415 S. Main Street, Roxboro, NC 27573
Call Today To Book Your Appointment (336) 599-4145
Patient Forms

Modern Dentistry in a Comfortable Environment

Finding a new dental office that makes you feel comfortable can be challenging. Fortunately, Dr. Mary Bennett Houston, DDS in Roxboro, NC can help with all your dental needs.

Here’s 3 steps to ensure your first visit goes smoothly:


Step 1

Please complete paperwork before your visit, in order to save time. Brushing and flossing before the appointment is advisable. For your convenience, these forms are located below.

Step 2

Meet Dr. Houston and inform her of your dental history. After the exam she’ll be able to determine the procedures or treatments you will need.  Feel free to share any questions and concerns you have along the way.

Step 3

At the conclusion of your visit she’ll provide you with a complete treatment plan.  Remember to keep good oral health habits and don’t miss your next appointment. Please call us with any questions or concerns you have.

Patient Forms

Please fill out the following forms and bring them to our office at your initial visit. You can fill them in on your computer, or print and fill them out by hand:


Why Choose Us

It’s our priority to provide superior dental care in a trusted & caring environment.

  • Proudly Serving Patients Since 1988
  • Personalized Dental Care
  • Compassion & Understanding
  • Comfortable Relaxed Setting
  • Most Major Insurance Plans Accepted
  • Same Day Emergency Visits

Book Your Dental Appointment Today!


- Request An Appointment -

Please complete this form and a member of our staff will reach out to you to schedule your appointment.