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Page 2494 Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:47 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) DDS Facility: NYM Unit: H01 Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: 0 Missing: 1 Filled: 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by (b)(6); (b)(7)(C) DDS on 07/26/2019 07:47. Generated 07/26/2019 08:00 by (b)(6); (b)(7)(C) DDS Bureau of Prisons - NYM Page 1 of 1