Register with Carlton House Dental Practice today

Join our practice online now and receive your initial consultation with a dentist FREE (worth £40). Simply complete the form below and we will send you the Carlton House Practice Plan registration form to sign and return along with your direct debit instructions and you will become a patient of our award winning practice. Practice plan is only £9.97 per month and provides the following benefits:

FREE 6 monthly check ups
FREE cleaning by your dentist
FREE small X-rays
20% discount off necessary treatments
FREE out of hours emergency treatments
FREE worldwide dental emergency cover

You must fill in the fields marked with an asterisk in order to send your message.

Your name: *
Your title: *	Mr Mrs Ms Miss Dr Prof Rev Lord Lady Other
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Date of birth: *
Address 1: *
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Additional adults:	None 1 2 3
Additional children:	None 1 2 3 4 5 6
Preferred appointment time:	Any day Mon Tues Wed Thurs Fri Any time 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm

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