706. 243. 3000
706. 243. 3000
706. 243. 3000
  • Columbus, GA - 7209 Moon Road 31909
  • Phenix City, AL - 5009 Riverchase Drive 36867
  • 706. 243. 3000 | Columbus, GA - 7209 Moon Road
  • 334-664-1011 | Phenix City, AL - 5009 Riverchase Drive
Dayo Obebe, DMD, MPH, MAGD
Two Locations To Serve You!
Creating Beautiful Smiles

  • Welcome
  • Columbus GA Office
  • Phenix City AL Office
  • Our Practice
  • Our Staff
  • Meet Dr. Obebe
  • Procedures
    • Cleanings & Prevention
      • Dental Exams & Cleanings
      • Dental X-Rays
      • Home Care
    • Cosmetic Dentistry
      • Composite Fillings
      • Porcelain Crowns (Caps)
      • Porcelain Fixed Bridges
      • Porcelain Veneers
      • Tooth Whitening
    • Periodontal Disease
      • Diagnosis
      • Treatment
      • Maintenance
    • Restorations
      • Composite Fillings
      • Crowns (Caps)
      • Dentures & Partial Dentures
      • Fixed Bridges
      • Root Canal Therapy
  • Smile Gallery
    • Cosmetic Dentistry
      • Porcelain Crowns (Caps)
    • Restorations
      • Crowns (Caps)
      • Dentures & Partial Dentures
    • Other Procedures
      • Dental Implants
  • FAQ's
  • Links
  • New Patient Forms
  • Contact Us
  • Job Opportunities
  • Dental Videos

New Patient Forms

We welcome you to our practice! 

We look forward to meeting you and providing you with excellent dental care!

Patient Registration


Patient Registration Moon Road

Patient Registration Riverchase

Patient Consent Forms 

 Implant Consent Form

 Informed Consent Endodontic (Root Canal)

 Informed Consent for Restorative Treatment

 Informed Consent Impacted tooth Removal

 Informed Consent Inhalation Sedation (Nitrous Oxide- Oxygen)

 Informed Consent Intravenous Sedation

 Informed Consent Oral Sedation

 Informed Consent Perio Scaling and Root Planning

 Informed consent Prosthodontic treatment-Fixed

 Informed consent Prosthodontic treatment-Removable

 Informed Consent Surgical Procedure

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