Patient Info

Our Dental Receptionists and Office Manager will help you to schedule appointments, complete necessary paperwork, and answer any billing questions that you may have. When you're ready to schedule an appointment, call us at (360) 779-3211.

Learn more about helpful information for patients:
•  Patient Forms
•  Insurance
•  Financial Policies
•  Children's Visits
•  For Parents
•  Helpful Links

Click below to learn more:


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Patient Forms




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Insurance

Insurance Information
If you have dental insurance we will help you determine the coverage you have available. In order to best assist you, it is important that you submit your dental and/or medical insurance information to us with your New Patient Paperwork a minimum of two business days prior to your scheduled appointment. This allows us time to contact your insurance company and obtain a breakdown of the benefits you or your employer purchased from the company.

Should you be diagnosed with treatment services, we will be able to provide you with a detailed plan which will give you an estimate of how much your insurance company may pay for each procedure, as well as the portion you will be expected to pay at the time of service.

Professional care is provided to you, our patient family, and not to an insurance company. The insurance company is responsible only to the patient as a benefit from the individual or employer plan purchase, and the patient is responsible to the doctor. We will assist you every way we can in filing your dental or medical claim, and handling insurance questions from our office on your behalf.



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Financial Policies

Financial Responsibility
In an effort to reduce the cost to you, the patient, while maintaining the highest level of professional care, we have established the financial policy as follows:
•  Payment of any account balance is due in full within 20 days of statement date.
•  We gladly accept Visa, Discover, American Express, or MasterCard payments
•  Payment plans are available through CareCredit

Fees & Policies
Missed Appointment Fee
We strive to schedule an appropriate time for each patient family that visits Eugene Mumford, DDS, taking into account the individual needs of each child. While we understand that emergencies happen, and it's difficult to plan for the unexpected, it's important that we respect the time of our staff, as well as those patients who may be waiting for an appointment with us.

Therefore, our missed appointment fees are as follows:
$25.00 per scheduled family member — Hygiene Appointment
$150.00 per scheduled family member — Treatment Appointment

Past Due Payment Fees
Accounts that are past due will accrue late fees in the amount of $5.00 per 30 days past due (after insurance payments have been applied). If your account is 90 days or more past due, it may be referred to a third-party for review.



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Children's Visits

Your child's first dental visit will consist of a thorough review of your child's dental and health information and a comprehensive dental examination along with a discussion on proper diet, nutrition and good oral hygiene habits.

Depending on the age and needs of your child, we will complete a professional dental cleaning, conduct re-mineralization therapy, and take any necessary x-rays. Dr. Eugene Mumford will take time to discuss any concerns you may have, and prepare you for what you can expect during your child's oral development. If decay is found, the information collected will allow Dr. Eugene Mumford to prepare a treatment plan and recommend the best options for your child's dental care.

Please help us make the first visit enjoyable and positive! We encourage parents and caregivers to use positive stories about visiting the dentist, songs, and descriptive words to describe your child's upcoming visit.

Try to avoid using words around your child that might cause unnecessary fear. Words like "needle", "shot", "drill", or "hurt" may cause preventable anxiety and make the first dental visit more difficult for your child. At Eugene Mumford, DDS, we will work with you to make your child's first dental visit an adventure that sets a positive foundation for the rest of their life.

We encourage you to stay with your child during the initial examination, and during future visits you can let your child join us on their own, depending on age and comfort.



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For Parents

It's important to teach your child good oral hygiene habits early, because cavities can start even before babies have visible teeth! Babies have 20 primary teeth that are already present in the jaws when they're born. Primary teeth start coming in around 6 months of age, and create a healthy foundation for adult teeth by maintaining space in the jaw.

Do Baby Teeth Really Matter?
If a primary (baby) tooth is lost too early, the permanent (adult) teeth can start to move into the empty space and make it difficult for the other permanent teeth to find room when they come in. This leads to crooked or crowded teeth. Starting your baby off with the best oral care can lead to a lifelong healthy smile. Remember, both the American Academy of Pediatric Dentistry and the American Dental Association recommend that your child have their first visit no later than age two.

How Do Cavities Start?
Cavities form when germs that feed on sugar and produce acid begin to eat away at the tooth enamel. If left untreated, cavities can continue to develop into the dentin and eventually the pulp, which can cause your child pain.

Babies are born without these harmful bacteria in their mouth, and studies have proven that parents typically infect their children before age 2. Bacteria is transferred when parents eat from the same eating utensil as their baby, or when they hold their toddler's pacifier in their mouth. If parents have had cavities themselves, they are more likely to have cavity-causing germs to pass along.

For a downloadable form from the American Academy of Pediatric Dentistry that talks more about early childhood cavities, click here.



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Helpful Links



Eugene Mumford, DDS
19163 Jensen Way NE
Poulsbo, WA 98370


(360) 779-3211









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