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    • Home
    • Patient Info & Forms
    • Services
    • Our Doctor
    • Our Team
    • Contact Us
    • Reviews
  • Home
  • Patient Info & Forms
  • Services
  • Our Doctor
  • Our Team
  • Contact Us
  • Reviews

Classic Concepts family dentistry

Classic Concepts family dentistryClassic Concepts family dentistryClassic Concepts family dentistry

Contact

We would LOVE to see your smile!

Please feel free to visit our office during normal business hours.   Please note lunch is from 12pm - 1pm most days.


WANT TO SCHEDULE AN APPOINTMENT?

Click HERE to schedule an appointment online!


Billing or Insurance Questions?

Please contact Jennifer at 563-285-5600, Ext. 2

or by e-mail at jennifer@classicconceptsdental.com


Office E-Mail: info@classicconceptsdental.com

Classic Concepts Family Dentistry

100 South 4th Avenue Eldridge, Iowa 52748

(563) 285-5600 (563) 296-5622 Fax

Hours

Mon:       8am - 5pm

Tues:      8am - 5pm

Wed:       8am - 5pm

Thurs:     8am - 5pm

Fri:          By Appt Only

Sat:         Closed

Sun:        Closed

Forms

You may select a pdf form below to print and manually fill out or you may click this link to access our  ONLINE FORMS.

Patient Registration Form (pdf)

Download

Medical History Form PDF (pdf)

Download

Nondiscrimination and Accessibility Notice

Classic Concepts Family Dentistry, PC complies with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.  Classic Concepts Family Dentistry, PC does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.


Classic Concepts Family Dentistry, PC  provide free aids and services to people with disabilities to communicate effectively with us, such as, but not limited to:


  • Qualified sign language interpreters
  • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as Qualified interpreter or Information written in other languages


If you need these services, please visit our office, contact by phone (563)285-5600 or e-mail us at info@classicconceptsdental.com .


If you believe that Classic Concepts Family Dentistry, P.C.  has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:


Dr. Katharine J. Pins
100 S. 4th Avenue, Unit 2
Eldridge, IA  52748

(563) 285-5600

Fax (563) 296-5622
info@classicconceptsdental.com


Your grievance may be in person, by mail, fax or email. If you need help filing a grievance, we are available to help you.


You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, DC 20201
800–368–1019, 800–537–7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html



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