.415.5000 Ext: 4543 Northern Alberta Institute of Technology www.nait.ca 11762 – 106 Street Edmonton, Alberta, Canada T5G 2R1 T: 780.471.6248 / 877.333.6248 F: 780.471.8490
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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EDUCATIONAL REQUIREMENTS NEEDED FOR STATE BOARDS AND LICENSURE A license is required to become a denturist. In order to sit for a state board examination for licensure the candidate must have been graduated from an accredited or approved college denturist program. This curriculum of study enables the licensed denturist to perform the following:
Denturists examine patients, evaluate the patient's health history, take impressions and appropriate measurements, design, construct and repair removable dental appliances (i.e., full and/or partial dentures, immediate dentures, implant dentures, mouth guards, whitening trays, snoring devices) for the patient. Denturists perform complete oral examinations and evaluations of their patients. As part of this process, they obtain a complete medical and dental history. When necessary as a result of recognized pathology the denturist would refer the patient to a physician, oral surgeon or dentist. Denturists take impressions of the oral tissue and make necessary jaw relation records, select artificial teeth when needed, and then design the appliances. They fabricate and insert the appliance in the mouths of patients. They also perform related patient services such as, evaluating the need for a denture reline, relining a denture, repairing/cleaning dentures and adjusting the patient's denture when necessary. Denturists also perform an annual recall (oral examination); the denturist will check the fit of the denture or appliance and the patient's oral tissue. This is very important as many patients with dentures are overlooked by the industry that treats natural dentition and denturists report that many patients new to their practices have not been seen for an oral examination for several years. In carrying out their duties they are typically self-‐employed while employing other staff members.
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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SYLLABUS REQUIRED FOR LICENSING: n GENERAL ANATOMY AND PHYSIOLOGY n OROFACIAL ANATOMY n GENERAL HISTOLOGY n DENTAL HISTOLOGY AND EMBRYOLOGY. n PERIODONTOLOGY n MICROBIOLOGY & INFECTION CONTROL n PATHOPHYSIOLOGY (MEDICINE) n RADIOGRAPHIC PATTERN RECOGNITION n BIOMECHANICS (DENTAL KINESIOLOGY) n DENTAL PSYCHOLOGY n DENTAL PSYCHOLOGY AND THE AGING PROCESS n PHARMACOLOGY n PRE-‐CLINICAL PROSTHETICS n PROSTHODONTICS CLINICAL PROSTHETICS/THEORY, AND APPLICATION n REMOVABLE PARTIAL DENTURES n DENTAL MATERIALS n COMMUNITY ORAL HEALTH FOR THE DENTURIST n REMOVABLE IMPLANT RETAINED SUPPORTED OVERDENTURES n SMALL BUSINESS MANAGEMENT n ETHICS, JURISPRUDENCE AND PROFESSIONAL RELATIONSHIPS n PRACTICE MANAGEMENT n NUTRITION n EMERGENCY CARE n GERONTOLOGY n ADULT DEVELOPMENT & AGING
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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PROFESSIONAL ASSOCIATIONS -‐ STATE
State State Association
Oregon
Oregon State Denturist Association 1241 Oak street Eugene, OR97401 Tel: 503.705.2466
http://www.oregondenturist.org
Washington
Washington Denturist Association
200 Lilly Road NE Suite A Olympia, WA 98506 Tel. 800-‐680-‐9255
http://www.wadenturist.com
Idaho
Idaho State Denturist Association
505 1ST ST, Suite A Idaho Falls, ID 83401 Tel: 208-‐232-‐2558 Fax: 208-‐425-‐6002
Montana
Denturist Association Of Montana
Allen Casteel, President 215 Smelter Avenue NE #3 Great Falls, MT 59404 Tel: 406-‐216-‐4746 Fax: 406-‐216-‐4747
Maine
Maine Licensed Denturists Association
http://mainelda.com The MLDA is a group of Licensed Denturists aiming to further our profession and relationship in the community through education
and cooperation. Tel: 207.370.4849
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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PROFESSIONAL ASSOCIATIONS -‐ STATE (con't)
Wyoming
The Wyoming State Denturist Association
PO Box 332 Basin, WY 82410 Tel: 307-‐568-‐2047 www.wysda.org
Kentucky
The Kentucky Denturist Association
40 Moonbow Plaza, Suite 3 Corbin, KY 40701
Tel: 606-‐528-‐6104 / 800-‐254-‐9415 [email protected]
Michigan
Michigan State Denturist Society
4791 Sierra Drive Howell, MI 48843 T: 589-‐914-‐6315
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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PROFESSIONAL ASSOCIATIONS – NATIONAL & INTERNATIONAL
NATIONAL
The National Denturist Association, USA* P. O. Box 2344
Poulsbo, WA 98370 Telephone: 360.232.4353 / 855.653.3688
Facsimile: 360.779.6879 [email protected] www.nationaldenturist.com
*(Please see page 18 for association information)
CANADA (14 Provincial Associations)
The Denturist Association of Canada 66 Dundas Street East Belleville, Ontario
K8N 1C1 Canada
Telephone: 613.968.9467 / 1.877.538.3123 http://www.denturist.org
Email: [email protected]
INTERNATIONAL FEDERATION OF DENTURISTS
International Federation of Denturists P.O. Box 46132 RPO Westdale
Winnipeg MB R3R 3S3 Canada
Telephone: 204.293.1336 Facsimile: 204.895.9595
http://internationaldenturist.org Email: [email protected]
Australian Dental Prosthetists
Association (ADPA)
Australian Dental Prosthetists Association Level 39 385 Bourke Street
Melbourne Vic 3000 Telephone: (03) 8459 2141 Facsimile: (03) 8459 2102 CEO -‐ Ms Cindy Tilbrook
12c Denawen Ave, Castle Cove
New South Wales 2069, Australia +61 2 9882 3874
http://www.adpa.com.au
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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*THE NATIONAL DENTURIST ASSOCIATION INFORMATION The National Denturist Association, USA was organized and exists to represent the interests of American Citizens in need of prosthetic dental services by representing denturists all over the United States who provide this care and establishing access to this service by eliminating the unjust restraints hindering the profession and to assure quality care by promoting professional standards and educational baseline competencies. This association publishes a quarterly magazine, The National Denturist, USA, which is committed to providing up to date pertinent industry and professional information, providing an introduction to new innovative products to the readers as well as serving as an avenue for both national and international communication. The magazine is distributed throughout the United States and Canada. This organization also provides "The National Denturist Association, USA Denturist Examination." This proprietary exam is used to provide one of many tools needed in the professional licensing procedure. (e.g., "The National Denturist Association, USA Denturist Examination" is the state board exam for the state of Oregon.) It assists the state's licensing body in their responsibility to identify entry-‐level professionals whose knowledge and clinical skills meet or exceed basic expected professional standards. The National Denturist Association, USA, Inc. subscribes to all U.S. laws regarding testing policies, standards and practices including candidates rights to fair-‐testing, information accuracy and privacy, and the right-‐to-‐know and the right-‐to-‐appeal a pass/fail decision. The National Denturist Association, USA (NDA, USA) has established a standard and protocol for the educational institutions in order to assure that the individuals entering the profession meet acceptable standards. In order for a college to be recognized as certified by the "Denturist Program Certification" they must meet baseline competencies accepted in the U.S. and established by the International Federation of Denturists (IFD); the IFD is the recognized authority on the standards that are required to be a licensed denturists. By certifying the denturist educational programs we are assuring that graduates of these programs are adequately educated in order to serve the public with quality care. This certification is a tool for any and all regulatory boards to use if they so desire.
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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OREGON: STATE LAW DIVISION 410 Web Source: http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_331/331_tofc.html
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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WASHINGTON -‐ STATE LAW CHAPTER 18.30 RCW
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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IDAHO -‐ STATE LAW TITLE 54, CHAPTER 33 – “Freedom of choice of Dentures Act”
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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MONTANA -‐ STATE LAW TITLE 37, CHAPTER 29.101 “Freedom of Choice in Denture Services Act of 1984”
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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ARIZONA -‐ STATE LAW NUMBER 32-‐1293-‐ Regarding Denturists
Website Source:http://www.azleg.gov/FormatDocument.asp?inDoc=/ars/32/01293.htm&Title=32&DocType=ARS
Submittal to BLS for SOC Classification – from National Denturists Association, USA, on behalf of the Denturist Profession
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MAINE -‐ STATE LAW TITLE 32, CHAPTER 16, SUBCHAPTER 6