Our dental practices are in Roseville, CA and Cameron Park, CA are you willing to visit one of these locations?

Yes

No

Which condition best describes you?

Missing 1 tooth

Struggling with dentures

Missing multiple

My teeth are in bad shape

Are you missing out on social events or finding yourself hiding your smile?

Yes

No

How long have you been missing teeth? (The longer teeth are missing, the more the jaw bone can be affected.)

1-6 months

1+ years

I still have them

7-12 months

6 + years

Insurance typically doesn't cover Dental Implant procedures, but there are several cost-effective payment plans available. Would you like to explore a payment plan option?

Yes, I'm interested in learning more about affordable payment plan options.

No, I will not need payment plan

How ready do you feel to do something about your situation?

I'm ready now

I'm kind of ready

I'm ready

In order for a treatment coordinator to discuss your options in more detail, please provide the following information.

Full Name *

Phone *

Email *

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