Smile with good teeth

DENTAL IMPLANTS FOR IRELAND

Dental Implants

One of Europe’s Leading Clinics
in Dental Implantology


PATIENT ENQUIRY FORM

Please fill in the form below, completing all fields before submitting,
or text your request to 0044 7501 684251.

 
Patient's Name
  
 
Address
 
 
Postcode
 
 
Telephone Number
  
 
Mobile Number
 
 
E-mail Address
 
 
   
 
How would you like us to contact you?
 Telephone   Email    Letter  
 
Reason for your enquiry ?
 
 
If your enquiry is about implants, have you already had an implant consultation?
Yes    No
 
If so, where have you had this?

 

 Information Required

Please give as much information as possible regarding the treatment you think you may require, or the previous implant treatment you have received, in the box below.

   
 

PLEASE NOTE

If you have recently had an Implant Consultation with another Clinic we are happy to offer a 'like for like" comparison. Simply send us a copy of the treatment plan either by post or email and we will return a comparison of cost within two working days.

Patients can avoid having to travel to our clinic for an implant consultation if they can send us a recent Panoral X-Ray (Also known as an OPG or a Panoramic X-Ray). Your usual dentist will be able to provide one of these, if not then another local dentist will.

Alternatively, we are now also offering FREE Eminus Consultations with a CT scan in Ireland.
If you prefer not to have to travel for the initial consultation, then please mention this in the 'Information Required' text box. We will then send you details of where to attend, nearest to your home address.
  Where did you hear about us?  
              

 

 

 
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If you need Dental Implants see also the Dental Implants UK directory or see the Dental Implants page of DentalcarePlus. Interested in art? See this art supplies website.
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