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Jacksonville Gentle Dentistry
Creating Beautiful Smiles
Call (904) 731-1919
Call: (904) 731-1919

Patient Info


Quality Dental Care in Jacksonville, Florida

New Patient Registration Forms

We value our patient relationships, making it our priority to deliver high-end dental care to all our patients. 
If you have questions, please don't hesitate to call us or just come in. We always do our best to help you (904) 731-1919.

Payment Options: 

  • PPO Insurance 
  • Cash & Debit
  • Major credit cards Visa, MC, Discover
  • HSA & FSA cards 
  • CareCredit with monthly payments of up to 60 months

Insurance and Billing
We accept PPO, PDP, POS, and Indemnity plans from the following companies (sorry we do not accept Medicare, Medicaid or HMO plans for payment). We will file your claim, meaning fewer insurance headaches for you. Patients are responsible for knowing the requirements of their plans. If you don't have insurance, we offer fair, affordable fees and financing.  

  

Make a Payment:

Pay with Visa, MC, Discover

Pay with CareCredit® Financing

  

 

  

 

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HIPPA Authorization.pdf

X-ray request form.pdf


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