105 North Park Lane Mishicot, WI 54228 Google Map | Directions (920) 755-2336
Mishicot Dental
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New Patients

Child Dental & Medical history

Child Patient Registration Form

Adult Dental & Medical History

Adult Patient Registration Form

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1st Visit

Our practice is committed to providing you and your family with safe, gentle, high quality dental care. We understand that you, or your child, may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing you with the best care possible.


Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, we will:

  • Review of your dental and medical history forms
  • Take X-rays of your teeth and mouth
  • Do full exam of all your teeth , including oral cancer screening, periodontal screening, and look over all your teeth

We will help you create your own individual treatment plan, and answer any questions that you may have.


Bring your smile, but also remember to bring these with you to your first appointment:

  • Your completed patient information
  • Your insurance card

Regular checkups are an important part of maintaining a healthy smile!

The American Dental Association recommends visiting your dentist every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy.

We understand that you have a busy schedule, so when you’re preparing to visit the dentist, please remember that your appointments can last between 45 to 90 minutes.

"The Smile you always Wanted... Today!"

...
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