www.parkdental.com Open in urlscan Pro
192.124.249.7  Public Scan

Submitted URL: https://email2.nexhealth.com/ls/click?upn=Vqb-2BZMSBspPw04EVQTmx7Kd9cUTqdRy8a0xQgi2ZFf3H5y4eTVwWPnuZfHef1AfM00iKiBNz903v1cCV7...
Effective URL: https://www.parkdental.com/vikingsticketgiveaway/?utm_source=Vikings_ticket_email&utm_medium=email&utm_campaign=mnvfall2022
Submission: On August 25 via api from CA — Scanned from CA

Form analysis 6 forms found in the DOM

POST /vikingsticketgiveaway/?utm_source=Vikings_ticket_email&utm_medium=email&utm_campaign=mnvfall2022#gf_4

<form method="post" enctype="multipart/form-data" id="gform_4" class="form-request-appt gform_legacy_markup recaptcha-v3-initialized"
  action="/vikingsticketgiveaway/?utm_source=Vikings_ticket_email&amp;utm_medium=email&amp;utm_campaign=mnvfall2022#gf_4" novalidate="">
  <div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeKP2cfAAAAAOY4692gQdIpEKByKg2jiqOt1m51" data-tabindex="0"><input id="input_57d0676bd1813fc0035748bcba1617d1" class="gfield_recaptcha_response" type="hidden"
      name="input_57d0676bd1813fc0035748bcba1617d1" value=""></div>
  <div class="gform_body gform-body">
    <div id="gform_fields_4" class="gform_fields top_label form_sublabel_below description_below">
      <div id="field_4_5" class="gfield field-location field-half-left gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_5"><label class="gfield_label" for="input_4_5">Select
          Location<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_5" id="input_4_5" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value="Select one" disabled="disabled">Select one</option>
            <option value="598">Park Dental Albertville-St. Michael</option>
            <option value="632">Park Dental Apple River</option>
            <option value="599">Park Dental Apple Valley</option>
            <option value="9412">Park Dental Bailey Road</option>
            <option value="4480">Park Dental Big Lake</option>
            <option value="600">Park Dental Blaine</option>
            <option value="269541">Park Dental Blaine East</option>
            <option value="601">Park Dental Bloomington</option>
            <option value="5450">Park Dental BlueStone</option>
            <option value="602">Park Dental Brookpark</option>
            <option value="30573">Park Dental Cedar Valley</option>
            <option value="605">Park Dental Champlin</option>
            <option value="606">Park Dental Chaska</option>
            <option value="637">Park Dental Como Avenue</option>
            <option value="608">Park Dental Coon Rapids</option>
            <option value="609">Park Dental Cottage Grove</option>
            <option value="630">Park Dental Dean Lakes</option>
            <option value="630">Park Dental Shakopee-Dean Lakes</option>
            <option value="5100">Park Dental Downtown Duluth</option>
            <option value="610">Park Dental Eagan</option>
            <option value="611">Park Dental Eden Prairie</option>
            <option value="612">Park Dental Edina</option>
            <option value="134777">Park Dental Edinborough Way</option>
            <option value="603">Park Dental Edinbrook</option>
            <option value="3157">Park Dental Elk River</option>
            <option value="636">Park Dental Grand Avenue</option>
            <option value="12424">Park Dental Hermantown</option>
            <option value="614">Park Dental Hudson</option>
            <option value="615">Park Dental Hugo</option>
            <option value="618">Park Dental Lakeville</option>
            <option value="621">Park Dental LaSalle Plaza</option>
            <option value="635">Park Dental Mac Groveland</option>
            <option value="619">Park Dental Maple Grove</option>
            <option value="620">Park Dental Maplewood</option>
            <option value="622">Park Dental Marquette</option>
            <option value="624">Park Dental Minnetonka</option>
            <option value="3441">Park Dental Owatonna</option>
            <option value="28410">Park Dental Plymouth Lakes</option>
            <option value="625">Park Dental Plymouth West</option>
            <option value="617">Park Dental Radio Drive</option>
            <option value="623">Park Dental Ridgepark</option>
            <option value="604">Park Dental Ridges</option>
            <option value="607">Park Dental Riverdale</option>
            <option value="626">Park Dental Rochester</option>
            <option value="627">Park Dental Rosemount</option>
            <option value="628">Park Dental Roseville</option>
            <option value="616">Park Dental Salem Square</option>
            <option value="629">Park Dental Savage</option>
            <option value="631">Park Dental Shakopee</option>
            <option value="633">Park Dental Silver Lake</option>
            <option value="634">Park Dental St. Croix Valley</option>
            <option value="638">Park Dental St. Louis Park</option>
            <option value="639">Park Dental Woodbury</option>
            <option value="30580">Park Dental Yankee Doodle Road</option>
          </select></div>
      </div>
      <div id="field_4_9" class="gfield field-dentist field-half-right gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_9"><label class="gfield_label" for="input_4_9">Select a
          Dentist<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_9" id="input_4_9" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
            <option value="Select one" disabled="disabled">Select one</option>
          </select></div>
      </div>
      <div id="field_4_1" class="gfield field-half-left clear gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_1"><label class="gfield_label" for="input_4_1">First Name<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_1" id="input_4_1" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_4_2" class="gfield field-half-right gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_2"><label class="gfield_label" for="input_4_2">Last Name<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_2" id="input_4_2" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
      </div>
      <div id="field_4_3" class="gfield field-half-left clear gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_3"><label class="gfield_label" for="input_4_3">Phone<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_3" id="input_4_3" type="tel" value="" class="medium" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_4_4" class="gfield field-half-right gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_4"><label class="gfield_label" for="input_4_4">Email<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_4" id="input_4_4" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_4_10" class="gfield clear field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_10"><label class="gfield_label" for="input_4_10">Best time to Call</label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_4_10" class="medium gfield_select" aria-invalid="false">
            <option value="Anytime">Anytime</option>
            <option value="Morning">Morning</option>
            <option value="Afternoon">Afternoon</option>
            <option value="Evening">Evening</option>
          </select></div>
      </div>
      <div id="field_4_16" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_16">
        <hr>
      </div>
      <div id="field_4_20" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_20">
        <h2 class="gsection_title">Preferred Appointment Day/Time (select all that apply):</h2>
      </div>
      <div id="field_4_11" class="gfield field-half-left hide-label field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_4_11"><label class="gfield_label gfield_label_before_complex">Preferred Appointment
          Day</label>
        <div class="gfield_description" id="gfield_description_4_11">Day</div>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_4_11">
            <div class="gchoice gchoice_4_11_1">
              <input class="gfield-choice-input" name="input_11.1" type="checkbox" value="Monday" id="choice_4_11_1" aria-describedby="gfield_description_4_11">
              <label for="choice_4_11_1" id="label_4_11_1">Monday</label>
            </div>
            <div class="gchoice gchoice_4_11_2">
              <input class="gfield-choice-input" name="input_11.2" type="checkbox" value="Tuesday" id="choice_4_11_2">
              <label for="choice_4_11_2" id="label_4_11_2">Tuesday</label>
            </div>
            <div class="gchoice gchoice_4_11_3">
              <input class="gfield-choice-input" name="input_11.3" type="checkbox" value="Wednesday" id="choice_4_11_3">
              <label for="choice_4_11_3" id="label_4_11_3">Wednesday</label>
            </div>
            <div class="gchoice gchoice_4_11_4">
              <input class="gfield-choice-input" name="input_11.4" type="checkbox" value="Thursday" id="choice_4_11_4">
              <label for="choice_4_11_4" id="label_4_11_4">Thursday</label>
            </div>
            <div class="gchoice gchoice_4_11_5">
              <input class="gfield-choice-input" name="input_11.5" type="checkbox" value="Friday" id="choice_4_11_5">
              <label for="choice_4_11_5" id="label_4_11_5">Friday</label>
            </div>
            <div class="gchoice gchoice_4_11_6">
              <input class="gfield-choice-input" name="input_11.6" type="checkbox" value="Saturday (schedules vary by practice)" id="choice_4_11_6">
              <label for="choice_4_11_6" id="label_4_11_6">Saturday (schedules vary by practice)</label>
            </div>
          </div>
        </div>
      </div>
      <div id="field_4_12" class="gfield field-half-right hide-label field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_4_12"><label class="gfield_label gfield_label_before_complex">Preferred Appointment
          Time:</label>
        <div class="gfield_description" id="gfield_description_4_12">Time</div>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_4_12">
            <div class="gchoice gchoice_4_12_1">
              <input class="gfield-choice-input" name="input_12.1" type="checkbox" value="Anytime" id="choice_4_12_1" aria-describedby="gfield_description_4_12">
              <label for="choice_4_12_1" id="label_4_12_1">Anytime</label>
            </div>
            <div class="gchoice gchoice_4_12_2">
              <input class="gfield-choice-input" name="input_12.2" type="checkbox" value="Morning" id="choice_4_12_2">
              <label for="choice_4_12_2" id="label_4_12_2">Morning</label>
            </div>
            <div class="gchoice gchoice_4_12_3">
              <input class="gfield-choice-input" name="input_12.3" type="checkbox" value="Afternoon" id="choice_4_12_3">
              <label for="choice_4_12_3" id="label_4_12_3">Afternoon</label>
            </div>
            <div class="gchoice gchoice_4_12_4">
              <input class="gfield-choice-input" name="input_12.4" type="checkbox" value="Evening" id="choice_4_12_4">
              <label for="choice_4_12_4" id="label_4_12_4">Evening</label>
            </div>
          </div>
        </div>
      </div>
      <div id="field_4_17" class="gfield clear gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_17">
        <hr>
      </div>
      <div id="field_4_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_13"><label class="gfield_label">I am a:<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_4_13">
            <div class="gchoice gchoice_4_13_0">
              <input name="input_13" type="radio" value="New Patient" checked="checked" id="choice_4_13_0">
              <label for="choice_4_13_0" id="label_4_13_0">New Patient</label>
            </div>
            <div class="gchoice gchoice_4_13_1">
              <input name="input_13" type="radio" value="Existing Patient" id="choice_4_13_1">
              <label for="choice_4_13_1" id="label_4_13_1">Existing Patient</label>
            </div>
          </div>
        </div>
      </div>
      <div id="field_4_18" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_18">
        <div class="text-xs">If you are a New Patient, you will be asked to provide your insurance information when we contact you to schedule your appointment.</div>
        <hr>
      </div>
      <div id="field_4_14" class="gfield hide-label field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_14"><label class="gfield_label gfield_label_before_complex">Don't have insurance?</label>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_4_14">
            <div class="gchoice gchoice_4_14_1">
              <input class="gfield-choice-input" name="input_14.1" type="checkbox" value="Don't have insurance? Check here if you are interested in learning more about Park Dental Care Package." id="choice_4_14_1">
              <label for="choice_4_14_1" id="label_4_14_1">Don't have insurance? Check here if you are interested in learning more about Park Dental Care Package.</label>
            </div>
          </div>
        </div>
      </div>
      <div id="field_4_15" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_15"><label class="gfield_label" for="input_4_15">Message</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_15" id="input_4_15" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <div id="field_4_8" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_8">
        <div class="text-xs">This form is not to be used for solicitation or advertising purposes. The information you’ve provided will only be used by our staff to contact you and will never be released to third parties. For more details, please
          review our <a href="/privacy-policy/">privacy policy</a>. <span id="form-agreement-4">By submitting your information to Park Dental, you agree to our website's <a href="/terms-conditions/">Terms and Conditions</a>. We ask you to review
            these Terms and Conditions prior to submitting your information.<span></span></span></div>
      </div>
      <div id="field_4_22" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_22">
        <div class="text-xs">
          <font color="#E6005C">Park Dental takes the health and wellbeing of our patients, doctors and team members very seriously. If you are currently experiencing flu-like symptoms, which may include a fever, please let us know when we contact
            you to schedule your appointment. If you have traveled outside of the US within the past 14 days to a country with high levels of Coronavirus cases, please let us know when we contact you to schedule your appointment. This would include
            any travel on a cruise ship. Thank you for your cooperation and understanding.</font>
        </div>
      </div>
      <div id="field_4_19" class="gfield gsection hide field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_4_19">
        <h2 class="gsection_title">Section Break</h2>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <button class="button" id="gform_submit_button_4"><span>Send</span></button>
    <input type="hidden" class="gform_hidden" name="is_submit_4" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="4">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_4" value="WyJbXSIsImUwODE1ZWUyNzQzOTFjNzMzZGZlM2YwNjc0YjI0Mzc5Il0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_4" id="gform_target_page_number_4" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_4" id="gform_source_page_number_4" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

GET /

<form method="get" class="search-form" action="/">
  <label for="search-form-input-site-header-meta">Search</label>
  <input type="search" class="search-field" placeholder="Search …" value="" name="s" id="search-form-input-site-header-meta" title="Search for:">
  <button class="search-submit" aria-label="Search Submit Button"><i class="fa fa-search" aria-hidden="true"></i></button>
</form>

GET /

<form method="get" class="search-form" action="/">
  <label for="search-form-input-mobile">Search</label>
  <input type="search" class="search-field" placeholder="Search …" value="" name="s" id="search-form-input-mobile" title="Search for:">
  <button class="search-submit" aria-label="Search Submit Button"><i class="fa fa-search" aria-hidden="true"></i></button>
</form>

POST https://chat.parkdental.com/ccp/chat/form/100047

<form action="https://chat.parkdental.com/ccp/chat/form/100047" method="post" onsubmit="return updateAuthor(this)">
  <span>Full Name:</span><input type="text" name="extensionField_Name"><br>
  <span>Phone Number:</span><input type="text" name="extensionField_Phone Number"><br>
  <span>Date of Birth:</span><input type="text" name="extensionField_Date of Birth"><br>
  <span>Email:</span><input type="text" name="extensionField_Email"><br>
  <span>Starting question:</span>
  <select name="extensionField_ccxqueuetag">
    <option value="Chat_Csq202">Schedule an appointment - new patient</option>
    <option value="Chat_Csq206">Schedule an appointment - existing patient</option>
    <option value="Chat_Csq203">Directions and other practice information</option>
    <option value="Chat_Csq204">Do you accept my insurance</option>
    <option value="Chat_Csq205">General question</option>
  </select><br>
  <input type="submit" value="Submit"><input type="hidden" name="author" value="Customer"><br>
  <input type="hidden" name="title" value="ccx chat"><br>
  <input type="hidden" name="extensionField_h_widgetName123456" value="PDG_Chat"><br>
  <!-- The following optional, hidden fields are available in order to customize the Customer Chat user interface.
        Unlike other extension fields, these are not added to the social contact, and therefore do not display in the Agent Chat user interface.-->
  <input type="hidden" name="extensionField_chatLogo" value="http://www.parkdental.com/wp-content/uploads/2016/12/site-logo.png"><br>
  <input type="hidden" name="extensionField_chatWaiting" value="Just a moment while we connect you with a Park Dental Team Member.">
  <input type="hidden" name="extensionField_chatAgentJoinTimeOut" value="All team members are busy helping others right now. Please continue to wait, or you may try again later.">
  <input type="hidden" name="extensionField_chatError" value="We are sorry, the chat service is currently not available. Please try again later.">
</form>

POST /vikingsticketgiveaway/?utm_source=Vikings_ticket_email&utm_medium=email&utm_campaign=mnvfall2022#gf_7

<form method="post" enctype="multipart/form-data" id="gform_7" action="/vikingsticketgiveaway/?utm_source=Vikings_ticket_email&amp;utm_medium=email&amp;utm_campaign=mnvfall2022#gf_7" novalidate="" class="recaptcha-v3-initialized">
  <div class="gf_invisible ginput_recaptchav3" data-sitekey="6LeKP2cfAAAAAOY4692gQdIpEKByKg2jiqOt1m51" data-tabindex="0"><input id="input_88edfe2daf5cc214cb2fce5a51e98e61" class="gfield_recaptcha_response" type="hidden"
      name="input_88edfe2daf5cc214cb2fce5a51e98e61" value=""></div>
  <div class="gform_body gform-body">
    <div id="gform_fields_7" class="gform_fields top_label form_sublabel_below description_below">
      <div id="field_7_2" class="gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_7_2"><label class="gfield_label gfield_label_before_complex">Name<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_7_2">
          <span id="input_7_2_3_container" class="name_first">
            <label for="input_7_2_3">First Name</label>
            <input type="text" name="input_2.3" id="input_7_2_3" value="" aria-required="true">
          </span>
          <span id="input_7_2_6_container" class="name_last">
            <label for="input_7_2_6">Last Name</label>
            <input type="text" name="input_2.6" id="input_7_2_6" value="" aria-required="true">
          </span>
        </div>
      </div>
      <div id="field_7_9" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_9">
        <hr>
      </div>
      <div id="field_7_3" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_7_3"><label class="gfield_label" for="input_7_3">Email<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_7_3" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_7_6" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_7_6"><label class="gfield_label" for="input_7_6">Phone<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_6" id="input_7_6" type="tel" value="" class="medium" aria-required="true" aria-invalid="false"></div>
      </div>
      <div id="field_7_7" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" data-js-reload="field_7_7"><label class="gfield_label" for="input_7_7">Your Practice<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_7" id="input_7_7" class="medium gfield_select" aria-required="true" aria-invalid="false">
            <option value="Park Dental Albertville-St. Michael">Park Dental Albertville-St. Michael</option>
            <option value="Park Dental Apple River">Park Dental Apple River</option>
            <option value="Park Dental Apple Valley">Park Dental Apple Valley</option>
            <option value="Park Dental Bailey Road">Park Dental Bailey Road</option>
            <option value="Park Dental Big Lake">Park Dental Big Lake</option>
            <option value="Park Dental Blaine">Park Dental Blaine</option>
            <option value="Park Dental Bloomington">Park Dental Bloomington</option>
            <option value="Park Dental BlueStone">Park Dental BlueStone</option>
            <option value="Park Dental Brookpark">Park Dental Brookpark</option>
            <option value="Park Dental Cedar Valley">Park Dental Cedar Valley</option>
            <option value="Park Dental Champlin">Park Dental Champlin</option>
            <option value="Park Dental Chaska">Park Dental Chaska</option>
            <option value="Park Dental Como Avenue">Park Dental Como Avenue</option>
            <option value="Park Dental Coon Rapids">Park Dental Coon Rapids</option>
            <option value="Park Dental Cottage Grove">Park Dental Cottage Grove</option>
            <option value="Park Dental Dean Lakes">Park Dental Dean Lakes</option>
            <option value="Park Dental Downtown Duluth">Park Dental Downtown Duluth</option>
            <option value="Park Dental Eagan">Park Dental Eagan</option>
            <option value="Park Dental Eden Prairie">Park Dental Eden Prairie</option>
            <option value="Park Dental Edina">Park Dental Edina</option>
            <option value="Park Dental Edinborough Way">Park Dental Edinborough Way</option>
            <option value="Park Dental Edinbrook">Park Dental Edinbrook</option>
            <option value="Park Dental Elk River">Park Dental Elk River</option>
            <option value="Park Dental Grand Avenue">Park Dental Grand Avenue</option>
            <option value="Park Dental Hermantown">Park Dental Hermantown</option>
            <option value="Park Dental Hudson">Park Dental Hudson</option>
            <option value="Park Dental Hugo">Park Dental Hugo</option>
            <option value="Park Dental Lakeville">Park Dental Lakeville</option>
            <option value="Park Dental LaSalle Plaza">Park Dental LaSalle Plaza</option>
            <option value="Park Dental Mac Groveland">Park Dental Mac Groveland</option>
            <option value="Park Dental Maple Grove">Park Dental Maple Grove</option>
            <option value="Park Dental Maplewood">Park Dental Maplewood</option>
            <option value="Park Dental Marquette">Park Dental Marquette</option>
            <option value="Park Dental Minnetonka">Park Dental Minnetonka</option>
            <option value="Park Dental Owatonna">Park Dental Owatonna</option>
            <option value="Park Dental Plymouth Lakes">Park Dental Plymouth Lakes</option>
            <option value="Park Dental Plymouth West">Park Dental Plymouth West</option>
            <option value="Park Dental Radio Drive">Park Dental Radio Drive</option>
            <option value="Park Dental Ridgepark">Park Dental Ridgepark</option>
            <option value="Park Dental Ridges">Park Dental Ridges</option>
            <option value="Park Dental Riverdale">Park Dental Riverdale</option>
            <option value="Park Dental Rochester">Park Dental Rochester</option>
            <option value="Park Dental Rosemount">Park Dental Rosemount</option>
            <option value="Park Dental Roseville">Park Dental Roseville</option>
            <option value="Park Dental Salem Square">Park Dental Salem Square</option>
            <option value="Park Dental Savage">Park Dental Savage</option>
            <option value="Park Dental Shakopee">Park Dental Shakopee</option>
            <option value="Park Dental Silver Lake">Park Dental Silver Lake</option>
            <option value="Park Dental St. Croix Valley">Park Dental St. Croix Valley</option>
            <option value="Park Dental St. Louis Park">Park Dental St. Louis Park</option>
            <option value="Park Dental Woodbury">Park Dental Woodbury</option>
            <option value="Park Dental Yankee Doodle Road">Park Dental Yankee Doodle Road</option>
          </select></div>
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      <div id="field_7_10" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_10">
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        <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_7_5">
          <span class="ginput_full address_line_1 ginput_address_line_1" id="input_7_5_1_container">
            <label for="input_7_5_1" id="input_7_5_1_label">Street Address</label>
            <input type="text" name="input_5.1" id="input_7_5_1" value="" aria-required="false">
          </span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_7_5_2_container">
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            <label for="input_7_5_3" id="input_7_5_3_label">City</label>
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            <select name="input_5.6" id="input_7_5_6" aria-required="false">
              <option value="" selected="selected"></option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="Brunei Darussalam">Brunei Darussalam</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cape Verde">Cape Verde</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos Islands">Cocos Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Congo, Republic of the">Congo, Republic of the</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Curaçao">Curaçao</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czech Republic">Czech Republic</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern Territories">French Southern Territories</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
              <option value="Holy See">Holy See</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Isle of Man">Isle of Man</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jersey">Jersey</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macau">Macau</option>
              <option value="Macedonia">Macedonia</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Martinique">Martinique</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mayotte">Mayotte</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Montserrat">Montserrat</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Caledonia">New Caledonia</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Niue">Niue</option>
              <option value="Norfolk Island">Norfolk Island</option>
              <option value="North Korea">North Korea</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Pitcairn">Pitcairn</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russia">Russia</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Réunion">Réunion</option>
              <option value="Saint Barthélemy">Saint Barthélemy</option>
              <option value="Saint Helena">Saint Helena</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Martin">Saint Martin</option>
              <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Sint Maarten">Sint Maarten</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia">South Georgia</option>
              <option value="South Korea">South Korea</option>
              <option value="South Sudan">South Sudan</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Suriname">Suriname</option>
              <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria">Syria</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania">Tanzania</option>
              <option value="Thailand">Thailand</option>
              <option value="Timor-Leste">Timor-Leste</option>
              <option value="Togo">Togo</option>
              <option value="Tokelau">Tokelau</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkey">Turkey</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Vietnam">Vietnam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
              <option value="Wallis and Futuna">Wallis and Futuna</option>
              <option value="Western Sahara">Western Sahara</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
              <option value="Åland Islands">Åland Islands</option>
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          </span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </div>
      <div id="field_7_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_11"><label class="gfield_label gfield_label_before_complex">Eligibility<span
            class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class="sr-only"> Required</span></span></span></label>
        <div class="ginput_container ginput_container_checkbox">
          <div class="gfield_checkbox" id="input_7_11">
            <div class="gchoice gchoice_7_11_1">
              <input class="gfield-choice-input" name="input_11.1" type="checkbox" value="I certify that the person listed above is a Park Dental patient who is at least 18 years of age." id="choice_7_11_1">
              <label for="choice_7_11_1" id="label_7_11_1">I certify that the person listed above is a Park Dental patient who is at least 18 years of age.</label>
            </div>
          </div>
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      </div>
      <div id="field_7_8" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_7_8">
        <p>*required fields</p>
        <p style="font-size: 10px;">NO PURCHASE NECESSARY TO ENTER OR WIN. PURCHASE WILL NOT ENHANCE CHANCES OF WINNING. Odds of winning depend on the number of eligible entries received.<span> Must be as natural persons who (a) are active patients
            of Sponsor, but for whom Sponsor does not receive reimbursement for services from federally funded government programs, (b) are legal residents of the 50 United States, excluding Florida, Rhode Island and New York, and (c) have reached
            the age of majority in their state of residence or older as of the date of entry. Sweepstakes runs from 12:01am CDT on August 22, 2022 to 11:59pm CDT on December 11, 2022. Approximate maximum aggregate value of all prizes is $1,500. By
            participating in the Sweepstakes, entrants agree to the full Official Rules. See the <a href="http://www.parkdental.com/vikingsticketgiveawayrules/">Official Rules</a> for complete details, method of entry, and qualifications, available
            at <a href="http://www.parkdental.com/vikingsticketgiveawayrules/">parkdental.com/vikingsticketgiveawayrules/</a>.</span></p>
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  <div class="gform_footer top_label"> <button class="button" id="gform_submit_button_7"><span>Submit</span></button>
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</form>

<form action="" onsubmit="LO.submit_chat(); return false;">
  <div id="lo_chat_input" style="position:relative; width: 100%; ">
    <div class="lo-fx-hr" style="height:0px; margin-bottom:0px; margin-top:0px; width:100%; border-top:1px solid #000000;border-bottom:1px solid #4f4f4f"></div>
    <div style="padding:10px;"><label for="lo_chat_textarea" style="display:none">Chat Input Box</label><textarea id="lo_chat_textarea" disabled="disabled" rows="2"
        style="color: black; background-color: rgb(255, 255, 255); border-radius: 5px; padding: 7px; height: auto; width: 100%; font-family: sans-serif; text-transform: none; resize: none;" dir="null" data-last-scroll-height="0"></textarea></div>
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Text Content

REQUEST AN APPOINTMENT

Select Location * Required
Select onePark Dental Albertville-St. MichaelPark Dental Apple RiverPark Dental
Apple ValleyPark Dental Bailey RoadPark Dental Big LakePark Dental BlainePark
Dental Blaine EastPark Dental BloomingtonPark Dental BlueStonePark Dental
BrookparkPark Dental Cedar ValleyPark Dental ChamplinPark Dental ChaskaPark
Dental Como AvenuePark Dental Coon RapidsPark Dental Cottage GrovePark Dental
Dean LakesPark Dental Shakopee-Dean LakesPark Dental Downtown DuluthPark Dental
EaganPark Dental Eden PrairiePark Dental EdinaPark Dental Edinborough WayPark
Dental EdinbrookPark Dental Elk RiverPark Dental Grand AvenuePark Dental
HermantownPark Dental HudsonPark Dental HugoPark Dental LakevillePark Dental
LaSalle PlazaPark Dental Mac GrovelandPark Dental Maple GrovePark Dental
MaplewoodPark Dental MarquettePark Dental MinnetonkaPark Dental OwatonnaPark
Dental Plymouth LakesPark Dental Plymouth WestPark Dental Radio DrivePark Dental
RidgeparkPark Dental RidgesPark Dental RiverdalePark Dental RochesterPark Dental
RosemountPark Dental RosevillePark Dental Salem SquarePark Dental SavagePark
Dental ShakopeePark Dental Silver LakePark Dental St. Croix ValleyPark Dental
St. Louis ParkPark Dental WoodburyPark Dental Yankee Doodle Road
Select a Dentist * Required
Select one
First Name * Required

Last Name * Required

Phone * Required

Email * Required

Best time to Call
AnytimeMorningAfternoonEvening

--------------------------------------------------------------------------------


PREFERRED APPOINTMENT DAY/TIME (SELECT ALL THAT APPLY):

Preferred Appointment Day
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (schedules vary by practice)
Preferred Appointment Time:
Time
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Home | Vikings Ticket Giveaway


PARK DENTAL VIKINGS TICKET GIVEAWAY


ENTER TO WIN TICKETS TO A VIKINGS GAME


FOOTBALL IS BACK AND IT'S TIME TO SKOL!

Park Dental is giving away a pair of tickets to four home games for the 2022
Minnesota Vikings season to some of our lucky patients!

 * September 25, 2022 – Minnesota Vikings vs. Detroit Lions
 * October 30, 2022 – Minnesota Vikings vs. Arizona Cardinals
 * November 20, 2022 – Minnesota Vikings vs. Dallas Cowboys
 * December 18, 2022 – Minnesota Vikings vs. Indianapolis Colts

Enter your information in the form provided to be included in the drawings. One
entry per person. You must be a Park Dental patient to win.  Drawings will be
held approximately one week prior to each game. Park Dental will contact you if
you’ve won – good luck!

Park Dental is proud to be the trusted dentist of the Minnesota Vikings. Read
more about our partnership.

Learn More

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RochesterPark Dental RosemountPark Dental RosevillePark Dental Salem SquarePark
Dental SavagePark Dental ShakopeePark Dental Silver LakePark Dental St. Croix
ValleyPark Dental St. Louis ParkPark Dental WoodburyPark Dental Yankee Doodle
Road

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Eligibility * Required
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NO PURCHASE NECESSARY TO ENTER OR WIN. PURCHASE WILL NOT ENHANCE CHANCES OF
WINNING. Odds of winning depend on the number of eligible entries received. Must
be as natural persons who (a) are active patients of Sponsor, but for whom
Sponsor does not receive reimbursement for services from federally funded
government programs, (b) are legal residents of the 50 United States, excluding
Florida, Rhode Island and New York, and (c) have reached the age of majority in
their state of residence or older as of the date of entry. Sweepstakes runs from
12:01am CDT on August 22, 2022 to 11:59pm CDT on December 11, 2022. Approximate
maximum aggregate value of all prizes is $1,500. By participating in the
Sweepstakes, entrants agree to the full Official Rules. See the Official Rules
for complete details, method of entry, and qualifications, available at
parkdental.com/vikingsticketgiveawayrules/.

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