139 East Church St., Leesville, SC 29070
  • Home
  • About
    • Community Involvement
    • Meet The Dentists
    • Meet The Team
    • Office Tour
  • Patient Resources
    • Before After Smile Gallery
    • Patient Forms
    • Reviews
    • Financial Options
Logo
  • Services
    • Cosmetic Dentistry
      • Dental Bonding
      • Dental Veneers
      • Teeth Whitening
    • Dental Technology
      • 3D Printing
      • Cone Beam Imaging
      • Digital Impressions
      • Digital Scanner
    • Endodontics
      • Apicoectomy
      • Root Canal Retreatment
      • Root Canal Therapy
    • General Family Dentistry
      • Dental Cleanings & Exams
      • Dental Sealants
      • Emergency Dental Care
      • Fluoride Treatment
      • Night Guards
      • Oral Cancer Screening
      • Sports Mouth Guards
      • Tooth Extractions
    • Sleep Apnea Treatment
    • Oral Surgery
      • Bone Grafting
      • Frenectomy
      • Sinus Lift
      • Wisdom Teeth Removal
    • Orthodontics
      • Clear Aligners
      • Retainers
    • Periodontics
      • Scaling and Root Planing
      • Soft Tissue Grafting
    • Restorative Dentistry
      • All-on-X Implants
      • Dental Bridges
      • Dental Crowns
      • Dental Fillings
      • Dental Implants
      • Dentures
      • Implant Supported Dentures
    • Sedation Dentistry
      • IV Sedation
      • Nitrous Oxide Sedation
  • Contact
803-532-3331

Patient Forms

Check back soon for downloadable patient forms!

Save time at Leesville Dental Associates in Leesville, SC, by completing your patient forms before your visit. Our team uses secure, streamlined paperwork to help you get care faster—whether you're here for a routine checkup or comprehensive treatment.

Dr. Michael Cappellucci and Dr. Laura Walls provide complete dental services including extractions, implants, root canals, and sedation for patients throughout South Carolina. Our tightly knit team is here to make the process simple, personal, and stress-free.

Questions about forms or scheduling? Call Leesville Dental Associates at 803-532-3331.

We can’t wait to see you!

Trusted dental care in [city], [state], offering personalized treatment, modern technology, and compassionate guidance for comfortable, confident smiles everywhere.

803-532-3331

Logo
HomeOur ServicesAbout UsResources

Contact

PHONE - 803-532-3331
139 East Church St., Leesville, SC 29070

Hours

Monday

Tuesday

Wednesday

Thursday

Friday

7:30am - 5:00pm

7:30am - 5:00pm

7:30am - 2:00pm

7:30am - 5:00pm

7:30am - 2:00pm

*Friday hours are limited. Please call the office to check availability.

Services

Dental BondingDental VeneersTeeth Whitening3D PrintingCone Beam ImagingView All

Your dentists in Leesville.

© Copyright 2026 Dental Company Name. All rights reserved. —Privacy Policy —Website Design —

DentalQore