Phone: 717.778.4268 Email: info@gettysburgcosmeticdentist.com
1650 Biglerville Road ~ Gettysburg, PA 17325
Please print and fill out each one of the listed forms and bring it to your initial appointment.
The following forms are PDFs and can be viewed and printed using Adobe Reader.
HIPPA Consent and Cancellation Policy
PHONE: 717.778.4268
©2009-2011 Peter J. Samuels, DDS
This site was created by Dental 101
Dr. Peter Samuels is a Gettysburg general and cosmetic dentist providing dental procedures such as cleanings, dental crowns,
dental implants, dentures and porcelain veneers.
Dr. Peter Samuels is licensed as a general dentist in Pennsylvania.
