We are accepting new patients at this time!

If you would like to become a patient at our office, please call us or fill out the appointment request form below and we will get back to you in a timely manner.

315-637-4616

Request an appointment with our team

Name

First Name

Last Name

Phone

(###)

###

####

New or Existing Patient?

Type of Appointment you are looking for?

Do you have Dental Insurance? If so, specify insurance company.

IMPORTANT: If you have Fidelis, Dentaquest or Medicaid we are a non-participating provider and your insurance company requires that you see a participating provider for any reimbursement. If you choose to see us for care, you will be responsible for payment in full.

We are a non-participating provider. This means we will work with your insurance company and submit any claims for you, but whatever cost insurance does not cover you will be responsible for.

I understand that I will be responsible for whatever insurance does not cover at Green Lakes Dental

If you are planning to become a new patient at our office, we ask that you fill out and send our records request form below to your previous provider.

RECORDS REQUEST FORM