Santa Maria Dental Care
General Dentist

(866) 712-1362

General Info: (805) 934-4500

Quality Care For ...

• Sedation Dentistry
• Cosmetic Dentistry
• Implant Dentistry
• Tooth Whitening

Santa Maria Dental Care

Appointments:
(866) 712-1362

Clyde S Ikeda, DDS

2503 Professional Parkway
Santa Maria, CA 93455

General Info: (805) 934-4500

Map & Hours

New Patient Forms

Download Our New Patient Forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office at (866) 712-1362.

• Patient Registration
• Dental History
• Medical History
• Notice of Privacy Practices
• Photography Authorization

Download Free Adobe Acrobat Reader Now