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Dorothylane Dental
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Patient Forms

Dorothy Lane Dental is proud to offer online forms to our patients to help provide the safest, easiest method to collect and keep your information. Please click below for the form needed.

    • ADA COVID 19 Screening Form
    • Medical History 
    • Financial Policy 
    • HIPAA 
    • Office Policies 
    • Patient Information 

If you have any questions please contact the Dorothy Lane Dental office.

We’re here to help. Contact Us!

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Address

3020 S. Dixie Dr.

Kettering, OH 45409

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Phone Number

Call Us Today: 937.298.4221

Office Email: office@dorothylanedental.com

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Hours

Monday – Thursday 8:00 – 5:30 pm

Friday 8:00 – 1:00 pm

SITE DESIGNED BY JAMESON MARKETING AND MANAGEMENT

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Appointment

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937.298.4221

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Location

3020 S. Dixie Dr.
Kettering, OH 45409

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Email

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COVID-19: CLICK HERE FOR STEPS WE ARE TAKING AT DORTHYLANE DENTAL