Contact Us

We are accepting new patients!

QUESTIONS? FOR IMMEDIATE ASSISTANCE PLEASE CALL ONE OF OUR FRIENDLY DENTAL CARE COORDINATORS AT (706) 395-0004!

**Contact Form – Please be sure to fill out all fields marked with an *.**

Name*

First

Last
Phone*
Email*
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code
Are you currently a patient?*
- Yes
- No
NEW PATIENTS: How did you hear about us?
- Internet Search
- Driving By
- Insurance Website
- Referred by a friend or family member
- Referred by another doctor
What can we help you with?

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New Patient Marketing by Practice Treatment Plan, Inc.