www.doctorjolley.com
Open in
urlscan Pro
141.193.213.10
Public Scan
URL:
https://www.doctorjolley.com/
Submission: On June 06 via manual from US — Scanned from DE
Submission: On June 06 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /#gf_1
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_1" id="gform_1" action="/#gf_1" data-formid="1" novalidate="">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":true,"openpopup_id":215}">
<div class="gform-body gform_body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below validation_below">
<fieldset id="field_1_7"
class="gfield gfield--type-radio gfield--type-choice gfield--width-full item-col-3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_7">
<legend class="gfield_label gform-field-label">Are you new to our practice?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_1_7">
<div class="gchoice gchoice_1_7_0">
<input class="gfield-choice-input" name="input_7" type="radio" value="Yes" checked="checked" id="choice_1_7_0" onchange="gformToggleRadioOther( this )">
<label for="choice_1_7_0" id="label_1_7_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_1_7_1">
<input class="gfield-choice-input" name="input_7" type="radio" value="No" id="choice_1_7_1" onchange="gformToggleRadioOther( this )">
<label for="choice_1_7_1" id="label_1_7_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<div id="field_1_1" class="gfield gfield--type-text hidden-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_1_1"><label
class="gfield_label gform-field-label" for="input_1_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" maxlength="20" placeholder="First Name*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_2" class="gfield gfield--type-text gfield--width-full hidden-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_2"><label class="gfield_label gform-field-label" for="input_1_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_1_2" type="text" value="" class="large" maxlength="20" placeholder="Last Name*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_4" class="gfield gfield--type-text gfield--width-full hidden-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_4"><label class="gfield_label gform-field-label" for="input_1_4">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_4" id="input_1_4" type="text" value="" class="large" placeholder="Phone*" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_1_5" class="gfield gfield--type-email gfield--width-full hidden-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_5"><label class="gfield_label gform-field-label" for="input_1_5">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_5" id="input_1_5" type="email" value="" class="large" placeholder="Email*" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_1_3" class="gfield gfield--type-select gfield--width-full hidden-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_3"><label class="gfield_label gform-field-label" for="input_1_3">How can we help you?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_3" id="input_1_3" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">How can we help you?*</option>
<option value="Schedule Appointment">Schedule Appointment</option>
<option value="Cancel Appointment">Cancel Appointment</option>
<option value="Billing Question">Billing Question</option>
<option value="Service Question">Service Question</option>
<option value="Insurance Question">Insurance Question</option>
<option value="Other">Other</option>
</select></div>
</div>
<fieldset id="field_1_6" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_6">
<legend class="gfield_label gform-field-label">May we contact you via text?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_1_6">
<div class="gchoice gchoice_1_6_0">
<input class="gfield-choice-input" name="input_6" type="radio" value="Yes" checked="checked" id="choice_1_6_0" onchange="gformToggleRadioOther( this )">
<label for="choice_1_6_0" id="label_1_6_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
</div>
<div class="gchoice gchoice_1_6_1">
<input class="gfield-choice-input" name="input_6" type="radio" value="No" id="choice_1_6_1" onchange="gformToggleRadioOther( this )">
<label for="choice_1_6_1" id="label_1_6_1" class="gform-field-label gform-field-label--type-inline">No</label>
</div>
</div>
</div>
</fieldset>
<div id="field_1_8" class="gfield gfield--type-captcha gfield--width-full captcha-wrap hidden-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_1_8"><label class="gfield_label gform-field-label" for="input_1_8">Please verify your request</label>
<div id="input_1_8" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Lc205EpAAAAAMwGa5AQylMCIBDQHmhTjzFUkrk3" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-ast8aaaspb7z" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lc205EpAAAAAMwGa5AQylMCIBDQHmhTjzFUkrk3&co=aHR0cHM6Ly93d3cuZG9jdG9yam9sbGV5LmNvbTo0NDM.&hl=en&v=9pvHvq7kSOTqqZusUzJ6ewaF&theme=light&size=normal&cb=7738y8furmt"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=1&title=&description=&tabindex=0&theme=gravity-theme">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_1" value="WyJbXSIsIjA5ZDU5OTEwYWY2YWM1OTUyZDNlNDczNmEzOTE2ZWEwIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<input type="hidden" name="pum_form_popup_id" value="215">
</form>Text Content
* Services * Reviews * Team * Contact (425) 310-1044 Book Appointment (425) 310-1044 Book Appointment ☰ x HOME PAGE Maple Valley, WA FAMILY DENTISTRY Dr. Craig Jolley’s experience and compassionate approach to family dentistry show why he is the preferred dentist in Maple Valley, WA. Appointment Schedule an appointment and our talented team will assist you. Contact (425) 310-1044 27203 216th Avenue SE, Suite B Maple Valley, WA 98038 CRAIG R. JOLLEY, DMD Dr. Craig Jolley and his skilled staff prioritize your comfort and positive dental experience. From cosmetic dentistry to digital x-rays to dental implants, laser dentistry, and more, Dr. Jolley is ready to help. focused care but utilizing state-of-the-art dental technology and advanced education. That’s why he attends extensive postdoctoral studies in family dentistry and advanced restorative techniques every year. COMPREHENSIVE FAMILY DENTAL CARE Dr. Craig Jolley combines advanced dental technology with a gentle, friendly style to provide his patients with a pleasant and comfortable dental experience. ONE-VISIT CROWNS One-Visit Crown technology allows our practice to create tooth-colored porcelain restorations for healthy… View more SLEEP APNEA TREATMENT Obstructive sleep apnea occurs when the airway completely collapses, blocking airflow… View more COSMETIC DENTISTRY Cosmetic dentistry is one of the most cost-effective ways to improve your appearance. View more FAMILY DENTAL CARE From toddlers to the elderly, our skilled dental team is familiar with the unique needs of every patient. View more DIGITAL X-RAYS Our use of digital x-ray technology reduces your radiation exposure and eliminates the use of chemicals. View more COMPOSITE FILLINGS The common silver filling contains mercury. Dr. Jolley uses the highest-quality biocompatible… View more DENTAL IMPLANTS Dental implants are a great option for replacing missing teeth, improving chewing ability… View more LASER DENTISTRY Laser dentistry is a highly-effective, gentle way to treat gum disease, remove bacteria… View more NO INSURANCE? WE HAVE A SOLUTION! Join Dr. Craig R. Jolley’s Membership Club and get your preventive care for a low monthly subscription fee. JOIN US NOW! MAPLE VALLEY LOVES DR. JOLLEY But don’t take our word for it. Check out our reviews! “My whole life I have had dental anxiety. Dr. Jolley and his team make you feel comfortable, supported and at ease. I am so grateful that they are so professional and accommodate my every need. My entire family now sees Dr. Jolley and couldn’t be happier!” EVELYN B. “I came in for an emergency visit today and Dr. Jolley’s office made it such a pleasant experience (under the circumstances). Anyone who has anxiety issues with dentists, like I do, do yourself a favor and see Dr. Jolley (or one of the other amazing dentists there). You will not regret it.” CIARA R. “This was the best dental experience ever! I had 5 fillings done at once, it was very relaxing believe it or not. The laughing gas makes everything better. I really like having that option. They offer a lot of comfort options which is new to me and I loved it!” DANA W. VIEW MORE Visit Us! WE ARE READY TO HELP YOU. BOOK AN APPOINMENT Craig R. Jolley, DMD Dr. Craig Jolley provides a state-of-the-art, compassionate experience for all his dental patients. MENU * Services * Reviews * Team * Contact * Office Tour * ADA OFFICE HOURS * Monday: 8:00am - 6:00pm * Tuesday: 7:00am - 5:00pm * Wednesday: 7:00am - 5:00pm * Thursday: 7:00am - 1:00pm * Friday: By Appointment Only CONTACT New Patients Call: (425) 310-1044 Existing Patients Call: (425) 432-1232 27203 216th Avenue SE, Suite B Maple Valley, WA 98038 - View Map Book Appointment Copyright © 2024 All Rights Reserved Dr. Jolley | ADA Accessibility Statment | Privacy Policy Request An Appointment Are you new to our practice?(Required) Yes No First Name(Required) Last Name(Required) Phone(Required) Email(Required) How can we help you?(Required) How can we help you?*Schedule AppointmentCancel AppointmentBilling QuestionService QuestionInsurance QuestionOther May we contact you via text?(Required) Yes No Please verify your request X Notifications