Patient Information

With a convenient location right off NY-104, a great team, and state-of-the-art services, Sapere Dental in Webster, NY is the right choice for you and your family. We offer many top-quality cosmetic and general dental services for the entire family. Whether you’re looking for a simple exam and cleaning or need crowns, implants, or root canal therapy, we can do it all.

State-of-THE-Art Dental Treatments

Call 585.872.5910

First Appointment

If you’re ready to set your first appointment, please fill out our online form or give us a call at 585-872-5910. We also ask that you download, print, and fill out our new patient form to help expedite your visit.

Fillable Patient Information Form

Name
First
Last

Address
Address Line 1
Address Line 2
City
State
Zip Code

Home Phone

Work Phone

Cell Phone

DOB

SS#

Email

Emergency Contact
First
Last

Relation to patient

Emergency Contact Phone Number

How did you hear about us?
Google
Social Media
Friend/Family Referral
Other

Responsible Party (if other than parent)

Name
First
Last

Address (copy)
Address Line 1
Address Line 2
City
State
Zip Code

Home Phone

Work Phone

Cell Phone

DOB

SS#

Email

Primary Insurance information

Name of Insured
First
Last

Relationship

Insured SS#

Insured DOB

Employer

Insurance Company

Group #

Patient ID #

I hereby authorize: *
Frank J. Sapere DDS to administer any treatment and to perform such x-rays anesthetics and dental procedures as may be deemed necessary or advisable in the diagnosis and treatment of my dental condition.
the release of any information relating to this claim. I realize that I am ultimately responsible for all costs of dental treatment
insurance benefits to be paid directly to Frank J. Sapere DDS

Signature *

After initial X-rays and examination, we will give you an estimate of the fees to cover your treatment. At that time financial arrangements will be made before any treatment is rendered.

Website

Or download and fill out patient information form here.

Or download and fill out medical history form here.

Fillable Patient Consent Form

Or download and fill out consent form here.

Payment Options

We accept cash, personal checks, money orders, as well as most major credit cards. We also accept CareCredit. Please feel free to contact our office to discuss financial arrangements if your treatment plan requires more comprehensive work. We’ll do our best to help you get the treatment you need. We will submit to most major insurances, and payment is expected at the time services are rendered.

For more information about our cosmetic or general dentistry services, or to schedule an appointment, please contact us today at 585-872-5910. We look forward to caring for you, your family, and your smiles!

Sapere Dental
1059 Ridge Road
Webster, NY 14580

Get Directions

CareCredit

Accessibility Form

Phone
585-872-5910

Fax
585-872-6644

Email
office@saperedental.com

Business Hours
Monday - Thursday
8:00 AM - 5:00 PM

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