2012 DePAC Voting Members - PSC



DENTAL PROFESSIONAL ADVISORY COMMITTEE

U.S. PUBLIC HEALTH SERVICE

(CY2012- Public Roster)

2012 DePAC Voting Members

BAGUIDY, Flauryse M., DMD [2012]

O-5, CDR

Chief Dental Officer USPHS/IHS Medical Center

1305 S. Clarence Nash Blvd.

Watonga, OK 73772

Work: 580-623-4994

Flauryse.Baguidy@

BALLARD, Reginald [2013]

2012 Career Development Subcommittee Chair

O-6, CAPT

DHS

Director of Dental Services

ICE Health Service Corps

T. Don Hutto Residential Center

1001 Welch Street

Taylor, TX 76574

Work: 512-218-3194

Fax: 512-218-3182

Reginald.Ballard@ice.

BENNETT, Christopher [2014]

2012 Membership Workgroup Chair

O-5, CDR

USCG

TRACEN Petaluma

599 Tomales Rd., Bldg 225

Petaluma, CA 94952

Work: 707-765-7591

Christopher.J.Bennett2@uscg.mil

DOMINGO, Demetrio DDS, MS [2014]

2012 Readiness and Deployment WG Chair

O-5, CDR

USCG

HSWL FO D17, Juneau Dental Clinic

P.O. Box 25517

Juneau, AK 99802-5517

Work: 907-463-2144

Fax: 907-463-2150

Demetrio.L.Domingo@uscg.mil

FOLEY, David B., DDS [2012]

O-6, CAPT

DHS

Chief Dental Officer

U.S. Public Health Service

Department of Homeland Security

ICE Medical Facility

76 Holder Road

Lumpkin, GA 31815

Work: 229-838-1263

Fax: 229-838-1242

David.B.Foley@

JOHNSON, Michael, DDS, MPH [2014]

2012 Operations Subcommittee Chair

2012 Communications WG Chair

O-6, CAPT

BOP

Regional Chief Dentist, WXR

MCC San Diego

808 Union Street

San Diego, CA 92101

Work: 619-234-4311 ext 1361

Mwjohnson@

KIM, JANICE, DDS [2014]

2012 Women's Issues Subcommittee Chair

O-5, CDR

BOP

Chief Dental Officer

MCC San Diego

808 Union Street

San Diego, CA 92101

Work: 619-234-4311 ext 1552

Jkim@

MARTIN, Garnel E. [2014]

2012 Retention Chair

O-5, CDR

USCG

#1 Eagle Road

Alameda, CA 94501

Work: 510-437-3616

Elmer.G.Martin@uscg.mil

NGUYEN, Khoi N., DDS [2012]

2012 Billet/Appointments WG (Adhoc) Chair

O-6, CAPT

USCG

599 Tomales Rd.

BLDG 225

Petaluma, CA 94952

Work:707-765-7208

Khoi.N.Nguyen@uscg.mil

PACKER, Juan K., DDS [2012]

O-5, CDR

IHS

Dental Program Director

Seminole Tribe of Florida

3006 Josie Billie Ave.

Hollywood, FL 33024

Work: 954-962-2009 ext. 10335

Fax: 954-965-1301

Juanpacker@

PETERSON, Sr., Alan C., DMD [2013]

O-6, CAPT

BOP

Chief Dental Officer

United States Penitentiary

601 McDonough Blvd., SE

Atlanta, GA 30315

Work: 404-635-5466 (Clinic)

Axpeterson@

ROACH, Angie, DDS [2012]

2012 DePAC Chair

O-5, CDR

Chief Dental Officer

ICE Health Service Corps

Port Isabel Detention Facility

27991 Buena Vista Blvd

Los Fresnos, TX 78566

(956) 504-7275 office

(956) 504-7273 clinic

(956) 504-7284 fax

Angie.Roach@

SMITH, Deborah DDS [2014]

2012 DePAC Vice Chair

O-6, CAPT

USCG

HSWL Field Office, Eight District

8501 Tanner Williams Road

Mobile, AL 36608

Work: 251-441-6404

Deborah.L.Smith@uscg.mil

SMITH, Maria-Paz U. DMD [2013]

2012 Recruitment Subcommittee Chair

O-6, CAPT

USCG

Senior Dental Officer

Craik Medical Clinic

1 USCG TRACEN

End of Route 238, Bldg. 246

Yorktown, VA 23690

Work: 757-856-2445

Fax: 757-856-2276

Mariapaz.U.Smith@uscg.mil

SPANN, Curtis DDS [2014]

2012 Minority Issues Subcommittee Chair

O-6, CAPT

Chief Dental Officer

ICE Health Service Corps

Florence Detention Center

3250 N. Pinal Parkway

Florence, AZ 85132

Work: 520-868-1547

Curtis.spann@ice.

SULLIVAN, James DDS [2013]

2012 Awards WG Chair

O-6, CAPT

BOP

Chief Dental Officer

FCI-Bastrop

P.O. Box 730

Bastrop, TX 78602

Work: 512-321-3903 ext 4286

Fax: 512-304-0159

Jxsullivan@

VARGAS-DEL TORO, Leira A., DMD, MPH [2013]

2012 Newsletter Editor

O-5, CDR

BOP

Chief Dental Officer

FCI Memphis Federal Correctional Institution

1101 John A. Denie Rd.

Memphis, TN 38134

Work: 901-384-5569/5565

Lvargas-deltoro@

WILLIAMS, Scott B., DDS [2013]

2012 Mentoring Workgroup Chair

O-3, LT

IHS

Staff Dental Officer, Advanced Clinic

W.W. Hastings Indian Hospital

100 S. Bliss Ave.

Tahlequah, OK 74464

Work: 918-458-3150

Scott.Williams@

WILSON, Earlena R., DMD, MPH [2013]

2012 Executive Secretary

2012 Newsletter Editor

O-5, CDR

BOP

Chief Dental Officer

Otisville Federal Prison

Two Mile Drive

Otisville, NY 10963

Work: 845-386-6866

Erwilson@

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