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Licensing details for: 43027

Name: KHODAI, SHAHRAM

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Probationary License

Probation Summary: Description: Shahram Khodai (Respondent) entered into a 5 year Probationary Term imposed pursuant to a stipulated settlement, effective December 8, 2023. This probationary term is anticipated to end December 7, 2028. Below is the cause alleged in the statement of issues:
• Gross Negligence
• Unprofessional Conduct – Excessive Administration of Treatment
• Unprofessional Conduct
• Failure to Allow an Inspection or Any Part Thereof
• Unprofessional Conduct – Use of fictitious Name other than Name Person is Licensed
Culpability: Respondent understands and agrees that the charges and allegations in Second Amended Accusation Number 4402019001900, If proved at a hearing, constitute cause for imposing discipline upon his Dental License and Oral Conscious Sedation Permit.
For the purpose of resolving the Second Amended Accusation without the expense and uncertainty of further proceedings, Respondent agrees that, at a hearing, Complaint could establish a factual basis for the charges in the Seconded Amended Accusation, and that Respondent herby gives up his right to contest those charges.
Respondent agrees that his Dental License and Oral Conscious Sedation Permit are subject to discipline, and he agrees to be bound by the Board’s probationary terms as set forth in the Disciplinary order below.
Restrictions of Practice: Below of the terms of the Disciplinary Order, terms 1-17 are considered standard:
1. Obey All Laws
2. Quarterly Reports
3. Comply with the Board’s Probation Program
4. Address Change, Name Change, License Status
5. Meetings and Interviews
6. Status of Residency, Practice, or Licensure Outside of State
7. Submit Documentation
8. Cost Recovery – Ordered to Reimburse the Board the Amount of $31,445.00
9. Probation Monitoring Costs
10. License Surrender
11. Function as a Licensee
12. Continuance of Probationary Term/Completion of Probation
13. Sale or Closure of an Office and/or Practice
14. Notification
15. Remedial Education
16. Restitution
17. Community Service
18. Supervised Proactive
19. Ethics Course

Address of Record

1501 secret ravine parkway
#1224
ROSEVILLE CA 95661
PLACER county
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Practice Location

3517 Marconi Ave #105
SACRAMENTO CA 95821
SACRAMENTO county
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Issuance Date

August 3, 1995

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
2:38:53 AM

Disciplinary Actions

Start: December 8, 2023

End: December 7, 2028

Action: Revoked, Stayed, Probation

Public Record Documents

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: SHAHRAM KHODAI, DDS

License/Registration Type: Additional Office Permit

License Number: 7471 Primary Status: Cancelled

Address :
2043 ANDERSON ROAD #A
DAVIS CA 95616
YOLO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DESIGNS OF ROCKLIN, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5181 Primary Status: Cancelled

Address :
6000 FAIRWAY, STE 18
ROCKLIN CA 95677
PLACER COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STANFORD RANCH DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3403 Primary Status: Cancelled

Address :
6000 FAIRWAY STE #18
ROCKLIN CA 95677
PLACER COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DREAM SMILES DENTAL, DENTAL OFFICE OF DR. SHAHRAM J. KHODAI

License/Registration Type: Fictitious Name Permit

License Number: 8810 Primary Status: Cancelled

Address :
3984 DOUGLAS BLVD.
STE. 170
ROSEVILLE CA 95661
PLACER COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: DAVIS FAMILY DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 3296 Primary Status: Cancelled

Address :
2043 ANDERSON ROAD SUITE A
DAVIS CA 95616
YOLO COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: SMILE DESIGNS OF ROCKLIN, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5181 Primary Status: Cancelled

Address :
6000 FAIRWAY, STE 18
ROCKLIN CA 95677
PLACER COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: STANFORD RANCH DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3403 Primary Status: Cancelled

Address :
6000 FAIRWAY STE #18
ROCKLIN CA 95677
PLACER COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: DREAM SMILES DENTAL, DENTAL OFFICE OF DR. SHAHRAM J. KHODAI

License/Registration Type: Fictitious Name Permit

License Number: 8810 Primary Status: Cancelled

Address :
3984 DOUGLAS BLVD.
STE. 170
ROSEVILLE CA 95661
PLACER COUNTY

Map

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: KHODAI, SHAHRAM

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 1045 Primary Status: Expired

Address :
1501 Secret Ravine Pkwy
1224
ROSEVILLE CA 95661-6000
PLACER COUNTY

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