DentalEmergencyCard
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Personal Information






Office Details











Office Hours
Specialties
  • Endodontist
  • General Practice
  • Oral Surgery
  • Orthodontist
  • Pedodontist
  • Periodontist
  • Prosthodontist
Spoken Languages
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Additional Information
Do you offer a Payment Plan? Yes No
Are you a member of the American Dental Association? Yes No
Do you treat children? Yes No
Do you treat disabled children or adults? Yes No
Do you have a hygienist? Yes No
Do have a Lab on Premises? Yes No
Do you accept Medicaid? Yes No
Do you take emergency visits? Yes No
Is your office equipped to treat wheelchair bound patients
in their own wheelchair?
Yes No
Is your office accessible via public transportation? Yes No
Is your office equipped with auxiliary aids and services
(TTYIT DD, Braile, ASL, etc...)?
Yes No
Does your office comply with OSHA requirements? Yes No
Does your office utilize proper infection control and
barrier techniques?
Yes No
Do you work on any of the following procedures?
Braces Dental Bridges Fillings Oral Surgery Simple Extractions
Cleanings Dental Sealant Implants Perio-Scaling Teeth Whitening
Crowns and Caps Dentures Invisalign Porcelain Veneers Wisdom Teeth Removal
Dental Bonding Extractions Oral Cancer Examinations Root Canals X-Rays