Pediatric Dentist and Orthodontist New York, NY 10023
Appointment Request

 

Please provide the following contact information:

First Name

 

Last Name

 

Work Phone

 

Home Phone

 

E-mail

 
Appointment request for:

Name of Patient

 

Age

 
   
Reason for appointment:

Cleaning and X-Ray

Toothache or other emergency

Other

Additional information:

Please type "123" in the box at right to validate your response.

For your convenience prior to visiting our office, please  click on the link below to print the New Patient Form, complete the information and bring it with you to your first visit.

Accepted Insurance for Pediatric:

  • Metlife
  • Delta Dental
  • Aetna
  • Oxford
  • Cigna
  • Principal
  • Guardian
  • Unicare
  • United Health Care
  • Empire BCBS
  • Ameritas
  • Dentamax

 

 

 

 

Accepted Insurance for Ortho:

  • Careington/DEP/GHI/HIP
  • Guardian PPO/HMO
  • DeCare
  • PBA-
  • Aetna
  • Assurant
  • CSEA
  • United Healthcare
  • Empire Blue Cross/Blue Shield
  • First Ameritas/Principal
  • Dentistat
  • Delta Dental/HMO
  • Cigna HMO
  • Dental Direct
  • Oxford
  • Unicare
  • Cigna Dental DHMO
  • Metlife

 

 

 

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New York, NY Pediatric Dentist and Orthodontics serving children and teens in the surrounding cities and areas of New York, NY.

115 Central Park West  New York, NY 10023 ~ (212) 362-3360
180 West End Avenue  New York, NY 10023 ~ (212)799-2310
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