Periodontal & Implant Specialists of Long Island
Kevin M. Loshak, DDS & Jennifer M. Hill, DMD
Call: (516) 333-6744

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Business Hours

Monday 9am-4pm
Tuesday CLOSED
Wednesday 10am-5
Thursday 8:30am-4:30pm
Friday 8am-5pm
Saturday 8am-12pm
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.