Call Us: 780-428-7521

Email Us: uptown.dental@shaw.ca

Uptown Dental Center Logo
Dental Clinic in Downtown Edmonton

Open Hours: M - Th : 8-4:30 | F : 8-4

Suite 106, 10665 Jasper Avenue, Edmonton

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  • About

    Learn More About Uptown Dental Clinic.

    We are conveniently located Downtown Edmonton and always accepting new patients!

    • About Us
    • Team
    • Gallery
    • Dr. Viet Tran
    • Dr. William Yoo
    • Dr. Amanda Brogly
    • Dr. Max Prodorutti
    • Dr. Eddie Pavlenko
    • Dr. Stas Pavlenko
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    • About Us
    • Team
    • Gallery
    • Dr. Viet Tran
    • Dr. William Yoo
    • Dr. Amanda Brogly
    • Dr. Max Prodorutti
    • Dr. Eddie Pavlenko
    • Dr. Stas Pavlenko
    Uptown Dental Center Logo
  • Services

    We Offer A Full Range of Dental Services. Contact Us Today To Book Your Appointment!

    • Invisalign®
    • Dental Checkups
    • Teeth Cleaning
    • Teeth Whitening
    • Wisdom Teeth Removal
    • Dental Sedation
    Menu
    • Invisalign®
    • Dental Checkups
    • Teeth Cleaning
    • Teeth Whitening
    • Wisdom Teeth Removal
    • Dental Sedation
    • Family Dentist
    • Cosmetic Dentistry
    • Dental Braces
    • Dental Bridges
    • Dental Crowns
    • Infant Frenectomy
    Menu
    • Family Dentist
    • Cosmetic Dentistry
    • Dental Braces
    • Dental Bridges
    • Dental Crowns
    • Infant Frenectomy
    • Dental Implants
    • iTero Dental
    • Root Canal
    • Dentures
    • Dental Veneers
    Menu
    • Dental Implants
    • iTero Dental
    • Root Canal
    • Dentures
    • Dental Veneers
    Uptown Dental Center Logo
  • Emergency Dental
  • Dental News
  • Forms
    • Covid-19 Consent Form
    • Patient Intake Form
    • Referral Form
  • Contact Us
Call Us: 780-428-7521
Our Location
Get In Touch
Uptown Dental Center Logo
  • Home
  • About Us
    • Team
    • Gallery
  • Services
    • Dental Checkups
    • Teeth Cleaning
    • Family Dentist
    • Invisalign®
    • Cosmetic Dentistry
    • Dental Braces
    • Dental Bridges
    • Dental Crowns
    • Dental Implants
    • Dental Sedation
    • Dental Veneers
    • Dentures
    • iTero Dental
    • Root Canal
    • Teeth Whitening
    • Wisdom Teeth
  • Emergency Dental
  • Dental News
  • Forms
    • Covid-19 Consent Form
    • Patient Intake Form
    • Referral Form
  • Contact Us
Menu
  • Home
  • About Us
    • Team
    • Gallery
  • Services
    • Dental Checkups
    • Teeth Cleaning
    • Family Dentist
    • Invisalign®
    • Cosmetic Dentistry
    • Dental Braces
    • Dental Bridges
    • Dental Crowns
    • Dental Implants
    • Dental Sedation
    • Dental Veneers
    • Dentures
    • iTero Dental
    • Root Canal
    • Teeth Whitening
    • Wisdom Teeth
  • Emergency Dental
  • Dental News
  • Forms
    • Covid-19 Consent Form
    • Patient Intake Form
    • Referral Form
  • Contact Us

Step 1 of 7

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  • New Patient Information

  • MM slash DD slash YYYY
  • Patient Address

  • Emergency Contact Details

  • Patient Dental History

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Patient Medical History

  • Women Only

  • Authorization & Agreement Details

  • I (patient, parent or guardian) certify that I have read and understand the above information to the best of my knowledge and that the dental and medical profiles I have provided are complete and accurate. I understand that providing incorrect information can be dangerous to my health. I authorize the dentist to release any information including the diagnosis and the records of any treatment or examination rendered during the period of such dental care to third party payers and or health practitioners for the purpose of administering claims. I authorize the release of information contained in claims to be submitted electronically to my insuring company plans administrator.
  • I (patient, parent or guardian) authorize and request my insurance company to pay directly to the dentist or dental group insurance benefits otherwise payable to the patient. I understand that my dental insurance carrier may pay less that the actual bill for services. I agree to be responsible for the payments of all services rendered on my behalf or dependents. I authorize Uptown Dental to immediately process any outstanding balance under $200.00 towards the credit card as indicated below. Any outstanding balances owing that are over $200.00 will be processing in monthly increments of $200.00 until balance is fully paid. I am aware I will be contacted regarding my outstanding balance and any payment not processed within 90 days, unless otherwise discussed with management, will be deemed uncollectable and forwarded to a collection agency.
  • I agree and am aware of the $50.00 fee if I fail to show to my dental appointment or need to cancel or reschedule an appointment within less than 2 business days.
  • Signature of Approval

Where To Find Us
  • Suite #106, 10665 Jasper Avenue, Edmonton, AB T5J 3S9
Give Us A Call
  • 780-428-7521
Monday
8:00AM - 4:30PM
Tuesday
8:00AM - 4:30PM
Wednesday
8:00AM - 5:00PM
Thursday
8:00AM - 4:30PM
Friday
8:00AM - 4:00PM
Get Directions
Canadian Dental Association
Alberta Dental
Uptown Dental Center Logo
Dental Clinic in Downtown Edmonton
 
Welcome to Uptown Dental Centre, located in downtown Edmonton. We provide quality oral health care that’s personalized to your needs, in a professional, friendly and relaxed atmosphere. Contact Us Today!
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Recent News
Uptown Dental - Patient in surgery

What Are the Most Common Dental Emergencies?

November 16, 2022

No matter our level of planning and preparing accidents happen

What To Do with a Dental Emergency

May 11, 2022

Uptown Dental Centre is your emergency dentist in downtown Edmonton

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Uptown Dental Center Logo

Give Us a Call: 780-428-7521

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