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Updated May 18, 2015, Effective date of notice: July 1, 2013, NOTICE OF PRIVACY PRACTICES Advanced Periodontal Services, PC 3165 Commons Avenue, Suite C1 Brooklyn, NY 11235 Telephone: (718× 7438279
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How to Fill Out Advanced Periodontal Services PC:

01
Start by opening the Advanced Periodontal Services PC form.
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Provide your personal information, including your name, address, and contact details.
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Indicate your insurance information, if applicable, including the name of your insurance provider and your policy number.
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Fill in the date of your visit or appointment.
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Specify the reason for your visit or the services you require from Advanced Periodontal Services PC.
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Provide a detailed medical history, including any current medications, allergies, and previous surgeries or treatments related to periodontal issues.
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If you have received any previous treatments from other dental or medical professionals, provide a summary of those treatments.
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Who Needs Advanced Periodontal Services PC:

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Individuals experiencing gum disease: Advanced Periodontal Services PC specializes in the diagnosis and treatment of gum disease, making it an essential service for those who are dealing with such issues.
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Patients with missing teeth or jaw bone loss: Advanced Periodontal Services PC offers dental implant and bone grafting procedures, making it a valuable resource for individuals who have experienced tooth loss or bone loss in the jaw.
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Patients in need of oral surgery: Advanced Periodontal Services PC provides a range of oral surgery procedures, including gum grafting, crown lengthening, and sinus augmentation, catering to individuals who require these advanced treatments.
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Individuals with cosmetic concerns: Advanced Periodontal Services PC offers aesthetic treatments such as gum contouring and smile makeovers, making it an ideal option for those who desire improved gum appearance and overall smile aesthetics.
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Individuals seeking preventive care: Advanced Periodontal Services PC also emphasizes preventive care services, including routine cleanings, scaling and root planing, and oral hygiene education, making it suitable for individuals looking to maintain healthy gums and prevent future periodontal issues.
Overall, Advanced Periodontal Services PC serves a diverse range of individuals who require specialized periodontal treatments, whether it be for gum disease, tooth loss, cosmetic concerns, oral surgery, or preventive care.
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Advanced Periodontal Services PC is a dental clinic specializing in periodontal services.
The business owner or authorized representative of Advanced Periodontal Services PC is required to file.
To fill out Advanced Periodontal Services PC, the business owner or authorized representative needs to provide information about the services offered, financial information, and contact details.
The purpose of Advanced Periodontal Services PC is to report financial and operational information related to the clinic's periodontal services.
Information such as revenue, expenses, patient demographics, and treatment outcomes must be reported on Advanced Periodontal Services PC.
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