Call Us: 251-300-6100
Please take a moment and fill out our patient intake form. Download and print the pdf's from the links below and bring the forms with you to your first visit. If you are unable to fill these forms before your first visit please arrive 20 minutes early to your appointment. If you have any questions, feel free to contact our practice.
We also suggest learning more about our privacy policies and your rights by clicking here.
"I called in with some tooth pain and was able to get an appointment that day. The dental hygentists and the doctor both clearly described exactly what they were doing. The atmosphere of the office was homey, tidy and welcoming." ”
"Great experience from start to finish. Everyone at the office are very caring and personable. I went in for a routine cleaning, which was gentle and enjoyable. The Hygienist and the Dentist were very knowledgeable and informative." ”
"Everyone was extremely nice and very informative. My hygienist explained the locations and causes of any issues and proposed methods of preventing them from getting worse. She did so in a way that was very easy to understand." ”
"Great costumer service. An amazing hygienist! A great receptionist who was amazing with our daughter. Very professional. The Doctor was super nice and great and the whole staff is just amazing. Highly highly recomend!!!!" ”
"My first appointment with Azalea City Dental and the entire experience was nothing less than excellent. The dental hygienist, and Doctor were fantastic! They made me feel comfortable and took the time to explain everything." ”
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