Resources

New Patient Form

You can complete the New Patient Form on your computer and then return it to us:
1. By fax to: (928) 445-3268
2. By mail to: 1055 Ruth Street Suite #8, Prescott, AZ 86301
3. By e-mail to: prescottsmile@cableone.net
4. In person: Simply bring it with you when you make your first visit.

Download here: New Patient Form

Payment Options

We accept cash, check, Visa, Mastercard, Discover, and CareCredit.

To learn more about CareCredit, please visit their website at www.carecredit.com or call them at (800) 365-8295.

Contact Us Today!
P: (928) 445-8503
F: (928) 445-3268

Open Monday -Thursday
8:00am - 4:30pm

1055 Ruth Street Suite #8
Prescott, AZ 86301

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