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Patient Information

Patient Full Name Heather
Patient Date of Birth 20/02/1990

Contact Information

Email Address [email protected]
Phone Number 9153595831

Other Information

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Appointment Information

Appointment Type New Patient Appointment
Appointment Date 12/09/2020
Appointment Time 02.00 PM

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About Us

Welcome to RTP DEMO

Trained Physician

Our highly trained physicians and front of office carry out only the highest quality medical services that are of the finest standard

24 X 7 Support

Please feel free to view our range of insurance options. We also offer a 24-hour service for out of hour questions and emergency services






Research Labs



Collect and Distribute reviews from your patients from your RMS Listing!

Impressed yet? Wait we still have more!

Patient Resource Center

Request Forms

Save time and request any type of form you need from our office online.

Update Demo

Update your demographics; Address, Phone, Email, ect.

Authorization Release

This forms gives us the ability to obtain or release your medical records.

New Patient Forms

If you are a new patient and save time on your first visit by filling out the New Patient Packet here.

Book Appointments

Skip the waiting on the phone and simply request an appointment online.

Patient Portal

Access for current patients to their Patient Portal. Access your medical records and much more.

Get your message to your patients....reduce staff hours on paperwork.
Save Money!

Dental Services

Cleaning & Prevention

A focus on preventive dentistry helps you maintain the highest standard of oral health while limiting dental expenditures.

Family Dentistry

When you step into Church Street Dental in Chicopee, MA, you'll know you've found the perfect place for your family's care.

Pediatric Services

Church Street Dental in Chicopee, MA offers a wide range of pediatric services that focus on prevention, education, and gentle treatment.

Oral Appliances

Oral appliances offer simple, non-invasive care for a variety of conditions.


Orthodontics involves teeth straightening and jaw alignment, combining beauty and function.

Sedation Dentistry

You can experience dental treatment in a comfortable, customized approach with several different methods of sedation.

Cosmetic Dentistry

Volumes of research confirm the influential role of smiles on our relationships and our self-esteem.

Tooth Replacement

Dr. Khan's background in restorative dentistry allows him to develop solutions for every scenario.

Extractions & Preservation

Wisdom teeth, extra teeth, or very crowded teeth present situations that may mean treatment involving removal.

Try our Resident package for 3 months.
No Payment or Commitments Required!

Choose Your Plan

New patient welcome package

Exam, X-Rays, Cleaning

(D0150, D0220, D0230, D0274)

Hurry, limited time offers.


New patient welcome package.

Free Dental Implant

(D0150, D0220, D0230, D0274)

Hurry, limited time offers.



Free Consultation

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limited time offers.


Need access to your records? Get them in your patient portal!


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Our Team

Walter White

Chief Medical Officer

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