New Patient Forms

New Patient Medical History
New Patient Dental History
New Patient Form
New Child Dental History
HIPAA Disclosure
Financial Acknowledgement and Authority
Photographic Release
HIPAA Combined Signature Forms

Pence Family Dentistry members of Dental Organization for Conscious Sedation
Voted best dentist in Indiana 2022 by Expertise
Pence Family Dentistry in Indianapolis is an American Dental Association member
International
Indiana Dental Association membership badge
Contact Us

    317-842-2337
    9744 Lantern Rd Fishers, IN 46037
    We are happy to welcome Dr. Richard Weber, DDS, and his patients to our practice!
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