300 North Middletown Road
Pearl River, NY 10965 (845) 694-7808
595 Chestnut Ridge Road
Woodcliff Lake, NJ 07677 (201) 425-1566

New Patient Information

Our Mission

We believe in high quality endodontics with our many years of combined clinical experience coupled with using today’s most innovative endodontic procedures & technology. If dentistry isn’t mixed with personal attention and concern, it’s purely mechanical. That’s why we provide patients with the gentle, personalized and empathetic care they deserve. We take the time to listen to their concerns, explain their treatment options, and answer their questions so that they feel completely comfortable with their care.  Our staff members treat every patient with the kindness, respect and focused care they deserve…every step of the way. This greatly benefits patients who have fears about seeing the dentist or who are unfamiliar with endodontic treatment.

Patient Forms

Below is the registration form you'll need to complete on your first visit. You can expedite matters by downloading this form and completing it at home and handing it in to our staff when you arrive for your initial visit to our office.

New Patient Information/Medical History Forms

Financial Information

Finding quality dental care at an affordable price is hard enough, and we understand that trying to find a good specialist can be even more difficult. At Rockland and Northern Jersey Endodontics, we do everything we can to remove financial barriers that prevent you from receiving endodontic care, so you and your smile get the care you deserve without breaking the bank! We gladly accept all major credit and debit cards in addition to personal checks and cash.

Our team calls every insurance to help you maximize the benefit of your dental plan and we are happy to file and track your claims too. We currently in network with the following insurance carriers:

Aetna Delta Guardian
CIGNA Dentemax MetLife
Connection Dental DHA Ameritas
United Concordia Assurant

Out of network plans may find that they are in network through umbrella policies or have out of network benefits.

For patients who qualify, we accept financing through CareCredit® patient financing. CareCredit works just like a credit card for your health. Applying online is fast and easy, and CareCredit works to find a payment schedule that works for your budget."

What to Expect

At your first visit, your endodontist will review your health history and referral form, conduct an examination and take digital X-rays, if needed. Your condition and treatment options will be explained in simple, easy-to-understand language. It is always our philosophy to treat teeth as conservatively as possible.


Please enter your zip code or city and state below for door-to-door directions.

to Our Office:

Feel free to call our office or email us with any questions.