How many teeth are you currently missing? *

All

4-5

3 or Less

How Old Are You? *

60+

50 - 59

40 - 49

Under 40

Do you currently have any of these dental solutions? *

Denture or Partial Denture

Bridge/Crown

Dental Implant

None of the Above

Are you currently trying to find relief from any kind of pain or discomfort? *

Yes

Have you had a dental implant consultation with another dentist? *

Yes

How ready do you feel to move forward with dental implants? *

I'm just exploring my options

I'm ready to learn more and see if it's a fit

I'm ready to book a consultation ASAP

Dental implants are not covered by insurance, Medicare, or Medicaid.
We know you may have seen discount vouchers or offers online, but most of those are not legitimate.

The good news is: we offer honest, affordable payment plans to make treatment possible.

Would you like to explore a payment plan? *

Yes, I’d like to see the payment options available

No, I’ve saved for this and don’t need a payment plan

To help match you with the right payment plan, how would you describe your current credit situation? (Payment plans are based on credit approval, either yours or a co-signer's.) *

Below 660

660–699

700–739

740 or higher

Not sure / I'd prefer to discuss with someone

What is your first name? *

What is your last name?

What is your best email? *

What is your best phone number? *

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