Communication Release — Emerald Dental
Emerald Dental
Home Our Practice Blog Make a Payment Request Appointment COVID Pre-Screen
11524 15th Ave NE #A Seattle WA 98125 (206) 367-3700
First Visit Expectations Financial Information New Patient Forms
Existing Patient Forms
All Services Cleaning and Prevention Family Dentistry Cosmetic Dentistry Tooth Replacement Extractions & Preservation Oral Appliances Sedation Dentistry Technology
Emerald Dental
HomeOur Practice New Patients First Visit Expectations Financial Information New Patient Forms Existing Patients Existing Patient Forms Services All Services Cleaning and Prevention Family Dentistry Cosmetic Dentistry Tooth Replacement Extractions & Preservation Oral Appliances Sedation Dentistry Technology BlogMake a PaymentRequest AppointmentCOVID Pre-Screen
11524 15th Ave NE #A Seattle WA 98125(206) 367-3700
Our office will be closed from April 16th to April 21st, 2025. The office will be reopen on April 22nd.

Communication Release

 
Featured
COVID-19 PreScreen Form
Patient Information
Dental History
Insurance Information
Medical History
Authorizations and Acknowledgments
Communication Release
 

Loading Legwork form 13243. . .

Communication ReleaseLegwork WebsitesDecember 1, 2019
Facebook0 Twitter Tumblr 0 Likes
Previous

Authorizations and Acknowledgments

Authorization/AcknowledgeLegwork WebsitesDecember 1, 2019
Emerald Dental
11524 15th Avenue Northeast, Suite A,
Seattle, WA, 98125,
United States
(206) 367-3700 emerald.dentaloffice@gmail.com
Hours
Mon 7am to 2pm
Tue 9am to 6pm
Wed 9am to 5pm
Thu 7am to 2pm
Fri 7am to 2pm

Visit Us

Emerald Dental
11524 15th Ave NE #A
Seattle WA 98125

emerald.dentaloffice@gmail.com
Fax Number: (206) 367-0406

Hours of Operation

Monday: 7am to 2pm
Tuesday: 9am to 5pm
Wednesday: 9am to 5pm
Thursday: 7am to 2pm
Friday: 7am to 2pm

Contact Us

Loading Legwork form 44533. . .

Accessibility Statement | Privacy Policy | Happiness Delivered by Legwork

Explore our treatments

  • Preventative Care
    • Oral Cancer Screening
    • Teeth Cleaning
    • Home Care
    • Periodontal Therapy
  • Family Dentistry
    • Children's Dentistry
    • Teen's Dentistry
    • Adult's Dentistry
    • Sealants
    • Ortho Screenings
  • Cosmetic Dentistry
    • Porcelain Veneers
    • Porcelain Crowns
    • Composite Fillings
    • Onlays
    • Teeth Whitening
  • Tooth Replacement
    • Implants
    • Porcelain Bridges
    • Full or Partial Dentures
  • Extract or Preserve
    • Extractions
    • Root Canals
    • Oral Surgery
    • Bone Grafting
  • Oral Appliances
    • Sleep Apnea
    • Teeth Grinding
  • Sedation Dentistry
    • Nitrous Oxide-Oxygen Sedation
  • Technology
    • Intra-Oral Camera
    • Digital X-Ray
    • Soft Tissue Laser