⭐⭐⭐⭐⭐

Top Rated Office in Bonita Springs

(239) 667-6900

Don't Wait! Secure Your Spot Today and Start Your Journey to a Perfect Smile.

Fill out this quick form to book your consultation!

How many teeth are you missing in total? *

1-3 teeth

More than 3 teeth

Almost or all my teeth

I am not missing any

How long have you been experiencing issues with your teeth? *

Less than 6 months

6 months to 2 years

More than 2 years

Since insurance typically doesn’t cover dental implants, how do you plan to cover the cost of your treatment? *

I plan to pay in full with savings or cash

I need to finance part of it

I need to finance the full amount

I'm unsure and would like to explore options

How would you describe your credit score? *

Great Credit (660+)

Good Credit (620-659)

Fair Credit (550 - 619)

Poor Credit (Below 550)

What is your total household monthly income? 

$0–$3,999/month

$4,000–$6,999/month

$7,000 or more/month

If you’re considering financing your dental treatment through 3rd party healthcare financing companies, do you have a job or a stable source of income? *

Yes, employed

Retired

Unemployed

Disabled

If you're not approved to finance the full amount of your treatment, would you be able to cover the remaining balance with personal funds?

Yes, I can cover it fully with personal funds

I cannot contribute personal funds

If you're unable to qualify for full financing on your own, do you have a co-signer with a credit score of 650 or higher who could help you? *

Yes

Dental implant treatments can range from:

$1,000 to $3,500 for a single tooth

$10,000 to $25,000 for a full set of teeth.

Is that an investment your co-signer will be open to cosigning with you? *

Yes

When is the best time to contact you? *

Mornings (8am-11am)

Afternoons (11am-3pm)

Late Afternoon (3pm-5pm)

First Name *

Last Name *

Phone *

Email *

Zip Code *

I consent to receive calls and SMS notifications from Dental Crown in an Hour. Message frequency varies. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Look At These Beautiful Before and Afters

*Subject to down payment and credit approval. Financing terms subject to change without notice. Also subject to terms and conditions which will be discussed in your consultation Dental Crown in an Hour