CoupleKLR - Dental

Contact

Telephone
910-920-9955

Hours

Monday - Friday:
8:00 am - 5:00 pm

Location
3622 Morganton Road
Fayetteville, NC 28303


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To make an appointment, schedule an oral cancer screening
or get a FREE smile makeover consultation, please fill in our inquiry form below.

General details

* indicates required information

First Name *
Last Name *
Email
Telephone *
Cell phone
Address 1
Address 2
Zip code *
Are you interested in:
Getting a FREE smile makeover consultation?
Gum Disease screening?
Invisalign?
General checkup?
Are you interested in making an appointment for another member of your family?
Name
Name
Name
Additional information:

New Patient Forms

Please click on the forms below and print them out. If possible, fill them in before your appointment with us to save you time.

Click here to download a complete PDF of our new patient forms:
  • Patient Registration Info
  • Health History Form
  • Notice of Privacy Practices
  • Acknowledgement that you received the Notice of Privacy Practices
Download PDF