Emily Dasinger Heitzmann, D.M.D.
Pediatric Dentist
Diplomate of the American Board of Pediatric Dentistry

Casey Heitzmann, D.M.D.
General Dentist
Member of the American Dental Association

112 South Maple Street

Ridgeland, MS 39157

(601) 707-5585

Emily Dasinger Heitzmann, D.M.D.
Pediatric Dentist
Diplomate of the American Board of Pediatric Dentistry

Casey Heitzmann, D.M.D.
General Dentist
Member of the American Dental Association

112 South Maple Street

Ridgeland, MS 39157

(601) 707-5585

New Patient Forms

New patient forms consist of 3 pages that must be filled out in its entirety and signed.

  • These pages are Patient Information, Financial Policy/Acknowledgement of HIPPA, and Dental Health History forms .

These forms can be mailed, faxed, or e-mailed, prior to your appointment. You can also bring these forms with you to your appointment along with a photo ID and your insurance card.

**IT IS YOUR RESPONSIBILITY TO KNOW WHO YOUR INSURANCE IS WITH AND WHAT YOUR INSURANCE COVERS.

**WE WILL DO OUR BEST TO VERIFY ALL BENEFITS, BUT YOU ARE RESPOSIBLE FOR ANY AMOUNT NOT PAID BY YOUR INSURANCE COMPANY.

**PAYMENT IS DUE AT TIME OF SERVICES UNLESS OTHER ARRANGEMENTS HAVE BEEN AGREED UPON BY YOURSELF AND THE STAFF OF "MAGNOLIA FAMILY DENTAL CARE."

Adult Patients & Children 14 Years or Older

Children Birth to Age 13 Years

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Our Location

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Hours of Operation

Our Regular Schedule

Monday:

8:00 AM-5:00 PM

Tuesday:

8:00 AM-5:00 PM

Wednesday:

8:00 AM-5:00 PM

Thursday:

8:00 AM-5:00 PM

Friday:

8:00 AM-3:00 PM

Saturday:

Closed

Sunday:

Closed