Santa Monica Dentist Richard Haber DDS Book Online in Santa Monica CA 90404

Richard Haber DDS

DENTAL FORMS

Children, Teens, and Adults Dentistry

1260 15th St #701

Santa Monica CA 90404

Tel: (310) 393-7766

New Patients Online forms We recommend that all of our new patients complete their dental forms before their appointments, Please follow this link and complete the following: 1- Registration Form 2- Medical History Form 3- Covid-19 Screening Form * A copy of your ID and a copy of your insurance card when available are also required. * Please arrive at our office 30 minutes before your scheduled appointment. * Email to: drhaber@verizon.net or Fax: (310) 394-8066 4- Additional Forms (these forms are just for your records)
PDF Forms a- New Patient forms (PDF) b- Notice of Privacy Practices information (PDF) c- Dental Materials Fact Sheet Authorization (PDF) d- Dental Materials Fact Sheet Information (PDF)

	We accept most types of PPO dental insurance plans including Delta Dental, Aetna, AIG, Anthem Blue Cross, Blue shield of California, Cigna , Guardian, HealthNet, Humana, Metlife, Principal Financial Group, United Concordia , United Healthcare. We do not accept any HMO Dental Plan. We are an in network provider for Delta Dental Plans. We are an out of network provider for the other dental insurance plans. Out of network benefits apply. We offer dental financing and payment options to get you the care you need right away. No interest and extended terms available. We accept major credit cards.
	To make an appointment call (310) 393-7766

METERED PARKING

For your convenience, a metered parking lot is available behind the Petco-Unleashed store at 14th and Wilshire Blvd
Parking is available in our building but we do not validate.