Bellevue

Dentist Office


Thin White Line

Call 425.605.3575


Dentist

Address: 15015 Main Street, STE 105, Bellevue, WA 98007

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bellevue dentist office
       
lynnwood dentist office

About our Bellevue office

Lynnwood

Dentist Office


Thin White Line

Call 425.251.0707


Dentist

Address: 3333 184th St. SW, STE U, Lynnwood, WA 98037

Write a review
lynnwood dentist office
       
lynnwood dentist office

About our Lynnwood office
Bellevue 425.605.3575
Lynnwood 425.251.0707

Schedule your Appointment

Dentist Lynnwood
Bellevue Prime Dental

Bellevue Dentist Office
Address: 15015 Main Street, Ste 105
Bellevue, WA 98007
Phone: (425) 605-3575
Dentist Lynnwood
Lynnwood Prime Dental

Lynnwood Dentist Office
Address: 3333 184th St. SW, Ste U
Lynnwood, WA 98037
Phone: (425) 251-0707
Dentist Lynnwood
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Patient Form

Lynnwood Dentist
Home » First Visit » Patient Forms

Patient Forms



Here at Prime Dental Group in Bellevue and Lynnwood, we are dedicated to providing you with the best and affordable dental care. We always welcome new patients, and would like to thank you for referring family and friends to our practice. 


Please print, fill out, and sign these forms for your new patient appointment. They may also be filled out when you come in if you prefer.


Download Patient Forms

Adult Patient Form         Child Patient Form


Note: A parent or guardian must accompany all patients under 18 at the consultation visit.


Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental cleanings (i.e antibiotics, for pre-med.)


Your initial appointment will consist of a consultation explaining your diagnosis and treatment options.


Occasionally, treatment can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.


Please assist us by providing the following information at the time of your consultation if possible:
  • Your referral slip and any X-rays if applicable

  • A list of medications you are presently taking
If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.



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Prime Dental Group is now accepting new patients. Contact us today!


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Dental Implants
Porcelain Crowns
Dental Sealants
Dental Bonding
White Fillings
Porcelain Bridges
Root Canal Therapy
Full & Partial Dentures
Porcelain Veneers
Wisdom Teeth Extractions
ZOOM!® Teeth Whitening
Invisalign®
Pediatric Dentistry
Smile Makeover
Bellevue Prime Dental Group
15015 Main Street, STE 105
Bellevue, WA 98007
Office: (425) 605-3575
Fax: (425) 605-4522
Email: bellevue@myprimedental.com
Lynnwood Prime Dental Group
3333 184th St. SW, STE U
Lynnwood, WA 98037
Office: (425) 251-0707
Fax: (425) 608-5642
Email: lynnwood@myprimedental.com

Prime Dental Group provides affordable and excellent dental care in Bellevue and Lynnwood, WA. Voted America's Top Dentists since 2010 for both Bellevue and Lynnwood area, Dr. Kim provides dental implants, crowns, bridges, Invisalign, Zoom! teeth whitening, dentures and more. Contact one of our dentist offices in Bellevue and Lynnwood today to get the dream smile!

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