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    • Dr. Alissa Anthony
    • Dr. Leann Burch
    • Dr. Jacob Cassaro
    • Dr. Ashley Nguyen
    • Dr. Fernando Padron
    • Dr. Glenn Zimmer
  • General Dentistry
    • Children’s Dentistry
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    • Tooth Extractions
  • Cosmetic & Specialized Dentistry
    • All On 4 Dental Implants
    • Cosmetic Dentistry
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    • Full and Partial Dentures
    • Full Mouth Reconstruction
    • Implant Supported Dentures
    • Invisalign
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    • Smile Makeover
    • Teeth Whitening
    • Wisdom Teeth Removal
  • Patients
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    • Online Patient Forms
    • Pay Online
  • Location
    • Loves Park – Forest Hills Rd.
    • Rockford – North Main St.
    • Rockford – Palo Verde Dr.
  • Contact Us
Menu
  • Home
  • Employment
    • Indeed Job Board
  • About
    • Dr. Alissa Anthony
    • Dr. Leann Burch
    • Dr. Jacob Cassaro
    • Dr. Ashley Nguyen
    • Dr. Fernando Padron
    • Dr. Glenn Zimmer
  • General
    • Children’s Dentistry
    • Dental Bonding
    • Dental Bridges
    • Dental Cleaning
    • Dental Crowns
    • Dental Exam and Cleaning
    • Dental Fillings
    • Dental Sealants
    • Emergency Dentist
    • Family Dentistry
    • Gum Disease and Recession
    • Night Guards
    • Root Canals
    • Scale and Root Planing
    • TMJ, TMD and Bruxism
    • Tooth Extractions
  • Cosmetic
    & Specialized
    • All On 4 Dental Implants
    • Cosmetic Dentistry
    • Dental Implants
    • Full and Partial Dentures
    • Full Mouth Reconstruction
    • Implant Supported Dentures
    • Invisalign
    • Porcelain Veneers
    • Smile Makeover
    • Teeth Whitening
    • Wisdom Teeth Removal
  • Patients
    • Book an Appointment
    • Online Patient Forms
    • Pay Online
  • Location
    • Loves Park – Forest Hills Rd.
    • Rockford – North Main St.
    • Rockford – Palo Verde Dr.
  • Contact Us

Online Patient Forms
Burch Dental

Loves Park
Forest Hills Rd.

Complete online patient forms for our Loves Park Location here.

Loves Park - Patient Forms

Rockford
Palo Verde Dr.

Complete online patient forms for our Rockford, Palo Verde Location here.

Palo Verde - Patient Forms

Rockford
North Main St.

Complete online patient forms for our Rockford, North Main Location here.

Rockford - Patient Forms

Contact Us Today

Our Locations

Book Appointment Now

Loves Park
8100 Forest Hills Rd
Loves Park, IL 61111
(815) 559-5095

Loves Park - Location

Rockford Palo Verde
6078 Palo Verde Dr Ste 101
Rockford, IL 61114
(815) 862-8677

Palo Verde - Location

Rockford North Main
3914 N Main St
Rockford, IL 61103
(815) 855-2615

North Main - Location

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