Contact – Magic Squad Dental

Our office is limited to children only!

Please enable JavaScript in your browser to complete this form.

Patient Type

Appointment type

Phone

Parent/Guardia Name:

First

Last

How did you hear about us?

Primary Subscriber Name

First

Last

Primary Subscriber DOB

Subscriber 2nd did

Insurance:

Subscriber zip code

Member Id:

How many Children ?

Selected Value: 1

Number of children you want to make an appointment

Preferred time:

Preferred contact method

Please let us know best way to reach you.

Comments

Insurance Card Picture Upload

Click or drag files to this area to upload. You can upload up to 10 files.

Upload a picture of your insurance card front and back

Magic Squad Dental
9831 Jamaica Ave,
Woodhaven, NY, USA
11421

Mon 10am to 7pm
Tuesday 10am-7pm
Wednesday 10am to 7pm
Thursday 10am to 7pm
Friday 10am to 6pm
Sat: Closed
Sun: Closed

Phone: 347-494-1179
fax: 800-859-4579
contact@magicsquaddental.com

We're Happy to Hear From you!