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  • 7805 Highlands Village Pl, San Diego, CA 92129
(858) 538-8300
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Brian Davey DDS
  • About Us
    • Meet Our Doctors
      • Dr. Davey
      • Dr. Theodosis
      • Dr. Larkin
      • Dr. Henninger
      • Dr. Adams
    • Why Choose Us
    • In The News
    • Community Involvement
    • Blog
    • Learn
    • FAQ
  • Invisalign
  • Smile In A Day
  • Sleep Apnea
  • PerioProtect
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    • Complete Health Dentistry
      • Dental Cleanings and Exams
    • Family Dentistry
    • Cosmetic Dentistry
      • Dental Veneers
    • Restorative Dentistry
      • Dental Crowns and Bridges
      • Root Canal Treatment
      • Dental Implants
    • Relieving Dental Anxiety
    • Dental Emergencies
    • TMJ Treatment/Teeth Grinding
    • Tooth Removal/Teeth Extractions
  • Patient Corner
    • Patient Login
    • Patient Forms
    • Patient Reviews
    • Patient Payment
    • Smile Gallery
    • Payment Options
    • Virtual Smile Assessment
    • Insurance
    • COVID-19 Update
  • Contact Us
Menu
  • About Us
    • Meet Our Doctors
      • Dr. Davey
      • Dr. Theodosis
      • Dr. Larkin
      • Dr. Henninger
      • Dr. Adams
    • Why Choose Us
    • In The News
    • Community Involvement
    • Blog
    • Learn
    • FAQ
  • Invisalign
  • Smile In A Day
  • Sleep Apnea
  • PerioProtect
  • Services
    • Complete Health Dentistry
      • Dental Cleanings and Exams
    • Family Dentistry
    • Cosmetic Dentistry
      • Dental Veneers
    • Restorative Dentistry
      • Dental Crowns and Bridges
      • Root Canal Treatment
      • Dental Implants
    • Relieving Dental Anxiety
    • Dental Emergencies
    • TMJ Treatment/Teeth Grinding
    • Tooth Removal/Teeth Extractions
  • Patient Corner
    • Patient Login
    • Patient Forms
    • Patient Reviews
    • Patient Payment
    • Smile Gallery
    • Payment Options
    • Virtual Smile Assessment
    • Insurance
    • COVID-19 Update
  • Contact Us
Appointments
Patient Corner

Patient Forms

patient-corner.jpg
Please fill out our forms ONLINE HERE or please print and fill out all the forms below and bring to your first dental appointment.Dr. Roth and his staff look forward to meeting you and providing the best dental experience possible!
  • PATIENT REGISTRATION FORM
  • MEDICAL HISTORY FORM
  • DENTAL HEALTH INFORMATION FORM
  • PRIVACY PRACTICES ACKNOWLEDGEMENT FORM
  • OFFICE POLICY FORM
(949) 855-0450
Request Appointment

Proudly serving the Carmel Valley, Rancho Penasquitos, Torrey Highlands and Rancho Santa Fe communities

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Location
  • 7805 Highlands Village Pl, San Diego, CA 92129
Contact Us
  • (858) 538-8300
  • [email protected]
Office Hours
  • Monday - 8:00 am to 4:00 pm
  • Tuesday - 8:00 am to 4:00 pm
  • Wednesday - 9:30 am to 5:30 pm
  • Thursday - 8:00 am to 4:00 pm
  • Friday - 8:00 am to 12:00 pm
  • Saturday - By Appointment Only

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