NEW PATIENT INFORMATION

We hope the below information for new patients will prove helpful as you prepare for your visit with Sparkle Pediatric Dentistry!

HANOVER

8203 Center Path Ln
Mechanicsville, VA 23116

Phone: 804-746-7382

Monday – Thursday:
8:00am – 5:00pm

Friday:
8:00am – 4:00pm

SHORT PUMP

11934 W Broad St, Suite 120
Henrico, VA 23233

Phone: 804-746-7382

Office Hours:
Monday – Tuesday:
8:00am – 5:00pm

Wednesday – Friday:
By Appointment

NEW PATIENT FORMS

MEDICAL HISTORY
FINANCIAL AGREEMENT
HIPAA Notice of Privacy Practices
HIPAA Acknowledgement of Privacy Practices
Guardian Permission to Bring Form
Dual Insurance Form

EXISTING PATIENT FORMS

HEAD START
PHOTO RELEASE
RECORDS RELEASE

INSURANCE & SPARKLE KIDS CLUB

Your child’s oral health is vital to their overall health. The Sparkle Kids Club allows parents to obtain quality dental care for their children without the hassle of traditional dental insurance. For a low annual fee, your child will receive periodic preventative care with no out-of-pocket costs, and you will receive a discount on any additional treatment needed.

• Immediate eligibility (no waiting pd.)
• Complimentary preventative care
• Discounts on all other dental services
• No yearly deductibles or maximums
• No insurance hassle

Sparkle Pediatric Dentistry is proud to accept a variety of insurance plans. We are happy to work with our patients’ families, both current and new patients,  on financing plans as well. Please feel free to reach out to us at 804-746-7382 to discuss your insurance, or joining the Kids Club!

sparkle pediatric dentistry locations

HANOVER PEDIATRIC DENTIST

8203 Center Path Ln
Mechanicsville, VA 23116

Phone: 804-746-7382

Monday – Thursday:
8:00am – 5:00pm

Friday:
8:00am – 4:00pm

sparkle pediatric dentistry locations

SHORT PUMP PEDIATRIC DENTIST

11934 W Broad St, Suite 120
Henrico, VA 23233

Phone: 804-746-7382

Office Hours:
Monday – Tuesday:
8:00am – 5:00pm

Wednesday – Friday:
By Appointment

REQUEST AN APPOINTMENT

by phone at 804-746-7382, or via the form below:

Sparkle Pediatric Dentistry
Sparkle Pediatric Dentistry office