Previously known as
Intermountain Advanced Clinical Dentistry
431 Main St, Quincy, CA 95971
Lost Sierra Dental logo

530-283-1119

Book Appointment
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Previously known as
Intermountain Advanced Clinical Dentistry
431 Main St, Quincy, CA 95971

530-283-1119

Book Appointment
  • Home
  • About the Practice
    • About the Practice
    • Meet Our Doctors
    • State-of-the-Art Technology
  • Services
        • Our Services
        • Our Services
        • Comfort & Sedation
        • Gum Care
        • Gum Disease Treatment
        • LANAP® Laser Therapy
        • Gum Recession Treatment
        • Cosmetic Gum Treatment
        • Restorative Dentistry
        • Dental Implants
        • Reconstructive Dentistry
        • CEREC® Same-Day Crowns
        • Dentures
        • One-Visit Root Canals
        • Cosmetic Dentistry
        • Cosmetic Dentistry
        • Cosmetic Gum Treatment
  • Testimonials
  • Offers
  • Payment Options
  • Contact Us
  • Patient Forms
MENU
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MENU

Patient Forms

For your convenience, you may fill out these forms before your visit.


Adult New Patient


Child New Patient


COVID-19 Form    

Special Offer

$79 New Patient Exam, X-Rays & Consultation
usual value $250

New patients can take advantage of our special offer, which includes:

  • Comprehensive oral exam
  • Any needed X-Rays or 3D CT scan
  • Oral cancer screening
  • Consultation with Dr. Herndon or Dr. Luscri

    • *Valid only for new patients without dental insurance. If you have dental insurance, we will bill your insurance company for our standard new patient exam visit.

Call 530-283-1119 or click here to schedule an appointment.

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Lost Sierra Dental logo

Office Info

431 Main Street, Quincy, CA 95971

Office Hours

Monday: 8am – 5pm
Tuesday: 8am – 5pm
Wednesday: 8am – 5pm
Thursday: 8am – 5pm

530-283-1119

Book Appointment


Image

Office Hours

Monday–Thursday:
8am – 5pm

530-283-1119

Book Appointment

Office Info

431 Main Street, Quincy, CA 95971
  • Home
  • About Us
  • Services
  • Testimonials
  • Offers
  • Payment Options
  • Contact Us
  • Privacy Policy


Site created by Gilleard Marketing, doing business as Gilleard Dental Marketing. ©2020-2022 Gilleard Marketing, a California corporation. All rights reserved.
This material may not be published, broadcast, rewritten or redistributed. Custom photographs and custom copy ©2022 Gilleard Marketing.

Image
  • Home
  • About the Practice
    • About the Practice
    • Meet Our Doctors
    • State-of-the-Art Technology
  • Services
    • Our Services
      • Our Services
      • Comfort & Sedation
    • Gum Care
      • Gum Disease Treatment
      • LANAP® Laser Therapy
      • Cosmetic Gum Treatment
      • Cosmetic Gum Treatment
    • Restorative Dentistry
      • Dental Implants
      • Reconstructive Dentistry
      • CEREC® Same-Day Crowns
      • Dentures
      • One-Visit Root Canals
    • Cosmetic Dentistry
      • Cosmetic Dentistry
      • Gum Recession Treatment
  • Testimonials
  • Offers
  • Payment Options
  • Contact Us
  • Patient Forms
Image
  • Home
  • About the Practice
    • About the Practice
    • Meet Our Doctors
    • State-of-the-Art Technology
  • Services
    • Our Services
      • Our Services
      • Comfort & Sedation
    • Gum Care
      • Gum Disease Treatment
      • LANAP® Laser Therapy
      • Cosmetic Gum Treatment
      • Cosmetic Gum Treatment
    • Restorative Dentistry
      • Dental Implants
      • Reconstructive Dentistry
      • CEREC® Same-Day Crowns
      • Dentures
      • One-Visit Root Canals
    • Cosmetic Dentistry
      • Cosmetic Dentistry
      • Gum Recession Treatment
  • Testimonials
  • Offers
  • Payment Options
  • Contact Us
  • Patient Forms