dental patient filling out form

Patient Registration - Plainview, Massapequa & Levittown, NY

Be Prepared for Your First Visit

Pre-Register Online

Please choose the button for the office where your procedure is scheduled and fill out the form as completely as possible. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. You will then have an opportunity to upload an image of your insurance card. On your first visit to our office, we will have your completed form available for your signature.

We Don’t Keep Standards, We Set Them

You may preregister with our offices by filling out our secure online Patient Registration forms below. If you have questions, please call the office where you will be seen:

Plainview Oral and Implant Surgery Phone Number 516-789-5525 Plainview 
Massapequa Oral and Implant Surgery Phone Number 516-789-5525
Massapequa 
Levittown Oral and Implant Surgery Phone Number 516-789-5525
 Levittown

Our Office Hours

Plainview Office Hours

  • Monday: 8:45 AM - 5:00 PM
  • Tuesday: 8:45 AM - 5:00 PM
  • Wednesday: 8:45 AM - 5:00 PM
  • Thursday: 8:45 AM - 5:00 PM
  • Friday: 8:45 AM - 5:00 PM
  • Saturday: 8:45 AM - 1:00 PM

Massapequa Office Hours

  • Monday: 8:45 AM - 5:00 PM
  • Tuesday: 8:45 AM - 5:00 PM
  • Wednesday: 8:45 AM - 5:00 PM
  • Thursday: 8:45 AM - 5:00 PM
  • Friday: 8:45 AM - 5:00 PM
  • Saturday: 8:45 AM - 1:00 PM

Levittown Office Hours

  • Monday: 8:45 AM - 5:00 PM
  • Tuesday: 8:45 AM - 5:00 PM
  • Wednesday: 8:45 AM - 5:00 PM
  • Thursday: 8:45 AM - 5:00 PM
  • Friday: 8:45 AM - 5:00 PM
  • Saturday: Closed

Register Now!

We look forward to meeting you.