Dr. White – Manheim
108 Doe Run Road
Manheim, PA 17545
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717-879-9700
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    • Cosmetic Dentistry
    • Dental Implants
    • Porcelain Veneers
    • General Dentistry
    • Dental Crowns and Bridges
    • Teeth Whitening
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Patient Info

Patient Forms

Please feel free to fill out the forms below at your leisure and bring them with you to your first appointment.

  • Patient Information (PDF)
  • Health History (PDF)
  • Notice of Privacy Practices (PDF)
  • Acknowledgement of Receipt of Privacy Practices (PDF)

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White Family Dental
108 Doe Run Road
Manheim, PA 17545
Call: 717-879-9700
717-879-9700


Elizabethtown dentist Dr. Ed White and his team at White Family Dental provide cosmetic dentistry, family dentistry, dental implants and sedation dentistry to the Elizabethtown, Hershey, Leola, Lancaster and Harrisburg Pennsylvania area.
  • Home
  • Our Services
  • Cosmetic Dentistry
  • Dental Crowns and Bridges
  • Dental Implants
  • Porcelain Veneers
  • General Dentistry
  • Root Canals
  • Teeth Whitening
  • Patient Info
  • Contact Us
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