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Pinnacle Peak Dental Care
Jordyn Hollingsworth, D.M.D. & Taylor Funk, D.M.D.

(480) 659-9499
  • Home
  • Services
    • Crown (Caps)
    • Cosmetic Veneers
    • Smile Makeover
    • Implant Placement & Implant Restorations
    • All-On-Four Implant Prosthesis
    • Invisalign (Orthodontics)
    • Botox / Dysport
    • Dermal Fillers
      • Cheek Augmentation
      • Lip Augmentation
      • Nasolabial Folds / Marionette Lines
      • Signature Lip Flip
    • Composite (Tooth Colored) Fillings
    • Teeth Whitening (Bleaching)
    • Dentures with Implants
    • Root Canal Therapy
    • Extractions / Wisdom Teeth Extractions
    • Emergency Appointments
    • Bridges
    • Dentures
    • Routine Cleanings
    • Scaling & Root Planing
    • Laser Assisted Gum Therapy
    • Digital Radiographs
    • Digital Impressions
  • Forms
  • Meet the Doctors
  • Contact Us

Patient Forms

  • new patient form

    New Patient Form


  • Info for Patient with Insurance

    Info for Patient with Insurance Form


  • Financial Policy 05-11-2021

    Financial Policy Form


  • Assignment of Benefits

    Assignment of Benefits Form


  • easy pay authorization

    Easy Pay Authorization Form


  • Bite Assessment

    Bite Assessment Form


  • Minor Consent

    Minor Consent Form



Pinnacle Peak Dental Care
Jordyn Hollingsworth, D.M.D. & Taylor Funk, D.M.D.

  • 8900 E Pinnacle Peak Rd., Suite D210
    Scottsdale, Arizona 85255, US

  • Phone or Text: (480) 659-9499

  • Email Us

  • Home
  • Services
  • Forms
  • Meet the Doctors
  • Contact Us

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