Table of contents
Effective Date: November 19, 2025
This notice describes how your dental and health information information may be used and disclosed, and how you can access it.
In some circumstances, state or other federal laws may provide additional privacy protections beyond those described in this Notice.
Covered Entity
NYC Dentistry Center6 E 45th St #801
New York, NY 10017
(45th St. btw 5th Ave / Madison Ave)
(212) 518-6096
Your Rights
To exercise any of the rights listed below, please contact our office at
(212) 518-6096 or email privacy@nycdentistrycenter.com.
We may ask you to submit your request in writing and verify your identity before processing it.
Get a copy of your medical record
- You can request an electronic or paper copy of your medical record and any other health information we have about you.
- We will provide a copy or summary, usually within 30 days. We may charge a reasonable, cost-based fee.
Ask us to correct your record
- You can ask us to correct health information about you that you think is incorrect or incomplete.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations.
- We are not required to agree to your request, and we may say “no” if it would affect your care.
- If you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer.
Get a list of who we’ve shared info with
- You can ask for a list (accounting) of times we’ve shared your health information for six years prior, who we shared it with, and why.
- We’ll include all disclosures except treatment, payment, operations, and certain others. One accounting per year is free; we charge for additional requests within 12 months.
Request confidential communications
- You can ask us to contact you at a specific number (home or office) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
Other rights
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint: Contact us or the HHS Office for Civil Rights if you feel your rights were violated.
We will not retaliate against you for filing a complaint.
Your Choices
You have both the right and the choice to tell us to:
- Share information with family, close friends, or others involved in your care
- Share information with an authorized representative (such as a parent, guardian, or caregiver) when appropriate
- Share information about your location/condition with someone involved in your care (if you are in an emergency)
If you are unable to tell us your preferences, we may share information if we believe it is in your best interest or necessary to prevent a serious threat to health or safety.
We NEVER share unless you give written permission:
- Marketing purposes
- Sale of your information
- Most sharing of psychotherapy notes (if applicable)
Certain types of health information may be subject to additional confidentiality protections under applicable law.
Our Uses and Disclosures
We are allowed or required to share your health information in other ways—usually in ways that contribute to public health and safety—such as for public health activities, health oversight, and law enforcement purposes. We must meet many conditions in the law before we can share your information for these purposes.
Treat You
- We can use your health information and share it with other professionals treating you.
Bill for Your Services
- We can use and share your health information to bill and get payment from health plans or other entities.
Do Research
- We can use or share your information for health research under specific conditions required by law.
Respond to Organ and Tissue Donation Requests
- We can share health information with organ procurement organizations.
Respond to Lawsuits and Legal Actions
- We can share health information in response to a court or administrative order, or in response
to a subpoena.
Run our Organization
- We can use and share your health information to run our practice, improve your care, and
contact you when necessary. - We may contact you for appointment reminders, scheduling updates, and information related to your treatment.
Help with Public Health and Safety Issues
- We can share for: preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, preventing or reducing serious threats to health or safety
Comply with the Law
- We will share information if state or federal laws require it, including with the Department of Health and Human Services to verify compliance with federal privacy law.
Work with the Medical Examiner or the Funeral Director
- We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address Workers’ Compensation, Law Enforcement, and Government Requests
- We can use or share for: workers’ compensation claims, law enforcement purposes, health oversight agencies for authorized activities, special government functions
We may share your health information with business associates that help us operate our practice (such as billing services, IT providers, or scheduling platforms). These partners are required by law to safeguard your information.
Our Responsibilities
- We are required by law to maintain the privacy and security of your health information
- We will notify you promptly of any breach that may have compromised your information, in accordance with applicable federal and state laws.
- We must follow the duties and practices in this notice and provide you with a copy
- We will not use/share your information beyond what’s described without your written permission
- You can revoke written permission anytime by notifying us in writing
- We can change notice terms; changes apply to all information we have about you
- The new terms will be effective for all medical information we maintain, including information created before the change.
- We will post any updated version of this notice on our website and make it available upon request.
Questions or Complaints?
Contact Us
Call (212) 518-6096 or email privacy@nycdentistrycenter.com.
Mailing address: see Covered Entity above.
Contact HHS about a Concern
U.S. Department of Health & Human Services
Office for Civil Rights
1-877-696-6775
hhs.gov/ocr/privacy/hipaa/complaints
6 E 45th St #801
New York, NY 10017
(45th St. btw 5th Ave / Madison Ave)
(212) 518-6096