New Patients

Patient Forms, Map and Directions to Jamison Office

Your first visit to John A. Pagliei, Jr., DMD establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Mission Statement

Our Pledge To You is to provide excellent dental care, to help patients make informed educated decisions in a clean, friendly atmosphere, as well as…

  • Help you feel relaxed and comfortable
  • Personalize appointment times and treatments to your needs, NEVER rushed
  • Always listen to your needs/concerns (NOT your insurance company’s)
  • Provide excellent restorative and cosmetic dentistry using only the BEST laboratory and state-of-the-art equipment
  • Submit claims and help you work with insurance company to receive maximum benefits  

At our office your care is NEVER based on what your insurance company says they will cover, your care is ALWAYS based on what is in your best interest and is ALWAYS your decision!

To fulfill this mission, we are committed to:


  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.





Patient Forms
Please print and fill out these forms so we can expedite your first visit:


Coming Soon

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.




What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctor. We look forward to your first visit.



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