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Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

 

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It may take a moment to submit your information. Please wait for a confirmation message.

 
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Insurance Assistance
We work with all insurance carriers, with the exception of the Oregon Health Plan.

For more information please see our financial options.

Patient Forms

Click to go to the patients forms page
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Payment Plans Available (OAC)
CareCredit is a personal line of credit for healthcare treatments and procedures for your entire family. It works like a credit card, but can only be used for healthcare services.

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Jacob O. Layer DMD, PC | layerdental.com | 541-734-0970
1485 East McAndrews Rd., Medford, OR 97504


 

 

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Jacob O. Layer DMD, PC, 1485 East McAndrews Rd., Medford, OR 97504 / 541-734-0970 / layerdental.com / 4/14/2021 / Page Keywords: dentist Medford OR / dentist Medford OR /


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