• 1531 W. Broad St.
    Columbus, OH 43222
    (614) 351.0555
    3281 N. High St.
    Columbus, OH 43202
    (614) 263.1212
    5478 Hamilton Rd.
    Columbus, OH 43230
    (614) 939.8338
    1882 Hard Road
    Columbus, OH 43235
    (614) 761.9393
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Franklinton Dental Group

Medical and Dental Form

6 Month Update Form

Insurance Form


Dover Dental Group

Medical and Dental Form

6 Month Update Form

Insurance Form


The Dental Group

Medical and Dental Form

6 Month Update Form

Insurance Form


The Dentist @ Hard Road

Medical and Dental Form

Insurance Form


Consent for Use and Disclosure Form

Acknowledgement of Receipt Form

Notice of Privacy Form

Our Locations :

Franklinton Dental Group

1531 W. Broad St.
Columbus, OH 43222
(614) 351-0555

Dover Dental Group

3281 N. High St.
Columbus, OH 43202
(614) 263-1212

The Dental Group

5478 N. Hamilton Road
Columbus, OH 43230
(614) 939-8338

The Dentist @ Hard Road

Smokey Row Plaza
1882 Hard Road
Columbus, Ohio 43235
(614) 761-9393

Business Hours:
Monday – Friday: 9 a.m. - 5 p.m.

Proud insurance providers of:
Medicaid • Caresource • Molina Healthcare • Buckeye Health • Paramount Advantage • Aetna Better Health • United Health Community Plan • Dentaquest (Molina) • Aetna PPO • Aetna Dental Access • Ameritas PPO • Anthem PPO • Aultra • Avesis • Caresource (Just4me) • Cigna PPO • Connections • Dental / GEHA • DDS Patriot Plan • Delta Dental PPO • Dentemax • Guardian PPO • Humana PPO • Liberty Dental • Lincoln Financial • Medical Mutual • Metlife • Ohio Advantage • Principle • Prudential • Signature Dental Plan • Superior Dental Care • Tricare • Unicare • United Concordia • United Health Care • Wellcare

Please call us for further information if you do not see your insurance provider.
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