(914) 948-0088
info@whiteplainsnydental.com
Home
About Us
Dr. Poznyansky – Dentist
Dr. Amanda Hochstein – Periodontist
Dr. Afshin Badi – Endodontist
Dr. Rose Amable – Pediatric Dentist
Melissa Hernandez – Dental Hygienist
Trheisy Anaya – Office Manager
Services
Pediatric Dentistry
Infants and Toddlers
Young Children
Teenagers
Family Dental
Cosmetic Dentistry
Cosmetic Dentistry FAQ
Invisalign®
Dental Implants
Zoom® Teeth Whitening
Restoration Dentistry
Root Canal
Dental Crowns
Dental Crowns, Caps and Bridges
Periodontal Disease
Sedation Dentistry
Invisalign®
About Invisalign®
The Invisalign® Process
How to Care for Invisalign®
iTero Element
New Patients Center
New Patient Login
Health History Form
Insurance Options
Video Testimonials
Technology
Smile Gallery
Our Dental Health Blog
Contact Us
Leave a Review!
Home
About Us
Dr. Poznyansky – Dentist
Dr. Amanda Hochstein – Periodontist
Dr. Afshin Badi – Endodontist
Dr. Rose Amable – Pediatric Dentist
Melissa Hernandez – Dental Hygienist
Trheisy Anaya – Office Manager
Services
Pediatric Dentistry
Infants and Toddlers
Young Children
Teenagers
Family Dental
Cosmetic Dentistry
Cosmetic Dentistry FAQ
Invisalign®
Dental Implants
Zoom® Teeth Whitening
Restoration Dentistry
Root Canal
Dental Crowns
Dental Crowns, Caps and Bridges
Periodontal Disease
Sedation Dentistry
Invisalign®
About Invisalign®
The Invisalign® Process
How to Care for Invisalign®
iTero Element
New Patients Center
New Patient Login
Health History Form
Insurance Options
Video Testimonials
Technology
Smile Gallery
Our Dental Health Blog
Contact Us
Leave a Review!
Pediatric Appointment Request
19 S Broadway White Plains, NY 10601 • (914) 948-0088
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Appointment Request – Pediatrics
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1
Step 1
Please complete the form below to request and appointment.
Name
your full name
Phone:
your number
Email:
a valid email
Date:
of appointment
Time
of appointment
00
01
02
03
04
05
06
07
08
09
10
11
12
00
15
30
45
Patient Type
choose one
Patient Type
New Patient
Returning Patient
Insurance
name of plan
Insurance Type:
PPO
HMO/DMO
Not Applicable
Age
How old is your child?
How did you find us?
Choose one:
Patient
Friend
Google
Facebook
Bing
Other
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