Northeast Dental Associates

Family and Cosmetic Dentistry | (803) 788-6691

New Patients

We are so excited you have chosen us to become your dental provider where we will serve your dental needs.  Please see the list below of dental forms that should be filled out prior to your appointment.  In the event you cannot have the forms filled out, please arrive 10 minutes early to assure enough time to fill out the forms and be on schedule for your appointment.  


Patient Registration

Health History

Office Policies

HIPAA Policy

HIPAA Acknowledgement Form



As a courtesy to our patients we will file services to your insurance company. We accept all insurance companies and are a network contracted provider for Ameritas, Assurant, Blue Cross Blue Shield Plus, Delta Dental, Metlife, Medicaid, Principal Life, Reliance and United Concordia. We value your time, so we ask that our patients inform us of their insurance information when making an appointment so we can have your information verified before your arrival.


Patient co-payments are due at the time of service and for your convenience we accept most major Credit Cards, care credit, cash, and checks.