Become a Patient of Endodontics

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Typically, treatment can be completed the same day as the consultation. However, more complex cases may require additional appointments to complete the treatment properly.

Please assist us by providing the following information at the time of your consultation:

Your referral slip.

If you have medical or dental insurance that requires paper forms to be filled out please bring them with you.

We encourage our patients to register online and provide their information prior to your scheduled office visit. (Click on the patient registration link located below.) This greatly reduces in-office wait time. Please be assured that your information is transmitted with SSL encryption and your data will remain secure with us. Our office maintains strict HIPAA confidentiality and will not share your information with any third party not permitted by you.

Please alert the doctor upon your arrival if you have a medical condition that may be of concern prior to surgery.

Patient Registration

Please Click the link below to be redirected to our secure Denticon Patient Registration system.

• Online Patient Registration

Note: In the insurance section please be sure to fill out the following 6 pieces of information:

• Dental insurance carrier
• Dental insurance ID#
• Dental insurance group #
• Employer through which insurance was obtained (If purchased privately list private or n/a)
• Insurance subscriber Name
• Insurance subscriber Date of birth

Your data will be transmitted through an encrypted web page and your data will be secure. Our office maintains strict patient confidentiality as detailed by HIPAA regulations. If you have any questions or concerns our receptionist can be reached at (201) 836-8000 and will be happy to help you.

Following your online registration call the office to speak with our receptionist to confirm registration and finalize your scheduled appointment. (201) 836-8000.

Printable Forms

• Printable Patient Registration