Download and fill out the forms below, then mail or fax them to our office. Fax: (906) 226-2497

Health History - Adults
Health History - Children
HIPPA and Financial Agreement


Patient Portal Logins

Schedule An Appointment

Our mission is to provide exceptional specialized dental care to improve the quality of life for our patients. Schedule an appointment today to assess your dental needs.

William J. Ballard III, D.D.S.

3135 Wright Street, Marquette, MI 49855 • 906-226-8186