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Employment Contact

We are interested in learning more about you. Please complete the short form below and we will be in touch with you very shortly.

Kindly fill out the information below:

Your name:  
Phone number:  
E-mail Address:
 
I am interested in a career at Community Dental:
Dentist    Hygienist   Dental Assistant

Administrative Staff


Security and protection of your information is important to Community Dental. We do not rent or sell your information to anyone. By clicking the submit button, you agree to be contacted by telephone and e-mail and to receive our newsletter. Opting out of our newsletter is quick and easy should you decide later that it is not relevant to you.

 


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Online Patient Contact Form

We're Taking New Patients at Convenient Locations Near You

Our patient service representatives welcome the opportunity to talk with you about your oral health needs.

Please complete the form below and within 24 business hours, we will contact you to schedule an appointment.

  

Biddeford 207-282-1305

Farmington 207-779-2659

Lewiston 207-777-7442

Portland 207-874-1028

Rumford 207-369-3600

Kindly fill out the information below so we may promptly contact you.

Name  
Mailing Address    
Address 2
Phone number
() -   ext
Secondary phone number
() -   ext
Date of birth
Do you have any
heart problems?
Do you have any artificial
pins, posts or joints?
What dental insurance
do you have?
Are you planning to applying
for our Sliding Fee?
What kind of appointment
do you want to make?

In which location would you
like to have your appointment?



How did you hear about
Community Dental?
Comments
Security and privacy of your information is very important to Community Dental. We do not sell or share your personal information to anyone. By clicking the submit button, you agree to be contacted by telephone and e-mail.