Book Online

Patient Information

Patient Forms

By agreeing to the terms of our secure forms, you will enter a secure area of our web site. Midtown Endodontist NYC will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by Midtown Endodontist NYC. Your request will be processed within 24 hours, during normal business hours, Mon, Tue, Thu 8:30 – 6:00, Wed, Fri 7:30 – 4:00, Sat 8:00 – 2:00 excluding holidays. If you do not accept the terms of this disclaimer, you will not be able to process your request on-line. If you have any questions regarding the use of these forms, please contact our office during normal business hours.

NYC Dental Flexible Payment Options

Flexible Payment Options


  • We accept several PPO insurances
  • We accept Guardian HMO insurance
  • We accept all major Credit Cards
  • We accept third-party financing (CityHealth, CareCredit)
  • We accept FSA (Flex Spending Benefits)
  • We accept some medical insurance in case of injury
  • We accept some medical insurance in case of underlying medical condition

We DO NOT accept Personal checks
We DO NOT accept Medicare
We DO NOT accept Medicaid
We DO NOT accept HMO or DMO insurance

NYC Dental Major Insurance Providers Accepted

Major Insurance Providers Accepted

Please note we do not participate with most DMO/HMO insurance. View full list of companies
Allegiant Dental Guard
Allied Benefits Systems Inc
Anthem BCBS
Assurant Employee Benefits
Cigna Discount Plan
Cigna Plus Savings
Connection Dental
Core Source
Delta Dental
Direct Dental Administrators
First Ameritas
Group Administrators
Guardian Dental Guard
GWH-Cigna (formerly Great West Healthcare)
Liberty Dental
PPO Plus
Principal Financial Group
Reliance Standard
Standard of NY
United Concordia
United Concordia Dental
United Medical Resources (UMR)
Midtown Endodontist NYC