Northshore Prosthodontics Associates
Prosthodontics
23 Bond Street, Great Neck, NY 11021
516-482-5416
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      • Introduction
      • Meet Dr. Tuminelli
      • Meet Dr. Korin
      • Meet Dr. Ayvazian- Tuminelli
      • Meet the Staff
    • Patient Information
      • Introduction
      • First Visit
      • Scheduling
      • Financial Policy
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      • Pain Control
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    • Bonding
    • Dental Implants
    • Dentures
    • Bleaching
    • Bridges
    • Crowns
    • Cleft Palate
  • Woodbury Office
    • Meet Us
      • Introduction
      • Meet Dr. Korin
      • Meet Dr. Surks
      • Meet Dr. Boadway
      • Meet Dr. DeSimone
      • Meet the Staff
    • Patient Information
      • Introduction
      • First Visit
      • Scheduling
      • Financial Policy
      • Sedation
      • Pain Control
      • Insurance
      • Privacy Policy
      • FAQ
      • Patient Testimonials
    • Hygiene
      • Introduction
      • Oral Hygiene
    • Dental Health
      • Oral Hygiene
      • Child Dentistry
      • Periodontal Maintenance
      • Dental Specialties
    • Veneers
    • Inlays & Onlays
    • Bonding
    • Dental Implants
    • Dentures
    • Bleaching
    • Bridges
    • Crowns
    • Cleft Palate
    • Invisalign
  • Affiliations
    • GNYAP Ceremony
  • Meet Us
    • Meet Dr. Tuminelli
    • Meet Dr. Korin
    • Meet Dr. Surks
    • Meet Dr. Ayvazian- Tuminelli
    • Meet Dr. Boadway
    • Meet Dr. DeSimone
    • Meet the Staff
    • Office Tour
  • Photo Gallery
    • Our Patients
  • Testimonials
  • Online Forms
    • Patient Registration
  • Contact Us
    • Great Neck Map
    • Woodbury Map
    • Email Us

Online Forms

  • Patient Registration

Patient Registration

For your convenience, our Patient Registration Form can be downloaded on your computer and printed out for you to complete at your leisure. Please be sure to bring these completed forms along with any x-rays and referral slips given to you by a referring doctor and any insurance information (and referrals for HMO policyholders), at the time of your appointment. We look forward to meeting you!

  • Click here to download the Patient Registration Form.

Please Note:

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.

Northshore Prosthodontic Associates - Great Neck NY
Address: 23 Bond St • Great Neck NY 11021
Phone: 516-482-5416 • Fax: 516-482-5497

 

Northshore Prosthodontic Associates - Woodbury NY
Address: 800 Woodbury Rd., Suite H • Woodbury, NY 11797
Phone: 516-364-2333 • Fax: 516-364-4765

 

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