Make An Appointment

To make an appointment, simply call us at
(845) 794-4545 during business hours:

Monday 9:00 a.m.
-
5:00 p.m.

Tuesday 9:00 a.m.
-
6:00 p.m.

Wednesday 9:00 a.m.
-
6:00 p.m.

Thursday 9:00 a.m.
-
5:00 p.m.

Friday 9:00 a.m.
-
5:00 p.m.

Saturday 9:00 a.m.
-
3:00 p.m.

or fill out the information below and we will contact you shortly to set up a time that's convenient for you!

NOTICE: The following form is not secured by encryption. If you are concerned about sending information through an unsecure channel, please call our office.

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	Name: *
	Daytime Phone: *
	E-mail Address: *
	Will this be your first visit with us?
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	Nature of the appointment:
	New Patient Exam Regular Cleaning Cosmetic Dentistry Consultation TMJ / TMD Consultation Other - Explain:
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© Copyright 2007- Dental WebSmith, Inc. and Jeffrey Cohen, D.D.S. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.