Jesse A. Grimm, D.D.S., P.A., General Dentistry, Over 11 Years' Experience

New Patients

Jesse A. Grimm, D.D.S., P.A., General Family Dentistry, Children's Dentistry We are currently welcoming new patients and thank you for your interest in our dental team.

To save time on an initial visit please print and fill out the appropriate form below. Please complete each form using blue or black ink. If you have any questions, please call us at 336.996.7770 and we will be happy to help.

New Patient Forms:
	Adult Patient
	Child Patient

Jesse A. Grimm, D.D.S., P.A.
851 Old Winston Road
Suite 101
Kernersville, NC 27284

Phone: 336.996.7770

Office Hours:

Monday - Thursday	8:00 am to 5:00 pm

Friday	8:00 am to 12:00 pm