Endodontic and Implantology Associates
Endodontics
6080 Hellyer Ave, Suite 150, San Jose CA 95138
408-224-8266
  • General Information
    • Practice
    • Scheduling
    • First Visit
    • Sterilization Techniques
    • Financial Policy
    • Insurance
    • Dental Insurance FAQ
    • Privacy Policy
    • FAQ
  • Meet Us
    • Dr. Shirani
    • Dr. Ghafourpour
    • Dr. Prakash
    • Staff
    • Testimonials
    • Video Interviews
    • Certificates
  • Tour
    • Tour Our Office
  • Procedures
    • Root Canal Therapy
    • Endodontic Retreatment
    • Apicoectomy
    • Bone Grafts
    • Sinus Lifts
    • Implant
    • Traumatic Injuries
    • Cracked Teeth
    • Sedation Dentistry
      • Sedation Options
    • Brochures
    • Gallery
  • Instructions
    • Pre-Sedation Care
    • Post-Endodontic Treatment Care
    • Post-Operative Surgery Care
    • Post-Extraction Sinus Considerations
  • Online Forms
    • Registration
  • Referring Doctors
    • Referral Form
    • Links of Interest
  • Contact Us
    • Contact Information
    • Map/Directions

Online Forms

  • Registration

Patient Registration San Jose CA

Patients, please log in to your account here

Please download and fill-out our Patient Registration Form if you are a new patient or have updated information from your previous visit. In addition, please fill out the Health History Form. After you have completed the forms, please make sure to bring them on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

  • Patient Registration Form
  • Health History Form

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Endodontic and Implantology Associates

6080 Hellyer Ave, Suite 150 • San Jose, CA 95138
Phone: 408-224-8266 • Fax: 408-224-5701


Ray Shirani DDS, Kriss Ghafourpour DDS, and Nidhi Prakash DMD specialize in dental implants, root canals, sedation dentistry, repairing broken teeth
and bone grafting

For the communities of San Jose, Campbell, Sunnyvale, Morgan Hill, Gilroy, Los Gatos, Saratoga, Monte Serreno, Santa Clara, Milpitas, and Fremont CA.

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