40 Chestnut Street | Dover, NH 03820-3399 (603) 742-4735

Schedule Appointment

Using our online form.

New Patients

Information for your first visit.

(603) 742-4735

Call our friendly staff today!

40 Chestnut Street

Dover, NH 03820-3399

New Patient Information

What to Expect

Your first visit to Belknap Dental Associates is an important one as it introduces you to our practice and our friendly staff.  During the first visit, we will collect background information like medical history as well as take the time to get to know our doctors.  Below you will find additional information to view before your first visit to Belknap Dental Associates. Also, to help ensure your first visit goes as smoothly as possible, we invite you to take a few minutes to explore our website to educate yourself about the some of the dentistry and smile solutions we offer.


In order to make your visit an easy process, you can request an appointment from our website or call our office.  Our friendly staff will assist you in getting everything set up.


If you have any questions about your dental insurance coverage, please contact our office and let our staff assist you. Some of the insurances that we accept are:

  •  Assurant Dental
  • Cigna Dental


Payment Options

We offer special financial accommodations to patients who request our interest free budget payment program. Care Credit is the interest free option upon credit approval that we offer to our patients.

With the comprehensive range of plan options from $1 to $25,000 patients can now have a low monthly payment to fit comfortably into their budgets. We have had coordinated payment plans for years and have many satisfied patients enrolled. Patients who had to delay major or routine treatment were able to complete treatment immediately.

If you have any additional questions or would like to receive an application form, please call Diana, our Financial Coordinator, at (603) 742-4735.


Patient Forms

The below patient forms can be printed and completed before your first visit to expedite your check-in process:

Paper Copies

Electronic Paperwork

For your first visit, we will need the following:

  • Completely filled-out New Patient Paperwork
  • Insurance information and an insurance card available to scan or copy
  • If pre-medication is required, please take the appropriate dose as prescribed by your medical doctor before visit.

We look forward to your first visit!