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1602 Glasson St.  Suite 5, Bloomington, IL  61704  SEE MAP »
Call (309) 663-2011 or Email yourdentist25@gmail.com
 

Patient Resources

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New Patients

   

Other Helpful Links:

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Click below to login to your account. You can then check your appointments or make payments online.

Patient Login
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Appointment Request
Refer Our Office

   
Our New Patient Forms are now available online so you can complete them at your leisure – saving you time waiting in our office and giving you time to carefully review our policies and procedures. Click on the link below to fill out and submit your form directly to the doctor. No downloading, printing, or writing.

New Patient Forms
   
American Dental Association
   www.ada.org
Academy of General Dentistry
   www.agd.org

Thank you for referring us

We appreciate you as a patient of our practice. We are humbled by your confidence and respect and want to thank you. Our greatest compliment is for your referral of new patients to our practice. Thank you for your trust and for giving us the opportunity to take care of your dental needs.