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Disclaimer:
Virginia Biological Dentistry is out of network with dental insurances. We have hundreds of patients with dental insurances that come to see our biological dentist and pay fully for services rendered. As a courtesy, we file to their dental insurance after the treatment, and dental insurance sends reimbursement checks to patients directly depending on their coverage.

Appointment Date *

Time *

Are You A New Patient? *

Your Name *

Email Address *

Contact Number *

Are you specifically looking for a biological dentist and biological dental services?

Yes

If YES, what dental concern do you have that made you look for a biological dentist and/or our dental services? *

If NO, how can we help with your dental concern and why?

What is/are your main dental concern(s)?

Have you already visited our website: www.virginiabiologicaldentistry.com and read about our biological dental services and the information for new patients?

Yes

I acknowledge I read the disclaimer.*

By submitting the above form you agree and accept our Privacy Policy.*

Call Us

New Patients (804) 381-6238

Existing Patients (804) 740-4485

Monday	8:00 AM - 6:00 PM
Tuesday	8:00 AM - 6:00 PM
Wednesday	8:00 AM - 6:00 PM
Thursday	8:00 AM - 6:00 PM
Friday	8:00 AM - 3:00 PM

In case you need to reschedule your appointment please do so as early as possible, by calling and speaking with the front desk staff AT LEAST 72 hours prior to your appointment, in order to avoid forfeiting your reservation deposit.

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