
Benton Family Dental
603-772-3264
NEW PATIENT FORMS
Thank you so much for your interest in our office! We look forward to meeting you and your family!
Before your first visit, we will ask that you complete New Patient Paperwork forms first, they are below.
Please print and return the completed forms so we are able to create your patient chart.
We are unable to schedule an appointment without these forms!! ​​​​
Once you have completed your paperwork, you can send the packet to us whichever way is easiest for you!
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Email - info@bentonfamilydental.com
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Fax - 603-418-6316
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Mail - 149 Portsmouth Ave, Stratham, NH 03885.
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In Person - Come on in and say hello!
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CONTACT US!
149 Portsmouth Ave
Stratham, NH 03885
603-772-3264
NORMAL OFFICE HOURS
Monday ~ 8AM - 5PM
​Tuesday ~ 8AM - 5PM
​Wednesday ~ CLOSED
​Thursday ~ 8AM - 5PM
​Friday ~ 8AM - 4PM
​Saturday ~ CLOSED
Sunday ~ CLOSED