Request an Appointment

The first step toward achieving a beautiful, healthy smile is to schedule an appointment.

Each office is open to serve you, answer questions, or schedule an appointment during the following hours:

Monday – Thursday:       7 a.m. – 5 p.m.
Friday:                                7 a.m. – 12 p.m.

Please complete and submit the request form below. Note this form is for requesting an appointment only. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

    Patient Name *

    Parent Name

    Email *

    Phone *

    Type of Appointment

    Preferred Location *

    Preferred Day(s) *

    Preferred Time(s) *


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