New Patient

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We’re passionate about creating healthier and brighter smiles through proactive, advanced dental care.

No matter what your needs may be, our family looks forward to working with you!

Payments Accepted

Payment for your initial consultation is due when you come in. Payment made be made by cash, personal check, money order or credit card (MasterCard or Visa). 

Insurance Accepted

Insurance companies differ in their policies regarding coverage of services provided by a specialist. For this reason your policy may require you (the subscriber) to pay a deductible, co-pay, co-insurance or it may require you to pay for the entire procedure or consultation. 

Contact

295 SE Westown Pkwy, Waukee, IA 50263

Call Us - 123-456-7890

Fax - 123-456-7890

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New Patient Form

Insurance Verification Form

Health History Form