

| Personal Smile Plan is an in-house reduced fee-for-service dental plan we offer to our patients who do not have dental insurance. It is designed to make dentistry more affordable for you and your family. Dental services are provided by one of our dentists at Eagle Valley Dental. MEMBERSHIP BENEFITS - as a member of Personal Smile Plan you receive the following discounts
AFFORDABLE ANNUAL PREMIUMS - Personal Smile Plan gives you and your family hundreds of dollars worth of services and discounts for an extremely affordable price. Take a look at the affordable annual premiums.
Family: $140 / year Senior Citizens: $ 35 / year EFFECTIVE DATE - Coverage becomes effective on the day you sign the application and pay the first year premium. RENEWAL & PAYMENTS - Once you are accepted into the Plan, you will be billed on an annual basis. You can request to cancel your membership by contacting one of our staff. Upon receipt of your request, the membership will be cancelled effective your annual renewal date. There will be no refund of any and all annual premiums paid. PROGRAM AND PROVIDER INFORMATION - Smile Plan is NOT insurance. It is a discount dental program provided by Eagle Valley Dental only. The discount is applied to only procedures offered by Eagle Valley Dental. The plan is not available for any other dental facility. Fees may change from time-to- time. A Member’s participation in this program is governed by the terms of the Membership Agreement. How to apply - To apply, please complete the personal Smile Plan Application and bring it with you to your first appointment along with the membership fees. |

| Gentle, Quality, and Affordable Dental Care by Best Dentists in Woodbury of Minnesota ( MN 55125 and MN 55129 ) Eagle Valley Dental . 2110 Eagle Creek Lane, Woodbury, MN 55129 . Phone: 651-998-1008 . Fax: 651-998-1009 |