We enjoy having you as a patient and we are committed to making our relationship together as fulfilling as possible. In order to continue to serve happy patients, we would appreciate your suggestions and comments about our services.

Please fill out the form below and click the “Send” button to send us your comments. Because your comments are sent over the Internet, please do not include sensitive or personal information on this form..


    Were you pleased with our scheduling system and the general flow of your appointment?
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    Did you feel like our doctor(s) and team explained fully your treatment options, instructions, and questions?
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    Did you feel like our team was ready and eager to assist you?
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    Are there any areas in which our service could be improved?
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    Our practice values happy, satisfied patients and our success is based on our patients' recommendations. Would you refer your friends and family to us?
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    A successful practice doesn’t just happen. It is the result of a strong commitment to excellence in our treatment and in our relationships with patients and doctors. We’d like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family, and colleagues. We’re gratified to find how many new patients regularly call on us based on your words of advice.

    If you are a patient of record who has referred a new patient to us, please let us know by filling out and submitting the following form.


      A successful practice doesn’t just happen. It is the result of a strong commitment to excellence in our treatment and in our relationships with patients and doctors. We’d like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family, and colleagues. We’re gratified to find how many new patients regularly call on us based on your words of advice.

      If you are a doctor who is referring a patient to us, please fill out and submit the following form.


        Radiographs Sent?
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        Shirley
        Location

        640 Montauk Highway
        Suite # C

        Shirley, NY 11967

        631.399.1600
        Shirley@OrthoSmiles4u.com

        Monday

        Winter-9:00am-6:00pm
        Summer-9:00am-6:00pm

        Tuesday

        Winter-8:00am-5:00pm
        Summer-8:00am-4:30pm

        Wednesday

        Winter-9:00am-5:00pm
        Summer-8:00am-4:00pm

        Thursday

        Winter-9:00am-6:00pm
        Summer-8:00am-4:30pm

        Friday

        Winter-8:00am-5:00pm
        Summer-8:00am-4:30pm

        Saturday

        One day per month 8:00am-12:00pm

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