1. Patient Information

    Your Name

    Address

    City

    State

    Zip

    Birthdate

    Age

    Sex

    Marital Status

    Social Security #

    Occupation

    Business Employer

    Spouse’s Name

    Spouse’s Occupation

    Spouse’s Employer

     
     


    3. Certification

     
    I certify that the answers given are correct to the best of my knowledge.

    Signature

    Relationship to minor (if applicable)

    Date

    Kathy Anders
    Kathy Anders
    2022-10-18
    Excellent staff and love my dentist and the ladies in the office! Mrs. Patsy is my favorite and Liz is second. They are all good at what they do. Keeping my smile and my teeth looking their best! Awesome as always!
    Marian Malone
    Marian Malone
    2022-10-10
    Ashley who was my hygienist today did such a wonderful job on my teeth. I have gone in for cleanings before with other dentists in the area of Goldsboro and always come out with yellow teeth still.. I did not have any any kind of whitening done she just cleaned my teeth and I felt so good afterward .
    Julian Edwards
    Julian Edwards
    2022-10-10
    Awesome
    Rodney Mealing Jr
    Rodney Mealing Jr
    2022-10-04
    The Staff and service were great. From scheduling to dental work done, everything went easy. Felt relaxed, would recommend their services.
    Tisse Martin (Tisse)
    Tisse Martin (Tisse)
    2022-09-29
    Carolina Dental Arts staff & services are amazing. I called in as a new patient. They got me in and took care of my tooth the same day, with little waiting time. I was truly impressed. Thanks again CDA, see you guys soon ! 🤗
    Janai Donyele
    Janai Donyele
    2022-09-29
    My name is Sharonda. And I have been going to Carolina Dental for years, this is my family, whom I love so much. So kind very considerate, and patient. God bless everyone that works there. Love u guys.
    Ellen Barlow
    Ellen Barlow
    2022-09-29
    Friendly staff and Dr Taylor!! They really ease your anxiety!




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    Carolina Dental Arts have locations in the following areas of NC. Find specific information on how to contact them by selecting the city most convenient to you.

    Mon and Fri: 9 am-7 pm Tue: 9 am-2 pm
    Wed: 9 am-5 pm Sat: 9 am-1 pm Thu/Sun: Closed

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