Providing Services for Binghamton, Johnson City, Vestal, Owego, Elmira, Ithaca and Surrounding Communities Contact Dental Solutions of Binghamton Call us to make an appointment Contact Form NameThis field is for validation purposes and should be left unchanged.Patient InformationName(Required) First Last Phone(Required)Email(Required) Enter Email Confirm Email Preferred Contact Method(Required)Phone CallText MessageEmailAre You a New or Existing Patient?(Required)New PatientExisting PatientReason for Contact(Required)Dental ImplantsHybridge ConsultationNew Patient AppointmentEmergency AppointmentHygiene / CleaningGeneral QuestionOtherHow soon would you like to be seen?As soon as possibleWithin 1 weekWithin 2–3 weeksFlexibleWhat City do you call home?(Required) City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Are you interested in learning about Hybridge dental implants?Yes – I want a consultationYes – I’d like to attend a seminarI’m not sure yetNoPlease select seminar date(Required)6/18/2411/16Best Time to Contact You?(Required)MorningAfternoonEveningAnytimePlease let us know if you are missing teeth, have loose or failing teeth, have dentures that move or are uncomfortable, experiencing difficulty chewing certain foods, or are exploring long-term solutions, gathering information, or to obtain a second opinion(Required)Please share any details about your dental concern.Have you previously been told you need dental implants or full mouth reconstruction?(Required)YesNoI’m seeking a second opinionHow did you hear about us?(Required)Google SearchFacebook/InstagramCommunity EventFriend / FamilyTV – Wellness Hour commercial – 30 MinuteTV – Lasting Smile Commercial – 30 MinuteInternet SearchRepeat PatientAnother DoctorWhich doctor referred you?(Required)Insurance InformationDo you have Dental Insurance?(Required)Delta DentalExcellusCignaAetnaGuardianMetLifeUnited ConcordiaFidelisMedicaidMedicareOtherI Do Not Have InsurancePlease list your insurance provider:(Required) Insurance Notice: Insurance-Independent Dental Care Dental Solutions of Binghamton is an insurance-independent practice, allowing our doctors to recommend the treatment that is best for your long-term oral health—not the limitations of insurance plans. We provide clear treatment options, help you maximize any available insurance benefits, and offer financing options to make care affordable. By submitting this form, I acknowledge that I will be responsible for payment in full at the time of treatment or will have financing arrangements secured prior to receiving care. Financing options available: • Proceed Finance • CareCredit • LendingClub • Cherry Finance(Required) I understand that Dental Solutions of Binghamton requires payment at the time of service.By submitting this form, I acknowledge that I will be responsible for payment in full at the time of treatment or will have financing arrangements secured prior to receiving care. Financing options available: • Proceed Finance • CareCredit • LendingClub • Cherry FinanceAdditional Notice: Hybridge (Full Arch / Hybridge Implant) procedures are not Medicaid-covered benefits. Insurance Disclaimer: Payment is due at the time of service. As a courtesy, we submit claims to most commercial dental plans, with reimbursement sent directly to the patient. Dental Solutions of Binghamton does not participate with Medicaid or Medicare. HIPAA Consent DisclaimerBy submitting this form, you consent to being contacted by Dental Solutions of Binghamton. CAPTCHA 607.798.0789 Call Us to schedule your appointment 205 Oakdale Rd., Johnson City, NY 13790 Office We offer financing options:
