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Serving Patients for 20 Years

When you are looking to improve your dental health and achieve a smile you can be proud of, come to South Shore Dental. In practice for over 20 years, we have served patients with all types of dental need issues. From general cleanings, dentures and veneers, to braces, TMJ treatment and cosmetic procedures, we can assist with all of your dental needs. After serving patients for over 20 years, we have the knowledge and the hands-on skills to help you define your smile.


If you have any questions, let us know by filling in our eform and one of our friendly team members will get in touch with you as soon as possible.

Languages

- English
- Italian
- French

METHODS OF pAYMENT

* Please note that we cannot accept American Express at this time

South Shore Dental

1 - 141 Main Street East

Kingsville, ON N9Y 1A5


Phone: 519-733-3212

Fax: 519-733-2797

Email: southshoredental@hotmail.com

New Patient Form

Referral Information

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Works in Area
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Patient Referral
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Patient Contact Information

Name of Patient

Address

Home
Cell
Work
Sensitivity (hot, cold and/or sweet)
Tooth pain or discomfort while chewing
Headaches, earaches or neck pain
Jaw joint pain (clicking/cracking)
Grinding or clenching teeth
Bleeding, swollen or irritated gums
Loose, chipped or shifting teeth
Bad breath or a bad taste in your mouth
Dentures
Orthodontics
Partial dentures
Periodontal (gum) treatments
Make your teeth brighter
Make your teeth straighter
Close gaps between teeth
Replace metal fillings with natural tooth coloured fillings
Repair chipped teeth
Replace missing teeth
Replace old crowns that don’t match
Have a smile makeover
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General Release

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I, the undersigned, certify that I have provided an accurate and complete personal and medical-dental history and have not knowingly omitted any information. I have had an opportunity to ask questions and receive answers to any questions regarding my medical-dental history. I authorize the dentist to perform diagnostic procedures as may be required to determine the necessary treatment. I understand that the information provided from or to my medical doctor or another health care provider may be necessary, and I consent to the release of this information. I understand that the responsibility for payment of the dental services for myself and my dependents is mine, and I assume responsibility for fees associated with these services. The patient agrees that the relationship between himself or herself and the dentist shall be governed and construed in accordance with the laws of the province of Ontario.*

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Southshore Dental

1 - 141 Main Street East

Kingsville, ON N9Y 1A5


Service Areas

Kingsville 

Leamington
Lakeshore
Windsor

Monday: 8:30 AM – 5:00 PM

Tuesday: 9:00 AM – 4:00 PM

Wednesday: 8:30 AM – 5:00 PM

Thursday: 9:00 AM – 4:00 PM 

Friday: 8:30 AM – 5:00 PM

Saturday: Please call

Sunday: Closed

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