Patient Forms

After scheduling your initial consultation with us, we invite you to fill out our patient forms digitally. For your convenience, we offer all forms online for you to fill out prior to your first visit with our team. Access these forms below.

Request an Appointment

Our professional team at Cieplak Dental Excellence is here to treat La Plata and the surrounding Southern Maryland area. Should you require dental treatment please contact us at 301-609-9999 to make an appointment.

Our Location

Conveniently Located in La Plata

301-609-9999

6265 CRAIN HWY
La Plata, MD 20646

Hours:
Monday-Friday: 8:00am-5:00pm
Saturday-Sunday: Closed

Special Offers

Dental Implants

$600 Off

Endodontic Retreatment

What Our Patients Say

Read reviews from our patients

Associations and Memberships

We’re Proud to be Affiliated with the Following Organizations:

American-Academy-of-Implant-Dentistry-AAID_Black
ADA_Black
American Board Of Oral Implantology Black
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