570 N Broad Street Suite 6 Elizebeth, NJ
  Call Us: 908-353-3790
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instructions

Initial Visit

Your first appointment will consist of a comprehensive examination including an oral cancer screening and any necessary digital X-Rays. Upon completion of examination, a consultation explaining diagnosis and treatment options will be reviewed with you.

Please assist us by providing the following information at the time of your consultation:

  • Please complete the patient intake form provided on our website. Alternatively, you can print the PDF version here and email or fax it into our office
  • A list of medications you are presently taking.
  • Photo ID & Insurance card
Patient Care

Your Portal

Form

Emergencies

Payment

Before your first visit we require you to complete a first visit form. Complete your patient intake form here or print and email it to us.

For all subsequent visits please complete this form and email it to us before your visit to save on waiting time. 

You can also complete the form at your appointment

We understand and accommodate dental emergencies. In case of Emergency please contact our emergency line and leave a detailed message. Our secretary will return the call as soon as possible to set up an appointment.

We accept all PPO Plans, Cash, Check, Credit and Care Credit

 
 
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