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1st Visit

Free Exam & X-Rays with Coupon

At Three Rivers, just like the people of Western Pennsylvania, we believe in hometown quality care and values. We have served more than 100,000 patients, over three generations.

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Our Providers

United Concordia
UPMC Dental Advantage PPO Plan
United Health Care PPO Plan
UCCI
Advantage Plus
Aetna
Cigna
Delta Dental of All States
Guardian
Humana Dental
MetLife
PA Chip
Par Net Advantage
National Fee for Service NFFS

NOT ACCEPTING UPMC for YOU

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Patient Name*
Patient Birth Date*
Date Format: MM slash DD slash YYYY
Contact Information
Type of Primary Phone*
Primary Phone Number*
Email*
Preferred Appointment Date & Time
Appointment Urgency
- I would like to be seen ASAP
Date
Date Format: MM slash DD slash YYYY
Time of Day

: HH

MM
Location*
Dental Priorities
Emergency Care
- I need prompt emergency care
Dental Priorities*
Indicate the reason for your dental appointment
Dental Insurance Company*
Enter 'none' if you have no insurance. We accept most, but not all insurance plans. We do not accept Avesis, Gateway, UPMC For You Dental Coverage or HMO dental insurance plans.
Dental Insurance I.D. Number*
Enter 'none' if you have no insurance
Insurance Subscriber Name*
Enter 'none' if you have no insurance
Phone
This field is for validation purposes and should be left unchanged.

PA Department of Health Ruling Regarding Dental Appointments

1st Visit

Free Exam & X-Rays with Coupon

Our Providers

Request an Appointment

Contact Information

Preferred Appointment Date & Time

Dental Priorities

Our Offices

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