Request an Appointment

The first step towards a beautiful, healthy smile is to schedule an appointment with North Shore Restorative & Implant Dentistry. Please contact our office by completing the appointment request form below. You can also call our Roslyn, NY office at (516) 484-6394. Our scheduling coordinator will contact you to confirm your appointment.

If you are an existing patient, this contact form should not be utilized for communicating private health information.

Privacy Policy
Your Name*
Your E-mail Address*
Your Phone Number
I am interested in
- Scheduling Appointment
- Dental Implants
- Dental Crowns
- Bonding
- Porcelain Veneers
- Teeth Whitening
Best Time for Appointment
- Morning
- Afternoon
Preferred Day of Week
- M
- T
- Th
- F
How did you hear about us?
Comments/Questions
Preference
This field is for validation purposes and should be left unchanged.

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