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HIPAA Notice Of Privacy Practices


Dr. Dennis J. Wells D.D.S.

NOTICE OF PRIVACY PRACTICES


THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US.


OUR LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices that are described in this Notice while it is in effect. This notice takes effect (04/01/03), and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.

You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice


USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about your for treatment, payment, and healthcare operations. For example:

Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.

Payment: We may use and disclose your health information to obtain payment for services we provide to you.

Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.

Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.

To Your Family and Friends: We must disclose your health information to you as described in the Patient Rights section of this Notice. We may disclose your health information to a family member, friend or other person to the extent necessary to help with your healthcare or with payment for your healthcare, but only if you agree that we may do so.

Persons Involved in Care: We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your health care. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information.

Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization.

Required by Law: We may use or disclose your health information when we are required to do so by law.

Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you’re a possible victim of abuse, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.

National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody of protected health information of inmate or patient under certain circumstances.

Appointment Reminders: We may use or disclose your health information to provide you with appointment remainders (such as voicemail messages, postcards, or letters).


PATIENT RIGHTS

Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. (You must make a request in writing to obtain access to your health information. You may obtain a form to request access by using the contact information listed at the end of this Notice. We well charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter to the address at the end of this Notice. If you request copies, we will charge you 10 cents a copy for each page, postage if you want the copies mailed to you. If you request an alternative format, we will charge a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us using the information listed at the end of the Notice for a full explanation of our fee structure.)

Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests.

Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).

Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make your request in writing). Your request must specify the alternative means or location, and provide satisfactory explanation how payments will be handled under the alternative means or location you request.

Amendment: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why the information should be amended.) We may deny your request under certain circumstances.

Electronic Notice: If you receive this Notice on our Web site or by electronic main (e-mail), you are entitled to receive this Notice in written form.


QUESTIONS AND COMPLAINTS

If you want more information about our privacy practices or have questions concerns, please contact us.

If you are concerned that we may have violated your privacy rights, or if you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.

Nashville Center for Aesthetic Dentistry
Dr. Dennis J. Wells D.D.S.
105 Powell Ct
Brentwood, TN 37027
Phone: 615-866-5151
Fax: 615-371-0153

cosmetic dentistry with a cosmetic dentist Nashville TN and Brentwood

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Testimonials

  • Always a pleasant experience. Love the professionalism, attention to detail and progressive attitude. I can't imagine ever going back to a bare basics old school mentality dental office. I tell everyone how great NCFAD is.
    —Robert T.
  • I always receive excellent service at Dr. Wells office. My hygienist Denise is AMAZING. I have very sensitive teeth and gums and now my visits don't have to be painful. The staff is wonderful and Dr. Wells is very patient and takes the time to listen and figure out the best protocol.
    —Shelley R.
  • I actually enjoy going to the dentist, knowing that I am in good hands with Dr. Wells and his amazing staff! They are professional, friendly and caring! The best!
    —Stacey R.
  • Dr. Wells and Dr. Weese and staff are the best in the business and just awesome people to top it off. You won't be disappointed.
    —Sherree T.
  • The entire staff at NCAD is friendly, helpful and professional. I can always be assured a good visit no matter what needs to be done.
    —David T.
  • Dr. Wells is an excellent cosmetic dentist. I traveled all the way from Houston area just to have him do my veneers. I highly recommend him!
    —Sabrina L.
  • This was the best dental experience I've ever had in my life and I've had a lot! The customer service and genuine care for the patients was outstanding!!
    —Kimberly S.
  • I LOVE this practice! THE most comprehensive initial exam I have ever had and every cleaning since has been wonderful. Love Dr. Wells, my girl Brooke and the entire staff; they are wonderful!
    —Amy W.
  • Wow what a great dentist practice. Absolutely the best. Both Dr Wells and Dr Weese are excellent and Carissa is the best. In fact everyone on their staff goes above and beyond in making my dental experience wonderful. I only wish I had found them sooner. Love the new smile. Best is the natural look.
    —Jeff C.
  • Another wonderful visit with everyone! Work mania caused me to be running late for my early morning appointment. Zee was able to reschedule me during lunch hour the same day. I was in a real crunch for time and they even made a smoothie for me so I could get immediately back to work! So wonderful and so grateful for everyone!
    —Michael S.
  • Love all of the staff at the office and Brook is a wonderful Dental Hygienist. I recommend you to anyone who is in need of superior dentistry.
    —Carol C.
  • Dr. Wells' staff, as always, offer the very best in a friendly, professional and patient focused environment. My dental health has never been so good. Thank you, Dr. Wells and Staff.
    —Stephen A.
  • The entire staff is so kind and caring. I've been going to the dentist for a long time but have never received the excellent care that I receive at Dr. Well's office. I'm so thankful to have a great place to go for dental care!!!
    —Allison T.
(See what other people are saying about us)
cosmetic dentist in Nashville TN

AACD Accredited

Dr. Wells has been an accredited member of the American Academy of Cosmetic Dentistry since 1994, and serves on the review board as an examiner for other dentists seeking their cosmetic dentistry accreditation.

aesthetic dentistry with a Nashville dentist in Brentwood TN

Award Winning Dentistry award for cosmetic dentistry in Nashville Tennessee and Brentwood
  • Nashville Top Dentist 2017 in Cosmetic Dentistry
  • 2008 AACD Outstanding Scientific Advancement in Cosmetic Dentistry Award
  • Selected as one of the Top Dentists in America - 2005 and 2010
  • 2001 AACD Award for Outstanding Contribution to the Art and Science of Cosmetic Dentistry
  • 2005 Entrepreneur Award
  • Crown Council Best Dentist to Work For - 2008
Nashville Center for Aesthetic Dentistry
Dennis J. Wells, DDS
Daniel K. Weese, DMD

At the Nashville Center for Aesthetic Dentistry, we help patients achieve beautiful smiles with cosmetic dentistry! Call today to meet with Dr. Wells and get started on your journey to the smile you've always wanted here in Brentwood Tennessee! Nashville Center for Aesthetic Dentistry - Dennis J. Wells, DDS
105 Powell Ct Ste 101
Brentwood, TN 37027
Call: 615-371-8878615-866-5151
info@drdenniswells.com
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