210-824-0430

Dentist in San Antonio
937 Eventide Drive
San Antonio, TX 78209

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Solutions & Services

General Dentistry
Cosmetic Dentistry
Restorative Dentistry
Comfort Dentistry
- Nitrous Oxide Comfort Dentistry
- Oral Medication Comfort Dentistry

Make an Appointment

First Name *

Last Name *

Phone Number *

Email Address *

Verify Email Address *

Date of Birth *

Date

E.g., 06/25/2017

Are you a new patient? *

Yes

How did you hear of us?

Is your family, friend or coworker a current patient? We’d love to have their name so we can thank them for referring you to us

How did you hear about our office?

Reason for your visit *

Dental Cleaning

Dental Emergency

Dentures or Implants

Cosmetic - teeth whitening, veneers, bonding, etc.

Filling

Crown

Extraction

Dental Consultation (Second opinion or Invisalign)

Other

Please provide a brief explanation of the reason for your visit

Are you experiencing pain, swelling, or bleeding? *

Yes

Where is the problem area located? *

Rate pain (1-10) *

On a scale of 1 to 10, please rate your level of pain with 1 being the least and 10 being the most.

Do you have insurance? *

Yes

Who is your dental insurance provider

Best day(s) for your appointment *

Monday

Tuesday

Wednesday

Thursday

Friday

Best time? *

Morning

Afternoon

No Preference

Specific Time

If a specific time is necessary, please indicate the time.

How do you prefer we contact you? *

Phone

Note: we do not accept appointment cancellations via email.

Do you require any special accommodations? *

Yes

Accommodations required

In order to request an appointment you must be 13 years of age or older. *

Yes, I am 13 years of age or older

Home | About | Make an Appointment

Eventide Family Dentistry
937 Eventide Drive
San Antonio, TX 78209
210-824-0430

Dental Health Associates of Texas, PC

Office Hours

Monday: 8:00 AM - 5:00 PM

Tuesday: 7:00 AM - 6:00 PM

Wednesday: 7:00 AM - 6:00 PM

Thursday: 7:00 AM - 6:00 PM

Friday: 8:00 AM - 12:00 PM

Eventide Family Dentistry welcomes patients with disabilities. If you need an accommodation to receive dental services, we would be happy to provide one. Please contact us at 210-824-0430 to let us know how we may be of assistance. Additional fees may be involved in individual cases. Please contact our offices for details.

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