Register at Perfect Teeth

At Perfect Teeth, nothing gives us more pleasure than receiving new patients who express their confidence in us by registering at our practice.

To make the registration process as easy as possible we have provided a simple online form for you to complete.  You will then be contacted by Team PT to arrange to make an appointment at your convenience to have a dental examination by one of our PT dentists.

Alternatively you can call us on 0208 368 9355 or click here for other ways to contact us.

Register Now

  • Surname (required)
  • Your Email (required)
  • Your Name (required)
  • Mobile No.
  • Date Of Birth(e.g 30/05/1975)
  • Home Tel.

Address

  • Home No./Name
  • Street
  • Town/City
  • Post code

I am interested in:

 Arranging an NHS examination

 Arranging a private examination

 A dental cosmetic/ dental implants or facial rejuvenation consultation

 Visiting the hygienist

 I would like to speak with someone regarding my particular case

 I would like to register at Perfect Teeth and agree for a member of Team PT to contact me/us.

Family Member