HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

5D Smiles Dental Implant Center is committed to protecting your health information. This notice describes how your medical and dental information may be used and disclosed, and how you can access this information.

How We May Use Your Health Information

Treatment: We may use your health information to provide dental care, coordinate with specialists, or share relevant information with other healthcare providers involved in your care.

Payment: We may use your health information to process insurance claims, verify coverage, or collect payment for services.

Healthcare Operations: We may use your information for quality improvement, staff training, and practice management purposes.

Your Rights

You have the right to: inspect and obtain a copy of your health records, request corrections to your records, request restrictions on how your information is used, receive an accounting of disclosures, request confidential communications, and file a complaint if you believe your privacy rights have been violated.

Our Responsibilities

We are required to maintain the privacy and security of your Protected Health Information (PHI), notify you if a breach of your unsecured PHI occurs, follow the duties and privacy practices described in this notice, and not use or share your information other than as described without your written authorization.

Contact Information

Privacy Officer: Dr. Henry Qiu
5D Smiles Dental Implant Center
8500 Florence Ave., Ste 100, Downey, CA 90240
(562) 923-4538

Effective Date: March 2026