Care for TMJ disorders and teeth grinding in Manalapan, NJ by Award-winning dentist Dr. Len Ciuffreda of remarkable Grins. Call us today at 732-792-0605 TMJ DISORDERS, HEADACHE & TEETH GRINDING in Manalapan, NJ TMJ Disorders The term “TMJ disorders” (also referred to as TMD), as commonly used by patients, represents a broad array of jaw joint, occlusal, and musculoskeletal conditions of the head & neck. As the classification encompasses a wide range of conditions, there naturally are many signs and symptoms of TMD. Some of the more common ones include: – pain in front of the ear – tender or painful jaw muscles – clicking, popping or crunching noises when opening or closing the jaw – limited opening or locking of the jaw - Headaches or general head / neck pain may also be associated with TMJ disorders. (See the section on headaches below.) Such problems require comprehensive evaluation by a dentist with advanced training in this area. In evaluating a patient with symptoms of a potential TMJ disorder, our office combines the results of your medical history / questionnaire, x-rays, and a detailed examination of the head & neck to arrive at your diagnosis. Referral for imaging such as a CT scan, MRI, or iCAT may be indicated. Due to the potentially complex nature of such disorders which often involve many contributing factors, our treatment approach is one of the whole person as a system to restore harmony and balance to your TM joint / head & neck functioning. Common therapeutic approaches may include the use of an oral appliance, occlusal equlibration (adjusting the “bite”), specific jaw exercises, and the use of moist heat. We may also work with other medical specialists depending upon your individual needs, and may advise referrals for evaluating nutritional considerations, , general exercise, lifestyle, work habits and daily living changes, and stress reduction / relaxation suggestions. We have had tremendous success with our integrative, conservative, non-surgical approach to the treatment of our TMD patients. In fact, this ability to provide such profound relief from chronic debilitating pain is one of the most rewarding aspects of our practice! Headache Headache is one of the most common medical complaints of the U.S. population today and actually accounts for millions of lost workdays each year. Due to the wide range of apparent symptoms and presentations of head pain, the International Headache Society has developed a comprehensive classification in an attempt to categorize these disorders. Our experience in treating these disorders has shown that the large majority of patients who complain of unilateral headache (pain on one side) often have a muscular / myofacial (MPDS) cause of their discomfort; and a large percentage of the time are associated with an actual TMJ (actual joint involvement) disorder. The most common (although not the only) location for this type of headache is around or above one eye, travelling up from the neck on the same side. If there is an associated TMJ disorder and/or bruxism (tooth grinding), an oral appliance is usually essential to achieving relief. Such headaches of muscular origin have been quite successfully treated at our office. Coordinated referral to a physical therapist, occupational therapist, chiropractor, or a well trained massage therapist is often highly beneficial. Dr. Ciuffreda has seen numerous patients who provide a history of “migraine.” Frequently these patients have been placed on prescription migraine medication but have had only limited, if any relief. However, upon examination Dr, Ciuffreda frequently finds that they really have a muscular / myofascial type headache often associated with a TMJ disorder and/or bruxism. that can usually be alleviated without, or with minimal medications as discussed above. RED FLAGS OF HEADACHE Not all headaches are “just headaches”. There are certain signs or symptoms that may indicate a serious underlying cause for headache symptoms. If you experience any of the following it would be highly advisable for you to seek medical consultation promptly: – abrupt onset of different or new type of severe headache – “worst headache you have ever had” – new onset of headache if over 50 years old – worsening of a headache over a period of days or weeks – headache worsened or precipitated by exertion – presence of illness, fever, nausea, vomiting, stiff neck – neurological symptoms (different from classic pre-migraine signs) Teeth Grinding It has been estimated that 30% of adults suffer from tooth grinding, or bruxism. Although some people will grind & clench their teeth during the day as well, bruxism generally occurs during stage 2 of sleep. Problems associated with clenching and grinding may include: - unsightly shortening and chipping of teeth - disruption of naturally protective tooth architecture - tooth sensitivity - accelleration of periodontal bone loss in the presence of gum inflammation - loosening of teeth - headache - TMJ disorders The primary treatment for tooth grinding is to fabricate a custom "night guard" so that during the night you will grind on the oral appliance rather than on your teeth. This will not only protect your teeth from wear and distribute biting 7 clenching forces, but it will also decompress your jaw joint promotog overall TMJ health.

Award winning General Cosmetic Implant Dentistry by Manalapan NJ Dentist Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins Selected again as one of America's Best Dentists About Us Welcome! At Remarkable Grins we believe that: 1. Our patients deserve the very best dental care; 2. Our patients are not only having an appointment for an examination or for a dental procedure - they are having a comprehensive dental care experience; and 3. We deeply value the long term relationships that develop with our patients. Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today. Our Services Our Dentists OUR SERVICES Click on a heading below for more information I need a dentist near me for: Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers No insurance? No problem! Join the Remakable Grins Smile Club for high quality dental care and preventative services at an affordable, discounted rate TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda Success Stories Contact Us Hear what our patients are saying about us: See more great reviews! CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address & Phone Usual Office Hours 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 732-792-0605 Monday 1PM – 7PM Tuesday 1PM - 7PM Thursday 9AM - 5PM Wednesday 9AM - 2 PM Fridays 9AM - 2PM Saturdays 9AM – 2PM "A dentist near me:" Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas.

Beautiful, natural and healthy looking dental veneers by Award-winning Manalapan, NJ dentist Dr. Len Ciuffreda of Remarkable Grins. Call us today for the smile you deserve at 732-792-0605 Teeth Whitening & Veneers in Manalapan, NJ Tooth Whitening A bright smile conveys the look of youth, health, and confidence. Our office offers two excellent options for whitening that are professional, clinically proven, prescription quality treatments available only through a dental office. The take home system employs the use of a set of ten (upper / lower) easy to use, tray delivered strips that are work for approximately ½ hour a day. We have had outstanding results and patient satisfaction with this more affordable, high value option. The in-office whitening procedure is truly the “gold standard” of tooth whitening. A much stronger gel is carefully and safely applied to the teeth in a controlled manner with the gums protected. Treatment time is approximately one hour, and again we have had outstanding results and high patient satisfaction with the procedure. It is important to realize that certain colorations and conditions of teeth respond differently, so a consultation with Dr. Ciuffreda is essential to assess the probability of the whitening treatment to produce a significant change in tooth color, as well as if whitening is advisable for you and the individually based advantages and disadvantages of one system vs. the other for you. Another important factor to consider is that fillings, crowns, veneers and bridges do not change color with tooth whitening procedures. Therefore we generally advise our patients to consider if they have a desire to whiten their smile prior to any restorative treatments, especially to the front teeth. This way, if a patient would like a whiter smile, we could whiten the teeth first, and then match any needed fillings, crowns, etc. to the new lighter shade. Porcelain Veneers (Laminates) Porcelain veneers, otherwise known as laminates, are thin shells of porcelain that are most commonly used for cosmetic enhancement. The amount of tooth reduction is much less than that of a crown, and this restoration provides an optimal level of translucency to achieve a natural looking, beautiful smile. Veneers are not as strong as crowns, and are often not indicated following rooth canal therapy, or for teeth with large fractured or decayed areas. Get the beautiful, healthy smile you deserve. Call us today at 732-792-0605 and see how Dr. Ciuffreda can enhance your Remarkable Grin.

Award-winning dental care in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins. Providing compassionate care for your emergency dental needs Emergency Dental Care in Manalapan, NJ Emergency dental care by an “America’s Best Dentist” in Monmouth County NJ Are you currently experiencing a dental emergency, such as - Tooth pain or sensitivity due to recession, fracture or decay - lost fillings or crowns - Periodontal (gum) irritations or abscesses - Tmj disorders / jaw joint pain - Infections - Cosmetic emergencies such as a broken front tooth, lost filling, veneer or crown Regardless of the cause, severity, or type of pain or cosmetic issue you are experiencing we encourage you to contact our office right away at 732-792-0605 so that we may evaluate your problem promptly, address any discomfort, and provide treatment for you as appropriate. Here's some helpful suggestions: 1. Don’t wait until pain or discomfort progresses and becomes severe to make an appointment; and 2. Call us right when our office hours start ( i.e. - don't wait until the end of the day to call!) so that we can offer you more options for an emergency visit!

Our warm, relaxing and modern dental office is designed for your safety and comfort. Award-winning dentistry in Manalapan, NJ by Dr. Len Ciuffreda of Remarkable Grins Office Tour

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Minimal radiation digital dental x-rays in Manalapan, NJ by award-winning dentist Dr. Len Ciuffreda of Remarkable Grins Minimal Radiation Digital Dental X-rays in Manalapan, NJ Incorporating high-end dental technology has maintained the office at the forefront of the profession, and provides state-of-the-art diagnostics that enable you to make the best choices for your dental health care. Early and accurate diagnosis and treatment often results in saving you unnecessary discomfort, time and money by avoiding more extensive treatments. Our advanced digital x-ray system offers this increased diagnostic capability while using extremely minimal radiation – significantly less than traditional dental film. For your additional safety and well being, all patients are protected by a lead apron with thyroid shielding when having x-rays taken.

Freehold NJ area award winning General Cosmetic Implant Dentistry by Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins EMERGENCY DENTAL CARE GENERAL, COSMETIC & IMPLANT DENTISTRY MISSING TEETH? RESTORATIVE DENTAL OPTIONS How can we help you? About Us Freehold, NJ area dental care Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today for dental care in the Freehold, NJ area Our Services Our Dentists OUR SERVICES Click on a heading below for more information Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers Invisalign The "clear alternative" for adult orthodontic treatment for a beautiful and healthy smile TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist serving the Freehold , New Jersey area Click here to learn more about Dr. Ciuffreda Success Stories Contact Us Hear what our patients are saying about us: See more great reviews! CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 conveniently serving the Freehold, NJ area 732-792-0605 Usual Office Hours Monday 1PM – 8PM Tuesday 1PM - 8PM Wednesday 9AM - 2PM Thursday 9AM - 5PM Fridays 9AM - 2PM Saturdays 9AM – 2PM Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas. Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda

Read our outstanding patient reviews to see why Manalapan dentist Dr. Len Ciuffreda of Remarkable Grins has been repeatedly selected as one of America's Best Dentists! Call us today at 732-792-0605 Patient Reviews We deeply value the long term relationships that develop with our patients It's not often you look forward to going to the dentist, but Dr. Ciuffreda, Cindy, and the staff always make the trip to the dentist a fun and friendly one. Not only is Dr.Ciuffreda a skilled dentist, but I also enjoy our conversations about things outside the world of teeth. Highly recommended! - Howard Yang By far the best dentist I have ever had. Dr Ciuffreda does his work with careful diligence, as unto the Lord, and treats each patient as if he was working on Jesus' teeth. He answers every random question I have (such as, what are cavity fillings made of?) and allows me to make my own choices based on comfort level (like my hated of feeling numb; he lets me forego the Novocaine).He's such a gentle dentist that I personally prefer it. The whole staff makes you feel comfortable and at ease. Extremely clean, warm, and professional. You'll love this dentist. - Katie Murphy Imagine this ... I have a pretty significant dental phobia, and, yet, I'm giving Dr. Ciuffreda FIVE stars. If that isn't a resounding endorsement, I don't know what is! He made it clear to me years ago that he completely understands my phobia, and any time I've had a procedure done he has both reassured me and shown amazing compassion. Best of all his skill set and talents are equal to his kindness. The office staff members are fantastic and always make me feel right at home. For having to see someone only a couple times a year, I can honestly say I consider Dr. Ciuffreda a friend. And it still amazes me to this day that I still feel this way, given that anyone with a phobia naturally tends to run FROM what scares them (and that natural instinct is still there for me at the onset of each visit). But ... because of who he is, I am able to face my fears, handle any procedures, and leave the office each time with a beautiful smile on my face :) I am SO grateful. - Ginger Asher Dr Len and staff truly know how to put you at ease. I had a simple procedure done, they made it almost enjoyable! (c'mon it is still the dentist) Dr Len is very good at his craft, he is caring, gentle and very thorough. I recommend him to everyone and my family and I will continue to see him for many years to come. - Marc Ambrose Remarkable grins is an amazing dentist! We all know going to the dentist can be a scary thing no matter what age you are, but Dr. Ciuffreda and Cindy and staff are all so amazing! They make you very comfortable from the moment you walk in the door. He also specializes in pain free dental work. He does such a great job each and every visit. I have never walked out if Dr. Ciuffreda's office not satisfied with the work. I have been seeing Dr. Ciuffreda for probably the past ten plus years and he never disappoints and Cindy is also amazing she is an absolute pleasure! - Alison Pezzi A visit with Dr. Ciufredda and staff actually makes going to the dentist a pleasure. They are always warm, pleasant, and it is always pain free. - Maria Erichsen I have been going to dr. Len C. for few years now. He is very good at what he does, he is the best dentist I ever had and his staff is very friendly and professional. - Yelena Bykova I have been going to Dr. Ciuffreda for 16 years and he never disappoints. Everyone in the office is very friendly and inviting. He is very specific and detail oriented, and has taken great care of my teeth. I highly recommended if you are in a need of a dentist. - Brianna Stoute I found Remarkable Grins a few years ago when I was looking for relief from TMJ disorder pain. Dr Len and staff are compassionate, caring and take the anxiety out of dental visits. - Melissa Vaccaro Dr. Len is a great dentist!! He is caring and very compassionate!! He is very thorough with his patient's needs and gives options of how to proceed!! - Kathleen Drake

Award-winning Manalapan dentist Dr. Len Ciuffreda of Remarkable Grins has been repeatedly selected as one of America's best Dentists. Meet Dr. Len Ciuffreda Compassionate General, Cosmetic, Implant & Family Dental Care in Manalapan, NJ At Remarkable Grins we believe that: 1. Our patients deserve the very best dental care; 2. Our patients are not only having an appointment for an examination or for a dental procedure - they are having a comprehensive dental care experience; and 3. We deeply value the long term relationships that we develop with our patients An “America’s Best Dentist” in Monmouth County NJ Dr. Len Ciuffreda is a graduate of New York University College of Dentistry (1995), where he attended under a full academic scholarship after earning his B.S. with honors in Biology from Bucknell University . He made Dean’s List all four years, graduating near the top of his class, and was inducted into Omicron Kappa Upsilon, the National Dental Honor Society . Dr. Ciuffreda was credentialed as a Diplomate of the American Academy of Pain Management in 1999. The National Consumer Advisory Board has recognized Dr. Ciuffreda as one of “America’s Best Dentists” for cosmetic, implant and family dentistry. He has also received national recognition as one of “America’s Top Dentists” for general and cosmetic dentistry by the Consumers’ Research Council of America, and the distinctions of a “New Jersey Top Dentist” and “Monmouth Health and Life Top Dentist” for general dentistry. Dr. Ciuffreda is the recipient of numerous awards, including the David B. Kriser Award for Compassion, the ASDA Award of Excellence, the Pierre-Fauchard Award, the Arthur N. Caplin Award for Removable Prosthodontics, and the American Academy of Oral and Maxillofacial Radiology Award. He has been honored by inductions into Sigma Xi, the Scientific Research Society and Phi Sigma, the Biological Research Society. His research has been published in the Journal of Clinical Dentistry. Dr. Ciuffreda is proud to be a member of OSAP, the Organization for Safety, Asepsis and Prevention which is dedicated to education, research, service, and policy development to promote safety and the control of infectious diseases in dental healthcare settings, and earned his certificate for completion of the OSAP-DALE Foundation DENTAL INFECTION PREVENTION AND CONTROL PROGRAM. Our patients' safety is his top concern! Maintaining active membership in the American Dental Association and Academy of General Dentistry , Dr. Ciuffreda stays current with the latest advances in dentistry by consistently attending post-graduate dental courses and training. He regularly participates in the Forum for Advanced Dental Studies and holds certificates for completion of the Mid-Atlantic Dental Implant Prosthetic Series, the Golden Study Club Implant Series; and the NYU, UMDNJ, and Institute of Advanced TMJ Studies programs in TMJ & Orofacial Pain Disorders. Outside of dentistry, Dr. Ciuffreda holds a Masters in Biblical and Theological Studies from Dallas Theological Seminary, was ordained to the Gospel ministry, and is on staff at Cornerstone Church in Howell, NJ. He enjoys music (guitar, cajon and alto sax) , Civil War history , astronomy, spending time with his family and friends, and is a Snoopy / Peanuts and John Wick fan.

Leonard R. Ciuffreda, Jr., D.D.S., P.A. d.b.a Remarkable Grins 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. We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect February 16, 2026 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, and to make new Notice provisions effective for all protected health information that we maintain. When we make a significant change in our privacy practices, we will change this Notice and post the new Notice clearly and prominently at our practice location, and we will provide copies of the new Notice 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. HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU We may use and disclose your health information for different purposes, including treatment, payment, and health care operations. For each of these categories, we have provided a description and an example. Some information, such as HIV-related information, genetic information, alcohol and/or substance use disorder treatment records, and mental health records may be entitled to special confidentiality protections under applicable state or federal law. We will abide by these special protections as they pertain to applicable cases involving these types of records. Treatment. We may use and disclose your health information for your treatment. For example, we may disclose your health information to a specialist providing treatment to you. Payment. We may use and disclose your health information to obtain reimbursement for the treatment and services you receive from us or another entity involved with your care. Payment activities include billing, collections, claims management, and determinations of eligibility and coverage to obtain payment from you, an insurance company, or another third party. For example, we may send claims to your dental health plan containing certain health information. Healthcare Operations. We may use and disclose your health information in connection with our healthcare operations. For example, healthcare operations include quality assessment and improvement activities, conducting training programs, and licensing activities. Individuals Involved in Your Care or Payment for Your Care. We may disclose your health information to your family or friends or any other individual identified by you when they participate in your care or in the payment for your care. Additionally, we may disclose information about you to a patient representative. If a person has the authority by law to make health care decisions for you, we will treat that patient representative the same way we would treat you with respect to your health information. Disaster Relief. We may use or disclose your health information to assist in disaster relief efforts. Required by Law. We may use or disclose your health information when we are required to do so by law. Public Health Activities. We may disclose your health information for public health activities, including disclosures to: Prevent or control disease, injury or disability; Report child abuse or neglect; Report reactions to medications or problems with products or devices; Notify a person of a recall, repair, or replacement of products or devices; Notify a person who may have been exposed to a disease or condition; or Notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. 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 the protected health information of an inmate or patient. Secretary of HHS. We will disclose your health information to the Secretary of the U.S. Department of Health and Human Services when required to investigate or determine compliance with HIPAA. Worker’s Compensation. We may disclose your PHI to the extent authorized by and to the extent necessary to comply with laws relating to worker’s compensation or other similar programs established by law. Law Enforcement. We may disclose your PHI for law enforcement purposes as permitted by HIPAA, as required by law, or in response to a subpoena or court order. Health Oversight Activities. We may disclose your PHI to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and credentialing, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws. Judicial and Administrative Proceedings. If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process instituted by someone else involved in the dispute, but only if efforts have been made, either by the requesting party or us, to tell you about the request or to obtain an order protecting the information requested. Research. We may disclose your PHI to researchers when their research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information. Coroners, Medical Examiners, and Funeral Directors. We may release your PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to enable them to perform their duties. Fundraising. We may contact you to provide you with information about our sponsored activities, including fundraising programs, as permitted by applicable law. If you do not wish to receive such information from us, you may opt out of receiving the communications. SUD Treatment Information. If we receive or maintain any information about you from a substance use disorder treatment program that is covered by 42 CFR Part 2 (a “Part 2 Program”) through a general consent you provide to the Part 2 Program to use and disclose the Part 2 Program record for purposes of treatment, payment or health care operations, we may use and disclose your Part 2 Program record for treatment, payment and health care operations purposes as described in this Notice. If we receive or maintain your Part 2 Program record through specific consent you provide to us or another third party, we will use and disclose your Part 2 Program record only as expressly permitted by you in your consent as provided to us. In no event will we use or disclose your Part 2 Program record, or testimony that describes the information contained in your Part 2 Program record, in any civil, criminal, administrative, or legislative proceedings by any Federal, State, or local authority, against you, unless authorized by your consent or the order of a court after it provides you notice of the court order. OTHER USES AND DISCLOSURES OF PHI Your authorization is required, with a few exceptions, for disclosure of psychotherapy notes, use or disclosure of PHI for marketing, and for the sale of PHI. We will also obtain your written authorization before using or disclosing your PHI for purposes other than those provided for in this Notice (or as otherwise permitted or required by law). You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your PHI, except to the extent that we have already acted in reliance on the authorization. YOUR HEALTH INFORMATION RIGHTS Access. You have the right to look at or get copies of your health information, with limited exceptions. You must make the request in writing. You may obtain a form to request access by using the contact information listed at the end of this Notice. You may also request access by sending us a letter to the address at the end of this Notice. If you request information that we maintain on paper, we may provide photocopies. If you request information that we maintain electronically, you have the right to an electronic copy. We will use the form and format you request if readily producible. We will charge you a reasonable cost-based fee for the cost of supplies and labor of copying, and for postage if you want copies mailed to you. Contact us using the information listed at the end of this Notice for an explanation of our fee structure. If you are denied a request for access, you have the right to have the denial reviewed in accordance with the requirements of applicable law. Disclosure Accounting. With the exception of certain disclosures, you have the right to receive an accounting of disclosures of your health information in accordance with applicable laws and regulations. To request an accounting of disclosures of your health information, you must submit your request in writing to the Privacy Official. 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 the additional requests. Right to Request a Restriction. You have the right to request additional restrictions on our use or disclosure of your PHI by submitting a written request to the Privacy Official. Your written request must include (1) what information you want to limit, (2) whether you want to limit our use, disclosure or both, and (3) to whom you want the limits to apply. We are not required to agree to your request except in the case where the disclosure is to a health plan for purposes of carrying out payment or health care operations, and the information pertains solely to a health care item or service for which you, or a person on your behalf (other than the health plan), has paid our practice in full. Alternative Communication. You have the right to request that we communicate with you about your health information by alternative means or at alternative locations. You must make your request in writing. Your request must specify the alternative means or location, and provide satisfactory explanation of how payments will be handled under the alternative means or location you request. We will accommodate all reasonable requests. However, if we are unable to contact you using the ways or locations you have requested, we may contact you using the information we have. 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. If we agree to your request, we will amend your record(s) and notify you of such. If we deny your request for an amendment, we will provide you with a written explanation of why we denied it and explain your rights. Right to Notification of a Breach. You will receive notifications of breaches of your unsecured protected health information as required by law. Electronic Notice. You may receive a paper copy of this Notice upon request, even if you have agreed to receive this Notice electronically on our Web site or by electronic mail (e-mail). QUESTIONS AND COMPLAINTS If you want more information about our privacy practices or have questions or 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. PRIVACY OFFICIAL NAME AND CONTACT INFORMATION: Privacy Officer Name: Dr. Leonard R. Ciuffreda, Jr. Phone: (732)792-0605 Fax: (732-792-1220) Email: remarkablegrins@gmail.com Address: 215 Gordons Cr Rd #2E Manalapan, NJ 07726 Adopted from the American Dental Association 2026.

Monroe NJ area award winning General Cosmetic Implant Dentistry by Dr Len Ciuffreda voted an Americas Best Dentist Remarkable Grins EMERGENCY DENTAL CARE GENERAL, COSMETIC & IMPLANT DENTISTRY MISSING TEETH? RESTORATIVE DENTAL OPTIONS How can we help you? About Us Monroe, NJ area dental care Thanks so much for visiting our website! With 30 years experience, Dr. Len Ciuffreda has been providing award-winning general, cosmetic, implant & family dentistry in a relaxed, warm & caring environment. Our Manalapan, NJ dental office is conveniently located off of Route 9 to serve the Monmouth County towns of Manalapan, Freehold, Old Bridge, Marlboro, Monroe, Englishtown and surrounding areas. We have great appointment options that fit your schedule - including evening, Saturday, early morning, and daytime appointments! We also participate with most major dental insurance plans. We look forward to meeting you and caring for your dental needs! Call us at 732-792-0605 to schedule an appointment today for dental care in the Monroe, NJ area. Our Services Our Dentists OUR SERVICES Click on a heading below for more information Cosmetic Dentistry Tooth colored fillings, bonding, all porcelain crowns, all porcelain bridges, veneers, dental laminates, in office tooth whitening, at home tooth whitening Implant Dentistry Implant supported crowns, implant supported bridges, implant supported full and partial dentures General Dentistry & Periodontal Care Dental exams, check-ups, cleanings, digital dental radiographs (x-rays), periodontal care, scaling & root planing Options for Missing Teeth Dental Implants, fixed porcelain bridges, partial and full dentures Emergency Dentistry Dental pain, toothache, swelling, pain, infection, cracked / broken teeth Teeth Whitening & Veneers In office tooth whitening, at home tooth whitening, dental laminates / veneers Invisalign The "clear alternative" for adult orthodontic treatment for a beautiful and healthy smile TMJ Disorders & Teeth Grinding Effective, non surgical relief of jaw joint pain, TMJ related headaches, prevention of wear & tooth destruction from grinding Minimal radiation digital x-rays Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist serving the Monroe , New Jersey area Click here to learn more about Dr. Ciuffreda Success Stories Hear what our patients are saying about us: See more great reviews! Contact Us CONTACT US We are open with enhanced infection control protocols to protect your health as we continue to care for your Remarkable Grin! Our Address 215 Gordons Corner Road Suite 2E Manalapan, NJ 07726 conveniently serving the Monroe, NJ area! 732-792-0605 Usual Office Hours Monday 1PM – 8PM Tuesday 1PM - 8PM Thursday 9AM - 5PM Wednesday 9AM-2PM Fridays 9AM - 2PM Saturdays 9AM – 2PM Our Manalapan NJ dental office is conveniently located to care for the dental needs of Monmouth County, including Manalapan, Englishtown, Monroe, Freehold, Old Bridge and the surrounding areas. Repeatedly Selected as one of America's Best Dentists Dr. Len Ciuffreda General, Cosmetic, Implant & Family Dentist in Manalapan, New Jersey Click here to learn more about Dr. Ciuffreda