Skip to main content
Click for menu
Great River Endodontics
Click to call our office
×
Office Numbers
St. Cloud Office
320-259-5078
St. Michael Office
763-497-0082
Monticello Office
763-295-2222
Willmar Office
320-259-5078
622 Roosevelt Rd. Suite 180
St. Cloud, MN 56301
750 Central Ave. E Suite 202
St. Michael, MN 55376
9381 Cedar St.
Monticello, MN 55362
1100 19th Ave. SW Suite 202
Willmar, MN 56201
St. Cloud Office
St. Cloud Office Phone Number
320-259-5078
St. Michael Office
St. Michael Office Phone Number
763-497-0082
Monticello Office
Monticello Office Phone Number
763-295-2222
Willmar Office
Willmar Office Phone Number
320-259-5078
Home
Patient Information
Why Choose Our Practice
New Patients
Appointment Scheduling
Financial Policy
Insurance Information
Patient Registration
Authorization For Release Form
Privacy Policy
Instructions
Before Endodontic Treatment
General Instructions
After Treatment FAQ
About Your Tooth
Tooth Saving Tips
Advanced Technology
Endodontic FAQ
Nitrous Oxide
Online Payments
Endodontic Services
Root Canals
Endodontic Retreatment
GentleWave Procedure
Apicoectomy
Cracked Teeth
Traumatic Injuries
Root Canal
Root Canal Safety
Myths About Root Canals
Root Resorption
About Us
Why Choose an Endodontist
Dr. Thomas Karn
Dr. Nathan Lund
Dr. Christopher Saylor
Dr. Brian R. Papworth
Dr. Brandon Penaz
Dr. David R. Schuweiler
Patient Reviews
Write a Review
Referring Doctors
Referral Form
Colleagues for Excellence Newsletter
Endodontic Case Assessment
Treatment Planning Options
Regenerative Procedures
Links of Interest
Contact Us
St. Cloud Office
St. Michael Office
Monticello Office
Willmar Office
Learn more about
New Patients
Learn more about
Patient Registration
Home
/
Patient Information
/
Online Payments
Online Payments
Online Payment Form - Authorize.net
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Payment Amount
*
Credit Card
*
American Express
Discover
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Total
$0.00
Website
This field is for validation purposes and should be left unchanged.
Δ
Scroll to the top of the page
Click to open and close visual accessibility options. The options include increasing font-size and color contrast.
White Text on Black
Black Text on White
Increase Font Size
Decrease Font Size
Reset Font Styles