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Springfield
New Patients:
(973) 221-2602
Existing Patients:
(973) 912-9091
Neptune
New Patients:
(732) 272-0913
Existing Patients:
(732) 588-8238
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For how long have you been missing teeth?
Less than a month
Less than 6 months
Less than 1 year
More than 1 year
Do you experience any pain or discomfort when eating or chewing?
Yes
No
Do you find it difficult to eat the foods you want or have to adjust the way you chew?
Yes
No
Do you ever avoid smiling or feel self-conscious about your smile in social settings?
Yes
No
What's the main thing stopping you from improving your smile?
Nothing, I'm eager to start right away!
Cost of dental work
Fear of the dentist
Time commitment
Haven't found the right dentist
Where are you in your decision process?
I'm ready to schedule a consultation
I'll be ready in the next few days or months
I'm still researching my options
Have you spoken with another dentist about implants?
Yes
No
Approximately how much was the cost of the proposed treatment plan?
$500 - $2000
$2000 - $5000
$5000 - $10000
$10000 - $15000
$15000 - $20000
$20000 - $25000
$25000+
Would you like to explore affordable payment options?
Yes
No
How would you rate your overall credit health?
Poor (below 580)
Fair (580 - 640)
Good (640 - 720)
Excellent (720+)
What matters most to you when considering an implant dentist?
Lowest cost
Affordable payment options
Highly experienced
Great patient experience
High quality dentistry
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420 Morris Ave, Springfield, NJ 07081
3301 NJ-66 BLDG-A, Neptune, NJ 07753
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Neptune Dentist | Dentist in Springfield | Cosmetic Dentist 07081
