Bennett Family Dentistry
Michael Bennett, DDS
Ashley Blattner, DDS
Ross Bennett, DDS
Blake Essner, DDS
Cape Girardeau Family Dentist Dr. Bennett
Our Family Caring For Your Family
(573) 334-8013
1200 N. Cape Rock Drive
Cape Girardeau, MO 63701
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forms

Patient Forms

To continue making your dental experience a pleasant one, we have conveniently provided our dental forms below so that you can fill them out in the comfort of your home, and bring them into the office with you.


form iconPatient Registration
form iconMedical History
form iconPrivacy Notice
form iconPrivacy Receipt and Payment Policies

patient information

Cape Girardeau Family Dentist

Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • 7:30am - 5:00pm
  • 7:00am - 5:00pm
  • 7:30am - 6:00pm
  • 7:00am - 5:00pm
  • 7:00am - 4:00pm

Contact Info
Phone | (573) 334-8013
Fax | (573) 334-4101
E-mail |

Thank You!
What's your name?
Valid E-mail please!
Optional