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Puyallup Pediatric Dentistry
Phone icon Simplistic phone handset without a cord (253) 864-9889 Map marker icon Pin-shapped marker used to pinpoint a location on a map Puyallup, WA Checked calendar iconCalendar sheet with a check on the current page Request An Appointment
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Puyallup Pediatric Dentistry
Home › Patient Resources › New Patient Forms

New Patient Forms
Dr. Hersey and staff want to make it as easy as possible for you at your child’s first visit.

One of the ways we do this is by making our patient forms available for you to fill out ahead of time at your convenience.

If you have any questions, please give us a call at (253) 864-9889. We will be glad to help!


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Contact Information


11201 88th Ave E #120
Puyallup, WA 98373-3802

(253) 864-9889
info@smilesforkids.com

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At Puyallup Pediatric Dentistry, we make it easy to schedule your appointment online. Click the button below to access our secure appointment request form. You'll then be contacted by our office to confirm your appointment date and time.



Request Your Appointment!
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New Patient Forms Puyallup WA
Puyallup Pediatric Dentistry, 11201 88th Ave E #120, Puyallup, WA 98373-3802, (253) 864-9889, smilesforkids.com, 4/7/2025, Key Phrases: Pediatric Dentist Puyallup WA,