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Daphne Dentist, Dentist in Daphne, AL

F a m i l y   a n d   C o s m e t i c   D en t i s t r y

Daphne Location

Dr. Michael Nebrig DMD

Dr. Jessica Robinson DMD

8477a County Road 64 Ste 3
251-621-1301

E-mail: southerndentistry@gmail.com

Robertsdale Location

Dr. Morgan McEvoy DMD

Dr. Jessica Robinson DMD

22645 Highway 59 South
251-621-1370

E-mail: southerndentistryrobertsdale@gmail.com

Optimum Dental Wellness Program
 

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Optimum Dental Wellness Plan


 No Insurance?  No Problem!

For as low as $10 a month,

The Optimum Dental Wellness Plan

has you covered!

Our Optimum Dental Wellness Plan is a reduced fee dental plan that allows individuals and families – just like yours – to receive quality dental services at prices that make sense in today’s economy.  This Plan is designed to help eliminate problems before they happen and make caring for your oral health convenient and affordable.  Consistent, quality oral healthcare is essential to a beautiful, healthy smile!

Dentistry Made Affordable!

Benefits of the Optimum Dental Wellness Plan include:

  •  For individuals and families
  •  2 regular cleanings per year at NO EXTRA CHARGE
  •  Annual exam and x-rays at NO EXTRA CHARGE
  • 25% off the regular fee schedule with no deductibles
  • No limits or yearly maximums

The Optimum Dental Wellness Plan requires a $100 annual membership fee plus just $10 a month.  Additional family members can be added at same rates.

Now That’s Something To Smile About! 

 

 


Optimum Dental Wellness Plan


Terms and Conditions

 

The Optimum Dental Wellness Plan is not insurance.  It only provides discounts on a variety of your dental needs.  It’s a special program offered by Southern Dentistry that helps individuals and their families save on dental care. Not all dental services are covered.  The plan covers regular cleanings (Type I on the Healthy Gums Program).  If more than a regular cleaning is needed, such as periodontal treatment (Type II – V on the Healthy Gums Program), the patient is responsible for the cost which is 25% off regular office fees.  

This is a 1 year contract.  After 1 year, your Wellness Plan Benefits must be renewed or your respective plan membership will be automatically terminated.   

The office fee schedule is subject to change.  The 25% off includes all treatment cost, but does not include special prices on bleaching, snore appliances, or any other special offer price.  Also not included are retail items such as power toothbrushes, Clinpro toothpaste, MI Paste, etc., and cosmetic lab fees that may be applied for the use of specialty cosmetic labs.  If you are referred to a specialist, you are subject to their fee schedule.    

I have read the terms and conditions and I understand them to the full extent.  I have been given the opportunity to ask questions.  By signing below, I agree to the 1 year Optimum Dental Wellness Plan.

 

 

_____________________________                                                            __________________

Print Name of Head of Household ($100)                                                             Date

 

_____________________________                                                           

Signature of Head of Household

 

Print Names of Additional Members of Plan ($100 each):

 

________________________________________                                _______________________________

 

________________________________________                                _______________________________

 

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