Contact Us

Phone: (616) 554-2100
Fax: (616) 554-2104


6650 Crossings Drive S.E.
Kentwood, Ml  49508

Have a question?

Your personal information is for our Dental Office only and will be used solely to contact you. We will not give away or sell your information to anyone. See our Privacy Policy for more information.

Patient Forms

General Forms

Financial Appointment Policies Notice of Privacy Practice Acknowledgment of Receipt of Notice of Privacy Practice Consent for Use and Disclosure of Health Information


Children's Dental and Medical History

Adults 18 and Over

Adult Medical and Dental History Patient Registration