New Patients Form

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Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
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We are also here for you, the parents. We know how important (yet difficult) it is to take care of your children’s teeth at home. During your appointment, we will go over the care that you need to be providing at home and look for problems as well. If needed, we will work with your child’s pediatrician.

Tiny Teeth Pediatric Dentistry

Phone: (803) 781-2511 Address: 7432 Broad River Rd.
Irmo, SC 29063

We will do our best to accommodate your busy schedule. Request an appointment today!

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