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To schedule your appointment:

 

Call the IMPLANT DENTISTRY HOTLINE at 919-500-7931

Use the form below to provide us with the information, and our coordinator will contact you for convenient appointment times.

DENTAL OFFICES IN NORTH CAROLINA

Lifetime Family Dental
Dr. Chris Gudger

Dental Office in Raleigh, NC
8116 Creedmoor Rd.
Raleigh, NC 27613

Dental Implant Questionnaire

Please fill out this questionnaire to schedule your complimentary dental implant consultation appointment.

How many teeth are you currently missing?
1
2
3
More than 3
Have you had an implant consult in the past?
Yes
No
What implant options interest you the most?
Full upper arch
Full lower arch
Both full arches
Individual Implant
Are you in any pain or discomfort?
Yes
No
What has prevented you from getting dental treatment in the past?
If you are interested in financing you procedures which of the following options would suit you best?
3rd party financing (generally 700+ credit score)
Partial finance and self-pay
Cash, personal savings, or second mortgage
Credit card
I will not need a payment plan
If you are interested in financing what monthly payment amount would you be most comfortable with?
$250-$350 a month
$350-$450 a month
$450-$600 a month and above
I will not need a payment plan
How would you rate your credit?
Good 700+
Fair <680 (If fair or poor you will need a co-signer to bring to your consultation)
Poor -650 (If fair or poor you will need a co-signer to bring to your consultation)
Not sure
I will not be financing so this is not applicable
click to call phone number lifetime family dental
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To Book Your Appointment Click or Call

SCHEDULE YOUR APPOINTMENT

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New Patients Call (919) 822-9326

Existing Patients Call (919) 899-7414

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