Academy of General Dentistry
211 E Chicago Avenue, Suite 900
Chicago, Illinois 60611-1999
(888) AGD-DENT-ext 5300   Fax: (312) 335-3432
Continuing Dental Education Transcript
 
159586 Previous AGD/ADA #  098908521 Member Since: 10/01/2003
Guy F. Grabiak, DMD
3190 S Wadsworth Blvd.
Suite 300
Lakewood, CO 80227-4800		 Status: Pre-Fellow
Passed Exam: 09/15/2007
MAGD Accrual Date: 11/13/2008
PostGrad Work:
 
Current Maintenance Period: 09/01/2006 - 08/31/2009 Current Grace Period: -
Maintenance Credits Required: 75.00 Grace Period Credits Required: 0.00
Current Maintenance Credits: 244.00 Grace Period Credits: 0.00
Maintenance Credits Needed: 0.00 Grace Period Credits Needed: 0.00
Subject / Discipline
Date of Activity Program ID# Provider Organization Name Code Description Delivery Mode Verify Code Approved Hours Maint Hrs.
08/25/2000 209842 Arrowhead Dental Laboratory 550 Practice Management Lecture .00 J .00
06/25/2002 218784 Medical Protective Company 555 Dental Jurisprudence Lecture .00 J .00
06/25/2002 218784 Medical Protective Company 555 Dental Jurisprudence Self Instruction .00 J .00
09/27/2002 220443 Summit Dental Study Group 550 Practice Management Lecture .00 J .00
10/19/2002 214226 University of Colorado School of Dentist 672 Partial Dentures Participation .00 J .00
08/21/2003 217950 Aldo F Leopardi, DDS 690 Implants Participation .00 J .00
08/22/2003 220443 Summit Dental Study Group 780 Esthetics Lecture .00 J .00
10/03/2003 219291 AGD-Colorado 550 Practice Management Lecture 8.00 8.00
10/04/2003 219291 AGD-Colorado 070 Endodontics Participation 4.00 4.00
10/04/2003 219291 AGD-Colorado 135 Laser Therapy / Electosurgery Participation 4.00 4.00
10/31/2003 217389 American Dental Assistants Association ( 370 Orthodontics Lecture vof 16.00 16.00
03/01/2004 214239 Kennedy, Christopher, Childs & Fogg, P.C 555 Dental Jurisprudence Lecture vof .00 P 2.00
03/01/2004 214239 Kennedy, Christopher, Childs & Fogg 555 Dental Jurisprudence Lecture vof .00 P 2.00
08/05/2004 217950 Aldo F Leopardi, DDS 690 Implants Lecture 3.00 3.00
08/07/2004 218642 Biolase Technology, Inc 135 Laser Therapy / Electosurgery Participation 7.00 7.00
10/01/2004 218621 Black Marlin Educational Resources 550 Practice Management Lecture 7.00 7.00
10/01/2004 217580 Sullivan-Schein Dental 738 Communicating Case Presentations Lecture 7.00 7.00
10/28/2004 218621 Black Marlin Educational Resources 070 Endodontics Lecture 21.00 21.00
11/16/2004 213020 Community College of Lake County 130 Electives Lecture .00 P 2.00
11/18/2004 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture 2.50 2.50
02/17/2005 217950 Aldo F Leopardi, DDS 690 Implants Lecture 3.00 3.00
03/03/2005 212144 Metropolitan Denver Dental Society (MDDS 739 Oral Pathology Lecture VOF 1.50 1.50
03/03/2005 217950 Aldo F Leopardi, DDS 739 Oral Pathology Lecture 1.50 1.50
03/12/2005 211003 Dawson Center 780 Esthetics Lecture 4.00 4.00
03/12/2005 211003 Dawson Center 670 Prosthodontics-Removable Lecture 5.00 5.00
03/12/2005 211003 Dawson Center 610 Prosthodontics - Fixed Lecture 5.00 5.00
03/12/2005 211003 Dawson Center 183 Occlusal Management Lecture 5.00 5.00
03/31/2005 217950 Aldo F Leopardi, DDS 690 Implants Lecture 2.50 2.50
04/24/2005 211003 Dawson Academy 183 Occlusal Management Lecture vof 1.00 1.00
05/11/2005 211003 Dawson Academy 180 Myofascial Pain/Occlusion Participation vof 1.00 1.00
05/25/2005 211003 Dawson Center 180 Myofascial Pain Dysfunction/Occlusion Lecture 7.00 7.00
05/25/2005 211003 Dawson Center 183 Occlusal Management Participation 15.00 15.00
06/16/2005 211003 Dawson Academy 180 Myofascial Pain/Occlusion Participation vof 1.00 1.00
06/18/2005 208672 Southern California Center for Osseointe 551 Auxiliary Utilization Participation .00 P 1.00
09/08/2005 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture VOF 2.50 2.50
10/02/2005 209589 Lab One Seminars 780 Esthetics Lecture JT016 22.00 22.00
10/30/2005 218003 Pankey Institute for Advanced Dental Edu 130 Electives Participation 24.00 24.00
10/30/2005 218003 Pankey Institute for Advanced Dental Edu 550 Practice Management Participation 8.00 8.00
11/17/2005 217950 Denver Implant Study Club/Aldo F Leopard 142 Medical Emergency Training and CPR Lecture VOF 2.50 2.50
01/19/2006 212144 Metropolitan Denver Dental Society 130 Electives Lecture 3.00 3.00
01/19/2006 212144 Metropolitan Denver Dental Society 612 Ceramic Restorations Lecture 2.50 2.50
01/19/2006 212144 Metropolitan Denver Dental Society 780 Esthetics Lecture 2.50 2.50
01/20/2006 212144 Metropolitan Denver Dental Society 550 Practice Management Lecture 3.00 3.00
01/21/2006 212144 Metropolitan Denver Dental Society 311 Exodontia Lecture 4.00 4.00
01/21/2006 212144 Metropolitan Denver Dental Society 310 Oral and Maxillofacial Surgery Participation 2.50 2.50
02/23/2006 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture VOF 2.50 2.50
04/01/2006 218621 Black Marlin Educational Resources 671 Complete Dentures Participation 14.00 14.00
04/13/2006 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture vof 2.50 2.50
06/01/2006 217950 Aldo F Leopardi, DDS 690 Implants Lecture 2.50 2.50
08/03/2006 216217 Academy of General Dentistry 180 Myofascial Pain Dysfunction/Occlusion Participation 179 21.00 21.00
08/06/2006 216217 Academy of General Dentistry 780 Esthetics Lecture 143 6.00 6.00
09/28/2006 212144 Metropolitan Denver Dental Society 142 Emergency Training/CPR Lecture 3.00 3.00
10/11/2006 214226 University of Colorado School of Dentist 490 Periodontics Lecture 4.00 4.00
10/26/2006 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture VOF 2.50 2.50
12/13/2006 214226 University of Colorado School of Dentist 016 Pharmacotherapeutics Lecture 016041 4.00 4.00
01/18/2007 212144 Metropolitan Denver Dental Society 550 Practice Management Lecture t2373 1.50 1.50
01/18/2007 212144 Metropolitan Denver Dental Society 550 Practice Management Lecture t2345 1.50 1.50
01/18/2007 212144 Metropolitan Denver Dental Society (MDDS 550 Practice Management Lecture t2354 2.00 2.00
01/19/2007 212144 Metropolitan Denver Dental Society 780 Esthetics Lecture f2379 6.00 6.00
01/20/2007 212144 Metropolitan Denver Dental Society 185 Appliance Therapy Lecture S2419 2.50 2.50
01/20/2007 212144 Metropolitan Denver Dental Society 737 Physical Evaluation Lecture S2416 3.00 3.00
03/08/2007 219232 Arizona Dental Association 671 Complete Dentures Lecture A-12 3.00 3.00
03/09/2007 219232 Arizona Dental Association 550 Practice Management Lecture B-15 3.00 3.00
03/10/2007 219232 Arizona Dental Association 735 Treatment Planning Lecture C-11 6.00 6.00
04/21/2007 219287 AGD-Arizona 730 Oral Medicine, Oral Diagnosis Lecture VOF 20.00 20.00
04/30/2007 217044 American Heart Association (AHA) 142 Medical Emergency Training and CPR Participation VOF 4.00 4.00
07/19/2007 217950 Aldo F Leopardi, DDS 691 Surgical Phase Therapy Lecture 2.50 2.50
09/20/2007 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture vof 1.50 1.50
09/25/2007 216217 Academy of General Dentistry 855 FAGD Exam Study Guide FAGD Study Guide vof 25.00 25.00
10/25/2007 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture VOF 2.50 2.50
11/01/2007 217044 American Heart Association (AHA) 142 Medical Emergency Training and CPR Participation VOF 4.00 4.00
01/17/2008 212144 Metropolitan Denver Dental Society 610 Prosthodontics - Fixed Lecture VOF 2.50 2.50
01/17/2008 212144 Metropolitan Denver Dental Society 671 Complete Dentures Lecture T2440 2.50 2.50
01/18/2008 212144 Metropolitan Denver Dental Society 550 Practice Management Lecture F2549 3.00 3.00
01/18/2008 212144 Metropolitan Denver Dental Society 550 Practice Management Lecture D2469 3.00 Y 3.00
01/19/2008 212144 Metropolitan Denver Dental Society 253 Tooth-Colored Restorations Lecture S2481 3.00 3.00
01/19/2008 212144 Metropolitan Denver Dental Society 130 Electives Lecture S2482 1.50 1.50
03/14/2008 304513 Invisalign (Align Technology) 376 Functional Orthodontics Lecture vof 8.00 8.00
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture BD210 1.25 Y 1.25
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture ZH310 .75 Y .75
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture TH110 1.50 1.50
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture JJ410 1.25 Y 1.25
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture MB510 1.50 Y 1.50
03/28/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture HM610 .75 Y .75
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture RM710 1.00 1.00
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture MB810 1.50 Y 1.50
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture RC910 1.25 Y 1.25
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture JG1010 .75 Y .75
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture HM1110 1.25 Y 1.25
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture MM1210 .50 Y .50
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture PB1310 .75 Y .75
03/29/2008 217657 Academy of Comprehensive Esthetics LLC ( 550 Practice Management Lecture BO1410 1.00 Y 1.00
04/03/2008 219287 AGD-Arizona 130 Electives Lecture T-94 3.00 3.00
04/03/2008 219287 AGD-Arizona 130 Electives Lecture T-95 3.00 Y 3.00
04/04/2008 219287 AGD-Arizona 550 Practice Management Lecture M69 3.00 3.00
04/04/2008 219287 AGD-Arizona 770 Self-Improvement Lecture T14 3.00 3.00
04/05/2008 219287 AGD-Arizona 250 Operative Dentistry Lecture C-62 3.00 3.00
04/05/2008 219287 AGD-Arizona 250 Operative Dentistry Lecture C-63 3.00 Y 3.00
05/06/2008 216647 American Academy of Cosmetic Dentistry ( 770 Self-Improvement Lecture T109 3.00 3.00
05/07/2008 216647 American Academy of Cosmetic Dentistry ( 138 Dental Photography Lecture W172 3.00 3.00
05/08/2008 216647 American Academy of Cosmetic Dentistry ( 253 Tooth-Colored Restorations Lecture W305 3.00 3.00
05/08/2008 216647 American Academy of Cosmetic Dentistry ( 253 Tooth-Colored Restorations Participation R548 3.00 3.00
05/08/2008 216647 American Academy of Cosmetic Dentistry ( 780 Esthetics Lecture R062 3.00 3.00
05/08/2008 216647 American Academy of Cosmetic Dentistry ( 138 Dental Photography Participation R834 3.00 3.00
05/09/2008 216647 American Academy of Cosmetic Dentistry ( 673 Overlay Dentures Lecture F101 3.00 3.00
05/09/2008 216647 American Academy of Cosmetic Dentistry ( 780 Esthetics Participation F508 2.50 2.50
05/10/2008 216647 American Academy of Cosmetic Dentistry ( 735 Treatment Planning Lecture S352 3.00 3.00
06/13/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 1.50
06/13/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 2.50 Y 2.50
06/13/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.00 Y 1.00
06/13/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 Y 1.50
06/13/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 Y 1.50
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.00 1.00
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 Y 1.50
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 2.50 Y 2.50
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 Y 1.50
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.00 Y 1.00
06/14/2008 217657 Academy of Comprehensive Esthetics LLC ( 612 Ceramic Restorations Lecture vof 1.50 Y 1.50
09/12/2008 220443 Summit Dental Study Group 550 Practice Management and Human Relations Lecture vof 6.00 6.00
09/26/2008 212144 Metropolitan Denver Dental Society (MDDS 780 Esthetics Lecture vof 3.00 3.00
10/02/2008 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture vof 2.50 2.50
10/18/2008 216297 Tennessee Academy of Cosmetic Dentistry 780 Esthetics Lecture vof 16.00 16.00
11/06/2008 217657 Academy of Comprehensive Esthetics LLC ( 770 Self-Improvement Lecture j1120 2.00 2.00
11/07/2008 217657 Academy of Comprehensive Esthetics LLC ( 690 Implants Lecture al215 3.50 3.50
11/08/2008 217657 Academy of Comprehensive Esthetics LLC ( 780 Esthetics Lecture mm240 4.00 4.00
11/08/2008 217657 Academy of Comprehensive Esthetics LLC ( 253 Tooth-Colored Restorations Lecture t5275 3.00 3.00
11/13/2008 217950 Denver Implant Study Club/Aldo F Leopard 690 Implants Lecture vof 2.50 2.50
*Note about verification codes: "VOF" in the verification code field indicates that the provider did not assign a course verification code but the AGD has a copy of the CE certificate on file. For self-study courses and exams, if the score is provided, it is reported as the verification code.
FAGD SUMMARY OF TRANSCRIPT
DELIVERY HOURS EARNED MAX ALLOWED USABLE HOURS
EXAM STUDY GUIDE 25.00 25.00 25.00 *
LECTURE 358.00 --- 358.00 *
MILITARY ROTATION 0.00 200.00 0.00 *
PARTICIPATION 118.00 --- 118.00 *
POSTGRAD 0.00 250.00 0.00 *
SELF INSTRUCTION 0.00 150.00 0.00 *
TEACHING_PUBLICATION 0.00 150.00 0.00
* Total earned in these Delivery Modes:   501.00
Minimum combined hours required for these Delivery Modes:  350.00 		501.00 501.00

DISCIPLINE SUMMARY
DISCIPLINE / DESCRIPTION TOTAL HOURS TOTAL ALLOWED TOTAL USABLE
010 Basic Science 4.00 150.00 4.00
070 Endodontics 25.00 150.00 25.00
130 Electives 90.00 150.00 90.00
180 Myofascial Pain/Occlusion 53.50 150.00 53.50
250 Operative (Restorative) Dentistry 18.00 150.00 18.00
310 Oral and Maxillofacial Surgery 6.50 150.00 6.50
370 Orthodontics 24.00 150.00 24.00
430 Pediatric Dentistry 0.00 150.00 0.00
490 Periodontics 4.00 150.00 4.00
550 Practice Management and Human Relations 64.00 150.00 64.00
610 Prostodontics/Fixed 27.00 150.00 27.00
670 Prosthodontics/Removable 27.50 150.00 27.50
690 Implants 38.50 150.00 38.50
730 Oral Medicine, Oral Diagnosis, Oral Pathology 42.00 150.00 42.00
750 Special Patient Care 0.00 150.00 0.00
770 Self-Improvement 8.00 10.00 8.00
780 Esthetics/Cosmetic Dentistry 69.00 150.00 69.00
820 Post Grad Education 0.00 250.00 0.00
830 Teaching Full-Time 0.00 150.00 0.00
Summary *Congratulations!  You may have met the 500-hour requirement for Fellowship.  For information on Fellowship, to request a Fellowship application or to schedule the Fellowship Exam call 888-AGD-DENT or contact us online at www.agd.org.
Hours Required for FAGD Award: 500.00
Hours Earned towards FAGD Award: 501.00
Hours Remaining to achieve FAGD Award: 0.00
MAGD SUMMARY OF TRANSCRIPT
DELIVERY (POST-FAGD) Earned Hours Maximum Allowed Total Usable Hours
TOTAL ALL DELIVERY MODES: 0.00 0.00

DISCIPLINE SUMMARY
PARTICIPATION HOURS   MAGD HOURS   TOTAL HOURS
DISCIPLINE / DESCRIPTION Minimum Hours Required Total Hours Earned Hours To Go Minimum Hours Required Total Hours Earned Hours To Go Total Hours Earned
010 Basic Science 12.00 0.00 12.00 12.00 0.00 12.00 4.00
070 Endodontics 30.00 4.00 26.00 46.00 4.00 42.00 25.00
130 Electives 30.00 46.00 0.00 46.00 46.00 0.00 90.00
180 Myofascial Pain/Occlusion 30.00 38.00 0.00 46.00 38.00 8.00 53.50
250 Operative (Restorative) Dentistry 30.00 3.00 27.00 46.00 3.00 43.00 18.00
310 Oral and Maxillofacial Surgery 30.00 2.50 27.50 46.00 2.50 43.50 6.50
370 Orthodontics 12.00 0.00 12.00 12.00 0.00 12.00 24.00
430 Pediatric Dentistry 12.00 0.00 12.00 12.00 0.00 12.00 0.00
490 Periodontics 30.00 0.00 30.00 46.00 0.00 46.00 4.00
550 Practice Management and Human Relations 0.00 8.00 0.00 24.00 8.00 16.00 64.00
610 Prostodontics/Fixed 30.00 0.00 30.00 46.00 0.00 46.00 27.00
670 Prosthodontics/Removable 30.00 14.00 16.00 46.00 14.00 32.00 27.50
690 Implants 30.00 0.00 30.00 46.00 0.00 46.00 38.50
730 Oral Medicine, Oral Diagnosis, Oral Pathology 12.00 0.00 12.00 12.00 0.00 12.00 42.00
750 Special Patient Care 12.00 0.00 12.00 12.00 0.00 12.00 0.00
770 Self-Improvement 0.00 0.00 0.00 0.00 0.00 0.00 8.00
780 Esthetics/Cosmetic Dentistry 30.00 2.50 27.50 46.00 2.50 43.50 69.00
820 Post Grad Education 0.00 0.00 0.00 0.00 0.00 0.00 0.00
118.00 274.00 118.00 426.00 501.00
Total Participation Hours Required: 400.00 Total Overall Hours Required: 1100.00
Minimum Participation Hours Still Required: 282.00 Minimum Overall Hours Still Required: 599.00
Once you receive Academy Fellowship you may apply for Mastership. This chart shows how many of your credits will apply toward Mastership, based on the date you completed the hours for Fellowship. You will know you have completed the requirements for Mastership when this chart shows the following: 1) both 'To Go' columns are all zeros, and 2) both 'Total Hours Earned' columns reach the required numbers for Participation and Overall. Contact us at 888-AGD-DENT or www.agd.org for an application for Mastership.
NOTE: Minimum hours required are Post-FAGD requirements for Mastership. Total Participation hours include pre-Fellow hours. Overall hours include all hours earned since date of FAGD award (see MAGD Accrual Date on page 1.)