Dental Education Clinic

Hours

The clinic is open part-time and hours vary.

We are accepting new patients for Dental Cleanings only. To request a New Patient appointment please complete the request below.

Dental Hygiene Services

Dental Hygiene Services

Cleaning, fluoride, cavity-detection X-rays: $10
Full-mouth series of X-rays: $10
Panoramic X-ray: $10
Sealants, each (Cost not to exceed $20): $5

Dental Clinic Brochure

Dental Assisting Services

Our Dental Assisting Clinic is NOT currently accepting new patients.

We provide services such as exams, x-rays, fillings, and crowns.

We do NOT provide services such as: Extractions, Emergency Care, Braces, Gum Surgery, Root Canals, Bridges, Implants, or dentures.

Dental Education Clinic Appointment Scheduling Gravity Form

*Note: This form is for new dental cleaning patients only.

Dental Education Clinic Appointment Scheduling

Phone

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Appointment Request Form for New Patients ONLY

To request an appointment submit the form below.

Your Name(Required)

First Last

Your Email Address(Required)

Your Phone(Required)

Patient Age Range(Required)

Date of Birth(Required)

Date of Last Cleaning(Required)

Any medical conditions to note and/or active medications?(Required)

Is the patient wearing braces?(Required)

Yes

Name and Phone number of Parent/Legal Guardian(Required)

Language Preference(Required)

Name of Adult Interpreter(Required)

Phone number for Adult Interpreter(Required)

Email of Adult Interpreter(Required)

Treatment Options Available(Required)

Cleaning (May Include Exam & X-Rays)

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