Ask for a Dog Days of Summer Laser & Whitening consultation.

If you have specific questions, like:

  • I heard you use the Waterlase dental laser. What is that?
  • Invisalign straightens teeth without braces? You can do that?
  • What are implants?
  • Do you accept my insurance?

    Then take a moment and fill out the survey below. Make sure to include where my staff or I can reach you.

    Of course, you are welcome to call me at (703) 255-0552. Either way, I am always available and accessible and will respond to you and your needs...promptly! That is my commitment to you.

    I want to know about the quality of dental care you are receiving.
    Click on the submit button when you are finished.

    Thanks again. I value your opinion. I look forward to chatting with you soon.

    Andrew Thompson, DDS


    Which of the following statements best describes you?  (Click on all that apply)

    I am new to the Northern Virginia area and am looking for a dentist.
    Dr. Thompson is my dentist.
    I am happy with my current dentist.
    I am unsatisfied with my current dentist.
    I do not live in the area. I'm just checking out your website.
    I want more information. Please contact me.
    I really hate to floss!

    Are you: Male Female

    What can Dr. Thompson do to encourage you to visit his office?


    Would you recommend Dr. Thompson to your friends and family? Yes No


    What are a few important qualities a dentist should have?


    For you, which day of the week is convenient for dental appointments?

    Monday Tuesday Wednesday Thursday Friday


    For your children, which day is best for an appointment?

    Monday Tuesday Wednesday Thursday Friday N/A


    Based on your schedule, what time frame is most convenient?

    7:30am-9am 9am-11am 11am-1pm 1pm-3pm 3pm-5pm 5pm-7pm


    What type of dental services are you interested in? (Check all that apply.)

    Six month check-up
    Porcelain Veneers
    Teeth Whitening/Bleaching
    Porcelain and porcelain fused to metal crowns
    Posterior composite restorations
    Root canals
    Implants
    Dentures, including implant supported
    Children's dentistry
    Sealants
    Fillings
    Oral Hygiene
    Minor oral surgery
    Minor periodontal (gum) treatments

    Who is your insurance provider?

    Do you need help in obtaining your dental records from another dentist? Yes No

     

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    Best time to Contact You:

    Please include any questions or comments in the space below: