Request an appointment

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Please provide us with your name, phone number, email address and your answers to the questions below to receive a call from our practice manager, Lynn Crocitto, to schedule your consultation!

Dr. Daniel S Greenbaum DDS MS FACP

Smile Again NJ Dental Implant Center

592 US Highway 46 E

Fairfield, NJ 07044

973-808-9908

info@smileagainnj.com

First and Last Name *

Phone Number *

Email Address *

Which of the following dental conditions best describes you? *

I have 1 tooth missing

I have multiple missing teeth

I am missing most or all of my teeth

I am unhappy with my dentures

Other:

Do you currently have the following? *

Partial denture

Complete denture

Dental crowns and/or Bridge

None of the above

Other:

Required

I am interested in learning more about *

Dental implants

Dentures

Other:

Required

Dental implants are not covered by most dental insurances. Are you interested in payment plan options? *

Yes, I would like to learn more.

Other (Please type your comments below)

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