New Patients

Insurance companies we are in network with:
Aetna Dental, Assurant/DHA, Cigna Dental, Delta Dental PPO, Delta Dental Premier, Dentemax, FCL BlueDental, Florida Combined Life, BlueDental Choice, Guardian, Humana Dental, Metlife, Principal Plan Dental, United Concordia, United Healthcare


Payment options: American Express, Care Credit, Discover, Master Card, and Visa

 

New Patient Information

Medical History

Financial Agreement

Acknowledgment of receipt

Patient Consent & Authorization for Release of Protected Health Information

HIPPA Notice of Privact Practice

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Prime Dental
2828 Casa Aloma Way
Suite 700
Winter Park, FL 32792

P. 321-972-8870
F. 321-275-5911