top of page

New Patient Forms

​

For your convenience we have made our patient forms available to you. If you are not able to fill out the forms prior to your appointment, please arrive at least 30 minutes prior to your appointment time to complete the forms.

​

 

​​

New Patient Forms

cosmetic-bkgd_edited.png

Extraordinary Smiles

5021 Route 873

Schnecksville, PA 18078

​

(610) 799-0600

Office Hours:

Monday: 9:00 AM - 5:00 PM

Tuesday: 8:00 AM - 5:00 PM

Wednesday 9:00 AM - 2:00 PM

Thursday: 8:00 AM - 5:00 PM

Friday: By Appointment

Saturday & Sunday: Closed

​

Services:

Smile Designs

Invisalign for Teens & Adults

Dentures

Mouth / Night Guards

Sleep Apnea Treatment

Dental Implant Solutions

Periodontal Treatment

Root Canal Therapy

Extractions

Crowns & Bridges

Kids Dentistry

​

  • Instagram
  • Facebook

© 2025 by Extraordinary Smiles

bottom of page