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General Information

Patient Forms

Click on the button above to download and save our New Patient Form to your own computer. Please print, fill out and bring the form with you at the moment of your first visit.

Insurance Plan & Financial Policy

• Aetna PPO

Cigna PPO

Guardian PPO

Metlife PPO

Ameritas PPO

Compbenefits PPO

Humana PPO

United Heath care PPO

Assurant PPO

Deltal Dental PPO

Principal PPO

United Concordia PPO

Blue cross and blue shield PPO

Dentemax PPO

Solstice PPO



Deelighted Smiles accepts most insurance plans but are not in network with insurances.  As a courtesy we will gladly process your dental claims.  However, due to many changes in insurance policies, we can not be responsible for interpreting each individual policy.  It is your responsibility to know your individual coverage and its limitation. Insurance policies generally cover only a portion of the total treatment.  We ask that you pay your portion of the bill at the time of treatment.  It is your responsibility for any co- payment, co- insurance, deductible, any balance not paid by your insurance company.  Please remember that your insurance policy is a contract between you and your insurance company. If you have any questions regrading your insurance please call us.  Thank you!


For your convenience we accept Visa,  Mastercard, Discover, Amex, Care credit.



Infection Control

Dr. Phan and our team follow procedures recommended federal agencies: Center for disease control (CDC), Occupational safety and health             administration (OSHA) and Environmental Protection Agency (EPA).



• Gloves and face masks

• Disinfectant hand soap

• Chemical disinfection of countertops and surfaces

• Sterilization of all equipment before every use

• Disposable materials.


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