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Saratoga Springs Dentists

(518) 584-8150


South Glens Falls Dentists
(518) 792-2187

Gloversville Dentists

(518) 725-1031


Greenwich Dentists

(518) 692-9333

Clifton Park Dentists
(518) 371-3333


Queensbury Dentists

(518) 792-1108



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Smile Gallery

Cosmetic Dentistry

Invisalign (Invisible Braces)

Zoom Teeth Whitening

Family Dentistry


Pediatric Dentists






The first step to a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.


*Items in bold are required.


Are You a Current Patient?:
Best Time to Call?:
Which Office do you prefer to attend?:
Do you prefer to see a specific dentist?:
Which Dentist?
Do you have dental insurance?:
Insurance Carrier:

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

 Please print, fill out and bring the following three forms to your first appointment:



New Patient Registration Forms


Records Release:

Records Release Form

(New Patients: Fill out and send
this form to your previous dentists
to have your records sent to us.)


Record Release Form

(Current Patients: Fill out and
send this form to us to have your
records sent to a new Dentist.)


Privacy Practices


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Office Phone Numbers:

Saratoga Springs Office
(518) 584-8150

 South Glens Falls Office
(518) 792-2187


Gloversville Office
(518) 725-1031


Greenwich Office
(518) 692-9333


Clifton Park Office
(518) 371-3333


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