Contact Us

(212) 371-0360 | (212) 308-3080

30 Central Park South
New York, New York

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Park Plaza Dental Specialties: A Multi-Specialty Dental Practice

Central Park, NYC

Online Forms

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At park Plaza Dental Specialties, we sincerely believe you will find our approach to your care to be extraordinarily unique and contemporary. Above all, when you walk through our doors you will be treated with the utmost compassion and respect. We are delighted to have you as a patient and we welcome you to our practice.

 

Please fill out and submit online the Patient Registration and HIPAA Forms prior to coming to our office; or print, fill them out and then bring them with you to your appointment. This will save you office waiting time.

 

For physicians who are kindly referring patients to us, please feel free to submit the Referral Form.

 

 

Patient Registration Form


HIPAA Form


Referral Form

 

 

 

This form requires PDF reader software to open. If you need the software you can download it here, free from the Adobe Reader website.

  • Professor of Clinical Dentistry at New York University, College of Dentistry
  • Double-specialty in Prosthodontics and Periodontics
  • American Top Dentists for 2007 & 2010
  • New York Top Doctors & Dentists Award for 2011
  • 30 Years of experience in teaching and private practice
  • State of the art Equipment and facilities
  • Up-to date in research and developments in dentistry
  • Personalized and gentle care

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