Privacy Policy
Welly Dental Studio
Effective Date: 02/16/2026
HIPAA Notice of Privacy Practices
Legal Entity Practice Name: Davidson Dental Interests LLC
Practice Name: Welly Dental Studio
Mailing Address: 716 S Oakwood Ave. Brandon, FL 33569
Effective Date: September 15, 2025This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.At Welly Dental Studio, we are committed to protecting the privacy and security of your personal health information. We follow all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA).
Our Commitment to Your Privacy
We are required by law to:Maintain the privacy and security of your protected health information (PHI)Provide you with this notice explaining our legal duties and privacy practicesNotify you if a breach occurs that may compromise your informationFollow the terms currently in effect within this notice
How We May Use and Share Your Information
We may use and disclose your protected health information without written authorization in the following ways:
Treatment
We may share your health information with other healthcare professionals involved in your care.Example: Sending X-rays or records to a dental specialist for consultation.PaymentWe may use your information to obtain payment from insurance companies or other payers.Example: Submitting dental claims to your insurance provider.
Healthcare Operations
We may use your information to operate and improve our practice.
Example: Quality reviews, scheduling coordination, training, or patient communication.
Public Health & Safety
We may disclose information when required by law for public health, safety, abuse reporting, or similar legal purposes.
Legal Requirements
We may disclose information in response to court orders, subpoenas, or government requests as permitted by law.
Business Associates
We may share information with trusted third-party service providers who assist in operating our practice. These providers are required to protect your information under HIPAA-compliant agreements.
Uses & Disclosures Requiring Your Authorization
We will obtain your written permission before:
Using your information for marketing purposes
Selling protected health information
Sharing psychotherapy notes (if applicable)
Any use or disclosure not otherwise described in this notice
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Information
You have the right to:
Access Your Records
Request access to or copies of your dental records and protected health information.
Request Corrections
Ask us to correct information you believe is incomplete or inaccurate.
Request Restrictions
Request limits on how your information is used or shared.
Request Confidential Communications
Ask us to contact you in specific ways or at alternative locations.
Receive an Accounting of Disclosures
Request a list of certain disclosures we have made of your information.
Receive a Copy of This Notice
You may request a paper copy of this notice at any time.
Our Responsibilities
We are legally required to protect your protected health information and follow the privacy practices described in this notice.
We will not use or share your information outside the purposes described here unless you authorize us to do so in writing.
Substance Use Disorder Records
Certain records related to substance use disorder treatment may receive additional protections under federal law (42 CFR Part 2).
These records may require additional written authorization before disclosure.
Fundraising Communications
If we contact you regarding fundraising or community events, you will always have the opportunity to opt out of future communications.
Questions or Complaints
If you have questions about this notice or believe your privacy rights have been violated, please contact:
Privacy OfficerHayden Davidson
Director of Patient Experience & Operations
Welly Dental Studio
716 S Oakwood Ave. Brandon, FL 33569
Phone: (813) 820-1440
Email: contact@wellydental.com
You may also file a complaint with:
U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Ave SW
Washington, DC 20201
Phone: 877-696-6775We will never retaliate against you for filing a complaint.
