Brighton Dental Group

125 White Spruce Blvd.
Rochester, NY 14623-1687

phone: (585) 424-5660
fax: (585) 424-1239

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  • Our Group
    • Dr. R. Ajay Dass, D.D.S.
    • Dr. V. Nanavati, D.D.S.
    • Dr. Adam Chalom
    • Our Staff
  • Our Services
    • Cosmetic Dentistry
    • Diagnostic Services
    • Endodontal Services
    • Periodontal Services
    • Preventive Services
    • Restorative Services
  • New Patients
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New Patients

Download Patient Forms

New Patient Forms: document2015-06-30-021714 (PDF)

Please fill out forms and bring to your first office visit.

Complete New Patient Form Online

To help save you time on your first appointment with us, we have provided the basic form that you complete as a new patient:

  • This field is for validation purposes and should be left unchanged.

Show Off Your Pearly Whites!

Don’t miss out on this special offer to get your teeth whitened! See how strikingly beautiful your new brighter smile can be! Take advantage of this great deal on Zoom whitening. Only $450…a huge savings!

We offer take home trays and other whitening options.

Need a great gift?

Gift Certificate ThumbPurchase a gift certificate to Brighton Dental Group and make someone smile!

Call Us Today to Make an Appointment!

(585) 424-5660

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