Our Address
130 Providence Road
Charlotte, NC 28207
(704) 377-1444
Office Hours
Monday - Friday
6:30AM - 5:00PM
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Forms
Our patient forms can be downloaded and printed from your computer. You can complete these and bring them with you to your first appointment. For security reasons, please do not email us the forms.
All patient information is confidential.
Acknowledgement of Receipt of Privacy Practices
Consent for Use of Health Information
Dental Insurance Information
Endodontic Information & Consent
Financial and Fee Information
Health Questionnaire
Notice of Privacy Practices
Our patient forms can be downloaded and printed from your computer. You can complete these and bring them with you to your first appointment. For security reasons, please do not email us the forms.