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  • Home
  • About Us
    • Meet Our Doctors
      • Neil D. Lutins, DDS
      • Luis M. Benitez, DMD
      • Veronica L. Longville, DDS, MS
    • Meet Our Team
    • Office Tour
    • Why Choose Our Office?
  • Services
    • Periodontal Therapy
      • Scaling & Root Planing
      • Osseous Surgery
      • Guided Tissue Regeneration
      • Laser Therapy
      • Functional Crown Lengthening
      • Tooth Exposure for Orthodontics
    • Dental Implants & Bone Reconstruction
      • Ridge Preservation
      • Ridge Augmentation
      • Sinus Lift
      • Dental Implants
        • All-on-X Implants
        • Implant-Supported Dentures
        • Single-Tooth Dental Implants
      • Peri-Implantitis Therapy
    • Periodontal Aesthetics
      • Connective Tissue Graft
      • Free Gingival Graft
      • Aesthetic Crown Lengthening
      • Gingivectomies
      • Lip Repositioning
      • Frenectomies
    • Sedation Dentistry
      • Nitrous Oxide
      • Oral Sedation
      • IV Sedation
    • Pathology
      • Soft & Hard Tissue Biopsies
    • Dental Technology
      • Cone Beam Computed Tomography (CBCT)
      • Intraoral Scanner
      • Millennium Laser
    • FAQ
  • Infection Control
  • Patient Resources
    • Financial Policy
    • Insurance Information
    • Patient Registration
    • HIPAA
    • Surgical Instructions
    • Links of Interest
  • Referring Doctors
  • Contact Us
  • Reviews
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2715 Pinedale Road, Greensboro, NC 27408
336-379-8377
M-TH 8:00 AM - 5:00 PM, F 8:00-1:00 PM

Request Appointment

  • Home
  • About Us
    • Meet Our Doctors
      • Neil D. Lutins, DDS
      • Luis M. Benitez, DMD
      • Veronica L. Longville, DDS, MS
    • Meet Our Team
    • Office Tour
    • Why Choose Our Office?
  • Services
    • Periodontal Therapy
      • Scaling & Root Planing
      • Osseous Surgery
      • Guided Tissue Regeneration
      • Laser Therapy
      • Functional Crown Lengthening
      • Tooth Exposure for Orthodontics
    • Dental Implants & Bone Reconstruction
      • Ridge Preservation
      • Ridge Augmentation
      • Sinus Lift
      • Dental Implants
        • All-on-X Implants
        • Implant-Supported Dentures
        • Single-Tooth Dental Implants
      • Peri-Implantitis Therapy
    • Periodontal Aesthetics
      • Connective Tissue Graft
      • Free Gingival Graft
      • Aesthetic Crown Lengthening
      • Gingivectomies
      • Lip Repositioning
      • Frenectomies
    • Sedation Dentistry
      • Nitrous Oxide
      • Oral Sedation
      • IV Sedation
    • Pathology
      • Soft & Hard Tissue Biopsies
    • Dental Technology
      • Cone Beam Computed Tomography (CBCT)
      • Intraoral Scanner
      • Millennium Laser
    • FAQ
  • Infection Control
  • Patient Resources
    • Financial Policy
    • Insurance Information
    • Patient Registration
    • HIPAA
    • Surgical Instructions
    • Links of Interest
  • Referring Doctors
  • Contact Us
  • Reviews
  • Home
  • About Us
    • Meet Our Doctors
      • Luis M. Benitez, DMD
      • Neil D. Lutins, DDS
      • Veronica L. Longville, DDS, MS
    • Why Choose Our Office?
    • Meet Our Team
    • Office Tour
  • Services
    • Periodontal Therapy
      • Scaling & Root Planing
      • Osseous Surgery
      • Guided Tissue Regeneration
      • Laser Therapy
      • Functional Crown Lengthening
      • Tooth Exposure for Orthodontics
    • Dental Implants & Bone Reconstruction
      • Ridge Preservation
      • Ridge Augmentation
      • Sinus Lift
      • Dental Implants
        • All-on-X Implants
        • Implant-Supported Dentures
        • Single-Tooth Dental Implants
      • Peri-Implantitis Therapy
    • Periodontal Aesthetics
      • Connective Tissue Graft
      • Free Gingival Graft
      • Aesthetic Crown Lengthening
      • Gingivectomies
      • Lip Repositioning
      • Frenectomies
    • Sedation Dentistry
      • Nitrous Oxide
      • Oral Sedation
      • IV Sedation
    • Pathology
      • Soft & Hard Tissue Biopsies
    • Dental Technology
      • Cone Beam Computed Tomography (CBCT)
      • Intraoral Scanner
      • Millennium Laser
    • FAQ
  • Infection Control
logo
  • Patient Resources
    • Financial Policy
    • Insurance Information
    • Patient Registration
    • HIPAA
    • Surgical Instructions
    • Links of Interest
  • Referring Doctors
  • Contact Us
  • Reviews

Patient Registration

REQUEST APPOINTMENT

Appointment

You may preregister with our office by filling out our secure online patient registration form. After you have completed the form, please make sure to press the “Complete and Send” button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns, and we have taken every precaution to protect it.

Patient Registration

Patient Registration Form (English)

Patient Registration Form (Spanish)

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336-379-8377

2715 Pinedale Road
Greensboro, NC 27408
Monday-Thursday
8:00am - 5:00pm
Friday (Alternating)
8:00am - 1:00pm
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