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Electronic Submission Consent

I acknowledge that the information I am submitting may include protected health information ("PHI") as defined under the Health Insurance Portability and Accountability Act ("HIPAA"). I understand that this information will be transmitted electronically to the healthcare practice I have selected. By checking this box, I consent to the electronic submission and transmission of my information for the purpose of requesting an appointment or related services. Further, you represent that you have the authority to make this acknowledgement, either as the individual for whom this form is intended or as the personal representative of such user. I understand that while this form uses encryption to protect my information during transmission, no electronic communication can be guaranteed to be fully secure. For more information about Smile Couture's privacy policy, please see our privacy policy.
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Address

Smile Couture
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3318 Merrick Road

Wantagh, NY 11793

Phone

phone
516-400-1127

Hours

Mon:

9:00 AM

 - 

6:00 PM

Wed:

9:00 AM

 - 

6:00 PM

Thu:

9:00 AM

 - 

6:00 PM

Fri:

9:00 AM

 - 

6:00 PM

Smile Couture Reviews

Dr. Anna was amazing. This was my first time with her and only picked her because of the great reviews, they were right! She was thoughtful and cared about me being comfortable, she took the time to explain everything to me and she’s also funny and just overall nice. I will continue to come to her!

E.K. ZocDoc

Dr. Anna is the best! She did my composite bonding and it looks so natural

K.M. Google

Highly recommended.

R.H. ZocDoc

this dentistry is possibly the best ive ever been to on long island. the staff is very friendly ,the dentist actually care about your smile and teeth. helpful advice and fair co-pay with insurances. Will be making this dentistry my primary go to and recommend friends and loved ones.

V.F. Google

⭐⭐⭐⭐⭐Absolutely amazing experience at Smile Couture! The entire team is so kind, caring, and professional. They make you feel comfortable from the moment you walk in and truly treat you like family. The office is beautiful, the staff is wonderful, and the care is top-notch. I couldn’t be happier with my experience and highly recommend Smile Couture to anyone looking for an amazing dentist!

S.L. Google

76

Total Reviews

5

Average Rating

star-full star-full star-full star-full star-full
All Reviews