1811 Louetta rd, Houston, Tx 77388

Are you Candidate For Dental Implant?

Superior Service

Dental Implant & Bridge options available

Implant Denture & Full Mouth Implant Pricing

UNMATCHED EXPERIENCE

Dental Implants That You Can Afford ..

GET PRICING NOW

Are you Candidate For Dental Implant?

Superior Service

Dental Implant & Bridge options available

Implant Denture & Full Mouth Implant Pricing

UNMATCHED EXPERIENCE

Dental Implants That You Can Afford ..

GET PRICING NOW

FIND OUT IF YOU'RE A CANDIDATE for Dental Implant

COMPLETE THIS EVALUATION TO

INSTANTLY DISCOVER:

If You Are A Candidate For Dental Implants
What Treatment Options Are Available For You
Cost And Financing Options

BONUS!!

Receive A Special Promotion That Can Save You Thousands!

How Many Missing Or Broken Teeth Do You Have? *

All

6+

4-5

3 or Less

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

What Is Your Age? *

60+

50-59

40-49

<40

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

How Long Have You Been Missing Your Teeth? *

Less than a year

More than a year

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Do you currently have any of these dental solutions? *

Denture or Partial Denture

Bridge, Crown

Dental Implant

None of the above

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Are You Currently Unable To Eat Certain Foods Or Have To Modify The Way You Chew? *

Yes

No

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Are You Currently Experiencing A Lack Of Confidence In Social Situations or Find Yourself Hiding Your Smile? *

Yes

No

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Have You Had A Dental Implant Consultation With Another Dentist? *

Yes

No

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

What is your timeline to receive treatment? *

Very little, I’m in no rush

Moderate, Within 1-3 Months

High, I need help now

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Most Dental Implant procedures are not covered by insurance. However we offer many payment plans that make it quite affordable and offer low monthly rates. Are you interested in a payment plan? *

Yes I am!

No I will not need a payment plan

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Are You Interested in Learning About Our Easy Monthly Payment Plans? If So, What Dollar Range Would You Like To Pay Monthly. *

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Enter the below information:

We will email you with your results and valuable information on pricing and treatment options available to you.

First Name *

Last Name *

Email *

Phone *

I agree to terms & conditions provided by Dental Care & Implants. By providing my phone number, I agree to receive text messages from the business.

I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act. I understand that by hitting "Submit" I am opting into receiving text, emails, and phone calls relating to booking a dental implant consultation.

Dental Care and Implants owns the website and services offered here.