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Instant Confirmation Collegeville, PA Book Online 24/7

Start with your mobile number. If anything interrupts you, our team can still reach out and finish booking with you.

Mobile Phone *Enter a valid 10-digit number

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Are you a new or returning patient?

This helps us reserve the right visit and the right amount of time.

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Verify your insurance eligibility

Share your insurance now and our team can check your coverage before your visit, so you can be cleared for care sooner.

Why we ask: it's for your benefit. With your insurance up front we can verify your eligibility much quicker. We only use it to check your coverage, and it stays private. No card handy? Leave the card part blank and continue.

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What's the reason for your visit?

Choose the visit that best matches what you need.

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Who would you like to see?

Pick your hygienist, or choose the first available opening.

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Date & Time

Openings for your visit. Times shown in the practice's local time.

Visit— Location—

We don't have online openings for this visit right now. Please call us at (610) 489-5555 and we'll get you in.

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Patient Information

We only use this to prepare your chart and confirm your visit.

Who is this appointment for?

Enter the patient's details

Patient First Name *Required

Patient Last Name *Required

Patient Date of Birth *Required

Patient Gender * Required

First Name *Required

Last Name *Required

Date of Birth *Required

Gender * Required

Mobile Phone *Enter a valid 10-digit number

Email Address *Enter a valid email

Address

Street Address *Required

Apt / Suite

City *Required

State *Required

ZIP *Required

Date of birthEnter a valid date of birth (MM/DD/YYYY)

Dental insurance (optional)

Insurance card photos (optional)

Front

Back

Saves time at check-in. You can skip this and bring the card to your visit.

That photo is too large. Please choose an image under 10 MB.

or type it in

Policy / Member ID (optional)

Is the plan in your name?

Whose plan is it?

Policyholder’s full name

Policyholder’s date of birth Insurers need the policyholder’s name and date of birth to find the plan.

Anything we should know before your visit?

I agree to the Terms of Service and the HIPAA Privacy Practices, and I consent to be contacted about this appointment. *

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Your Address

Last step before you review — this goes on your chart so we're ready when you arrive.

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Reserve Your Visit

A card is required to hold this appointment time.

Card Number

Expiration

CVC

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Appointment Review

One last look before we lock it in.

Your appointment isn't held until you confirm.

Confirmation

You're booked.

We've sent a confirmation to your email and phone. If anything changes, call us at (610) 489-5555.

Please arrive 10 minutes early and bring a photo ID and your insurance card if you have one.

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