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4900 Edinger Ave


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MON-THUR 6:30AM - 5:00PM

Welcome to Our Office

Thank you for selecting Dr. Banta’s office for your dental needs. We sincerely hope you find a noticeable difference here in our personalized and caring treatment of our patients. 

Your first visit will be a complete examination, which includes X-rays and possibly intro-oral photos, complete head and neck examination, and prophylaxis.

We will be taking time with you to discuss your dental needs and goals. Our goal is to provide you with the best care possible. 

Please download and complete the Patient Health History and Notice of Privacy Practices forms and bring your insurance information and current X-rays if you have them. If your X-rays are from another dental office, we would be happy to assist you in obtaining them. 

Sincerely yours,

Dr. Banta & Staff

Required Forms

Every new patient is required to complete the New Patient Health History Form and the Notice of Privacy Practices Form before their first appointment.

Option 1: Download the forms using the below link and send the completed forms to [email protected] 

Option 2: Download the forms using the below link, print, and bring a completed physical copy of the forms with you to your appointment.

Book an Appointment


Monday – 6:30 am – 5:00 pm
Tuesday – 6:30 am – 5:00 pm
Wednesday – 6:30 am – 5:00 pm
Thursday – 6:30 am – 5:00 pm

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