65 Broadway Dental
65 Broadway Dental
65 Broadway
New York, NY 10006
(212) 430-3888

New Patient Information

office chair


Your first visit to 65 Broadway Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information and give you time to get to know your dentist. To understand what to expect from your first visit to our practice, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, patient forms and more.

Our Mission

Our friendly staff is dedicated to caring for you and your entire family's oral health and well-being. We take the time to create a personalized treatment for each patient and we offer a wide range of services, from family and cosmetic dentistry to periodontal and implantology. It is our goal to make your visit with us an extremely pleasant one and to send you home with a beautiful and healthy smile.

office desk

Patient Forms

At 65 Broadway Dental, we offer exceptional dental care in NYC such as family and cosmetic dentistry. If you are interested in visiting our office, be sure to fill out a new patient form to prepare for your first consultation.

Please print and fill out these forms so we can expedite your first visit:

Medical History Form
Privacy Policy Disclosure Forms
Insurance Form Agreement
Treatment and Consent Form
Patient Membership Agreement

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What to Expect at Your First Visit

Your first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to our caring staff. On your first visit, we will review your medical and dental histories and evaluate your oral health. We will take digital x-rays of your teeth and explain to you whether or not you will require any dental treatment.