New patient form

 

To help us prepare for your visit, we need a little bit of information from you!  Please fill out this form to the best of your knowledge and bring it with on your first visit to the office.

 

 

mon -  sat

9am - 9pm

Urgent Dental Center & Family Dentistry

10409 E Washington St

Indianapolis, IN 46229

(317) 399-5771

info@urgentdentalcenterindy.com

 

2015 Urgent Dental Center, LLC.  All rights reserved.

CALL NOW: (317) 399-5771

payment options

 

We accept all forms of payments and accept all types of insurance including Medicare and Medicaid.  We want to make sure your bank account stays as healthy as your dental health, we can discuss options like flexible payments, discount programs, competitive prices, and promotional offers.