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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
516-591-3908

Hours

Mon:

9:00 AM

 - 

6:00 PM

Wed:

9:00 AM

 - 

6:00 PM

Fri:

9:00 AM

 - 

6:00 PM

Open every other Saturday
9:00 AM – 2:00 PM

Smile Couture Reviews

This will be my new Dentist going forward. Very professional and knowledgeable. Highly recommend

J.V. ZocDoc

I always hated the dentist and dreaded to go but doctor Anna changed my perspective, she’s understanding and talks you through the process to make you feel comfortable, never had a better dental experience:)

A.P. Google

Dr. Anna Nektalova is great. Very kind.

Anonymous ZocDoc

I’m scared of the dentist but my experience was great

J.F. ZocDoc

I’ve been searching for a decent dentist for years & after my first visit to Smile Couture I knew I had found an excellent dentist. Dr. Anna is meticulous & precise. Every operation I’ve had done by her was not only a painless success, but also a pleasure. 10/10

G. ZocDoc

25

Total Reviews

5

Average Rating

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