APPOINTMENT REQUEST

Existing Patients of Gregory J. Gauthier DDS, LLC

•  Remember RemReBe sure to bring your dental insurance card or other proof of coverage to each visit.
• Remember that you can visit our patient education page "24/7" for information that will help you prepare for an appointment, especially if you have any symptoms or want to to learn about a specific cosmetic procedure.  You can also save some time at your next visit by printing out and completing this form in advance, to make sure we have your current medical information:

                ADA Health History

                In order to view or print this form you will need Adobe Acrobat Reader installed. Click here to download it.

New Patients of Gregory J. Gauthier DDS, LLC

If you have dental insurance, the new patient fees (initial oral exam, consultation and x-rays; codes D0150, D0210 and D0330) are probably established by your plan. 

THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT. 

Gregory J. Gauthier, D.D.S. can be reached at 813-977-9753; his practice address is 4444 East Fletcher Avenue in Tampa, Florida 33613; and his Florida Dental License is #11265. 

All Patients (New or Existing)

To initiate an appointment request, please fill out the form below. Gregory, Ann or another staff member will contact you to either confirm the availability of your requested appointment or find another date and time that fits your busy schedule.  Contact will generally be made the next business day.  If you have an emergency or urgent problem, please call 813-977-7353 during business hours for prompt attention.