Patient Information | Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care - Dentist Phoenix, AZ 85044 | (480) 706-0789

Patient Information

The staff at Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care is committed to providing excellent dental care in a comfortable environment where patients can relax and feel at ease. Here you will find information on what to expect during your first appointment along with links to patient forms and paperwork.

Contact Us

We are happy to hear from you, answer your questions, and schedule an appointment. Call Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care at 480-706-0789 or stop by our office.
4350 E Ray Rd, #116
Phoenix, AZ 85044

Request An Appointment

New Patients

It is easy to make an appointment for your initial examination and dental treatments. Call 480-706-0789 to speak with a staff member and you can download the New Patient Form by clicking the link.

Our Financial Policy

Thank you for choosing us as your dental health care provider. We are committed to providing quality dental care. In order to reduce potential confusion and misunderstandings, we have adopted the following Financial Policy that you will need to read and sign prior to commencement of any treatment.

As dental healthcare providers, our relationship is with you and not your insurance company. While the filing of insurance claims is a courtesy that we extend to our patients all charges are your responsibility from the date the services are rendered.

Your insurance policy is a contract between you and your insurance company. For us to bill your insurance company you must provide us current and valid insurance information. As a courtesy, we will file your insurance claim for you if you assign the benefits to this office. Co-payments, deductibles and any amount estimated that insurance will not cover must be paid at the time services are rendered. Forms of payment include cash, checks, most major credit cards, and third party financing is available on approved credit. If your insurance company does not pay within 60 days you will be responsible to pay any unpaid balance at that time.

We are generally very helpful and accurate in estimating what your insurance will cover. However, dental insurance coverage does vary greatly. Occasionally they do not cover what is expected. We are not responsible for and have no control over your insurance company’s coverage or decisions. In the event the insurance company does not cover a service, you will be responsible for the complete amount. We encourage all patients to contact their insurance carrier and become familiar with their own plans, coverage and any exclusions.

Ultimately it is the insured patient’s responsibility to dispute any problems with their insurance company regarding discrepancies with coverage. As a courtesy we may send a letter and/or make a phone call on your behalf.

It is your responsibility to notify our office when your insurance plan or benefits change. You must also advise us when you use your dental benefits at other offices or our benefit estimates may be incorrect. Any costs resulting from incorrect or incomplete insurance information provided or omitted by you is clearly your responsibility.

A parent or legal guardian must accompany a minor patient on his or her first visit to our office so we can obtain a signature to treat the minor patient. A minor may be treated on subsequent visits without a parent or guardian if we have permission from the parent or legal guardian and payment arrangements are made in advance. The adult accompanying a minor patient is responsible for payment of the services rendered at the time of service.

There is a service fee of $25 for all returned checks and a $50 fee for missed appointments or late cancellations (less than 24 hours).

In addition to these terms, I acknowledge and agree that I am personally responsible for all services rendered to me and / or my dependents.

I further agree that a 1.5% finance charge (18% APR) will be added to any balance over 30 days. In the event that I default, I agree to pay all collection costs necessary to collect the debt, including reasonable attorney fees.


We are in network for the following insurance companies: DELTA DENTAL - Premier, CMDP
We continue to accept most other insurances as long as you can go "out of network".

Payment Methods – Check or Cash Accepted

Downloadable Forms:

Welcome to
Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care

Making An Appointment

Making an Appointment

It is easy to make an appointment for your initial examination and dental treatments with Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care. Simply call 480-706-0789 and one of our friendly team members will be happy to assist you. If you schedule an appointment and something comes up, please call and cancel 24 hours in advance so that we can accommodate other patient requests.

Your Visit to Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care

What to Expect

Walk into our lobby where you will be greeted by our friendly staff. We will provide you with new patient paperwork that includes a health questionnaire, request for your insurance information and contact information. We will also provide you with information to familiarize you with our office and how we handle things like patient privacy.

Initial Examination

Initial Examination

Your initial dental exam will take around one hour. The skilled staff at Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care will ask you questions, get to know your oral hygiene routine, and listen to your health concerns. We believe in educating patients and empowering them to make good choices to improve their oral health. We will demonstrate how to properly care for your teeth and make additional suggestions as needed. Our dental hygienist will clean your teeth then Dr. Pulsipher will complete your examination and make recommendations for proposed dental treatments.

Pain Concerns

Pain Concerns

We work to ensure our patients feel comfortable, and that includes minimizing their pain as much as possible. If you are undergoing a dental procedure, Dr. Pulsipher will meet with you to discuss your pain tolerance and create a plan for pain management. Working together, we will treat your dental health problems in a way that minimizes pain and enables you to get back to your life faster.

Dental Insurance

Dental Insurance

We accept a variety of insurance providers and endeavor to accommodate our patients' request. Please call our office at 480-706-0789 to see if we are currently working with your insurance provider.

Our pricing structure is designed to ensure that patients are able to receive the high quality dental care they deserve. If your dental insurance will not cover all of your dental treatments, we will work with you to identify a payment solution. We are health care professionals first and will work with you to make sure you receive the treatment you need.

Financial Policy

Financial Policy

Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care provides high quality dental care to families throughout the Phoenix area. We understand that every dental patient has different financial needs. We will work with you to find a solution that enables you to get the dental care you need, with or without insurance. Call our office to ask about our different payment options that may include cash, check, financing, and credit cards. We provide budget friendly dental care so call today and learn how Douglas A. Pulsipher, DDS, Ahwatukee Foothills Dental Care is the solution to all of your oral health needs.