Patient Information

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Patient Information

Your First Visit

Regardless of the reason for your visit – regular checkup or dental emergency – please be prepared to provide the following information so that we can better serve you:

  • A list of all medications and supplements being taken
  • Current insurance information, if applicable
  • If X-rays have recently been taken and by whom

Note that if x-rays have been recently taken, you can have them forwarded to us by your previous health care provider.

That will help avoid unnecessary expense and exposure for additional x-rays.


Patient Forms

Necessary forms are available at our front desk, or the can be emailed prior to your first visit.

Downloadable forms are coming soon.


Financial Policy

We accept major credit cards and most other forms of payment.

Please note that payment is due at the time services are rendered unless other prior arrangements have been made.

You are responsible for all fees charged regardless of insurance coverage.

Dental Insurance

In Mississippi, you are allowed to select any dental health care provider you prefer whether they are in your network or not.

As a courtesy, we will bill your insurance provider and track claims on your behalf.

You are still responsible for payment of all charges for services rendered, including charges above insurance payments.



Dental care financing is available through third-party entities.
Ask our staff for additional information if needed.


Call: 601-759-4366



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