Welcome to Dental Care of Stamford!


To help us provide you with the highest quality of service we ask all that all new patients share their dental health history with us and offer several different ways to fill out the necessary paperwork. Please note that the forms listed here are for adult patients coming to the Dental Care of Stamford office. For kids and teens visit and for braces and orthodontics visit

If you have questions about the paperwork or about your visit please feel free to contact us or call us at (203) 883-4433.

1. Submit the Form Securely Online

Submit the form securely online any time before your appointment.


2. Download the Form and Fill It Out

Download and print the form, fill it out and bring it with you to the office when you come for your appointment


3. Do Your Paperwork At the Office

Or just fill out the form once you get to the office. Please be sure to arrive a few minutes early to allow yourself time to complete the paperwork.

Our Office

1500 Summer St, Stamford, CT
Phone: (203) 883-4433
Open daily! 7:00 a.m. - 8:00 p.m.

Satisfaction Guaranteed

We know you're going to love us!

And think your care was amazing!

We’re confident that you’ll find that your examination visit with the doctor was the best and most thorough you’ve ever had. If after your exam you disagree just tell us and there will be no charge for the visit!  (New patients only please.)


I have been a patient of Dr.Simon’s for over 10 years and he is without question the best. He is terrific and his team especially Mimi and Lorraine are outstanding. They are very convenient and accommodating. They are open seven days a week and have early morning and late night appointments . I would recommend this practice to anyone looking for a great practice and a friendly staff

Ron S.

Dr. Roth and the Staff at Dental Care of Stamford changed my life! Hallelujah – I am no longer afraid to go to the dentist. I didn’t go to the dentist for years due to very bad experiences and painful visits with prior dentists in the past. I felt comfortable the second I walked through Dental Cares door, it’s just that kind of environment! Everyone there is Gentle, Compassionate, Patient and explained everything to me in detail. State of the art office! I now look forward to my (many, because I waited so long) dental appointments! I highly recommend to All, please visit Dental Care of Stamford, especially if you are fearful. Trust me, it will be the happiest/painless dental appointment you’ll ever have!  Thank you Dr. Roth, Ilena, Stacey & Stacy & the entire office for making me be able to truly Smile again!

Deana S.

I was beyond pleased with my experience at this office, from the beginning to the end. The whole staff was very nice and timely efficient. The receptionists were very friendly and professional, as well as the assistant that guided me throughout the visit. Lis did my cleaning, she was super gentle and thorough, and I loved the products and tools she recommended to take care of teeth. This place definitely makes you want to comeback.

Ivan B.


If you have questions please call us at (203) 883-4433.