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Gentle Dental Liberty • 28780 John R Rd. • Madison Heights, MI 48071 • 248-430-8852

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New Dental Patient Form

Please print out the forms below and complete the information prior scheduled to your appointment. Thank you!

New Dental Patient Form

Patient Services

Emergency Appointments Accepted
Extended Office Hours
New Patients Welcome
Office on Public Transportation Route
Spanish-speaking doctors and/or staff

Financial Solutions

DentRite - Our In-House Dental Discount Plan
Most Insurance Accepted
Medicaid Accepted

PatientFYI - Award of Excellence Recipient

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Hours
Map
New Patient Form

248-430-8852