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51<link rel="stylesheet" href="https://code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css"> 52 53<style type="text/css">div#ui-datepicker-div.ui-datepicker.ui-widget.ui-widget-content.ui-helper-clearfix.ui-corner-all{z-index: 2222 !important;}</style> 54<link rel="stylesheet" href="//cdnjs.cloudflare.com/ajax/libs/timepicker/1.3.5/jquery.timepicker.min.css"> 55</head><body><div data-collapse="medium" data-animation="default" data-duration="400" data-w-id="9914ba69-22f8-046e-4ff6-ec9905c8c638" data-easing="ease" data-easing2="ease" role="banner" class="navbar w-nav"><div class="nav-container-1"><a href="/" class="nav-1 w-nav-brand"><img src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/61e7075b286e1df203a7f8e7_CAMP-logo-web.svg" width="240" alt="Campfire Pediatric Dentistry logo" class="nav-logo"/></a><nav role="navigation" class="desktop-nav-menu-links w-nav-menu"><div class="nav-menu-links-container-1"><a href="/about" class="nav-link nav-link-first w-nav-link">about</a><div data-hover="true" data-delay="0" data-w-id="9914ba69-22f8-046e-4ff6-ec9905c8c641" class="dropdown-1 w-dropdown"><div class="camp-dropdown-toggle w-dropdown-toggle"><div class="nav-link-dropdown">Areas we Serve</div><img alt="" src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/620aa4863a3106663e01ec3b_62055415d1a4ec8161f1721f_noun-arrow-1453451.png" class="submenu-arrow"/></div><nav class="dropdown-list-3 w-dropdown-list"><a href="/for-parents/pediatric-dentist-in-verona" class="camp-dropdown-link w-dropdown-link">Verona</a><a href="/for-parents/dentist-near-madison-proper" class="camp-dropdown-link w-dropdown-link">Madison Proper</a><a href="/locations-we-serve/pediatric-dentist-in-waunakee" class="camp-dropdown-link w-dropdown-link">Waunakee</a><a href="/locations-we-serve/pediatric-dentist-in-fitchburg" class="camp-dropdown-link w-dropdown-link">Fitchburg</a></nav></div><div data-hover="true" data-delay="0" data-w-id="9b5348aa-5bcb-f874-9f6e-bf8c26f0219f" class="dropdown-1 w-dropdown"><div class="camp-dropdown-toggle w-dropdown-toggle"><div class="nav-link-dropdown">Services</div><img alt="" src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/620aa4863a3106663e01ec3b_62055415d1a4ec8161f1721f_noun-arrow-1453451.png" class="submenu-arrow"/></div><nav class="dropdown-list-3 w-dropdown-list"><a href="/services/preventive-dentistry" class="camp-dropdown-link w-dropdown-link">Preventive Dentistry</a><a href="/services/restorative-dentistry" class="camp-dropdown-link w-dropdown-link">Restorative Dentistry</a><a href="/services/frenectomies" class="camp-dropdown-link w-dropdown-link">Frenectomies</a><a href="/services/pediatric-dental-fillings" class="camp-dropdown-link w-dropdown-link">Dental Fillings</a><a href="/services/pediatric-dental-crowns" class="camp-dropdown-link w-dropdown-link">Pediatric Dental Crowns</a><a href="/services/silver-diamine-fluoride" class="camp-dropdown-link w-dropdown-link">Silver Diamine Fluoride</a><a href="/services/pulpotomies" class="camp-dropdown-link w-dropdown-link">Pulpotomies</a><a href="/services/sedation-dentistry" class="camp-dropdown-link w-dropdown-link">sedation Dentistry</a><a href="/services/root-canal-therapy" class="camp-dropdown-link w-dropdown-link">Root Canal Therapy</a><a href="/services/dental-bonding" class="camp-dropdown-link w-dropdown-link">Dental Bonding </a><a href="/services/space-maintainers" class="camp-dropdown-link w-dropdown-link">Space Maintainers</a><a href="/services/pediatric-dental-sealants" class="camp-dropdown-link w-dropdown-link">Dental Sealants</a><a href="/services/oral-cancer-screenings" class="camp-dropdown-link w-dropdown-link">Oral Cancer Screenings</a><a href="/services/dental-bridges" class="camp-dropdown-link w-dropdown-link">Dental Bridges</a><a href="/services/pediatric-dental-emergencies" class="camp-dropdown-link w-dropdown-link">
55Emergencies</a><a href="/services/solea-dental-laser" class="camp-dropdown-link w-dropdown-link">Solea Dental Laser</a><a href="/services/pediatric-teeth-cleaning" class="camp-dropdown-link w-dropdown-link">Pediatric Teeth Cleaning</a><a href="/services/pediatric-dental-exams" class="camp-dropdown-link w-dropdown-link">Pediatric Dental Exams</a></nav></div><div data-hover="true" data-delay="0" data-w-id="924f3b2c-2c64-bcbe-ea04-f02ff5b3806f" class="dropdown-1 hide w-dropdown"><div class="camp-dropdown-toggle w-dropdown-toggle"><div class="nav-link-dropdown">Locations we serve</div><img alt="" src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/620aa4863a3106663e01ec3b_62055415d1a4ec8161f1721f_noun-arrow-1453451.png" class="submenu-arrow"/></div><nav class="dropdown-list-3 w-dropdown-list"><a href="/for-parents/pediatric-dentist-in-verona" class="camp-dropdown-link w-dropdown-link">Verona</a><a href="/for-parents/dentist-near-madison-proper" class="camp-dropdown-link w-dropdown-link">Madison Proper</a><a href="/locations-we-serve/pediatric-dentist-in-waunakee" class="camp-dropdown-link w-dropdown-link">Waunakee</a><a href="/locations-we-serve/pediatric-dentist-in-fitchburg" class="camp-dropdown-link w-dropdown-link">Fitchburg</a></nav></div><div data-hover="true" data-delay="0" data-w-id="6a8e60f9-b300-1ac8-fdaf-8af4278fe51c" class="dropdown-1 w-dropdown"><div class="camp-dropdown-toggle w-dropdown-toggle"><div class="nav-link-dropdown">For parents</div><img src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/620aa4863a3106663e01ec3b_62055415d1a4ec8161f1721f_noun-arrow-1453451.png" alt="arrow icon" class="submenu-arrow"/></div><nav class="dropdown-list-3 w-dropdown-list"><a href="/for-parents/why-choose-a-pediatric-dentist" class="camp-dropdown-link w-dropdown-link">Why choose a Board-Certified pediatric dentist?</a><a href="/for-parents/first-visits" class="camp-dropdown-link w-dropdown-link">First Visits</a><a href="/for-parents/forms-financing" class="camp-dropdown-link w-dropdown-link">Forms & Financing</a><a href="/for-parents/membership-plan" class="camp-dropdown-link w-dropdown-link">membership plan </a><a href="/for-parents/blog" class="camp-dropdown-link w-dropdown-link">Blog</a><a href="/for-parents/new-patient-special" class="dropdown-link-special w-dropdown-link">Special Offer</a></nav></div><div data-hover="true" data-delay="0" class="dropdown-1 w-dropdown"><div class="camp-dropdown-toggle w-dropdown-toggle"><div class="nav-link-dropdown">contact</div><img src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/620aa4863a3106663e01ec3b_62055415d1a4ec8161f1721f_noun-arrow-1453451.png" alt="arrow icon" class="submenu-arrow"/></div><nav class="dropdown-list-3 w-dropdown-list"><a href="/contact" aria-current="page" class="camp-dropdown-link w-dropdown-link w--current">Contact</a><a href="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/637d59faaf1d9d0cec3151a7_Needed%20info%20for%20pediatric%20referral%20form.pdf" class="camp-dropdown-link w-dropdown-link">Referral</a><a href="#" data-w-id="45314697-c3de-789f-f13b-25ec6eeff0e8" class="camp-dropdown-link w-dropdown-link">Employment Inquiry</a></nav></div><div class="social-wrapper hide"><a href="#" class="nav-link social w-nav-link">ï</a><a href="#" class="nav-link social insta w-nav-link">ï
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552019</span><br/>website by <a href="http://wonderistagency.com" class="footer-link">wonderist agency</a> | <a href="/privacy-policy" class="footer-link">privacy policy </a><span id="current-year">| </span><a href="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/62c61ce7a14f00b5d359c648_Notice%20of%20Privacy%20Practices%208%205%20x%2011-updated%20(2).pdf" target="_blank"><span id="current-year">Privacy Practices</span></a></div></div></div><div data-w-id="cb86db60-ecbe-31eb-b628-d0bf1ac008ee" class="modal-wrapper-2"><div class="contact-modal__background"><div class="contact-modal__pop-up"><div class="contact-modal__form-wrapper"><div class="text-center"><h3 class="center">Get In Touch</h3><h2 class="center">Request an Appointment</h2></div><div id="card-email-form" class="contact-form__container w-form"><form id="cofs-email-form" name="email-form" data-name="Email Form" method="post" redirect="/thank-you" data-redirect="/thank-you" class="contact-form-2" data-wf-page-id="630025bd065731e66cdcf5c1" data-wf-element-id="94504dbf-d4f3-a3d8-3864-36597e36ae53"><div class="contact-form__fields-wrapper"><div class="contact-form__wrapper-left"><label for="name" class="form__field-label">Name:</label><input class="form-field-3 w-input" maxlength="256" name="name" data-name="Name" placeholder="Enter your name" type="text" id="name" required=""/><label for="phone-number" class="form__field-label">Phone Number:</label><input class="form-field-3 w-input" maxlength="256" name="phone-number-4" data-name="Phone Number 4" placeholder="Enter your phone number" type="tel" id="phone-number-4" required=""/><label for="email-address" class="form__field-label">Email Address:</label><input class="form-field-3 w-input" maxlength="256" name="email-address" data-name="Email Address" placeholder="Enter your email" type="email" id="email-address" required=""/></div></div><label for="message" class="form__field-label">Message:</label><textarea required="" name="message-4" placeholder="Your message" maxlength="5000" data-name="Message 4" id="message-4" class="contact-form__textarea w-input"></textarea><p class="contact-form__phi">Please do not submit any Protected Health Information (PHI).<br/></p><div class="horizontal-flex"><input type="submit" data-wait="Please wait..." class="button w-button" value="Submit"/></div></form><div class="w-form-done"><div>Thank you! Your submission has been received!</div></div><div class="w-form-fail"><div>Oops! Something went wrong while submitting the form.</div></div></div><div data-w-id="94504dbf-d4f3-a3d8-3864-36597e36ae7e" class="close-modal-wrapper-2"><img src="https://cdn.prod.website-files.com/62f19d90c1efa2d92e00ce2a/63067d7e4359c965a4819841_Group%2086.svg" loading="lazy" alt="" class="close-button"/></div></div></div></div><div class="modal-body hide"><div class="schedule-now"><h2 class="center-2 _30-margin-bottom _20-margin-top">Are you a new or existing patient?</h2><h3 class="center mb-2">For emergency appointments,<br/>please call <a href="tel:(608)535-9382" class="link">(608) 535-9382</a> to get the soonest available appointment.</h3><div class="first-buttons"><a data-w-id="cb86db60-ecbe-31eb-b628-d0bf1ac008fb" href="#" class="button alt popup w-button">Existing Patient</a><a href="#" data-w-id="cb86db60-ecbe-31eb-b628-d0bf1ac008fd" class="button alt popup w-button">New Patient</a></div></div><div class="returning-patient-info"><p class="center-2 _30-margin-bottom _30-margin-top">Returning Patient? Please contact our office at <a href="tel:(608)535-9382" class="link">(608) 535-9382</a> to schedule an appointment. Thank you.</p></div><div class="calendar"><div class="w-embed w-iframe w-script"><iframe src="https://api.leadconnectorhq.com/widget/appointment/service/newpatient?group=campfirepdservices" style="width: 100%;border:none;overflow: hidden;" scrolling="no" id="T098zbyNVK1OMja8QntD_1660025827928"></iframe><br>
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55</div></div><div class="form-block-2 hide w-form"><form id="email-form" name="email-form" data-name="Email Form" redirect="/thank-you" data-redirect="/thank-you" method="get" class="schedule-form-container" data-wf-page-id="630025bd065731e66cdcf5c1" data-wf-element-id="cb86db60-ecbe-31eb-b628-d0bf1ac00908"><div class="form-side-div"><label for="Patient-Name-3" class="input-name">Patient name</label><input class="input-field w-input" maxlength="256" name="Patient-Name-3" data-name="Patient Name 3" placeholder="Patient Name" type="text" id="Patient-Name-3" required=""/><label for="Date-of-birth-3" class="input-name">Date of birth</label><input class="input-field w-input" maxlength="256" name="Date-of-birth-3" data-name="Date Of Birth 3" placeholder="Date of birth" type="text" id="Date-of-birth-3" required=""/><label for="Insurance-3" class="input-name">Insurance</label><input class="input-field w-input" maxlength="256" name="Insurance-3" data-name="Insurance 3" placeholder="Example Text" type="text" id="Insurance-3" required=""/><label for="Referral-Source-3" class="input-name">Referral Source</label><input class="input-field w-input" maxlength="256" name="Referral-Source-3" data-name="Referral Source 3" placeholder="Referral Source" type="text" id="Referral-Source-3" required=""/><label for="Phone-Number-3" class="input-name">Phone Number</label><input class="input-field w-input" maxlength="256" name="Phone-Number-3" data-name="Phone Number 3" placeholder="Phone Numbner" type="tel" id="Phone-Number-3" required=""/><label for="Email-3" class="input-name">Email</label><input class="input-field w-input" maxlength="256" name="Email-3" data-name="Email 3" placeholder="Email" type="email" id="Email-3" required=""/></div><div class="form-side-div extra-padding"><label for="datepicker-3" class="input-name hide">datepicker</label><input class="input-field w-input" maxlength="256" name="datepicker-3" data-name="Datepicker 3" placeholder="Choose your appointment" type="text" id="datepicker-3" required=""/><p class="form-note">*A representative will contact you within 1 business day.</p><select id="Location-2" name="Location-2" data-name="Location 2" required="" class="form-field-2 dropdown w-select"><option value="">Location</option><option value="canal-winchester">Canal Winchester</option><option value="columbus">Columbus</option><option value="dublin">Dublin</option><option value="grove-city">Grove City</option><option value="hillard">Hillard</option><option value="lancaster">Lancaster</option><option value="lewis-center">Lewis Center</option><option value="marysville">Marysville</option><option value="new-albany">New Albany</option><option value="westerville">Westerville</option></select><label for="Message-3" class="input-n-ame">Message</label><textarea placeholder="MEssage" maxlength="5000" id="Message-3" name="Message-3" data-name="Message 3" required="" class="input-field w-input"></textarea><input type="submit" data-wait="Please wait..." class="button-2 submit w-button" value="SEND MESSAGE"/><a href="tel:(614)328-9927" class="button-2 dark-green _20-top-margin smaller-button w-button">Call today (614) 328-9927</a></div></form><div class="w-form-done"><div>Thank you! Your submission has been received!</div></div><div class="w-form-fail"><div>Oops! Something went wrong while submitting the form.</div></div></div></div><div class="modal-closer-2 hide"><div data-w-id="cb86db60-ecbe-31eb-b628-d0bf1ac00930" class="close-icon"><img src="https://cdn.prod.website-files.com/61d4a1c0061f8d0a0e8c7c54/61d4a1c0061f8dde648c7d8d_Close.svg" alt=""/></div></div></div>
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