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Top Rated Office in North Palm Beach

+1 561-867-2395

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

What is your total household monthly income?

$0–$3,999/month

$4,000–$6,999/month

$7,000 or more/month

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 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)

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 *

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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 x- Implant Center of the Palm Beaches