Appointment Request

The first step towards a beautiful, bright, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Please note that this is an appointment REQUEST. By completing this form you are NOT making an appointment you are simply REQUESTING to be seen at a particular date and time. Please note our hours of operation.

Our office is open Monday through Thursday, with hours that can accommodate almost any schedule. We know that your time is important, and we work to ensure that your visit happens as professionally and quickly as possible.

Monday  to Thursday  7:30 AM to 4:00 PM

Friday                          CLOSED

Lunch                          12:30 PM to 1:00 PM

Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment. You may contact us by phone.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: We will CALL YOU in order to confirm an anointment time. If you are a new patient and have insurance then we will need to correctly determine your benefits prior to confirming an appointment. New patients are scheduled between 8:30AM to 2:00PM. New patients should have the name of their insurance carrier, their contract number, group number, and their DOB readily available when Messages sent using this form are considered private. Please contact our office by telephone if you are sending highly confidential or private information. We look forward to serving your dental health needs.


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