Patient Forms

Please take a few minutes to print and fill out the patient information forms before your first appointment.

Prosthodontics and Dental Patients

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC
  • HIPAA Form PDF

Orthodontics Patients

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What Our Patients Are Saying

“I initially sought Dr. Nodesh for his specialty and advanced experience in prosthodontics. Dr. Nodesh, along with his entire staff, has been incredibly helpful and thorough in responding to all my questions and concerns in developing a treatment plan. This practice has completely exceeded my expectations! I see Dr. Nodesh and staff for all general dentistry concerns as well and I recently had a wonderful cleaning visit! I’d also like to note that the front desk is composed of two of the most delightful women I have ever met!” Krista Read More “Dr. Raina is absolutely amazing! She is professional, compassionate, and just so friendly and pleasant. She made the 'braces experience' wonderful for my son and her confidence gives me every confidence!! Dr. Raina explains her decisions for treatment and your child's progress every step of the way. She's the best and my family loves her!” Kacie & Drake Read More “I don’t have to smile with my mouth closed anymore! Dr Nodesh’s expertise at Beaches Dentistry made me smile big again. I’m so happy to have a healthy smile. He truly cares about his patients and their needs. I highly recommend Dr. Nodesh. He is gentle, patient, trusting, and positive, & has a wonderful staff, especially my hygienist of many years, Anethette.” Esther Read More “CAN'T say enough about what a great experience I've had, and continue to have, with Dr. Nodesh and all the girls at Beaches Dentistry. If anyone out there needs a dentist that's kind, gentle, and very caring, this is the dentist for you! Thank you Dr. Nodesh and staff!” Sylvia Read More “We have had only positive experiences with Dr. Raina. She is excellent with children and has a way to make everyone feel comfortable. She explains each part of the process clearly and lets you have an informed decision in your treatment plan. I would recommend anyone to her, and if any of my other children need braces, I wouldn't even look someplace else. We feel so blessed to have Dr. Raina as part of this community.” Rassoull Read More “Dr. Nodesh and staff are very friendly and knowledgeable. I’m very impressed with the up-to-date technology and procedures. The office is very clean, decorated professionally, and gives a warm home effect. I would highly recommend this dentist office.” Shelly Read More “I love Dr. Nodesh’s 'bedside' manner. I feel very cared for when I visit. The hygienist is conscientious of my time, the front staff makes me feel like family, and they have the latest technology making dental care much more advanced. Great place!” Wendy Read More “Dr. Raina is a wonderful professional. She made my son and myself feel not only as a patient but as a family. She always gave us a smile and made every appointment with her a great experience. She did a good job with my son's braces and made us enjoy the journey with confidence. We are going to miss Dr. Raina.” Anonymous Read More “I highly recommend Dr. Nodesh. He recently handled a dental emergency that required an implant. I was pleased with the way he answered all of my questions, provided information about my options, and most importantly, with the skill with which he handled the procedures from start to finish. I appreciate that he makes the time to communicate not only during the office visit but with followup.” Victoria Read More
Get in Touch With Us
(904) 246-6714
324 3rd Ave N
Jacksonville Beach, FL 32250

Office Hours:

Mon: 8AM - 5PM Tue: 8AM - 5PM Wed: 8AM - 5PM Thu: 7AM - 3PM Fri: Appointment
  Times Vary