What dental services are you interested in? *

I am Interested in Dental Implants

I am Interested in Fixed All-On-Four Permanent Teeth

I am Interested in Snap-On Dentures

I have other concerns

What would be your biggest life change that we could help you experience by fixing your dental problem? *

I could eat the foods I want to again!

I could smile with confidence and never be embarrassed in social situations.

My teeth or mouth would not hurt anymore!

What has kept you from getting implants or implant dentures? *

Dental Implants are often not covered by insurance. However, there are monthly payment plans available. Are you interested in a payment plan option? *

Yes. I am Interested in affordable payment plan options.

No. I've been saving for this type of procedure and will not need a payment plan.

This Office Does Not Take MaineCare or Medicaid

Payment plans are available based on credit approval of the patient or co-signer. Which best reflects your credit score? *

Under 600

600 - 649

650 - 800

No Credit Score

Based on your credit score you may not qualify for financing without a co-signer. Do you have someone with good credit history who would co-sign with you? *

Yes

Unfortunately it looks like you would not be able to qualify for our payment plan options. Do you have any other way to pay for a Dental Implant procedure? *

This Office Does Not Take MaineCare or Medicaid

Do you feel like you are ready to do something about your situation? *

I am interested, and may be ready

I am ready to do something, but want to explore my options

I want to start as soon as possible!

Contact Details *

Name *

Phone *

Email *

I agree to receive messages about my interest in dental implants from Applewood Dental at the phone number provided above. I understand I will receive 2 to 8 messages a month, data rates may apply, Text HELP for help. You can reply stop to unsubscribe at any time.

By clicking submit, I agree to the terms and conditions and privacy policy provided by Applewood Dental. By providing my phone number and Email, I agree to receive text messages and emails from the business about my dental needs.