Family Dental Center
Family Dental Center Family Dental Center Mt Airy MD Family Dental Center
Family Dental Center
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Patient Forms

New Patient Forms
PDF file Medical History Form
PDF file Insurance & Financial Policy
PDF file Notice of Privacy Practices
PDF file Consent for Use Disclosure of
Health Information
   
   
Exisiting Patient Forms
PDF file Information Update Form
   

Payment Options

We accept Visa, Mastercard, Care Credit, cash and checks.

VISA - MASTERCARD - CARE CREDIT - CHECKS - CASH

Insurance Providers

We accept:

  • Aetna
  • Aetna Advantage
  • Carefirst PPO and Federal
  • Careington
  • Cigna
  • Delta Dental
  • Geha Connection
  • Maryland Healthy Smiles Dental Program, managed by Denta Quest of Maryland, LLC
  • United Concordia

We will submit for non-participating insurance companies, however, payment will be due at the time of service.

Office Hours

Tues, Thurs, & Friday: 8am - 5pm
Wednesday: 9am - 6pm
Saturday: 8am - 2pm

Family Dental Center
4644 Ridge Road, Mount Airy, MD 21771
410-875-2323