Login/Patient Forms

The Patient Portal is a place where you can view your children's upcoming appointments dates/times, pay your balance, and complete any forms for your child(ren). If you haven't logged into the patient portal, please give our office a call or send a text message to 937-586-7729 saying "send patient portal link."  Once we receive your request, you will be sent a link to the email we have on a file and you will have 24 hours to log in before the link expires. To confirm your identity, you will be required to enter the insurance subscriber's date of birth and zip code. If you have any questions, please give our office a call.

login for patient forms and to make a payment

Centerville Pediatric Dentistry complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. About discrimination and translations.

Call us

937-586-7729

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make an appointment

covid-19 Information

Beavercreek: 4090 Indian Ripple Road #102 map

Centerville: 273 Regency Ridge Drive map

West Chester: 7908 Cincinnati-Dayton Rd, Suite R map

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Lakota Pediatric Dentistry logo
Login/Patient Forms
Lakota Pediatric Dentistry logo

Beavercreek: 4090 Indian Ripple Road #102 map

Centerville: 273 Regency Ridge Drive map

West Chester: 7908 Cincinnati-Dayton Rd, Suite R map

Login/Patient Forms
Lakota Pediatric Dentistry logo

Beavercreek: 4090 Indian Ripple Road #102 map

Centerville: 273 Regency Ridge Drive map

West Chester: 7908 Cincinnati-Dayton Rd, Suite R map

Login/Patient Forms
Lakota Pediatric Dentistry logo

Beavercreek:

4090 Indian Ripple Road #102 map

Centerville:

273 Regency Ridge Drive map

West Chester:

 7908 Cincinnati-Dayton Rd, Suite R map

Login/Patient Forms
Lakota Pediatric Dentistry logo

Beavercreek:

4090 Indian Ripple Road #102 map

Centerville:

273 Regency Ridge Drive map

West Chester:

 7908 Cincinnati-Dayton Rd, Suite R map

Login/Patient Forms