Patient Information


Welcome to Suncoast Dental!

We are so excited to begin working with you. For all new dental patients, we request that you fill out this form. By doing so, we can see your medical history and how we can best help you. Our New Patient form is used for all three locations: Surprise, Litchfield Park, and Goodyear. Please click the link below to download and fill out a copy before your first appointment.

Our New Patient Special is only $79.00! For first time customers, we include a Comprehensive Exam, Full Series of X-Rays and a regular routine cleaning for this low price! (Restrictions apply if patient needs more than just a regular cleaning). Call us today at 623-584-9910 to take advantage of this sale!

New Patient Form (PDF For Download)


Special Financing Available with Care Credit


At Suncoast Dental, we know how important it is to provide affordable dental services and procedures. Having to save up or cut corners to see a dentist for you or your family is never ideal and not what we want our customers to do. Therefore, we offer Care Credit dental financing for all our customers. Care Credit is an amazing partner that helps provide affordable preventative dentistry, along with restorative and cosmetic dentistry.

Catching problems early before they become financial burdens are what we strive to achieve for each family. By utilizing our Care Credit dental financing and bringing your family in twice a year, you can help avoid cavities, gum disease, enamel wear, tooth decay, and more. We are here to make a difference in you and your family’s lives. Click the Care Credit image below and apply today! We hope to see you soon.


Suncoast Dental Insurances Accepted

We know it can be hard to find the right dental provider. Please check out our complete list of insurances accepted below. Don't see your insurance provider? Give us a call at (623) 584-9910.


ALL the Major PPO's:

Aetna, DHA, Fortis, Blue Cross/Blue Shield, Connection/GEHA, Cigna, Delta, Dentemax, Humana, Guardian, Metlife, Principal, United Concordia, and United Healthcare.


All the Major DHMO's:

Aetna, Cigna, Delta Care, and Dentaquest.


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