Click the links below to view and print our new
patient forms.
New Patient Adult Forms
New Patient Child Forms
Notice of Our Privacy Practices
Financial Policies for Patients with Insurance
You can complete these comfortably and at your own pace at home. Then when you come to the office, you'll be all ready to go, saving you time and ensuring you didn't forget anything important.
If you have any questions about these forms, don't hesitate to contact the office
and we'll be delighted to provide answers or clarification.
New Patient Adult Forms
New Patient Child Forms
Notice of Our Privacy Practices
Financial Policies for Patients with Insurance
You can complete these comfortably and at your own pace at home. Then when you come to the office, you'll be all ready to go, saving you time and ensuring you didn't forget anything important.
If you have any questions about these forms, don't hesitate to contact the office
and we'll be delighted to provide answers or clarification.
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Six Month Smiles | Dental Implants | Sedation Dentistry | CEREC | Invisalign | Lumineers
We provide professional dental care services in: Clemmons, Winston Salem, Lewisville, Huntsville, Mocksville, Greensboro, Statesville, Jamestown, High Point, Thomasville, Lexington, Salisbury in North Carolina. Our dentists provide the following dental treatment services: Six Month Smiles, clear dental braces, Invisalign, invisible dental braces, dental lumineers, CEREC dental crowns, porelain veneers, dental lumineers, dental implants, cosmetic dental procedures, sedation dentistry, implant dentistry, dental implant treatment, gum disease treatment, white dental fillings, smile makeovers, ZOOM teeth whitening, snap-on smiles, preventive dental care, restorative dentistry, cosmetic dentistry, natural looking dentures, digital imaging, oral cancer screen, and periodontal disease treatment.
Copyright © 2011 New Patients, Inc. All Rights Reserved.
[ Designed by New Patients, Inc. ]
Testimonials | Financial Options | Post Treatment | Healthy Gums | FAQ | Forms | Contact Us
Six Month Smiles | Dental Implants | Sedation Dentistry | CEREC | Invisalign | Lumineers
We provide professional dental care services in: Clemmons, Winston Salem, Lewisville, Huntsville, Mocksville, Greensboro, Statesville, Jamestown, High Point, Thomasville, Lexington, Salisbury in North Carolina. Our dentists provide the following dental treatment services: Six Month Smiles, clear dental braces, Invisalign, invisible dental braces, dental lumineers, CEREC dental crowns, porelain veneers, dental lumineers, dental implants, cosmetic dental procedures, sedation dentistry, implant dentistry, dental implant treatment, gum disease treatment, white dental fillings, smile makeovers, ZOOM teeth whitening, snap-on smiles, preventive dental care, restorative dentistry, cosmetic dentistry, natural looking dentures, digital imaging, oral cancer screen, and periodontal disease treatment.
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Kingery & Kingery, DDS, PLLC Cosmetic Dentistry Smile Makeovers Tel: (336) 766-0511  |
Copyright © 2011 New Patients, Inc. All Rights Reserved.
[ Designed by New Patients, Inc. ]
(336) 766-0511 • 2554 Lewisville Clemmons Road • Clemmons, NC 27012
