Official Team Dentists of the New York Islanders

Appointment Request

To schedule an appointment with Cosmetic Dentistry of Long Island you may call our office at 516-921-0222 or complete the appointment request form below. We will then contact you within one business day to confirm your appointment.

If this is an emergency, or if you are trying to cancel or change an existing appointment, please do not use this form. Contact us by phone at 516-921-0222.

First name:
Last name:
Address:
City:
State/Province:
Zip/Postal Code:
Phone:
E-mail:

Preferred Dates:

Preferred Times:

Please describe your symptoms: