Patient Information

Request an Appointment

Insurance Plans

In-Network:

We are happy to bill all other insurance plans.

Payment Options

Apply for CareCredit

New Patient Forms

Complete Online

Registration

Complete Online

Office and Financial

Complete Online

Dental History

Complete Online

HIPAA

Complete Online

HIPAA - Notice of Privacy Practices

Complete Online

Download and Print

Registration, Office and Financial, Dental History

Download

HIPAA

Download

HIPAA - Notice of Privacy Practices

Download

Location

 
Directions

Hours
Monday–Tuesday
8am–5pm

Wednesday - Thursday
7am–4pm

Friday - Sunday
Closed

Phone
(269) 381-7250

1617 East Milham Rd
Portage, MI 49002