Online Sign Up Form

Dental Bus

The Mobile Dental Bus is coming to Gulf Breeze to serve uninsured community members. We can do extractions and fillings only. Appointments available the week of March 8-12, 2021 with a limited number of spots available. Please complete the form below and we will be in touch to determine eligibility. Although we would love to serve everyone, we have a limited amount of spots available.

Dental Bus Registration

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