BECOME A PATIENT

Would you like to book an appointment? Contact us using one of the methods below, or fill out the contact form below!

Text

(203) 529-8367

Call

Regular Appointment

(702) 839-0500

Emergency Appointment 

(702) 336-8474

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Email

info@702dentist.com

Do you have your first appointment scheduled?

If so, click the new patient forms link below.

 New Patient Forms:

(Please complete and submit each)

Patient Information
Medical History
Financial Policy

Please complete, print, and sign all patient forms prior to your appointment. If you are not bringing paperwork with you, please arrive 20 minutes early.

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Alternatively, screenshot each completed page before printing and email the images to kathys@702dentist.com

HIPPA Privacy Rights 
(for your reference only)
Contact Form
*NOTE: We are not providers for Medicaid. We accept most PPO  (Preferred Provider Organization) insurances, where you can choose your own dental provider.

Thanks for submitting!

 

We'll get back to you very soon.

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Please remember to bring hard copies of all patient forms on your first visit!