New Patients

Contact us, schedule, an appointment using the form at the bottom of this page.

Summit Family Dental Gold Card (Our Dental Insurance Alternative)

The Summit Gold Card is an excellent way to save money on your regular check-ups for those patients without dental insurance. In addition, you will receive 20% off all of your dental work for the year*. Unlike most dental plans there is no yearly maximum.

You receive: 

  • Two complete checkups which include:
    • Regular cleaning*
    • Necessary x-rays
    • Fluoride treatments
    • Cavity check
    • Oral cancer screening
    • Gum disease check
    • Toothbrush, toothpaste, floss, and a toy
  • 20% off all additional dental work**
  • Non-transferrable
*Adjustments will be made for more involved periodontal cleaning treatments
**some exclusions apply


Patient Forms

Please take a minute to print and fill out these forms before your first appointment to expedite the registration process.

In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.

The financial policy of SUMMIT FAMILY DENTAL PLLC is as follows:

  • If you are using dental insurance we will attempt to verify your benefits and eligibility but CANNOT guarantee your eligibility.
  • Based on the information provided by the insurance company we will ESTIMATE your co-pay.
  • The co-payment is due when the services are rendered.
  • Summit Family Dental is to be paid directly by your insurance company
  • Your account is your responsibility; we will submit forms to your insurance company at no charge. In the event that your insurance company does not pay on your account it will remain your responsibility.
  • If you have any questions regarding your account, please contact our office. Many times a simple telephone call can clear many misunderstandings

For your convenience, we offer several payment options:

Summit Family Dental participates with most dental insurance programs. Our goal is to not let the expense prevent you from obtaining the quality care and services you deserve. We strive to maximize insurance benefits while making any remaining balance easy to afford.




For the uninsured we offer our in house plan: the Summit Family Dental Gold Card.



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Use the form below to request your appointment now!