Book A Free Consultation, Exam, & 3D CBCT Scan ($500 Value)

If you're struggling with damaged or missing teeth, we can likely help you. Fill out the form below to request a free consultation, exam, & 3D CBCT scan with our dentist. On the next page, you'll be invited to schedule a preliminary 15 minute phone call with one of our staff to discuss your dental problems, possible implant treatment options, prices, & more.

Full Name *

Email *

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Why are you taking this first step to correct your dental health? *

I am in pain.

I have lost confidence in my smile.

I am unable to chew.

All of the above - I'm in pain, lack confidence, & cannot chew.

What type of dental implant solution are you interested in? *

Full Fixed Arch Implants - I want the best quality full mouth restoration possible, even if it's more expensive.

Implant Retained Dentures - I want an implant denture hybrid. I'm looking to balance quality with price.

Implant Bridge - I want to replace just a few missing teeth in a row.

Single Dental Implant - I'm missing one or two single teeth that need to be replaced.

If you require financing, please select the option below that best describes your credit history. *

Poor Credit (Under 650) and I do NOT have a Co-Signer to help me get approved for financing.

Poor Credit (Under 650), but I do have a Co-Signer who at least has an average credit score who can help me get approved for financing.

Average Credit (650-700)

Good Credit (700-750)

Great Credit (750+)