Get $50,000 Of Dental Relief For Our Veterans!

Suburban Essex Dental Is Celebrating 75 Years of Continued Patient Care And We Want To Recognize And Give BackTo Our Veterans.

We have created Smile Ops to give our veterans a reason to smile by providing $50,000 worth of complimentary dental care to qualified veterans in Essex County.

Qualifications:

If you or someone you know has served or is serving in the military, and they live in Essex County, they may qualify for the Dental Relief Program. The program will begin on May 28th 2018, Memorial Day and continue until all of the $50,000 has been utilized.

How To Register:

Please fill out the form on this page and submit the information to Smile Ops. Someone from our office will respond to set up a time for a brief phone consultation to determine if you or the veteran you recommend are eligible to qualify for this program.

Dental Insurance:
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Are you currently experiencing dental pain:
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Our Notice of Privacy Practices provides information about how we may use or disclose protected health information. The notice contains a patient’s rights section describing your rights under the law. You ascertain that by your signature that you have reviewed our notice before signing this consent. The terms of the notice may change, if so, you will be notified at your next visit to update your signature/date. You have the right to restrict how your protected health information is used and disclosed for treatment, payment or healthcare operations. We are not required to agree with this restriction, but if we do, we shall honor this agreement. The HIPAA (Health Insurance Portability and Accountability Act of 1996) law allows for the use of the information for treatment, payment, or healthcare operations. By signing this form, you consent to our use and disclosure of your protected healthcare information and potentially anonymous usage in a publication. You have the right to revoke this consent in writing, signed by you. However, such a revocation will not be retroactive. By signing this form, I understand that: Protected health information may be disclosed or used for treatment, payment, or healthcare operations. The practice reserves the right to change the privacy policy as allowed by law. The practice has the right to restrict the use of the information but the practice does not have to agree to those restrictions. The patient has the right to revoke this consent in writing at any time and all full disclosures will then cease. The practice may condition receipt of treatment upon execution of this consent.