Services (*NO INSURANCE REQUIRED) Now accepting Care Credit click for details.

Tooth Extractions Non-Wisdom Teeth (Tooth Removal) Tooth Extractions Wisdom Teeth (Tooth Removal) Tooth Extractions for Dentures Root Canals Pulpal Debridement** ( Procedure which opens the tooth for drainage and allows temporary relief from pressure and acute pain) **This is not root canal treatment and root canal treatment should be started as soon as possible  to insure a good prognosis for the tooth. Temporary Fillings Recement Veneers, Crowns, and Bridges Dental Exams (Problem focused exams to diagnose and relief dental pain) Dental X-rays Prescriptions (Jacksonville Emergency Dental will write prescriptions, but an exam and x-ray is required before any prescriptions can be written) All procedures above require an exam and x-ray fee in addition to the cost of the procedure.. The procedures above will performed by General Dentists not Specialists.

*Insurance is not required, but Jacksonville Emergency Dental (JED) will assist in providing insurance codes for self filing. Payment methods are limited to cash or credit card and must be rendered after treatment is agreed upon but, before treatment begins. Please carefully read the following consent and release so that you have a complete understanding of the limited emergency dental services provided by Jacksonville Emergency Dental, P.A. (“Jacksonville Emergency Dental”) and the terms and conditions of your consent to treatment by Jacksonville Emergency Dental and the release of Jacksonville Emergency Dental. You hereby agree to and acknowledge the following: 1. Jacksonville Emergency Dental only provides emergency dental services. The dentists, dental assistants and other dental professionals providing services (the “Dental Professionals”) will only diagnose specific concerns and examine specific areas of the mouth that are specifically requested by you and no other areas of the mouth and no other teeth will be examined. Jacksonville Emergency Dental and the Dental Professionals are not liable for any dental or medical issues arising from other concerns or areas not specifically requested by you. 2. Jacksonville Emergency Dental and the Dental Professionals are not long-term providers for any of your dental care and do not provide complete dental care. The treatment provided by Jacksonville Emergency Dental and the Dental Professionals may only be a short-term treatment to relieve the pain associated with a particular concern or to provide short-term repair until you can receive the care of a general care dentist. Jacksonville Emergency Dental and the Dental Professionals recommend that you seek the treatment of a general care dentist as soon as possible after treatment by Jacksonville Emergency Dental and the Dental Professionals and you agree to do so. 3. Jacksonville Emergency Dental and the Dental Professionals may not be able to treat all of your concerns. Jacksonville Emergency Dental and the Dental Professionals reserve the right to refer any conditions to other dentists and dental professionals, in the sole discretion of Jacksonville Emergency Dental and the Dental Professionals. 4. The Dental Professionals at Jacksonville Emergency Dental are independently contracted and are not employees of Jacksonville Emergency Dental. The treating Dental Professionals are solely and absolutely responsible for diagnosis and treatment of you. Jacksonville Emergency Dental and any of the Dental Professionals who are not providing treatment to you are not in any way responsible or liable for the acts of the Dental Professionals providing treatment to you, including, without limitation, acts constituting professional negligence. 5. Payment methods are limited strictly to cash or credit card. Payment for any and all services is required after treatment is agreed upon but prior to actual treatment. We welcome you to Jacksonville Emergency Dental! Florida Lic. #: DN-16459

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