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Vickii R Bingham-Lester DMD
One of our representatives will happily contact you within 24 hours. For urgent needs call us at
New Patients:
410-885-6522
Existing Patients:
410-451-0041
1119 MD Route 3 North, Suite 216, Gambrills, MD 21054 | Get Directions
Smiley Teeth

Online Patient Forms

Our New Patient Registration Packet includes the following 4 forms. The forms can be filled in online and sent to us before your appointment, so you save some of your time.

For your convenience, we have 3 options that you can select from to fill these forms.

Option 1: Open the form in your internet browser (IE or Chrome), fill it online, print out the completed form, and bring it when you come for your appointment.

Option 2: Open the form in your browser, download, open it in Acrobat reader, fill in details, click submit by email and follow instructions.

Option 3: Open the form in your browser, download, open it in Acrobat Reader, fill it in, save, attach the saved document to an email and send it to us

If you have trouble viewing the forms, please download and install Adobe Acrobat Reader by clicking link https://get.adobe.com/reader/

Smiling Woman Schedule click here

TESTIMONIALS

Bingham-Lester Dentistry
Rating : 5 5 Stars
"Fabulous Dental Practice - First off they value your time as much as you do. The entire team is happy to work there, which shows in the way they treat the clients. The equipment is top notch. I'm very happy even if they find a cavity."
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