Notice of Privacy Practices

Who this Notice applies to

This Notice applies to Smile Aesthetics and Implant Dentistry Corp., Marshall Moini, DMD, and workforce members acting on behalf of the practice. The practice may use business associates that create, receive, maintain, or transmit protected health information under written agreements and applicable law.

Your rights

Inspect or obtain a copy of your record

You may ask to inspect or receive an electronic or paper copy of the health information we maintain about you. We will explain how to submit the request, verify identity and authority, and provide access within the time required by law. We may charge a reasonable, cost-based fee when permitted.

Request a correction

You may ask us to amend information you believe is incorrect or incomplete. We may deny a request in circumstances allowed by law, but we will provide a written explanation and describe any further rights.

Request confidential communications

You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests. Tell the office if leaving detailed voicemail, text, email, or mail at a particular location could affect your privacy.

Ask us to limit what we use or disclose

You may ask us not to use or disclose certain information for treatment, payment, or health care operations. We are not always required to agree. If you pay in full out of pocket for a service, you may request that we not disclose that service to your health plan for payment or operations, unless disclosure is required by law.

Request an accounting of disclosures

You may request a list of certain disclosures made during the legally applicable lookback period. The accounting does not include every disclosure, including many disclosures for treatment, payment, operations, or those you authorized. One accounting in a 12-month period is generally provided without charge; a reasonable fee may apply to additional requests when permitted.

Choose a personal representative

A person with valid legal authority—such as a health care surrogate, guardian, or authorized personal representative—may exercise rights for you. We will verify that authority before acting.

Complain without retaliation

You may contact our Privacy Officer or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a good-faith complaint.

Your choices

When permitted by law, you may tell us your preferences about sharing information with family members, close friends, others involved in your care or payment, and disaster-relief organizations. If you cannot communicate a preference, we may use professional judgment when the law permits and when disclosure appears to be in your best interest.

We will obtain written authorization for uses and disclosures that require it, including most uses for marketing, any sale of protected health information, and most disclosures of psychotherapy notes. You may revoke an authorization in writing, except to the extent we have already relied on it.

How we typically use or disclose health information

Treatment

We may use information to diagnose, plan, coordinate, and provide dental care and may share it with other professionals involved in your treatment.

Payment

We may use and disclose information to obtain payment, confirm eligibility, coordinate benefits, communicate with financing or payment providers when authorized or permitted, and manage patient accounts.

Health care operations

We may use and disclose information to operate the practice, assess quality, train personnel, manage risk and compliance, conduct audits, maintain technology, communicate about care, and improve services.

Appointment and care communications

We may contact you about appointments, treatment instructions, follow-up, benefits, services, and alternatives related to your care. Tell us if you require a different communication method.

Other permitted or required uses and disclosures

Subject to applicable legal conditions, we may use or disclose information for public-health and safety activities; reporting abuse, neglect, or domestic violence; health oversight; research; organ and tissue donation; workers’ compensation; law-enforcement or government functions; judicial and administrative proceedings; coroners, medical examiners, and funeral directors; prevention of a serious threat; and other uses required by law.

Substance use disorder records

To the extent we receive or maintain patient records protected by 42 CFR Part 2, those records receive additional federal protections. We will not use or disclose Part 2 records in a civil, criminal, administrative, or legislative investigation or proceeding against the patient without the patient’s written consent or both a qualifying court order and subpoena, as applicable. When Part 2 information would be used for fundraising, we will provide clear advance notice and an opportunity to opt out as required.

Florida and other laws

When Florida or another applicable law gives health information greater protection than HIPAA, we will follow the more protective requirement. Dental records are also handled under applicable Florida record-access, confidentiality, retention, and dentist-of-record requirements.

Our duties

We are required by law to maintain the privacy and security of protected health information, provide this Notice, follow its current terms, and notify affected individuals following a breach when legally required. We will not use or disclose information in a way not described by this Notice unless you authorize it in writing or another law permits or requires it.

Changes to this Notice

We may change the terms of this Notice and apply the revised terms to information we already maintain and information received in the future. The current Notice will be available in the office and on this website with its effective date.

Privacy contact and complaints

Privacy Officer
Smile Aesthetics and Implant Dentistry Corp.
2601 SW 37th Avenue, Suite 702
Miami, Florida 33133
954-852-2830
info@saidentistry.com

To complain directly to the federal government, you may contact the U.S. Department of Health and Human Services Office for Civil Rights through its official complaint process. We will not retaliate against you for filing a complaint.

Effective date: August 18, 2026