NEW PATIENT FORMS
We are in network with Delta Dental and Blue Cross/Blue Shield of North Carolina. We work with most other major insurance providers as well, and we are happy to file insurance as a courtesy to our patients. Please note that we do not accept Medicaid coverage.
For patients without dental insurance, we offer payment plans through Simple Pay (no credit check). Ask us about Care Credit, which provides financing interest-free for up to 12 months, and our special exam/x-ray price for new patients. Whatever your insurance situation, you will find our front office very accommodating and ready to work with you to find a plan to keep you and your family healthy with a solution that fits your budget.
New Patient Form
Required information before we set up your first appointment with our team
What to expect when you visit our facility
Tell us about yourself so we can provide the best medical care possible.
The privacy of your personal and medical information is very important to us.
We accept the following credit cards