APPLY FOR OUR DENTAL CREDIT CARD                                                                                                         Site Map

Our goal is to ensure that you receive the superior dental care necessary to maintain your dental health and glowing smile. Our Dental Credit Card gives you the freedom to have your procedure done whenever you’re ready. It’s easy to apply and we offer the convenience of typing your information directly into our credit application form or you can print it and fill in your information. You can also apply online and with our simple process, including an instant approval notification, you’ll be on your way to getting what you want, when you want it.

With our Dental Credit Card you will be able to start your dental treatment today, be assured of low monthly payments, and use for additional treatment without the need to reapply for yourself or your family. It takes only minutes to apply, and there are no activation or annual fees.

Credit Application

Option 1

Click the link below to view our dental credit card application. You will be able to type your information directly into the form and save it to a file on your computer if desired. Once your application is complete, please print and fax to our office at 337-981-9799. We do not recommend that you email this document.

View the Credit Application

Option 2

Click the link below to view a printable dental credit card application. You must have Adobe Acrobat Reader installed on your computer in order to view and print the application. If you do not have the Reader on your computer, please download it free from Adobe, by clicking below. Once your application is complete, please print and fax to our office at 337-981-9799.

View the Credit Application

Calculate Payments on our Dental Credit Card

Please visit our credit card processor here to calculate your monthly payment.

 

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FINANCIAL ARRANGEMENTS                                                                                                                                 

Our fees are based on the materials we use and our experience in performing your needed treatment. To ensure that you have access to the finest dental treatment available, we have developed the following financial options:

• We offer a Dental Credit Card for easy monthly payments.

• We accept major credit cards such as Visa, MasterCard, Discover and American Express. 

• We are pleased to offer Capital One Healthcare Finance to our patients. Capital One Healthcare Finance is a convenient, no initial payment, low monthly payment plan for dental treatments of $1,000 to $25,000. Offering Capital One Healthcare Finance allows us to make the smile you've always wanted affordable. Click here to view and print or fax the credit application.

• We also offer financing through Wells Fargo, Citi Health Card and Healthcare. 

If you would like to review our financial arrangement options, or have questions regarding your dental insurance plan in advance of treatment, please call our office at 337-981-9811 or toll free at 800-433-5138.

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