Patient Registration

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 516-822-7880 Plainview • Massapequa Oral and Implant Surgery Phone Number 516-798-4143 Massapequa • Levittown Oral and Implant Surgery Phone Number 516-735-8723 Levittown.

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 - 2:00 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 - 2:00 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:   8:45 AM - 1:00 PM

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.

Plainview Patient Registration

Massapequa Patient Registration

Levittown Patient Registration

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.


 
Prepare Financially for your appointment

More information about these healthcare financial programs can be found on our Financial Policy page.