Dental, Troy, Sterling Heights, Bloomfield, Rochester Hills, Michigan - Top of Troy Dental
Top of Troy Dental
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755 W Big Beaver Rd # 415, Troy, MI 48084-4903, 248-362-1100
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Dental Insurance Plans

Our office accepts most insurance plans.

Hours

Days, Weekends and Evening hours available. Call for appointments:
      248-362-1100
.

Online Special

Check for our online specials.

We accept credit cards.

We also accept CareCredit healthcare financing card. Apply in our office or at CareCredit.com.

Required Forms @ Top of Troy Dental
Name File Size
Date		 Download
Patient Registration Form
This form contains all necessary information about Patient required by your dental office, which includes Name, Social Security#, Date of birth and Dental insurance.

Note: Please print and fill out this form, and bring it with for your next visit. 		22 KB
09/28/06		    Download
Dental History Form
This form contains a brief questioner about your Dental History. We will keep this form for our records in your file.

Note: Please print and fill out this form, and bring it with for your next visit. 		22 KB
09/28/06		    Download
Health History Form
This form contains a brief questioner about your Health History. We will keep this form for our records in your file.

Note: Please print and fill out this form, and bring it with for your next visit. 		22 KB
09/28/06		    Download
HIPAA Privacy Form #1
This form, Notice of Privacy Practices, containts the information that federal law requires us to provide our patients regarding our privacy practices.

Note: Please print and fill out this form, and bring it with for your next visit. 		21 KB
09/28/06		    Download
HIPAA Privacy Form #2
This form is used to obtain acknowledgement of receipt of our Notice of Privacy Practices or to document our good faith effort to obtain that acknowledgement.

Note: Please print and fill out this form, and bring it with for your next visit. 		21 KB
09/28/06		    Download


Note: All forms are in Adobe Acrobat®"PDF" format. This means that in order to open, read, and print the forms you will need to have the Adobe Acrobat Reader ® installed and operational on your computer system.

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Dental, Troy, Sterling Heights, Bloomfield, Rochester Hills, Michigan - Top of Troy Dental

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 Dental, Troy, Sterling Heights, Bloomfield, Rochester Hills, Michigan - Top of Troy Dental