Patients come to Summit Dental Center because they are looking for a dentist that has financing in Houston, Tx.

Proper dental care is an important part of your overall health. Summit Dental Center™ offers a variety of Dental Financing and payment options.
We offer several options for financing your dental work. All Dental Procedures Can Be Financed!
Fill out the application on this page to get started.

No Credit Required Financing

We make it easy for you to get the dental treatment you need Now and pay for it over time with our Financing Programs. Come to any of our 7 locations and have your initial consultation and then let us finance you that day; it only takes a few minutes. In house financing is available for procedures up to $5000.00.

NO credit required
Instant Approval

Have questions call our Financing Specialist now at 713-597-5170

Traditional Patient Financing

Patient Financing is available to patients needing financing from $1000 to $30,000, Summit utilizes carefully selected lenders to provide financing for our patients.
Depending on your own individual financial situation we will work to get you financed.
Benefits:

NO Down Payment
Up to 60 months repayment.

Have questions call our Financing Specialist now at 713-597-5170

Your Information Is Secure Fill out this application form to get financing for your dental procedure.
No Credit Inquiry will appear on your Credit Report.

Which Office Will You Be Visiting*
If you are unsure which office you may select "I Am Not Sure"
Name
First Last
Date Of Birth*
MM
DD
YYYY
Social Security #*
Drivers License or State ID #*
Issuing State*
Patients First and Last Name
If different from applicant
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Do you Rent or Own*
Monthly Mortgage or Rent*
Employment Information
Employment Status*
Years With Current Employer
Employer Name*
Employer Phone*
Your total verifiable gross income might include your salary, retirement income or other sources of income. You don't have to include alimony, child support, or separate maintenance income unless you want it considered as a basis for repayment
Monthly Income*
How Often Are You Paid?*
When Was Your Last Pay Date?*
MM
DD
YYYY
When Is Your Next Pay Date?*
MM
DD
YYYY
Additional Monthly Income?
Additional Monthly Income Source?
Do You Have 2 Financial Accounts?*
- Yes
- No
Do You Have A Checking Acct With A Debit Card?*
- Yes
- No
Financial Information
You May Provide The Specific Financial Account Information Below At Your Appointment. By Providing It Now It Will Speed The Process Of Your Financing.
Checking Account
Checking Acct Bank Name
Debit Card #
Expiration Date
CVV #
Checking Acct Routing Number
Checking Account Number
Savings Account
Bank Name
Savings Acct Routing #
Savings Acct #
Credit Cards
Mastercard, Visa, or American Express
Credit Card Number
Credit Card Expiration

Additional Information

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Patients come to Summit Dental Center because they are looking for a dentist that has financing in Houston, Tx.

No Credit Required Financing

Traditional Patient Financing

Employment Information

Financial Information

Checking Account

Savings Account

Credit Cards

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