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Maxillofacial Prosthodontist & Cosmetic Dentistry in Jersey Shore

Joseph DiFazio, DMD. looks forward to having you join our host of satisfied patients. Our practice has a schedule tailored for your convenience. To schedule an appointment, please call us at 732.542.0011. To request an appointment online, please use our online Appointment Request Form.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see the doctor faster!

Downloadable Forms:

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

American Dental Assosiation New Jersey Dental Assosiation Academy Of Osseointegration American College Of Prosthodontists


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