Getting Started

PATIENT FORMS

You Can Find Any Of Our Patient Forms Below:
Da8b0d8496223e16f6238f5c2d566215
Image 1

Get Started At Home With Your Consultation

Fill Out The Form · We’ll Contact You · Schedule Your Smile!

"*" indicates required fields

Consultation Type
This field is for validation purposes and should be left unchanged.
Group 71

OUR LOCATIONS

GASTONIA

525 South New Hope Road
Gastonia, NC 28054

704.865.8521

BELMONT

301 Park Street
Belmont, NC 28012

704.825.0002

LAKE WYLIE

4937 Charlotte Highway
Lake Wylie, SC 29710

803.619.1113

CHARLOTTE

4741 Randolph Rd.
Suite 201

704.865.8521